text:
Q: Magento: How to sort product collection? i have created a list_home.phtml that i call from {{block type="catalog/product_list" category_id="6" template="catalog/product/list_home.phtml"}}The category is very important because i will have 3 tabs in this homepage slider.This is a version of the product list without toolbar to include in a homepage slider, where the user should never be able to change the sorting.
However in the main catalog there is the toolbar.  Currently, if the user changes the sorting there and then goes back to the homepage the sort order on the home page will also be affected!
How can i force the $collection to always sort by newest and also filter the category from the frontend's block call?
I am really almost stuck after opening around 50 tabs in the broswer and trying to research, really need some help here please.
Thanks in advance.

A: On the product collection you can set the order by calling ->setOrder on it.
I'm not sure of the field you would need to order by, but if you wanted to set it by price ascending you would do
->setOrder('price', 'ASC');

To filter the category you need to do this
$productCollection = Mage::getModel('catalog/category')->load($categoryId);

You can then set the sort order

redpajama_set_name: RedPajamaStackExchange


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Shelly Moore Krajacic
Shelly Moore Krajacic, an English and drama teacher from Ellsworth, Wisconsin, was elected to the National Education Association's (NEA) executive committee in July 2015 for a three-year term. Shelly, a National Board Certified Teacher, is a third-generation Wisconsin educator with 17 years of classroom experience. Prior to her election to NEA's Executive Committee, Shelly served in numerous national, state, and local leadership capacities. She has been especially active in her local NEA affiliate. She was also a candidate for the Wisconsin State Senate in 2011.
In addition, she is a member of the board of directors for the Wisconsin Education Association Council (WEAC) and served on NEA's Board of Directors for six years. The NEA Executive Committee consists of nine members — three executive officers and six members elected at-large by the representative assembly. The committee is responsible for setting general policy and maintaining the interests of the NEA.
Shelly earned her bachelor's degree from the University of Wisconsin–Stevens Point. She received a master's degree in English education from the University of Wisconsin–River Falls, where she previously served as an adjunct instructor.
CTQ Board
CTQ Staff
CTQCollab Innovation Team
Terry Bergeson
Renee Moore
Michele Givens
P. Ann Byrd, NBCT
President & Partner
Almi Abeyta
Karen Billings
Kevin Gilbert
Kathy Hurley
Carol Kelley
Stephanie M. Johnson, NBCT
Jill Nelson
Joshua P. Starr
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Executive Director & Partner
Candace Dewith
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Research Consultant
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Lori Nazareno, NBCT
School Design Director
Elizabeth Scarbrough
Professional Learning and Communications Coordinator
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redpajama_set_name: RedPajamaCommonCrawl


text:
Q: Cancel check after receiving response (discord.py) I'm trying to do a check a question for "true" or "false" as the answer after the command. For example:
@client.command
async def thisisnotarealcommand(ctx):
channel = ctx.message.channel
await channel.send(f'Write "true" or "false":')
           def check(response):
               return response.content == "true" and response.channel == channel and response.author == ctx.author
           try:
               response = await client.wait_for('message',timeout=10,check=check)

Is it possible that after I receive an answer, it stops the command (and sends a message)? For example, if they say "false", it'll cancel the command before timing out (since you can just immediately answer "true" after)? Thank you!

A: I'm not 100% sure what you're asking, but I think this is it.
if not response:
    break


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Ms-93 December, 2012 Management of New and Small Enterprises
Ms-93 : Management of New and Small Enterprises
1. "Entrepreneurs ae self driven people with strong internal locus of control". Explain giving examples of some successful entrepreneurs.
2. What are the various financial institutions providing long and medium term loans ? Discuss their role in brief.
3. (a) What factors a small entrepreneur has to consider while deciding the location of the plant ?
(b) Enumerate the positive and negative sides of family business.
4. (a) What is meant by market segmentation? What are the bases for market segmentation ?
(b) Define "Advertising". What are the functions of advertising ?
5. What is Human Resource Management in small Industry ? What are the activities that are performed as a part of HRM in small business ? Discuss.
6. Read carefully the case given below and answer the questions given at the end :
He can afford to blow his own horn, Loudly. And the reason lies right under your hood. After all, the 45-year-old K. Ramaswamy's Roots Industries (Roots) is the largest manufacturer of electric horns in the country. Of the 9.3 lakh horns sold in the replacement market each year, over half are branded Roots. And the man who built this Rs 12-crore start-up has even swung a tie-up with the German automobile components gaint, Bosch. "I can finally call my company a Bosch licensee, "says Ramaswamy proudly. By end-1994, Bosch will relocate a horn-making line from its La Carolina facility in Spain to the Roots unit in the Ganapathy precincts of Coimbatore(Tamil Nadu). And this Rs.5-crore project will hike Roots' annual capacity to two million horns from the present 1.2 million. By March 1996, says Ramaswamy, Roots' turnover will double and exports will rise five-fold to Rs. 7 crore. "Bosch's decision to go with us is an affirmation of its trust in our quality," says he. Bosch is not the only transnational to trust Ramaswamy. Germany's Hako Group picked up a 26 percent stake in his first diversification. Roots Multiclean, which was set up in January 1994. Making industrial commercial vacuum cleaners, Roots multiclean is cleaning up, with a monthly turnover of about Rs.18 lakh. And in July 1994, Reliance Capital and Finance Trust picked up 25 percent of Roots' Rs. 1.60-crore equity at a premium of Rs. 150 per share in a bought-out deal. "A public issue would have taken me months", admits Ramaswamy, who has coolly picked up Rs. 4 crore, promising only to get Roots listed on the over The Counter Exchange of India in 15 months' time. Carving out a niche hasn't been easy, though; it is the culmination of a 30-year obsession and several false starts. A farmer's son, Ramaswamy recalls tinkering around with cars from his childhood. He had ample opportunity to do so : his father, R.Krishna swamy Gounder, 87, would buy a new car every two years, and import the latest horns accessories that fascinated his son. "It always
used to beat me why we couldn't make good horns in our country," he recalls. That, as he was to discover, was easier said than done. After aquiring a diploma in mechanical engineering from the Coimbatore institute of Technology in 1968, Ramaswamy studied automobile engineering at the Lincolor technical Institute at Newark in the US for a year. Checking up a $ 7000 a month job with Ford motors, Ramaswamy returned to coimbatore in 1969, And he set-up shop in a small shed, calling his firm American Auto Service (AAS). "My father backed me financially and emotionally, " he says. After developing two bombs-a recovery system that improved radiator efficiency and a low-pressure vacuum brake for cars -Ramaswamy had to beat a hasty retreat. And he managed to develop an air-pressure horn. But he could sell only 500 of them in all of 1974. Finally, in a last-ditch effort to stay in business, Ramaswamy and his team of engineers went back to the drawing board and designed the country's first electric-powered air horn. Strategically, Ramaswamy priced his product at Rs. 85, 15 percent higher than the competition. "I was doubly sure of my product," he says. Five years later, when he was selling over 25,000 air horns a year. Ramaswamy also developed an electric horn. " Experience taught me to be different." Four times lighter, it used far less power than competing products sold by leaders like Lucas, TVS and Jalwa. Starting off as a supplier to Hindustan Motors, Roots' client base soon included Premier Automobiles and TELCO. But in order to grow, Ramaswamy had to enter the replacement market. He did so in 1985, when he launched Vibrosonic, a heavy-duty horn priced at Rs. 150. By March 1988, AAS was selling over 100,000 horns a year, and turnover had crossed Rs. 1 crore. Earlier, in 1985, Ramaswamy set up Roots Auto Products-named after the telegraphic address of his father's sago unit, ROOTS-to make an exhaust-powered jack from polyvinyl chloride-coated (PVC) material. Then, the government hiked the import duty on PVC from 98 percent to 298 percent, which resulted in the doubling of the jacks' retail
price to Rs.600. After Ramaswamy had lost Rs. 50 lakh on that product, he transferred his electric air horns business to Roots Auto. And by 1989, both Roots Auto and AAS had cornered market shares of 70 percent and 40 percent in the air and electric horn segments, respectively. In 1991, Ramaswamy renamed AAS Roots Industries to cash in on the brand's equity. Now, his strategy is clear : focus on quality, keep costs low, price high, and cap dealers' margins. Frugality is reflected in Ramaswamy's personal life. A devotee of Lord Muruga, he rises at 5 a.m. is a strict vegetarian, doesn't even drink tea, and prefers nature cure to allopathy. He wears the Roots uniform-cream shirt, brown trousers-and cycles to work each day. Don't be fooled by this conservative exterior; under the three horizontal lines of vibhuti on Ramaswamy's forehead is a mind obsessed with the state-of-the- art. His office has sophisticated communications systems, and most of his senior executives have been provided with pagers. And Ramaswamy relished a challenge. When Bosch refused to even meet him when he first sought a tie-up, he decided to prove his mettle. After Ramaswamy dared to exhibit his products at the Automechanica, auto components fair in Frankfurt (Germany) in September 1992 exports shot up from Rs. 41 lakh in 1992-93 to Rs. 1.4 crore in 1993-94. "My basic idea was to get a toe-hold in the world market and be noticed for my quality," he says. If that were partly fulfilled when Bosch agreed to team up with him, it will be doubly endorsed when Ramaswamy receives the 150-9001 certification in Germany this month. Clearly success is finally honking at Ramaswamy's door.
1. What factors were responsible for the success of Ramaswamy as an entrepreneur ?
2. Evaluate the strategy "Focus on quality, keep costs low, price high and cap dealer's margins" adopted by Ramaswamy in terms of longterm implications.
Ms-93 December, 2011 Management of New and Small E...
Ms-93 June, 2013 Management Of New And Small Enter...


