text:
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text:
Mindy Smith is the new chief executive officer of Union Associated Physicians Clinic, succeeding Patrick S. Board, who was appointed Union Health System chief executive officer in December, according to a news release.
Smith most recently served as vice president of clinics, outpatient services and development at HealthEast Care System in St. Paul, Minn. HealthEast consists of three general acute-care hospitals, one long-term acute-care facility, 15 primary-care clinics and 13 outpatient centers, a home healthcare agency and a transportation company.
"We are looking forward to having Mindy's experience as part of UAP Clinic and Union Health System team," Board said. "Mindy has a passion for customer service, is an excellent communicator and works to foster excellent relationships with physicians. She also has considerable experience working as part of an integrated healthcare organization that will be helpful as we continue efforts to advance the [UAP] system."
Smith began her career with an internship at a specialty hospital where she decided health care was her passion and then went on to work in several health systems. Smith was an administrator of a small physician practice in Minneapolis before joining the HealthEast Care System and serving in several different roles with increasing responsibility over her 20-year tenure.
Smith earned her bachelor's degree at the University of Minnesota in Duluth and her master's degree in organizational leadership at the College of St. Catherine in St. Paul.
"I am honored and grateful for the opportunity to join the Union Health System team during a rapidly evolving and exciting time in the healthcare industry," Smith said. "As I assume the leadership position of UAP Clinic, I am mindful of both the legacy created by Pat Board and the stewardship necessary to continue our forward movement. With the support of the board, physicians, staff and community leaders, I have every confidence we will continue to successfully build upon our existing foundation focused on the health and wellness of this great community."
Smith and her husband, Mike, have two sons in college.

subset: commoncrawl


text:
- Filed Under
2010 was a year of transition for Boone County.
Photos: Boone County year in review
Politics was rough-and-tumble, bringing new members to Fiscal Court and ousting the only remaining Democrat in county government. In the statewide election, Boone County racked up big numbers for political newcomer Rand Paul, helping to send the Bowling Green eye doctor to the U.S. Senate. ...


text: A residence on Harrison Street, pictured here Saturday in Cumberland, was damaged by fire on Jan. 20. Two girls — Paige M. Ford, 7, and Jymera Ford, 4 — were killed in the blaze that officials eventually determined as accidental in origin. According to City Administrator Jeff Rhodes, who recently detailed the status of several fire-affected properties, extensive communication was necessary to prompt the insurance company/owner to begin demolition. The demolition is complete but additional work is necessary to reface the exposed wall and create a parking area for the remaining units.


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Comment posted ARSN submission to Rural Education Commission by Crazy She-Bat.
Simon – some fairly predictable pap from yourself there.
Out for SNP blood today are we?
If you do at some point get the time to read the ARSN submission, would be interested in hearing your thoughts.
Crazy She-Bat also commented
- Thank you Simon. Was worried we'd sent you into a coma trying to read it LOL
- Thank you
- Simon, can I take it from your silence you have no comment on this at all? Don't tell me we are agreeing on stuff again!
- Simon??????????????
- What no comments from the Peanut Gallery?
Here we are laid wide open and no biting critisisms? no comprehensive dissection?
Let's get the debate started! Some feedback would be most appreciated.
Simon, please don't let me down!
Recent comments by Crazy She-Bat
- No nationalist politicisation of the Games?
I do agree with you in one respect Sceptic. Why have a Proclaimers song performed without the Proclaimers? Surely, we could have afforded the real thing!
- No nationalist politicisation of the Games?
I stand corrected, however, I did watch it live and don't remember seeing half of those shots. I can admit this is perhaps my error as it wasn't until the following day, a video taken from within the crowd went out on social media that looks as if there is a great deal more flags. If I can find the video again, I will post a link.
I did forget to say in my original post, maybe Newsie could investigate the reports that the MOD were asked to provide a helicopter to fly over Parkhead so Salmond could jump out James Bond style with a big saltire parachute with "Yes" on it?
- No nationalist politicisation of the Games?
Wow! Been so busy hiding in the hills from the tartan overdose I missed this article!
Maybe because I am probably one of the commenters who lives a bit nearer to Glasgow than most, I have a completely different take on this?
1. Opening ceremony – Cringetastic! Highlights were the games being opened by 2 openly gay people and a male/male kiss seen by billions around the world. Although Karen "Shotgun Nostrils" Dunbar does my head in, it was a good idea to have them open the games considering its illegal to be gay in 42 of the 53 Commonwealth Countries. I also hear Eck has the rainbow flag flying instead of the saltire for the duration of the games.
2. Red, white and blue over the Girodome. Most Weegies see a totally different symbolism in this.
3. Wheel out the oldest, wrinkliest, auld duffer you can find to prove Scots are not genetically wired to die before they are 50. No I don't mean Sir Chris Hoy's uncle, I'm talking Rod Stewart. Sounds no bad for a guy that gargles with razor blades.
If you really want a story – ask yourselves why the Scottish crowd's reaction to our team entering the stadium was not shown on the BBC? I've seen video on the dreaded Social Media of that moment and there is a sea of Saltires and Lion Rampants being waved all over the stadium. Why wasn't that shown?
- National newspaper lambasts SNP mess in Argyll
And so the spotlight of the National media shines again on Argyll…
and as usual, not for a good reason.
Lets just say it like it is – Local Government is not and has not been working here for some time. The upper echelons of the council needs completely gutted, Councillors and Officers alike and in their place, something that actually works for the people of Argyll in the best interests of the populous and not for their own selfish benefit.
- Am dram wardrobe for Scottish team's Commonwealth Games Opening Ceremony costumes
Its taken me a couple of days to feel brave enough to venture near the internet or the tv and come forward. I am a victim of ocular assault.
After washing my eyeballs with bleach (from Lidl) I am dismayed to see that my first impressions of the Commonwealth Costumes are correct. Who knew there was a tartan named "Puke"?
I would love to know what that wee woman was smoking when she designed that. It certainly wasn't kippers.
It truly is awful. Supporting Scotland in any sport is embarrassing enough, but this takes the Tunnock's teacake.
Is it not too late to change it to tracksuits and baseball caps? The unofficial uniform of Greater Glasgow anyway? And it would be the first time a tracksuit would have been worn in the city by someone actually taking part in sport.
I think I shall spent the 23rd of July hiding up in the hills with a paper bag over my head pretending to be a wild haggis.
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text:
Luigi Guiso
AXA Professor of Household Finance, Einaudi Institute for Economics and Finance (EIEF)
Fellow, Centre for Economic Policy Research (CEPR)
London School of Economics and Political Science, Msc, 1980
University of Essex, Mphil, 1982
Research Interests
Household Financial and Savings Choices, Preference Measurement and Formation, Culture and Economics, Macroeconomics and Finance.
Invited Lectures
"Processo agli Economisti (e all'Economia) - La Difesa", presentation by Luigi Guiso, Festival dell'Economia 2009, Trento
Robert A. Mundell Distinguished Address, 67th International Atlantic Economic Society - Rome, March 12, 2009 "Social Capital as Culture" (with Paola Sapienza and Luigi Zingales)
Luigi Guiso's Marshall Lecture at the 2007 EEA Meeting in Budapest, Journal of the European Economic Association, 2008 (amont the 25 most popular working papers or journal articles on RePEc) Marshall Lecture, European Economic Association, Budapest, August 2007
Selected Publications
"Cultural Biases in Economic Exchange?" (with Paola Sapienza e Luigi Zingales), Quarterly Journal of Economics, 2009
"Culture, Gender and Math" (with Fernando Monte, Paola Sapienza and Luigi Zingales), Science, 2008
"Trusting the stock market" (with Paola Sapienza and Luigi Zingales), Journal of Finance, Dec 2008, leading article
"Risk Aversion, Wealth and Background Risk" (with Monica Paiella), Journal of the European Economic Association, December 2008, pp.1109-1150, leading article
"Spillovers in Industrial Districs" (with Fabiano Schivardi), Economic Journal, 2007, 117, pp.68-93
"Does Culture Affect Economic Outcomes?" (with Paola Sapienza and Luigi Zingales), The Journal of Economic Perspectives, Spring 2006, Vol. 20(2), pp. 23-48
"Insurance within the Firm" (with Luigi Pistaferri and Fabiano Schivardi), Journal of Political Economy, 2005
"Uncertainty and Dynamic Durable Adjustment" (with Giuseppe Bertola and Luigi Pistaferri), The Review of Economic Studies, 2005
"Awareness and stock market participation" (with Tullio Jappelli), Review of Finance, 2005
"Does Local Financial Development Matter?" (with Paola Sapienza and Luigi Zingales), Quarterly Journal of Economics, 2004, 119 (3), pp.929-69
"The Role of Social Capital in Financial Development" (with Paola Sapienza and Luigi Zingales), The American Economic Review, 2004, 94 (3), pp. 526-556
"The Demand for Money, Financial Innovation and the Welfare Cost of Inflation: An Analysis with Household Data" (with Orazio Attanasio and Tullio Jappelli), Journal of Political Economy, 10, 2002
Honors, Awards and Fellowships
Winner of the Smith Breeden Prize as "Distinguished Paper" for "Trusting the Stock Market" (joint with Paola Sapienza, and Luigi Zingales), 2009
Marshall Lecture on "Social Capital as Culture" at the European Economic Association, 2007
Winner of the 2002 World Financial Association "Nasdaq Award" for the best paper on capital formation: "The Real Effects of Local Financial Development"
Phone : 0039 06 4792.4858
Fax : 0039 06 4792.4872
E-mail: luigi.guiso[at]eief.it


