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Philadelphia let 'college kids' distribute vaccines. The result was a 'disaster,' volunteers say.
People wait in an observation area after receiving a coronavirus vaccine at the mass-vaccination site set up by Philly Fighting COVID at the Pennsylvania Convention Center on Jan. 15. (Rachel Wisniewski for The Washington Post)
By Antonia Noori Farzan
January 27, 2021 at 4:30 a.m. EST
Philadelphia is home to some of the most venerated medical institutions in the country. Yet when it came time to set up the city's first and largest coronavirus mass vaccination site, officials turned to the start-up Philly Fighting COVID, a self-described "group of college kids" with minimal health-care experience.
Chaos ensued.
Seniors were left in tears after finding that appointments they'd made through a bungled sign-up form wouldn't be honored. The group switched to a for-profit model without publicizing the change and added a privacy policy that would allow it to sell users' personal data. One volunteer alleged that the 22-year-old CEO had pocketed vaccine doses. Another described a "free-for-all" where unsupervised 18- and 19-year-olds vaccinated one another and posed for photos.
Now, the city has cut ties with Philly Fighting COVID, and prosecutors are looking into the "concerning" allegations.
The group offered a partial apology Tuesday while defending the switch to for-profit status, and CEO Andrei Doroshin told Philadelphia magazine that claims he had helped himself to leftover vaccine doses were "baseless."
Just a few weeks ago, Philly Fighting COVID was receiving glowing coverage from the likes of NBC's "Today." The group had a compelling story: Doroshin, a graduate student at Drexel University, helped orchestrate an effort to use 3-D printers to make free face shields for hospital workers at the start of the pandemic. By summer, he and his friends were running their own pop-up testing sites citywide.
But as Philadelphia magazine reported, the group's "executive team" lacked anyone with a medical degree or advanced degree in public health. Doroshin himself listed a résumé that included stints teaching a high school film class, producing videos of people longboarding and practicing parkour, and founding a nonprofit that, according to Philadelphia magazine, "mostly consisted of a meme-heavy Twitter account, some minor community lobbying, and a fundraiser with a $50,000 goal that netted $684."
Catch up on the most important developments in the pandemic with our coronavirus newsletter. All stories in it are free to access.
After making a vaccine for the coronavirus, you have to get it to the masses. But that's not so easy for a so-called cold chain vaccine, requiring exact temps. (The Washington Post)
Speaking to "Today," Doroshin said that his lack of a traditional public health background allowed him to "think a little differently" and speed up the vaccination process. In another interview, he expressed hopes of setting up a McDonald's-like franchise and suggested that best practices for administering vaccine doses "can go out the window."
Philly Fighting COVID's young, entrepreneurial leaders also openly talked about the potential for profit, one former volunteer told WHYY: "They were bragging about how rich they were going to get." Another volunteer said the group's executives "said they were gonna be millionaires" by billing insurance providers for administering vaccine doses that Philly Fighting COVID got free. (Doroshin has disputed these allegations.)
The city's partnership with the group began drawing scrutiny last week after WHYY reported that Philly Fighting COVID had abruptly backed out of plans to host coronavirus testing clinics in predominantly Black and Latino neighborhoods and "completely ghosted" community leaders, as one pastor put it. Then, on Saturday, dozens of seniors lined up for hours to be vaccinated at the Pennsylvania Convention Center only to be turned away because the group had accidentally allowed too many people to sign up.
"There were literally 85-year-old, 90-year-old people standing there in tears, with printed appointment confirmations, saying: 'I don't understand why I can't get vaccinated. I'm 85,' " one witness told the station.
A registered nurse who volunteered with the group categorized it as a "disaster of an operation." Katrina Lipinsky told the Philadelphia Inquirer and WHYY that she wasn't asked for her medical credentials before she began administering vaccine doses, and that plenty of unused doses were left over after seniors were turned away on Saturday. She alleged that she saw Doroshin place between 10 and 15 of those doses in his bag and take them with him when he left.
The 22-year-old CEO attended a small gathering with friends that night, according to WHYY, and a photo that circulated on Snapchat appeared to show him "getting ready to administer an unspecified syringe" to an individual in a private home.
Philadelphia Health Commissioner Thomas Farley said at a Tuesday briefing that the allegations were "very disturbing" if true, and that any leftover vaccine doses should have been returned to the city. He also said that "in retrospect" it was a mistake to partner with the group.
The city announced on Monday that it would no longer work with Philly Fighting COVID for coronavirus testing or vaccine distribution, a day before the allegations of mishandled vaccine doses surfaced. The decision to sever ties was made after health officials became aware that the group had switched to for-profit status, Farley said Tuesday.
Farley also cited concerns about the group's privacy policy, which were first raised by the Inquirer. For weeks, Philly Fighting COVID collected data from tens of thousands of Philadelphians seeking vaccine appointments without telling them how that information could be used. When a privacy policy finally appeared on the group's website last week, it contained provisions that would allow Philly Fighting COVID to sell users' personal data to a third party.
In a Tuesday statement, Doroshin called the inclusion of that language a "mistake" and said it had been removed. "We never have and never would sell, share, or disseminate any data we collected as it would be in violation of HIPAA rules," he wrote.
Doroshin also apologized for "any miscommunications" as Philly Fighting COVID switched its focus from testing to vaccines, and said that he never intended to "cause confusion or harm." The group lacked the resources to handle both testing and vaccinations at the same time, he said, adding that becoming a for-profit company was necessary for "scaling up."
But elected officials still have questions. On Tuesday, Philadelphia District Attorney Larry Krasner (D) asked anyone with knowledge of potential criminal activity to contact his office, while Pennsylvania Attorney General Josh Shapiro (D) invited Philadelphians who felt they had been misled by Philly Fighting COVID to open a complaint. Multiple city council members have called for an investigation, the Inquirer reported, and want to know why inexperienced college students were placed in charge of such a crucial task in the first place.
Notably, everyone on Philly Fighting COVID's executive team is White, reported Philadelphia magazine — a fact that has raised eyebrows in a city that has struggled to vaccinate its substantial Black population, (Philadelphia is roughly 44 percent Black, but only 12 percent of vaccine doses have gone to Black people so far.) The city is also home to the Black Doctors COVID-19 Consortium, which pioneered one of the earliest efforts to conduct coronavirus testing in communities disproportionately affected by the virus.
"If there was anybody poised and ready to do this, it was us," founder Ala Stanford told the magazine, adding that the city had suggested she team up with Philly Fighting COVID to administer vaccine shots. "I happen to have been a doctor for 23 years, longer than some of these kids have been living, but I need these white kids to teach me how to do it?"


My old boss came in one day and handed me a paper. On it showed an old article from Housekeeping Magazine circa 1955. It explained the duties and roles of a housewife. We joked and how different life was back then. I immediately thought of my sweet grandmother because this is her. She still does this and we pick on her for it, but this was the way life was when she was my age.
Over sixty years later and the views of a housewife have changed. No longer are the wives thought to be stay at home moms who cook for their husbands, tend to the children and ensure the house is spotless upon his arrival. Don't get me wrong, it still is perfectly acceptable way of life, it just isn't everyone's cup of tea.
I am asked multiple times before each event if someone can attend even though they are not a housewife. So I wanted to share what I think a housewife is.
A housewife is a woman who handles her day to day activities with grace - okay sometimes chaos too.
A housewife is a woman who juggles the different situations that comes her way.
A housewife is a woman who supports her household and everyone within in - the good and the bad.
A housewife is a woman who is strong through all the struggles she encounters even when she wants to crumble.
A housewife is a woman who is brave when accepting change and not knowing the uncertain.
A housewife is a woman who fights to become a better person each day even when she falters.
A housewife is a woman who admits defeat when it gets a little hard.
A housewife is a woman who works. Whether it is at home, at the office or being a stay at home mom. It's all work in the end.
A housewife is a woman who loves the life she lives and the life she has created.
When I first started blogging for Charlotte Housewives, I received a few questionable responses. Why would I be the blogger that was chosen? I was a divorcee single mom at the age of 26. How was I considered a housewife when I was not even a wife.
Well, today in the 21st century I think we can all appreciate that many things have changed. A housewife can be the single working woman living on her own. The newlywed who is still figuring out married life. The work at home mom who loves to grab drinks with friends once a month. The wife who works during the day while dad stays at home with the kiddos. The empty-nester with free time to enjoy it with friends.
and –of course- the single divorcee mom at the age of 26.


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IP Warming is achieved by _____________.
Which field do you configure Output Format for so that the full event date (i.e. January 28, 2014). Is displayed in the confirmation and reminder emails that are sent from the Event Module?
You generate and send your client their Eloqua web tracking scripts. You get an email from the client's webmaster asking if anything else is needed to track activity on three other websites. What do you do?
A. Nothing. The same web tracking scripts are used on each website.
B. Generate a unique set of Eloqua tracking scripts for each website.
C. Modify the code of the PutinHeadsection.html file to specify each website domain.
D. Enable Strict Mode Tracking.
How do you associate contacts from a list upload to an Eloqua campaign for the purposes of Closed- loop Reporting?
A. Upload the list directly to the campaign from "Upload External Activities."
B. Add the contacts to a shared list during the list upload.
C. Run the "Get Contacts and Link to Opportunities" auto sync.
D. Enter the CRM Campaign ID in the Eloqua contact field "Last CRM Campaign ID."
In what section of Security Group Overview do you control the screens of future areas that users can access?


