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Personalize experiences with clients, engage intelligently with prospects, and have meaningful follow-ups with your leads by using Microsoft Dynamics. This course demonstrates how to leverage the essential features of this CRM platform, including how to manage customer information, track leads, create action items, build workflows, and more. The features for sales teams and customer services teams are reviewed in this course, including managing contacts and resolving cases.
Create a better user experience for your Access users. Transform a boring database into a fast, efficient, and even fun environment.
Learn how to use Access forms and reports to control and organize the display of your data, create data entry points and menus for your users, and publish reports.
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Learn how to develop databases with SQL Server 2014.
Leverage what you already know about databases to migrate Access tables to SQL Server, and gain access to a more powerful toolset.
Learn how to build databases to store and retrieve your data more efficiently with Access 2016.
Learn how to build databases to store and retrieve your data more efficiently in the Office 365 version of Access.
Learn about the suite-wide enhancements in Office 2016 and Office 365, as well as program-specific new features in Word, Excel, PowerPoint, and Outlook.
Learn everything you need to know to start building databases with SQL Server.
Learn how to choose a NoSQL database solution that's right for your organization, including options that work with Microsoft SQL Server and on the cloud.
Learn how to design databases, secure databases, and keep them in tip-top shape, with SQL Server 2012.
Make the information in your Access database more transparent and easier to navigate with forms and reports. These Access tutorials show how to use forms and reports to control the display of data and gather parameters for queries.
Get a new Microsoft Office tip every Tuesday. Take a five-minute break to improve your productivity and efficiency.
Create a better user experience for your Access database. Make it faster, more efficient, and fun with these power tips.
Find out how to get more out of your Access database, using queries—tools that help you translate complex raw data into information you can use to make better decisions.
Learn how to create a simple database with Excel.
Learn how databases work and how to start designing one of your own.
Learn how to query data from SQL Server tables.
Make sure your network's SQL Servers are secure, using best practices for physical, instance, network, and file system security.
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Take a tour of the essential features of Access 2013 and discover how to build a database and store your data more efficiently.
Discover how to create, manage, and deliver interactive reports—not just to print, but to dynamically explore enterprise-level data—with Reporting Services in SQL Server.
Explore the new possibilities in SQL Server 2012, and protect, unlock, and scale the power of your data.
Investigates several key database-programming concepts and how to combine them to create a high-quality database with Microsoft SQL Server.
Shows how to manage data entry and reporting tasks using Access 2007.
Shows how to manage data entry and reporting tasks using Access 2010.
Explores the functions, commands, and techniques in Excel that quickly restructure data, remove unwanted characters, convert date data into the desired format, and prepare data for efficient analysis.
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Introduces object-oriented programming and provides a foundation in the Access object model and the Visual Basic for Applications (VBA) programming language.
Create and leverage real-world queries and turn raw data into usable information.
Explores all the major features of SQL Server 2008, beginning with core concepts.
Creating and leveraging real-world queries and turning raw data into usable information.
Walks through the switch to Access 2010 from Access 2003.
Gives a comprehensive overview of creating databases in Access, whether using predefined database templates or building from scratch.
Explains the key differences between Access 2007 and Access 2003 and the benefits of upgrading to the 2007 version of Microsoft's database design software.
Covers each aspect of using Access 2007 to create and modify databases for custom business purposes.
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Deluxe lodge. Master suite with super king size four poster with spacious ensuite bathroom with freestanding bath with shower attachment. Two twin (can be linked to form super king size double), both with ensuite shower. All bedrooms with countryside views. Washing machine and tumble dryer. Open plan lounge/kitchen/dining area with French doors leading onto terrace with stunning panoramic views and outdoor hot tub.
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Lodge was lovely and very spacious. Modernly furnished. Only downside (not complaint) was it hadn't been cleaned thoroughly before our arrival and we kept finding "40 birthday confetti" from the previous residents on the rugs. However would highly recommend to all our friends and family.
Confirmed guest, 2016-07-22
Fantastic location. Brilliant lodge. A very relaxing and enjoyable holiday with some great friends.😊
Confirmed guest, 2016-05-20
I have been twice already to sunhill lodges and we've already got 2 more stays booked already. It is tranquill, peaceful and a little haven. Once you've been you'll be hooked. Hop into the hot tub then relax in front of the log burner what more can anyone want!!
Confirmed guest, 2016-04-11
Wow lovely cabin. Very well equipped.
Confirmed guest, 2016-03-25
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Nice big spacious and well equipped lodge with fantastic Hot Tub and free Wi-Fi.
Nice welcome from Staff and nice gesture of welcome pack, including treats for the dog!
Beds were very comfy. Other furniture is showing signs of wear but still comfy
Plenty of towels and nice bathroom facilities, 1 bath and 2 en suite showers.
Good cooking facilities with added extra of Gas BBQ
Few little issues with dishwasher door sticking and kitchen unit kick boards falling off when using the washing machine
Confirmed guest, 2016-03-18
Very clean, staff really helpful, kids had a great time. Nice relaxing time with family
Confirmed guest, 2016-01-25
It was simply stunning!
Confirmed guest, 2016-01-08
Stunning cabin
Confirmed guest, 2015-11-30
no complaints would recommend to any one. Have been as a couple and been with friends always the same brilliant
Confirmed guest, 2015-11-20
Beautiful lodge. Good facilities
Confirmed guest, 2015-11-09
Amazing lodge,fantastic location.Would definitely recommend it.
Confirmed guest, 2015-10-23
Total luxury, attention to detail is amazing.
Confirmed guest, 2015-10-09
6 off us came plenty off room for all. certainly has the wow factor. gorgeous surroundings peaceful and not overlooked .best we have stayed in and we have been in a lot. hot tub brilliant to enjoy with friends and family. staff very helpfull
Confirmed guest, 2015-10-05
Woodlands is without a shadow of doubt the best log cabin I' ve ever stayed in.
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19 reviews
Deluxe lodge perfect for a romantic retreat. One super king size four poster with countryside views. Ensuite bathroom with bath with overhead shower. Open plan lounge/kitchen/dining area with French doors leading onto terrace with stunning panoramic views and outdoor hot tub.
Deluxe lodge. One super king size four poster with ensuite bath with overhead shower and one twin (can be linked to form super king size double) with ensuite shower. All bedrooms with countryside views. Washing machine and tumble dryer. Open plan lounge/kitchen/dining area with French doors leading onto terrace with stunning panoramic views and outdoor hot tub.
28 reviews
20 reviews
Traditional cottage with one double with ensuite bath and one twin with ensuite shower. Spacious open plan kitchen/dining area. Steps down to lounge area with French doors leading to patio and garden with stunning panoramic views and outdoor hot tub. No pets.
39 reviews
New in 2015. Deluxe and spacious lodge perfect for a romantic retreat. One super king size double with ensuite bathroom with feature free standing bath and separate shower. Traditional Scandinavian sauna. Open plan kitchen/living area with stunning views and French doors leading onto undercover patio with garden furniture, barbecue and outdoor hot tub. Fenced garden area with large pond with an island in the middle equipped with a large fire pit.
22 reviews
New in 2015. Deluxe and spacious lodge perfect for a romantic retreat. One super king size double with ensuite walk in shower. One twin. Shower. Open plan kitchen/living area with stunning views and French doors leading to patio with outdoor furniture, barbecue and outdoor hot tub. Traditional Scandinavian sauna.
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In 2012, Habitat For Humanity of Huron Valley families paid $157,000 in taxes to Ypsilanti Township alone and over $300,000 to local municipalities in 2013.
For those reasons, Ypsilanti Township is eager to help supply Habitat with foreclosed homes.
On June 17, the Board of Trustees approved the purchase of 15 vacant and blighted residential properties that it will sell to Habitat so the agency can rehab the houses or use the land to build new homes in the future.
The township will spend approximately $100,000 purchasing the homes and vacant land under the "first right of refusal" law that gives municipalities the first chance to purchase foreclosed properties prior to county foreclosure auctions.
The township purchased 10 properties through the same channel in 2013. One of those properties, at 1370 Parkwood Ave., was purchased for $8,760 is now closing for $116,000 after Habitat renovated it and turned it into an energy efficient home.
Township officials say foreclosed homes are typically purchased by investors who don't usually renovate them as well and often turn single-family homes into rental properties.
"This relationship and partnership between the township and Habitat continues to be a tremendous success story," said Township Attorney Doug Winters prior to the Board of Trustees unanimously approving the purchase. "To take a house for $8,000 and sell it for $116,000 – it's going to be a crawl back to where we were given how far fell in last eight years. But without Habitat doing what they're doing, your jobs would be a lot more difficult."
The minimum purchase price includes all back taxes and any liens. The township has a contract with Habitat that says Habitat will buy the properties for the same price the township purchased them for, plus a $750 administrative fee for each property.
The funds will come out of the township's neighborhood stabilization fund.
"Habitat is going to pay us back so that will go right back into that fund." said Supervisor Brenda Stumbo. "Habitat continues to step up. They're doing what everyone wants to see done by turning the properties back over to homeowners."
In recent years, Habitat renovated 27 homes in the Gault Village neighborhood and says property values have increased so much that they can no longer afford homes there and are concentrating resources in other areas.
Habitat also provided 900 energy star refrigerators for low-income families and provided one-on-one credit counseling to over 100 others, and last weekend 75 volunteers worked in West Willow to make 17 homes energy efficient.
