DUBLIN, March 15, 2019 /PRNewswire/ -- The "Influenza Diagnostics Market - Growth, Trends, and Forecast (2019 - 2024)" report has been added to ResearchAndMarkets.com's offering.
The global influenza diagnostics market was valued at USD 492.42 million in 2018, and is estimated to be valued at USD 731.97 million in 2024, witnessing a CAGR of 6.83%.
Certain factors that are driving the market growth include increasing prevalence of influenza and related chronic diseases, growth in research funding for influenza diagnostics, and rising demand for early diagnosis and control of influenza.
Influenza is recognized as a crucial cause of morbidity and mortality in the human population, which is leading to the development and use of diagnostics that are intended for reducing consequent health and economic impacts. According to WHO, in 2018, influenza caused severe sickness or death mainly in patients at a high risk and illness range from mild to severe and even death. Also, this annual increase is projected to result in about 3-5 million cases of severe illness, and about 290,000-650,000 deaths, globally.
Various initiatives and research funding are bolstering the growth of the market. For instance, National Institute of Allergy and Infectious Disease (NIAID) has supported a broad portfolio of the influenza research, which includes studies that are informing the development of vaccines, diagnostics, and therapeutics against seasonal and pandemic influenza.
Similarly, in 2018, a non-profit association between academic, government, and industry medical researchers, called Human Vaccine Project, launched the Universal Influenza Vaccine Initiative. Thus, growth in research funding by the government and companies for influenza diagnostics is driving the market.
However, it is critical to ensure that all the rapid antigen flu tests meet new FDA requirements for approval. Hence, the stringent FDA regulations act as significant restraints for the market.
In the test type segment of the influenza diagnostics market, among all traditional diagnostic tests, the rapid influenza diagnostic test (RIDT) is believed to have the largest market size and is expected to witness a CAGR of 6.87% during the forecast period.
Rapid influenza diagnostic tests (RIDTs) are immunoassays, which help to identify the presence of influenza A and B viral nucleoprotein antigens in respiratory specimens and qualitatively provide the results. It can diagnose patients, who are present with influenza-like illness, mainly if it is performed within the first four days of the onset of symptoms.
The rising popularity of RIDT is due to the benefits of faster result and simple usage. Some of the RIDTs are also approved for office/bedside use as well. The RIDT segment is also expected to witness rapid growth, as a result of their common usage in point-of-care settings.
However, one of the major drawback associated with RIDT is that it gives false negative results, due to its low to moderate sensitivities (50-70%). Healthcare policymakers began to recognize the impact of its low sensitivity in 2009, when the novel H1N1 influenza epidemic occurred.
North America currently dominates the market for influenza diagnostics and is expected to continue its stronghold for a few more years.
As per data published by the Centers for Disease Control and Prevention (CDC), RIDTs are commonly available across the region. The reason behind the wide availability of the test is the reduced time span needed to generate results. RIDT can yield results in 15 minutes. With increasing influenza-associated hospitalization and pediatric deaths and the interest of government organizations to better manage the disease, the North American influenza diagnostics market is expected to grow in the future.
The influenza diagnostics market is highly competitive and consists of a few major players. In terms of market share, few of the major players currently dominate the market. Companies, like Coris BioConcept, DiaSorin SpA, F. Hoffmann-La Roche AG, Luminex Corporation, Meridian Bioscience Inc., Quidel Corporation, and Sekisui Diagnostics., among others, hold the substantial share in the market.
Various developments have recently been taking place in the market; for instance, in March 2018, Sekisui Diagnostics launched the Silaris Influenza A and B test, developed in collaboration with Mesa Biotech. Also, in October 2017, Abbott Laboratories acquired Alere Inc. (Alere), a diagnostic device and service provider, which strengthened the company's diagnostics presence.
6.1.5 F. Hoffmann-La Roche Ltd.


The Aldeburgh Festival of Music and the Arts was founded in 1948 by Benjamin Britten, Peter Pears and the writer and producer Eric Crozier. Now in it's 62nd year, artists include names both familiar to Aldeburgh and introduces new ones, with music from an extraordinary breadth of influences and ages.
Suffolk's own beautiful family-friendly festival featuring the very best from the worlds of music, film, comedy, theatre, cabaret, dance, poetry, literature and art. Over 700 performers (including big name headline acts) plus workshops – a fun-filled cultural adventure by the sea.
This beautiful festival is a feast to the eyes, ears and tastebuds. Three days of eclectic music (not just folk) and entertainment, fantastic local food and a wonderfully chilled out vibe.
An annual production of Shakespeare by the unique innovative Red Rose Chain. A beautiful setting in the forest, with local food & ales on sale, and a picnic option.
This full-on party festie is right on our doorstep, and features music from many genres including electro swing & reggae. Lots of other entertainment & events to get involved with all in one colourful & exciting little site.
A family friendly two-day celebration of the best of British food, also including an impressive line-up of music. 2009 was the first year for this festival, but it looks set to continue.
A ten day celebration of the abundance of good local food and drink to be found in East Suffolk. The Festival takes place in the beautiful surroundings of Snape Maltings, near Aldeburgh on the Suffolk Coast.
The traditional village fete is alive and well in Suffolk! On Saturdays throughout the Spring & Summer you'll find a choice of fetes to visit within easy reach. Sweffling's own summer fete (& evening field dance) is held in mid August.


