text:
Sunday, June 26, 2016
Medicare Appeals
The GAO issued a new report on improving the Medicare Appeals process for original Medicare. Medicare Fee-For-Service: Opportunities Remain to Improve Appeals Process was released on June 9, 2016.
Here is what the GAO found:
The appeals process for Medicare fee-for-service (FFS) claims consists of four administrative levels of review within the Department of Health and Human Services (HHS), and a fifth level in which appeals are reviewed by federal courts. Appeals are generally reviewed by each level sequentially, as appellants may appeal a decision to the next level depending on the prior outcome. Under the administrative process, separate appeals bodies review appeals and issue decisions under time limits established by law, which can vary by level. From fiscal years 2010 and 2014, the total number of filed appeals at Levels 1 through 4 of Medicare's FFS appeals process increased significantly but varied by level. Level 3 experienced the largest rate of increase in appeals—from 41,733 to 432,534 appeals (936 percent)—during this period. A significant portion of the increase was driven by appeals of hospital and other inpatient stays, which increased from 12,938 to 275,791 appeals (over 2,000 percent) at Level 3. HHS attributed the growth in appeals to its increased program integrity efforts and a greater propensity of providers to appeal claims, among other things. GAO also found that the number of appeal decisions issued after statutory time frames generally increased during this time, with the largest increase in and largest proportion of late decisions occurring at appeal Levels 3 and 4. For example, in fiscal year 2014, 96 percent of Level 3 decisions were issued after the general 90-day statutory time frame for Level 3.
The Centers for Medicare & Medicaid Services (CMS) and two other components within HHS that are part of the Medicare appeals process use data collected in three appeal data systems—such as the date when the appeal was filed, the type of service or claim appealed, and the length of time taken to issue appeal decisions—to monitor the Medicare appeals process. However, these systems do not collect other data that HHS agencies could use to monitor important appeal trends, such as information related to the reasons for Level 3 decisions and the actual amount of Medicare reimbursement at issue. GAO also found variation in how appeals bodies record decisions across the three systems, including the use of different categories to track the type of Medicare service at issue in the appeal. Absent more complete and consistent appeals data, HHS's ability to monitor emerging trends in appeals is limited and is inconsistent with federal internal control standards that require agencies to run and control agency operations using relevant, reliable, and timely information.
HHS agencies have taken several actions aimed at reducing the total number of Medicare appeals filed and the current appeals backlog. For example, in 2014, CMS agreed to pay a portion of the payable amount for certain denied hospital claims on the condition that pending appeals associated with those claims were withdrawn and rights to future appeals of them waived. However, despite this and other actions taken by HHS agencies, the Medicare appeals backlog continues to grow at a rate that outpaces the adjudication process and will likely persist. Further, HHS efforts do not address inefficiencies regarding the way appeals of certain repetitious claims—such as claims for monthly oxygen equipment rentals—are adjudicated, which is inconsistent with federal internal control standards. Under the current process, if the initial claim is reversed in favor of the appellant, the decision generally cannot be applied to the other related claims. As a result, more appeals must go through the appeals process.
The GAO recommended:
To reduce the number of Medicare appeals and to strengthen oversight of the Medicare FFS appeals process, we recommend that the Secretary of Health and Human Services take the following four actions:
1. Direct CMS, OMHA, or DAB to modify the various Medicare appeals data systems to
a. collect information on the reasons for appeal decisions at Level 3;
b. capture the amount, or an estimate, of Medicare allowed charges at stake in appeals in MAS and MODACTS; and
c. collect consistent data across systems, including appeal categories and appeal decisions across MAS and MODACTS.
2. Implement a more efficient way to adjudicate certain repetitive claims, such as by permitting appeals bodies to reopen and resolve appeals.
A pdf of the full report is available here.
June 26, 2016 in Consumer Information, Current Affairs, Health Care/Long Term Care, Medicare | Permalink | Comments (0)
Friday, June 24, 2016
When "Good Enough" Is Not Good Enough At All
Our friend, GW Law Professor Naomi Cahn, has shared with us a recent essay by her long-time friend, Cindy Schweich Handler, who writes of the death of her mother-in-law. This essay presents an important counterpoint to the lawsuit that Becky Morgan reports on today for our Blog, about a California lawsuit that attempts to challenge California's physician-assisted suicide law.
Ms. Handler writes with sensitivity -- and disagreement -- about the decision, at age 86, of her mother-in-law to end her own life:
Ellen is dying the way she lived: actively, with a lot of input. At 86, like so many of her contemporaries, she suffers from multiple maladies: a slow-growing leukemia called CLL; a recent mini-stroke; spinal stenosis that pains her legs and numbs her hands; recurring bouts of intestinal distress that leave her dehydrated and housebound. The ailments are awful and life-disrupting, but none of them are finishing her off. She doesn't want to acclimate herself to wheelchairs, live-in aides and other affronts to her independent self-image. What she wants is to not treat her symptoms, to voluntarily stop eating and drinking, and to die.
While her pronouncement that she's "had a good run" has left Harry and me sidelined with shock, our eldest son, Ted, understands....
Ted finds Ellen an excellent palliative-care doctor near her New Jersey retirement community who consults with the two of them for hours, making sure the patient isn't suffering from a temporary, treatable depression. The doctor conference-calls with Harry and his two siblings, and they affirm that they all want what she wants. The Do Not Resuscitate and more detailed Physician Orders for Life-Sustaining Treatment forms are filled out and displayed prominently on her dining room table. Jennifer, who has experience in these situations, is available, and she can be at Ellen's side 24/7. Everything is in place.
Then, a complication: Ellen's independent living community prohibits outside aides from working there. For my mother-in-law to die in a hotel or apartment rented for the occasion is unthinkable to me. Harry and I are empty-nesters, with a third-floor suite that's quiet and private. It makes sense that she should die in the guest room above our bedroom.
Although Ms. Handler and her husband provide Ellen her last place of hospice and palliative care, Ms. Handler doesn't embrace Ellen's plan:
What I don't understand, why I have such a powerful case of cognitive dissonance, is her timing. Her retirement-home friends always remark on how she holds court in the dining hall after meals. Neat stacks of the Economist top her end table. She goes on field trips to museums, sees movies before I do. Surely she wants to stick around to see more graduations, or at least to find out what happens with the whole Donald Trump thing.
She suggests Ellen has more "good-enough years" left in her. But, as the essay explains, good enough is not good enough for a woman of Ellen's steely strength and approach to life.
For the full account, I recommend "I didn't like it, but this was the death she chose," from the Washington Post. Thank you, Naomi, for sharing this timely essay, and to Ms. Handler for her own emotional strength in writing it. The comments appearing on the Washington Post website are also important reading.
June 24, 2016 in Current Affairs, Ethical Issues, Health Care/Long Term Care | Permalink | Comments (0)
Thursday, June 23, 2016
Challenge to California's Aid-in-Dying Law
I don't think we should be surprised to learn that a lawsuit has been filed, challenging California's aid-in-dying law that became effective earlier this month. The LA Times reported on June 9, 2016 that a suit had been filed. Opponents Sue to Overturn California's New Aid-in-Dying Law explains that two organizations and some individual doctors filed the suit and claim that the law is unconstitutional,"argu[ing] that California's law is a civil rights violation, stripping terminally ill patients of protections afforded to other Californians." The article notes that the judge assigned to the case denied a TRO but a hearing on the plaintiffs' motion for a preliminary injunction will be held in late June.
June 23, 2016 in Advance Directives/End-of-Life, Consumer Information, Current Affairs, Health Care/Long Term Care | Permalink | Comments (0)
Wednesday, June 22, 2016
Social Security & Medicare Trustees 2016 Reports Released
It's that time of the year! The Social Security Trustees and the Medicare Trustees released their 2016 reports. There is always a lot of information in these reports, but what everyone wants to know is when these programs are "running out" of money. According to the Social Security Trustees 2016 report, the SSDI and Retirement funds (combined) are "good" through 2034, although individually the SSDI fund isn't as robust, with its solvency at risk in 2023.
Here is an excerpt from the summary:
The Bipartisan Budget Act of 2015 was projected to postpone the depletion of Social Security Disability Insurance (DI) Trust Fund by six years, to 2022 from 2016, largely by temporarily reallocating a portion of the payroll tax rate from the Old Age and Survivors Insurance (OASI) Trust Fund to the DI Trust Fund. The effect of updated programmatic, demographic and economic data extends the DI Trust Fund reserve depletion date by an additional year, to the third quarter of 2023, in this year's report. While legislation is needed to address all of Social Security's financial imbalances, the need remains most pressing with respect to the program's disability insurance component.
The OASI and DI trust funds are by law separate entities. However, to summarize overall Social Security finances, the Trustees have traditionally emphasized the financial status of the hypothetical combined trust funds for OASI and DI. The combined funds satisfy the Trustees' test of short-range (ten-year) close actuarial balance. The Trustees project that the combined fund asset reserves at the beginning of each year will exceed that year's projected cost through 2028. However, the funds fail the test of long-range close actuarial balance.
The Trustees project that the combined trust funds will be depleted in 2034, the same year projected in last year's report....
As far as Medicare, the Trustees report solvency through 2028. Here are two excerpts from the Trustees Report (in Section II.A.)
Short-Range Results
The estimated depletion date for the HI trust fund is 2028, 2 years earlier than in last year's report. As in past years, the Trustees have determined that the fund is not adequately financed over the next 10 years. HI tax income and expenditures are projected to be lower than last year's estimates, mostly due to lower CPI assumptions. The impact on expenditures is mitigated by lower productivity increases.
Looking at the separate programs Part A (HI) and Part B (SMI) the picture for SMI is a bit better
The SMI trust fund is adequately financed over the next 10 years and beyond because premium income and general revenue income for Parts B and D are reset each year to cover expected costs and ensure a reserve for Part B contingencies. A hold-harmless provision restricts Part B premium increases for most beneficiaries in 2016; however, the Bipartisan Budget Act of 2015 requires a transfer of funds from the general fund to cover the premium income that is lost in 2016 as a result of the provision. In 2017 there may be a substantial increase in the Part B premium rate for some beneficiaries. (See sections II.F and III.C for further details.) ...
June 22, 2016 in Consumer Information, Current Affairs, Federal Statutes/Regulations, Health Care/Long Term Care, Medicare, Retirement, Social Security | Permalink | Comments (1)
Good News on the Alzheimer's Front?
Two recent articles made me think that progress is being made in the fight against Alzheimer's. First I ran into an article in the Chicago Tribune on May 25, 2016 from a Harvard Health Blog post. Decline in Dementia Rate Offers 'Cautious Hope' details a recent report from the New England Journal of Medicine (NEJM), Incidence of Dementia over Three Decades in the Framingham Heart Study which we blogged about on February 23, 2016. After discussing the study and its results, the article turns to the question of whether dementia can be prevented:
As the Alzheimer's Association predicts, the numbers of people with dementia may ultimately increase simply because people are living longer. At the same time, the Framingham researchers offer "cautious hope that some cases of dementia may be prevented or at least delayed."
The Framingham results bolster the notion that what's good for the heart is good for the head. If you're pursuing a heart-healthy lifestyle -- following a Mediterranean-style diet, getting the equivalent of 150 minutes of moderate exercise a week, managing your stress, and engaging with friends and family -- you're likely lowering your risk of dementia in the bargain, too.
The other article also ran on May 25, 2016, this one in the New York Times. It posits an intriguing question: Could Alzheimer's Stem From Infections? It Makes Sense, Experts Say. The article references a recent study by Harvard researchers, Amyloid-β peptide protects against microbial infection in mouse and worm models of Alzheimer's disease the results of which was published in Science Translational Medicine. The abstract is available here but the full article requires registration.
Here is how the study results are explained in the Times article
The Harvard researchers report a scenario seemingly out of science fiction. A virus, fungus or bacterium gets into the brain, passing through a membrane — the blood-brain barrier — that becomes leaky as people age. The brain's defense system rushes in to stop the invader by making a sticky cage out of proteins, called beta amyloid. The microbe, like a fly in a spider web, becomes trapped in the cage and dies. What is left behind is the cage — a plaque that is the hallmark of Alzheimer's.
The article provides a fascinating recap of how the researchers got to this point and notes that "[r]ecent data suggests that the incidence of dementia is decreasing. It could be because of better control of blood pressure and cholesterol levels, staving off ministrokes that can cause dementia. But could a decline in infections also be part of the picture?" The article concludes describing the next steps in this research.
So, good news on the Alzheimer's front? You decide. (I vote yes).
June 22, 2016 in Cognitive Impairment, Consumer Information, Current Affairs, Dementia/Alzheimer's, Health Care/Long Term Care | Permalink | Comments (0)
Tuesday, June 21, 2016