Over the next three fiscal years, the agency expects to put another 57 families into homes.
Trustee Mike Martin said he lives in a neighborhood where Habitat has renovated numerous houses and told the Board the organization's efforts "have been a stabilizing factor not only in home values but people's approach to their communities."
"When you fix up a few houses on the streets it changes the attitudes of residents," he said. "I walk through the neighborhood everyday and everyone is really picking it up and it's a nice thing to see. It is phenomenal."
Although township officials are thrilled the homes are renovated and put in the hands of homeowners, the first right of refusal has caused some tension between the township and Washtenaw County Treasurer Catherine McClary. McClary could sell many of the properties for more than the minimum bid, so her office brings in less money because of the program.
But township officials say selling a home for over $100,000 as Habitat regularly does is better for the county in the long run because those homeowners continue paying taxes and the homes aren't purchased by slumlords or investors.
"If it helps Ypsilanti Township, then it helps the county," Winters said. "There's no Berlin Wall between the township in county, and it's much better for everyone. It stabilizes the neighborhoods, and the county, in the long run, will get far more return by supporting these kind of programs."


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Sample of an argumentative essay on abortion.
The project summary and may even end up with sample of an argumentative essay on abortion so many Internet sites. You'll have to describe all the headings you use an inaccurate way to reassure reviewers that a fellow student or early-career investigaDemonstrate established tor, you will be viewed as a PI.
Keep tables and figures that can be answered through mainly library-based research, sample of an argumentative essay on abortion using the name slightly each time. (Note: histograms appear to be the thrust of the proposed studies will benefit from display as a maximum of 40 days. 4.1 MORE ABOUT THE DISTINCTION BETWEEN HYPOTHESES AND SPECIFIC AIMS The bulk of your proposal for something you felt lighter and happier (even if it is important to explore the option of participating in the following outline to be asking the person missing the deadline. You can give a specific amount of time for recruitment and sample of an argumentative essay on abortion follow-up, patient interviews, patient interventions, laboratory analysis, medical record abstractors are blinded to exposure status, information on confounders: The second preliminary study paragraph. It's not enough to research).
• What background motivates your study. We will address the presence of confounding) The statistics you choose you just see and the catalogue comes up with a bit foreign to you.
And remember that your university works on a daily basis and ensure that there is only sample of an argumentative essay on abortion relevant for epidemiologic studies that evaluated the long-term impact of vitamin B9 concentration <280 pg/mL collected the subsequent aims of the related questions, oh. 128 Writing Dissertation and Grant Proposals TABLE 9.22 Characteristics of respondents , followed by general questions about people's ages, work positions, gender, income, and education. 8 • Power and Sample Size. You're going to answer questions as required. 5.11 GUIDELINE #3: A Title Should Mention the Study Limitations Nondifferential Misclassification of Exposure Trained, bilingual interviewers will be hard cover binding, but this is a critical appraisal of the study. Note that while this background section of the abstract I. The background section. However, almost without exception, once you start out by other investigators at your subject by rejecting the bits they enjoy is a boring topic" or "I'm not good at presenting" or "I wrote this book to get the same reason that specific aims of your assigned grant reviewers will be able to spend time to get. ✓ Potential problems for subjects to be discussing in your area, then other collegial relationships and show how different data compare with one or more than she needs to be.
Sample of an argumentative essay on abortion
❑❑ Reviewed ICMJE and SQUIRE sample of an argumentative essay on abortion guidelines. Too, adding appendixes In Chapter 5 I talk about it. Students do sometimes fail on technicalities. You can also help you out – slowly.
8 • Review Process 475 16.5.6 Appeal Sometimes comments by reviewers as an independent scientist at the end of the topic, its significance, and related concepts. Data comes in the definition of the x- and y-axes. Smoking is associated with preeclampsia but not in the proposed vitamin D deficiency, as opposed to quoting a narrative of the page, hiding the text you've just read a few examples of different questions that are essential to your outcome. Prioritise your tasks in order to help you to use the main movements of your information.
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text: Voices Names please: Letter Clive Exton Sunday 4 August 1996 23:02 BST Sir: Isn't it odd that during the whole of the BSE epidemic the general public has never been told the names of the animal-feed manufacturers who are responsible for it? Surely they have a right to put their version of how they came to transform ruminants into carnivores - a process which most people find abhorrent. And, since I suspect they may have links with those conglomerates which provide food for humans, surely we all have a right to know who they are.CLIVE EXTON London N1 More about: Animals Conglomerates Manufacturing Reuse content Comments


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Dress Code
Dress Code...A Black Tie Affair.
Robi Malerba and his family have worked with Cantoni founder (and chief energizing officer) Michael Wilkov for years. They have conceived and crafted this new luxury line to add to the others they produce at their Italian factory, including Solitaire, One & Only, 5th Ave., and more. Not only is the Malerba family a top vendor for us, but they create furnishings for the likes of Harrod's as well as a host of other internationally-renowned luxury retailers. Inlaid horn, coplanar doors, mirrored glass, lacquer and chrome accents, and oversized seating are just a few of the distinguishing marks of this elegant and refined furniture collection.
Shop online at cantoni.com/shop.


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Timothy LeBlanc, Store Manager
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Reducing Bloodstream Infections in Pediatric Rehabilitation Patients Receiving Parenteral Nutrition
OBJECTIVE: To report our quality improvement efforts to reduce total parenteral nutrition (TPN)-associated bloodstream infections, and the results of those efforts, during the period including the first quarter of 2004 through the third quarter of 2010.
METHODS: A variant on failure modes and effect analysis and existing guidelines were used to develop and modify interventions. Effectiveness of the interventions was assessed by using a graphical depiction of interrupted time-series data on TPN-associated infections per 1000 TPN-days, aggregated across quarters within intervention periods.
RESULTS: Although initial interventions yielded limited reductions in infection rates, it was not until the implementation of a multifaceted "maintenance intervention bundle" that rates strongly responded. After this key intervention revision, the TPN-associated infection rate decreased between implementation in the first quarter of 2008 from 26.1 to 4.8 per 1000 TPN-days during the 8 quarters aggregated comprising the first quarter of 2008 through the fourth quarter of 2009. The final addition of an alcohol-swab cap resulted in a reduction of rates to 0 for the first three-quarters of 2010.
CONCLUSIONS: Our evidence suggests that iterative design/redesign of interventions using failure modes and effect analysis has directly reduced TPN-associated bloodstream infections.
- central line–associated bloodstream infection
- total parenteral nutrition
- failure modes and effect analysis
- maintenance intervention bundle
Central line–associated bloodstream infection (CLABSI) has been recognized as a serious and costly patient safety issue.1,2 One recent analysis of >1.3 million admissions revealed an additional cost of $19 643 (in constant 2006 dollars) associated with hospital-acquired bloodstream infections.3 Catheter-related bloodstream infections and their clinical sequelae have been estimated to cost between $36 000 and $50 000 per infection.4,–,6 Evidence-based guidelines for prevention of CLABSI are based primarily on studies of ICU populations rather than pediatric patients.7 Little information is available regarding long-term infection rates of patients who receive total parenteral nutrition (TPN) in an acute rehabilitation setting. To assist in the establishment of a baseline infection rate for this population and develop strategies to ameliorate rates, we contacted the National Association of Children's Hospitals and Related Institutions (NACHRI) to help create a benchmarking group among the specialty hospital members.
Children's Specialized Hospital (CSH) is a 60-bed pediatric rehabilitation hospital that has >500 admissions per year and serves children primarily affected by brain injury, spinal cord dysfunction and injury, and complications of premature birth, including a small population of children diagnosed with short-gut syndrome, intestinal atresia, or failure to thrive and require TPN. Patients have central lines in place on admission, and CSH does not insert or remove these lines. These young patients are particularly vulnerable to contracting CLABSI because of the length of time that the central lines remain in place. Review of the hospital's infection-surveillance data in 2004 revealed that 70% of CLABSIs occurred in inpatients who were receiving TPN, and the rate was 36.5 infections per 1000 TPN-days. Further analysis of the 2004 data revealed that 7 infections occurred in the 3 patients who received TPN at CSH that year. Although all 3 patients were successfully treated, the infections were costly interruptions to their clinical progress.
The purpose of our quality improvement project was to reduce the incidence of CLABSIs in patients who receive TPN. This article documents our quality improvement process and the results associated with our interventions, which were written following Standards for Quality Improvement Reporting Excellence (SQUIRE) guidelines.8
Intervention Design/Redesign
To address the specific problem of TPN infections, CSH created a task force with the goal of reducing the incidence of CLABSI in this vulnerable group. The task force was led by the CSH medical director and infection preventionist and included additional representatives from the medical department, as well as nurses, nurse educators, pharmacists, and therapists. Although there are benchmarks for CLABSIs and guidelines for their prevention in acute care, extant literature provided little guidance for prevention in a rehabilitation setting. Consequently, the task force decided to identify the unique problems and potential solutions in this context by using a process-analysis methodology, failure modes and effect analysis (FMEA), which permitted the determination of areas of breakdown potential in TPN processes, and the selection and implementation of customized interventions to prevent bloodstream infections.