Korean-born Do-Ho Suh's sculptures reflect his bi-national journeying and explore relationships between the individual and the greater cultural and spatial whole. Meditating upon architecture, Eastern thought, and autobiographical details, Suh's poetic, large-scale works materially connect personal and collective identity.
One series of installations traces Suh's unsettled Korean/American existence by fashioning details of his past residences–a Korean home, a New York apartment–in translucent nylon. Traveling from exhibition to exhibition, each life-size fabric replica becomes a vehicle for memory and belonging: a global security blanket and a transposable definition of self. Other projects extend this metaphor. Military dog tags amass into an armored gown, signatures into a saving parachute, and small figurines into a supporting floor, emphasizing human interdependence and inseparability.
Born in Seoul, Korea in 1962, Do-Ho Suh lives and works there and in New York, NY. He holds MFA degrees from Yale University, New Haven, CT (1997) and Seoul National University, Korea (1987). Solo exhibitions include Fabric Workshop, Philadelphia, PA (2005); Lehmann Maupin, New York, NY (2004); and Serpentine Galley, London, UK (2002). Group exhibitions include Another Story, 21st Century Museum of Contemporary Art, Kanazawa, Japan (2005); 8th International Istanbul Biennial, Turkey (2003); and Plateau of Humankind, 49th Venice Biennale, Italy (2001).


Lisa Blount, who played Debra Winger's best friend in the 1982 movie "An Officer and a Gentleman" and later shared an Academy Award as executive producer of the live-action short film "The Accountant," was found dead in her home in Little Rock, Ark., on Wednesday by her mother. She was 53.
Blount, the wife of actor and filmmaker Ray McKinnon, was found in bed holding a cellphone, which she had last used Monday when she told a friend she wasn't feeling well, according to Little Rock police.
The actress' mother, Louise Blount, told police that her daughter had been suffering for 17 years with a condition similar to multiple sclerosis and recently had complained of a pain in her back and neck. Louise Blount, who said she last spoke to her daughter Sunday, told police that McKinnon had been in Atlanta for the last month.
Police said there was no sign of foul play; an autopsy will be conducted.
The Arkansas-born actress made her film debut while still a teenager in writer-director James Bridges' 1978 drama "September 30, 1955," which was filmed on location in Arkansas.
Her role as Lynette Pomeroy, the insecure and calculating girlfriend of David Keith's naval-aviation cadet in "An Officer and a Gentleman," earned her a Golden Globe nomination as the female New Star of the Year in a Motion Picture.
"I like doing rural women and bad people, but that character was a very specific kind, so it was hard to get people to see me in other roles," Blount told The Times in 1986.
Blount, who was voted favorite female newcomer in a 1983 US magazine readers poll, went on to play the young mother of Jerry Lee Lewis' 13-year-old wife and cousin in the 1989 film "Great Balls of Fire!," starring Dennis Quaid.
Other film credits include " Prince of Darkness" (1987), "Needful Things" (1993) and "Box of Moonlight" (1996). She also was a regular on the short-lived 1996 TV series "Profit."
Blount and the Georgia-born McKinnon, who were married in 1998, teamed with fellow Southerner Walton Goggins to form Ginny Mule Pictures in 1999.
Their goal, Blount said, was to make authentic Southern movies.
"We got sick and tired of seeing Northerners make movies about the South," Blount told the Arkansas Democrat-Gazette in 2002. "They had no idea of the nuances, the subtleties of Southerners."
In 2002, she shared an Oscar for "The Accountant" with her husband, who wrote, directed and played the title role in the short film, which is set on a large, financially troubled Southern farm.
Blount starred with Arkansas native Billy Bob Thornton in the drama "Chrystal," McKinnon's 2004 feature film directing debut for which Blount also was a producer. She also was one of the stars and a producer of McKinnon's 2007 comedy "Randy and the Mob."
Born July 1, 1957, in Fayetteville, Ark., Blount grew up near Pine Bluff and Jacksonville. She reportedly left high school at 16 and, although she had no diploma, managed to enroll in the University of Arkansas.
Blount, who moved to Little Rock with her husband in 2005, most recently filmed "Outlaw Country," a series pilot for the FX cable channel.
Besides her husband and mother, Blount is survived by her father, Glen; and her brother, Greg.


The beautiful sand cat is small and stocky with a relatively long tail and short legs. With large ears set low on its head, it has a broad face with dense, well-developed cheek hair. Its coat is a pale sandy color, usually without spots or stripes except on the forelegs and tail.
This cat is built for desert life. Confined to sandy deserts such as the western Sahara and those in the Middle East and parts of Asia, the cat grows long, dense hair between its toes. The hair forms a mat that covers the pads of the cat's feet, insulating them from the hot sand and acting as a cushion. The sand cat has a distinctive way of moving: punctuated by occasional leaps, and with its belly close to the ground, it often covers the desert terrain at a run.
The sand cat copes with the extraordinary temperature variations in the desert by retreating underground to an insulating burrow. Its thick coat offers further insulation from the cold. The species survives without freestanding water, obtaining most needed moisture from its prey. The sand cat hunts for small mammals (including gerbils), reptiles, and birds from the onset of night to the early morning.
This cat is not a sit-and-wait predator. Instead, searching for prey by watching and listening as it moves, it often covers long distances while hunting. The sand cat's extended hunting expeditions result in it having a larger home range than most other cats.
An interesting personality characteristic of this cat is its tameness and lack of fear of humans. Its status in the wild is unknown. However, as with other cats, the main threat to the sand cat is habitat loss.
It is classed as Near Threatened (NT) in the Red List of the International Union for Conservation of Nature (IUCN) and is listed in appendices I and II of the Convention on International Trade in Endangered Species (CITES).