Estate Planning Lessons from the Redstone Saga?
We've previously blogged about the happenings in the case and life of Sumner Redstone. Although one lawsuit was dismissed, it doesn't appear that is the end of the matter. The New York Times ran an article on June 2, 2016, In Sumner Redstone Affair, His Decline Upends Estate Planning. Although the focus of the story is Mr. Redstone's situation, the story notes that this happens perhaps more than we think.
As Americans live longer and more families are forced to cope with common late-in-life issues like dementia, the problem is getting worse. "It's a huge issue nationally as the elderly population grows and their minds start to falter," [one attorney interviewed for the story] said. "I've seen charities coming after people for multiple gifts: Sometimes these donors don't remember that they already gave the previous week. Romantic partners, caregivers who take advantage of the elderly — we're seeing it all."
Elderly people may be especially susceptible to the influence of people who happen to be around them during their waning days.
Professor David English (full disclosure, co-author and friend) "a professor of trusts and estates at the University of Missouri School of Law and former chairman of the American Bar Association's commission on law and aging" said
This is an issue for lots of people of even modest wealth... [and] the most common approach is the creation of a trust, either revocable (which means it can later be changed) or irrevocable, that anticipates such a problem and defines what the creator of the trust means by incapacity. This could be a much less rigorous standard than is typically applied by courts... The document should define the meaning of incapacity and, more importantly, indicate who determines incapacity....
The article goes on to examine the importance of trusts that are carefully well-drafted to address issues such as those faced in this case. However, "sometimes no amount of legal advice can save people from an unwillingness to face their own mortality and cede control while still in full control of their faculties."
June 21, 2016 in Cognitive Impairment, Consumer Information, Current Affairs, Elder Abuse/Guardianship/Conservatorship, Health Care/Long Term Care, Property Management | Permalink | Comments (0)
Thursday, June 16, 2016
Caring for the Caregivers
Georgia Public Broadcasting ran a story recently on caring for family caregivers. Who Cares for Family Caregivers ran on May 23, 2016. The story explains an institute in Savannah, Ga. that is focused on helping the family caregivers, including training. The story focuses on several family caregiver's stories and notes that there is a bill pending "before the U.S. Senate would offer some help to caregivers. Under the measure they would qualify for up to $3,000 in tax credits." A video of the story is also available with the transcript.
The website for the institute featured in the story offers a caregiver stress level self-assessment quiz and a caregiver questionnaire for those looking for training as well as other caregiver resources.
June 16, 2016 in Consumer Information, Current Affairs, Health Care/Long Term Care | Permalink | Comments (0)
Wednesday, June 15, 2016
Elder Tech: A Report to the President
We've blogged on a number of occasions about the "elder tech revolution" and the technology competency of elders. We're not the only ones watching this issue. In fact, the President's Council of Advisors on Science and Technology issued a report to the President in March of this year. Report to the President Independence, Technology and Connection in Older Age is a detailed look at various issues and technologies. The executive summary sets the stage
The U.S. population is getting older, and Americans are living longer, on average, than they ever have before. As they age, people are healthier and more active than the generations before them and have fewer functional limitations such as difficulty walking or blindness. Studies show that people are happier on average as they advance into their later decades and enjoy high levels of accumulated knowledge and experience.
Getting older is a time of social, emotional, mental, and physical change. Retirement might change how a person interacts socially every day, affecting a person's mood and well-being. Cognitive aging—the normal process of cognitive change as a person gets older—can begin, or a permanent change in physical function may arise. Technology offers a path for people who are navigating these changes potentially to prevent or minimize the risks associated with them and to enhance people's ability to live their lives fully. We, the President's Council of Advisors on Science and Technology (PCAST), sought to identify technologies and policies that will maximize the independence, productivity, and engagement of Americans in their later years.
The Committee focused on 4 areas of aging: physical and cognitive changes, hearing loss and lack of social interaction. The report contains "cross-cutting recommendations" as well as area-specific recommendations. The cross-cutting recommendations include federal support and coordination, widespread internet access, adoption of monitoring technology, and encouraging research to develop more innovation. There are 12 area-specific recommendations.
The blog post about the report is available here.
June 15, 2016 in Consumer Information, Current Affairs, Dementia/Alzheimer's, Health Care/Long Term Care, Housing, Web/Tech | Permalink | Comments (0)
Nebraska Mandates Protection for Health Care Whistleblowers
In a recent McKnight's News column, Registered Nurse Pam McKnally wrote an interesting and candid account of "What It's Like to Be a Nurse Whistleblower." Her experiences with retaliation -- indeed bullying-- after she complied with laws requiring to her report observations of improper use of narcotics in the workplace led her and others to advocate for changes in the law.
In April 2016, in response to the experiences of McKnally and others, Nebraska enacted changes to state law, prohibiting retaliation against whistleblowers and mandating confidentiality for the identities of anyone making reports of violations by "credentialed" health care providers. Nebraska Legislative Bill 750, amending Nebraska's law that governs a broad range of health care providers, specifies:
An individual or a business credentialed pursuant to the Uniform Credentialing Act shall not discriminate or retaliate against any person who has initiated or participated in the making of a report under the act to the department of [health and human services]. Such person may maintain an action for any type of relief, including injunctive and declaratory relief, permitted by law.
Further, the law now provides that "The identity of any person making such a report [of suspected violations] or providing information leading to the making of a report shall be confidential" and further, "The identify of any person making a report, providing information leading to the making of a report, or otherwise providing information to the department, a board, or the Attorney General included in such reports, complaints or investigational records shall be confidential whether or not the record of the investigation becomes a public record."
Whether the changes to Nebraska law, especially in the absence of a specific statutory sanction for retaliation or breach of confidentiality, will be effective to address the backlash experienced by McNally will bear monitoring. She cautions:
I resigned, as my work life was intolerable, and it was clear that I was about to get fired. The EOC investigated my claims. The costs in employee hours and attorney fees, plus fines for violations can be astronomical. Had the situation been handled differently by the Human Resource department, the outcome may have been much different.
It is time for employers to stop blaming and discrediting professionals who simply follow the law and advocate for themselves and their patients....
When nurses are happy they work hard. They are loyal and seek out constructive ways to help their organization deal with conflict. In long-term care, Medicare and Medicaid cuts mean money needs to be saved now more than ever. Keeping a business viable includes mitigating the need for attorneys and dealing with nurse turnover.
June 15, 2016 in Crimes, Current Affairs, Discrimination, Ethical Issues, Health Care/Long Term Care, Medicaid, Medicare, State Cases, State Statutes/Regulations | Permalink | Comments (0)
Thursday, June 9, 2016
Old and Homeless
Sometimes we run into stories that really really are sad. This story in the New York Times is sad. Imagine being old and homeless, whether recently homeless or homeless for a long time. Think about the struggles one has in being homeless. Compound those struggles with the challenges faced by someone who has mobility issues or physical problems identified with being older. Old and on the Street: The Graying of America's Homeless is an in-depth story that ran on May 31, 2016 and notes [t]he emergence of an older homeless population is creating daunting challenges for social service agencies and governments already struggling to fight poverty.
They lean unsteadily on canes and walkers, or roll along the sidewalks of Skid Row here in beat-up wheelchairs, past soiled sleeping bags, swaying tents and piles of garbage. They wander the streets in tattered winter coats, even in the warmth of spring. They worry about the illnesses of age and how they will approach death without the help of children who long ago drifted from their lives.
Homelessness is not just an issue for elders, but it is an issue that is growing since all of us age. "The homeless in America are getting old... There were 306,000 people over 50 living on the streets in 2014, the most recent data available, a 20 percent jump since 2007, according to the Department of Housing and Urban Development. They now make up 31 percent of the nation's homeless population."
There are the "recently" homeless some of whom lost jobs and others who can't afford a home on fixed-income, and then there are the long-term homeless.
Many older homeless people have been on the streets for almost a generation, analysts say, a legacy of the recessions of the late 1970s and early 1980s, federal housing cutbacks and an epidemic of crack cocaine. They bring with them a complicated history that may include a journey from prison to mental health clinic to rehabilitation center and back to the sidewalks.
The article notes the incidences of homelessness is somewhat geographic and is rising in the larger metropolitan areas. The article features interviews with several elders in California who are homeless.
How do cities respond to the challenges of individuals who are homeless, and especially those elders who are homeless? "The challenges faced ... have forced advocates for the homeless and government agencies to reconsider what kinds of services they need: It is not just a meal, a roof and rehabilitation anymore."
Assign this article to your students and ask them to create a plan for their city to provide services. It should be an interesting class discussion.
June 9, 2016 in Consumer Information, Current Affairs, Health Care/Long Term Care, Housing | Permalink | Comments (0)
Wednesday, June 8, 2016
Conversion of Senior Living Operations from Non-Profit to For-Profit - What are the Limits?
A recent New York Times article sheds light on a frequent topic I've encountered in my own research on the convergence of elder law, contract law, and nonprofit organizations law: when will a nonprofit nursing home or similar senior living operation be "allowed" to convert or sell-off to a for-profit operation? And what if the "real" plan is to convert to an entirely new type of for-profit operation?
The potential for conversion appears to be the heart of a dispute over two nonprofit nursing homes in Manhattan, where State and City authorities are seeking to prevent their purchase by a for-profit company known as Allure Group. From the New York Times:
Citing misrepresentations and broken promises, the New York State attorney general's office is seeking to prevent the purchase of two nursing centers by a company that was involved in transactions that put a Manhattan nursing home in the hands of luxury condominium developers....
"Allure made clear and repeated promises to continue the operation of two nursing homes for the benefit of a vulnerable population — promises that proved to be false," said Matt Mittenthal, a spokesman for the attorney general, referring to Rivington House and a nursing home bought by Allure in the Bedford-Stuyvesant section of Brooklyn, which were closed within a year of a court petition's being filed. "Until we conclude our investigation, we will object to Allure buying additional nursing homes."
In New York, any nonprofit seeking to sell its assets must petition a state court for approval; the attorney general reviews all such requests and can object if there are grounds to do so. The court has the final say....
For more, read New York Attorney General Seeks to Halt Sale of 2 Nursing Homes Amid Inquiries.
June 8, 2016 in Health Care/Long Term Care, Housing, Property Management, State Cases, State Statutes/Regulations | Permalink | Comments (0)
Will President Obama be Remembered as a Leader in Fighting Healthcare Fraud?
The Office of Inspector General issues regular reports to Congress, and the most recent report indicates that for the period of October 1, 2016 to March 31, 2016, the total amount of expected recoveries arising from allegations of healthcare fraud was $2.77 billion. That number is "up" by a billion dollars over the first half of fiscal year 2016.
Here's a link to the most recent OIG report and here's a link to a recent article about the numbers in McKnight's Long Term Care News
June 8, 2016 in Federal Cases, Federal Statutes/Regulations, Health Care/Long Term Care, Medicaid, Medicare, Statistics | Permalink | Comments (0)
Tuesday, June 7, 2016
Health Care Debt and Debt Collectors: "Is This How My Life Will End?"
John Oliver, in his typically over-the-top, but still informative manner, focuses on the industry of debt collection and how it can be especially troublesome for older adults. Indeed, when I was running an Elder Protection Clinic for Dickinson Law, a significant percentage of our clients were struggling with "old" debts, often connected to health care costs, and were dealing with aggressive attempts to recover what has come to be known as "zombie debt." One woman interviewed about $80k in debt arising out of denial for insurance coverage for her elderly husband's hospitalization for breathing problems, describes her fear and frustration after a lifetime of working and saving. She asks, "Is this how my life is going to end?"
Our thanks to Karen Miller, Esq., in Florida, for sending this link.
June 7, 2016 in Consumer Information, Current Affairs, Ethical Issues, Health Care/Long Term Care, Retirement, Statistics | Permalink | Comments (0)
Florida Health Care Agency Revokes Nursing Home License at CCRC
We've reported earlier, including here and here, about recent financial and management issues at a Tampa, Florida continuing care retirement community that operates under the name of University Village. The latest event is the May 31, 2016 order of an administrative law judge that would uphold the decision of the Florida Agency for Health Care Administration to revoke the license for operation of a skilled nursing facility at University Village..
