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Lomabeat.com
Opinion • Sports • Uncategorized
Nick's Picks: Fantasy Football Advice Week 17
The two most important weeks of the Fantasy Football season are officially upon us. The stakes are high with some fantasy managers playing in the championship round. Other managers have a lot riding on these next two weeks, but for different reasons since they are in the losers bracket and trying to avoid finishing in last place. Regardless of what you are playing for, there are plenty of "sleepers" on the waivers heading into Week 17 that can get the final weeks of the season started on the right note.
Quarterback "Sleeper" Picks: It was a shootout in Dallas during the Eagles and Cowboys' Christmas Eve matchup. Gardner Minshew (22.7 points) put up a good fight in his season debut but couldn't lead his team to victory. Despite the Eagles taking a loss, Minshew and the Philadelphia offense were efficient and Minshew had a solid night in terms of Fantasy Football scoring. His Week 17 matchup against the Saints will be far easier compared to the Dallas game, and I expect him to have another high-scoring fantasy performance. Detroit's game on the road in Carolina was disappointing to say the least, but Jared Goff (25.7 points) still managed to gift fantasy managers with a 25 point game. The Lions lost a crucial game, but Goff continued to thrive as the starting quarterback and went another game without an interception. These last two games are must-wins for the Lions, so expect Goff to be at the top of his game.
Brock Purdy (vs. Raiders): Purdy, previously the 49ers' third-string quarterback, has taken the league and the media by storm since taking over the quarterback position in Week 13. He went from a nobody to a household name in just a few weeks, and he's far from a "sleeper" but the stats still disagree. Purdy is only owned in 28% of ESPN Fantasy Football leagues which is low compared to other starting quarterbacks around the league. He's outperforming a lot of people right now and needs to be on your team if he's still on waivers in your league.
Teddy Bridgewater (vs. Patriots): The starting quarterback role for the Miami Dolphins in Week 17 is still very much up in the air, but all the signs are pointing towards Bridgewater getting the nod. He's only had a few starts this season but was pretty decent in both games. The New England defense will be a tough matchup, but Miami has plenty of offensive weapons for Bridgewater to turn to. Keep an eye on whether Bridgewater gets the start, or if his teammate is deemed healthy enough to keep the starting role in Miami.
Running Back "Sleeper" Picks: The Buffalo Bills punched their ticket to the playoffs a few years back, and I predicted they would begin to let their starters rest in the final weeks of the season. The Bills' starters seeing the field less often meant someone like James Cook (17.8 points) would get to see the field at a higher clip. This ended up being the case in Week 16, and he flourished in his expanded role. Cook will continue to receive more playing time than other guys on the Bills, so keep him in your lineups. Zack Moss (8 points) is a similar case to Cook with his team letting starters rest as the season comes to an end. However Moss' team, the Colts, are far less talented compared to the Bills, and they don't find the endzone as often as the Bills. Cook was able to rack up the fantasy points because he had scoring opportunities, but Moss and the Colts couldn't move the ball down the field. The Colts gave Moss the ball plenty of times, but it often led to nothing. It's encouraging to see the Colts rely on Moss so heavily, but if they aren't going to score he's basically useless.
Tyler Allgeier (vs. Cardinals): Allgeier was a "sleeper" pick of mine several weeks ago, but he's been inconsistent all season. This led to a lot of fantasy managers dropping him and Allgeier now being available in 60% of leagues. The past two weeks have been far more consistent for Allgeier, and he's ran for over 200 yards during those games. The quarterback situation in Atlanta has been all over the place, which has opened the door for Allgeier to dominate the offensive touches.
Rachaad White (vs. Panthers): During the Buccaneers bye week, I chose White as a "sleeper" because his veteran quarterback Tom Brady seemed to turn to him at a high rate. Since it was his team's bye week, White slipped under the radar but has continued to play well alongside Brady. When a star quarterback like Brady trusts a young player like White, that is a great sign and means White should be in your lineup. He's only available in a third of fantasy leagues, but if you can still pick him up, the young running back has tons of upside and should be in your lineup.
Wide Receiver "Sleeper" Picks: Weeks 13 and 15 were high scoring performances for rookie Jahan Dotson (19.6 points), and Week 16 followed this trend. Dotson has been on a tear recently, and his elite play has shown no signs of stopping. Week 16 was the third straight game with a touchdown for Dotson, and he has led the team in targets over this stretch. Three straight weeks of dominance from the rookie has me all-in on the receiver, and I firmly believe he should be in your lineup as the season wraps up. After being targeted a whopping eight times in Week 15, the Raiders' young receiver Mack Hollins (1.7 points) was only thrown to twice in Week 16. The circumstances were far different, with Week 15's game being played in an indoor stadium and Week 16 being played in the frozen tundra of Pittsburgh. When it's freezing and there's snow on the ground, teams tend to turn to their running backs and abandon the passing game. The poor weather hurt all the Raiders' receivers — not just Hollins — and he didn't get too much playing time. Look for Hollins to rebound as the Raiders return home to play the 49ers in better conditions.
Darius Slayton (vs. Colts): There haven't been many receivers on the Giants that have stayed healthy throughout the season so New York's most consistent receiver has become Slayton. The unlikely hero is the beneficiary of Sterling Shepard tearing his ACL and Kadarius Toney being traded. The competition Slayton had with these players for playing time has disappeared since they've left the picture. Being the lone wolf in New York has resulted in Slayton topping 60 receiving yards in seven of his last 11 games. Slayton has an easy matchup against the Colts and will likely continue to shine.
Greg Dortch (vs. Falcons): Dortch is another example of teammates succumbing to injuries and freeing up space on the field. Zach Ertz, Rondale Moore and Hollywood Brown have battled with injuries all season, and Dortch has stepped up to the challenge of replacing them. His star teammate DeAndre Hopkins dominates a lot of the touches on offense, but we saw in Week 16 how often the Cardinals are willing to turn to Dortch. He was active in both the passing and run game, leading Dortch to scoring 22.3 fantasy points. Don't expect another 20 or more point performance from the "sleeper" receiver, but he's definitely an asset as the season comes to an end. ESPN projects Dortch to score around 10 points in Week 17, and he's available in 97% of leagues heading into the championship rounds.
You may think your roster is stacked with loads of talent heading into these last two weeks of the season, but keep in mind that it is common for the league's best players to ride the bench as they rest up for playoffs. Star players aren't going to risk an injury if their team has secured a spot in the playoffs, and this means you could be heading into the final round of the fantasy football championship with an incomplete roster. Paying attention to the waivers has become more important than it ever has been, and there are plenty of "sleepers" out there to replace guys planning on sitting out. These next few weeks will be unpredictable, so be ready for anything and that all starts with the waivers.
Written By: Nick Hancock
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Obtenez le livre Whole Beast Butchery hc par Farr au format PDF ou EPUB. Vous pouvez lire des livres en ligne ou les enregistrer sur vos appareils. Tous les livres sont disponibles au téléchargement sans avoir à dépenser de l'argent.
DIY fever + quality meat mania = old-school butchery revival! Artisan cooks who are familiar with their farmers market are now buying small farm raised meat in butcher-sized portions. Dubbed a rock star butcher by the New York Times, San Francisco chef and self-taught meat expert Ryan Farr demystifies the butchery process with 500 step-by-step photographs, master recipes for key cuts, and a primer on tools, techniques, and meat handling. This visual manual is the first to teach by showing exactly what butchers know, whether cooks want to learn how to turn a primal into familiar and special cuts or to simply identify everything in the case at the market.


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Home » Altisource Residential slammed with two class action lawsuits
Altisource Residential slammed with two class action lawsuits
Investors allege failure to fully disclose risks, conflicts of interest
Trey Garrison
KEYWORDS Altisource class action lawsuit mortgage servicing Ocwen shareholder lawsuit trouble ahead
Not one, but two, class action shareholder lawsuits are being initiated against Altisource Residential Corporation (RESI).
The complaints allege that the Altisource failed to fully disclose its exposure to loss of revenue, government investigations, and other issues associated with its relationship to Ocwen Financial (OCN), former Chairman William Erbey and other related parties.
On Dec. 22, 2014, Altisource announced that Erbey would step down as Chairman of the Board of Directors.
Erbey also stepped down from his post as executive chairman of Ocwen Financial following an investigation by New York Department of Financial Services that alleged conflicts of interest involving financial transactions involving Ocwen and related companies with financial ties to Ocwen, including Altisource, Altisource Portfolio Solutions (ASPS) and Home Loan Servicing Solutions, Ltd. (HLSS).
In that December agreement with the NYDFS, Ocwen agreed to pay $150 million to homeowners under an agreement with the New York Department of Financial Services.
Ocwen admitted in the agreement with the New York regulatory agency that it didn't properly deal with distressed homeowners and failed to maintain adequate systems for servicing hundreds of billions of dollars in mortgages.
The suits are both being filed in U.S. District Court for the District of the Virgin Islands.
One suit is being organized by Levi & Korsinsky, a national law firm with offices in New York, New Jersey, Connecticut and Washington D.C. The second suit is being organized by Glancy Binkow & Goldberg.
Altisource reported a 3% increase in net income in 2014, with the company's income rising from $129.97 million in 2013 to $134.49 million in 2014.
But in the fourth quarter, Altisource reported a net loss of $1.5 million, compared to net income of $35.5 million in the same time period in 2013.
The company said that the loss was due several factors, including the discontinuation of its forced-placed insurance program in November. When Altisource announced it was discontinuing the program, it cited "uncertainties with industry-wide litigation and the regulatory environment" as reasons for the move.
Altisource Portfolio Solutions to pay $32 million to settle class action suit over Ocwen relationship
NAR slapped with second class-action lawsuit to end buyer broker compensation
Ocwen to pay $49 million to settle class action lawsuit over restated financials
Trey Garrison was a Senior Financial Reporter for HousingWire.com. His body of works are his views and his views alone.
Recent Articles by Trey Garrison
Here's how TRID is reshaping title companies
Calling it: There won't be a rate hike this week
Join HUD Secretary Castro and economist Smoke online tonight for housing chat
House will vote this week on measure to limit CEO pay at Fannie, Freddie
New home sales collapse 11.5% in September

redpajama_set_name: RedPajamaCommonCrawl


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Termochemia – dział termodynamiki chemicznej zajmujący się efektami energetycznymi (cieplnymi) reakcji chemicznych i przemian fazowych, ich zależnością od warunków fizycznych oraz wymianą energii pomiędzy układem i otoczeniem.

