A newly introduced Medicare income scale can make it more expensive to pay for Parts B and D when they go into effect in 2018. But newer reports, such as this one from Investment News, as are saying that it may make sense to use a reverse mortgage for Medicare surcharges in the future because they can potentially help homeowners protect their savings while also covering any new surcharges.
To balance Medicare, congress has gone through hoops. The result is the income-related adjustment amount, otherwise called the IRMAA. It's a surcharge that's based upon your average income and that determines what out-of-pocket costs are assigned to beneficiaries.
This new law is used by Social Security to decide what Medicare surcharges are paid from the top three modified adjusted gross income thresholds. In the future, experts say that this could mean a lot more beneficiaries are going to be paying surcharges based upon the highest levels of this scale.
Investors say that one strategy involves structuring retirement income so that cash flow is at a maximum but is not included in the MAGI calculation. One method of doing this is by using a reverse mortgage. That's because the proceeds of these home loans are tax-free and are not counted as income, and therefore are not included in the MAGI calculation and cannot result in increased Medicare surcharges.
When making a decision related to your savings and home equity, always seek the advice of an experienced financial advisor. Carefully consider what pros and cons exist with each situation and whether or not there are other alternatives that you may explore before deciding that one option, such as a reverse mortgage, is your best bet.
The benefit of these loans are that they are based upon your home equity and not your income or credit score. Provided you meet the qualifications and are of the age of 62 or older, you can get approved for a loan that does not have to repaid until you die, when the sale of your home tenders the balance due. It's this uniqueness that may make these a good supplement for tendering costly future Medicare surcharges.
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text:
Contemporary & Literary Fiction
Teen & YA
Australia Canada India United States
What the Grown-ups Were Doing
An odyssey through 1950s suburbia
By Michele Hanson
LIST PRICE £4.99
Michele Hanson grew up an 'oddball tomboy disappointment' in a Jewish family in Ruislip in the 1950s - a suburban, Metroland idyll of neat lawns, bridge parties and Martini socials. Yet this shopfront of respectability masked a multitude of anxieties and suspected salacious goings-on. Was Shirley's mother really having an affair with the man from the carpet shop? Did chatterbox Dora Colborne harbour unspeakable desires for Michele's sulky dad? Whose Battenburg cake was the best? An atmosphere of intense rivalry prevails, with Michele's mum very suspicious of her non-Jewish neighbour's domestic and personal habits, and Michele very wary of children's games like 'Doctors and Nurses' that might bring bottoms into the equation. And with glamorous, scheming Auntie Celia swanning around in silk dresses demanding attention, Michele has a lot to contend with. Only the annual holidays to the south of France relieve the tension.
This hilarious and wonderfully evocative memoir charts Michele's childhood and coming of age in a Britain that was emerging from post-war austerity into the days of 'you've never had it so good'. It is a characterful and affectionate look at a way of British life long since disappeared but one for which we continue to hold huge affection.
Michele Hanson
Michele Hanson is one of UK's wittiest and most popular columnists whose funny and sensitive pieces on ageing and modern Britain strike a chord with millions of people. Previously, she was a school teacher for 25 years in inner London, and then escaped the chalk-face and began to write weekly columns for the Guardian. Her books have been serialised for radio and made into a BBC cartoon series. Her book 'Living With Mother' won MIND book of the year in 2006. She lives in north London, these days mostly on her own with her dogs.
Publisher: Simon & Schuster UK (February 2, 2012)
Biography & Autobiography > General
Book Cover Image (jpg): What the Grown-ups Were Doing
eBook 9780857204905
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redpajama_set_name: RedPajamaCommonCrawl


June 16, 2014 The numbers are astounding.
Virtual cities of children are picking up and fleeing El Salvador, Honduras, and Guatemala—some of the most dangerous places in this hemisphere. In Washington, the story has stoked the longstanding debate over border policy. But U.S. immigration policy is just a small part of this story. Yes, the U.S. immigration system is now bottlenecked with the influx, prompting emergency response from the Federal Emergency Management Agency. But changing U.S. border policy won't stem the root of the exodus.
"The normal migration patterns in this region have changed," Leslie Velez, senior protection officer at the U.N. High Commission for Refugees, explains. These people aren't coming here for economic opportunity. They are fleeing for their lives.
"For the U.N. refugee agency to register an uptick in asylum applications in places other than the United States is a huge red flag for us."SHARE Earlier this year, the United Nations High Commissioner on Refugees surveyed 404 children from Mexico and Central America who arrived in the United States illegally, and asked a simple question: Why did you leave? The report found "that no less than 58 percent of the 404 children interviewed were forcibly displaced" to a degree that warranted international protection, meaning that if the U.S. refused these children, it could be in breach of U.N. conventions.
Out of the 404 children surveyed, only nine of mentioned anything about U.S. immigration policy. SHARE Velez was one of the authors of that report, interviewing undocumented immigrant children across the U.S. immigration system for two hours each. They told Velez and her team stories of extreme violence, and fear of being caught up in gangs. Forty-eight percent of the children "shared experiences of how they had been personally affected by the augmented violence" at the hands of "organized armed criminal actors, including drug cartels and gangs, or by state actors."
Around 2008, it was probably the first time it really hit the U.N. refugee agency's radar. When we went back to the numbers, there was an increase in asylum applications starting as early as 2005. It wasn't too significant until we got to 2008. And in 2008 to 2013 we noted a 712 percent increase that were lodged in countries other than the United States [like Mexico, Panama, Belize, and Costa Rica].
The numbers have been doubling every year since 2011. And for us, that's dramatic. For the U.S. government—who has been really challenged in order to process this large number—I think their capacity has really been tested in the last few weeks. I think that's what generated a lot of attention. Because the numbers have rapidly increased.
And your next followup question is probably going to be, "Why?"
From reports that we are hearing from individuals on the ground, both from our U.N. offices that are there, as well as NGOs—in particular Catholic Relief Services in El Salvador—they have been really clear that on the ground a few important things are happening.
This is a huge story, involving tens of thousands of personal stories and the intricate histories of three troubled countries. But for those unfamiliar with the happenings in Central America—how would you encapsulate what's going on down there?
It's a humanitarian crisis in the region. The numbers are alarming, but the stories behind them are even more so. The situation is basically this: we have weak governments, entrenched poverty, and a growing control and power of criminal actors.
That's a really good question. The kids are vulnerable because they are children. And they are being targeted.
There's really little. Most of the media that covers it well is Spanish media.
I think I hear the question you are asking but I'm going to give you a different answer.
"This is not a migration story. This is a humanitarian crisis."SHARE I think your question went to, well, who has the agency here, is it the children making decision for themselves, the grandparents, the family members? Who is doing it?"
Well, the 60,000 mark was hit maybe a good three or four weeks ago. The projections are about 90,000 by the end of the fiscal year. We're talking about unaccompanied children.
Is the answer we just don't know? Is there a fog of information between Central America and the U.S. ?
Last year Mexico apprehended 5,500 [children] in the same year, 23,000 arrived to the United States, and I'm not including Mexicans in the 23,000 figure. These are all children from El Salvador, Honduras, and Guatemala. Twenty-three thousand of them made it through Mexico without being detected.
I think that's a knee-jerk reaction, which is not entirely inappropriate. But any conversation about increasing enforcement of other countries at points south has to include protection from sending people back to where they fear persecution or torture.
I've been reading that these children are coming north on rumors that the United States will let them in, that the Obama administration has lax policies toward minors. Did you find that at all in your survey?
We interviewed 404 children asking extremely open-ended questions as to the reasons and the nature of having left and what they were expecting when they arrived. Out of the 404, only 9 of them mentioned any kind of possibility of the U.S. treating children well. Two said "immigration reform"; one said "I hear they treat kids well." It's very general and from the perspective of a child. But only nine out of 404 said anything about that.
First, I have to point out to you, it's not just the United States. That was a another red flag for us. There is an increasing trend to seek asylum in Mexico, which is much safer for them than where they are from. The number of asylum seekers in Nicaragua, in Belize, in Costa Rica, in Panama—all of that has grown 712 percent since 2008.
How many people have left El Salvador, Honduras, and Guatemala? I'm trying to imagine the long-term impacts of tens of thousands of young people leaving their homes behind.
We don't know how many people have left. I can generally signal how many have been picked up on the radar by the states. As of last month we have 45,000 adults who have indicated a fear of return to U.S. border officials. Of that number, approximately 70 percent of that 45,000 figure are from those same three countries.
These are just the folks who are claiming fear of return, getting that registered. This is what has actually hit the radar. We have no idea about how many people don't get intercepted by border authorities. There is no way for us to track the number of individuals that are part of regular migration-enforcement activities.
The U.S. is doing everything that I think it possibly can in this short-term context. We have really applauded that President Obama has recognized there is a humanitarian crisis, and that he engaged FEMA and has asked the Secretary of Homeland Security to respond. The machinery is in place, it's starting to move. The domestic response, in the short term, is doing the best that it can to get people out of the bottle necking facilities that are just not equipped to deal with this type of flow.
"The humanitarian response is not going to solve the problem. The faucet has to be turned off or the water is going to keep flowing."SHARE But what the U.S. could be doing better, is that this is really a regional issue. Each country is unique and if you look at the data in our report about what's happening in each country, you are going to see some clear difference. At the same time it's a regional challenge—people are leaving and they are going to points North, points South—it requires a regional response. It's not on the U.S. alone to solve. But were supporting it to recognize that there is a foreign policy element here to all of the challenges.
The humanitarian response is not going to solve the problem. The faucet has to be turned off or the water is going to keep flowing. To that end, the U.S. needs to address the root causes, and it has a role in addressing the root causes. First, on the top of the list, is to continue violence-prevention efforts—like job creation, education, strengthen women's counsels—do a lot more institution strengthening, more government programs.
What is the American media getting wrong about this story? Or, what's the take-home point we miss?
This is not a migration story. This is a humanitarian crisis, and an example of consequences of weak governments. It's a humanitarian crisis and a foreign policy issue. We're responding in a humanitarian way, and supporting the government to do so, but that's not going to shut off the faucet.
The normal migration patterns in this region have changed. While it is still a mixed migration flow—people are still coming for a number of reasons. There is a growing number of people who are literally fleeing for their lives.


