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Charitable Regions
You can make a difference for those that need your help in the Cornhusker State when you donate a car in Nebraska. Have you been looking for a way to get rid of an old vehicle and help people in need at the same time? It's fast and easy to donate a car with Donate a Car. Donate almost any kind of car, van, truck, boat, and other vehicles to benefit a nonprofit organization working in the state of Nebraska.
You can donate all over the Cornhusker State including Omaha, Lincoln, Bellevue, Grand Island, Kearney, Fremont, Hastings, North Platte, Norfolk and surrounding communities. Your donation makes a real difference for someone in your community plus you get free pick-up of your donated vehicle, no paperwork to deal with, and a tax deduction for the value of your vehicle.
Enjoy the Benefits:
- Easy online form to get started
- Receive Free towing of your car from home or work
- No complicated paperwork, we take care of all of that
- Receive a possible tax deduction
Car donation in Nebraska could not be any easier! It's a great feeling to be able to help a cause. You can choose to help those with Alzheimer's in Nebraska, people suffering from diabetes, help the treatment of cancer patients, assist the Humane Society in their rescue of abandoned pets, improve the quality of life for those with Lupus, or many other worthy charities. Rest assured that the proceeds from your car donation will go directly to the cause that you choose. What a great feeling to do something that can help others.
Scroll through our list of charities below and get started filling out our online form today. Call us at 1-800-237-5714 with any questions. Donate an auto today and do your part for a worthy cause in Nebraska.
Alzheimer's Association National
To eliminate Alzheimer's disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health.
American Childhood Cancer Organization
The mission of the American Childhood Cancer Organization is to:
- Help families get the facts they need about childhood cancer in simple, comprehensive, everyday language.
- Make the fight against cancer easier for its youngest victims through the development and distribution of the highest quality materials designed specifically for children and adolescents.
- Provide crucial support families need—financially, socially, and emotionally—through diagnosis, treatment, and well beyond.
- Advocate for critical research on treatment protocols appropriate for the bodies of cancer's smallest victims.
- Give the fight against childhood cancer the attention it deserves, because kids can't fight cancer alone!
Because kids can't fight cancer alone!™
American Children's Cancer Foundation
American Children's Cancer Foundation's mission is to make a positive difference in the lives of children and their families affected by cancer.
ACCF tailors its support to fit each child's needs; from education to assistance with treatment, recovery and family support.
ACCF also provides funding toward research for children's cancers as well as fosters health wellness and a whole-body approach to cancer treatment and recovery.
American Diabetes Association
The mission of the American Diabetes Association is to prevent and cure diabetes and to improve the lives of all people affected by diabetes.
Arc of Nebraska
The Arc of Nebraska is committed to helping children and adults with disabilities secure the opportunity to choose and realize their goals of where and how they learn, live, work and play.
Disability is a natural part of the human experience and in no way diminishes the right of individuals to live independently, enjoy self-determination, make choices, contribute to society, pursue meaningful careers, enjoy full inclusion and integration in the economic, political, social, cultural, and educational mainstream of American society.
Cancer Research Institute
To improve patient care by advancing a new class of cancer therapies that mobilize the immune system to treat, control, and prevent cancer.
Christian Freedom International
Providing real solutions to conditions of oppression and human misery caused by religious persecution, Christian Freedom International reaches the part of the persecuted Church that is the most repressed, most at risk, and most isolated.
Crohn's and Colitis Foundation
The mission of the Crohn's & Colitis Foundation is to cure Crohn's disease and ulcerative colitis, and to improve the quality of life of children and adults affected by these diseases.
EarthShare National
EarthShare's mission: To engage individuals and organizations in creating a healthy and sustainable environment.
Hirshberg Foundation for Pancreatic Cancer Research
- To find a cure for pancreatic cancer in honor of Ron Hirshberg and the thousands of people who are diagnosed with this disease each year.
- To create a premier Pancreatic Cancer Center where all needs of pancreatic cancer patients can be met in one location with the most advanced treatment options.
- To be recognized as a patient support reference source for pancreatic cancer patients and their families.
- To fund projects and programs designed to improve patient care, treatment and, ultimately, pancreatic cancer survival rates.
- To integrate and unite generations, young and old, through physical fitness participation, while creating public awareness and raising money to find a cure for pancreatic cancer.
Suggested Charities
Homeless Animals Rescue Team
Children, Human ServicesDonate Now
National Psoriasis Foundation
Children, Human ServicesDonate Now
Seattle Lighthouse for the Blind
Children, Human ServicesDonate Now


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AISB opportunities Bulletin Item
Job openings relevant to algorithmic game theory, Netherlands
Below are two job opening at CWI relevant to those interested in algorithmic game theory: Postdoc position at CWI, Amsterdam, the Netherlands The Algorithms, Combinatorics and Optimization group (PNA1) at the Centre for Mathematics and Computer Science (CWI) in Amsterdam, the Netherlands, has an open position for a postdoc for a period of one year in the area of (preferably algorithmic) mechanism design. The position has to be filled by the end of this year. Research will take place in the nationally funded project ``Distributed Implementations of Adaptive Collective Decision Making'' (DIACoDeM). The project employs three postdocs from three groups at CWI: PNA1, Coordination Languages (SEN3) and Computational Intelligence and Multi-agent Games (SEN4). Further information about the project can be obtained from Prof. Krzysztof R. Apt, email@example.com. For more information about the research carried out in the PNA1 group see under http://www.cwi.nl/org. Applicants are expected to have a proven research experience in mechanism design and/or theory of strategic games. Terms of employment The salary and terms of employment are in accordance with the ``CAO-onderzoekinstellingen" and are based on qualifications. Moreover, CWI offers attractive working conditions, including flexibility and initial help with housing for foreigners. Information and application Applications, mentioning ``DIACoDeM Project", with enclosures a curriculum vitae, a list of publications and a list of references should be send by March 15th, 2007 to K.R. Apt, firstname.lastname@example.com. -------------- Tenure track position in algorithmic game theory within the group 'Algorithms, Combinatorics and Optimization' of the CWI Department 'Probability, Networks and Algorithms'. The applicant is an independent researcher with a demonstrated record of international top-quality fundamental research in algorithmic game theory. The applicant also has the intention and ability to search for project funding, and to eventually build up a research group. CWI is the national research institute for mathematics and computer science in the Netherlands. CWI performs frontier research in mathematics and computer science and transfers new knowledge in these fields to society in general and trade and industry in particular. CWI recently presented as its strategy for the coming years to concentrate its efforts on four socially relevant themes. One of them is "Societal Logistics" in which algorithmic game theory takes a central position. The research group 'Algorithms, Combinatorics and Optimization' performs fundamental and applied research in combinatorics, optimization, algorithmics and complexity. Focal points include combinatorial optimization, integer and semidefinite programming, graph and matroid theory, networks, computational molecular biology, geometric and algebraic techniques in combinatorics and, more recently, algorithmic game theory. The vacant position is also created in the context of the national research network 'DIAMANT', which stands for "Discrete, Interactive, and Algorithmic Mathematics, Algebra and Number Theory". This includes research groups at three Dutch universities and at the CWI. Terms of employment The vacancy concerns a tenure-track position, with an initial appointment of three years. Depending on the candidate's experience, different terms of appointment can be discussed. The salary and terms of employment are in accordance with the "CAO-onderzoekinstellingen" and are based on qualifications. Moreover, CWI offers attractive working conditions, including flexibility and initial help with housing for foreigners. Information and application Please send your application to the following address: Prof.dr.ir. Bert Gerards Head of CWI Department 'Probability, Networks and Algorithms' & Coordinator Societal Logistics E-mail: firstname.lastname@example.com Centrum voor Wiskunde en Informatica P.O. Box 94079 1090 GB Amsterdam The Netherlands You can also contact him for further information on this position. An application should consist of a cover letter, a research statement, a curriculum vitae, a list of publications, and the names of three references. There is no deadline for applications. We will evaluate the applications at regular time intervals as they come in. The position will remain open until a suitable candidate has been found.

subset: commoncrawl


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The Creative Process – Erin Babnik Episode 238
Podcast: Play in new window | Download | Embed
Subscribe: Apple Podcasts | Android | RSS
In this podcast episode, I talk to Erin Babnik about her views on the creative process. The creative process can be just that; a process. The problem with some photographers is that they don't always know how to deal with creativity and all of the things that come with it. When the creative process is … Read more


