Tri County Tech student Sam McGlathery was recently named the Downtown Kiwanis Club's Student of the Month for January. McGlathery, a senior at Copan High School, is currently enrolled in Tri County Tech's two year Marketing Management Program.
McGlathery has been a stellar student from the first day he began his academic career at Tri County Tech. "As a first year student, Sam became an instant leader in class being elected as our Chief Marketing Officer," said Carrie Miller, Tri County Tech's Marketing Management instructor. "He has always displayed a high degree of ambition in his class work as well as in his limited free time." McGlathery has always been interested in Marketing and the wide variety of careers that can come out of the field, but the thing he loves the most is getting to meet new people. "Growing up in Copan you don't really get too many new faces," said McGlathery, "getting to know fourteen or fifteen new people in class was always a lot of fun for me." With McGlathery's outgoing personality, to say he is engaged is an understatement.
Not only a Student of the Month, but McGlathery has also been recognized with many other prestigious awards. This past year he placed second in the DECA State Career Development Conference and represented the Marketing Management Program by competing at the international level in Atlanta, Georgia. He was also awarded the Kiwanis Local Sophomore of the Year and placed in the top twenty nationally. Beyond that, McGlathery has been appointed Boys State Commissioner of Labor and has been recognized at the FFA Washington Leadership Conference. McGlathery also spends considerable time participating in clubs such as FFA, Beta Club, and NHS.
While juggling his responsibilities as a student and all the offices he holds, McGlathery also finds time to participate in five sports. "Here lately I have been really getting into powerlifting," said McGlathery, "I am a little behind so I have been pushing hard to catch up in time for the next powerlifting meet." Along with powerlifting, McGlathery also participates in football, basketball, baseball, and track & field.
Tri County Tech student Spencer Smith was recently named the Downtown Kiwanis Club's Student of the Month for January. Smith, an adult student, is currently enrolled in both Automotive Service Technology and Precision Machining Operations.
In the morning you can find Smith deconstructing vehicles and troubleshooting engine issues. "I love how it is almost like a puzzle. Putting stuff back together is a good way to pass the time and focus." Smith said. Once the clock strikes noon, Smith makes his way to Tri County Tech's manufacturing building for PMO. "My favorite part about machining is the complete precision of everything," explains Smith. In the Precision Machining program, students must measure everything to the exact degree, and watch as their creations come together perfectly.
Outside of the classrooms and workshops, Smith spends his time outdoors. "I have actually built a fort out in the woods behind my house," said Smith, "it's been about three years of off and on work." When he is not building, Smith enjoys traveling with friends, backpacking, and rock climbing whenever the opportunity presents itself.
After graduation, Smith plans to attend Oklahoma State University Institute of Technology to further his knowledge. " Spencer accomplishes his tasks with great initiative and a very positive attitude," said Richard Herard, one of Smith's program instructors. Smith plans to tackle to Toyota program once enrolled at OSUIT, where he will utilize the latest Toyota and Lexus vehicles to learn about transmission & transaxles, suspension, noise vibration, electronic systems, automatic climate control, and much more.


text:
Mary Webster
D.O.B: N/A |
3Credit Score
From Wikipedia, the free encyclopedia. Mary Webster is a British actress best known for her 45 appearances as Sarah Onedin in the BBC nautical drama The Onedin Line (1971-79).
The Delicate Delinquent
Master of the World
From Wikipedia, the free encyclopedia. Mary Webster is a British actress best known for her 45 appearances as Sarah Onedin in the BBC nautical drama The Onedin Line (1971-79). Websters first television appearance was in The Man from the South for Cameo Theatre (1955). She went on to appear in, among others, A Christmas Carol (1958), William Tell (1958), The Moonstone (1959), Dixon of Dock Green (1963), Dr Finlays Casebook (1963), Redcap (1964), Danger Man (1965), The Troubleshooters (1966), Adam Adamant Lives! (1966), Jackanory (1968), Softly, Softly (1968), Z-Cars (1970), and The Onedin Line (1971-79). She appeared in the 1961 film Master of the World. Webster is married to William Slater, who directed several episodes of The Onedin Line. Description above from the Wikipedia article Mary Webster (actress), licensed under CC-BY-SA, full list of contributors on Wikipedia.

redpajama_set_name: RedPajamaCommonCrawl


Warrington tunnels - The Vault Fallout Wiki - Everything you need to know about Fallout 76, Fallout 4, New Vegas and more!
The Warrington tunnels are a series of ruined metro tunnels that run between Warrington Station and Warrington Trainyard.
The tunnels are populated by about a dozen feral ghouls, and leads to Roy Phillips and his gang's hideout.
The tunnels can be accessed from Warrington Station (southwest of Tenpenny Tower) and the Warrington trainyard (west of Tenpenny Tower). From the entrance in Warrington trainyard, the tunnels lead past some radioactive waste before leading into a maintenance area, before going into another tunnel. Down the tunnel, the path splits. The southbound split leads past some radioactive waste to a small closets filled with supplies. The northbound split leads through another maintenance area. Down some stairs is the entrance to Warrington Station.
Warrington Station is locked until you go through the tunnels first and speak with Roy.
The Warrington tunnels appears in Fallout 3.
This page was last edited on 6 September 2017, at 14:15.