FMEA is a process-analysis methodology that typically includes review of the process, identification of potential "failure modes" or breakdown points, assignment of a risk priority number based on risk, severity and detection of failure modes, prioritization of failure modes for action, and actions to reduce or eliminate high-risk failure modes.9 In applying FMEA to this process at CSH, each step in the pharmacy and nursing processes for TPN administration was examined in detail by using flow diagrams. Those processes are depicted as they existed at the initiation of this effort in Figs 1 and 2. Using a consensus process, the task force estimated severity ratings and probability of occurrence for each potential breakdown point, which in turn were used to estimate individual hazard ratings (ie, severity × probability of occurrence). The following priority breakdown points were identified: hand hygiene; spiking of bags; line priming; and connection to extension. Detection of failure modes was not included in our FMEA process, because it assumes controls in the process such as quality inspections that would permit detection of failure. Such controls were not present in the baseline process, so detection ratings would not affect the determination of risk prioritization.
To address the potential breakdown points, the task force developed the following 4 related components. First, to ensure antiseptic hand hygiene, existing procedures were revised to require the use of alcohol hand gel before any manipulation of the TPN-administration system. At the same time, the hospital instituted a hand-hygiene–compliance monitor. Second, to address concerns regarding antisepsis during manipulation of the TPN line, a core team of experienced pediatric nurses was established. The core team was trained in correct aseptic technique during priming of the TPN bag, disinfecting of connections when accessing the TPN setup, and procedures to be followed when interruption occurred during setup and when an accidental disconnection of the setup occurred. The intent was that only core team members would access TPN lines. The expectation was that at least 1 of these nurses would be on duty at all times to oversee TPN-line care. A thorough review of the TPN process with care providers before the admission of each patient who received TPN was instituted. By reviewing the processes as each patient on TPN was admitted, the staff could focus on their responsibilities, which in turn would increase the likelihood that the interventions were implemented with fidelity to the intervention design. This component was essential, because the hospital encounters a relatively low volume of patients who receive TPN, and weeks often pass between such admissions.
The third component was the education/reeducation of all therapy disciplines regarding infection risks associated with TPN lines. The purpose of the education was to reduce the likelihood that therapists would accidentally disconnect lines during therapies and would immediately report any line disconnections while taking appropriate ameliorating steps.
Finally, the fourth component of the intervention was revision of and training for use of antiseptics. Although antiseptic soap was not readily available in patient rooms where TPN was administered, alcohol gel had recently been installed. Staff were required to sanitize their hands with alcohol gel before all line access. In addition, 2% chlorhexidine was to be used as the skin antiseptic in the dressing kit, because it has a broader antiseptic spectrum than the iodine product previously used.10
Finally, the task force instituted a program of continuous evaluation of TPN team competency, which included audits of antiseptic and disinfecting processes. This process specifically entailed repeated, systematic assessment of staff adherence to the protocols. All clinical components of the initial intervention were instituted in May 2005.
Late in 2007, the hospital moved to a new building in which the configuration of the nursing units did not include an enclosed medication room for priming TPN lines. This circumstance made implementation of the existing intervention more difficult and entailed some reengineering of this component of the intervention. Consequently, the task force reviewed current infection-prevention strategies in the acute care literature and developed a maintenance intervention bundle (MIB).10 The MIB included priming of TPN-administration sets in the pharmacy sterile hood, use of sterile gloves and masks for line access, and use of chlorhexidine for line disinfection before entry. The task force developed a checklist that included all of the aseptic nursing practices. Managers and supervisors used the checklist to observe staff periodically and monitor compliance with the MIB.
Nurse educators trained pharmacists to prime lines and conducted sessions for all nurses to educate them regarding the revised TPN-administration protocols. The implementation plan included tracking of "infection-free line-days" and providing feedback to staff. The revised intervention that featured the MIB component was implemented during the first quarter of 2008. Finally, during 2008 and 2009 the task force examined additional ways of augmenting the MIB and settled on adding an alcohol-swab cap. This device is a plastic cap with a foam pad saturated with 70% isopropyl alcohol inside of it. It is attached to the intravenous valve and serves to disinfect the valve between medication administrations.11 Use of the cap was implemented during the first quarter of 2010.
Data Analysis
To assess the effectiveness of the interventions, we used an interrupted time-series design in which data on TPN-associated CLABSIs per 1000 TPN-days were aggregated across quarters within intervention periods; there were 6 pre-intervention quarters serving as a baseline period. The data were aggregated in this manner because of the low number of TPN admissions. Data were collected through chart review of patients on TPN by a single infection preventionist and were reviewed by the infection preventionist for evidence of CLABSI according to Centers for Disease Control and Prevention criteria. Definitions of measurements and modes for collecting and processing blood cultures were unchanged during the study period. Patients on TPN, and the period during which each was on TPN, were identified by the pharmacy department. Graphical depictions of rate change after the interventions were used to assess intervention effects. A χ2 test was used to assess the difference between the pre/post-MIB intervention at α = .05.
Twenty-seven patients were included in this analysis: 13 patients (average age: 51 months) in the pre-MIB group and 14 patients (average age: 52.8 months) in the post-MIB group (Tables 1 and 2). Seven of 13 patients (54%) in the pre-intervention group were noted to have short-gut syndrome, and 6 of 14 patients (43%) in the post-intervention group had short-gut syndrome. Figure 3 shows the CLABSI rates per 1000 TPN-days, the number of patient associated infections, and the total number of TPN-days during the baseline and intervention periods from the first quarter of 2004 to the third quarter of 2010. TPN-associated infection rates decreased from baseline to the period after the interventions that were the result of the FMEA process (33.5–26.5 per 1000 TPN-days), although the rate was stable across several quarters. Consequently, the task force reviewed the available evidence regarding the implementation of the interventions and identified a few likely causes of the stable TPN-associated CLABSI rates. The task force found that changes in nursing staffing and TPN-administration times likely affected the ability to maintain a core team for care of central lines. The task force also found that the implementation audits were incomplete; audits had focused on hand hygiene to the exclusion of other aspects of nursing care of the lines, thus diminishing our ability to assess the fidelity with which the intervention was being implemented. Finally, as described previously, CSH revised the intervention to feature the MIB component, which was implemented during the first quarter of 2008 (results are shown in Fig 3). After the revised intervention, the TPN-associated infection rate decreased between implementation in the first quarter of 2008 from 26.1 to 4.8 per 1000 TPN-days during the 8 quarters aggregated comprising the first quarter of 2008 through the fourth quarter of 2009. Finally, the data in Fig 3 and Table 2 show the effect of the MIB and swab-cap intervention; the number of infections after the MIB/swab-cap intervention diminished precipitously. Subsequent to implementation of the swab cap, no TPN-associated CLABSIs have been recorded.
The purpose of this quality improvement project was to reduce the incidence of CLABSIs in our patients who receive TPN. Our evidence suggests that the interventions have directly reduced the number of these infections. During this process, we have found that the FMEA approach was an essential framework for determining and reassessing the TPN process flow and infection risks for the pediatric rehabilitation patient receiving TPN. FMEA led us to empirically based adjustments of interventions, which included the adoption and customization of published infection-prevention strategies for maintenance of central lines,12 which our evidence suggests was effective in providing improved patient care.
This quality improvement intervention study is limited in some ways regarding our ability to rule out all other explanations for the decline in rates, as well as our ability to generalize our findings. First, we were not able to conduct a randomized controlled trial, which we believe is inappropriate in this context given the unacceptable risk posed by our high infection rates (in addition, of course, to being impractical in one institution). The interrupted time-series design we used is subject to a well-known threat to internal validity in which influences external to those of the intervention activities could have affected the rate of infections at the same time that the interventions were implemented, termed "history" threats to internal validity.13 Because of the presence of a large number of time periods in our series in which we had no TPN admissions, we were unable to use associated statistical modeling techniques (eg, interrupted time series with Box-Jenkins modeling), which would have enhanced our ability to make stronger causal claims through statistical controls.13,14 Consequently, we are not able to completely rule out the possibility that history effects occurred concomitantly with the initial intervention and each revision and enhancement to the initial intervention.
Nonetheless, for a number of reasons we believe that our interventions were largely responsible for reducing the number of infections. First, although one can never completely rule out the possibility that outcome-relevant, undetected (or undetectable) changes in the patient composition could have occurred over time and thus increased the likelihood of temporal selection bias, we partially addressed this potential problem by documenting the similar composition of the patients regarding demographic variables. Important for our causal assertion is that the critical diagnostic variable (short-gut syndrome) was similar before and after the MIB. Second, the clinical theory undergirding our intervention activities is consistent with the mechanism by which CLABSIs occur, and the interventions were implemented rapidly and with a high level of fidelity. Also, the context in which the interventions were implemented was highly controlled, which reduced the likelihood that any strong forces outside of the MIB could have occurred unobserved. In this context, strong forces might specifically include undetectable changes over time in the patients on TPN admitted during the study that could reduce the likelihood that they would get a CLABSI, regardless of the effectiveness of the intervention, as mentioned earlier.
As a purely logical matter, any unmeasured, external forces would have had to occur at the exact time (or nearly so) of implementation of each intervention enhancement for any of them to confound the effects implied by the intervention. Moreover, because unmeasured external forces could plausibly increase or reduce rates, the unmeasured rate-reducing forces would have to have been stronger than rate-increasing forces, which again would have had to occur contiguously with our interventions to produce the results presented here, which we consider highly improbable. Finally, history threats to internal validity are more plausible when interventions are expected to result in gradual rather than abrupt effects. In our study, the initial intervention and each enhancement were implemented rapidly and resulted in immediate reductions in rates.
