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PALM BEACH GARDENS, Fla. (AP) — A 25-year-old server who was fired from a Florida restaurant after she complained on Facebook that a church hadn't tipped her for preparing a large take-out order says she's now been compensated.
Tamlynn Yoder tells the Palm Beach Post that officials from Christ Fellowship church in Palm Beach Gardens contacted her after reports that she'd been fired from Outback Steakhouse. She says officials told her several families from the church gave the money to compensate her with "more than a tip."
The controversy began last Wednesday when the church placed a 75-item order. Yoder posted that she spent much of her shift preparing it and only made $18 in tips the rest of the day.
She was fired the next day. Yoder says the restaurant hasn't contacted her.
(Copyright (c) 2020 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.)

subset: commoncrawl


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So for this past 4th of July weekend, Ellie and her husband were kind enough to bring us dinner! I felt the need to contribute to the awesome menu that they brought over by providing dessert. I mean, it's the 4th of July, dessert is completely necessary! And pie and ice cream were what came to mind.
Now, I'm not really quite to the point where I felt like I could take on the world's most complicated pie, (the baby still needs me too frequently for that) so I wanted something easy. Maybe even a cheater pie. . . and this is what I found:
It's beautiful, right? Well, not only was it beautiful, it was so much easier than a traditional pie crust, with crust on the bottom and trying to roll the crust over the top with the crimping and the cutting vents . . . too much work for me at this point. This recipe just asked you to roll out the crust and cut circles out of it, then arrange them as shown. Easy peasy, right?
And the filling was easy too. I didn't have to peel the peaches (I will rave about how glad I am to live in Texas to get Texas peaches – yum! They have been amazing this year!), just cut them, added a few other ingredients, put them in the pie dish and was done with it! Very easy. So here's the recipe but keep reading because what's a pie without ice cream?
Recipe for Top-Crust Peach and Cardamon Pie
Now, if you've read this blog for any period of time, you've probably seen the multitudes of ice cream recipes that I suggest to you all. And of course, I rave about all of them, right? Well this one was delicious too! Jason was super skeptical when I told him it was made with sour cream, but I tried to make it more appealing to him by likening it to goat cheese ice cream (which I need to make and post the recipe – yum!). I love the consistency and flavor of the ice cream, and again, the mantra for this dessert endeavor, super easy: just mixed the ingredients together and tossed it in the ice cream maker. No making custards, or cooking anything. Perfect for me. And DELICIOUS!
Recipe for Sour Cream Ice Cream


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FirstCare Transitioning to New PBM in 2016—Navitus Health Solutions
Wednesday, October 28, 2015
We are pleased to inform our provider community of an exciting change in our prescription drug program. Effective January 1, 2016, Navitus Health Solutions will be the exclusive pharmacy benefits manager for all FirstCare members. This move simplifies and consolidates our pharmacy processes, improving our services to our members and providers. FirstCare and Navitus are committed to lowering drug costs, improving health, and providing superior customer service.
Our mail-order and specialty pharmacy vendors are also aligning under Navitus as these services will be offered through Navitus' partners NoviXus (mail-order) and Lumicera (specialty pharmacy).
This week, we have distributed an informational letter to our contracted providers, outlining the changes that accompany this transition to Navitus, including details regarding:
* Required field
ATTENTION: By clicking "Continue", you will be leaving the FirstCare Medicare Dual SNP (HMO SNP) site pages. If you wish to remain on these pages, simply click "Cancel" or close this box.


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|One summer week's order from TBS, spread out on my counter.
For those of you who may not have access to the wonderful Edible Austin magazine, here is a link to a wonderful article about The Bountiful Sprout, which appeared in their spring issue. TBS is the group I have been volunteering with, ever since I moved to Wimberley full-time. Jeremy Walther, who writes for Edible Austin, became so enthusiastic about the concept, while conducting all the interviews, that he has volunteered to open a branch in Austin. Exciting times!
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Rating : 4.5
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Rating : 4.5