text:
Q: Multiple/repeating cases in a Java switch statement I would like to know how Java handles multiple identical instances of the same case.
I think the following makes sense, conceptually:
switch (someIntegerValue)
{
   case 1:
   case 2:
      DoSomethingForBothCases();
      break;
   case 3:
      DoSomethingUnrelated();
      break;
   case 1:
      DoSomethingForCase1ThatReliesUponExecutionOfTheEarlierFunctionCall();
      break;
   case 2:
      DoSomethingForCase2ThatReliesUponExecutionOfTheEarlierFunctionCall();
      break;
}

Essentially, I would like to have a chunk of code executed for either case 1 or 2 (using fall-through), but then later on, have a chunk of code only executed for case 2.
Rather, is the following necessary, instead?
switch (someIntegerValue)
{
   case 1:
      DoSomethingForBothCases();
      DoSomethingForCase1ThatReliesUponExecutionOfTheEarlierFunctionCall();
      break;
   case 2:
      DoSomethingForBothCases();
      DoSomethingForCase2ThatReliesUponExecutionOfTheEarlierFunctionCall();
      break;
   case 3:
      DoSomethingUnrelated();
      break;
}

My actual code is more complex, but would use the same principle (i.e. something like "case 1: nope; alright... case 2: yep! execute this code!; case 3: nope; case 1 again?: still nope!; case 2 again?: yep! execute this code; no more cases: All Done!")

A: Anything wrong with two switch statements?
switch (someIntegerValue) {
   case 1:
   case 2:
      DoSomethingForBothCases();
      break;
   case 3:
      DoSomethingUnrelated();
      break;
}

switch (someIntegerValue) {
   case 1:
      DoSomethingForCase1ThatReliesUponExecutionOfTheEarlierFunctionCall();
      break;
   case 2:
      DoSomethingForCase2ThatReliesUponExecutionOfTheEarlierFunctionCall();
      break;
}

That's what I would do.

A: You cannot repeat cases in a Java switch statement, it is a compile error. You will need to do as you have suggested, which actually looks like a good factoring.

A: You won't be able to do it. You can't have duplicate cases, the compiler will throw a hissy fit lol. I understand your logic in that you would like to check each case and then continue on and check other cases, but the break statement would pull you out of the switch-case statement anyways. What I would recommend is that you consider using a loop (i.e. for, while) if you want to check different things continuously. Coupling if statements with a loop will help you to execute bits of code before others.
Or if you really like the switch statements, you can create multiple switch-cases so that certain things happen before others.

A: How About this?
NOTE: I don't know that much Java, only Swift 2
var someIntegerValue = 1

func someSwitch(){

 switch (someIntegerValue) {
    case 1:
    break;
    case 2:
       DoSomethingForBothCases();
    break;
    case 3:
  DoSomethingUnrelated();
  break;
  }
}

where you have a two button actions,
some action button NEXT
someIntegerValue +=1 // changes someIntegerValue to next case
someIntegerValue() //loads switch

some action button 2 Back
someIntegerValue -=1 // changes someIntegerValue to next case
someIntegerValue() //loads switch

redpajama_set_name: RedPajamaStackExchange


text:
Solar-Plus-Storage
Hawaiian Electric Announces 'Mind-Blowing' Solar-Plus-Storage Contracts
"It's hard to overstate the scale of this announcement."
Emma Foehringer Merchant January 04, 2019
Emma Foehringer Merchant
Emma is a staff writer at Greentech Media. She previously covered environmental policy, politics, and climate change at Grist and the New Republic. Emma studied Environmental Analysis at Pomona College.
If regulators approve the projects, Hawaii's getting a whole lot of storage.
This week Hawaiian Electric Company sent seven new solar-plus-storage contracts to state regulators. Six come in at record-low prices for the state, under 10 cents per kilowatt-hour.
The projects, which now await regulatory approval, would add 262 megawatts of solar and 1,048 megawatt-hours of storage distributed over three islands. The company said the projects will provide power "in place of volatile prices of fossil fuels," which it quotes at about 15 cents per kilowatt-hour.
AES, Innergex, Clearway and 174 Power Global are developing the projects.
Source: Hawaiian Electric Industries
Both the pricing and the size of the contracts are significant.
"It's hard to overstate the scale of this announcement," said Dan Finn-Foley, a senior energy storage analyst at Wood Mackenzie Power & Renewables.
If the state's public utility commission approves the power-purchase agreement contracts, it would mean a big boost for the U.S. storage market. WoodMac currently logs 1.4 gigawatt-hours of energy storage installed in the nation, with just 75 megawatt-hours in Hawaii. According to Finn-Foley, Hawaiian Electric's projects would nearly double what's installed in the U.S. and grow Hawaii's market exponentially. Taken together, the projects would also rank as the second-largest storage announcement ever, just behind the recently approved Moss Landing project in California.
But that's not even the most thrilling part of this announcement for clean energy analysts.
"What's even more notable is the range of PPA prices," said Finn-Foley.
Past solar-plus-storage prices in Hawaii came in at 13.9 cents per kilowatt-hour in 2016 and 11 cents per kilowatt-hour in 2017. One of the projects announced this week by Hawaiian Electric is more expensive than the latter price — 15 megawatts of solar and 60 megawatt-hours of storage at 12 cents per kilowatt-hour. But another 90 megawatts of solar and 360 megawatt-hours of storage came in at what Finn-Foley called a "jaw-dropping" 8 cents per kilowatt-hour. That means that from 2016 to 2019 solar-plus-storage PPA prices in the state dropped by 42 percent.
Will Giese, executive director at Hawaii's Solar Energy Association, called the pricing "mind-blowing."
"With prices like these, it's easy to understand the confidence of Hawaiian electric providers that their islands can hit 100 percent renewables ahead of the 2045 mandate," said Finn-Foley.
Though Hawaii still relies mostly on oil for electricity, it's gaining on its goal to reach 100 percent renewables by 2045. In a statement released before the new year, Hawaiian Electric President and CEO Alan Oshima said that in 2018 the company made significant progress in pursuit of that target.
"We have tremendous momentum as we move into 2019," said Oshima. The contracts out this week suggest that momentum is already gaining speed.
According to Hawaiian Electric's latest numbers, oil supplied between 58.52 percent and 79.02 percent of electricity in 2017, depending on the utility (Hawaiian Electric also includes subsidiary utilities Maui Electric and Hawaii Electric Light). But that same year, average generation from renewables for all three utilities increased to 27 percent, up 1 percent over the previous year.
On Hawaii Island, renewable generation reached 57 percent. Hawaiian Electric is currently updating its numbers for 2018, but spokesperson Peter Rosegg said the volcanic eruption on Hawaii Island — which took out a 38-megawatt geothermal plant — means its renewable portfolio standard will be relatively unchanged. The company said it's still on track to reach its RPS milestone of 30 percent by 2020.
If the projects are approved, Hawaiian Electric said they will also help double current reductions in oil demand, with reductions totaling about 100 million gallons below 2008 levels.
Aside from the impact the contracts could have on Hawaii's electricity landscape, WoodMac's head of storage research Ravi Manghani said the unique PPA structures tied to some of the contracts signal overall trends for the storage industry.
AES's 25-year, 30-megawatt solar and 120-megawatt-hour storage PPA, for instance, uses a monthly "lump sum payment" to the developer based on net energy potential and facility availability, rather than energy delivered.
"This will certainly start to become more mainstay for solar-plus-storage PPAs going forward," said Manghani. "This reduces the curtailment risk for the developer, which is non-trivial in a market such as Hawaii, but also provides the utility a means to operate the combined solar-plus-storage asset almost like a dispatchable traditional asset in a cost-effective way."
Marco Mangelsdorf of Hawaii's ProVision Solar said the announcement indicates the state is on the path to achieving dispatchability for solar-plus-storage, with projects able to provide essential grid services and grid support to the electric utility.
"The grand takeaway for me is utility solar-plus-storage is hitting price points that we've been hoping and waiting for a number of years to make utility-scale solar-plus-storage competitive, and then some, with other forms of power generation," he said. "We in Hawaii are on the cutting edge."
100% renewable energy
solar plus storage


