text:
Spiderman crouched serenely in the glare of several trained spotlights on the uppermost tip of Oscorp Tower. It had been a good year for the spandex-clad human arachnid. An impeccable capture and arrest record had won him the favour of the NYPD and cleared much of New York's seedy subterranean of its criminal element. On a number of occasions, the masked vigilante had been required to surreptitiously deliver formally-worded apologies in lieu of his appearance at various official gatherings held in his honour and a small bank of medals were building up for him in a glass case in the foyer of the city courthouse. Each evening he simply let himself be seen in this same spot, maybe intervened in the odd escalating domestic or opportunistic mugging, and then disappeared into the night. Spiderman was at the top of his game, the toast of the city.
Behind the mask, as always, hid the somewhat bored Peter Parker. Tonight he half-heartedly mused his way through a massive questionnaire community-mindedly posted up on the enormous billboard opposite by Mental Health America.
Do you feel sad or irritable?
There were significant people missing from his life. At times it really got him down.
Have you lost interest in activities you once enjoyed?
He thought fondly of his skateboard, his camera and portfolio, his school work, his pre-college internship at Columbia, his web-slinging, nabbing the bad guys.
Have you experienced changes in weight or appetite?
Even a year later the novelty of his super-masculine physique still showed no sign of wearing off. He drew his consciousness yoga-style on a tour of his spider-enhanced form. More weight? Increased appetite?
Yes. Surely he could clock off and get some dinner soon?
Have you experienced changes in your sleeping pattern?
He'd more or less exchanged sleep for some sort of spiderly circadian rhythm - a daily pattern of activity and inactivity. It came in really handy while he was studying.
Do you have feelings of guilt?
Those people missing from his life. He felt guilty about two of them in particular every single day.
Are you unable to concentrate, remember things, or make decisions?
He thought with some satisfaction of the adulation Spiderman received from the police these days, the key to the city in "his" glass case and his awesome final grades.
Have you experienced fatigue or loss of energy?
If anything, he was itching for some action.
Have you experienced restlessness or decreased activity noticed by others?
Aunt May and his teachers and his mentor at Columbia could all attest to the constant flurry of activity that passed for his life. Peter liked to keep himself busy these days.
Do you feel hopeless or worthless?
This one gave Peter pause. On the one hand, all those achievements. On the other, no joy, no lightness of being. Was this hopelessness?
Maybe a half.
Have you had thoughts of suicide or death?
At least this question was a no-brainer.
He tallied his score. Four and a half.
According to Mental Health America, five or more yes answers indicates that you may be suffering from clinical depression.
"Great," murmured Peter imperceptibly. "All we need is a giant insect in spandex on the edge of a breakdown."
Peter noticed the blinking of lights of a squad car below and pitched himself effortlessly off the roof of the tower, free falling into the urban sprawl below. At almost the last minute, he shot out a web to halt his descent and angled himself around to land silently, cat-like, on the roof of the vehicle.
"Spiderman. Automatic teller machine ram-raid in progress. 13th and Lennox."
Peter nodded and shot a web into the ether, swinging himself around the block in a perfect arc. As he flew, he fired webs into the faces of the perpetrators. He almost admired their plucky spirit for giving this a go right under his nose.
Within an instant it was over, the money secured, the would-be thieves tied up and in the capable hands of the police who, in this instance, as in many others, had been relegated to the role of Spiderman's personal staff. He tried to avoid speaking to them as much as possible, just offering a minimal salute, almost a doff of his cap, before sailing off into the night sky.
Aunt May, who had adjusted to Peter's mystifying evening routines and staggering appetite, had gone to bed and left him all but her small slice of a giant lasagne. Peter warmed up as large a piece as could be contained on a plate and shoved in the microwave and padded upstairs to his room with it, fork in hand. He plonked himself in front of his computer and began clicking at one of his latest images as he shovelled the food into his mouth.
Mid-mouthful, he felt as much as heard his phone vibrating against the surface of his desk. His eyes widened as he read the text.
"Itsy Bitsy. I've got my eyes on you right now."
Before Peter even registered the familiar but long-absent symptoms of the fight-or-flight response, he had shot a web at the light switch and thrown himself back against the wall, out of the sightline of whoever watched him from the street. The pounding in his chest and veins and head intensified. What if they had surveillance in his house? In his room? He craned his neck to peer cautiously down onto the street. He baulked.
There, directly under the streetlight, was, well, some kind of mirage, a hallucination. Was he even awake? A new physiological response kicked in, not entirely dissimilar from the panic attack that was just abating.


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UK: winter improvements under way at marinaNews // February 28, 2017
Lyminton Yacht Haven on the south coast of the UK has been dredging the marina as part of its annual marina maintenance.
"This winter, we've dredged the marina entrance, the area just west of the end of N pontoon, and the area between the end of E pontoon and the L/M Hammerhead," said the company.
"At the moment, the dredging team is finishing dredging berths C1-C6 having already dredged the rest of C pontoon. Over the coming months, we'll conduct a full survey of the marina floor to identify the areas that we'll dredge next winter."
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subset: commoncrawl


text:
Weather Aware – Another very hot day for Sunday
A few afternoon storms are possible on Sunday with a better chance of rain next week
Sponsored by:
A few afternoon storms are possible on Sunday with a better chance of rain next week
Dr. Elton Bouldin will now be in charge of the Cullman City School's new virtual school program.
Leaders of a north Alabama utility say their water is now safe to use after mixing it with water from a neighboring utility.
After the massacre in Orlando, a college student from the University of Montevallo made the most important decision of his life.
News of Britain's vote to leave the European Union may seem like a world away, but it could hit closer to home than you think.
The Firehouse Shelter in downtown Birmingham is rebuilding their frozen food supply after pigeons shut down their freezer this week.
Jasper police issued a warning Friday about counterfeit bill being exchanged at area stores.
Gov. Robert Bentley asked the FBI for assistance after finding that several state workers in the finance department had unauthorized access …
One man is behind bars after narcotics agents and other officials served a search warrant and seized cocaine, meth and weapons.
With the heat index in the low 100s for Central Alabama, people heading outdoors need to be cautious.
Despite the fact that they have already put it more than two hours of work at summer conditioning the players don't complain. In fact, they …
Tammy Skinner Blackwell was last seen at her residence in the Graysville area on Tuesday, April 4, 2016.
Police expect the roadway to be closed for the rest of the day so they can remove the truck pieces.
Many downtown bars are interested in hiring off duty cops to add more security, but the city has banned Tuscaloosa Police from working at ni…
The Civil Rights Trail in Anniston will tell the stories of local heroes and significant events that help spark the national Civil Rights Mo…


text: My sister is expecting her second nipper, the selfish cnut. I got dicked to be godfather and uncle for the last one, which costs me every birthday, Christmas, Easter, first sh1t in a potty, fist walk, first words, the lot...... Its a fcuking swizz. She is a bit far gone for a termination via the gift of a big cnut hoover but am sure if I paid a few hundred quid there is somewhere she could go to have an 8 Month old feotus removed. She's had a 4D scan and its ugly so no dramas. She's not seen it yet so can't have feelings or any attachments to it and another result is she won't have to endure the pain of forcing it out of her c0ck socket. Pregnant women are a bit hormonal. She is having a gay American style baby shower..... I want to send her a small balsa wood coffin with 'only open if still born' on it, but I've been warned it might meet a frosty reception. How the hell do I broach the subject of getting her to have it aborted? Because its so far gone (so long as they don't kill it by crushing its head) I'd pay to keep it in a jar, then instead of pressies, I'd gladly pay for some fresh pickle juice each year or whenever it gets cloudy. Imagine the entertainment when guests come round when you hurl a near full term dead baby at them or boot it accross the garden to guage a reaction. Anyone else got any funny abortion stories?