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Postcards sent!
Can you connect the Postcard to the visual creation?
Kids from Athens and Gent- thank you so much for working with us with the City Rings project. This amazing collaboration has bound us all together through the medium of sound. We have tried our best to connect other member of our school community too and many students from other grades have wanted to use the recorders and created Soundscapes. Our teachers are thinking of new ways to embed these ideas into our curriculum. We shall definitely share all the Postcards with the whole school community via our Facebook page and hopefully create an interactive gallery using maybe QR codes.
We have had many discussions in school about how much access to mobile learning devices and screen time students should have. The City Rings project has highlighted how digital arts and technologies can help us cross borders and reconnect with our own environment. The mindset of our students throughout the project had been that of exploration, inquiry and wonder which they will take with them into other areas of learning and life.
Until next time!
Hello all!
We finished our postcards and are happy to send them over to you! We also made drawings to express the things we wanted to tell with our sounds and to have a clear view on our editing process. We hope you will enjoy our postcards and are looking forward to listen to yours! Many greets from us, Sint-Laurens kids from Sint-Kruis-Winkel, Ghent, Belgium!
Hello to you all!
We have been working on our sonic postcards for the last two days! It has been a bit difficult to organize it because we only had two laptops to work with. So, we decided to form groups and share activities. Here's our plan: each day two groups worked with Audacity and the rest dedicated our time in visual scores!
About the sonic postcards:
We have made three of them! We did not want to work on a certain scenario. On the contrary, we wanted to listen many times to the sounds we had made and decide on our compositions more spontaneously, trying various combinations of sounds. Each group collaborated democratically on contents choosing sounds that the whole group liked. Little by little we decided on what would our final outcome sound like. During this process we concentrated on the title of each composition trying to find a title that would fit it best! Finally, on Tuesday we listened to our outcome realizing that each group had worked in a very special way: some were more rhythmical than others, others more literal, others more associative…
Let's listen to them:
1. FrenoCar (by Flori, Kostis, Mateo): Φρένο (Freno) in Greek means brake. So this composition is about cars. Athens is full of cars and their sounds are very typical of our city! Us composers like beatboxing and pop music, too, so we thought of working with human voice and repetition as well.
2. The barba(by Ekramul, Muhammad, Leonardo): we thought that the sound of the word barba has something in common with the composition that follows, so we decided to name our postcard after it. We have used a variety of sounds to create it!
3. Three rains (by Joana, Marina, Erisha): Due to a technical problem we will only be able to upload this sound by next Tuesday. Until then, try to imagine various types of rain: heavy, light, dense… They all sound differently, don't they? We have attempted to create a rainy atmosphere here without using any rain sound at all!
About the visual scores:
While the two laptops were fully working on Audacity projects in two continuous days, the rest of the class talked about pentagram scores and visual scores. We talked about Wassily Kandinsky's connections between sound and painting, as well. In the city rings blog, we found and watched Artikulation: As the sounds of Gyorgy Ligeti's piece are played, one can simultaneously see the visual score made by Rainer Wehinger.
After that, we were asked to stop and listen very carefully and try to create visual scores of the soundscape in the very moment it was being composed. Listening attentively, it was only but a matter of time that shapes and patterns emerged to describe the others' voices, the sounds that came from their headphones, the sound of traffic, Linos' (the bird!) chirps, Sofia' s steps, our pencils on paper, our breaths, the murmur of the classroom, laughter and many many more! Here you can take a look of some of our scores (By Muhammad, Selena, Flori, Leonardo, Ekramul, Spyridoula, Mateo, Kostis -not in order of appearance!):
Finally, this is an Origami T-Shirt by Selena with many of the symbols she has used in her scores on it:
Last, but not least, we would like to thank you very much for sharing sounds and ideas with us! Working with you has been a great pleasure and every time we had a session we were longing to listen to you on the blog!
Little by little, Summer is approaching, so we wish you have a great and sonorous Summer this year!
The kids from 49 primary School of Athens!
We began today with a short visualisation imagining our keyword. With our keyword we imagined textures, colours, shapes and forms that could be associated with these words. Then listening to our sonic snaps we connected our visualisations with some of these sounds. The group had some ingenious ideas for grabbing sounds at home using personal devices as we have limited recorders in school. Our incredible resourceful students used mp3 players, video capture on a tablet, voice memos on an iPod and GarageBand. I have featured some of the collection below.
With our images and sound ideas growing in our minds we had the chance to create visual interpretations of our ideas using a variety of media from pencil and paper and crayon to using the app 'Brushes' on iPad or sculpture. These creations prompted some great dialogue about our compositions.
Hello to all of you!
Today we had our fourth session! Unfortunately, we haven't managed to gather all of the sound recordings yet. We will have everything by tomorrow, though. So, we decided to dedicate this session to other sonorous things… We took a look at your comments on our first sounscape and were very intrigued by the idea of sonic cinema! It was so fun to read how differently each one of you have perceived the same sound. Thank you both for the great idea! So, here´s where your sounds have taken us to:
a sound from Ghent (we tried not to spy on the title…):
is the soundtrack for…
-a bank robbery
-person blowing in his hands because he is cold and tries to roll a big rock outside a cave in order to get in.
-a man is running because he is being chased by a lion. The lion tries to throw a stone to him.
-a man cutting down a tree.
-a man on a bicycle, horning.
-a fireman goes to extinguish a fire.
-school bell ringing. the students run like dogs.
-dogs with bells hanging from their necks run.
a sound by Etoy:
was the soundtrack for…
-a train that horns and stops at the station./tram coming from the previous station./train that horns to a dog
-the school's bell/fire alarm.
-a crazy alarm clock wakes the chicken up and they are taken aback.
-a child wakes up and takes his/her skate. Almost runs into a dog!
-a ship full of containers horns. People unload the containers and the air comes.
-workers building a house.
another sound by Etoy:
was the soundtrack for…
-a guy driving a truck in the snow. He is trapped by the snow and gets down to dig and continue his drive.
-people disembark from a ship after having crossed the car parking, take their luggage and get off.
-a radio trying to get signal.
-a ship off for a trip. its radar being fixed.
-it rains. A guy gets in his house and gets out again because he dropped his keys down.
-Kiriku runs away from the witch.
-a submarine in the bottom of the sea. it comes next to a cargo ship and the ship takes it inside. then the ship's engine starts.
-lots of traffic in the street, trucks horning, dogs barking, people running.
-the Titanic sinking.
Afrer listening to some soundscapes from you, we listened to the sounds that we recorded these days and talked about our experience. Unfortunately, we have had some problems: some of us could not complete their recordings and some others have had interventions from people speaking, unwanted noises etc. Last, but not least, heroic Joanna got burnt trying to record the boiler…
Reading Ghent's post, we realized that you have had as well some of our problems: there were interventions in your recordings, too. Gent helped us understand that sometimes interventions might be interesting and that listening to the soundscape can be itself a composition full of unpredictable surprises.
Listening to our sounds, we noticed the low quality of the mp3 players and wondered whether this is a disadvantage or it can be welcome sometimes, too. In order to think on lo-fi sound, we listened to an example that comes from music: the Cocorosie sisters, (who use children's toys with lo-fi sound, as well) recorded their first album not in a proper studio but in their bathroom! Listening to Terrible Angels we imagined them playing in the bathroom, we talked about the small room's acoustics and paid attention to the toy's sounds and to the little "noises" that were captured during the recording.
Here they go:
Has their sound been affected? Yes, but in a positive way! So, for the next days we need to think on how we can mix our recordings made with the high quality recorders with the ones made with the mp3 players in a way that we have an interesting outcome!
Here are some of our recordings. In order to know who is the author and what is being recorded, we say our name and give a small description of the sound in the beginning of each file:
cars and traffic!
an electronic toy!
the notorious boiler!
drinking glass!
letting something down!
drawing (and brother's intervention…)!
That's all for now! We are very anxious to start with our sonic postcards tomorrow!
Listen to you soon!
Hello there,
Today we arrived back at school with a lot of recordings we made at home and in our neighbourhood. It was not always easy to capture the sound right. Because sometimes other sounds and peoples voices interfered while we where recording. Still it was very exciting to search for interesting sounds and to discover that our daily sonic environment is actually a composition on it's own. Here are some sonic snaps that we managed to capture:
Friday afternoon at the movies! We brought two classes together to listen to some of the Soundscapes created during the first week of the project. The lights were dimmed, imaginary popcorn shared and the films rolled. The only difference, the images and visuals were in our imagination.(We have and some interesting discussions around topics of accessibility and whether it's possible to experience 'the movies' if one is blind.)
We were careful not give any direction to the visualisations created, no titles or preconceived ideas with the first three; Random, Athens, At the movies. Only giving general guidance of what to listen for in characters, settings, landscape, time of day etc with will be beneficial next week when building new compositions.
First up, 'Random'
We visualised:
"My dad blowing into a beer bottle"
"My dad driving a train"
"With my family in a car making funny sounds"
"Underwater in a submarine-I saw a shark"
"Snorkeler blowing through a snorkel"
"Underwater- with a whale blowing bubbles"
"Train taking me to my dreamland"
"Steamboat ride"
Second, the Soundscape from Athens:
We imagined:
"Raining- I'm in the film, in the afternoon"
"Having a haircut- wet hair then dry hair"
"A toy I used to play with- a wind up toy"
"Two kids slamming a door and then locking it"
"My car in the rain"
"Like a tape measure- a dancing one"
"Objects with eyes in a room looking at me"
Next up: At the the Movies- Gent
We were really getting into the creative mindset now:
"An old lady going to the cinema on a very rainy day. Eating popcorn."
"A grandpa putting things into a bin, he was in a bad mood."
"A random man, riding a bike, dodging fireballs"
"Somebody with speedy legs"
"At the theatre- helicopters, planes and trains"
"Someone playing chess on an aeroplane"
"A man working, he makes a remote control aeroplane"
"In a market place- moving things"
Final Soundscape, "A Strange Woman" Gent
With this composition we knew the title, so we imagined this strange woman, using questions as provocations. Who was she? What was she wearing? What would she be listening to on her iPod? What sort of book would she be carrying? …
Here she is:
She could be called, "Molly, Polly, Bobby, Putini, Lizzy or Nono"
Her mood, "Mad, busy, angry, crazy"
Hair, "Red head, curly, cropped, green and short, blondy/brown"
Age, "250!20, 29, 32, 20, 26, 89″
Song on iPod, "a story about running, Michael Jackson, Heavy Metal"
Book, "Mr Putter and Tabby, Police officers notebook, Diary"
She is quite a character!
I am amazed by the diversity of ideas and how the project has stimulated creativity and imagination. The City Rings project has taken us all on a journey of wonder, through the architecture of sound. We are building new landscapes and reconnecting to our physical environment through digital recordings and compositions- another example of the power of digital arts in redefining how we 'see' and experience the world around us.
We had an enjoyable session today imagining some of the sounds from Athens and Gent and then creating our first compositions.
Using the storyboard technique from yesterday we began by listening to a few sounds and drawing a line drawing without taking our pencil off the paper. We found comparing these with the sound waves very insightful. The blikje from Gent was- upside down, a bee flying, a movie, an Airplane. With the next sound our imagination were opened further we had a castle in sand, bubble gum, a clock, the snap of a finger, a hand shake, two kids playing a hand game, rain, a monastery. WOW! All from one sound, can you guess which. Thanks to both schools for providing us with some great story settings! Following this we looked at sound and composition shape comparing sound waves and looking at the layers of a composition. We are lucky to have access to iPads in class so we used GarageBand to compose in.
The end of the day we had a mini hackathon, part of which used a Makey Makey which aloud use to play sounds from Playdough, fruit and even each other which haas pretty exciting.
We hope you recognise some of your sounds in our compositions.
Hello everybody!
Our third session was lots of fun!
We started by watching the kitchen scene from Music for apartment and six drummers. We thought the woman with the mixer was very funny and we liked the sound of the egg slicer. Some of us wondered if things are destroyed the way the drummers manipulated them. But then, we saw them leaving the room (almost!) untouched. The scene gave us some ideas on how we can produce sound at home, with everyday stuff.
After that, we took some time listening to your soundscapes! We liked a lot some of them and some others were quite confusing. We were very enthusiastic about recognizing some of our sounds within bigger compositions: Marina's duck, Ecramol's chain, Leonardo's clicking sound, Mateo's funny lip noise, Joana's Frog, Kostis' paper flapping, Flori's pencil, Selena's keys… It was very interesting to see (or let's put it more correctly, to listen to) how our material was transformed into something new!
Hello Ghent, Hello Etoy!
We started our second session by listening to your bells. How different is Etoy´s bell from ours!! It reminded us of the sound announcements in the Metro. "Next station…. Keramikos!"
Then, we tried to guess the source of your sounds. Sometimes it was too hard to guess! We recognized very easily the sound of coins but it was impossible to guess the squeaking sound of the adhesive tape! Could it be a spaceship taking off? Luckily, Muhammad had some tape with him and, when he pulled the edge, we realized it was alike to what you sent us.
After that, we opened some files in Audacity. We were very curious to find out what happens if more than one sound are played simultaneously. We learned the basic functions: how to move, cut, copy, paste, change the volume, fade in and out and more!
Joana, Flori and Leonardo have chosen one sound each and formed a group in order to make a composition together. The rest of the class were watching their moves and commenting. Unfortunately, we did not have enough time to create more compositions and we can't wait for the next steps of the project to really get into editing! Listen to our first sound:
We are curious to listen to your compositions next time and check if we recognize any of our sounds in them!