Father Jovan Todorovich retired as our parish priest on January 31, 2007. A published copy of his last sermon is available by contacting the church office at 219-736-9191. Church office hours are 9am – 3pm Monday thru Friday CST.


text:
1 2 3 4 5 6 7 8 [9] 10 11 12 13 14 15 16 >>
Leading through Empowerment
Author: Bradt, Gary
What got you to the top will not keep you there. This is a difficult lesson to learn. Many leaders earn success by getting involved and accomplishing things. They are tireless workers willing to do whatever is necessary to complete the task. Their diligent efforts lead to rewards, reco....
Frequently Asked Questions on Joint Commission Standards
Author: Brandt, Mary D.
Since January, AHIMA has cosponsored Management of Information (IM) seminars with the Joint Commission on Accreditation of Health-care Organizations. Taught by a Joint Commission surveyor and an HIM professional, these lively, interactive sessions have raised a number of questions about the p....
Vanishing Supervisor
The bottom line is calling. Here's how to decide if your HIM department has the right number of supervisors.
Down-sizing, right-sizing, streamlining. It doesn't really matter what you call it, but it has had a significant impact on healthcare operations and staffing. Organizat....
Health Informatics Standards: A User's Guide
From code sets to data sets to developing organizations, how much do you really know about technical standards? This article provides a handy reference guide.
The vision is clear: a longitudinal, or lifetime, health record for each person that is computer-based, secure, readily ac....
Optical Storage-based Document Imaging Technology and the Computer-based Patient Record
Just how optical storage-based document imaging systems fit with the vision of the computer-based patient record (CPR) is the subject of some debate. To help AHIMA members better understand the issues involved, a workgroup was formed to address this issue. Included were representatives from A....
Should External Reviewers Have Access to Patient Records?
Most of us are familiar with surveys by the Joint Commission on Ac-creditation of Health-care Organizations. Many of us have had the pleasure of other surveys, as well-by Medicare, state licensure agencies, and the Food and Drug Administration, to name a few. In conducting their reviews, many....
Initiative Supports Standardized Data for Emergency Departments
Author: Brandt, Mary D.; Pollock, Daniel A.
As HIM professionals know, variations in the way data are entered in healthcare record systems impede the use of these records for direct patient care and deter their reuse for many other legitimate purposes. Unless standards are introduced, maintained, disseminated, and widely adopted....
Protecting Patient Information After a Facility Closure (1999)
Author: Brandt, Mary D.; Rhodes, Harry B.
Why Standardize an Electronic Health Record? [sponsored article]
Author: BRG HIM and Healthcare Technology Staff
A physician approaches a health information management (HIM) staff member, upset because the location of a document in their office is not in the same location in the hospital record.....
Running out of Room for Data: HIPAA Requires Healthcare Organizations to Re-assess Data Storage
Author: Brick, Frank
Computer systems are feeling the effects of HIPAA. That's because the act's privacy and security rules require covered entities to securely store and manage more data than ever before. The latest computers to feel the effect are those in small covered entities, where the security rule takes ef....
Shifting from Reactive to Proactive HIPAA Audits
Author: Brinda, Danika
Stories about workforce members inappropriately accessing health information continue to plague the Department of Health and Human Services' Data Breach Portal—which lists US provider data breaches that affect more than 500 individuals. Recently two data breaches reported on th....
Bridging the Gap on CDI
Author: Brinson, Marcia
Clinical documentation improvement (CDI) efforts have been in effect within many acute care hospitals for years with the goal of optimizing reimbursement through appropriate documentation and coding. In 2007, CDI gained greater importance with the implementation of....
Keeping Compliant: Managing Rising Risk in Physician Practices
Author: Brocato, Lori; Emery, Steven; McDavid, Jan P
A mix of new regulations and initiatives-with audits and attestations in their wake-have put a new focus on compliance in physician practices and clinics.
Recovery audits, breach notification regulations, and modifications to the HIPAA privacy rule are forcing rapid workflo....
Reinventing Ourselves
Author: Brodnik, Melanie S.
As I think about all that the HIM profession aims to accomplish, I realize that we are faced with the challenge of reinventing ourselves. This seems daunting, but ours is not the only profession faced with this challenge.
Change Can Make Us Stronger
Consider the challenges fac....
E-HIM: Mobilizing for Impact
What an exciting time for healthcare and our profession. Tremendous strides have been made toward transitioning healthcare from paper to an electronic environment. Many AHIMA staff and members have participated in key collaborations during the last two years to advance the implementation....
Visions of Future, Global Initiatives Focus for 2004
Our 75th diamond anniversary, year-long celebration was quite a success. We celebrated our rich history and the important contributions AHIMA has made to the field of HIM. We also confirmed that the work we do has never been more important. We are thriving as an association, with some 46,000-p....
Developing an Experienced HIM Work Force
HIM practitioners have a long history of contributing to education by serving as site preceptors. Today, however, increased work demands and changing practice patterns limit time to train new graduates onsite. These factors are raising the demand for graduates with higher levels of experience....
Gaining a Global Perspective on HIM
In February this column focused on an AHIMA Board of Directors strategic initiative for HIM outreach—increasing consumer and industry awareness of HIM professionals and practice at home and abroad. This month, efforts related to the international portion of the initiative will be realized as....
Advancing the Globalization of HIM
One of the strategic initiatives set by the AHIMA Board of Directors for 2004 focuses on HIM outreach; that is, engaging in activities designed to increase consumer and industry awareness of HIM professionals and practices at home and abroad. My message this month focuses on the "abroad&....
Becoming a Lifelong Learner
As I reflect on what AHIMA has accomplished over the last 10 years and where the HIM profession is currently headed, I realize that we have a very eventful future ahead of us, a future that requires transitioning from one knowledge and skill level to another. The challenge is to remain litera....
Progress Toward Implementing the HIT and HIA Curriculum Models
Strategic Planning: a Winning Play
In April we look back at AHIMA's own form of college basketball's "March Madness"—Team Talks. The communication, collaboration, and networking of these meetings make all who attended national champs. The information shared at Team Talks is essential for achieving the A....
Looking Back on a Successful 2004
As 2004 draws to a close, I would like to thank all who have helped to make the year a success. Our success this year stems from the collective work of our members, state leaders, volunteers, board members, and AHIMA staff who worked to further our goal of moving health information management....
HIM Work Force: Where We Are and Where We're Going
Where are the jobs? We hear this question in discussions about offshoring of jobs and in presidential debates on the future of the US economy and its work force. I am pleased to say we now know where the jobs are in HIM as a result of the AHIMA work force study initiated in 2002.
AHIMA....
Status of Graduate Education Programs in Health Information Management
Author: Brodnik, Melanie S.; Bean, Betty; Hickey, Christie; Massey, Olivia; Ritchie, Carissa
The growing complexity of information needs in the delivery of quality healthcare at low cost has contributed to educational reform in health information management (HIM) and the need for advanced professional preparation of HIM practitioners. In 1997, AHIMA published curriculum mode....
Taking The Doctoral Challenge: Educators Push HIM Professionals to Add PhD to Credentials
Author: Brodnik, Melanie S.; Valerius, Joanne D; Watzlaf, Valerie J.M.
The push toward graduate education in health information management (HIM) is becoming a reality as more universities and colleges develop or explore launching HIM and informatics graduate curricula. Fundamental to offering these programs is the need for doctorally prepared HIM-credentialed....
Preparing for the CAC Transition
Author: Bronnert, June
One of the biggest technology advancements to influence coding since encoding systems is computer-assisted coding. CAC is the "use of computer software that automatically generates a set of medical codes for review, validation, and use based upon clinical documentation provided by healthcare p....
Coding Chronic Kidney Disease
by June Bronnert, RHIA, CCS, CCS-P
Chronic kidney disease (CKD) affects 20 million Americans, or one in every nine adults, and another 20 million Americans are at risk of developing CKD, according to the National Kidney Foundation. With this prevalence, it is important for coding professio....
Coding Pregnancy
While science and research have shed light on the various stages of fetal development, the process is still fascinating. This article details each month of a fetus's development and reviews common delivery complications and where related information may be documented in the record.
Necessary Coding Skills: What Employers Are Looking for in Coding Professionals
The employment market for coders is expected to increase 36 percent or more between 2002 and 2012, according to the Bureau of Labor Statistics.1 Even now we are experiencing a shortage of qualified coders. Ask a coding manager to name the biggest challenges of the job, and recruitment and ret....
Assigning E Codes: Two New Sections Go into Effect October 1
Two new E code sections go into effect October 1—E000, External Cause Status, and E001–E030, Activity. The sections will facilitate prevention strategies developed by epidemiologists and injury prevention specialists and bring ICD-9-CM E codes more in line with ICD-10-CM external c....
Determining Surgical Complications
All surgical procedures involve potential risks, which is why patients are asked to sign an informed consent. Conditions that arise after a procedure may be considered complications. Coding professionals must be able to determine if a condition is a complication per ICD-9-CM guidelines.
Coding in Long-Term Care Hospitals: How Medicare Distinguishes LTCHs from Other Providers
The term "long-term care hospital" (LTCH) can leave some in a quandary—do these facilities provide acute care or long-term care? Many people associate them with skilled nursing facilities.
However, LTCHs are not synonymous with skilled nursing facilities; each has....
Therapy Coding in Long-Term Care Facilities
Patients or residents are admitted to long-term care (LTC) facilities for a variety of reasons. While there, many receive some type of therapy, from physical to speech, during their stay. This article reviews the various procedures that may be provided to a resident at an LTC facility as well....
Codes and Treatments for Drug and Alcohol Conditions
In 2003 61 percent of adults drank alcohol, according to the National Center for Health Statistics.1 Illicit drug use for that same year is reported at 8 percent, with 6 percent using marijuana.2 With those statistics, it's a safe bet that coding professionals will encounter records repo....
Coding Ethically
With the many reimbursement issues and regulatory requirements surrounding coding, it is sometimes necessary for coders to refamiliarize themselves with what it means to code ethically. AHIMA's Coding Policy and Strategy Committee developed the Standards of Ethical Coding, which were app....
Assigning Secondary Codes from the History and Physical
To code or not to code can be one of the toughest questions a coder faces on a day-to-day basis. Assigning the appropriate secondary diagnoses can be a challenge. This article describes appropriate coding of secondary diagnoses by reviewing documentation of a history and physical.
Un....
Optimizing Data Representation Through the Use of SNOMED CT
Author: Bronnert, June; Daube, Julie L; Jopp, Gretchen; Peterson, Kathleen; Rihanek, Theresa; Scichilone, Rita A; Tucker, Vanna
Electronic health records (EHR) have changed the landscape for data representation. For many years health information management (HIM) professionals have relied on classifications for data representation and the support of clinical documentation. SNOMED CT is a data standard frequently used in electronic systems and has been included in the requirements for the Centers for Medicare and Medicaid Services' (CMS) "meaningful use" EHR Incentive Program. SNOMED CT is maintained and distributed by the International Health Terminology Standards Development Organisation (IHTSDO). SNOMED CT is recognized throughout the world, and the terminology is available at no cost. The National Library of Medicine (NLM) serves as the US release center and the IHTSDO member country representative.
