text:
Festivalguiden
Trippa Tryggt
VICE MEDIA INTEGRITETSPOLICY
GENERAL TERMS AND CONDITIONS OF SALE AND DELIVERY
Inställningar för personuppgiftsbehandling
These Guys Are Trying to Improve Lebanese Sex Lives
By anonymously shipping lube and condoms in brown paper envelopes.
av Melissa Tabeek, Photos: Omar Alkalouti
Zadi Hobeika (left) and Robert Tabet, founders of Yalla Condoms
"If my girlfriend doesn't come, can I return this?"
That's one of the stranger queries the founders of Yalla Condoms have had from customers since launching their lube and condom delivery website a little over a week ago.
According to Yalla founders Zadi Hobeika and Robert Tabet, the site is a result of a very local problem. They say that the average Lebanese person isn't exactly comfortable when it comes to buying contraceptives. So at a party in January of this year, the two came up with a remedy: a discreet service that could supply a vast array of condoms, lube, creams and various sex-related accessories to the masses, allowing them to practice safe sex while also broadening their horizons. And in a society where the neighbourhood pharmacy may well be owned by your family's landlord, any opportunity to avoid an awkward encounter while buying all your sexual paraphernalia is a welcome one.
Hobeika, 28, has lived abroad most of his life, but owns an advertising agency in Lebanon and recently left Google Dublin to come back to his homeland. He made the move in the hope of working on projects that he feels passionate about, and watching him switch between laughter and mock seriousness, it becomes immediately clear that he and Tabet are enjoying their first foray into the sex-product industry.
Loads of condoms in the Yalla office
Despite his extensive time outside the country, Yalla Condoms is a project that Hobeika has been considering for a long time. Startlingly tall, at 6-foot-9, he draws from personal experience when he talks about one of his reasons for creating the company.
"People already stare at me because I'm tall," he says. "And when I go into a pharmacy to buy condoms – to me, it's nothing. But you feel sometimes [that the pharmacists] are looking at you in a certain way."
Tabet, 27, the other co-founder, is quieter than his partner, coming off as the more serious, business-minded half of the pair. He works in the pharmaceutical industry and has seen firsthand the difficulty some people have not only with buying condoms, but with more sensitive sex-related products, due to their societal implications.
"I told [Zadi] that condoms are just the name of the website," Tabet says. "Because, usually, people are ashamed to ask, for example, for extra-small condoms or delay tubes. I wouldn't even see myself going to a pharmacist, 'Hey, do you have something that delays ejaculation?' It's tough to say."
According to Tabet, even buying lubrication can be problematic, as there's an idea in Lebanon that it's only ever used by homosexual men – and the stigma around being gay still hasn't been eroded enough for people to buy lube in public. But, thanks to Yalla, people can now buy any of these products anonymously. In fact, couples can even browse the website together and choose products to stimulate their sex life without suffering any of the stigma they might do in public.
Zadi Hobeika in the Yalla office
The two are currently working out of Hobeika's office on the eighth floor of a building off the Zalka highway, less than 20 minutes outside of downtown Beirut. For now, their operations are slow and steady, so they don't need much more than a table, a smartphone or computer, a couple of shelves and box full of product. Their pre-delivery happens in their small office, where they keep the stock they have bought in bulk, mostly from local pharmacies. The two double-wrap the products in nondescript brown envelopes, then take them to a courier company to be shipped out to customers.
Despite Lebanon's reputation as an oasis of freedom in the Middle East, talking about sex and buying sex-related products still remains taboo for many. Across the sectarian divides in the country, there is a common thread of conservatism when it comes to premarital sex. However, according to medical sexologist Dr Sandrine Atallah, things are slowly starting to change, especially for the younger generation.
"We have more outside information," she says. "We are more open because the people are changing their point of view on virginity. You see more people who think it's normal to have sex before marriage."
One pharmacist in Beirut, who asked to remain anonymous, believes that though it's a more open city – where "people always go to the extremes" – there is still a significant chunk of society who are uncomfortable addressing sex.
"[Yalla Condoms] will help, but it won't change the problem," he says. "It's the old-school mentality. It will really help with preventing STDs and infections, but you won't cure this problem of character."
But until things change drastically, Hobeika and Tabet are cornering the market. And the appeal lies in the simplicity; the website, yallacondoms.com, is minimalist, and offers 14 different types of Durex condoms, 12 from Pasante and an accessories section that includes a pregnancy test, delay creams, vibrating rings and even wobbly pink and transparent snake-like condom enhancers.
According to Hobeika, most of the feedback so far has been positive. Tabat adds that some of the emails they have had since launching show that there's not only a need for their service, but that there are also people looking for guidance. They don't ask their parents or their pharmacist for help, but they are asking Yalla Condoms – sometimes even on their live chat.
"First of all, I want to say thanks for this amazing idea. I support it," said one email. "I have a question. If I want to have sex with my girlfriend, what is the best condom I can buy? I need your help because I'm not expert in this kind of work. Thanks, best wishes."
The majority of the messages they've received have also asked that the founders diversify their merchandise even more; along with pregnancy tests, people have expressed their desire to be able to order sex toys and the morning-after pill. But because of regulations and laws, they won't be selling either any time soon. Sex toys are illegal in Lebanon, and the morning-after pill is something they can't currently get involved with.
Robert Tabet in the Yalla office
"We started by going to all of the pharmacies and grocery stores to see what they had on their shelves. If the product is being sold next to the cashier, we can [sell it], too," Hobeika laughs. "The first thing is that no one is really doing this, so there's no benchmark. Can we do it? Can we not do it? How far can we push it?"
Every order comes in an unmarked package within 48 hours and is cash on delivery. The two were surprised that the majority of the approximately 30 orders they have filled so far have been from outside of Beirut, from villages in the south, Bekaa Valley in the east and outside Byblos, a city in the north of the country. They believe this is due to the fact that, in villages, there are a limited number of pharmacies, and they're usually run by someone the customer knows.
For the founders of Yalla Condoms, the mission isn't just to make money, or make it less awkward to buy condoms, but also to raise awareness about sexual health. The pair are planning to set up partnerships with initiatives and non-governmental organisations, and to use returns they get on their investment for charity work related to sex education and disease prevention.
It's clear that, soon enough, Hobeika and Tabet will no longer have to roam Beirut's pharmacies, desperately trying to find the popular Love Light "techno sex" condoms that are constantly out of stock. Distributors are already knocking on their door, and a few new brands will be on the website in the coming days.
Though many initiatives and trends in Lebanon go viral and disappear quickly, Yalla Condoms is confident they have the brains, business-savvy and the market need to stick around for a while.
"It's a way to have fun, be safe, make some money, bring awareness, overcome taboos," Hobeika says, before Tabet adds, "Plus, I don't know if you know the feeling of being the first to do something – that's a great feeling, to be innovators."
@tabeekmelissa
Tagged:sex toysLebanonBeirutLubeVice Blogsafe sexYalla Condomssexual attitudes


text:
Tag Archives: modern jazz
James Moody – The Blues And Other Colors (1969)
May 28, 2014 Uncategorized
THE BLUES AND OTHER COLORS
Original release 1969 (Milestone MSP 9023)
OJC Reissue 1997
1. Main Stem
2. Everyone Needs It
3. Savannah Calling
4. A Statement
5. Gone Are The Days
6. Feeling Low
7. You Got To Pay
Tracks 1, 4, and 8
James Moody: flute, soprano sax
Johnny Coles: trumpet, flugelhorn
Tom McIntosh: trombone
Joe Farrel; alto flute, oboe, alto sax
Cecil Payne: baritone sax
Kenny Barron: piano
Ron Carter: bass
Freddy Waits: drums
Tracks 2 and 3
add Sam Brown – electric guitar, Ben Tucker (acoustic and electric bass) replaces Ron Carter
Tracks 5-7
James Moody: flute
Britt Woodman: trombone
Jim Buffington: french horn
Linda November: voice
Alfred Brown: viola
Charles McCracken: cello
Kermit Moore: cello
Dick Katz: piano
Connie Kay: drums
Recorded August 14, 1968; January 3, 1969, and February 11, 1969
Produced by Dick Katz and Orrin Keepnews.
Recording engineer – George Sawtelle
Digitally remastered by Kirk Felton (1997, Fantasy Sound Studios, Berkeley, California).
Well this is an odd little record. James Moody's body of work is kind of all over the place but somewhere between Dizzy Gillespie, his Argo albums, and his Perception Records albums, he found time to make a handful of records for the Milestone label. This one, recorded with two entirely different ensembles (except for Ron Carter, who is the common denominator of all jazz equations, apparently*). It runs the gamut from modern jazz, hard bop, and toe-tapping soul jazz. A lot of it is the sound of a small band playing big band arrangements courtesy of trombonist Tom McIntosh, who dropped out of jazz shortly after these sessions. And the arrangements here are always interesting. The dissonant soul treatment of Ellington's "Main Stem" is a gem The summer stroll through a city park that is "Everybody Needs It" is lovely. The jazz combo + chamber ensemble idea works well on this record, better than his Moody With Strings album on Argo, for example. And considering that the album is culled from two sessions separated by six months, it holds together as a long player. About the only weak spot for me is "Gone Are The Days," a deconstruction of Stephen Foster that was probably intended as sociomusical critique but ends up being just kind of forced. (I was somewhat surprised to see that it scored so favorably on the liner notes, both of the reissue and the original release). Maybe it doesn't work for me because it seems to be trying so hard to make a statement, and pales before the previous track, ironically titled "A Statement," which is truly breathtaking.
The presence of frequent collaborator Johnny Coles is welcome here, as is Cecil Payne. Kenny Baron plays capably. Holding down the drum throne are future M'Boom member Freddie Waits and MJQ stalwart Connie Kay.
The last batch of compositions feature wordless vocals by one Linda November. Her calendar-girl name sounded vaguely familiar but I couldn't place it, so I looked her up. Alongside her credits as a pop backup singer, she more famous as the anonymous voice of TV jingles like the Meow Mix song and the "I'd Like To Give The World A Coke" song. I have no idea how she ended up on this record. Even when it's awkward it still works, though, like on the McIntosh composition "You Got To Pay," which I happened to have played recently on one of my freeform radio hours. The one fact that might legitimately scare some people off is that Moody eschews alto and tenor sax for soprano for the first half and stays on flute for all of the second half. I happen to love jazz flute but it drives some people crazy for reasons I refuse to comprehend so don't even bother trying to explain it to me.
* There is an equation for predicting the probability of Ron Carter appearing on any given album. Take the year of release, add the catalog number (substituting numerological values for any letters), divide by the number of tracks, and multiply by 100.
Tagged hard bop, Jazz, modern jazz, Soul Jazz

redpajama_set_name: RedPajamaCommonCrawl


Megan Ann Photography • featured on style me pretty!
I was thrilled to see Melissa & Brandon's wedding featured on Style Me Pretty Destination yesterday! Their blog is such a great resource for brides & grooms and I was honored to share a fabulous Maui wedding with their readers. Maui is one of my favorite places to visit and I've now been able to shoot 3 weddings over there…and hopefully more in the future!!
Also a huge thank you to my dear friends, Melissa & Brandon, for allowing me to shoot their wedding! I loved every minute of it!!
Click HERE for the link to the Style Me Pretty feature!
Click HERE for the full recap of Brandon & Mel's Maui wedding!


text:
Der Bund für Umweltschutz (BfU) war ein 1971 gegründeter Verband, der sich für Umweltschutz einsetzte.

