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Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
STATISTICAL BRIEF #260
Pamela L. Owens, Ph.D., Audrey J. Weiss, Ph.D., Marguerite L. Barrett, M.S., and Lawrence D. Reid, Ph.D., M.P.H.
Increased use of prescription and nonprescription opioids in the past 20 years has led to substantial increases in opioid-related deaths and hospitalizations. During this time, the number of opioid-related overdose deaths has increased nearly sixfold, from 8,048 in 1999 to 46,802 in 2018.1 Between 2005 and 2017, the rate of opioid-related emergency department (ED) visits nearly tripled from 89.1 to 249.1 per 100,000 population and the rate of opioid-related inpatient stays (IP) more than doubled from 136.8 to 299.7 per 100,000 population.2 In 2017, the U.S. Department of Health and Human Services declared the opioid crisis to be a public health emergency.3
To better understand how and where to target interventions for the opioid crisis, policymakers need to assess the impact of social determinants of health (SDOH) at the community level. SDOH comprise the conditions in which people live that may affect their health.4
From a community context, SDOH can be classified into three key areas:5
Social, educational, and economic characteristics—such as demographics, education, income, employment, social factors, and safety
Physical infrastructure—such as population density, urban-rural location, housing, and access to healthy food
Healthcare characteristics—such as availability and access to quality healthcare, health behaviors, health promotion initiatives, attitudes toward healthcare in the community, and healthcare laws
This Healthcare Cost and Utilization Project (HCUP) Statistical Brief presents characteristics of U.S. counties based on population rates of opioid-related inpatient stays and treat-and-release ED visits for patients aged 15 years and older using comprehensive information from the 2016 State Inpatient Databases (SID) and State Emergency Department Databases (SEDD) from 35 States and the District of Columbia. County was defined based on patient ZIP Code of residence.
Among 2,214 counties (70.5 percent of all U.S. counties in 2016), 8.7 percent had population rates of opioid-related inpatient stays and emergency department (ED) visits that were high and 48.4 percent had rates that were low relative to the national average.
Counties with high population rates of opioid-related inpatient stays and ED visits had the following social determinants of health (SDOH) characteristics:
Social, educational, and economic: lower population percentage of Hispanics/Latinos, higher percentage of economically disadvantaged residents, lower percentage of the population with religious congregation affiliation, and higher crime rates
Physical infrastructure: more likely to be urban, more densely populated, and more racially segregated
Healthcare: higher population rate of healthcare providers, greater pharmacy density, higher population percentage of Medicaid enrollment, more likely to have opioid-related State policies (e.g., permitting naloxone prescriptions for third parties), higher opioid prescribing rates, and higher State opioid mortality rates
Each county's population rate of opioid-related hospital utilization was compared with the national average: 369.7 inpatient stays per 100,000 population (95% confidence interval [CI]: 357.2, 382.2) and 304.9 ED visits per 100,000 population (95% CI: 278.7, 331.1). Based on whether the county population rates were statistically significantly higher than, lower than, or similar to (i.e., not statistically significantly different from) the national average, counties were categorized into five opioid-related hospital utilization groups: High IP &ED, High IP & Low ED, Low IP & High ED, Low IP & ED, and similar to the average. Additional details are provided under "County groups" in the Definitions section.
Table 1 summarizes the county groups in this analysis, including the region and population estimates. HCUP IP and ED data were available for 2,214 (70.5 percent) of the 3,142 counties in the United States in 2016. Of the 2,214 counties, 8.7 percent had higher-than-average population rates of opioid-related inpatient stays and treat-and-release ED visits (High IP & ED) and nearly half (48.4 percent) had lower-than-average population rates of opioid-related inpatient stays and ED visits (Low IP & ED).
Table 1. Population and region of counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits across 35 States and the District of Columbia, 2016
County group based on population rates of opioid-related IP stays & ED visits
High IP & ED
High IP & Low ED
Low IP & High ED
Low IP & ED
Similar to average
Counties included in analysis (row percentages)
Number of counties 2,214 193 27 50 1,071 873
Counties, % 100.0 8.7 1.2 2.3 48.4 39.4
Total population aged 15+ years, no.a 200,348,800 43,568,600 6,318,700 5,092,000 90,676,300 54,693,200
Population aged 15+ years, % 100.0 21.7 3.2 2.5 45.3 27.3
Counties included in analysis, by region, % (column percentages)
Northeast 6.3 23.8 0.0 14.0 1.6 8.0
Midwest 43.9 29.5 11.1 42.0 47.2 44.1
South 39.0 36.3 74.1 30.0 43.0 34.1
West 10.7 10.4 14.8 14.0 8.1 13.7
Abbreviations: ED, emergency department; IP, inpatient
a Population counts are rounded to the nearest hundred.
Sources: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases (SID) and State Emergency Department Databases (SEDD) for 35 States and the District of Columbia, 2016; U.S. Census Bureau American Community Survey for U.S. county and population data, 2016
The purpose of this Statistical Brief is to describe how counties that have high versus low population rates of opioid-related hospital use differ with regard to SDOH. Thus, differences are presented only for counties with high population rates of opioid-related inpatient stays and ED visits (High IP & ED) compared with counties with low population rates of opioid-related inpatient stays and ED visits (Low IP & ED) for the three community SDOH areas: social, educational, and economic characteristics; physical infrastructure; and healthcare characteristics. The High IP & ED and Low IP & ED groups (shaded columns in Table 1) are the only groups further addressed in this Statistical Brief. As noted in the tables, data values presented for each SDOH characteristic represent either the average value across counties or the percentage of counties with the characteristic. All differences between estimates noted in the text are statistically significant at the .05 level or better.
Social, educational, and economic characteristics of counties with high and low population rates of opioid-related inpatient stays and ED visits across 35 States and the District of Columbia, 2016
Table 2 presents the social, educational, and economic characteristics of counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits in 2016.
Table 2. Social, educational, and economic characteristics of counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits across 35 States and the District of Columbia, 2016
County group based on population rates of opioid-related inpatient stays and ED visits
High IP & ED (N=193)
Low IP & ED (N=1,071)
Age, years, % of population aged 15+ years
15-17 4.7 5.0
18-44 40.7 40.4
65+ 20.5 21.4
Female, % of population 50.7 49.8
Race, % of population
White 84.8 84.5
Black 7.4 8.3
American Indian, Alaska Native 1.5 1.4
Asian, Pacific Islander 1.8 1.5
Other, 2+ races 4.5 4.3
Ethnicity: Hispanic, Latino, % of population 6.6 11.7
Associate's degree or higher in population aged 25+ years, % of population 32.0 29.9
Poverty/income
County population in poverty, % of population 16.8 15.6
Occupied units with housing costs at 30+% of household income, % of occupied units 30.6 24.0
Unemployment rate, aged 16+ years 5.4 4.8
Children living in single parent households, % of children 35.6 30.9
Affiliated with a religious congregation, % of population 44.8 56.2
Property crime rate per 1,000 population 23.5 16.5
Violent crime rate per 1,000 population 2.8 2.1
Note: Data values are presented as the average value across the counties in the High IP & ED or Low IP & ED group.
Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project (HCUP), 2016 State Inpatient Databases (SID) and State Emergency Department Databases (SEDD) from 35 States and the District of Columbia; supplemental data sources (see Appendix A.1)
Counties with high population rates of both opioid-related inpatient stays and ED visits had a smaller percentage of Hispanics/Latinos in the population than did counties with low rates.
The percentage of Hispanics/Latinos was, on average, 6.6 percent in counties with high population rates of opioid-related inpatient stays and ED visits compared with 11.7 percent in counties with low opioid-related inpatient and ED rates.
Counties with high population rates of both opioid-related inpatient stays and ED visits were more likely to have an economically disadvantaged population than were counties with low rates.
The poverty rate in counties with high population rates of opioid-related inpatient stays and ED visits averaged 16.8 percent compared with 15.6 percent in counties with low opioid-related inpatient and ED rates.
The percentage of occupied units in the county with housing costs equal to or greater than 30 percent of household income averaged 30.6 percent in counties with high population rates of opioid-related inpatient stays and ED visits versus 24.0 percent in counties with low opioid-related inpatient and ED rates.
Counties with high population rates of opioid-related inpatient stays and ED visits had a higher average unemployment rate than did counties with low opioid-related inpatient and ED rates (5.4 vs. 4.8 percent).
Social factors, specifically single-parent households and religious affiliation, were associated with population rates of opioid-related inpatient stays and ED visits.
Counties with high population rates of opioid-related inpatient stays and ED visits had a higher average percentage of children living in single-parent households than did counties with low opioid-related inpatient and ED rates (35.6 vs. 30.9 percent).
In counties with high population rates of opioid-related inpatient stays and ED visits, the percentage of the population with an affiliation to a religious congregation was 44.8 percent, on average, compared with 56.2 percent in counties with low opioid-related inpatient and ED rates.
Counties with high population rates of opioid-related inpatient stays and ED visits had higher crime rates than did counties with low rates.
Compared with counties with low population rates of opioid-related inpatient stays and ED visits, counties with high opioid-related inpatient and ED rates had, on average, a 42 percent higher rate of property crime (23.5 vs. 16.5 per 1,000 population) and a 33 percent higher rate of violent crime (2.8 vs. 2.1 per 1,000 population).
Physical infrastructure of counties with high and low population rates of opioid-related inpatient stays and ED visits across 35 States and the District of Columbia, 2016
Table 3 presents the physical infrastructure characteristics of counties with high and low opioid-related population rates of inpatient stays and treat-and-release ED visits in 2016.
Table 3. Physical infrastructure of counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits across 35 States and the District of Columbia, 2016
Population density per square mile 789.1 152.8
Urban/rural designation, % of counties
Metro 65.3 32.8
Rural-adjacent to metro 24.4 31.3
Rural-remote 10.4 35.9
Residential segregation index, % of counties
Low segregation (index value 0.6-23.9) 11.9 23.3
Moderate segregation (index value 24.0-40.4) 38.9 44.9
High segregation (index value 40.5-89.1) 48.7 17.6
Segregation index not calculateda 0.5 14.1
Food environment index, 0 (worst) to 10 (best) 7.1 7.0
Severe housing problems, % of households 16.7 13.7
Note: Unless otherwise noted, data values are presented as the average value across the counties in the High IP & ED or Low IP & ED group.
a No index value is calculated for counties with too little variation in the race of the population (i.e., fewer than 100 non-White people in the county in the time frame).
Counties with high population rates of opioid-related inpatient stays and ED visits were more densely populated, more likely to be urban, and more racially segregated than counties with low rates.
Compared with counties with low population rates of opioid-related inpatient stays and ED visits, counties with high opioid-related inpatient and ED rates were more densely populated (an average of 789.1 vs. 152.8 people per square mile), more likely to be in metropolitan areas (65.3 vs. 32.8 percent of counties), and more racially segregated (48.7 vs. 17.6 percent of counties with high segregation).
Counties with high population rates of opioid-related inpatient stays and ED visits also had a higher percentage of households with severe housing problems, on average, compared with counties with low opioid-related inpatient and ED rates (16.7 vs. 13.7 percent).
Figure 1 presents the distribution of counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits in 2016 by urban-rural location (metro, rural-adjacent to a metro area, and rural-remote area) and poverty rate (high, low). Based on the national average, high poverty rate is defined as 15 percent or more of the population living in poverty.6
Figure 1. Urban-rural location and poverty level in counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits across 35 States and the District of Columbia, 2016