Head applier: .::WoW Skins::. Fatma Lelutka appl. - NEW!!
I finally succumbed and got one of the last mesh heads released by Lelutka. And I did it cause I saw the appliers that WOW Skins is releasing to use with Lelutka heads and they look so so so nice that I couldn't avoid to want to use them. I love how it looks. The applier comes with 5 eyeshadows and 5 lipgloss.
Storaxtree new collection is gorgeous. Although it is available in a few colors, I decided to do this decor in blue tones.
I will list all the items in these pictures with links but please note that Storaxtree has many of these items on sale. Visit the store to take advantage of these great deals and check out the $10L and other gifts available.
Last day for september's round in Chapter Four.
I'm showing here "Les Petits Details" exclusive for this event. The outfit is available in different colors and ins in the 2 x 1 section.
I'm wearing too the new skin from Àtik. I highly recommend to visit this store too. The do really cute stuff and their skins are really nice as well.
So.... this is my look for the last summer days. Hope you like it!!
Skin/Piel: - AtiK Skins : Lidia - NEW!!
Find many events and weekly special on some of these and other great items in the store.
Decor by ARIA & junk.
This is a new set and will be a special for the 1 year anniversary.
1 year anniversary group gift and 10 l for each of the parts in the 1 year hunt.
They will be able to find them, already in the balloons in store.
To find out when it starts, check out the website for more info or stop by the store.
Many might heard the news that Jumo has a group gift about mesh head. Out of curiosity, I went and get the mesh head, and here is my best photo.


A leading global tobacco company, Japan Tobacco Inc tried for six years to enter into the Indian market but India denied accepting the foreign direct investment in tobacco sector and Bangladesh should also refuse the FDI, said ruling party lawmaker Saber Hossain Chowdhury on Wednesday.
Speaking at a tobacco study report presentation programme in the city, Saber Hossain Chowdhury, also the honorary president of Inter-Parliamentary Union, decried Bangladesh's accepting FDI in tobacco sector noting that not all FDI brings good for a country.
It is not possible to build up a tobacco free Bangladesh keeping tobacco industry as a profitable business, said the lawmaker.
The single largest foreign direct investment in Bangladesh's private sector was revealed in early last month JT said that it had agreed to purchase Akij Group's tobacco business for $ 1.5 billion. The acquisition marks an aggressive push by the Japanese company into new markets as sales of its products in developed countries are shrinking as more people quit smoking.
Presenting a study carried out on 10 Asian countries including Bangladesh, Anti-tobacco campaigners PROGGA and Anti-Tobacco Media Alliance said that Bangladesh was one of the most vulnerable countries where tobacco industry interferes most in policy development and implementation.
They presented the study while launching a report on implementation of the World Health Organisation›s Framework Convention in Tobacco Control Article 5.3 at CIRDAP auditorium in the city on Wednesday.
'Bangladesh presents a comparatively poor scenario (9th) among ten other Asian countries in Tobacco Industry Interference Index,' said the report.
Progga conducted the study on 10 Asian countries in different time period using questionnaire developed by the Southeast Asia Tobacco Control Alliance and collected information about Bangladesh which are publicly available in different government organisations and websites.
According to the study Bangladesh scored 78 out of 100, which suggests that Bangladesh government has performed poorly in implementing the FCTC Article 5.3.The score of the other nine countries are Brunei 29, Philippines 39, Thailand 49, Cambodia 51, Malaysia, Lao PDR 60, Myanmar 60, Vietnam 72 and Indonesia 81.
According to the study, the lower the score, the better compliance it shows in regard to FCTC Article 5.3.
Bangladesh ratified the FCTC in 2004 which says, 'In setting and implementing their public health policies with respect to tobacco control, Parties shall act to protect these policies from commercial and other vested interests of the tobacco industry in accordance with national law,' said PROGGA coordinator Hasan Shahriar while presenting the research findings.
According to the report, tobacco companies› involvement in the formulation of tobacco tax measures has been observed. Meetings between high level government officials and tobacco company representatives took place while preparing the national budget and the supplementary duty on bidi was reduced.
The study has found evidences where tobacco companies have been granted special benefits which include allowing pictorial health warnings to be printed on lower half of tobacco packs, a 25 per cent tax waiver by the NBR on export of tobacco products by factories located in the Export Processing Zones etc.
Unnecessary interaction between the policymakers and tobacco industry representatives increases the scope for industry interference in policy formulation, the report claimed.
While paying taxes is a legal requirement, tobacco companies are unnecessarily awarded for taxpaying, it said.
There has been a conflict of interest between the government and tobacco companies as the government owns 10.85 per cent shares in British American Tobacco Bangladesh, said the report while adding that government officials are actively engaging in tobacco industry related CSR (corporate social responsibility) programmes.
The study report said no measure was in place to ensure transparency in the events of meetings or any sort of communication between government officials and tobacco company representatives.
The report also pointed out that the government had not nominated or allowed representatives from the tobacco industry in the delegation to the FCTC Conference of Parties and other relevant meetings and conferences.
Although the guidelines provide various preventive measures, the government has not put most of these measures in place to protect itself from industry interference.
The study report recommended the government to fully implement Article 5.3 guidelines and undertake different measures immediately to fulfil the requirements such as initiating awareness raising programmes about the obligation of the Article 5.3 from the health and family welfare ministry, disclosing all interactions with the tobacco industry and its representatives, and adopting code of conduct for all officials in dealing with the tobacco industry.
Speaking as chief guest, planning minister AHM Mustafa Kamal urged for intense engagement of general people to build awareness against tobacco in a sustainable way.
He also assured that the government would increase tax of tobacco products in the next budget to discourage tobacco consumption.
Apart from giving his critical view on JT›s FDI in Bangladesh, Saber Hossain Chowdhury also claimed that the involvement of government officials in BATB as an obstacle to reduce the tobacco industry interference in the country›s policy making.
While presiding over the programme, Dhaka University former vice-chancellor Professor AAMS Arefin Siddique said multidimensional efforts were needed to build awareness among people against tobacco as well as considering the impact of any foreign investment in the country before accepting it.
Among others, Md Abul Kalam Azad, principal coordinator (SDG Affairs) of prime minister›s office, Syed Mahfuzul Huq, national professional officer of World Health Organisation Bangladesh and Mahfuzur Rahman Bhuiyan, grants manager of Campaign for Tobacco Free Kids also attended the programme.