Many of the concerns appear to focus on the alleged action (or inaction) of an individual, John Bartle, who is described as holding various titles in the company that controls the CCRC's operations. At one point, the Administrative Law Judge made clear his view on Bartle's testimony:
The letter and the email reveal Mr. Bartle's view that deadlines established by regulatory authorities performing the duties imposed on them for the protection of the public by the Legislature are not significant. This disregard, if not disdain, for the statutes and rules governing nursing home services and the enforcement of them is patent in the letter and e-mail, Mr. Bartle's dismissive testimony about the shifting relationships of the various entities, his demeanor when testifying, and his evasive manner of answering questions when testifying. For these reasons, Mr. Bartle's denial of the March 3 letter and much of his uncorroborated testimony are not accepted as credible.
My thanks to Karen Miller, Esq. for sharing this unusual ruling.
June 7, 2016 in Elder Abuse/Guardianship/Conservatorship, Ethical Issues, Health Care/Long Term Care, Housing, Property Management | Permalink | Comments (0)
Monday, June 6, 2016
Family Assistance & HCBS Medicaid
Justice in Aging (formerly known to many of us as the National Senior Citizens Law Center) covered a timely and important topic in their May, 2016 Issue Brief. Voluntary Means Voluntary: Coordinating Medicaid HCBS with Family Assistance was authored by Eric Carlson, well know nationally for his work regarding residents of long term care facilities. The issue brief runs 8 pages. Here is the executive summary:
When an older adult can no longer can live independently, and is eligible for Medicaid, he or she often qualifies for home and community-based services (HCBS) that enable the individual to stay at home, rather than move to a nursing facility or other health care institution. The same is true for persons with disabilities. HCBS are provided under a service plan; under federal Medicaid regulations effective since March 2014, those service plans cannot compel unpaid assistance by family members such as adult children.
As illustrated by Medicaid hearing decisions from Florida, however, state Medicaid programs (frequently through managed care organizations) often compel unpaid assistance from family members. The managed care organizations (MCOs) authorize service levels with the presumption that family members should be providing a certain level of personal care assistance. This leads to a lower level of Medicaid-funded service hours, which in turn requires family members to provide assistance to cover the service gap.
One problem in Florida is a "medical necessity" definition that denies Medicaid-funded services to the extent that those services are provided for caregiver convenience. This definition has been cited by MCOs and hearing officers to justify reduced levels of services, even when the caregiver's "convenience" is his or her need to hold employment outside the home. Furthermore, twelve other states also have a similar "caregiver convenience" provision in the state's Medicaid medical necessity definition.
In Florida and across the country, Medicaid beneficiaries and their advocates should address this problem. Florida advocates have made some progress in this area, and the state now agrees that service authorizations should respect a family caregiver's outside employment. The Florida experience suggests the type of advocacy that could and should be pursued in Florida and other states. In individual service requests and appeals, beneficiaries and advocates should forcefully assert the voluntariness requirement of the federal service planning regulations. On a systemic level, advocates should argue for the removal or revision of "caregiver convenience" provisions, and advocate for service authorization procedures that explicitly incorporate the voluntariness requirement.
This issue brief is a "must read" for all elderlaw profs, attorneys and other advocates. A pdf of the issue brief is available here.
June 6, 2016 in Consumer Information, Current Affairs, Health Care/Long Term Care, Medicaid | Permalink | Comments (0)
Thursday, June 2, 2016
Elder Care: A Non-Crisis Approach to Crises?
Recently I was at a dinner party with academics from across the spectrum of my university. As often happens, a group of us seated together for the meal swapped basic information about what we do in our day jobs. It was a fun group of art professors, special education specialists, and even an agricultural economist. We talked art and politics across the board. I had at first identified myself only as a professor at the law school, but during a lull in the conversation I explained my area was "law and aging" generally and more specifically the work of elder law attorneys. Ears perked up.
I had that experience that I suspect doctors have all the time. Everyone at the table had a question or story to tell of their family's recent aging issue. And as I listened, I recognized a common theme among these skilled, thoughtful professionals. I kept hearing that we knew "mom" or "aunt" or "grandpa" was getting older, and we offered help, but the help we offered either wasn't enough or was rejected outright. And often, the second part of their stories involved a "crisis." A particularly poignant example was the caring granddaughter who cooked and froze two weeks of meals for her frail, housebound grandmother, only to realize that her grandmother's "little bit of confusion" resulted in her opening all of the 14 days of dinners on the very first day. It precipitated a diabetic crisis for the grandmother, as well as the loss of the majority of the food.
Over the dinner, I was surprised to find myself talking a lot about what is dementia (and does it differ from Alzheimer's) and whether it can be distinguished from "temporary" conditions that cause short term confusion. Everyone at the table was searching for answers and admitting they didn't know enough before the crisis event. And I could completely empathize, because even with some 20 years of being fairly deeply immersed in elder care issues, I am regularly surprised by some new topic or challenge in my own family.
I had good reason to think about the party conversation again while listening to WITF-FM Public Radio's Smart Talk program on June 2. The program's guests were Dr. Linda Rhodes, the former Secretary of Aging for Pennsylvania, and Joan Krechmer, a geriatric care manager and the executive director for Jewish Family Services, in York, Pennsylvania and the topic was "Caring for Mom, Dad and Kids." Lots of people calling in and writing with very specific questions, and many of the questions were triggered by both crisis events and chronic care issues.
An example of one question was from a family member who was told the family had "24 hours" to decide about a skilled nursing facility when their loved one was being discharged from the hospital. "There is barely time to do the research" the program guests were talking about. And that is true. Even though federal law imposes a protocol on hospitals about discharge notices, and even provides a mechanism for informal appeal, which if triggered properly can automatically result in more time, most people simply won't know about that short-term remedy in advance.
The Smart Talk radio program is part of a larger series of events on the topic of family care-giving, including airing of the PBS television documentary on Caring for Mom & Dad and in-person sessions at area locations to talk about advance planning and identify resources in advance of a crisis.
Linda Rhodes, the former PA Secretary of Aging has written her own book, Caring for Aging Parents: The Essential Guide.
June 2, 2016 in Consumer Information, Ethical Issues, Health Care/Long Term Care, Medicare | Permalink | Comments (0)
What Do People Do in Retirement?
Have a plan to retire? Know how you will spend your time? AgeWave, along with Bank of America Merrill Lynch did a study on how people spend their retirements. Beyond the Bucket List: Experience Leisure in a Whole New Way provides the highlights from the study.
Huffington Post ran two blog posts that discussed the report. New Study Uncovers the Upside of Retirement Leisure: The Freedom Zone was published on May 12, 2016 and New Study Reveals Four Distinct Stages of Retirement Leisure on May 13, 2016. The report notes that people who are retired have more free time, but transitioning from work to retirement may be a challenge for some, since, according to the report, many folks work even when they are on vacation. The report discusses emotional well-being and the value of experience over acquisition. The report also discusses the importance of saving for retirement. The report identifies "4 stages of retirement leisure" from "winding down & gearing up" to "contentment & accommodation."
To read the full report, register with Merrill Lynch to download it.
June 2, 2016 in Consumer Information, Current Affairs, Health Care/Long Term Care, Retirement | Permalink | Comments (0)
Tuesday, May 31, 2016
American Society on Aging Call for Proposals
The annual American Society on Aging (ASA) conference is scheduled for March 20-24, 2017 in Chicago. The planning committee is now accepting proposals to present at the conference. For more information or to submit a proposal, click here. The deadline for submitting a proposal is June 30, 2017.
May 31, 2016 in Advance Directives/End-of-Life, Cognitive Impairment, Consumer Information, Current Affairs, Dementia/Alzheimer's, Elder Abuse/Guardianship/Conservatorship, Health Care/Long Term Care, Programs/CLEs | Permalink | Comments (0)
Friday, May 27, 2016
Filial Friday: Are Filial Responsibility Laws a Sign of the (Aging) Times?
Robert A. Mead, with many years of experience as a law librarian at the University of Kansas, the University of New Mexico and the New Mexico Supreme Court, and now serving as the Deputy Chief Public Defender for New Mexico, recently offered his take on claims made by family members and third-parties under state "filial responsibility" laws. His article, "Getting Stuck with the Bill? Filial Responsibility Statutes, Long-Term Care, Medicaid, and Demographic Pressure," appears in the Elder Law Advisory published by Westlaw in May 2016 (and apparently available by subscription only). He tracks the demographics of aging in the U.S. and surveys cases from Pennsylvania, North and South Dakota. Based on research, Rob predicts:
The doubling of the number of elders in society will require a substantial increase in Medicare and Medicaid funding especially if a significant percentage of them are indigent in their last years. Without this increase, filial responsibility statutes and Medicaid estate recovery will likely be used by states to address shortfalls in Medicaid funding. . . . Even without state authorities using filial responsibility statutes to seek Medicaid reimbursement, they will continue to be raised in related contexts. When siblings spar over the medical debts incurred by their deceased statutes and the effect of these debts on the probating of estates, filial responsibility becomes a complicating factor such as in Eori, Pittas, and Linderkamp cases. More insidiously, long-term care facilities are beginning to use filial support statutes to seek reimbursement for debts without waiting for resolution of whether the elder was eligible for Medicaid, as in Randall and Pittas. In some situations it will be financially advantageous for facilities to litigate against heirs rather than to settle for lower Medicaid rates. As the case law continues to develop and the demographic crisis grows, look for these novel uses of filial responsibility statutes to continue and become mainstream. It is incumbent upon lawyers representing clients in states with such statutes to plan and draft accordingly.
It is fun for me to see that Rob Mead, a former student from my own days at the University of New Mexico School of Law, has, entirely independent of my influence, kept his own eye on law and aging policy issues.
May 27, 2016 in Current Affairs, Dementia/Alzheimer's, Health Care/Long Term Care, Housing, State Cases, State Statutes/Regulations | Permalink | Comments (1)
Thursday, May 26, 2016
End of Life Prognosis: Is the Glass Half-Full or Half-Empty?
We all know folks who are the glass half-full type (optimist), as well as the glass half-empty type (pessimist). When one talks to those folks, how those folks interpret what they hear depends on what "glass type" they are. The Journal of the American Medical Association (JAMA) ran a story about a study, Prevalence of and Factors Related to Discordance About Prognosis Between Physicians and Surrogate Decision Makers of Critically Ill Patients. According to the abstract, "[m]isperceptions about prognosis by individuals making decisions for incapacitated critically ill patients (surrogates) are common and often attributed to poor comprehension of medical information."
The authors noted how important it is for the health care surrogate to have information in order to make a health care decision for the patient. But, according to the study,
Numerous studies over the last 3 decades indicate that surrogates of patients with advanced illness often have optimistic expectations about prognosis. This is problematic because optimistic expectations are associated with more use of invasive treatments in dying patients and delayed integration of palliative care. Clinicians cite unrealistic expectations by surrogates as one of the most important barriers to high-quality end-of-life care in seriously ill patients.(citations omitted).
The authors look at some of the reasons for this disparity in viewpoint (including the lack of medical knowledge by surrogates). Here is one example of their findings regarding the disparity of views:
Physician-surrogate discordance about prognosis occurred in 122 of 229 instances (53%; 95% CI, 46.8%-59.7%). Among the 229 surrogates participating in the study, 98 (43%) were more optimistic than physicians and 24 (10%) were more pessimistic. Sixty-five instances (28%) were related to a combination of misunderstandings by surrogates and differences in belief between the physician and surrogate about the patient's prognosis; 38 (17%) were related to misunderstanding only; 7 (3%) were related to different beliefs; and data were missing for 12.
The authors explore the reasons for the surrogates' glass half-full view and learned that the surrogates felt that a positive attitude: "would improve the patient's outcomes or protect themselves from emotional distress"; was justified because they knew the patient better than the doctor, including knowing if the patient were a strong person; and/or was based on their religious beliefs.
The study also explored the glass half-empty views of surrogates. The study authors concluded that "[a]mong critically ill patients receiving care in ICUs, discordant expectations about prognosis were common betwTeen patients' physicians and surrogate decision makers and were related to both misunderstandings by surrogates about physicians' assessments of patients' prognoses and differences in beliefs about patients' prognoses."
The article is available here for free
May 26, 2016 in Advance Directives/End-of-Life, Consumer Information, Current Affairs, Health Care/Long Term Care | Permalink | Comments (0)