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'More than an eyesore': the effects of litter on South Carolina
By Trey Martin | Mar 5, 2021
BLUFF RD., COLUMBIA: South Carolina's active highway system are often be seen heavily littered. Photos by: Trey Martin
South Carolinians have an issue swirling right in front of them.
The COVID-19 pandemic has prevented state prisoners from picking up trash and limited the size of volunteer cleanup efforts. Meanwhile, unsightly litter collects in large numbers along roadways across the state.
Litter is not sedentary, as observed by Emma DeLoughry, who is pursuing a master's degree in earth and environmental resource management from the University of South Carolina. After seeing the issue firsthand, she produced a documentary showcasing the effects of litter on the natural environment in South Carolina.
"My overall goal is to increase public awareness of this issue and make it the forefront of our agenda," DeLoughry said. "I want people to realize that this is a serious problem and it's not just like 'oh, we have to save the turtles.', Like no, it's affecting us right here and it's affecting us every day and we need to be concerned about it."
The documentary, 'Macroplastics in SC Waters: Connecting the Midlands to the Coast,' seeks to educate viewers about the persistence of plastic material in the environment and show how the accumulation of this plastic litter causes significant environmental, wildlife and community damage.
Data from the South Carolina Aquarium's Litter-free Digital Journal, a citizen scientist app that tracks collection numbers from litter sweeps, found the most common waste finds to be Styrofoam, food wrappers and film, plastic bottles, miscellaneous plastics and plastic bags.
These materials can be linked to fast-food containers, and the effects are visible in areas such as Rocky Branch Creek, which runs through Maxcy Gregg Park near UofSC's campus.
"A lot of the waste from Five Points comes down the water here and gets trapped. A lot of the stuff that I found there was fast-food containers that were made of Styrofoam, especially Cookout cups and other Styrofoam containers from the fast-food places in Five Points," DeLoughry said.
The lightweight and buoyant qualities of these materials make them easily transportable by wind and water. Once it reaches a water source, the flow can take it all the way to the ocean.
DeLoughry's documentary examines the environmental, wildlife and community effects of macroplastics, which are plastic pieces larger than 2.5 centimeters. Plastic takes years or decades to break down in an aquatic environment, eventually becoming small enough to be consumed by other organisms in the water.
The extent to which the permanence of these materials impacts human life is staggering. As the energy moves up the food chain, so does the plastic, eventually making its way to humans in high levels.
The documentary also discusses the cost of plastic pollution in communities. She stated that Horry County spent an estimated $100 thousand a year repairing garbage machines that were clogged by plastic bags. Plastic bags can also clog storm drains and lead to flooding.
Groups like anti-litter and beautification nonprofit, Palmetto Pride, have already begun tackling the problem. The programs executive director, Sarah Lyles, explained how the state's maintenance of its roads can put cleanup organizations at a disadvantage.
"The way we're structured, we have a low tax base and we don't pay for interstate pickup or county road pickup like other states might," Lyles said. "We have a lot of people that come here. We're heavily tourism based and trucks come through. We are a port state, there's just a lot of traffic, and all of these things really impact litter at that level."
Bill Stangler, the Congaree Riverkeeper, estimated that his organization cleaned up around 10,000 pounds of trash and debris a year prior to COVID-19. The pattern remains the same: floatable items get washed into the river, stuck on tree branches, or consumed by another organism at high levels.
"It's a very visible problem, but it's not the only problem. It's one the average person can spend a few hours and help tackle. At the end of the day, these rivers belong to each and every one of us," Stangler said.
Palmetto Pride also works with state and local government to enact anti-litter policy. While everyone wants to make their community better, Lyles said the complexities of dealing with waste management make taking action easier said than done.
"People think of litter as just being an eyesore, but there are so many moving parts. You've got solid waste and recycling and city, county, and state infrastructure, pickup, prevention. It is a lot more complex than just the aesthetics of it," Lyles said.
State lawmakers and local officials have been at odds over who could regulate plastic containers. Advocates for the plastic industry argue that only the state's General Assembly can regulate plastic containers, not local municipalities.
In 2019, S.C. state senators Wes Climer, R-York, and Scott Talley, R-Spartanburg, sponsored legislation which would not only prevent further plastic ordinances from being introduced by local governments but would undo all existing ordinances. This bill is still up for debate.
An average citizen can make an impact by reducing their personal waste consumption or volunteering at a local cleanup. Organizations exist in large numbers throughout the state and work alongside researchers like DeLoughry to address the issue that litter imposes on the environment.
DeLoughry will begin showcasing her documentary throughout the month of March. More information can be found on the documentaries website.
"I wanted to do something local that engaged the local community and the people who work here who are seeing this issue firsthand and working to bring attention to it and provide remediation," DeLoughry said.
Emma DeLoughry, director of 'Macroplastics in SC Waters: Connecting the Midlands to the Coast,' became interested in the issue as an environmental science student at the University of South Carolina. Photo courtesy: Luismario Rosas Rivera.
ROCKY CREEK: Plastic bags are stuck on a branch at Maxcy Gregg Park on UofSC's campus. Local communities around the country are debating placing a ban on plastic bags.
CONGAREE RIVER: Styrofoam fragments and aluminum cans never fully degrade and also leech harmful chemicals into the water.
GILLS CREEK: An increase in consumed fast-food during the COVID-19 creates more litter, which often makes its way into nearby water sources.
PreviousNew Johnson & Johnson vaccine creates relief and concern
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Trey Martin
Trey Martin is a digital creator from Columbia, South Carolina. With a variety of interests, Martin has experience broadcasting on both the television and radio, as well as writing. He has worked in many different areas: DJing at Levine Children's Hospital, play-by-play announcer for South Carolina's Softball team, and developing podcasts for local businesses. Outside of the newsroom, Martin teaches guitar lessons to students of all ages and plays in a band.
https://twitter.com/USCCarolinaNews
https://www.facebook.com/USC-Carolina-News-Reporter-1877657275836813/

redpajama_set_name: RedPajamaCommonCrawl


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GCash sets up cashless cafeterias, digital rewards for BPO employees
Those working in BPO companies know all too well that a short 15-minute break is too precious to be spent in the cafeteria, waiting for change from cash they spent for coffee. Similarly, the time it takes to wait for their work incentives, which usually come in the form of gift vouchers, usually take too long to arrive in the mail. Often, they also have to deal with the inconvenience of withdrawing cash from ATMs to buy their essentials.
But all that is about to change! During the recent webinar organized by leading mobile wallet app GCash, called "GShift: Advancing Digital Financial Solutions for BPOs," GCash president and CEO Martha Sazon said, "The pandemic brought about a massive demand for safe and convenient access to digital payments and transfers. GCash responded to this growing demand with our relevant products and services and cemented our position as the number 1 mobile wallet in the country!"
To build on its vision of providing financial solutions for all, GCash has initiated various digital financial solutions and programs that are in line with BPOs' drive toward digital innovation, which were presented by GCash AVP and Head of BPO Enterprise Kim Pineda. To further encourage a cashless ecosystem in the workplace, merchants within the BPO company can now accept payments from employees using the app's QR code under GCash's Cashless Cafeteria Program. For BPO employees, that means less hassle if they don't have exact change and no more waiting in long lines during short work breaks.
"With COVID-19, it's very important to go cashless," shared Potski Alvarez, Ibex Global Philippines' country manager, who has partnered with GCash. "As a BPO company, we house our concessionaires and cafeterias, so it's become even more vital to do cashless transactions. And GCash has helped us with that, especially as our teammates interact daily with these vendors."
Joining the very timely and relevant GCash webinar were various friends and partners from the BPO industry including Ibex Global Philippines' senior vice president for Business Development Eric Kaufman, Concentrix Philippines' vice president for People Solutions Hazel Bañas, Concentrix Philippines' senior project manager Dan Lester Guevarra, and Teleperformance's administrative services manager, Rowena Belmonte. GCash VP and Enterprise Head Luigi Reyes also attended the online event.
Additionally, for disbursements, the GCash PowerPay+ allows the company to disburse incentives, allowances, reimbursements, cash advances, and salaries immediately. Whereas pre-pandemic, companies use physical items for rewards or use cash for payroll every 15 days, making it more costly at scale, now employees can enjoy their rewards, incentives, or salary in real time.
With easy access to their money anytime, anywhere, they can immediately pay for their bills or buy their lifestyle and essential needs.
With these initiatives, GCash is also creating awareness and educating BPO employees on their finances through a financial literacy program and the app's various financial services as part of their vision of financial inclusion for all Filipinos. Aside from paying bills, buying load, and sending money, Pinoys can save or grow their money safely and securely through the GCash app's many features such as GSave, GInsure, GInvest, and Credit. The app also has a GLife feature which includes over 35 brands for essentials such as food, groceries, gadgets, and more.
For more information, visit https://www.gcash.com/business.


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Disney in 2018: What's New?!?!
What's so unique about a Disney Magic Cruise?
Disney's Pandora – Flying, Gawking, Eating, Banshees, and more!


