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Shaun Derry tells Cambridge United players to 'stay cool and calm' for Crawley Town game in League 2
Shaun Derry looks ahead to Cambridge United's game at Crawley Town in League 2
Aaron Mason
Cambridge United head coach Shaun Derry (Image: Simon Lankester)
Shaun Derry remains "relaxed" about Cambridge United's start to the Sky Bet League Two campaign and is optimistic they can get off the mark at Crawley tomorrow.
Neither side has a point from their first two league fixtures, but Derry said the key was for United's players to just keep doing what they were doing.
He said: "We've been building on staying focused. We're all very realistic and understand that the season has literally just started and the two league games that we've played we've lost both by the odd goal against teams who finished last year in the top seven.
"We've got 44 games to go, it's a long old season and I'm quite relaxed about it, if I'm honest.
"Obviously, I'd have liked to have got two wins, but so would every manager in the country.
Harry Darling 'honoured' to sign Cambridge United contract extension
"Just don't bend, back exactly what you do. Back the players, back yourselves and just look forward to this weekend as another opportunity where we can go to Crawley and get maximum points. That's the outlook, you've always got to be positive. I was going into the game against Carlisle.
"Three or four inches shorter off the bar and you come off at 2-2 and things have a different outlook – but that's the game.
"That kind of opportunity that didn't go our way will go our way in another game. I've seen it too many times before."
Brad Halliday 'slim chance' of making Cambridge United game at Crawley Town in League 2
Derry felt United had the capability to cause problems for Crawley, who are managed by former Australia and Liverpool star Harry Kewell.
He said: "I think we have to create the advantage. If we play to the best of our abilities, I'm sure we can beat most teams at our level.
"That's what my message is to the players this weekend: stay cool, stay calm and realise it's the third game of the season and there are 40-odd games to play.
"You just want them to go out there and be the best they possibly can be and that's the message I'm giving them, showing them the backing they've got at this club."
Cambridge United FCCambridge United vs Stevenage LIVE updates: Team news, score updates and reaction from the U's League Two matchFollow all the updates live from the Abbey Stadium
Cambridge United FCTottenham Hotspur youngster on his favoured position, playing with Japhet Tanganga and keeping his feet on the ground at Cambridge UnitedThe 20-year-old will stay with United for the rest of the season


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For volunteers and coordinators, Green Up Day fosters appreciation of the environment, and community
By Wendy M. Levy/The Commons
The day started out chilly and gray, but by noon, when the sun started peeking out behind the clouds, things looked much greener in and around Windham County.
The green many locals and visitors saw last Saturday came in the form of big trash bags, sprouting up on the side of nearly every town road in the state.
Approximately 20,000 Vermonters scatter every year on the first Saturday in May to collect more than 40,000 bags of trash from the state's 15,793 miles of town roads.
At the hubs, where one or more volunteer organizers greet participants, distribute supplies, and send them on their way, organizers reported a good volunteer turnout this year, despite the clouds and drizzle.
In Guilford, coordinator Elly Majonen counted more than 70 volunteers from the town's base of operations at Broad Brook Grange.
The most popular item volunteers found among the roadside trash was beer cans and bottles.
"Bud Light seems to be the winner," said Majonen.
Cups, bags, and containers from fast food restaurants seemed to run a close second, she said.
The state Agency of Transportation provided the bright green bags for the volunteers, and some towns have protective gloves and bright safety vests for volunteers to wear.
In Guilford, volunteers were encouraged to bring their own gloves because, as Majonen explained, "Providing gloves just got too expensive."
Ken and Cal Heile got to work and found a number of water bottles along Hinesburg and Bonnyvale Roads in West Brattleboro and Guilford.
"They were mostly full, with their caps still on. People must have tossed them out of their car windows," Ken Heile said.
The Heiles expressed dismay at the waste but noted that they found slightly fewer water bottles this year.
Another observation this year: fewer slugs in cans. ("You'd shake the cans and hear them inside, then you'd shake them right out," Cal Heile said.)
The couple also noticed something about one of Guilford's neighboring towns.
"As soon as we went into Halifax, it was filled with garbage!" she said.
Majonen said volunteers also found quite a bit of drug paraphernalia, which was "sent over to the sheriff's department."
Jill Wood mentioned finding quite a few scratch-off lottery tickets along her stretch of Route 5.
"Wouldn't it be great if they [the tickets] were biodegradable?" she observed.
The Heiles reported finding quite a few returnable bottles and cans. Because Guilford's hub had no plan in place to redeem the returnables, the couple took it upon themselves to bring the bottles and cans home, rinse them out, and collect the nickels.
"Maybe we'll get 50 cents!" exclaimed Ken Heile.
"Yeah, that's parking [money] for downtown Brattleboro," a bystander responded. "It may save you from getting a ticket!"
A Vermont tradition
Vermont's Green Up Day, started in 1970, was inspired by a Burlington Free Press reporter, Robert S. Babcock Jr.
One March day, Babcock was driving to the newspaper's Montpelier bureau. Along the span of road from his home in Waterbury, he noticed a proliferation of roadside trash revealed by the spring thaw.
The reporter visited then-Governor Deane C. Davis in the Statehouse and proposed the statewide effort, and the governor responded enthusiastically.
Since 1979, the effort has been spearheaded by the nonprofit Green Up Vermont, with the state appropriating a contribution through the Agency of Natural Resources. The bulk of the funding comes from private businesses and individuals.
Towns take care of getting rid of the garbage.
In Guilford, the town agreed to collect the bags, or attendees could bring their findings to the Broad Brook Grange, where they were separated into two flatbed trucks: one for green bags and general trash, the other for scrap metal.
Majonen explained that attendees were asked not to bring discarded tires back to the Grange because "last year it cost the town $500 just to get rid of the tires."
A social dimension
Beyond the virtue of cleaning up the environment, coordinators and volunteers alike enjoyed the social aspect of Green Up Day.
Many participants described seeing friends and neighbors, some of whom have not been seen since the previous year's effort.
Some hubs offered volunteers additional perks, such as Green Up Day stickers, and made sure they were well-fed.
At the Elliot Street location in Brattleboro, Robyn Flatley made homemade chai, a lightly-sweetened, Indian-style, hot spiced-tea drink, for volunteers to enjoy.
At Brattleboro Subaru — one of the four hubs in Brattleboro — Bob Grover stood at a grill, cooking 100 hot dogs and 70 hamburgers for volunteers.
And in Guilford, Don and Evelyn McLean provided attendees at the Broad Brook Grange hub with their homemade "Green Up Day" cupcakes, which were decorated with bright green frosting and dark green sugar sprinkles.
From La-Z-Boys to carrion
The day's activities made volunteers aware of the cumulative impact of littering, noted Robin Rieske, another organizer at Brattleboro's Elliot Street hub.
Dr. Rebecca Jones, who let the group use space in her dermatology office's parking lot, reported an abundance of energy drink cans.
"Wouldn't it be great if they had little homing devices on them so once people finished with them, they'd float back to the company that makes them?" Jones said.
Green Up Day participants found a number of unusual items.
In Brattleboro, they found a television, a full bag of clothing, and a "massaging La-Z-Boy recliner up on Summit Street."
In Guilford, Carole Mills and her crew found "an unidentified animal spine" and a deer skull.
When a bystander asked to see the deer skull, Mills revealed that it was too late.
"I already brought that one home," she said. "It's going up on the wall next to the raccoon I found in a previous year."
Originally published in The Commons issue #253 (Wednesday, May 7, 2014). This story appeared on page A1.
More by Wendy M. Levy

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The new rules that the Republican Party put in place after Mitt Romney's defeat for the White House in 2012 has raised fears that they are not leading to the streamlined and speedy nomination process that party officials had hoped.
And GOP supporters and strategists fear that the rules could lead front-runner Donald Trump to capturing the nomination or otherwise win enough delegates to be a major power player at next year's convention in Cleveland, The New York Times reports.
"You've got a set of unintended consequences that weren't planned for," Richard Hohlt, a Republican donor and Washington lobbyist, told the Times. "So it's going to be harder for a candidate to get to the magic number, which could open up the process to a convention situation."
Republican National Committee Chairman Reince Preibus announced the rule changes last year based on a study begun after Romney's drubbing by President Barack Obama.
Priebus told Newsmax in January 2014 that the rules, which were adopted later that year, "will allow enough opportunity for candidates to make the case to voters at primaries and state conventions, but not enough time for them to slice and dice each other.
"I can't always control people's mouths," Priebus added. "But I can take responsible steps to keep people from killing each other."