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text:
Press ReleaseTop News
CTT Enters into Business Development Partnership with 3 Rivers Biotech
By Marc September 8, 2020 No Comments
Partnership Further Advances Aggressive Business Development Strategy
Pre-eminent Tissue Culture Company Provides Access to Substantial Network of CPG Companies
3 Rivers' Technology Transfer Capabilities Expand CTT's Operational Capacity
Hamilton, Ontario, September 8, 2020 – CTT Pharmaceutical Holdings, Inc., (the "Company" or "CTT") (OTC: CTTH), an innovative life sciences company with a portfolio of IP in novel drug delivery systems, today announced that it has entered into a business development partnership with 3 Rivers Biotech, a pre-eminent tissue culture company. Under the agreement, 3 Rivers will leverage its network of suppliers to and manufacturers of Consumer Packaged Goods (CPG) to secure commercial partnerships based on CTT's patented sublingual wafer technology.
Additionally, the agreement includes the ability for CTT to utilize 3 Rivers' operational capabilities to execute technology transfers and project implementation for new customers, providing a cost-efficient and de-risked expansion of CTT's operational capacity.
3 Rivers' is one of few companies with a successful track record in the consistent, commercial-scale supply of tissue-culture-based clones for a variety of sectors, including the hemp industry. As a trusted partner, 3 Rivers is very well positioned to engage in meaningful discussions within its network to explore the potential for commercial partnerships on behalf of CTT.
CTT's rapidly dissolving sublingual wafers deliver active ingredients through the buccal/mucosal route, which provides a number of key advantages over other delivery mechanisms, meeting important current market dynamics. These advantages offer CPG companies the opportunity to expand their portfolios with a well-differentiated, high-margin product offering on rapidly growing market segments.
Rapid onset CTT's strips dissolve quickly in the oral cavity (5-15 seconds), with the active ingredient rapidly absorbed into the bloodstream
Increased bioavailability the active ingredient, once absorbed, can bypass the liver's first-pass effect, improving therapeutic outcomes and efficacy through improved bioavailability
Safe smoke-free delivery bypassing lungs and digestive system
Ease of use taken orally, not requiring water or swallowing
Accurate and consistent dosing precisely determined and consistent potency of the active ingredient, a critical advantage over most other form factors
Increased adherence the ease of use and discrete administration can help increase positive adherence outcomes
Large target markets suitable for a wide range of applications in medical, wellness and recreational markets
Marc Lakmaaker, SVP Commercial Development for CTT, stated, "3 Rivers is a trusted partner at the root of the value chain for a growing number of companies in the CPG sector. Its network in large geographic markets, such as North America, China and Europe, creates a very significant opportunity for CTT to accelerate growth. The partnership also provides additional implementation bandwidth, which further de-risks our expansion efforts in a cost-effective manner."
Dr. Kevin Mehr, VP of Sales at 3 Rivers, added, "We believe that CTT's sublingual strips provide a unique and compelling commercial proposition for many companies in our network across a wide variety of sectors. The science behind CTT's technology, the effectiveness of its products, the Company's successful track record in bringing a new technology to market, and the caliber of its people, clearly differentiate CTT from its competition. We believe that these factors will greatly facilitate our ability to build new partnerships, and we look forward engaging with our network, on behalf of CTT."
One of the 3 Rivers' principals, Robert Allen, serves as CTT's Chief Financial Officer. No cash consideration is part of the completion of this agreement. While no financial details are disclosed, any remuneration, other than for project implementation, will be success based.
About CTT Pharmaceutical
CTT is a drug delivery technology development company. The Company brought its first product to market following the successful launch of the cannabinoid-infused Aurora Cannabis 'Dissolve Strips'.
CTT 's patent portfolio covers a nanonized, orally administrable composition that can be applied to various delivery systems including a quick dissolving oral film forming agent that effectively delivers nanonized therapeutics to improve the bioavailability of therapeutic drugs that are difficult to deliver orally. The main aim of CTT's technology is the delivery of large therapeutic molecules such as proteins or cannabinoids, as well as other active ingredients, such as nutraceuticals and pharmaceuticals. This technology has potential indications in pain management and opioid addiction management.
CTT's portfolio currently contains five issued (three Canadian and two U.S.) patents with a number of international patent applications pending in over fifty countries.
For more information, please visit our website: www.cttpharmaceuticals.com
CTT's common shares trade on the OTC market in the United States under the symbol "CTTH".
About 3Rivers Biotech
3 Rivers Biotech is a plant biotechnology company specializing in hemp tissue culture to provide premium pathogen-free, pesticide-free, vigorous plants to cultivators and late-stage nurseries across the United States and Internationally. We eliminate the risks and variables of commercial cultivation by providing our customers with stable genetics and vigorous, disease-free clones. Our experienced team, with over 50 million plants supplied and counting, has been focused on perfecting plant propagation for decades. Our partnership with JRT Nurseries and its large-scale Mount Vernon tissue culture facility provides us with the ability to scale and ship plants globally. This facility is one of the largest and most reputable plant tissue culture nurseries in North America, capable of producing over 12+ million hemp plants annually. We are not breeders but work with industry-leading breeders to provide our partners with elite genetics across the entire horticultural industry.
www.3riversbiotech.com
This news release includes statements containing certain "forward-looking information" within the meaning of applicable securities law ("forward-looking statements"). Forward-looking statements are frequently characterized by words such as "plan", "continue", "expect", "project", "intend", "believe", "anticipate", "estimate", "may", "will", "potential", "proposed" and other similar words, or statements that certain events or conditions "may" or "will" occur. These statements are only predictions. Various assumptions were used in drawing the conclusions or making the projections contained in the forward-looking statements throughout this news release. Forward-looking statements are based on the opinions and estimates of management at the date the statements are made, and are subject to a variety of risks and uncertainties and other factors that could cause actual events or results to differ materially from those projected in the forward-looking statements. The company is under no obligation, and expressly disclaim any intention or obligation, to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as expressly required by applicable law.
For CTT, please contact:
Marc Lakmaaker – SVP Commercial Development
mlakmaaker@cttpharmaceuticals.com
For 3 Rivers Biotech, please contact:
Dr. Kevin Mehr
info@3riversbiotech.com
Next PostCTT Pharma Files Statement of Claim against Aurora Cannabis and Appoints Dr. Shane Morris to Advisory Board


text:
£18,000 fine for care home owners who put residents 'in danger'
Blaze uncovers failings
The owners of the Cavell House care home in Shoreham, which put vulnerable residents in danger by failing to take proper fire safety precautions, have been fined £18,000 plus £4000 in costs.
The court was told that the two-storey home owned by Orchard Care, had a minor kitchen fire in April 2014.
After the blaze, the chef reported to managers that fire systems, including an audible alarm and the automatic shutting of fire doors, had not activated.
Repair work to the fire alarm system, which should have been carried out immediately, did not take place.
West Sussex Fire & Rescue Service was not informed of the minor kitchen fire in April but carried out a routine inspection on 22 July 2014.
Officers were so worried about the problems they identified they insisted some urgent interim measures had to be put in place that day before officers would leave.
The court heard that, as well as the failings identified with the fire safety systems, fire officers also found other areas of concern, including an electrical intake room being used as an office and storing combustible materials, along with overloaded and poorly maintained wall sockets and draping cables.
Welcoming the sentence, WSFRS Head of Business Fire Safety, Paul Fuller, said: "We would always prefer to work with businesses to support them, rather than resorting to court action like that taken here.
"However, businesses must comply with their legal fire safety responsibilities and, when they disregard the safety of vulnerable people, as was uncovered at this property, we have no option but to prosecute them."
West Sussex County Council