Zu Beginn der 1970er Jahre verdichteten sich die Besorgnisse der Bürger über die Beeinträchtigung der Umwelt dermaßen, dass der Begriff Umweltschutz zu einem geflügelten Wort wurde. So war es nichts Ungewöhnliches, dass sich in Tübingen 1970 nach dem Vortrag Überleben im Atomzeitalter von Prof. Harald Stumpf spontan eine Gruppierung von Studenten bildete, die ihre politische Arbeit unter dem Namen "Komitee für Umweltschutz" aufnahm.

Um nach einigen Differenzen das Umweltschutzthema auch mehr für die übrige Bürgerschaft zu öffnen, gründete der Pädagoge und Doktorand Hartmut Gründler im Frühjahr 1971 den Tübinger "Bund für Umweltschutz" (BfU), in dem er bis zu seinem Ausschluss und der alternativen Gründung seines "Arbeitskreises Lebensschutz – Gewaltfreie Aktion im Umweltschutz e.V." intensiv mitarbeitete.

Kurz darauf fanden die Sache und der Begriff "BfU" in mindestens zwei Städten Nachahmung, nämlich im benachbarten Reutlingen (BfU Reutlingen, Sprecher Gustav Pfeifer) und im nahen Metzingen (BfU Ermstal/Alb, Sprecher Frieder Lorch). Alle drei Verbände waren bis in die achtziger Jahre sehr aktiv, vornehmlich in der Auseinandersetzung um die Atomenergie und den Kampf gegen das geplante AKW Reutlingen-Mittelstadt.

Weblink
 Wissenschaftsladen Tübingen: Geschichte

Einzelnachweise

Umweltschutzorganisation (Deutschland)
Gegründet 1971

redpajama_set_name: RedPajamaWikipedia


text:
Dutch government launches new bid to curb bankers' pay
AMSTERDAM, Dec 18 (Reuters) - The Dutch government on Tuesday unveiled new plans to tighten up rules covering bankers' pay, including restrictions on selling shares awarded as part of compensation packages.
The measures follow public and political outrage over the Dutch bank ING's proposal earlier this year for a 50 percent pay rise for CEO Ralph Hamers, which the bank then scrapped.
ING was bailed out by taxpayers during the 2008 financial crisis and in September this year agreed to pay a record $900 million fine for failing to spot money laundering through its accounts.
"This erodes support (for banks) in society, at a time when the financial sector needs to regain trust," Finance Minister Wopke Hoekstra said in an outline of his plans.
The Netherlands in 2015 already introduced a bonus cap for financial sector employees, limiting variable pay to a maximum of 20 percent of base salary.
The government's latest plan aims to limit possible exceptions to this rule, and to force banks, insurers and other financial service providers to publicly explain the level of their managers' pay.
All financial sector employees will have to hold on to company shares received as part of their compensation for at least five years to limit the focus on short term gains.
In the future, board members of banks that need state aid to survive should also be made to pay back part of their salary, the government said. It has asked legal advice on this proposal and expects an answer in the first quarter of next year.
During the 2008 financial crisis, the Dutch government nationalised ABN Amro, while offering billion-dollar lifelines to ING, insurer Aegon and other financial companies.
ABN was re-privatised in 2015, but the state still holds a 56 percent stake. The state also owns all of smaller Volksbank, which was nationalised in 2013.
Reporting by Bart Meijer. Editing by Jane Merriman


The Product is not insurance and cannot be combined with any insurance benefit, copay assistance program, or other third-party financial benefits. When you use the Product, you are responsible for the discounted cost of your prescription(s), and you agree not to seek reimbursement for any cost incurred using this Product from any commercial or employer sponsored insurance, or any federal or state funded health care program (for instance by submitting a manual claim). You may be able to use a Flexible Savings Account ("FSA") to pay for your prescription when using the Product, depending on the terms of your FSA. Inside Rx does not make payments to providers.
If you are eligible for reimbursement or coverage of prescription drugs under any state or federal health care program, such as Medicare, Medicaid, TRICARE, or other state- or federal-funded health care programs, you are not eligible to use the Product for the purchases of featured medication, even if you elect to process the prescription outside of the benefit, as an uninsured (cash-paying) patient.
All persons 65 or older are considered Medicare-eligible for purposes of purchasing Advair® HFA, Anoro® Ellipta®, Arnuity® Ellipta®, Breo® Ellipta®, Incruse® Ellipta®, Trelegy Ellipta, Flovent® Diskus®, Flovent® HFA, such that persons 65 or older cannot use the Product to purchase those medications.
This offer is not valid for patients under 18 years of age when purchasing Vascepa and will be restricted through the adjudication process.
While Inside Rx attempts to capture and provide accurate pricing and other information, we cannot guarantee that the price you pay at the participating pharmacy will always be the price that is displayed or advertised in advance of your purchase. Pricing may change over time. The final price is based on the medication you order or pick up at the pharmacy, and actual discount will vary depending on medication. If you order or pick up a different form, dosage, or quantity, you may pay a different amount.
The Product is not a substitute for a prescription. You must present or have a valid prescription to receive any prescription drugs with the Product.
Inside Rx does not guarantee that you will be able to obtain any particular pharmaceutical product. The Product can not be used for fentanyl patches or transmucosal products. Additionally, use of the Product is subject to 7-day supply quantity limits for certain short-acting opioid medications.
By using the Product, you agree that Inside Rx may provide aggregated and de-identified information to third parties, including data aggregators and pharmaceutical manufacturers. This may result in revenue to Inside Rx.
We reserve the right to rescind or revoke the Product at any time.
The Product is not a recommendation to use any service or drug. We are not offering advice, or recommending or endorsing any specific prescription drug, pharmacy, or other service or product.
The Product can only be used at participating pharmacies that fill prescriptions for pets. See insiderx.com/pharmacies for participating pharmacies.


text:
16: Openness and support: Discussions on why diverse representation matters in cybersecurity
Security Stories
On today's episode, Hazel and Noureen are joined by Leticia Gammill, Cisco's Channel leader for Canada and Latin America, and Matt Watchinski, Vice President of Cisco Talos. Together, we share our first hand experiences and stories on the impact of diversity in cybersecurity. There are some brilliant insights here about where companies can find diverse talent, beyond the usual recruitment channels. We also discuss how organizations can build a culture of mentoring and support, so that members of diverse teams can feel appropriately valued, and retainment levels are strong. Also in this episode, Hazel chats to Cisco's new CISO, Mike Hanley. Mike became our CISO in June, after 5 years in Duo where he was part of Duo Labs and then became Vice President of Security, and built and nurtured the team around him. From the importance of hiring a multitalented diverse team, to building a culture of appreciation, openness and fun, Mike's interview is a fascinating listen for anyone leading a team today. We hope you enjoy this episode, and are inspired by both of these discussions as much as we were when we recorded them.Episode timestamps:0.00 Intro02:27 Discussion on diversity in cybersecurity46:49 Mike Hanley interview1h 26: Closing remarksFor more on this subject, do check out our new eBook, "Diversity in cybersecurity: A mosaic of career possibilities". It contains over 20 interviews with cybersecurity professionals from around the world. We asked them how they all got their starts in the industry, and what they would tell their younger selves if given the chance. You can read that ebook by visiting cisco.com/go/securitycareersebook
12: Lifting others up: Stories of how we can help each other in cybersecurity
13: Prime directives: Serving the public trust, protecting the innocent, and upholding security laws, with Tanya Forsheit
14: Not fearing failure, and challenging the status quo, with Chris Leach
15: Taking the unconventional cybersecurity career path, with Curtis Simpson
17: Distorting the truth: The roots of online political disinformation campaigns, with Theresa Payton and Nick Biasini
On today's episode, Hazel and Noureen are joined by Leticia Gammill, Cisco's Channel leader for Canada and Latin America, and Matt Watchinski, Vice President of Cisco Talos.
Together, we share our first hand experiences and stories on the impact of diversity in cybersecurity. There are some brilliant insights here about where companies can find diverse talent, beyond the usual recruitment channels.
We also discuss how organizations can build a culture of mentoring and support, so that members of diverse teams can feel appropriately valued, and retainment levels are strong.
Also in this episode, Hazel chats to Cisco's new CISO, Mike Hanley. Mike became our CISO in June, after 5 years in Duo where he was part of Duo Labs and then became Vice President of Security, and built and nurtured the team around him.
From the importance of hiring a multitalented diverse team, to building a culture of appreciation, openness and fun, Mike's interview is a fascinating listen for anyone leading a team today.
We hope you enjoy this episode, and are inspired by both of these discussions as much as we were when we recorded them.
Episode timestamps:
0.00 Intro
02:27 Discussion on diversity in cybersecurity
46:49 Mike Hanley interview
1h 26: Closing remarks
For more on this subject, do check out our new eBook, "Diversity in cybersecurity: A mosaic of career possibilities". It contains over 20 interviews with cybersecurity professionals from around the world.
We asked them how they all got their starts in the industry, and what they would tell their younger selves if given the chance. You can read that ebook by visiting cisco.com/go/securitycareersebook
", "timeRequired": "PT37M", "associatedMedia": { "@type": "MediaObject", "contentUrl": "https://hakawati.fm/https://www.listennotes.com/e/p/a82f89cd07434b199b030849eaeb5b87" }, "partOfSeries": { "@type": "PodcastSeries", "name": "Security Stories", "url": "https://hakawati.fm/channels/channel_page/25416" } } }