Note: Counties with a high poverty rate were defined as those with at least 15 percent of the population in poverty. As noted in Table 2, on average, 16.8 percent of the population in the High IP & ED counties and 15.6 percent of the population in the Low IP & ED counties lived in poverty. On average, 12.7 percent of the U.S. population lived in poverty in 2016.
Bar chart that shows the percentage of counties with high and low population rates of opioid-related inpatient stays and treat-and-release emergency department visits in metro, rural-adjacent, and rural-remote areas by poverty level in 2016. Data are provided in Supplemental Table 1.
Rural-remote and rural-adjacent counties with high population rates of opioid-related inpatient stays and ED visits were more likely to have a high poverty rate than were counties with low rates.
Nearly all rural-remote counties (95.0 percent) and 83.0 percent of rural-adjacent counties with high population rates of opioid-related inpatient stays and ED visits had high rates of poverty (greater than or equal to 15 percent) compared with less than 60 percent of rural-remote and rural-adjacent counties with low opioid-related inpatient and ED rates.
Characteristics of healthcare in counties with high and low population rates of opioid-related inpatient stays and ED visits across 35 States and the District of Columbia, 2016
Table 4 describes the availability of and access to healthcare in counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits in 2016.
Table 4. Availability of and access to healthcare in counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits across 35 States and the District of Columbia, 2016
Availability of services
Total beds per 100,000 population 231.5 222.5
Federally Qualified Health Centers, no. 7.1 2.0
Primary care physicians per 100,000 population 57.5 42.9
Psychiatrists per 100,000 population 8.2 3.3
Psychiatric beds per 100,000 population 13.3 7.5
Buprenorphine providers per 100,000 populationa 11.8 2.9
Pharmacy density per 100 square miles 15.0 2.4
Access to care: insurance, % of population
Medicare enrollment 19.8 19.5
Medicaid enrollment 22.2 18.2
Private insurance coverage 64.6 66.3
Uninsured 10.1 12.3
a Buprenorphine is an opioid used to treat opioid use disorder, acute pain, and chronic pain.
Counties with high population rates of opioid-related inpatient stays and ED visits had greater availability of health service providers than did counties with low rates.
Compared with counties with low population rates of opioid-related inpatient stays and ED visits, counties with high opioid-related inpatient and ED rates had more Federally Qualified Health Centers (mean of 7.1 vs. 2.0), primary care physicians (57.5 vs. 42.9 per 100,000 population), psychiatrists (8.2 vs. 3.3 per 100,000 population), psychiatric beds (13.3 vs. 7.5 per 100,000 population), and buprenorphine providers (11.8 vs. 2.9 per 100,000 population).
Counties with high population rates of opioid-related inpatient stays and ED visits also had a greater average density of pharmacies than did counties with low opioid-related inpatient and ED rates (15.0 vs. 2.4 per 100 square miles).
Counties with high population rates of opioid-related inpatient stays and ED visits had a higher percentage of Medicaid enrollees than did counties with low rates.
Counties with high population rates of opioid-related inpatient stays and ED visits had an average of 22.2 percent of the population enrolled in Medicaid, whereas counties with low population rates of opioid-related inpatient stays and ED visits had an average of 18.2 percent of the population enrolled in Medicaid.
Table 5 presents State-level opioid-related activities and healthcare policies, county-level opioid prescribing rates, and State-level opioid mortality rates in counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits in 2016.
Table 5. Opioid-related activities, policies, prescribing rate, and mortality in counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits across 35 States and the District of Columbia, 2016
State-level opioid-related activity and healthcare policies
Law enforcement seizures of fentanyl, no. 1,852.2 336.3
Naloxone prescriptions permitted for third parties, % of countiesa 92.2 82.7
Prescription drug monitoring program (PDMP) permitted to share data with other PDMPs, % of counties 86.0 79.6
Prescribers required to check PDMP before prescribing controlled substances, % of counties 58.5 10.6
Medicaid expansion State, % of counties 73.1 39.4
County-level opioid prescribing rate
Opioid prescribing rate per 100 residents per year 89.8 61.6
State-level opioid prescribing rate
Opioid mortality rate per 100,000 population 19.8 8.9
a Naloxone is an opioid antagonist and is designed to rapidly reverse the effects of an opioid overdose.
Counties with high population rates of opioid-related inpatient stays and ED visits were more likely to be located in States with opioid-related healthcare policies than were counties with low rates.
Compared with counties with low population rates of opioid-related inpatient stays and ED visits, counties with high opioid-related inpatient and ED rates were more likely to be in States that permitted naloxone prescriptions for third parties (92.2 vs. 82.7 percent), permitted prescription drug monitoring programs (PDMPs) to share data with other PDMPs (86.0 vs. 79.6 percent), required prescribers to check the PDMP before prescribing controlled substances (58.5 vs. 10.6 percent), and had more law enforcement seizures of fentanyl, a synthetic opioid pain reliever (mean of 1,852.2 vs. 336.3).
Counties with high population rates of opioid-related inpatient stays and ED visits were more likely to be in a Medicaid expansion State than were counties with low opioid-related inpatient and ED rates (73.1 vs. 39.4 percent).
Counties with high population rates of opioid-related inpatient stays and ED visits had higher opioid prescribing and opioid mortality rates than did counties with low rates.
Compared with counties with low population rates of opioid-related inpatient stays and ED visits, counties with high opioid-related inpatient and ED rates had an average opioid prescribing rate that was nearly 50 percent higher (89.8 vs. 61.1 per 100 residents) and an average mortality rate that was more than twice as high (19.8 vs. 8.9 per 100,000 population).
About Statistical Briefs
Healthcare Cost and Utilization Project (HCUP) Statistical Briefs provide basic descriptive statistics on a variety of topics using HCUP administrative healthcare data. Topics include hospital inpatient, ambulatory surgery, and emergency department use and costs, quality of care, access to care, medical conditions, procedures, and patient populations, among other topics. The reports are intended to generate hypotheses that can be further explored in other research; the reports are not designed to answer in-depth research questions using multivariate methods.
The estimates in this Statistical Brief are based upon data from the HCUP 2016 State Inpatient Databases (SID) and State Emergency Department Databases (SEDD) from 35 States and the District of Columbia: Arkansas, Arizona, California, Connecticut, District of Columbia, Florida, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, North Carolina, North Dakota, Nebraska, Nevada, New Jersey, New York, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Wisconsin, and Wyoming.
Supplemental data sources used for the county characteristics, including detailed descriptions of each county characteristic and data source websites, are presented in Appendix A.1, available as a separate, supplemental file associated with this Statistical Brief on the HCUP-US website at www.hcup-us.ahrq.gov/reports/statbriefs/sb260-appendix.pdf. Whenever possible, data from 2016 was used. In some cases, only data from an earlier or later time period were available.
Diagnoses and ICD-10-CM
The principal diagnosis is that condition established after study to be chiefly responsible for the patient's admission to the hospital. Secondary diagnoses are concomitant conditions that coexist at the time of admission or develop during the stay. All-listed diagnoses include the principal diagnosis plus these additional secondary conditions.
ICD-10-CM is the International Classification of Diseases, Tenth Revision, Clinical Modification. In October 2015, ICD-10-CM replaced the ICD-9-CM diagnosis with the ICD-10-CM diagnosis coding system for most inpatient and outpatient medical encounters. There are over 70,000 ICD-10-CM diagnosis codes.
The following ICD-10-CM diagnosis codes were used to define opioid-related inpatient stays and ED visits:
All codes are included except remission code F11.21 (opioid dependence in remission).
T40 series: poisoning by, adverse effect of, and underdosing of narcotics.
The following codes are included—encompassing accidental (unintentional) poisoning, intentional self-harm, assault, undetermined, and adverse effect (except heroin)—with the following characteristics in the 4th through 6th digits and a 7th digit indicating initial or subsequent encounter:
Codes with a 6th digit of "6", indicating underdosing, or a 7th digit of "S", indicating sequela, are excluded.
The opioid diagnosis could be either a principal or secondary diagnosis. A full list of the individual ICD-10-CM codes used in the definition of opioid-related inpatient stays and ED visits is provided in Appendix A.2, available as a separate, supplemental file associated with this Statistical Brief on the HCUP-US website at www.hcup-us.ahrq.gov/reports/statbriefs/sb260-appendix.pdf.
County assignment
Patient county was assigned based on the ZIP Code of the patient's residence using the SAS function for ZIP Code to county assignment. For ZIP Codes that cross county boundaries, the SAS function used the geographic centroid of the ZIP Code to assign the county.7 If the patient's ZIP Code indicated that the patient was homeless (HCUP data element ZIP = "H"), then the patient county was assigned to be the same as the hospital county. Records for patients with a ZIP Code that was missing, invalid, or indicated that the person was from a foreign country were excluded from the tabulated counts. This exclusion dropped less than 1 percent of records.
County groups
Counties were classified into five opioid-related hospital utilization population rate groups based on comparison of the 95 percent confidence interval around each county's population rate of opioid-related inpatient stays and emergency department (ED) visits compared with the 95 percent confidence interval around the national average rate (inpatient: 369.7 per 100,000 population; ED: 304.9 per 100,000 population), (see Table 6). Statistical significance was conservatively defined as nonoverlapping 95 percent confidence intervals. The focus of this Statistical Brief was the comparisons of counties described by the bolded text (High IP & ED and Low IP & ED groups).
High IP & ED: counties with population rates of opioid-related hospital utilization that were statistically significantly above the national average for both IP stays and ED visits (N=193)
High IP & Low ED: counties with population rates of opioid-related hospital utilization that were statistically significantly above the national average for IP stays and statistically significantly below the national average for ED visits (N=27)
Low IP & High ED: counties with population rates of opioid-related hospital utilization that were statistically significantly below the national average for IP stays and statistically significantly above the national average for ED visits (N=50)
Low IP & ED: counties with population rates of opioid-related hospital utilization that were statistically significantly below the national average for both IP stays and ED visits (N=1,071)
Similar to average: counties with opioid-related hospital utilization rates that were not statistically significantly different from the national average for IP stays and/or ED visits (N=873)
Table 6. Distribution of counties based on population rates of opioid-related inpatient stays and treat-and-release ED visits compared with the national average across 35 States and the District of Columbia, 2016
Number of counties based on comparison of opioid-related inpatient stay population rate to national average
Number of counties based on comparison of opioid-related ED visit population rate to national average
Above U.S. average
Similar to U.S. average
Below U.S. average
Above U.S. average 193a 80e 27b 300
Similar to U.S. average 102e 209e 173e 484
Below U.S. average 50c 309e 1,071d 1,430
Total 345 598 1,271 2,214
Note: Classification was based on comparison of county-level population rates to the U.S. average rate. Counties with population rates that were statistically significantly above the U.S. average rate were classified as "above U.S. average." Counties with population rates that were statistically significantly below the U.S. average rate were classified as "below U.S. average." Counties that were not statistically significantly different from the national average were classified as "similar to U.S. average."
a These counties were classified as having high population rates of opioid-related inpatient stays and ED visits (High IP & ED county group).
b These counties were classified as having high population rates of opioid-related inpatient stays and low population rates of opioid-related ED visits (High IP & Low ED county group).
c These counties were classified as having low population rates of opioid-related inpatient stays and high population rates of opioid-related ED visits (Low IP & High ED county group).