text:
Submit your questions for expert advice on your denial and appeal management concerns. We will share with the community relevant, thought-provoking, and difficult questions answered by our panel of experts.
We do not guarantee that all questions will be answered.
Recently Answered Questions
Q: "I would like to know if it is mandatory for all Medicare advantage plans to automatically forward all our upheld Level 1 appeals to the Independent Review Entity (Maximus)?"
A: The Medicare Advantage plan is required to send your upheld Level 1 appeals to the IRE (Maximus) only if you are not contracted with the plan. So, if your hospital has not signed a contract with that MA plan, then the plan must automatically forward your appeal to the next level of review – the IRE.
There is another way that your appeal would be automatically forwarded to the IRE, and that is if you appeal on behalf of the patient. You will need to have the patient sign an authorization of representative form which is usually available from the plan. Include that form with your appeal.
Denise Wilson MS, RN, RRT
Senior Vice President, Denial Research Group/AppealMasters | President, AHDAM
Q: "I'd love to hear more information blocking and release of records for appeals. My appeals department has difficulty with navigating "who's records are who's", and what is part of the designated record set or not. I suspect we cannot be the only ones with that struggle."
A: While it is true that many organizations struggle with this topic, they shouldn't. In fact, there is no ambiguity here at all. Once your organization is in possession of a record, in the event of an audit, you can and SHOULD release it to the payor if that record is related to the treatment you provided, with the possible exception of some chemical dependency records protected by 42 CFR Part 2. In short, the concern that there is something improper or nefarious about releasing "outside records" is utterly baseless.
One of the biggest challenges as a lawyer is proving a negative. You may think "where does it say that I can release these outside records?" But that is the wrong question. You should be asking "where does it say that I can't?" Under HIPAA you are permitted to release records for purposes of payment, a principle that is found in most state laws as well. (It is worth noting that when state law offers a patient more protection than HIPAA, that state law applies, so the fact that HIPAA allows a release is not definitive. One must know their state law. But obtaining explicit consent from the patient to release records to their insurer should address all concerns on the issue.) Even without the explicit permission in HIPAA and most states, most health care organizations require patients to sign an authorization to receive treatment that specifically permits release of records for purposes of payment. In other words, one can generally release records for purposes of payment.
That point is not terribly controversial. There seems to be broad acceptance that organizations can release records to support their payment. The problem is that somehow a belief has developed that only records created by the organization are covered. That belief may be widespread, but it is still baseless. When someone makes that argument, ask them for the authority to support it. And then offer this thought experiment. Imagine you are attempting to justify a cardiac bypass surgery. Are you supposed to omit the angiogram that revealed the blockage? Does the answer depend on whether your organization employs the professional who reviewed the angiogram? If it were true that organizations could only release records created by their employees, it would be improper to include the many records that patients bring with them that often play a fundamental role in decision making. Such a result would be deeply problematic. Fortunately, it is also unnecessary. As the questioner notes, the information blocking rules, which forbid an organization from preventing a patient from accessing their entire medical record may factor in the analysis. But well before those rules were issued it was appropriate for an organization to submit any relevant record in their position that supports care when they are undergoing an audit. Failing to submit records simply because the organization didn't author them is not required by any federal law, nor, to the best of my knowledge, any state law. It is also foolish. It makes it easier for an insurer to deny care as unjustified. Your medical professionals rely on outside records when providing care to patients. Support their decisions by giving an auditor access to the same information your professionals had.
David Glaser
Attorney and Shareholder at Fredrikson & Byron
David helps clinics, hospitals, and other health care entities negotiate the maze of health care regulations, providing advice about strategy, reimbursement and compliance. David is a shareholder in Fredrikson & Byron's Health Care Group and co-founded its Health Care Fraud & Compliance Group. He has considerable experience in health care regulation and litigation, including voluntary disclosures, criminal and civil fraud investigations, overpayments and reimbursement disputes.
David's goal is to explain the government's enforcement position, and to analyze whether this position is supported by the law or represents government overreaching. David is a frequent guest on RAC Monitor's "Monitor Mondays," and you may read his Blog at Orthopedics Today. He has given speeches in 36 states.
Q: "What are the requirements for a payer when they downgrade a DRG? We have a payer that sends no reason for a downgrade. When we get the remit, it will show a different DRG than was billed. That is all the information we receive. When we appeal the downgrade, we are basically guessing at the reason… MCC or CC? What are the payers required to disclose to us when they downgrade? My team has to interpret the chart and make an educated guess."
A: Every type of payer, whether traditional Medicare, Medicaid, Medicare Advantage, or Commercial, has a governing agency that requires the payer to supply a reasonable explanation for claim denials. As an example, the Illinois Administrative Code title 50 § 4520.70(c), which covers Commercial plans operating in Illinois (excluding ERISA plans, Worker's Compensation, and a few other plans), states the payer must, when denying or under paying a claim, provide a reasonable written explanation of the basis of the underpayment or denial. This explanation shall clearly set forth the policy definition, limitation, exclusion or condition upon which denial or underpayment was based.
Once you have determined the rule for that payer you can use it to push back. Include the language of the rule in your appeals to remind the payer of their obligation. Track the denials with unclear rationale and bring them to your joint operating committee meetings with the payer. Consider filing a formal complaint with the payer or their governing agency.
In the meantime, you are left making an educated guess on the denial rationale as you've stated. It's an additional burden, as you know, to try to determine which MCC or CC is being challenged by the payer. And to have to support every MCC or CC from the claim in your appeal is a waste of valuable resources. You really have to push back using legal and regulatory means.
Q: "When listing a patient's comorbidities in the appeal letter, should the writer list all comorbidities or only those that are pertinent to the principal diagnosis?"
A: Considering a balance between efficiency and effectiveness, if a coding summary or a list of comorbidities is available in the history and physical, it's easy to copy and paste every diagnosis into the appeal letter. If not available, focus on including only the comorbidities that are pertinent to the principal diagnosis.
Q: "If we are not contracted with a Medicare Advantage (MA) plan, I understand we have the 5 level of appeals. Is that 5 levels of appeal available to the provider without a signed Appointment of Representative (AOR) form from the patient?"
A: Yes, if you are not contracted with the MA plan, you, as a provider, have five levels of appeal. You do not need a signed AOR form. You do, however, need to have a signed Waiver of Liability (WOL) form from the patient that has to accompany your appeal. See: https://www.cms.gov/Medicare/Appeals-and-Grievances/MMCAG/Downloads/Parts-C-and-D-Enrollee-Grievances-Organization-Coverage-Determinations-and-Appeals-Guidance.pdf
P. 53; 50.1 – Who May Request a Level 1 Appeal
Standard Payment Reconsideration:
An enrollee; • An enrollee's representative; • Non-contract provider (see §50.1.1 for non-contract provider payment appeals); • The legal representative of a deceased enrollee's estate; or • Any other provider or entity (other than the MA plan) determined to have an appealable interest in the proceeding.
P. 54; 50.1.1 – Requirements for Provider Claim Appeals (Part C Only)
A non-contract provider, on his or her own behalf, may request a reconsideration for a denied claim only if the non-contract provider completes a Waiver of Liability (WOL) statement, which provides that the non-contract provider will not bill the enrollee regardless of the outcome of the appeal). If an appeal is submitted, the WOL must be filed with the appeal. The appeal should include other supporting documentation (e.g., copy of remittance advice/notice and clinical records claim). Non-contract providers who have executed a WOL are not required to complete the representative form because the provider is not representing the enrollee, and thus does not need a written representative form. Furthermore, because the enrollee no longer has an appealable interest under 42 CFR Part 422 Subpart M, plan notices/correspondence regarding the noncontract provider's appeal would be delivered to the non-contract provider and not the enrollee. If the WOL isn't filed with the appeal, the plan should make and document reasonable efforts to obtain the WOL.
CMS also provides a flow chart that describes the 5 levels of appeal in Medicare Part C (Managed Medicare.) You can access the chart here: https://www.cms.gov/Medicare/Appeals-and-Grievances/MMCAG/Downloads/Managed-Care-Appeals-Flow-Chart-.pdf
Q: "I wanted to get your perspective on the role of the physician advisor in regards to the appeal process. Typically, I write first level appeals with limited input from the physician advisor. If the denial is upheld, I would like to have additional input from the physician advisor to support an inpatient level of care. In your experience, how much does the physician advisor participate in the process? Do they write second level appeals or just provide input?"
A: The physician advisor role continues to evolve over time and may look different in different organizations, depending on the needs of that organization. Rarely do PAs write the actual appeals, but they should be closely involved in denial and appeal work. Reviewing denial rationale and appeal decisions and giving clinical guidance for appeal arguments is part of the core work of physician advisors. They can assist with identifying significant clinical facts that may have been overlooked by the payer or dispute guidelines that may not apply to the case at hand. It may not be practical to have the PA involved in every appeal due to cost and resource allocation. You might consider a two-pronged approach based on the perceived need for physician input and an at-risk amount. For example, if the appeal writer is faced with a more complex clinical scenario that they may be unfamiliar with, or the case is a high-dollar denial, the denial would be referred to a PA for review and recommendations.
Kendall Smith, MD
Chief Physician Advisor, Denial Research Group/AppealMasters
Dr. Kendall Smith is a Senior Fellow in Hospital Medicine (SFHM) and currently acts as Chief Physician Advisor for AppealMasters, a leading appeal educator and appeal services firm for hospitals and health systems. He's been deeply involved in denial and appeals management throughout his hospitalist career, working collaboratively with UR/Case Management departments as well as Managed Care and Hospital C-Suite executives.
His familiarity with managed care denials led him to design and implement a number of CDI programs, including those at the Cleveland Clinic in Florida and the MedStar Washington Hospital Center. He has served as a physician leader on hospital revenue cycle management teams while also serving as a the Physician Advisor for Clinical Resource Management. Dr. Smith is also an AHIMA ICD-CM/PCS approved trainer/ambassador.
Q: "When completing an Appointment of Representative (AOR) form to accompany an appeal, does the name on the form need to be a specific person or can I use the hospital's name? My director would like to have this AOR form created with my name as the appointed representative since I am the appeals coordinator and handle all appeals. What would you recommend?"
A: Payers expect the name of a single person to be entered on the AOR form. Medicare's AOR form, also known as Form-1696, states, "I appoint this individual", indicating a request for a single named person. https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/cms1696.pdf. The AOR form for United HealthCare states, "name the person who will be your representative." https://www.uhcprovider.com/content/dam/provider/docs/public/commplan/nc/resources/NC-Appointment-of-Representative-Form.pdf.
Denise Wilson, MS, RN, RRT • AHDAM President
Senior Vice President Denial Research Group
Denise is a Registered Respiratory Therapist, Registered Nurse, and holds a Master's degree in Management Information Systems from the University of Illinois, Springfield. Denise has over thirty years of experience in healthcare, including clinical management, education, compliance, and denial and appeal management. Denise is a nationally known speaker and dynamic educator on Medicare and Commercial appeals processes, payer behaviors, standards of care, appeal template development, and building a road map to drive the payer to a decision in the provider's favor.
Q: "What are the steps / process to submit contracted payer's for Medicare Advantage plan denials up to ALJ after the payer denies the inpatient medical necessity and first and second appeals?"
A: Medicare Advantage patients are, in most respects, more like private pay patients than Medicare. While there are some exceptions, for the most part traditional Medicare rules do not apply to Medicare Advantage patients. The traditional Medicare appeals process is also inapplicable.
