If you want to find out more about the YK11 SARM then you know you have come to the right place. If you have never really heard about SARMs before or if you don't have a high level of understanding about them and what they can do for you then let's cover that first. A SARM is an androgen receptor ligand and they are fully designed to give you the same effect as androgenic drugs, such as steroids. Of course, unlike steroids, they are much more selective and they are fully intended to give you the results you need without any of the nasty side effects.
Testosterone is designed to be a hormone replacement that is normally given in the form of an injection. The problem with testosterone is that it can cause fluctuations in the amount of testosterone in the blood and when the injection has been given, this can cause them to spike as well. After the injection has happened, you may experience a low afterwards. With SARMS on the other hand, you can design molecules, including that in the YK11 POWDER to be delivered orally and on top of that, you can change the way they react to specific tissues. The main goal of the research that has been done in SARMS allows them to be customised and if a tissue is targeted then that tissue will respond in the exact same way as the body would to testosterone but without any of the added problems. It should be noted that there haven't been any SARMS that have been developed yet that have anabolic effects in the bone tissue or muscle without causing androgenic effects in the prostate, but there are some androgens that have a ratio of anabolic or androgenic effects that are much bigger than 3:1. Some of them are even 10:1 so as you can see, when you compare that to testosterone, which is 1:1, SARMS are the much better option.
While SARMS are probably going to show some effects when they are used in incredibly high doses, they can be used at lower doses and not show any. One of the main advantages of SARMS that have been produced more recently is that they are taken orally and they won't cause you any liver damage either. A lot of anabolic steroids need to be injected and this can cause dose dependency which can actually be life-threatening if you use them too much. As stated above however, when you use them in moderation and when you use the newer generation of SARMS, including the YK11, you can get all the results you need without any added difficulty so this is something you need to stay aware of. On top of this, you won't go through the liver dependency of the previous SARMS that were released in previous generations.
The YK11 POWDER SARM was first studied by Yuichiro Kanno in the year 2011. He published the results from his study and he went on to confirm that this very rare compound was actually a SARM. Of course, when you take a look at YK11 you will find that it attaches itself to the AR and it also inducts methods that lead to the more traditional effects of androgens that are on the market at the moment. This can include a boost in body hair growth and the prostate remains unchanged as well. These are all positive signs, but you may experience some level of aggression if you take too much at any one time, but if you restrict yourself and if you act carefully when you are taking them then you know you won't have any problems there at all.
A lot of SARMS come with a limited androgenic effect but most of the time, this can't really be compared to that of testosterone. With YK11 powder this is not the case and it cannot be compared to testosterone at all. Kanno first started by testing the C2C12 muscle cells and he did not do this on animals or humans. He then found out that the muscle cells in the body produce far more anabolic factors if they are exposed to 500nmol, or nannomoles of YK11 powder when compared to if you exposed them to the same amount of DHT. So what does that mean? It basically means that YK11 actually induces muscle cells, causing them to make more follistatin. This is way more then when compared to DHT which is a very strong myostatin inhibitor. YK11 powder also works through the androgen receptor as well so this is something else you need to keep in mind when you are using them for the very first time. That being said, YK11 is as good as testosterone when you look at how much strength it can add to your muscles and it doesn't give you any of the detrimental side effects as well.
SARMS, including the YK11 powder are very popular in the bodybuilding industry and the main reason for this is because they can help you to gain muscle and lose fat. This is very similar when compared to AAS but the best thing is that they won't give you any of the nasty side effects. Some of the side effects you would normally experience include high blood pressure, HPTA shutdown, liver damage and more. SARMS don't give you these effects because they are much more selective in the areas that they target so you can still get the muscle gain and fat loss.
So how does this relate to YK11?
It is a well known fact that there are some SARMS out there that are a lot more effective than others and YK11 powder is one of the newest ones on the market at the moment. This fits into the elite selections of SARMS and it has proven time and time again that it can change your genetic potential when it comes to building muscle. So as you can see, YK11 powder really is one of the most powerful SARMS on the market but that being said, it is also very new to the market as well and this can put a lot of people off when it comes to the overall use of it right now.
So what makes it so special? It's value as a SARM is unlike anything this market has ever seen before and it acts as a very potent androgen as well. This, combined with the minimum side effects you get mean that this SARM is certainly one of the top most desired SARMS on the market and on top of all this, it is also a very effective myostatin inhibitor as well! Myostatin is a well known protein and when this is present, it can act as a limiter when it comes to your muscle tissue and the overall production of it. That means even though your genes may be limiting you and your muscle, this SARM will go against that and create the muscle anyway. In other words, if you are of a small stature and you want to do everything you can to increase your size but you just can't, this can help you to do that without any problems. It increases your build and your potential to build muscle in the first place, so when you look at the scientific facts behind it, it isn't hard to see why YK11 powder is a real game changer.
A lot of Japanese researchers have studied YK11 and the results it has with the myostatin inhibitor but the main reason why they studied it is because they wanted to find out why YK11 powder was so much more anabolic when compared to other steroids out there at the moment. In this study, they took some follistatin and they deactivated it. Follistatin is a myostatin inhibitor that occurs naturally and that is why it was such a good choice for them to work with. When the researchers did this, they found that YK11 had a huge amount of anabolic properties and with this being proved, they could then move on to how it acts as an Androgen. After this, they tested it as an anabolic via various androgenic pathways and after all these tests had been done, they then found that YK11 powder was a myostatin inhibitor and that it was more than effective when it comes to the anabolic effects it has to offer. In other words, if you want an all in one solution then this is certainly the right one for you.
So how much should you be taking every day? If you are looking to experience all of these great benefits then you need to make sure that you take 5mg a day. If you have taken SARMS before or if you are experienced with them then you may be able to take 10mg a day so you can benefit even more so this is something you need to keep in mind when you are taking them and planning your doses. Of course, if you do take over this amount then you may experience some side effects and this is something you will want to avoid. If you do take more then you may find that you don't get as many positive effects either so keep this in mind as well. Let's move on to what else you need to know about this and what it means for you and your body. YK11 powder is a steroidal molecule that has shown effects in cellular assays. That means that there have yet to be any results published for animals and humans, but it is already taking the internet by storm in terms of the sales and it is a well known anabolic SARM as well.
New age SARMS such as LGD-4033 and even Ostarine are all non-steroidal. This means that they don't have the four ring structure of androgens such as testosterone. When you take a look at Nandrolone and even trenbolone, you will find that these can be considered to a 5-alpha reduction and they are far less potent when compared to the standard SARMS but they do have more anabolic effects. The word steroid has been made into a bad phrase over the last couple of years and that is why more and more companies are now doing everything they can to make non-steroidal alternatives. This involves changing the shape of the molecule as well as keeping the effects the same.
YK11 powder is steroidal even though it does look a lot like a nandrolone. When you take a look at the two papers that have been released you will find that they show that YK11 can activate the androgen receptor but it doesn't do this all the way. This is otherwise known as a partial agonism. In other words, it can go a long way when it comes to displacing the more stronger androgens while also exerting lower stimulating effect on the receptor. The paper that Kanno released shows that when you bathe cells in DHT alone or in DHT and YK11 powder that the cells that got both had less androgenic stimulation when compared to bathing the cells in DHT alone. This is an incredibly important point to consider because even when YK11 is with stronger androgens, it will still reduce the stimulation so this is just one of the many reasons why you get hair growth and not hair loss.
So what else do you need to know? With no published results of YK11 out there on animals or humans, there is some level of uncertainty regardless of what other studies show. Even so, if you do want to give this SARM a go for yourself, you will find that there are plenty of research materials out there that can help you to gain a better understanding and there has never been a better time for you to get started with them either.
YK11 powder is a SARM that is also a synthetic steroid. It has anabolic effects and it also has progestin potential as well however this has not been identified as of yet. The product has the exact same backbone as a steroid, but a lot of people choose not to take steroids because they don't like the dangerous side effects they offer. One of the main reasons why YK11 is so safe is because it can give you all of the benefits of a steroid but you won't need to put up with any of the side effects so this is certainly one of the many reasons why so many people use it.
Kanno did a study on YK11 powder and it showed that the compound belongs to the modulators of androgen. YK11 attaches itself to the androgen receptor and it leads to all of the traditional effects of androgens such as hair growth. The problem is that it leads to enhanced aggression but this is easily controlled and if you don't take too much then you won't experience any problems at all. All in all, YK11 strengthens your muscles in the same way as testosterone and the only difference is that it doesn't come with all of the additional side effects either. The main thing to remember about YK11 powder is that it can also give you a strengthening boost when you are in the gym so you can go for longer without experiencing any fatigue. On top of this, it also helps you to change your body genetics so you can build more muscle and faster than ever before.
Of course, it is important to understand that when you do take YK11 that you need to do so in moderation. After all, the main thing you need to understand is that if you have never taken anything like this before then you will need to start off on a small dose. The main dose you should be looking at in this instance is 5mg and if you are experienced, it may be pumped up to 10mg. If you are not active at the gym however or if you do not work out on a regular basis then you can't expect to see any results and this is the main thing you need to remember. For this reason, you should only take the drug when you are active in fitness because this is the best way for you to get the best results in every possible instance.
Who Can Take YK11 Powder?
Anyone can take YK11. All you need to do is make sure that you are active and that you are fully understanding of what it does and what it can offer you. A lot of people who do take YK11 experience fantastic results but if you do suffer from a health condition then you may want to look into this before you get started. This is because the YK11 could have an effect on the medication you are taking at the moment and this is another thing you need to keep in mind. Your health care provider can again, advise you on this but it is important to know that it is not yet understood whether or not this SARM can be taken alongside other SARMS. When you do take a look at the benefits it can offer you however, you may find that one good dose of this can far surpass the benefits you would get when you take this with other doses of SARMS.
The main reason why people swap to YK11 is because they don't want to put up with the side effects that other SARMS give them. The same goes for those who take testosterone. After all, YK11 increases hair growth instead of decreasing it and it also doesn't affect the prostate either so if you are having prostate problems or if you have had problems in the past then you know you can count on this to eliminate the chance of SARMS making this worse. This is just one of the many things that it can do for you and you would be surprised at how much it can help you as well so if you would like to find out more or if you would like to see how it could benefit you then all you need to do is try it for yourself today. It has never been easier and this is the best way for you to know and understand the results it could offer you on a day to day basis.
As mentioned above, you can buy it online with ease so you can access it without any problems, why don't you get started for yourself today? A lot of providers have it for a very affordable price and it could even come to a lower price when compared to the other SARMS that are on the market as well so it is certainly worth looking into if you would like to get an alternative to the existing product that you are taking at the moment. Why don't you try it for yourself today?