But these rules have been overtaken by such factors as a widespread anger among voters at Washington and campaign finance laws that could allow candidates backed by wealthy private groups, like former Gov. Jeb Bush of Florida and Sen. Ted Cruz of Texas, to remain in the race even if they do not do well in early nominating states, the Times reports.
Trump also is financing his own campaign — and that also could make him a player in the long run, strategists said.
"There is a bubble of delusion among Republicans and Democrats in Washington, D.C., with regard to their parties' respective nominating processes," said Steve Schmidt, who advised Arizona Sen. John McCain's presidential run in 2008. "There is no magic date upon which the air will come out of the Donald Trump balloon.
"The notion that Donald Trump cannot be the Republican nominee is completely and totally wrong."
Don McGahn was barely on speaking terms with President Donald Trump when he left the White House last fall. But special . . .


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Making more of health care data
Four local execs discuss what's working, where they're looking to do better still and how Nashville's practicality could use a little pixie dust
The Post team in late October welcomed about 200 people to City Winery for a breakfast and panel discussion on how care providers, technology companies and patients are making better use of health care data. The gathering — which was sponsored by DVL Seigenthaler, a Finn Partners company, and organized in partnership with the Tennessee chapter of HIMSS — featured the following speakers:
Joshua Douglas, CTO of Bridge Connector
Gillian Hooker, VP of clinical development of Concert Genetics
Kevin O'Hara, CEO of Syus
Elizabeth Ann Stringer, Chief Science and Clinical Officer of Axial Healthcare
Their conversation was moderated by Michael Heinley, a partner and deputy of the New York Health Group at Finn Partners. Here are lightly edited excerpts from the morning.
Heinley: Let's jump in. When it comes to using health care data more effectively, let's talk a little bit about what's working well these days. Even just a few years ago, some of this technology and the amounts of data that we have and the way that we manage it was not even imaginable. Josh, how is Bridge Connector making health care integration easier for health systems?
Douglas: Historically, data has been siloed; we hear that a lot. EMRs held all the data. And really, the new models of integration and integration platforms as a service have brought us forward and unlocked those silos so we can access data within those systems. Really going through the clinical workflows and using different pieces of software — not just the EMR — for different things has really helped unlock that data out of the silos.
Heinley: It's sort of the dream of interoperability becoming a reality.
Douglas: It's getting close. It's getting closer every day, but we'll see.
Heinley: Kevin, what about from your perspective? How is that working in the hospitals, the health systems? Are there any that are doing a particularly good job and connecting the dots?
O'Hara: First, taking a quick step back: The economic stimulus package that pushed adoption of EHRs got everybody pretty much caught up. And then over the last few years, you've had people migrating systems. And people are used to moving. When you move, you get things organized. So when people go through these migrations, there's a lot of opportunity to clean data up and to get on new systems.
There's also been — particularly in our area — a lot of hospitals might have had a kind of a best-of-breed operating room documentation solution and that's now generally been absorbed, without any surprise, by Epic or Cerner. So that move over the last four or five years — to everybody being on an EHR, a lot of people being on a consolidated single system and then really getting down that Cerner and Epic and Meditech — has greatly simplified what data sets look like. I think that's been helpful.
In terms of who's doing well, I would say it's kind of the usual suspects, the Intermountains, Cleveland Clinics. And some of them are systems that have been on these larger integrated systems for some period of time, and so you can almost see the future of what happens when you get very organized data, clean data, and you can get out of that realm.
People spend an inordinate amount of time just getting data organized and clean and it doesn't leave them a lot of time to do something with it. I think the folks that are doing well have already passed through that over the past few years and are now applying the resources to doing something with the data as opposed to just trying to figure out how to make it say something.
Heinley: Are you also tapping into the EMR, EHR systems in terms of the data that you're funneling in and out?
O'Hara: Yeah. We get data about essentially the who, what, where and when of a surgical case. That can help you answer the basic questions that you need to answer about how many operating rooms you need to run and how to allocate time and how to standardize. But what ultimately you need to start to do is tap into other systems — supply and implant tracking systems, systems that deal with HR data. So that's really kind of the next step and companies like Bridge Connector and others that are helping to bring that data together and get it out of those silos, that's really what's important now.
Stringer: [There's also] a sort of behind-the-scenes grassroots efforts. Think about data science: It's a new field that's sort of responding to the aggregation of large data sets. And you have some really scrappy people who are just hacking away and trying to make things work. I think that ecosystem is really, really important for then getting those ideas up and adopted to a more enterprise level. You've got so many people sharing information down at this grassroots effort and I think that's really, really important.
Heinley: That's a really interesting point. Does anyone have a perspective on maybe coming in as a square peg and trying to fit into a round hole? Because there are legacy systems and these are new technologies and platforms. Is that a challenge that you ever have to face?
Hooker: This is very much a challenge we're facing in the genetic testing space. Right now, most genetic tests are ordered in the EHR using a miscellaneous code and maybe a free test field. But more often than not, there's a piece of paper that exists in parallel to the EHR. So, there's no tracking of whether a test was ordered, let alone what test was ordered.
And when tests come back, they come back as PDFs. They get uploaded somewhere in the EHR — often not in the same place every time. You could walk into some of the most sophisticated systems in the country and say, "How many of your patients have been tested for X, Y, or Z?" and they can't answer that question. Even systems that have sequenced everybody in their whole system couldn't say who was having a clinical test. So the tracking is really poor and there are poor standards. And that's one of the things we're trying to do: Build standards for tracking that through the whole process.
O'Hara: Just to jump on that: There is a strange dichotomy between really interesting things that are going on at a high level with AI and machine learning and these really low-level issues like things being entered into a miscellaneous category. We deal with this constantly. We're introducing benchmarking now and just the names that people use to describe surgical procedures…
Even within the most sophisticated health systems and facilities, this is typically a mess. They're just free text entries. Your typical community hospital may do 800 to 1,000 different types of procedures a year, with a knee replacement being one and an open heart procedure being another. And there should be 800 to 1,000 names. We have customers that have 18,000 different names and trying to determine what the average length of a total knee replacement is is sort of like getting out of bed and having to go find your clothes somewhere else. You can't do the thing that you really want to do because you're first hamstrung by trying to figure out which of those 18,000 codes describe a knee replacement.
Heinley: Josh, what's your take on the challenges that you have to face in this space?
Douglas: I think there are two ways to solve it. One is with standardization, right? So you have code sets trying to solve those problems but they only go so far. We're finding new things and constantly having new procedures and new tests — especially genetics that these code sets don't typically cover — or there's not enough expertise at the health care facility to apply the correct code.
So one way standardization is coming down is through government regulation. But the other way is through data and modeling and natural language processing and actually using technology to comb over the data and really learn what the intent is. And I think that's probably the better way of doing it. I don't know that the governmental regulation is going to solve all of our problems. It's brought us so far and it's good in some ways, but I think we're really looking at technology to solve those problems.
Heinley: What about HIPAA and patient confidentiality? There are a lot of constraints around that, not the least of which is just data security. Elizabeth Ann, how much of an issue is that in your situation?
Stringer: This is a huge issue with the opioid epidemic and we always want to start with the patient, right? We're all here in health care because we feel strongly about trying to help patients get better. So we also want to protect their information. But one of the problems with sharing information across systems is you do have some of these extra security and privacy rules. One of those, particularly in the opioid epidemic, that many people might not know about is that not all providers are allowed to know about diagnoses of the patients they're caring for.
At Axial, we gather claims data so we understand about the diagnoses from multiple providers of an individual patient and we would want to share that with all the providers that are touching that patient. But we're not allowed in some states and in some markets to share information saying that this patient has opioid use disorder. So a doctor might be trying to make a decision about the best course of care — is an opioid appropriate or not? — and they aren't allowed to know that that patient is in fact diagnosed with opioid abuse disorder.
These are some of the challenges that we're up against in solving the opioid epidemic. But [it's similar] in health care more generally, right? What is appropriate for a provider to know? Don't we want to give the provider that holistic view of the patient so that they can make the best decisions for that patient?
Douglas: The HIPAA law is 300-and-some-odd pages. And what you're getting at, I think, is also patient consent, right? Having to deal with patient consent across integration of data — whether it's from HIEs or whether it's coming out of EHRs — consent's a hard problem to deal with. And each state has different laws — is it opt-in, is it opt-out — and it's a really complicated problem to solve and everybody's worried about it. Nobody wants the Office of Civil Rights knocking on your door.
Hooker: In genetic testing, there are a whole host of emerging problems that aren't even addressed by HIPAA. Right now, your genetic information isn't considered personal health information. It isn't considered protected even though — think about it — it's inherently identifiable information. You can look at stories like the Golden State Killer who was tracked down using ancestry databases.