text:
Singapore Airlines to launch Canberra international serviceSingapore Airlines (SIA) is to launch a direct 4X-weekly nonstop service from Singapore to Canberra, Australia, in September. The flights will be the first-ever regular international schedules to the Australian capital city's airport. The ... Air Transport World, 11 hours ago
SIA needs to tweak business model for emerging markets, says NUS professor - Edge Markets, 1 day ago
Singapore Airlines flight on fire at Changi - TTG Nordic, 3 days ago
2,220 images for sia
Trekkies, Rejoice! Rihanna's One of You
"Sledgehammer," Rihanna's new Sia-penned ballad, appears in the upcoming Star Trek Beyond. But if super-cool RiRi and the geek-tastic Star Trek universe seem like an odd pairing, here's a shocker: She's actually a huge Star Trek fan from back in the ...ABC News, 15 hours ago Watch Rihanna wear orange sari, henna for Sledgehammer music video Hindustan Times, 1 day ago See Rihanna's Epic, 'Star Trek'-Themed 'Sledgehammer' Video NewsFlow24, 1 day ago
Vistara to increase Kolkata-Delhi flight frequency from October end
Kolkata, July 1 (IANS) Vistara, a joint venture between Tata Sons and Singapore Airlines (SIA), has decided to increase its flights frequency in Kolkata-Delhi route from two times daily to seven times daily by October end, a top official of the ...Yahoo! India, 16 hours ago Vistara to finalise aircraft procurement plan after 5/20 rule outcome Money Today, 3 weeks ago
Aussie singer Sia, Diplo work together on a new single Waving Goodbye
Australian singer Sia Furler, popular for her singles such as The Chandelier and Cheap Thrills, has worked with electronic music producer Diplo for her new single titled Waving Goodbye. The track is featured in Nicolas Winding Refn's new movie The ...Hindustan Times, 2 days ago Diplo & Sia Explore Heartbreak On 'Waving Goodbye' Billboard, 4 days ago Sia, Diplo team up for Waving Goodbye from The Neon Demon PanARMENIAN Network, 3 days ago Sia & Diplo Drop New Summer Jam — Listen To Waving Goodbye Here Mail.com, 4 days ago
What's new in the web world?
The trio, dancing to Sia's Cheap Thrills on Juhu beach, thrilled fans of the upbeat number. Web wow Dancing queens A performance choreographed by Tanya Chamoli, executed by dancers Mokshda and Harshita, received over 400,000 views. The trio, dancing to Sia's ...India Today, 2 weeks ago
AMAZING: What a dance! Three girls perform at Mumbai's Juhu beach; video sets internet on fire - WATCH
This video featuring three dancers Tanya Chamoli, Mokshda and Harshita dancing to Sia's Cheap Thrills has almost crashed the internet! The video has gone massively viral and is getting applause for the brilliant choreography. Tanya Chamoli has choreographed ...Zee News, 2 weeks ago
Singapore Airline's Scoot launches flight operations to Amritsar, Chennai
On the Chennai-Singapore route, Scoot will take the place of SIA's another subsidiary airline TigerAir which has been operating 12 flights a week with narrow-body aircraft.DNA, 1 month ago Singapore-based Scoot to launch flights to Chennai, Amritsar Deccan Herald, 2 months ago Scoot to launch flights to Chennai, Amritsar The Financial Chronicle, 2 months ago
Vistara to operate daily Chandigarh-Delhi flights
NEW DELHI: Tata-SIA joint venture Vistara today said it will commence flight services to Chandigarh from next month as part of its summer schedule. Vistara will operate daily direct return flights to Chandigarh from Delhi and Hyderabad, starting May 2, the ...Economic Times, 2 months ago Vistara to operate 7 flights between Delhi & Kolkata by October HT Syndication, 42 minutes ago
More from: , One India...and 1 other sources
SIA's low cost arm, Scoot, to launch India flights soon
New Delhi, Apr 3 () Scoot Airline, the low-cost arm of Singapore Airline (SIA), is all set to land soon in three Indian cities including Chennai, making it the fourth carrier from the Southeast Asian naton to operate to the world's fastest growing aviation ...Times of India, 2 months ago
ASML president to receive Robert N. Noyce Award
The Semiconductor Industry Association (SIA), representing U.S. leadership in semiconductor manufacturing, design, and research, today announced Martin van den Brink , president and chief technology officer at ASML Holding and renowned pioneer in ...ElectroIQ, 1 day ago ASML President Martin van den Brink to Receive Semiconductor Industry's Top Honor 4 Traders, 2 days ago
More from: Nasdaq, Minyanville...and 10 other sources
Realtime News
on your WebpageAdd Widget >Get your members hooked!