Podstawowe prawa termochemii to:
 prawo Hessa
 prawo Kirchhoffa (chemia fizyczna)

Zobacz też
 termodynamika

Przypisy

Linki zewnętrzne
 Thermochemistry w A Tutorial for High School Chemistry w portalu ChemTeam (www.chemteam.info)

redpajama_set_name: RedPajamaWikipedia


Watched the video. Loved it !! Looks like a great experience and a great bunch of people. It is interesting how many have been to several. I cannot get time off when these Colleges are on but I'm planning to retire in 4 years; so hopefully then.
Dan, Please send us a picture of Albert wearing his "I don't eat grits" jacket, it is a classic.
Once again I had a great time at Barnwell! Especially the part where my engine Roared to life! Incredible feeling! I have learned a lot about building engines. Mostly about breaking bad habits I have learned from building racecar engines with "The Boys". This engine is built for the long run not the racing season. It is definitely built from the good stuff! I hope to attend many more Corvair Colleges to continue learning the right way to do things and to meet great like minded people. I am working hard to keep my promise, on video, to fly my 750 to the next College at Barnwell! See you there if not before.
If you go back 3 stories on the site it has a whole story on how to sign up on line for College #41.


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PHOTO: © GillianVann/ Shutterstock.com
Brisbane man slugged thousands for driving to Byron Bay to 'clear his head'
September 21, 2020 3:30 pm in Gold Coast, The Loop List 5 by Rebecca Dakin
A Brisbane man will be forced to fork out close to $7,000 after trying to re-enter the state after driving down to Byron Bay to 'clear his head'.
Police stopped the man's vehicle at the border checkpoints on the Gold Coast around 5pm on Sunday.
It's believed the driver thought it was okay for him to drive back into Queensland because he had a 'G pass'.
"A G pass is like a unicorn on the road. You cannot drive into Queensland with a G pass," Chief Superintendent Mark Wheeler told ABC Radio.
"He told police he'd simply driven down to the Byron Bay area to clear his head.
"He was given the appropriate advice by our border staff which was, unfortunately for him, he had to go to an airport, fly back into Queensland and quarantine for 14 days at his own expense."
The man was then busted at the Griffith Street checkpoint in Coolangatta an hour and a half later trying to get in again.
"When we encounter these people who turn up with either the wrong story or the wrong pass, we flag them in our system, and of course he was identified," Chief Supt. Wheeler said.
He was then handed a $4,003 fine.
The man will also have to pay around $2,800 for the 14-day hotel quarantine and well as the cost of a flight into the state and the cost of retrieving his own car, which had to be left on the other side of the border.
"That's the other issue people probably don't think about," Wheeler said.
"Getting your vehicle back is your problem, it's your expense.
"I imagine he'll have to engage a towing contractor and that's not going to be cheap.
"So that was a very expensive way to clear his head."
https://www.mygc.com.au/wp-content/uploads/2020/07/shutterstock_1778985617.jpg 321 845 Rebecca Dakin https://www.mygc.com.au/wp-content/uploads/2016/04/mygc-logo.png Rebecca Dakin2020-09-21 15:30:292020-09-22 08:18:49Brisbane man slugged thousands for driving to Byron Bay to 'clear his head'
14yo flasher arrested and charged as more victims come forward, Gold Coast
Search on for lucky Tweed Heads lotto winner Gold Coast Suns issue apology over leaked footage of coach urinating in pub...


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package mfengin;

import java.io.*;
import java.util.*;

class MFStructureKey implements Comparable<MFStructureKey>
{
	public String prod = new String();
	public int month;
	public int quant;

	@Override
	public int compareTo(MFStructureKey key)
	{
		if (prod.compareTo(key.prod) != 0)
		{
			return prod.compareTo(key.prod);
		}
		if (month - key.month != 0)
		{
			return month - key.month;
		}
		if (quant - key.quant != 0)
		{
			return quant - key.quant;
		}
		return 0;
	}
}

class MFStructureValue
{
	//overall
	public int count_0;
	public int avg_0_quant;
	//grouping var
	public int count_1;
	public int max_1_quant;

	public int sum_2_quant;
}

public class TestSampleGeneratedJava
{

	public static void main(String[] args)
	{
		// TODO Auto-generated method stub

	}

}

redpajama_set_name: RedPajamaGithub


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About ESWI
Our mission is to reduce the burden of major acute respiratory virus infections by fostering stakeholder communication and cross-disciplinary research in Europe.
Members and associate members
Meet the members and associate members of ESWI
To finance its activities and plans, ESWI draws upon several resources:
For all your inquiries, suggestions and remarks kindly contact the ESWI Secretariat.
ESWI events
Every two years ESWI organises the largest European-based influenza conference.
The Airborne Podcast series are managed by the ESWI Secretariat and are hosted by an experienced writer and editor.
Held every non-conference year, the tailor-made Science and Policy Interface event is an important forum where policy makers engage with scientific experts to advance evidence-based public health policy measures.
ESWI organises exciting scientific webinars featuring distinguished guests and experts in their field throughout the year on current, relevant respiratory viral topics of interest and new breakthroughs.
ESWI networks & communities
Influenza Diabetes Community
The Influenza Diabetes Community unites Scientists, healthcare professionals, patient -and other stakholder organisations to discuss, share best practices and to network with the objective to raise awareness of the burden of Influenza, Covid-19 and RSV
Young Scientists Network
Some of the best and most innovative ideas come from young scientists, and young scientists are the future of the influenza field.
Collaboration is at the core of ESWI and together with our coalition partners, we advance the important work to reduce the burden of major acute respiratory virus infections
ESWI Conferences
ESWI Podcasts
ESWI webinars
ESWI Young Scientists Network
On 18 October, ESWI opened the call for applications for the Claude Hannoun prize for Best Body of Work and the Young Scientist Innovative Award. Deadline is on 28 February 2023.
The Claude Hannoun prize for Best Body of Work is named in honour of Prof. Em. Claude Hannoun, a founding father of ESWI. The competition is open to all young scientists worldwide who want to advance their research in the field of respiratory virus infections. ESWI is also pleased to launch the 3rd edition of the Young Scientist Innovative Award. The Young Scientist Innovative Award is an award supported by CSL Seqirus recognising exceptional research by a promising young scientist in the field of influenza vaccine development.
Both awards are part of ESWI's encouragement of young scientist in the field of respiratory viruses. Since 2021, this works had been spearheaded by ESWI's Young Scientist Ambassador Debby van Riel
Currently, she is an associate Professor at the Department of Viroscience at the Erasmus MC in the Netherlands. In 2017 Debby won the Claude Hannoun prize for Best Body of Work. Currently, her research focuses on the pathogenesis of extra-respiratory complications of respiratory virus infections, such as influenza A viruses (seasonal, pandemic and zoonotic influenza viruses) and SARS-CoV-2. Please see here full bio here.
To apply for the Claude Hannoun prize for Best Body of Work and the Young Scientist Innovative Award, please fill out the application here.
Some of the best and most innovative ideas come from young scientists, and young scientists are the future of the influenza field. For this reason, ESWI has been actively encouraging the careers of young scientists for many years.
Subscribe to the ESWI newsletter
Follow ESWI
ESWI Activities


Here are a few brain-busting coffee facts and figures for coffee lovers.
Coffee Fact #10. The top 10 coffee producing nations in the world, recognised by the International Coffee Organisation are (in ascending order): Guatemala, Mexico, Uganda, Honduras, India, Ethiopia, Indonesia, Columbia, Vietnam and Brazil. Out of the top 10 the main producers are the top 3 countries with 30% of all coffee being produced in Brazil.
Coffee Fact #9. Well actually half past. Yup, 9.30 am is the optimal time to enjoy your first coffee. According to Stephen Miller, from the University of Health Sciences in Bethesda, our cortisol levels dip around this time meaning they could do with a boost. Time to set your alarm (while you're at it set it for 1.30 pm and 5 pm too as these are also dip times).
Coffee Fact #8. An 8oz cup of coffee a day can make a big difference to your longevity. A study in the New England Journal of Medicine found that there's a link between coffee drinking over a 10-year period and not dying from lifestyle-related health problems.
Coffee Fact #7. Time to get back to your maths tables. Remember how 7 x 6 is 42? Well, that's the number of beans it takes to make an espresso, according to the British Coffee Association. Saves you counting!
Coffee Fact #6. That's the out of 10 strength rating for Lavazza's Classico coffee. It's smooth, creamy, soft and fruity – what's not to like? If that's not strong enough we stock a range of other Nespresso, Dolce Gusto, Lavazza and Caffitaly compatible coffee capsules and pods online.
Coffee Fact #5. If you times 5 by 10 you get 50 and that's how much you'll pay (in $US) for the world's most expensive cup of coffee. Not only is it pricey but the manufacturing process is a bit pongy – it's made from elephant dung. Yes, you read that right. If you have the stomach for it you could also try a cup of delicious Luwak which is made from mongoose poo. A mere snip at $95 per kg!
Coffee Fact #4. That's the number of different capsule brands we carry – which do you use? We stock Nespresso, Dolce Gusto, Lavazza and Caffitaly compatible coffee capsules and pods online – all under 50c!
Coffee Fact #3. Is the magic number and it's also the number of cups a day that could help reduce your risk of dying prematurely from Alzheimer's and Type 2 diabetes. Why? Researchers in the US have discovered that the compounds in coffee (regardless of whether it's caffeinated or decaffeinated) reduce inflammation and insulin levels.
Coffee Fact #2. Did you know that your humble cup of coffee is loaded with vitamins and nutrients? In fact, just one cup includes 2% of your recommended dose of Niacin and Thiamine (both B vitamins) – all the more reason to drink a cup or two a day.
Coffee Fact #1. Put the date in your diary now. The 1st of October 2017 is International Coffee Day.
Looking for Nespresso pods and capsules compatible with your coffee machine? Our coffee pods are perfect for your needs with authentic roasted coffee. Try Caffe Bonini now!
We also have other compatible pods and capsules for Nespresso, Dolce Gusto, Caffitaly, Lavazza, and our own Caffe Bonini beans.


text:
namespace Modbus.Message
{
    using System;
    using System.Globalization;

    /// <summary>
    ///
    /// </summary>
    public abstract class AbstractModbusMessage
    {
        private readonly ModbusMessageImpl _messageImpl;

        internal AbstractModbusMessage()
        {
            _messageImpl = new ModbusMessageImpl();
        }

        internal AbstractModbusMessage(byte slaveAddress, byte functionCode)
        {
            _messageImpl = new ModbusMessageImpl(slaveAddress, functionCode);
        }