Problem-Centered Care Delivery: How Interface Terminology Makes Standardized Health Information Possible
Author: Bronnert, June; Masarie, Chip; Naeymi-Rad, Frank; Rose, Eric; Aldin, Greg
Terminologies ensure that the 'languages of medicine' can be understood by both humans and machines.
Electronic health records (EHRs) are the industry standard for documenting patient care. Industry initiatives and government legislation have facilitated EHR i....
Testing ICD-10-PCS
Author: Brooks, Patricia E.
HCFA conducted a formal test of ICD-10-PCS (procedure coding system) in order to determine if it would be a practical replacement for the current ICD-9-CM, Procedures. This coding system was developed after an open competition contract was awarded to 3M/HIS. In order to avoid any con....
Speaker: SNOMED Promises to Change HIM Practice
Author: Brouch, Kathy L.
How will SNOMED CT change the way health information is managed? An educational session captured the basic concepts that HIM professionals need to know.
It's important to understand the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) because it is increasingly being....
Coding Worldwide: Gain a Global Perspective with IFHRO
Many HIM professionals may not know that there is an international health records organization, but the International Federation of Health Records Organizations (IFHRO) has been in existence since 1968.
The Federation presents great opportunities for AHIMA members who wish to b....
Where to Find Answers to Your Coding Questions
For more information on physician queries, see the "Developing a Physician Query Process" practice brief in the October 2001 Journal of AHIMA and in the FORE Library: HIM Body of Knowledge in the Communities of Practice at www.ahima.org.
Is obtaining an answer to a coding question a daunting t....
Where in the World Is ICD-10?
Where and how is ICD-10 being used? Learn how countries all over the world have adapted to the newest version of this coding system and how coders in the US can prepare for an eventual transition.
Are you ready for ICD-10? If you're a coder in the United State....
AHIMA Project Offers Insights into SNOMED, ICD-9-CM Mapping Process
AHIMA's Cinical Vocabulary and Terminology Expedition
In 1999, AHIMA appointed the Coding Futures Task Force to study the likely futures in the domain of coding practice. The group's conclusions, summarized in the January 2000 (vol. 71, no. 1) Journal of AHIMA article "....
Compliance is Everything, Everything is Compliance
Author: Brow, Julie A.
Everything, when reduced to its basic components, is a compliance issue," says Dorothy Wagg, JD, RHIA, vice president of HIM/compliance at Applied Management Systems in Burlington, MA. "It may seem pernicious to be thinking all the time, `how will this look under the microscope?' but....
Winning Joint Commission Jeopardy: Tips for Success
Organization, preparedness, and quality are three familiar words to those managing hospital and clinic health information. At no time is it more important to be organized, prepared, and quality-minded than when surveyors from the Joint Commission on Accreditation of Healthcare Organi....
Making the Most of External Coding Audits: From Preparation to Recommendations
Author: Brownfield, Cathy; Didier, Donna M.
Getting a full return on an external audit requires that HIM directors commit to the process from start to finish—preparing, managing, and following up.
Is your coding good, bad, or great? Not knowing for certain creates risk and stress. Audits offer visibility into department....
Safeguarding ePHI from Fire the Dry Way
Author: Brown, Karen
With HIPAA's security rule compliance date right around the corner, many HIM professionals are still trying to determine if they have adequate safeguards in place to ensure the confidentiality, integrity, and availability of electronic protected health information (ePHI).
Many....
HIPAA Security: Don't Disband the Committee Just Yet
Author: Brown, Stephen C.
By now, every healthcare organization has faced the initial security compliance responsibilities associated with HIPAA. However, the compliance road has not yet been fully traveled. The nature of the rule makes compliance a recursive effort of reassessment, continual auditing, regular educatio....
2019 ICD-10-PCS Coding Updates
Author: Bruce, Tina MHIM, MHI, RHIA, CCS, CDIP
By Tina Bruce, MHIM, MHI, RHIA, CCS, CDIP
Healthcare practices, clinical documentation improvement specialists, auditors, and coding professionals are on the edge of their seats anxiously awaiting the annual release of coding updates by the....
Patient Empowerment -- A Trend that Matters
Author: Bruegel, Robert B.
Increased patient empowerment will generate an extensive shift in fundamental roles and procedures in healthcare, including the roles of HIM professionals. Here's a look at factors influencing patient empowerment and a forecast of how patient and provider communications are likely to be affec....
Ensuring Compliant Malnutrition Coding
Author: Bryant, Gloryanne H.
Coding malnutrition has always been a challenge, especially since MS-DRGs were implemented. However, with Recovery Audit Contractors and other regulatory auditing being initiated across the country, providers and HIM professionals must be proactive rather than reactive when coding this conditi....
AHIMA's Revised Standards of Ethical Coding Available
Source: AHIMA blog post | Journal of AHIMA - website
The American Health Information Management Association Standards of Ethical Coding includes new and updated information and guidance as of December 2016. This is a must-have resource for any health information management coding professional.
The standards now include definiti....
Engaging Physicians in ICD-10 Planning: The Documentation Link
There is much to do before we reach ICD-10 go-live in our organizations-including engaging the medical staff. Physician engagement is important in all healthcare settings and initiatives, but it will be essential in an organization's successful transition to ICD-10.
Obtaining engage....
CMS Bans Use of Physician Signature Stamps
Question: What is the new Centers for Medicare and Medicaid Services ruling on use of signature stamps?
Answer: The Centers for Medicare and Medicaid Services (CMS) has made it clear that it will only accept signatures that are handwritten, electronic, or facsimiles of original wri....
Compliance Efforts Get Some PEPP
Earlier this year, the Office of the Inspector General (OIG) informed the Health Care Financing Administration (HCFA) that "the DRG system is vulnerable to abuse by providers who wish to increase reimbursement inappropriately through upcoding, particularly so within certain DRGs.&....
Ensuring Proper Wound Care Service Coding: OIG Highlights Need for Organizations to Assess Wound Care Coding Practices
This year the Office of Inspector General (OIG) issued two reports relating to wound care services and Medicare payments. As the OIG has included wound care services as part of its 2007 work plan, coding and HIM professionals should review each report and re-assess their organization̵....
Clarifying Patient Status Code
The patient status code reflects the level of care a patient was discharged or transferred to when leaving an acute care hospital as an inpatient or outpatient (i.e., emergency department or emergency room). A recent Centers for Medicare and Medicaid Services MLN Matters publication provides a....
Auditing and Monitoring--Elements of HIM Compliance
Auditing and monitoring are two important components of a compliance plan. The author answers the most frequently asked questions about audits. In addition, find out how to get started—and what to do with the results.
Compliance—it's more than a buzzword. Establis....
Catching Up with PEPP
Author: Bryant, Gloryanne H.; Fletcher, Robin
A year ago, the Journal of AHIMA reported on the newly created Payment Error Prevention Program (PEPP), which went into effect in August 1999. What has happened since then?
Best Billing Practices
PEPP was created to reduce Medicare prospective payment system (PPS) ....
Closer Look at Cardiac Function and Resynchronization
Author: Bryant, Gloryanne H.; Gold, Robert S.
by Gloryanne Bryant, RHIT, CCS, and Robert Gold, MD
Coding cardiac conditions and treatments can be difficult for coders, due both to the intricacies of the muscle and its workings and the lack of specificity and documentation in the medical record. This article reviews common cardiac....
New Anemia Codes Address Chronic Illness
As of October 2000, there were three new codes for the assignment of Anemia of Chronic Disease. These codes are 285.21, Anemia in end-stage renal disease, 285.22, Anemia in neoplastic disease, and 285.29, Anemia of other chronic illness.
These three codes will help to better describe....
CDI Tips Developed to Maximize ICD-10-CM/PCS
Author: Bryant, Gloryanne H.; Haik, William E; Hillstrom, Heidi
Clinical documentation improvement (CDI) efforts have become a mainstay within hospitals, outpatient care facilities, physician practices, and post-acute care settings. CDI programs have a far-reaching impact on today's data-centric healthcare system. When the appropriate level of det....
Clinical documentation improvement (CDI) efforts have become a mainstay within hospitals, outpatient care facilities, physician practices, and post-acute care settings. CDI programs have a far-reaching impact on today's data-centric healthcare system. When the appropriate level of detail....
Simple API: Will it solve healthcare's interoperability problems?
Author: Bryson, Casey
You can't throw a rock in healthcare today without hitting someone claiming to solve "the problem of interoperability." Those claims come from interface engines, private or public collaboratives like the Sequoia Project and Commonwell, government entities like the Office of the Nation....
Coding for Mammography Services
Author: Buck, Stacie L
You're diligently auditing outpatient diagnostic services when you find an order in the medical record for a screening mammogram. However, a diagnostic mammogram was performed, not a screening mammogram.
The business office and the patient request that you change the diagno....
Deciphering Dialysis Access Maintenance Coding
One year after the introduction of two new HCPCS codes for dialysis declotting procedures, confusion remains as to when to report these codes and how to report them in conjunction with other interventions performed during dialysis access maintenance. This article discusses the many facets of d....
Coding in the Coming Decade: Three Initiatives That Will Drive the Profession's Evolution
The saying "The only thing that is constant is change" certainly describes the HIM profession and the role of coding professionals.
Over the last three decades the coding professional's role has evolved dramatically, and it will continue to do so in the decades to c....
Value of Mentoring
Author: Buck, Stacie L; Lewis, Dwayne M; Bowen, Rita K.
Mentoring is a vital way that professionals give back to the profession. Here, three distinguished AHIMA mentors explain their commitment to advancing the profession one person at a time.
Navigating from Data to Excellence
Author: Buff, Elizabeth Logan; Hohmann, Samuel
How can health information help an organization improve its performance? The authors offer an approach to measuring performance using familiar tools—a compass and a dashboard.
A healthcare organization uses clinical data in a number of ways—to....
The Importance of Histology in Neoplasm Coding
Author: Bumgarner, Charlotte CDIP, CCS; Latva, Jennifer CCS, COC, CPC, CGSC
By Charlotte M. Bumgarner, CDIP, CCS, and Jennifer C. Latva, CCS, COC, CPC, CGSC
CODERS OFTEN RELY on a neoplasm's behavior and location for ICD-10-CM code assignment, rather than first referencing histological type. This oversight can lead....
Transcription Cost Analysis Reveals Opportunities for Savings, Efficiencies
Author: Bundt, Major Thomas
Under pressure to maximize efficiency and resources, a VA hospital department ananlyzed its dictation processes and was able to pinpoint opportunites for savings. Here's how they did it.
Levels of utilization and quality of specialty services in Veterans Administration healthcare faciliti....
EMR Education for a Student Health Center
Author: Burgess, Barbara
How does a busy student health center on a state university campus implement an electronic health record? This is the story of how Hall Health Primary Care Center (HHPCC), a community-based primary care center at the University of Washington (UW) in Seattle, did just that.
More Specific Physician Documentation Needed for ICD-10-CM
Author: Burgess, Sheila
The dawn of October also welcomes the official go-live date for ICD-10-CM/PCS—meaning there is absolutely no time left to waste in preparing for the additional documentation requirements necessary for successful ICD-10 implementation. Over the past several years, the healthcare industry h....