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Daily briefs of the top news stories impacting Christians around the world.
In today's edition:
- Evangelicals Debate Global Warming
- Pastor Thrown Out from Village
- European Evangelistic Outreach Kicks Off from Munich
- Presbyterians Consider Triune 'Mother, Child, and Womb'
Evangelicals Debate Global Warming
According to an article in Science & Theology News, the atmosphere within the evangelical community has been heating up since the Evangelical Climate Initiative (ECI) was introduced in early February. Endorsed by more than 80 prominent evangelical leaders, the ECI asserts that climate change is an urgent problem and that the Christian faith mandates a strong response to global warming. Many other evangelicals have been reluctant to embrace environmental activism because of its connections with liberal agendas, the story reports. Also, many evangelicals prioritize spiritual rather than social and physical concerns. Even so, the ECI "is a very appropriate move in terms of a biblical basis and, in fact, long overdue," said Fred Van Dyke, who teaches environmental ethics at Wheaton College. "The evangelical community has long associated the environmental agenda with a liberal agenda, but they are getting over it." Mark Cane, professor of earth and climate science at Columbia University, said: "Right now we have a government that has done nothing effective about global warming and doesn't listen to people like me — scientists. They do listen to evangelicals, however, so [the ECI] plays an important saving role." Meanwhile, prominent evangelical figures such as Focus on the Family's James Dobson, and Prison Fellowship's Chuck Colson have said they are concerned about the ECI's stance on environmental policy. The media, in particular, has misrepresented the effort as the majority opinion among evangelicals, said Cal Beisner, an associate professor of historical theology and social ethics at Knox Theological Seminary.
Pastor Thrown Out from Village
Gospel for Asia Pastor Haresh serves the Lord in the thick jungles of Chhattisgarh, India. Since his arrival in 2003, Haresh has been laboring to change the area's isolation from the Gospel, and now a church of nearly 30 people meets regularly in one village. The new believers take their faith in Christ seriously, eagerly learning from the pastor and helping him in outreach. By regularly reaching out to surrounding communities with the love of Christ, Pastor Haresh has penetrated more than a dozen other villages with the Gospel message as well. His wife is active in ministry, too, sharing Christ with other women. But now this dedicated young pastor has encountered opposition. Some young men recently harassed Haresh because of his stand for the truth, forcing him out of the village where he planted his church. Now Pastor Haresh is no longer allowed to return to share God's Word there or disciple new believers. And some in the village have even threatened to tell local authorities that he was forcibly converting people, prohibited under Chhattisgarh's current anti-conversion law.
European Evangelistic Outreach Kicks Off from Munich
One of the biggest evangelistic outreach programs on the European continent has kicked off from Munich, Germany, reports ASSIST News. ProChrist meetings are aired daily via satellite to 1,250 venues in 21 European countries, March 19 through 26. According to the organizers more than 160,000 participants watched the program during the first night on Sunday. Attendance figures dropped slightly on Monday to 147,000. 4,500 guests flocked to the Olympic hall in Munich. The figures lag behind the last ProChrist campaign in 2003, when 200,000 met in 1,304 venues on the opening night. The main speaker at ProChrist 2006 is Rev. Ulrich Parzany, former general secretary of the German YMCA. In his first sermon Parzany challenged the notion that religious tolerance means that all religions are equal.
Presbyterians Consider Triune 'Mother, Child, and Womb'
Presbyterians this June will be asked to ratify a new report on Trinitarian theology that describes the cornerstone doctrine in various metaphorical terms, including a controversial description of the triune God as "Mother, Child and Womb." "[The report] aims to assist the Presbyterian Church (U.S.A.) in reclaiming the doctrine of Trinity in theology, worship and life," the introduction to the 40-page report, "God's Love Overflowing," states. According to The Christian Post the report, which has been underway since 2000, includes theological and liturgical sessions that are meant for use in study sessions on the doctrine. "The doctrine is widely neglected or poorly understood in many of our congregations," the statement reads. "The members of our work group are convinced that the doctrine of trinity is crucial to our faith, worship, and service." Describing the Trinity has often proved contentious in mainline denominations, with some adhering to the classical Biblical description of the Triune Father, Son and Holy Spirit, and others adopting more liberal terms such as the Triune "Creator, Redeemer, Sanctifier."


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THE Salon offers a variety of wedding services including hair and makeup for brides and the wedding party. Headlines has a fabulous wedding team that is experienced in doing classic wedding styles as well as the latest trends.
Bridal - Hair (Day of)
Bridal - Trial Run
Make-up (includes lashes)
Makeup - Trial Run
Wedding Party - Hair
Wedding Party - Make-Up
On Location
THE Salon offer the option of onsite bridal services should that be a consideration by the bridal party. A separate fee for travel will be additional to the cost of services rendered. Travel fee varies depending on the number of stylists required for requested services, timing and distance and will be given only after consultation.
A deposit is required by credit card to hold all wedding services.
A two-week cancellation notice is required to avoid a full service charge.


text: Elements of the USS Nassau (LHA 4) Expeditionary Strike Group (ESG) including the dock landing ship USS Carter Hall (LSD 50), amphibious transport dock USS Austin (LPD 40) and the guided-missile cruiser USS Cape St. George (CG 71), carrying more than 2,700 Sailors, returned to Naval Station Norfolk and Naval Amphibious Base Little Creek May 4, following a six-month deployment is support of the global war on terrorism. Nassau ESG ships, which deployed Nov. 7, conducted maritime security operations in the U.S. 5th Fleet area of responsibility (AOR) and supported theater security cooperation in the U.S. 6th Fleet AOR. Other members of the ESG, including the guided-missile destroyer USS Winston S. Churchill (DDG 81), returned May 2. The guided-missile destroyer USS Arleigh Burke (DDG 51) and attack submarine USS Norfolk (SSN 714) are due home May 7. "The whole ESG was well trained for this deployment," said Commander, Amphibious Squadron 6, Capt. Martin Allard. "All 2,700 personnel throughout the strike group received full integrated strike group training for non-combatant operations," said Allard. While deployed, Cape St. George and Austin maintained security for Iraqi oil platforms in the Northern Persian Gulf while working closely with mobile security detachments, coalition forces and the Iraqi navy. Carter Hall became the air cushion landing craft (LCAC) ship for the Nassau ESG, where they offloaded the 22nd Marine Expeditionary Unit (Special Operations Capable) (MEU(SOC))at Kuwait Naval Base. Shortly after this offload, the strike group participated in an anti-piracy operation in the Indian Ocean. "We liberated a crew of 16 people who were on an Indian small-trade ship," said Allard. "This took place for three months." Carter Hall also conducted an underway replenishment training exercise with the French frigate Courbet, where French and American Sailors conducted a cross-deck swap. Ships in the Nassau ESG participated in several training exercises with coalition forces in the area. In the North Persian Gulf, they worked closely with British and Australian ships, while the ships in the Arabian Sea and Indian Ocean operated with the French, German and Dutch navies as part of Coalition Task Force 150. In February, Carter Hall and Nassau began transiting north to the Persian Gulf, where they offloaded the 22nd MEU(SOC). After the offload, Carter Hall transited to Kuwait Naval Base to backload the Marines. While operating under CTF 150, the strike group remained in the Persian Gulf to conduct maritime surveillance operations as part of Operation Sea Dragon III. Nassau, Austin and the 22nd MEU(SOC) conducted a final exercise with Djibouti before heading out of the 5th Fleet AOR. The exercise offered the opportunity for Marines from the MEU to conduct bilateral training, while the Aviation Combat Element practiced low-altitude training and fire-support functions. "Throughout our deployment, we conducted maritime security operations, which are designed to keep sealine security operations open and safe," said Allard. "We also conducted bilateral exercises." Allard said this deployment was a great success for his crew, and they were able to support every mission required of Nassau ESG. "The entire strike group did an outstanding job in accomplishing every mission assigned," said Allard. "By practicing safety, we are able to bring home every Sailor we departed with." Source: NavNews By Journalist 2nd Class Maja A. Dyson, Fleet Public Affairs Center Atlantic


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Talent Management Software: An Introduction
The war for effective and productive talents is on the rage. With a market for exceptional quality workers that has become more competitive by the day, executives make their human capital as the utmost priority. HR leaders gain more info right at their fingertips than before and turned to analytics tool in an effort to find, hire and to retain the best and finest talents in the market. Companies also like implementing performance management to be able to appeal to increasingly collaborative as well as tech-savvy crop of the new workers.
As you read this guide, we are going to talk about what makes a good talent management software along with the potential benefits that comes from it. As a matter of fact, there are 4 things that you should take into account in such stay interviews software including the recruitment, performance management, learning as well as compensation management. With regards to recruitment module, it helps the HR to be able to attract the qualified candidates and keeping track of the resumes through applicant tracking system.
The performance management on the other hand allows the managers to monitor and define the employee's goals. Learning tools help with the on-boarding, providing employees with the appropriate and necessary training materials to hone and improve their skills, performance and to keep track of their progress while compensation management is connecting performance to pay and ensure that every employee is correctly paid.
Talent management software is unifying these 4 functions although, several products from some niche providers are just addressing specifically on one or more areas.
Oftentimes, it is difficult for the companies to keep track of the skills or goals of their staffs into a meaningful way. This could result to employees to feel slighted when they're not recognized properly with the efforts they exerted. When workers are frustrated, they start thinking to resign and the business is forced again to spend money and time recruiting new employees and training them.
Talent management software is bolstering employee's retention by documenting goals explicitly and rewarding their success via pay-for-performance compensation. The recruitment work lets companies to employ the best workers right from the very beginning, which experts say could result to a stronger workforce.
In fact, there are various important things that must be taken into account when selecting talent management tools as what stated by industry experts. HR leaders have to examine first the workforce, taking into mind the number of their employees, turnover rates and their geographic locations.