In today's globalizing world, every organization wants to be sustainable and make significant contribution to the community they are part off. In order to support and promote organizational sustainability initiatives, most organizations rely on creating communities within the organizations. The back bone of these communities is employee involvement and at the same it's the most challenging aspect of these communities. With employees already existing work load, family and personal commitments, it's challenging for them to contribute to the community.
Hence most communities just become a name or a means for employees to show that they care, for the sake of it. Moreover it looks good on your resume that you were actively involved where you worked at, free lunches and dinners are a bonus! Organizations spend a significant amount of time, money and energy on promoting these communities to reach to as many employees as they can, to get them involved. It definitely looks good on the organizational portfolio and brand name. Communities also help to increase employee involvement, promote leadership and team work.
Now the challenge is how to make these communities effective and efficient without pushing employees into them and making sure everyone is actively involved. With more employees actively involved, there is a better chance of the community to be successful and serve it purpose of spreading awareness about the organizational sustainability goal. Tagging and Partnering Strategy just helps in that!
Let's take an example of the Diversity Committee, almost every organization has a Diversity committee in which an employee's volunteers to be part of the Diversity initiatives within the organization. Since Diversity is a key initiative that almost everybody feels they have a moral and ethical responsibility towards, everybody can't be part of the committee. Most often than ever a representative is chosen and given the task of representing the team's interests in Diversity. His job involves attending diversity committee meetings, sharing his interests and communicating back to his team the Diversity Committees progress. But not often does the knowledge transfer take place, the employee would attend the Quarterly, Semi Annually or Annual meeting depending upon the schedule and return back to work next day. Nobody knows what happened in the meeting, if the employee is really keen to share. Employee might forward an email that every representative was asked to share with his team mates "Agenda". Unfortunately in today's corporate world where we receive more than a dozen emails every day, while prioritizing and re-prioritizing the "Agenda" gets archived.
This is where Tagging and Partnering comes into play, in order make sure that knowledge transfer, awareness, employees initiative is happening in the committee, the representative of the Diversity committee Tags a member of his team to the Diversity Committee every month. Then the representative Partners with the Tagged member and facilitates his learning about the committees objectives, its progress and what goals the committee's is set to achieve. This really bring a fresh perspective to the committee, creates a platform for knowledge transfer and moreover relives the current employee representing the team of his duties. To make sure that there is no "Free Rider" in the committee the new member would have to set himself a goal for the next one month. His partner is there for him to seek advice and help if needed. Once the one month period is over for the Tagged employee his job would be to tag and partner with another fellow employee and follow the process the branch representative followed with him. The chain continues till the time for next Quarterly, Semi Annual or Annual Meeting for the Committee takes place. The person who actually started the chain, goes with all the collective feedback to the committee meeting and now actually represents the teams because everybody was involved.
This strategy helped me increase number of participation in communities by 70%!
Lack of employee involement in communities.


For the last two months, UC3 have been working with the teams at Data.gov, Data Refuge, Internet Archive, and Code For Science (creators of the Dat Project) to aggregate the government data.
There are currently volunteers across the country working to discover and preserve publicly funded research, especially climate data, from being deleted or lost from the public record. The largest initiative is called Data Refuge and is led by librarians and scientists. They are holding events across the UC campuses and the US that you should attend and help out in person, and are organizing the library community to band together to curate the data and ensure it's preserved and accessible.
Our initiative builds on this and is looking to build a corpus of government data and corresponding metadata. We are focusing on public research data, especially those at risk of disappearing. The initiative was nicknamed "Svalbard" by Max Ogden of the Dat project, after the Svalbard Global Seed Vault in the Arctic. As of today, our friends at Code for Science have released 38GB of metadata, over 30 million hashes and URLs of research data files.
There are additional sources such as Archivers.Space, EDGI, Climate Mirror, Azimuth Data Backup that we are working adding metadata for in future releases.
Following the principles set forth by the librarians behind Data Refuge, we believe it's important to establish a clear and trustworthy chain of custody for research datasets so that mirror copies can be trusted. With this project, we are working to curate metadata that includes strong cryptographic hashes of data files in addition to metadata that can be used to reproduce a download procedure from the originating host.
The metadata is great, but the initial release of 30 million hashes and urls is just part of our project. The actual content (how the hashes were derived) have also been downloaded. They are stored at either the Internet Archive or on our California Digital Library servers.
The Dat Project carried out a Data.gov HTTP mirror (~40TB) and uploaded it to our servers at California Digital Library. We are working with them to access ~160TB of data in the future and have partnered with UC Riverside to offer longer term storage .
You can download the metadata here using Dat Desktop or Dat CLI tool. We are using the Dat Protocol for distribution so that we can publish new metadata releases efficiently while still keeping the old versions around. Dat provides a secure cryptographic ledger, similar in concept to a blockchain, that can verify integrity of updates.
If you want to learn more about how CDL and the UC3 team is involved, contact us at uc3@ucop.edu or @UC3CDL. If you have suggestions or questions, you can join the Code for Science Community Chat. And, if you are a technical user you can report issues or get involved at the Svalbard GitHub.