text:
Journal of the New Zealand Medical Association, 11-June-2010, Vol 123 No 1316
How to achieve New Zealand's shorter stays in emergency departments health target
Mike Ardagh
A patient journey
2pm Thursday: A general practitioner (GP) sees a 48-year-old man with cough and fever, worsening despite 2 days of oral antibiotics. He notes high fever, tachycardia and crepitations in his right lung base and decides admission to hospital for intravenous antibiotics is required. He addresses a letter to the emergency department (ED) including his findings and requesting admission.
3pm: The patient is triaged and put in an ED cubicle. A nurse inserts an intravenous cannula and sends off blood tests.
3.50pm: A senior house officer (SHO) sees the man, takes a history, examines him, reviews the blood results and organises an X-ray of his chest.
5pm: The SHO reviews the X-ray and consults with an ED registrar. The registrar briefly takes the patient's history and listens to his chest. He concurs that the patient needs admission for intravenous antibiotics.
5.30pm: The general medical registrar is called.
6.45pm: The acute medical house officer (HO) attends to 'clerk' the patient on the general medical registrar's behalf. She does a thorough history and examination and reviews the results. She concurs that the patient needs admission for intravenous antibiotics, but she worries about a possible pulmonary embolism (PE; clot in the lung). She orders a D-dimer blood test and reports back to her registrar.
8.10pm: The registrar attends. He reviews the notes so far—from the GP, SHO, ED registrar, and the HO. Then he recaps the history with the patient, repeats the examination, records his notes and concludes that the patient needs admission to hospital for intravenous antibiotics.
9pm: A bed is ordered.
1am Friday: The patient is transferred to a bed in a surgical ward (the only suitable bed available).
2pm Friday: He is seen at the end of the 'post acute' round, by the general medical registrar, HO and consultant. His fever has abated, and he is much improved. However, he recounts some pain in his right side and his D-dimer blood test result is markedly raised. A nuclear medicine scan is ordered, to 'rule our PE'.
4.30pm: The scan result is 'indeterminate.'
5.30pm: His registrar organises a CT scan (CTPA) and asks the 'duty' registrar to review the result.
7pm: The duty registrar confirms there is no PE, and that the CT results are consistent with pneumonia. As the patient is being treated for pneumonia no changes to management are made.
The patient continues to be treated for pneumonia Friday night, Saturday and Sunday.
2pm Sunday: A duty house surgeon replaces his intravenous cannula and the patient asks how long he will be in hospital. The house surgeon confirms that the patient's own team of doctors will decide this when they return on Monday.
11.30am Monday: He is seen on the round and discharged from hospital to continue oral antibiotics under his general practitioner's supervision.
5.30pm: He is picked up by his wife.
This man spent 10 hours in the ED and 4 days in hospital, when all he needed was an hour of ED time, and no more than one day in hospital.
Why? We might ask about the processes of GP referral to hospital; why the patient stayed in the ED when the intention was admission to hospital; why the doctor who could confirm admission to hospital was the fifth doctor to see him; why the GP and subsequent doctors' determinations of need to admit were insufficiently worthy to allow admission; why ordering a bed and transfer to the ward could not occur earlier; why he went to a surgical ward, if the pursuit of the diagnosis of PE might be better informed by an evidence-based pathway; why he did not have decision-making capable doctors seeing him over the weekend; and why intravenous antibiotics could not be delivered in the community.
Although this patient journey is a contrived string of delays, these delays are happening now, to a greater or lesser extent, in all of our acute hospitals. Similar delays will be apparent when the pathways of other acute patients are examined.
A realisation of the amount of wasted time and duplicated effort in these pathways makes for an unstable platform from which to make calls for increased resources.
A new health target
In May 2009 the Minister of Health formally announced six national health targets for New Zealand (NZ). The first on the list was Shorter stays in emergency departments, defined as '95% of patients will be admitted, discharged or transferred from an ED within 6 hours.'
This target is a very significant development in acute care in this country. Its origins can be traced to the advocation of clinicians, culminating in the presentation of a document to the Minister in late 2008: The Report of the Working Group for Achieving Quality in Emergency Departments.
While the British National Health Service has been working with an ED length of stay (LOS) target for some years, an important contrasting feature of the NZ target is the formative involvement of clinicians in its genesis.
Quality versus compliance
Despite its importance the target is blunt, high level and a bit of a misnomer. It measures patients staying a long time in the ED, but it is mostly about patients not being where they should be.
It is possible to achieve the ED LOS target without resolving important contributors to patients staying longer in EDs, and without getting patients more quickly to the care they should be receiving. It is possible to achieve compliance without improving quality—to hit the target but miss the point.
Without embedding genuine quality there are two possible adverse effects of the target: gaming the target, and shifting the problem.
Gaming the target may include delays to starting the clock (for example by keeping patients in ambulances), and premature stopping of the clock (for example by calling patients in the corridor admitted 'observation patients'). The Ministry will keep an eye out for such activities, however it is hoped that external scrutiny will be mostly redundant. Unlike the British experience, the call for this target was 'bottom up', lifted by the passion of concerned clinicians. The passion persists and is unlikely to tolerate gaming on its patch.
If patients are moved out of the ED to hospital wards, without adequate provision for this work, the problem currently reflected in the ED will surface elsewhere. The solutions are 'whole of system'—attention to this principle is a prerequisite for success.
Why does it matter?
First, it matters to the patient. Second, it matters because, by staying longer in the ED and in hospital, it obstructs access for others seeking these resources. Third, it causes the accumulation of patients in the ED—the flow coming in is unabated, but the flow out is obstructed. The ED becomes overcrowded and ED overcrowding matters.
The problems caused by ED overcrowding are well described, and interested readers may read further from the reference list. However ED overcrowding is bad; it is associated with delays to care, longer total hospital length of stay, decreased satisfaction, and adverse outcomes.1–6 But most significant are the associations between ED overcrowding and death.5,6
Among the patient population who have gone through an overcrowded ED there are about one-third more deaths over the next 10 days. In Australia this equates to a death rate equivalent to the road toll. In NZ this would translate to more than 300 deaths each year.
How applicable these figures are to NZ is open to debate—there may be relatively fewer or more deaths in NZ, but the least plausible argument is that these figures have no relevance to NZ.
ED overcrowding is causing death and other harms in this country.
Achieving the target
Achieving the target will be challenging. However, it is a challenge we must embrace.
Approaching the target may be seen to proceed through four stages.
Understanding—Understanding of the problem and therefore its potential solutions, is an essential first step.
Prolonged ED stays are a manifestation of a failing acute care system, with contributors relating to the number and complexity of patients seeking acute care, the ability of the ED to accommodate these patients (including the physical and human resources in the ED and the processes for getting things done), and the ease of getting the patient to the next phase of care (most notably into a hospital bed). One description of these three areas of contribution uses the cardiac failure analogy of preload, contractility and afterload,7 and another labels them input, throughput and output.8
Every system tends to have contributions in all three of these areas, with a different mix from place to place. Inevitably a complete list of contributors will be large. Focusing on a single solution (for example, efforts to reduce low acuity patient presentations, or opening more hospital beds)—independent of other contributing factors—will frustrate those attempting to fix the problem. So will attempts to fix the problem of ED overcrowding by focusing on the ED only, when two of the three contributing areas are outside the ED's influence.
Examining 'the patient journey' (like the journey of our patient with pneumonia), encourages a 'whole of system' perspective, as well as helping to identify quality as the patient might perceive it. Several different patient journeys can be examined (diagnostics) to identify which parts of the pathway are unnecessary and where in the pathway are the tightest bottlenecks to patients accessing the required next phase of care. Solutions then have two focuses; to eliminate unnecessary steps, or waste, (consistent with 'lean thinking') and to prioritise solutions which fix the narrowest bottlenecks first (consistent with 'theory of constraint').