There are a lot of concerns that arise when it comes to the fact that your genetic information may not just identify you, but it could identify your family members. So how are we going to handle permissions in that context? And then it expands even more broadly to who owns that data. A lot of genetic information is being used for research and a lot of folks are buying genetic information from the consumer market — the companies like 23andMe — or from research institutions to use it for great purposes, for the development of new technologies, for the development of new drugs. But I think there are a lot of questions to be resolved around permissions and whether folks should be made aware when their data is being sold, whether they should have a say or not.
Behavior changes
Heinley: Elizabeth Ann, you mentioned providers earlier and I'm really curious about how they are reacting as a prescriber, a physician, somebody who has taken the Hippocratic Oath, when you're putting in front of them data that could be to the contrary.
Stringer: This is a question we get asked a lot. How are providers actually taking the information that you're using? Are those friendly conversations? When we think about what's best for the patient, it's really about getting to the provider. How do we change that provider behavior?
At Axial, we have a model where we're doing outreach to providers, educating them about their patient population. In these outreach efforts — phone calls, onsite visits — it's really important to think about relationship building and gaining the trust of the provider, and a lot of that starts at the level of the data. When providers start to understand you have some patients that are really high-risk that probably need a different care path than they're currently on, providers can get really defensive. I mean, I don't want somebody to come in and tell me how to do my job, right? And so, I think the data can be one of those keys for helping us establish trust early on.
The data is true. We can't deny that. And beyond the data, one thing that's really helpful to us in the opioid space is the fact that providers feel like they're under a lot of scrutiny right now. They are really looking for those trusted partners to help them do a better job of delivering care. It has to be individual patient-based analysis first and then we roll that up to the provider level.
Heinley: It's the axiom that the data is only as good as how you can really use it and apply it in your situation.
O'Hara: Yeah. Going back to what Elizabeth was saying a minute ago, I think what you're describing is that, in the health care and medical fields, there's a lot of faith that providers, doctors and surgeons are scientists. Right? They're trained scientists and if you put the data in front of them, they're going to use the data and respond to it.
But one of my favorite areas of what we do is really also looking at them as human beings and understanding that there is a lot in the way you frame the data and present the data [that determines] how it's going to be received and how it's going to be used. As Elizabeth Ann was describing developing these relationships, I think there are a couple of interesting things: One is how do you do that in scale and also how do you use different communication methods.
In our area of operating rooms, there is this concept that you have a wall of fame or a wall of shame. Something that hospitals focus on is surgical cases starting on time. What percentage start on time? So there's this idea that, in the surgeon lounge, you're going to post either a wall of fame or a wall of shame. And our approach is to do neither of those things. You figure out how to provide them the information. You treat them like grownups. You talk about your partnership with them and how you're trying to help them do their job better and you try to find some third thing. It's framing it about the patient having to not eat overnight, not drink, showing up in the morning, their family's there and not wanting to wait around. And then you translate it into something like that as opposed to kind of being about the hospital or the surgeon.
There's a lot you can do with raw data. But if you have the best data in the world and you come at it completely wrong in terms of presenting it, you're going to fall flat. There's a whole realm around that that I think's really interesting.
Douglas: One of the things that is important for me is to understand from a customer perspective — and that customer could be a clinician, it could be a registration person, it could be a surgeon — what they want to do. What do you want your new ideal workflow to be? Or how can we make this data actionable in your current workflow? I think that's what we were getting at. You can collect all the data you want. You could even present the data. It doesn't make it actionable. Tying into current workflows and delivering communications how doctors are used to getting communications is key in making that data actionable.
Don't try to change what people do day to day — whether it's a clinician or whether it's a registration person. Find out what they do, how they work and then present the data as they work through their normal workflow. When you try to completely change how somebody works, especially in the health care space, their initial reaction is to say, "Whoa, I can't do that." Or like you said, Elizabeth Ann: "Don't tell me how to run my business. Don't tell me how to treat my patients." Just help them treat their patients at those action points.
O'Hara: I think the challenge to that is that, to get improvement in the areas where our customers want to see improvement, it does require behavior change. Now, some of that may be just educating people, right? But how do you provide the framework for change to be easier? We look at a couple different models, and there's nothing new in these areas but there are models for change management at organizational level.
There's a really good model by a guy out of Stanford named BJ Fogg. He talks about individual behavior change and it's basically, "How difficult is the change and how bad do I want to make it?" Then you have this sort of curve that you want to be on the right side of by making it relatively easy and making the desire to do it pretty high. And if you're on the right side of the curve, you're going to get change. And if you're on the wrong side of the curve, you're not. But what causes that to happen is ultimately a trigger.
What we looked at is how does the data provide a trigger. How do you put something in front of someone that triggers them to make a change that they probably already want to make and is pretty easy? But the challenge is that we do need to push people out of what they're doing today or you're going to get the same result that you got yesterday. But we do need to make it easy.
Hooker: That's where we've looked to take a lot of lessons from the consumer space. There's been a lot of innovation in [creating] interfaces that are intuitive and that folks can use. We've built a genetic testing formulary that looks like a marketplace. I would say it's like organizing a grocery store where we've taken all the genetic tests that do similar things and put them together so that people can find them and they can really compare side by side the benefits and the limitations of this particular test over another. What are the cost implications? What are the insurance implications?
Stringer: One of the things I'd like to add is that to make data and analysis actionable, we've got to bring together multidisciplinary teams. Thinking about a marketplace, how do consumers consume information? We need experts in a lot of different domains and bringing them all together to solve a problem can be really, really tricky. So, in addition to the challenge that data provides, bringing stakeholders together in the design process is really key to making it actionable.
Talk versus reality
Heinley: Let's talk about hype. When you are dealing with different stakeholders, with decision makers, with folks in this room who are representing their organizations, how do you convince them that this or that is a new platform that they need to develop? I understand that health systems switching over technology platforms is a long-term premise. So how do you separate that and how do you approach facilitating a decision-making process with these new platforms as the technology is rapidly advancing?
Douglas: When I hear somebody say "big data," that is an indicator that it may be hype what they're talking about. Most data is not that big. When people say "big data," they usually mean something like a distributed database or they'll use big data and AI in the same sentence and they're not the same thing.
It's hard to separate the hype from reality. I think there are some really good companies and some really good data scientists out there that are using things like unsupervised machine learning — which is kind of the next level of "Let's let the computers and algorithms figure out their own algorithms and dig through the data to deliver some kind of analytics." But how does that help a customer? How does that help a doctor make the decision? Well, generally, they can't tell you, and that's the key.
The question is, "Can you do human analytics first and deliver something valuable to the doctor to make some kind of decision on a patient?" That's way more valuable than coming in and saying, "Well, we can deliver a big data and AI platform." That doesn't actually mean anything, right?
Hooker: We have a long history of hype in genetics. They even have their own name for it called genohype — instead of genotype. Remember when the human genome was sequenced and the announcement was made in 2003, there were folks saying, "Oh, in a couple years, we're all going to have our genomes sequenced? We're all going to be walking around with our genome on a watch, on a phone?" And here we are, 15 years later, and still maybe one or two million genomes have been sequenced worldwide, the majority of them for research or clinical purposes.
It's taken a long time to get even to where we are in 15 years, and in many ways we aren't where we thought we would be. In other areas, we're ahead of where we thought we would be — in cancer and molecular microbiology and things like that. So, it's a mixed bag. Now, bringing in the AI piece, I think it's sort of adding onto of a lot of the hype that was already there. Through it all, though, I think that there's a core group of folks able to work through it and continue to innovate in very pragmatic ways.
Stringer: As a scientist, I say prove it to me. And that's something that I tell people all the time. Here's a story that I thought was really interesting and sort of proved my point: I'd get asked all the time by investors and other leaders, "What are you doing to bring in new data sources and shouldn't you be putting together legal information about somebody who has a DUI or something like that?" And it's like, "Well, our models are pretty good right now. I don't know how much more accurate you want them to get."
But in the latest Stanford Medical Center magazine, there was a profile of a scientist working with a physician on a predictive model for patients that need to be engaged in palliative care conversations and end-of-life conversations. It's a really great piece. And you think about Stanford and their access to the EHR and in pulling in data from there. What they ended up pulling in — the data they pulled in to train their model — was just this sort of claims-based data.
That's the data I deal with so I found that very interesting, that I'm sort of challenged all the time about needing to integrate with EHRs and pull in the data from EHRs. And here's, you know, Stanford — where so much innovation is happening — and they're just using the claims part of this EHR. It's something for us all to really consider. What are those validation outcomes? How much better we can get with these hype words?
Heinley: The proof is in the pudding.
Stringer: Yes.
Heinley: So let's bring this back home, to Nashville. I'd like to get your take on the future of the city's fast-growing, data-driven medical sector.