        /// <summary>
        ///
        /// </summary>
        public ushort TransactionId
        {
            get { return _messageImpl.TransactionId; }
            set { _messageImpl.TransactionId = value; }
        }

        /// <summary>
        ///
        /// </summary>
        public byte FunctionCode
        {
            get { return _messageImpl.FunctionCode; }
            set { _messageImpl.FunctionCode = value; }
        }

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        ///
        /// </summary>
        public byte SlaveAddress
        {
            get { return _messageImpl.SlaveAddress; }
            set { _messageImpl.SlaveAddress = value; }
        }

        internal ModbusMessageImpl MessageImpl
        {
            get { return _messageImpl; }
        }

        /// <summary>
        ///
        /// </summary>
        public byte[] MessageFrame
        {
            get { return _messageImpl.MessageFrame; }
        }

        /// <summary>
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        /// </summary>
        public virtual byte[] ProtocolDataUnit
        {
            get { return _messageImpl.ProtocolDataUnit; }
        }

        /// <summary>
        ///
        /// </summary>
        public abstract int MinimumFrameSize { get; }

        /// <summary>
        ///
        /// </summary>
        /// <param name="frame"></param>
        public void Initialize(byte[] frame)
        {
            if (frame.Length < MinimumFrameSize)
                throw new FormatException(String.Format(CultureInfo.InvariantCulture,
                    "Message frame must contain at least {0} bytes of data.", MinimumFrameSize));

            _messageImpl.Initialize(frame);
            InitializeUnique(frame);
        }

        /// <summary>
        ///
        /// </summary>
        /// <param name="frame"></param>
        protected abstract void InitializeUnique(byte[] frame);
    }
}


text:
Home » Music » Vinyl Records » Michael Jackson – Thriller (Limited Edition Ultradisc One-Step 33Rpm Vinyl Lp Set)
Michael Jackson – Thriller (Limited Edition Ultradisc One-Step 33Rpm Vinyl Lp Set)
Charlie Hunter - Bing Bing Bing (Blue Note Classic Vinyl Series) (2LP)Eb Duet - The Beginning Vinyl
The Best-Selling Album of All Time Celebrates Its 40th Anniversary: Michael Jackson's Thriller Receives Definitive Treatment on Mobile Fidelity's UltraDisc One-Step 180g 33RPM LP Set Mastered from the Original Analog Master Tapes for Superior Sound and Strictly Limited to 40,000 Numbered Copies: Experience the Transformative Songs, Soulful Vocals, Sleek Rhythms, and Vibrant Production a...
Product Code: N/A SKU: 821797104227 Categories: Genres, Music, New Releases, Pop, Rock, Vinyl Records Tag: Michael Jackson
The Best-Selling Album of All Time Celebrates Its 40th Anniversary: Michael Jackson's Thriller Receives Definitive Treatment on Mobile Fidelity's UltraDisc One-Step 180g 33RPM LP Set
Mastered from the Original Analog Master Tapes for Superior Sound and Strictly Limited to 40,000 Numbered Copies: Experience the Transformative Songs, Soulful Vocals, Sleek Rhythms, and Vibrant Production as If Hearing It All for the First Time
34-Times-Platinum Blockbuster Changed Music, Culture, Entertainment, and Society: Includes "Beat It," "Billie Jean," "Thriller," "Wanna Be Startin' Somethin'," "Human Nature," "P. Y. T. (Pretty Young Thing)," and "The Girl Is Mine" (with Paul McCartney)
Putting into perspective the incalculable impact and pioneering significance of the best-selling album of all time – Michael Jackson's Thriller – has never been easy. Though Thriller lays claim to mind-boggling statistics that serve as reminders of how pervasive and indispensable it remains to music snobs and casual listeners alike, its essence always traces back to the greatness, power, and scope of the music. Now, as it celebrates its 40th anniversary, the record that reimagined pop; united audiences; made strides towards achieving racial equality; established the video as an artistic and commercial format; and taught the world how to dance sounds even more invigorating than it did during the advent of the Walkman.
Mastered from the original analog master tapes, pressed at RTI, and strictly limited to 40,000 numbered copies, Mobile Fidelity's UltraDisc One-Step 180g 33RPM LP set does for Thriller what Jackson's unforgettable appearance on the "Motown 25" TV special in 1983 did for his career: It makes the music personal, human, desirable, relatable, imaginative – the definition of cool. This extraordinary reissue does so by presenting the songs in lifelike fashion, zeroing in on the fundamentals with laser focus, and magnifying the brilliance of the production, arrangements, and vocals in ways that let everyone experience Thriller as if hearing the album for the first time.
Dire Straits – Brothers In Arms (Numbered 45rpm Vinyl 2LP)
Shelby Lynne – Just A Little Lovin'
Gerry Mulligan/Ben Webster – Gerry Mulligan Meets Ben Webster
Procol Harum – Live – In Concert With The Edmonton Symphony Orchestra
Miles Davis – Kind Of Blue (Numbered 180G 45RPM Vinyl 2LP Box Set)
Ella Fitzgerald & Louis Armstrong – Ella and Louis Again (45 RPM, Mono)


Starting in fall 2014, the US Department of Agriculture (USDA) interim rule on competitive foods, SMART SNACKS in Schools, goes into effect. In my opinion, there's lots of good news in the rule, starting with more fruits, veggies, low-fat dairy foods, whole grains, and lean proteins. Based on experience with existing standards, like the 6,640+ HealthierUS School Challenge (HUSSC) winners and Alliance for a Healthier Generation (AHG) districts, the proposed rule is realistic and can benefit kids' health.
We also need a reality check about the rule does and does not do. While SMART SNACKS in Schools represents another significant step toward healthy school nutrition environments, it does not cover foods brought from home, foods for classroom parties or any foods sold after regular school hours (athletic events, after-school fundraisers, etc.). Compliance and monitoring will be an issue outside of cafeterias. Fortunately, the AASA (American Association of School Superintendents) has a Competitive Foods Policy Initiative to build necessary support for strong policies.
After the 2012 Nutrition Standards for School Lunch went into effect, Jane Brody wrote "There's Homework to Do on School Lunches" in the New York Times. Her basic premise was that the federal regulations and standards are just the beginning – and that homes and schools also have work at improving how children eat. I believe the same is true for this issue.
To build strong bodies and smart brains, children also need SMART SNACKS at home, SMART SNACKS brought from home to school, and SMART SNACKS served in concession stands at sporting events. A healthy school environment will take more than new regulations – it will require a culture of wellness – designed to support the connection between nutrition and academic success.
On February 1, 2013, the US Department of Agriculture (USDA) announced the long-anticipated proposed rule on competitive foods in schools, now known as Smart Snacks in Schools. Published in the Federal Register on February 8th, the rule is now open for a mandatory 60-day public comment period, which closes on April 9, 2013. The overall reaction has been positive, although many folks are probably still trying to digest the details of the 160-page document.
If your schedule does not permit a long read, several good summaries are available online. There is a very readable Q-and-A format in USDA Summary, excellent materials from a webinar by USDA and Food Research Action Center (FRAC), and the School Nutrition Association page with links and member-only comment section. The more you read, the more you'll know. What follows is my personal, big picture reaction to the proposal and what it will really mean in local schools.
USDA proposed an extended implementation timeline and invited comments on several options rather than outlining a single course of action.
Based on experience with existing standards, especially the 5,000+ HealthierUS School Challenge (HUSSC) winners and Alliance for a Healthier Generation (AHG) districts, the proposed rule is realistic and can benefit kids' health.
While Smart Snacks in Schools represents another significant step toward creating healthy school nutrition environments, it's also important to note what it does not do. It does not cover foods brought from home, foods for classroom parties or any foods sold after regular school hours (athletic events, after-school fundraisers, etc.).
In fact, most of the effect from this rule will be seen in cafeteria a la carte lines, as well as on some vending and fundraisers held during school hours.
Compliance and monitoring will an issue outside of cafeterias; school nutrition programs know how to do the required record keeping, but it is not clear who can – or even wants to – be effective as "food police" in the wider school campus.
Last October, after the 2012 Nutrition Standards for School Lunch went into effect, Jane Brody wrote "There's Homework to Do on School Lunches" in the New York Times. Her basic premise was that the federal regulations and standards are just the beginning – and that homes and schools also have work at improving how children eat. I believe the same is true for this issue.
Support a culture of wellness in your local district, for example, by serving a School Health Advisory Council (SHAC) or helping with a HUSSC application.
Make smart snacks about fun and great taste for kids.
Make smart snacks about fitness and sports success for coaches, athletes and boosters clubs.
Make smart snacks about learning and behavior for classroom teachers and administrators.
Make smart snacks about successful fundraisers that make money for clubs and organizations.
Make smart snacks the cool thing to do at school rather than something that the government is making us do!!
Schools are doing truly incredible things to serve local, fresh – and yes, organic – foods that kids love to eat. To see super salad bars, hyper-local apples (grown five miles from school!), and a lunch with Sautéd Cabbage that students devoured, please visit School Meals That Rock on Facebook. This gorgeous tray from the award-winning Portland (OR) Public Schools is just a tiny taste of the delicious school feast that you can see there. Everything on this tray in OREGON GROWN – and the pear is ORGANIC!! Please take a tour School Meals That Rock and see the amazing food that is loving prepared and served by America's School Nutrition HEROES!!
There's been lots of talk recently about how The School Day Just Got Healthier with USDA's Nutrition Standards in the National School Lunch and School Breakfast Programs that went into effect on July 1, 2012. Media stories abound with a generally positive tone – although many reporters wonder if students will actually eat the healthier options. I wrote about the new guidelines right here on August 24 in USDA New-trition Guidelines for School Meals: Business as usual – and a whole new ballgame.
Fortunately for students, teachers, families, farmers and ranchers, some of the best news in school nutrition has nothing to do with the regulations! Incredibly positive things are happening in kitchens, cafeterias, and schoolyards from coast-to-coast – thanks to dedicated and visionary school nutrition heroes. Sometimes they make the headlines, but often as not, they labor quietly in their districts without attracting much fanfare or hoopla.
Here's a taste of truly delicious news from four districts on the frontiers of school nutrition excellence. Literally spread from coast-to-coast, these districts are focused on serving the freshest, best tasting meals to students in the most positive, pleasant atmosphere possible. This is what we need — to get nutrient-rich food into kids; it is only nutrition WHEN they eat or drink it!
In some areas, school gardens are becoming almost the norm. New Jersey could be called the "School Garden State" with more than 242 schools growing vegetables and fruits for nutrition and/or education. Denver Public Schools Food and Nutrition Services, with support from urban agricultural groups, has taken school gardening to a whole new level. As recently announced on their Facebook page: "I am extremely proud to announce our 2012 Garden To Cafeteria schools! DPS Food and Nutrition Services will be purchasing produce from the 21 school gardens listed. Your students will then see that produce in their lunchroom salad bars! " Now that is hyper-local!
Thanks to First Lady Michelle Obama's Let's Move! Initiative, Chefs Move to Schools, founded in May 2010, has meant a real upgrade in the culinary skills of school nutrition professionals. Chefs provide culinary boot camps for school cooks in several states and encourage "junior chefs" through many school assembly programs, like the one with Chef Virginia Willis in Marietta, Georgia. In Maplewood Richmond Heights School District (MO), Chef Robert Rusan has truly set a higher bar for school food. It's hard to describe the comprehensiveness of the MRHS Healthy Foods program in a short paragraph. Just imagine a school nutrition program that makes its own fresh mozzarella cheese, builds an outdoor pizza oven, and harvests aqua-ponic lettuce.
While all the schools described so far involved students to some degree, Slater Jr. High School in Pawtucket, Rhode Island and Foodservice Director Solange Morrisette, have kicked it up a notch with their Fruit and Vegetable Ambassador program. According to the USDA blog post, "the students came up with several fun ways to get their peers excited about eating fruits and vegetables. These ideas included the fruit and veggie taste testing, a fruit and veggie eating contest, a cafeteria remodel, and creating rap songs about healthy eating." In this photo, guest farmer Shelly Pezza taught the future ambassadors about the benefits of eating local produce – which will soon show up on their salad bars.
Dayle Hayes, MS, RD (Registered Dietitian), is Past-Chair of the School Nutrition Services Dietetic Practice Group (DPG) of the Academy of Nutrition and Dietetics. She helps agencies and organizations create healthier school environments across the country. You can follow her onFacebook and Twitter, and read in-depth analysis of school issues on her blog School Meals That Rock.
As students head back-to-school meals in cafeterias across the nation, the new standards are generating lots of media buzz with headlines like Schools scrambling to serve up healthier lunch choices, More vegetables, higher prices coming to school cafeteria lunch lines this fall, and Some Cocke County students finding new school lunches hard to swallow. From these news stories, it's clear that the new guidelines are, sadly, a new whole ballgame for some districts.
Students must now be offered a fresh, frozen, dried, or canned (in juice) fruit for lunch. In the Montague, Michigan, School Food Service Department, they serve fruit choices daily on the lunch line. Michigan apples are so popular that Montague set a 2011 Guinness World Record for eating 9,329 apples at the same time.
As per the new standards, at least half of all grains served in school lunch must now be whole grain rich (starting in 2014 all grain products must be whole grain rich). In Douglas County Schools, Colorado, they made popular pizza smarter with a whole grain crust, roasted vegetables, and a balsamic glaze (chosen by a high school student panel).
Under new USDA guidance, schools must offer two varieties of milk: unflavored milk can be non-fat or 1%, while flavored milk must be non-fat. This milk policy has been the standard in Portland (Oregon) Public Schools Nutrition Services for more than a decade. As you can see, they also offer a colorful selection of produce!