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DescriptionDemonstrate and practice time-telling concepts with your class. 5 pieces per pack. Minute and hour hands spin independently. Write-on with a permanent marker and wipe-off with rubbing alcohol. Time-telling activity suggestions are included. Measures approx. 4.5" x 4.5".
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Vilalara Thalassa Medical Spa and Resort in Portugal offers fantastic detox programmes to help rid the body of all toxins, leaving you feeling refreshed and better than ever. Detox programmes require a certain amount of time to be successful, but this Longevity Quick Detox programme allows guests with busy schedules to complete a detox within just 5 nights.
You will enjoy a relaxing beach front setting as your body adjusts to the detox regime and your health improves. Your body will be cleansed through a medically approved juice fasting and detoxifying meal plan. This will be complemented by other detoxifying therapies such as a manual lymphatic drainage and medical pressotherapy, which will assist the body's natural toxin-clearing functions.
You will learn about your health imbalances and how you can fix them during a general medical consultation, clinical examination and a nutrition consultation. An osteopathy session will help you to remove blockages and restore mobility, and a microphysiotherapy session will help the body to eliminate disease and promote good health.
During your stay, you can take part in daily group activities including exercise classes and wellness talks. You will also be able to access the relaxation area, including the sauna, Turkish bath and fitness area.
Including transfers, accommodation & programme
- Accommodation in a Junior Suite Garden View
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You are browsing the archive for January 2013.
By tanpopo on January 18, 2013
"9 Stops" title refers to the 9 light rail stops to be featured in the exhibition and the fstops on a camera. Opening Reception: Friday, February 8, 2013, from 6-9. Food catered by Tanpopo, with a cash bar from the Black Dog. This show was made possible by an Irrigate grant from Springboard for the […]
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Need a book? Engineering books recommendations...
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Re: Request for Joist Load Table[Subject Prev][Subject Next][Thread Prev][Thread Next]
- To: seaint(--nospam--at)seaint.org
- Subject: Re: Request for Joist Load Table
- From: "Harold Sprague" <spraguehope(--nospam--at)hotmail.com>
- Date: Wed, 19 Apr 2006 04:55:23 +0000
Contact SJI. They will give you a free download for the SJI catalogue. On page 44 they will give instructions on how to determine the moment of inertia for an LH joist.
Regards, Harold Sprague
Ashraf Manjappara <ashraf.manjappara(--nospam--at)gmail.com> wrote: Hello David,Thanks for the info. I am doing the design of building which has the LH series joist at the roof which supports steel deck roof. The maximum roof span is 22m and the building is 100mx76m in plan. I am modeling the building in STAAD and I am using beam elements to model joist in STAAD model. Hence if you can give me a reference from which I can get the moment of inertia and other properties of joist that would be helpful for me.regards AshrafOn 17/04/06, David Topete <davetopete(--nospam--at)yahoo.com> wrote: If it's a Vulcraft joist, it looks like a 44" deep, LH-series joist (hence, 1100)...For a 44LH12, the properties are...25lbs/ft, a safe load of 29,600 lbs, and a range of spans from 47 ft to 80 ft.Hope this helps. DT Ashraf Manjappara <ashraf.manjappara(--nospam--at)gmail.com> wrote: Hello all, I would like to know what is the properties of 1100LH12 open web joist. The units are SI. Can anybody give some references? thanks in advance Ashraf
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The Swiss Health Care Systemby Paul Camenzind, Swiss Health Observatory
What is the role of government?
Duties and responsibilities in the Swiss health care system are divided among the federal, cantonal, and communal levels of government. The system can be considered highly decentralized, as the cantons are given a critical role. The 26 cantons (including six half-cantons) are responsible for licensing providers, coordinating hospital services, and subsidizing institutions and organizations. Cantons are like U.S. states in that they are sovereign in all matters, including health care, that are not specifically designated as the responsibility of the Swiss Confederation by the federal constitution. Each canton and half-canton has its own constitution articulating a comprehensive body of legislation.
Who is covered and how is insurance financed?
Publicly financed health insurance: There are three streams of public funding:
- Direct financing for health care providers through tax-financed budgets for the Swiss Confederation, cantons, and municipalities. The largest portion of this spending is given as cantonal subsidies to hospitals providing inpatient acute care.
- Mandatory statutory health insurance (SHI) premiums.
- Social insurance contributions from health-related coverage of accident insurance, old-age insurance, disability insurance, and military insurance.
All government expenditures are financed by general taxation. In 2013, direct spending by government accounted for 20.2 percent of total health expenditures (CHF69.2 billion, or USD50.5 billion), while income-based SHI subsidies accounted for an additional 5.8 percent.
(Please note that, throughout this profile, all figures in USD were converted from CHF at a rate of about CHF1.37 per USD, the purchasing power parity conversion rate for GDP in 2014 reported by OECD, 2015 for Switzerland.)
Including SHI premiums (30.9% of total health expenditure, excluding statutory subsidies), other social insurance schemes (6.5%), and old age and disability benefits (4.4%), publicly financed health care accounted for 67.9 percent of all spending (SFOS, 2015a).
Mandatory SHI coverage is universal. Residents are legally required to purchase SHI within three months of arrival in Switzerland, which then applies retroactively to the arrival date. Policies typically apply to the individual, are not sponsored by employers, and must be purchased separately for dependents.
There are virtually no uninsured residents. Temporary nonresident visitors pay for care up front, and must claim expenses from any coverage they may hold in their home country. Missing SHI for undocumented immigrants remains an unsolved problem acknowledged by the Swiss Federal Council (SFC), the highest governing and executive authority.
SHI is offered by competing nonprofit insurers supervised by the Federal Office of Public Health (FOPH), which sets floors for premiums offered to cover past, current, and estimated future costs for insured individuals in a given region. Cantonal average annual premiums in 2015 for adults range from CHF3,836 (USD2,800) to CHF6,398 (USD4,670) (Appenzell Innerrhoden; Basel-Stadt). Funds are redistributed among insurers by a central fund, in accordance with a risk equalization scheme adjusted for canton, age, gender, and hospital or nursing home stays of more than three days in the previous year.
Insurers offer premiums for defined geographical "premium regions" limited to three per canton. Within every region, the criteria for variation in premiums are limited to age group, level of deductible, and alternative insurance plans (so-called managed care plans with the main characteristic of giving up free choice of first medical contact), but variations in premiums among insurers can be significant. In 2013, 60.6 percent of residents opted for basic coverage with a health maintenance organization, an independent practice association, or a fee-for-service plan with gatekeeping provisions (FOPH, 2014).
Private health insurance: Private expenditure accounted for 32.1 percent of total health expenditure in 2013 (SFOS, 2015a), which is high by comparison with other OECD countries (OECD, 2011). There is complementary voluntary health insurance (VHI, 7.3% of total expenditure) for services not covered in the basic basket of SHI, and supplementary coverage for free choice of hospital doctor or for a higher level of hospital accommodation. No data are available on the number of people covered.
VHI is regulated by the Swiss Financial Market Supervisory Authority. Insurers can vary benefit baskets and premiums and can refuse applicants based on medical history. Service prices are usually negotiated directly between insurers and providers. Unlike statutory insurers, voluntary insurers are for-profit; an insurer will often have a nonprofit branch offering SHI and a for-profit branch offering VHI. It is illegal for voluntary insurers to base voluntary insurance subscription decisions on health information obtained via basic health coverage, but this rule is not easily enforced.
What is covered?
Services: The Federal Department of Home Affairs (FDHA) defines the SHI benefits basket by evaluating whether services are effective, appropriate, and cost-effective. It is supported in this task by the FOPH and by Swissmedic, the agency for authorization and supervision of therapeutic products.
SHI covers most general practitioner (GP) and specialist services, as well as an extensive list of pharmaceuticals, medical devices, home health care (called Spitex), physiotherapy (if prescribed), and some preventive measures, including the costs of selected vaccinations, selected general health examinations, and screenings for early detection of disease among certain risk groups (e.g., one mammogram per year for women with a family history of breast cancer).
Hospital services are also covered by SHI, but highly subsidized by cantons (see below). Care for mental illness is covered if provided by certified physicians. The services of nonmedical professionals (e.g., psychotherapy by psychologists) are covered only if prescribed by a qualified medical doctor and provided in his or her practice. SHI covers only "medically necessary" services in long-term care. The FOPH and Swiss Conference of Cantonal Health Ministers aim to eliminate the gaps in financing of hospice care. Dental care is largely excluded from SHI, as are glasses and contact lenses for adults (unless medically necessary), but these are covered for children.
Cost-sharing and out-of-pocket spending: Insurers are required to offer minimum annual deductibles of CHF300 (about USD219) for adults under SHI, although insured persons may opt for a higher deductible (up to CHF2,500 [USD1,825]) and a lower premium. In 2013, 23.5 percent of all insured persons opted for the standard CHF300 deductible; the other 76.5 percent chose a higher deductible or another model with a gatekeeping element.
Insured persons pay 10 percent coinsurance above deductibles for all services (including GP consultations), but is capped at CHF700 (USD511) for adults and at CHF350 (USD255) for minors (under age 19) in a given year. There is also a 20 percent charge for brand-name drugs with a generic alternative. For treatment in acute-care hospitals, there is a CHF15 (USD11) copayment per inpatient day. Cost-sharing in SHI and VHI accounted for 5.6 percent and 0.1 percent of total health expenditure in 2013.
Moreover, out-of-pocket payments for services not covered by insurance (and in addition to cost-sharing) accounted for 18.1 percent of total health expenditure. Most of these direct out-of-pocket payments were spent on dentistry and long-term care. Providers are not allowed to charge prices higher than SHI will reimburse.
Safety net: Maternity care and some preventive services are fully covered and thus exempt from deductibles, coinsurance, and copayments. Minors do not pay deductibles or copayments for inpatient care. Federal government and cantons provide income-based subsidies to individuals or households to cover SHI premiums; income thresholds vary widely by canton (Swiss Conference of Cantonal Health Ministers, 2015a). Overall, 28 percent of residents (in 2013) benefit from individual premium subsidies. Municipalities or cantons cover the health insurance expenses of social assistance beneficiaries and recipients of supplementary old age and disability benefits.
How is the delivery system organized and financed?
Primary care: As registering with a GP is not required, people not enrolled in managed care plans generally have free choice among self-employed GPs. In 2014, 38.5 percent of doctors in the outpatient sector were classified as GPs. Apart from scale-of-charge measures (see below), there are no specific financial incentives for GPs to take care of chronically ill patients, and no concrete reforming efforts are underway to engage GPs in "bundled payments" for chronic patients (e.g., diabetics). Primary (and specialist) care tends to be physician-centered, with nurses and other health professionals playing a relatively small role. In 2014, 57.2 percent of physicians were in solo practice (Hostettler and Kraft, 2015).
Apart from some managed care plans in which physician groups are paid through capitation, ambulatory physicians (including GPs and specialists) are paid according to a national fee-for-service scale (TARMED). While billing above the fee schedule is not permitted, TARMED offers some incentives for less resource-intensive forms of care. These incentives, however, are criticized by GPs as insufficient to render attractive such services as home visits, after-hours care, and coordinating and communicating with chronically ill patients. In response, the SFC decided to slightly increase remuneration for consultations in primary care as of October 2014, while remuneration for some more technical services (such as computer tomography) has been slightly reduced. The median income of primary care doctors was CHF197,500 (USD144,151) in 2009 (Künzi and Strub, 2012).
Outpatient specialist care: In the outpatient sector, 61.5 percent of doctors were classified as specialists in 2014 (Hostettler and Kraft, 2015). Residents have free access (without referral) to specialists unless enrolled in a gatekeeping managed care plan. Specialist practices tend to be concentrated in urban areas and within proximity of acute-care hospitals. Mostly self-employed specialists can schedule appointments in public hospitals with both SHI and private patients.
Administrative mechanisms for direct patient payments to providers: SHI allows different methods of payment among insurers, patients, and providers. Providers can invoice the patient, who pays up front and claims reimbursement from the insurer, or the patient can forward the invoice to the insurer for payment. Alternatively, providers can directly bill the insurer, who makes payment and bills any balance to the patient.
After-hours care: Cantons are responsible for after-hours care. They delegate those services (fees set by TARMED) to cantonal doctors' associations, which organize care networks in collaboration with their affiliated doctors. The networks can include ambulance and rescue services, hospital emergency services, and walk-in clinics and telephone advice lines run or contracted by insurers. There is no institutionalized exchange of information between these services and GPs' offices (as people are not required to register).
Hospitals: About 70 percent of the 293 acute inpatient hospitals (in 2013) are public or publicly subsidized private hospitals (SFOS, 2015b). For services covered by SHI and billed through a national diagnosis-related group (DRG) payment system, hospitals (this includes private hospitals that receive public subsidies if the cantonal governments have need of their services to guarantee a sufficient supply) receive around half (45%–55%) of their funding from insurers (Swiss Conference of Cantonal Health Ministers, 2015b). The other half is covered by cantons and communes, or, in case of additional services, by private health insurance. There are no arrangements for bundled payments to include entire episodes of care are not used.
Cantons are responsible for hospital planning and funding, and are legally bound to coordinate plans with other cantons. The introduction in 2012 of free movement of patients between cantons under the DRG system has reduced cantonal fragmentation. Remuneration mechanisms depend on insurance contracts; as a consequence, fee-for-service is still possible for inpatient services not covered under SHI. Hospital-based physicians are normally paid a salary, and public-hospital physicians can receive extra payments for seeing privately insured patients.
Mental health care: Psychiatric practices are generally private, and psychiatric clinics and hospital departments are a mix of public, private with state subsidies, and fully private. There is also a wide range of socio-psychiatric facilities and daycare institutions that are mainly state-run and -funded.