text:
5 Things Martin Luther King Jr. Would Say in a Speech Today
By Ryan Myers
Monday is the second inauguration of our first black president. It is also Martin Luther King Jr. Day. While the big speech on Monday is the president's second inaugural address, I would like to take some time and consider a second speech, one that we won't be hearing. I would like to take some time to consider what Martin Luther King Jr. might have chosen to say if he could give speak to a modern audience on the day of the second inauguration of Barack Obama.
After looking at some of King's more well-known speeches, I have developed what I think to be a fair outline of what issues he would want to discuss and the positions he would take. While I don't have the hubris to write a speech I would equate with King's work, here are five short King-inspired sound bites to mark Obama's second inauguration.
*Please note: This piece isn't reflective of my views or King's views. Rather, it reflects my view of King's views.
1. "The marching of time, of truth, and of men have brought us closer to a world that accepts all of God's children, but we still have farther to go, we still are marching on."
As a nation, we have made a lot of progress on civil rights and racial equality. I think the first think King would do is acknowledge and congratulate this. He would likely mention that it has been 150 years since the Emancipation Proclamation, and how fitting it is that on such an anniversary we find ourselves at the second inauguration of our first African American President. I would expect him to also say something about how this doesn't mean our work is done.
I think the emphasis on marching would work for King on a number of levels. It brings up the memory of the civil rights marches and also alludes to the "Battle Hymn of the Republic," a hymn that King once quoted during a speech.
2. "As a country we have learned that we are not defined by race, but we still must learn that race is defined by us."
As a prominent African American leader, King would have to discuss where he felt the country was in terms of race. Most signs indicate progress. We are clearly somewhere different than we were during King's time, but where?
This is perhaps the hardest question to answer, but I think King would warn that we have tried to finish overcoming race by ignoring it, and I think he would offer a careful reminder that we can be deceived by this approach into thinking we've beaten racism when we have not.He would likely explain this idea a bit more before and after a line like this, but I think the word order reversal here makes the point quite elegantly.
3. "We have shed the shackles of slavery, broken the bonds of bigotry, and yet we are still imprisoned by poverty."
Discussing race in the 21st century, King would then be primed to discuss the discrepancies in poverty and imprisonment by race. I am certain King would discuss how minorities are still disproportionately impoverished and disproportionately incarcerated, and I'm certain that he would be outraged. King himself was jailed almost 30 times and viewed through the lens of his past I think he would find this injust discrimination. I think he would aim to tie this in with the issue of poverty and discuss how there are environments in this country that set up families to fail.
This line would be effective in framing the struggle against poverty as the next progression of the civil rights movement, and I think the metaphor effectively brings the issues of imprisonment and impoverishment together.
I suspect King would follow the discussion of poverty with the suggestion that we develop more effective social programs. It would work well right here as a standard problem/solution set up. Discussing social programs also brings up questions of how to pay for them, which the next sound bite would address.
4. "A nation that continues year after year to spend more money on military defense than on programs of social uplift is approaching spiritual death." - Martin Luther King, Jr.
King gave some fairly lengthy speeches about his opposition to the war in Vietnam. One of his objections was that the war was wasting money abroad that could have been better spent supporting those that were in need right here. While it is hard to say how King would feel about all the different military endeavors we have undertaken today, it seems likely that he would be for cutting military investments overall.
Rather than writing my own sound bite of what King might say about social programs and military spending, I have picked something he said that I think he would simply repeat now.
5. "The struggle to understand is unceasing. Hatred, like hell, Is not easily conquered; yet we have this consolation with us, that the harder the conflict, the more glorious the triumph. Today is one such glorious triumph…"
Finally, I think the speech would end with a broader theme. I imagine King saying that we have many difficulties, but that there is a strong precedent for victory over hatred. Whether there is animosity between races, political parties, or any people, we must work to overcome it. A dream for a new generation, if you will. Thomas Paine's The American Crisis might be a bit of an unusual reference for King, but I think it works pretty well here, and manages a solid transition back to the inauguration.
So what do you think? Did I miss anything important? Did I get anything wrong? Any suggestions for improved or additional sound bites? Let me know in the comments.