text:
Mashel alnaimi gears up for WorldSBK battle at Losail Circuit
03/11/2017 by mashelalnaimi95, posted in Media, News
Home hero Mashel gears up for WorldSBK battle at Losail Circuit
https://www.thepeninsulaqatar.com/article/29/10/2017/Home-hero-Mashel-gears-up-for-WorldSBK-battle-at-Losail-Circuit
Mashel Al Naimi, Team: Ooredoo Racing Team, Racing number: 95, Sponsor: Ooredoo
By Rizwan Rehmat / The Peninsula
Qatar's top rider Mashel Al Naimi is pumped up for his maiden run in the final round of this year's hotly-contested FIM Superbike World Championship.
ADS BY BUZZEFF TV
The former Moto2 rider with the QMMF Racing Team, Al Naimi has been extended a wildcard entry along with compatriot Saeed Al Sulaiti for the SBK round to be held under lights at Losail International Circuit later this week.
"I am very happy to get a chance to participate in the final round of the Superbike World Championship. I will be riding in the SuperSport category," Al Naimi said in an exclusive chat with The Peninsula.
"I thank the Qatar Motor and Motorcycle Federation (QMMF) and Lusail Circuit Sports Club for their support to back my candidacy. Saeed and I will be riding as Qatari riders at such a high profile event," the 34-year-old rider added.
"I hope that we will be in good shape for what will be a tough ride. I will try my best to have a solid outing and a memorable footprint in the final round of the World Superbike Championship," he said.
"We knew about our wildcard in August and since then I have been in training mode," Al Naimi said.
Qatari rider Mashel Al Naimi poses for a photograph with Qatar Motor and Motorcycle Federation (QMMF) President Abdulrahman Al Mannai at the Losail Circuit in Doha yesterday.
"Ever since the QMMF told me about my chance to feature in the final round, I have been preparing to get on the starting ramp. I have been preparing for a month at training camp in Spain with a focus on physical fitness.
"I have been cycling a lot to boost my overall physical fitness. I am physically and psychologically ready to go. Ooredoo is my main supporter at all the races I compete in. I am very grateful to them for continuing their support. You know very well that motor sport is an expensive sport and their support is a major help to me," Al Naimi said.
Al Naimi, a hugely popular rider in the region, said his maiden appearance will be another 'big achievement' in his long career.
"This will be the first time that I will feature in a World Superbike Championship round. I have featured in a MotoGP round in 2010 at Losail International Circuit with support from QMMF," Al Naimi said.
"I will be looking to produce my best lap time. I have tasted the flavour of racing in MotoGP, Moto2 and now I am getting ready for a race in the World Superbike Championship," he added.
Al Naimi said he was expecting a good set-up ahead of the race on Saturday night.
"I am not overwhelmed while competing against the world's best rider. My class will be 600cc. Hopefully there won't be any technical issues and that I can have a smooth ride. I urge the Qatari racing fans to come on and enjoy the races and offer their support," Al Naimi said.
Al Naimi said winning the Superstock Endurance World Championship a decade ago was the highlight moment of his career.
"When I first started out, it felt great as we were just riders. Then our goal was to gain experience. If we compete with world champions and have a solid footprint, we knew we could challenge the best. With absolute determination, we won the world championship in endurance racing. Listening to the national anthem at the Le Mans was an unbelievable moment of pride for me and my team," Al Naimi said.
"The support offered to us by (then QMMF President) Nasser bin Khalifa Al Attiyah was paramount in us winning the world title. He kept our morale high and boosted our confidence whenever he could. There was great camaraderie among the riding bunch then. The international and local media were treating us like heroes and telling our stories to the world. It was a such a rich experience," he added.
"I have to say that I was about to retire in 2011 from the sport because of high costs to run a racing campaign. But Ooredoo came up with their help at the right time. They put a smile on my face. The revived my enthusiasm and encouraged me to participate in local and regional competitions," Al Naimi said.
"We ran many promos and managed to get robust feedback from the racing fans. I thank Ooredoo for their supper and encouragement. I consider myself a sports ambassador for Ooredoo," he added.
"I do not want to forget the great support of the Minister of Culture and Sports, H E Salah bin Ghanim Al Ali, who has been following my performances and offering kind words of appreciation. He wants us to give our best. The Ministry's support to sports professionals like myself is so crucial and encouraging at the same time. We will continue to do our best for Qatar," the Qatari star said.
Previous postنجم الدراجات القطرية مشعل النعيمي: أنا جاهز للمونديال العالمي