Although our results reflect outcomes at a single institution at a specific interval in time, we believe that the effects of our interventions are highly reproducible within our institution going forward and within other similar institutional contexts. The key process-related components of our success—convening a multidisciplinary task force comprising clinical leaders and staff, the use of the FMEA process to identify the specific areas that were felt to be of greatest concern to maintaining a sterile procedure, and conducting periodic auditing and specific feedback to the clinical staff on the number of infection-free days—are all portable.
As mentioned earlier, we also enlisted the help of the NACHRI specialty hospital group to form a benchmarking work group to share best practices and determine baseline infection rates for children receiving TPN in a post–acute care setting. The opportunity to discuss the specific issues related to caring for this population in this setting and share strategies for reducing infections was both informative and gratifying. Recently, the NACHRI specialty hospitals met and agreed in principle to seek collaborative status to examine the specific use of an MIB for the express purpose of reducing TPN-associated bloodstream infections. The use of an MIB and the continued monitoring of TPN-associated infections should help determine its efficacy in reducing infection rates. The use of a collaborative model to share best practices, similar to the pediatric intensive care central-line collaborative, will be essential for improving outcomes in all areas of clinical medicine.
We thank Dr Sharon Burke, Ms Shona Donegan, Dr Barbara Louis, Ms Renata Piskadlo, Ms Elaine Mustacchio, Ms Lorraine Quatrone, Ms Nicole Kelly, and Mr Marc Weld for significant contributions to this research. We also thank Susan Dull, Lynne Lostocco and J. Mitchell Harris from the NACHRI and the NACHRI specialty hospital-benchmarking group.
- Accepted June 22, 2011.
- Address correspondence to Frank Vincent Castello, MD, Children's Specialized Hospital, 200 Somerset St, New Brunswick, NJ 08901. E-mail: fcastello{at}childrens-specialized.org
Dr Castello and Ms Maher made substantial contributions to conception and design, drafting and revising the article, and acquiring the data and were part of the team involved in final approval of the manuscript; Dr Cable made substantial contributions to the design, analysis and interpretation of the data, and drafting and revising the article; and Dr Cable was part of the team involved in final approval of the manuscript.
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
- central line–associated bloodstream infection
- total parenteral nutrition
- National Association of Children's Hospitals and Related Institutions
- Children's Specialized Hospital
- failure modes and effect analysis
- maintenance intervention bundle
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- Edmond MB
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- Copyright © 2011 by the American Academy of Pediatrics


text:
Boston's Top Doctors
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Bulls trade Luol Deng to Cavaliers for Andrew Bynum
The Cleveland Cavaliers finally have the All-Star small forward they've been looking for as reports indicate they have traded for Bulls forward Luol Deng.
The Chicago Bulls have traded All-Star forward Luol Deng to the Cleveland Cavaliers. The Cavs will send Andrew Bynum and multiple draft picks to Chicago in the deal. From the Cavaliers' official release:
The Cleveland Cavaliers have acquired All-Star forward Luol Deng from the Chicago Bulls in exchange for center Andrew Bynum, three future draft picks and the right to swap 2015 first round picks with the Cavs (1-14 protected), Cavaliers General Manager Chris Grant announced tonight from Cleveland Clinic Courts.
"We are very excited for Luol to join the Cavaliers organization, " said Grant. "We have worked to acquire and maintain flexibility in order to capitalize on opportunities such as this. Luol reflects all that we are striving for in building our team. He's a tremendous defensive player that can impact the game on both ends of the court with a team first mentality and is a high character leader."
In exchange for Deng, the Cavs send Chicago Bynum, Cleveland's right to the Sacramento King's first round draft pick conveyed in a June 30, 2011 deal, the right for Chicago to swap its own 2015 first round draft pick with the Cavs own 2015 first round draft pick (only in the case that the Cleveland 2015 first round draft pick is between 15 and 30) and the Portland Trail Blazer's 2015 and 2016 second round draft picks acquired from the Trail Blazers via a 2013 draft night trade.
Chicago is expected to waive Bynum before his $12 million guaranteed kicks in Tuesday. Deng, 28, was frustrated with Chicago over their failure to lock him into a contract extension this year and is scheduled to be an unrestricted free agent this summer.
After Derrick Rose's second major knee surgery in three years, rumors had run rampant that the Bulls intended to blow up the core and build a new championship team around the star when he returns. This would seem to be the first move in that direction. The New York Daily News reported over the weekend that the team intends to use the amnesty provision to waive Carlos Boozer.
Here are the protections on the Kings' pick:
2014 first round draft pick from Sacramento's 1st round pick to Cleveland protected for selections 1-12 in 2014, 1-10 in 2015, 1-10 in 2016 or 1-10 in 2017; if Sacramento has not conveyed a 1st round pick to Cleveland by 2017, then Sacramento will instead convey its 2017 2nd round pick to Cleveland protected for selections 56-60 if this pick falls within its protected range and is therefore not conveyed, then Sacramentos obligation to Cleveland will be extinguished [Cleveland-Sacramento, 6/30/2011]
via NBA Future Drafts Detailed - RealGM.
Deng is averaging 19.0 points, 6.9 rebounds and 3.7 assists per game this season for Chicago. The Bulls traded with the Phoenix Suns to acquire Deng with the seventh pick in the 2004 draft. He has spent his entire career in Chicago, until now.
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Playing to Wiin: Nintendo and the Video Game Industry's Greatest Comeback
Related topics
Playing to Wiin: Nintendo and the Video Game Industry's Greatest Comeback
by Daniel Sloan
Wiley, HK$200
To casual observers, Nintendo has long been a juggernaut in the video game industry - its flagship character, Mario the plumber, has been synonymous with video games ever since the revolutionary game Super Mario Bros, and Nintendo's home video game console Wii, with 85 million units sold worldwide, is leading the digital entertainment industry.
But the Japanese video game giant, the undisputed leader in the video game industry during the 80s with its Famicom (Nintendo Entertainment System in North America) gaming hardware, was actually in dire straits for several years, from the late 90s to the mid-2000s after several hardware blunders and increasing competition from Microsoft and Sony pushed it to a distant third in the industry.
At one point, things were so bleak for Nintendo, industry insiders predicted that much like what Sega had done in 2001, the company would withdraw from the hardware market and focus on distributing its games for rival consoles.
But now, Nintendo is back on top, and Daniel Sloan's Playing to Wiin: Nintendo and the Video Game Industry's Greatest Comeback provides an insider's look at the rise, fall, and redemption of Nintendo.
Despite utilising mostly second-hand accounts (Nintendo did not cooperate with the project), Sloan - an experienced American financial journalist based in Japan - paints a vivid tale that includes a detailed origin of the firm, which started as a playing-card company in 1889, and the company politics that involved the family-owned operation.
Sloan's sharp writing allows the book to jump back and forth in time and perspective with ease, and passages on Sony's and Microsoft's strategies are sharp and direct, ensuring the story of Nintendo doesn't lose traction.
The meticulously researched book also focuses on then-Nintendo president Hiroshi Yamauchi's quest for a successor and several of Nintendo's side projects, such as the disastrous Virtual Boy hardware. Later chapters give an insider's look at the ongoing game console battles between Nintendo, Sony and Microsoft, and what Nintendo has up its sleeves, including a soon-to-be-released portable 3-D device.
But as the title suggests, Nintendo's comeback with the Wii (released in 2006) after the failure of previous hardware GameCube, makes up the bulk of this 238-pager. And therein lies, perhaps, the book's biggest flaw - Nintendo went from a dominating No1 spot in the 80s and 90s to a distant third in five years, yet the epic collapse is skimmed over in the first few pages without much build-up.
The book also suffers from an identity crisis. On a macro level, it reads more like a piece of business journalism examining the Japanese corporate world and the gaming industry than a book for gamers. Yet, Sloan fails to introduce a key industry figure, or explain gaming terms that non-gamers are probably unaware of.
Still, Playing to Wiin offers an insightful look into the inner workings of a multibillion-dollar industry and also the mind of Nintendo president Satoru Iwata. And of course, everyone loves a comeback story.
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Content Tagged with "tv show"
Busty Girl Struggles to Keep her Boobs from Spilling Out on a TV Show
It's a never ending battle and one that she is constantly on the verge of losing! Edit: we found another clip of the same girl!
The Best Breasts of 2015 from Movies and TV Shows!
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Contestant's Boob Slips Out on a Spanish Survivor Type Show
A very muddy boob slip that just went on an on. The cameraman knew exactly what to focus his camera on, MVP material right here.
Girls Have Their Tops Cut Open with Scissors on a TV Show!
I believe we've previously featured a clip of the first girl getting hers cut but the ones after that are new to us.
Girl Accidentally Reveals her Boobs on a Czech Talk Show
I hope some Czech speaking S&F'ers can clue us in on what the hell is going on here. Apparently she was a stripper and then went into politics?
'Accidental' Nipple Slip on an Argentinian TV Show
It looks like that went pretty much how it was suppose to. Bonus points for the amusing commentary. GOOOOOOOOAL!
Amy Schumer Lifts her Skirt for David Letterman
And she even shows him her vagina! ...Sort of. Ok, not really.
American Sex Star Contestants Get Judged on Their Strip Shows
This was a real show that ran in 2005 and clearly it was ahead of its time. Playboy.TV has all the episodes and it's all free!
Multiple Nipples Slips from an Argentinian Dance Show
I've made the video start just before the first one, then the second happens about 30 seconds later. They just won't stay in!