Learn how to get on top of Google and other major search engines for your targeted keywords and phrases.
Java EE 7 course is meant for those who has a thorough understanding of Java fundamentals. By the completion of this training course, you will have the knowledge and skills needed to create fully functional Java EE programs.


text:
[Diagnostics.CodeAnalysis.SuppressMessageAttribute('PSAvoidUsingWriteHost', '', Justification = 'Literally the PowerShell Host')]
param(
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Windows PowerShell console (shell) specific profile
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Set-StrictMode -Version Latest

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    Write-Figlet -f='smslant' $env:COMPUTERNAME | Write-Host -ForegroundColor Green
    Write-Output "I'd like to see you move up to the emu class, where I think you belong."
}

function Set-PowerShellHostCustomColor {
    # Distinguish different types of pipeline messages using custom colors.
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redpajama_set_name: RedPajamaGithub


text:
Symphonieorchester des Bayerischen Rundfunks
Leonidas Kavakos – Artist in Residence
History of the BRSO
Tour Coverage
Sound and Space
Musicians and instruments
Previous Concert
Next Concert
Dima Slobodeniouk & Leif Ove Andsnes
Friday, 22 September 2017, 8.00 pm
Munich, Herkulessaal
En saga op 9
Piano Concerto No 4 G minor, op 40
Symphony No 1 E minor, op 39
Dima Slobodeniouk, Conductor
Leif Ove Andsnes, Piano
Download Programme Booklet in German.
Focus on Sibelius
To launch our new season, a Russian newcomer is making his debut with the Bavarian Radio Symphony Orchestra. Already successful on the international stage, Dima Slobodeniouk learnt the tools of his trade at the Moscow Conservatory and the Sibelius Academy in Helsinki. The charismatic conductor, who was born in 1975, combines these two cultures in his work on the podium – and he is no less fond of combining them in his concert programmes. With the Bavarian Radio Symphony Orchestra Slobodeniouk is opening the season by focusing on Sibelius, two of whose early works frame the fourth and final piano concerto by Serge Rachmaninoff. The soloist is the Norwegian pianist Leif Ove Andsnes, paying a return visit to the orchestra and enchanting his audience with the typical Rachmaninoff sound in which tender melancholy merges with the sort of swing that we associate with jazz. Slobodeniouk ends his Romantic programme with the Finnish composer's popular First Symphony, in which soaring melodies meld with pulsating energy and hymn-like effusions. The programme opens with one of Sibelius's early tone poems that has only rarely been performed by the orchestra: En saga meanders between mystical moods inspired by nature and dramatic climaxes. In this legend from ages long past Sibelius leaves it to his listeners to imagine stories of their own.
Watch the video portrait of Dima Slobodeniouk
More recommended concerts
Klassik am Odeonsplatz
26.09.19 / 27.09.19 / 28.09.19
Daniel Harding
10.10.2019 / 11.10.2019
Mariss Jansons & Diana Damrau
There is another concert with this programme on 21 September 2017.
This concert will be broadcast live on BR-Klassik.
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© 2019 Symphonieorchester des Bayerischen Rundfunks
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redpajama_set_name: RedPajamaCommonCrawl


text:
Disability benefits of seafarers
The mere lapse of the 120-day period itself does not automatically warrant the payment of permanent total disability benefits.
Entitlement of seafarers to disability benefits is governed not only by medical findings but also by contract and by law. By contract, Department Order No. 4, series of 2000, of the Department of Labor and Employment Philippine Overseas Employment Agency-Standard Employment Contract (POEA-SEC) and the parties' Collective Bargaining Agreement (CBA) bind the seafarer and the employer. By law, the Labor Code provisions on disability apply with equal force to seafarers. (Philasia Shipping Agency Corporation v. Tomacruz, G.R. No. 181180, 15 August 2012 and Valenzona v. Fair Shipping Corporation, et al., 675 Phil. 713, 725, 2011)
Article 192(c)(1), Chapter VI, Title II, Book IV of the Labor Code, as amended, states that a disability which lasts continuously for more than 120-days is deemed total and permanent.
Section 2(b), Rule VII of the Implementing Rules of Title II, Book IV of the Labor Code, as amended, reads:
SECTION 2. Disability. x x x
(b) A disability is total and permanent if as a result of the injury or sickness the employee is unable to perform any gainful occupation for a continuous period exceeding 120 days, except as otherwise provided for in Rule X of these Rules.
The provision adverted to is Section 2, Rule X of the Implementing Rules of Title II, Book IV of the Labor Code, as amended, which states:
SECTION 2. Period of entitlement. (a) The income benefit shall be paid beginning on the first day of such disability. If caused by an injury or sickness, it shall not be paid longer than 120 consecutive days except where such injury or sickness still requires medical attendance beyond 120 days but not to exceed 240 days from onset of disability in which case benefit for temporary total disability shall be paid. However, the System may declare the total and permanent status at any time after 120 days of continuous temporary total disability as may be warranted by the degree of actual loss or impairment of physical or mental functions as determined by the System.
By contract, Department Order No. 4, series of 2000 of the Department of Labor and Employment (the POEA Standard Employment Contract) and the parties' CBA bind the seaman and his employer to each other. The terms under the POEA-SEC are to be read in accordance with what the Philippine law provides. (OSG Shipmanagement Manila, Inc. v. Pellezar, G.R. No. 198367, 6 August 2014)
Section 20(B)(3) of the POEA-SEC states that:
3. Upon sign-off from the vessel for medical treatment, the seafarer is entitled to sickness allowance equivalent to his basic wage until he is declared fit to work or the degree of permanent disability has been assessed by the company-designated physician but in no case shall this period exceed one hundred twenty (120) days. x x x
The Vergara ruling (588 Phil. 895, 913, 2008) gives us a clear picture of how the provisions of the law, the rules and the POEA-SEC operate, thus:
[T]he seafarer, upon sign-off from his vessel, must report to the company-designated physician within three (3) days from arrival for diagnosis and treatment. For the duration of the treatment but in no case to exceed 120 days, the seaman is on temporary total disability as he is totally unable to work. He receives his basic wage during this period until he is declared fit to work or his temporary disability is acknowledged by the company to be permanent, either partially or totally, as his condition is defined under the POEA Standard Employment Contract and by applicable Philippine laws. If the 120 days initial period is exceeded and no such declaration is made because the seafarer requires further medical attention, then the temporary total disability period may be extended up to a maximum of 240 days, subject to the right of the employer to declare within this period that a partial or total disability already exists. The seaman may of course also be declared fit to work at any time such declaration is justified by his medical condition. (588 Phil. 895, 913, 2008)
As the rule now stands, the mere lapse of the 120-day period itself does not automatically warrant the payment of permanent total disability benefits. (OSG Shipmanagement Manila, Inc. v. Pellezar, G.R. No. 198367, 6 August 2014)
In Tagalog v. Crossworld Marine (G.R. No. 191899, June 22, 2015), the Supreme Court affirmed the Court of Appeals' holding that petitioner is not entitled to permanent total disability benefits. As correctly observed by the Court of Appeals:
Applying this in the case at bench, the NLRC's finding that private respondent was entitled to permanent total disability benefits because he was unable to perform his work for more than 120 days in untenable. It appears that only 102 days have passed from the time private respondent signed-off from his vessel on January 21, 2006 up to the time the company-designated physician made a pronouncement on May 3, 2006 that he was fit to resume sea duties. Verily, the initial 120-day medical treatment period has not yet lapsed. Even if we were to adopt the computation made by the NLRC that private respondent's injury was a continuing disability from December 2, 2005, when he was first declared unfit to work at the Port of Spain until May 3, 2006, still the maximum 240-day treatment period has not yet expired when the company-designated physician made a pronouncement on private respondent's fitness to return to work.


text:
36 Pułk Zmechanizowany Legii Akademickiej – dawny oddział zmechanizowany Sił Zbrojnych RP. Oddział istniał w okresie transformacji ustrojowej.

Powstał w  1990 w wyniku przeformowania na pułk zunifikowany  36 Łużyckiego pułku zmechanizowanego .

Wchodził w skład 8 Drezdeńskiej Dywizji Zmechanizowanej, a potem 8 Dywizji Obrony Wybrzeża.

Stacjonował w garnizonie Trzebiatów.