When you are contracted with the Medicare Advantage plan, your appeal options are limited to whatever is stated in your contract. Generally, there is no opportunity to go to an ALJ hearing after you have exhausted your internal appeal rights, meaning your rights to appeal to the plan according to your contract.
You may have an option to appeal to external review with an independent review organization. You will need to check with your state's insurance commission board to determine if that is an option. Some states allow only patients to take appeals to external review. Some states allow patients and providers to appeal to external review.
For providers in the states that allow only patients to appeal to external review, some providers have opted to act as the authorized representative of the patient. That means the provider has to complete specific paperwork to file an appeal on behalf of the patient. The provider must appeal on behalf of the patient starting with the first appeal. In other words, a provider cannot submit appeals through the internal appeal process on their own behalf and then decide to appeal to external review on behalf of the patient.
Q: "Our Skilled Nursing Facilities have utilized the Covid-19 waivers during the pandemic. To be proactive for any future audits that we would receive, do you think that we would be required to have any additional documentation in our record to substantiate the waiver besides noting that providers should document the rationale for applying the waiver? Are there any other documentation or certifications needed to be maintained in a file besides normal SNF skilled level of care coverage guidelines to support an in-patient skilled level of care as defined in Chapter 8, Section 30 of the Medicare Benefit Policy Manual?"
A: The most important thing to consider is that specific waivers and instructions are changing really quickly. It is important to have a saved electronic or paper version of them, along with the dates that the waivers were in effect. One needn't enter in a medical record "this was done because of this waiver" but having the ability to recreate what waivers were in effect and when is important, and challenging because government documents have often changed without including dates in a way that allows a person to know when a particular rule was in effect.
David Glaser, Esq.
Attorney at Fredrikson & Byron, P.A., Minneapolis, MN
A: I would not muddy the medical record with the rationale used to align with waivers and such. Document only rationale for treatment and care in the medical record. Compliance and/or Revenue Cycle Integrity seems the likely place to own the rationale for why care was delivered and how it was supported due to waivers and timeframes. Then, when you write the appeal, reference the waiver rationale that the Compliance/Revenue Cycle owns.
Taryn Schraad, RHIA, CPMA
Health Care Compliance, Sr. Consultant, PYA, P.C., Overland Park, KS
Taryn has over a decade of experience helping healthcare organizations capture accurate and comprehensive documentation in clinical and revenue cycle workflows in compliance with regulatory standards. As an RHIA, Taryn builds strong relationships with clients' clinical, coding, and billing departments to improve the payment and charge/data processes. Taryn has supported hospitals as an internal auditor, new service coordinator, and chargemaster senior analyst.
"We appealed a concurrent medical necessity denial. The payer upheld the denial by using InterQual® criteria for only the principal diagnosis, when, in fact, the patient met InterQual® criteria for additional diagnoses that were relevant to the hospitalization. The patient required an inpatient admission for treatment of hypokalemia, anemia, hypomagnesemia, urinary tract infection, nausea and vomiting, and abdominal pain. InterQual criteria for electrolyte or mineral imbalance was met, but since anemia was the principal diagnosis, the payer upheld the denial because per InterQual® criteria inpatient admission was not supported for the anemia. How should we approach our next level appeal?
I've found the best arguments in these cases are contained in the Code of Federal Regulations (CFR) and in policies set forth by the National Committee for Quality Assurance (NCQA) and URAC (remembering that NCQA and/or URAC certification is necessary for the insurers to participate in providing Medicare and Medicaid plans).
I would point to two paragraphs contained within NCQA (which comport with various federal laws regulating insurance). The exact arguments to be made will depend on the type of the plan – ERISA governed, ACA issued, Medicare Advantage and Medicaid. All are governed by the Code of Federal Regulations – though at different chapters.
By way of example, 42 CFR § 438.114 – Emergency and post stabilization services states:
Emergency services means covered inpatient and outpatient services that are as follows:
(i) Furnished by a provider that is qualified to furnish these services under this Title.
(ii) Needed to evaluate or stabilize an emergency medical condition.
(3) The attending emergency physician, or the provider, actually treating the enrollee, is responsible for determining when the enrollee is sufficiently stabilized for transfer or discharge. That determination is binding on the entities identified in paragraph (b) of this section as responsible for coverage and payment.
NCQA Regulations add the following arguments that could be applied to the question at hand.
Nationally developed procedures for applying criteria, particularly those for length of hospital stay, are often designed for "uncomplicated" patients and for a comprehensive delivery system; they may not be appropriate for patients with complications or for a delivery system with insufficient alternatives to inpatient care. Written UM procedures direct decision makers to alternative procedures or approaches (e.g., a secondary set of UM criteria and individual case discussions) when assessment indicates that UM guidelines are not appropriate.
The organization's policies and procedures require coverage of emergency services in the following situations:
To screen and stabilize the member without prior approval, where a prudent layperson, acting reasonably, would have believed that an emergency medical condition existed.
If an authorized representative, acting for the organization, authorized the provision of emergency services.
To provide post-stabilization care services for the member.
(Remember as to #1 above that stabilization of an emergency medical condition can occur in the ICU and as an inpatient. Just because a patient was admitted to the ICU or inpatient does not mean that their emergency medical condition was stable. Only the attending physician can determine when the patient's condition has "stabilized," and in the case of Medicaid (set forth above), that decision is binding on the insurer.
Generally, some combination of argument from one or both resources set forth above will address most acute care insurance denials – no authorization and denials of care using IQ/MCG.
How can we defend a sepsis diagnosis that does not meet the Sepsis-3 definition and the payer will accept only evidence that meets Sepsis-3 criteria?
Left untreated sepsis can progress to severe sepsis and septic shock quickly. There is no single test that can diagnosis sepsis. Healthcare practitioners evaluate several tests and the patient's clinical condition to make a sepsis determination and detect inflammation. Providers should determine which evidenced based medicine criteria tool they will use to diagnosis and triage sepsis, and define their protocol to meet that criteria. A defined protocol and process helps both Clinical Documentation Specialists (CDS) and providers align on the clinical indicators that support a sepsis diagnosis, reduce query fatigue, and provide appeal support language. Providers may also order any medically necessary lab tests such as serum lactates or blood gases to support the use of diagnosis code A41.9.
A sepsis diagnosis is a clinical judgement that doesn't always fit all the right pegs of a payer's requirements. When participating in a peer-to-peer with the payer or writing an appeal, lay out the protocols your institution follows that supports your clinical judgement, cite the evidence based medical criteria sources, and focus on the key clinical indicators for making a sepsis diagnosis. Be prepared to defend your practices in appeals court.
Health Care Compliance, Sr. Consultant, PYA, P.C.
We have a particular Medicare Advantage payer who will not allow a peer-to-peer discussion to occur when an inpatient level of care denial is issued after the patient is discharged from the hospital. Is that a typical behavior for Medicare Advantage payers?
If timelines for requesting and responding to peer-to-peer discussions is not defined and enforced in your MA contract, then a short-stay inpatient admission may be downgraded to an observation level of care. Within the first few hours a provider may determine the patient's condition warrants an IP level of care, the request to the MA is made for an IP authorization number. The MA issues a denial and by the time a peer-to-peer request transpires the patient has discharged. The delay seems to always favor the payer's position and this scenario is all too common.
Consider tracking and trending the timeframes for request and response rates. Discuss the discrepancies with your payer representative. Come to a compromise and a mechanism for conducting peer-to-peers timely. If timeliness continues to be a problem, get the timelines and processes outlined in your MA contracts. Consider language that defines the number of hours (not days) the MA must determine and assign an authorization number to your case. Include language that denied IP authorization numbers may convert to observation status numbers when appropriate. State time limits for peer-to-peer requests to be completed and enforce reporting and corrective actions as it relates to contractual violations. The best way to thwart or defend denials is to focus on good documentation up front. Add to that a rigorous denials management process that addresses denials with a holistic view. Be diligent in follow up and holding the payers accountable for their role in patient status determinations.
What are some good resources for researching evidence-based standards of care for use in medical necessity appeal arguments?
All payers define medical necessity in their online manuals, within provider contracts, or clinical policy bulletins. Medical necessity definitions may encompass appropriateness of levels of care as well as procedures and services. Payer definitions almost always include a reference to being based on reasonable and medically necessary care according to standards of care in the local medical community. Other wording might consist of standards based on peer-reviewed articles published in medical journals or guidelines from nationally recognized health care organizations. In short, medical necessity references used in appeal writing should be standards that are recognized in the medical community.
An excellent place to start is by reviewing available articles or standards published on specialty society websites such as the American College of Cardiology, www.acc.org. Most of the sites offer free guidelines or standards available for download in pdf format. Periodicals such as the Journal of the American Medical Association or The New England Journal of Medicine are also excellent resources, but often require a paid subscription to access articles. Other excellent resources include the Agency for Healthcare Research and Quality, https://www.ahrq.gov/, and PubMed, https://www.ncbi.nlm.nih.gov/pubmed/. Another resource is the list of articles referenced by the payer in their clinical policy bulletins. Also, your provider may have subscriptions to tools such as InterQual®, MCG, or UpToDate® that include references to articles that may help support the medical necessity of the care provided.
Denise is a Registered Respiratory Therapist, Registered Nurse, and holds a Master's degree in Management Information Systems from the University of Illinois, Springfield. Denise has over thirty years of experience in healthcare, including clinical management, education, compliance, and denial and appeal management.
Denise is a nationally known speaker and dynamic educator on Medicare and Commercial appeals processes, payer behaviors, standards of care, appeal template development, and building a road map to drive the payer to a decision in the provider's favor.
When using evidence-based medicine articles to support an appeal argument, should the appeal writer submit the actual articles with the appeal letters?
In today's electronic world, there is no reason to include a print-out, paper or otherwise, of evidence-based medicine articles used to support an appeal argument. Best practice is to include the URL where the article can be accessed. It's also good practice to cite the article using an acceptable format such as the American Psychological Association (APA) citation and format style. The Purdue University Online Writing Lab is a good resource for the APA style. You can find it at https://owl.purdue.edu/. Providing the reference is important because the URL for articles can change over time. The reference also provides the reader enough information to locate the article through library databases or catalogs that may be available to them.
Is there a recommendation for how long appeal letters and appeal decision letters should be retained?
There isn't a clear "you must keep this records this long" answer, but there are some factors to consider. First, I would DEFINITELY keep them at least ten years. The False Claims Act has a long statute of limitations, that is 6 years after a claim is submitted, but allows the government to seek damages for up to 3 years after the government learns of the facts, with a limit of ten years. That means False Claims Act Cases can seek information back ten years. (And since you don't learn about many FCA cases for some time, it is theoretically possible to have the request seek information that is even older.)
From a practical perspective, I would consider keeping these for even longer if the results were favorable. A favorable decision can provide a defense to a future claim. If it is possible to retain favorable decisions indefinitely, I would. Not because it is required, but because it may be helpful. (Of course, unless it is easy to find the decision, merely keeping it will be of limited value. Ideally you would store it electronically in a searchable format.)
David Glaser, Esq., attorney at Fredrikson & Byron, P.A., Minneapolis, MN