On Saturday, April 7th the Annual OHL Priority Draft was held for players born in 2002. The Toronto Marlboros Hockey Club, with 13 players selected were one of three Organizations to have developed this number of players. Five players were selected in Round 1, William Cuyelle, Jamie Drysdale, Lleyton Moore, Riley Piercey, and Reid Valade. This was also the most from any one team. The Marlboro Organization is extremely proud of all the boys and wish them success as they move on.


Emma currently supports a Location feature.
The app detects your location when is opened and shows you the current weather conditions and temperature.
Location can be enabled during the on boarding process when you first sign up or from Settings->Account->Location. This can be disabled at anytime.
Emma doesn't track your location.


text:
var Tasks = function () {

    return {

        //main function to initiate the module
        initDashboardWidget: function () {
			$('.task-list input[type="checkbox"]').change(function() {
				if ($(this).is(':checked')) {
					$(this).parents('li').addClass("task-done");
				} else {
					$(this).parents('li').removeClass("task-done");
				}
			});
        }

    };

}();

redpajama_set_name: RedPajamaGithub


5-in-One Bouncer Combos feature a huge moonwalk area, a crawl-through, a climbing obstacle, exterior slide, an interior and exterior basketball hoop, and an Entanglement™ game mat sewn onto the bouncer surface. 16′ wide, 20′ long and 13′ high.
Choose from 1 of 6 banners pictured above to customize for your party.


If you have been following the news at all over the last several weeks since Trump took office, you're well aware of Trump's Executive Order on immigration. The first order received quite a bit of resilience and was subsequently blocked by the Ninth Circuit. In the coming days, we will see Trump's second proposed order, which is sure to garner as much, if not more, attention as the first one. I'll be sure to post about it once it comes out.
However, for now, I'd like to review Trump's initial order, which caused a great deal of confusion, even among professionals in that area of expertise. My cousin, who owns a tow truck company in Connecticut, has followed the subject closely and he sent me the video below. For anyone not familiar with the particulars of the Order, I recommend viewing this video.
So far, Trump has had a hell of time getting his cabinet appointees confirmed by the Senate. It's probably fair to say that there's not a single president in U.S. history that has faced so much opposition to his cabinet nominations. Today, Vice-President Pence had to fill his role as president of the Senate and break a tie in order to get Betsy DeVos confirmed as Secretary of Education. DeVos has faced a great deal of opposition, particularly from those in the education field.
If y0u don't know much about DeVos, here's a YouTube video of her being grilled by Bernie Sanders.
Trumps First Week…..Good or Bad??
Hi Everyone, thanks for stopping by.


text:
Q: Why is RestKit strips my URL, swift? I am initing my Object Manager:
let baseURL = NSURL(string:"http://xxxxx.net/api")
self.client = AFHTTPClient(baseURL: self.baseURL)
self.objectManager = RKObjectManager(HTTPClient: self.client)

But when I run my code:
objectManager.getObjectsAtPath("/json.product.gf.php", parameters: queryParameters,
        success: {(requestOperation, mappingResult) -> Void in
            var defaults = NSUserDefaults.standardUserDefaults()
            var dateFormatter = NSDateFormatter()
            dateFormatter.dateFormat = "yyyy-MM-dd"
            let d = NSDate()
            defaults.setValue(dateFormatter.stringFromDate(d), forKey: "lastProductUpdate")
        },
        failure: {(requestOperation, mappingResult) -> Void in
            NSLog("Failed Products")
    })

It errors out because it is stripping "api" from my base url.
Why?

A: Internally RKObjectManager probably uses init?(string URLString: String, relativeToURL baseURL: NSURL?) to create the new URL from the baseURL and the relative url.
You basically have two problems in your code.

*

*your baseURL does not end in /. The aforementioned API ignores everything behind the last / of the baseURL.