Skład organizacyjny

Dowództwo
Sztab
kompania łączności
pluton regulacji ruchu
1 batalion zmechanizowany
2 batalion zmechanizowany
1 batalion czołgów
2 batalion czołgów
dywizjon artylerii samobieżnej
dywizjon przeciwlotniczy
bateria przeciwpancerna
kompania saperów
kompania rozpoznawcza
kompania zaopatrzenia
kompania remontowa
kompania medyczna
pluton chemiczny

Dowództwo
 dowódca - ppłk Piotr Czerwiński
 zastępca dowódcy - mjr dypl. Mirosław Szyłkowski
 szef sztabu - mjr dypl. Ireneusz Rydzyński
 kwatermistrz - mjr dypl. Rudkowski

Przeformowanie
W 1994 przekształcony w 3 Brygadę Pancerną. Następnie zmieniono numer brygady na 36, by w końcu przekształcić ją w jednostkę zmechanizowaną o nazwie 36 Brygada Zmechanizowana im. Legii Akademickiej

Na początku lat 90. XX w. na bazie 2 batalionu zmechanizowanego funkcjonowała Szkoła Podoficerska i Młodszych Specjalistów szkoląca załogi BWP-1 dla potrzeb innych jednostek.

Przypisy

Przekształcenia
39 Pułk Piechoty → 39 Zmotoryzowany Pułk Piechoty → 39 Pułk Zmechanizowany → 36 Łużycki Pułk Zmechanizowany →  36 Pułk Zmechanizowany Legii Akademickiej → 3 Brygada Pancerna → 36 Brygada Pancerna → 36 Brygada Zmechanizowana → 3 batalion zmechanizowany Legii Akademickiej

Bibliografia

Rozformowane pułki zmechanizowane III Rzeczypospolitej
Wojska zmechanizowane III Rzeczypospolitej
Wojsko w Trzebiatowie

redpajama_set_name: RedPajamaWikipedia


text:
Tag:Juan Luis Guerra
Juan Luis Guerra in Lima 2023: date that is on social networks is not official
The second concert of Juan Luis Guerra in Lima, scheduled to take place on Wednesday, November 23 and which was postponed due to...
James - December 19, 2022
Juan Luis Guerra breaks his silence after suspending his concert: "We keep hoping to return"
After learning about the closure of the Arena Perú, the place where he was going to perform in Lima, the singer Juan Luis Guerra...
James - November 24, 2022
Juan Luis Guerra in Lima: his second concert is suspended after the closure of the Arena Perú
The second show that the Dominican singer Juan Luis Guerra and his band 4.40 was going to toast in Lima this Wednesday, November...
Juan Luis Guerra in Lima, day 2: expectations for the concert after the chaos at Arena Perú
The last chance to be part of the romantic evening. Dominican singer Juan Luis Guerra and his band 4.40 will give their...
Juan Luis Guerra in Lima: merengue, romance and faith that made thousands dance while others were left out | CHRONICLE
What was happening inside the Arena Peru was a timid reflection of the chaos outside: problems with the access between areas, the arrangement of...
Juan Luis Guerra in Lima: time, place and everything you need to know about his concert
The show that quickly achieved the 'sold out'. the dominican artist Juan Luis Guerra and his band 4.40 will offer two shows...
Juan Luis Guerra will sing in Lima: five little-known facts about the Dominican singer
Juan Luis GuerraDominican artist who won the award for Best Merengue and/or Bachata album at the recent Latin Grammys, will arrive in Peru next...
Juan Luis Guerra sold out for his concert at the Wizink Center
The office responsible for the concert that the Dominican Juan Luis Guerra will offer next July 10 at the Wizink Center in Madrid,...
John - June 22, 2022


text:
Q: React navigation TypeError: undefined is not a function I am trying to implement react-navigation into my app, but as soon as i launch a simple example app from react-navigation website (link: https://reactnavigation.org/docs/intro/basic-app) it fails with this error:
TypeError: undefined is not a function (evaluating 'arr[typeof Symbol === 'function' ? Symbol.iterator : '@@iterator']()')

This error is located at:
    in SafeView (at withOrientation.js:50)
    in withOrientation (at Header.js:315)
    in Header (at withOrientation.js:50)
    in withOrientation (at CardStack.js:170)
    in RCTView (at View.js:113)
    in View (at CardStack.js:397)
    in RCTView (at View.js:113)
    in View (at createAnimatedComponent.js:134)
    in AnimatedComponent (at Card.js:26)
    in Card (at PointerEventsContainer.js:55)
    in Container (at CardStack.js:440)
    in RCTView (at View.js:113)
    in View (at CardStack.js:370)
    in RCTView (at View.js:113)
    in View (at CardStack.js:369)
    in CardStack (at CardStackTransitioner.js:103)
    in RCTView (at View.js:113)
    in View (at Transitioner.js:187)
    in Transitioner (at CardStackTransitioner.js:55)
    in CardStackTransitioner (at StackNavigator.js:48)
    in Unknown (at createNavigator.js:48)
    in Navigator (at createNavigationContainer.js:205)
    in NavigationContainer (at renderApplication.js:35)
    in RCTView (at View.js:113)
    in View (at AppContainer.js:102)
    in RCTView (at View.js:113)
    in View (at AppContainer.js:126)
    in AppContainer (at renderApplication.js:34)
sliceIterator

<unknown>

<unknown>
    SafeAreaView.js:190:31
_getSafeAreaStyle
    SafeAreaView.js:164:38
render
    SafeAreaView.js:95:26
proxiedMethod
    createPrototypeProxy.js:44:35
finishClassComponent
    ReactNativeFiber-dev.js:1721:102
updateClassComponent
    ReactNativeFiber-dev.js:1713:33
beginWork
    ReactNativeFiber-dev.js:1833:44
performUnitOfWork
    ReactNativeFiber-dev.js:2569:33
workLoop
    ReactNativeFiber-dev.js:2595:141
_invokeGuardedCallback
    ReactNativeFiber-dev.js:75:23
invokeGuardedCallback
    ReactNativeFiber-dev.js:49:40
performWork
    ReactNativeFiber-dev.js:2634:41
scheduleUpdateImpl
    ReactNativeFiber-dev.js:2768:101
scheduleUpdate
    ReactNativeFiber-dev.js:2751:38
scheduleTopLevelUpdate
    ReactNativeFiber-dev.js:3048:91
updateContainer
    ReactNativeFiber-dev.js:3059:39
render
    ReactNativeFiber-dev.js:4483:53
renderApplication
    renderApplication.js:34:4
run
    AppRegistry.js:117:10
runApplication
    AppRegistry.js:191:26
__callFunction
    MessageQueue.js:306:47
<unknown>
    MessageQueue.js:108:26
__guard
    MessageQueue.js:269:6
callFunctionReturnFlushedQueue
    MessageQueue.js:107:17

This is my code
import React from 'react';
import {
  AppRegistry,
  Text,
} from 'react-native';
import { StackNavigator } from 'react-navigation';

class HomeScreen extends React.Component {
  static navigationOptions = {
    title: 'Welcome',
  };
  render() {
    return <Text>Hello, Navigation!</Text>;
  }
}

export const SimpleApp = StackNavigator({
  Home: { screen: HomeScreen },
});

AppRegistry.registerComponent('navigation', () => SimpleApp);