subset: commoncrawl


text:
A 38-year-old woman has appeared in court accused of murdering a baby after its legs were found in a park.
Police charged Elita Amantova, 38, of no fixed abode, with murder on Wednesday, May 14.
A large area of the park was cordoned off
She appeared at the Old Bailey on Friday May 16 and will return to court on July 30 when she is expected to enter her plea.
On September 10, 2012, baby remains were discovered by a council worker on Tooting Bec Common in Doctor Johnson Avenue.
A post-mortem gave the age of the child as less than two weeks, but was unable to determine gender or cause of death.
Police using sniffer dogs scoured the area for a further five days but no more remains were discovered.
Last year, on March 30, a dog walker unearthed human placenta buried inside an ice cream carton just a short distance away on Tooting Bec Common near the athletics track.
Again police searches found no other human remains.
A forensic officer and a specialist dog on the scene
- EU Referendum 2016: As Britain votes to leave, how did your borough vote in south west London and north Surrey?
- David Cameron to RESIGN as Britain votes to leave European Union
- Merton police officer dismissed from the Met for 'discreditable conduct' after admitting voyeurism offences
- Wimbledon tennis championships: travel tips and parking changes through Wimbledon and Southfields during two week event
- What you need to know about Pride in London this weekend


text: Benefits Love Is in the Air at the Workplace February 14, 2014 (PLANSPONSOR.com) – Workplace romances are not merely the stuff of TV sitcoms, according to a new survey. By Kevin McGuinness firstname.lastname@example.com | February 14, 2014 Page 1 of 2 View Full Article CareerBuilder finds more than one-third of employees (38%) have dated someone who worked for the same company, with 16% having done so more than once.Of those who dated someone from the office, nearly one-third (31%) ended up marrying their office sweetheart. Twenty percent of employees who dated someone at the office admitted at least one person in the relationship was married at the time.One-quarter (24%) of employees who have dated a co-worker say their office sweetheart was higher up in the organization, including the boss. But only 3% say the relationship helped them progress in their career.More office romances seem to occur in the leisure and hospitality field (57%), followed by utilities (51%), information technology (46%) and transportation (42%), all of which outpace the national average. Other industries where romances are blossoming include financial services (38%), retail (35%), manufacturing (35%), health care (32%) and business services (26%). Prev1 2Next View Full Article Tagged: Workplace related articles related research most e-mailed UpFrontFinding the Links From plansponsor.com Study Supports Offering Student Loan Repayment BenefitEEOC Announces Final Rules for Wellness Programs Growing Millennial Generation Reshapes Health Care Consumption Benefits No Longer Driving Retirement DecisionsEmployers Haven't Caught On to New Vision of RetirementTop Action Points for DC Plans in 2016 UpFrontFinding the Links From plansponsor.com 2016 Recordkeeping Survey2016 Participant Survey2016 PLANSPONSOR Health Savings Account Buyer's Guide 2015 PLANSPONSOR DC Survey: Plan Benchmarking2015 Defined Contribution Survey2015 PLANSPONSOR Managed Account Buyer's Guide UpFrontFinding the Links From plansponsor.com Ameritas to Acquire Guardian 401k BusinessA Simple Rule for Spending Down Retirement SavingsAnalysis Finds Concerning Differences in Retirement Income CalculatorsCourt Moves Forward Great-West ERISA SuitPSNC 2016 DOL and IRS Audits go to news topic


text:
Cheap flights from Saint Petersburg to Samarkand
Information about flights from Saint Petersburg to Samarkand
Bravofly would like to be the perfect travel tool for all your travelling needs. The Bravofly App is also available for the smartphone so you don't miss out and being able to use our search engine from wherever you are.
If you don't know where to go on holiday, why not let yourself be guided by our cheap flight deals to Samarkand from Saint Petersburg. Without the stress of having set dates, the search results will help you make up your mind.
Need inspiration for your next holiday? Join Bravofly's facebook page and be sure to get top travel tips for your next trip .
Greetings! Welcome to the Bravofly's travel website for low cost flights. If you are looking for a low cost flight Saint Petersburg-Samarkand, you are in the right place! Your are click away from confirming your flight Saint Petersburg-Samarkand.
Explore the additional services available on Bravofly even once you have booked your flight Saint Petersburg-Samarkand. On Bravofly, as well as your flight Saint Petersburg-Samarkand, you can also book car hire, ready for you on arrival in Samarkand. If you want to stay in Samarkand, our website has also created a way for you to book a hotel room in Samarkand with no fuss.
Maybe you are interested in Cheap flights to Saint Petersburg or search Cheap flights from Samarkand to Saint Petersburg Now's your chance!
Flexible on when you visit?
Flight offers Samarkand in July
|11/07/16 - 17/07/16
|18/07/16 - 24/07/16
|25/07/16 - 31/07/16
Saint Petersburg - Samarkand
Flight offers to Samarkand for next weekend
|15/07/16 - 17/07/16
|22/07/16 - 24/07/16
|29/07/16 - 31/07/16
Saint Petersburg - Samarkand
Cheap flights from United Kingdom cities to Samarkand
- Cheap flights London - Samarkand£994
Departing on Friday, 26 August 2016 and returning on Tuesday, 30 August 2016
Cheap flights from outside of United Kingdom to Samarkand
- Cheap flights Moscow - Samarkand£280
Departing on Saturday, 17 September 2016 and returning on Friday, 23 September 2016


text:
Electronic Data Interchange (EDI) Jobs in London
Jobs 1 to 3 of 3
1st Line Support Analyst
Experience with the Microsoft Office Suite. Basic knowledge of PC networking (Windows environment) ITIL based qualifications or at least good knowledge... Desired: Basic familiarity with the use of SQL Server. Experience of the support of XML (SOAP) web service based applications. Experience of the support of Microsoft .NET web applications...
City, London -
Premier IT
Salary: £20000.00 - £25000.00 per annumPosted: 16 hours ago
Project Manager ( Prince 2 , Retail , Supply , ERP )
Delivering multiple business systems projects - preferably a mix of backend enterprise / ERP, front-end customer facing solutions and analytics... Skills : Project Manager / Project Management / Prince 2 / PMBOK / Retail / Risk / Change Management / Multi -channel / E-commerce / Forecasting / Inventory Management / Order Fulfilment / Logistics / Third Party Management / Systems integration / Hospitality / F&B / Food...
Brentford, Middlesex -
Vadis People
Salary: Upto £65,000 pa depending on experiencePosted: Yesterday
IT Support Apprentice
The Apprenticeship offers on the job training and onsite assessment by an approved apprenticeship training provider, earning a nationally recognised qualification (EDI Level 3) at the end of the Apprenticeship... Minimum of 5 A* to C GCSE's (including Maths, English and IT)... Basic knowledge of current operating systems including...
London, Angel -
Rate: £0 - £12,000 per yearPosted: 14 days ago


text:
2005 OTTB chestnut thoroughbred gelding, Secretariat descendent. All-around good horse, good personality, smart, quick learner. He is good over the jumps…$6,000
Always wanted to have your own black beauty when you where a kid? Now you can own the next best horse! Cardston is a 6 y.o. OTTB Gelding. Retired from…$4,000
Cody is a 19 year old Paint, I am relocating and am unable to take him with me, or I would never want to give him up! He is very healthy, has great…$2,000
This sweet and stunning pony is 13.2 hands and five years old. Bred, raised and started correctly, this pony has it all! Out of a lovely hunter welsh…$20,000
Elegant mare ,pretty neck ,great mover. Willing and smart, likes to work. Nominated for Gold Star, Sweepstakes,Scottsdale Signature and MN Medallion futurities…$20,000
Maddie is an 15 year old, 15.1-1/2hh Draft Cross x Haflinger mare with MAJOR STAR POWER! She is an absolute knock-out in the ring with success in Dressage…$4,000
7 year old sorrel mare, Hypp N/H (NN for everything else), about 15.2-3hh. Excellent pedigrees (Obvious Conclusion, Kid Clu, Sonny Dee Bar, ect...)! …$2,000
READY TO GO... Gorgeous colt!!! Super sweet, handled daily, halter broke, leads, bathes, clips, ground ties for farrier and is definitely a Stallion Prospect…$4,500


text:
Lyrics Depot is your source of lyrics to Modern Man by Bad Religion. Please check back for more Bad Religion lyrics.
Modern Man Lyrics
Artist: Bad Religion
Album: All Ages
I've got nothing to say,
I've got nothing to do,
all of my neurons are functioning smoothly
yet still I'm a cyborg just like you,
I'm one big myoma that thinks,
my planet supports only me,
I've got this one big problem:
will I live forever?
I've got just a short time to see,
modern man, evolutionary betrayer,
modern man, ecosystem destroyer,
modern man, destroy yourself in shame,
modern man, pathetic example of
earth's organic heritage
when I look back and think,
when I ponder and ask "why?",
I see my ancestors spend with careless abandon,
assuming eternal supply, modern man....
just a sample of carbon-based wastage,
just a fucking tragic epic of you and I
Bad Religion Lyrics
Bad Religion All Ages Lyrics
More Bad Religion Music Lyrics:
Bad Religion - A Walk Lyrics
Bad Religion - Billy Lyrics
Bad Religion - God Song Lyrics
Bad Religion - Let Them Eat War Lyrics
Bad Religion - Part III Lyrics
Bad Religion - Prodigal Son Lyrics
Bad Religion - Sensory Overload Lyrics
Bad Religion - We're Only Gonna Die From Our Own Arrogance Lyrics


text:
Eileen Fisher
Gored Silk Skirt
Product not available
Have questions?
Chat with us or call 1.888.282.6060.
HideDetails & Care
A drawstring tunneled through the waist brings casual ease to a breezy silk skirt in a flared cut with twirling movement.
- 25" length (size Medium).
- Unlined.
- 100% silk.
- Machine wash cold, line dry or dry clean.
- By Eileen Fisher; imported.
- Studio 121.
Gored Silk Skirt
Write a Review0 Reviews
Enter a valid first name.
Enter a valid last name.
Enter a valid email address in the format: firstname.lastname@example.com.
Close modal