Psychiatric hospitals or clinics normally provide a full range of medical services like psychiatric diagnostics and treatment, psychotherapy, pharmaceutical treatment, and forensic services. Often, the socio-psychiatric facilities and daycare institutions offer the same medical services as the clinics, but normally treat patients with less acute illnesses or symptoms. The main field of activity of psychiatric practices is psychotherapy that can be supplemented by pharmaceutical treatment. The provision of psychiatric care is not systematically integrated into primary care. Prices for outpatient psychiatric services are calculated using TARMED, while psychiatric inpatient care prices are usually calculated as a daily rate.
Long-term care and social supports: Services are provided for inpatient care (in nursing homes and institutions for disabled and chronically ill persons) and for outpatient care through Spitex. In some cases admission is possible only through a hospital or by approval from an admission authority. Palliative care provided in hospitals, in nursing homes, in hospices, or at home is not regulated separately in SHI, so coverage of services is similar to acute services in the respective provider setting. There is no provision of individual or personal budgets for patients to organize their own services.
Inpatient long-term somatic and mental services are covered by SHI, but are highly subsidized by cantons. For services in nursing homes and institutions for disabled and chronically ill persons, SHI pays a fixed contribution to cover care-related inpatient long-term care costs; the patient pays at most 20 percent of care-related costs that are not covered, and the remaining care-related costs are financed by the canton or the commune. Long-term inpatient care costs totaled CHF12.0 billion (USD8.8 billion) in 2013, representing 17.4 percent of total health expenditures. Around one-third of these costs (32.0%) were paid by private households, one-quarter (24.1%) by old age and disability benefits, 18.4 percent by SHI and other social insurances, and the rest by government subsidies (25.5%). Of the 1,580 nursing homes (as of 2013), 29.6 percent are state-operated and -funded, 29.6 percent are privately operated with public subsidies, and 40.8 percent are exclusively private (SFOS, 2015c).
Almost half of total Spitex expenditure of CHF2.0 billion (USD1.4 billion), as of 2013 (SFOS, 2015d), is financed by government subsidies (47.5%). SHI and the other social insurances covering the cost of medically necessary health care at home made up roughly one-third (30.0%). The rest (22.6%), devoted mainly to support and household services, was paid out-of-pocket, by old age and disability benefits, by VHI, and by other private funds (SFOS, 2015a). There is no legal basis for financial support for informal help or family caregivers. Most Spitex organizations are subsidized nonprofit organizations (85% of personnel), while the remaining 15 percent are nonsubsidized for-profit organizations (SFOS, 2015d).
What are the key entities for health system governance?
Since health care is largely decentralized, the key entities for health system governance exist mainly at the cantonal level. Each of the 26 cantons has its own elected minister of public health. Supported by their respective cantonal offices of public health, ministers are responsible for licensing providers, coordinating hospital services, subsidizing institutions, and promoting health through disease prevention. Their common political body, the Swiss Conference of the Cantonal Ministers of Public Health, plays an important coordinating role. At the cantonal and the national level, market pressure, i.e., from competition, is felt most by hospitals and by health insurers (OECD, 2011).
The main national player is the FOPH, which, among other tasks, supervises the legal application of mandatory SHI, authorizes insurance premiums offered by statutory insurers, and governs statutory coverage (including health technology assessment) and the prices of pharmaceuticals. Other cost-control measures are shared with cantonal and communal governments. The FDHA legally defines the SHI benefits basket. Professional self-regulation has been the traditional approach to quality improvement.
Prices for outpatient services are set in the fee-for-service scale TARMED, which defines the relative cost weights of all services covered by SHI on the national level and is authorized by the Swiss Federal Council. TARMED values can vary among cantons and service groups (physicians, outpatient hospital services) as negotiated annually between the health insurers' associations and cantonal provider associations, or are set by cantonal government if the parties cannot agree. For inpatient care, the Swiss national DRG system has been in use since 2012. The nonprofit corporation SwissDRG AG is responsible for defining, developing, and adapting the national system of relative cost weights per case.
In addition to the responsibilities of the FOPH and cantonal governments, Health Promotion Switzerland, a nonprofit organization financed by SHI, is legally charged with disease prevention and health promotion programs and provides public information on health. A national ombudsman for health insurance and the Association of Swiss Patients engage in patient advocacy.
What are the major strategies to ensure quality of care?
Providers must be licensed in order to practice medicine, and are required to meet educational and regulatory standards; continuing medical education for doctors is compulsory. Local quality initiatives, often at the provider level, include the development of clinical pathways, medical peer groups, and consensus guidelines. However, there are no explicit financial incentives for providers to meet quality targets.
The Quality Strategy, approved by the SFC at 2009, takes a broad conceptual approach with different fields of action, including the implementation of a national pilot program by the Swiss Foundation for Patient Security on medication safety in acute-care hospitals, a pilot program to reduce hospital infections, and the publication of quality indicators for acute-care hospitals. Quality-control mechanisms usually do not involve information from registries or patient surveys. Registries are organized by private initiatives or cantons, such as the cantonal cancer registries.
At the end of 2013, the SFC mandated a task force led by the cantons and the Swiss Confederation (the Dialogue on National Health Policy) to work out a national strategy for the prevention of noncommunicable diseases (NCDs) by 2016. The strategy aims to improve the health competence of the population and promote healthy living conditions. The National Health Report (Obsan, 2015) discusses the growing number of case management programs for chronic illnesses.
What is being done to reduce disparities?
There are several reasons why health disparities have not attracted as much political and professional interest at the national level as elsewhere: Health inequalities are not considered to be very significant in comparison to other OECD countries; it is difficult to obtain detailed statistical information about the epidemiology of health outcomes; and health inequalities are seen more as the responsibility of cantons, making them less visible at the national level.
The Swiss Federal Council's national Health2020 agenda (FDHA, 2013) includes the explicit objective of improving the health opportunities of the most vulnerable population groups, such as children and the young, those on low incomes or with a poor educational background, the elderly, and immigrants. The aim is to prevent vulnerable population groups from being unable to make appropriate use of necessary health care services. Health and health access variations are measured and reported publicly by the Swiss Health Survey (SFOS, 2014) every five years.
What is being done to promote delivery system integration and care coordination?
Care coordination is an issue, particularly in light of a projected lack of providers in the future and the need to improve efficiency to increase capacity. The task force Dialogue on National Health Policy discusses existing and new approaches to care. The national Health2020 agenda includes a comprehensive projection of the priorities of health care policy until the year 2020. The agenda also addresses care coordination, stating that integrated health care models need to be supported in all areas. The FOPH works on concrete measures to confront these challenges.
Strategies and networks tackling emerging areas of importance, like palliative care, dementia, and mental health, have been created to improve coordination. They start on a conceptual level, aiming at the practical level to encourage different types of health professionals to work together. A growing number of such programs are in the works, as shown in the National Health Report (Obsan, 2015), but pooled funding streams do not exist yet. It is also worth noting the efforts in the area of e-health (see below), which should considerably improve coordination as well.
What is the status of electronic health records?
A national e-health service called eHealth Suisse (an administrative unit of the FOPH) is coordinated by the federal and cantonal governments and has three sets of responsibilities. First, all providers in Switzerland should be able to collect and store information on their patients' treatment electronically. Second, health-related websites and online services will be required to undergo quality certification and a national health website will be constructed. Third, necessary legal changes will be made to realize these measures.
A key element of eHealth Suisse is the SHI subscription card, which encodes a personal identification number and all necessary administrative data. If allowed by the insured person, information about allergies, illnesses, and medication can be recorded on the card. The insured person also decides who is allowed access to this information (all, selected, or no providers). GP e-health is still at an early stage (Vilpert, 2012), and there are ongoing discussions about incentives for physicians to adopt new technologies.
Hospitals are generally more advanced; some have merged their internal clinical systems in recent years and hold interdisciplinary patient files. However, the extent of this integration varies greatly among hospitals and among cantons, despite efforts by eHealth Suisse to convince providers of the benefits of electronic health records for medical practice. An interoperable national patient record is not a priority for eHealth Suisse, since the principles of decentralization, privacy, and data protection are regarded as very important.
How are costs contained?
Switzerland's health care costs are among the highest in the world. "Regulated competition" (Enthoven, 1993) among nonprofit health insurers and among service providers is aimed at containing costs and guaranteeing high-quality health care, and establishing solidarity among the insured. While most of its objectives are considered successfully achieved, academic analyses (OECD, 2011) and public perception have been critical of competition's ability to control health care costs. A global budget, however, has never been regarded as a possible remedy for this problem. Failures are ascribed largely to inadequate risk equalization, the dual funding of hospitals, and pressure on insurers to contract with all certified providers (OECD, 2011). The costs of providing mandatory benefits in the health system could be reduced by up to 20 percent (FDHA, 2013).
An overview of possible cost-reducing measures—in coordination of care, compensating systems, and highly specialized medicine—is part of the Health2020 agenda. The agenda outlines a need for increasing flat-rate remuneration mechanisms and revising existing fee schedules to limit incentives for service providers. Also mentioned is the need for greater concentration in sites of highly specialized medicine to eliminate inefficiency and duplication in infrastructure systems and to increase the quality of health care provision. SwissDRG AG was introduced to contain hospital costs. Inpatient capacity is subject to cantonal planning requirements, and there is a "necessity clause for outpatient providers." See also the section on cost-sharing for patient cost-sharing mechanisms.
To control pharmaceutical costs, coverage decisions on all new medicines are subject to evaluation of their effectiveness (by Swissmedic) and cost (by the FOPH). Efforts are being made to reassess more frequently the prices of older drugs. Depending on national market volume, generics must be sold for 20 to 50 percent less than the original brand. In addition to the aforementioned 20 percent coinsurance for brand-name drugs, pharmacists are paid flat amounts for prescriptions, so they have no financial incentive to dispense more expensive drugs.
What major innovations and reforms have been introduced?
As discussed throughout this profile, the Health2020 agenda outlines important national topics, objectives, and measures for improving quality of life, promoting equal opportunity and self-responsibility, ensuring and enhancing quality of care, and creating more transparency, better governance, and more coordination. In concrete terms, the SFC realized the following nine priorities in 2014 (SFC, 2015):
- Adoption of the message (i.e., official explaining text of SFC) concerning the federal law of cancer registries (implementation date of law: not before 2018;
- Submission for public consultation of the preliminary draft of a federal law concerning a national health quality institute in SHI (new proposal made by the Swiss Federal Council, with open date for implementation);
- Submission for public consultation of a partial revision of the federal law on SHI concerning better control of the outpatient sector, more control of health care cost, and better assurance of health care quality (implementation date of law: mid-2016);
- Submission for public consultation of the preliminary draft of a federal law concerning non-ionizing radiation and sound waves (implementation date of law: open);
- Submission for public consultation of the preliminary draft of a federal law concerning tobacco products (implementation date of law: open);
- Adoption of regulation on the adjustments of tariff structures in SHI (regulation introduced: October 2014);
- Adoption of the results of a public consultation on the federal law concerning health professionals (implementation date of law: open);
- Adoption of the results of a report on the current state of and need for action to support caring relatives;
- Recognition of the results of the new constitutional article concerning primary health care and plans to enact it (implementation date: open).
The Swiss Health Observatory (Obsan) is currently creating an indicator system to evaluate the effects of all measures proposed by the Health2020 agenda.
The author would like to acknowledge David Squires as a contributing author to earlier versions of this profile.
Enthoven, A.C. (1993). "The History and Principles of Managed Competition." Health Affairs, 12, no.suppl 1 (1993):24–48. DOI: 10.1377/hlthaff.12.suppl_1.24.
Künzi, K., and S. Strub. (2012). "Einkommen der Ärzteschaft in freier Praxis: Auswertung der Medisuisse-Daten 2009." Schweizerische Ärztezeitung, 93: 38:1371–75.
Hostettler, S., and E. Kraf. (2015). FMH-Ärztestatistik 2014: "Frauen- und Ausländeranteil nehmen kontinuierlich zu." Schweizerische Ärztezeitung 96(13):462–69.
Organisation for Economic Co-operation and Development (2015). OECD.Stat. DOI: 10.1787/data-00285-en. Accessed July 2, 2015.
Organisation for Economic Co-operation and Development. OECD (2011). Reviews of Health Systems: Switzerland. Paris: OECD.
Swiss Conference of Cantonal Health Ministers (2015a). Online publication.
Swiss Conference of Cantonal Health Ministers (2015b). Online publication.
Swiss Federal Council. SFC (2015). "Gesundheit2020: zehn prioritäten für 2015." Pressemitteilung vom 25.03.2015, Bern.
Swiss Federal Department of Home Affairs FDHA (2013). The Federal Council's Health-Policy Priorities. Online publication.
Swiss Federal Office of Public Health (FOPH) (2014). Statistik der obligatorischen Krankenversicherung 2013. Bern: BAG, Sektion Datenmanagement und Statistik.
Swiss Federal Office of Statistics (SFOS) (2014). Schweizerische Gesundheitsbefragung 2012–Standardtabellen 2012.
Swiss Federal Office of Statistics (SFOS) (2015a). Statistik der Kosten und Finanzierung des Gesundheitswesens 2013.
Swiss Federal Office of Statistics (SFOS) (2015b). Krankenhausstatistik 2013 – Standardtabellen 2013.
Swiss Federal Office of Statistics (SFOS) (2015c). Statistik der sozialmedizinischen Institutionen 2013–Standardtabellen 2013.
Swiss Federal Office of Statistics (SFOS) (2015d). Statistik der Hilfe und Pflege zu Hause 2013–Spitex-Statistik 2013.
Swiss Health Observatory (Obsan) (2015). National Health Report 2015. Hogrefe Verlag, Bern.
Vilpert, S. (2012). Médecins de premier recours—Situation en Suisse et comparaison internationale. Obsan Dossier 22, Schweizerisches Gesundheitsobservatorium, Neuchâtel.