I looked at other queries but it seems that everyone is getting a problem with navigate function, I don't even call navigate I just want to start the app with navigation.
Can you please help me? Thank you in advance :)
SOLVED!!! if you're having the same problem look at this github post https://github.com/react-community/react-navigation/issues/2853

redpajama_set_name: RedPajamaStackExchange


text:
The Metropolitan State College, PA 248494 8
Designed to meet the needs of both students and non-students in the community, The Metropolitan at State College is a 12-story, U-shaped mixed-use building with urban convenience. The building combines a total of 132 residential units with office space, 40,000+ SF of retail/amenity space and three levels of underground structured parking.
PRECAST SOLUTION
The Metropolitan was initially designed with a cast-in-place (CIP) concrete basement retaining wall system, precast garage, and CIP shear towers from the basement to roof level. Levels 1, 2, and 3 of the structure were also originally designed as CIP. Above the podium, the design for the upper levels (above level 3) included a girder slab system – a structural steel skeleton with hollowcore. With the CIP basement retaining wall up and the garage precast below grade in the process of being erected, the project went over budget. Metromont was approached by the owners to provide pricing for a conversion from CIP to precast. Metromont's conversion to precast saved 10% of the total project cost. The new design features precast below grade and, although the first level remained CIP, vertical levels 1-3 became precast, level two was converted to precast, and level three was redesigned as a series of transfer beams into a precast deck. The new design also includes shear towers to level three, but the shear towers from levels 3-13 were converted to Metromont's total precast MetroDeck floor system that saved time and money. Metromont's design includes a rooftop amenity level with swimming pool, two spas, and a jumbotron.
Total Precast Building System Benefits
The Metropolitan demonstrates the application and benefits of a total precast structure. Prefabricating and erecting a building's structural system through a single-source precast concrete manufacturer adds constant value to the owner, contractor, and design team in a fast-paced, highly integrated, and technology-driven environment.
Here are some of the benefits of working with precast:
Utilize high-quality, high strength material with a service life of seventy-five years or more
Create buildings with long interior spans for cost-effective daylighting
Improve acoustic performance through hollow core floor systems
Provide high fire, vibration, inclement weather resistance, and multi-hazard protection
Reduce operational costs and improve occupant comfort through thermal storage capacity, which tempers heating and cooling load swings
Accelerate year-round construction through prefabrication in an offsite, quality-controlled environment
Minimize disruptive laydown areas with products that are shipped and erected at sites just in time
Niles Bolton Associates
Owner/Contractor
Landmark Properties
Metromont Corporation
Nitterhouse Concrete Products (hollowcore)
The mixed-use building combines a total of 132 residential units with office space, 40,000+ SF of retail/amenity space and three levels of underground structured parking.
10 percent of the total project cost was saved when the team converted from the original design as cast-in-place to a total precast structure
Metromont produced and erected 997 pieces of precast for The Metropolitan, including 109,398 SF of wall panels and 159,461 SF of 8" deep MetroDeck system
Precast erection began in September 2016 and was completed in March 2017
Architectural details and finishes include medium sandblast finish with a limestone color and cast-in thin brick.


Accurate is a group of spring specialists targeting the dissemination of standard springs around the world. Advice on anything to do with springs is provided. In particular, the Ultra Spring standard spring uses industry-first 2-point load management to deliver products with consistent quality. Furthermore, all products are assigned a lot number for thorough traceability. Standard products of this quality are adopted as production material for embedding into commercial and precision devices. The main products handled are compression springs, tension springs, torsion springs and tangless inserts.