Douglas: I think it's really exciting to see Nashville. I was born here and moved around a lot and ended up back here. I love this city. It's exciting to see it shift from — and I mean no disrespect here — the old guard of health care such as HCA, CHS and so on and really get into the smaller, entrepreneurial, tech-focused companies delivering solutions for niche industries within health care. That's what I get really excited about and when I come to events like these and meet people and hear about what they either are doing or want to do.
Hooker: We talk a lot about knowing Nashville is both physically and sometimes is metaphorically situated between Silicon Valley and Washington D.C. and how that gives rise, in my perception and experience, to a very pragmatic innovation. It says, "Yeah, maybe we won't all be wearing our genomes on a watch six months from now. In Silicon Valley, they might. But how do we really innovate at the real-world challenges of health care? How do we use real-world data to drive decisions and how do we deliver systems that can really reach a lot of different people who are in a lot of different places when it comes to health?"
O'Hara: Using the word pragmatic is how I think about it. We can hold ourselves out as the real world. You know, we've got the HCAs and the LifePoints and large companies that manage a lot of hospitals. We know what the reality is on the ground. That can be limiting in a way, too, right? But we're going to be more about iterative innovations, pragmatic innovations. And that's sort of what we think about ourselves. But that makes us, I think, inherently less of kind of a moonshot town. We're not hype-y.
We compete against some companies that are in Silicon Valley, that have raised tens of millions of dollars and they're former Google engineers and former Uber engineers and their take is that health care is really broken. "The people who are doing it today are messed and they don't understand how to fix it and we've got magic pixie dust and we're good enough to come sprinkle it on you guys in Nashville and fix the messed up stuff that you've been doing for a long time." And there's some value in that, right? I mean, there's this notion that, if you ask people what they want, they wanted a faster horse.
So there's that inherent tension that I think we in Nashville have a lot to offer in the regard of understanding how this stuff lives on the ground. But thinking about how to get out of that trap a little bit to take bigger moonshots is also important.
Heinley: I saw a lot of heads nodding around the room as you were talking. Elizabeth Ann, anything to add to that?
Stringer: I think another important part about moving the technology forward is the money that it takes to do that. When I think about Silicon Valley and the way they're able to advance and innovate, so much of that is predicated on the money that's there and the investor community. We have some great investors here in Nashville but we're nowhere near the size of the capital that we would need here to do the things that they do in Silicon Valley. That does limit us a little bit more.
And so there is more of that pragmatic approach. Data inherently is kind of sterile so how do you bring humanity to that? And there's a connection here in Nashville with having such a large provider community, a hospital community that helps us really understand the health care ecosystem better and allows us to move forward. But it's not going to look the same as Silicon Valley.
Via Nashville Post.


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School Bus Filled with Memories
August 31, 2015 December 6, 2018 Steve Campbell2 Comments
I became nostalgic of my childhood after my high school class held its 40th reunion in July (which I missed but saw pictures of on Facebook) and the school season began last week for most of the children living in my area, while others began the season today. As it was when I was a child, township, county, and state lines decide what school each child goes to, which can alienate neighborhood friends by sending them to different school districts. I had a next-door neighbor who went to a rival school because the district line separated our properties. We were best friends during the three months of summer, and then barely saw each other during the rest of the year. We both rode buses—the yellow ones with flashing amber and crimson lights on them—and we would wave at each other while standing in front of our homes at seven o'clock in the morning, waiting for our rides. This was during the 1960s, so we weren't privileged to cell phones. If such a thing had existed back then, we would have talked to and texted each other, and kept one another abreast of our lives instead of waving from our designated places that seemed miles apart from each other along our country road.
If you were a child who rode a bus in from the country to school, you may have had to sit on the edge of a seat along the aisle because of overcrowding. I spent those days from first grade to third grade learning how to balance myself on the edge of a seat without falling. By fourth grade, another bus added to our school lessened the amount of students crammed inside my bus. When that happened, I discovered the comfort of sitting fully in a seat. The only discomfort I recall was having the back of my head attacked by straight pins older kids shot through drinking straws.
Riding the back seats of the bus was a privilege reserved for older students, and most of the country boys that usually occupied them were ornery and mean when they had to wear starchy school clothes and spend their days indoors instead of out. Hijinks from them abounded when the many stops at houses occupied the bus driver. Younger students learned early to safeguard their lunchboxes, lest they arrive at school with no food to eat.
I enjoyed school, so despite the straight pins and occasional wedgie, my morning rides on the bus were filled with delicious anticipation. I made many friends on my bus until my father moved us to town so he could be closer to his job. I missed riding the bus most of all.
School buses traveling on sticky, tarry roads have a unique sound. It's a haunting music to my ears fifty years later, and I have awakened often to the raspy six o'clock sound of bus tires singing to me during August, September, and October when the bedroom windows are still open. They sing a siren's song of bygone days that I wish I could relive, if only for a week of waving to my neighbor and best friend who died five years ago from cancer. Of sitting on the bus with school chums that have moved away to distant places. Of talking about the latest Johnny Quest cartoon with that girl who said she was a tomboy and proud of it. Of trading baseball cards and lunches with an older boy named Frank who was killed in Viet Nam. Of riding home with the windows down at 60 miles an hour on those hot days when going home was the best feeling in the world after a long day at school. To do that would be the greatest "blast from the past" in the world.


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17 Tips for Aspiring Artists from the Year's Top Commencement Speeches
Nick Cave, Carrie Mae Weems, and others bring down the house.
Artnet News, June 2, 2016
James Franco, speaking at Cornell University. Image: Courtesy Cornell.
Carrie Mae Weems, speaking at SVA, 2016. Courtesy of School of Visual Arts.
1. Carrie Mae Weems, artist, at the School of Visual Arts
"Making art is extremely difficult, requiring tremendous courage, enormous sacrifice, great risk… Knowing this, you nevertheless stand at the precipice and you leap into the abyss, into the arms of uncertainty. Open and alert, you respond sensitively to the world around you, and it causes you a great deal of pain and tremendous trepidation. But, of course, these are the natural byproducts of a closely examined life."
Tania Bruguera at SAIC commencement. Courtesy of School of the Art Institute of Chicago.
2. Tania Bruguera, artist, at the School of the Art Institute of Chicago
"Remember to be the best you can at what you do, but never forget to be a good person, because we do not need more asshole artists… But real success is not to be interested in success. It is not easy. It took me a long time to think this way. I had to unlearn all that society expected of me in order to learn what I expected of myself."
Left to right: Otis dean Bruce Ferguson, Rick Lowe, and Masami Teraoka. Courtesy Otis College of Art and Design.
3. Rick Lowe, artist and founder of Project Row Houses, at Otis College of Art and Design
"I realized the importance of being proximate. We all have things we like, and things we care about, and of course with social media and the internet, and [the way that] we all communicate via cyberspace, we don't know how to be proximate to things any longer. And I'm going to tell you: Being proximate is so important."
Dana Schutz speaking at the New York Academy of Art. Image: Courtesy of New York Academy of Art.
4. Dana Schutz, artist, at New York Academy of Art
"You build the art world with your friends. Show with your own generation. There is more power in trying to build something yourself than trying to fit into some scene that already exists. Paint what you would like to see painted. Don't paint for an audience—it's too general and weird. Paint for a shifting cast of friends in your head. Define yourself not by your successes, but by how you survive your most difficult times. Alice Neel, the painter, once said, "The more experience you have, the better it is. Unless it kills you, and then you know you have gone too far."
5. Pablo Helguera, artist and educator, at the Kansas City Art Institute
"There is no way around it. You will be, always, essentially alone. You will certainly love, and will be loved by someone, and will have lifetime friends and journey companions, but the fact is that your journey as an artist will include experiences, things, that are incommunicable even to those who are closest to us. We can't talk about them, because the only way to communicate them is through art making. And the beauty and the hard truth about art as communication is that you never know who will be on the other end to receive your message, or when that might happen. You will need to get used to this kind of solitude."
Melvin Edwards speaks at the Pennsylvania Academy of Fine Art. Image: Courtesy PAFA.
6. Melvin Edwards, artist, at Pennsylvania Academy of Fine Arts
"The solid evidence of the truth comes from the circle of discovery in the unknown. You don't know what you are going to come to in the development of your work. I know that to be a reality as an artist. And what you don't know is going to give you the best surprises."