d These counties were classified as having low population rates of opioid-related inpatient stays and ED visits (Low IP & ED county group).
e These counties were classified as having population rates of opioid-related inpatient stays and/or ED visits that were similar to the U.S. national average population rates (similar to average county group).
Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases (SID) and State Emergency Department Databases (SEDD) for 35 States and the District of Columbia, 2016
Figure 2 provides the county-level mean and range of the population rates of opioid-related inpatient stays and ED visits in the four county groups classified as having high and/or low opioid-related hospitalization. Counties with extreme outliers were not removed from this analysis in order to include all counties; however, it is important to note that the high-end outliers may increase the overall mean.
Figure 2. County-level mean and range of the population rates of opioid-related inpatient stays and treat-and-release ED visits among counties with high and low population rates of opioid-related hospital utilization across 35 States and the District of Columbia, 2016
Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project (HCUP), 2016 State Inpatient Databases (SID) and State Emergency Department Databases (SEDD) from 35 States and the District of Columbia
Line chart that shows the maximum, minimum, and mean of the population rate of opioid-related hospital utilization per 100,000 population aged 15+ years for inpatient stays and emergency department visits in counties with high and low population rates across 35 States and the District of Columbia in 2016. Data are provided in Supplemental Table 2.
Types of hospitals included in HCUP State Inpatient Databases
This analysis used State Inpatient Databases (SID) limited to data from community hospitals, which are defined as short-term, non-Federal, general, and other hospitals, excluding hospital units of other institutions (e.g., prisons). Community hospitals include obstetrics and gynecology, otolaryngology, orthopedic, cancer, pediatric, public, and academic medical center hospitals. Excluded for this analysis are long-term care facilities such as rehabilitation, psychiatric, and alcoholism and chemical dependency hospitals. However, if a patient received long-term care, rehabilitation, or treatment for a psychiatric or chemical dependency condition in a community hospital, the discharge record for that stay was included in the analysis.
Types of hospitals included in HCUP State Emergency Department Databases
This analysis used State Emergency Department Databases (SEDD) limited to data from community hospitals with a hospital-owned emergency department. Community hospitals are defined as short-term, non-Federal, general, and other hospitals, excluding hospital units of other institutions (e.g., prisons). Community hospitals include specialty, pediatric, public, and academic medical center hospitals. Excluded for this analysis are long-term care facilities such as rehabilitation, psychiatric, and alcoholism and chemical dependency hospitals.
The unit of analysis in this Statistical Brief is the county. The county groups, defined by population rates of opioid-related hospital utilization, are based on the hospital discharge (i.e., the hospital stay) or emergency department (ED) visit, not individual patients. A patient admitted to the hospital multiple times in 1 year will be counted each time as a separate discharge from the hospital, and a patient seen in the ED multiple times in 1 year will be counted each time as a separate ED visit.
Region is one of the four regions defined by the U.S. Census Bureau:
Northeast: Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, and Pennsylvania
Midwest: Ohio, Indiana, Illinois, Michigan, Wisconsin, Minnesota, Iowa, Missouri, North Dakota, South Dakota, Nebraska, and Kansas
South: Delaware, Maryland, District of Columbia, Virginia, West Virginia, North Carolina, South Carolina, Georgia, Florida, Kentucky, Tennessee, Alabama, Mississippi, Arkansas, Louisiana, Oklahoma, and Texas
West: Montana, Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada, Washington, Oregon, California, Alaska, and Hawaii
About HCUP
The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases bring together the data collection efforts of State data organizations, hospital associations, and private data organizations (HCUP Partners) and the Federal government to create a national information resource of encounter-level healthcare data. HCUP includes the largest collection of longitudinal hospital care data in the United States, with all-payer, encounter-level information beginning in 1988. These databases enable research on a broad range of health policy issues, including cost and quality of health services, medical practice patterns, access to healthcare programs, and outcomes of treatments at the national, State, and local market levels.
HCUP would not be possible without the contributions of the following data collection Partners from across the United States:
Alaska Department of Health and Social Services
Alaska State Hospital and Nursing Home Association
California Office of Statewide Health Planning and Development
Connecticut Hospital Association
Delaware Division of Public Health
District of Columbia Hospital Association
Florida Agency for Health Care Administration
Georgia Hospital Association
University of Hawaii, Hilo, Center for Rural Health Science
Hawaii Laulima Data Alliance
Indiana Hospital Association
Kansas Hospital Association
Kentucky Cabinet for Health and Family Services
Maine Health Data Organization
Maryland Health Services Cost Review Commission
Massachusetts Center for Health Information and Analysis
Michigan Health & Hospital Association
Minnesota Hospital Association
Mississippi State Department of Health
Missouri Hospital Industry Data Institute
Montana Hospital Association
Nebraska Hospital Association
Nevada Department of Health and Human Services
New Hampshire Department of Health & Human Services
New Jersey Department of Health
New Mexico Department of Health
North Carolina Department of Health and Human Services
North Dakota (data provided by the Minnesota Hospital Association)
Ohio Hospital Association
Oklahoma State Department of Health
Oregon Association of Hospitals and Health Systems
Oregon Office of Health Analytics
Pennsylvania Health Care Cost Containment Council
Rhode Island Department of Health
South Carolina Revenue and Fiscal Affairs Office
South Dakota Association of Healthcare Organizations
Tennessee Hospital Association
Texas Department of State Health Services
Utah Department of Health
Vermont Association of Hospitals and Health Systems
Virginia Health Information
West Virginia Department of Health and Human Resources, West Virginia Health Care Authority
Wyoming Hospital Association
About the SID
The HCUP State Inpatient Databases (SID) are hospital inpatient databases from data organizations participating in HCUP. The SID contain the universe of the inpatient discharge abstracts in the participating HCUP States, translated into a uniform format to facilitate multistate comparisons and analyses. Together, the SID encompass more than 95 percent of all U.S. community hospital discharges. The SID can be used to investigate questions unique to one State, to compare data from two or more States, to conduct market-area variation analyses, and to identify State-specific trends in inpatient care utilization, access, charges, and outcomes.
About the SEDD
The HCUP State Emergency Department Databases (SEDD) include information from hospital-owned emergency departments (EDs) from data organizations participating in HCUP, translated into a uniform format to facilitate multistate comparisons and analyses. The SEDD capture the universe of records on ED visits in participating HCUP States that do not result in an admission to the same hospital (i.e., patients who are treated in the ED and then discharged, transferred to another hospital, left against medical advice, or died). The SEDD contain a core set of clinical and nonclinical information on all patients, including individuals covered by Medicare, Medicaid, or private insurance, as well as those whose stays were not expected to be covered by insurance. The SEDD can be used to investigate questions unique to one State, to compare data from two or more States, to conduct market-area variation analyses, and to identify State-specific trends in injury surveillance, emerging infections, and other conditions treated in the ED.
For other information on mental and substance use disorders, including opioids, refer to the HCUP Statistical Briefs located at www.hcup-us.ahrq.gov/reports/statbriefs/sb_mhsa.jsp.
For additional HCUP statistics, visit:
HCUP Fast Stats at www.hcup-us.ahrq.gov/faststats/landing.jsp for easy access to the latest HCUP-based statistics for healthcare information topics
HCUPnet, HCUP's interactive query system, at www.hcupnet.ahrq.gov/
For more information about HCUP, visit www.hcup-us.ahrq.gov/.
For a detailed description of HCUP and more information on the design of the State Inpatient Databases (SID) and State Emergency Department Databases (SEDD), please refer to the following database documentation:
Agency for Healthcare Research and Quality. Overview of the State Inpatient Databases (SID). Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality. Updated November 2019. www.hcup-us.ahrq.gov/sidoverview.jsp. Accessed February 3, 2020.
Agency for Healthcare Research and Quality. Overview of the State Emergency Department Databases (SEDD). Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality. Updated January 2020. www.hcup-us.ahrq.gov/seddoverview.jsp. Accessed February 3, 2020.
Owens PL (AHRQ), Weiss AJ (IBM Watson Health), Barrett ML (M.L. Barrett, Inc.), Reid LD (AHRQ). Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016. HCUP Statistical Brief #260. June 2020. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/statbriefs/sb260-Social-Determinants-County-Opioid-Rates-Hospital-Use-2016.pdf.
The authors would like to acknowledge the contributions of Kim McDermott and Minya Sheng of IBM Watson Health.
AHRQ welcomes questions and comments from readers of this publication who are interested in obtaining more information about access, cost, use, financing, and quality of healthcare in the United States. We also invite you to tell us how you are using this Statistical Brief and other HCUP data and tools, and to share suggestions on how HCUP products might be enhanced to further meet your needs. Please e-mail us at hcup@ahrq.gov or send a letter to the address below:
Joel W. Cohen, Ph.D., Director
Center for Financing, Access and Cost Trends
This Statistical Brief was posted online on June 30, 2020.
1 National Institute on Drug Abuse. Overdose Death Rates. Revised March 2020. www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates. Accessed May 15, 2020.
2 Healthcare Cost and Utilization Project. HCUP Fast Stats - Opioid-Related Hospital Use. www.hcup-us.ahrq.gov/faststats/OpioidUseServlet?setting1=IP. Accessed May 15, 2020.
3 U.S. Department of Health and Human Services. What Is the U.S. Opioid Epidemic? Updated September 4, 2019. www.hhs.gov/opioids/about-the-epidemic/index.html. Accessed October 14, 2019.
4 World Health Organization. About Social Determinants of Health. www.who.int/social_determinants/sdh_definition/en/. Accessed October 14, 2019.
5 Agency for Healthcare Research and Quality. Social Determinants of Health (SDOH). www.ahrq.gov/sdoh/index.html. Accessed February 25, 2020.
6 Percentage of the county population in poverty was obtained from the American Community Survey, U.S. Census Bureau, 2016. The national average poverty rate in 2016 was obtained from the U.S. Census Bureau Report #P60-259, Income and Poverty in the United States: 2016, published September 12, 2017. www.census.gov/library/publications/2017/demo/p60-259.html. Accessed May 5, 2020.
7 Additional information from SAS on the geocode procedure is available at SAS. Understanding ZIP Code Geocoding. support.sas.com/documentation/cdl/en/graphref/65389/HTML/default/viewer.htm#n1cqwrpowwd4l6n1lmw39ughjpuh.htm. Accessed January 25, 2020.
Supplemental Table 1. Urban-rural location and poverty level in counties with high and low population rates of opioid-related inpatient stays and treat-and-release ED visits across 35 States and the District of Columbia, 2016, for data presented in Figure 1
<15% of the population in poverty
High poverty rate: >15% of the population in poverty
High IP and ED (N=126) 50.0 50.0
Low IP and ED (N=351) 60.1 39.9
Rural-adjacent
High IP and ED (N=47) 17.0 83.0
Rural-remote
High IP and ED (N=20) 5.0 95.0
Supplemental Table 2. County-level mean and range of the population rates of opioid-related inpatient stays and treat-and-release ED visits among counties with high and low population rates of opioid-related hospital utilization across 35 States and the District of Columbia, 2016, for data presented in Figure 2
High IP and ED
High IP and low ED
Low IP and high ED
Low IP and ED
Max 4122.0 2224.3 928.9 260.7 336.5 736.1 341.2 256.6
Mean 656.8 634.0 528.9 195.1 264.0 469.5 153.0 115.7
Min 403.6 360.3 409.4 130.3 179.1 354.1 0.0 0.0
Internet Citation: Statistical Brief #260. Healthcare Cost and Utilization Project (HCUP). June 2020. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/statbriefs/sb260-Social-Determinants-County-Opioid-Rates-Hospital-Use-2016.jsp.