text:
Episode 437 – Natalia Wiechowski
November 17, 2021 by Sam
Natalia is a Marketer & Collector of "Ands"
Dr. Natalia Wiechowski, LinkedIn Marketing Unicorn & Edutainer at Think Natalia, talks about her multiple "Ands", why she has a passion in pursuing so many new ventures, and how that has helped her stand out in her career! She also talks about why a company's culture is easier to influence from the top!
• Her first "Ands"
• Rewiring her taste buds
• Disconnecting from work
• How her multiple "Ands" have helped her career
• Why company culture is easier from the top down
Natalia's Pictures
Natalia's Links
If you like what the show is about, be sure to check out the book. It's on Amazon, Indigo, Barnes and Noble, Bookshop, a few other websites. All the links are at whatsyourand.com. If you want me to read it to you, that's right, this voice reading the book, look for What's Your "And?" on Audible or wherever you get your audio books. It goes more in depth with the research behind why these outside-of-work passions are so crucial to your corporate culture, and I can't say how much it means that everyone's reading it and now listening to it and writing such great reviews on Amazon and more importantly, changing the workplace cultures because of it.
Please don't forget to hit subscribe to the podcast, so you don't miss any of the future episodes. I love sharing such interesting stories each and every week, and this week is no different with my guest, Dr. Natalia Wiechowski. She's the founder of Think Natalia in Dubai, as a personal branding specialist, LinkedIn consultant, author, contributor to Thrive Global, Forbes Coaches Council and LinkedIn Learning, and now she's with me here today. Dr. Natalia, thanks so much for taking time to be with me on What's Your "And?"
Natalia: Woo-hoo! Thank you so much for this incredible intro and for your high energy, John. I'm really looking forward to this.
John: No, I'm equally jazzed. Just reading that makes me exhausted, and I'm so excited I fit into your schedule. Thank you so much for taking time. This is going to be so much fun. I do have my rapid-fire questions, get to know Natalia right out of the gate here. This is going to be fun. Maybe an easy one, favorite color.
Natalia: Turquoise.
John: Turquoise. Okay, nice. That's very on brand too. I like that. How about a least favorite color?
Natalia: Green. For me, green, still learning to like it. It's true.
John: That's an optimistic approach to it. There are colors that I'm like, nope, never going to happen. It's not going to happen. You're learning to like it, good for you. That's very positive.
Natalia: Yeah, give everything a chance. I'm like, yeah, I'll try. I'll give my best.
John: Right, right. How about a favorite day of the week?
Natalia: It's literally every day because now as I have my dream job, my dream life, does not matter. You won't believe how often during the week I think like, what's today? It doesn't matter anyway. Today is a good day.
John: I hit that as well, totally. It's like, oh, I tried to call somebody in their office, and it's Saturday. Oops.
Natalia: Yes, same here.
John: Right? I'm like, oh, my bad. How about puzzles, Sudoku, crossword or jigsaw?
Natalia: None of them. I'm not a puzzle person.
John: Okay, fair enough.
Natalia: I'd rather listen to a podcast.
John: Oh, okay. All right, fair enough. Not even going to learn to like them. It's like, they're out.
Natalia: Puzzles are out.
John: Here's one, shower or bath.
Natalia: I'm a shower person. Again, one of my coaches taught me, forced me to take a regular bath because this is very calming, and it's more feminine energy. Apparently, that's something that I'm, again, allowed to work on.
John: Right. Okay, all right. Fair enough. Fair enough. How about a favorite actor or actress?
Natalia: Angelina Jolie.
John: Oh, yeah. There you go.
Natalia: She's incredible. Almost everything that she touches turns into gold.
John: Right? She's intense. That's for sure. Yeah. How about chocolate or vanilla?
Natalia: Vanilla because the majority of chocolate has so much sugar. It's disgusting.
John: Oh, okay. All right. There you go. How about more Star Wars or Star Trek?
Natalia: Star Wars.
John: Star Wars. There you go. Yeah, me too. Yeah. How about when it comes to your computer, more of a PC or a Mac?
Natalia: Mac, big time.
John: Oh, okay. All right. Way cooler than me, way cooler. How about heels or flats?
Natalia: I live in a country where the sun shines 360 days per year, so I run around in flip flops all the time. You'll only see me in heels on a stage.
John: Okay, there you go, flip flops. That's even better. I love it.
Natalia: Yes.
John: I love it. How about a favorite ice cream flavor?
Natalia: That's a tricky one. I think salted caramel.
John: Oh, yeah. Okay, there you go. That's a little step up there. I like that. I like that. How about more talk or text?
Natalia: Really depends on the mood. Ideally, it is a mix. I like to learn with different kinds of aspects that help me remember things. The most important thing is that it's funny or at least edutaining.
John: Right, right. There you go. Don't bore me.
Natalia: Yeah.
John: Right, exactly. How about your first concert?
Natalia: It's so embarrassing, so embarrassing. Okay, but I'll tell you anyway. David Hasselhoff.
John: Yes! Awesome. You grew up in Germany. That's so perfect.
Natalia: I've been looking for freedom.
John: He's huge in Germany. He's huge. That is awesome. That was the joke here in the US was like, you're David Hasselhoff. You're huge in Germany. No one's heard of you here. I can't believe that. That's so awesome. That's very cool. It's always embarrassing for everybody. Mine was Metallica. It's like, what?
Natalia: Well, it's still better than Mr. Knight Rider.
John: Oh, that's true. Mr. Knight Rider. Unless he brought KIT out on the stage, that would be…
Natalia: No, he didn't. I was so disappointed.
John: Yeah, he probably wasn't allowed. That's the only reason I'd go. How about a favorite number?
Natalia: 13.
John: Really? Okay.
Natalia: Yeah, because everybody's scared. I'm like, no, it's a cool number. Give it a try.
John: There you go. It's cooler than the other ones. Yeah, there you go. How about when it comes to books, audio version, e-book or real book?
Natalia: Audio because when I listen to audio books, I can do other things at the same time, like cooking or, I don't know, cleaning up the flat, just small things that need to be done. It's also better because when I studied, I always had to read books and had different colors and text markers. For me, when I read a book, I have this, I don't know what it is, an urge to take a color and then highlight the most important words. So, to protect myself from myself, audio books it is.
John: I love it, to protect myself from myself. That might be my new tagline.
Natalia: Go ahead.
John: Oh, Lord, like helmets and bubble wrap and all kinds of protection, you'll need that, for sure. All right, two more, two more. Diamonds or pearls.
Natalia: None of them. That's so zero interesting for me, jewelry and these things. I think they're absolutely hyped. I'd rather like to spend my money on experiences.
John: Oh, there you go. Okay, that's perfect. The last one, the favorite thing you have or the favorite thing you own.
Natalia: The freedom to design my life how I want it to be.
John: Oh, wow, that is deep, deep, deep, deep right there. That's awesome. You don't have to worry about forgetting it anywhere. It's right there all the time. That's awesome. It dovetails nicely with one of your answers. Let's talk dancing and cooking and all these other "ands" that you have, and learning new human potential basically, like with the dancing. Was there one that was started when you were younger? Because it seems like you have a lot of things that you're just always learning and all that, and I love that. That's awesome.
Natalia: Absolutely. I grew up in a household with two very, very athletic parents. My mom used to be a professional ice, no, speed skate, you call it, and my dad used to be a skiing teacher. When I wasn't even able to walk, I remember sitting or being in a backpack, basically, on my dad's shoulders, and he was skiing. I was like, aah!
John: Right.
Natalia: This just did something to me. Once I was able to stand, I was in skis, and then it was skating, and then it was dancing and swimming, and then I did badminton. I love trying new things. I love to learn new things. This can be in sports or in athletics, but it definitely could also be something totally different. It could be… I played a guitar for a very long time. I still want to learn how to act. I want to learn how to sing. Because, again, human potential, I'm just obsessed with that stuff.
John: Yeah, yeah, that's so great. When people ask me, what superpower do you wish you have? I wish I could sing. I am a terrible… It's terrible. Just lip sync, John. Don't ruin it. I wish I could sing and dunk a basketball. That's all I want. That's so great to just want to learn new things, the cooking as well. Did you learn anything new in the last year and a half when we weren't as mobile or what have you?
Natalia: Yeah, cooking was definitely a big one. I, especially at the moment, work with a dietitian who taught me or helped me rewire my taste buds and totally changed my diet.
John: Oh, really?
Natalia: There are a lot of things that she took out of my diet, and I had to learn about new vegetables, new roots, stuff that I've never heard of before. What is this? That was very, very profound new insight on what we actually put into our body and how toxic that is, and then learning how to shop groceries in a new way, how to cook and boil and bake and whatever in a new way, how to appreciate and rewire your taste buds to really respect your body. That is huge for me at the moment. Yeah.
John: Yeah, that's unbelievable. I didn't even know you could do that.
Natalia: Same here.
John: Yeah. Right? You're like, yeah, why not? Let's do that. That's really cool. That's awesome. Is there anything that you cook that's your favorite go-to maybe slightly guilty pleasure, but it's…
John: It's so simple, but at the moment, it's my favorite dessert. You take an organic can of coconut milk and chia seeds. You let the chia seeds soak in it, and it has like an ice cream-ish texture when you leave it in the fridge for a very long time, almost like a mousse. That is brilliant. It's very creamy without any dairy, for the case that you can't eat or consume any kind of milk. Then I do some homemade applesauce, literally just some chopped green apples, a little bit of water, a little bit of cinnamon, boil that for ten minutes and smash it. That, you have the chia seeds, then the homemade applesauce on top of that and then a little bit of cocoa nibs. I promise you this is so delicious, and there is zero sugar in it. No honey, no agave, nothing, no Stevia.
John: Wow, that sounds awesome.
Natalia: So good.
John: Yeah. You just put the chia seeds in the coconut milk and just let it sit in your fridge?
John: Yeah, that's amazing.
Natalia: Everybody could that.
John: Even I could do it.
Natalia: Exactly.
John: Right? Exactly. That's really cool. Yeah, we're learning recipes now. This is awesome.
Natalia: Right?
John: Yeah. No, that sounds really good actually. Very cool. Is there one of your hobbies that you've had a really cool experience with or something similar to the rewiring your taste buds, that's like life shift?
Natalia: Yes. I also worked with another coach earlier this year, and I realized that I was almost an addicted overachiever and somebody who is the person who always wants to deliver the best results to make sure that the clients really achieve what they want to achieve. Work is super fun for me, and it used to be my comfort zone. I was not able to disconnect from my work. It was very difficult for me to do nothing. Doing nothing, for me, was, that's only what lazy people do, or the competition could do something while I'm just chilling or whatever. I learned how to rest, and I used this time to do things that have nothing to do with my work. This was, again, very, very big for me. If possible, every second day, I go for 15 or 20 minutes round of swimming.