text:
IEEE MultiMedia
The magazine contains technical information covering a broad range of issues in multimedia systems and applications.
Latest Published Articles
An Image Encryption Algorithm Based on Autoblocking and ElectrocardiographyMay-04 2016
Managing Intellectual Property in a Music Fruition EnvironmentMay-04 2016
Multimodal Ensemble Fusion for Disambiguation and RetrievalMay-04 2016
Extended Guided Filtering for Depth Map UpsamplingMay-04 2016
Planogram Compliance Checking Based on Detection of Recurring PatternsMay-04 2016
Popular Articles
Nonlocal In-Loop Filter: The Way Toward Next-Generation Video Coding?Siwei Ma ; Xinfeng Zhang ; Jian Zhang ; Chuanmin Jia ; Shiqi Wang ; Wen GaoMay-04 2016
The MPEG-DASH Standard for Multimedia Streaming Over the InternetNov-14 2011
Social Media, Democracy, and DemocratizationJun-22 2015
A Novel Semi-Supervised Dimensionality Reduction FrameworkMay-04 2016
Extended Guided Filtering for Depth Map UpsamplingMay-04 2016
Publish in this Journal
Meet Our Editors
John R. Smith
IBM T.J. Watson Research Center
Popular Articles (May 2016)
1. Nonlocal In-Loop Filter: The Way Toward Next-Generation Video Coding?Siwei Ma ; Xinfeng Zhang ; Jian Zhang ; Chuanmin Jia ; Shiqi Wang ; Wen GaoPublication Year: 2016, Page(s):16 - 26
In-loop filtering has emerged as an essential coding tool since H.264/AVC, due to its delicate design, which reduces different kinds of compression artifacts. However, existing in-loop filters rely only on local image correlations, largely ignoring nonlocal similarities. In this article, the authors explore the design philosophy of in-loop filters and discuss their vision for the future of in-loop... View full abstract»
2. The MPEG-DASH Standard for Multimedia Streaming Over the Internet
Cited by: Papers (108) | Patents (24)
MPEG has recently finalized a new standard to enable dynamic and adaptive streaming of media over HTTP. This standard aims to address the interoperability needs between devices and servers of various vendors. There is broad industry support for this new standard, which offers the promise of transforming the media-streaming landscape. View full abstract»
3. Social Media, Democracy, and Democratization
The confluence of social media with political action is a complex field raising important questions. Is social media a realm for democratic deliberation? Can we ascertain public opinion from social media outlets? How are people using social media for political participation? Can social media boost democracy in authoritarian regimes? Here, the author considers these questions and contemplates the f... View full abstract»
4. A Novel Semi-Supervised Dimensionality Reduction Framework
In pattern recognition, when a dataset contains multiple classes, and the structures of the classes are different, single manifold assumption can hardly guarantee the best classification performance. It is more reasonable to assume each class lies on a separate manifold. Here, the authors propose a novel framework of semisupervised dimensionality reduction for multimanifold learning. To address th... View full abstract»
5. Extended Guided Filtering for Depth Map Upsampling
This extended guided filtering approach for depth map upsampling outperforms other state-of-the-art approaches by using a high-resolution color image as a guide and applying an onion-peeling filtering procedure that exploits local gradient information of depth images. View full abstract»
6. A Survey of Current YouTube Video Characteristics
Cited by: Papers (1)
Given the impact of YouTube on Internet services and social networks, a healthy quantity of research has been conducted over the past few years. The majority of studies on traffic capture and evaluation were carried out prior to Google's acquisition of YouTube in 2007. Since then, there have been some changes made to the user policy and service infrastructure, including limits placed on video dura... View full abstract»
7. Immersive 3D Holoscopic Video SystemAmar Aggoun ; Emmanuel Tsekleves ; Mohammad Rafiq Swash ; Dimitrios Zarpalas ; Anastasios Dimou ; Petros Daras ; Paulo Nunes ; Luí Ducla SoaresPublication Year: 2013, Page(s):28 - 37
Cited by: Papers (8)
We demonstrated a 3D holoscopic video system for 3DTV application. We showed that using a field lens and a square aperture significantly reduces the vignetting problem associated with a relay system and achieves over 95 percent fill factor. The main problem for such a relay system is the nonlinear distortion during the 3D image capturing, which can seriously affect the reconstruction process for a... View full abstract»
8. Multimedia Memory Cues for Augmenting Human MemoryTilman Dingler ; Passant El Agroudy ; Huy Viet Le ; Albrecht Schmidt ; Evangelos Niforatos ; Agon Bexheti ; Marc LangheinrichPublication Year: 2016, Page(s):4 - 11
Technology has always had a direct impact on what humans remember. In the era of smartphones and wearable devices, people easily capture information, such as pictures and videos, on a daily basis. The so-called "quantified self" movement focuses on using such captured multimedia information, often in combination with additional contextual data (such as GPS traces or social media posts), with the g... View full abstract»
9. The Intersection of Art and Technology
As art influences science and technology, science and technology can in turn inspire art. Recognizing this mutually beneficial relationship, researchers at the Casa Paganini-InfoMus Research Centre work to combine scientific research in information and communications technology (ICT) with artistic and humanistic research. Here, the authors discuss some of their work, showing how their collaboratio... View full abstract»
10. Local Stereo Matching with Improved Matching Cost and Disparity Refinement
Cited by: Papers (2)
Recent local stereo matching methods have achieved comparable performance with global methods. However, the final disparity map still contains significant outliers. In this article, the authors propose a local stereo matching method that employs a new combined cost approach and a secondary disparity refinement mechanism. They formulate combined cost using a modified color census transform and trun... View full abstract»
11. Compact Descriptors for Visual SearchLing-Yu Duan ; Jie Lin ; Jie Chen ; Tiejun Huang ; Wen GaoPublication Year: 2014, Page(s):30 - 40
Cited by: Papers (10)
To ensure application interoperability in visual object search technologies, the MPEG Working Group has made great efforts in standardizing visual search technologies. Moreover, extraction and transmission of compact descriptors are valuable for next-generation, mobile, visual search applications. This article reviews the significant progress of MPEG Compact Descriptors for Visual Search (CDVS) in... View full abstract»
12. An Image Encryption Algorithm Based on Autoblocking and Electrocardiography
A novel image encryption algorithm is designed based on autoblocking and a medical electrocardiography (ECG) signal. The method uses a chaotic logistic map and a generalized Arnold map. To solve deterministic input problems, the method uses an ECG signal and the Wolf algorithm to generate initial conditions for the chaotic maps. Compared with traditional cryptoarchitectures, this system performs t... View full abstract»
13. Through the looking glass: the synthesis of computer graphics and computer vision
In one abstract view, computer graphics deals with building computer models or representations and then displaying them by some method or theory to produce a high-quality image. Computer vision is a dual to computer graphics. It starts with an image or animation and deduces the model representation for the computer. Computer graphics goes down from model to image, and computer vision goes up from ... View full abstract»
14. Collecting Large, Richly Annotated Facial-Expression Databases from Movies
Cited by: Papers (12)
Two large facial-expression databases depicting challenging real-world conditions were constructed using a semi-automatic approach via a recommender system based on subtitles. View full abstract»
15. A New Writing Experience: Finger Writing in the Air Using a Kinect Sensor
Cited by: Papers (6)
With the introduction of Microsoft Kinect, there has been considerable interest in creating various attractive and feasible applications in related research fields. Kinect simultaneously captures the depth and color information and provides real-time reliable 3D full-body human-pose reconstruction that essentially turns the human body into a controller. This article presents a finger-writing syste... View full abstract»
16. Multimodal Ensemble Fusion for Disambiguation and Retrieval
In this article, the authors identify the correlative and complementary relations among multiple modalities. They then propose a multimodal ensemble fusion model to capture the complementary relation and correlative relation between two modalities (images and text) and explain why this ensemble fusion model works. Experimental results on the University of Illinois at Urbana-Champaign Image Sense D... View full abstract»
17. Managing Intellectual Property in a Music Fruition Environment
With the advent of the digital age and the spread of portable digital audio players, interest in software and hardware tools that can help producers and distributors enhance and revive their catalogue of music has progressively increased. One of the main concerns of major labels is how to prevent file sharing. An innovative approach that couples reviving catalogues with support for rights manageme... View full abstract»
18. Social Media Interaction and Analytics for Enhanced Educational ExperiencesGeorgios Palaiokrassas ; Athanasios Voulodimos ; Kleopatra Konstanteli ; Nicholas Vretos ; David Salama Osborne ; Efstathia Chatzi ; Petros Daras ; Theodora VarvarigouPublication Year: 2016, Page(s):26 - 35
In this article, the authors present an innovative system based on social media and high-quality multimedia content delivery designed to enhance the educational experiences of students in cultural centers and museums. The system brings together students who are viewing an educational movie and a panel of experts who might be geographically dispersed and engages them in an exciting social media exp... View full abstract»
19. Virtualized reality: constructing virtual worlds from real scenes
Cited by: Papers (200) | Patents (28)
A new visual medium, Virtualized Reality, immerses viewers in a virtual reconstruction of real-world events. The Virtualized Reality world model consists of real images and depth information computed from these images. Stereoscopic reconstructions provide a sense of complete immersion, and users can select their own viewpoints at view time, independent of the actual camera positions used to captur... View full abstract»
20. Web engineering: an introduction
Cited by: Papers (59)
Within a short period, the Internet and World Wide Web have become ubiquitous, surpassing all other technological developments in our history. They've also grown rapidly in their scope and extent of use, significantly affecting all aspects of our lives. Industries such as manufacturing, travel and hospitality, banking, education, and government are Web-enabled to improve and enhance their operatio... View full abstract»
21. Real-Time Gaze Estimation with Online Calibration
Cited by: Papers (1)
Gaze-tracking technology is highly valuable in many interactive and diagnostic applications. For many gaze estimation systems, calibration is an unavoidable procedure necessary to determine certain person-specific parameters, either explicitly or implicitly. Recently, several offline implicit calibration methods have been proposed to ease the calibration burden. However, the calibration procedure ... View full abstract»
22. Content-based classification, search, and retrieval of audioE. Wold ; T. Blum ; D. Keislar ; J. WheatenPublication Year: 1996, Page(s):27 - 36
Cited by: Papers (272) | Patents (289)
Many audio and multimedia applications would benefit from the ability to classify and search for audio based on its characteristics. The audio analysis, search, and classification engine described here reduces sounds to perceptual and acoustical features. This lets users search or retrieve sounds by any one feature or a combination of them, by specifying previously learned classes based on these f... View full abstract»
23. Virtual-reality heritage presentation at Ename
Cited by: Papers (5)
Virtual reality (VR) and multimedia are central components of the heritage presentation programme at Ename, Belgium. These techniques are designed to help the visitor understand and experience the past as revealed through archaeological and historical research. The programme uses different VR approaches to bring to life archaeological remains, standing monuments and elements of the historical land... View full abstract»
24. Training Quality-Aware Filters for No-Reference Image Quality AssessmentLin Zhang ; Zhongyi Gu ; Xiaoxu Liu ; Hongyu Li ; Jianwei LuPublication Year: 2014, Page(s):67 - 75
Cited by: Papers (1)
With the rapid increase of digital imaging and communication technology usage, there's now great demand for fast and practical image quality assessment (IQA) algorithms that can predict an image's quality as consistently as humans. The authors propose a general-purpose, no-reference image quality assessment (NR-IQA) with the goal of developing a model that does not require prior knowledge about no... View full abstract»
25. The Rise of Multimedia for Online Communication Startups
This look at the driving forces behind the multimedia evolution of online communication explores some recent startups and the reasons behind their success. Online messaging has been a hot topic in the startup world lately. Last year, a new breed of online messaging tools sprang up and experienced tremendous user growth. Although online messaging is similar to text messaging, these next-generation ... View full abstract»
26. Effects of Auditory Feedback on Menu Selection in Hand-Gesture Interfaces
With the increasing amount of new motion-sensing hardware, improving the usability of gesture interfaces is becoming more important. However, people don't accept gesture interfaces as comfortably as traditional interfaces because they lack the tactile or haptic feedback of traditional input methods, such as mice or keyboards. However, having tactile feedback in gesture interfaces isn't possible un... View full abstract»