Awqaf Minister Mohamed Mokhtar Gomaa stressed that every citizen is duty bound to protect the homeland and to maintain its security as well as stability as terrorism attempts to overthrow the state.
Gomaa hailed efforts exerted by President Abdel Fattah El Sisi in combating terrorism and achieving comprehensive development.
He was speaking following a meeting with the Awqaf ministry's undersecretaries.


For about 5 years now, my family and I have had the dream of owning our own land, planting a beautiful garden, taking care of our own animals and giving back to our community.
After having our own backyard chickens and a small suburban garden we knew that in order to make our dream a reality we had to give up the words "someday," "maybe" and "after we retire." We knew we were in charge of our destiny and the only way to make anything happen was by getting up and doing it.
So we sold our home in Southern California, moved to Arkansas (a state we knew nothing about) and found an adorable 1920's farmhouse.
The ambiance was intense and such a dream location for a our future farm. Nestled on 2.5 acres with original hardwood floors, dreamlike wrap around porch and nestled in a park-like setting, surrounded by trees and singing birds and ten acres available for purchase right next door!
An adorable historical house and 12.5 acres equalled everything we wanted in our future home. Perfect for our garden, our animals and for the community.
We envisioned movie nights under the twinkly summer night stars, abundant fruit and vegetables that we could give out to families in need and extra rooms in our home we could open up for families that need help.
But this dream came to a halt after we closed on the house and discovered that the past homeowners hid major water damage, mold and structural damage from potential buyers, inspectors, and appraisers. There is so much damage that it has been recommended to us to tear the house down completely and rebuild. After weeks of seeking legal advice, prayer, tears, and midnight talks we have concluded that this is just too much of a burden for our family to take on alone.
We had tried to do everything in our power to choose a home that we could update and make our own but were never expecting such a devastating amount of damage hidden underneath a few layers of new paint.
Since we cannot move in we are living in a small RV on the property with our three children. Space is tight and every single thing is now harder to do than we could ever imagine. Meals, laundry, working, schooling has been made 100 x harder. Winter is coming which brings so many unknown and scary circumstances our way and we need help. This move has been hard on us physically, mentally and emotionally and we are just trying to get by as we pursue legal action.
In the meantime, we are asking for the community of Northwest Arkansas to come together and help us get through this time.
We need time, labor and materials donated to help rebuild this home. We need time and labor donated to help build a barn so we can store our belongings. We need YOU, the community to help make this a successful community-centered farm. If you can't donate your time or material and feel like a monetary contribution would be best we appreciate that too.
We appreciate you, your prayers and any help! You can find a GO FUND ME page HERE if you would like to learn more on ways to help. We will also be updating our Facebook , Instagram and blog here.
We are overwhelmed but not broken, and we believe that through this we will become stronger people, a stronger family, and a stronger community!


Table I. Provisional cases of selected infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United States, week ending May 14, 2016 (19th week)† -- Figure I. Selected notifiable disease reports, United States, comparison of provisional 4-week totals May 14, 2016, with historical data -- Table II. Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected low frequency diseases, United States and U.S. territories, weeks ending May 14, 2016, and May 16, 2015 (19th week)† -- Table III. Deaths in 122 U.S. cities, week ending May 14, 2016 (19th week).


Dodgers shortstop Hanley Ramirez continues to be hampered by a broken rib he suffered last week in Game 1 of the National League Championship Series.
ST. LOUIS — Hanley Ramirez will continue playing only if he remains the Dodgers' best option at shortstop, Manager Don Mattingly said Thursday.
Playing with a hairline fracture in a left rib, Ramirez was a combined 0 for 6 in Games 4 and 5 of the National League Championship Series. He played six innings in both games.
"If he says, 'Oh, I'll go out there, but I don't feel like I can do anything,' then we're going to have to make a decision," Mattingly said on a conference call with reporters. "He's got to be able to feel like he can do something."
Ramirez was injured when he was struck by a Joe Kelly fastball in Game 1. If he can't play Friday in Game 6 at Busch Stadium, the Dodgers would turn to utilityman Nick Punto, who made 44 appearances at shortstop during the regular season.
In the NLCS, Ramirez missed only Game 2. He played the first eight innings of Game 3, in which he was two for four.
"We don't feel like he's getting any worse," Mattingly said.
If anything, Mattingly felt Ramirez looked better at the plate in Game 5 than he did in Game 4, when he struck out three times.
"I thought he had a couple of swings that looked more like himself," Mattingly said. "Obviously, not a 100% like himself, but better. He's just going to have to be honest with us. I don't need a hero from the standpoint that, 'I can go out there but I know I'm not going to be able to do anything.' "
Mattingly thought Ramirez would benefit from the time off between Games 5 and 6. Game 5, which was played at Dodger Stadium, started at 1 p.m. Game 6 is scheduled for 5:30 p.m. PDT.
"He has most of the end of the day yesterday, all day today and pretty much all day tomorrow," Mattingly said. "So it's almost three days. I'm hoping this gives him a little bit of relief. But I do think it's something that until he stops actually trying to swing a bat and twist and things like that, this thing's not going to fully heal."
Mattingly sounded more certain about the status of Andre Ethier, who has played the last three games with what appears to be a microfracture in his lower left leg.
"Andre, I expect to play," Mattingly said. "I think he felt probably as good yesterday as he's felt since coming back. He just seems to get a little bit stronger as far as being out on the field."
Mattingly decided against replacing Ethier in center field late in Game 5. "We were comfortable with what we were seeing, and he was comfortable also," Mattingly said.
Even though Ethier misplayed a ball off the top of the wall, which resulted in a third-inning triple for Carlos Beltran, he said that had nothing to do with his injury. "Just slipped," Ethier said.
Ethier later ran down a couple of balls in the right-center field gap. "I trust I can do the whole thing again," he said.
The Dodgers claimed outfielder Mike Baxter from the New York Mets. To create a place for Baxter on the 40-man roster, the Dodgers designated Alex Castellanos for assignment. Baxter, 28, has appeared in 194 major league games, hitting .229 with 22 doubles, four home runs and 26 runs batted in. He made his major league debut with the San Diego Padres in 2010.


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Live Coverage of the McGregor vs Khabib Press Conference From Las Vegas
October 4th, 2018 Antonio Abbassio MMA, News, Sports
THIS STORY HAS BEEN UPDATED THURS OCTOBER 4, 11pm EASTERN!
We are counting down the hours until this Saturday's UFC 229, when the insanely popular Conor McGregor goes up against his bitter enemy, UFC Lightweight Champion Khabib Nurmagomedov in Las Vegas. The press conference? The standard controversies that usually surround a McGregor fight. Khabib showed up on time, angrier than we've ever seen him. McGregor showed up quite late, but only after Khabib had stormed off from the press conference after facing the hostile crowd.
The odds are going back and forth on this, UFC's biggest fight of the year. According to Sports Betting Dime:
It's just a few more days until the biggest UFC event of the year, and likely the most lucrative night in UFC history. Conor McGregor makes his long-awaited comeback to the UFC, and he's diving right back into the deep end. Welcoming him into the octagon is lightweight champ Khabib Nurmagomedov, an undefeated fighter who hasn't lost a single round in his MMA career.
The betting lines opened with Khabib as the clear favorite at -205, and while the champ is still favored, the line has shifted towards McGregor in the weeks leading up to the fight. Like with every Conor fight, it's likely we'll see late money pouring in from casual fans.
If we strip away all the theatrics, the calculus of this fight remains simple and unchanged. McGregor is the greatest striker at lightweight; Khabib is the greatest grappler. McGregor operates in bursts and does his best work in the opening rounds; Khabib is a steady metronome of pain.
We're HustleTweeting about UFC 229, and you're more than welcome to join the conversation on the Hustle Twitter HERE and also on our hyper-interactive Facebook page HERE!