text:
Q: Change color to a specific cell in a row of a datagrid I am using this code deployment on here. But the casting in GetCell, get null in the row and fails to change the color of the cell. What I want to do is get the cell, then according to their value to change the cell color to red or green.
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A: This worked for me:
I used here a MultiConverter here in order to compare two data grids and i changed the color in each cell that the values where different. But you can use this for your scenario.
 public class NameToBrushMultiValueConverter : IMultiValueConverter
 {
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    {
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The owners of this home requested that their bedroom be transformed. The existing bedroom, with its attached sitting room and small office, was large and had tall ceilings, but it lacked details and any elements that gave it a sense of scale.
The solution was to panelize the walls and to apply moldings to the large expanse of ceiling area. The mirror behind the bed reflects the view of the garden from this second-story room.


In two recent trials there has been a new system dubbed "the artificial pancreas", that has had positive results in all of its tests.
The system works on the basis of a monitor under the skin that then hooks up to a computer or smart phone, then based in data received wit will release insulin appropriately, acting as a normal pancreas would.
There were two test groups in the trial: adults and adolescence comparing the artificial pancreas and the normal monitoring system for three months.
It was trailed both day and night for the adults and overnight for the adolescence.
A report from the New England Journal of Medicine found that there was better glucose control with the artificial pancreas, with the glucose levels of the adults staying in the target range for much longer.
The system was trailed day and night for the adults and only used it overnight.
The New England Journal of Medicine reported that the adults were able to maintain better control in the day and night with the artificial pancreas. Their average blood sugar levels were lower using the system, and their glucose levels stayed within the target range for longer.
The younger adolesces patients held similar results with 25% more of their nights being in the target range.
Being the longest trial of this system, it has been able to demonstrate safer and improved glucose control.


text:
class StateMap;
class Property;

class StateNode : public QObject
{
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public:
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private:
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private:
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};

redpajama_set_name: RedPajamaGithub


In the Holidays, it's nice to know how much energy you are using. So one small step is I bought a low-end inexpensive TPLink Energy Monitoring plug for one device. I have been monitoring phone charging and my Apple monitor.
Let's read the data and do some queries in Apache Hive and Apache Spark 2 SQL.
If your local instance does not have access to Apache Hive, you will need to send the data via Site-to-Site to a Remote Apache NiFi / HDF server/cluster that can.
Inside of Apache Zeppelin, we can create our table based on the above DDL. We could have also let Apache NiFi create the table for us. I like to keep my DDL with my notebook. Just a personal choice.
We can then query our table in Apache Zeppelin utilizing Apache Spark 2 SQL and Apache Hive QL.
Step 10: Turn that extra stuff off and save money!
The code is basically a small tweak on the example code provided with the pyHS100 code. This code allows you to access the HS110 that I have. My PC and my smart meter are on the same WiFi which can't be 5G.
As you can see we only get the hours and days where we had usage. Since this is new, I don't have them all.
I created my schema to handle all the days of a month and all the hours of a day.
We are going to have a sparse table. If I was monitoring millions of devices, I would put this in Apache HBase. I may do that later.
Note that current is a special word in SQL so we tick it.
With the Python API I can turn it off, so don't monitor then. In an updated article I will add a few smart plugs and turn them on and off based on things occurring. Perhaps turn off a light when no motion detected. We can do anything with Apache NiFi, Apache MiniFi and Python. The API also allows for turning the green LED light on the plug on and off.
The Screen Prints above are from the IoS version of the TPLink KASA app, which let's you configure and monitor your plug. For many people that's good enough, but not for me.