Fixing obstructions to patient care, when there are bigger obstructions in the same pathway, will not improve patient movement and instead will disillusion and frustrate.
Models of care, for the purpose of this discussion, can be seen as the 'itinerary' of the whole patient journey. In other words; where does the patient go, what happens there, and who does it?
Some innovative models of care have had success in addressing ED overcrowding.9,10 The common features of these models are that they take the patient's perspective (what is good for the patient is good for the model), they continue the whole patient journey (therefore whole system) paradigm, and they emphasise lean thinking and working on the narrowest bottlenecks first. The additional contribution they make is the emphasis on value-added tasks, and how best to achieve them.
Patients have some value-added things happen to them on their journey, such as resuscitation, diagnosis, or definitive care. They also have a number of things happen which do not add value, such as waiting, repeated assessments and 'storage' in lieu of an appropriate place to go, and elimination of these steps is in keeping with the concept of 'lean thinking'.
To do the value-added tasks well it is appropriate to have a place resourced to do that task, with staff trained for, and focused on that task. Putting a number of different patients, with different required 'value added tasks', with multiple staff with different objectives, in a single clinical space (for example, an ED) results in inefficiency, confusion and frustration.
Consequences of this paradigm include streaming of patients from triage, to areas of the ED suited to their needs, and the formation of admission and planning units, where patients go specifically for work-up by acute general medical teams.
From this discussion, a number of guiding principles can be drawn:
Structure—Within the DHB there should be a tangible focus of activity, which is 'above' the ED, and includes prioritised activities across the whole patient journey. The structure includes the people, committees, working groups, and their responsibilities. The structure a DHB adopts will reflect local needs and opportunities, but should include clear leadership and ownership of the 'basket' of activities relevant to achieving the target.
Ideally leadership will include a clinical and corporate partnership, perhaps in the form of both a clinical and a corporate champion. These roles will differ from DHB to DHB, and may be a single person, or more than two. However, having identified champions is important, as is the shared clinical and corporate leadership—bringing different skills and perspectives and emphasising partnership and clinical governance. The title given to the champions should reflect their oversight and leadership of whole of system reforms. To this end it might be preferable to call them something like 'acute care reform champions', rather than 'ED target champions'.
The clinical champion could be an ED clinician, but this risks the perception that the target is an ED one, rather than whole of system. It may be preferable if the clinical champion is an informed, willing and able clinician from an inpatient service, however, local opportunity may determine who undertakes this task.
The corporate champion might be a portfolio manager from Funding and Planning, or another member of the DHB corporate community. Inevitably the projects, and the champions, will need administrative and project management support.
Whoever the individuals, the champions are charged with overseeing the approach to the target, and are the conduit for information between the DHB and the Ministry.
Different structures might already exist, or be chosen, but some structure is required. It is insufficient to report to the Ministry a group of activities which are unlinked except for the purposes of the report.
Plan—The contributors to the problem span the whole of the acute patient journey, and include problems of processes, staff resources and physical space. Consequently, there tend to be an overwhelming number of them. In addition, there is the potential to be repeatedly distracted from the task at hand by other compelling tasks.
While the problems are real and the responses to them are worthy, good things should not impede better things. All of the solutions should be put on paper and prioritised so that the better things are done first.
The plan might take a variety of forms, but the following gives an example of how it could be constructed.
Table 1. A possible plan template (with a few examples of relevance to the presented case)
Progress—Progress towards the target is based on understanding and is lead by the 'structure' (the clinical and corporate champions and the working groups/committees they oversee, possibly defined by a focus on preload, contractility and afterload). It proceeds according to a 'plan' which categorises the many possible actions and prioritises them so that attention is applied to the most important things first.
Each DHB will have its own range of problems, and will be starting from different positions. Although there are many potential solutions, and a number of precedents and tools, solutions must be devised and prioritised locally.
Furthermore, efforts to address the target must be continuous, as both progress and changes in acute demand will cause a shift in priorities.
As discussed, the target is high level and blunt and, on its own, tells little about the quality of elements of the patient journey. To continue to progress towards the target, DHBs will need to examine a number of quality measures representing elements of the patient journey.
The Ministry will require reporting of performance against the ED LOS target, and it is expected that attention to triage waiting times will continue.
Other measures will not, individually, have accountability consequences at a Ministry level, but the Ministry team overseeing the target may request perusal of other measures to inform advice to the DHB regarding progress toward the target.
Such measures are likely to include demographic measures describing attendance at the ED, patient journey time measures and clinical measures (including times to critical treatments, and outcome measures).Those DHBs that do not routinely capture some of this data electronically could do periodic spot/manual audits, and work towards electronic capture of appropriate data.
The new shorter stays in the ED health target is an expression of the need for whole of system solutions to problems with acute health care in NZ, and efforts towards it might proceed through the steps of understanding, structure, plan and progress.
Understanding includes appreciation of the whole of system/whole DHB responsibility, the multiple contributions, the need to eliminate waste using tools such as those provided by 'lean thinking', the need to attend to the narrowest bottlenecks first, and the need to 'stream' patients to the area most appropriately set up for their needs.
The most important initial steps for DHBs are to establish a structure for addressing the problem, including clinical and corporate engagement in the form of champions, and a comprehensive, prioritised plan of actions. The structure might include projects in the areas of pre-load, contractility and after-load, with each area categorising actions into 'people', 'processes' and 'plant'. Actions will be multiple, and not all can be addressed at once. Prioritisation of actions is essential, and may include consideration according to urgency, importance and time required to achieve results.
Finally, progress will be identified by a suite of measures representing quality and value added elements of the patient journey.
Competing interests: None known.
Author information: Mike Ardagh, National Clinical Director of Emergency Department Services, Emergency Department, Christchurch Hospital, Christchurch
Correspondence: Professor Mike Ardagh, National Clinical Director of Emergency Department Services, Emergency Department, Christchurch Hospital, PO Box 4345, Christchurch, New Zealand. Email: firstname.lastname@example.com
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Martin Fletcher's Jacob's Oath is a heart-wrenching and heartwarming thriller about the consequences of revenge that will be a huge word-of-mouth and book club favoriteAs World War II winds to a close, Europe's roads are clogged with twenty million exhausted refugees walking home. Among them are Jacob and Sarah, lonely Holocaust survivors who meet in Heidelberg. But Jacob is consumed with hatred and cannot rest until he has killed his brother's murderer, a concentration camp guard nicknamed "The Rat." Now he must choose between revenge and love, between avenging the past and building a future.Martin Fletcher, who won the National Jewish Book Award for Walking Israel, proved his chops as a novelist with The List, which was selected as the One Book, One Jewish Community title for the city of Philadelphia. Now, Fletcher brings us another touching novel of love, loyalty, and loss, set in the aftermath of the Holocaust.
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Read the full excerpt
MARTIN FLETCHER, Special Correspondent, NBC News, has won five Emmies, a Columbia University Dupont award, and several Overseas Press Club awards. He served as the former NBC News Bureau Chief in Tel Aviv for many years, and now splits his time between Israel and New York City.
Martin FletcherGeorge Guidall
Audie Award Finalist