27. Small Data, Big Impact
In a world of big data, sometimes having the right amount of small data at the right time can also pack a powerful punch. Tasked with creating a straightforward network visualization for a growing institution, the authors explored the organization's activities, which ultimately led to a radical refocusing and restructuring of the institution. Their small interdisciplinary team, combining skills in... View full abstract»
28. Integrating Multimedia into Autism Intervention
Multimedia-based instruction (MBI) has been playing an increasingly important role in interventions to help children with Autism Spectrum Disorder (ASD) initiate conversations, improve "play" skills, and practice social conventions. However, it's important for MBI apps to integrate and enhance established evidence-based approaches. With the support of the National Science Foundation, researchers a... View full abstract»
29. Copyright Protection for E-Government Document Images
Cited by: Papers (5)
The proposed copyright protection scheme combines the discrete cosine transform (DCT) and singular value decomposition (SVD) using a control parameter to avoid the false-positive problem. In this article, we propose an efficient copyright protection scheme for e-government document images. First, we apply the discrete cosine transform (DCT) to the host image and use the zigzag space-filling curve ... View full abstract»
30. Non-Parametric Quality Assessment of Natural Images
One major disadvantage of the previous no-reference image quality assessment (NR-IQA) methods is that they require an intensive training phase of their regression models. In this paper, we attempt to explore an alternative way to perform the NR-IQA task without the need of a training process. Following a feature extraction stage in which spatial domain statistics are utilized as our quality predic... View full abstract»
31. Large-scale concept ontology for multimediaM. Naphade ; J. R. Smith ; J. Tesic ; Shih-Fu Chang ; W. Hsu ; L. Kennedy ; A. Hauptmann ; J. CurtisPublication Year: 2006, Page(s):86 - 91
Cited by: Papers (140) | Patents (3)
As increasingly powerful techniques emerge for machine tagging multimedia content, it becomes ever more important to standardize the underlying vocabularies. Doing so provides interoperability and lets the multimedia community focus ongoing research on a well-defined set of semantics. This paper describes a collaborative effort of multimedia researchers, library scientists, and end users to develo... View full abstract»
32. The importance of the sense of touch in virtual and real environments
Cited by: Papers (25) | Patents (1)
What would be worse, losing your sight or your sense of touch? Although touch (more generally, somesthesis) is commonly underrated, major somesthetic loss can't be adequately compensated for by sight. It results in catastrophic impairments of hand dexterity, haptic capabilities, walking, perception of limb position, and so on. Providing users with inadequate somesthetic feedback in virtual environ... View full abstract»
33. MMT: An Emerging MPEG Standard for Multimedia Delivery over the Internet
Cited by: Papers (12)
Content-centric networking promises more efficient distribution of data through in-network caching and the propagation of content through the network. This networking paradigm poses a number of challenges and new opportunities for more efficient multimedia delivery. The MPEG Media Transport (MMT) standard is being developed to address these needs with specifications for encapsulation, delivery, an... View full abstract»
34. Fast Summarization of User-Generated Videos Using Semantic, Emotional and Quality Clues
Techniques for summarizing user-generated videos (UGVs) into short representative clips are useful in many applications. This paper introduces a novel approach for fast UGV summarization using semantic and emotional clues. Different from other types of videos like movies, where the semantic contents may vary greatly across different shots, most UGVs have only a single shot with relatively consiste... View full abstract»
35. Saliency-Guided Deep Framework for Image Quality Assessment
Image quality assessment (IQA) has thrived for decades, and researchers continue to explore how the human brain perceives visual stimuli. Psychological evidence shows that humans prefer qualitative descriptions when evaluating image quality, yet most researches still concentrate on numerical descriptions. Furthermore, handcrafting features are widely used in this community, which constrains the mo... View full abstract»
36. Optimizing the Perceptual Quality of Real-Time Multimedia Applications
Designing a multimedia system achieve high perceptual quality requires a black-box approach to tune control inputs according to preferences from subjective tests. The authors present OptPQ, a systematic method for optimizing perceptual quality using just-noticeable difference (JND) profiles. View full abstract»
37. FoodLog: Multimedia Tool for Healthcare Applications
FoodLog is a multimedia food-recording tool that offers a novel method for recording daily food intake primarily for healthcare purposes. Its novel use of image-processing techniques presents significant potential for the development of new healthcare monitoring apps. View full abstract»
38. Planogram Compliance Checking Based on Detection of Recurring Patterns
In this article, the authors propose a novel method for automatic planogram compliance checking in retail chains that doesn't require product template images for training. Product layout is extracted from an input image by means of unsupervised recurring pattern detection and matched via graph matching, with the expected product layout specified by a planogram to measure the level of compliance. A... View full abstract»
39. The Scalable Extensions of HEVC for Ultra-High-Definition Video Delivery
Cited by: Papers (11)
This article presents an overview of SHVC, the scalable extension of H.265/HEVC. SHVC adopts a scalable coding architecture with only high-level syntax changes relative to its base codec, which allows SHVC to be deployed with significantly reduced implementation cost. SHVC supports a rich set of scalability features. It also addresses the increasing market demand for higher quality and higher valu... View full abstract»
40. Photos to Remember, Photos to Forget
Each year makes it easier to accumulate large numbers of photos and videos in the social and personal digital space. Their long-term existence is mostly driven by chance rather than by clear guidelines or rules for archiving them. Thus, unfortunately, cases of nonintended both the exposure and disappearance of personal photos happen much too often. This article mainly focuses on this question: Wha... View full abstract»
41. A Novel Semi-Supervised Dimensionality Reduction Framework for Multi-Manifold Learning
In pattern recognition, when a data set contains multiple classes and the structures of the classes are different, single manifold assumption can hardly guarantee the best classification performance. It is more reasonable to assume each class lies on a separate manifold. In this paper, we propose a novel framework of semi-supervised dimensionality reduction for multi-manifold learning. To address ... View full abstract»
42. Learners Thrive Using Multifaceted Open Social Learner Modeling
This article explores open social learner modeling (OSLM)-a social extension of open learner modeling (OLM). A specific implementation of this approach is presented by which learners' self-direction and self-determination in a social e-learning context could be potentially promoted. Unlike previous work, the proposed approach, multifaceted OSLM, lets the system seamlessly and adaptively embed visu... View full abstract»
43. Walking in Colors: Human Gait Recognition Using Kinect and CBIR
Cited by: Papers (3)
This article proposes a new method of recognizing human gait. The proposed method is based on the idea that the problem of human gait recognition can be transformed from a spatio-temporal problem into the spatial domain, specifically the 2D image domain. This is done by representing a sample of a human gait as a still image. By doing so, all the recorded information is kept while enabling the use ... View full abstract»
44. Visual Attention Retargeting
This article presents an introduction to visual attention retargeting, its connection to visual saliency, the challenges associated with it, and ideas for how it can be approached. The difficulty of attention retargeting as a saliency inversion problem lies in the lack of one-to-one mapping between saliency and the image domain, in addition to the possible negative impact of saliency alterations o... View full abstract»
45. Detecting LSB steganography in color, and gray-scale images
Cited by: Papers (174)
We describe a reliable and accurate method for detecting least significant bit (LSB) nonsequential embedding in digital images. The secret message length is derived by inspecting the lossless capacity in the LSB and shifted LSB plane. An upper bound of 0.005 bits per pixel was experimentally determined for safe LSB embedding View full abstract»
46. Syncing Shared Multimedia through Audiovisual Bimodal Segmentation
This work emanates from the particularities residing in contemporary social media storytelling, where multiple users and publishing channels capture and share public events, experiences, and places. Multichannel presentation and visualization mechanisms are pursued along with novel audiovisual mixing (such as time-delay-compensation enhancement, perceptual mixing, quality-based content selection, ... View full abstract»
47. Selecting Interesting Image Regions to Automatically Create Cinemagraphs
A cinemagraph is a novel medium that infuses a static image with the dynamics of one or several particular image regions. It is in many ways intermediate between a photograph and video, and it has numerous potential applications, such as in the creation of dynamic scenes in computer games and interactive environments. However, creating cinemagraphs is a time-consuming process requiring high profic... View full abstract»
48. Standardization of Biometric Template Protection
Cited by: Papers (2)
Whether it is providing fingerprints at airport immigration desks, tagging friends on social networking sites, or logging into a smartphone, biometrics provide a fast, convenient, and unobtrusive means for access control or identity verification. Biometric template protection is an umbrella term for a class of techniques used to mitigate the security and privacy threats inherent in biometric recog... View full abstract»
49. A Machine Intelligence Approach to Virtual Ballet TrainingPaisarn Muneesawang ; Naimul Mefraz Khan ; Matthew Kyan ; R. Bruce Elder ; Nan Dong ; Guoyu Sun ; Haiyan Li ; Ling Zhong ; Ling GuanPublication Year: 2015, Page(s):80 - 92
This article presents a framework for real-time analysis and visualization of ballet dance movements performed within a Cave Virtual Reality Environment (CAVE). A Kinect sensor captures and extracts dance-based movement features, from which a topology preserved "posture space" is constructed using a spherical self-organizing map (SSOM). Recordings of dance movements are parsed into gestural elemen... View full abstract»
50. A Computer-Supported Collaborative Learning Design for Quality Interaction
This study investigated, through both formative and practical evaluation, the relationships among the use of functions in computer-supported collaborative learning (CSCL), psychological factors, and learning behaviors related to applying the Community of Inquiry (CoI) framework. The goal was to increase active interaction among learners. In two experiments inside and outside the classroom, the aut... View full abstract»
Aims & Scope
The magazine contains technical information covering a broad range of issues in multimedia systems and applications.
Meet Our Editors
John R. Smith
IBM T.J. Watson Research Center
Further Links
Aims & Scope
The magazine contains technical information covering a broad range of issues in multimedia systems and applications. Articles discuss research as well as advanced practice in hardware/software and are expected to span the range from theory to working systems. Especially encouraged are papers discussing experiences with new or advanced systems and subsystems. To avoid unnecessary overlap with existing publications, acceptable papers must have a significant focus on aspects unique to multimedia systems and applications. These aspects are likely to be related to the special needs of multimedia information compared to other electronic data, for example, the size requirements of digital media and the importance of time in the representation of such media. The following list is not exhaustive, but is representative of the topics that are covered: Hardware and software for media compression, coding & processing; Media representations & standards for storage, editing, interchange, transmission & presentation; Hardware platforms supporting multimedia applications; Operating systems suitable for multimedia applications; Storage devices & technologies for multimedia information; Network technologies, protocols, architectures & delivery techniques intended for multimedia; Synchronization issues; Multimedia databases; Formalisms for multimedia information systems & applications; Programming paradigms & languages for multimedia; Multimedia user interfaces; Media creation integration editing & management; Creation & modification of multimedia applications. The primary goal of the magazine is to provide a forum for researchers and practitioners to present new findings and discuss experiences with multimedia systems and applications. In addition, the magazine keeps readers informed of the state of the art in the multimedia arena, including technical trends and research directions.
Persistent Link: http://ieeexplore.ieee.org/servlet/opac?punumber=93 More »
Frequency: 4
Publication Details: IEEE MultiMedia
Published by:
- Communication, Networking & Broadcasting
- Computing & Processing
Advertising Coordinator
Marian Anderson
10662 Los Vaqueros Circle
Los Alamitos, CA 90720 90720 USA
Phone:+1 714 821 8380
Fax:+1 714 821 4010
Business Development Manager
Sandy Brown
John R. Smith
IBM T.J. Watson Research Center
About this Journal
Editorial Board
Content Announcements
John R. Smith
IBM T.J. Watson Research Center