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Home Opinion Opinion: Rangers 23-year-old proving himself as club's second most-important player
Richard Fillingham
The Glasgow Rangers board agreed to pay £7 million for Ryan Kent after Steven Gerrard convinced them that the versatile forward was a vital component required to win silverware this season.
The Gers fans were excited by the signing, but alas, the 23-year-old suffered from a lack of match fitness in the close season at Liverpool and was taken off injured in his first game back with the Ibrox side.
Since recovering his full fitness and settling back in the Rangers team, Kent is proving Gerrard was right to push hard for his return to the club.
Playing in the same forward line as Alfredo Morelos and Joe Aribo is helping Kent to find his best goalscoring form to benefit the Gers team.
Gerrard would not have persuaded Rangers to part with that money if he didn't deem Kent necessary to his cause.
Under Gerrard's guidance, Kent is finally living up to his undoubted talent and his ability to make a huge difference to this current Rangers side.
By scoring five important goals in his last seven league games, he is proving to be a real deal – a game changer of the highest order.
He is obviously a player who can thrive under pressure at Ibrox, since recovering from his earlier injury at the re-start of his Rangers career.
Originally thought of as a left-winger, Kent has shown what he can do for the side when given his roving role. Moving into positions to hurt teams.
His performances will become more consistent the longer he plays in a regular first team with good players all around him.
Has Ryan Kent become the second most important player to Alfredo Morelos at Rangers?
Previous articleReport: Aston Villa have beaten Liverpool to player
Next articlePlayer's response when asked about Leeds United's reported interest
I am an avid, mature Rangers supporter who has been a season ticket holder for over 40 years. My hobby is writing articles and giving my predictions of team selections and commenting on all interesting information regarding Rangers.
Report: Celtic long-term admirers of Leeds United target
Chelsea reportedly make decision over Rangers target's future