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Patients struggle to gain complete medical records, Yale finds
Minnesota's Allina and Mayo hospital systems were tested in Yale researchers' study.
By Jeremy Olson Star Tribune
October 4, 2018 — 10:50pm
Patients might be entitled by law to see their medical records, but a new study shows that is easier said than done.
Using a "secret shopper" approach to test 83 hospitals across the United States, researchers from Yale University found some that seemed indifferent to state and federal guidelines on access, timeliness and cost.
"There were startling differences … in terms of what can be requested, how much records cost, and how long it would take," said Carolyn Lye, a Yale medical student who led the study, published Friday on the online JAMA Network.
Researchers made online and phone inquiries to each hospital, posing as adult children asking about records for elderly parents.
Responses varied wildly. Costs ranged from $0 to $541.50. The federal recommendation for an electronic records request is a flat $6.50. And while 29 hospitals listed fees online, only nine quoted the same amounts when Lye called.
Minnesota's Allina and Mayo hospital systems were tested. Both offered records within the 30-day window required, with limited exceptions, under federal law.
Local malpractice attorneys said records access is a problem, even though most Minnesota hospitals have electronic records and are part of large integrated health systems.
Chris Messerly of the Robins Kaplan firm said he couldn't recall one client in 30 years receiving a truly complete set of records from a hospital. "Maybe they think lay patients wouldn't understand lab reports or wouldn't understand a CT," he said, "but this is almost a weekly occurrence."
While online portals make it easier for patients to quickly view some of their records, Messerly said they don't print out documents efficiently. A complete set of records could consist of thousands of pages, whether or not older records are kept in paper files.
Even attorneys with subpoena powers struggle. Messerly showed up at a hearing in a recent malpractice case to find that the hospital attorney had records that he hadn't seen. But he also had records that the hospital attorney didn't know about.
Lye said hospitals' online forms were restrictive; she found more flexibility in requesting complete or specific records when she called.
In two maddening instances, she requested complete medical records, but the hospitals withheld nursing notes unless she also knew to ask for them.
"If you don't include everything, that's not the entire medical record," she said.
Lye said hospitals need to become more consistent, especially in an era of shared costs and decisionmaking in which patients are bearing more responsibility for their health care.
Jeremy Olson is a Pulitzer Prize-winning reporter covering health care for the Star Tribune. Trained in investigative and computer-assisted reporting, Olson has covered politics, social services, and family issues.
jeremy.olson@startribune.com stribJO
'That's what he does': Rosario's pinch hit, 3-run homer lifts Twins over A's • Twins


Last May we had the privilege of hosting Sanctus Real at the Ultimate Event. They are really great guys focused on Jesus. Their last album came out of some difficult circumstances that various members of the band crashed up against.


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2 Reasons I'm Bullish for Biogen's Future
Two potential mega-blockbuster opportunities make this the biotech stock to watch.
Cory Renauer
(TMFang4apples)
Aug 27, 2015 at 8:02AM
When Biogen (NASDAQ:BIIB) slashed its revenue growth projection last month, it lost almost $20 billion in market capitalization before most of us finished breakfast. Mixed data from a mid-stage Alzheimer's candidate didn't help matters, but an abrupt slowdown in sales of the company's main growth-driving drug, Tecfidera, really spooked the market, shaving off more than one quarter of Biogen's market cap. The slowdown is significant enough that management lowered the mid-range of its full year EPS estimate from $15.65 to $14.48. I would hardly expect the market to swallow this information and smile, but the guidance adjustment hardly seems to justify such a steep loss for the stock. So why all the pessimism?
One reason is a perceived lack of opportunities in Biogen's pipeline. While Biogen may not have as many potential blockbusters coming down the pipe as fellow blue-chip biotech Celgene, it isn't carrying a sky high valuation either.
At just under 20 times trailing-12-month earnings, Biogen has a valuation in line with the average stock in the S&P 500. Join me for a closer look at what's coming through the pipe and I think you'll agree this industry leader is anything but average.
Alzheimer's ups and downs
Last December, Biogen had Wall Street fizzing over data that suggests it has an Alzheimer's winner on its hands. To date there are no effective therapies that prevent the disease from progressing. One reason is a lack of understanding of the disease's cause. Accumulation of misshapen beta amyloid proteins in the brain are strongly associated with dementia, although whether the plaques are the cause, one of several causes, or merely a symptom is not entirely clear.
Just a few years back, Eli Lilly raised doubts when its Alzheimer's candidate solanezumab effectively reduced amyloid plaque formation but failed to slow cognitive decline. That's why all eyes turned to Biogen this spring, when results from a mid-stage clinical trial with aducanumab showed a statistically significant reduction in both. Just as importantly, it appeared that effectiveness was dose dependent. After all, if taking more of the drug leads to a stronger intended effect, there's less chance that outliers are providing false hope.
Patients receiving 3 mg per kilogram of body weight showed improved function, but not strongly enough to show a statistically significant improvement over placebo. Patients receiving 10 mg per kilogram of body weight easily reached the threshold for statistical significance, but there's a problem. The higher dosage is linked with amyloid-related imaging abnormalities that can result in brain swelling, which was the most common reason patients discontinued the study.
Biogen later enrolled 30 more patients into a 6 mg arm, hoping it would show improved function without the abnormalities. This dosage's group of patients failed to show statistically significant improvement over the control group, but with just 10 patients receiving placebo, it's hard to draw any solid conclusions from the results .
Hopefully, the relatively small number of patients is to blame for the mixed data. The company is betting heavily that this is the case, with two phase 3 trials expected to enroll 1,350 patients each. It will be a while before we know, as the company doesn't expect to finish collecting data until early 2020.
Nerve repair
Coming up much earlier will be data for Biogen's anti-LINGO-1 program. It's receiving far less attention than aducanumab but still has the potential to transform the lives of multiple sclerosis patients. If you're unfamiliar with MS, it's an autoimmune disorder that leads to the destruction of the myelin coating surrounding nerves that is vital to their function. Existing MS therapies, such as Tecfidera, slow progression of the disease by suppressing the immune system but do nothing to repair damage.
This is what makes anti-LINGO-1 such an exciting opportunity for Biogen. To date it is the only treatment shown to repair myelin, although that statement comes with a number of caveats. First of all, the trial showing evidence of remyelination wasn't in MS, but another autoimmune disorder called acute optic neuritis. During the trial, patients exhibited improved nerve function in terms of the time required for a signal to travel from the retina to the brain. This suggests myelin repair, but there wasn't a significant change in thickness of the retinal layers or visual function.
Again -- one result points to success, and others frustrate. But you won't need to wait much longer to see what anti-LINGO-1 can do for MS. Biogen is in the middle of a phase 2 trial involving 418 patients with relapsing-remitting and secondary progressive forms of the disease. For the trial to be considered a success, patients will need to show improvement in at least one of four tests. We should know if that's the case when the company starts reading out the data sometime next year.
Adding it up
If anti-LINGO-1 or aducanumab win approval, they would effect a massive shift in their respective treatment paradigms. Without any disease-modifying therapies for Alzheimer's currently available, estimating the overall sales potential for aducanumab is a guessing game. Figures in excess of $10 billion per year aren't unusual, but that's just a fraction of the $153 billion the Alzheimer's Association estimates Medicare and Medicaid will spend caring for patients with Alzheimer's and other dementias this year.
Estimating the potential for anti-LINGO is a bit more straightforward. Biogen's own Tecfidera slows disease progression but doesn't repair damaged nerve tissue. Following FDA approval in March 2013, sales of Tecfidera reached $883 million in the second quarter of this year alone. If anti-LINGO can truly improve nerve function, it would easily trump this success.
A win for either of these programs, however, is far from guaranteed. Given general failure rates seen in drug development, the odds are stacked against them. The good news is that it appears the market isn't expecting a win for either. At about 20 times earnings, the company looks relatively cheap even if these two programs were completely off the table. If just one of the two succeeds, Biogen investors will be laughing all the way to the bank.
Cory is a long-term minded analyst focused on the Healthcare Sector. He genuinely enjoys cutting through the complexity to help everyday investors make better decisions.Follow @coryrenauer
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2 Reasons I'm Bullish for Biogen's Future @themotleyfool #stocks $BIIB Next Article


We would like to inform you that the routes 425 & 429 will be affected from Pigiale Pasia up to Adonidos due construction work of the Larnaca Sewerage Board as of today 12th until the 20th of December 2013.
Diversion of route 425: The route will be diverted from the end of Artemidos Avenue and instead of going to Pigiale Pashia, will be directed to Pavlou Valsamaki road and continues up to the end of Pavlou Valsamaki, pass by Faneromenis traffic lights and then turn to Artemidos Avenue with direction to Larnaca Airport.
On the return from the Airport to the Larnaca Centre, the bus is directed to Artemidos Avenue and on the end of the road it will be directed to Louki Pieridi road (next to the Larnaca Municipal Theatre) then direction to Gregori Afxentiou Avenue and finally continues to the Old Hospital in Ayias Elenis road.
Diversion of route 429: The route will be directed to Faros and diverted in Faneromenis, Touchane and Filopappou continuing to Artemidos Avenue.
On the return from Faros to the Larnaca Centre, the roads: Filopappou, Touchane, Oum Haram, Instamboul, Apolloniou Kities and Adonidos are diverted. The bus is directed from Artemidos continuing to Louki Pieride (next to the Larnaca Municipal Theatre), Gregori Afxentiou Avenue and finally continues its direction to the Old Hospital in Ayias Elenis road.


Georg Michael Telemann (born 20 April 1748 in Plön, died March 4, 1831 in Riga) was a German composer and theologian. He is mainly known for the Church music he wrote. His grandfather, Georg Philipp Telemann, is better known.
This page was last changed on 6 November 2013, at 21:06.