text:
Medical Complications
Nosocomial Infections 23
Patient Falls 17
The Safety and Quality of Long Term Care
Amy A. Vogelsmeier, PhD, RN; September 2011
Following surgical repair for a hip fracture, a nursing home resident with limited mobility developed a fever. She was readmitted to the hospital, where examination revealed a very deep pressure ulcer. Despite maximal efforts, the patient developed septic shock and died.
Preventing pressure ulcers: the goal is zero. Get Citation
Duncan KD. Jt Comm J Qual Patient Saf. 2007;33:605-610.
This article discusses the background and motivation behind the 5 Million Lives Campaign goal to prevent and eliminate pressure ulcers.
Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? Get Citation
Bahl V, Thompson MA, Kau T-Y, Hu HM, Campbell DA Jr. Med Care. 2008;46:516-522.
The Agency for Healthcare Research and Quality's Patient Safety Indicators (PSIs) were designed to reflect the quality of inpatient care by triggering cases for review using administrative data and examining potentially preventable complications. With an increasing focus on withholding payment for complications of care not present on admission (POA), efforts to make this important distinction continue. This study applied the use of PSIs with and without a POA variable and discovered that event rates were significantly lower for five PSIs using the added variable (decubitus ulcer, foreign body left in, selected infections due to medical care, and postoperative derangements and thromboembolic events). These findings suggest that use of standard PSIs will overstate the number of hospital complications in failing to take into account those clearly POA. The authors conclude that unadjusted PSIs should not be used to profile hospital performance or determine reimbursement.
Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators. Get Citation
Glance LG, Li Y, Osler TM, Mukamel DB, Dick AW. BMC Health Serv Res. 2008;8:176.
As the Centers for Medicare and Medicaid Services will no longer reimburse hospitals for certain preventable complications, hospitals must document if these complications were "present on admission" (POA). This study found that the rate of inpatient complications, as measured by the AHRQ Patient Safety Indicators, was significantly influenced by use of a POA variable, as also found in a prior study.
To Err Is Human—But Don't Expect to Get Paid For It.
ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.
This report describes strategies for health care institutions to prevent never events, based on results of a 2008 survey of quality professionals.
National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.
National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.
This report resulted from a consensus program involving 28 national organizations that sought to outline goals for improving the US health care system and share examples of such efforts in patient safety and other identified areas.
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities.
Chasson L, compiler; Mahoney G, Sherard BD, eds. Cheyenne, WY: Wyoming Department of Health; 2008.
This report aggregates data on adverse events from July 2007 to June 2008 and analyzes the results of data collected in the 3 years since the Wyoming reporting program began.
Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. Get Citation
Al-Kandari F, Thomas D. J Clin Nurs. 2009;18:581-590.
Kuwaiti nurses felt that increased workload and stress were associated with an increased incidence of patient safety problems.
A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. Get Citation
Krimsky WS, Mroz IB, McIlwaine JK, et al. Qual Saf Health Care. 2009;18:74-80.
Evaluating the impact of quality and safety interventions is an evolving science. While some have argued for a new paradigm in the field, others have advocated for standards similar to clinical trials. This study developed a comprehensive approach and model to increase prophylaxis against venous thromboembolic disease, ventilator-associated pneumonia, and stress ulcers in a single intensive care unit. The model included adoption of tools that promoted team communication, prompts to providers to address the evidence-based measures on a daily basis, and a data wall to provide real-time feedback. The authors provide a detailed description of their efforts that achieved near 100% target goals and advocate for this approach in creating successful microsystems that benefit from their refined Plan-Do-Study-Act methodology.
Intensive care units, communication between nurses and physicians, and patients' outcomes. Get Citation
Manojlovich M, Antonakos CL, Ronis DL. Am J Crit Care. 2009;18:21-30.
This study examined the relationship between nurse–physician communication, the intensive care unit practice environment, and adverse outcomes. Although some relationship between communication and adverse events was documented, the relationship was inconsistent, and nurses' perception of the practice environment was not clearly correlated with adverse events.
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2009.
This analysis of patient safety in Medicare patients from 2005–2007 concludes that while modest improvements have been made, patient safety incidents still account for nearly 100,000 preventable deaths and nearly $7 billion in excess costs yearly. The report also recognizes the best performing hospitals with a "Patient Safety Excellence Award"—hospitals scoring in the top 15% according to a ranking methodology developed by the authors. As with prior HealthGrades reports, the study uses the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) to measure the incidence of patient safety problems and compare hospitals. The limitations of using PSIs as a performance measure have been discussed in a prior study and AHRQ WebM&M commentary, and it is important to note that this report did not undergo external peer review.
The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. Get Citation
van Gaal BG, Schoonhoven L, Hulscher ME, et al. BMC Health Serv Res. 2009;9:58.
This study describes the implementation of a patient safety program focused on evidence-based guidelines to reduce the incidence of pressure ulcers, falls, and urinary tract infections. The authors discuss the challenges of their program development and implementation, including the need for reliable feedback systems on performance.
Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. Get Citation
Byrnes MC, Schuerer DJ, Schallom ME, et al. Crit Care Med. 2009; 37:2775-2781.
Adoption of checklists to standardize and mitigate error-prone processes was popularized in patient safety through a compelling 2007 New Yorker article. The concept was further supported by its resounding success in preventing central-line–associated bloodstream infections. Similar efforts have emerged in surgical settings in which adoption of a specific checklist reduced morbidity and mortality. This study implemented a 14-point checklist in the intensive care unit (ICU) setting to actively engage providers in considering best practices during daily rounds and then evaluated whether the checklist affected practice patterns. While the study did not measure clinical patient outcomes, investigators did demonstrate significant improvements in deep vein thrombosis and stress ulcer prophylaxis, oral care for ventilated patients, electrolyte repletion, initiation of physical therapy, and documentation of restraint orders. The study also demonstrated a two-fold increase in transferring patients out of the ICU on telemetry compared with baseline practice. The authors advocate for use of this cost-effective method to promote best practices in ICU settings.
A comparison of hospital adverse events identified by three widely used detection methods. Get Citation
Naessens JM, Campbell CR, Huddleston JM, et al. Int J Qual Health Care. 2009;21:301-307.
Measuring safety in health care settings remains challenging despite efforts to develop scorecards, focus on preventive strategies, and invest in safety infrastructure. This study compared the detection of adverse events in hospitals using the AHRQ patient safety indicators (PSIs), provider-reported events, and the IHI Global Trigger Tool. Investigators discovered that each method yielded significantly different results. For instance, only 6.2% of hospitalizations with a PSI also had a provider-reported event, and only 10.5% of provider-reported events had a PSI. Based on their findings, the authors suggest that measuring safety requires a multifaceted approach, but they caution about using such indicators for public reporting and performance comparisons. An AHRQ WebM&M commentary discusses the limitations of using PSIs for public reporting and hospital comparison purposes.
Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Get Citation
Cook J, D'Amato C, Garrett G, Ruhnau-Gee B, Hyde L, Novak N. J AHIMA. 2009;80:62-64.
The authors explain reporting and coding requirements for various types of sentinel event data and describe how these affect coverage.
Injury and death associated with incidents reported to the Patient Safety Net. Get Citation
Reid M, Estacio R, Albert R. Am J Med Qual. 2009;24:520-524.
This study characterizes the types and severity of patient safety events at academic hospitals that were reported to a voluntary error reporting system.
Patient safety outcomes in small urban and small rural hospitals. Get Citation
Vartak S, Ward MM, Vaughn TE. J Rural Health. 2010;26:58-66.
This article found that the incidence of specific safety problems (as measured by the AHRQ Patient Safety Indicators) was similar for both small urban and small rural hospitals. A toolkit for implementing safety measures in rural hospitals has been published previously.
Patient characteristics and the occurrence of never events. Get Citation
Fry DE, Pine M, Jones BL, Meimban RJ. Arch Surg. 2010;145:148-151.
The term never event was originally coined to describe rare, devastating, and preventable events like wrong-site surgery or fatal medication errors. This definition has expanded over time to include a variety of serious adverse events; for some of them (i.e., certain health care–associated infections), the Centers for Medicare and Medicaid Services denies additional reimbursement. This article sought to determine if eight never events (mostly infectious complications of surgery) are truly preventable, by examining whether baseline patient characteristics could predict which patients would experience a never event. The authors found that incidence of most of these complications could be predicted on the basis of preexisting conditions or the specific surgical procedure performed, calling into question whether these events are truly preventable. This study exemplifies research into the "basic science" of patient safety; a prior commentary called for studies focusing on identifying truly preventable harm and developing accurate, reliable measurement standards.
Adverse events experienced by homecare patients: a scoping review of the literature. Get Citation
Masotti P, McColl MA, Green M. Int J Qual Health Care. 2010;22:115-125.
Early efforts in patient safety have focused on error reduction in hospitalized patients, and the ambulatory setting is rapidly emerging with its own body of research. However, patients enrolled in hospice, nursing homes, and homecare settings are underrepresented in the safety literature. This study analyzed more than 160 studies to develop a taxonomy for adverse events in the homecare setting. Categories included adverse drug events and line-related problems as well as the expected focus on wounds and falls. Investigators reported that adverse event rates ranged from 3%–15%, with few intervention trials addressing these opportunities for improvement. The authors advocate for standardized definitions of common homecare–setting events that can foster necessary efforts to improve care for patients in this environment. A related editorial [see link below] discusses the opportunities to advance our understanding of patient safety in the homecare setting.
How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. Get Citation
Hauck K, Zhao X. Med Care. 2011;49:1068-1075.
The epidemiology of medical error has been intensively investigated in prior studies, with the goal of quantifying the overall burden of preventable harm on a population basis. This study uses econometric techniques to address a related but distinct question: what is the daily risk of a patient safety event for a typical hospitalized patient? The authors arrive at estimates of the daily risk of various safety problems, including adverse drug events, pressure ulcers, and hospital-acquired infections, and also find that the probability of experiencing an adverse event increases with increasing hospital length of stay.
Web Resource > Government Resource
Harm Free Care.
National Health Service.
This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter-associated urinary tract infections, and vascular thrombotic events.
Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Get Citation
Sullivan N, Schoelles KM. Ann Intern Med. 2013;158(5 Pt 2):410-416.
As the patient safety evidence base matures, the focus is shifting from effectiveness (identifying which strategies can prevent errors) to implementation (ensuring that all patients receive effective strategies). Pressure ulcers are considered a never event, but their incidence has been increasing despite effective preventive strategies. This systematic review identifies several promising methods of implementing multicomponent interventions to prevent pressure ulcers and emphasizes the importance of leadership, simplification and standardization of safety strategies, and regular audit and feedback of pressure ulcer rates in ensuring intervention success. This study was funded by the Agency for Healthcare Research and Quality as part of the Making Health Care Safer II report and was published as part of a special patient safety supplement in the Annals of Internal Medicine.
Adverse Events.
Washington State Department of Health.
This Web site provides never event data to promote transparency and informed consumer decision making.
National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Get Citation
Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.
Patients with schizophrenia are at greater risk than the general population of experiencing preventable adverse events when hospitalized for medical or surgical conditions.
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
This e-book provides tips for incorporating activities into daily hospital practice in conjunction with the 2013 National Patient Safety Goals.
As industry automates, adverse events continue to haunt caregivers.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
This article discusses how several health care organizations used health information technology to improve organizational transparency.
The $17.1 billion problem: the annual cost of measurable medical errors. Get Citation
Van Den Bos J, Rustagi K, Gray T, Halford M, Ziemkiewicz E, Shreve J. Health Aff (Millwood). 2011;30:596-603.
The Centers for Medicare and Medicaid Services stopped reimbursing hospitals for additional costs associated with certain preventable adverse events in 2008. Despite the widespread controversy engendered by this policy, the actual financial effect has been small, leading to calls for expansion of the policy. This actuarial study used a case-control approach to estimate the annual marginal cost of preventable adverse events in hospitalized patients at $17.1 billion, largely attributable to post-surgical complications, health care–associated infections, and pressure ulcers. Never events accounted for approximately $3.7 billion in excess costs. The results of this study provide targets for policy efforts to control health care costs and improve patient safety.
The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Get Citation
Pryor D, Hendrich A, Henkel RJ, Beckmann JK, Tersigni AR. Health Aff (Millwood). 2011;30:604-611.
This commentary reveals how one large health care system successfully reduced preventable deaths and suggests that adopting principles from high reliability organizations can improve safety.
Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System. Get Citation
Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.
Prior studies have raised the concern that minorities may be at higher risk of adverse events while hospitalized. This analysis of more than 100,000 hospital discharges found that black patients appeared to be at higher risk of hospital-acquired infections and certain adverse drug events. Interestingly, hospitals treating a higher proportion of black patients had higher rates of safety problems for all patients (regardless of race), implying that both patient factors and health care system factors may account for these disparities. Previous research has attempted to explore possible patient-level reasons for these findings.
From research to practice: factors affecting implementation of prospective targeted injury-detection systems. Get Citation
Sorensen AV, Harrison MI, Kane HL, Roussel AE, Halpern MT, Bernard SL. BMJ Qual Saf. 2011;20:527-533.
This study explores the barriers five hospitals faced in implementing new systems for prospective detection of adverse drug events and pressure ulcers, and recommends steps organizations can take to ensure smoother implementation.
Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. Get Citation
Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.
This study reports on Kaiser Permanente's use of systems analysis approaches to review all cases of inpatient mortality, with the goal of identifying preventable harm.
Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. Get Citation
McGraw C, Drennan VM. J Clin Nurs. 2015;24:536-545.
This systematic review discusses how root cause analysis methods can be used to understand community-acquired pressure ulcers. In hospital and long-term care settings, pressure ulcers are considered preventable complications, but the authors suggest that current frameworks must be adapted to understand these incidents when they occur at home, as others have recommended for adverse events in ambulatory care.
Wound-care teams for preventing and treating pressure ulcers. Get Citation
Moore ZEH, Webster J, Samuriwo R. Cochrane Database Syst Rev. 2015;9:CD011011.
Pressure ulcers are considered a never event for hospitals. In this systematic review, researchers sought to examine the impact of wound care teams in preventing and treating pressure ulcers in any health care setting, but failed to find a single randomized controlled trial that met their predefined inclusion criteria. Although wound care teams are increasingly prevalent, this study found there is a lack of robust evidence to support their effect.
NHS Safety Thermometer Report: Patient Harms and Harm Free Care, November 2014–November 2015.
Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. December 9, 2015. ISBN: 9781783865697.
The NHS Safety Thermometer is a tool developed by the National Health Service to facilitate staff participation in measuring patient harm in various care environments. This report explores the data collected on four types of health care–acquired conditions (pressure ulcers, falls, catheter–associated urinary tract infections, and venous thromboembolisms) in NHS patients over a 1-year period.
Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. Get Citation
Simon M, Maben J, Murrells T, Griffiths P. J Health Serv Res Policy. 2016;21:147-155.
This study expands on analyses and conclusions from published findings exploring the effects of moving to a new hospital with 100% single room accommodations. The researchers used nonequivalent controls by comparing results to a hospital that had not changed buildings but planned to do so (steady state control) and a hospital that moved to a new building with fewer than 50% single rooms (new build control). Falls, pressure ulcers, and Clostridium difficile infections increased in the older patients' ward after the move to single rooms. However, there was also a significant change in the case mix on this ward following the move, which may have explained these changes in adverse events. On the acute assessment unit, falls and medication errors temporarily increased for the first 6 months but then returned to prior rates. The authors found neither clear evidence of benefit nor increased risk of harm attributable to moving to all single room accommodations.
Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers? Get Citation
Padula WV, Gibbons RD, Valuck RJ, et al. Med Care. 2016;54:512-518.
Severe hospital-acquired pressure ulcers are considered a never event, and they result in loss of payment for the hospitalization according to Centers for Medicare and Medicaid Services (CMS) policy. Bundled interventions have shown success at preventing these complications in research studies, but broader data on their effectiveness have been lacking. This study used administrative data to demonstrate that adoption of evidence-based strategies and implementation of the CMS policy was associated with a decrease in the incidence of hospital-acquired pressure ulcers in academic medical centers.
Towards international consensus on patient harm: perspectives on pressure injury policy. Get Citation
Jackson D, Hutchinson M, Barnason S, et al. J Nurs Manag. 2016;24:902-914.
Pressure ulcers are never events that continue to occur, despite potential repercussions on reimbursement. This review highlights the need for improved data collection, evidence-based policy, and strategy implementation to prevent this hospital-acquired condition.
Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. Get Citation
Hauck KD, Wang S, Vincent C, Smith PC. Med Care. 2017;55:125-130.
The long-term consequences of patient safety problems can be difficult to quantify. This retrospective medical record review and modeling study estimated healthy life-years lost due to preventable adverse events such as venous thromboembolism, health care–associated infections, and deaths from low-risk procedures. The authors recommend using these estimates of long-term harm to prioritize prevention efforts.
Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. Get Citation
Soban LM, Kim L, Yuan AH, Miltner RS. J Nurs Manag. 2017;25:457-467.
Hospital-acquired pressure ulcers are considered a never event and can result in loss of payment to hospitals. In this study, researchers surveyed chief nursing officers across Veterans Health Administration acute care hospitals to better understand how organizational strategies are operationalized with regard to implementing pressure ulcer prevention programs. They found that such strategies were not operationalized in a uniform manner across the hospitals and that nurse leadership played a substantial role in influencing the implementation of pressure ulcer prevention initiatives.
Web Resource > Course Material/Curriculum
Pressure Injury Prevention in Hospitals Training Program.
Rockville, MD: Agency for Healthcare Research and Quality; September 2017.
Pressure ulcers are a common hospital-acquired condition that can lead to patient harm. This training program has been designed to help hospitals implement practice and process improvements to reduce the occurrence of pressure ulcers. Areas of focus include change management and best practices.
Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. Get Citation
Armstrong N, Brewster L, Tarrant C, et al. Soc Sci Med. 2018;198:157-164.
Measuring patient safety is critical to improvement. This ethnographic study examined the implementation of a patient safety measurement program in the United Kingdom, the NHS Safety Thermometer, which measured incidence of pressure ulcers, harm from falls, catheter-associated urinary tract infection, and venous thromboembolism, with the goal of informing local improvement efforts. Investigators sought to examine how the measurement program was perceived by frontline staff. Despite the explicit emphasis on using the data for improvement, it was viewed as an external reporting requirement. The program was also viewed as a basis to compare organizations, especially because it included pay-for-performance incentives. The authors suggest that the intention of the program did not match the real-world considerations of participating health care systems and had the unintended consequence of creating potential for blame.
A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. Get Citation
Englebright J, Westcott R, McManus K, et al. J Patient Saf. 2018;14:54-59.
This implementation study sought to reduce incidence of pressure ulcers in hospitalized patients using a multimodal intervention that included providing performance data, training, and implementation support. Rates of severe (stages III and IV) ulcers declined in participating facilities, demonstrating that a quality improvement model can enhance patient safety.
Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. Get Citation
Ma C, Park SH, Shang J. Int J Nurs Stud. 2018;85:1-6.
Teamwork training interventions enhance both clinical outcomes and safety culture. This cross-sectional survey found hospital units that nurses rated as more collaborative had lower rates of both hospital-acquired pressure ulcers and falls. A PSNet Interview discusses how the nursing work environment affects patient safety.
Avoidable sepsis infections send thousands of seniors to gruesome deaths.
Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018.
Sepsis is a serious condition that can be fatal if it is not promptly diagnosed and treated. This news article reports on systemic factors in nursing homes such as poor staffing and communication with families that contribute to unmanaged pressure ulcers and sepsis that result in hospital admissions and death. A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long-term care.
Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. Get Citation
Smith S, Snyder A, McMahon LF Jr, Petersen L, Meddings J. Health Aff (Millwood). 2018;37:1787-1796.
Hospital-acquired pressure ulcers (HAPUs) are considered a never event, represent a significant source of patient harm, and can result in loss of payment to hospitals. In this study, researchers analyzed administrative data from 3 states for 2009 to 2014. The HAPU incidence they found was about one-twentieth of the HAPU incidence detected using chart review. In addition, while both chart review data and administrative data showed a reduction in HAPU incidence for the study period, the decline using administrative data was almost entirely due to a decrease in the incidence of lower stage pressure ulcers. The authors suggest that using clinical data from chart review and taking ulcer severity into account may yield a more meaningful measurement strategy.
Medical device-related pressure ulcers: a systematic review and meta-analysis. Get Citation
Jackson D, Sarki AM, Betteridge R, Brooke J. Int J Nurs Stud. 2019;92:109-120.
Hospital-acquired pressure ulcers are considered never events and represent a significant source of patient harm. This systematic review and meta-analysis found a pooled incidence of 12% for pressure injuries related to the use of medical devices.