We will be having a training about night operations and evasive movements in an night operation. Then we will be having training about shooting while moving concerning to our last operation.
Then finally we will be a simulated night operation, or day operation.


text:
Q: Is there a reason why a feature only present in a given class is not being predicted strongly into that class? Summary & Questions
I'm using liblinear 2.30 - I noticed a similar issue in prod, so I tried to isolate it through a simple reduced training with 2 classes, 1 train doc per class, 5 features with same weight in my vocabulary and 1 simple test doc containing only one feature which is present only in class 2.

*

*a) what's the feature value being used for?

*b) I wanted to understand why this test document containing a single feature which is only present in one class is not being strongly predicted into that class?

*c) I'm not expecting to have different values per features. Is there any other implications by increasing each feature value from 1 to something-else? How can I determine that number?

*d) Could my changes affect other more complex trainings in a bad way?
What I tried
Below you will find data related to a simple training (please focus on feature 5):
> cat train.txt
1 1:1 2:1 3:1
2 2:1 4:1 5:1
> train -s 0 -c 1 -p 0.1 -e 0.01 -B 0 train.txt model.bin
iter  1 act 3.353e-01 pre 3.333e-01 delta 6.715e-01 f 1.386e+00 |g| 1.000e+00 CG   1
iter  2 act 4.825e-05 pre 4.824e-05 delta 6.715e-01 f 1.051e+00 |g| 1.182e-02 CG   1
> cat model.bin
solver_type L2R_LR
nr_class 2
label 1 2
nr_feature 5
bias 0
w
0.3374141436539016
0
0.3374141436539016
-0.3374141436539016
-0.3374141436539016
0

And this is the output of the model:
solver_type L2R_LR
nr_class 2
label 1 2
nr_feature 5
bias 0
w
0.3374141436539016
0
0.3374141436539016
-0.3374141436539016
-0.3374141436539016
0
1 5:10

Below you will find my model's prediction:
> cat test.txt
1 5:1
> predict -b 1 test.txt model.bin test.out
Accuracy = 0% (0/1)
> cat test.out
labels 1 2
2 0.416438 0.583562

And here is where I'm a bit surprised because of the predictions being just [0.42, 0.58] as the feature 5 is only present in class 2. Why?
So I just tried with increasing the feature value for the test doc from 1 to 10:
> cat newtest.txt
1 5:10
> predict -b 1 newtest.txt model.bin newtest.out
Accuracy = 0% (0/1)
> cat newtest.out
labels 1 2
2 0.0331135 0.966887

And now I get a better prediction [0.03, 0.97]. Thus, I tried re-compiling my training again with all features set to 10:
> cat newtrain.txt
1 1:10 2:10 3:10
2 2:10 4:10 5:10
> train -s 0 -c 1 -p 0.1 -e 0.01 -B 0 newtrain.txt newmodel.bin
iter  1 act 1.104e+00 pre 9.804e-01 delta 2.508e-01 f 1.386e+00 |g| 1.000e+01 CG   1
iter  2 act 1.381e-01 pre 1.140e-01 delta 2.508e-01 f 2.826e-01 |g| 2.272e+00 CG   1
iter  3 act 2.627e-02 pre 2.269e-02 delta 2.508e-01 f 1.445e-01 |g| 6.847e-01 CG   1
iter  4 act 2.121e-03 pre 1.994e-03 delta 2.508e-01 f 1.183e-01 |g| 1.553e-01 CG   1
> cat newmodel.bin
solver_type L2R_LR
nr_class 2
label 1 2
nr_feature 5
bias 0
w
0.19420510395364846
0
0.19420510395364846
-0.19420510395364846
-0.19420510395364846
0
> predict -b 1 newtest.txt newmodel.bin newtest.out
Accuracy = 0% (0/1)
> cat newtest.out
labels 1 2
2 0.125423 0.874577

And again predictions were still ok for class 2: 0.87

A:
a) what's the feature value being used for?

Each instance of n features is considered as a point in an n-dimensional space, attached with a given label, say +1 or -1 (in your case 1 or 2). A linear SVM tries to find the best hyperplane to separate those instance into two sets, say SetA and SetB. A hyperplane is considered better than other roughly when SetA contains more instances labeled with +1 and SetB contains more those with -1. i.e., more accurate. The best hyperplane is saved as the model. In your case, the hyperplane has formulation:
f(x)=w^T x

where w is the model, e.g (0.33741,0,0.33741,-0.33741,-0.33741) in your first case.
Probability (for LR) formulation:
prob(x)=1/(1+exp(-y*f(x))

where y=+1 or -1. See Appendix L of LIBLINEAR paper.

b) I wanted to understand why this test document containing a single feature which is only present in one class is not being strongly predicted into that class?

Not only 1 5:1 gives weak probability such as [0.42,0.58], if you predict 2 2:1 4:1 5:1 you will get [0.337417,0.662583] which seems that the solver is also not very confident about the result, even the input is exactly the same as the training data set.
The fundamental reason is the value of f(x), or can be simply seen as the distance between x and the hyperplane. It can be 100% confident x belongs to a certain class only if the distance is infinite large (see prob(x)).

c) I'm not expecting to have different values per features. Is there any other implications by increasing each feature value from 1 to something-else? How can I determine that number?

TL;DR
Enlarging both training and test set is like having a larger penalty parameter C (the -c option). Because larger C means a more strict penalty on error, intuitively speaking, the solver has more confidence with the prediction.