text:
Santa Clause Claus has come to town.
What's more, to your shopping center. What's more, to your telephone, PC, tablet and email.
It's too early to completely catch occasion retail deals through the year's end. Be that as it may, an influx of post-Christmas information puts the business on track to meet record-breaking desires. On Wednesday, MasterCard SpendingPulse — which tracks retail spending patterns — said occasion deals had seen the most grounded development in the previous six years, flooding 5.1 percent to more than $850 billion. In the mean time, Amazon.com touted solid deals on a huge number of Amazon Devices, and additionally expansive utilization of the organization's free occasion shipping advantages.
"In sales terms, this has definitely been a very strong holiday — one of the best since 1999," said Neil Saunders, managing director of research firm GlobalData Retail. "Momentum in the consumer economy, confident shoppers and more discipline from retailers have all helped to boost spending."
MasterCard SpendingPulse reported on holiday shopping from Nov. 1 through Dec. 24. Cold and wet weather posed some issues during Black Friday and the run-up to Christmas, but shoppers still managed to open their wallets. Apparel saw a growth rate of 7.9 percent compared with last year, according to the report.
Department stores, though, finished the season with a 1.3 percent decline from 2017, in part because of store closings. Still, online sales growth for department stores climbed 10.2 percent.
[How to get holiday shoppers into the mall — and keep them there]
Amazon reported record sales of its own. In the United States, more than 1 billion items shipped for free over the holidays with Prime. Even the company's free two-hour delivery through Prime Now saved shoppers in a pinch: The last Prime Now delivery on Christmas Eve was made at 11:30 p.m. in Berkeley, Calif. The shipment included a Lego Super Heroes Captain America Building Kit, a Hallmark card, Greek yogurt and shampoo.
(Amazon founder and chief executive Jeffrey P. Bezos also owns The Washington Post.)
Amazon also reported that more than 50 percent of items sold in the company's stores this holiday season came from small and medium-size businesses.
(Lest you think Amazon tracked only your package and shipping data, think again. According to the retail giant, Alexa set more than 100 million timers over the holidays. Eggnog and Moscow mules were the most-requested drinks on Alexa, and the No. 1 holiday song was "All I Want for Christmas Is You" by Mariah Carey.)
Retailers know that to position themselves for strong sales, they have to meet customers wherever they're looking to buy, Saunders said. Stores with a strong bricks-and-mortar presence, along with easy online shopping options, hooked consumers who went searching for both.
Even with the encouraging early sales figures, Saunders said he's keeping an eye on profit numbers. Retailers are facing a "toxic mix of rising costs," Saunders said, with higher labor and tariff costs weighing on their bottom lines.
"The main question now is can retailers keep this performance going as we move into 2019?" Saunders said. "Investors are very nervous about the prospects, which is why retail stocks have taken a bit of a beating."
[Hot toys 2018: Pooping unicorns, endless unboxing and matted fur balls]
The National Retail Federation expects sales in November and December to increase between 4.3 and 4.8 percent over 2017, reaching up to $720.89 billion. That forecast compares with an average annual increase of 3.9 percent over the past five years. (Labor Day handed the industry a running start: Americans spent a record $2 billion online then alone.)
November retail sales increased 5 percent over last year, according to the NRF, putting holiday spending on track to meet the organization's overall forecast. Strong consumer confidence was one driver, said Katherine Cullen, the NRF's director of industry and consumer insight — and will be important to watch given recent volatility in the stock market, Cullen said.
"Next year, besides the stock market, there's also tariffs," Cullen said. "There are some things that may start to impact consumer confidence, and we are keeping an eye on that."


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Thanks, I got it. Wonderful, well written. What more could Captain Phillips tell us to assure us that no intentional harm will come to the DELTA QUEEN? He's actually posted terms of his lease right there for all to see! All objections should vanish now.
I just wish the opening hadn't been postponed. I've got to go through Chattanooga next weekend and it would have worked out wonderful for me to have spent Friday and Saturday night on the boat!


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IT Support Guildford: Cyber Thieves poised for Black Friday and Christmas 'Deals'
Being a leading provider of IT support Guildford, security is top priority for us here at PurpleJelly; our expert team is dedicated to keeping your business' computers running smoothly and preventing any embarrassing security leaks that could lead to loss of client trust. With the run up to the holiday season on the horizon, we're taking this opportunity to warn everyone about the increased risk posed by cyber thieves this year.
Black Friday and holiday deals are slowly being introduced in order to entice shoppers to buy more both in store and online, but it's not just customers who are being tempted this season, but cyber thieves! Experts (including those, like us, that provide IT support Guildford, London, and beyond) believe that online fraud attempts are set to almost double compared to last year's peak shopping period's figures, and a significant spike in hacking attempts has been observed in the past 3 months alone.
Businesses expect to see some of their highest traffic online and sales numbers during the black Friday weekend (which marks the start of the American Thanksgiving holiday) and the following run up to Christmas and it's this increase in numbers that proves simply too much for hackers to resist. High volumes of traffic allow illicit activity such as fraudulent orders, or outright hacking to remain undetected for greater lengths of time than usual. Also, the loss of customers caused by any downtime during high-traffic times can prove to be costly to any business, and this is something many cyber thieves are aware of and attempt to exploit – they sometimes attempt to hold websites 'hostage' by taking them down and demanding money in exchange for their restoration.
Cyber thieves also directly target consumers during this time of year, taking advantage of the bombardment of holiday deals and stressful rushes to sneak fake deals past them in order to collect their personal data. Many of us receive spam emails year-round, but there is usually a marked increase in the amount of phishing scams during the holiday season, either offering 'too good to be true' deals in the hope of gaining consumer's card details or, ironically, pretending to be a legitimate site warning that a user's credentials have been stolen and need to be reconfirmed. The increased use of smartphones has also seen a rise in 'copycat' apps where scammers create visually similar apps to trusted brands like Paypal, Amazon, eBay and Quidco in order to steal information.