7. Jon Rubin, artist and founder of Conflict Kitchen, at the Columbus College of Art and Design
"I've got some good news: Guess who've been trained, like secret ninjas, to take disparate, even seemingly opposed cultural influences, styles and identities and remix them into nuanced new forms? Artists! We have the unique capacity to be completely comfortable in what we don't yet know or understand: what is foreign and unfamiliar. In contemporary society, this is an incredibly valuable skill. As students of the imaginary, we have the most powerful, binary-busting superhero power possible: Empathy. Because what takes more fantastical imagination than being able to project yourself into someone else's experience. And as artists we don't do this for ourselves, we seduce the public to take the path towards others, towards ways of seeing that are not our own."
Pepón Osorio, on stage at Maryland Institute College of Art. Image: Courtesy MICA.
8. Pepón Osorio, artist, at Maryland Institute College of Art
"Little did I know that by stepping out of the art world that was constructed for me at school, I was creating my own art world. A 360-degree artistic practice developed, where my surroundings, regular people, shared stories, and urgency mattered. I realized the importance of placing empathy at the center of my artistic career, and I really urge you, graduating class, to place empathy at the center of yours."
Commencement speaker Nick Cave. Courtesy of Lesley.edu.
9. Nick Cave, artist, at Lesley University
"You must be a creative change agent, navigating and operating in this vast changing complex world. Art is our diplomacy. Use it to make a difference. Be of service to the country, to the world. Have passion. Speak out when necessary. Be kind to one another. Help somebody. I am a living example, and I live my truth, hustling everyday to make a difference. Using art as a vehicle for change. That is what leads my life's work."
10. Edie Falco, actress, at Columbia University School of the Arts
"Say what you mean in all your interactions. Mean what you say. And don't say it mean."
11. Gonzalo Fuenmayor, artist, at School of the Museum of Fine Arts, Boston
"I believe pursuing a career in the Arts is an act of rebellion; a rebellion against fear, imposed social norms, disappointing family or other people expectations or financial uncertainty. The fact that you are sitting here, in this room, is a clear indication that you've swam against the current; that you've been brave."
12. Kay WalkingStick, artist, at Pratt Institute
"Don't let money be the primary goal, but rather let your goal be interesting, enlivening activity. (Oh, money is important, but not more than the avoidance of boredom.) Take risks to find an interesting life partner—someone who can talk about your profession, whether that is art or not, with curiosity and affection. Take plenty of time with both roles. They last a lifetime, so treasure them."
Ruby Lerner speaking at the Maine College of Art. Image: Courtesy MECA.
13. Ruby Lerner, founder of Creative Capital, at Maine College of Art
"We need artists to be part of redesigning our health care, education, criminal justice systems. We need more artists in public office. You have been set up to be "social sculptors," as influential artist Joseph Beuys advocated. He saw society as a great work of art that we are all called upon to transform and reshape. As artists, look at what you bring to that task."
Laverne Cox, speaking at the New School. Image: Laverne Cox.
14. Laverne Cox, actress, at the New School
"I am here because I had a lot of support. I never gave up on my dream. And the moment I had a platform, I tried to use it to give back. To be of service."
Lisa Congdon, speaking at Minneapolis College of Art and Design. Image: Courtesy MCAD.
15. Lisa Congdon, artist and illustrator, at Minneapolis College of Art and Design
"Gone are the days when you had to choose between being an illustrator or a fine artist. An editorial illustrator or surface designer. An animator or a graphic designer. Today you can choose to pursue and thrive at any number of creative pursuits."
16. Dominic Man-Kit Lam, artist, inventor, and physician, at Brooks Institute
"Sometimes people think that your ideas are ridiculous. You should try and prove them wrong."
17. James Franco, actor, at Cornell University
"You don't have to lose your mind and go to every school like I did, but be a bit like Steve Jobs—every once in a while, try a calligraphy class, because you don't know where it will lead."
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Senate Inquiry into Private Museums Finds Tax Code 'Ripe for Exploitation'


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Tenant Fees Bill will cost landlords £82m
The Tenant Fees Bill will cost landlords £82.9million in the first year, it was revealed today, with letting agents paying £157.1m.
The figure was included in the Government's official response to the HCLG Select Committee's report on the draft Tenant Fees' Bill.
The full response, which has been published here, includes an impact assessment stating: "The main costs fall on landlords and letting agents as a result of the ban on tenant fees."
It goes on to state that in the first year of the policy, it is estimated that the cost to landlords will be £82.9m whilst the cost to letting agents is estimated to be at £157.1m.
The impact assessment goes on to say that these estimate figures include 'pass throughs', for example by letting agents charging landlords higher fees.
The concerns about the tenant fee ban costs being passed on to landlords was raised by RLA Policy Director David Smith, when he gave evidence at the CLG Select Committee in January.
In response to the Select Committee, the Government has accepted the Committee's recommendation to amend Schedule 1, paragraph 1 (6), to make sure landlords don't increase the first month's rent in a bid to recover the fee.
The Government notes: "Landlords will only be able to charge a varied level of rent if this has been agreed with the tenant subsequent to the tenancy being entered into. Government has been clear that the intention of this paragraph is to prevent landlords and agents from inflating the first months' rent as a means of circumventing the ban."
On deposits, the Government has rejected suggestions put forward by the Select Committee, to lower the cap on deposits from six to five weeks, noting that 'a depsoit of six weeks of rent will be an upper limit and not a guideline', adding that they expect that landlords should consider on a case by case basis the appropriate level of deposit to take and will provide guidance to this effect.
The deposit is also only retained by the landlord in instances where the tenant defaults on their obligations under the tenancy.
However, the Government has accepted the Committee's recommendation, that "The Government should amend Schedule 1, paragraph 3, and Schedule 2, to clarify that holding deposits can be paid to letting agents as well as landlords."
Following the publication of the report, the Bill will now move on to its second reading, which will be the first opportunity for MPs to debate the main principles of the Bill.
Written by Sally Walmsley
Blog Post from Residential Landlords Association


Jerry Levitt has been shooting and printing for more than 60 years, starting at age nine with his first camera, a Kodak Brownie. During his teens, he spent summers as a camp and resort photographer, and in college, worked as a wedding photographer. Jerry continued to document his family, friends, and trips to remote parts of the world while practicing medicine. He now divides his time between Deer Isle, Maine, and Philadelphia, where he focuses his lens on nature—the changing light of coastal New England in all seasons, and those ephemeral moments when the fog begins to lift, the snow sparkles, and the setting sun turns the forest ablaze with color. He strives to capture his vision with his camera rather than through digital editing, patiently waiting for just the moment when the light is most transcendent.


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museum closed due to renovations. find out about our alternative programme museum closed due to renovations. find out about our alternative programme museum closed due to renovations. find out about our alternative programme museum closed due to renovations. find out about our alternative programme museum closed due to renovations. find out about our alternative programme museum closed due to renovations. find out about our alternative programme
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Home Middle Age Utensils
Middle Age Utensils
With the church as the centre of cultural life in the late Middle Ages, many costly liturgical objects were made for Catholic worship.
Religious objects, such as communion cups, fonts, pyxides (small containers to carry the Host) and incense burners influenced the tastes of the well-to-do. Small devotional items, such as diptychs, small figures, writing tablets and draughtsmen with religious representations were made from exotic materials such as ivory and gold. Lead-tin pilgrim badges were produced as mementos of visits to places of pilgrimage.
Household Effects made of Pewter and Brass
In the late Middle Ages luxury objects made of brass and bronze were produced mainly in the Meuse valley (Dinant) and Germany (Hildesheim and Nuremburg) and exported to several European countries. Pewter objects for everyday use, such as dishes, salts, drinking vessels, flagons and religious accessories, such as fonts, pyxides and pilgrim flasks, were chiefly made in the Low Countries.
See also: Long Live Crafts: Base Metals
that in the Middle Ages people ate with a knife and a spoon? Forks had not yet been introduced to the Low Countries? In working-class households it was normal to eat directly from the table, without a plate. Guests were expected to bring their own knife with them. Only important guests were given a knife.
Alexandra Gaba van Dongen about table manners in the 16th Century. In the museum a table is laid with objects from the 2nd half of the 16th century. Alexandra Gaba van Dongen, curator of pre-industrial design, dwells on the dinner set of plates, forks, and tazza's (wineglasses). Furthermore she quotes Erasmus, who taught the students from Latin schools the etiquette. More information
In the Low Countries there were early attempts to imitate Venetian glassware. The first 'à la façon de Venise' blown glassware was made in Antwerp and Liège. The tall, slender flutes are typical examples of Dutch 'façon' glassware. Glass production in Germany went its own way and the green rummer remained extremely popular as a wine glass. The rummer was also produced in the Low Countries.