text:
Homer City Council to consider marijuana business on the Spit
Megan Pacer
Homer News
Marijuana businesses have not been allowed so far on the popular tourist destination of the Homer Spit, but the City Council will consider whether to revise its zoning rules to allow them. (Photo/Mark Thiessen/AP)
HOMER — The Homer Spit, once excluded from the commercial cannabis narrative in the city, has been brought back into the conversation.
Members of the Cannabis Advisory Commission voted unanimously at their Aug. 24 meeting to recommend the Homer City Council open the Homer Spit to commercial marijuana businesses. The Spit had previously been excluded from the areas those businesses are allowed through the city's zoning process when it adopted regulations for cannabis. Currently, marijuana businesses are permitted in Homer's central business district, general commercial districts one and two, and the East End mixed use district.
The council would have to make an amendment to the city code to allow marijuana businesses on the Spit, and any business would probably have to be on private property.
Commission Vice Chair Carrie Harris brought the recommendation up, saying she has heard from people in town expressing a wish to see cannabis allowed on the Spit. There are a few private land owners on the Spit interested in getting into the marijuana industry, Harris said.
"We're not here to be a roadblock," she said. "We're here because the voters asked us to be."
City Planner Rick Abboud said leasing city land for any commercial cannabis use raises federal legal issues.
"We have advice from the city attorney that we would not want to support a marijuana enterprise on our property because of the implication it might affect our relationships with the federal government and federal funding," Abboud said.
According to the Alcohol and Marijuana Control Office list of license applicants, one business, Homer Spit Cannabis Company, has initiated an application for a retail store on the Spit on a city lot leased to Billy Sullivan near Fish Dock Road. Sullivan said his son, Nils, filed the application.
"He's just tire kicking, I guess," Sullivan said.
AMCO administrative office Craig Douglas said any license application would have to go to the city for review that it complied with zoning regulations. Sullivan's application still isn't complete.
Harris said after the meeting that, accounting for the areas designated as wetlands within city limits that overlap with the areas commercial cannabis is allowed, there aren't many spots in town where the businesses are easily established.
Commissioner David Lewis, a council representative, supported the motion to make the recommendation but said he doesn't think it will make it past the council.
"At this time I really don't think the council would approve it, just because I feel it would be a 4-3 vote," he said.
Lewis said it might be better to wait until a cannabis business gets established in town to see how it goes before trying to open the Spit to them as well.
One retail pot shop, Uncle Herb's on Ocean Drive, could open in time for the holiday season if its application gets approved by the Marijuana Control Board and the city, and it passes state inspections. Lloyd Stiassny, a former Homer resident, owns another Uncle Herb's in Anchorage. The Homer shop would go in Stiassny's building at 1213 Ocean Drive in an office now rented to a bear viewing company. When it opens, it will be the city of Homer's first commercial cannabis enterprise. Three farms already have licenses outside city limits.
"We're kind of excited," Stiassny said.
Homer Police Chief Mark Robl, another commissioner, brought up the concern that having marijuana available on the Spit could increase the likelihood of consumers bringing product onto charter fishing boats, which could lead to problems for charter owners since the waters they travel are federal and governed by the U.S. Coast Guard. Lewis countered that the chance of that happening would always exist, no matter where a cannabis business was located in town, since it depends on the personal responsibility of the buyer and how they use the product.
"It's like bringing booze on a cruise ship, which is not allowed," he said. "That's up to the cruise ship and the individual as to what laws they are going to follow I would assume. It's not the responsibility of the (marijuana) business and or the council as to what a person does with their product after they purchase it."
The commissioners also voted to recommend the council not allow smoking marijuana on-site in cannabis establishments. The state's Marijuana Control Board has proposed allowing on-site consumption, and would be the first state to do so if the proposal is successful. The board is currently taking public comments on the measure.
Robl objected to the smoking aspect of on-site consumption, saying it would pose a risk of intoxication to officers if they ever had to respond to a call in a marijuana establishment. If an officer entered a cannabis business and was exposed to smoke, that officer would have to be taken off duty for however long it took for the THC to leave his or her system, Robl said. This is not an established state or federal standard, but based on the practices Robl has researched of police departments in Lower 48 states where cannabis is legal.
"If there's a police officer exposed for more than a few minutes, they send that officer home," he said.
While Robl said this situation does not happen very often, this kind of policy is something the Homer Police Department would have to adopt if on-site smoking in marijuana businesses was allowed.
An officer would automatically have to be sent home if exposed to marijuana, but would not automatically have to be tested for THC levels. That would only happen if an officer responded to a call where on-site smoking was allowed, and immediately after had to respond to a serious incident like a shooting or a bad vehicle crash. The likelihood for lawsuits if it was found the officer was intoxicated while responding to that kind of event would necessitate blood and urine testing, Robl said.
There is a company currently working on developing a portable blood testing device to test for marijuana intoxication, Robl said, which would come in handy for testing officers if on-site smoking ends up being allowed. Officers in the state of Alaska are not allowed to use marijuana recreationally or be involved in the marijuana industry; if they do, their certification is threatened.
At the meeting, Lewis questioned whether on-site smoking could be allowed if establishments used smoke eaters to clear the rooms of intoxicating smoke. Soldotna Police Chief Peter Mlynarik, chair of the Marijuana Control Board, said that in their research on on-site smoking, the board found a study that said there are no filtration systems currently that can adequately clear the air of smoke.
"That's what that source said. That there wasn't a way to remove all the particulates or chemicals from smoke with a filtration system or a ventilation system," Mlynarik said.
Air cleaning devices like the Smokeeter can remove 90 percent of the particulates in air, said Dan Schroeder of Air Cleaning Specialists, which represents Smokeeter and the Clean Leaf and Blue Ox air cleaners, systems used on commercial indoor marijuana farms. The problem is that the Smokeeter can't clean the air in a room before it gets to the filter.
"There's no way of completely eliminating any chance of second-hand smoke for first responders," Schroeder said.
Robl said that, if an officer became intoxicated, he or she would be safe if they could prove the intoxication came from second-hand smoke. He said he hopes the council will take the commission's recommendation and that his department won't have to deal with the on-site smoke.
"I'm not opposed to other types of on-site consumption," Robl said. "It's just the smoking."
Reach Megan Pacer at [email protected]. Michael Armstrong also contributed to this story.