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TELEVISION; Sam Waterston Goes South
By SAMUEL G. FREEDMAN;
Published: November 17, 1991
In the fall of Sam Waterston's senior year at Groton, the Connecticut prep school, the distant world of racial turmoil grazed the edges of his life. It was September 1957, and President Dwight D. Eisenhower had just dispatched Federal troops to enforce the integration of Central High School in Little Rock, Ark. One afternoon, in a classmate's study, Mr. Waterston joined a conversation about the events.
Long after he had forgotten what anybody else said, Mr. Waterston remembered the words of a student named Tom, from North Carolina. He favored equal rights and integration, he told the others, but if those soldiers had entered his town, he would have risen in protest.
This year, some 34 autumns later, Mr. Waterston has brought the memory of that peculiarly tortured Southern soul to the widely praised new NBC series, "I'll Fly Away." He portrays Forrest Bedford, the district attorney in a small Southern town feeling the first rumblings of the civil rights movement, a man quietly torn between moral principles and his stake in segregation's social order.
"I had always wondered about the heat of it," Mr. Waterston said in a recent interview in Manhattan, recalling Tom's argument. "I didn't understand what was behind it. But when I started thinking about this character, I thought about Tom immediately, and those kinds of conflicts.
"There is this safe zone for Forrest, in which he says, 'This is what the law says, and we'll do what the law says to do,' " he continued. "And you can try to do that without engaging your own feelings. But it leads him into trouble. He's asking what's going on out there, and he can't help asking, too, what's going on in here." He tapped his heart.
With his struggle between duty and conscience, Forrest Bedford represents the most recent in a sequence of such roles inhabited by Mr. Waterston. And quite probably, even with the moderate ratings for "I'll Fly Away" in its 8 P.M. time period on Tuesdays, Forrest is the most widely seen of them all.
It has been 10 years since Mr. Waterston last performed in a network series, and that effort, "Q.E.D.," lasted only eight episodes. Yet even in his guise as a professor named Quentin Everett Devereaux, Mr. Waterston confirmed his taste in roles. From the physicist J. Robert Oppenheimer on "American Playhouse" in 1982 to the journalist Sydney Schanberg in the film "The Killing Fields" (1984), to Broadway stage turns as an idealistic architect in "Benefactors" (1985)and a diplomat in "A Walk in the Woods" (1988), Mr. Waterston has repeatedly returned to cerebral and tormented characters. In the coming months, he adds two more to his roster in the films "Mindwalk" and "A Captive in the Land."
"What I really like to play is people in morally ambiguous situations," said Mr. Waterston, who is 51. "That's where things get juicy. The whole area of melodrama is, 'He killed my father, and I'm gonna kill him.' But 'Hamlet' is: 'Am I allowed to do this? If I kill him, does he go to heaven?' "
The comparison is not idle. During a long association with the New York Shakespeare Festival, Mr. Waterston has played both the eloquently equivocal Hamlet and Laertes, the embodiment of action. But even then, Mr. Waterson recalled with relish, "John Guare said it was the first time he'd seen a Laertes more neurotic than Hamlet."
His gift for the contemplative derives, at least in part, from pedigree. In a nation that celebrates its most visceral actors, from Marlon Brando to John Malkovich, Mr. Waterston comes from an uncommonly erudite background. The child of a painter and a British-born teacher, he proceeded from Groton to Yale, studying history and French. To this day, he packs his weekend bag with copies of Granta and The Nation along with Variety.
Ironically, Mr. Waterston first made his name in broad, comic roles -- Jonathan Rosepettle in Arthur Kopit's "Oh Dad, Poor Dad," Silvius in "As You Like It" (both 1963) and Cloten in "Cymbeline." But with his 1972 Broadway turn as Benedick in "Much Ado About Nothing," a romantic hero whom one critic said he filled "to the last corpuscle," Mr. Waterston won Drama Desk and Drama Critics Circle awards.
Moving from Henrik Ibsen to Woody Allen, Samuel Beckett to Tennessee Williams, Mr. Waterston established himself as the thinking man's surrogate and the thinking woman's hunk. One of the few gaps in his resume was performing in a successful network series. Which, it could be argued, said less about Mr. Waterston's limits than those of the genre.
Yet Mr. Waterston was the only actor whom Joshua Brand and John Falsey, the creators and producers of "I'll Fly Away," approached to play Forrest Bedford. "Forrest is a flawed man, struggling to do the right thing," Mr. Brand said. "And when we described that to Sam, he said, 'That's what I do best.' By which he meant, 'I play people who think.' "
From his end, Mr. Waterston felt stirred by the script as well as the shmooze. "I never read anything as television series material that was this good," he said. "It was as good as material I read for any medium. It's dramatic. It's substantial. It's got a center."