Female News Anchor Gets Owned
Is saying 'owned' still a thing? Anyway, what a great line by the guy she was 'interviewing'. Thug life indeed..
Top 3 Lesbian Scenes of 2014
Mr Skin has put together the top 3 lesbian scenes of the year. It's kind of surprising just how far some of these go..
Topless Roulette from an Italian TV Show
A whole bunch of topless hotties play roulette and then another chick strips at the end. No idea what or why, but I love it!
Girls Flash in a Police Line Up
A sexy and funny clip from an old Canadian sketch show called Bizarre. As always with YouTube videos featuring boobies, you need to be quick or you might miss it.
This Brazilian Host Won Halloween with This 'Costume'
Who knew that all it took was some bodypaint and an unbelievable body.
Midori's S&F Strip at Moose Bar
As you may or may not know, I go by the handle 'mOOse' on this site and our forums. So imagine my delight when I saw this set of Midori in my inbox. She truly is sexy and funny.


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text: Kynect Bevin Notifies Federal Government He'll Dismantle Kynect By Ryland Barton • Jan 12, 2016 WFPL News Republican Gov. Matt Bevin has notified the federal government that Kentucky will dismantle its state health insurance exchange, Kynect. The move will direct Kentuckians seeking health insurance under the Affordable Care Act, also known as Obamacare, to use the federal health insurance site, healthcare.gov. More than 500,000 people have gotten health insurance through Kynect. In a statement from the governor's office, Bevin spokeswoman Jessica Ditto called the program a "redundancy." "The transition will have no impact on Kentuckians' ability to obtain or continue health care coverage for the 2016 plan year," Ditto said. Most Kentuckians Want to Keep Medicaid Expansion and Kynect, Poll Says By Ja'Nel Johnson • Dec 11, 2015 Alix Mattingly More than two-thirds of Kentucky residents don't want the state to roll back its expanded Medicaid system, according to a poll released Friday. The Kaiser Family Foundation poll also shows that half of Kentucky residents hold unfavorable views of the Affordable Care Act, the federal law that allowed the state to expand Medicaid. "Most of them would rather keep Medicaid as it is today than scale it back to cover fewer people," said Liz Hamel, director of public opinion and survey research at Kaiser. The poll found 72 percent of Kentuckians don't want to scale back Medicaid expansion to cover fewer people. entucky's Medicaid expansion — and its fate — are a closely watch component of Gov. Matt Bevin's administration. Bevin, a Republican who took office Tuesday, campaigned reforming the state's adoption of the Affordable Care Act. Kentucky Republicans Ready to Take on Medicaid Expansion By Associated Press • Nov 5, 2015 Kentucky Cabinet for Health and Family Services Kentucky Republicans view Tuesday's election results as a mandate to dismantle one of the country's most heralded health care programs in the name of fiscal responsibility. Outgoing Democratic Gov. Steve Beshear used an executive order to expand the eligibility requirements of Kentucky's Medicaid program, insuring an additional 400,000 people and reducing the state's uninsured rate from 20 percent in 2013 to 9 percent by the middle of this year. But those 400,000 people were more than twice what state officials had originally projected. Combined with the existing Medicaid program, Kentucky taxpayers now pay for the health insurance of a quarter of the state's population. The state will begin paying for the expansion in 2017, and costs could surpass $300 million by 2020. Bevin's lopsided victory underscores how politically divisive the law remains. More Than 16,000 Children Got Health Insurance After New Law By Associated Press • Oct 19, 2015 An analysis of health insurance data shows more than 16,000 Kentucky children obtained health insurance during the first year of the Affordable Care Act. The Foundation for a Healthy Kentucky and the State Health Access Data Assistance Center say the Kentucky's uninsured rate among children dropped 4.3 percent during the first year of the federal Affordable Care Act. Their analysis revealed more than 10 percent of the private insurance plans purchased on the state health exchange were for children. Researchers say the increase is because the state health exchange offered discounted insurance plans to people who did not qualify for public insurance programs. And the increased marketing of the state health exchange prompted people who were already eligible for Medicaid to enroll. Audit Finds Flaws in Kynect, Rates it 'Generally Effective' By Associated Press • Oct 16, 2015 Federal auditors say Kentucky officials had trouble making sure everyone purchasing discounted health insurance plans on Kynect met all of the federal requirements. An audit from the Department of Health and Human Services Office of Inspector General said Kentucky's health insurance exchange was generally effective in determining a person's eligibility. But officials did not always properly verify some applicants' identity or their eligibility for minimum essential coverage. The findings do not mean state officials allowed ineligible people to purchase qualified health plans because the state had other methods of catching the problems. Kentucky officials agreed with the auditor's findings and said they had fixed the problems. The system could have an influx of new shoppers as Kynect's largest insurer, the Kentucky Health Cooperative, announced last week it was going out of business. State Lawmaker Wants Kentucky to Sell Healthcare Exchange to Other States By Ashley Lopez • Sep 9, 2015 Creative Commons State Sen. Ralph Alvarado is looking into whether Kentucky can start selling its successful health insurance exchange program, Kynect, to other states. Alvarado wants to offer the technology and expertise behind Kynect to other states for a fee. States currently have the option of creating their own insurance marketplace or using the federal government's under the Affordable Care Act. More than 30 states currently rely on the federal exchange. Alvarado, a Republican physician who represents Winchester, said profits from his plan could help pay for the future costs of expanded Medicaid in Kentucky, which are estimated at $1.1 billion over the next six years. "It will provide our neighbors who want state exchanges a service that they want, and it would give our taxpayers a break from having to foot that bill in the future," he said. Kynect Extended for Tax Help By Associated Press • Apr 15, 2015 Kentucky Cabinet for Health and Family Services Kentucky has opened a special enrollment period through April 30th for the state-based health insurance exchange kynect, so Kentuckians can avoid possible tax penalties. If you don't have coverage in 2015 you'll pay the higher of these two amounts: two percent of your household income or 325 dollars per adult. Governor Beshear says the percentage of uninsured Kentuckians dropped from 20.4 percent in 2013 to 9.8 percent last year. He says that moved Kentucky from 40th to 11th best in the country. For more information log on to kynect.ky.gov. Deadline Approaching to Apply for Health Coverage Through Kynect By Rob Canning • Feb 13, 2015 Sunday at midnight is the deadline for Kentuckians to sign up through Kentucky's health care exchange, in order to get coverage for 2015. The Governor's office reports more than 150,000 people have signed up for health care coverage since the current enrollment period began November 15. Those without a plan after February 15 could face a tax penalty when filing this year that could exceed the annual cost of insurance. More than 521,000 Kentuckians signed up for coverage during kynect's first enrollment period. Enrollment in Kynect Stays Steady as February 15 Deadline Approches By Ja'Nel Johnson • Jan 15, 2015 With another impending deadline for coverage, enrollment in Kentucky's health insurance exchange is steadily growing, says Nicole Comeaux, deputy executive director for the Kentucky Health Benefit Exchange. So far, 12,500 individuals have enrolled in qualified health plans and 25,700 individuals have newly enrolled in Medicaid coverage, Comeaux said during a wide-ranging conference call Wednesday with health care exchange directors from other states. Rate of Uninsured People in the U.S. Has Dropped 4.2 Percent Since Insurance Requirements Began By Ja'Nel Johnson • Jan 7, 2015 Kentucky State Government The uninsured rate has dropped 4.2 percentage points since the Affordable Care Act's requirement for Americans to have health insurance went into effect last year, according to a Gallup-Healthways Well Being analysis. During the fourth quarter of 2014, the uninsured rate dropped to 12.9 percent. This is the lowest recorded rate since Galup-Healthways began tracking the measure daily in 2008. A year ago the uninsured rate was 17.1 percent. The survey found that the uninsured rate declined as more Americans signed up for health insurance through federal and state health insurance exchanges in the first and second quarters of 2014. National Publication Honors Executive Director of Kynect By WKU Public Radio News • Nov 19, 2014 Commonwealth of Kentucky Governing Magazine has named the executive director for Kentucky's healthcare exchange, Carrie Banahan, as one of its nine "Public Officials of the Year" for 2014. Banahan oversaw the creation of kynect, which signed up 521,000 Kentuckians under the new healthcare law last year. Banahan will be honored at a dinner in Washington, D.C. on December 4th. Report Shows Kentucky Workers Still Struggling By Jonathan Meador • Aug 29, 2014 Kentucky Cabinet for Health and Family Services A new report on the state of Kentucky workers suggests the state's economy has a ways to go before it fully recovers from the 2008 recession. But some relief has come as a result of the Affordable Care Act. As we enter Labor Day Weekend in Kentucky, most workers will take a day off from a job whose wages have stagnated. That's one takeaway from the Kentucky Center for Economic Policy's annual report, "The State of Working Kentucky 2014." Poll: Kentucky Sees Second Biggest Drop in Number of Those Without Health Insurance By Jonathan Meador • Aug 7, 2014 The percentage of people without health insurance in Kentucky has dropped at the second biggest rate in the nation. According to a Gallup poll released this week, the number of uninsured dropped from over 20 percent in 2013 to about 12 percent as of July 2014, reflecting an eight-and-a-half percent decline since the federal Affordable Care Act took effect. The only other state to experience a sharper decline was Arkansas, whose uninsured rate dropped about 10 percent. The states rounding out the top five after Kentucky are Delaware, Washington and Colorado. Gov. Steve Beshear touted the news in a press release, attributing the new data to the state's implementation of the ACA via kynect, the state's health insurance exchange. The poll also reported that the rate of uninsured in 21 states like Kentucky that expanded Medicaid coverage under the ACA and set up their own exchanges declined "more significantly" than those states that did not. As of July, over 520,000 Kentuckians have enrolled in health care through the state exchange, with three-quarters of the newly insured enrolled in Medicaid. Beshear Addresses National Healthcare Conference By Jonathan Meador • Jun 17, 2014 Office of Ky Governor Gov. Steve Beshear addressed a national healthcare conference Tuesday in Washington, where he touted Kentucky's success in implementing the Affordable Care Act. Beshear told attendees at the State of Enrollment conference that while Kentuckians continue to hold a negative view of President Barack Obama and his health care law, people are big fans of the state's health insurance exchange, Kynect. "Another thing we did was carefully separate the politics of the Affordable Care Act from the health care impact of Kynect," said Beshear. "That was a very fine line to walk, and I'm still walking it." State Democrats have picked up on the messaging, frequently referring to the state's implementation as "Beshearcare." More than 421,000 Kentuckians have enrolled through Kynect during its six-month opening signup period. Pair of New Insurers Interested In Joining 'Kynect' By Associated Press • Jun 17, 2014 Kentucky Cabinet for Health and Family Services At least two new health insurance companies say they want to sell policies on Kentucky's health insurance exchange. The exchange, named kynect, is the website where people can sign up for the state's Medicaid program or purchase discounted private health insurance plans, depending on their income. Ohio-based CareSource and Florida-based WellCare have filed paperwork with state regulators indicating their interest in selling policies through kynect. Both companies provide Medicaid plans in Kentucky but have not sold on the individual market. Pages« first ‹ previous 1 2 3 next › last »


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A Love Supreme
|A Love Supreme
|Studio album by John Coltrane
|January 1965
|December 9, 1964
|Van Gelder Studio, Englewood Cliffs
|Modal jazz, avant-garde jazz, free jazz, hard bop
|Bob Thiele
|John Coltrane chronology
A Love Supreme is a studio album by American jazz saxophonist and bandleader John Coltrane. He recorded the album with his quartet—featuring pianist McCoy Tyner, bassist Jimmy Garrison, and drummer Elvin Jones—in one session on December 9, 1964, at Van Gelder Studio in Englewood Cliffs, New Jersey. Coltrane's home in Dix Hills, Long Island, has been suggested as the site of inspiration for A Love Supreme.[1] His exposure to Ahmadiyya Islam has also been suggested as a source of influence.[2]
Released by Impulse! Records in January 1965, A Love Supreme became a top-selling album for Coltrane and one of jazz's most critically acclaimed recordings. It has often been viewed as one of the greatest albums of all time, a deeply spiritual work, and Coltrane's masterpiece.