JBL VTX A12, a line array solution for mid- to large-size touring applications and high-end fixed installations, was the buzz at Harman's PL+S 2017 booth.
Frankfurt, Germany (April 10, 2017)—JBL VTX A12, a line array solution for mid- to large-size touring applications and high-end fixed installations, was the buzz at Harman's PL+S 2017 booth.
Reportedly "designed from scratch," to better serve rental companies, FOH engineers and tour sound production crews, the VTX A12 sprots a number of proprietary technologies.
These include a new JBL transducer, high-frequency waveguide design, patented JBL rigging mechanism and redesigned suspension system. Also of note, the new technology weighs in at a transport-friendly 134 lbs.
Other new features include a new full-face weatherized grill; integrated transport cart and frame; full integration capabilities with JBL system control and prediction software; and more.


text:
Messi was a tyrant in training - Koeman
Peter McVitie
The 34-year-old demanded the best from everyone around him and hated losing during training sessions, the coach has said
Ronald Koeman says Lionel Messi was like "a tyrant" during training at Barcelona.
The Argentina star raised the bar at the Camp Nou club as he developed into one of the greatest to ever play the game before departing to join Paris Saint-Germain this year.
Barca coach Koeman has lifted the lid on the six-time Ballon d'Or winner's conduct during practices with the team, revealing he would get very angry if he did not win games during the sessions.
What has been said?
"Lionel Messi has obscured everything. He was so good and he won," he told Voetbal International.
"Of course he had good players around him, but he made the difference. Everyone seems better than they are because of him. This is not a criticism, but an observation.
"I knew how good he is, but it's still nice to see it up close every day. Everything you would like to teach a football player, in recognising situations, in taking the ball under pressure, in ball speed, in finishing; with Messi everything is a 10. Not normal, not normal!
"When we did a finishing practice during training, there were sometimes players who started to hit easy balls, a bit of fooling around. But with Messi everything was: boom, boom, boom, boom. Never frills, everything functional. And always wanted to win everything.
"We always play a rondo before training. If the ball goes around 20 times, then the players in the middle must have an extra turn. If that happens three times in a row, the players will form two lines and the two who were in the middle then walk through and get taps on their heads and such.
"I asked Messi if it had happened to him once. 'Yes, once,' he said. In all those years. With him, the older players never lost an exercise against the young. It happened once and Messi was seriously angry about that for a week. Really, a tyrant."
Have players lost discipline since he left?
Koeman has admitted that Messi's absence has been noticed since he left.
Some players, like Ansu Fati, are not training with the same intensity as they did in the presence of the man who helped guide them to 10 La Liga titles and four Champions League crowns.
"When I first became coach, I had a conversation with him at his house in Castelldefels. What immediately struck me was how involved he felt and how much he is interested in football.
"The start was difficult, he later apologised for that. Messi must have the idea that there is a future in what he does. But he started to get more and more enthusiastic.
"The performance with Messi is perfect. We now sometimes do a pass and kick practices, where you had to shoot the ball into a small goal, around a post. The other day I saw Ansu Fati shoot three metres wide, simply due to lack of concentration. But he wouldn't have done that if Messi had still been there. Then he got set right, Messi became furious. That never happened to [Messi].
"I have never met anyone except Johan Cruyff with his football intelligence. Alfred [Schreuder, Koeman's assistant] sometimes explained the exercises in English and Messi does not speak that very well. But after a few seconds he knew it.
"He delivered 50 goals last year: 30 goals, 20 assists. He was an example for the players. When we won the cup, Messi had won so many trophies, bigger than this one, but you saw that the Copa del Rey really did something for him this time. With those young players in there, he saw the future of the club. All those guys wanted to take a picture with him, I've never seen anything like it.
"That's how big he was and is. It was a shock to the whole town that he's not here now."
Ronaldo leapfrogs Messi as Forbes' highest-earning footballer
Barca ready Koeman axe & make Martinez top target
Barca boss Koeman refuses to be drawn on sack talk
Copyright © 2023 Goal (United Kingdom) All rights reserved. The information contained in Goal (United Kingdom) may not be published, broadcast, rewritten, or redistributed without the prior written authority of Goal (United Kingdom)


text:
Joint Commission Standards
Survey Preparation
Tracer Methodology
» Accreditation Main Page
» e-Newsletters
» Accreditation Insider
Study: CMS Penalties for Hospital-Acquired Conditions Have Little Impact
Accreditation Insider, July 10, 2018
Want to receive articles like this one in your inbox? Subscribe to Accreditation Insider!
A study published in Infection Control & Hospital Epidemiology found that hospitals may have dodged financial penalties by billing hospital-acquired conditions (HAC) as present at the time of the patient's admission. The findings showed that a CMS policy to penalize hospitals for preventable complications had minimal impact on the reduction of hospital-associated infections.
The targeted billing codes were rarely used by hospitals, and the study found that when hospitals billed for HACs during a patient's stay, it infrequently affected the diagnosis-related group assignment, impacting hospital reimbursement.
"With this policy, CMS was hoping to see more attention paid to improving quality care, but it appears that the original HAC policy mostly led to changes in coding practices," said study lead author Michael S. Calderwood, MD, MPH, regional hospital epidemiologist at Dartmouth-Hitchcock Medical Center, in a release. "It's worth further investigation to determine whether Medicare reimbursement codes are being incorrectly used, or if there is now a greater effort to document conditions at the time of the patient's admission."
Ten years ago, CMS' Hospital Inpatient Prospective Payment System stopped reimbursing hospitals for HACs not present on admission (POA), with the hopes of encouraging hospitals to improve their infection prevention practices.
The researchers analyzed more than 65 million Medicare fee-for-service hospitalizations from 2007 to 2011 in acute care facilities, specifically examining documentation for central line-associated bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) and whether the codes for those HACs were submitted as POA (which aren't counted as preventable complications).
The study found that CLABSI and CAUTI affected 0.23% and 0.06% of hospitalizations, respectively, and in the three years immediately after the 2008 CMS policy took effect, 82% of CLABSI codes and 91% of CAUTI codes were marked as POA. This was a significant increase compared with before the HAC policy was implemented.
Diagnosis coding for CAUTI and CLABSI that was not POA from 2007 to 2011 dropped dramatically. In 2007, hospitals discharged 6,172 patients with a CAUTI diagnosis code, 99.8% of whom were marked not POA; comparatively, in 2011 when 6,448 patients were coded as having a CAUTI, just 10.7% of them had the no POA designation.
First published in PSQH
Briefings on Accreditation and Quality
Briefings on Accreditation and Quality will help you with all of your accreditation and survey preparation needs. Every...
Briefings on The Joint Commission - 1 Year Electronic
Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...
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Clearing up the confusion: CPT codes 76376 and 76377


text:
Charmouth Gallery
Fossils and Charmouth
Fossils are the remains of animals or plants which have been preserved in rock. The fossils which are found on the beaches and in the cliffs around Charmouth and Lyme Regis are mainly from marine life which existed around 195 million years ago! The cliffs around Charmouth and Lyme Regis are quite unique in their concentration of fossils. Charmouth frequently delivers rare finds to experts and amateurs alike. Rough weather is the best time to collect fossils - making this an ideal winter break!
Where to look for fossils in Charmouth?
The Stonebarrow Cliffs contain a great variety of fossils including Ammonites, Belemnites, Crinoids and other marine creatures. A good place to start is along the beach towards these cliffs and the Golden Cap. Finds have included the bones of Ichthyosaurs, usually the vertebrae.
Find out about Charmouth's helpful Heritage Centre located at Charmouth beach. Notes on safety and conservation should be observed.
Find out about more about fossil hunting
The Dorset and East Devon Coast World Heritage Site is England's first natural World Heritage Site - it is known as The Jurassic Coast.
The Jurassic Coast covers 95 miles of truly stunning coastline from East Devon to Dorset, with rocks recording 185 million years of the Earth's history. World Heritage status was achieved because of the site's unique insight into the Earth Sciences as it clearly depicts a geological 'walk through time' spanning the Triassic, Jurassic and Cretaceous periods.
Visit the Jurassic Coast Website
All Content © Vine Cottage 2014
Website by Artsgraphica


text:
\section{Introduction}\label{sec:intro}

The ``Space VLBI 2020: Science and Technology Futures'' meeting was
the second in The Future of High-Resolution Radio Interferometry in
Space series.  The first meeting
(2018 September~5--6; Noordwijk, the Netherlands) focused on the
full range of science applications possible for very long baseline
interferometry (VLBI) with space-based antennas.
Accordingly, the observing frequencies (wavelengths) considered ranged
from below~1~MHz ($> 300$~m) to above~300~GHz ($< 1$~mm).  For this
second meeting, the focus was narrowed to mission concepts and the
supporting technologies to enable the highest angular resolution
observations at frequencies of~30~GHz and higher ($< 1$~cm).

This narrowing of focus was driven by both scientific and technical
considerations.  First, results from the RadioAstron mission and the
Event Horizon Telescope (EHT) have generated considerable excitement
for studying the inner portions of black hole (BH) accretion disks and
jets and
testing elements of the General Theory of Relativity (GR).  Second,
the technologies and requirements involved in space-based VLBI differ
considerably between~100~MHz and~100~GHz; a related consideration is
that there are a number of existing instruments or mission concepts
for frequencies of approximately 100~MHz and below, while it has been
some time since attention has been devoted to space VLBI at
frequencies above~10~GHz.

This conference summary attempts to capture elements of presentations
and discussions that occurred.\footnote{
\raggedright%
Presentations are available at
\texttt{http://www.cvent.com/events/space-vlbi-2020/agenda-c7b30de0068e454591a66e5639f86668.aspx}.}
While every
effort has been made to summarize material from the formal
presentations, the structure of the meeting included a number of
discussion sessions and a poster session, and not all discussions or
material from those sessions may be included here.
(Appendix~\ref{app:schedule} shows the workshop schedule.)

For reference, standard nomenclature is used for orbits, namely
low-Earth orbit (LEO) having altitudes of no more than about~2000~km
and orbital periods of approximately 90~min.,
medium-Earth orbit (MEO) having altitudes of order 10\,000~km and
orbital periods ranging from a few hours to more than 10~hr, and
geosynchronous orbit (GEO) having altitudes of approximately 35\,000~km
and orbital periods of just under 24~hr.  Unless otherwise noted, L2
refers to the Earth-Sun Lagrange~2 point, exterior to the Earth's
orbit.

\begin{figure}
  \centering
  \includegraphics[width=0.97\textwidth]{ConferencePhoto.eps}
\end{figure}

\section{Science Motivations}\label{sec:science}

This meeting began with a review of the topics covered at the
first meeting.  Historically, one of the strong drivers for VLBI has
been a ``cosmic conspiracy.''  In order to reach the limiting
brightness temperature for an incoherent synchrotron source
($10^{12}$~K), an interferometric baseline of order the Earth diameter
($\sim 10^4$~km) is required (assuming a source flux density~$S \sim
0.5$~Jy at a redshift $z \sim 1$).  A notable result from RadioAstron,
referenced by multiple speakers, is the detection of a number of
sources with brightness temperatures (well) above the $10^{12}$~K
value expected for an incoherent synchrotron source \citep[e.g.,][]{kkk+16}.
The presence of
such compact sub-components within sources suggests additional physics
is needed, such as coherent emission or highly relativistic beamed
emission.