Enlarging every feature of the training set is just like having a smaller C.
Specifically, logistic regression solves the following equation for w.
min 0.5 w^T w + C ∑i log(1+exp(−yi w^T xi))

(eq(3) of LIBLINEAR paper)
For most instance, yi w^T xi is positive and larger xi implies smaller ∑i log(1+exp(−yi w^T xi)).
So the effect is somewhat similar to having a smaller C, and a smaller C implies smaller |w|.
On the other hand, enlarging the test set is the same as having a large |w|. Therefore, the effect of enlarging both training and test set is basically
(1). Having smaller |w| when training
(2). Then, having larger |w| when testing

Because the effect is more dramatic in (2) than (1), overall, enlarging both training and test set is like having a larger |w|, or, having a larger C.
We can run on the data set and multiply every features by 10^12. With C=1, we have the model and probability
> cat model.bin.m1e12.c1
solver_type L2R_LR
nr_class 2
label 1 2
nr_feature 5
bias 0
w
3.0998430106024949e-12
0
3.0998430106024949e-12
-3.0998430106024949e-12
-3.0998430106024949e-12
0
> cat test.out.m1e12.c1
labels 1 2
2 0.0431137 0.956886

Next we run on the original data set. With C=10^12, we have the probability
> cat model.bin.m1.c1e12
solver_type L2R_LR
nr_class 2
label 1 2
nr_feature 5
bias 0
w
3.0998430101989314
0
3.0998430101989314
-3.0998430101989314
-3.0998430101989314
0
> cat test.out.m1.c1e12
labels 1 2
2 0.0431137 0.956886

Therefore, because larger C means more strict penalty on error, so intuitively the solver has more confident with prediction.

d) Could my changes affect other more complex trainings in a bad way?

From (c) we know your changes is like having a larger C, and that will result in a better training accuracy. But it almost can be sure that the model is over fitting the training set when C goes too large. As a result, the model cannot endure the noise in training set and will perform badly in test accuracy.
As for finding a good C, a popular way is by cross validation (-v option).

Finally,
it may be off-topic but you may want to see how to pre-process the text data. It is common (e.g., suggested by the author of liblinear here) to instance-wise normalize the data.

For document classification, our experience indicates that if you normalize each document to unit length, then not only the training time is shorter, but also the performance is better.

redpajama_set_name: RedPajamaStackExchange


We have 14 properties matching your query in the last 24 hours, 105 in the past week, 116 in the past two weeks and 136 in the past month.
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text:
Head to head: The Universal/Disney battle heats up
For nearly a decade now, Walt Disney World and Universal have been engaged in an increasingly expensive arms race.
It began in 2010, when Universal opened the $265-million Wizarding World of Harry Potter, which, almost overnight, transformed a struggling, second-tier resort into a true competitor to Disney. Universal, owned by Comcast, has since added new rides based on King Kong, Transformers, The Tonight Show and Despicable Me, along with two new hotels (plus another under construction), and, most important, a second Harry Potter land, built for a reported $400 million and opened in 2014.
Disney, meanwhile, has countered with additions such as a $425-million expansion of the Fantasyland section of its Magic Kingdom theme park. It followed that at Epcot in 2016 with an attraction based on the animated movie Frozen.
The escalation has continued in 2017. But this year, both resorts are focusing their biggest investments on shoring up key vulnerabilities.