*your supposed relative url starts with an /. Which means it's actually an absolute URL. This will ignore everything after the host of the baseURL

The position of the slashes is pretty important if you deal with baseURLs. It's an easy fix:
let baseURL = NSURL(string:"http://xxxxx.net/api/")

and
objectManager.getObjectsAtPath("json.product.gf.php", parameters: queryParameters,

If you have a playground nearby and want to see it yourself:
let baseURL = NSURL(string:"http://xxxxx.net/api")! // http://xxxxx.net/api

let url1 = NSURL(string: "json.php", relativeToURL: baseURL)! // http://xxxxx.net/json.php
let url2 = NSURL(string: "/json.php", relativeToURL: baseURL)! // http://xxxxx.net/json.php

let baseURL2 = NSURL(string:"http://xxxxx.net/api/")! // http://xxxxx.net/api/

let url3 = NSURL(string: "json.php", relativeToURL: baseURL2)! // http://xxxxx.net/api/json.php
let url4 = NSURL(string: "/json.php", relativeToURL: baseURL2)! // http://xxxxx.net/json.php


IP address is something that is important to you especially if you like staying online. Without your IP address you can't get the latest information or you can't access any online information because websites will not be able to trace your computer to send the information that you are looking for. Because of the misinformation about the importance of IP addresses, some websites have decided to educate computer users about the importance of IP addresses. Below are the services that these websites offer.
This is used to determine the general physical details or address of another online internet user. Using these websites for IP lookup tool, you can determine which country that internet user comes from. Using an IP lookup tool you get information like the host name of that IP address, the country, region or state, the area code, any known services currently running on that IP address, organization's name and its ISP and also you get to know the latitude and longitude of that area.
This is used to test internet connection in order to get an idea of how fast you can upload, download and also the ping rate. Upload speed data shows you how efficient is it to transfer files like pictures from your computer to another computer. Download speed data shows you how efficient it is for data from other websites to get into your computer. Ping rate shows you the delay time on that internet. The higher the ping rates the more the delays.
There are a few methods that you can use to change your IP address. Some of the simple methods are turning off your modem for some few minutes or if it doesn't work try to unplug it overnight. This will simply change your IP address. If you are using a laptop just connect to another internet service that has a different IP address and your laptop changes to that address automatically. If you are unable to change your IP address just ask your internet service provider to change the address for you.
Using trace email analyzer tools you are be able to trace the IP address of the sender of that email and track its source. Analyze the header of that email then copy and paste it into the trace email analyzer tool. This tool will then examine that header and give you the IP address of where that email came from.


text:
Arista, 1999
http://eurythmics.com
REVIEW BY: Michael R. Smith
The Eurythmics must really be hard up for money these days. I couldn't find their new release, Peace, anywhere for under $14. After hearing nearly half of the album sampled on the Internet (and being somewhat disappointed), I honestly questioned whether buying this one would be worth it.
Let me start out by saying that the Eurythmics are one of my ten all-time favorite music acts. I attended what was to be their farewell concert tour of 1989, just as Annie Lennox and David A. Stewart were falling out of favor with the rest of America. Back then it seemed a shame to see them go. But now, ten years have passed and to be brutally honest...their new music is obviously aging right along with them.
It is as if the only way Annie could be convinced to return to the Eurythmics fold was to change the formula altogether. In a sense, Peace could be considered Annie's third solo album. Gone is the edginess that made Eurythmics albums like 1987's Savage live up to its title and then some. Instead, we are forced to once again travel down the adult contemporary road that Annie has since paved on her own.
Don't get me wrong, I didn't mind Annie taking it down a notch in the 90's for her last two Grammy-nominated solo releases, Diva and Medusa. They certainly brought her the credibility and respect that she has long deserved. Songs like "Little Bird" and "Don't Let it Get You Down" are just two of several that I hold in high regard.
But this is not supposed to sound like Annie solo--this is Eurythmics for God's sake!! Nowhere on this new album will you find Annie scream like she did on "I Need a Man" or shake her tail feather on the video for "Would I Lie to You". No, my friends, it seems that Annie's dancing, menacing and master-of-disguise days are over. Perhaps motherhood has mellowed her out, but she has opted to act her age this time around. The air has finally been let out of the big, fun Eurythmics balloon. Maybe now I can get up enough strength to say goodbye.
The duo's swan song has to be the grand, trumpeting "Forever". It is one of the few shining moments of this otherwise sluggish affair. The belabored trudging of "Lifted" and the empty poetry of "Beautiful Child" are just two examples here of two great talents simply wasting their time. Even the two upbeat semi-rockers, "Power to the Meek" and "I Want it All" could have been better. Still, it was a relief to hear those since I was bored to tears by the rest.
What made the Eurythmics so striking in the '80s was their unpredictable, chameleon-like flair. Their range was boundless and their creativity was enviable. This was NOT the comeback I had been hoping for. It is certainly not Annie and Dave at their best. I wouldn't be surprised if there aren't any singles released here in the States. Maybe this time their fans will let Eurythmics...once and for all...rest in Peace.
Rating: D
© 2006 Michael R. Smith and The Daily Vault. All rights reserved. Review or any portion may not be reproduced without written permission. Cover art is the intellectual property of Arista, and is used for informational purposes only.


Mount Sinai Health System, New York's largest integrated academic medical center, announced today a historic agreement with Taikang Healthcare in China to provide clinical and management knowledge transfer services, and education and training programs for Taikang's Xianlin Drum Tower Hospital in Nanjing, the capital of Jiangsu Province in east central China.
Mount Sinai will also provide guidance in implementing high-quality medical care delivery standards, developing clinical centers of excellence, and establishing best practices in hospital management.
The Mount Sinai Health System is New York City's largest integrated delivery system encompassing seven hospital campuses, a leading medical school, and a vast network of ambulatory practices throughout the greater New York region. Mount Sinai's vision is to produce the safest care, the highest quality, the highest satisfaction, the best access and the best value of any health system in the nation. The System includes approximately 6,600 primary and specialty care physicians; 11 joint-venture ambulatory surgery centers; more than 380 ambulatory practices throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and 31 affiliated community health centers. The Icahn School of Medicine is one of three medical schools that have earned distinction by multiple indicators: ranked in the top 20 by U.S. News & World Report's "Best Medical Schools", aligned with a U.S. News & World Report's "Honor Roll" Hospital, No. 12 in the nation for National Institutes of Health funding, and among the top 10 most innovative research institutions as ranked by the journal Nature in its Nature Innovation Index. This reflects a special level of excellence in education, clinical practice, and research. The Mount Sinai Hospital is ranked No. 18 on U.S. News & World Report's "Honor Roll" of top U.S. hospitals; it is one of the nation's top 20 hospitals in Cardiology/Heart Surgery, Gastroenterology/GI Surgery, Geriatrics, Nephrology, and Neurology/Neurosurgery, and in the top 50 in six other specialties in the 2018-2019 "Best Hospitals" issue. Mount Sinai's Kravis Children's Hospital also is ranked nationally in five out of ten pediatric specialties by U.S. News & World Report. The New York Eye and Ear Infirmary of Mount Sinai is ranked 11th nationally for Ophthalmology and 44th for Ear, Nose, and Throat, while Mount Sinai Beth Israel, Mount Sinai St. Luke's and Mount Sinai West are ranked regionally.
The Taikang Insurance Group owns Taikang Life Insurance, Taikang Assets, Taikang Pension, Taikang Health Investment, Taikang Health, Taikang Online, and other subsidiaries. The Group's business scope covers a wide range of areas including Life Insurance, Internet Property Insurance, Enterprise Annuities, Asset Management, Medical Pensions, Health Management, and Commercial Real Estate. As of the end of 2017, Taikang's assets under management exceeded RMB 1.2 trillion. Since its establishment 22 years ago, the Group has serviced a total of 225 million individual customers, and over 340,000 service enterprise customers in China. Taikang has been ranked among the "Top 500 Chinese Enterprises" for 14 consecutive years. In 2018, Taikang Insurance Group ranked No. 489 in the Fortune Global 500 list, with an operating income of US$24.085 billion, marking Taikang's entry into the ranks of the world's largest insurance financial services groups.The Taikang Insurance Group has always adhered to the concepts of "professionalism, market-focus, and standardization", thereby deepening the life insurance industry's value chain through 3,900 offline physical networks, online internet platforms, and 700,000 employees and sales professionals across China. Taikang is committed to becoming the world's leading insurance financial services group, making insurance more secure, more convenient, and more affordable, thereby allowing its customers to lead a healthier, longer, and richer life. The Taikang Group has also invested in the operation of Taikang Xianlin Drum Tower Hospital in Nanjing – the provincial capital of Jiangsu Province, the construction of the Taikang Tongji Hospital in Wuhan, Hubei Province, and the launch of the Taikang Southwest Medical Center in Chengdu, Sichuan Province, among the Group's other efforts to develop a range of medical education and research-integrated medical centers.