Subsequently, though, a number of drivers for long baselines,
including extending to space, have emerged.  Broadly, these drivers
have three classes, ``classical'' drivers (e.g., study of jets,
extragalactic masers, astrometry), ``emerging'' drivers (e.g.,
localization of fast radio bursts [FRBs] or electromagnetic
counterparts to gravitational wave events), and ``discovery science''
(of sources yet to be identified).

The focus of this workshop was motivated by recent successes in
imaging a BH's event horizon and the subsequent questions that it has
raised: The role of magnetic fields in launching and collimating
relativistic jets remains uncertain; increasing the sample of targets
beyond Sgr~A* and M87* potentially would allow for population studies;
and it may be possible to test theories of gravity beyond GR by
high-fidelity imaging of a BH's ``photon ring.''

The scientific benefit of being able to measure precisely the diameter
of a BH's ``photon ring'' was discussed by multiple speakers.  The
photon ring marks the region where photons circle the BH one or more
times before escaping to the observer; in actuality, there are a
series of photon rings, progressively thinner and dimmer approaching
the event horizon marking where photons circle once, twice, thrice,
and so on.  For a non-spinning BH of mass~$M$, the photon ring radius
is
\begin{equation}
r_p = \frac{3GM}{c^2} = \frac{3}{2}r_g,
  \label{eqn:ring}
\end{equation}
where $G$ is the Newtonian constant of gravitation, $c$ is the speed
of light, and $r_g$ is the gravitational or Schwarzschild radius.  For
a spinning BH, the intensity of the photon ring becomes highly asymmetrical, raising the
possibility that the BH spin could be measured from the shape of its
photon ring.

Speakers described how photon rings could be used as cosmic rulers and
potentially would enable precision tests of \hbox{GR}.  A potential
confounding aspect of these measurements is that one would need to be
able to distinguish effects due to the astrophysics of the accretion
flow and effects due to the theory of gravity.  Discriminating between
these effects might be difficult because the assumed theory of gravity
could affect the accretion flow in turn affecting the appearance of
the photon ring.

The current EHT results achieved approximately 10\% precision on the
measurement of the M87* photon ring.  Obtaining much higher angular
resolution than did the EHT (e.g., $10\times$ improvement) would
increase dramatically the population of BHs for which photon rings
might be measurable, both by increasing the volume and by being able
to measure much lower masses (e.g., M31*).

A topic noted, though not discussed at length, is how to present
photon ring measurements.  While photon rings have a distinctive
signature in the visibility domain (Fourier or $u$-$v$ plane), neither
the larger astronomical community nor the general public is accustomed
to thinking in the visibility domain.

Jets are ubiquitous structures, observed from pre-main sequence stars
to supermassive BHs (SMBHs).  A continuing question is whether the jets
launched from the immediate environments of BHs are powered by the
Blandford-Znajek or the Blandford-Payne mechanism and what aspect of
the accretion flow or the BH itself determines the mechanism.

Numerous speakers referred to the advances made possible by the high
angular resolution obtained by RadioAstron for probing the inner
structures of jets.  Some RadioAstron observations are consistent with
a frequency-dependent jet structure (limb-brightened at~1.6~GHz,
centrally brightened ``spine'' at~5~GHz).  However, it is also clear
that the innermost structures remain optically thick, even at
frequencies as high as 22~GHz and higher frequency observations are
required to probe closer to the central engine.

Various speakers discussed how to probe GR by imaging the innermost
portion of the accretion flow, near the innermost stable circular
orbit (ISCO).  The time domain behavior of an image could be a
powerful means of determining properties of the inner accretion flow
or the BH or both, particularly if material plunging into the BH can
be identified, from which tests of GR could be conducted.

The importance of fully polarized observations (Stokes~\hbox{I},
\hbox{Q}, \hbox{U}, \hbox{V}) for characterizing the inner portions of
the accretion flow and the magnetic field in the disc was stressed by
multiple speakers.  General Relativistic-magnetohydrodynamic (GRMHD)
simulations are being developed by multiple groups, with radiative
transfer then used to predict what an observer at infinity would
observe.  One potential complication of interpretation is that the
GRMHD simulations are typically only for protons (ions), whereas the
radio emission is generated by electrons.  Differences in temperature
between the electrons and protons, and how to include those
differences in the modeling, likely introduces ambiguities in the predictions.

These various drivers may lead to two different sets of requirements
for any future mission concept.  Some of these science questions would
favor (much) higher angular resolution, requiring longer
interferometric baselines, while others would require higher imaging
fidelity, which could be achieved by exploiting orbital dynamics to
obtain rapid filling of the (Fourier) visibility plane.

There was limited discussion of multi-wavelength and multi-messenger
astronomy opportunities from BH imaging, but one exciting possibility
involves nanohertz gravitational waves, such as being sought by the
North American Nanohertz Observatory for Gravitational Wave Astronomy
(NANOGrav).  A direct example of multi-messenger astronomy would be to
image a SMBH binary that had been identified by NANOGrav as a
gravitational wave emitter.  Alternate possibilities include
discriminating between potential candidate gravitational wave emitters
and providing potential targets for NANOGrav.  More generally, the
formation of a binary SMBH requires some amount of interaction with
its environment to ``harden'' the binary to the point at which
gravitational waves begin to extract sufficient energy from the system
that a future merger is inevitable.  While the binary SMBHs that
NANOGrav detects are too far from merger to be relevant for the
planned Laser Interferometer Space Antenna (LISA) mission, the
detection of binary SMBHs will provide information about merger rates
and potential constraints on the nature of their interactions with
their environments (e.g., stars vs.\ gas).

The International Celestial Reference Frame (ICRF) and the
International Terrestrial Reference Frame (ITRF) are critical
infrastructure for both astronomy and larger society, e.g., global
navigation satellite systems (GNSS) such as the Global Positioning
System (GPS) depend upon precise reference frames in order to obtain
accurate and precise locations on the Earth.  Structures of
astronomical sources used to define reference frames is a recognized
potential systematic, particularly if they change with time.  As such,
merely increasing the number of sources~$N$ used in defining a
reference frame may not improve its precision as $\sqrt{N}$ because
systematic errors would increasingly limit the reference frame.
Multiple
speakers noted that sub-structure was found by RadioAstron and that a
future space VLBI mission could provide information about source
structure that in turn could be used to improve modeling of sources
used for defining reference frames.

\bigskip

For reference the two prior space VLBI missions, the VLBI Space
Observatory Programme (VSOP)/Highly Advanced Laboratory for
Communications and Astronomy (HALCA) and RadioAstron, were reviewed
(Figure~\ref{fig:spacevlbi}).  The intent was to provide a summary of both the scientific results and
the ``lessons learned'' from these missions.  Not covered during the
meeting, but of importance for the initial demonstrations of the
feasibility of space \hbox{VLBI}, were a series of observations using a
Tracking and Data Relay Satellite System (TDRSS) antenna as the
orbiting component of a VLBI array
\citep{llu+86,lle+89,llu+89,lle+90}.

\begin{figure}[tb]
  \centering
  \includegraphics[width=0.47\textwidth]{HALCA-VSOP.eps}\hfil%
  \includegraphics[width=0.47\textwidth]{Spektr_RadioAstron-SyntheticAperture.eps}
  \vspace{-1ex}
  \caption{(\textit{left}) VLBI Space Observatory Programme
    (VSOP)/Highly Advanced Laboratory for Communications and Astronomy
    (HALCA) (Courtesy of JAXA); (\textit{right}) RadioAstron (Courtesy
    of Roscosmos).}
  \label{fig:spacevlbi}
\end{figure}

The VSOP/HALCA mission (1997--2005) was formally an engineering
demonstration mission designed to conduct a number of tests
\citep{vsop}, including the deployment and use of an antenna,
demonstrating pointing accuracy, and the supply of frequency signal
with sufficient precision to the spacecraft.  The spacecraft carried
an 8~m-diameter deployable antenna, on an orbit that took it to an
apogee of~22\,500~km, obtaining angular resolutions of~0.75~mas
at~1.6~GHz and~0.25~mas at~5~GHz.  Initial results from HALCA have
confirmed the presence of multiple AGN having brightness temperatures
in excess of the $10^{12}$~K limit, and re-analysis of the data have
shown that AGN jets can be traced to as close as $300\,r_g$ of the
\hbox{SMBH}.  Further, there are continuing efforts to make the data
more accessible.  One cautionary aspect of the discussion was that,
while HALCA had many notable results, there was concern about the
relatively small number of refereed journal publications that were
produced and that the angular resolution obtained were lower than what
has been obtained in subsequent millimeter-wavelength \hbox{VLBI}.

Following HALCA was to be the ASTRO-G mission, also known as
VSOP2.  Its objectives were to obtain a factor of~10 improvement in
sensitivity, angular resolution, and highest frequency of observation.
It would have consisted of a spacecraft carrying a 10~m-diameter
antenna and cryogenic ally-cooled receivers on an orbit with an apogee
of~30\,000~km.  It would have observed at frequencies of 8~GHz,
22~GHz, and 43~GHz, obtaining resolutions of~260~$\mu$as, 9~$\mu$as,
and~5~$\mu$as, respectively.  However, the level of technology
development required resulted in schedule delays and cost growth, and
the eventual termination of the project.