See also: Long Live Crafts: Glass
Anonymous, winged glass, 1580-1625, soda glass, Venetian-style, bequest: Dr. E. van Rijckevorsel 1928
Johann Simon Rothaer, Display rummer with panorama of the city and harbour of Hamburg, 1704-1709, glass, wheel engraving, silver-gilt, donation: Dr. E. van Rijckevorsel 1916
Sgrafitto earthenware
Sgraffito is the term for terracotta ware with designs incised into a layer of white slip. This centuries-old decorative technique was introduced into Western Europe by way of Persia and the Byzantine Empire. In the 15th and 16th centuries Dutch potters also used these 'drawings in clay' on simple, everyday earthenware. In 2008, Boijmans Van Beuningen Museum organised the exhibition 'Sgrafitto in 3D'.
Anonymous, dish, 1575-1650, redware, green lead glaze, sgraffito, purchase 2004
Anonymous, Syrup pitcher, 1625-1675, earthenware, sgraffito, purchase 1959
The collector Van Beuningen-de Vriese
The collector Hendrik J. E. Beuningen, a nephew of D.G. van Beuningen - one of the two name givers of the museum, was fascinated by archaeology from an early age. Unfortunately his prehistoric collection was destroyed in the bombardment of Rotterdam, but the dramatic historical event also laid the basis for a new collection: pre-industrial domestic objects. As the rubble was cleared away, large numbers of objects from earlier centuries came to the surface.
Van Beuningen found his first buried treasure in the years immediately after the bombardment. Over the next few decades he and his first wife Miem de Vriese assembled a collection of more than ten thousand objects dating from the 11th to the 19th centuries: kitchenware, tableware and glassware, lighting and other everyday objects that are essential in any household. After many years of faithful service they are being discarded, to be sometimes resurfaced centuries later.
In 1990 H.J.E. van Beuningen donated his extensive collection to the museum. It is displayed in the basement of the pavilion that bears the couple's name – the Van Beuningen-de Vriese Pavilion.
A selection from the Van Beuningen-de Vriese collection
spoon Anoniem
three kings jug Anoniem
pipkin Anoniem
nutmeg rasp Anoniem
fork Anoniem
frying pan Anoniem
biconical bottle Anoniem
cooking pot Anoniem
chamber pot Anoniem
dish Anoniem
salt sellar Anoniem
cooking kettle Anoniem
knife Anoniem
storage pot Anoniem
jug Anoniem
berkemeier Anoniem
prunted beaker Anoniem
No title Anoniem
perfume bottle Anoniem
bottle Anoniem
rummer Anoniem
maigelein Anoniem
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Scheer says anti-Khadr campaign in U.S. media is fair game as NDP cry hypocrisy – Politics
Conservative Leader Andrew Scheer brushed off suggestions that his party's campaign denouncing the Trudeau government's apology and payout to Omar Khadr in the U.S. media will negatively impact upcoming NAFTA negotiations.
The new Conservative leader suggested that if Prime Minister Justin Trudeau was concerned about how the reported $10.5 million payout to Khadr would play south of the border, he should have handled it issue better.
"The only person that's trying to make a link between those two issues is Justin Trudeau and the Liberal Party," Scheer told reporters in Ottawa. "It's so clear why they are doing this because they realize they are so offside with the overwhelming majority of Canadians."
Several senior Conservative MPs have been appearing in the U.S., denouncing the payout and apology. On Tuesday MP Pierre Poilievre appeared on Newsmax TV slamming the government for the decision.
"Canadians from coast to coast are totally outraged with prime minister Trudeau's decision to pay this confessed terrorist and known supporter — past supporter at least — and member of Al-Qeada $10.5 million Canadian tax dollars," Poilievre said on the cable television outlet.
Conservative MP Peter Kent wrote an opinion piece in The Wall Street Journal entitled "A Terrorist's Big Payday, courtesy of Trudeau" while Tory MP Michelle Rempel appeared on Fox News Monday denouncing the deal.
Michelle Rempel: "Most Canadians are absolutely outraged about this." https://t.co/2g1B3OC97t #Tucker pic.twitter.com/sJhWMOx8IX
@FoxNews
In 2002, 15-year-old Khadr was captured by a group of American troops in Afghanistan after a firefight that led to the death of U.S. Sgt. Christopher Speer. Another soldier, Sgt. Layne Morris, was blinded in one eye.
In 2010, appearing before a U.S. military commission in Guantanamo Bay, Khadr admitted to throwing the grenade that killed Speer and wounded Morris — but he's since recanted and said he confessed under duress. Khadr, who is now 30, is trying to have his conviction overturned in the U.S.
Asked whether he was concerned the media front the Conservatives have now opened south of the border could negatively impact upcoming NAFTA negotiations, Trudeau said he would continue to focus on getting a good deal for Canada.
"This is too important to fall into partisanship, for most people," Trudeau told reporters in Barrie, Ont., Thursday.
Scheer told reporters Thursday that he doesn't see a connection and that he has told his caucus to present a united front when it comes to dealing with the U.S. because "trade is too important to allow partisan differences to get in the way."
This isn't the first time MPs have travelled south to criticize their rivals.
In 2013, NDP Leader Tom Mulcair went to Washington D.C. and New York City to speak to U.S. officials about former prime minister Stephen Harper's climate change and oilsands policies.
'It's obviously hypocritical'
Mulcair's visit occurred around the same time Harper was engaged in a widespread campaign designed to encourage then-president Barack Obama to approve the pipeline, with ministers and premiers travelling south to make the case for Keystone XL.
The natural resources minister at the time, Joe Oliver, told reporters that Mulcair should have been backing the extension during his visit south and "standing up for Canada's interests and Canada's jobs."
John Baird, the then foreign affairs minister, said Mulcair was "trash talking" Canada and undermining efforts to win approval for the pipeline while Saskatchewan Premier Brad Wall accused him of "betraying Canadian interests."
Reality check: Trudeau gov't tries to quietly make an unethical legal settlement with US implications in dog days of summer ahead of NAFTA
@ErinOTooleMP
With respect, Erin, even when we disagreed with your govt's approach to the US, we supported you while in the US. https://t.co/qpXQhywz5F
@gmbutts
NDP MP Nathan Cullen, the party's ethics critic, said it's ironic the Conservatives are now using the U.S. media to criticize the Liberals.
"It's obviously hypocritical to start with because they called even less than this treasonous when the NDP did it against a controversial project that the Conservatives were in favour of," said Cullen.
"It's not helping anybody, except Fox News and others," he said. "And I don't know if it's going to help do what the Conservatives want to do back here in Canada simply because outlets like this will always try to torque these issues into their most disgusting frame, which is anti-Muslim and jingoistic."
Lisa Raitt on Khadr deal criticism7:48
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In an article published, the Senior Special Assistant to President Buhari on Media and Publicity, Garba Shehu, has described Ekiti state governor, Ayo Fayose, as a street-type thug who was made to look like a gadfly by the Nigerian media.
He said the Ekiti state election has proven the people's love for the Buhari administration and also shown that Nigerians will never again vote PDP into office in any capacity. He attributed the success of the APC in the state election to its National leader, Bola Tinubu.
The post "Fayose Is A Street-type Thug And Is Now Facing Political Extinction" – Garba Shehu appeared first on LATEST NIGERIAN NEWS BREAKING HEADLINES NEWSPAPERS.


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Fantasy for February
I once worked in the nineteenth century, as a docent in a museum dedicated to portraying life in the United States at the time of the Civil War. As part of my job, I occasionally performed magic lantern shows for the visiting public.
The magic lantern was the granddaddy of the twentieth-century slide projector (a device now almost as obsolete as the magic lantern) and
used hand-painted glass slides to achieve its effects. Traditionally, two magic lanterns were used in such shows, so that the image from one slide could be superimposed over the image from another, thereby creating an illusion of motion - many years before the invention of true cinema.
A sample is included below, in the form of two antique glass slides combined in a looping GIF image. I'm doing this in the absence of any book news (the Time Travel book is about to go to the copy editor; the Sofa book is selling reasonably well, thank you) and also because it's been a long February and I'm feeling nostalgic.
The Legend of Washington's Tomb
It is said that on midnight every February 11,
the anniversary of George Washington's birth
(if you're using the Julian calendar, as what
John Lennon fan doesn't?)
the ghost of George Washington emerges from his tomb, looks around, sees his shadow, runs back in the tomb,
and we have another six weeks of winter.
End of Legend
It's hard to believe, but some people found my magic lantern shows amusing. A somewhat lengthy excerpt from one can be found here. Some of the images you've seen elsewhere on this website are from antique magic lantern slides, of which I have a modest collection.
In case you were wondering.


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Making sense of new Inheritance Tax allowance provisions for family homes
PUBLISHED: 12:04 16 February 2017 | UPDATED: 12:04 16 February 2017
seb_ra
As the new Inheritance Tax allowance provisions regarding family homes will take effect from 6 April, it's important to consider they will have on existing Wills, Will Trusts, Settlements holding property and estate planning.