Bizjournals.com is a website dedicated to business professionals offering news, advice, resources and career advice. The website has a large business professional following, with over six million viewers per month.
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Besides featured news and headlines, the website also offers a number of resource and advice areas. Members can aggregate news listings based on preferences, participate in discussion boards and blog posts, and either create or join various interest groups found on the website. Another feature is a sizable library of business advice, including sales and marketing, human resources, technology advice and resources for entrepreneurs. Additionally, a career site is included, with professional listings nationwide for a wide variety of industries that can be narrowed down by a number of search criteria.
One unique feature includes a vast database of management contacts for a wide variety of companies across the United States. Members can purchase lists of user-contributed business contacts for sales leads or potential employer information.


And Adesina says the Bank's greatest agenda is to unlock Africa's agricultural potential. Adesina said this in the Netherlands where he was for a three-day visit last week to champion expanded partnerships and investments in Africa. He met with government officials and private and public sector business leaders and affirmed the accord between the Bank and the Dutch government's development agendas and foreign policy.
Currently, joint projects between FMO and the Bank are estimated at $55 million. And addressing a High-level Roundtable with Dutch Business Leaders, hosted at Netherlands Enterprise Agency (RVO), on Thursday, Adesina presented the Africa Investment Forum (AIF), the Bank's innovative marketplace scheduled for November 7-9 in Johannesburg, South Africa.


With High Definition (HDTV) programming becoming more available by the day, it's important to know the answers to some common questions.
Is High Definition the Same as Digital?
Yes and no. High definition is the top-level resolution offered within the digital television category. Digital cable comes in three formats - standard, enhanced, and high-definition. Standard has a resolution of 480i, enhanced is 480p, and high definition is 720p and 1080i. Therefore, HD is digital, but not all digital is HD.
My Friends Bought High Definition Sets, but They're Expensive. Do I Really Need One?
The need for an HD television is debatable. After all, not all programming is offered in HD, and there is an additional charge for HD programming. If you are wanting to upgrade but don't want or need the added expense, you can get a wonderful picture with other digital (SDTV and EDTV) televisions. You could also wait a year or two and see what happens with prices and programming.
How Much Does a High Definition Television Cost, and Who Makes Them?
Most television manufacturers make HDTVs in a variety of styles. You can buy HD in tubes, CRT rear projection, LCD, DLP, LCOS, and Plasma. Prices range depending on picture size and technology used, but an average price gap is $500 for a small CRT monitor upwards to $20,000 for the latest in Plasma technology.
Do I Have to Subscribe to Cable/Satellite to Get HDTV?
No, many network affiliates around the United States already send out high definition signals over-the-air. What you need is an HDTV with built-in tuner, and HD Antenna to decode the signal. However, if you want to receive a non-broadcast station's HD signal (TNT, HBO, ESPN), you will need to order a cable/satellite HD package.
Does My Cable/satellite Provider Offer HDTV? If so, What Do I Need?
I Have the HDTV Package Offered by My Cable/Satellite Provider, but Don't Receive the Hd Signal. What Gives?
You're receiving the signal but may not have the tools to get it. First, make sure you own a high definition television and receiver. If so, locate the HD channels on your programming lineup as channels are split between HD and non-HD channels. Also, verify the program you're watching is offered in HD. Many HD channels run a non-HD signal when showing non-HD programming. It's also important to note that you might need to check your televisions configurations to make sure it is set at 1080i or 720p. If it's at 480p, then you're not watching HDTV even though the program is offered in HD as 480p is the resolution of enhanced definition.
What Kind of Programming Is Offered in HD?
Programming varies from station to station, and please note that not all television stations feature high definition programming. Some of the larger channels transmitting HD programming include the four major broadcast networks, TNT, ESPN, Discovery, ESPN, and HBO.
What Do 720p and 1080i Mean?
When you watch television, the picture you see is composed of many independently scanned lines. Put together, they compose the image on the screen. Interlaced and progressive are the two scanning techniques used. Lines of resolution vary for digital televisions - 480, 720, and 1080. Therefore, the resolution of a television is defined by the lines and types of scanning. A 720p resolution is a television with 720 progressive scanned lines. A 1080i resolution has 1080 interlaced scanned lines. Side-by-side, a progressive scan will show a clearer picture than interlaced, but you'll notice most HD programming is shown in the 1080i resolution.
What Aspect Ratio Does High Definition Come In?
A high definition signal is transmitted in a 16:9 aspect ratio. 16:9 is also known as widescreen or letterbox - like the screen in movie theatres. You can buy high definition televisions with either a standard (4:3) or widescreen aspect ratio. Really, it's a matter of preference, whether you like the square or rectangular screen. Most programming can be formatted to fit whatever aspect ratio you prefer.
How Much Does a New HDTV Really Cost?


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Microsoft Office can now save files to Apple's iCloud Drive
Kif Leswing Feb 17, 2015 (Jun 11, 2020) -- Google Docs can't
Microsoft is really serious about enabling its services to run on all devices and work with other companies' products.
The latest example: The Office app for iPhones and iPads can now save files to Apple's relatively new cloud storage service, iCloud Drive, along with other cloud services providers, including Box, Google Drive, and any other service that decides to enable integration with Microsoft Office.
In the updated Microsoft Office app, the locations menu will let you open, edit, and save documents stored with the service of your choice. It's not perfect — for instance, certain text files stored in iCloud will be read-only. Previously, the file picker in the Word, Excel, and Powerpoint apps only could display files stored in Microsoft OneDrive, and in a update last November, Dropbox.
Microsoft also announced that Office can now be integrated into other companies' enterprise applications, such as Box, Salesforce, and Citrix.
Microsoft still has a tricky tightrope to walk between recommending and selling its own services while still giving users and business users the flexibility to use the tools they prefer. It also puts companies like Box into an odd arrangement where they are both competing with Microsoft's products while also collaborating with the Redmond giant. Now that a lot of companies have their own sync-and-storage product, Box and Dropbox want to turn into platform companies, which runs counter to Microsoft's aims. But for the time being, the Office app can open Box files, and later this year, Office Online will be able to be opened in the Box app.
It's also a bit of a defensive move to claim the interoperability mantle for mobile productivity — last week Apple opened the beta of its free web-based iWork suite to Windows users, but Apple's probably not adding OneDrive integration. Google's web-based work suite only works with files saved on Google Drive.
The update adding support for iCloud and other cloud service providers is available from the iTunes App Store today. Microsoft says its "hard at work" adding the same features to the Office apps for Windows and Android.
Apple, Mobile, Technology


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Michael Craig Nelms (* 8. April 1955 in Fort Worth, Texas) ist ein ehemaliger US-amerikanischer American-Football- und Canadian-Football-Spieler. Er spielte unter anderem als Punt-Returner in der National Football League (NFL) bei den Washington Redskins.

Spielerlaufbahn
Mike Nelms studierte zunächst an der Sam Houston State University, bevor er zur Baylor University wechselte. Nelms spielte in den Jahren 1975 und 1976 als Defensive Back Football für die dortige Footballmannschaft, den Baylor Bears. In beiden Studienjahren wurde er aufgrund seiner sportlichen Leistungen von seinem College ausgezeichnet. Im Jahr 1977 wurde er von den Buffalo Bills aus der NFL in der siebten Runde an 177. Stelle gedraftet. Da der Head Coach der Bills Jim Ringo mit den Leistungen von Nelms nicht zufrieden war, wurde er vor dem Beginn der Saison entlassen. Er wechselte daraufhin in die Canadian Football League (CFL) zu den Hamilton Tiger-Cats, die er noch in der CFL-Saison 1977 wieder verließ und sich den Ottawa Rough Riders anschloss. Nach der CFL-Saison 1979 wechselte Mike Nelms zu den Washington Redskins in die NFL. Die Redskins setzten ihn überwiegend in den Special Teams als Punt- und Kick-off- Returner ein.

Im Jahr 1981 übernahm Joe Gibbs das Traineramt bei den Redskins. Ihm gelang es, aus den Redskins ein Spitzenteam zu formen. Nelms konnte im Jahr 1982 mit seiner Mannschaft nach der regular Season
in die Playoffs einziehen, wo man im NFC Championship Game den von Tom Landry betreuten Dallas Cowboys gegenüberstand. Nelms gelang es in der Begegnung mit vier Kick-off-Returns, einen Raumgewinn von 128 Yards erzielen. Mit einem Return über 76 Yards, der im weiteren Spielverlauf von John Riggins zu einem Touchdown verwertet werden konnte, trug er entscheidend zum 31:17-Sieg seiner Mannschaft bei. Mit dem Sieg konnten die Redskins in den Super Bowl einziehen, wo sie auf die von Don Shula betreuten Miami Dolphins trafen. Nelms konnte im Super Bowl XVII sechs Punt-Returns zu einem Raumgewinn von 52 Yards verwerten. Beide Werte stellten Super Bowl Rekorde dar. Nelms und seine Redskins gingen mit einem 27:17-Sieg als Gewinner vom Platz. Auch im folgenden Spieljahr konnte Nelms mit den Redskins das NFC Championship Game mit 24:21 gegen die San Francisco 49ers gewinnen. Der anschließende Super Bowl XVIII ging gegen die Los Angeles Raiders allerdings mit 38:9 verloren. Mike Nelms beendete nach der Saison 1984 seine Laufbahn.