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Blake Lively & Ryan Reynolds Supported Migrant Children's Rights With Major Donations
Michael Loccisano/Getty Images Entertainment/Getty Images
By Marenah Dobin
Power couple Blake Lively and Ryan Reynolds are pretty private people. Well, as private as two superstars can be, but when they do make headlines, it's usually for a great reason. They just gave back to two organizations that mean a lot to them. Blake Lively and Ryan Reynolds donated $2 million to the NAACP Legal Defense and Education Fund and the Young Center for Immigrant Children's Rights. The couple announced the donation in a Sept. 4 press release.
According to E! News, the actors said that they donated the funds in order to "defend the rights and best interests of immigrant children." Their statement continued, "We're blown away by the NAACP Legal Defense and Education Fund, and the Young Center's commitment to not only justice and democracy, but humanity. Over the last few years, our perspective has grown and we've realized we have to do everything possible to foster more compassion and empathy in this world." Lively and Reynolds concluded in the statement, "History's being written right now. We're grateful to give back to organizations who give voice to so many."
This isn't the first time that two stars have been noticed for their charitable contributions and it probably won't be the last. Back in 2017, Lively was one of six people highlighted in the "Power of Women NY" issues for the philanthropic causes they are passionate about.
Steven Ferdman/Getty Images Entertainment/Getty Images
In that Variety issue, Lively aligned herself with the Child Rescue Coalition, which has a goal of stopping child pornography. The mother of two worked with the organization to track down and flag the IP addresses of people who "share and download sexually explicit images of minors." The duo contributes to many different causes and encourages others to do the same. In November 2018, Reynolds revealed to Deadline that proceeds from his movie Once Upon A Deadpool would go toward the F*ck Cancer campaign.
There's more to it than that though. Once Upon a Deadpool was actually a re-cut version of Deadpool 2 with a PG-13 rating, instead of the original movie's R rating. Reynolds revealed to Deadline, "Fox has been asking for a PG-13 basically since the start in 2006."
Reynolds explained, "I've said no since 2006. Now, this one time, I said 'Yes' on two conditions. First, a portion of the proceeds had to go to charity. Second, I wanted to kidnap Fred Savage. The second condition took some explaining…" No one was kidnapped, but the charitable donations did happen.
Jamie McCarthy/Getty Images Entertainment/Getty Images
Aside from the ticket proceeds, Reynolds managed to give back through Deadpool 2 in other ways as well. In February 2018, Reynolds shared several photos of Make-A-Wish kids visiting the movie's set. Along with the photos, Reynolds wrote, "Deadpool kicked Cancer in the taint, but these kids do it for real every day. These foundations make dreams come true for a lot of super-brave kids. They also make dreams come true for parents, who just wanna see their kid smile."
Lively and Reynolds have both acted in superhero movies, but all of those characters pale in comparison to their real-life efforts to give back to the world.


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Essay on Things Fall Apart Book
In the book Things Fall Apart, Okonkwo is considered to be a great man in the tribe of Igbo who is popularly known in the nine villages. The main reason that had made him famous during the time of his youth was after he had defeated the great wrestler in the community. His father Unoka was a lazy man and had ended up dying with big debts as he was often borrowing from his neighbors, friends, wife, and children. The fall Okonkwo was contributed by the behavior of his father about his concern about the opinion of others and his inability to change.
Okonkwo feared to be like his father and hence tried to distance himself from him which makes Okonkwo angry, aggressive and violent. His temper makes him be in conflict with his religion, family, clan and also the missionaries. Okonkwos constant disagreements with his father resulted in him believing in what was wrong despite knowing what was correct. His father makes him be confused about life. Okonkwo did things opposite of what his father was doing as he believed if he acted as his father he would also be a failure. Okonkwo had the belief that the worst thing a man could do is to act like a woman and this and so he did most of the things so that the society would not consider him as being a woman in which most of them were the wrong things to do. He fails to understand that the masculine and feminine qualities would result to his greatness once they are combined. Okonkwos anger had made him beat his first wife during the week of peace which was a crime as he broke the sacred week. Okonkwo also beats his second wife for cutting few banana leaves to wrap food. His anger caused him to make mistakes and commit crimes.
Okonkwo killed Ikemefuna out of the fear of being regarded as weak as his father. It was after the oracle of the caves and hills had claimed that Ikemefuna to be killed. Okonkwo wanted to be part of the killing despite hosting the young boy as his son and prove to the community that he was a warrior and hence killed Ikemefuna himself. It was not the right thing to do even after being warned by the older clan member he was not ready to change his mind, and this contributed towards his downfall.
The same way Unoka had lost faith with his people, Okonkwo had started to lose faith with most of his friends this leads to his downfall in the community. Okonkwos hopes of being famous and rich slowly start to diminish away now that he no longer owned his farm or animals. His animals and huts had been burned to the ground to make his land clean again after he had killed Ezendus son using his son during the burial of that old clan member which was a crime. It led to him being thrown out of the clan for seven years.
In conclusion, Okonkwo can be blamed for his downfall which was as a result of pride that made him not to change and do what was right despite being corrected by those who were considered to be the elders of the clan. Okonkwo was very concerned about the peoples opinion concerning him and did not want them to view him as being a woman, and this made him make wrong decisions. Okonkwos fear of being like his father made bad decisions despite knowing what was right. Okonkwos disagreements with the failure attributed to his father were in contrast to his success which made him worse than him ending up as a tragic hero.
Achebe, Chinua. Things Fall Apart, Chinua Achebe. 2014.
Month day, 2017
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Hillman, Edith V. (1879? - 1923) (12) + -
Lake Ontario (8) + -
May Bragdon Diary, June 20, 1897, p. 78
Hillman, John Constantine (1865 - 1932), Orchard, Helen Elizabeth (7/21/1872 - 2/6/1899), Bragdon, George Chandler (4/29/1832 - 8/7/1910), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Bragdon, Claude (8/1/1866 - 9/17/1946), Kodak
Cutler, James Goold (4/24/1848 - 4/21/1927), Gilmore, Joseph H. (b. 9/9/1863), Cutler, Joseph Warren (7/13/1857 - 1934), Siemer, Martha A. (1876 - 1960), Orchard, Helen Elizabeth (7/21/1872 - 2/6/1899), Joiner, Edith M. (7/3/1868 - 7/4/1935), Davis, Charlotte Gleason (4/12/1861 - 1938), Hillman, John Constantine (1865 - 1932), Behn, Margarette (1854? - 7/1899), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), MacArthur, Mary (3/12/1869), Charlotte (Charlotte, N.Y.)
May Bragdon Diary, June 29, 1897 – July 2, 1897, p. 83
Jones, Susan (1830? - 1898), Hillman, John Constantine (1865 - 1932), MacArthur, Mary (3/12/1869), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Goulding, Gertrude (3/17/1867 - 6/12/1933), Orchard, Helen Elizabeth (7/21/1872 - 2/6/1899), Joiner, Edith M. (7/3/1868 - 7/4/1935), Bragdon, Claude (8/1/1866 - 9/17/1946), Lake Ontario
May Bragdon Diary, May 9, 1897 – May 12, 1897, p. 42
Hillman, John Constantine (1865 - 1932), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Orchard, Helen Elizabeth (7/21/1872 - 2/6/1899), MacArthur, Mary (3/12/1869), Irondequoit Bay (N.Y.), Rochester Orphan Asylum (Rochester, N.Y.)
Joiner, Edith M. (7/3/1868 - 7/4/1935), Davis, Charlotte Gleason (4/12/1861 - 1938), MacArthur, Mary (3/12/1869), Davis', Mosher , Howard Townsend (7/6/1868 - 2/15/1919), Bragdon, Claude (8/1/1866 - 9/17/1946), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Frey, Amelie D. (1882 - 1966), Hillman, John Constantine (1865 - 1932), Highland Park (Rochester, N.Y.), Seneca Park (Rochester, N.Y.)
May Bragdon Diary, April 14, 1898 – April 16, 1898, p. 251
Hillman, John Constantine (1865 - 1932), Bragdon, George Chandler (4/29/1832 - 8/7/1910), Bragdon, May (5/16/1865 - 3/21/1947), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Aroix, Jean Baptiste, MacArthur, Davis, Charlotte Gleason (4/12/1861 - 1938), Rogers, Mabel S. (b. 11/17/1870), Joiner, Edith M. (7/3/1868 - 7/4/1935), Gilmore, Joseph H. (b. 9/9/1863), Pedro, Diana
Holmes, Burton (1870 - 1958), Hillman, John Constantine (1865 - 1932), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Bragdon, Claude (8/1/1866 - 9/17/1946)
Davis, Charlotte Gleason (4/12/1861 - 1938), Behn, Margarette (1854? - 7/1899), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Orchard, Helen Elizabeth (7/21/1872 - 2/6/1899), Joiner, Edith M. (7/3/1868 - 7/4/1935), Goulding, Gertrude (3/17/1867 - 6/12/1933), Bragdon, Claude (8/1/1866 - 9/17/1946), Hillman, John Constantine (1865 - 1932), Burgess, Frank Gelett (1/30/1866 - 1951), Wray, Elsie Celia (b. 1864), Wallace, Fredericka (10/23/1871 - 1953), Powers Building (Rochester, N.Y.), Pedro
May Bragdon Diary, April 9, 1897 – April 10, 1897, p. 21
Hillman, John Constantine (1865 - 1932), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Dodds, Mary B. (b. 1877?), Powers, Rose Edith (1872 - 1943), Bragdon, Claude (8/1/1866 - 9/17/1946), Orchard, Helen Elizabeth (7/21/1872 - 2/6/1899), Joiner, Edith M. (7/3/1868 - 7/4/1935), Morey, William Carey (1843 - 1925), Cutler, James Goold (4/24/1848 - 4/21/1927), Sibley's (Rochester, N.Y.), Interpres
May Bragdon Diary, July 9, 1897 – July 14, 1897, p. 89
MacArthur, Mary (3/12/1869), Bragdon, Claude (8/1/1866 - 9/17/1946), Hillman, John Constantine (1865 - 1932), Behns, Bragdon, George Chandler (4/29/1832 - 8/7/1910), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Summerville (Rochester, N.Y.)
Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Hillman, John Constantine (1865 - 1932), Hawley, Mary Cornelia (8/27/1868 - 1/12/1939), Bragdon, Claude (8/1/1866 - 9/17/1946), Wallace, Fredericka (10/23/1871 - 1953), Lyceum (Rochester, N.Y.), Gorton and McCabe (Rochester, N.Y.), Dake Drug Co. (Rochester, N.Y.)
Bragdon, Claude (8/1/1866 - 9/17/1946), Hillman, John Constantine (1865 - 1932), Orchard, Helen Elizabeth (7/21/1872 - 2/6/1899), Joiner, Edith M. (7/3/1868 - 7/4/1935), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Diana
Wolfe, Alice Louise (b. 1857?), Wolfe, Gurdon C. (8/1890 - 1928), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Hillman, Edith V. (1879? - 1923), Hillman, John Constantine (1865 - 1932), Moore, Nan
May Bragdon Diary, September 28, 1906 – November 19, 1906, p. 214
Bragdon, Henry Wilkinson (9/6/1906 - 3/15/1980), Bragdon, Charlotte (8/26/1872 - 12/15/1907), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Hillman, John Constantine (1865 - 1932), Hillman, Edith V. (1879? - 1923), Boyce, John L., Weller, Frieda (1889 - 1926?), Bragdon, Claude (8/1/1866 - 9/17/1946), MacArthur, Mary (3/12/1869), Whitten, Alice E. (b. 1875?), Davis, Frank Allen (3/21/1873 - 6/1/1953), Davis, Lillian May (1871 - 1910), Davis, Frances Graham (9/9/1906 - 10/6/1983), Joiner, Edith M. (7/3/1868 - 7/4/1935), Steinhausen, Meta (1879 - 1969), Cro' Nest (Rochester, N.Y.), Flinch
May Bragdon Diary, November 2, 1893 – November 3, 1893, p. 260
Bellamy, Charella (1865? - 2/16/1920), Bragdon, George Chandler (4/29/1832 - 8/7/1910), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Bragdon, Claude (8/1/1866 - 9/17/1946), Hillman, John Constantine (1865 - 1932), Goler, Caroline Chandler (b. 3/16/1869), Lyceum (Rochester, N.Y.)
May Bragdon Diary, December 29, 1901 – January 1, 1902, p. 297
Chapin, Goler, Caroline Chandler (b. 3/16/1869), Chapin, Frances (b. 1857?), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Bragdon, Claude (8/1/1866 - 9/17/1946), Beach, Fred H. (b. 4/1869), Hillman, John Constantine (1865 - 1932), Hay Island (Ontario, Canada), Rochester Orphan Asylum (Rochester, N.Y.)
Aroix, Jean Baptiste, Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Hillman, John Constantine (1865 - 1932), Bragdon, Claude (8/1/1866 - 9/17/1946), MacArthur, Mary (3/12/1869), Joiner, Edith M. (7/3/1868 - 7/4/1935), MacKenzie, Maud Marion (b. 1873?), Hawley, Mary Cornelia (8/27/1868 - 1/12/1939), Cook Opera House (Rochester, N.Y.)
MacArthur, Mary (3/12/1869), King, Emma E. (b. 1872), King, Fay (b. 1871?), Cutler, James Goold (4/24/1848 - 4/21/1927), Cutler, Anna Katherine (1845? - 1924), Cutler, Joseph Warren (7/13/1857 - 1934), Davis, Frank Allen (3/21/1873 - 6/1/1953), Joiner, Edith M. (7/3/1868 - 7/4/1935), Hillman, John Constantine (1865 - 1932), Bragdon, Claude (8/1/1866 - 9/17/1946), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Orchard, Helen Elizabeth (7/21/1872 - 2/6/1899), Humphrey, George P. (1864 - 1952), Granite Building (Rochester, N.Y.)
May Bragdon Diary, November 10, 1898, p. 300
Davis, Charlotte Gleason (4/12/1861 - 1938), Humphrey, George P. (1864 - 1952), Bragdon, Claude (8/1/1866 - 9/17/1946), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), MacArthur, Bragdon, George Chandler (4/29/1832 - 8/7/1910), Hillman, John Constantine (1865 - 1932), Rochester Orphan Asylum (Rochester, N.Y.)
Burgess, Frank Gelett (1/30/1866 - 1951), Hillman, John Constantine (1865 - 1932), Bragdon, Katherine Elmina (12/30/1837 - 9/6/1920), Flack, Reginald Gamble (1/24/1881 - 1975), Gutman, Bertha (b. 1877?), MacArthur, Mary (3/12/1869), Joiner, Edith M. (7/3/1868 - 7/4/1935), Wilkinson, Henry Wilhelm (11/20/1869 - 12/8/1931), Bragdon, Claude (8/1/1866 - 9/17/1946), Bragdon, Charlotte (8/26/1872 - 12/15/1907), Cutler Building (Rochester, N.Y.), Hovey's (Rochester, N.Y.), Lake Ontario