text:
Alums Work Diligently in 'Virtual Ministry'
After 32 years of mission work in Brazil, Berdie Hope, a 1956 OBU alum, and her husband, Rev. Ben Hope, a 1958 OBU alum, retired from the Southern Baptists' International Mission Board in February of 2001. But the Hopes' desire to connect with others on a personal level and through various mission projects has not changed.
Two years ago, one of Berdie Hope's missionary friends in Brazil shared information about a Campus Crusade project. Approximately 100 websites on various subjects were designed to reach non-Christian people based on specific Internet searches. Operated by Global Media Outreach, the short websites address such subjects as "marriage and the Bible," "divorce and God" and "who is Jesus, really." At the end of each site, the viewer is given the opportunity to trust Jesus Christ as Savior and leave his or her email address for follow-up. The sites reportedly receive nearly half a million hits per day. Of those hits, about 14,000 people a day indicate they are trusting Jesus as their personal Savior, and about 7,000 a day provide an email address. The last group includes the viewers Ben and Berdie Hope contact.
The workers in the Hopes' group receive assignments once a day of the names, cities and countries of the website viewers requesting a follow-up email. Sometimes the ministry workers also know the gender, age bracket and comments or questions of viewers. Each worker prays over the names he or she receives. The workers also send each person an email, identifying himself or herself with the site the viewer visited, praying for them in the email, answering any questions or comments he or she left on the page, and encouraging the person to respond to the email so the worker can continue correspondence with them.
Initially, Hope was concerned she might be committing to more than she could handle.
"When I saw that the form asked how many I would agree to answering per day, I answered, 'One!' I was afraid I was getting in over my head," Hope said of the work she completes from her home in Gadsden, Ala. "But now, after 18 months of participating in God's kingdom work in this way, I try to do whatever they send me. That's usually five or six, occasionally 10 or 15, and who knows how many there will be tomorrow."
Hope adamantly attested that her education at OBU inspired her to ministry, especially her speech classes with Opal Cole Craig, who taught at OBU from 1947-74. Hope said her speech classes were much more than simply how to stand up and speak, and that Craig taught Hope that whoever speaks in Jesus' name must be "the good man speaking." Hope also served as secretary to Dr. Warren M. Angell, dean of the College of Fine Arts, for four years. She said the dean consistently inspired her to do her best in every activity, even the smallest task, such as copying his musical arrangements in India ink.
Involvement in campus organizations -- such as The Life Service Band for volunteers in mission service -- prepared Hope for her work in both the physical and "virtual" mission fields. Between her sophomore and junior years at OBU, Hope worked as a summer missionary with the Home Mission Board of the Southern Baptist Convention (now the North American Mission Board). She participated in 10 weeks of Vacation Bible School for Spanish-speaking children, and when she returned to OBU, she was eager to begin a mission congregation for Hispanics in Shawnee. Two missionary-kid sisters from Mexico, Janie and Susie Engelmann, helped Hope make the vision a reality. Her husband, Ben, came into the picture as a freshman from North Little Rock, Ark., and helped Hope and the Engelmann sisters at the mission.
"It wasn't an easy job for any of us," Hope said. "But it was a great learning experience."
After the Hopes' 1956 wedding, they attended Southwestern Baptist Theological Seminary in Fort Worth, Texas, began a church in a suburb of Cleveland, Ohio, and then traveled to Brazil, where they remained for 32 years. Since their retirement, Berdie Hope has been given an invaluable opportunity to continue ministry through projects such as email newsletters for IMB missionaries in Brazil, a prayer newsletter for the Hope's local church, ongoing newsletters for her OBU class of '56 and her high school class, and serving as the librarian for the Hopes' church, White Springs Baptist Church.
The Internet ministry, however, will always be special to her.
"I love doing it and have made friends with some people in various countries around the world," Hope shared. "Each one is a story. Each one is a person created in God's own image who needs to know about salvation through His Son Jesus Christ."
Some of the basic evangelistic sites Hope works with include www.looktojesus.com, www.godlife.com, or www.jesusforwomen.com
For more information about becoming a "missionary from home," click here.


text:
O Basquetebol da Sociedade Esportiva Palmeiras é o departamento de basquetebol do clube poliesportivo brasileiro de mesmo nome, sediado na cidade de São Paulo, em São Paulo. Ele é mais conhecido como Palmeiras Basquete ou simplesmente Palmeiras.

Basquete masculino

História

O departamento de basquete do clube foi fundado em 1923. O Palmeiras, quando ainda chamado Palestra Itália, foi campeão do primeiro campeonato estadual realizado pela Federação Paulista de Basketball (entidade a qual foi um dos membros fundadores em 1924), em 1932. Em 1934, a equipe adulta masculina do Palmeiras representou o Brasil no Campeonato Sul-Americano de seleções, disputado em Buenos Aires, na Argentina, no qual obteve o terceiro lugar. No ano seguinte, em 1935, o Verdão repetiu o feito e novamente representou a seleção no Sul-Americano, desta vez realizado no Rio de Janeiro. Depois disso, conquistou o Campeonato Paulista mais sete vezes, totalizando oito títulos. O Palmeiras também venceu por 12 vezes o Paulista da Capital. Tanto no Campeonato Estadual, quanto no da Capital, o Alviverde é o terceiro clube que mais venceu os torneios.

A nível nacional, começou a ganhar uma projeção maior após o vice-campeonato da Taça Brasil de 1975. Em 1977, o Palmeiras venceu o único título de Campeonato Brasileiro que possui. Sob o comando de Cláudio Mortari e contando com jogadores como Ubiratan, Carioquinha e Oscar Schmidt, o Verdão conquistou a Taça Brasil ao derrotar o  na final por 66 a 62. Ainda no mesmo ano, ficou com o segundo lugar do Sul-Americano de Clubes Campeões, realizado na Argentina. No ano seguinte, voltou à decisão da Taça Brasil, mas foi derrotado pelo  por 110 a 85.

Os anos seguintes foram de indas e vindas da equipe adulta nos principais campeonatos. Em 2009, fez uma parceria com o  que durou até 2010. Após a separação, disputou o Paulista de 2010. No ano seguinte, jogou e foi campeão da Série A-2 do Campeonato Paulista. Retornou ao cenário nacional disputando o Novo Basquete Brasil da temporada 2012-2013. Para chegar a tal feito, conquistou a Copa Brasil Sudeste de 2012, após bater de virada o XV de Piracicaba, na série decisiva, por 2 a 1. O título classificou o Alviverde para a Supercopa Brasil de Basquete 2012, onde perdeu a decisão para o  por 102 a 87, porém a segunda colocação garantiu o Palmeiras no NBB.

Integrando pela primeira vez o NBB, o clube alviverde apostou em sua primeira temporada de retorno à elite do basquete brasileiro na mescla entre jovens jogadores formados no clube e alguns experientes, três deles norte-americanos. Para o comando da equipe, foi contratado o técnico espanhol Arturo Álvarez.

Na temporada 2012-2013 do NBB, o Palmeiras terminou em 13.º lugar, a uma posição de entrar nos playoffs, tendo uma campanha de 12 vitórias em 34 jogos, com destaque para a sequência de nove vitórias seguidas jogando em casa no segundo turno.

A participação palmeirense no NBB durou apenas três edições, quando desisitiu de disputar a temporada de 2015-16. A partir de então, só disputa campeonatos de base, obtendo em sua maioria grandes resultados e revelando grandes talentos para o basquete brasileiro.

Títulos

Outros torneios
 Torneio de Preparação do Campeonato da Grande São Paulo - FPB: 10 vezes (1943, 1958, 1960, 1963, 1964, 1968, 1972, 1973, 1976 e 1977).
 Torneio Início do Campeonato Paulista: 5 vezes (1930, 1931, 1933, 1934 e 1935).
 Torneio Rio-São Paulo: 3 vezes (1933, 1958 e 1962).
 Torneio Início de Aspirantes da Capital: 2 vezes (1937 e 1964).
 Campeonato Paulista de Aspirantes da Capital: 2 vezes (1937 e 1966).
 Torneio Rodrigo Soares Lisboa: 2 vezes (1964 e 1965).
 Campeonato Popular de Basquete da Gazeta Esportiva: 1935.
 Torneio Jubileu de Prata de Londrina: 1958.
 Campeonato Paulista de Debutantes da Grande São Paulo: 1960.
 Torneio Eficiência Delfino Facchina: 1960.
 Torneio Internacional Argentina-Uruguai: 1966.
 Torneio Afonso Paulino: 1967.
 Quadrangular Interestadual Tênis Clube de Campinas: 1969.
 Taça São Paulo de Basketball: 1970.
 Copa Interamericana de Basquete: 1974.
 Torneio Internacional de Buenos Aires: 1974.
 Torneio de Aniversário da FPB: 1976.
 Copa Brasil Sudeste: 2012.
 Campeonato Paulista - Série Prata: 2012.