Nach der Spielerlaufbahn
Mike Nelms ist Inhaber eines Autohauses in Culpeper, Virginia.

Ehrungen
Michael Nelms wurde im Jahr 1979 zum CFL-All-Star gewählt. Er spielte dreimal im Pro Bowl, dem Abschlussspiel der besten NFL-Spieler einer Saison. Nelms wurde dreimal zum All-Pro gewählt. Die Washington Redskins haben ihn in die Liste der 70 besten Spieler aller Zeiten der Mannschaft aufgenommen. Nelms ist Mitglied im NFL 1980s All-Decade Team.

Weblinks
 Kurzbiografie
 Mike Nelms bei den Washington Redskins

Quelle
 Mark May, Dan O'Brien: Mark May's Tales from the Washington Redskins. Sports Publishing LLC, 2005, ISBN 9781596700826.

Einzelnachweise

American-Football-Spieler (Baylor Bears)
American-Football-Spieler (Washington Redskins)
Canadian-Football-Spieler (Ottawa Rough Riders)
Canadian-Football-Spieler (Hamilton Tiger-Cats)
Unternehmer (Vereinigte Staaten)
US-Amerikaner
Geboren 1955
Mann

redpajama_set_name: RedPajamaWikipedia


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The Stone Roses reveal stage times for Manchester stadium shows
John Earls Jun 14, 2016 2:25 pm BST
Credit: Pennie Smith
Here's what time to arrive for Etihad Stadium concerts
The Stone Roses have confirmed the stage times for the first of their four shows at Manchester's Etihad Stadium.
Doors open at 4:30pm, before opening support act Blossoms, who release their self-titled debut album on August 5[/a], will be on at 5:40pm. They're followed by Chronixx at 6:35pm.
Public Enemy, who are the special guests at all four Stone Roses shows, play at 7:45pm, while The Stone Roses themselves come on at 9pm.
At the band's two warm-up shows last week in Halifax and Carlisle, The Stone Roses played 16-song shows, beginning with 'I Wanna Be Adored' and ending on 'I Am The Resurrection'. The gigs saw comeback single 'All For One' played midway through the show, but they didn't preview second new single 'Beautiful Thing', which was announced the night after the Carlisle show.
The set varied slightly, with 'Elizabeth My Dear' and 'Begging You' played at Halifax, while the Carlisle show replaced them with 'Mersey Paradise' and 'Sally Cinnamon'.
Assuming the stage times match for the rest of the week, the 5:40pm stage time will apply to Buzzcocks (Friday June 17), Audioweb (Saturday) and Bugzy Malone (Sunday).
The 6:35pm stage time will be for The Coral (Friday), Paul Heaton And Jacqui Abbot (Saturday) and Courteeners (Sunday). In between the support slots, Public Enemy play a headline show at London IndigO2 on Thursday.
Donald Trump says he will work to try and free A$AP Rocky