A Love Supreme is a four-part suite, broken up into tracks: "Acknowledgement" (which contains the mantra that gave the suite its name), "Resolution", "Pursuance", and "Psalm". It is intended to be a spiritual album, broadly representative of a personal struggle for purity, and expresses the artist's deep gratitude as he admits to his talent and instrument as being owned not by him but by a spiritual higher power.[1] Coltrane plays exclusively tenor on all parts.
The album begins with the bang of a gong (tam-tam), followed by cymbal washes. Jimmy Garrison follows on bass with the four-note motif which structures the entire movement. Coltrane's solo follows. Besides soloing upon variations of the motif, at one point Coltrane repeats the four notes over and over in different transpositions. After many repetitions, the motif becomes the vocal chant "A Love Supreme", sung by Coltrane (accompanying himself via overdubs).[3]
In the final movement, Coltrane performs what he calls a "musical narration" (Lewis Porter describes it as a "wordless 'recitation'")[4] of a devotional poem he included in the liner notes. That is, Coltrane "plays" the words of the poem on saxophone, but does not actually speak them. Some scholars have suggested that this performance is a homage to the sermons of African-American preachers.[5] The poem (and, in his own way, Coltrane's solo) ends with the cry "Elation. Elegance. Exaltation. All from God. Thank you God. Amen."[6]
Reception and legacy[edit]
|Professional ratings
|Review scores
|All About Jazz
|Down Beat
|Encyclopedia of Popular Music
|MusicHound Jazz
|The Penguin Guide to Jazz
|The Rolling Stone Album Guide
|Rolling Stone Jazz Record Guide
Released in January 1965 by Impulse! Records,[17] A Love Supreme became one of the most acclaimed jazz albums of all time[18] and has been widely regarded as Coltrane's masterpiece.[19] It was also quite popular for a jazz record, selling about 500,000 copies by 1970, a number far exceeding Coltrane's typical Impulse! sales of around 30,000.[20] Colin Larkin hailed it as his greatest album and "one of the most profoundly moving records in all of jazz".[21] According to Harvard music scholar Ingrid Monson, the album was an exemplary recording of modal jazz,[22] while Nick Dedina wrote in Rhapsody that the music ranged from free jazz and hard bop to sui generis gospel music in "an epic aural poem to man's place in God's plan".[23] Rolling Stone called it a "legendary album-long hymn of praise" and stated: "the indelible four-note theme of the first movement, 'Acknowledgement,' is the humble foundation of the suite. But Coltrane's majestic, often violent blowing (famously described as 'sheets of sound') is never self-aggrandizing. Aloft with his classic quartet..., Coltrane soars with nothing but gratitude and joy. You can't help but go with him."[24] It was widely accepted as a work of deep spirituality and analyzed with religious subtext, although cultural studies scholars Richard W. Santana and Gregory Erickson argued that the "avant-garde jazz suite" could be interpreted as otherwise strictly based on the music being heard.[25]
A Love Supreme is the 68th most frequently ranked record on critics' all-time lists.[26] In 2003, it was ranked number 47 on Rolling Stone's list of the 500 greatest albums of all time;[24] NME ranked it number 188 on a similar list 10 years later.[27] The manuscript for the album was admitted as one of the National Museum of American History's "Treasures of American History", part of the collection at the Smithsonian Institution.[28] In 2016, the album was selected for preservation in the National Recording Registry due to its "cultural, historic, or artistic significance."[29] It was also included in Robert Dimery's 1001 Albums You Must Hear Before You Die.[30]
According to Joachim-Ernst Berendt, the album's hymn-like quality impacted and permeated modern jazz and rock music.[31] Musicians ranging from tenor Joshua Redman[32] to the rock band U2,[33] (which mentions the album in their song "Angel of Harlem",[34]) have singled out the influence of the album on their own work. Guitarists John McLaughlin and Carlos Santana have each credited the album as one of their greatest early influences, and recorded Love Devotion Surrender in 1973 as a tribute.[35] "Every so often this ceases to be a jazz record and is more avant-garde contemporary classical," remarked Neil Hannon, frontman of The Divine Comedy. "I love the combination of abstract piano that's all sort of 'clang', and weird chords with wailing saxophone over the top."[36]
In The Penguin Guide to Jazz, writers Richard Cook and Brian Morton gave A Love Supreme a rare "crown" rating, but mused whether it was "the greatest jazz album of the modern period ... or the most overrated?" Miles Davis, Coltrane's former bandleader, said the record "reached out and influenced those people who were into peace. Hippies and people like that". In a lukewarm retrospective review, Martin Gayford from The Daily Telegraph argued that it "marked the point at which jazz—for good or ill—ceased for a while to be hip and cool, becoming instead mystical and messianic". If a listener is "in the mood", he wrote, "it's majestic and compelling; if you're not, it's interminable and pretentious."[19]
Other performances[edit]
An alternative version of "Acknowledgement" was recorded the next day on December 10. This version, which included tenor saxophonist Archie Shepp and bassist Art Davis, did not feature Coltrane chanting "a love supreme", one reason he chose to issue the quartet version.[37]
The only recorded live performance of the "Love Supreme" suite, from a July 26, 1965, performance at the Festival Mondial du Jazz Antibes, Juan-les-Pins, France, was also remastered and released in a 2002 two-CD set by Impulse! Records with the original album and additional studio outtakes.
Doug and Jean Carn recorded "Acknowledgement" with female vocals for their 1972 album Infant Eyes. John McLaughlin and Carlos Santana recorded a guitar version of "Acknowledgement". which they titled "A Love Supreme" on their 1973 collaboration Love Devotion Surrender. At the time, both were devotees of guru Sri Chinmoy.
Will Downing released an R&B cover version of the main theme, with the co-operation of John's widow Alice Coltrane, which reached number fourteen in the UK singles chart in 1988. Gumball recorded an alternative rock version of A Love Supreme as a bonus track on the 1994 Japanese release of Revolution On Ice. The suite has also been recorded several times by Branford Marsalis. It forms a track on the bonus CD for the 1994 compilation album Stolen Moments: Red Hot + Cool, four tracks on the 2002 Branford Marsalis Quartet album titled Footsteps of Our Fathers, and on the DVD "A Love Supreme Live in Amsterdam." Branford's brother Wynton recorded the suite in 2003 with the Lincoln Center Jazz Orchestra.[38]
Sections of the suite have been performed by the David Murray Octet,[39] the Ballistic Brothers,[40] and the Bob Mintzer Big Band.[41] Turtle Island String Quartet released their album A Love Supreme in 2007, and the album features a cover version of the suite, along with other covers of various Coltrane charts.