redpajama_set_name: RedPajamaCommonCrawl


text:
The Future of Nursing — and Health Equity — is Innovation
My Nurse InfluencersUncategorizedYes, and...
By: Marion Leary, MPH, MSN, RN
The National Academies of Science, Engineering, and Medicine (NAM) released their Future of Nursing 2020–2030 report recently with a sizable nod toward nurse-led innovation in the context of health equity and the Social Determinants of Health (SDOH). The report lays the groundwork for the encouragement and support of nurses as leaders in health and healthcare innovation – something that nurses have been doing since the inception of the profession, but for which has never been fully recognized both inside and outside of nursing.
This article spotlights the references to innovation in the report and underscores the important takeaways.
As is noted in the Preface, the coronavirus pandemic shown a light on the innovative work nurses were regularly doing at the bedside to improve the health of patients and families instantaneously as the pandemic took hold. It is because of this work by nurses in the hospital setting as well as those in the classroom, the community, research labs, startups, and innovation centers that health and healthcare leaders are finally beginning to see the inherent innovative genius of nurses.
"This report's release in 2021 comes as the United States and the world have suffered great loss, but also are buoyed by the promise of lessons learned, including witnessing the nursing profession's commitment to health, nursing innovations that improved health care in real-time for patients and families impacted by COVID-19, and nurse-driven adaptations in education and practice that will likely drive lasting changes in both." pg xiii
In addition to the pandemic, 2020 saw an increased movement toward racial justice and health equity. The Future of Nursing 2020–2030 report is focused on "Achieving Health Equity Through Nursing" through innovation and education.
"Nurses have a rich tradition of working creatively to solve problems and improve the quality of care in clinical settings (Thomas et al., 2016), and these experiences and skills can apply to efforts designed to address SDOH. These types of initiatives require systematic, continuous, data-driven, and rigorous processes of assessment, innovation, implementation, evaluation, and diffusion or translation of the evidence or best practices into tangible strategies or policies for improving population health." pg. 287
The future of any profession lies in the education we provide our students; in the report, the authors call for Nursing Education competencies focused on human-centered design and an innovation mindset. Though innovation is an inherent nursing skill, it will take a coordinated effort to begin to fully infuse innovation methodologies into nursing curriculums.
In the section entitled "Implications of COVID-19 for Nursing Education," they discuss how it has been 100 years since any global event has impacted the future of nursing education like the COVID-19 pandemic. They examine exemplars of how faculty quickly innovated the way in which they educated students at the beginning of the pandemic and how those innovations will likely change how we educate our students moving forward.
"The COVID-19 pandemic has already led to innovations that are likely to shape the future of nursing education. Faculty have adopted new teaching strategies, demonstrating creativity and adaptability…These and similar innovations may ultimately guide the way to expanding and improving nursing education." pg. 231
They also highlight the glaring disparities that emerged during the pandemic around nursing education and the inequities some students face. They call for a "sense of urgency" in adopting and modifying curriculums to meet the needs of all students for the future of nursing education.
"These challenges have underscored the limitations of traditional ways of educating nurses even as they have presented unique opportunities for innovation." pg. 231
Innovation, education, and leadership go hand-in-hand. The Future of Nursing 2020–2030 report acknowledges nurses as leaders in health and healthcare innovation and encourages nurse leaders to support nurses as the innovators they are in their workplace. They underscore this with a focus on nursing's work around health equity and the SDOH.
"Nurses as a professional group manifest many of the characteristics of strong leadership — including courage, humility, caring, compassion, intelligence, empathy, awareness, and accountability — that are essential to leading the way on health equity (Shapiro et al., 2006)… Increasingly, nurses are serving as innovators and codesigners of health care in their roles in the public health and health care systems (Jouppila and Tianen, 2020), and by continuing to learn and apply improvement and innovation skills, will be able to help create new care models for the decade ahead. Given the wide range of settings and roles in which nurses at all levels serve (see Chapter 1), their leadership in this regard can have broad and far-reaching impacts on equity in health and health care." pg. 277
They continue discussing how nurses need to see themselves as the natural innovators they are to create the change necessary to eliminate disparities in health and healthcare.
"Changing the prevailing health care paradigm to address [social determinants of health] SDOH and advance health equity will require innovation…For the complex work of eliminating disparities and impacting SDOH, knowledge, and skill in innovation will be an important competency for nurses. Nurse leaders can facilitate the creation of innovative approaches by challenging the status quo, breaking down traditional barriers to change, teaching and encouraging team members to solve problems using design thinking, identifying best practices, and facilitating the translation and adoption of new ideas, knowledge, and skill in innovation will be an important competency for nurses…" pg. 286
"Virtually all nurses have opportunities to innovate by developing new ideas for improving health and translating these ideas into practice and policy." pg. 286
An essential factor of human-centered design, innovation, and advancing health equity is the inclusion of stakeholders (patients, families, community members) in the design process. Within the report, the authors call for nurses to co-collaborate (and co-design) with stakeholders to break down silos. This process considers the wide range of knowledge (i.e., lived experiences) of the stakeholders for whom problems affect in order to create accurate solutions as "including co-designing innovations with individuals and community representatives is a necessary component to developing, evaluating, and scaling evidence-based practice models." pg. 372
They continue, breaking down the numerous reasons for co-collaboration:
"Collaboration across sectors is essential to break down existing silos that are counterproductive to improving health and health care (NAM, 2017). Second, collaboration among partners introduces "more expertise and knowledge than what resides in any one stakeholder group" (Wakefield, 2018), and multisector partnerships can leverage unique skills and resources from multiple stakeholders (e.g., faith leaders, philanthropists, researchers). Third, working with community partners can help nurses reach underserved populations, including the homeless, recent immigrants, and non-English-speaking families. Fourth, multisector partnerships increase a community's capacity to make sustainable changes by bringing energy, expertise, and perspectives from multiple arenas. Fifth, multisector partnerships can simultaneously address upstream, midstream, and downstream SDOH and ensure alignment of efforts across these levels. Finally, bringing people together from multiple sectors can facilitate and encourage creative approaches; the intersections across boundaries are "where the promise of innovation lies" (Pittman, 2019, p. 27)." pg. 284
"As nurses work within and across organizations to address SDOH and advance health equity, they will need the skills to develop, engage, and lead cross-boundary teams. Cross-boundary teaming is a strategy for driving innovation that engages diverse stakeholders and subject-matter experts to expand the range of views and ideas on which teams can draw (Edmondson and Harvey, 2018. In cross-boundary teams, individuals work across knowledge boundaries. Teams are diverse in expertise, knowledge, and educational background, characterized by deep-level differences or what Edmondson and Harvey call "knowledge diversity (p. 3480)." pg. 287
The report notes that not all nurses are afforded the same support and opportunities to innovate, calling on nurse leaders to "create an environment that allows for innovation." As was mentioned, they recommend that competencies in human-centered design and design thinking should begin to be integrated into both nursing education and the workforce.
"Yet, while some nurses are already leading efforts focused on health equity in their work settings and communities, this focus is not consistent across the profession. It is a leader's responsibility to create an environment that allows for innovation (IOM, 2000). Leaders can provide a forum for continual innovation in and testing of strategies for improving population health and health equity and ensure that their organization is flexible and able to adapt to those changes (IOM, 2001)." pg. 286
Though the Future of Nursing 2020–2030 report explicitly calls out mobile technology and mHealth as a "growing field of innovation study and research," it should be noted that innovation is not solely technology-based. Innovation includes the methods we use to solve problems, the processes and systems created, and how we communicate. Innovation includes technological innovations, but it also includes education, processes, systems, and much more.
The report's first recommendation calls for nurses to "have an orientation toward innovation…". Innovation is called out again in Recommendation 9 to support research examining "the impact of nursing interventions" related to the SDOH and health equity. Within this recommendation, they also call for community partnerships, another acknowledgment of the need for co-collaboration.
Many questions are posed in the report ranging from the educational needs of nurses related to innovation to what determines a successful innovation process. Questions that will need to be addressed and answered over the next ten years if the nursing profession is to advance and lead in health and healthcare innovation.
Agenda for Nursing Health Services Research: "What are the innovations in training RNs for careers in primary care? How can effective innovations be replicated?" pg 92
Help Control Healthcare Spending, Reduce Costs, and Increase the Value of Nurses' Contribution to Health and Health Care Delivery: "What are examples of successful nurse-led innovations that improve the value of health care? What are the outcomes of such innovations? What are the elements of successful innovation models?" pg 93
It should be noted that the innovation movement was already beginning to take hold in the profession, even before the Future of Nursing 2020–2030 report was being conceived; from groups such as the American Nurses Association with the creation of their Innovation Board, as well as the advent of the Society of Nurse Scientists, Innovators, Entrepreneurs, and Leaders (SONSIEL), along with companies such as Johnson & Johnson showcasing nurses as innovators. Additionally, educational opportunities and programs such as the University of Pennsylvania School of Nursing and the Rita and Alex Hillman Foundation's program Design Thinking for Health, the Drexel University/SONSIEL Nursing Innovation and Entrepreneurship certificate program and the Hillman Scholars in Nursing Innovation program— as well as many nurse-focused hackathons, incubators, and accelerator programs, provide nurses with access to essential innovation and entrepreneurship educational resources and opportunities.
As the report notes:
"Nurses focus on preventive person-centered care and have an orientation toward innovation, always seeking new opportunities for growth and development." pg 2
"Even so, educational institutions and health systems can better prepare and empower new and practicing nurses, including licensed practical nurses, registered nurses, advanced practice registered nurses, and those with doctoral degrees to develop and grow in leadership roles." pg 275
Therefore, encouraging nurses to participate in innovative programs and educational opportunities will allow innovation to flourish in the profession, and ultimately create the change needed "…in clinical care, nurse education, nursing leadership, and nursing-community partnerships…" both "as a result of the pandemic" but also due to the foundational work championed by many Universities and organizations.
In closing, as the NAM Future of Nursing 2020–2030 report suggests, the future of nursing — and the future of equitable care — centers on the notion that the profession of nursing: students, educators, clinicians, researchers, entrepreneurs, public health practitioners, and other nurse leaders need to embrace an innovation mindset and begin to fully integrate innovation methodologies, resources, and opportunities into their curriculums and workplaces. It is up to all of us in nursing to embrace these recommendations and move toward a more innovative and equitable future.
National Academies of Sciences, Engineering, and Medicine 2021. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Washington, DC: The National Academies Press. https://nam.edu/publications/the-future-of-nursing-2020-2030/
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You will see many Petrol Powered Products at TradeTools that are totally unavailable through any other company. In some cases we have helped develop these units from scratch, in fact we also directly import hundreds of containers each year comprising all forms of Blower Vacs, Brush Cutters, Whiper Snipers, Chain Saws, Pressure Cleaners & much more.