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Residency Showcase Program Listings
Not all participating programs have posted their residency listings on this portal. To view a full list of participating programs and their physical location in the Residency Showcase, please visit the floor plan.
WellSpan York Hospital PGY2 Critical Care Pharmacy Residency Program
WellSpan York Hospital
WellSpan York Hospital PGY2 Critical Care Pharmacy Residency Program
WellSpan York Hospital
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To apply, follow the employer instructions.
November 5, 2019
York, Pennsylvania
Critical Care Pharmacy
Tuesday AM
Booth Number:
5555 Floor Plan
About WellSpan York Hospital
WellSpan Medical Education WellSpan Health is a leading integrated healthcare system in south central Pennsylvania. With two primary teaching hospitals - WellSpan Good Samaritan Hospital and WellSpan York Hospital - and over 15,000 employees, WellSpan provides a robust learning environment for medical and dental students, residents and fellows. WellSpan features over 130 patient care locations, six hospital locations, a Level One Regional Resource Trauma Center, several Primary Stroke Center hospitals and regional referral centers for heart and vascular, oncology, orthopedic, neuroscience, women's and children's services and behavioral health. Learning opportunities abound throughout our teaching facilities and medical practices. Well-managed and financially strong, WellSpan sponsors family medicine residency training at WellSpan Good Samaritan Hospital, an autism and developmental disabilities fellowship with WellSpan Philhaven; and thirteen residency and fellowship programs based at WellSpan York Hospital. Medical student rotations are available at both hospital sites, and WellSpan hospitals are affiliated with several local medical schools, including WellSpan York Hospi...tal affiliations with Drexel University College of Medicine (York Regional Medical Campus), Penn State College of Medicine, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia College of Osteopathic Medicine (PCOM/WellSpan Good Samaritan Hospital), and Lake Erie College of Osteopathic Medicine (LECOM/WellSpan York Hospital). We encourage you to look over the medical education programs throughout this site. We focus on providing training programs aligned with our clinical and population health missions. Our commitment to education is significant, and we look forward to ongoing leadership in medical education at all levels of training. Diversity and Inclusion We are committed to excellence in medical education. This excellence is achieved via the diversity of our students, residents, fellows, faculty, and staff. The broad range of experiences of our medical education personnel, and an inclusive environment,alows us to provide optimal care for our patients and our community. We actively promote an equitable, safe, and diverse educational environment, and we look forward to a continuing environment of collaborative work and learning. WellSpan York Hospital The region's leader in advanced specialty care, WellSpan York Hospital is a 580-bed community teaching hospital which serves a population of over 520,000 in south-central Pennsylvania. As a Level One Regional Resource Trauma Center, a certified Comprehensive Stroke Center with endovascular neurosurgery capabilities, a certified Chest Pain Center, a level III Neonatal Intensive Care Unit (NICU), a high-risk pregnancy referral center, and many other advanced clinical specialties, the hospital is an outstanding training site for medical and dental students, residents, and fellows. The Hospital is a Regional Medical Campus of Drexel University College of Medicine, and is one of only 400 members of the prestigious Council of Teaching Hospitals (COTH), with a long history of excellence in medical education. Over 150 residents and fellows are based at WellSpan York Hospital for their training, and over 400 medical students complete clinical rotations here yearly. The fully-staffed, high-tech WellSpan Medical Simulation Center supports our training efforts and has allowed us to beome a leader in real-life medical and surgical simulations, and in interprofessional education (IPE).
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Moving home
BLOG articles: Quick Guide: Mortgage Affordability
Whether you are upsizing, downsizing, relocating or simply fancy a change of scenery, Maxwell Moore can advise you on a suitable mortgage for your move. This could even mean taking your existing mortgage deal with you.
Talk to us early to find out how much you can realistically borrow and afford. This will help you focus your property search. Try our borrowing and payment calculators for some indicative figures.
You're already a homeowner, but ensuring you are ready financially is still important when taking your next step on the property ladder. Make sure you have considered, and budgeted for, the following costs.
- Deposit - you'll need at least 5% of the purchase price, but interest rates are more competitive if you can provide 10%. Your close family can gift you the money; it must be a true gift with no requirement to pay it back for a lender to accept it.
- Stamp duty - if you don't sell your existing home and buy the new one at the same time then you will have to pay the second property stamp duty rates; as long as you sell your former home within a certain time period, you can apply for a refund of the extra stamp duty you paid. You can use our handy calculator to check what you will have to pay.
- Legal fees - you'll need to instruct a solicitor to act for you. The legal fee is usually based on the purchase price of the property and there will be additional costs known as disbursements which includes searches and fees to the Land Registry. We're happy to provide quotes if required.
- Removal costs - you will no doubt have acquired quite a lot of things so remember to budget for the cost of moving them to your new home.
- Furnishings - if you're moving up the property ladder then it's likely you'll want some new furniture to fill that extra space.
- Running costs - you'll be used to all those bills, but bear in mind they are likely to be different for your new home so we'll help you check what your new costs are likely to be.
The big search
You've done it all before but we still think it is worth remembering, the agent is there to sell the property so they are not an impartial advisor for you!
- Think carefully about what you want, in fact make a list! Then go through the list and decide which things are essential and which you're prepared to compromise on. It is unlikely you will find that dream property that provides absolutely everything you want, so you will need to compromise on something.
- If you want to buy a flat then it is very likely to be leasehold which means you will have to budget for the ground rent and service charge costs. In city centre locations these can be significant so find out about them early. Some houses are also leasehold so be sure to check. If you don't want these additional costs then you should consider looking for freehold houses.
- If you have the opportunity then visit the area before booking your viewing. You may find you simply don't like the neighbourhood, parking may be a nightmare, it may be noisy, there may be no public transport links. There's no point viewing a property if you don't want to live in the neighbourhood!
- Be prepared to see beyond decor and focus on structure and layout. Is there storage, or space for it, in bedrooms; will that gorgeous sofa you want fit in the lounge; are there radiators everywhere; are windows draughty? It's a lot to take in on a first viewing so if you like a property, book a second viewing to go back and focus on how you would live there. Carpets and wall colours are easily changed in time so don't let them put you off!
- If you have or are planning children, then you'll probably want to check out the quality of the schools and their catchment areas.
You found the one
When you finally find that one property you love, do some research before jumping in. Zoopla and Rightmove are helpful for this.
- How long has it been on the market?
- Has the price been reduced since it went on the market?
- Ask the agent what interest there has been and if there have been any offers (they may not always tell you).
- Use your research to inform the offer you put forward. It doesn't have to be for the asking price, but likewise if a property is very popular, then it may need to be higher than the asking price. This is where engaging Maxwell Moore early really helps as we can vouch for your ability to get a mortgage.
Once you've had an offer accepted then be organised. Respond to enquiries from, and provide information to us and your solicitor promptly. This will help to ensure that things progress as smoothly and as quickly as possible.
Protecting you and your home
We don't just love helping you find the right mortgage, we're passionate about ensuring you can stay in your home. That's why we'll discuss how to protect you and your family in the event of unpleasant things happening; unfortunately the mortgage and bills don't go away even if your income does, and your family won't want to move if you die. Find out more on our insurance page.