text:
Former Delaware post commander pleads not guilty in Marietta case
By Glenn Battishill - gbattishill@aimmedianetwork.com
Elschlager
Courtesy photo | Ohio State Highway Patrol
A former Ohio State Highway Patrol lieutenant facing charges of tampering with records and theft in Delaware County has pleaded not guilty to menacing, abduction and other charges in a separate criminal case in Washington County, Ohio.
William P. Elschlager, 47, of Marietta, entered a not-guilty plea in Washington County Common Pleas Court on Monday to six charges, including abduction, criminal trespassing, menacing by stalking and receiving stolen property. The Associated Press reports the charges stem from an affair he had with one of his troopers' wife while he was post commander in Marietta.
A trial was set for Aug. 3. The Associated Press reports he is under house arrest after posting $25,000 bail.
Elschlager was also indicted on May 6 by a Delaware County grand jury on a charge of tampering with records and six counts of theft, all third-degree felonies. Prosecutors said charges were filed after two guns were found in his home.
"The guns had been in evidence during the time Mr. Elschlager was a patrolman at the Delaware County post of the Ohio State Highway Patrol," Delaware County Prosecutor Carol O'Brien said after the indictment. "One gun was supposed to have been destroyed, while the other had been catalogued as having been returned to the owner."
Prosecutors said Elschlager later left his position at the Delaware post and became post commander at the Marietta post.
An arraignment for the charges has been set for July 15 at 9:15 a.m. in Delaware County Common Pleas Court. A summons to appear in court has been issued to Elschlager.
Delaware County Common Pleas Judge Everett Krueger will preside over the case.
According to the Ohio Revised Code, sentences for third-degree felonies range from a fine to between one to five years in prison.
Officials from the Ohio State Highway Patrol said that Elschlager was fired on Feb. 1 for "conduct unbecoming of an officer" and other offenses after he was charged with the incident in Marietta Municipal Court.
Officials report Elschlager had been with the Ohio State Highway Patrol since 1997.
http://aimmedianetwork.com/wp-content/uploads/sites/40/2016/06/web1_william-elschlager.jpgElschlager Courtesy photo | Ohio State Highway Patrol
By Glenn Battishill
gbattishill@aimmedianetwork.com
Glenn Battishill can be reached at 740-413-0903 or on Twitter @BattishillDG. The Associated Press contributed to this report.
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Monster Movie Kid and Kansas City Cinephile are beyond excited to announce that Vince Rotolo has been inducted into the Monster Kid Hall of Fame. Thank you to everyone who voted in this year's Rondo Awards. Of course, we all wish Vince were still with us to celebrate but I know he has the best seat in the house with his beer and TV dinner ready to go. Without a doubt, Vince is the most deserving man to win this award. Without Vince, the B Movie Cast community wouldn't exist, countless friendships never would have happened and so many movies would never have been discovered.
This week on episode 503 of the Dread Media Podcast, I offer up my thoughts on The Belko Experiment (2017)! Check out the trailer in case you missed this one at the theater. Dread Media is a podcast you should listen to each and every week, whether I'm there or not! When you do, tell 'em Monster Movie Kid and the KC Cinephile sent ya!
This week on episode 502 of the Dread Media Podcast, I take a look at the bizarre and controversial 1971 flick from director Ken Russell, The Devils.
This month on episode 4 the Classic Horrors Club Podcast, Jeff and I offer up a double feature with a look at The Amazing Colossal Man (1957) and War of the Colossal Beast (1958)! Check it out and please let us know what you think! We're always open to suggestions and feedback!