Discover the splendor of Maine's Acadia National Park on a 4 day/3 night workshop filled with exploration. You'll experience a variety of coastal, lake, and mountainous landscapes - all in the serenity of pitch darkness.
The workshop begins with an extensive tour of Acadia - this incredible park begs for you to capture it's awesome natural beauty. While on the tour, we will practice focusing methods, explore composition options, and work with setting up our gear and camera settings. After returning the the hotel for a few hours to relax and eat, we'll meet promptly at 8 to head back out. Once you find your shoot location(s), shooting commences at 2:30am.
Our 12pm class will focus on panoramas and how process stacking for noise reduction and learn the appropriate methods. Hotel break and shooting schedule resumes.
Each workshop is 4 days and 3 nights of detailed-oriented instruction within a small group, Key workflows are taught on how to turn a raw file into a vibrant image with minimal noise.


text:
Howell, Thomas (c. 1759–?)
Thomas Howell (c.1759- ) was found guilty on 5 October 1785 at Stafford, Staffordshire, of the theft of two hens valued at 4 pence. Sentenced to 7 years transportation, he was sent to the Censor hulk at the end of 1786 and was discharged to the Alexander in January 1787. He arrived at Sydney in January 1788 as part of the First Fleet.
Other than his presence in the colony in 1788 there are no colonial records for Thomas Howell.
* information from Mollie Gillen, The Founders of Australia: A Biographical Dictionary of the First Fleet (1989), p 180
'Howell, Thomas (c. 1759–?)', People Australia, National Centre of Biography, Australian National University, https://peopleaustralia.anu.edu.au/biography/howell-thomas-31315/text38709, accessed 27 January 2023.
Tipton, Staffordshire, England
Alexander (1788)
convict
First Fleet (1788)
Censor hulk (London)
Convict Record
Crime: theft (livestock)
Sentence: 7 years
Court: Staffordshire
Trial Date: 5 October 1785


Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy. This usually consists of placing a fine ultrasonic tip in between the tooth and gum tissue to remove any plaque and calculus below the gum line. This procedure is called root planing. Four to six weeks later, periodontal pockets are eliminated due to gum shrinkage. Then the patient can personally maintain these areas with routine brushing and flossing.


If you love PUCL, you will love PUCL Plus, the show where you can get a more in depth dive of what is discussed on the podcast. Whether it be keeping up to date with the team's opinion on the newest TCG card, the current state of the video game meta, or just expanding your Pokemon trivia knowledge on GameCorner. We have it all here for you!
I love this feed, Game corner is the best and it's fun to play along at home.
This is a great bunch of niche shows to get the extra tidbits you love thinking about on topics related to Pokémon and gaming that you can't find anywhere else, great rotating cast (not the stall guy) and fun to listen to!