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Friday, June 25, 2010
The Needle in the Haystack: Choosing the Right Pre-School
Sending a child to pre-school is an emotional milestone for both child and parent! It's very hard to leave your child in the hands of someone else. You want them to be safe, protected and treated with respect.
When it was time for my first child to attend school I didn't know what to look for. All I wanted was a warm environment for her. It wasn't until I became a Pre-school teacher myself that I began to see things differently. For one thing, all schools are NOT created equal! There are many philosophies out there and the trick is to find one that matches your own. The following is a list of tips on finding the best pre-school for your child.
TIP #1 Start early!
To make an informed decision, start early and interview as many schools as you can. Also, if possible, take your child with you. It's an excellent opportunity to see if he/she is a good fit.
TIP #2 Does the school have a daily routine?
Regular schedules are important and not all schools have one. Children like to know what to expect next. In fact, they thrive on routines. In my experience, when there isn't a plan; there is chaos in the room. And if the classroom is chaotic, your pre-schooler is not having positive social interaction with their peers. The school you're interviewing should have an established daily schedule and a monthly planned curriculum. Ideal routines offer time for free play (with stations around the room pertaining to the unit); meeting time (to discuss the days of the week, the weather and story time); snack time and outdoor/physical activity time. The monthly curriculum should include a variety of topics that introduce language skills, math, science, history and social studies in an age appropriate way.
TIP #3 What kind of crafts do the students work on?
Ask to see specific examples of artwork done by children in the classroom. The projects should appear like a pre-schooler created it by themselves rather than a teacher guided cookie-cutter project. Children must be allowed to create independently. If they are only allowed to produce work a certain way, it suppresses their imagination.
TIP #4 The Health and Safety of the Facility
In addition to having safe toys and an overall cleanliness; it's a good idea to ask about their policy on food allergies. This is particularly important if you have a child with a life threatening allergy. NOT ALL SCHOOLS WILL CATER TO YOUR CHILDS NEEDS. A pre-school can and absolutely should be diligent regarding what types of foods they allow in the classroom. It is as simple as sending a memo to all the parents with a list of acceptable food. Also, ask about their pick-up policy. There should be restrictions in place with regard to whom they will dismiss your child.
TIP #5 Meet the Teachers!
It all boils down to the teachers! A school could have a healthy environment with a great curriculum, however, if you do not have teachers who are warm, friendly and capable of interacting with children of all personality types it's not going to work. My suggestion is to meet the teachers. Set up an interview with them during classroom hours so you can get a feel for their teaching style. Watch how they interact with different children in different scenarios and trust your instincts; if you get a bad feeling about one of them…keep looking!
Posted by Michelle Fiore at 6:18 PM
Michelle Fiore Berg is a parent, preschool teacher and published author of the childrens book, Miss Mandy Manners.
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Rome: January 14, 2020: While Catholics round the world stand in total shock at the apparent eclipse of the Catholic Church on account of the outrageous heresies, blasphemies and political shenanigans of Jorge Mario Bergoglio, a word of great consolation was reported to The From Rome Blog, this Sunday:
Opposition to Bergoglio in the Roman Curia is at 100%. They want him out!
This comes from one of the top Vaticanistas of Rome who has served in the Eternal City for decades. He has deep and widespread network of informants through the Vatican and Curial Departments. He hears the same thing from all of them. No one wants the Argentine. They are counting the days!
+ + +
Support FromRome.Info
Help us take on the established Catholic Media who are controlled opposition. They are promoting schism from Pope Benedict, and remain silent at the heresies and schisms of Jorge Mario Bergoglio. We cannot let the St. Gallen Mafia win the information war, which they are presently doing through controlled media. — TO FIGHT THIS WAR we need your generous financial support. — Funds go to Ordo Militaris Inc., and are capital gifts for this Apostolate.


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Special offer: reduced from € 290.000 now for € 268.000! the villa has 3 bedrooms, a swimming pool, garden and garage and storage room. the villa also has a fire place, air conditioning, satelite tv and internet. there is also a mountain view, balcony and terrace.
Extra opportunities
We can help you to get a mortgage on favourable terms. A residence permit can be obtained with the purchase of this property. Please ask our team for more information.


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Vintage Act III velvet jacket and skirt-Goodwill (I think)
80's satin and lace blouse-Goodwill
1980's belt-Hand-Me-Ups
Vintage hat by Patrice NY-Hand-Me-Ups
Boots- K Mart
Fragrance-Patou Sublime
Outfit Particulars:
Vintage silk skirt-Hand-Me-Ups
Vintage Cambridge Dry Goods jacket-Goodwill
Vintage hat-Thrift World
Polo neck- K Mart
Brooch-K Mart
Fragrance-L 'Heure Attendue, Patou
The jacket is white and silver sequins from god-knows-when (80's? 70's? ) and also very difficult to wear. Still, when the thrifting gods give you sequins, you're obligated to at least try. But not too hard, because that's not cool.
I wouldn't let him send it😉
Hope you had a great weekend.


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10 bedroom house for sale
Greece - VILLA LEJACK, Kommeno, Corfu
like this property?Call: 03339 396810
Key features:
- Near the Sea
- Land Size: 4 000 m2
- Sea Views
- Prestige location
Full description:
The grounds are well established with a selection of mature trees - olives, palms and fruit trees as well as colourful bougainvillea. The villa itself, whitewashed and reminiscent of the southern Greek islands is low-lying and attractive. There are sea views from many different outside seating areas, and a flight of stone steps leads down to the small, secluded beach below the property.
Simply styled and furnished in Greek island style, Villa Lejack is a classic holiday home on the sea which can be used as a rental investment or converted into a single villa.
Kommeno is well known as one of the most prestigious areas in Corfu and is home to many of the most exclusive homes on the island as well as several luxurious hotels. The views towards Corfu town, Kontokali and the marina at Gouvia are superb.
With garaging for two cars, there are two separate gated entrances to the grounds and ample off-road parking.
More information from this agent
Nearest Airports*
- Corfu (INTERNATIONAL), 4.7 miles
- Aktion (INTERNATIONAL), 70 miles
*Distances are straight line measurements. This feature is currently in beta.


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Alex McCulloch, Head of Circulation Services, describes the Library's experience using Lean.
How long have you been using Lean in the Library?
We did our first Kaizen circle about 3 years ago and have done two more since.
What is a Kaizen?
A Kaizen is a series of 8 steps that provide a structured approach to solving a problem or making an improvement. The steps are done as a group to improve a process that involves two or more areas of the organization. The 8 steps are:
- Clarify the Problem – this is done at a fairly high level but it also includes having data to quantify the size of the problem, if the problem can reasonably be quantified
- Break Down the Problem – into who, when, where, how, in order to come up with a statement of the main problem – this is the problem that, if solved, would solve most of the related issues
- Target Setting – it's important to set a target before considering the root cause or discussing solutions – in this way your target will be more ambitious – more geared to what you really want to see happen and not qualified by your awareness of the limitations that already exist
- Root Cause Analysis – this is where you keeping asking 'why' until you get to the root of the cause
- Brainstorm Solutions – then you work through a process to analyze which solution will be most effective
- See your preferred Solutions Through
- Monitor your Results and Processes to see how successful they are, tweaking as needed
- Standardize the Successful Processes
What problems have you addressed so far?
The first one investigated if we could come up with a different approach to the problem of students saving study space in the Davis library when they aren't physically in the building; the second Kaizen looked at improving our internal process for how staff book time off; and the current one is looking at how we can divert the recyclables that are thrown into trash bins in the libraries from ending up in the landfill.
What have been the benefits of your Kaizen circles?
It has helped develop within our department a shared expectation of the steps that are important to work through when solving a problem that affects several staff. It has also given staff an opportunity to try out new roles, to apply their creativity, and to take shared ownership over shared issues.
What recommendations do you have for others interested in getting started with Lean?
Start small. It's an excellent tool but it can be time-consuming. Once you're comfortable with the process you'll have a feel for how to move more quickly through some steps, and for what kinds of issues you want to solve using kaizen.