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happens all the time in the city waiting for the bus. The same people return time and again and don't take no for an answer.. this is frustrating. I can see why some folks judge the majority by the actions of a few... peace
sort by best latest
I told the last two that approach me that I pray to the Great Spirit and surprisingly they left me alone after that.
Tell them you have an extremely contagious disease (like the Black Plague) and then ask them to give you a hug.
Or, learn how to say "Sorry, I don't speak English" in a foreign language and pretend like you don't understand them.
Tell them you were waiting for a sign, because Dog told you, that there would be a religious person who was rich, and was going to bring you all of the Answers, that person was going to be so compassionate they will take you in. Would they like to go ahead and get a truck, or will they rent a U-Haul? Tell them you have six Mexican cousins living with you too, and everyone will be relieved to be taken care of by such a religious person...if they run off to get a truck - RUN
I understand your pain. Everytime I get to the trunk of my car at the grocery store, they pop up out of no where---Jehovah Wintesses. It drives me nuts. I just tell them I'm Catholic and they leave. I also hang a cross above my front door and they quit stopping at my house.
I simply tell them I am a pagan worshiper of Thor and that Loki will feed on their unbelievers souls after Ragnarok. I then ask them if they would like to join the way. Usually they run in the other direction.
Tell them to leave or you're going to call the cops or better yet just start yelling RAPE! that should deter them.
point them to the robert dean you tube video that features an interview with neil armstrong talking about the ufos that they took photos of when they landed on the moon.


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Great Yarmouth, United Kingdom (PressExposure) March 03, 2009 -- The list of what not to eat when trying to lose weight can seem endless, so the idea of introducing new and tasty MUFA foods to help you lose weight must be every dieters dream!
Along with the week day City Diet, exclusively delivered to those within the M25, the Bodychef delivers fresh food diet hampers such as the Low GI, Vegetarian, Detox and Super Food plans across the UK.
The Bodychefs latest addition to its range of diet plans has interpreted the best selling diet book Flat Belly Diet! into a 32 day fresh food plan that starts with a four day jump start hamper.
The books claims have been proven to help many women lose up to 15lbs after just one month, mainly targeting the fat and inches from their waistlines without even needing to hit the gym!
The Bodychefs newest offering follows last years successful launch of its acclaimed Skinny B home delivery diet, based on celeb weight loss bible Skinny Bitch, favoured by Victoria Beckham.
Where most modern weight loss programmes focus on cutting out key food types, the Flat Belly Diet! focuses on introducing a key food group.
MUFAs or Monounsaturated Fatty Acids, are found in tasty foods such as olives, nuts, avocado, oils and chocolate yes chocolate.
They help burn the lesser known visceral fat that accumulates around the intestines and causes a bloated look, meaning that Flat Belly dieters can target that stubborn stomach thats normally so difficult to shift.
All the information you need to lose weight with MUFAs and the Flat Belly Diet can be found on http://www.flat-belly-diet.co.uk. For information about other Bodychef plans, complete diet plan menus can be downloaded via the website at http://www.bodychef.com, or alternatively, Jayne Ritchie has a great support team on 0800 7837083 that are happy to help with any diet questions.
How does it work?
The 32 day Flat Belly Home Delivery Diet begins on Tuesdays with an anti-bloating jump start hamper that lasts four days and prepares your body for a successful period of weight loss.
The remaining 28 days are packed with eight chilled home delivery hampers that contain all the tasty and nutritious food needed to successfully lose weight.
Each delivery contains tasty home-made meals that are calorie controlled at 1200 per day, actively encouraging weight loss and helping dieters to get in shape.
When followed, Flat Belly dieters can lose up to 15lbs over the 32 days, and for the first time, target fat with pinpoint accuracy.
The Bodychef delivers the Flat Belly Diet in 1200 and 1600 calories depending on how much weight you are looking to lose. After the 32 day plan a wide range of other weight loss diets and healthy eating plans are available for you to choose from.
Overcoming the obstacles
Of course, one of the main problems with diets is sticking to them. Most people fall of the wagon after finding it a real chore to hunt around the supermarket, count calories, and then deal with the portion control.
Jayne Ritchie and the Bodychef have been delivering a combination of great taste with all the benefits of a healthy diet for over six years, helping thousands of people lose weight and feel great.
Press packs are available from [http://www.bodychef.com/About-Us/Press-Pack/]. For any additional information please call 0800 7837083.


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LAFAYETTE, La. (KLFY) – The Lafayette Transit System will offer free rides on November 25 and November 26, in recognition of Black Friday and Small Business Saturday.
The promotion applies to all three transit services, including Daytime, Night Owl, and Para-transit.
Mayor-President Joel Robideaux said, "It is my hope that the complimentary bus day will meet our regular transit riders' needs, whether that's running holiday errands or getting to and from work, while also attracting new riders."
LTS hopes to alleviate roadway congestion and higher traffic volume that is expected in the days after Thanksgiving, due to holiday shopping.
Using Google maps on a smart phone or device, LTS riders can also benefit from a more convenient transit experience with easy access to local bus information including stops, routes, and schedules. When travelers are accessing routes to their destinations via Google Maps, public transit directions appear as an alternative to driving directions within the LTS service area. By clicking the transit option, users are linked to their LTS route and can select preferences for the most direct route via stop/station icons that appear on the map.
By clicking the transit option, users are linked to their LTS route and can select preferences for the most direct route via stop/station icons that appear on the map.
All bus services, including Daytime, Night Owl, and Para-transit, will not run on November 24 due to the Thanksgiving holiday.
On Black Friday, Nov. 25, LTS bus services, including Daytime, Night Owl, and Para-transit will run the Saturday schedule and offices will be closed due to the Acadian Day official holiday.
Regular scheduled transit services will resume on Saturday, November 26, 2016.
For more information on Lafayette Transit System, including all rates, routes for day and night-time service, para-transit service and more, visit www.ridelts.com.


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Victorian 15ct Gold Pearl & Amethyst Brooch NO RESERVE
Sold for:
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- Sold Date:
- Source: eBay UK
A fine quality Victorian brooch made from 15ct gold set with a central amethyst and surrounded by four pearls. Perfect condition with no distortion or repairs. All stones original with no chips or wear. Pin and catch work perfectly. Measures 2.5 x 2 cm. Weighs 7g gross. A top quality brooch SOLD WITH NO RESERVEUK BUYERS: CHEQUES GLADLY ACCEPTED INTERNATIONAL SALES. Please contact me first if you do not have a paypal account. Also insured, trackable postage is preferred and according to paypal should always be used, but I do understand that if the item is of low value the purchaser may wish the cheaper option of uninsured postage, which will be entirely AT THEIR RISK ITALY!!! DUE TO A HIGH NUMBER OF RECENT LOSSES, I WILL NO LONGER SHIP TO ITALY. SORRY.


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The Last Word [Import]
- Artist: Clive Gregson
- Format: CD
- Release Date: 9/1/2009
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Digitally remastered edition of the British Folk duo's final album, originally released in 1992. Now released with new notes written by Clive Gregson, new booklet design with previously unseen photographs and slipcased. 11 tracks. BGO. 2009.
To play the media you will need to either update your browser to a recent version or update your version of Flash Player.


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MOVIE SYNOPSIS [ General Audiences ] Film with fantastic direction of Peter D'Alfonso, Lisa Fanto and Jan Mcinnis. This movie was presented in 2015, with original production from Australia. You can watch Potter online on TV cable or theaters with original audio in English at different dates. This film premiered in theaters in 2015.
Rating: 5 by 10 users./
Runtime: 100 minutes
Peter D'Alfonso, Maddie Summers, Gia Terranova, Nicole Chataway, Jemma Dougan, Sabrina Fico, Carli Stasinopoulos, Elisa Crumpler, Sarah Sturm, Erin Carmichael, Eloise Cobby-Smith, Elena Marie-Aloi, Lorette Monoghan, Zoe Muller and Alice Osborne.
100-minute film (full movie) directed by Peter D'Alfonso, Lisa Fanto and Jan Mcinnis.
The original audio of Potter has dialogues in Dolby Digital, it was produced in Australia.
It premiered in cinemas or television in 2015.
Screenplay written by Peter D'Alfonso and Carli Stasinopoulos.
Without commercial breaks, the full movie Potter has a duration of 100 minutes; the official trailer can be watched in streaming on the Internet. You can watch this full movie free in EnglishDolby Digital in movie TV channels, renting the DVD or with VoD services (Video On Demand player, Hulu) and PPV (Pay Per View, Netflix).
See the page of this full movie, Potter in FULLTV Movies.