The RadioAstron mission \citep{radioastron} consisted of a space-borne
10~m diameter antenna equipped with receiving systems at~0.3~GHz,
1.6~GHz, and 22~GHz (as well as a non-operational 5~GHz system).  In
conjunction with ground-based antennas, it obtained angular
resolutions as high as 8~$\mu$as, due to its high apogee
of~350,000~km.  The science mission consisted of observations of
active galactic nuclei (AGN), masers, and pulsars, with multiple
speakers presenting results from different projects.\footnote{%
\raggedright%
A comprehensive list of publications from the RadioAstron mission is
at \texttt{http://www.asc.rssi.ru/radioastron/publications/publ.html}.
}
One of its prime objectives was to test for the presence of AGN having
brightness temperatures in excess of the incoherent synchrotron limit,
as discussed above.  The distribution of AGN brightness temperatures
does extend above this limit, with some sources having brightness
temperatures up to $10^{14}$~\hbox{K}.

Among other results from RadioAstron are that linear polarization
observations could be conducted when the satellite was close to
periastron.  As noted above, polarization measurements are essential
to characterizing the magnetic field, and the detection of and
subsequent study of polarized emission on the sub-milliarcsecond
scales was an expected result from RadioAstron.  Observations of
pulsars revealed complex sub-structure in images, consistent with
interstellar scattering along the line of sight.  Finally, with the
deployment of km-scale neutrino detectors, it was discovered that AGN
that are particularly bright to RadioAstron are also potential
neutrino sources.

\section{Technology Drivers and Readiness}\label{sec:tech}

The meeting surveyed the state of technology development and readiness
for future space VLBI missions.  This survey was wide ranging, from
the receiving antenna to the data reception on the ground, and a
conclusion of the meeting was that advancing some technologies would
be of general use to any future mission while the advancement of other
technologies would only be relevant for a limited set of mission
concepts (Table~\ref{tab:techdevelop}).

\begin{table}[tbh]
  \centering
  \caption{Space VLBI Technology Classification\label{tab:techdevelop}}
  \begin{tabular}{ll}
   \noalign{\hrule\hrule}
   \textbf{Likely Mission Agnostic} & \textbf{Likely Mission Specific} \\
   \noalign{\hrule}
   Sampling \& Digital Processing & Antenna (size, frequency) \\
   Data Transmission              & Receiver (bands, cooling) \\
   Time \& Frequency References   & Orbit Design \& Orbit
                                    Determination (precision) \\
                                  & Data Analysis (imaging, modeling,
                                    polarization) \\
   \noalign{\hrule\hrule}
  \end{tabular}
\end{table}

Various speakers noted that the likely time scale for the development
and qualification of a new component is plausibly a decade.  However,
a tentative consensus from the workshop is that, while there are
likely to be challenges with some aspects of technology, many
technologies needed for at least some kinds of space VLBI missions are
reasonably mature or will be matured in various technology
demonstration missions over the next few years.  (``No unobtainium
appears required.'')

The following provides a brief summary of various points discussed.
It is intended to be illustrative of the range of topics, but there
are undoubtedly other aspects of potential mission concepts that were
not discussed at length.  Most notably, there was little discussion of
what ground data processing (including, but perhaps not limited to
imaging) would be required.
\begin{description}
\item[Antenna]%
  Both HALCA and RadioAstron used deployable antennas, and Millimetron
  (\S\ref{sec:mission}) is planning to do so, while sub-millimeter
  wavelength missions have used monolithic antennas.  None of the
  space VLBI deployable antennas have been required to operate
  above~25~GHz.  Antennas with diameters up to~20~m and highest
  operating frequencies up to~30~GHz are feasible.  Some capabilities
  for deployable antennas up to~50~GHz have been demonstrated, and
  there is initial testing of antennas operating up to~110~GHz.

\item[Receivers]%
  Presentations and posters described technologies for receivers.  New
  low-noise amplifier (LNA) technology, based on kinetic inductance
  detectors (KIDs), are being developed for millimeter-wave
  paramplifiers, for both ground- and space applications.  New
  receiving systems are being developed and deployed to telescopes
  around the world, telescopes that could potentially serve as members
  of a ground telescope network to complement space-based antennas.
  These telescopes included the Atacama Pathfinder Experiment (APEX)
  and those in the Korean VLBI Network (KVN), among others.

\item[Frequency Standards and Clocks]%
  Frequency stability and time transfer are critical elements of any
  VLBI array in order to ensure accurate correlation.  For mission
  concepts involving a combination of space- and ground-based
  antennas, the space-based antennas will be moving at (much) higher
  velocities relative to the ground-based antennas and potentially
  through a varying gravitational potential.  Maintaining the
  environmental stability (e.g., temperature) for a space-based clock
  is likely to be more resource demanding relative to a ground-based
  clock.  Further, the requirements for VLBI may lead to requirements
  on space clock stability on time scales that are shorter than many
  other applications.  The RadioAstron mission demonstrated the use of
  a space-based hydrogen maser, and there are a number of new clock
  developments occurring, such as the Deep Space Atomic Clock (DSAC),
  and developments in sub-nanosecond time transfer accuracy that
  will likely be promising for future space \hbox{VLBI}.

\item[Orbit Determination]%
  Just as for ground-based VLBI arrays, space-based antenna positions
  must be constrained prior to correlation so as to avoid excessive
  searching in phase delay or rate.  For a space-based antenna,
  position determination becomes a problem in orbit determination
  because of the (high) orbital velocities involved.  For instance, an
  antenna in LEO (velocity $\approx 7$~km~s${}^{-1}$) travels a
  distance of~1~mm (equivalent observing frequency $= 300$~GHz)
  in~140~ns.

  State-of-the-art orbit determination for single satellites located
  below GNSS constellations is at the centimeter level for absolute
  measurements and at the millimeter level for relative measurements
  between two spacecraft.  The highest (relative) precision obtained
  is likely to be between the two GRACE-FO spacecraft (relative
  separation $\approx 200$~km), which can be of order 1~$\mu$m.  There
  is considerably less experience with spacecraft above the GNSS
  constellations, with the possible exception of the lunar-orbiting
  dual spacecraft Gravity Recovery And Interior Laboratory (GRAIL)
  mission.  Judgments by workshop participants suggest that orbit
  determination above the GNSS constellations is likely to be at least
  an order of magnitude worse, at least in the near term, as compared
  to that below GNSS constellations.

\item[Data Transfer]%
  Data rates for ground-based VLBI are routinely in the 2~Gbps regime
  and the EHT has achieved rates of 64~Gbps.  Ground-based VLBI data
  rates are being achieved currently, by the European Data Relay
  Service (1.8~Gbps) and, soon, by NASA-India Space Research
  Organization (ISRO) Synthetic Aperture Radar (NISAR) mission (up
  to~4~Gbps).  Over the next few years, technical demonstration
  missions are planned that should achieve as high as 100~Gbps from
  \hbox{GEO}, typically by using laser (optical) communications.  All
  other things being equal, data rates scale as $R^{-2}$ for a
  range~$R$.
\end{description}

\section{Mission Concepts}\label{sec:mission}

The Millimetron mission concept involves a 10~m deployable and cooled
sub-mm and far-IR telescope.  Placed into an orbit around the
Earth-Sun L2 point, it will conduct VLBI observations at wavelengths
of~0.8~mm to~3~mm (350~GHz to~100~GHz) and single dish observations to
wavelengths as short as 80~$\mu$m.  The antenna will be cooled for the
first three years of the expected 10~year science operations duration
of the mission.  The concept is in a Phase~A study, funded by the
Russian Space Agency.

The deployable antenna is made of a series of panels.  The panel
production process has been qualified, with a substantial reduction in
areal mass density having been achieved relative to many previous and
current sub-mm and far-IR missions,
and panel production is beginning.  The antenna itself is considered
to be in Phase~\hbox{B}.  Development of instruments is under
discussion, including with international partners, but space VLBI
receivers are planned to be part of the instrument package.  The
planned recording rate on-board the spacecraft is 2~Gbps for four
channels, for a total rate up to 16~Gbps, but the downlink data rate
is only 1.6~Gbps.

\bigskip

For future missions, two general architectures were discussed.  In one
architecture, one or more orbiting antennas have relatively low orbits
(from LEO to MEO).  The objective of such an architecture is to obtain
higher imaging fidelity, potentially on more rapid time scales, in
order to track dynamic changes in the inner accretion disk and jet.
This approach would be most beneficial for lower-mass BHs (e.g.,
Sgr~A*), for which time scales are typically minutes to days.  If
there are two or more orbiting antennas, it may be possible to realize
an entirely space-based array, with no dependency on any ground-based
telescopes.  Such a space-based array could also operate at
frequencies at which the atmosphere is largely or essentially opaque
($> 600$~GHz).

In the second mission architecture, a single antenna is at a large
distance from the Earth (e.g., Earth-Moon L2 or Earth-Sun L2).  The
objective of such an architecture is to obtain extreme angular
resolutions, in combination with ground-based telescopes, in order to
measure the characteristics of the ``photon rings'' for a large number
of SMBHs.
Some estimates for the number of SMBHs for which the ``photon ring''
characteristics could be measured were as high as $10^4$ objects.

There was also discussion of a mixed architecture in which an orbiting
antenna was placed on a highly eccentric orbit.  During most of its
orbit, it would be at a large distance from the Earth so as to obtain
an extreme angular resolution while, for a short portion of the orbit,
its rapid orbital motion covers the (Fourier) visibility plane rapidly
in order to improve image fidelity.