text:
Large white sheet
Game Play:
This game is best for grades kindergarten through two. Divide the group into boys and girls. Take one group into the hall and place the sheet over one of the kids. Help the ghost back into the room with the rest of his or her group. The other group must guess who is the ghost. (No Prizes)


text:
A great overview of the collaborative economy
This is a detailed overview of the collaborative economy. You don't need giant organisations to get things done.
This is a detailed overview of the collaborative economy. You don't need giant organisations to get things done.
Amazing and scary at the same time. Robot humanoids cross the uncanny valley.
I'm in print, describing a scenario for the year 2100 at "The Futurist" magazine, published by the World Future Society. The short, 500 word essay was written earlier this year. Take a read at http://www.wfs.org/futurist/september-october-2012-vol-46-no-5/22nd-century-first-light/scenarios/energy-living and tell me what you think
My response to: http://www.guardian.co.uk/environment/2012/jun/26/climate-change-skeptic-religion?commentpage=6#start-of-comments
I'd say it's the exact opposite of a religion. We environmentalists have looked around at the state of the world, gathered evidence, considered the possibilities and (quite often) reluctantly come to the conclusion that "someone should do something" and "I am someone".
Believe me, I would much rather that the world was fine and I could spend my time on something else instead.
I am convinced by the evidence, where global or local it all points in one direction. I'm also convinced by the successes, from the action against CFCs, the ever-growing amount of organic food available (again – it was all your grandparents had), and the cleaning up of rivers in many countries through to the many permaculture projects regenerating wasteland and making it productive for human civilization.
Humans are amazing. We can fix the world and we will fix the world. It does however seem that we will have to get on with building a better world without waiting for agreement from everyone, let alone governments.
My response to http://www.guardian.co.uk/environment/blog/2012/jun/07/super-farms-environment-livestock-climate
The case for super farms ignores two things.
1. It is increasing the case that monoculture proves to be a bad thing, in farming like anything else. Moving to larger scales of monoculture merely increases the likelihood that diseases and pests will claim the entire huge crop. Mixed cultures are much better from that perspective.
2. A "super" farm is only possible with large amounts of cheap energy. The costs of energy are rising and will continue to do so.
I also heard on the radio this morning that super farms will create jobs because 1 man can now do what 10 used to. Not sure how that works?
What seems to be more useful is the opposite: small, human scale organic farms with mixed crops, probably designed using permaculture principles. This would seem to be a more productive way forward to produce more food, of different types, and more employment, while using less energy.
My response to http://www.guardian.co.uk/environment/2012/jun/06/climate-change-other-issues-goldsmith?commentpage=all#start-of-comments
I would blame the media, who only seem capable of focusing on one issue at a time. Politicians respond to that.
Most environmentalists (like myself) know that we need to change nearly everything we as a species do if we want to avoid a collapse of our civilization. Pick your scenario – economic collapse, 6 degree temperature rise (and counting), sea level rise, resource depletion, peak oil, soil sterility, antibiotic resistant disease, crop failure, pesticides in our foods poisoning us, the obesity epidemic, the fact that we eat fish today that were considered inedible when I was a kid, the lack of fresh water etc etc. There's plenty more and they're all very feasible right now.
It is our economic system that delivers all this, supposedly in the name of progress. If we were all happy, perhaps it would be worth it, but most of us aren't. Why, exactly are we destroying our own habitat in order to make ourselves miserable?
Saying no-one votes for the environment misses the point. The laws of physics, chemistry and biology don't negotiate. If we have to wait for our "politics is the art of the possible" to reluctantly see the need for action then we're in deep trouble.
Unfortunately what we need are brave politicians. I don't see any in the West, so I guess we're going to have to collapse before we can start to build a sustainable future for humanity. At least that will be better, but it's going to be interesting getting there.
It's interesting watching yourself have your own world view changed.
As I drove to Steve and Fiona Hansons "Permaculture Eden" for my two week design course, I was wondering if after two weeks I'd finally know what to plant with what. I guess I had permaculture fixated in my head as "hippy gardening", and the only reason I was really going was because the Transition Handbook strongly suggested it was a good thing to do.
I've always liked nature – I enjoy hiking on mountains and in forests, but I guess I viewed it as a kind of nice to have thing. Great to get into, but nothing to do with the real world of people.
Then came the two week immersion, with a fantastic group of intelligent people, coming at the whole topic from different angles. We had different cultures, ate different foods (I am not, and almost certainly never will be by choice, a Vegan), spoke different native tounges, and came from different backgrounds. A mix of practical and hopeless (I'm still working on my tree and herb identification), but all with a great desire to learn about the subject.
On day one, I was sceptical. All this talk about the people that started it. By the end of day two I was hooked. This wasn't hippy, this was really design science! I was in my element. By the end of day seven, we were due a break. I needed it, pleading "my head's full". But we kept discussing, and kept learning. By the end of the course, we'd learned all sorts of things, some new, some not so, and could piece it all together. We were so pleased with our design, and all of us wanted to stay on and build it, and see if it could really be done. I'm sure we'll all build part of it somewhere.
Before we all left, we held a party, and I drove to the supermarket for beer. It seemed so strange going into this enormous shop and buying things that we could just grow.
The following day, driving home, I realised that I would never see the world in the same way again. What had been nice pretty hedges on the way in, had become fabulous edges, full of interaction, co-operation and competition. What had been nice fields became lifeless deserts, with a monoculture crop standing in a lifeless dead ex-soil supported by pesticides and fertilisers. And the trees! Not just satisfying to look at but a source of so much, capable, if managed properly, of sustaining many of our needs.
When I got back to Ferney-Voltaire, my pensive mood continued. Who knew there was so much food lying around growing in the town already? I had thought growing food in town would be really difficult, but now I know that by working with nature, rather than against it, it'll be much easier than we think.
Am I the only one who has noticed that mobile journalists are taking to the iPad in large numbers? Having been around technology a while, it seems that every 10 years or so we get a variation of this form factor…
Any thoughts?