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Childhood Lead Exposure in Los Angeles: A Crisis of Health & Human Rights
By Jim Mangia, President & CEO, St. John's Well Child and Family Centers
Over the last seven years, St. John's Well Child and Family Centers, a network of federally qualified health centers and school based clinics, has been collecting data on blood lead levels for thousands of children in south Los Angeles. Since 2002, more than 10,000 children have been tested for lead poisoning. The results are truly frightening and point to widespread violations of health and human rights in south Los Angeles.
More than 50% of children who have been lead tested at St. John's clinics show elevated blood lead levels. A report published by the New England Journal of Medicine in 2003, showed that these blood lead levels cause decreased brain function, central nervous system "dysfunctions" and "oxidative damage" to the brain in young children (Rogan & Ware, 2003).
St. John's has a zero-tolerance for lead in the blood of our children. Lead is a heavy metal that is a neurotoxin, causing decreased brain function, developmental delays and disabilities, and brain damage, as well as liver and kidney damage. An environmental pollutant; more than 12 million pounds of lead were released into the environment in 2004 alone, mostly from industrial and manufacturing processes and sources (Centers for Disease Control, n.d., p. 304).
The effects of lead poisoning are severe and it is an extremely pervasive and deleterious environmental health disease. In addition to the direct cognitive and central nervous system damage discussed above, a recent longitudinal study has shown that relative low-levels of exposure to lead during childhood can permanently damage the brain and cause an increase in criminal behavior and propensity for violence ("Childhood Lead Levels Linked to Violent Crime", 2008). Recent studies have shown that lead can have serious health effects on adults as well, including the accumulation of lead in placental tissue of pregnant women (Reichrtova, Doraciak, & Palkovicova, 1998) and a growing body of evidence showing a relationship between blood lead levels in adults and the development of hypertension (Korrick, Hunter, Rotnitzky, Hu, & Speizer, 1999) and anemia (Schwartz, Landrigan, Baker, Jr., Orenstein, & von Lindern, 1990).
Most lead exposure occurs as a result of the slum housing conditions in which most children and families reside in south Los Angeles and other inner city communities. The ingestion of chipping and peeling lead paint, and the inhalation and ingestion of lead dust, caused by substandard conditions such as moisture in the walls, are the major pathways. In decaying slum housing units, lead paint begins to degrade and forms dust which permeates housing units, infecting children in their homes. Therefore there is a direct correlation between the dust lead levels and elevated blood lead levels of the children who live in substandard and contaminated units (Wilson, Dixon, Galke, & McLaine, 2006).
Refusal by slumlords and owners to improve and repair slum housing units and the abject failure of city housing and building and safety inspectors to enforce laws and engage in inspections that would mandate repairs and renovation, have resulted in thousands of children being poisoned; resulting in long-term health affects. A public health crisis with widespread health ramifications could have been avoided, if only the law had been enforced. The effects of lead poisoning have been well known for over a generation. It is the unequal and inequitable enforcement of the law in Los Angeles, and the obvious disregard for the health and human rights of children living in poverty that resulted in the lead poisoning of thousands and thousands of our children.
Centers for Disease Control and Prevention (n.d.). Toxic Substances Portal: Lead. Retrieved March 7, 2009, from http://www.atsdr.cdc.gov/toxprofiles/tc13-c6.pdf
Childhood Lead Levels Linked to Violent Crime. (2008, May 28). Los Angeles Times, pp. 1, 22.
Korrick, S. A., Hunter, D. J., Rotnitzky, A., Hu, H., & Speizer, F. E. (1999). Lead and Hypertension in a Sample of Middle-Aged Women. American Journal of Public Health, 89(3), 330-335.
Reichrtova, E., Doraciak, F., & Palkovicova, L. (1998). Site of lead and nickel accumulation in the placental tissue. Human & Experimental Toxicology, 17, 176-181.
Rogan, W. J., & Ware, J. H. (2003). Exposure to Lead in Children – How Low is Low Enough? The New England Journal of Medicine, 348(16), 1515-1516.
Schwartz, J., Landrigan, P. J., Baker, E. L., Jr., Orenstein, W. A., & Von Lindern, I. H. (1990). Lead-Induced Anemia: Dose-Response Relationships and Evidence for a Threshold. American Journal of Public Health, 80(2), 165-168.
Wilson, J., Dixon, S., Galke, W., & McLaine, P. (2006). An investigation of dust lead sampling locations and children's blood lead levels. Journal of Exposure Science and Environmental Epidemiology, 17, 2-12.


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Like any other water company Middlesex makes a living delivering water to residential and commercial customers. They also handle waste water. The water business requires heavy investment in infrastructure - miles of pipes and valves. Over the last three years Middlesex has invested an average of $21.7 million per year in capital expenditures. Those water system investments have driven growth by 7.6% annually over the past five years.
Middlesex leadership thinks there is more than water in the company's future growth. A frugal operating culture has made it possible to leave an average of $6.0 million per year in free cash flow after covering capital spending. The company is deploying that capital in industries where its water and flow process knowledge can make a difference - namely biomass recycling and renewable energy production.
Teaming up with Natural Systems Utilities, a private consulting firm, Middlesex has carved out new niche business, advising waste water treatment plants on energy efficiency. Its first project is in The Village of Ridgewood, New Jersey. The waste water treatment plant will divert waste materials into anaerobic digesters rather than simply burning methane off into the atmosphere. Using a biogas-driven generator, the plant will produce enough electricity to run the entire plant. A net grid agreement with the local electricity generator means the waste water treatment plant can maximize the value of its equipment investment. Middlesex management sees its new service as a smart way to leverage its expertise without the capital costs usually associated with expansion of its water distribution business.
Apparently, the few analysts who follow Middlesex are not quite on board just yet with the new business plan. The compound growth rate projected for the company over the next five years is only about 3%, suggesting those analysts who have published estimates for Middlesex see slowing growth in profits for the company. Still in an industry beset by rising capital and operating costs, slow growth is an achievement.
MSEX shares have appreciated in recent trading sessions, but the stock still offers an attractive dividend yield of 3.7%. I would wait for a pullback in price to accumulate shares. That said, a review of recent trading patterns suggests a line of support may have developed in the $20.00 price level. So it does not seem likely that a major price decline will occur unless macroeconomic or market conditions lead to a correction in equity prices across the board.