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Civil War Series
First, Do No Harm
Thomas Fanning Wood achieves a dream of becoming a doctor much sooner than he could have imagined. There is no time for an apprenticeship, not during the height of war.
(Volume 2, Part 3)
Thomas Fanning Wood achieves a dream of becoming a doctor much sooner than he could have imagined. There is no time for an apprenticeship, not during the height of war.
(Volume 2, Part 3)
From battlefields to minstrel shows, music becomes a rallying cry of loyalty and motivation. But as deaths and hopelessness mount, the songs convey a haunting sense of loss
(Volume 2, Part 2)
The Traditional Voices Group of Burnsville preserves the stories and culture of the mountains, and hosts RiddleFest.
Musicians attached to the 26th North Carolina regiment rouse patriotic spirit, bolster flagging morale in the face of gruesome casualties, and are vital to the regiment's command and control system. (Volume 2, Part 1)
Submit your messages of thanks and support for members of the U.S. Armed Forces.
With millions of young men lost in — or lost to — battle, and economic calamity a relentless opponent, women are forced into new roles: farmers, mill workers, entrepreneurs, even rioters. Daily realities of survival, fear, danger, and desperation are just some of a war's challenges that transcend class and social status. (Volume 1, Part 8)
The war reaches North Carolina, but pacifists in the Old North State secretly oppose the Confederacy.
(Volume 1, Part 7)
At first, soldiers from both North and South return to their regiments in prisoner-of-war exchanges. But when officials end the old system in hopes of diminishing the slaughter, captured soldiers face death in the prison camps. (Volume 1, Part 6)
The captain of the Yadkin Stars is a fearless and loyal leader. But throughout his tenure and journey north as a prisoner of war, William Henry Asbury Speer remains haunted by a weary ambivalence toward the cause and this unwinnable war.
(Volume 1, Part 5)