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Alpine Car Accident Attorneys
The Alpine car accident attorneys at PEARSON | BUTLER offer the following Alpine resources for your convenience. If you need an Alpine personal injury attorney, call us at (800) 265-2314. Located in Utah County, Alpine is a beautiful place to reside. It is neighbored by the Wasatch Mountains giving a gorgeous view. There are many hiking and biking trails through Alpine. Its rich mountainous scenery was said to look like the Swiss Alps.
Contact our Alpine personal injury attorneys at our South Jordan office


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Business in Kenya is now faster and more secure with continued emphasis on online payments that have simplified transactions in Africa, ensuring that businesses accept payments from clients all over Kenya anywhere and at anytime.
Kenya's originally cash rigid population has finally understood that it is safer and more convenient to use mobile payment systems particularly Mpesa as the most reliable form of sending and receiving money because more than 95% of the population owns mobile phones which is what is needed to transact through Mpesa as compared to banks that need various paperwork that many Kenyans aren't comfortable with.
Mpesa handles more than half of Kenya's GDP of 63.4 billion US dollars showing that if a business was to choose a payment option to trust in the East African nation then Mpesa would undoubtedly be the go to choice.
Read more about Mpesa – How Mpesa has changed Banking in Kenya
International companies with intent of working in Kenya are normally advised not to force the issue of card payments if they want to deal with a big portion of the people but rather entice the market by allowing them to use their own payment system which is Mpesa.
Dusupay understands that businesses venturing into Kenya may not be as familiar with Mpesa but still in need of doing business transactions in Kenya. Dusupay gives companies the opportunity to link with the Kenyan population that uses Mpesa and here is how :-
- Dusupay brings together businesses dealing with the Kenyan market connecting companies with different pay modes to the Kenyan clientele that is controlled by Mpesa.
- Linking payment modes of the different parties – businesses have the power to work with customers without having to switch payment types but still getting their services across and accepting payments comfortably courtesy of Dusupay.