Attend to see how the Inova Translational Medicine Institute (ITMI) is driving innovation in precision medicine. By mapping clinical genomic data from newborn children with healthcare informatics, ITMI is proactively identifying biomarkers for personalized treatment, assuring better outcomes and healthier babies. They are also leading the way in integrating genomic data with patient information from their EPIC Electronic Medical Record (EMR), delivering unprecedented health insights and leveraging visual analytics.
This one-hour webinar will review real-world case studies on the ability of these insights to enable both proactive, personalized treatment for babies, and the future of tailored healthcare delivery.


text:
Who's Ready for MACRA?
By CINDY SANDERS
Hint: Not the Target Audience
In late June, the American Medical Association commended the Centers for Medicare & Medicaid Services for proposing several new policies to allow added flexibility in Medicare Access and CHIP Reauthorization Act (MACRA) implementation.
Just over a week later, results from a survey conducted by the AMA and KPMG LLP made it clear why that flexibility was so desperately needed: fewer than one in four physicians in a decision-making role felt 'well prepared' to meet the new quality reporting requirements in 2017.
MACRA, which was signed into law April 2015, makes fundamental changes to the way Medicare Part B will pay physicians and other clinicians under the Quality Payment Program (QPP) beginning in 2019 but based off of performance in 2017. The new payment methodology replaced the universally hated SGR formula with a system that links payments ... and penalties ... to performance under one of two tracks:
Merit-Based Incentive Payment System (MIPS), which increases or decreases physician fees based on whether or not certain quality and efficiency benchmarks are met across four domains: quality, cost, advancing care information, and improvement activities; and
Advanced Alternative Payment Model (APM), which offers a more stable and favorable fee schedule and bonus but also requires physicians to take on more risk.
Since many physicians and practices do not meet the initial qualifying criteria for APM participation, the majority will be paid under the MIPS track. While the overarching MACRA concept is generally well received, the devil for most clinicians is in the details.
Responses to the AMA/KPMG survey of 1,000 active physicians who have been involved in decision-making roles related to QPP for their practice raised a number of red flags. The survey found:
56 percent of respondents plan to participate in MIPS in 2017 & 18 percent are expecting to qualify for the higher, more stable payment from APM.
51 percent of decision-makers felt 'somewhat knowledgeable' about MACRA or QPP, 41 percent had heard of MACRA or QPP but didn't consider themselves knowledgeable, and only 8 percent described themselves as 'deeply knowledgeable' on the subject.
70 percent have begun the process to meet QPP requirements in 2017, but only 23 percent of that group feels 'well prepared' to do so.
90 percent felt the reporting requirements were 'slightly' (37 percent) or 'very' (53 percent) burdensome.
David O. Barbe, MD, MHA
AMA President David O. Barbe, MD, MHA, said the organization had conducted a previous survey within a general physician population that showed a very low percentage having an awareness of MACRA. However, he added, the hope was that the disconnect among 'rank and file' physicians wouldn't be there when speaking directly to physicians in a leadership capacity.
"That was equally dispiriting," Barbe said. "Fewer than 25 percent in physician decision-making roles have what they would consider adequate knowledge of MACRA ... and we're halfway into this first reporting year. These are scary statistics."
Larry Kocot, JD
Larry Kocot, JD, national leader of the Center for Healthcare Regulatory Insight at KPMG, said although there was some good news to share from the survey, "83 percent said they needed more help and understanding. That's one of my bottom line takeaways."
He added that 66 percent said their biggest challenge was the time required to report. The survey also indicated physicians don't expect the time burden to lessen in subsequent reporting years. Kocot said other concerns were the need for better understanding of the scoring (57 percent), cost of reporting (53 percent), and the need for improved organizational infrastructure to meet reporting requirements (49 percent). "We found the problems were pretty consistent across practice sizes so these aren't unique," he said.
Barbe noted the AMA has advocated for more exclusions and flexibility for physicians in this first year. 'Pick Your Pace,' for example, gives physicians the option to not participate at all and receive a negative 4 percent adjustment; submit something ... even just one improvement activity ... and avoid a penalty; submit 90 days of data to potentially receive a small positive payment adjustment; or submit all of 2017 data for a moderate positive payment adjustment. Similarly, feedback about the burden on small practices led CMS to increase exclusionary low-volume thresholds from less than $10,000 in Medicare charges and seeing fewer than 100 Medicare patients to less than $30,000 in charges or seeing fewer than 100 Medicare patients. Additionally, clinicians in their first year of Medicare participation are exempted from reporting requirements.
Kocot added CMS has invested substantial resources to help physicians get prepared and have seemed willing to work with providers as evidenced by the enhanced flexibility in this first year. He also noted the work has continued smoothly despite staff changes in the wake of the presidential election. "Both administrations deserve credit for not missing a beat," Kocot said. "The want to bring physicians to a point where they can operate comfortably in a new payment environment that ultimately will be more beneficial to patients and bring some sustainability to the healthcare system's financial landscape."
He added, "Aligning physician incentives with quality and other performance targets will lead to greater rewards for physicians and better healthcare for patients."
While supportive of a payment system that rewards high-quality, evidence-based care, Barbe said moving to MACRA has been a two-edged sword. "On the one hand, it does actually represent an improvement. We do have reduced reporting requirements than before." However, he continued, "It's still a significant burden for practicing physicians to figure out what measures to report."
Adding to that burden are different reporting requirements across all payers. "Why can't we all agree here are the three measures important for diabetes? Here are the four for hypertension. Let's all work together toward the same measures," he said of the bigger quality picture across public and private payer sources.
Barbe noted some practices have had to hire extra staff to gather data and pull reports. "There are many practices who have found it costs more to comply than to pay the penalty. Rewards should be commensurate with the amount of effort to comply and report."