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Christmas Pepin
· The true meaning of Christmas often gets lost in the rush of the season: the shopping, the parties, the baking, and the wrapping of presents. But the essence of the season is that God gave us the greatest gift of all time—his own Son, Jesus Christ: For a child is born to us, a son is given to liu-1.rug: pepin.
· Christmas is a holiday that has evolved due the passage of time and the influence of various cultures as Christmas has entered their lives. Each Missing: pepin. Pippin definition is - a crisp tart apple having usually yellow or greenish-yellow skin strongly flushed with red and used especially for cooking.
How to use pippin in a sentence. Did You Know? Definition of Pepin in the liu-1.ru dictionary. Meaning of Pepin. What does Pepin mean? Information and translations of Pepin in the most comprehensive dictionary definitions resource on Missing: christmas.
· As our little's are getting older, we are trying to incorporate new traditions for the holiday season but also instill what the meaning of Christmas is all about. As much as we love to shop and give presents as well as receive gifts, there is so much more to Christmas.
Lately my oldest, Pepin, has. The "True Love" one hears in the song is not a smitten boy or girlfriend but Jesus Christ, because truly Love was born on Christmas Day.
The partridge in the pear tree also represents Him because that bird is willing to sacrifice its life if necessary to protect its young by feigning injury to draw away predators. Christmas, the holiday commemorating the birth of Jesus Christ, is celebrated by a majority of Christians on December 25 in the Gregorian calendar. But early Christians did not celebrate his birth, and no one knows on which date Jesus was actually born (some scholars believe that the actual date was in the early spring, placing it closer to Easter, the holiday commemorating his Resurrection).Missing: pepin.
Pepin Name Meaning French (Pépin) and English: from the Old French personal name Pepis, oblique case Pepin (introduced to Britain by the Normans). Of uncertain origin, it was borne by several Frankish kings, most notably Pepin le Bref, father of Charlemagne, and remained popular throughout the Missing: christmas. Early Origins of the Pepin family.
The surname Pepin was first found in Normandy where they claim descent from the founders of the Carolingian monarchy, Pepin d'Heristal (c. ), and Pepin le Bref (Pippin the Younger.) Both claim descent from Pepin I (also Peppin, Pipin, or Pippin) of Landen (c.
), also called Pepin the Elder or the Old, was the Mayor of the Palace of Austrasia Missing: christmas. Gail Pepin Artist Notes: This is a Christmas card remembering a loved one who has passed away. The cover features colors of navy, light blue, white, and green. Snowflakes are scattered across the design with a white decorative border.
The script headline is in the white oval. Pepin the Short (German: Pippin der Jüngere, French: Pépin le Bref, c. – 24 September ) was the King of the Franks from until his death in He was the first of the Carolingians to become king.
The younger son of the Frankish prince Charles Martel and his wife Rotrude, Pepin's upbringing was distinguished by the ecclesiastical education he had received from the monks of St Missing: christmas. CLICK HERE: liu-1.ru to subscribe to Janson Media and get notified for more videos! We at Janson Media uploads on the daily so stay tuned. The name Pepin is a boy's name of German origin meaning "awe-inspiring".
Most famous as the name of King Pepin the Short, this choice might feel somewhat belittling. The even-shorter form is Pippin, a name adopted for musical theater, and the Dutch form Pepijn is in that country's Top Noun: 1. Pepin - king of the Franks and father of Charlemagne who defended papal interests and founded the Carolingian dynasty in ()Missing: christmas.
Meaning of Pépin - What does Pépin mean? Read the name meaning, origin, pronunciation, and popularity of the baby name Pépin for boys.
Baby names that sound like Pépin include Pepin (Spanish and English), Peppin (French), christmas (2) cognate (2) comforter (2) destined (2) eighth (2) fast (2) grass (2) hanuman (2) island (2). This song "at King Pepin's Ball" was part of a game of forfeits—if you couldn't remember and repeat how the gifts of the twelve days of Christmas accumulated correctly, you lost.
"The Twelve Days of Christmas" Song; Published: c. Genre: Christmas carol: Composer(s) Traditional with additions by Frederic Austin "The Twelve Days of Christmas" is an English Christmas carol that enumerates in the manner of a cumulative song a series of increasingly grand gifts given on each of the twelve days of Christmas (the twelve days that make up the Christmas season, starting.
The story tells of two brothers, Valentine and Orson, who get separated after their mother is banished from her home. Orson, who was stolen by a bear, grows up to be wild.
Valentine is raised as a knight for Pepin the Short, also known as King of the Franks. Valentine finds Orson and "tames" him. The full Cold Moon falls on Tuesday, Decem.
Learn more about the Moon, including how it got this name and when it will rise in your liu-1.rug: pepin. Pepin definition, king of the Franks – (father of Charlemagne). See liu-1.rug: christmas. · The excerpt is from "The Four Midwestern Sisters' Christmas Book," written by Holly J. Burkhalter. I do believe it will kindle a spark of Christmas in your heart.
"When we were young, Christmas morning before the presents were opened was the most delicious moment of the entire year. We were up with the liu-1.rug: pepin. Name Pepin Categories. The name Pepin is in the following categories: English Names, Germanic Names, Surnames Names. (If you would like to suggest one or more categories for the name, click here).We have plenty of different baby name categories to search for special meanings plus popular and unique names, search our database before choosing but also note that baby name categories Missing: christmas.
The show, called 'Everyday Cooking with Jacques Pepin,' was about saving time and money in the kitchen - and it was a celebration of simple and unpretentious food.
Jacques Pepin. Food Time Money. I have an immigrant story. Most people come here for economic reasons, or religious reasons, or racial reasons, or gender reasons, or one of those things.
The name Pepin means Determined and is of French origin. Pepin is a name that's been used primarily by parents who are considering baby names for boys.
Find out more about the name Pepin at liu-1.rug: christmas. Pepin is a Spanish and English name of Hebrew, Germanic, and Old French origin. From Germanic roots, its meaning is perseverant one, one who petitions - in this context, Pepin can be used in the English language.
In addition, Pepin is a variant of the name Joseph (English, French, and German) in the Spanish language. · Jacques Pepin: Birth facts, Family and Childhood.
He was born in Bourg-en-Bresse, France on Decem. He has a birth sign Saggitarus. His father's name is Jean Victor Pepin and his mother's name is Jeannette Pepin. Caption: Jacques Pepin and wife (Source: Wikibio) His parents used to run a restaurant called Le liu-1.rug: christmas.
What To Do In Pepin. The Village of Pepin began as a steamboat boomtown that was visited by Mark Twain during his days as a paddle wheeler captain, and is also famous as the birthplace of Laura Ingalls Wilder, whose first book, Little House in the Big Woods, described her childhood liu-1.ru is located on Lake Pepin of the Mississippi River— one of the widest and, many say, most beautiful.
Pippin I, also spelled Pepin, byname Pippin of Landen or Pippin the Elder, French Pépin de Landen or Pépin le Vieux, German Pippin der Ältere, (died or ), councillor of the Merovingian king Chlotar II and mayor of the palace in Austrasia, whose lands lay in the part of the Frankish kingdom that forms part of present-day liu-1.ru reference to Landen dates from the 13th liu-1.rug: christmas.
May your Christmas be filled with the love of family and friends. And may your New Year give you success and health! Artist: Gail Pepin Artist Notes: At Christmas, give your son's girlfriend a special card, just for her.
This card features a decorated tree, festive border, sparkles, and red headlines. Discover the meaning of the Peppin name on Ancestry®. Find your family's average life expectancy, most common occupation, and more. PEPIN gift and creative paper books all contain 4 pages of introduction and 12 large sheets of very high-quality wrapping paper. They can easily be removed from the. Pepin family history, genealogy, and family tree. Find the origins, meaning of the Pepin name, photos, and more.
· On the 8th Day of Christmas, AMERiders brings to you the 12 Days of Christmas and its Origin & Meaning liu-1.ru continue today with the 12 Days of Christmas Origin and Meaning with the 8th verse in the song.
But before we do we want to thank everyone that shopped with us during our Winter Holiday Event. Nov 3, - Emily and I have added another Fabulous Bundle to our site The Graphics Fairy Premium Membership!! This week's Bundle is a Darling 12 Days of Christmas Kit!!
This Bundle includes: 52 high resolution images (40Missing: pepin. "The Twelve Days of Christmas" is an English Christmas carol that enumerates in the manner of a cumulative song a series of increasingly grand gifts given on each of the twelve days of Christmas (the twelve days after Christmas).
The song, published in England in without music as a chant or rhyme, is thought to be French in origin. "The Twelve Days of Christmas" has a Roud Folk Song. • PEPIN THE SHORT (noun) The noun PEPIN THE SHORT has 1 sense.
1. king of the Franks and father of Charlemagne who defended papal interests and founded the Carolingian dynasty in () Familiarity information: PEPIN THE SHORT used as a noun is very rare. • PEPIN Missing: christmas. Learn pepin with free interactive flashcards. Choose from different sets of pepin flashcards on Quizlet. A staple of the French countryside, potato galette is an ideal accompaniment to roasted chicken or beef tenderloin. Be sure to use clarified butter, which will not burn as quickly as regular butter during the galette's long cooking time.
We're surely beginning to hear all of the Christmas melodies, even during the tail end of November! But come December, all sorts of Christmas songs will definitely be played all around. Are you game enough to sing along with us on this Christmas songs quiz?
We'll give you the opening or beginning lyrics, and you guess the titles, okay?Missing: pepin. Pepin you profited from the lost of the harvest, as well as you, Avigator. You are selling to Pepin to a higher price, are you not? And you, Nyok, you were the only one who had access to the guilty soup. Darth, Sopica, you all have hammers and you Darth, have glowing mushrooms in your cave. It's evident, now who the Cereal Killer is.
- Explore Nancy Ford's board "Christmas" on Pinterest. See more ideas about christmas crafts, christmas diy, christmas pins.
Christmas Tree Brooch Pin, Red Green Crystal Brooches Pins, Holiday Tree Christmas Broach Pin Gift, Rhinestone Xmas Jewelry Gift Crystalitzy. From shop Crystalitzy. 5 out of 5 stars (2,) 2, reviews $ Favorite Add to. the description is the meaning and history write-up for the name; Charles Dickens used it for the miserly character Ebenezer Scrooge in his novel A Christmas Carol ().
EMERY m & f English Saint Lambert of Maastricht was a 7th-century bishop who was martyred after denouncing Pepin II. 15 hours ago · Robbie Williams has backed TV personality Gemma Collins to reach the Christmas number one slot after making a surprise cameo on her ITVBe show. The Only Way Is Essex star Gemma has joined forces Missing: pepin. 2 days ago · NRL star Latrell Mitchell has sparked controversy by slamming Rugby Australia over an indigenous rendition of Advance Australia Fair played before the Wallabies game in liu-1.rug: pepin.
Ali Velshi on defining the meaning of 'Defund the Police' 5 lucky TODAY viewers receive Jaques Pepin cookbook, pan The Christmas Conversation - SNL; Do Not Play: "My Bae," "There Are.
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It is a pleasure to invite submission of abstracts for the 5th International PhD Student Symposium, which is a key part of the biannual Hue Science Festival, in Hue City, Vietnam.
The symposium provides opportunities for exchanging ideas and sharing the latest research results across diverse areas of health science. In 2018 there will be two parallel streams in Community Health Research and Basic Biomedical Research.
You are cordially invited to submit abstracts for oral or poster presentations at the symposium. Please see the next page for the program outline and abstract specifications.
Abstract Submission Due: April 10th, 2018.
Confirmation of acceptance: April 12th, 2018.
Symposium date: April 27th 2018.
Venue: Hue University of Medicine and Pharmacy, 6 Ngo Quyen St., Hue, Vietnam.
The Symposium is organized by Hue University of Medicine and Pharmacy (including the Hue Institute for Community Health Research and the Hue Institute for Biomedical Research) in collaboration with international partners, the University of Sassari, Italy and Queensland University of Technology, Australia.
For any enquiries regarding the program, please contact us: stir@huemed-univ.edu.vn. We look forward to seeing you in Hue!


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Sven "Svängis" Folke Lennart Johansson (8 July 1914 – 12 October 1982) was a Swedish cyclist. He competed in the individual and team road race events at the 1936 Summer Olympics.

References

External links

1914 births
1982 deaths
Swedish male cyclists
Olympic cyclists of Sweden
Cyclists at the 1936 Summer Olympics
Sportspeople from Stockholm
Hammarby IF-related people


How to load default HTML file in sublime text 3?
I was using Emmet in sublime text 2. But as Sublime Text 3 beta released, I updated by Sublime to the latest version and found that Emmet was not working in Sublime Text 3. So I started my search but unfortunately, I was unable to find a working solution. There were many sites and tuts but they were not guided properly. So finally I found the solution by myself. I know this is the same as... Sublime text 3 is simple and very effective text editor compare to Adobe dream weaver or notepad++, so I recommended to use Sublime text editor. In this editor I never face any kind of lagging and frizzing problem and main advantage of this editor is- it have too many plugin with package controller. So try it. It also available for 30 days trial version.
The html snippit is included in Sublime Text 3 by default. From an empty file, set the syntax to HTML (either by saving the empty file with a .html extension, or by pressing Ctrl+Shift+P to open the command bar, and searching for "Set Syntax: HTML").... But hold on, lets see how we can add classes and ids to HTML elements using Emmet's syntax. You can add a class to an element by adding .class-name to the element and #id to add an id to it. Easy as that.
Sublime Text 3 is an innovative text and code editor for OS X and Windows with a thriving ecosystem of add-on packages. But some of its best features are difficult to discover.... I just started using Sublime Text 3. I noticed an annoying auto un-indent that happens when writing HTML and I can't figure out how to prevent it.
Sublime Text 3 is an innovative text and code editor for OS X and Windows with a thriving ecosystem of add-on packages. But some of its best features are difficult to discover.
With the help, you sublime text you can edit any source code and even you can use to write your known source code. It supports many programming languages and markup languages, additional features can be added with the help of a plugin.
3. Paste the copied script in the console and press Enter, wait a few seconds for it to be installed. 4. Restart Sublime text, i.e. just close and reopen it again.