redpajama_set_name: RedPajamaCommonCrawl


Own Rush Memorabilia - Drum Workshop Inc.
From July 18th – 27th, Rush fans from around the world can bid in the eBay charity auction for a Neil Peart DW Icon Snare Drum. Made from the SAME tree used to make Peart's #R40 drums set – a 1500-year-old Romanian River Oak salvaged from the bottom of the Olt River.
Inlaid with intricate, laser-cut exotic woods, and complimented by gold-plated hardware -- only 250 of these drums were ever produced. A signed and numbered certificate of authenticity and deluxe carrying bag will accompany each drum.
The eBay charity auction also includes a stunning, 17" Paragon cymbal from Sabian. This is the same model of cymbal used by Neil Peart. It's bright, bold and distinctive sound is iconic to Rush fans the world over. Autographed by Geddy Lee, Alex Lifeson and Neil Peart.
The Princess Margaret Cancer Foundation (PMCF) in Toronto.


British Columbia teachers protest for better student learning conditions outside the cabinet offices in Vancouver, March 18, 2013. The opposition New Democrats said Feb. 12, 2014 that court documents show the Liberal government was intent on provoking teachers into job action, rather than bargaining in good faith.
The Opposition New Democratic Party says court transcripts show B.C. Premier Christy Clark was involved in plans to provoke a full-blown strike in the public school system in a bid to gain public support for legislation that would end a labour dispute with the B.C. Teachers Federation (BCTF).
"I think that it's reasonable to conclude from the evidence provided – not by teachers or by parents or by anyone else, but by evidence presented by government people in the court – that the Premier and her government set out to provoke a strike to stop kids from going to school, to further Liberal political interests," NDP leader Adrian Dix told the House.
A day after Ms. Clark said she "fundamentally" disagreed with a Supreme Court judgment that her government tried to provoke a strike rather than bargain in good faith, the NDP opposition read the court transcripts in the legislature. The NDP said they show the government's lead negotiator in the talks discussed the labour strategy with John Dyble, the top bureaucrat in the Premier's Office, to prepare cabinet for a briefing.
The province has applied to the B.C. Court of Appeal to challenge the B.C. Supreme Court ruling that the government's legislated settlement of the teachers' dispute was unconstitutional.
The province's lawyers are also seeking to keep under wraps cabinet documents that were tabled in court that deal with the government strategy around the BCTF labour dispute.
But on Wednesday, the NDP skirted that court battle by reading aloud from transcripts of Paul Straszak's testimony about the strategy under cross-examination last September.
Mr. Straszak, the former CEO of the government's bargaining agent, the Public Sector Employers' Council, explained in court that he provided a strategy document to Mr. Dyble setting out how to manage the teachers' labour dispute that was brewing in 2011 and 2012. The Premier is not directly mentioned in the transcripts the NDP released on Wednesday.
At the time, the teachers' union was engaging in job action such as refusing to participate in extracurricular activities. The government wanted to legislate an end to that in 2012, but Mr. Straszak warned that could alienate the public unless the teachers could be goaded into a full strike.
"What we are talking about here is cabinet is going to be in an awkward situation in the context of a low-scale strike, meaning it's going to want to put an end to it, but the public won't necessarily see the need for the legislation because the kids are still in school," he explained in court.
He then was asked how the government intended to address the situation: "We have some tools to increase the pressure on the TF [Teachers' Federation] to escalate the strike," the court heard. Those tools included cutting teachers' pay – a measure that the Labour Relations Board later rejected.
The Premier refused to take questions in the House about the revelations, deferring to Justice Minister Suzanne Anton. Ms. Anton also declined to answer questions: "All of the evidence will be before the Court of Appeal," Ms. Anton told the House. "The Court of Appeal will make its judgment accordingly and we must leave them to it."
As recently as Tuesday, the Premier denied to reporters that her government tried to engineer a full-scale strike. "Absolutely not," she said. "I understand that was the characterization that was set out [in the judgment]. I fundamentally disagree with that, it is not correct, that is one of the many reasons we are going to have another judge take a look at it."
Ms. Clark did not speak to reporters after Question Period. Education Minister Peter Fassbender insisted the judge was wrong. "Clearly this government has worked very hard … to not provoke strikes in any sector and that is the case in this as well. I'm not going to comment on [Mr. Straszak's] testimony."
In announcing the government's appeal of the Supreme Court ruling in favour of the B.C. Teachers' Federation (BCTF), Education Minister Peter Fassbender said it would cost taxpayers "upwards of $1-billion" to restore classrooms to the contract language that existed in 2002.
However, with 60 school districts, each with different needs, budget issues and contract language, the cost of such a restoration is a complex calculation. The BCTF says the province has lost close to 1,400 specialist positions.


Overview: Rotala Singapore is an aquatic plant species from Rotala genus. This genus features many similar plants because with the diverse conditions, different plants can have the same appearance. In most cases, Rotala Singapore is a redder plant and is characterized by its smaller leaves. This plant can thrive in wide range of conditions which makes it an attractive plant for enthusiasts and beginners alike.
Reproduction: Propagation is one by pruning off and replanting side shoots that are formed constantly.


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CONTACT 225.346.5490
Serge Aurier challenged to make Tottenham right-back spot his own by Mauricio Pochettino
Posted on October 14, 2019 November 18, 2019 by rj-transportation
Tottenham boss Mauricio Pochettino has contested Serge Aurier to create the spot his own after his impressive display in the win over Crystal Palace.
The Ivory Coast international was playing his first game of the season – and also making his first Premier League launch since February – and given two assists in Spurs' joint triumph at their new arena.
Aurier, who has recovered from a hand injury sustained at the Africa Cup of Nations, he said he wanted to depart the club on the summer but appears to have a chance – that he can be consistent.
"I believe he was very joyful," Pochettino said of the right-back. "We were really happy also. I believe the operation was fantastic.
"First half has been fantastic, his concentration and focus.
"He needs to reveal and be constant. It's not one game and the next game the focus and intensity start to drop. That is the secret in our group, not just him but all the players.
"All the players will need to be constant and understand that every time we will compete we have to present our very best.
"Give such as a collective our best and for sure we've got the caliber to beat any team."
Aurier is currently now in a struggle with Kyle Walker-Peters and Juan Foyth for its right-back position, maybe not that he believes that himself based on a interview published this week.
He maintained there was"no competition" for his place in the group, but Pochettino hasn't seen it.
"I did not see those quotations," he said. "No, I really didn't see but you know, if once I talk with him it's always clear. I didn't see "
Read more: nba plaoffs
Port Allen, Louisiana, 70767
La Porte, Texas, 77571
steve.johnson@rjstransport.com


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Navigation: Home > News > NEWS > How sacked driver connived with gang to kidnap boss' wife
How sacked driver connived with gang to kidnap boss' wife
The kidnap suspects
A driver, Tigidam Bright, has been arrested for his complicity in the kidnapping of his boss' wife, Mrs Gift Topba, in Port Harcourt, Rivers State.
He was apprehended alongside two suspected kidnappers – Isaac Michael, Leera Barisua – by operatives of the Inspector-General of Police Intelligence Response Team.
It was learnt that some gunmen kidnapped Gift, the wife of an Ogoni human rights activist, Gani Topba, on August 25, 2020 at the entrance of an estate where she lives and took her to their den in the Khana area of the state.
They reportedly demanded N100m ransom initially but later reduced it to N500,000, which was paid by the family before she was released.
RT detectives investigating the incident were said to have traced a mobile phone the gang used for negotiating the ransom to an unnamed man who assisted them in arresting Michael and Barisua.
It was gathered that in the course of interrogation, the duo mentioned Bright as the mastermind and he was also picked up.
In an interview with City Round during the week, Bright denied orchestrating Gift's abduction but confessed to have got N100,000 from the ransom.
He said he told his friends (Michael and Barisua) how his boss of eight years allegedly sacked him unjustly and they promised to help deal with him.
He explained, "I am from Khana. I left secondary school in 2006 and went to learn how to fabricate metals. When I completed the apprenticeship and couldn't secure a job at an oil company, I went to work with Chief Gani Topba as his personal driver. When the COVID-19 pandemic started and there was a lockdown, Chief (Topba) was in Abuja. He asked that his Port Harcourt office should be shut down and I dropped his keys with his secretary.
"He paid my salary one month into the lockdown but after the lockdown, he refused to take me back as his driver. I tried all I could to get back the job but it wasn't possible. I learnt that the chief sacked me because I diverted a business contract he was supposed to execute to someone else. But I didn't do such a thing.
"Sometime in August 2020, I travelled to Khana to visit some of my friends. They asked if I was still working with the chief and I told them that he fired me over an unfounded allegation. Then they promised to deal with him on my behalf. I didn't know that their plan was to kidnap his wife. I learnt that she was kidnapped and after she was released, I was given N100,000 as my share of the ransom."
Bright claimed that he collected the money because he was scared his friends might kill him if he failed to cooperate with them.
Michael, 37, said he was introduced to kidnapping by a friend at large, identified simply as Mark, who in turn linked him up with Barisua, to form a four-man gang.
The father of two confessed to having participated in three operations since he joined the gang in July 2020, adding that they freed one of their victims without collecting ransom because he was a pastor.
He said, "We kidnapped a woman at Rumuporisi area of Port Harcourt and took her to our camp in Kaani-Kor community (Khana area) in Mark's car. She spent three days with us and was released after N2m was paid as ransom to secure her freedom. I got N300,000 as my own share.
"My last operation was the kidnapping of the wife of Chief Gani Topba. His driver brought the job to our gang and he was also the person who showed us his house in Port Harcourt. He also told us the colour and brand of car his wife drives. We kidnapped her on August 25, 2020 and kept her in our camp, while one of my phones which I later sold was used for the ransom negotiation.
"A ransom of N500,000 was eventually paid and I got N100,000 as my share. I know Chief Gani Topba; he is from my community but his driver claimed he treated him badly which made us kidnap his wife."
Barisua, a graduate of Electrical Engineering, said he went into kidnapping after losing his job at an oil company in Port Harcourt, but insisted that he did not participate in Gift's abduction. – Punch.
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April City Council: BCC, Community Affairs and Bike Routes
By Coastal Breeze News Staff | on May 02, 2014
The big news out of the April 21 Marco Island City Council meeting was the approval of the ballot language for the August referendum on replacing the nearly 30-year-old Mackle Park Community Center. Councilors voted 5-2 to approve the following:
"Shall the city expend up to $3.5 million to construct a new community center up to 16,000 square feet at Mackle Park?"
That language now is on its way to the office of Collier County Supervisor of Elections Jennifer Edwards to be added the August primary election ballot.
It was a clear victory for the city's Parks and Recreation Advisory Committee which spent the first quarter of 2014 educating Marco residents about the need for the project. According to committee Chairman Greg West, the $3.5 million price tag — $200 per square foot — is a "locked and loaded" price, and City Manager Roger Hernstadt told City Council that the estimated price is "doable if we don't design this by committee. If it is clearly following the basis of design, including the sketch in the brochure, then we will be fine."
Council Vice Chairman Larry Sacher and Councilor Chuck Kiester opposed the measure. Sacher raised concerns about the lack of a definitive design and possible additional costs, such as landscaping and the relocation of Parks and Recreation staff during construction. Kiester voted "no" on principle.
"As far as I am concerned, we are abdicating our responsibility to make the tough decisions that we were voted in for," he said. "They have tried in other communities to do everything by referendum, and it is just unwieldy…I was elected to make the tough decisions, not to throw everything into a referendum."
"I hope (the referendum) does pass because if we were asked to vote (the project) up or down tonight I would vote for it," Kiester added later.
Meeting with the BCC
Still, the Mackle Park ballot language vote was not the only item of interest on the City Council's agenda that night. First, Council discussed an upcoming meeting with the Collier County Board of Commissioners and the continued pursuit of a full-time second Collier County ambulance for Marco Island. As of Feb. 1, Collier County granted Marco Island Fire-Rescue a second seasonal ALS ambulance (Media 803) to operate January-April for 12 hours each day, 9 AM-9 PM.
The addition of the second seasonal ambulance is thanks to an effort by Marco Island City Councilor Amadeo Petricca, Marco Island Fire-Rescue Department Chief Michael Murphy, MIFRD Deputy Chief Chris Byrne, City Attorney Burt Saunders, District 1 Commissioner Donna Fiala and Collier County EMS personnel. The team had conversations with all members of the BCC, making a presentation about why a second ambulance was necessary for Marco Island.
Still, Councilor Petricca wants to continue the dialogue with Collier County about making this seasonal ambulance permanent. "This is not a dead issue because our season seems to begin earlier and earlier," he told his fellow Councilors.
Restructuring Community Affairs
It is no secret that Marco Island's Community Affairs Department has been in a state of flux since January. According to City Manager Hernstadt, the department continues on its evolutionary path to becoming the
Growth Management Department with the Building and Planning and Zoning divisions falling under its purview.
During the April 21 City Council meeting, the department's vacant positions and new hires were discussed. Planning and Zoning's newest employees were introduced — City Planner Betty Hernandez and Zoning Administrator Tami Scott — and it was noted that the Building Division has two open positions for a plumbing and mechanical inspector and a plan review inspector.
Until the vacancies are filled, contract employees are being used, and as a result, City Councilors approved an additional $60,000 in funding to pay for those consultants. Hernstadt has indicated that more new hires are on the horizon as he is in the process of completing negotiations with prospective employees.
"This is a new start for those (divisions)," Hernstadt said in an interview after the City Council meeting. "Hiring is like getting married. It is easy to get married, but not so easy to get unmarried. We are not under pressure to make bad hiring decisions here, and meanwhile the daily work has to get done."
Funding Bike Routes
Finally, Al Musico, chairman of the city's Bicycle Pathways Committee, provided a funding status report for Marco Island's bike pathways plan. The committee has spent the last six years getting input from city staff, residents, civic organizations and businesses about bike usage on the island.
In 2012, it's work was adopted into Collier County's Master Plan, making Marco Island eligible for bike pathway funding from the Florida Department of Transportation. This means the state provides 80 percent of the funding for bike paths on Marco through FDOT's five-year plan. The city covers the remaining 20 percent of the cost — 10 percent for design and 10 percent for construction. The city has committed a $100,000 annual allocation for design, while construction costs are covered in the Five-year Capital Improvements Program.
During the City Council meeting, Musico reported the completion of the first bike paths on Jamaica Road. Those along San Marco Road, Winterberry Drive and the Tigertail/Hernando path currently are under construction. He also noted that the proposed paths on Landmark Lanes and Barfield Road/Inlet Drive are in design and set for construction next year.
Currently, FDOT has committed nearly $4 million in funding through 2018 to Marco Island for bike paths. "Once a project is on the plan, it is highly likely that it will be done," Musico told City Councilors. "The timing can shift, but it will be done." For example, he explained that the bike lanes on Collier Boulevard from the Jolley Bridge to Elkcam Circle have been bumped from 2018 to 2019.
The committee's work is not done yet, though. Funding applications for five more bike path segments now are in the works, which will complete all shared-use pathways in the city's plan. Further, the committee will seek funding for the final three in-road bike lane paths in the near future as well.
Musico urged City Councilors to continue the vision and the funding for the plan: "Construction funding for next year's projects needs to be put into the CIP…If we don't do these projects, the money goes somewhere else in Collier County. Once we submit our applications, we need to be ready to act on them."