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Career Exploring and Planning and The Job Search Process are each 2-credit hours and are offered in the fall, spring, and summer as full and mid-semester courses. Both courses are offered online and as distance education web courses.
This class is designed for undergraduate students who have not firmly committed to a major or a career. Students will explore: skills, interests, and values clarification; decision making; career resources on campus; employment outlook; and career options.
This class deals with the job search as related to the college major and career. Practical and proven strategies and exercises for establishing and succeeding in careers are emphasized. Skills and interest assessments are part of the course. Guidelines for successful job searches including researching prospective employers, resume and cover letter writing, effective interview techniques and procedures, as well as career development issues are covered. Critical thinking skills and internet research related to careers are also developed.
Career Services is currently redesigning these career courses to better support the objectives of our Greater Than a 4-Year Plan: Plan It, Build It, Work It, Live It approach to career readiness.
Four one-hour courses will cover the progressive steps of your career plan from your freshmen year until graduation.
View jobs and internships, search employers, sign-up for on-campus interviews, and learn about career fairs and events.


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From Mike Conlon, VIVO project director
Charlottetown, PEI, CAN; Austin, TX discoverygarden and DuraSpace are pleased to announce three digital repository-related New York City events that will take place on November 28, 29, and 30. Take advantage of this opportunity to meet people interested in digital repositories, participate in hands-on learning, ask questions, and access helpful resources. We hope to see you there!
From Mike Giarlo, software architect, Stanford University Libraries, on behalf of the Hydra-in-a-Box tech team
Palo Alto, CA Development on the Hydra-in-a-Box repository application continues, and here's our latest demo. Continued thanks to Indiana University for contributing to these sprints!
From Susanna Mornati, Chief Operating Officer, 4Science Milano Italy October has been another busy month for 4Science!
The DSpace-CRIS Community now has a new member, the Cyprus University of Technology, that made the decision to migrate from DSpace to DSpace-CRIS. 4Science was asked to provide them with the necessary support.
From @mire A few months ago we were once again on a quest for new co-workers. Selecting candidates based on a few conversations and tests is always an intense process. Luckily, there's always one important indicator telling us if a candidate may be suited for a job at Atmire.
Qatar University Library Strengthens Functionality of its Institutional Repository Through Elsevier's ScienceDirect APIs
From Elsevier Improving Coverage and Discoverability of Published Research by Qatar University Authors
From Mike Conlon, VIVO project director
From Tim Donohue, DSpace Tech Lead for DuraSpace, on behalf of the DSpace developers
I would like to formally announce that DSpace 6.0 is now available! DSpace 6 provides significant API enhancements and new features to the DSpace platform.
Austin, TX This year the DLF (Digital Library Federation) Forum Nov 6-10, is combined with two additional events–the Liberal Arts Colleges Pre-Conference and Digital Preservation 2016. The event will be held in Milwaukee, Wisconsin at at the historic Pfister Hotel.
More information is available here: https://www.diglib.org/forums/2016forum/
From Elliot Metsger, Senior Programmer/Analyst, Digital Research and Curation Center, Johns Hopkins University, on behalf of the Fedora API-X group


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Case Study: Rider University Women's Soccer
"Performa Sports is cost effective, easy to use and provides the information that you want to focus on"
— Drayson Hounsome, Rider University
The 2014 Metro Atlantic Athletic Conference Championship Winners, Rider University women's soccer team have to continued to build on their talent development programme in New Jersey.
Head Coach Drayson Hounsome uses performance analysis as a key component of his coaching in terms of tactical and tecnical development of the women's soccer team. Despite losing out this year, the consistent development of Rider Broncs is evidenced with 2015 being their third consecutive semi-final appearance.


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Sarah Balakrishnan is a doctoral history student at Harvard University, currently interested in African intellectual history, 20th century global intellectual history, postcolonialism, Marxism, and race theory. She also experiments with various multimedia forms including photo essays, documentaries, and GIS.
Sarah received her B.A. with First Class Honours in History from McGill University in 2014. Her undergraduate dissertation was titled "Six Hours of Silence: An Oral History of Rumours on Atta Mills' Death in Ghana's Fourth Republic," and was presented at the 2014 Social Science Research Council's (SSRC) conference in Montreal. While at McGill, Sarah received the Margaret MacMillan Prize for Top English Literature Student, a "History Commendation Prize" from Undergraduate Awards-Dublin for a paper studying rumours as sources for subaltern history, and was a finalist for the Rhodes Scholarship. Sarah was also the 2013 Canadian, North American, and North American Women's Debating Champion, and in 2014 was ranked in the World's Top 10 Speakers.
Sarah can be reached via email at email@example.com. Her Twitter handle is @SMCBalakrishnan, and her blog sarahbalakrishnan.tumblr.com.


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Occasionally I like to have a play with digital painting in photoshop… I would confidently say I'm pretty rubbish but none the less I enjoy it and I thought I'd share a concept I was playing with a couple of weeks ago. It's a little bit rough around the edges and I think it's something I'll revisit over this year. I'd really like to update my computer and tablet because I think it will ramp up my productivity a little more, hopefully I can look into that at some point.
It seems like I'm keeping my own promises and pushing on with my creative restart, I feel like I've built a very strong project for the year and I'm already feeling excited about what I'll produce in that time.
The ability to sketch, doodle and polish my work while on the go has only been possible for me in recent months but I would fully attribute my successful concentration on access to apps such as adobe draw and adobe sketch. I am by nature a traditionalist with an interest in digitisation but this has stream lined my work flow. This latest illustration is based on a sketch from around 5 years ago, maybe more. I love pattern making… I love arts and crafts so I suppose these sketchs revolved around those ideas but are now certainly more focused on constructing a bold image.
#vectorillustration #birds #bird #drawing #conceptart #adobe #art #draw #illustrator #illustration #sketch #pattern #image #graphicdesign #graphics
I've spent some time looking back at sketches that never amounted to anything and discovered I have various characterisations of birds. I've picked my favourite few and started to rework them.
These illustrations will be more ambitious than my doodles and I hope that as I keep pushing on it becomes more and more visible in each piece.
Feeling good considering I've only been back at it for a couple of weeks.
Night three of reminding myself how to hold a pen and also how much fun I can have when I'm not worrying about what my work may end up being or the context and meaning of the image. This is a 10 min sketch and colour using the iPad again, the doodle is probably 7 or 8 years old and I've just used it as a back plate for inspiration.
New website, new look trying to make a new start.
Illustration above will be at Gallery Pangolin in the coming months.


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(I would hum the theme from Jurassic Park right about now if I knew the theme from Jurassic Park.) (What?!? Don't judge, no one can see everything!)
Tag: photos
Some more from SXSW
Huge thank you to @CinderblockDFW for having us, we had such a good time playing the Block Party! Peace out sxsw ✌🏻 pic.twitter.com/vy3IOnaBPJ
— CASTRO (@CastroTheBand) March 19, 2017
Nice picture! (But where's the bootleg?) (What do you mean, there's no bootleg?!?!) (If you see any bootleg, let me know, please…)
There's also a really nice review from Jillian Pedersen from Spirit 105.9:
I did hear a clip of their live performance. Their harmonies meld together so perfectly in a way only musically talented siblings are able to do. So, if you're looking for new music with incredible vocals and encouraging words, look no further than Castro.
But of course!
For the rest of the piece, click on the nice clicky link I made for you here.
(You know, you could have read this hours ago if you were following Castro on Twitter. I'm just sayin'.)
Also! SXSW's YouTube channel has the "Automatic" video up as "Showcasing Artist 2017":
Video posted by SXWS
I wanna be at SXSW, too!
(And if you'd only Like/Follow Castro's Facebook page, you wouldn't need me to know all this stuff. MAKE IT SO!)
Related show
Hurrah, there shall be New Music!
(Hi, Stephen!)
That is quite a room.
…Wait, wait, did I hear "new songs"? GO AND MAKE IT SO!
More from the Grammer/DeGraw tour…
From Dallas, TX to Boca Raton, FL… Meet @CastroTheBand! They are opening up for @andygrammer & @GavinDeGraw at @MiznerParkAmphi. pic.twitter.com/kYOQXUhkyU
— Live Nation Florida (@LiveNationFL) November 10, 2016
Opening band love for @CastroTheBand pic.twitter.com/LxzBd5L4yZ
— brebrookesmom (@brebrookesmom) November 11, 2016
Also there's a bunch of great photos at RexFeatures.com. (Sorry, I can't bring them over, but you can look at them there!)
Live in The Vineyard
"Don't Stop"!:
Thanks for the bootleg link, jasonnnfan!
And the Grammer/DeGraw tour begins!
Shreveport, LA:
Some bootleg! "Diamond Dreams"–
Super impressed with @CastroTheBand I'm buying their EP as I tweet this. Check them out! #NewMusic #DiamondDreams pic.twitter.com/U3cx25Fe7w
— Caroline Kelley (@Caroline_Snaps) November 3, 2016
And on the road to Show 2:
Thanks for the finds, ArtTeacher!
Still more tour, with bootleg!
Now, now, we'll get to the bootleg. Moving along…
And we have an excellent recap from Columbus by our own ArtTeacher, so be sure to check it out in our forum. There are also photos:
(That's a teaser. Go check out the recap for the rest!)
And here's the bootleg–thank you, Rose Queen!
Good For You:
Video by rosequeen49
Video by rosequeen49
Video by rosequeen49
Diamond Dreams:
Video by rosequeen49
Thank you for the finds, Jasonized and ArtTeacher–and for the great recap, Arty!–and for the videos, RoseQueen!
And yet moar tour…
And also, LIVE VIDEO! (Okay, well, it WAS live. Originally.)
(Lissen, NYC is my hometown, and I am very sad that I cannot make this show. If you can, GO! Highline Ballroom, like, NOW.) (And please bring back bootleg.) (Or maybe a photo?)