Campanhas de destaque
 Vice-campeão do Campeonato Sul-Americano de Clubes Campeões: 1977.
 Vice-campeão do Campeonato Brasileiro: 2 vezes (1975 e 1978).
 Vice-campeão do Campeonato Paulista: 5 vezes (1960, 1962, 1965, 1975 e 1976).
 Vice-campeão do Torneio Novo Milênio: 2001.

Elenco atual

Últimas temporadas

 *Em parceria com o .

Legenda:

 NBB = Novo Basquete Brasil
 SCB = Supercopa Brasil de Basquete

Jogadores e treinadores históricos

A seguir, alguns jogadores e treinadores que passaram pelo clube e tiveram contribuição importante na história do basquete palmeirense:

 Alvaro Maciel Filho
 Cadum
 Carioquinha
 Carlos Alberto González
 Chuí
 Cláudio Mortari (jogador e técnico)
 Edson Bispo
 Eduardo Agra
 Edvar Simões
 Emil Rached
 Kanela (técnico)
 Lauro Soares
 Leandro Barbosa
 Jatyr Schall
 Julio Cerello
 Luiz Claudio Menon
 Luiz Felipe Azevedo
 Lula Ferreira (técnico)
 Marcel de Souza
 Maxi Stanic
 Moacyr Daiuto (técnico)
 Mosquito
 Oscar Paolillo
 Oscar Schmidt
 Paulinho Villas Boas
 Peninha
 Pipoka
 Renato Paolillo
 Rosa Branca
 Ubiratan
 Victor Mirshawka
 Wlamir Marques (técnico)
 Zé Olaio
 Zé Geraldo

Membros no Hall da Fama do Memorial Naismith

Membros no Hall da Fama da FIBA

Basquete feminino

História
O basquete feminino foi introduzido no clube na década de 30. O Palmeiras foi quatro vezes vice-campeão do Campeonato Paulistano (Campeonato da Capital), em 1935, 1960, 1961 e 1962. A nível estadual, ficou com o segundo lugar no Campeonato Paulista de 1961.

Ligações externas
 Página oficial

Sociedade Esportiva Palmeiras
Palmeiras
Palmeiras
Palmeiras


text:
SELC PORTAL
SELC e-Learning
About SELC
5 Reasons to study at SELC
SELC Students
BSB30415 Certificate III in Business Administration
BSB50215 Diploma of Business (4 terms) – CRICOS Code 095548M
BSB42015 Certificate IV in Leadership and Management (3 Terms) – CRICOS Code 095547A
BSB51918 Diploma of Leadership and Management (4 Terms) – CRICOS Code 095550F
BSB61015 Advanced Diploma of Leadership and Management (4 terms) – CRICOS Code 089941G
BSB41515 Certificate IV in Project Management Practice (3 terms) – CRICOS Code 095546B
BSB51415 Diploma of Project Management (4 terms) – CRICOS Code 089940J
BSB61218 Advanced Diploma of Program Management (4 terms) – CRICOS Code 095549K
Academic Counselling
Career Pathway Exclusive Program
Job-Finding Workshops
Forms and Marketing Material
Living in Sydney
Working in Australia (Work permission, Tax File Number)
Queries, Problems, Complaints?
Sydney is the largest city in Australia with over 4 million people and also the most popular for international visitors.
There are people from 180 nations, speaking 140 languages, one of the most multicultural cities in the world.
The city is spread over a large area and has a world-famous harbour, beautiful beaches and interesting things to do.
Most of Sydney's 37 beaches are situated within 30 minutes of the city centre by public transport.
SELC is located in Bondi Junction in the Eastern Suburbs, east of the city centre and close to Bondi Beach.
The main forms of transport in Sydney are: bus, train, and ferry.
In the Eastern Suburbs, buses are the most common form of public transport.
Most students buy weekly or monthly travel passes to use on public transport while they are in Sydney.
Click here for more information about Sydney Public Transport Options.
The cost of living in Sydney varies depending on your lifestyle.
We estimate that students should budget for approximately $13,000 – $15,000 per year for living expenses, excluding tuition fees. This covers accommodation, food, and transport but does not allow for luxuries, entertainment, or a car.
Eating & Shopping
Eating out in Sydney is a great adventure. The many nationalities that make up our population have all brought their own cuisines with them and our restaurants and supermarkets reflect this. Sydneysiders regularly eat food from many different countries, from Italian to Hungarian, Japanese to Vietnamese.
Have a look at the "Cheap Eats guide" to eating out in Sydney.
Sydney is the place for shopping, with plenty of shopping centres, department stores, and markets to suit everyone.
Sydney Aquarium
The Festival of Sydney
Sydney Gay and Lesbian Mardi Gras
City to Surf Fun Run
7 Top Reasons to Live and Study in Sydney
Vocational or Academic Education – Which Should You Choose?
6 Benefits of Studying English Abroad
SELC Location
Address: 495 Kent Street, Sydney NSW 2000
Telephone: (61-2) 9267 5688
Copyright © 2020 - SELC Australia, All courses are delivered by SELC Australia Pty Ltd. All rights reserved. ABN 34 051 281 380, CRICOS Provider 00051M. RTO: 91721
Powered by WebClicka.
We have moved to 495 Kent St, Sydney


text:
CityBizList:New Yorkers Will Help Chop Hunger With Culinary Fundraiser
Alexander Rapaport 331sc on September 13, 2016
Chop Hunger: A Christian Ohio farmer and a half Japanese, half Mexican chef are coming together on the Upper West Side with several Kosher chefs from around the country to fight hunger.
The fundraiser to benefit Masbia Soup Kitchen Network, which will take place at Lincoln Square Synagogue on September 21, will feature a live cooking competition with secret ingredients intended to push the limits of Kosher cooking. (Hint: in preparation for the event Masbia organized a Kosher slaughter of exotic Kosher birds which was featured in the New York Times on July 27, 2016.)
Chop Hunger will feature a "chopped" style cooking competition and a tapas dinner that will include a wine and tomato tasting. The tapas dinner will be made up of foods that tell the story of the struggles that the Masbia chef deals with on a daily basis. Every item on the menu will reflect the culinary decisions that go into feeding hundreds of people a night with an ad hoc, and often scarce set of ingredients. Since getting Kosher protein is always a challenge, tapas will also feature proteins from three brands, A&B Famous, Abeles & Heymann, Grow & Behold that regularly help Masbia feed the needy. Other dishes may include the Masbia original "Oatmeal Crusted Orange Chicken," which was created on a night when Masbia ran out of spices but had to quickly come up with a recipe to feed the hundreds of families that were about to show up. These stories and more will weave their way through the tapas meal, giving attendees a deeper understanding of the soup kitchen and its challenges.
The tapas meal will be followed by an onstage cooking competition emceed by Avi Levy from Florida to feature three Celebrity Kosher Chefs from around the country, Bryan Gryka of Milt's in Chicago, Asaf Hadad of Fuego in Miami and Mendel Segal of BBQ Rabbi in Kansas City and to be judged by New York chefs Katsuji Tanabe of MexiKosher, Mike Gershkovich from Mike's Bistro and Jordana Hirschel from The Blue Ladle.
In addition to a variety of wines by Herzog Wine Sellers, guests will also get to taste some 60 varieties of tomatoes from year round donor Farmer Lee Jones of Ohio, to be prepared by Jordana Hirschel from The Blue Ladle. Tammy Carmona, designer of the tableware featured in the vampire movie Twilight, and owner of the tabletop company Carmona New York, who donated high end dishes to feed the needy with dignity at Masbia, will be the event party planner. Her more recently designed dishes will also be used by the contestants to serve their food to the judges.
The lineup of chefs and judges is still not complete! With a donation of $10,000 attendees can become a Contestant, for $5,000 they can join the Judges and for $1,800 they can become a Sous-Chef to the existing chefs.
"Abeles & Heymann is delighted to be associated year-round with this wonderful organization, along with the other generous donors. Masbia has been serving food to the needy through its soup kitchens in New York City for the past ten years, and this fundraiser brings to light just how much hunger there is in our own backyard. It underscores the important need for Masbia and other organizations like it," says Seth Leavitt, CEO, Abeles & Heymann.
All proceeds from the fundraiser will go towards feeding the hungry at Masbia, a network of Kosher soup kitchens and pantries, which served over 2 million meals in the last fiscal year.
CALENDAR LISTING:
What: Chop Hunger, a live cook-off competition and tapas dinner
When: September 21, 2016, 6-9PM
Where: Lincoln Square Synagogue, 180 Amsterdam Ave., New York, NY 10023
Tickets: can be purchased at chophunger.com
Press Contact: Alexander Rapaport, alex@masbia.org, 718-972-4446; Vicki Garfinkel, Vickigj@gmail.com


text:
package gov.va.escreening.vista.request;

import gov.va.escreening.vista.dto.ConsultationLocation;
import gov.va.escreening.vista.dto.ConsultationUrgency;
import gov.va.escreening.vista.dto.ConsultationUrgencyDataSet;
import gov.va.escreening.vista.dto.ConsultationUrgencyInfo;
import gov.va.med.vistalink.adapter.cci.VistaLinkConnection;
import gov.va.med.vistalink.rpc.RpcRequest;
import gov.va.med.vistalink.rpc.RpcResponse;

import java.util.ArrayList;
import java.util.List;

import org.slf4j.Logger;
import org.slf4j.LoggerFactory;