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Home politics BOKO HARAM: UN DEPUTY SECRETARY LAYS WREATH TO FALLEN HEROES
BOKO HARAM: UN DEPUTY SECRETARY LAYS WREATH TO FALLEN HEROES
Unknown 1/10/2018 11:24:00 pm politics,
Mrs Amina Muhammad, the UN Deputy Secretary General, on Wednesday in Maiduguri, laid wreath in remembrance of
soldiers who lost their lives in the fight against Boko Haram insurgency in the northeast.
Muhammad, accompanied by Mrs Zainab Ahmad, the Minister of State, Budget and National Planning, visited the military cemetery at the Maimalari Cantoment prayed and laid a wreath in honour of the fallen heroes.
"We are here today to present our special prayers to the fallen heroes and their families.
"We thank God for their service to the nation and fight against Boko Haram insurgency to bring peace and stability to the country.
"We remember today is the most appreciable; May their souls rest in peace, "Other dignitaries at the event include Maj.-Gen. Rogers Nicholas, the Theatre Commander, Operation Lafiya Dole, Mr Edward Kallon, the UN Humanitarian Coordinator, Mrs Mairo Mandara, the Head of Bill and Melinda Gate Foundation as well as other UN officials.Also, Brig.-Gen. Abdulrahaman Kulliya and Col. Onyeama Nwachukwu, offered prayers for repose of the souls of the departed soldiers.
The UN deputy secretary had earlier visited the Military Control and Command centre, and held a closed door meeting with the Theatre Commander.Muhammad had also paid a brief visit to Bama, one of the communities liberated from Boko Haram insurgents. (NAN)
Tags # politics
By Unknown - 1/10/2018 11:24:00 pm


A great wristlet, clutch purse, and night-on-the-town purse. Throw in your ID, phone, and lipstick and make the most of your night out!
About 6" x 9." Skyline motif on front with a solid white back. Poly-cotton Eco Canvas exterior. Lined with black poly-cotton. Interfaced with a structured FlexFoam. Fabric printed in America with Spoonflower.com via a digital print process that uses eco-friendly, water based pigment inks and dyes which produce little waste. Includes a detachable wristlet strap.


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Q: How does the Doctor know what the flesh is thinking in The Almost People? In The Almost People, there are

 two Doctors

and they are pretending to be each other. When one pushes Amy up against the wall and says what the flesh is thinking and what it needs, etc., how can he know what the flesh wants

 when he's the actual Doctor and not the flesh Doctor?

I know he was able to read the flesh in the first episode, but then he was physically touching it with his hand. And

 the flesh Doctor isn't a Time Lord,

so he can't make a psychic link — for that to happen they need to be touching.

A: This wouldn't be the first time in Doctor Who that memories and knowledge are transferred from a fake copy of a person to the real person they're copying.

*

*Take the plastic Auton version of Rory Williams, for instance. From the episode The Big Bang, the real Rory remembers:

"It's the Doctor. How did we forget the Doctor? I was plastic. He was the stripper at my stag. Long story."

See also this answer.

*Then there's Queen Elizabeth I and her Zygon clone in the 50th anniversary special The Day of the Doctor. After killing the Zygon version of her, she seems to have suddenly acquired an awful lot of knowledge about the Zygons' plans and goals, enough indeed to fool the other Zygons:

ELIZABETH: The Zygons lost their own world. It burnt in the first days of the Time War. A new home is required.
  [...]
  ZYGON: Commander, why are these creatures here?
  ELIZABETH: Because I say they should be.
  [...]
  DOCTOR 10: And do you know why I know that you're a fake? Because you're such a bad copy. It's not just the smell, or the unconvincing hair, or the atrocious teeth, or the eyes just a bit too close together, or the breath that could stun a horse. It's because my Elizabeth, the real Elizabeth, would never be stupid enough to reveal her own plan. Honestly, why would you do that?
  ELIZABETH: Because it's not my plan. And I am the real Elizabeth. [...] My twin is dead in the forest. I am accustomed to taking precautions.

So the real Doctor receiving memories from the flesh Doctor isn't that much of a stretch. Basically, this is something the showrunners aren't too careful about explaining properly - as with many things in a show so loosely defined as Doctor Who.

redpajama_set_name: RedPajamaStackExchange


text:
Lithobates vaillanti – gatunek płaza z rodziny żabowatych. Jego występowanie zanotowano w Kostaryce, Belize, Kolumbii, Ekwadorze, Gwatemali, Hondurasie, Meksyku, Nikaragui i Panamie.

Opis
Samice są większe od samców. Głowa ich jest dłuższa niż szersza, a błona bębenkowa duża i widoczna, porównywalna średnicą do oka. Grzbiet brązowy z czarnymi punktami, przechodzący na przedzie w kolor zielonkawy. Larwa duża, o jajowatym kształcie, osiągająca do 80 mm.

Środowisko życia i ekologia
Lithobates vaillanti to zwierzę wodno-lądowe, którego naturalnym środowiskiem jest wilgotny las równikowy. Jego miejsce występowania silnie związane jest z wodą, najlepiej wodą stojącą, np. sadzawkami. Wykazuje aktywność przez cały rok, zarówno za dnia, jak i nocą. Spłoszone ucieka do wody, gdzie chowa się pod jej powierzchnią lub pod wodną roślinnością. Żywi się głównie drobnymi bezkręgowcami, takimi jak chrząszcze czy pająki, ale także rybami. Żeruje na linii brzegowej jeziora.