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Last summer the government changed how it grades nursing homes on staffing and as a result the number of area facilities that received the government's lowest rating for staffing — one-star, or 'much below average' — jumped.
The new rankings by the U.S. Centers for Medicare and Medicaid Services gave 24 percent of nursing homes in the nine county region around Dayton a one-star staffing rating. Two years ago, 17 percent had a one-star rating. Statewide, 22 percent have a one-star rating, a jump from 14 percent just two years ago.
The federal rating system is meant to help consumers find good care.
MORE COVERAGE: Nursing home group wants higher Medicaid payments
The decline led the Dayton Daily News to investigate why so many nursing homes fell in the ratings, what it means for patients, and what is being done to ensure residents get good care.
The Dayton Daily News investigation found:
• Thirty out of the 123 nursing homes in the nine county region received the federal government's lowest rating for overall staffing levels as of February, which is one out of five stars.
• Nursing homes with the lowest staffing ratings performed worse on their latest health inspections than the best staffed nursing homes, according to Medicare records. Ohio nursing homes with the lowest staffing ratings received an average score of 2.4 on their last inspections, on a scale of one to five. Those that scored the highest staffing rating scored an average 3.7 stars on their last inspections.
• Nursing home staffing turnover is high in Ohio. Some hospitals and other health care companies can pay better than nursing homes and competition for workers is high. The average pay for a Dayton-area nurse aide is $13.30 an hour, comparable to competing wages for factory and restaurant workers.
Ohio nursing homes care for 75,000 people with health needs that require around the clock access to assistance, and at low staffed nursing homes, residents are at risk of injuries, long waits and poor care. The Dayton Daily News examined the situation at local nursing homes which had one-star staffing ratings and had recent state inspections of complaints that the state found were caused by low staffing.
MORE COVERAGE: Ohio nursing home inspectors have high turnover, miss deadlines
The federal government provides an online consumer guide for choosing a nursing home called Nursing Home Compare. Until last summer the information on staffing levels at each nursing home was self-reported. Then last summer the staffing data started to be based on nursing home payroll data, and the number of nursing homes with the worst federal rating for staffing — one out of five stars — climbed both locally and statewide.
The ratings revealed that nursing home staffing and retention remains a critical problem that patient advocates, nursing homes and regulators and are struggling to resolve.
Chip Wilkins, Dayton Long-Term Care Ombudsman program director, who advocates for the rights of nursing home residents, said his office frequently has to respond to low staffing complaints.
"I've already had three calls this morning about facilities that did not have adequate staffing over the weekend," Wilkins said Monday morning. "One facility only had two aides working on Saturday and Sunday for a 90-plus bed facility because everyone called off."
MORE: How to volunteer as a nursing home resident advocate
Administrators with nursing homes — even those with high staffing ratings — told the Dayton Daily News they are struggling to recruit and retain staff amid low unemployment. They said Medicaid doesn't pay enough to cover the cost of caring for a resident, much less give raises. Some also criticized the Medicare.gov rating system, saying it doesn't always paint an accurate picture of a facility's quality of care.
Several patient advocacy groups, however, said even with the amount that Medicaid pays, many nursing homes could be doing more to spend their dollars on safe staffing levels.
Signs of staffing problems
The Dayton Daily News found serious staffing shortages at many of the nursing homes with one star staffing ratings.
The staffing rating for Hawthorn Glen Nursing Home in Middletown slid from two stars in 2017 to its current one star.
In February 2018, a state inspector cited Hawthorn Glen Nursing Home in Middletown and reported it "failed to provide adequate staffing on the secured memory care unit." The inspector found sometimes the facility left its dementia unit without any staff. The director of nursing told the inspector that the dementia unit has the most falls in the facility, and that she had asked for more help on that unit especially at night but was denied her request, according to reports.
At a subsequent inspection in April, an inspector again found the same problem. The inspector reported that records showed a frequently incontinent patient was bathed once in the past 30 days. A nurses aide told the inspector she had a hallway with 28 residents and then she was running back and forth every two hours to the dementia unit.
Hawthorn Glen management did not return calls and two emails requesting comment.
Hawthorn Glen is listed as one of three nursing homes owned by Mariner Management Group of Dayton. The others are Walnut Creek Nursing and Rehabilitation Center in Kettering and Greenbriar Nursing Center in Eaton. Mariner Management was incorporated in Dayton in 1992, state records show.
All of the nursing homes had the lowest rating for overall staffing. Walnut Creek and Greenbriar also did not return multiple requests for comment.
Walnut Creek was lowered under the new staffing rating system from a three-star staffing rating in 2017 to its current one star.
At Greenbriar Nursing Center in Eaton, a state inspector cited the nursing home for having insufficient staffing in August 2018. The inspector found two aides were assigned to care for a combined 47 residents. One aide told inspectors "there was only one of her and it was just too much to expect. She stated she did it because she cares for the residents and they deserve good care."
Staffing standards
Nursing homes can be cited by the state for not having sufficient staffing to provide necessary care or for not having a registered nurse present at least eight hours per day. In Ohio, nursing homes also need to provide 2.5 hours of direct care per day to each resident.
Another local facility, Englewood Health and Rehab, was cited several times over the last year for insufficient staffing problems.
MORE: Assisted living facility adds $42M expansion
A visitor to Englewood Health and Rehab called the police in May 2018 after finding one nurse and a cafeteria worker at the facility, according to a police report. A police report states officers spoke with two nurses who said there were two aides working and "management is aware of the staffing issue."
In June, Englewood Health and Rehab was cited by a state inspector for not having sufficient staffing. A resident told the inspector she couldn't remember the last time she had a shower. One resident said he was still in bed at 11 a.m. since 5 p.m. the day before. Three residents were at a table at breakfast with dirty food trays in front of them that were confirmed by staff as left over from dinner the night before, reports said.
The Englewood nursing home was cited again in January 2019 for not having sufficient nursing staff. The plan of correction filed with the state says that the administrator will use bonuses, agency staff or clinical managers to make sure residents' needs are met.
The nursing home said in a statement in response to questions for this article that it was acquired by a new new owner-operator in May, has a recruitment effort underway as well as a strategy to reward and recognize employees, and they are focused on reducing or eliminating the use of agency staffing.
MORE: Use of anti-psychotic drugs by Ohio nursing homes questioned
"The recruitment and retention of nurses and STNAs is critical to our success in meeting the needs of our patients and residents," the nursing home said in a statement. "Candidly, like many other centers, we have struggled in this area, but we are making positive strides."
Wilkins of the Dayton Ombudsman's office said problems with short staffing are more widespread than those that are specifically cited for insufficient staffing. He said nursing homes are more commonly cited by the state for other problems that are resulting from low staffing.
"There's a direct correlation between the number of staff and quality of care that's provided to the residents. It makes sense — almost common sense — that traditionally the better the staffing the better the care residents are going to receive," Wilkins said.
Pressure ulcers — also called bed sores — are a sign of not enough staffing, said Wilkins. Preventing and treating bed sores requires patients to be moved regularly. Sores can be painful or lead to infections and wounds.
Wilkins said one of the signs of staffing problems is the use of an outside staffing agency to fill shifts, which can be problematic because temporary staff don't know a facility or a resident's individual needs the way regular staff do.
Beavercreek Health and Rehab was cited in December for repeated delays in treating a resident's painful urinary tract infection. The inspection report states the resident was told the reason was because they had agency nurses working. The nursing home has the lowest staffing rating.
MORE: Local agencies compete for workers to support people with disabilities
The nursing home's management did not return requests for comment.
American Staffing Association said in a statement that using supplemental agency nurses is a "sound workforce strategy" for nursing homes in the current tight labor market. The trade group said it commissioned research that shows using staffing agency nurses "does not detract from patients' overall satisfaction."
How data is measured
Some nursing homes took issue with how the new federal data was measured or said it misrepresented the quality of care their residents receive.
Staffing alone doesn't account for nursing home quality. The Dayton Daily News found examples of nursing homes with high staffing ratings but poor overall quality measures as well as nursing homes with thin staffing by federal standards but strong quality ratings. A high percentage of residents paying with Medicaid also didn't always translate to low staffing ratings.
Chris Jones, administrator with Urbana Health and Rehabilitation Center, said his facility - which received a one-star rating for staffing - can have 75 to 80 percent of patients paying with Medicaid. Though they have struggled to recruit RNs the facility still gives each resident a little under three hours of daily care and Jones said they are meeting residents' needs.
"If I were required to work in a building that was not providing good care, I'd walk," Jones said.
He said the nursing home is challenged because Ohioans who can afford other options increasingly seek alternatives such as assisted living facilities or they stay home with support services. But that leaves nursing homes with low-paying patients on Medicaid, he said.
Natalie Rhodes, administrator-in-training with JAG Healthcare, which manages Union City Care Center in Darke County, said the nursing home could have used an outside staffing agency to earn a higher staffing rating than one star. But she said residents are already receiving proper care and the company uses no agency staffing as a rule because they want staff that knows residents' individual needs.
"That's something we are firm about. We will never use agency staffing because that does not promote quality of care," she said.
MORE: See how Ohio ranks for senior citizen health
The formula for the staffing star ratings takes into account how sick a nursing home's residents are, requiring more staff to care for sicker patients.
But Rhodes said she doesn't think the complicated formula reflects the actual needs of their patients and the Medicare data shows the nursing home had no major citations at their last health inspection, which was in January.
Staffing and quality can suffer when the unemployment rate goes down, and the Ohio unemployment rate has dipped to a low 4.7 percent as of January.
Nursing homes have measurably higher quality during times of higher unemployment rates, said John Bowblis, with Miami University, who has researched nursing home economics. Turnover picks up in times of low unemployment, which matters for quality because if a nurse or an aide sees the same patient every day, they are more likely to identify health problems and know the resident's unique needs, he said.
"The problem with nursing homes is that since most of their revenue comes from Medicare and Medicaid, they can't increase the prices that they charge in order to pay staff more," he said.
Nurse aides in the Dayton metro make $13.30 an hour on average, and at that wage, nursing homes are competing with retailers, factories, other health care sectors and each other to hire workers.
"The same hourly rate might be recruiting at a local Wendy's, McDonald's. And yet the individual who is going to be working in aging services has, we would argue, a long-term career path and at the same time a set of soft skills, in particular, that are critical for success in our field," Brod said.
There is also high turnover for leadership positions such as administrators and directors of nursing, according to Wilkins.
Wilkins said his office is part of a multi-year research project on recruitment and retention and they have had 86 percent turnover of all the administrators and directors of nursing they are studying. One facility had 17 adminstrators in three years.
MORE: Bankrupt local nursing homes sold to Toledo hospital network
Still, some local nursing homes have received the high marks for staffing. Bethany Village in Centerville has four out of five stars for staffing, a longtime administrator and doesn't use any agency staffing to fill spots, according to Kathy Wilson, human resources manager.
Wilson said it is getting more difficult to attract workers as other industries are also heating up recruitment competition.
Lauren Coyle, director of nursing at Bethany, said applicants with past job experience tend to ask about patient ratios because they know how it can affect their ability to do the job. If they work for a facility where they are assigned too many residents to care for, they wouldn't have time to focus on each person and to build relationships.
"It is very different taking care of 12 residents verses eight residents," Coyle said.
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Libraries have the ambition to facilitate the creation of knowledge in and for their communities. Taken from a broader perspective, this ambition fits within the trend from meconomics to weconomics as described in The future of business here. Therefore libraries face the same challenge as all organizations in the private and public sector.
They all experience that cooperation, coordination and communication is going to take more and more place in constantly changing constellations. Participating and collaborating in spontaneous networks becomes the new normal. The question is whether organizations are capable to deal with this paradigm shift in the way they work.
Three capabilities
Dealing with this massive shift is not a simple endeavor, especially for newcomers to the world of reconnaissance in uncharted terrain.
In order to succeed organizations must commit themselves to build and exploit three essential capabilities:
- The capability to visualize
- The capability to perform
- The capability to execute
The capability to visualize is about understanding tomorrow's community and consumer landscape, as described amongst others by Anne Lise Kjaer. It is also about re-imagining work in a new context.
The new way of working brings together - per event - multiple disciplines in a coherent and meaningful context to realize a (common) goal. Indeed, events become inevitably the unit of work organization and management. Consequently organizations have to re-assess their business motivation and re-design the employee, partner and customer journeys to reach their defined goals.
The capability to perform is about possessing the right resources and skills to turn a vision into reality. Virtual and physical work spaces must be available and be adequate. Furthermore e.g. library facilitators have to be able to act in multiple roles, like initiator, space creator, connector, gatekeeper or co-participator.
The capability to execute is about bridging the gap between virtually being able to do something and to really put a defined course and plan into operation. Time, budget, management attention and prioritization must be in place therefore.
The human factor
Interestingly, soft skills become more and more important in this age of digitization. The human factor is the center and kernel of the 4P-business and innovation model. Furthermore human motivators like mastery, autonomy and purpose are crucial, as shown in this video.
Participating and collaborating is a human centric activity. It is not only the way to reach a given goal, regardless whether the goal is realizing a business case, enabling and accompanying a customer journey or creating a knowledge event, service or artifact. It is also the way to build and enhance the aforementioned capabilities.
Three stereotypes
Participating and collaborating in spontaneous networks and organizing work around events means a major change for many organizations. This change may come as a culture shock to a part of the organization. After all, a wet baby is often the only one who really likes a change. Therefore, if the transformation can take place in a gradual pace, it may be advisable to discern between three behavior types of employees.
- The keepers, that keep the existing business running as usual.
- The seekers, that optimistically and fearlessly explore and create new opportunities and business.
- The reapers, that harvest the created new business and implement the transition to business as usual.
By innovating step by step, this strategy enables the organization to decrease the tension zone between new and old. They can gradually evolve to a situation of new business as usual. Perhaps this is the best scenario for libraries.
Improving the information to action coefficient
However, this scenario will not work for organizations that are confronted with high volatility and a fast rate of change. They face the challenge of continuously improving their information to action coefficient. This is the measure of time between the occurrence of an event or the availability of information and the moment of completion of appropriate action.
This coefficient is extremely important in high risk and emergency response situations, but is also quite relevant in e.g. highly regulated industries. These industries struggle with the volume of signals that have to be processed within a short period of time.
Participation and collaboration can take massive proportions in these environments. Probably, continuous improvement based upon the 7-P model, as described here and here, is the best way to go in governance, risk and compliance situations.
Yearning for the sea
Real transformation starts with a crew that is yearning for the sea. Only splashing the water doesn't help. Taking a deep plunge into the ocean is mandatory. This applies to libraries as well as to all other public and private organizations that want to innovate in order to remain meaningful.