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OC3D Reviews ›› Memory
Aeneon Xtune DDR3-1866 (PC3-15000) 4GB DDR3 Kit
Memory | 20th October 2008
Low voltage and high performance is the name of the game with Aeneon's latest Xtune DDR3 kit.
Crucial Ballistix PC3-10600 (DDR3-1333) 4GB Kit
Memory | 18th September 2008
A capable 4GB kit form one of the largest names in memory. Look inside to see how if fairs.
CSX Diablo3 PC3-16000 (DDR3 2000) 2GB kit
Memory | 29th June 2008
Looking for a bargain set of Extreme performance DDR3? 2000mhz+ suffice? Maybe CSX have the answer to your prayers.
OC3D Articles ›› Memory
OCZ announce DDR3 2000MHz version of their Flex II memory
Marc Clements | 18th April 2008
OCZ have issued a press release detailing their new Flex II DDR3 2000MHz memory.
Super Talent announces Project X DDR3-2000 2GB kit
Marc Clements | 12th April 2008
Super Talent have announced the immediate release of their new Project X DDR3-2000 2GB memory kit
OCZ Technology announces world's fastest 4GB DDR2 memory kit
Marc Clements | 11th April 2008
OCZ have issued a press release announcing the release of their new 4GB kit of PC2-9200 Flex II memory
Intel, STMicroelectronics & Francisco Partners join forces to create Numonyx
Marc Clements | 31st March 2008
Intel have closed a deal with STMicroelectronics and Francisco Partners have to create a semiconductor company called Numonyx
Corsair XMS3 DHX PC3-12800 (DDR3-1600) 4GB Kit
Memory | 26th June 2008
Fancy a 4GB DDR3 kit capable of running at 2000mhz? Corsair's affectionately named TW3X4G1600C9DHXNV kit may just well be what you're after.
Crucial Ballistix PC3-16000 (DDR3-2000) 2GB Kit
Memory | 22nd May 2008
With a stock speed of DDR3-2000 Crucial have one extremely fast DDR3 kit on their hands. But will it overclock any further? We find out.
Corsair XMS2 DHX PC2-6400 4GB Kit
Memory | 17th April 2008
A further addition to the DDR2 market, the XMS2 DHX kit steps up to try push the tech that little bit further.
Aeneon Xtune PC3-10600 (DDR3-1333) 2GB Kit
Memory | 27th February 2008
A new kid in the DDR3 market shows us what it's made of.
Cellshock PC3-14400 (DDR3-1800) 2GB DDR3 Kit
Memory | 16th February 2008
Having been impessed with several of Cellshock's DDR2 based kits, it's finally time to put their latest DDR3 kit through its paces.
Kingston announce 1600Mhz, 1800Mhz & 2000Mhz memory
Marc Clements | 25th March 2008
Kingston have announced the release of their 1600Mhz and 1800Mhz DDR3 memory kits with 2000Mhz kits set to follow.
Patriot Memory Partners with Entertainment Consumers Association
Nic Crane | 20th March 2008
Under the terms of agreement, Patriot and ECA will be joining forces in future tradeshows and events. There will be some cross promotional marketing as well.
Lexar Media Announces Crucial Ballistix DDR3-2000MHz Memory for Gamers
Marc Clements | 18th March 2008
Crucial have announced the release of their new DDR3 RAM rated at 2000Mhz
OCZ release new DDR3 PC3-16000 2000Mhz rated kit
Marc Clements | 18th March 2008
OCZ have released a blistering fast kit of DDR3 PC3-16000 RAM
Patriot Memory to Display Viper Solutions in Intel Next Gen Architecture at CeBIT
Nic Crane | 6th March 2008
Patriot Memory today announced their DDR3 Extreme Performance, 2GB Viper Series PC3-14400 (2 x 1GB) low latency kits are on display at several booths.
CORSAIR Advances Speed Grades on DDR2 And DDR3
Matthew Fogg | 27th February 2008
Corsair announced today that new record-breaking speeds have been achieved within the Corsair DDR2 and DDR3 lines of DRAM memory.