Przypisy

Bibliografia

Żabowate
Płazy Ameryki Północnej
Płazy Ameryki Południowej
Gatunki i podgatunki zwierząt nazwane w 1877 roku

redpajama_set_name: RedPajamaWikipedia


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Manchio, Wickramaratna fighting for third-place
jlewis@thebct.com
ATLANTIC CITY — Naturally there was some disappointment.
You don't wrestle your way into the state's final four and expect to lose.
Still, neither Seneca's Joe Manchio, nor Collin Wickramaratna of Cherokee, walked away from Saturday's semifinal round of the state wrestling championships with his head down.
The sense of accomplishment that usually comes with distance was already there for both of them.
"This is all bonus," Manchio said. "I accomplished what I wanted to do this year. Four region titles. All-time wins. Three-time placer. What else can I ask for?"
East Brunswick's Mitchell Polito denied him a second state championship — Manchio was the 106-pound champ as a sophomore — when he took their 120-pound semifinal 7-3.
It started with a near-miss for Manchio, who hit a low single near the line and appeared to be right on the verge of taking the lead. But one moment, he was dragging Polito back in bounds and the next, Polito had Manchio's leg. He took it high and tripped the Seneca wrestler to take the lead.
Manchio got out in the first, and again in the second period to tie the score, but with the lead to be had for whoever could score, it was Polito who seized it. This time Manchio got in deep on a shot, only to get thrown for a second takedown.
"I didn't wrestle like I wanted to," Manchio said. "I got really deep on his legs a lot. I could feel his weight, but I couldn't finish anything. I couldn't suck anything in. That's what really killed me."
Manchio decisioned Don Bosco Prep's Will Grater 10-4 in the quarterfinal round for the 167th win of his career. He's the all-time leader in Burlington County and he's tied with Kingsway's Quinn Kinner — a finalist at 138 pounds — for the top spot on the South Jersey list.
Ironically, Manchio's loss means he'll wrestle a consolation semifinal Sunday morning against Joseph King of Colts Neck and then a final. He can win two more times — Kinner only wrestles once.
"I'll just get a good night's sleep, wake up, get something good to eat, then come back and wrestle like I should," Manchio said.
Wickramaratna is in pursuit of his own milestone. With 147 career wins, he's tied with Kyle Packer atop Cherokee's all-time list. He can top that list with a win over Nicky Cabanillas, of DePaul, in the 126-pound consolation semifinal.
Wickramaratna earned his way into the quarterfinal with a 3-2 victory over Jacob Perez of Paulsboro. He went to tiebreaker for the second time this weekend and escaped for the winning point.
In the semifinal, he faced Patrick Glory of Delbarton, who beat him by a technical fall at the Jack Welch Duals in January.
Unfortunately this bout followed that script almost exactly, beginning with Wickramaratna getting in on a low single and Glory turning it to his advantage.
"He's really good at scrambling," Wickramaratna said. "Most people just funk for a stalemate. He funks to score. He jumps over the back, and then he starts pushing off your arms, and then he has your leg. I couldn't figure out how to stop that."
It certainly wasn't going to be figured out while Glory tilted him for back points, so as he looked up from a 16-2 deficit after two periods, Wickramaratna decided to take top.
"I was hoping for maybe a cradle, or something like that," Wickramaratna said. "I was close, but I couldn't lock it up."
Wickramaratna became a first-time district champ two weeks ago and a first-time region champ last weekend. Last year, he finished on the podium in seventh-place. There's still more he wants to lock up as he heads into his last day as a high-school wrestler.
"I'm one notch higher than last year," he said. "But I need to end my senior year on a good note. Come back and get third."
Manchio and Wickramaratna will be the only place winners, from the 25-man Burlington County delegation that made the trip to Atlantic City. Five others — Holy Cross' Chase Mullarkey (113), Delran's Bryan Miraglia (132), Rancocas Valley's Daequan Jackson-Swoope (160), Pemberton's Alex Cawley (195) and Lenape's Jared Davenport (220) were one bout short of reaching the blood round.


I'm going to show you the easiest way you can start meditating right now.
You'll feel so relaxed and focused you'll want to meditate every day.
As you read every word of this article you'll notice your focus is drawn completely to the words as you fully comprehend everything you read.
Completely focus on the task at hand.
You see, meditation is nothing mystical or mysterious.
There's no need to travel to a secluded area or locking yourself away in a smokey incense filled room.
By simply focusing your entire attention on the here and now, you are meditating.
And as you continue to read you can start to notice your breath.
…and flows effortlessly back out.
Simply be in the moment.
Allow any distracting thoughts of yesterday and tomorrow to simply drift away on the tide of your subconscious.
Meditation is nothing more than total focus.
When you focus entirely on the present moment you actually synchronize the two hemispheres of your brain, so that there is no disconnect between your subconscious mind and your conscious mind.
This means that you have a free-flow of creativity and new ideas pouring in from your subconscious, as if in a dream.
Only now, you are wide awake and able to put these ideas to practical use.
The conscious mind is easily distracted and prone to information overload because it cannot filter out useless information.
The subconscious mind is fully asleep and instead of offering up useful insights, it plagues you with daydreams about the past or the future, further distracting the conscious mind with worries and anxiety.
Meditation trains your brain to operate in a state of full awareness when you need it.
Practicing meditation daily will give you a laser focus that makes your more effective at everything you do.
It will also provide you with the discipline to actually follow through on any project you set out to accomplish.
Have you ever set a goal for yourself and never followed through simply because "life happened" and the everyday distractions pulled you back into your usual routines?
When was the last time you promised yourself you'd take action to drastically improve your finances, your health, or your relationships… only to end up right back where you started?
Wouldn't it feel great to have total confidence in your ability to achieve anything you wanted?
It all comes back to focus, so let's get back to the purpose of this article.
I promised you the easiest meditation technique for beginners.
It's the easiest method there is because you can do it whenever and wherever you please to refresh yourself and enter a state of calm and relaxed focus.
Simply be aware of your breath flowing in and out.
Don't interfere with your breathing, just pay attention it.
You may notice that you can only hold your focus for a few seconds.
Each time you'll find you can go a little bit longer.
You can do this exercise any time, even while you're working, so use it as often as possible.
The whole purpose of this meditation is to strengthen your ability to focus.
After a couple weeks of daily practice you'll find that you can hold your attention on any one thing for 5 minutes 10 minutes , 20 minutes, or more.
You'll also notice yourself being generally more aware of your feelings, your thoughts, your body and your surroundings.
Instead of your attention darting about aimlessly, draining your mental and emotional energy with worry and anxiety, you'll be able to focus it like a laser on any task you want to accomplish.
Really you could focus on anything you wanted and get the same results, but breathing will be the most important part of your future meditation training so it's best that you get familiar with it now.
Using your breath as the focus point also has a funny way of relaxing you and allowing you to breath easier, which promotes overall better health.
So start practicing if you aren't already!
Once you feel that you've made some progress you can move on to more advanced meditation techniques.
You can also speed up your progress with some good meditation music.
==> Click here to sign up for our newsletter and get 4 FREE meditation MP3s right now.


When you streamline your accounts payable with the To-Increase MediusFlow solution for Microsoft Dynamics 365 for Finance and Operations, AX, and NAV, you can increase the efficiency of the entire AP process with automated invoice workflows, better financial visibility, and strategic insights to drive your business forward.
The implementation of the cloud-based To-Increase MediusFlow helps you reduce manual work, accelerate invoice processing, and offer better control and visibility into your finances. To-Increase MediusFlow synchronizes with the backend D365/AX/NAV (or multiple systems, as necessary) for the Vendor Master, Chart of Accounts, PO, Goods Receipts, Invoices, etc. Because of the sync, when suppliers submit invoices either via paper, email attachments or through other multi-channel submission options, powerful AP automation supports accurate coding and approval of non-PO invoices and accurate matching of PO-based invoices.
Approved invoices are posted downstream into Microsoft Dynamics, which remains your financial system of record. Full archive, audit, and reporting is available directly in To-Increase MediusFlow: an end-to-end solution for true modernization of the AP process.
Powerful, yet flexible and intuitive invoice matching functionalities making fully automated touchless invoice processing possible. You can automatically connect incoming invoices with the correct PO in your ERP, match invoice data on line-level detail to ensure a high touchless processing ratio, and quickly identify and review deviations to dramatically improve approval times.
A built-in invoice data capture solution that provides a revolutionary end-to-end user experience as well as advanced levels of automation, efficiency, and control. Transform your supplier invoices—converting any format—paper format, pdf, e-invoice, XML file or other into a standardized digital format.
With the To-Increase MediusFlow solution, you can enable invoice approval whenever, wherever. You can enable the management of invoices from any device. Ensure high adoption levels by offering an efficient and user-friendly tool.
Access to process efficiency data—KPIs, dashboards, and benchmarks—to help drive process improvements and optimize the touchless processing rate. Enhance the ability of users to measure and monitor their AP process efficiency using key performance indicators (KPIs) within the solution.


text:
Here's How iCarly Explains Sam's Absence in the Revival Premiere
By Andy Swift / June 17 2021, 6:00 AM PDT
The first three episodes of Paramount+'s iCarly revival dropped on Thursday, reuniting fans with old friends while also introducing several new faces. READ MORE & GRADE IT
iCarly's Jennette McCurdy Confirms She's Done With Acting, Won't Return for Revival: 'I'm So Ashamed of the Parts I've Done in the Past'
By Dave Nemetz / March 2 2021, 4:37 PM PST
The upcoming iCarly revival will be missing one key cast member: Jennette McCurdy, who played Sam on the original Nickelodeon run, says she's done with acting entirely, indicating she won't return to reprise her role. READ MORE