text:
Improving communication between obstetric and neonatology teams for high-risk deliveries: a quality improvement project
Nathan C Sundgren1,2,
Frances C Kelly3,
Emily M Weber4,
Merle L Moore4,
Ganga Gokulakrishnan1,2,
Joseph L Hagan5,
M Colleen Brand1,
Jennifer O Gallegos1,
Barbara E Levy4,
Regine M Fortunov1,2
1Department of Neonatology, Texas Children's Hospital, Houston, Texas, USA
2Department of Pediatrics, Section of Neonatology, Baylor College of Medicine, Houston, Texas, USA
3Department of Quality and Patient Safety, Texas Children's Hospital, Houston, Texas, USA
4Department of Nursing, Texas Children's Hospital, Houston, Texas, USA
5Center for Research and Evidence-Based Practice, Texas Children's Hospital, Houston, Texas, USA
Correspondence to Dr Nathan C Sundgren; ncsundgr{at}texaschildrens.org
Summoning is a key component of communication between obstetrics and neonatal resuscitation team (NRT) in advance of deliveries. A paging system is a commonly used summoning tool. The timeliness and information contained in the page help NRT to optimally prepare for postdelivery infant care. Our aim was to increase the frequency that summoning pages contained gestational age and reason for NRT attendance to >90%. At baseline, 8% of pages contained gestational age and 33% of pages contained a reason for NRT attendance. Sequential Plan-Do-Study-Act cycles were used as our model for quality improvement. During the 8-month improvement period, the per cent of pages increased to 97% for gestational age and 97% for reason for NRT attendance. Measures of page timeliness, our balancing measure, did not change. Summoning communication between obstetric and NRT is crucial for optimal perinatal outcomes. The active involvement of all stakeholders throughout the project resulted in the development of a standardised paging tool and a more informative paging process, which is a key communication tool used in many centres.
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
http://dx.doi.org/10.1136/bmjoq-2017-000095
In March of 2012, obstetric practice at our institution moved to the newly opened Texas Children's Hospital Pavilion for Women (PFW) Houston, Texas, from an adjacent delivery hospital. Prior to this transition, the labour and delivery (LD) personnel sent a team page to the neonatal resuscitation team (NRT) via a paging operator to summon the team for a delivery. The pages relayed location of the delivery and a predefined set of information items using a paging tool. NRT and LD were generally satisfied with this system and the desired information was usually transmitted.
There were several issues with the system after moving to the new hospital location. The NRT noticed a decline in per cent of pages with gestational age and reason.
NRT worked with our Golden Hour Team, an interprofessional and multidisciplinary group focused on care of babies in the delivery room, to address this concern. Our hypothesis was that newly hired staff unfamiliar with the paging system, which did not change with the transition to PFW, may have reduced the effectiveness of the prior system.
Our aim (key measure) was to increase the frequency that summoning pages contained gestational age and primary reason NRT was needed to >90%. Our balancing measures were per cent of deliveries where the NRT page was received before birth and time interval between NRT page receipt and delivery of baby. These were chosen to ensure that any improvement in information sharing in the pages was not detrimental to timely arrival to deliveries.
Healthcare error is the third leading cause of death in the USA,1 and communication errors are often the root cause.2–4 According to the Joint Commission, ineffective communication contributed to 72% of obstetric sentinel events resulting in perinatal mortality or permanent disability.5 Coordinating activities with other units like the neonatal intensive care unit was the most frequent communication barrier in a study of LD providers.6 Given the increasing complexity of the current healthcare environment, communicating effectively within and between teams has never been more important.
Summoning is a key component of communication between obstetrics and NRT in advance of high risk deliveries, which has unique challenges.7 The Neonatal Resuscitation Program recommends communication of expected gestational age, amniotic fluid colour, number of babies expected and any additional risk factors,8 but does not address the timing or vehicle for delivery of this critically important information. A paging system is a commonly used summoning tool and the primary method used at our institution. The timeliness and information contained in the page (gestational age and reason for NRT attendance) help NRT to optimally prepare for postdelivery infant care.
Little data exist on how to optimally summon NRT to deliveries. In one survey, 44% of individuals reported use pages or text messages to summon NRT to deliveries at their institution.9 In the same survey, individuals in institutions with a standardised script for communication, such as the paging tool described here, were more satisfied with the level of communication.9 Another study reports improvement on frequency of five critical information items communicated from LD to NRT when changing from verbal-based communication to computer-based text/page system.10 Therefore, a paging tool such as the one we describe might improve communication of critical information items and user satisfaction at other institutions.
Baseline measurement
The Golden Hour Team had previously developed a checklist for NRT to use to prepare for every attended delivery and collects data on quality measures of delivery room care. These data are stored in a database for quality improvement and safety monitoring. Prior audits have demonstrated a >90% collection rate and use of the checklist by NRT for attended deliveries.
Members of NRT generally agreed that a high percentage of pages included gestational age and reason for NRT attendance, but had slowly declined in frequency since transitioning to PFW. But our database did not record these data and no prior data on these measures were available. In February of 2014, we obtained prospectively all the transcripts for pages to NRT in 2-week blocks. This analysis revealed that 8% contained gestational age and 33% contained the reason NRT was needed at delivery (n=229). Subsequent paging transcripts of 2-week intervals were obtained and analysed periodically. In May 2014, the percentage of pages containing gestational age was 17% and reason for NRT attendance was 75% (figure 1).
Information received from pages improved to our goal of >90%. All pages for NRT were included in transcripts analysed. Pages were excluded if they were test pages, non-urgent transfer requests or for locations outside the routine delivery areas of the hospital. Data were grouped into 2-week intervals (range of n, 32–135) and displayed in a P chart for (A) gestational age and (B) reason for NRT. The horizontal dashed, red line represents our smart aim goal. Vertical lines represent the start of each PDSA cycle. NRT, neonatal resuscitation team; PDSA, Plan-Do-Study-Act.
The balancing measures were routinely recorded in our database since March of 2012. The data include all deliveries of babies NRT was paged, which would include babies already born and in the newborn nursery. Data were excluded if page time was >10 min after delivery as this was assumed to not be a delivery room issue. Local guidelines (neonatal triggers) define the high-risk deliveries that NRT should be present at, but LD staff are encouraged to page NRT for concerns about delivery even if not listed in the guidelines. The baseline per cent of pages received before birth was 88.6% and the mean time between receiving the page and birth was 11.5 min (n=2640).
The Golden Hour Team made revisions to the existing paging tool (online supplementary figure 1A) in May 2014 to encourage inclusion of gestational age and reason for NRT attendance and updated for use in PFW. The Golden Hour Team met with LD nursing leadership and key clinical stakeholders to gain support and buy-in for reintroduction of the paging tool to LD.
Supplementary file 1
[SP1.pdf]
The method for summoning NRT at baseline consisted of the following steps:
The LD primary nurse called the paging operator at a number designated for NRT.
The LD nurse provided the operator with delivery location and any other information felt necessary.
The page operators freely typed the message in no consistent format containing the information they were given and sent the page to NRT.
NRT received the page as text messages on mobile phones and alpha numeric pagers.
The team focused on the second step as a way to standardise what information LD communicates to the paging operator. A later Plan-Do-Study-Act (PDSA) cycle addressed the third step by standardising the message format and information sent by the paging operators to NRT.
The Golden Hour Team reintroduced the paging tool and re-educated all parties involved on its use. We used PDSA as our model for quality improvement. Box lists and defines the PDSA cycles sequentially that were used in our quality improvement project.
Plan-Do-Study-Act (PDSA) cycles
Aim: To improve the percentage of pages summoning NRT to a delivery containing the gestational age and the reason for NRT presence.
PDSA 1 intervention: introduced paging tool and changed caller from primary LD nurse to LD unit coordinator (7 May 2014–17 June 2014).
We revised the previous paging tool (online supplementary figure 1A) and reintroduced it to the PFW LD team. The revised paging tool was provided to the paging operators as well. We reminded the LD nursing staff about the tool at morning meetings and through personal contact during the work day. LD nursing leaders also asked that LD unit coordinator become responsible for calling the paging operator using the tool to transmit the information.
PDSA 2 intervention: decreased number of options for reason NRT was needed and changed back to primary LD nurse as caller (19 June 2014–7 October 2014).
LD staff were receptive to the paging algorithm, and feedback indicated the paging tool was easy to use. LD staff recommended the indications be streamlined. We, therefore, decreased the number of reasons to summon NRT from 20 to 9. Indications not eliminated focused on diagnoses requiring a specific resuscitation approach in the delivery room (eg, meconium presence). LD nursing leaders determined the primary LD nurse should summon NRT instead of the unit coordinator as this person was most familiar with the LD patient.
PDSA 3 intervention: paging operators trained and encouraged to prompt LD caller for missing paging tool information (8 October 2014–21 October 2014).
The paging operators were given and trained on the revised paging algorithm. We worked directly with the paging operators and their director to prompt the LD staff for the information on the paging tool, but ultimately they were to include whatever information they received without delaying the summoning page. The director of the PFW paging operator team joined the Golden Hour Team to better understand the problem.
PDSA 4 intervention: LD nurse leader took over education of LD staff about paging tool and decreased number of reasons further (22 October 2014–16 December 2014).
An LD nurse leader (MLM) was invited to join the Golden Hour Team and took over education about the paging tool for LD staff and encouraged its use. The paging algorithm criteria were further reduced from 9 to 5 reasons for summoning the NRT response team to streamline the paging process (online supplementary figure 1B).
PDSA 5 intervention: paging tool developed into a drop-down list in the paging system used by the paging operators (17 December 2014 to end).
We codified the paging algorithm in a computer program developed by the paging operator director. The computer program listed the criteria that the summoning page to NRT should contain. This technological cognitive aid for the paging operators assisted prompting the LD staff for information and reduced the time needed to type in the information provided by LD. It also put the text page into a consistent format and order of location, gestational age and reason NRT was needed.
PDSA 6 intervention: badge tags made of final paging tool and distributed to LD (13 January 2015 to end).
Based on additional LD feedback, a final revision of the paging algorithm reinstated several summoning criteria previously removed as they were the most common reasons NRT was paged to a delivery. This final paging algorithm was made into a badge tag (online supplementary figure 1C), and distributed to the LD team for use as another cognitive aid.
LD, labour and delivery; NRT, neonatology resuscitation team; PFW, Pavilion for Women;.
A P chart was used to display the percentage of pages with gestational age or reason for page tracked in biweekly intervals. A P chart was used to display the monthly percentage of deliveries for which NRT was paged before birth. The χ2 test was used to compare the proportion of deliveries for which NRT was paged before birth. An X-bar chart and an S chart were used to display the monthly mean and SD, respectively, of the time between paging NRT and delivery.
PDSA cycles 1 and 2, although well intentioned, resulted in decreased information shared in the summoning page, reaching a nadir in October 2014 of 7% for gestational age and 29% with a reason for NRT attendance. However, PDSA cycles 3–6 had improved percentage of pages with gestational age and reason for NRT attendance included. By February 2015, >90% of pages contained gestational age and a reason for the page, and improvement was sustained for the next 3 months.
The rate of pages received before birth was tracked and did not change (mean 89.2% compared with baseline mean 88.6%, P=0.86; figure 2). An overall trend to decreased time between receiving the page and birth of the baby was noted but did not reach significance (mean time 10.0 min vs 11.5 min at baseline, P=0.09, figure 3A). An S chart of the data revealed an increase in variability in the interval time from page received to birth after the introduction of the paging tool.
No decrease in timeliness of pages during our quality improvement (QI) work. All deliveries attended by NRT have time page received and birth time recorded in our Golden Hour Team database. Page was counted as received before birth if the page-received time was before birth time. Deliveries were excluded where NRT received a page 10 min or greater after birth time as it was presumed that these did not represent delivery room management related to birth resuscitation. Paging tool refers to the QI work reported here and all data before are baseline data. Data displayed in a P chart. There was no change to this balancing measure (mean 88.6% vs 89.2%, n=2640 vs 1982, baseline vs paging tool, P=0.86). NRT, neonatal resuscitation team.
Trend in decreased amount of time for NRT to prepare. All deliveries attended by NRT have time page received and birth time recorded in our Golden Hour Team database. The difference in these times was the time interval. Pages received shortly after birth had a negative time interval. Deliveries were excluded where NRT received a page 10 min or greater after birth time as it was presumed that these did not represent delivery room management related to birth resuscitation. Paging tool refers to the QI work reported here and all data before are baseline data. Data are displayed as (A) an X-bar chart of the mean time interval and (B) an S chart of the SD of the time interval. There was a trend towards decreased time interval, but it was not significant (mean 11.5 min vs 10 min, n=2640 vs 1965, baseline vs paging tool, P=0.09). NRT, neonatal resuscitation team.
Lessons and limitations
Our primary lesson is that improvements affecting multiple teams and disciplines must involve all parties in the quality improvement process. Initially, the Golden Hour Team was composed of primarily neonatology stakeholders. Our initial efforts to improve the information received in pages (PDSA cycles 1–2) had a negative effect on the per cent of pages with the information we wanted. The first real improvement occurred after an LD nurse manager (MLM) was added to our Golden Hour Team (PDSA cycle 4). Her perspective and relationships within the LD unit strengthened the promotion of the paging tools use to her staff. Additional improvement occurred after the director of the paging operators developed a standardised computer-based method for including the information on the paging tool into the pages sent to NRT (PDSA cycle 5). His contribution was the fruit of him joining our team discussions and understanding the need. We feel that without these additional stakeholders added to our team, we would have never reached our goal.
The second major lesson was on choosing a system within the control of the improvement team. In June of 2015, a hospital-wide standardisation of all summoning pages for all units resulted in the inclusion of only location and no other information. Despite our success, we were unable to use our system to show sustained improvement beyond 3 months past PDSA cycle 6. It should be a consideration when choosing a project if the system you are trying to improve is likely to be in use long enough to be worth the effort.
Our balancing measures were chosen to ensure that use of the paging tool did not increase the time it took to communicate the information from the LD to the operator and subsequently decrease the timely arrival of NRT to deliveries. There was no change in per cent of pages received before delivery. Ideally, NRT would arrive before 100% of deliveries for which they are needed. NRT, however, also responds to deliveries with no fetal or maternal risk factors after which infants are unexpectedly depressed, and to care of infants with respiratory distress or hypoglycaemia appearing after the initial birth stabilisation. A limitation of our study is that indication of attendance of NRT is not included in our database.
We found a decrease in time between page and birth (figure 3A) with our improvement work. This may reflect an increase in the time needed to answer operator questions and for the page to be sent. However, the ideal time of arrival before birth is unknown and may vary by indication for delivery. The NRT team has requested to be present about 10 min before a birth or by the time of the 'time out' in cases of surgical delivery. Obviously this is a difficult target to predict and the data reflect some wide variability in that timing. So even though the interval time decreased, it was still with the requested time frame of 10 min. Of more interest to us was the change in SD over the period of our improvement work (S chart, figure 3B). The work to reintroduce the paging tool coincided with an increase in variability. We expect that, if this was indeed caused by our paging tool, this would have decreased again over time as familiarity with the process continued.
Communication between obstetric and neonatal teams around a high-risk delivery is crucial for good outcomes for the mother and the baby. We report here of an improvement project aimed at one component of the communication, summoning. Although initial PDSA cycles did not result in improved information sharing, active involvement of all stakeholders in an improvement team was key to eventual success. LD personnel championed this project, resulting in >90% compliance with the paging tool in subsequent months. The improvement was cut short by an unexpected hospital system change.
The authors wish to acknowledge the help of George Miller, whose role as director of paging operators was critical to our work's success. He designed the computer algorithm using our paging tool that the paging operators used in the final PDSA cycles.
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Contributors NCS conceptualised and designed the study, collected data, carried out the initial analyses, drafted the initial manuscript, and reviewed and revised the manuscript. FCK carried out additional analyses, helped draft the initial manuscript, and reviewed and revised the manuscript. EMW, MLM, MCB, JOG and BEL defined the PDSA cycles and were integral to implementation of interventions and collection of the data. JLH helped design the data collection database, made all the statistical analyses of the data and helped draft the manuscript. GG and RMF critically reviewed and revised the manuscript. All authors reviewed and approved the final manuscript as submitted and agreed to be accountable for all aspects of the work.
Data sharing statement No additional data are available.
© Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/