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Health Buzz: Father's Age Linked to Autism, Schizophrenia
Gray hair at 25? Here's what you can do; plus, the hCG diet is still here
Older Dads Pass Along More Mutations to Kids
Older men are more likely to father kids with genetic mutations, increasing the risk of autism, schizophrenia, and other diseases. That's according to new research published Wednesday in the journal Nature. "Conventional wisdom has been to blame developmental disorders of children on the age of mothers," study author Kari Stefansson, a human geneticist and neurologist at the University of Iceland, told Reuters. "(But) our results all point to the possibility that as a man ages, the number of hereditary mutations in his sperm increases. It is the age of fathers that appears to be the real culprit." Researchers found that about two more gene mutations appeared in kids for every year of increase in a father's age. Past studies support the findings: One, for example, suggested that men over 40 were nearly six times as likely as men under 30 to have an autistic child.
Gray Hair at 25? Yes. Here's What You Can Do
There's something to be said for turning into a silver fox. They're distinguished. Dapper. And … 25?
Indeed. Even teens and young adults can go gray, from a few streaks here and there to a full-on head of white.
Anne Kreamer was in her 20s when she started noticing gray strands. She spent 20 years concealing it with colors like magenta, until a eureka moment hit when she took a second look at a photo of herself. She returned to her gray roots and says she won't touch hair dye again.
"We live in very rough economic times—in an ageist culture," says Kreamer, author of Going Gray: What I Learned about Beauty, Sex, Work, Motherhood, Authenticity, and Everything Else that Really Matters. "Each person has to make their own decision at different points in their lives. If you're 40 and totally gray and unemployed, you might make a different decision than if you're 25 and have just a few gray strands, or if you're 55 and a stay-at-home writer."
The bad news: The premature graying problem is largely genetic. Hair follicles contain pigment cells that produce melanin, which gives your tresses their color. When your body stops generating melanin, hair presents itself as gray, white, or silver. (Melanin also provides moisture, so when less is produced, hair becomes brittle and loses its bounce.) "If your parents or grandparents grayed at an early age, you probably will too," says David Bank, director of the Center for Dermatology, Cosmetic, and Laser Surgery in Mt. Kisco, N.Y. "There's not much you can do to stop genetics." [Read more: Gray Hair at 25? Yes. Here's What You Can Do]
HCG Diet: You're Still Here?
As a registered dietitian, fad diets are one of my pet peeves, writes U.S. News blogger Keri Gans. But thankfully, most of them come and go so quickly that they are but a distant memory. However, the hCG diet just doesn't seem to disappear. I first found out about the hCG diet in April of 2008, when I was asked to speak about it on the Fox Morning Show with Mike and Juliet. Three years later, I was on the Dr. Oz Show once again speaking about this, in my opinion, crazy diet.
So what is the hCG Diet? HCG stands for human chorionic gonadotropin, a hormone found in the urine of pregnant women that supposedly works as an appetite suppressant. HCG is injected, typically into the thigh, or taken as a drop under the tongue. Along with a daily dose of this hormone, individuals are also placed on a 500-calorie diet, or more recently, 800 calories per day.
The hormone as a weight loss tool has not been substantiated by any conclusive scientific research. In my view, and that of many other health experts, the reason for weight loss is simply because of the diet's restrictiveness. Almost anyone who eats fewer than 1,200 calories per day will lose weight. But at what cost—physically, mentally, and financially? [Read more: HCG Diet: You're Still Here?]