Natalia: That's beautiful because it really helps me go into a flow experience very fast. My brain, the work that I do, I have a lot of people with their LinkedIn marketing and LinkedIn social selling, that's a lot of data and analysis, and how can we fix that? Think Natalia, right?
Natalia: At a certain stage, I need to swap or switch during the day into feel or experience Think Natalia, and swimming helps me to reconnect to my body and also to my feelings, getting out of the head. That's also a very big one.
John: Yeah, that's huge. Because the mind, it's hard to turn off. You have to redirect it. It's always going. It's just you have to rechannel to something else, and swimming's excellent. You have the white noise of the water and gets physical. You can't not pay attention because you have to be doing it. That's super cool. It's also interesting to hear how, in your past, it was all work all the time. That was pretty much your identity and everything. How do you compare and contrast those two? I'm sure that now is better, or at least I'm hoping so, at least for the podcast.
Natalia: Oh, you can't compare it. It's very interesting. I discussed it with my friend yesterday, and I said I have difficulties to put it into words. How do you see that as an external person? She said, let me draw you a picture. In the past, you were hiking this really ridiculous path, and it was not a hike path for beginners. It was a sophisticated one. In the past, that was not enough for you. You would have taken something and literally whipped yourself on the back all the time while doing it, and not drinking any water because you thought that's cool, or that was part of your identity.
Right now, you realize this leash or this whip, you put it away. When you go for a hike, you have proper shoes, you have enough water, and when you want to take a rest, you allow yourself to rest. You understand that not only this hike is so much more fun, you will not feel so depleted or seem dead when you arrive. You'll finally also see the things along the way while you are hiking. I think that's a good way to describe it.
John: That's an excellent analogy. Yeah, because there's a badge of honor of how many hours worked or how hard it was or this or that. It's like, or there's another way. You still get the work done, but it's more enjoyable. It doesn't break you down, so you can actually do more of it in the end, mentally and physically and everything. That's such a great analogy. It's also cool to see that you've turned that corner and actually can feel that difference, which is great.
Natalia: Yeah. I just had zero interest in burning out once I turned 40. I see so many people in their 40s, early 40s, mid 40s. I, additionally, went to one of my friends who also coach, and I said I don't want to be that. Let's work on it right now because I can't fix that stuff on my own. Here, take my money, and let's arrange that or fix it or redirect it. Because this is ridiculous. I felt very proud and stupid at the same time, so, yeah, I needed help.
John: No, but that's a great call because I'm sure a lot of people, at some point, are like, this is ridiculous. Then they look around and they're like, well, everyone else is also doing this. It's similar to when I was working with the What's Your "And"? I had stand-up comedy as a hobby on the side. When people said, what did you do this weekend? Well, I went to this city and did shows. They're like, wait, what? I was like, well, I didn't know you were supposed to say nothing, because that's what most people say. So you start to judge yourself based off of what everyone else is doing, whether it's good or bad. We're all in this tornado of no one stops the tornado to go, hey, this is dumb.
Natalia: Yes. Yes.
John: Like the merry go round or something, where it's like, please stop it.
Natalia: Because we want to be liked. We want to be liked.
John: And respected, yeah.
Natalia: We're so scared of somebody saying something, and then we're not part of the tribe anymore, or people will look at us in a weird way. Yeah, self-awareness is a big one.
John: That's huge. That's so huge. Do you feel like any of these "ands" that you've picked up along the way, have led to a skill set that helps through your career? Or is it more of just the mentality of collecting "ands" and learning new things obviously translates to work?
Natalia: That's a good question. For me, I like to collect all of these "ands" and have a look at this concept and understand this and play with this. I believe that novelty is good for your brain, and what is good for your brain will most probably also have an effect on your performance and your work. I have a personal satisfaction out of it, and it also has a positive effect on my work. Plus, what is also quite interesting is that you tap into different industries and fields and then, that's what I do, is, I was like, I don't care. How can I take that and incorporate that into my industry, into my job? This way, a lot of people don't do — I'm like, why? Come on, this is cool. Nobody does it. Why don't you?
Through that, I believe I have this massive competitive advantage because I cannot be boring, because I keep on reinventing myself, and my audience just loves me because they're like, oh, what are you up to? What did you change? What did you let go of? What did you blah? It's a little bit like a never-ending soap opera. I did it for myself, but they get entertained. I'm like, this is amazing. It's super cool.
John: Right. Exactly. It's protect me from myself, not you from me. You're on your own. No, but I love that. It's that novelty that works. What we do, obviously, is a little bit different, but it's very similar to people that have jobs in an office, with people that you've worked with for 20 years. There's really no difference. There's still novelty there. I love to hear how you said people ask you about these things. What are you up to now? Where, if you didn't have anything, just go right into work talk? From the beginning, that relationship is very surface level.
Natalia: Not doing that anymore.
John: Right, yeah. No, I love to hear that. That's the example. How much — because I think about this a lot — how much is it on an organization to create that space to allow people to share their "ands" or talk about it or shine a light on and even encourage it? Or how much is it on the individual to either plug into that or start it in a small circle themselves?
Natalia: It's funny that you asked it because I'm currently working on a LinkedIn learning course with the topic, employer branding and how do you build company culture and working around that. I personally believe that a company is nothing else but people. If you don't like something, well then change it. Ideally, what I've observed in companies, it's easier when it comes from the top, so, bottom down, which means if I worked in HR, I would make sure I would cherry pick my, let's say, 5, 10, maximum 15 top talents and tell them, listen, there's something I want to try. I think you perfectly fit to that, so let's start. It's a pilot project, whatever. See if you can encourage it amongst your team or amongst people that you work with, and see what kind of positive effect it will have on the mood, on the energy level, on the creativity, on the well-being, on the health of your team. When you get the yes from the top, or a handful of people who are perceived as leaders or people look up to, it makes a big difference.
John: It definitely makes it a lot easier, for sure. Because, for me, it was accidental. It surely wasn't encouraged or even shine a light on it or anything. It was just people would ask, what do you do, and then you say. For me, I had a guy remember it 12 years later.
Natalia: That's so amazing.
John: Yeah, and it's a guy I never even worked with. It's like, well, how the hell did you know? What's interesting, when I was on your show, some of the comments on LinkedIn, I remember seeing some people that were like, be careful because people could blackball you or they could, whatever. It's like, what? Why do you even work there? We work so we can go live and be good at your job. I'm sure we all are, to a degree, but we do that so we can make money and go do cool stuff, like dance and travel and eat.
Natalia: Cook and explore and experience, I'm fully with you. If you can't talk about what you do after work or what your hobbies are, get the hell out of this company. They need some serious restructuring and I don't know what. Because why would you do that to yourself?
John: In case people are like, wait a minute. It's like, no, you still get your work done. This is all assuming that you get your work done, which I think we all do. That's why you're getting paid. You're not getting paid to go on vacation. You're getting paid to do the work, but you should be allowed to have these other dimensions to who you are. Slowly over time, I feel like they slowly go just dormant and then fully extinct. That's scary to me.
Natalia: Yeah. Who wants to wake up in the morning and then go to a place where people just work, and you don't know anything about them? You don't know what's interesting for them. You don't know what makes them click. If you want to have a great time at work, put in the effort to get to know other people. Ask them questions and be curious. Don't ask questions and then just wait and say something. Don't ask questions to ask, but ask to listen, to understand, and make it maybe a weekly task. Once per week, I'm going to ask one person. I'm actually going to listen. If you do that, over three months, how many people will you then know a little bit better? Of course, not everybody will be excited and will want to start a relationship in the sense of, I want to get to know you a little bit better, but I'm sure a handful of people will. You know what? I'm sure that also, when it comes to your job and your work performance, you will get better results, and that very often reflects in your paycheck, so do it.
John: I love it. What a great way to wrap it all up right there. That was it. We should have started with that and then… No, no, I'm teasing. That was awesome. That was so great. I feel like it's only fair, before I do wrap this up, since I rudely peppered you with questions at the beginning, I feel like it's only fair that I turn the tables and allow you to be the host now. If you have any questions to ask me, I'm all yours. I'm also very nervous.
Natalia: Let's start with favorite comedian.
John: Favorite comedian. Wow, there's going to be a lot. I'd probably say Brian Regan. He's here in the US, Brian Regan. Yeah, he's really funny. He also happens to be clean, but he's so, so funny and also really nice, really gracious. He's so, so funny. There are so many great comedians that it's really hard to pick just one.
Natalia: Yeah, it is. Thanks, I would definitely check him out.
John: Yeah, Brian Regan, so funny.
Natalia: Brian Regan. As you know I work in social media, favorite social media platform.
John: I'd probably say LinkedIn because it's least political.
John: Although it's getting there. It's, at least, informative, or you don't have to worry about having to unfollow people just because of their uneducated opinions of things, so probably that one. Also, because that's where you work, so that let's start with that. Not where you work, but in your space.
Natalia: Sort of. Okay. You are a very creative person. What kind of content do you prefer creating? Is it rather podcasts or podcast episodes, or is it videos?
John: That's interesting. What's really, really fun to me is the music video parodies that I do, the funny music videos. It's taking a song that everyone knows, rewriting the words to it, and then shooting the video for that. Because it's just funny. It's funny and silly and super fun. I get to act a little bit. I'm not great so that's why it's good that it's funny. It doesn't have to be good. It just has to be funny.
Natalia: I would love to check that out.