/**
 * Created by pouncilt on 6/11/14.
 */
public class ORWDCN32_DEF_VistaLinkRequest extends VistaLinkBaseRequest<ConsultationUrgencyDataSet> implements VistaLinkRequest<ConsultationUrgencyDataSet> {
    private static final Logger logger = LoggerFactory.getLogger(ORWDCN32_DEF_VistaLinkRequest.class);
    private VistaLinkConnection connection = null;
    private RpcRequest request = null;
    private String orderType = null; // C for Consult or P for procedure

    public ORWDCN32_DEF_VistaLinkRequest(VistaLinkRequestContext<ORWDCN32_DEF_RequestParameters> requestContext) {
        this.request = requestContext.getRpcRequest();
        this.connection = requestContext.getVistaLinkConnection();
        this.orderType = requestContext.getRequestParameters().getOrderType();
    }

    @Override
    protected ConsultationUrgencyDataSet[] parseRpcResponse(RpcResponse response) throws Exception {
        String[] parsedRpcResponse = super.parseRpcSimpleResponseWithNewLineDelimiter(response);
        List<ConsultationUrgencyInfo> consultationUrgencyInfoList = new ArrayList<ConsultationUrgencyInfo>();

        ConsultationUrgencyInfo consultationUrgencyInfo = null;
        boolean processingConsultationUrgency = false;
        boolean processingConsultationLocation = false;
        String[] parsedRpcResponseLine = null;
        String header = null;
        String urgencyIEN = null;
        String urgencyName = null;
        Long protocolIEN = null;
        String choicePrefix = null;
        String locationName = null;
        String locationPrefix = null;

        for(int i = 0; i < parsedRpcResponse.length; i++) {
            if(isParsedRpcResponseLineAConsultationUrgencyHeader(parsedRpcResponse[i])) {
                header = parsedRpcResponse[i];
                if(isParsedRpcResponseLineAConsultationUrgency(parsedRpcResponse[i])) {
                    processingConsultationUrgency = true;
                    processingConsultationLocation = false;
                    continue;
                } else if(isParsedRpcResponseLineAConsultationLocation(parsedRpcResponse[i])) {
                    processingConsultationUrgency = false;
                    processingConsultationLocation = true;
                    continue;
                } else if(parsedRpcResponse[i].equalsIgnoreCase("~ShortList")) {
                    header = null;
                    continue;
                } else {
                    throw new VistaLinkResponseException("Could not determine Consultation header.");
                }
            } else {
                parsedRpcResponseLine = super.parseRpcResponseLineWithCarrotDelimiter(parsedRpcResponse[i].getBytes());
                if(processingConsultationUrgency) {
                    urgencyIEN = parsedRpcResponseLine[0];
                    urgencyName = parsedRpcResponseLine[1];
                    protocolIEN = (parsedRpcResponseLine.length > 2 && parsedRpcResponse[2] != null)? Long.parseLong(parsedRpcResponseLine[2]): null;
                    consultationUrgencyInfo = new ConsultationUrgency(header, urgencyIEN, urgencyName, protocolIEN);
                    consultationUrgencyInfoList.add(consultationUrgencyInfo);
                    urgencyIEN = null;
                    urgencyName = null;
                    protocolIEN = null;
                } else if (processingConsultationLocation) {
                    choicePrefix = parsedRpcResponseLine[0];
                    locationName = parsedRpcResponseLine[1];
                    locationPrefix = parsedRpcResponseLine[2];
                    consultationUrgencyInfo = new ConsultationLocation(header, choicePrefix, locationName, locationPrefix);
                    consultationUrgencyInfoList.add(consultationUrgencyInfo);
                    choicePrefix = null;
                    locationName = null;
                    locationPrefix = null;
                } else {
                    throw new VistaLinkResponseException("Could not determine if response line is consultation urgency or location.");
                }
                parsedRpcResponseLine = null;
            }
        }

        ConsultationUrgencyDataSet consultationUrgencyDataSet = new ConsultationUrgencyDataSet(consultationUrgencyInfoList);
        ConsultationUrgencyDataSet[] consultationUrgencyDataSets = {consultationUrgencyDataSet};
        return consultationUrgencyDataSets;
    }

    private Boolean isInpatientConsultationInfo(String rpcResponseLine) {
        return rpcResponseLine.startsWith("~") && rpcResponseLine.toLowerCase().contains("inpt");
    }

    private boolean isParsedRpcResponseLineAConsultationLocation(String rpcResponseLine) {
        return rpcResponseLine.startsWith("~") && rpcResponseLine.toLowerCase().contains("place");
    }

    private boolean isParsedRpcResponseLineAConsultationUrgency(String rpcResponseLine) {
        return rpcResponseLine.startsWith("~") && rpcResponseLine.toLowerCase().contains("urgencies");
    }

    private boolean isParsedRpcResponseLineAConsultationUrgencyHeader(String rpcResponseLine) {
        return rpcResponseLine.startsWith("~");
    }

    @Override
    public ConsultationUrgencyDataSet sendRequest() throws VistaLinkRequestException {
        ConsultationUrgencyDataSet consultationUrgencyDataSet = null;

        try {
            consultationUrgencyDataSet = this.getConsultationUrgencies();
        } catch (Exception e) {
            throw new VistaLinkRequestException(e);
        }

        return consultationUrgencyDataSet;
    }

    public ConsultationUrgencyDataSet getConsultationUrgencies() throws Exception{
        ConsultationUrgencyDataSet consultationUrgencyDataSet = null;

        List<Object> requestParams = new ArrayList<Object>();
        requestParams.add(this.orderType);

        request.setRpcName("ORWDCN32 DEF");
        request.clearParams();
        request.setParams(requestParams);

        if (logger.isDebugEnabled()){logger.debug(String.format("RPC NAME:[%s]--REQ STRING:[%s]",request.getRpcName(),requestParams));}
        RpcResponse response = connection.executeRPC(request);

        try {
            consultationUrgencyDataSet = parseRpcResponse(response)[0];
        } catch (VistaLinkNoResponseException vlnre) {
            throw new VistaLinkResponseException("Expected a response; but found no response." , requestParams, response.getResults(), vlnre);
        } catch(VistaLinkResponseException vlre) {
            throw new VistaLinkResponseException("Expected a response; but found no response." , requestParams, response.getResults(), vlre);
        }

        return consultationUrgencyDataSet;
    }

    @Override
    public void store() throws VistaLinkRequestException {

    }

    @Override
    public void load() throws VistaLinkRequestException {

    }
}

redpajama_set_name: RedPajamaGithub


text:
Reporters & Officers
Oath & Ethical Code
Advertisements & Donations
Scoops & Submissions
The Tiger Times
A public forum for students of The Fleetwood Area School District
Fleetwood Class of 2018 Will Graduate in All Red
Posted on November 8, 2017 by thetigertimes7
For the 2018 graduating class of Fleetwood Area High School, the students will be dressed in all red when crossing the stage to receive their diplomas this year.
Fleetwood's administrators have decided to change the gown color to all red, eliminating the white gowns for the girls. This decision has made some of the student body a little upset, considering the boys and girls will both be matching with the red gowns.
This is the first year in fleetwood that the gown color is changing, but teachers think this change isn't really that bad.
"It's a good idea to change the gowns into one color. In past years, it was hard for female students to find dresses to match the white gowns, and now, with the new red gowns, nothing will be see-through anymore," Mrs. Sarah Wilkinson, one of Fleetwood's English teachers, says.
"Sure, I think the change will be nice. It'll be easier for the girls to pick out a dress," Ms. Stephanie Skelly, one of Fleetwood's biology teachers, said.
"This new adjustment will make it a lot easier for female students to pick out a dress, making it more practical," science teacher Mrs. Karen Favata said.
Fleetwood teachers overall think this new change is a good idea. As for the students, even though they won't be crossing the stage with their angelic white gowns, they are still graduating and about to have the time of their lives, and that's the real win.
Tagged: School
← Cruz, Trump Conspiracy Theories Take Twitter by Storm
McGarry, Masenheimer Named October Students of the Month →
Be a Tiger Subscriber!
Enter your e-mail to subscribe for free.
Follow The Tiger Times!
Click to "Like" us on Facebook!
Click to watch us on Twitter!
Search The Tiger Times
Entertainment/Arts
Health/Medicine
Opinion/Editorials
Reporter Bios
Abigail Lutcavage
Alexis Templin
Carissa Blankenbiller
Hannah Medina
Jessica Kopycienski
Madeline Ammon
Madison Musitano
Zachary Houp
Notice of Affilation & Non-Representation
The Tiger Times is a high school news journal that is produced using funds from The Fleetwood Area School District as well as club fundraisers. All subjects and topics appearing within The Tiger Times are self-selected by student reporters themselves; however, article suggestions are accepted from all students, staff, administration, and community members. Opinions and viewpoints stated in The Tiger Times are not necessarily the opinions and viewpoints of the Fleetwood Area School District, its administration, its faculty, the club advisor, or even the entirety of The Tiger Times staff. The Tiger Times is a public forum whose primary goal is to provide an outlet for student expression to The Fleetwood Area School District and its constituent communities. Viewpoints and opinions that are contrary to those appearing in The Tiger Times are welcomed, but they are not guaranteed publication except by approval from the student editors. Students who are not matriculated in the Journalism course or who are not among the club's roster are still eligible to submit content for the periodical. All articles and letters selected for publication may be subject to editing for length and language consistent with the style established by student editors of The Tiger Times.


Popular Purses: It's in the Bag!
An essential part of the well dressed woman is her handbag. Here over 300 exquisite color photographs of handbags from the world's top fashion designers are brought together to vie for the attention of collectors, designers, and fashion gurus. See details of construction, designer logos, impeccable stitching, luxurious leathers and fabricated materials as components of high quality and high value luxury handbags in today's marketplace. Louis Vuitton, Judith Lieber, Fendi, Gucci, Chanel, Hermes, Roberta Di Camerino, Farragamo, Celine, Bottega Veneta, and more are all represented by many examples. Many designs are classics today, having survived competitive runway battles for a generation. Other designs are original, fresh, and challenging the classics for shelf space in boutiques and closets around the world. Read about some of the designers and savor the special handbags they carefully created. The designs are fun, elegant, and inspiring.
Adreienne Astrologo is better known as "Ladybag International" at exclusive accessories shows where her collection of fabulous handbags is presented. She lives in the chic section of Philadelphia. Nancy Schiffer collects many fine things and has written other books on art and decorative arts. She lives in southeast Pennsylvania.