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Call for papers: Orchid conservation
Guest edited by Dr Yung-I Lee, National Museum of Natural Science, Taiwan
Botanical Studies is publishing an article collection on 'Orchid Conservation'. This collection features specially commissioned topical reviews and research, and we are opening the collection to research and review articles from all readers of the journal.
Orchidaceae is one of the largest families of flowering plants in the world. Many orchid species are important in horticulture and medicinal uses. More than half of orchid species are endangered or threatened in their native habitats because of over-collection, habitat destruction, and global climate change. For conserving endangered orchid species and the sustainable use of orchid resources, a range of perspectives and studies are required.
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Spam Musubi
Who hasn't heard of Spam?! It is such a household name that some people actually make the mistake of referring to canned ham as Spam or sometimes by another brand…Ma-ling. Hee hee.
Spam can be a lifesaver specially when one is too lazy to cook a decent viand. So it's not the best option for viand, what with it being salty and all. Still, it's better than eating rice with plain salt. ;) Since Spam goes very well with rice, it makes a lot of sense to me why in Hawaii, Spam and rice wrapped in nori is a popular snack or luncheon treat. Spam musubi is what it's called.
Here's the full Wikipedia definition:
Spam musubi is a very popular snack and luncheon food in Hawaii made in the tradition of Japanese onigiri, also known as a musubi. A Spam musubi is composed of a block of salted (not vinegared; that would be sushi) rice with a slice of Spam (cooked or uncooked) on top, and typically nori (dried seaweed) surrounding it to keep it in shape.
I was introduced to Spam musubi when a couple friend of ours made and brought some with them when we visited a pumpkin patch in November of last year. What they brought was "sandwich style", that is, spam sandwiched between two thin layers of rice and wrapped in nori. The pictures on this entry are of the "traditional-style" spam musubi.
nori strips
sushi mold or ice cube tray
1. It's up to you whether you want to use cooked or uncooked spam. Slice them into pieces that are the same size as the mold you are using.
2. Moisten the sides and bottom of your sushi mold or ice cube tray to prevent the rice from sticking. Then invert it and tap a little so your little blocks of rice will come out.
3. Lay a piece of spam onto the block of rice.
4. Wrap a strip of nori around the spam and block of rice. The ends should meet at the bottom. Moisten with a little water to seal the ends.
Piece of cake, isn't it? Optional Spam musubi ingredients are teriyaki sauce tamagoyaki (Japanese omelette), shoyu (soy sauce), as well as furikake (seasoning).
When I get around to making a sandwich-style Spam musubi, I'll be sure to post it as well. :)
21 Responses to "Spam Musubi"
We love this stuff! Our cousin's wife who hails from Hawaii, now brings this for us on Christmas Eve. I have another friend from Hawaii that marinates her spam before making her musubi! This is one thing, I may never try to make, so I am good out her in So. CA where you can go to the nearest L & L or any Hawaiian restaurant and just buy it… I love it.
munchkinmommy Reply:
January 29th, 2009 at 5:38 pm
Hi Ate Myra! Lucky you! I'm guessing those relatives of yours from Hawaii are either from your dad's side or Ed's. I sure don't know of any relatives from Hawaii! Haha! :) When I'm not too lazy the next time I make Spam musubi, I'll try making it with the other ingredients (terriyaki sauce, furukaki, etc.). And why do you say you may never try to make this? You should! It's a walk in the clouds…I meant park. Haha! :D
munchkinmommy Reply:
January 29th, 2009 at 5:40 pm
Oops! Did I say furukaki? I meant furikake. Well, I'm not Japanese. I just love their food. Hee hee!
You're correct. It's certainly not the Santos side, it's the Mesina side. As far as I know we do not have any relatives in HI. Too bad for us. But I have asked Shanna to get me a musubi maker…maybe that will be my inspiration to make it. I'm just…tamad (LAZY) to make it myself. I leave that to you to make great stuff and I can read all your great stuff!
munchkinmommy Reply:
January 31st, 2009 at 7:41 am
Ate Myra, can you somehow tell Shanna you need two musubi makers? The other one's for me, of course! Hahaha! Kidding. Leaving me to do the great stuff…you.are.so.funny! Hahaha!
grabe great minds think alike, i was thinking of exactly the same thing this minute!!! i was going to google spam musubi molds and whaddyaknow!!! :D
abbys last blog post..Bibingka Love
munchkinmommy Reply:
January 31st, 2009 at 7:43 am
Hi Abby! Pareho tayo ng wavelength! Haha! Alam mo, matagal na rin akong nagbabantay ng musubi maker sa e-bay. Ang pinag-iinitan ko yung may gaps which serve as your slicing guides. Habang wala kang musubi maker, ice cube tray na lang muna ang gamitin mo. :)
Lookin' good…and tastes even better, I'm sure! :) Keith was absolutely drooling when he saw your post since Spam and Jap food are his two all-time favorites! Yum-yum!
Pinkys last blog post..Kung Hei Fat Choi!
munchkinmommy Reply:
January 31st, 2009 at 7:45 am
Hi PInks! I didn't realize that Keith loves Spam so much. Maybe we should let Tito Kit know so that he can just reserve all the Spams for Keith when Christmas raffle time comes. Hahaha! :D
Pinky Reply:
January 31st, 2009 at 11:51 am
Good idea yan ha! :lol: Pero I'll make sure na Spam Lite lahat para healthier (?) – bwahaha uli!
Pinkys last blog post..LaPiS: Steamed
Wow! I love the photos!
I know Spam is so popular in Hawaii…but I'm not a huge fan of it….
Zrizs last blog post..Almond Mocha Chip
munchkinmommy Reply:
January 31st, 2009 at 7:47 am
Hi Zriz! Thank you for the kind words. I'm glad you liked the photos. Hee hee. :D
Weng, I love love this post! Wow!
Few weeks back I got this 'Hawai'i Cooks with SPAM' recipe-book from a friend living in Hawaii and I was so thrilled to see all the beautifully presented spam recipes there. Grabe parang contributor ka dun ha, ang ganda ng presentation mo!
now you're challenging me to try this ha ha, I hope kahit kalahati man lang ng gawa mo ma accomplish ko *crossing my fingers*
Have a jolly weekend! ;)
munchkinmommy Reply:
January 31st, 2009 at 7:50 am
Hi Thess! Ikaw naman! For sure, yours will taste and look better and will be photographed waaaaay better as well! Just the same, thanks ha! You know when it comes to food photography, I was inspired by and learned from the examples of the best photography junkie friends I have. Una ka na sa listahan! :D Let me know pag nakagawa ka na ng Spam recipe ha. Lite gamitin mo! HIndi na tayo bata! Haha! :) Mmmwah!
You have a fantastic weekend!
my son saw the pics and he said "gusto ko yan for my baon". maybe i'll try doing this one of these days – meron pa ako natirang nori. the ice cube tray idea is so neat! ang hirap mag-mold 'di ba?
Bems last blog post..Food Friday : Pork Binagoongan
To be honest, I haven't heard about spam before. But these photos are great and I'm really curious about its taste. How I'm sorry that I don't have any chance of tasting it. Thank you anyway.
[…] We just love spam musubi! […]
[…] HERE for the Spam Musubi […]
I live in Japan and though Japanese don't eat that much spam, they've got cute commercials on TV for spam
munchkinmommy Reply:
October 9th, 2010 at 10:43 am
Hi Lenny! If I lived in Japan, I won't be touching Spam as well, not when I can have fresh fish! Thanks for the link to the cute commercial. :)
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Health communication is the strategic use of communication to address health problems and influence individual, community and policy decisions that enhance health. Health communicators draw on communication and behavioral theory, social marketing, and health promotion and health intervention planning methodologies. The communications can be developed for specific audiences and use a variety of channels, including the use of digital technologies.
The Tufts Program is for individuals seeking an interdisciplinary graduate experience with a curriculum grounded in theory and science, but with a focus on applied skills. Students who want to transition right into the workforce, as well as those seeking relevant internships and part-time work to build up a resume while attending evening classes, are well served by our program.
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Not only do our graduates find jobs quickly, but they also show a great deal of career mobility and are able to move across sectors with ease. See our Health Communication infographic.
The Tufts curriculum is very practice oriented and is designed to provide students with a solid foundation in communication and public health theory. The Tufts curriculum includes a wide range of courses, preparing students to work in a world of rapidly evolving health information, media and technology. Selected course topics include: health writing, social media, social marketing, mobile health, digital strategies media strategies, health behavior theory and program planning, health literacy, an introduction to medicine, research methods, public relations, reading and interpreting medical literature, and application of communication theory. See the HCOM Curriculum for detailed course descriptions.
Absolutely! You will learn strategic ways of using the web, social media, and mobile technology to increase reach. In fact, the Tufts Program offers more technology and health courses than any other program in the country, including Technology in Health Communication, Digital Strategies in Health Communication, Online Consumer Health, Mobile Health Design, and Social Media and Health.
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The MS degree requires 10.5 credits and gives students background and training in communication science and theory and basic health science and practice. Graduates have the skills and knowledge to take up a variety of health communication roles across the public, private and non-profit sectors.
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While both degrees offer students a large array of job and networking opportunities, the MS-HCOM degree provides more breadth and depth specifically in the science and practice of health communication.
It is possible for students entering one program to later decide to switch to the other. This is quite straight forward, as long as you are not too far along in either program. It does require that you reapply for admission, although you should be able to use the materials submitted originally. If you are unsure about which program best fits your needs, we strongly encourage you to speak to one of the faculty before applying. We very much welcome conversations with prospective students.
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Absolutely. You can set this up by emailing the Program Director, Sue Gallagher, or the Admissions Office.
We encourage students who are interested in applying to talk to individuals who know our program first hand. Our Interim Program Director, Margie Skeer, would be happy to arrange this for you.
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Information on the impact of pay-for-performance programs is lacking in the nursing home setting. This literature review (1980-2007) identified 13 prior examples of pay-for-performance programs in the nursing home setting: 7 programs were active as of 2007, while 6 had been terminated. The programs were mostly short-lived, varied considerably in the choice of performance measures and pay incentives, and evaluations of the impact were rare.
More than 3 million frail and disabled individuals will rely on services provided by a nursing home at some point during the year, and among them 1.5 million will stay long enough to consider the nursing home their main residence (Doshi, Shaffer, and Briesacher, 2005). These individuals, their families, and their friends count on nursing homes to provide care that is of high quality. However, as of 2006, one in five nursing homes nationwide was cited for serious deficiencies—deficiencies that caused actual harm or placed residents in immediate jeopardy (Centers for Medicare & Medicaid Services 2006;U.S. Government Accountability Office, 2007).
One strategy for improving the quality of care in nursing homes is to link health care spending to quality and efficiency through pay-for-performance programs. Pay-for performance is a reimbursement approach designed to reward health care providers for achieving high levels of performance, or improvements in performance. This approach is in contrast to fee schedules of flat rates per service, where reimbursement is the highest when the most services are rendered, regardless of improved patient outcomes. In 2001, the Institute of Medicine identified payment systems based on only the quantity of care provided as a barrier to quality improvement and recommended that health care purchasers adopt reimbursement policies linked to quality improvement (Committee on Quality of Health Care in America and Institute of Medicine, 2001). Approximately one-half of all Medicaid Programs currently operate some type of pay-for-performance program, and 85 percent have plans to do so within 5 years (Kuhmerker and Hartman, 2007). Pay-for-performance programs in the nursing home setting have been rare; two recent surveys identified only four active programs (Georgia, Iowa, Vermont, and Utah) (White et al., 2006; Kuhmerker and Hartman, 2007). However, this will soon be changing as CMS, the largest purchaser of nursing home services (about $64 billion per year), will be sponsoring a pay-for-performance initiative through the Nursing Home Value-Based Purchasing Demonstration (Centers for Medicare & Medicaid, 2008,2006). Beginning in the summer of 2009, the pay-for-performance demonstration will include as many as 50 nursing homes per State in 4 host States.
Information on pay-for-performance programs in the nursing home setting is lacking, both on details of the programs as well as evaluations of any impacts. Research conducted in other health care settings find inconsistent improvements with pay-for-performance programs, both in terms of process measures of care (e.g., screening rates) and patient outcomes (Rosenthal and Frank, 2005; Petersen et al., 2006; Felt-Lisk, Gimm, and Petersen, 2007; Gilmore et al., 2007). For example, a recent analysis of pay-for-performance in the acute care setting found no significant differences in the quality of care or outcomes of patients with myocardial infarctions (Rosenthal and Frank 2005; Glickman et al., 2007). The lack of significant quality improvements in these different settings raises questions about the potential for similarly lackluster results in nursing homes. The objective of this study was to review the empirical literature to characterize current and former pay-for-performance programs in the nursing home setting and to compare the performance measures, pay incentives, and any evaluations of the impact of these programs.
Our conceptual framework for this review is an adaptation of the work by Rosenthal and Frank (2006). Within that framework, improving quality of care is addressed through a payment system that makes increasing quality in the best financial interest of the provider of care. However, a successful payment system requires good information to create a reward that is commensurate with the costs to the provider of increasing quality. Since information on the true costs of increasing quality is often lacking, a poorly designed payment system may have no effect on quality or even unintended negative effects. Thus, we probed the literature for valid evidence of the overall effectiveness of pay-for-performance in the nursing home setting. In addition, we were also interested in documenting the design elements of prior pay-for-performance programs in nursing homes to characterize key elements and current trends.
We conducted searches of the electronic database MEDLINE and the Internet using Google U.S. Government Search for empirical data describing pay-for-performance programs in nursing homes. In addition, we interviewed key stakeholders to supplement the search. The review covered the period 1980-August 2007. The initial search strategy for MEDLINE included the subject heading nursing homes in combination with the term quality and the reimbursement terms of pay-for-performance, value, purchasing, incentive, or payment. As primary documents or review articles were identified, we scanned the text for mention of programs, and reviewed the reference lists for additional sources. A modified search was applied for the Web search, which was limited to Web sites with downloadable files (Adobe Acrobat® PDF, Microsoft Word® or Microsoft PowerPoint®). Lastly, five interviews were conducted with key stakeholders from academia, Minnesota's department of human services, CMS, MedPAC, and the Department of Veterans Affairs to learn about additional programs. All investigators developed the search strategy, retrieved the documents and extracted the data, conducted the interviews, and made the final selection of programs.
The pay-for-performance programs were selected if they met four criteria: (1) the program had been implemented as a functioning payment system, (2) the program was set in the nursing home setting, (3) the program used measures of performance related to quality rather than only efficiency, and (4) the performance incentive was financial, rather than recognition-based. Programs were excluded if the financial incentives were not tied to reimbursement rates, but instead awarded as grants. Those programs generally award the grants retroactively so the relationship between performance and financial incentives is less clear. For instance, in Vermont's Gold Star program, high performing nursing homes are eligible for quality awards of $25,000 but the award is not guaranteed. In addition, we limited the review to only programs conducted in the U.S.
The Medline search identified 75 articles related to pay-for-performance in nursing homes and the Web search identified 134 online documents. Of these, only 19 related to our study objective, and 18 met the inclusion criteria. A manual review of these documents and the interviews produced four more programs. Key characteristics of the final programs are summarized in Table 1.
We identified 13 pay-for-performance programs in the nursing home setting between 1980 and 2007: 7 programs were currently active as of 2007, while 6 had been terminated. All of the current programs were relatively new, with the oldest program dating back to 2002 (Iowa's Accountability Measures Incentive Program). Nearly all of the terminated programs were short-lived. For example, Texas implemented a performance-based add-on payment program for nursing homes in 2001 but 2 years later ended the program due to budget cuts (Carter, 2002). The reasons for the other terminations were not documented. Most (5 of 13) of the programs were set in the Central/Midwestern States, 4 in the South, 3 in the West, and only 1 in the Northeast. Participation was voluntary in all programs except for two, Georgia and Iowa. Figure 1 shows the distribution of active pay-for-performance programs in nursing homes from 1980 to 2007.
Only 4 of the 13 programs evaluated the impact of the program, and among them only one provided sufficiently robust evidence for drawing any clear conclusions. In the early 1980s, 32 San Diego nursing homes were randomly assigned into a control group or an experiment group with incentive payments for: (1) accepting patients needing the most functional assistance, (2) improved patient functional status within 90 days of admission, and (3) prompt discharges of patients who remained out of the facility for at least 90 days (Norton, 1992; Trisolini et al., 2006) The study tracked over 11,000 nursing home residents for 2-1/2 years, and found the incentive payments associated with beneficial effects. Nursing homes eligible for the incentive payment program were more likely to admit individuals with severe disabilities and more likely to send individuals home or to lower skilled facilities than nursing homes receiving only the per diems. In addition, residents in the experiment group nursing homes were less likely to be hospitalized or to die than those in the control group homes. However, this promising result came at a cost—the average daily cost to Medicaid rose by about 5 percent, due to the incentive payments and increased administrative burdens.
Studies with less rigorous research design found modest or no impact of the pay-for-performance program. In Illinois's Quality Incentive Program, the evaluation failed to find that the incentive payment influenced overall costs, Medicaid access, facility efficiencies, or improved resident care (Geron, 1991). Similarly, the evaluation of Massachusetts' pay-for-performance program also found no relationship between the incentive payment and improvement of quality (Willemain, 1983). However, in Iowa, the nursing homes demonstrated modest improvement in resident satisfaction, staffing and employee retention after implementation of the pay-for-performance program (Kane, Arling, and Mueller, 2007).
Table 1 summarizes the measures of performance that generally fall into eight major domains: staffing (e.g., low staff turnover); performance on certification survey (e.g., deficiency-free inspection); quality indicators from the Minimum Data Set (e.g., no physical restraints or no new pressure ulcers); facility efficiency (e.g., occupancy and operating costs); service to Medicaid enrollees; resident and family satisfaction; resident quality of life (e.g., privacy and comfort); and other outcomes (e.g., timely discharge and improved functioning). No program covers all of these domains, although Oklahoma's Focus on Excellence program and Minnesota's Quality-Add-on program assesses performance on six of the eight areas (Nursing Facility Rates and Policy Division, 2006; Oklahoma Health Care Authority, 2007). (It should be noted that Minnesota's program was initially implemented using only a portion of the complete list of quality measures.) More than one-half of these measures came from data already collected in the CMS surveying process, such as total compliance with State and Federal regulations for certified nursing homes. A few of the measures required new data collection, as is the case with the resident quality of life assessment in Minnesota's program, which costs the State about $700,000 each year. Also, Oklahoma's program uses its own measures of resident outcomes that are not derived from the Minimum Data Set. Figure 2 shows that the active programs most often define performance in terms of staffing, the certification survey, and resident satisfaction. In comparison, the older inactive programs showed more heterogeneity with few programs assessing performance using the same measures.
The incentive payments in the pay-for-performance programs varied modestly, ranging from a low of a $0.25 flat bonus per patient day to a high of a 5 percent increase in the daily per diem rate (Table 1). The rationale for the level of the incentive payment (whether there was any relationship to the costs of improving care) was poorly documented, and the proportion of providers receiving the incentive payment varied considerably. The proportion of eligible homes earning the incentive payment in any year ranged from 38 to 87 percent, and total expenditures generally varied according to the number of eligible homes. For example, at the end of the first year of Texas' Performance-based Add-On Payment program, 57.8 percent of 1,020 nursing homes in the State had earned the incentive payment, for a total cost of $4 million (Carter, 2002). Otherwise, the annual expenditures for the programs ranged from $500,000 (Utah's Nursing Home Quality Improvement Initiative) to $20 million (Illinois Quality Incentive Program). The source of the incentive payments was also poorly documented, such as whether they represented a new allocation of funds or a reallocation of other nursing home funds.
In our review, we found that few pay-for-performance programs have occurred in the nursing home setting since 1990, and even fewer have lasted more than a few years. Among the seven programs that are currently operational, three were initiated in 2007 and the oldest program is in its sixth year of operation.
We found little empirical evidence that pay-for-performance programs increase the quality of care of residents or the efficiency of that care in nursing homes. However, the program set in San Diego did find benefits, and it used the strongest of all evaluation designs, a randomized control design. This provocative finding deserves a more current replication. The disappointing results from the other programs are difficult to explain but may be related to barriers specific to this setting of care. According to our conceptual framework, the incentive payment must be sufficient to reward providers after accounting for the costs to improve care. For nursing homes already strained by high turnover among staff and administrators or ownership profits, the costs of improving care, such as implementing health information technology may far exceed the incentive payment.
Our review also revealed that nearly all of the programs were developed independently so there was modest agreement across the design elements of the programs and no clear state-of-the art trends. In most cases the performance measures are derived from existing data collection efforts related to State and Federal certification surveys. In addition to problems with accuracy and timeliness, these sources limit measurement options to a few components of quality with clear relationships to resident outcomes. Important quality issues such as the quality of life of residents and the satisfaction of residents and their families with nursing home care require additional data collection, increasing the cost of these programs.
Several limitations of this review should be noted. Pay-for-performance is an evolving concept, so standard terminology was sometimes lacking and descriptions of current activity were limited. For instance, the terms value-based purchasing and pay-for-performance were treated as synonymous, while quality recognition programs were handled on a case-by-case basis. Documentation of these programs was very limited. For instance, in the case of Utah, we could identify that a program had been initiated in 2004 but could find no subsequent information on the performance. In fact, this review raised more questions than answers. We could identify that many programs were short-lived but could rarely find the reasons for the terminations. Lastly, any assessment of current pay-for-performance activity will quickly become outdated. Our assessment can serve only as snapshot of the historical trends and evidence base for these programs before CMS invites participation in its nursing home demonstration.
Using financial incentives to encourage quality of healthcare is an increasingly popular approach to improving quality. That most of these programs in nursing homes have been terminated after a few years of operation sends an important warning that these approaches must be very carefully designed, although the reasons for these terminations are not clear and may be related more to lack of political viability rather than practical viability. At least one program had to be significantly scaled back in response to pressure from the State's nursing home industry an important constituency of State lawmakers (Kane, Arling, and Mueller, 2007). With the current lack of evidence to support the design and implementation of such programs, payers considering pay-for-performance in this setting should carefully consider the specific areas of performance and quality of most concern, review the capacity of the target nursing homes to actually accomplish the quality goals, involve the local nursing home industry in the design of the program from the beginning, and track all of the potential intended and unintended consequences of the program.
What can policymakers learn from this review, especially in terms of assessing the CMS Nursing Home Value-Based Purchasing Demonstration (NHVBP)? First, rigorous evaluations of the impact of pay-for-performance are almost nonexistent in the nursing home setting, yet they are critical for understanding the implications of this policy. It is reassuring to see that the NHVBP will employ an experimental design with randomized assignment of participating nursing homes into treatment and control groups and has contracted for an independent evaluation. Second, improvement in residents' outcomes and costs savings have been documented in only one program (in San Diego in the 1980s). Yet, the NHVBP demonstration requires cost savings expected to result from decreases in hospitalizations and skilled nursing facility stays and other savings, otherwise incentive payments are not awarded. The design of this payment system places a considerable burden on the provider to increase quality that ensures Medicare savings, and this is a burden unlike that of the other programs in our review. Third, the state of measuring quality in nursing homes has evolved to include informative domains such as resident quality of life and consumer satisfaction. The CMS demonstration is initially focused on the traditional measures of staffing (levels and stability), MDS based-quality measures, survey deficiencies, and inappropriate hospitalizations. The one exception in this list is the measure of inappropriate hospitalizations, although the validity and reliability of this measure in the nursing home setting is yet unclear. It should be noted, though, that resident satisfaction has been listed as a potential measure for future years of the demonstration (Centers for Medicare & Medicaid 2008). Lastly, the small number of prior programs, many of which were terminated, suggests that potentially serious barriers exist to implementing and sustaining pay-for-performance programs in this setting. It would be beneficial if the CMS demonstration would include a thoughtful assessment of these barriers, particularly which factors would be important to maintaining a pay-for-performance program after the demonstration is concluded.
The authors would like to thank Darlene O'Connor, Ph.D., Associate Professor of Family Medicine and Community Health and Director of Long-Term Care Policy, University of Massachusetts Medical School for her assistance.
The authors are with the University of Massachusetts Medical School and Meyers Primary Care Institute, Worcester, Massachusetts. The research in this article was prepared with support from Commonwealth Medicine, the public service healthcare consulting division of the University of Massachusetts Medical School. The statements expressed in this article are those of the authors and do not necessarily reflect the views or policies of the University of Massachusetts Medical School, Meyers Primary Care Institute, or the Centers for Medicare & Medicaid Services (CMS).
Reprint Requests: Becky A. Briesacher, Ph.D., University of Massachusetts Medical School, Division of Geriatric Medicine, Biotech Four, Suite 315, 377 Plantation Street, Worcester, MA 01605. E-Mail: email@example.com
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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Skin – Structure and Functions
Your skin's all over you. In fact, your skin is larger than any other part of your body. It's a good thing too. Your skin keeps your insides in. It keeps germs and yucky things out. It protects your body and keeps it from drying out. Skin can also help keep you cool during hot weather and warm during cold weather. Without your skin, you'd be a mess!
Skin is made up of two layers. The epidermis is the outside part of the skin. It has sweat pores and hairs. The inside of the skin is the dermis. This layer has nerves, or receptors, that detect pain or touch. It also has blood vessels, oil glands and hair roots. Underneath this layer is a thin layer of fat that cushions your body.
Fun Facts about Human Skin for Kids
- Skin color is determined by how much melanin it contains. Darker skin contains more melanin. That's the only difference. Melanin is also what causes freckles.
- Sometimes your face might turn red if you're embarrassed or nervous. This is called blushing. It happens when blood rushes to your face.
- When you're hot, your skin sweats. As the sweat evaporates, it cools your body off.
- Fingernails and hair are made of a substance called keratin. The only part of the hair and nail that's alive is the part growing under the skin. That's why it doesn't hurt to cut your hair or nails.
- Everyone is born with fingerprints. No two prints are exactly alike.
Human Skin Vocabulary
- Epidermis: outside part of the skin
- Pores: small holes
- Dermis: inside layer of skin
- Nerves: send and receive messages from the brain
- Evaporate: when liquid becomes a vapor
Learn More All About Human Skin
Check out this video all about human skin:
A video about the structure and functions of the skin.
Human Skin Q&A
Question: How can I take care of my skin?
Answer: One of the most important things you can do is wear sunscreen when you're out in the sun. The sun can cause serious damage to your skin. Drinking water and keeping your skin clean can also help.
Question: Why does my skin get rashes?
Answer: Usually a rash is your body's way of alerting you that something's not quite right. Some people get rashes if they eat a food they're allergic to or roll in the grass.
Enjoyed the Easy Science for Kids Website all about Human Skin info? Take the FREE & fun Human Skin quiz and download FREE Human Skin worksheet for kids. For lengthy info click here.
Cite This Page
You may cut-and-paste the below MLA and APA citation examples:
MLA Style Citation
Declan, Tobin. " Skin Facts for Kids ." Easy Science for Kids, Nov 2017. Web. 22 Nov 2017. < http://easyscienceforkids.com/all-about-human-skin/ >.
APA Style Citation
Tobin, Declan. (2017). Skin Facts for Kids. Easy Science for Kids. Retrieved from http://easyscienceforkids.com/all-about-human-skin/
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International School of Lyon
Sainte-Foy-lès-Lyon, France
Bonjour! I spent one day talking to the 3rd through 10th grade students at the International School of Lyon in Sainte-Foy-lès-Lyon.
For Grades 3 and 4, I spoke about my book Bodies from the Ash: Life and Death in Ancient Pompeii. I had a lot to say about Mount Vesuvius and the eruption of AD 79 which destroyed Pompeii and Herculaneum.
Grades 5 and 6, I talked about Bodies from the Ice: Melting Glaciers and the Recovery of the Past. I talked about glaciers and what's been found in them as they have melted, including the oldest frozen human mummy ever found (the Iceman from the Alps).
For Grades 6 and 7, I discussed "Researching and Writing about History." I talked about how I get an idea, what I read, how I research by visiting museums and specific sites and interviewing experts, how I find images for my books, and why I look for primary sources. I also explained how I don't take the easy way out of doing my research or writing...and why you shouldn't either.
Grades 8 through 10, I explained Kristallnacht. This brief time period prior to World War II is an important one to understand, because it was essentially the first step towards the Holocaust in many ways. This is the time that the Nazis terrorized the Jews of Germany and Austria and used the scapegoat of Herschel Grynszpan to do so.
Finally, I had lunch with a group of aspiring young writers. You asked a lot of questions about writing, and hopefully I was able to help you with your ideas. It was a
All in all, it was a great day!
Merci à vous pour l'invitation à visiter votre école et pour votre accueil très chaleureux. Continuez à lire et à écrire!
And thanks to your wonderful librarian, Katharina Wezel, for planning such a memorable visit!