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Hilda Solice, U.S. Secretary of Labor
Ten years ago, a group of leaders from Ottumwa's education and business community came together with a common goal: to provide additional training opportunities for local youth to help meet the increasing demands of the 21st century workforce.
On Friday, I was delighted to represent the Obama administration and see their dream come true: the recently opened Ottumwa Job Corps Center.
Job Corps is the federal government's oldest and most successful residential education and training program. For 48 years, it has helped build the lives—and launch the careers — of American youth looking for an opportunity to realize their potential. It provides students with the skills and knowledge that help them enter the work force, the military or higher education. It also was designed to give disadvantaged youth a ladder to the middle class.
The Ottumwa Job Corps Center was built in a former World War II Navy barracks. The $24 million construction project employed 135 Iowans, and the eight buildings here were designed to meet energy-efficient and sustainable specifications. The center employs 130 full-time staff and provides training for 300 students annually.
As the secretary of labor, I am committed to providing workers with opportunities to develop the education and skills they need to succeed in a competitive job market.
Today, the Job Corps program gives nearly 60,000 American youth hope for a brighter future every year. This is a program that clearly can help our nation through its economic recovery.
Students at Ottumwa Job Corps are studying for good-paying careers in health care, information technology, manufacturing and transportation. The Center also has partnered with Indian Hills Community College right next door, so students can pursue other career interests as well.
Additionally, they are given the opportunity to participate in community service projects, internships, job shadowing and work-based learning that will increase their employability when they graduate. Last year, 84 percent of Job Corps graduates entered employment, higher education or the military upon completion of the program.
On Friday, I met 19-year-old Gage Taylor. Last year, he became a father to a beautiful son, Trent, who happens to be deaf. Gage left high school to go work in a foundry to support his son. He was working 16-hour days and sleeping five hours a night when he decided he needed to make a change.
Gage arrived at the Ottumwa Job Corps Center about four months ago. Now, he has his GED after earning the top score in his class. He is working toward his certified nursing assistant license and plans to take emergency medical technician courses at Indian Hills as he pursues his goal of becoming a paramedic.
Gage is now something he never thought he'd be — a leader. Less than two weeks ago, he took his first college class at Indian Hills. He called his parents the next day and heard a voice crying over the phone. They were so proud.
We're proud of him, too. His is just one Job Corps success story. There are 299 others here in Ottumwa.
In the last three years, I've traveled to Job Corps centers around the country. I have brought fellow members of the president's Cabinet to see the hope and promise of tomorrow's leaders. At one center, the culinary students even cooked a meal for first lady Michelle Obama.
While this country's economic problems will not be solved overnight, Job Corps can be an important piece of the solution. I am regularly impressed by the resiliency, hopefulness, optimism and drive of Job Corps students. These young people renew my faith. They remind me that no matter the situation, America can overcome any challenge.
Hilda Solis is the U.S. Secretary of Labor.


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Sometimes, you just need a little perspective.
Denver Broncos defensive end Shaun Phillips was devastated after his team's 43-8 loss to the Seahawks in the Super Bowl.
But a text message from his son, Jaylen, reminded him of what's really important in life.
Phillips shared their exchange on Twitter and it's become viral.
Well-played, kid.


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With support from The Wilton Bank and Catherine and Ed Romer, gracious cooperation from Grace Kelly, InPhase Audio, Weir Farm National Historic Site, Weir Farm Art Center's Jazz in the Garden with the Grace Kelly Quintet is back on - rescheduled for Sunday September 23 from 3:00 - 5:00 at Weir Farm National Historic Site.
Tickets for the September 9 concert will be honored for the September 23 show. Ticketholders who are unable to come to Jazz in the Garden can apply for a refund at email@example.com or treat the ticket price as a donation to support the Weir Farm Art Center Artist in Residence program, a registered 501c3 organization. An official tax donation receipt will be issued.
Tickets may be purchased at The Wilton Bank, 77 Old Ridgefield Road and Anytime Fitness, 84 Danbury Road, both in Wilton.
Tickets can also be purchased online at www.jazzatweir.com where more information and directions can be found.
The show goes on, rain or shine.
There is no parking at Weir Farm National Historic Site the day of the event. All parking is at Branchville School parking lot, 40 Florida Road, Ridgefield, a short, free shuttle ride from the Park.