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A jury has recommended that Frazier Glenn Miller be sentenced to death for killing three people in a 2014 shooting spree at Jewish Centers in Overland Park, Kansas.
After about 90 minutes of deliberation Tuesday, jurors voted unanimously to recommend that Miller, 74, be put to death for his crimes, The Kansas City Star reports. District Judge Kelly Ryan has scheduled a formal sentencing hearing for Nov. 10.
Miller was found guilty last week of capital murder in the April 13, 2014, shooting spree. Miller killed William Lewis Corporon and his grandson, Reat Griffin Underwood, at the Jewish Community Center of Greater Kansas City in Overland Park. Miller then killed Terri LaMano at a nearby Jewish retirement home before he was taken into custody. Corporon, Underwood and LaMano were Christians.
Miller represented himself in the trial. Miller argued the shootings were justified because he was trying to stop "the Jewish genocide against the white race," according to the Star. The jury deliberated for less than two hours before finding him guilty of murder in the April 2014 killings. He reacted with a Nazi salute.
On Thursday, Miller told jurors he believed he would be sentenced to death, according to the Star.
"I'm not going to ask you for mercy, or pity," he said.


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OMAHA, Neb. (WOWT) -- The community turned out in force Tuesday afternoon to say goodbye to Stanley Stoltz a man they never knew. Hundreds turned out for his burial at the Omaha National Cemetery.
The service was scheduled Tuesday for the Vietnam veteran who passed away at the age of 73.
And they did. Traffic was backed up to Interstate 80 with a long line of cars approaching, bumper-to-bumper - people determined to offer a final salute to a veteran.
An estimated 1,500 strangers paid their respects, causing the funeral to start late so that everyone could make it through the line of traffic to attend.
"Sorry for the delay. We weren't expecting this outpouring of love and affection for one of our veterans," an employee of the Omaha National Cemetery said at the service.
Community members made the funeral a priority after a newspaper obituary said Stoltz had no family to attend.
"No vet deserves to die alone. Thank God," Dick Harrington of Bellevue said. "We looked around and said, 'Here's his family.' It's true. Veterans. We're all family. That's just the way we roll."
So Harrington did what family members often do and accepted the flag that had draped Stoltz's casket.
"We thanked him for receiving the flag for Stan," Amy Douglas said.
She and Taylor Jackson were Stoltz's caregivers in his final days.
"Anyone would be honored," Jackson said.
They attended for the same reasons as everyone else.
"To give a Vietnam veteran the service he deserves," Douglas said.
The funeral home was eventually able to locate a brother and learn more about Stoltz. The chaplain shared some personal stories about the veteran's life.
He said Stoltz loved people, had a heart of gold, even if it was at the expense of himself.
Community members were happy to attend, but also proud to see how so many ventured out in the cold to show support.
"Awe struck. This is the kind of reception our Vietnam veterans deserved. And the fact that he gets this kind of reception going home is fitting. It's fitting," Douglas said.
One of the speakers at the funeral remarked that Omaha National Cemetery is a place of love, hope and support. That all proved true on the cold winter day.


text: Dr. Saeid Badie always appreciates feedback from our valued patients. To date, we're thrilled to have collected 28 reviews with an average rating of 4.93 out of 5 stars. Please read what others are saying about Dr. Saeid Badie below, and as always, we would love to collect your feedback.


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by tulasinandan
A guitar tuner allows you to tune your guitar to the sound that matches you and provide an alternative to set the tune based on the theme. It is an important aspect to discover for a guitar player. With the introduction of prepared to employ electronic tuner in the marketplace, the art of guitar tuning is losing day by day. Even nearly all of the instructors have stopped training, but if you need to be a superior guitarist it's should for you to understand how to tune a guitar.
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Using this really is among the right practices a beginning guitarist will follow. All pro guitarists employ an electrical tuner because they learn how significant it's to be in tune and relying on this might be how to remain in tune. It is very imperative for a novice to develop a musical ear and to do that playing your guitar in tune is important. Should you once understand how to tune your guitar to the sound that ideal matches you might provide some amazing sounds from your guitar.
Guitar Tuner are conveniently accessible online. But the query is the fact that how to select the number one 1. With use of it you want to not depend on any different device and it provides you a chance to access a quantity of alternate tunings which makes you experiment with unique and exotic sounds that can not be thus simple to copy.
Now you learn the value of the device, commence looking on web for the same, so that while tuning your guitar you are capable to do it easily.


text:
How To Channel Amazon's Success In direction of Your Own Itemizing
Online TV is a new wave of entertainment sweeping across the globe. These are troubling occasions, instances of war and instances of technological progress, whether it is to be referred to as that, given the situations of African people in it. The video of Wilson above covers all areas of our social miasma. The 24 hour Italian-language TELEVISION channel contains the perfect leisure, selection, fiction, comedy, sports and news programming direct from Italy complemented with Made in Canada community pleasing original exhibits.
Sharing the channel with Cartoon Network, Adult Swim affords off-beat and bizarre animated and dwell-action collection for adults aged 18-34 from 9 p.m. to five a.m. Entertainment Buying is a brand new kind of on-line auction which operates in another way then most auctions do. Unlike auctions like eBay, these new auction websites charge individuals for each bid they place.
However, you would possibly need to pay more money to access native channels that concentrate on happenings in your neighborhood. Many individuals are usually not even aware concerning the delicate addictions that sap energy and time from their day. Not like other streaming options although KlowdTV is showing you reside television which makes it nice for all your information and sports that are usually vacant from other streaming providers.
We could use remarketing pixels from promoting networks reminiscent of Google AdWords, Bing Adverts, and Facebook so as to promote the HubPages Service to those that have visited our websites. He hides his past from different individuals and lives a traditional life.
And eventually, Mass consuming media who use human communication, change into indolent to suppose, submissive and obedient to the way in which these moguls and firms restructured their social lives, which we'll explore a bit below. The organizations throughout the distribution channel are on the center of a worth community which is a system of partnerships and alliances that a agency creates to source, augment, and ship its choices†(Kotler & Keller, 2012 p.183).


text:
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Electronic Signature FAQs
Here is a list of the most common customer questions. If you can't find an answer to your question, please don't hesitate to reach out to us.
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