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Brexit negotiator's presidency dream 'dies' after Five Star Ukip divorce drama
THE EU's chief Brexit negotiator's dreams of taking over the presidency have been left dead in the water after his risky backdoor deal with Italy's Five Star movement turned sour.
And it was his fellow MEPs who were responsible for putting the buffers on the proposed deal to merge the Brussels rebel group with the liberal movement because of his "principals" say critics.
In an major snub Guy Verhofstadt has now been rounded on by fellow MEPs in the European Parliament.
And they say that his talks with former clown Beppe Grillo have all but killed off his strategy to take over the presidency from German Social Democratic politician Martin Schulz.
Guy Verhofstadt's EU presidency dream has been left in tatters
His candidacy as pro-european successor of Martin Schulz lost not just 17 votes but most of its political credentials
Mr Verhofstadt, leader of the ALDE, was said there was "insufficient common ground" to accept Five-Star's request after the vote backfired on Monday.
He added: "There remain fundamental differences on key European issues."
This embarrassing gaffe came days after the outspoken Belgian politician announced his intention to run for the presidency of the European parliament just days ago.
Mr Verhofstadt hoped to take over from German Martin Schulz
Now MEP Sven Giegold, spokesperson of the German Greens in the European Parliament, says Mr Verhofstadt has lost his political credentials.
He said: "The Liberals did well to end their negotiations with the eurosceptic 5-star movement.
"Guy Verhofstadt's deal was stopped by more principled liberal colleagues.
"His candidacy as pro-european successor of Martin Schulz lost not just 17 votes but most of its political credentials.
"On the contrary the liberal group defended its pro-European credibility."
Mr Farage has poked fun at Beppe Grillo following his failed plot
This stinging rebuttal comes just hours after Ukip's Nigel Farage poked fun at Five Star's Mr Grillo over his double dealing.
Speaking exclusively to Express.co.uk, Mr Farage said: "I didn't expect to be proved correct so quickly."
And he revealed he sent Mr Grillo a text message to warn him his hasty about turn could well leave him out in the cold.
He wrote: "Dear Beppe, you are doing very well and I note your recent comments on the euro and the migration crisis.
"My only comment is that it is totally illogical to join a group who favour an European State and want an active European army.
"They loathe direct democracy. You may not be there long. Regards Nigel Farage."
The once anti-establishment Five Star Movement won 17 seats in the last European election in 2014 and announced its intention to join a pro-EU liberal group.
Mr Grillo, 67, developed a close alliance with Mr Farage's Ukip in 2014.
Together they formed the so-called Europe of Freedom and Direct Democracy (EFDD) party after a meeting in Brussels.
However, Mr Grillo has signalled he is to dump that partnership in favour of a new coalition with Mr Verhofstadt which was roundly rejected earlier yesterday.