It's frustrating, Barbe said, for physicians who feel like they learned the requirements for PQRS or Meaningful Use to switch gears once again. "Just about the time they figure out the game, the rules change," he pointed out.
That said, Barbe noted prior experience with reporting programs might have helped physicians with QPP preparation. The survey showed past participation appears to have positively impacted physician readiness for MACRA.
"While progress has been made in preparing physicians for the move from volume in the fee-for-service payment model to value in alternative payment models, it is important that we do even more to assist physicians with the transition," agreed Kocot.
He also said the shifting payment model is inevitable. "CMS is not going to walk away from this transition from volume to value," said Kocot. "We could do a better job of bringing people along, but we're not going to turn back."
Although the survey confirmed worries that physicians aren't confidently prepared for MACRA, Barbe said it also helped AMA in their quest to continue assessing readiness gaps and focus educational efforts. One such resource is AMA's "Do One Thing Now for QPP" page located at ama-assn/qpp-reporting. The page walks physicians through the steps to successfully avoid a penalty in 2019 for the 2017 reporting year.
Despite current concerns and ongoing tweaks to the process, Barbe said physicians do want to see a transition to value-based practice. "I am optimistic that we can improve not only the quality of care for patients but the practice environment for physicians so the frustration level begins to come down," he concluded.
AMA Offering New Tools to Help Physicians with Medicare's New Quality Payment Program
CHICAGO -- As physicians across the country prepare for the first comprehensive changes in Medicare payment in three decades, the American Medical Association (AMA) is unveiling new resources to encourage and simplify participation in the program. The new, customizable MIPS Action Plan will help physicians pursue the right course of action for their practice, take recommended steps to meet program requirements, and measure their performance against important milestones. The AMA also released a short video, entitled "One patient, one measure, no penalty: How to avoid a Medicare payment penalty with basic reporting."
The new resources come on the heels of a recent survey conducted by the AMA and KPMG that shows an overwhelming majority of physicians are unprepared to participate successfully in Medicare's new Merit-based Incentive Payment System (MIPS), despite the transitional flexibility provided for 2017. In particular, physicians who have not previously participated in Medicare reporting programs are in need of basic information on steps they need to take this year to avoid a payment penalty in 2019.
"The lack of preparedness for these important Medicare changes is particularly acute for physicians in smaller practices," said AMA President David O. Barbe, M.D. "The AMA has achieved notable regulatory victories that have streamlined the reporting required in 2017, and we strongly encourage physicians to take a few important steps so they aren't penalized by CMS. The AMA is providing a number of resources to educate and empower physicians, including informational podcasts, a payment model evaluator, and a new step-by-step guide that offers a brief assessment of where a practice stands."
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) promises to reshape how Medicare pays physicians under the Quality Payment Program (QPP) by encouraging them to adopt value-based models in health care.
"Change has arrived," Dr. Barbe said. "We know that change does not happen overnight or without challenges and the AMA is working to help physicians through this transition, both through our work to ease regulations and to provide physicians with tools to help them be more successful."
The new MIPS Action Plan is the latest in a suite of resources created by the AMA to ease physicians' transition to value-based care. Additional resources are located at AMA-assn.org/MACRA, which include:
One Patient, One Measure, No Penalty resources, including the step-by-step video;
An AMA Wire® series on MACRA/QPP;
AReachMD podcast series, "Inside Medicare's New Payment System," featuring guests including CMS Chief Medical Officer, Kate Goodrich, M.D., and former CMS Acting Administrator Andy Slavitt; and
The Payment Model Evaluator, an innovative tool offering initial assessments to physicians so they can determine how their practice will be impacted by MACRA.
"Do One Thing Now"
KPMG Center for Healthcare Regulatory Insight
AMA/KPMG Survey Results
CMS MACRA
AMA Calls Pain Task Force Recommendations A Road Map for Future Policy
Reimagining Residency
AMA Urges Tech Giants to Combat Vaccine Misinformation
Sen. Alexander Recognized by AMA for Outstanding Service
AMA's Integrated Health Model Initiative Launches First Data Model
HHS Advances Payment Model to Lower Drug Costs
VUMC Joins International Effort to Speed Vaccine Development
Thursday, July 11, 2019 12:15 pm
Vanderbilt University Medical Center (VUMC) has joined an international effort to streamline and accelerate development of vaccines and other treatments against a growing worldwide surge of deadly and debilitating viral infections.
U.S. Senator Lamar Alexander on legislation he introduced this week to lower the cost of health care
Monday, July 8, 2019 12:02 am
There's one question I hear almost every day from Tennesseans, and it is, "What are you doing to lower the cost I pay for health care?"
So excited to spend the morning celebrating the Women to Watch Class of 2019
Friday, June 28, 2019 11:38 am
Alexander: Bipartisan Legislation Will Lower What Americans Pay Out of Their Own Pockets for Health Care
Tuesday, June 18, 2019 11:50 am
The Lower Health Care Costs Act of 2019 contains nearly three dozen proposals from at least 16 Republican, 14 Democrat senators
If You Build It, They Will Come
Wednesday, June 12, 2019 9:24 am
Middle Tennessee's healthcare options continue to expand through new construction and facility renovations and additions.
Lease, Build, Buy, Sell: Finding the Best Fit for Each Medical Practice
Tuesday, June 11, 2019 4:57 pm
When it comes to medical real estate, there is no one 'right' answer for every practice. Instead, experts say it's important to understand all the options before making a decision that impacts individual physicians, the practice ... and ultimately, patients.
Dr. Jerry Tannenbaum: Redefining, Redesigning Nephrology
Innovative building models and telemedicine mean better care for patients nationwide.
Wayfinding in Healthcare
With expansions, renovations and additions to healthcare facilities over time, the ability to easily navigate a campus is often lost along the way. Taking time to consider wayfinding can vastly improve the way patients, visitors and staff engage with the environment.
Building Walls
Steve Ward & Associates prefab headwalls mean more savings, options for healthcare clients.
LipiFlow®: Advanced Procedure to Treat Meibomian Gland Dysfunction & Chronic Dry Eye
In-office procedure can promote eyelid health and provide relief from dry eye.
Login and voice your opinion!
AMA, American Medical Association, APM, KPMG, Larry Kocot, MACRA, Medicare, MIPS, QPP, Quality Payment Program, Quality Reporting, Volume to Value