Rocket iCluster reduces downtime related to unexpected IBM i system interruptions, with real-time, fault-tolerant, object-level replication. In the event of an outage, you can bring a "warm" mirror of a clustered IBM i system into service within minutes.
iCluster ensures a high-availability environment by giving business applications concurrent access to both master and replicated data. This set-up allows you to offload critical business tasks such as running reports and queries as well as ETL, EDI, and web tasks from your secondary system without affecting primary system performance.
The administrative capabilities in iCluster help staff easily configure and perform operations such as starting, ending and switching replication groups, saving time and removing some of the risk associated with manual processes.
Rocket iCluster helps you address unexpected events by continuously replicating a recovery point to a warm standby server, which can be deployed within minutes should the need arise. iCluster mirrors changes, additions, or deletions automatically in near real-time to the replicated system—with no need for manual intervention. It ensures the highest fidelity from production to secondary instances, with always-on sync-check and byte-by-byte verification to confirm accuracy. iCluster also analyzes IBM i journal data and displays replication status in terms that are clear and easy to understand—your team can say goodbye to tedious manual reporting and monitoring processes.
Whether they're located in the same data center or thousands of miles away, iCluster helps reduce the risk of a system outage or a regional disruption of services. Automated monitoring and alert services allow IT professionals to focus on strategic initiatives instead of constantly monitoring for replication health interruptions. High-speed operational switching ensures that outages are minimized and business resumption can be established well within your set Recovery Time Objectives.
Rocket iCluster is a cost-effective way to ensure business continuity and high availability of your critical applications and data. It's easy to buy, easy to configure, and easy to use. You get everything you need for your IBM i environment, with a single installer and no modules or add-ons.
iCluster is licensed on a per-server basis, rather than a per-LPAR or CPW rating basis that's common with other solutions (which can cost as much as 5x more). There are no added charges for transfers to new hardware within the same processor group, and you never have to worry about license audits or predatory upgrade pricing.
An intuitive user interface simplifies monitoring and troubleshooting, making it easy for any member of your IT team to run and operate iCluster with confidence. You can designate any server as the master (or metadata owner) for easy, fast configuration with updates to all other servers performed automatically. Instead of having to set up a special administration server on another platform or perform multiple configurations on multiple servers for switchover, the distribution and fidelity of the configuration is maintained within iCluster.
The automatic configuration command, together with iCluster's ability to configure once on the source and then push it out to the backup system, means your business is up and running much faster, with improved availability.
Automatic resynchronization of out-of-sync objects and suspended objects.
With superior high-speed replication capabilities, iCluster automatically scales to handle the size of your business and its transactional volumes. High-speed replication and compression minimizes the bandwidth and time required for re-synchronizations after lengthy outages or switchovers.
Transferring, mirroring, or replicating from production servers to backups needs to happen in near real-time. However, what good is speed if the replication is inaccurate? iCluster ensures that everything is logically synchronized byte-by-byte between your source and target, giving you unsurpassed accuracy.