The provisions for the new residence nil rate band are complex, but in summary it has been put in place to benefit individuals leaving their residence directly to lineal descendants (children), and will take effect in addition to the existing nil rate band. In this way, from 2020, a married couple will be able to pass on El million between them to their children free from Inheritance Tax.
The new residence nil rate band can only be claimed in full where the deceased's estate for inheritance tax purposes has a value of £2 million or less. It is available in part above this figure, but for estates exceeding £2.2 million there will be no residence nil rate band available in 2017.
Many people will have existing Wills which pass their property, or a share of their property, into trust as opposed to passing them outright. In most cases, matters can be rearranged so the residence nil rate band can still be claimed.
However, trusts that are currently in existence, such as Will Trusts and Settlements holding property will not be able to be changed after the death of a beneficiary. They should be reviewed now to ensure that subsequent beneficiaries benefit, in particular where the following arrangements exist:
1. Will Trust for Widows/Widowers
The terms of certain Will Trusts include the surviving spouse having the right to live in the matrimonial home, and receive income from the rest of the trust fund. This is common as an asset protection measure, particularly on second marriages.
Often, a layer of flexibility will exist, so that on the death of the widow/widower, the Trustees can take account of the circumstances of the children before making any distributions from the trust. This means that the property within the Will Trust cannot benefit from the residence nil rate band, as it is not 'directly inherited' by lineal descendants.
It may be that the widow/widower has sufficient property interests to make use of the entire residence nil rate band-but if not, it would be wise to change the trusts of the Will Trust during the widow/widower's lifetime.
2. Debt/charge arrangements
Before 2007 it wasn't possible to transfer the nil rate band between spouses. Much planning took place to ensure it wasn't lost whilst also making sure that the widow/widower had the benefit of the joint assets. Some planning involved a charge of the deceased's nil rate band being placed on the matrimonial home, and subsequent homes in which the widow/widower may live. The value of the property will be reduced by this charge, perhaps to a level below which there is not enough value within the property to set against the residence nil rate band.
In these circumstances it is possible that the charge may be removed from the property and transferred onto an alternative asset, during the widow/widower's lifetime, whilst not losing the nil rate band from the first death.
3. Old taxplanning arrangements with the matrimonial home
Prior to 2005 it was common for couples to enter into arrangements that took the value of their home outside of inheritance tax, but enabled them to continue living there. A tax was introduced to combat these arrangements and many were unwound completely. However, some aspects were left in place, as tax neutral asset protection measures. This would normally include leaving a share of the home in a settlement for one or both of the couple.
The survivor of the couple may not have sufficient value in the property, in their estate for inheritance tax purposes to ensure that the entire residence nil rate band is utilised, and the terms of the settlement are likely to mean that the lineal descendants will not 'directly inherit' the property.
All three circumstances tend to involve a significant degree of technical complexity; if in doubt you should seek legal advice.
For legal advice on wills and probate, please contact Elizabeth Pratt in the Guildford office of Penningtons Manches on 01483 791800 or visit www.penningtons.co.uk.
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After the intense urban challenge of Aalborg University in yesterdays Sprint race, today the Long Distance race was held in the challenging sand dunes of Svinklov. Belinda Lawford 59th and Lachlan Dow 71st were again the best performing Aussies.
Denmark's Ida Bobach continues to dominate the women's competition, winning her second gold medal in two days. In a good day for the Scandinavians, Sweden's Therese Klintberg was 2nd by 1min51secs and Finland's Sari Anttonen was 3rd.
Pavel Kubat from Czech Republic won the men's class by 44secs over Sweden's Johan Runesson and Switzerland's Mattias Kyburz.
Full Results and splits here.
The competition takes a break tomorrow while the athletes prepare for the Middle Distance Qualifications on Thursday.
Remember to checkout the team blog for the inside scoop.


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X-Men: Apocalypse Headlines Videos
5 Ways 20th Century Fox Has Already Spoiled Pretty Much The Entire Plot Of X-MEN: APOCALYPSE
Things aren't looking good for X-Men: Apocalypse after the mixed reviews, but if you're still hoping to be surprised by the movie, you'll be disappointed to learn that Fox has already ruined the entire thing.
Filed Under: "X-Men: Apocalypse"
"I don't think there is a single spoiler or surprise in X-Men: Apocalypse. All things considered, that's pretty damning," said one critic on Twitter last week when the embargo lifted, and if that assessment is accurate, that is indeed a pretty bad sign for Bryan Singer's X-Men: Days of Future Past follow-up. That movie was the biggest X-Men movie to date, but right now, X-Men: Apocalypse looks set to disappoint.
The critical and commercial response aside though, and that comment above got me thinking; has 20th Century Fox really spoiled the entire movie? Well, after combing through all of the trailers, TV spots, featurettes, and magazine features, it turns out that they have! In fact, it's surprisingly easy to piece together the movie's entire plot and the fates of several key characters. Oh, and the ending too.
The last time a comic book movie spoiled so much in the trailers in a bid to put butts in theater seats, we ended up with The Amazing Spider-Man 2. Will X-Men: Apocalypse be just as bad? Time will tell, but what you'll find here is a breakdown of all the ways they've ruined the movie over the past year.
5. Magneto Becomes A Hero
We still don't know how exactly Charles Xavier goes bald, but those involved with the film have indicated that it has something to do with him being kidnapped by Apocalypse (because, hell, a receding hairline or Charles just wanting to shave his head would have been too complicated I guess).
One thing that's pretty obvious though it that we won't see the bald Professor X until the very end of the movie, and that means the conversation which takes place above between him and a rather chilled out looking Magneto also comes from the final act. So, what does this mean? Well, it's pretty obvious that Erik turns his back on his role as a Horsemen and patches things up with his old friend, and looking at them here, I wouldn't be surprised if he ends up running the X-Men with Charles and Raven.
That's probably the best option too, especially as Magneto is played out as a villain and we've been teased with him assembling a Brotherhood of Evil Mutants - only for it not to happen - too many times.
4. Angel And Psylocke Die...Or Stay Bad
We know that Storm ends up seeing the error of her ways and joins the X-Men, but what of Psylocke and Angel? Based on reviews for the movie, it sounds as if both of these characters are pretty throwaway additions, so like so many X-Men characters before them, the duo being wasted as little more than cool looking muscle seems likely.
That's evident from the fact that they're nowhere to be seen in that group shot at the end, and while it's possible that they'll just decline to join the heroic team of mutants (something which makes sense more for Psylocke than it does Archangel), chances are we should expect one or both of these fan-favourite characters to either die or remain villains for a possible reappearance somewhere down the line.
Either way, fans going into X-Men: Apocalypse hoping to see these two get a chance to shine and embrace their roles from the comic books are likely to be sorely disappointed, something fans of this franchise should probably be used to by now!
3. Apocalypse Destroys The X-Mansion
Throughout the course of every previous X-Men movie, we've never seen the X-Mansion get destroyed despite it being something of a staple from the comic books. The fact that X-Men: Apocalypse is going there is without a doubt a big deal, but spoiling that in the trailers was a mistake, especially as it's a moment which would have otherwise come as a real shock (mostly because I'm pretty sure everyone has given up on it happening by now).
However, even worse than that is the fact that improved CGI in the recent trailers has confirmed that Apocalypse is the one responsible, leaving no mystery in regards to how or why this happens. In fact, looking at the footage shown off so far and what we've learned in magazine features, it's easy to piece together the fact that En Sabah Nur kidnaps Charles, destroys his home, defeats the X-Men, and that then they're kidnapped by William Stryker.
To give away such a massive chunk of the movie so carelessly is a shame, and this is now one less surprise to look forward to.
2. X-Men Assemble
Seriously Fox, what the f**k?
Bryan Singer mentioned a long time ago that one of the trailers would basically spoil X-Men: Apocalypse's final scene, and well, here we are! When you look at movies like Captain America: Civil War and Batman v Superman: Dawn of Justice, it becomes apparent that this franchise is somewhat out of date when it comes to how superheroes should look (the bland black leather makes a roaring return here), but if Singer wanted to put the heroes in faithful comic book costumes, he should have done it earlier on in the movie, not right at the very end and not in the trailer as if to attempt to remind people that, yes, this really is a superhero movie.
The fact that they've release images like the one above is mind-blowing, as is the fact that they'd spoil the fact that Storm ends up joining the team (there was admittedly always a good chance of that, but they've now robbed her story arc of any sort of dramatic stakes). This is by far one of Fox's most moronic decisions to date.