What Surface Book storage size should you get: 128GB vs. 256GB vs. 512GB vs. 1TB?
How much storage do I need in my Surface Book?
The internal storage in Microsoft's Surface Book isn't designed to be upgraded after purchase, so choosing the right size when you buy is crucial. Don't do much other than browse the web? Save some money and go with 128GB. Looking at a device for multimedia editing? You'll want plenty of storage for your large files. If you're not quite sure where you stand, here's what to know when choosing storage for your Surface Book.
How much storage do you actually get in a Surface Book?
How will you use your Surface Book?
The set amount of storage in a solid-state drive isn't exactly what you get when you first turn on your Surface Book. Windows 10 and its drivers and apps take up a good chunk of space — a good first step on the way to figuring out how much space you need is to figure out how much space you actually get.
The Surface Book, both regular and Performance Base models, have varying amounts of actual storage based on the configuration.
As you can see, a bigger solid-state drive means you'll lose more storage space, but you will still have more actual storage. Base your decision on the available storage, rather than the total storage when making your purchase.
The next factor you want to look at is how much of a price difference there is between storage sizes.
The standard Surface Book model with an Intel Core i5 processor, 8GB of RAM, and a 128GB solid-state drive costs about $1299. If you double your storage space to 256GB, you're looking at paying $400 more. Want to go for 512GB? You'll pay $700 more than the 128GB option.
If you jump up to a Core i7 processor, you can expect to see a $500 difference between a 512GB solid-state drive and a 1TB solid-state drive in both the regular Surface Book and the Surface Book with Performance Base.
This might seem like quite a price jump when you consider you can pick up a great solid-state drive with 500GB for about $170, but certain limitations — like physical size — raise prices.
How you will use your Surface Book plays a crucial role in how much storage space you need.
Who should get the 128GB option?
Anyone who plans on using their Surface Book for web browsing, video streaming, word processing, and other light computing tasks shouldn't have a problem with a 128GB configuration. Also, if you don't think you'll be very mobile with your device — i.e. you'll be working at a desk most of the time — you can plug in an external drive to store your non-essential files.
Who should get the 256GB and 512GB options?
The majority of people should consider the 256GB and 512GB options; you'll have enough room to hold the majority of photos, videos, and games you often need. Also, consider how long you'll keep your Surface Book in your arsenal. It will remain a great machine for quite some time to come, files add up over time, and you don't want to worry about waning space in its later years.
Who should get the 1TB option?
If you do a lot of multimedia editing or you're a professional who requires top hardware, you'll no doubt want a larger storage option for easy access to your expanding library of large files. For many people, spending upwards of $3300 on the Surface Book with Performance Base with a 1TB solid-state drive is out of the question when there are cheaper ways to expand your storage post-purchase.
Maybe you've already purchased a Surface Book and find you underestimated the space you need, or maybe you'd like to save some money now on a configuration with a smaller solid-state drive. The Surface Book's internal storage isn't designed to be upgraded by the owner (the casing is glued shut and opening it will 100% void your warranty), but that doesn't mean you can't take some alternate routes to expand your available space.
For the stationary user, plugging in an external drive by USB is a good albeit slower option. You'll lose mobility of those files or just have to carry around an extra accessory, but if you're not going anywhere far it hardly matters.
Your Surface Book comes with 5GB of free OneDrive cloud storage, and you can always add more if you need it. You won't have to carry anything around with you, but your files will only be accessible when you have an internet connection. Grab 50GB of storage for about $2 a month, or get 1TB of storage and a subscription to Office 365 for about $7 a month.
Another neat solution — and probably the best solution — is going the microSD route. There are a few microSD adapters you can pick up that sit flush when inserted in the slot and give you decent speeds depending on the card you choose. For more info, check out our handy guide to adding cheap and easy microSD storage.
Right now the biggest SD card you can get is a 256GB SanDisk for around $140 — it's not as fast as an internal SSD, but it's far cheaper. The capacity of microSD cards increases with each passing year, so you'll be able to upgrade your Surface Book's storage again in the future with larger cards, or opt for a bigger size when prices come down.
How much storage space did you go with in your Surface Book? Did you try out the microSD option? Let us know in the comments section!


text:
El control político en Colombia es una herramienta fundamental en el diseño institucional de la República de Colombia, que por medio de diferentes instrumentos, permite a los legisladores ejercer sabiduría sobre el Ejecutivo y contribuir al mantenimiento del balance de poder entre las distintas ramas del poder público en Colombia.

Entre los mecanismos de control político se incluye: el mecanismo de la citación, la moción de censura y la audiencia pública.

Antecedentes
Mediante el Acto Legislativo 01 de 2008, se modificó el artículo 135 de la Constitución Política de Colombia sobre el Congreso y sus facultades. Se reglamentaron los mecanismos de control político, consecuentemente. se estipularon las condiciones según las cuales se puede citar a un funcionario público, preferirle una moción de censura o conducir una audiencia pública con el propósito de observar las acciones y/o omisiones de dicho funcionario o funcionarios del Estado.

Mecanismos de Control Político

Citaciones en Colombia
Una citación es una orden formal escrita expedida por un cuerpo gubernamental con jurisdicción administrativa o judicial la cual tiene la capacidad de obligar a rendir testimonio de un testigo o producir evidencia bajo la pena de una sanción.

La citación es una herramienta con la cual cuentan los congresistas para indagar sobre las acciones y/u omisiones de los funcionarios del Estado, así como para obtener información relevante de su gestión. Las citaciones en el Congreso de la República de Colombia tienen el propósito de funcionar como mecanismos de control político de la rama legislativa sobre la rama ejecutiva. (Mayor información en: Página oficial de Congreso Visible de la Universidad de los Andes).
Los temas tratados en una citación pueden referirse a: economía, medio ambiente, presupuesto estatal, seguridad social, minas y energía, derechos fundamentales y corrupción entre otros.

Moción de Censura
Es un acto en el cual el Congreso en cada una de sus cámaras de manera independiente, y por mayoría absoluta, reprende la actuación de uno o varios de los Ministros del Despacho dando lugar a la separación de su cargo. Puede promoverse cuando un ministro citado por alguna de las cámaras para responder un cuestionario no concurre a la citación y no se excusa de manera justificada, o por acciones u omisiones que vayan en contra de la naturaleza y el desempeño del cargo. La moción de censura fue reglamentada de igual manera mediante el Acto Legislativo 01 de 2007.

Audiencia Pública
Es una instancia de participación, en el proceso de toma de decisión administrativa o legislativa, en el cual la autoridad responsable de la misma, habilita un espacio para que todos aquellos ciudadanos, habitantes y/o instituciones intermedias, que puedan verse afectadas por dicha decisión o tengan un interés particular en el acto definitivo a sancionarse, expresen su opinión sobre el asunto objeto de la convocatoria. En el caso del Congreso colombiano, la audiencia pública es una manera de tener acceso a las expresiones y opiniones de los ciudadanos y congresistas a través del contacto directo y de esta manera realizando control político sobre los actores estatales.

Acto Legislativo 01 de 2007
El Congreso de la República, máximo órgano legislativo del país, decretó el 27 de junio de 2007 el Acto Legislativo 01 de 2007, a través del cual se modifican y adicionan artículos de la Constitución Política de 1991. El mecanismo de la citación y la moción de censura se reglamentan en el Artículo 1º y 2º de dicho acto legislativo y se modifican los numerales 8 y 9 del artículo 135 de la Constitución Política de Colombia. (Ver: Acto Legislativo 01 de 2007 del Congreso de la República de Colombia).

Referencias

Enlaces externos

 Ley 5.ª de 1992

redpajama_set_name: RedPajamaWikipedia