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Q: 10 bit PISO shift register I have a device that has a 10bit parallel output that I need to get to a serial input.
Can I use a 16 bit PISO shift register and somehow ignore the 6 LSB?
How might that work?

A: You should not have a problem using a 16 bit shift register (or two chained 8 bit shift registers similar to the 74HC589A).
There are two ways that you could consider to ignore the unused 6 bits: 1) shift all 16 bits and mask the unused bits in software, or 2) only shift 10 bits across the serial connection.
If you are reading the data using the built-in SPI peripieral on some microcontrollers, you may have to shift in a multiple of 8 bits per word, which would force you into scenario 1.  Otherwise, it may be simpler to implement scenario 2.
Most shift registers don't care if you don't shift all the bits... they will happily accept new data on the parallel load clock regardless of how many bits have been shifted.  If you only plan to shift 10 bits, make sure to use the bits that will be shifted out of the register first.
In either case, you should tie the unused input pins to your supply rail or ground through a resistor, as floating inputs can cause problems on some ICs.


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Amazon's Alexa App Is The Top Ranked in App Store
Amazon & Alexa registered another win
Amazon's Alexa app Echo Dot has topped the charts since Christmas day and it is for the very first time that the app has grabbed the number one ranking. Amazon's iOS & Android app is essential to setting up the Echo speaker. The app helps to enable wi-fi pairing, configuring smart home functions, and choosing default music services.
The app has topped the charts from the past ranking spot 60, suggesting that people have increasingly shopped for Echo at Christmas. Besides, the Echo Dot, people also gifted models including the Echo Plus - which doubles as a smart home hub - and the display-equipped Echo Spot and Echo Show.
As a result of millions of units sold in the holiday season, Echo Dot become the top-selling device across all the categories on Amazon.com. The demand for the system hyped so much that customers even placed their name on the pre-order list that will be delivered to them in a short time span, as Amazon assured. The current situation clearly tells the popularity Amazon Echo has garnered today.
The increased demand for Alexa device is a reason to the app's top ranking from lower order to the top one. Also, customer's Christmas shopping contributed too in the top ranking of the Alexa Echo application.
While the app climbed to the number one spot in the US, it performed exceptionally well in the other markets too. In the UK, the app grabbed no. 2 positions, while in Germany and Austria it climbed to no.5 spot. It markedly points towards the global trend where people are buying Alexa powered smart speakers in greater numbers.
While comparing Alexa's app with Google Home's smart speakers, the latter climbed up from spot 38 on Christmas Eve to No. 6 in US App Store & from No. 21 to No. 6 on Google Play. Despite the increased competition from Google, Amazon's products have performed exceptionally well. Additionally, Google has also introduced a series of new products including Google Home Mini, and the new, high-end Google Home Max, which is sure to help the giant climb up the App Store rankings.
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She is a content marketer and has more than five years of experience in IoT, blockchain, Web, and mobile development. In all these years, she closely followed the app development, and now she writes about the existing and the upcoming mobile app technologies. Her essence is more like a ballet dancer.
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The Argentine striker's body was first spotted by rescuers with a remotely operated vehicle (ROV) on Sunday close to where the plane went missing near the island of Guernsey.
It was recovered on Wednesday and brought to the Isle of Portland in southern England on board the Geo Ocean III offshore supply ship on Thursday for formal identification by coroners, who investigate deaths in Britain.
The light aircraft was carrying the 28-year-old footballer to his new Premier League team Cardiff City when it disappeared near Guernsey on January 21, along with 59-year-old pilot David Ibbotson.
After his body was identified, retired Argentinian football star Gabriel Batistuta paid tribute to the talented young player whose disappearance had prompted an outpouring of grief.
"What sadness, this is the worst news. Rest in peace warrior," he tweeted. Argentinian President Mauricio Macri also offered his condolences to Sala's family following the "painful news".
"We are with you," he added. While the small Argentinian town of Progreso, where the footballer lived for most of his childhood, was left "very affected".
"Since we found out, it's all anyone can talk about," said local restaurant owner Oscar Heymo, a friend of Sala's father Horacio.
"He was very much loved and admired by all." Sala's disappearance prompted an outpouring of grief across the footballing world, including at his former club Nantes in France where the plane was flying from.
"The operation was carried out in as dignified a way as possible." The AAIB was unable to recover the plane due to bad weather and as a result was closing down the operation.
"The weather forecast is poor for the foreseeable future and so the difficult decision was taken to bring the overall operation to a close," it said. It said that extensive video footage captured by a remotely operated vehicle is expected to "provide valuable evidence for our safety investigation", adding that it intends to publish an interim report on the accident later this month.
The discovery of two seat cushions on the French coast last week revealed that the plane had broken apart, he added. Sala had been flying in to join up with his new club Cardiff City in what was the most expensive signing in the Welsh club's history.
Earlier this week the footballer's father, Horacio, acknowledged that there was no prospect of finding his son alive. "There's no longer any hope," he told Fox Sports.