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Home > Current Status of Evictions and Rent Relief Programs
Landlord and Real Estate News
Current Status of Evictions and Rent Relief Programs
by Editor | ezLandlordForms September 29, 2021
written by Editor | ezLandlordForms September 29, 2021
While a federal eviction moratorium had been in place since March of 2020, on August 26, 2021, the United States Supreme Court struck down the most recent extension, affecting current rent relief programs. Still, while it did not affect local or state eviction bans, this ruling put an end to the federal eviction moratorium.
For Landlords that are facing crises from months without rent payments, relief is on the way. Not only are evictions now a possibility for many Landlords, but there is also a push to make it easier for Tenants and Landlords to get rental relief funds.
Here are some tips to help you get the most from these resources and to get the relief that so many Landlords desperately need.
Check for Eviction Bans in Your Location
While the federal eviction moratorium has been lifted, a number of states and cities have enacted their own bans or "bridge" programs in an effort to reduce the risk of housing instability in the midst of the pandemic.
Here's an overview of a few key restrictions:
New York Governor Kathy Hochul extended New York's eviction moratorium through January 15, 2022, for qualifying Tenants
Oregon's SB 278 provides that Tenants who were unable to pay July or August rent cannot be evicted for 60 days if they show that they have applied for rental assistance through Oregon Housing and Community Services
Washington State has enacted an eviction moratorium bridge, which supports a transition to state eviction resolution programs. If no assistance program is available, Landlords cannot evict Tenants.
California extended its moratorium through September 30, 2021, and added additional funds for Tenants and small Landlords
Landlords should be aware that local and state restrictions are continuing to evolve and change. This means it's important to review your local restrictions before initiating an eviction to make sure that you're in compliance with all local, state, and federal laws.
Additionally, it's worth noting that the eviction process is moving even slower than usual right now in most places. The combination of a backlog of cases, a renewed focus on support programs to avoid evictions, and some judges that are slow-tracking cases due to COVID-19 conditions means that Landlords should anticipate delays and holdups.
Take Advantage of Rent Relief Programs
Given how challenging evictions are right now, it's a good time for Landlords to explore other options, including rental relief programs. To help address the financial crisis caused by COVID-19, the federal government has enacted two emergency rental assistance programs. The first Emergency Rental Assistance (ERA) package was established in December of 2020 and included $25 billion in rental and utility assistance. The second ERA package was passed in March of 2021 and added an additional $21.55 billion in assistance.
The ERA money comes from the U.S. Treasury and is given to states, local governments, and tribes for distribution. Tenants and Landlords apply for assistance with the relief organizations in their area that have been selected to distribute funds.
To be eligible for these funds, an Applicant must:
Have household income that is less than 80% of the area median income;
Have at least one member of the household at risk of becoming homeless or experiencing housing insecurity; and
Have at least one member of the household who qualifies for unemployment insurance benefits or who experienced financial hardship due to the pandemic, whether directly or indirectly.
If an Applicant receives funds, the funds are paid directly to Landlords. And, it's important to note that both Landlords and Tenants can apply for ERA assistance. While currently Landlords have to have a Tenant's approval, there is a bill in the House of Representatives that, if passed, would allow Landlords to apply for ERA funds without Tenant approval.
As of early September, only 11% of available funds had been distributed. Now that the eviction moratorium has been lifted, there's a new push by government officials to more efficiently distribute funds. As a result, this is currently a good resource for Landlords that have Tenants eligible for ERA funds.
Here are some tools to help with applying for these funds:
Get details about applying for funds in your area here: Find Rental Assistance
Find answers to rental assistance questions, including a thorough list of ERA FAQs here: Emergency Rental Assistance FAQs
Search for additional rental assistance beyond the ERA programs here:Exhaustive List of Rental Assistance Programs
Consider Alternative Solutions to Rent Relief Programs
In addition to rental relief and eviction proceedings, now could be a good time to explore or revisit alternative solutions to getting past-due rent or getting rid of a bad Tenant. As more people are returning to work andas the threat of eviction has returned, Tenants might be willing and able to enter into a Rental Payment Plan or a Late Rent Payment Agreement.
Additionally, if you just want Tenants out, you could consider a "Cash for Keys" Agreement, which gives Tenants cash – usually a few hundred dollars – for being out of the property by a certain date. It sounds counterintuitive, but it's cheaper and faster than eviction proceedings, so it can be a good way to get rid of Tenants that aren't paying rent.
Given the delays and expenses associated with evictions, now is a good time to consider trying some of these alternative solutions.
It continues to be an unpredictable and difficult time for many Landlords, but the good news is that there are now more resources and options for Landlords than there have been in prior months.
Plus, we're here to help with any tools, forms, or support you need. Whether you need eviction forms, repayment plans, or advice about what steps to take next, ezLandlordForms has you covered. Visit ezLandlordforms.com or contact us to get the help you need.
Editor | ezLandlordForms
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Tommy Sevier
Senior Vice President, State Government Relations
Email vCard +1 919 836 4018
Tommy is a senior vice president in the state government affairs group at McGuireWoods Consulting where he represents clients before the state legislature and U.S. Congress. He brings more than a decade of experience in state and federal policy, legislative process and politics, including serving as senior staff for the North Carolina Senate President Pro Tem and several members of U.S. Congress. Tommy has a strong network throughout state government in North Carolina and the North Carolina congressional delegation, and has experience representing Fortune 500 companies, start-ups and trade associations before the North Carolina General Assembly, Congress and executive agencies on issues including energy, environmental, education, transportation, health care and information technology.
Prior to joining McGuireWoods Consulting, Tommy served as the director of state public affairs for Moore & Van Allen Public Affairs where he managed the Raleigh office and represented clients at both the state and federal level for Moore & Van Allen Public Affairs. Before his time at Moore & Van Allen, Tommy served as deputy chief of staff for policy for North Carolina President Pro Tem Phil Berger. Before Tommy worked at the General Assembly, he lobbied at the federal level for both the NC Farm Bureau and the National Pork Producers Council for several years. He also worked on Capitol Hill for nine years, including six years with Congressman Robin Hayes where he served as deputy chief of staff.
Tommy has been recognized during his government relations career as one of the top lobbyists at the North Carolina General Assembly. He was ranked as the 33rd Most Influential Lobbyist of the 2013-2014 Legislative Session by the North Carolina Center for Public Policy Research in its annual survey of lobbyists, legislators and Capitol Press Corps members.
Tommy is a native of Raleigh, where he lives with his wife and two sons.
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Mid Atlantic Bed and Breakfasts & Inns
New York Bed and Breakfasts & Inns
Select Registry's bed and breakfasts and inns in New York stretch from Long Island wine country to Niagara Falls. Experiences range from a rustic log cabin in the Finger Lakes to the first U.S. literary-themed hotel, a boutique hotel in the Adirondacks and properties steps away from the Baseball Hall of Fame and Saratoga Race Course.
Explore Our Top New York Destinations
Explore Our Top Cities in New York:
An amazing trip is waiting for you in the state of New York! History, culture, beauty, and fun are abundant in the Empire State. No matter your preference, New York has everything you need for the vacation of a lifetime. Explore the mountainous Adirondacks region, visit the iconic Niagara Falls, or enjoy a quiet retreat in one of Select Registry's New York inns and boutique hotels. When you choose from Select Registry's collection of properties, you can rest assured that you're staying in one of the best bed and breakfasts New York has to offer. Enjoy incredible amenities, quiet locations, cozy accommodations, and fantastic customer service when you stay at a Select Registry property!
There's something for everyone in New York! In total, there are 22 national parks, 262 historical landmarks, 5,379 listings on the National Register of Historic Places. All that adds up to an incredible destination packed with plenty of options for every visitor. Enjoy the vibrant culture of the state's larger cities or revel in the quiet, rustic feel of the smaller towns. No matter which region you visit, there's plenty to do! If you're staying near the Finger Lakes in New York's wine country, explore some of our picks for the best Western New York attractions!
You won't find a more diverse selection of cuisine anywhere else in the world. The State of New York features creative, innovative, and interesting restaurants. While Long Island is home to world-class restaurants, the Finger Lakes region and the Adirondacks should not be overlooked. Farm-to-table isn't just a passing fad here. These regions have always prided themselves on using the fresh, locally sourced ingredients to create incredible meals. Wine lovers rejoice! Long Island and the Finger Lakes region feature well-regarded wine regions. Both areas produce crisp white wines with strong aromatic qualities, as well as Old World varieties of red. If you prefer sipping a cold beer, you won't have trouble finding a drink from one (or more) of the over 300 breweries or brewpubs in the state!
New York State is a fantastic year-round destination! Summers in the upstate and western regions of New York are mild with little humidity. It's the perfect time to visit any of the historic sites and popular tourist destinations in the region. Summers are also when the famous Chautauqua Institution holds its annual lectures. Winters in New York are snowy and cold, especially in Niagara Falls and the Adirondacks. There are plenty of fantastic opportunities to ski, snowboard, and sled during your stay.
Where to stay: New York Bed and Breakfasts & Inns
When you choose a Select Registry property, you can feel confident that you'll be staying in one of the best, most luxurious inns or bed and breakfasts in New York State. Browse the properties below to get a sneak peek of the incredible accommodations available to you! Whether you're searching for a romantic upstate New York bed and breakfast near Niagara Falls, the Finger Lakes, or a lovely property in the Adirondacks, the vacation of a lifetime starts here.
Long Island Bed and Breakfasts & Inns
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Chalet of Canandaigua Bed and Breakfast
River Spring Lodge
Darien Center, NY
The Baker House 1650
Saratoga Arms
The Lake Placid Stagecoach Inn
Lake Placid, NY
Caldwell House Bed and Breakfast
Salisbury Mills, NY
Inn at Green River
Hillsdale, NY
The William Henry Miller Inn
The Inn at Gothic Eves
Trumansburg, NY
Inn at Taughannock
Geneva On The Lake
Asa Ransom House Country Inn


CHARACTERISTICS : An iron powder, hydrogen controlled medium heavy coated electrode producing 0.50% Mo weld deposit. Electrode has high welding efficiency coupled with creep resistance properties at 525°C temperature and has excellent mechanical properties.
1) Suitable for high pressure boiler tubes and plates.
2) Fabrication for welding 0.50% Mo and 1% Cr-0.5% Mo steels used for elevated temperature services up to 525°C.
3) suitable for fine grained and creep resistant steel welding.
RE-DRY CONDITION : Re-Dry the electrode at 250°C-300°C for one hour, for best results.