1- Synchronous motors generally offer more efficiency than induction ones, and hence in higher ratings (about 5000 hp and higher) they may be more cost effective considering Life Cycle Costs. The exact size of preference to switch to Synchronous shall be determined based on LCC analysis of specific application.
2- A Large reciprocating compressor is a highly variable load and a synchronous motor will keep its speed in this situation while the induction motor would respond with fluctuating speed.
3- Based on API 618 (with reference to IEC and NEMA), a synchronous motor used for reciprocating compressor may tolerate 66% variation in current, while an induction motor is allowed to have only 40% variation in current which in larger compressors may be exceeded (because of variable load).Also Higher efficiency induction motors with less slip, cause more current variations and are prohibited.
Synchronous motors are characterized by limited starting torque, the ability to actively control power factor and less current in-rush than the induction motor. The synchronous motor also requires active matching of torque demand with motor output. Synchronous motors started "across-the–line" also produce oscillatory torques at the twice slip frequency during acceleration (i.e., starting at 120 Hz and decreasing to 0 Hz at full speed). These torques generally require additional transient torsional analysis because of the potential for damage.
Synchronous motors are usually advantageous on slow speed applications (e.g., low speed reciprocating compressors operating from 200-400 RPM) and also on machines larger than about 10,000 to 15,000 HP. With both motor types, it is important to match the compressor torque versus speed requirements with motor torque versus speed capabilities as discussed in Sections 6.0 and 7.0. Both induction and synchronous motor types can be coupled with a VFD for variable speed operation.
If the motor is being driven by a variable frequency drive with sophisticated drive algorithms, i.e. controllers that can track the load torque variations, then both the efficiency and transient stability problems can be solved together.
The other significant thing is the starting problem. The transient load torque is also present at starting so the motor has to be able to accelerate through the load transients and be capable of starting when the compressor is sitting at the highest load.
Can soft starters create shaft voltages similar to VFD's?