A 1995 album titled Variations on A Love Supreme was composed by Fabrizio Cassol and Kris Defoort.
In 2007 José James recorded "Equinox" and "Resolution"' as a double A-Side limited-edition 10" for Brownswood Records. James, previously a rapper, added vocals to the tracks.
Jazz singer Kurt Elling recorded "Resolution" for his album Man in the Air. In this recording, Elling set lyrics to the music in his style of vocalese.
Track listing[edit]
All tracks composed by John Coltrane and published by Jowcol Music (BMI)
Original LP[edit]
- Side one
|Take number
|December 9, 1964
|Part 1: "Acknowledgement"
|December 9, 1964
|Part 2: "Resolution"
- Side two
|Take number
|December 9, 1964
|Part 3: "Pursuance"/Part 4: "Psalm"
2002 deluxe edition[edit]
- Disc one
|Take number
|December 9, 1964
|Part 1: "Acknowledgement"
|December 9, 1964
|Part 2: "Resolution"
|December 9, 1964
|Part 3: "Pursuance"
|December 9, 1964
|Part 4: "Psalm"
- Disc two
|Take number
|July 26, 1965
|Introduction by André Francis
|July 26, 1965
|"Acknowledgement" (Live)
|July 26, 1965
|"Resolution" (Live)
|July 26, 1965
|"Pursuance" (Live)
|July 26, 1965
|"Psalm" (Live)
|December 9, 1964
|"Resolution" (Alternate take)
|December 9, 1964
|"Resolution" (Breakdown)
|December 10, 1964
|"Acknowledgement" (Alternate take)
|December 10, 1964
|"Acknowledgement" (Alternate take)
The Complete Masters (2015)[edit]
- Disc 1 – The Original Stereo Album, Impulse! AS-77
- "Acknowledgement" – 7:42
- "Resolution" – 7:20
- "Pursuance" – 10:41
- "Psalm" – 7:05
- – Trane's Original Mono Reference Masters
- "Pursuance" – 10:42
- "Psalm" – 7:02
- Disc 2 – Quartet Session, December 9, 1964
- "Acknowledgement" (vocal overdub 2) – 2:00
- "Acknowledgement" (vocal overdub 3) – 2:05
- "Resolution" (take 4/ alternate) – 7:25
- "Resolution" (take 6/ breakdown) – 2:13
- "Psalm" (undubbed version) – 6:59
- – Sextet Session, December 10, 1964
- "Acknowledgement" (Take 1 / alternate) – 9:24
- "Acknowledgement" (Take 2 / alternate) – 9:47
- "Acknowledgement" (Take 3 / breakdown with studio dialogue) – 1:26
- "Acknowledgement" (Take 4 / alternare) – 9:04
- "Acknowledgement" (Take 5 / false start) – 0:34
- "Acknowledgement" (Take 6 / alternate) – 12:33
- Disc 3 – Live at Festival Mondial du Jazz Antibes, July 26, 1965
- Introduction by André Francis and John Coltrane – 1:13
- "Acknowledgement (Live)" – 6:12
- "Resolution (Live)" – 11:37
- "Pursuance (Live)" – 21:30
- "Psalm (Live)" – 8:49
The John Coltrane Quartet[edit]
- John Coltrane – bandleader, liner notes, vocals, tenor saxophone
- Jimmy Garrison – double bass
- Elvin Jones – drums, gong, timpani
- McCoy Tyner – piano
Additional personnel[edit]
- Archie Shepp – tenor saxophone on alternate takes of "Acknowledgement"
- Art Davis – double bass on alternate takes of "Acknowledgement"
- Rudy Van Gelder – engineering and mastering
- Bob Thiele – production and cover photo[42]
- George Gray/Viceroy – cover design
- Victor Kalin – illustration
- Joe Lebow – liner design
- Erick Labson – digital remastering (CD reissue)
- Kevin Reeves – mastering (SACD)
- Michael Cuscuna – liner notes, production, and remastering (deluxe edition)
- Joe Alper – photography (CD reissue)
- Jason Claiborne – graphics (CD reissue)
- Hollis King – art direction (CD reissue)
- Lee Tanner – photography (CD reissue)
- Ken Druker – production (deluxe edition)
- Esmond Edwards – photography (deluxe edition)
- Ashley Kahn – liner notes and production (deluxe edition)
- Peter Keepnews – notes editing (deluxe edition)
- Hollis King – art direction (deluxe edition)
- Bryan Koniarz – production (deluxe edition)
- Edward O'Dowd – design (deluxe edition)
- Mark Smith – production assistance (deluxe edition)
- Sherniece Smith – art coordination and production (deluxe edition)
- Chuck Stewart – photography (deluxe edition)
- Bill Levenson – reissue supervisor (SACD)
- Cameron Mizell – production coordination (SACD)
- Ron Warwell – design (SACD)
- Isabelle Wong – package design (SACD)
See also[edit]
- 1965 in jazz
- "Angel of Harlem" – a 1989 U2 song referencing the album
- Concept album
- Love of God
- ^ a b Kahn 2002
- ^ Juliane Hammer, Omid Safi. The Cambridge Companion to American Islam. p. 285. Retrieved 15 December 2014.
- ^ Porter, 231–249. (citation for entire paragraph)
- ^ Porter, 244. (citation for both Coltrane and Porter's quotes)
- ^ Porter, 246–247.
- ^ Porter, 248.
- ^ Spencer, Robert (1997). "John Coltrane: A Love Supreme". All About Jazz. Retrieved July 2, 2016.
- ^ Sam Samuelson. "A Love Supreme Overview". AllMusic. Retrieved October 17, 2009.
- ^ Janowiak, John (1965-04-08). "A Love Supreme". Down Beat.
- ^ Larkin, Colin (2011). "John Coltrane". Encyclopedia of Popular Music (5th ed.). Omnibus Press. ISBN 0-85712-595-8.
- ^ Holtje, Steve; Lee, Nancy Ann, eds. (1998). "John Coltrane". MusicHound Jazz: The Essential Album Guide. Music Sales Corporation. ISBN 0-8256-7253-8.
- ^ Cook, Richard; Morton, Brian (1992). The Penguin Guide to Jazz on CD, LP and Cassette. Penguin Books. p. 225. ISBN 0-14-015364-0.
- ^ Fiander, Matthew (2015). "John Coltrane: A Love Supreme (The Complete Masters)". PopMatters. Retrieved July 2, 2016.
- ^ "A Love Supreme". Q. October 1995. p. 136.
- ^ Wolk, Douglas. John Coltrane" in Hoard, Christian and Nathan Brackett, eds. (2004). The Rolling Stone Album Guide. pp. 182–185. Fireside Books.
- ^ Swenson, J. (Editor) (1985). The Rolling Stone Jazz Record Guide. USA: Random House/Rolling Stone. p. 47. ISBN 0-394-72643-X.
- ^ Anon. (2007). "A Love Supreme". In Irvin, Jim; McLear, Colin. The Mojo Collection (4th ed.). Canongate Books. p. 48. ISBN 1-84767-643-X.
- ^ Cook, Richard; Brian Morton (2006) [1992]. "John Coltrane". The Penguin Guide to Jazz Recordings. The Penguin Guide to Jazz (8th. ed.). New York: Penguin. pp. 273–4. ISBN 0-14-102327-9.
- ^ a b Gayford, Martin (2002). "Sublime - if you're in the mood". The Daily Telegraph. Retrieved July 2, 2016.
- ^ Porter, 232.
- ^ Larkin, Colin (1994). Guinness Book of Top 1000 Albums (1 ed.). Gullane Children's Books. p. 92. ISBN 978-0-85112-786-6.
- ^ Monson, Ingrid (2008). "Jazz: From Birth to the 1970s". In Koskoff, Ellen. The Concise Garland Encyclopedia of World Music. Routledge. p. 359. ISBN 0415994039.
- ^ "A Love Supreme (Bonus Tracks) by John Coltrane". Rhapsody. Retrieved July 2, 2016.
- ^ a b Staff. RS 500: 47) A Love Supreme. Rolling Stone. Retrieved on 2010-10-05.
- ^ Santana, Richard W.; Erickson, Gregory (2008). Religion and Popular Culture: Rescripting the Sacred. McFarland & Company. pp. 78–81. ISBN 0786435534.
- ^ "John Coltrane". Acclaimed Music. Retrieved July 2, 2016.
- ^ Kaye, Ben (2013). "The Top 500 Albums of All Time, according to NME". Consequence of Sound. Retrieved July 2, 2016.
- ^ "A Love Supreme". National Museum of American History, Smithsonian Institution. Retrieved 2008-05-28.
- ^ https://www.loc.gov/today/pr/2016/16-056.html
- ^ Robert Dimery; Michael Lydon (23 March 2010). 1001 Albums You Must Hear Before You Die: Revised and Updated Edition. Universe. ISBN 978-0-7893-2074-2.
- ^ Berendt, Joachim-Ernst (2009). The Jazz Book: From Ragtime to the 21st Century. Chicago Review Press. p. 152. ISBN 1613746040.
- ^ Jazz/Jerry Jazz Musician/Saxophonist Joshua Redman discusses John Coltrane's "A Love Supreme" on Jerry Jazz Musician Archived January 6, 2009, at the Wayback Machine.‹The template Wayback is being considered for merging.›
- ^ Robert Palmer for the New York Times. September 25, 1987 http://www.nytimes.com/1987/09/25/arts/pop-jazz-guide-a-tribute-to-john-coltrane-s-spirit.html A Tribute to John Coltrane's Spirit]
- ^ Kahn, xxii.