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Film Crowdfunding 2014: Tale of the Tape
Noah J Nelson on Monday, Jan. 27th
Judging the health of the indie movie crowdfunding scene can be a little tricky.
Should we focus on total dollars raised? Major award nominations? The number of berths at big time festivals? Box office? Okay, let's not worry about box office. Ever.
Still, there has to be something that can be learned from looking at the impact that crowdfunded films are having in the traditional movie market. Which is why I did a little number crunching over the weekend. (Lucas McNelly, this one's for you, old sport.)
Before I get to the numbers (Hey Lucas: psyche!) let's look at the most high profile crowdfunded film of the moment: The Square. This film is up for an Academy Award for Best Documentary feature, and took home a Director's Guild Award over the weekend. Post-Sundance and crowdfunding it was picked up by Netflix, who are shepherding the film through awards season.
That's good news for the makers of The Square, because an awards season campaign can run into the millions of dollars. That's a reason why it's unlikely we'll see crowdfunded efforts crack into the Best Picture category at the Academy Awards, or get very far outside of the industry-focused award circuit. While backers may be willing to help a film finish production, they probably won't go for the "but I really want an Oscar" argument.
Of course, if a crowdfunded film is good enough that it gets major distribution the math changes. There's a chance for backlash there, however, just ask Zach Braff.
Speaking of the former Scrubs star and Garden State filmmaker, his latest effort really throws off the Sundance Film Festival 2014 numbers for total-crowdfunding-dollars. When his latest film Wish I Was Here is factored into the equation the total amount of crowdfunding money on display at this year's Sundance was $4,027,243. That's less backer rewards and fees, of course.
Take Braff out of the picture and the number deflates to $921,770. That feels disappointing, but then again Braff's project is a celebrity-driven anomaly compared to the others. Viewed through that lens the more "traditional" indie projects represent close to a million bucks. That's not too shabby for a source of funding that's barely five years old.
Twenty-two films, counting Braff's, received backing through either Kickstarter or IndieGoGo at this year's Sundance festival. Another one is raising money. Of those the majority (13 films) were or are seeking finishing funds. This appears to be a critical part of the new model. Instead of going to the well to get a project off the ground many filmmakers are hitting up crowdfunding for the last mile.
One project that did just that? Winner of the Sundance U. S. Grand Jury Prize for Documentaries: Rich Hill.
This isn't to say that crowdfunding success is a guarantee of festival or award season glory. Neither is it a sign that a crowdfunding failure means a film is destined for obscurity. Prison Terminal: The Last Days of Private Jack Hall is one of the Oscar nominated doc shorts. It began its life as an attempt to create a feature length documentary. That project failed to fund back in 2011. The short, meanwhile, will première in March on HBO.
So take heart crowdfunding warriors: the road is strange and varied, but the trail is being blazed.
Academy Awards • crowdfunding • documentaries • HBO • Oscars • rich hill • The Square • toplogo • Zach Braff