Both HALCA and RadioAstron had significant international partnerships.
The U.{}S.\ Space VLBI Project supported U.{}S.\ community engagement
with both HALCA and RadioAstron, though RadioAstron launched after the
termination of the project.  Key ``lessons learned'' from the U.{}S.\
Space VLBI Project include
\begin{itemize}
\item A project can have non-scientific motivations.
  The U.{}S.\ Space VLBI Project was motivated partially by
  high-level U.{}S.\ Government desire to improve relations between
  the U.{}S.\ and the then Soviet Union.
\item At least in the U.{}S., prior to a formal project, there is
  often a pre-project phase, and this series of meetings could be
  considered an example of a pre-project activity.
\item The Project had a memorandum series, some of the analysis reported
  in those memoranda may be of value in developing future missions,
  and there was interest expressed in having those memoranda being
  available publicly.
\item Over-optimism about technology maturity can lead
to cost overruns, which can lead to severe stress or even mission
cancellation.
\item Debates about whether resolution or image quality are the most
  important factor can be acrimonious.
\item It is important to have and adhere to a clear message regarding
  the science and technology in order to obtain high-level support,
  from both the science community and management (at institutes and
  within space agencies).
\item It is important to discuss the distribution of science benefits
  among mission partners.
\item The existence of an international science council (e.g., the
  RadioAstron International Science Council [RISC]) is important in
  obtaining long-term and broad engagement.
\item Establishing an early agreement by ground-based radio
  telescopes, if they are to enable the mission's science, is
  critical.  There was some discussion that, prior to the
  establishment of the \hbox{VLBA}, the science case for space VLBI
  may have been perceived as weak.
\item Next-generation missions need to have fewer constraints imposed
  by the spacecraft or operations in order to obtain better science.
\end{itemize}

Two ground-based telescopes of relevance for future space-based VLBI
are the Atacama Large Millimeter/submillimeter Array (ALMA) and the
next-generation Very Large Array (ngVLA).  Due to the addition of
phasing capabilities \citep{mcd+18}, ALMA was already an integral part
of the initial EHT results on M87*, and it is now part of the Global
mm VLBI Network (GMVA) and the \hbox{EHT}.  ALMA has developed a
development roadmap to~2030 \citep{alma2030}, and an on-going project
to improve its capability involves improving the capabilities to
include (i)~Spectral line \hbox{VLBI}; (ii)~Extending the frequency
range of the current phasing mode to Bands~1--7; (iii)~Improving the
calibration to enable observations of weaker sources;
and~(iv)~Single-dish mode and pulsar modes.

The ngVLA is a concept for a North American-based telescope operating
between approximately 1~GHz and~120~GHz \citep{ngvla}, and it would be
a clear complement to any future space-based VLBI system operating
below~100~GHz.  Its design includes antennas across North America for
trans-continental VLBI and a phasing mode for pulsar observations.
\section{Future Steps}\label{sec:future}

Any future mission will require a compelling science case, and
continued millimeter-wave VLBI on the ground will be an essential
aspect of building that science case.  Notably future EHT
observations, particularly of Sgr~A*, could help motivate whether a
mission to achieve high image fidelity or extreme angular resolution
is more compelling.

A number of technology advances are likely to occur in the near term,
with motivations separate from space \hbox{VLBI}, but from which a
space VLBI mission would benefit.  The DSAC technical demonstration
mission was noted above, but there also are a number of technical
demonstrations of laser (optical) communications to achieve higher
data rates.  Monitoring of these technical developments, potentially
complemented by proposals for targeted technical developments in other
areas relevant to a space VLBI mission, is warranted.  There was also
substantial discussion of potential pathfinder missions, in order to
prove out technologies, and discussions about the extent to which
(long-duration) balloons would be able to contribute either to the
technology development or even science observations.

At various times during the meeting, the extent to which the
participants adequately represented the diversity of the astronomical
community was questioned.  In some potential axes of diversity, there
was broad representation, but other axes were quite narrow.

Finally, there was general agreement that a third meeting in the
series should occur, likely in the latter half of~2021.\footnote{
This conclusion is likely to have to be revisited in light of the
novel coronovirus pandemic.}
On that time
scale, a number of events should occur including future maturation of
the Millimetron concept, new results from the EHT including on Sgr~A*,
and the U.{}S.\ Decadal Survey report.  With those developments, it
may be possible to identify a concrete next step for a future space
VLBI mission.

\paragraph{Acknowledgments}\label{par:acknowledge}

We thank K.~Prairie for her expert organization of the conference.
This work made use of NASA's Astrophysics Data System Bibliographic Services.
The National Radio Astronomy Observatory is a facility of the National Science Foundation operated under cooperative agreement by Associated Universities, Inc.
The RadioAstron project was led by the Astro Space Center of the Lebedev Physical Institute of the Russian Academy of Sciences and the Lavochkin Scientific and Production Association under a contract with the State Space Corporation \hbox{ROSCOSMOS}, in collaboration with partner organizations in Russia and other countries.
Part of this research was carried out at the Jet Propulsion
Laboratory, California Institute of Technology, under a contract with
the National Aeronautics and Space Administration.

\clearpage

redpajama_set_name: RedPajamaArXiv


Wrentham 5th grader Talia Cotter came in 1st place All-Around at the Massachusetts USAG Level 7 Gymnastics State Competition. She earned the highest score in the competition. This earned her the 1st spot on the Massachusetts Super 7 State team.
Her sister, Julia Cotter, a Wrentham 4th grader came in 5th all-around in her age division earning her a spot on the Massachusetts all star team. The sister attend Roderick Elementary School and will represent Elite Gymnastics Academy and Massachusetts at their Regional competition this April.
Jennifer Moon won the 5th Dancing with the Wrentham Stars on Friday night at Lake Pearl Luciano's. The Delaney Elementary School technology teacher also took home the prize for raising the most money. Not only did Moon wow the audience and judges with her 1950s inspired performance, collectively the six stars proved to be champion fundraisers bringing in over $100,000 for local charities.
For Moon, her Dancing with the Wrentham Stars' experience was all about team. "Wrentham students and their families all supported WEST and attended fundraisers, colleagues volunteered their time to make these events possible," Moon says. "My husband (a past DWTWS Champion) encouraged me to take this leap and held down the fort as I took lessons and attended fundraisers most evenings. Local businesses supported us from the start and this was truly a team effort. I am forever grateful to all who supported this adventure."
Moon added, "I am proud to work in Wrentham and honored to raise my children in such an amazing community."
Joining Moon in the competition were Sarah Marks, Jennifer Millet, Mike Constantine, Mark "Tito" Convertito and Mark Kitsis. Each star needed to learn a dance routine, a group dance, and raise money.
Marks, a longtime Wrentham resident and retired nurse, was hoofing it for 4Paws Animal Shelter. "The experience was awesome," she says. "It was a lot of work and at times it could be a little scary and frustrating. I was very fortunate to be paired up with my dance partner who is a wonderful teacher, very supportive, and extremely patient."
If the organizers of the event ever have trouble finding a star to compete they simply need to ask Marks. "I would do it again in a heartbeat," she said.
The Wrentham Holly Club was one of the charities involved and Millet represented them. Born and raised in Wrentham, Millet works as a cosmetologist at The Hairsmith Salon located in the center of town. "My experience was great and the lessons were really fun," Millet says. "The fundraising was a lot of work, but I had a lot of help from my family and friends."
Despite enjoying herself, don't expect her to return to the dance floor again as a Wrentham star. "I am really happy that I did Dancing with the Wrentham Stars," Millet says. "I definitely think this was my swan song."
Constantine, a coach for the high school football team, raised money for the King Philip Sports Boosters Club and hit the floor with a sports theme performance while. Convertito, a fixture at the Eagle Brook Saloon working as a manager and bartender for the past 30 years, represented The Friends of Wrentham. "The experience was very challenging but also very rewarding," Convertito says. "I would recommend it to anyone. You won't be disappointed."
He added that his dancing days are not over. "You'll see me on the dance floor again, [just] at your local night club."
Kitsis was dancing for the LIVESTRONG program at the Hockomock YMCA. His relationship with the charity is very personal. As a cancer survivor and a graduate of the program, he knew his efforts were important, but he did find it hard juggling work obligations with the fundraising and dance rehearsals. "It was very difficult for me, but the cause was worth all the effort and stress," he says. "The fact that I am a cancer survivor and an alumnus of the LIVESTRONG program made it all the worthwhile."
The entire event and support from the town impressed Kitsis, and he is willing to help future stars with their experience. "The turnout and support for this event demonstrates what a great community Wrentham is," he says.
In addition to monetary donations, the organizers of the event collected can non-perishable goods for the Wrentham Food Pantry.
Wrentham Fire Chief James McMorrow informed the Board of Selectmen that he plans to retire in June. In his letter to the board, he wrote, "My last shift in the station will be Friday June 15; the time has come for me to enter a new phase in life."
McMorrow has protected Wrentham since 1979 when he was appointed to the auxiliary department, subsequently the on call department, and then serving as a full time member for the last 32 years. "It has been my great pleasure to serve our community for this long and will miss being an active member of the fire service with every fiber of my being," he wrote.
McMorrow thanked the Town for the opportunities to serve as Deputy Chief and Chief. He also offered thanks to those he served with throughout his career. "We have experienced triumph and tragedy over many years, your well-being and safety will always be on my mind."
King Philip Regional High School, 201 Franklin St., Wrentham, will host a blood drive for Boston Children's Hospital on Thursday, March 29 from 2 to 7 p.m. To sign up visit halfpints.childrenshospital.org, sponsor code is kinghs. Donors will be provided with snacks, drinks, and a free T-shirt. The blood drive is in the memory of Henry Carr a young man who's battle against cancer and his love community continues to inspire.