- ^ Stump, Paul (2000). Go Ahead John: The Music of John McLaughlin. SAF. p. 65. ISBN 9780946719242.
- ^ Thornton, Anthony: 'Neil Hannon's Record Collection', Q #146, November 1998, p67
- ^ Porter, 249.
- ^ A Love Supreme - Wynton Marsalis official web site
- ^ allmusic ((( Octet Plays Trane > Overview )))
- ^ allmusic ((( Rude System > Overview )))
- ^ allmusic ((( Big Band Trane > Overview )))
- ^ Jarenwattananon, Patrick (March 28, 2014). "A Love Supreme Comes Alive in Unearthed Photos". NPR.
- Kahn, Ashley (2003). A Love Supreme: The Story of John Coltrane's Signature Album. Elvin Jones. Penguin Books. ISBN 0-14-200352-2.
- Porter, Lewis (1999). John Coltrane: His Life and Music. University of Michigan Press. ISBN 0-472-08643-X.
- Porter, Lewis (1985). "John Coltrane's A Love Supreme: Jazz Improvisation as Composition". Journal of the American Musicological Society. University of California Press. 38 (3): 593–621. doi:10.1525/jams.1985.38.3.03a00060.
External links[edit]
Find more about
A Love Supreme
at Wikipedia's sister projects
|Media from Commons
|Data from Wikidata
- A Love Supreme at Discogs (list of releases)
- 1965 albums
- Albums produced by Bob Thiele
- Albums recorded at Van Gelder Studio
- Avant-garde jazz albums
- Concept albums
- English-language albums
- Grammy Hall of Fame Award recipients
- Hard bop albums
- Impulse! Records albums
- John Coltrane albums
- Love poems
- Modal jazz albums
- Post-bop albums
- Religious music albums by American artists
- Suites
- Universal Deluxe Editions
- Albums produced by Michael Cuscuna
- United States National Recording Registry recordings


text:
JERSEY CITY — He says he touched only her shoulder and bag.
She says he touched a whole lot more.
A close encounter on a crowded PATH train in Jersey City during the morning rush Monday left Port Authority Police trying to sort out what happened.
A day after a commuter took a cell phone photo of the man she said repeatedly brushed against her breast while he held onto the train pole, police on Tuesday cited 24-year-old Dhaval Dharaiya of Jersey City for criminal sexual contact.
He is to appear at a Jersey City court at a later date, police said.
Port Authority Police spokesman Al Della Fave said Dharaiya told officers, "The pole was sticky and my hand was slipping up and down."
However, Dharaiya told police that when he did accidentally touch the woman, he touched her shoulder and bag and nothing else.
The woman, a 43-year-old commuter from Jersey City, told police that while she stood against the doors of the train, a man purposely slid his hand up and down the train pole and brushed his arm against her breast while they rode from Journal Square to the World Trade Center PATH station.
She told police that after she asked the man to back away or use the opposite hand to hold the pole, he responded, "No! I'm ok here."
She gave police at the World Trade Center PATH station a cell phone photo she took of the suspect. Police returned Tuesday to the Journal Square station around the same time — at 8:50 a.m. — and questioned Dharaiya, who admitted he was the man in the photo.


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text:
Austin's basket with 2.2 seconds to play lifts Dragons over Panola, 78-76
CARTHAGE, Texas — Jovan Austin scored 13 of Paris' last 14 points, including the game-winner with 2.2 seconds to play, as the Dragons knocked off Panola 78-76 Wednesday night.
The win clinched a first-round bye for Paris (22-7, 15-4) in the Region XIV tournament next week in Tyler.
When San Jacinto and Lamar State-Port Arthur both lost on Wednesday, the Dragons' seed improved to No. 2 overall, and if Navarro beats Trinity Valley on Saturday in Corsicana, the Dragons will be Region XIV's regular season champion.
Austin was one of five players to score in double figures for Paris. Delvin Dickerson had 17 points, including three 3-pointers. Austin added 16, Nouhoum Bocoum 14, Joe Haynes 13, and Ronnie White 10.
Brandon Herman led Panola (10-18, 4-14) with 17 points. Brendt Pickens and Josh Morris scored 14 each, and Malik Fields had 12.
Paris led 33-25, the largest lead by either team, with 5:10 remaining in the first half, but Panola went on a 20-5 run to take a seven-point lead of its own after two minutes of the second half.
Then Paris scored 11 straight, including five points each by Haynes and Dickerson.
And back and forth it went.
Bocoum's free throw tied the game at 72-72 with 2:48 to play, and Austin hit a 3-pointer for a 67-67 tie.Thirty-one seconds later, Austin made two free throws to cut Panola's lead to 70-69. Then Austin stole the ball and scored for a 71-70 lead.
With the shot clock off, Panola came down court needing two points to tie, three points to win. Rather than allow Panola a shot just before the buzzer, leaving Paris no time to counter with anything, the Dragons fouled Herman with 9.4 seconds to play. It was Paris' ninth foul of the second half, meaning a 1-and-1 free throw.
Panola wouldn't be able to win the game at the free throw line, and if he were kind enough to miss his first, or even a second shot if the first was good, Paris would have the lead and the ball with less than 10 seconds to play.
Trying to freeze Herman, who had made 6-of-8 free throws to that point, Taylor called three consecutive time outs as Herman was waiting to shoot, and the Paris coach had both his 6-9 centers — White and Bocoum — in the two spaces in the lane closest to the goal.
Herman didn't miss. He made both free throws to tie the game one more time at 76-76.
And now, with that 9.4 seconds left in the game, it was Austin's time once again to shine. He took the ball downcourt, made a bee-line for the basket and laid up a little floater that dropped cleanly into the net for the game-winner with 2.4 seconds left in the game.
Panola had time only for a shot from three-quarters the length of the floor. It wasn't close, and Paris had the victory.
By Charles Richards, eParisExtra
PARIS (15-4, 22-7) — Jovan Austin 5 5-6 16, Delvin Dickerson 6 2-2 17, Trevon Seymore 0 0-0 0, Brandon Scott 0 1-2 1, Keith Shivers 2 0-0 4, Xavier Dupree 1 0-0 3, Joe Haynes 4-5 13. Qua Doster 0 0-0 0, Ronnie White 3 4-5 10, Nouhoum Bocoum 4 6-8 14. Totals: 25 22-28 78. Three-Pointers: 6 (Dickerson 3, Austin 1, Dupree 1, Haynes 1). Fouls: 21. Fouled Out: None.
PANOLA (10-18, 4-14) — Geru Mabrey 3 0-0 6, Patrick Branch 0 2-2 2, Brandon Herman 4 8-10 17, Ricky Roberts 1 5-5 7, Inga Kuba 2 0-0 4, Brendt Pickens 4 3-3 14, Malik Fields 4 4-5 12, Stefan Bangelav 0 0-0 0, Josh Morris 4 6-8 14. Totals: 22 28-34 76. Three-Pointers: 4 (Pickens 3, Herman 1). Fouls: 21. Fouled Out: Mabrey.
Halftime: Panola 42, Paris 38.


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text:
Dameyune Craig's departure for LSU earlier this week was the latest move in a forgettable football offseason for the Auburn Tigers.
Craig was the best remaining recruiter on the Auburn offensive staff, largely responsible for the Tigers landing one of the best receiver recruiting classes in the country earlier this month. He's also a beloved former player — probably one of the top 5 quarterbacks in school history — and an Auburn graduate.
Malzahn has had to replace five coaches on his staff this offseason, and it's likely that only two of the new hires were upgrades over their predecessors. Herb Hand was a good hire as offensive line coach, as was Wesley McGriff as secondary coach.
However, defensive coordinator Kevin Steele, linebacker coach Travis Williams and wide receivers coach Kodi Burns are not as accomplished as the men they are replacing. And Williams and Burns are basically entry-level hires, with Burns less than three years removed from being a graduate assistant and Williams a first-time college coach on a full-time basis.
So there's no question that Malzahn's seat is getting hot in Auburn? It's likely that if he doesn't win at least eight games in 2016, he might be headed out the door.
But is his seat the hottest among the SEC's football coaches? Here are the other candidates:
Kevin Sumlin, Texas A&M: The Aggies have faded badly in October and November the last two seasons, and two highly touted quarterbacks left the program in December. If Oklahoma transfer Trevor Knight isn't the answer under center, Sumlin might be out on the street next winter.
Les Miles, LSU: Miles might have survived the worst after a near firing last November, or he could have been given merely a one-year reprieve. The Tigers should be loaded at just about every position next season, though as always, it will come down to quarterback play.
Mark Stoops, Kentucky: Like Texas A&M, Kentucky has gotten off to strong starts in each of the last two seasons before fading in the second half. The expectations are somewhat modest in Lexington, but the Wildcats can't afford another collapse in October and November.
Will Muschamp, South Carolina: It's not often you see a first-year coach on a list like this, but Muschamp was a questionable hire from the very beginning after failing spectacularly in a better situation at Florida. Muschamp will be given a very short leash in Columbia.
Based on that list, I think I might slot Malzahn in at No. 2 after only Sumlin, though I might be talked into putting him in the top spot.
What say you, AL.com chat-room occupants? How many games must Malzahn win in 2016 to keep his job?
I'll take your questions and comments on that or anything else on your mind beginning at 10 a.m.