The prototypical kickback scheme is not difficult to spot: one physician pays another for patient referrals. This is a clear violation of the federal Anti-Kickback Statute, 42 U.S. Code § 1320a–7b (AKS), that anyone with even a passing understanding of the law could easily identify. What becomes more problematic for physicians, employees, and clinical laboratories is where the referring physician is not provided cash in exchange for a referral. Critically, some labs erroneously believe they are playing it safe by offering physicians free or discounted services, among other arrangements. But according to the Department of Justice, these practices still implicate the prohibitions on providing payments in exchange for referrals.
The government's AKS guidelines are complicated and, though there are safe harbor provisions available under the AKS, the government will not hesitate to prosecute those entities it feels are operating even on the fringes of guidelines from the Centers for Medicare and Medicaid Services (CMS).
The consequences for engaging in any violative conduct can be incredibly damaging to a lab. HHS makes clear that if a lab, pursuant to a kickback scheme, submits a claim for a test or procedure that is not medically necessary, it can give rise to liability under the False Claims Act, 31 U.S.C. § 3729 (FCA). This seems an obvious result. But what is less obvious—and perhaps counterintuitive—is that, even if the services are, in fact, medically necessary, a lab can still be found to have submitted a false claim under the FCA. This is because any claim that has been submitted by a lab pursuant to a kickback scheme is inherently a false claim under the law. The government's reasoning is that, but for the kickback scheme, the patient would not have been provided the service and the government would not have made any payment.
The most recent fraud alert bulletin from OIG highlights two kinds of arrangements in particular that are causes for concern. The first is blood specimen collection, processing, and packaging arrangements. For example, a lab may pay its physician clients for everything from collecting and centrifuging specimens, to packing them for transport. OIG notes that "payments under Specimen Processing Arrangements typically are made on a per-specimen or per-patient-encounter basis and often are associated with expensive or specialized tests." Since physicians can bill Medicare themselves for processing and packaging specimens for transport, OIG views such arrangements as suspect (See Box).
A second area OIG points to is registry payments, more commonly called observational outcomes databases, wherein a lab pays physicians to collect and submit patient data for research purposes. According to OIG, such arrangements "may be reasonable in certain limited circumstances," but they can also induce physicians to order unnecessary tests for the purpose of the research, among other problems. Warning signs that a registry arrangement runs afoul of the AKS include, among other characteristics, recommending that physicians order tests with a stated frequency or order multiple medically unnecessary tests; paying physicians on a per-patient or other volume basis; paying physicians at above fair-market value; or covering under the registry arrangement only those tests for which the lab has patents or that it performs exclusively.
The takeaways from the OIG's guidance are clear. Labs need to closely scrutinize any arrangements with referring physicians. If the lab provides services to physicians at a discount or pays a physician more than fair market value for his or her services, there is a good chance that the lab is exposing itself to liability. Case law also suggests that labs need to closely monitor other methods of remuneration being given to referring physicians. Payments in kind are no less scrutinized than payments in cash.
For employees, it is important to know that you are protected if you disclose concerns about the manner in which your lab is compensating referring physicians. The FCA contains an "anti-retaliation" provision that protects employees from being "discharged, demoted, suspended, threatened, harassed, or in any other manner discriminated against in the terms and conditions" in which those employees have tried to stop their employers from submitting false claims under the FCA and the AKS. Moreover, the FCA provides an incentive program for employees who disclose fraud against the government. This could lead to the whistleblowing employee receiving as much as 30% of any money wrongfully obtained by the employer and recouped by the government.
We also must acknowledge that the AKS and the FCA play important roles in protecting patients, employees, and the government from wrongdoing by healthcare providers. But given the complexity of the statutes, it is not difficult to conceive of a scenario in which a lab finds itself on the wrong side of the guidelines. It is paramount that both employers and employees speak with counsel that specialize in these areas if they have any sense that they may be non-compliant.
The Office of the Inspector General for the Department of Health and Human Services outlines six characteristics of specimen processing arrangements that may be evidence of unlawful kickbacks.
Payment is made on a per-specimen basis for more than one specimen collected during a single patient encounter or on a per-test, per-patient, or other basis that takes into account the volume or value of referrals.
David Scher is an attorney who focuses his practice on qui tam and whistleblower retaliation cases in California, Maryland, Washington, D.C., and nationally. Mr. Scher is a frequent news commentator and has been interviewed by Forbes.com, Politico, and the Washington Post in all matters of employment law.
R. Scott Oswald is the managing principal of The Employment Law Group. Based in Washington, D.C., Mr. Oswald handles all manner of whistleblower cases, including those litigated under the False Claims Act.


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Home nieuws Israel allows construction material into Gaza
Israel allows construction material into Gaza
Palestinian boys cycle past a convoy of bulldozers provided by Egypt arriving at the Palestinian side of the Rafah border crossing between Egypt and the Palestinian Gaza Strip (Said Khatib - AFP)
Middle East Monitor / August 20, 2021
Israeli authorities yesterday allowed goods to enter the Gaza Strip through the Karm Abu Salem (Kerem Shalom) border crossing for the first time since the last aggression in May.
An official source told Anadolu Agency that trucks loaded with goods had entered Gaza "under the Israeli forces supervision." He added that the shipment had included "cement for construction projects managed by the United Nations Relief and Works Agency for Palestine Refugees (UNRWA)."
The source, who spoke on condition of anonymity, pointed out that the occupation forces had allowed "trucks loaded with glasses and aluminum to enter the enclave on the same day."
Israel imposes severe restrictions on the movement of imports into Gaza in spite of a ceasefire which came into effect on 21 May.
On 10 May, Israel launched a military attack on Gaza that lasted 11 days, killing more than 250 Palestinians, including women and children, and injuring thousands more.
Rights groups, including the UN, have accused Israel of carrying out collective punishment against Palestinians in Gaza as a result of its continued siege of the Strip.