1. Wolverine Is Weapon X
They just couldn't resist, could they? There have been conflicting reports about Wolverine showing up in X-Men: Apocalypse, and had the studio kept his role under wraps, seeing Hugh Jackman return would have been a moment as awesome as Giant-Man's appearance in Captain America: Civil War or Thanos showing up at the end of Avengers: Age of Ultron.
However, clearly unsure that they can sell the movie based on the X-Men alone, his cameo has now been spoiled, something worsened by Bryan Singer and Simon Kinberg in interviews for the movie where they've essentially spelled out the fact that this scene will feature the Weapon X version of Wolverine.
Don't get me wrong, I'm sure this violent sequence is going to be great, but confirming the character's cameo in that final trailer feels like a desperation move and I wouldn't be remotely surprised to see even more of him in upcoming TV spots, especially if X-Men: Apocalypse's tracking takes a hit due to those tepid reviews which have been doing the rounds.
Do you think 20th Century Fox has completely spoiled X-Men: Apocalypse? Have we missed any of the ways they've done that? As always, let us know your thoughts in the usual place.
X-MEN: APOCALYPSE Star Tye Sheridan On Why He Felt Sorry For Oscar Isaac And Possible MCU Return
X-Men: Apocalypse's Tye Sheridan has opened up on what it was like working with Oscar Isaac on the 2016 movie, admitting that he felt sorry for his co-star. The actor also comments on returning as Cyclops.
X-MEN: APOCALYPSE Star Olivia Munn Shares A Video Revealing Her Badass Sword Skills As Psylocke
X-Men: Apocalypse star Olivia Munn only got the one chance to play Psylocke in the X-Men Universe, but if this new video shared by the actress is any indication, she hasn't forgotten how to use that sword!
X-MEN: APOCALYPSE Concept Art Features Another Comic Accurate Take On Jean's Grey's Costume
Using the likeness of actress Sophie Turner, some newly revealed X-Men: Apocalypse concept art shows a comic accurate take on Jean Grey's costume you'll wish made it into the final cut of the 2016 release.
KingPatel
X-MEN: APOCALYPSE Actress Olivia Munn Says Director Bryan Singer Disappeared Midway Through Filming
While Bryan Singer's erratic behavior on Bohemian Rhapsody was well noted, it appears as though he was acting just as bizarrely on the set of X-Men: Apocalypse, according to Psylocke actress Olivia Munn.
X-MEN: APOCALYPSE Concept Art Reveals A Less Cartoonish Take On En Sabah Nur
Some newly surfaced concept from X-Men: Apocalypse has been shared online, & it reveals an earlier version of En Sabah Nur which is quite a bit more serious than the cartoonish make-up Oscar Isaac donned.


As some of you may know, I've been working on a new project the last month or so. In fact I teamed up with my buddy @jesperkc early on, which turned out as a very awarding and great experience. It has always bugged me, that the native UI of ELMAH were a bit limited and provided no ways of searching your logs. I've worked on multiple projects using ELMAH and even though ELMAH is probably the best logging package for .NET web applications, I've always found myself exporting the errors to some other format or querying the database directly. With that piece of history, I'm ready to introduce elmah.io!
So what's elmah.io? In its basic form, elmah.io is an ErrorLog implementation for ELMAH. Like most error loggers, this one logs to external storage, in this case http://elmah.io. All errors are stored in ElasticSearch, which is a great search engine. Having website errors in ElasticSearch makes it possible to do all sorts of funky searches on top of your errors. This leads me to the second part of elmah.io: the UI.
The install description guides you through the process of installing elmah.io in your website project. Actually it's quite easy. Install the elmah.io NuGet package and copy paste the xml in step 2 to your web.config. That's it, dudes! You now log all your website errors to elmah.io. Pretty sweet, right?
The search page shows you the recent errors as well as a graph showing the number of errors from the last 14 days. The most exiting part is the search filters, where you can do wildcard searches, filter by date and more. I won't go into more detail about all of the features, but instead let you try it yourself. The service is free and located on http://elmah.io.
If you feel up to it, please help us by sending comments and follow the elmah.io twitter account. I also want to spend a little time thanking the people who helped us doing elmah.io: Jesper of course for teaming up with me on the project, Atif for the feedback and pull requests (yeah the client is open source!) as well as letting me loose on the ELMAH code base, the always helpful Martijn for reviewing the first implementation of the NEST code, Dennis, Rasmus and Rasmus for helping testing and for great input.


You ARE master of disguise btw.
Hope LA is treating you well.
Holy moly! Mia is going to flip!
Plus, she'll no longer be able to call you a hippie.
I love that the hair requires sunglasses, but that the lack of hair enables you to wear normal glasses and thus be less mysterious.


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Home / BasketBall / Sports / It took three decades and one documentary for this Isiah Thomas about-face
It took three decades and one documentary for this Isiah Thomas about-face
Monir Hossain 3:04 AM 0
Isiah Thomas, Michael Jordan
Isiah Thomas is back in the news, and for a change it isn't to revisit the multiple crimes and misdemeanors Zeke committed while running the Knicks. No, this time the charge is even more ancient, dating to May 27, 1991.
That was the day Thomas' Pistons were officially dethroned as two-time NBA champions by the ascendant Bulls of Michael Jordan and company. The Bulls pounded the Pistons that day, 115-94, finishing off a four-game sweep, humiliating the Bad Boys in their own backyard. It was a gratifying, satisfying win. Except for one thing.
As was meticulously recounted in episode 4 of the ESPN documentary "The Last Dance" Sunday night, with 7.9 seconds left in the clincher the Pistons' regulars walked off their bench, walked past the Bulls' bench, and scuttled into the locker room – Thomas himself ducking his head and sheepishly hiding behind Bill Laimbeer as he dashed away.
"Laimbeer said, we're not shaking our hands," Thomas recounted on the show. "This is how we're leaving."
It caused a stir then, and a sizable one, but "then" was 1991 and so there was no such thing as social-media spit-storms to worry about. Twenty-nine years later there is. And there was. And what is crystal clear is that Jordan – an epic grudge holder – is still miffed about it. Handed a tape of Thomas trying to explain himself, Jordan's eyes grew as wide as when he talks about getting cut from the team at Laney High School sophomore.
"I know it's all BS," he says, barely able to hide his contempt. "Whatever he said, I know it wasn't his true actions, that he's had time enough to think about it. The reaction of the public has changed his reaction to it."
Thomas himself clearly recognized the losing battle in which he was engaged. In the movie, he tries to offer context: when the Pistons had finally beaten the Celtics three years earlier after years of trying, there's a famous image of Kevin McHale wishing Isiah well at game's end; Thomas pointed out that it was he who approached McHale – and only after Larry Bird and the others had already walked off – while the game was going on.
"That's just how it was," Thomas said.
How it is now, of course, is something else, which is why he wasted little time going back on ESPN Monday morning to express remorse and regret for something he did almost 29 years ago.
"I represented Detroit and the West Side of Chicago where I came from," Thomas said, before referencing other Michigan natives on the ESPN set and adding, "the hurt that those guys feel for me having to be in this moment, I apologize to them and Detroit for all of us in this moment as a leader of the team and as a leader of that community."
(Of course, Zeke being Zeke, he also mentioned how hurt he was to be left off the '92 Dream Team, a caper almost entirely of Jordan's doing. Of course, that had more to do with Isiah freezing Jordan out at the '85 All-Star Game than anything, but ghosting the handshake line certainly didn't help Isiah's resume.)
"What it comes down to is simple," Jordan says. "Respect. And sportsmanship."
It's a funny subject, sportsmanship. We are raised on postgame handshakes after Little League games, we are taught to pretend like we are just as honored receiving the Sportsmanship Trophy as the one given the league champion, and mostly we remain rooted there the rest of our lives.
It's one reason Roger Federer and Phil Mickelson are so beloved, because they are just as gracious in defeat as they are in victory. It's why one of the coolest traditions in sports is the post-series handshake in playoff hockey. Once, I saw Scott Stevens of the Devils nearly murder Eric Lindros with a vicious (and perfectly legal) check. I asked him if it was at all awkward later, when he shook hands with all Lindros' Flyers teammates.
"Why would it be?" he asked, incredulously.
John McEnroe once told me, "If you saw enough of my matches, you know that more than once if I thought the other guy got hosed by a call, I'd essentially give him the next point. That goes back to calling your own lines as a kid. Sportsmanship is the only way it works."
Isiah and the other Bad Boys got a reminder of that the past few days. Thomas did point out the flip side of this – that some are just as turned off by the everybody-is-everybody's best friend aspect of modern sports, that it's gone too far the other way, that everyone hugs and shakes hands now.
Or at least, they used to, until about two months ago.
BasketBall Sports
About Monir Hossain
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