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Philippines end Suzuki Cup run with Thailand loss
The dream of seeing the Philippines become South East Asian champions is extended as the Philippine Azkals are now out of the 2016 AFF Suzuki Cup.
Thailand cemented itself as Group A winners as it won 0-1 against the Philippines tonight at the Philippine Sports Stadium in Bulacan. Sarawut Masuk scored the solitary goal of the evening at the 80th minute.
"It's always bad, disappointing. I just have to say that the players played with heart and they played what they could as long as their legs were moving. They tried to do everything and that's what it is," commented Azkals coach Thomas Dooley.
With the stakes so high, the Philippines had no option but to attack as soon as the referee blew his whistle. Thailand, though, was still the dominant side in the period despite having star strikers Teerasil Dangda and Sirod Chattong on the bench.
Up front for Thailand was Mongkol Thosakrai who was a menace for the Azkals throughout the half. Thokrasai displayed his prowess early in the game when he forced a routine stop from Philippines goalie Roland Muller in the opening stages.
Amidst Thailand's relentlessness, the Philippines could easily have clinched the lead after just eight minutes of play when Stephan Schrock's freekick was deflected towards the post. The away side, though, easily repelled the danger.
It then became and end-to-end contest from both teams. Thai goalie and standing captain Sinthaweechai Hatthairattanakool easily saved attempts from Hikaru Minegishi and Schrock while Kroekrit Thawikan shot wide at the other end.
Hatthairattanakool was then forced to make a good save afterwards when he parried away Mike Ott's effort. From the moment onwards, it was Thailand which looked to draw first blood and put one nail on the Azkals' coffin.
Charyl Chappuis easily outran the Filipino defenders and should have given Thailand the lead, only for Muller to deny him with a fine safe. Just before the break, the Thais had the best chance of the game so far. Thawikan crossed the ball which was headed narrowly over by Thosakrai with the goal at his mercy.
It finished Philippines 0-0 Thailand at the half. The Azkals had a lot to do if they wanted to beat the War Elephants for the first time in 40 years to enter the semi-finals.
Similar to the past two games, the a much-improved Azkals side went onto the pitch after the break. Manuel Ott looked to get on the scoresheet, but his two attempts failed to test Hatthairattanakool early in the period.
Chances then came aplenty for the Azkals. Martin Steuble forced an easy catch from Hatthairattanakool and then substitutes James Younghusband and Misagh Bahadoran linked up with the Filipino-Iranian missing narrowly in the Thai box.
Suddenly, Thailand had a spring in its step. Sarawut penetrated the Azkals box and unleashed a cross which, thankfully for the Philippines, wasn't converted at the opposite flank. The Thais inched closer to a goal as Thawikan hit the side-netting.
At the 80th minute, however, came the end of the Philippines' hopes. Sarawut went through on goal and clinically dispatched the ball past Muller to score for the away side. There were 10 minutes left in the game and the Azkals needed two goals, but the Thailand defense easily dealt with the circumstances.
In the end, the Philippines lost 0-1 versus Thailand and that just compounded the ill feeling as Indonesia won 2-1 against Singapore. Thailand and Indonesia go through to the semi-finals as the Philippines and Singapore are eliminated.
"There isn't much more in there. Individual mistakes you will have that always. We couldn't score, that was bad. Overall, obviously we would like to go to the next round. It's disappointing and we have to move on," Dooley concluded.
Philippines XI: Muller (GK), Ott Mr, Ott M, Schrock, Casambre, Younghusband (C), Aguinaldo, Steuble, Daniels, Minegishi, Christiaens
Thailand XI: Hathairattanakool (GK, C), Notechaiya, Thawikan, Promrak, Chappuis, Thosakrai, Lahsoh, Masuk, Namwiset, Deeprom, Boonyong