text:
Thursday 6 March 1902
It was Thursday, under the sign of Pisces. The US president was Theodore Roosevelt (Republican).
But much more happened that day: find out below..
Or have a look at the whole 1902.
Old Newspapers
Have a look at the old newspapers from 6 March 1902 and get them!
Which were the most popular movies released in the last months ?
Find out your future
Get a FREE Numerology report based on the digits of 6 March 1902!
Wish him/her..
Historical Events
Which were the important events of 6 March 1902 ?
- In Ghana, - The National independence day.
- Casimir Pulaski Day in Illinois (2006, first Monday of March).
- Saint Chrodegang
- Saint Fridolin
- Saint Coleta of Ghent
- In 2004, the Jewish holiday of Purim begins.
Famous Birthdays:See famous people born on 06 March
- Real Madrid: Real Madrid was founded.
Music Charts
Which were the top hits in that special week of March 1902 ?
Top #2 songs in the USA
- The Palms - Jules Levy
- Arkansaw Traveler (new version) - Len Spencer
Get back in touch
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text: Integration of IEEE 1451 and HL7 Exchanging Information for Patients' Sensor DataWooshik Kim, Suyoung Lim, Jinsoo Ahn, Jiyoung Nah, Namhyun KimJ. Medical Systems2010HL7 (Health Level 7) is a standard developed for exchanging incompatible healthcare information generated from programs or devices among heterogenous medical information systems. At present, HL7 is growing as a global standard. However, the HL7 standard does not support effective methods for treating data from various medical sensors, especially from mobile… (More)


text:
The first auctions will be a New York-themed sale that includes the 10-foot tall Yankee Stadium sign that stood on top of old Yankee Stadium.
Tagged with: auctions eBay Long Island New York Sotheby's Yankee StadiumRead More »
March 17, 2015 Comments Off on EBay and Sotheby's launch joint auction site
The first auctions will be a New York-themed sale that includes the 10-foot tall Yankee Stadium sign that stood on top of old Yankee Stadium.
Tagged with: auctions eBay Long Island New York Sotheby's Yankee StadiumRead More »
July 10, 2013 Comments Off on LIRR to run extra trains for MLB All-Star game
The Long Island Rail Road's Port Washington Branch will provide service every half-hour to Mets-Willets Point, with some trains running even more frequently when necessary.
Tagged with: Citi Field Long Island Rail Road Major League Baseball MLB MTA New York Mets New York Yankees Queens subway Yankee StadiumRead More »
May 15, 2013 Comments Off on NY Islanders, Rangers to play at Yankee Stadium
The New York Islanders and New York Rangers will meet in the open air of Yankee Stadium on Jan. 29, 2014, as part of the 2014 Coors Light NHL Stadium Series.
Tagged with: hockey Long Island New Jersey Devils New York Islanders New York Rangers New York Yankees NHL Yankee StadiumRead More »
July 14, 2012 Comments Off on Real estate: the new rock 'n' roll?
Real estate brokers went to see Roger Waters' "The Wall."
Tagged with: CB Richard Ellis commercial real estate concert music NAI Long Island Real Estate real estate brokers Yankee StadiumRead More »
June 25, 2012 Comments Off on Mickey's watering hole up for auction
Auction Tuesday at Mickey Mantle's Restaurant.
Tagged with: Auction baseball bidding David R. Maltz & Co. Major League Baseball New York Yankees restaurant Yankee StadiumRead More »
August 17, 2010 1 Comment
New York's Public Integrity Commission is set to hear charges that Gov. David Paterson improperly solicited and accepted tickets to the first game of the 2009 World Series at Yankee Stadium in violation of state law. Paterson denies doing anything ...
Tagged with: David Paterson Yankee StadiumRead More »
April 13, 2009 Comments Off on Stadiums raise stakes with restaurants
Besides comfortable seats and better sightlines, the new stadiums for the Yankees and Mets are bringing a new brand of dining to the ballparks. For example, the Yankees opened a high-end steak house in their home Yankees Global Enterprises, the ...
Tagged with: baseball Citi Field restaurants Yankee StadiumRead More »


text:
- Model
Our invitation factory is specialized in designing and wholesaling luxury boxed wedding invitation. A great alternative to our embellished boxes are plain wedding invitation boxes as featured below in a size of 6x6x1 inches and ivory silk. High quality and always new trend designs made us the leading supplier of silk boxes.
Padded inside and outside with a ribbon holder behind the flat style lid. Hand-made product of Thailand with very high quality.
The size and color can be modified, hundreds of colors are available.
This wedding invitation box is also available in sizes as 7x7x1 inches or 8x9x0.5 inches if requested.
Size shown: 6x6x1"
Material: Silk
Color: Ivory
Style: Wedding invitation box
Usage: Wedding + invitation cards
Sample order: Yes
OEM: Yes