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Our glacial masque detoxifies, exfoliates and softens skin while more than 60 nourishing major and trace elements promote healthy skin cell regeneration. Gentle and balanced for all skin types. Human-tested, allergy-free, does not cause irritation.
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text:
Thor, Black Widow & Nick Fury Get 'Avengers: Age of Ultron' Posters
Source: Marvel
Perhaps in preparation for the weekend, when people take a bit of a break from the internet to get some fresh air, Marvel has just unveiled three characters poster for The Avengers: Age of Ultron to follow Iron Man and Hulk earlier this week. We're still waiting to hear what this big announcement may be that Robert Downey Jr. teased on Wednesday, but maybe it'll coincide with the return of "Agents of S.H.I.E.L.D" next week. In the meantime, you can check out the posters featuring Thor (Chris Hemsworth), Black Widow (Scarlett Johansson) and Nick Fury (Samuel L. Jackson), and stay tuned for more. Look now!
Here's the three new posters for The Avengers: Age of Ultron from Marvel:
You can still watch the most recent trailer for The Avengers: Age of Ultron again right here.
The Avengers: Age of Ultron is written & directed by Joss Whedon (The Avengers, Serenity). Earth's mightiest heroes must once again assemble when a super intelligent robot created by Tony Stark created to help fight any threats that might harm the world actually turns against him and the human race. Robert Downey Jr., Chris Evans, Chris Hemsworth, Mark Ruffalo, Scarlett Johansson, Jeremy Renner and Samuel L. Jackson all return in the sequel to Marvel's The Avengers with new names like Aaron Taylor-Johnson and Elizabeth Olsen joining the team. Disney & Marvel release the film this summer on May 1st. You ready?
Find more posts: Hype, Marvel, Posters
I love the Tron vibe in Black Widows suit!
Tuomas Lassila on Feb 27, 2015
Too late to make it glow red, you know like her hair and the markings of an actual black widow spider?
Akirakorn on Feb 27, 2015
Yeah, with all that Ultron red? Not a chance.
Cracky on Feb 27, 2015
it will be phenomenal! Hail joss whedon! 🙂
ari smulders on Feb 27, 2015
Why is Black Widow's suit white and gold?
Paul K. on Feb 27, 2015
Lol. Nice.
DaNorb on Feb 27, 2015
I'd say it's black and boobies
TheOct8pus on Feb 27, 2015
I bet that the next trailer for Avengers: Age of Ultron will be released on Friday March 6th, since all these character posters are being released and since the official poster has been released already.
Sean on Feb 27, 2015
Who cares about trailers? We've seen enough! I want the movie!!
Who cares? People that want to see the next trailer and the movie when its released. That's who!
...and people who upvote their own comments, apparently. ...but seriously. We've seen enough trailers. We need movie now.
I only upvote some of my comments when its something that I said that I agree with or that I like, and the same thing with other peoples comments. No, we haven't seen enough trailers, because there hasn't been a tease of all the characters from Avengers: Age of Ultron, only most of them and Vision is one character that he haven't gotten a tease of with video footage of him in a trailer or anything like that.
Why would anybody disagree with their own comment? They wouldn't write it in the first place unless they were held at gunpoint. Yea we haven't seen Vision yet, but with only two months away, I'd rather be surprised now.
JBroti on Feb 27, 2015
Good point about Vision. But, We may still get somewhat of a tease of Vision in another trailer eventually.
Agreed. If...IF...we see Vision, it'll be a tease. Maybe his backside or maybe him flying with the sun in our eyes.
JBroti on Mar 1, 2015
Or maybe one or two glimpses of his frontside.
Sean on Mar 1, 2015
....like his crotch?
TheOct8pus on Mar 2, 2015
No, I meant a front side glimpse of the upper half of him or a full front glimpse of him. Get you're mind out of the gutter, lol.
....because you often disagree with yourself?
You've misunderstood what I said, lol. When I say something on here or anywhere on this website, and it's not something that's not worth upvoting then that's when I don't upvote my own comment. And isn't something I would agree or disagree with.
I'm pretty sure they're intentionally keeping Vision in the shadows. I'm sure he has a pivotal role in the movie and they don't want to give it away in the trailers.
Yes, Maybe. But they should give some sort of slight tease of him in footage from the movie.
Was Scarlet's poster CGIed? was she prego when they filmed this movie?
redskulllives on Feb 27, 2015
Umm....does it matter?
Steven on Feb 28, 2015
Yes Then that makes her a milf 😀
redskulllives on Mar 3, 2015
I like Black widows Tron Legacy Gear
steve on Feb 28, 2015
there seems to be a movement to have black actors play the roles of traditionally white superheros. this may be politically incorrect, BUT: wouldn't it have made more sense to have a black person play BLACK widow....instead of nick fury?.....or would that have been too obvious?
dan on Feb 28, 2015
She is finally going to get to use her gauntlets!
DAVIDPD on Mar 1, 2015