John: Yeah, I love it. There's One Direction, the boy band. They have that song, Beautiful. I rewrote it to be cubicle. It's, I work in a cubicle. It's all about, it's got four walls and no door and all this. I think it's pretty funny. People seem to like it. There are about five or six out there on my website. I'd probably say video. Although the podcasts that I do are super awesome, too, but what's really fun for me is that.
Natalia: I do get that one. Okay, I have a slightly embarrassing one. How do I phrase it? Teenage celebrity crush, your first teenage celebrity crush.
John: Oh, wow. Okay, so this is going to be a good one. Jenny McCarthy. When I was in college at the University of Notre Dame, I was in the marching band. This is a story I'm not sure if I've ever told on a thing. I was in the marching band. It was Notre Dame versus USC, big game, really big game. Friday night before the game, we have a pep rally. I was skinnier than I am now, which is not — yeah, I was very scrawny. I was tall but lanky.
We had our shirts off, and we had spelled out, ND beat USC, or something, on our — so I had a giant, whatever letter on my chest. We come marching into the pep rally. We had to wait just for like a minute before we go. While we're waiting, I'm right at the front, and Jenny McCarthy comes out of the basketball locker room. She's at the game. She comes to the pep rally. I'm 10 feet away from her. All I could think in my head is, this is not how we were supposed to meet. This is not how it went down in my head. It was just like, hi! It was hilarious. Oh, my gosh, it was so funny. I guess she lived in Chicago, and it was about an hour and a half drive. She had come over for the game. No one knew. I was just like, oh my gosh, this is hilarious. Yeah, I'd probably say that. That probably works. It's an okay one. It's no David Hasselhoff, but it's okay.
Natalia: Oh, yeah. I just want to say, getting there, getting there. Okay, last one, waffles or pancakes.
John: Oh, yeah. Man, that's actually a hard one. I might go waffles just because you could put syrup in each little square and then you have equal syrup in all of them. I might have a little bit of OCD or CDO. If you're alphabetical, either way. That's a really good one. That's awesome. Well, thank you so much Natalia for being a part of What's Your "And"? This was so, so fun.
Natalia: Likewise. This was fantastic. Have a great rest of the day.
John: If you want to see some pictures of Natalia and all her different "ands" or maybe connect with her on social media, check out all the LinkedIn work that she does, be sure to go to whatsyourand.com. All the links are there. While you're on the page, please click that big button, do the anonymous research survey about corporate culture, and don't forget to read the book.
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Q&A: Healthcare debate should address coverage and access
The healthcare debate currently raging in the nation's capital is devoid of one key constituent—the patient, according to Dr. Nick Turkal, CEO of Aurora Health Care, a 15-hospital integrated system in Wisconsin. Any conversation around health reform, he said, should center on access, coverage and affordability. Turkal would like to see the debate shift to finding ways of ensuring that patients have access to high-quality care. He recently spoke with Modern Healthcare Managing Editor Matthew Weinstock about the effort to repeal and replace the Affordable Care Act, as well as Aurora's attempts to retool how care is delivered. The following is an edited transcript.
Modern Healthcare: What concerns do you have for Aurora Health Care and your patient population as the Senate continues working on its version of a bill to repeal and replace the Affordable Care Act?
Dr. Nick Turkal: Obviously, 23 million people losing coverage is a great concern, but I'd like to talk a little more specifically about what concerns us most. The low subsidy levels that exist in the current version of the American Health Care Act are going to make coverage unaffordable for a lot of people. In Wisconsin, we tend to have a disproportionately higher share of older enrollees. We take care of many people who don't have a lot of means, so the current version (of the AHCA) is very concerning.
The Medicaid cuts are concerning in a different way because Wisconsin is not a full-expansion state. We partially expanded, but that means the subsidies are lower, and it means fewer dollars for taking care of Medicaid recipients.
MH: Can you put that into perspective of what that could mean? Do you expect to see bad debt rise and more charity care? What are the real-world implications?
Turkal: It would be logical to assume that if we see fewer people with coverage or people who are unable to afford coverage that we will end up seeing increases in bad debt and charity care. The other thing that concerns me is going back to people coming to the emergency room in crisis rather than getting the preventive care and primary care that they need. That's not an efficient way for people to get care.
In Wisconsin, over 50% of the marketplace are at less than 250% of the federal poverty level, so you can see what's going to happen with fewer people being covered.
MH: One of the other implications in the AHCA is that hospital lobby groups supported the Medicare cuts that occurred in the Affordable Care Act with the promise of more people being insured. The AHCA tries to get at some of that by the higher disproportionate-share hospital payments. Are those sufficient?
Turkal: No. The way the formula would work for those DSH payments, we would not see a lot of benefit, and it would go predominantly to other states. So, it would absolutely not come close to recovering for us what we gave up in the Affordable Care Act.
Now we're looking at a picture of fewer people covered and lower payments agreed upon for the ACA that are not being restored. Overall, it's a bad situation for patients and a bad situation for healthcare providers.
MH: You've talked about something that's missing from the current debate—the patient. Can you expand on that?
Turkal: From the patient's perspective, anything that is done to healthcare ought to address several main areas. First and foremost, it's coverage and access. People need to be covered and they need to have access to high-quality healthcare providers. Affordability is the next thing. You have seen the statistics of what is happening in the country right now around affordability, so anything that is put in place needs to be affordable for a large percentage of people; it should not disproportionately disadvantage the poor. And then, finally, we have to provide overall value to patients, and that means high-quality care; it means managing them according to their individual needs.
If you think about things from the patient's point of view, we can better manage people in population segments than we do in the current outdated payment mechanism. If I had the opportunity to make a recommendation and have everybody in Washington listening, it would be a two-step approach: Stabilize the individual market in the short term, because that protects patients, and then take a look at global reform so that we stop nibbling away at the edges of healthcare reform and do something that significantly helps our patients.
Unfortunately, the legislation as it exists, speaks of patients in the abstract, but these are real people with real issues who need healthcare and I can tell you our patients are afraid.
MH: Afraid of what?
Turkal: Afraid of losing coverage, afraid of unaffordable care, afraid that a pre-existing condition may exclude them from care in the future. And, certainly, if you look at the population of real patients that we care for, so many families are affected in one way or another by behavioral health or substance abuse issues, and some of the changes that propose to eliminate basic minimal requirements in plans could be devastating to families around those issues.
MH: Thinking about the debate that's going on in Washington and some of the issues you have addressed—affordability, access and this idea of value—how do you approach moving to value knowing that the biggest payer may be cutting back even further to you?
Turkal: For most of my time as CEO at Aurora, we've been about reforming healthcare from the inside. I'm coming up on 11 years as CEO and during that time we have moved our position from the highest cost to the lowest cost and the highest quality in eastern Wisconsin. That formula is what needs to happen in healthcare across the country: higher measurable quality, lower cost. So, we've bent the cost curve.
If you look at episodes of care, if you look at commercial populations that we care for, we have become very efficient. There is more efficiency to be had in healthcare systems and we're anxious to get at that.
In our commercial accountable care organization approach, we have over 90% renewals with the companies that sign up. We tailor healthcare to the needs of those employees. They have seen either flat or single-digit increases in premiums over those past four years.
If you look at Medicare in Wisconsin, the average expenditure per Medicare beneficiary is over $1,000 less than the national average, so we're more efficient in the way we're utilizing resources here. I'm anxious to get at this with other populations; we just haven't grouped them the right way and we haven't incentivized healthcare systems the right way over the past couple of generations.
MH: Your Medicare ACO has done well too. In 2015, you had $5.6 million in savings and about $2.6 million came back to you. What specifically have you done to reorient care in such a way that you have been able to drive that value?
Turkal: The single biggest driver of improving that cost position has been uniform quality across the system. We began over 15 years ago with measuring quality in hospitals and in outpatient settings, incentivizing our physicians and all of our executives around quality outcomes. As we standardized quality and standardized care, the costs have melted away. Then, as we have gotten more sophisticated, particularly in the past five years, we have a uniform electronic health record with Epic, so now we're able to look at populations, to look at disparities and dig into that data and make things better around both cost and quality.
MH: You must have had some hiccups along the way though, right?
Turkal: Early on, going back about 15 years, I think we did some of the same things that were not effective. We tried to do general education, for example, on diabetes care for our doctors, and what our doctors told us at the time is they know how to do the right care, they need the data on their patients to make it better. So, we reoriented our quality around providing a feedback loop of data to our physicians and nurses and pharmacists so they could act on it.
One of my great sources of pride at Aurora is we have a single physician group across the entire system. That group is responsible for our service lines across all settings.
MH: As you think about how you reimburse your physicians, have you moved away from the relative-value-unit model? Are you looking at more value-based pay for your doctors?
Turkal: We are. We have a physician plan that allows us to gradually increase incentives for care of populations. We won't necessarily do that the same with all physicians. That's part of the finessing of this, to make sure that primary-care physicians first focus on population health. And so, we have a plan that still has a heavy emphasis on RVUs, and as our payment structure changes we will gradually change that plan.
People make the mistake of thinking of this like a point in time or a light switch that you turn on or off around population health, and, in fact, we're going to be in a mixed model of reimbursement for the foreseeable future.
MH: What percentage of your revenue is tied to an alternative pay model or a value-based model?
Turkal: It's still the minority of the way we're paid; 15% of our 2017 net revenue is projected to be in either upside-only or upside-downside risk agreements. Despite that, we've emphasized prevention and wellness. We think it's the right thing to do culturally and the right thing to do for our patients.