text:
|File size:
|Date added:
|08 Aug 2015, 04:52
|Operating system:
|Windows, Mac, Linux, Android, IOS
|Total downloads:
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|Product ranking:
|Download now
Usually as a medium-quality (128 Kbps)) mp3 file. Na Na Na Na (J Star)) - DJ Vispi 3 Album: Single DJ Mixes 01 - Tum.Ad Method 6 of 9: Converting Audio 1 Visit a conversion website. Packages built and distributed using setuptools look to audiosuite the audiosuite user like ordinary Python packages based on the distutils. There are a couple of websites that allow you to enter a video link into an input field and rip the audio track from it for download, and you dont have to include the entire setuptools package in your distributions.Album: Mausam 01 - Baaga Ma Jab Mor 3. Your users dont need to install or even know about setuptools in order to use them, national Song of India (Vande Mataram)).mp3, album: Baazigar, album: Talaash, album: 15 August (Independence Day)) Special Songs 07 - Tujhe Dekh 3. Album: Kalyug 99 PROBLEMS MP3 DOWNLOAD 01 - Ae Mere 3,
If you find you need a Zip program, there are many "free zip programs" available for download from the dOWNLOAD ADOBE READER 8.1 FREE internet. Installation, instructions: When the Bible program download window appears, select the "Save" the file option and then select the folder to save the file to (such as "Temp".) When the download is complete, extract the.
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text:
With pilot and two paramedics on board, the helicopter started spinning shortly after take off and crashed about 20 seconds later, causing fatal injuries to pilot Patrick Mahany.The helicopter hit a parked pickup truck and travel camper and the helicopter was consumed by the ensuing fire.
Flight paramedic Dave Repsher was burned in the crash and was described shortly after as being in critical condition, while flight nurse Matt Bowe sustained unspecified injuries and is in fair condition.
- Date
- July 3, 2015
- Reg
- Make
- Eurocopter
- Model
- 7595
- Location
- nr St. Anthony Summit Medical Center, Frisco
- Country
- US-Colorado
- CivilMilitary
- Civil
- Fatal
- 1
- Operator
- Air-Methods
- Link 1
- http://www.denverpost.com/news/ci_28439885/ntsb-flight-live-crash-wreckage-recovered-investigation-ongoing
- Link 2
- http://www.usatoday.com/story/news/nation/2015/07/03/witness-helicopter-crashes-takeoff-colo/29675677/
- Link 3
- http://q13fox.com/2015/07/03/pilot-killed-2-injured-in-flight-for-life-helicopter-crash-in-colorado/
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text:
58, Springboro, OHHello! I feel I am very "young" for my age and enjoy being very active---from traveling, snowskiing, tent camping, rollercoasters, gardening and hiking to quiet activities such as reading, building fires, candlelit dining, etc. I am an honest and upbeat person and highly value this trait in others. I enjoy children and have worked with them for over 28 years in the field of education. I have been single for almost 16 years and strongly value family, my faith, good health and taking care of yourself. I exercise regularly and am "into" natural foods, herbs, etc...but that certainly doesn't rule out the occasional pizza or the world of chocolate!
61, Springboro, OHHi. My friends would describe me as passionate, kind, honest, intelligent/articulate, and spiritual. I enjoy listening to many styles of music, as well as playing a musical instrument. I also enjoy, among many other activities, dancing, skiing, tennis, and going to the gym for a good workout! (My ideal man should also be interested in health, fitness, and music...) I'm an emotionally healthy and stable woman and I want to meet a man who is my equal. I also enjoy traveling very much, and have traveled to many places around the world throughout my life... now would love to be able to plan trips to various parts of the US to visit the different regions and see the many spectacular wonders within our country. I have traveled extensively during these past few years, however, my travel has been limited to overseas. My family, on my mother's side, lives in Germany. When I have the opportunity, and time, I like to fly there to visit and spend time with them. I am also a "very much romantic at heart" person and passionate about many aspects of life... but also am a realist when its necessary... well rounded/balanced. My Catholic faith also plays an integral part in my life as well and I look for someone who wants to share in that part with me. I know, from first hand experience, that a relationship that shares in a common faith will work! I'm in this to give it my best shot... And I'm looking for that one special guy who also feels the same way. We all need to be focusing on searching for those people, who we feel will make our lives richer... if what you have read and seen appeals to you, and are sincerely interested in developing a passionate, loyal, and committed relationship that's based on real friendship and true love, then I invite you to share more about yourself and what you're looking for in a partner. This could be a most wonderful match! (let's see what develops!) ...and thanks for reading my profile. Look forward to hearing from you soon ...
68, Springboro, OHI am a young at heart 62 year old divorced recently retired medical sales professional. My friends tell me I look much younger than my chronological age and they describe me as being strong, honest, funny, energetic and respectable. In my spare time I enjoy working out, gardening, reading and dining out with friends as well as attending concerts.
47, Springboro, OHMe: Dad, family, Tall, ambitious, traveler, caring, chivalrous, independent, fun, supportive, witty, lively, social, driven, commited, spontaneous, happy and grateful. You: Family, independent, smart, beautiful, motivated, caring, energetic, playful, ready, adventourus, confident, sensual, elegant and happy. Together: Awesome, unstoppable, partners, communicate, supportive, focused, loving, affectionate, reliable, best friends and tourist local and abroad. For those of you familiar, five languages of love for me: 1) Physical/touch and 2) Quality Time.
30, Springboro, OHI am currently working in a small town's school district. I recently graduated with my Master's from Ohio University. I attend a small group study with others my age once a week. I enjoy working out as much as I can because my job can be a little stressful. I enjoy going to the movies, reading, and shopping.
57, Springboro, OHHi and thanx for looking me up..... The two most important things are faith and family. Growing up being the oldest of 7 in a traditional Catholic family has created the core of who I am. Mostly around kids then, and spending time with my family's kids now, it keeps me young and young at heart. I think of myself as a warm, affectionate, supportive and fun-loving person. Even in this crazy world still believe in the hopeless romantic... Besides family/kids, i enjoy the outdoors and staying fit -hiking, cycling, jogging and camping. I also enjoy history, movie nights -at home or out, and just enjoying who I'm with.
51, Springboro, OHI am...pretty laid back...love the outside...not as much in the winter though...gardening...something that a very much enjoy...talking walks...bike riding...love a good fire. Ok..i am lookin.. for the woman. .that can't wsit for me to get home from work...cause. ..I'm rushin to get there..cause she beat me there..because together. ..WE are complete. This...is the woman that will..be my wife..best friend. .lover..companion. .i..want to make her laugh...and she ..can make me laugh. I want her to cry..on my shoulder. . Cause. .I cried on hers I..want us to play..together. .walk together. .watch sunsets together. .not only at home. .but at the beach. .while on vacation.
55, Springboro, OHI am a very family oriented person. I have raised 3 children who have been my life. Now that they are grown, I am back in school to improve myself . I love to travel, mostly out west. I enjoy reading and interesting converstions. I love to dance and go horseback riding, or just staying in and having quiet time.
27, Springboro, OH
59, Springboro, OHI love my family, my Catholic faith, shopping, music, and my job -- among many other things. My ancestry is Irish and Dutch (50/50). Since I have no children, I consider my 12 nieces and nephews as my children. I think that I am a very upbeat, positive and blessed person.
36, Springboro, OHI'm passionate about life. I love to travel, go on adventures, stay active and spend time with family and love my career. I am divorced and have two girls. I try to live life to the fullest and appreciate this beautiful world God created for us.
Browse Catholic Singles by Gender:
Catholic Dating By Diocese:
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text:
Zoom Mini-Aluminum
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The SOG Specialty Knives & Tools ZM1001-CP Zoom Mini is a unique, versatile and fast opening folding knife that has many applications, while showcasing SOGs style and quality construction. Made of AUS-8 steel with an attractive satin polished finish, the 3.15-inch straight edge, folding blade has a drop point shape that allows for quicker and deeper puncture upon insertion and makes quick work of any task. SOG Assisted Technology (S.A.T.) works through the balance of opposing high-tension coil springs. As you initiate the opening action, the force propelling your blade open becomes greater than the force keeping it closed. The result is a blade that springs open instantly once it is engaged, seemingly on its own. The piston locking mechanism uses a movable bar thats wedged between the blade tang and knife handle to lock the blade in place while in the open position. The ergonomically contoured and well-balanced handle features a black finish and is made of aluminum for an extremely light weight knife. The reversible belt clip provides a low and discrete carry for right and left handed users or can be removed for pouch storage. The ZM1001-CP has a closed length of 4.15-Inch, overall length of 7.3-Inch, blade thickness of 0.1-Inch and weighs 3.7-ounces. The SOG Specialty Knives & Tools ZM1001-CP Zoom Mini comes with a limited lifetime warranty. Each SOG product is created with the help of company founder and chief engineer, Spencer Frazer. Known for their uncompromising style and performance, these knives and tools showcase innovation, dependability and a unique, futuristic style that has garnered awards and recognition worldwide.
Additional Info
|Additional Info
|Package Includes
|UPC Code
|Brand New
|Condition Description
|This item is brand new, unopened and sealed in its original factory box.
|30 Day Warranty
|Qty Available
|Model Number
|Package Length
|Package Width
|Package Height
|Shipping Costs
|Ship From Zip
|MAP Price (minimum advertised price) This is the lowest price you can advertise this product for (you can always price higher), if 0.00 then there is no MAP price and you can sell for whatever price you choose.
|Returns Accepted
|You can return your purchase for up to 30 days, There will be a 20% restocking fee on unwanted items (if you are not returning for an exchange the item is considered unwanted). If the item is defective please contact us to set up an exchange.


text:
Duke Energy exec Jim Turner resigns
Jim Turner has resigned as chief operating officer of Duke Energy Corp.'s regulated utilities as part of an ethics issue surrounding Duke Energy Indiana's hiring of a former regulatory attorney.
Turner was in charge of Duke's five state utilities. He was involved in the company's decision to hire Scott Storms, general counsel for the Indiana Utility Regulatory Commission, away from that body in September.
The circumstances surrounding that hiring and Storms failure to recuse himself from all Duke-related issues at the commission while negotiating for the position led Duke to fire Storms and Duke Indiana President Mike Reed in November.
They also led Indiana Gov. Mitch Daniels to fire David Hardy, the head of the utility commission, for allowing Storms to continue to serve while discussing the job with Duke.
The Indianapolis Star made a public-records request for e-mails between Duke executives and the commission about Storms. They included dozens of e-mails between Turner and Hardy that raised questions about the appropriateness of the relationship between the regulator and the executive.
Duke Chief Executive Jim Rogers has said Duke's (NYSE:DUK) own investigation into the hiring — which remains open — did not show any impropriety. And Turner admitted none in his voluntary resignation. But he did acknowledge that he failed to maintain the standards necessary in his position.
"As a leader, I have a duty to exercise the highest level of professionalism at all times in my communications. In certain e-mails to a former commissioner in Indiana, I fell short of this standard," he says in a prepared statement. "I am choosing to step away at this time so that our company and our employees can begin to move on from this distraction. I believe this is the best path forward for me and the company."
Turner joined Duke in the 2006 merger with Cincinnati-based Cinergy Corp., following Cinergy Chief Executive Rogers, who took over the merged companies. Rogers accepted Turner's resignation Monday, although no actual departure date has been set.
"We appreciate Jim's long service to Duke Energy and its predecessor companies," Rogers says. "I accept Jim's decision and respect his strong sense of personal accountability."
Turner had worked for Cinergy since 1995.
Most of the division heads who reported to Turner will, for the time being, report directly to Rogers. A Duke spokesman says no decision has been made on looking for a replacement for Turner.
The regulatory commission has its own continuing investigation into the Storms hiring. And the Federal Bureau of Investigation has made inquiries to determine if any federal laws may have been broken in the case.
Turner is the first vice chairman of the Charlotte Chamber, scheduled to be its chairman next year.
"Jim has played an active role in the chamber for a number of years," chamber President Bob Morgan said in a prepared statement Monday. "We greatly value all that he and Duke Energy have done to help grow our local economy and keep the Charlotte Chamber strong.
"As to Turner's serving as chairman of the chamber in 2012, no decision has been made as of yet. A formal process will ensue to identify his replacement."


text:
Fidelity Security Life Insurance Company vs Humana
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Fidelity Security Life Insurance CompanyInsurance
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- Claims process1
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- Customer service20
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- Health coverage10
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