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Zynga shuts down 11 apps, including PetVille and Mafia Wars 2
Zynga has announced that it's closing 11 different games and apps, presumably just because they've failed to live up to the publisher's expectations. Perhaps the most popular app of the bunch is Petville, which at one point announced that it had over a million users. But there are a few other big titles in the 11 as well: Mafia Wars 2, FishVille, Treasure Isle, and Vampire Wars are all getting shut down as well.
The company's CEO says this is all part of a standard restructuring, and it makes sense that Zynga, which has grown by leaps and bounds over the past few years, would want to emphasize its strengths and minimize its weaker titles. But this is also a sign that the Zynga brand isn't invincible, and that clearly, the company needs hits to keep itself moving. 2013 may be a rocky year for Zynga, if it can't replicate the success it's seen in the past with FarmVille and the other games it's acquired, like Draw Something and Words with Friends.
Zynga shuts down 11 apps, including PetVille and Mafia Wars 2 originally appeared on TUAW – The Unofficial Apple Weblog on Mon, 31 Dec 2012 18:00:00 EST. Please see our terms for use of feeds.
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This weekend's Tough Man Competition will be a slugfest.
"The rules are no kicking, no wrestling, strictly slugging," James Hines, owner of Hines Promotion and event coordinator of the competition, said.
The Boone National Guard Armory hosts two nights of amateur boxing matches this Friday and Saturday. Each bout consists of three one-minute rounds. If a boxer doesn't quit or get knocked out, there will be a panel of judges to score the cards.
"On Friday night, (all the entries) fight," Hines said. "Saturday night, they come back and go on to the prize money, trophy, and title in each division."
There are four weight divisions: Lightweight at 139 pounds and under, middleweight between 140 and 165 pounds, light heavyweight between 166 and 185 pounds, and heavyweight above 186 pounds. If enough women register, there will be a women's division, as well.
Each participant is required to wear a pair of 16-ounce gloves and headgear, both of which are provided by Hines Promotion. A mouth guard is mandatory, as well.
Nobody has ever been seriously injured at these events, and Hines said there were more bruised egos than anything else.
"Safety is paramount in this," he said. "Sometimes people do get hurt, but that isn't what this is about. We have a doctor that gives a pre-fight physical. (Alcohol Law Enforcement) agents come in and give a Breathalyzer to the competitors. We want them sober and (want them to) know what's going on when they enter the ring."
This is the fourth Tough Man Competition that Hines has brought to the Boone National Guard Armory, and some of the proceeds of the event go to support the troops.
In the past, crowds of 250 to 300 have packed the armory to watch about 40 competitors duke it out.
Jonathan Curtis, 18, of Boone is participating in his first Tough Man Competition, though he has been in a scrap or two.
Curtis, a man of few words, is fighting for the experience. "I just figured I'd give it a try and see how it is," he said.
At these competitions, people fight for different reasons.
"Some fight for the money, some to prove they are able to get in the ring and compete on a competitive level," Hines said. "Some (of the fighters) used to be former high school athletes with no athletic outlet any longer, but they still have the competiveness inside them."
What does it take to be a tough man? When posed this question, Hines said, "To have guts to stand in there and fight ... endurance and the (ability) to overcome fear."
"A lot of times, the guys who say they are the toughest, they are the ones who get beat the quickest, and the crowd comes to see them finally get theirs," he said. "They cheer for someone whipping up on that guy. It's not the size of the dog in the fight, but the size of the fight in the dog."
The Tough Man Competition takes place Friday, Feb. 18, and Saturday, Feb. 19. Fights start at 8 p.m. sharp each night. Doors open at 7 p.m. Fighters are asked to show up at 5:30 p.m. to sign up and take care of the event's logistics.
"It's a good time," Hines said. "People can bring their whole families. We got round card kids, and different people in the audience working the round cards. We keep this a family type event."
For more information, call Hines Promotions at (704) 857-6798 or click to http://tuffbadbrawl.com.


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O.K., so in trying to figure out where the Cowboys are, what's the number one question mark? What's the one position that perennial homer and optimist Tom Ryle doesn't even mention when he writes a front-page story about training camp battles? What's the one unit we didn't draft to improve? What's the position where our free agent pick-ups supplement some overtaxed UFDAs with. . . more overtaxed UFDAs?
No, you don't get a cigar for answering that the O-line will be at the Center of the Cowboys' failure or success this year. Our pass rush isn't going to stink unless Ware is injured. Our run defense is just fine as long as Spencer keeps racking up his TFLs, which we all know are as important as sacks. Er. . . moving on. . . Our secondary, for the first time in years, is actually a strength, and our ILBs are worth salivating over. Murray was the pleasant surprise of the draft, Felix ain't chopped liver, Vickers is a tool in the JG arsenal, and Romo + Witten + Miles + Dez = lots and lots of yardage.
But oh, the O-line. I think it's safe to say that when the bottom drops out, it will be G, C, G that is to blame. (Or, perhaps, an unexpected meltdown from our tackle play--Free's still a question mark and Tron has never played the Left side.) I'm not completely panicking for two reasons. First, JG has consistently managed some pretty good YPA rankings even when he had even less to work with. Second, with a bunch of young, raw guys, we can hardly get worse from one season to the next--can we? But I would have to say that the biggest I Told You So which I expect to see as the season progresses is this: Why didn't we fix the O-line? The biggest pleasant surprise will be if this unit actually performs well.
Here's my question: What counts as success for our O-line? Visions of line-of-scrimmage dominance may be a bit much to ask, as JG seems to rely on speed and scheme while picking smaller, faster guys. Screens and draws, misdirections and scrambles, will still award us our share of dynamic plays. Yet at the end of the game, as we need to wind down the clock--or inside the 10, grinding our way into the endzone--what can we realistically expect from this bunch? What would cause you, however grudgingly, to admit that JG knew best and the O-line held up?
Measuring O-line play is awfully difficult, when you think about it. Yes, Romo is known for being elusive. He's also known for holding onto the ball, progressing through reads, long after the usual play is over. Do we judge the O-line by sack count, or (even better) by sacks that take place inside the first 4 seconds?
Or is it the running game we care about? If so, should sheer yardage make us happy with our O-line? Or are we going to count rushing TDs as the measure of O-line success? Or, perhaps best, we could simply count rushes for 3 yards or less and see how that number compares to other teams--that way an off-to-the-races screen won't outweigh all the times when Felix and Murray have nowhere to go.
Whether we choose our own metrics or go with PFF, how good is good? Will we be happy with an O-line that is in the top 50% of the league? Or do we demand more of the Cowboys, judging our players (and coaches) as failures unless we crack the top 25%--or 10%? Can we be a good, even elite team with a decent but not dominant O-line?
I propose that we make a wager, a bit of a challenge, before the season starts. Take the PFF rating of our O-line, individually and as a unit. Take the number of total sacks AND pressures allowed, but discount those that come after 4 seconds. Take the rushing YPA. Throw those numbers into a blender, and compare them to a) the NFL average, and b) last year. How good do we have to be in order for you to admit that JG knew what he was doing? How bad do we have to be in order for you to admit that the Cowboys were fools not to fix this ailing unit?


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