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text:
Terms and conditions to win a year's free accommodation at Liberty Central in Newcastle
Liberty Living's 'Win a year's free accommodation at Liberty Central' T & Cs
Anyone who books a room at Liberty Central, Newcastle for the 2017-18 academic year via our online booking system at libertyliving.co.uk before the 31st July 2017 will automatically be entered into the competition.
The winner will be offered a Classic En-suite room for a 43 week contract at Liberty Central, Newcastle for the 2017-18 academic year.
The winning booking will be selected at random on Tuesday 1st August 2017 and the winner will be notified by Friday 4th August.
Prize fulfilment:
The winners will then be contacted to arrange the prize fulfilment. Winners must contact Liberty Living within 14 days of the date on which they are notified of their win in order to accept their prize.
By participating you agree to the requirements set out in the above rules and the following general terms and conditions.
Promoter's Details
The promoter is Liberty Living Limited. If you have any questions or complaints regarding this competition, please write to:
The Head of Marketing
Liberty Living Limited
5th Floor Peninsular House
30-36 Monument Street
London EC3R 8NB
Any complaints regarding this competition will be taken very seriously. Liberty Living strives to respond to a complaint within four weeks.
You must be 18 years or older to enter and a resident of the United Kingdom to enter any competition sponsored by Liberty Living.
The offer is only available to students applying directly with Liberty Living (so that means that they're not available through a referred University agreement or Nomination, or where a student has applied for accommodation via their University).
Not open to employees (or their immediate families) of Liberty Living, its agencies or anyone else professionally associated with this competition.
Maximum one entry per person.
Your personal information will be used in accordance with Liberty Living's current published Privacy Policy (visit here) and may be accessed by or passed to our agents to administer the competition, send out prizes and to enable Liberty Living to promote the competition in any media, including without limitation TV, online and publishing channels and on Liberty Living's pages hosted by the Social Media Providers.
Personal information will only be used for marketing purposes if you are given the choice and if you have consented to receive future marketing from Liberty Living (you may have already done this if you have registered your details with Liberty Living previously). You have, at any given time, the right to object to the processing of personal data for marketing purposes.
Liberty Living's liability
Liberty Living has arranged this competition in good faith but, to the fullest extent allowed by law, accepts no responsibility for loss or damages as a result of anyone participating in the competition or any aspect of any prize awarded. Your legal rights as a consumer are not affected.
Prize confirmation and acceptance
If Liberty Living requires a response from any winner before awarding any prize and having made reasonable efforts to contact the winner Liberty Living receives no response within the timescale referred to above in the "Prize fulfilment" section, or a winner declines to accept the prize, Liberty Living reserves the right to withdraw prize entitlement and award the prize to a substitute winner chosen at the same time as the first name(s) are selected or judged to be a winner.
Liberty Living's decision to select any winner is final and reserves the right not to correspond on any matter.
Any prize which is returned or cannot be delivered will be used for another competition or given to charity. Liberty Living has no responsibility to anyone who has not responded. Liberty Living's decision is final and no correspondence will be entered into.
No cash or other alternative prizes are available, except that in the event of circumstances outside of its control, Liberty Living reserves the right to substitute a similar prize of equal or greater value. Prizes cannot be transferred or sold by winners.
Unless otherwise stated in the prize description, winners are solely responsible for all additional costs and expenses associated with claiming and receiving the prize (excluding any taxes payable). Taxes associated with the prize are paid by Liberty Living. Liberty Living reserves the right to ask winners to sign a written release before awarding any prize.
Liberty Living reserves the right to request proof of identity or to verify eligibility conditions and to award any prize to the winner in person.
A full list of winners will be obtainable following receipt of prizes by winners as set out in the "Prize fulfilment" section above, by sending a request in writing to the address above.
Cancellation and disqualification
Liberty Living reserves the right to disqualify any bookings made outside of the competition period.
Liberty Living reserves the right to modify, suspend, cancel or terminate the competition or extend or resume the entry period or disqualify any participant at any time without giving advance notice and will do so if it cannot be guaranteed that the competition can be carried out fairly or correctly for technical, legal or other reasons, or if Liberty Living suspects that any person has been manipulating entries or the results, or has provided false information or has acted unethically in any other way.
Email safety
In the event that Liberty Living wishes to contact you in connection with your entry, Liberty Living will do so via an email ending in @libertyliving.co.uk or by phone with a follow up email. Any email which appears to come from Liberty Living but is using a different ending (e.g. hotmail.com, yahoo.com etc.) should be treated with suspicion and forwarded to the Liberty Living's email address set out above. DO NOT respond or act on any email if you are not sure that it comes from Liberty Living. If you are in any doubt, please contact Liberty Living at the email or postal address set out above.
Winners may be required to participate in reasonable related publicity without further payment or permission. You agree that Liberty Living may publish your first name, surname initial, age and/or town/city.
Please note that these rules and the promotion are governed by English law. You and we both agree to that the courts of England and Wales will have non-exclusive jurisdiction to decide any dispute arising from these rules or the promotion. However, if you are a resident of Northern Ireland you may also bring proceedings in Northern Ireland, and if you are a resident of Scotland, you may also bring proceedings in Scotland.


TK International Ltd, incorporated in 1982, is engaged in the development and managing of hotels and resorts and has become India one of the leading tourism company with its core competency in hospitality industry viz. managing hotels, hill properties, beach resorts and jungle resorts, etc. The company is managed by experienced individuals having knowledge and experience in diversified areas and fields.
The company has also adopted corporate governance and corporate social responsibility norms and implemented various practices at its resorts, offices to create awareness among the employees for environment safety.


text:
Q: Django: git push heroku master fail I am trying to push an django web app to heroku for the first time, and  there are some error message as following.
Delta compression using up to 4 threads.
Compressing objects: 100% (68/68), done.
Writing objects: 100% (81/81), 105.31 KiB | 0 bytes/s, done.
Total 81 (delta 7), reused 0 (delta 0)
remote: Compressing source files... done.
remote: Building source:
remote:
remote: -----> Python app detected
remote: -----> Installing Python-3.5.0
remote:  !     Requested runtime (Python-3.5.0) is not available for this     stack
(cedar-14).
remote:  !     Aborting.  More info:     https://devcenter.heroku.com/articles/pytho
n-support
remote:
remote:  !     Push rejected, failed to compile Python app
remote:
remote: Verifying deploy...
remote:
remote: !       Push rejected to polar-lake-12528.
remote:
To https://git.heroku.com/polar-lake-12528.git
 ! [remote rejected] master -> master (pre-receive hook declined)
error: failed to push some refs to 'https://git.heroku.com/polar-lake-12528.git'

My runtime.txt looks like:
python-3.5.1

I have already changed to lowercase and update the version of python to 3.5.1, but still not working.

A: Python 3.5.0 is not supported. You can change it to python-3.5.1.
See https://devcenter.heroku.com/articles/python-runtimes#supported-python-runtimes for supported runtimes.

redpajama_set_name: RedPajamaStackExchange


We've just completed our first week of the new season and the atmosphere at the Bell Ringer has been anything but dull! From slinky lingcod to silver tails, many guests are arriving at the dock with a fish box full of oceanic goodies! Guests are being selective about the salmon they bring in, choosing to keep Chinook averaging 10-12 lbs, as well as a great variety of bottom-dwelling creatures including rockfish and some medium-sized halibut. A great 6-pound Black Rockfish (Bomber) arrived at the dock yesterday – stay tuned to find out why this is an amazing catch!
Guests come to QCL because they want to fish, but the excitement doesn't end when the fishing day is done! Bell Ringer chef Brad has been sizzling up some crispy appetizers for the onrush of arriving guests, who can be seen with a cold drink in hand, swapping fish stories (let's be honest – we've all caught the biggest salmon in Haida Gwaii), and relaxing after a full day's work. From the comfort of the heated patio, guests have been enjoying the scenic views of the harbour and its many inhabitants – mainly otters, seals, and eagles!
The Red Boot Team has been full of energy this week, excited to start the season off well and working hard to accommodate all guests' personal and fishing needs! Have you tried Candied Salmon? Sablefish? Ask a Red Boot Team member (that's me!) about how you can try Haida Gwaii seafood with "A Taste of B-Sea" – you've never had Albacore tuna this fresh!
There's no doubt that the Bell Ringer has got all of your "apres peche" (after fishing) excitement and amenities, come and check out the fishiest Bar in Haida Gwaii for yourself! We can't wait to see you here!


Call the school from the hospital, if you can, to let them know about the new diagnosis.
Take the Diabetes Medical Management Plan (described below) with you to the school nurse on your first day back.
Make sure the school has enough supplies throughout the school year.
If you run into difficulties with the school., you can call our clinic and ask for help from our nurse practitioners or social worker.
School is the "work" of children and as they spend so much time in school, it is very important that the school know that you/your child has diabetes. Teachers, the Principal and the School Nurse should be told right away. The school bus driver also needs to know if you/your child ride a bus regularly. This is so that you/your child can stay healthy and safe while in school and can then focus on learning.
We believe that it is also important that close friends be told about the diagnosis as well. In our experience, most close friends are happy to learn that their friend is still the same person who now has a few more tasks they have to perform in order to stay healthy. In fact, most kids tell us that when they go back to school their friends all comment that "they don't look sick at all" even though they were in the hospital for a few days.
You will be given a form called the "Diabetes Medical Management Plan" (DMMP). This plan outlines what needs to happen in school in order to manage diabetes. The form will be filled out by someone from our team. We will ask you questions while filling it out so that we can individualize it to you/your child.
In addition to bringing the DDMP to school, you will need to give the school extra supplies that are used in diabetes management. We recommend that you put together a diabetes kit to be left in a central location in the school.
Children should always have ready access to something to treat low blood sugar and this should be kept in the classroom. For younger children, teachers will often keep juice boxes or glucose tabs in their desks. For older children, we recommend that they carry their preferred treatment in their backpacks or pockets.
If on shots, many children have different insulin doses for PE versus non-PE days. We can help you to determine these doses.
Most kids leave their pumps on for gym class and recess. You may need to use temporary rates following class or give an extra 15 grams of carbs before exercising.
Remember that your BG will be affected by the time of your lunch period, the timing of your PE class, the availability of snacks in your classroom, etc.
Click here to learn more about the 504 law.