text:
Modern/contemporary dance (USA & Canada)
Trainor Dance: Paint the Dancers
Trainor Dance
Lisa Cooley Art Gallery
Cecly Placenti
In this age of increased gun violence, the Trump presidency and its associated discord, #metoo, and the desensitization caused by social media, Trainor Dance's PAINT is a startling social commentary on herd mentality and behavior. A piece that can stand alone as a visually arresting and beautiful display of color, it is also a social experiment and quite a notable risk for a choreographer, and her performers, to take.
As audiences enter and mill around the empty art gallery, hostesses serving wine amidst a crowd adorned with plastic garbage bags and ponchos, a dancer in a white leotard and construction goggles perched on top of her head moves through a series of sculptural poses and meditations. With musicians playing softly in the corner, the familiar pretext of what it means to be at a gallery persists despite the plastic outerwear of the guests … and the fact that most of them are holding paint guns.
Trainor Dance in Caitlin Trainor's "PAINT"
Photo by Paul B. Goode
As more dancers enter and begin to move among the crowd, gently shifting and herding it, somewhere a gun goes off suddenly with a little hiss, bright yellow paint flying through the air, landing on the bare skin of a dancer. A twitter reverberates through the crowd – part nervousness, part excitement, part shock and curiosity. More paint shots are fired and the dancers now have paint on their exposed faces, in their hair, eyes, across their white leotards. I hear giggles as the man next to me offers his gun – he seems much too nervous to take part in this activity. Moments later, just as I am wondering who started shooting and if someone was placed in the crowd to start us off, a recorded message comes over the speakers – the instructions of the game. Each gun has a specific amount of paint. The audience can shoot the guns starting now. And once the last gun is emptied of color, the game ends.
And herein lies the shock, the most telling part of the experiment. With an almost zealous disregard and maniacal enthusiasm, completely unprompted, people shot at other people. Yes it was just paint, harmless and soft. Yes it was obviously the role of the audience to shoot the paint guns that were given to them, and yes it was clearly an integral part of this piece. But the fact that it all began without prompting, without knowing, is disturbing. As the dancers lowered their goggles, I got the sense that they were in that moment resorting to a more improvised structure than perhaps they had planned.
With PAINT, it is choreographer and Artistic Director Caitlin Trainor's intention to see how people will respond to the opportunity to unload paint guns, and it is interesting to note that, at first, most audience members shot at the dancers, not at the white walls or floor. Once the initial shot was fired, the collective nervousness quickly vanished and was replaced by collective cheerfulness as paint flew at a rapid pace and began to decorate the dancers in vibrant washes of color. Then, once the instructions were made manifest, everyone with a paint gun was delighted to shoot. And, I admit, it was delightful! It was delightful to look at the bodies moving around me, at the white walls and grey floor, and add my shock of yellow where it was missing: To design and create art in the moment as part of a larger piece of art that was unfolding around me, and also because of my contribution. The artist in me, and the child in me, celebrated the joy of it, the simple beauty of color unsullied from definite form. I reveled in the fun of splashing around with a paint gun, watching the dancers covered in paint, move and slide and slosh like sculptures come to life.
The dark underpinnings of the piece – the implications of predator and prey – are there, but one can choose to ignore them, distract oneself from the darkness with sensory pleasures – another metaphor for society in 2017, saturated daily with horrors on the news, horrors in schools and dance clubs and on the streets of our hometowns, and also saturated with ways to distance and distract from it.
Another disturbing, and in my mind telling moment, was when a young boy maybe 10 years old entered the gallery without a ticket, went right up to one of the performers, started break dancing, and then made a lewd gesture at her before being escorted out. This infuriated me and served as another example of PAINT's original concept – apparently the social norms of conduct and behavior, the knowledge of time, place, and manner that as a teacher I see greatly lacking in today's youth, are not as hardwired into people as one would perhaps hope.
Did this child and his older brother, who just watched in amusement, not know the proper way to act? Or were they just too self-absorbed in their own agenda to care? The same question could be asked of the overzealous shooters. Did they also not realize the implications of their actions or were they just too self-righteous to even think about it? Those are the bigger questions PAINT leaves me with. Did the safety of the crowd make the initial shooter feel safe and anonymous, or would the same thing have happened in smaller numbers? Are we as a society headed down a dangerous path of self-absorption, narcissism, and a haughty disregard for consequences? Are we becoming more disconnected as technology advances and our exposure to violence increases?
These are the questions art conjures. This is the realm of art as social commentary, as provocation. It causes us to stop and think, question, evaluate, illuminate, and hopefully assimilate into the changes we seek to make, the path of evolution we are on. We get to choose whether that is a blind path or a conscious one. I left PAINT with a lot of questions and with the sense that as a society there is much work to be done. We can and should stop to appreciate the beauty around us, we can and should add to it, yet we also can and should to be conscious and responsible, with our eyes wide open.
I appreciate and commend Trainor and her dancers for the huge risk they took in putting their bodies and ideas out in such a vulnerable way with no control over the outcome. Committed and seasoned performers and beautiful movers, they demonstrate an ability to roll with the punches and stay true to an ideal. An important experiment, I would very much like to see this piece developed based on audience feedback and done in a variety of settings, reaching as many different people as possible.
Tags: Trainor Dance
Categories: Modern/contemporary dance (USA & Canada), Reviews,
Cecly Placenti received her MA in Dance Education from NYU and her BFA in Dance from Montclair State University. Cecly is Artistic Director of Six Degrees Dance, a NYC based contemporary company, and as a dancer has performed with various companies including Chris Ferris and Dancers, The Next Stage Project, Manuel Vignoulle, and ESS/Danceworks. On par with her love for dance is her love for writing. Cecly has been writing dance criticisms for Ballet-Dance magazine for 15 years and is currently full time dance teacher at Bronx Preparatory Charter School in Bronx, New York.
Oakland Ballet: Luna Mexicana
Boston Ballet: McGregor and Elo
Ariel Rivka Dance/Trainor Dance/Texture Contemporary Ballet
Trainor Dance: Courante; Self-Portrait, Reflected; Faux Pas
Trainor Dance: Courante; Self Portrait, Reflected; Faux Pas