text:
Fall Sports
Winter Sports
Spring Sports
Posted in News & Resources | Leave a Comment
Partly Cloudy. Temperature: 79; Wind: NNW at 6; Conditions as of Thu Jun 30 at 01:00 PM EDT courtesy of The PSU Weather Center
Plymouth State University. 17 High Street. Plymouth, New Hampshire, 03264-1595. Main Switchboard: (603) 535-5000.
A member of the University System of New Hampshire. © 2006-2016. All rights Reserved.


text:
A St. James man accused of causing the death of 2 women in a car crash last year has pleaded guilty to two counts of criminal vehicular homicide in an Alford Plea. The plea means that 24-year-old Mark Anders Chalin does not admit guilt in the crime, but does acknowledge there is enough evidence to convict him. Chalin was reportedly driving on Blue Earth County Road 90 with 23-year-old Amber Menezes of Mankato on his lap last August when he crossed the centerline and crashed head-on into 35-year-old Jonna Martin of Lakefield. Both Martin and Menezes were killed in the crash, and Chalin suffered 26 broken bones and a damaged bladder and spent 45 days in the hospital. He says that he agreed to the plea because he couldn't remember what happened that night. Prosecutors will be asking for a 48-month prison sentence. Sentencing is set for December 10th.
Home » Breaking News State & Local » Vehicular Homicide Plea
Most Popular
- Discussed
- Viewed
- Prevention, Lane Graves, Disney World, America and Alligators – By Glenn Mollette
- Man dies after being buried in 10 foot trench
- Truman man gets prison time for knife threats
- New Ulm vs Mankato West – June 11
- Reuben Dip
- New Ulm Council schedules work session on RENU recommendations
- Morning news – June 25
- New Ulm woman charged with drug sale
- Morning Sports – June 25
- Madelia fire relief held up at the Capitol
- Sleepy Eye man facing charges for driving over person
- Prevention, Lane Graves, Disney World, America and Alligators – By Glenn Mollette
- Sexual assault charges dropped in Sleepy Eye case
- Sleepy Eye Chamber says good bye to one and welcomes another
- Springfield teen pleads guilty to four sex charges
- St. James man charged in assault
- Naked woman arrested at Mankato liquor store
- Kendra Parks wins Springfield Sings contest
- New Ulm woman charged with drug sale
- Sleepy Eye event center, hotel plans being finalized


text:
Pregnant ending: requires onacon. …
- Tags: Adaptations, Endings, Pregnancy, PSP, Tomodachi ga Sukunai, Visual Novels
Comment on Tomodachi ga Sukunai Portable Ending Shocks Fans by Anonymous:
Pregnant ending: requires onacon.
Anonymous made other comments on this post:
- Tomodachi ga Sukunai Portable Ending Shocks Fans:
I remember that option in rapeplay lol
- Tomodachi ga Sukunai Portable Ending Shocks Fans:
Keep in mind that a female will be most inclined to copulate at the point of maximum fertility.
- Tomodachi ga Sukunai Portable Ending Shocks Fans:
Katawa Shoujo has the condom option…
- Tomodachi ga Sukunai Portable Ending Shocks Fans:
Where's the Maria route ending? No pregnancy ending there!
- Tomodachi ga Sukunai Portable Ending Shocks Fans:
So you can 'root' Kirino? thank you ladies and gentlemen, I'll be here all night. Please, tip your waiter.
Recent comments by Anonymous:
- Kefka Graces Dissidia Final Fantasy:
More Killing Joke Joker, really. Nowhere near as wacky as Deadpool, and darker than the Joker is usually portrayed.
- Goddess of 2ch: "Fabulous F-Cup!":
Size of clothing in general is different in Japan than it is in the US. Hell, if you wear a Large shirt in the west, you're essentially gonna feel like you're obese as fuck in Japan cuz few stores will have their version of XL or XXL. A lot of the ones you do find aren't exactly fitted to be round neither, if that's a concern.
- Monmusu! Reverse R*pe Academy "A Monster Girl Paradise!":
this is like if the monster musume girls decided they'd had enough in the closet/pansy-ass BS from the male protagonist and just wanted to fuck him,lol
- Japanese Ghostbusters Music Video Emerges:
Watanabe rocks she should have been cast in the film.
- Monmusu! Reverse R*pe Academy "A Monster Girl Paradise!":
Proud macho-guys like that will never accept not being fully in control of the situation, nor will they like being treated like a sex object. One assumes reverse-rape is impossible because hey, free sex, right? In truth it's not sex, it's the power trip from being in control of sex with a bunch of women. That's the fantasy, and it's one impossible when monster girls are stronger, sexually dominant, and are under no illusion that the man is anything but a sex toy for them to use as they please.


text:
Experimental Animation and Video Techniques in Linux
Animation and video editing in Linux can be treacherous territory. Anyone who has tried working in these media probably has experienced the frustration of rendering a huge file for an hour only to see the program crash before the export is finished. A bevy of tools and applications for manipulating video exist for Linux, and some are more mature than others.
The most mainstream of GUI applications have been covered quite a bit in other Linux-related articles on the Web and in print, including in previous issues of Linux Journal. Some of these names may ring familiar to you: Kino, PiTiVi, Openshot, Cinelerra, Kdenlive and Open Movie Editor.
- Login or register to post comments
- Printer-friendly version
- PDF version
More in Tux Machines
- Highlights
- Front Page
- Latest Headlines
- Archive
- Recent comments
- All-Time Popular Stories
- Hot Topics
- New Members
Review: Linux Mint 18 (Sarah)Portugal vs Poland Live Stream Poland vs Portugal Live Streaming
Review: Linux Mint 18 (Sarah)
If you were looking to jump the Ubuntu ship completely, then we recommend taking a look at our recent Review of Fedora 24. It's equally as good as Mint 18 and equally worthy of your consideration. Between Linux Mint 18 and Fedora 24, we reckon it's exciting times in the Linux world. With the exception and onset of the boring world of vanilla Ubuntu releases, Linux feels reinvigorated and fresh once again. Jump on board, because it can only get better from here.
Security Leftovers
GNU News


text:
oooooooooooooooooo I love cider! I can taste it now.
It's so much better than most of the store bought! And yes, I'm going to try to let a little of it get fizzy and "adult".
oh man, i wish it was my friends storing a hundred year old cider press!
now we need a closer look at bigfoot .
now we need a closer look at bigfoot .
Yeah, I got lucky with them for all kinds of reasons! The thing with Bigfoot is that he's hard to really capture on film as he's all mysterious and mythological and shtuff.


text:
Written on: 11/02/2013 by oldman77 (1 review written)
they make it real easy to use, and it is cheap also i would use them on any phone i had no problems this is the place to get your code to unlock your phone.
As rated by our community of reviewers
" Takes forever to get unlock " Read More
" Excellent and affordable services " Read More
" Best fastest sim unlock service " Read More
" Unlocking Nokia Lumia 930 " Read More
" It's been 3 days, no unlock code- even though I PAID! " Read More