Sara, Mara, Alyssa, Zach, Ciarra, Sarah and Ashlee buried Clyve. The sand was warm and the water was cold, but everyone had a great time.
The sixth grade boys began to dig a hole. The whole became a pond. The pond became a nice place to relax.
Alyssa and Logan buried Brett. The water was cold. Brett did not mind being buried in the sand. It was a lot warmer so Brett decided to take a nap.
Building sandcastles and swimming in Lake Michigan was the greatest. Jamie, Jayelynne, Josh and Nathan won the sandcastle contest.
Andy, Josh, Nick, Justin, Max and Stuart enjoyed the sand. They started to build a sandcastle and then decided to dig a big hole.
Mrs. Lagerquest supplied us with lots and lots of watermelon. Thank you!


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text:
ARCHDAILY: House in La Garriga / Isla Architects
House in La Garriga / Isla Architects
© Luis Díaz Díaz
https://www.archdaily.com/993262/house-in-la-garriga-isla-architects
Year Completion year of this architecture project
Manufacturers Brands with products used in this architecture project
Lead Architects :
Marta Colón de Carvajal Salís, Juan Palencia de Sarriá, Nelson Manuel Fidalgo Magro
Text description provided by the architects. This project had a peculiar starting point: It began at the same time as its construction. Once the license was granted, the client decided to change architects and called us to rethink the project and provide a contemporary character that was lacking. The project had to work with a pre-imposed footprint of four interconnected volumes. The main house would evoke a Mallorcan vernacular house, while the adjacent volumes would be more abstract.
The idea was to embrace and include the Mediterranean landscape of the site, in particular the delicate local garrigue, and to emphasize the backdrop offered by the Tramuntana mountain range, defining a skyline as a stage on which to develop the house.
The rocks and stones from the excavation would be recovered and recomposed giving shape to the main house façade, in fact, by using not only the stones but also the excavation earth itself will integrate and blend the volume with the terrain. The obtained tone would also give color to the locally prefabricated concrete elements, such as the window frames, cornices, and exterior floors and platforms, as well as the natural mortar of the auxiliary volumes.
On the exterior, the pool complex is understood as a series of floating pieces that emerge from the ground, separated from it by an expressive shadow line allowing the underneath growth and integration of the local vegetation, making the transition between the natural and the built more agreeable.
The pool floats on the slight slope of the garrigue by means of large sandy precast concrete slates and has as an associated underground program changing and technical rooms- which are accessed through a staircase that also emerges as a ring of the same prefabricated material. To top it all off, a shower basin floats between the existing trees. These pieces function in sequence, inviting the inhabitant to follow a path during the act of bathing.
Inside, the house can be experienced as a large open space, but it can also be divided into two clearly differentiated parts (one more public and the other more private) the physical separation can be obtained by the simple sliding of a large door panel.
Plan – Ground floor
Plan – 1st floor
The main open space consists of a series of programmatic functions under a common wooden coffered ceiling: a large open kitchen, the dining room, and a living room facing the fireplace, and can be lived as both a family and social space, once receiving guests. On the lateral side of the kitchen, a fitted wall contains access to the pantry and laundry room, as well as the cupboards, refrigerator, freezer, and minibar. A stainless-steel island separates the kitchen from the dining room, which features a large solid oak table that seats 12 diners. At the east end, the living room is topped by a fireplace formed by a large piece of bent black steel. French windows open to both orientations, allowing permeability from the garden, cross ventilation, and views of the Tramuntana mountain and swimming pool area.
At the entrance, integrated into the volume of the staircase, hidden flush doors will give access to the guest water closet and to a cloak cabinet. Between the main house and the bedrooms, a communication space serves as an interface between the different areas. Three large windows separate the different volumes and visually frame the natural views and communicate with the outdoor space. The largest of these openings gains in depth to serve both as a bench and as a place to stay, to enjoy the sun and the landscape, and as auxiliary storage.
The volume of the children's bedrooms has been designed so that it can evolve over time as they acquire more independence. The master bedroom, on the other hand, has a walk-in closet and gives access to the bathroom through a fully mirrored front defining a small boudoir. The bathroom has a double shower in marble stone, and a single-block custom-made sink carved in the same stone. The bedroom also has a fireplace elevated on a concrete bench and panoramic views over the garrigue. On the upper floor there is a quieter familiar living room, also equipped with a fireplace, and at the west end, across the bookcase, the guest bedroom, with its own bathroom and walk-through dressing room.
The project has placed special emphasis on the development of contemporary details inspired by traditional Majorcan architecture, from the wooden coffered ceilings of the main living-dining room, the terrazzo floor that emulates and updates the traditional trispol, the flared windows, which have been softened to sift the entry of light, or the solutions of windows and their frames, achieving a well-balanced formalization, rooted to its specific context but also open to broader solutions.
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