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Doan, Quynh MDCM, MHSc, PhD; Hall, William; Shechter, Steven PhD; Kissoon, Niranjan MD; Sheps, Sam MD, MSc; Singer, Joel PhD; Wong, Hubert PhD; Johnson, David MD
Quynh Doan is an assistant professor in the Department of Pediatrics at the University of British Columbia in Vancouver. William Hall is a research associate at the Centre for Clinical Epidemiology and Evaluation at the University of British Columbia. Steven Shechter is an associate professor in the Sauder School of Business at the University of British Columbia. Niranjan Kissoon is vice president of medical affairs at British Columbia Children's Hospital in Vancouver and a professor of acute and critical care and global child health at the University of British Columbia. In the university's School of Population and Public Health, Sam Sheps and Joel Singer are professors and Hubert Wong is an associate professor. David Johnson is a professor in the Department of Pediatrics and Pharmacology and Physiology at the University of Calgary in Calgary, Alberta. The authors have disclosed that this study received a local seeding grant from the Innovations in Acute Care and Technology cluster of the Child and Family Research Institute. Dr. Doan was also supported with a doctoral award by the Canadian Child Health Clinician Scientist Program while completing this study as part of her dissertation work.
Acknowledgment: The authors would like to thank the research student volunteers who conducted the direct observations and data collection permitting the building of the DES model.
Background: Most pediatric ED visits are for nonemergent problems. Physician assistants are well trained to manage these patients; however, their effect on patient flow in a pediatric ED is unknown.
Objectives: To compare the effect on key pediatric ED efficiency indicators of extending physician coverage versus adding PAs with equivalent incremental costs.
Methods: We used discrete event simulation modeling to compare the effect of additional physician coverage versus adding PAs on wait time, length of stay (LOS), and patients leaving without being seen.
Results: Simulation of extended physician coverage reduced wait times, LOS, and rates of leaving without being seen across acuity levels. Adding PAs reduced wait times and LOS for high-acuity visits, and slightly increased the LOS for low-acuity visits.
Conclusions: With restricted autonomy, PAs mainly benefitted the high-acuity patients. Increasing the level of PA autonomy was critical in broadening the effect of PAs to all acuity levels.
Overcrowding in North American EDs is a growing concern and is believed to be the result of converging and competing factors.1,2 Pediatric EDs have also experienced problems with overcrowding, resulting in a decreased quality of care for patients.3–6
The most frequent cause of overcrowding in general EDs is boarding of admitted patients.7 In contrast, a 2010 survey of Canadian pediatric ED directors and nursing staff suggested that high volumes coupled with inadequate staffing levels lead to prolonged waiting times.8 Waiting time is a factor that may contribute to some patients and families (0.2% to 7.6% of all pediatric ED visits) leaving without having been seen by a physician.9–11 These patients may have conditions that can lead to serious adverse events if left untreated.12 Therefore, overcrowding not only is inconvenient for families but can also have adverse health consequences. Nevertheless, pediatric EDs treat a relatively higher proportion of nonurgent and low-complexity cases (35% to 70% of cases) and have lower patient admission rates than general EDs.13–16
Efforts in pediatric EDs to improve patient flow should focus on the efficient management of large volumes of patients with low acuity. Innovative staffing models, such as the use of physician assistants (PAs), are well accepted in the United States.17–21 However, PAs are relatively new to the healthcare system in Canada, and although their skills and scope of practice are well suited for the pediatric ED, the range of clinical presentations PAs would be involved with and their level of autonomy in a Canadian pediatric ED may be limited at first.22,23 Nonetheless, experience in the United States and a few Canadian provinces suggests that PAs (who require less training, and are less costly than physicians) may become a cost-effective solution to pediatric ED overcrowding.24
Discrete event simulation (DES) modeling is commonly used in healthcare systems to model and subsequently optimize resource allocation.25,26 Although many simulation studies have examined staffing level changes on health systems, none have evaluated the effect of PAs on patient crowding, compared with the effect of additional physicians in pediatric EDs.27–29 To address this gap, we used a DES model of our pediatric ED to compare the effect on key efficiency indicators of extending physician coverage versus adding PAs with equivalent incremental costs.
DES allows for modeling of discontinuous systems, and can emulate actual events in healthcare systems. It employs statistical calculations and theoretical distributions to deliver outcomes of a particular process.25,30–32 Once built, a model can be used to test the effect of changing one or a series of variables and to determine the effect of these changes on outcomes. In the case of ED modeling, outcomes can include patient wait times, leaving without being seen rates, and LOS. Using DES, we sought to forecast the differential effect of extending physician coverage versus introducing PAs on measures of flow in a Canadian pediatric ED.
System description and conceptual model building A DES model was built based on the pediatric ED at British Columbia Children's Hospital (BCCH). BCCH is the only tertiary care pediatric ED in British Columbia, with about 40,000 patient visits per year. The BCCH pediatric ED functions as a two-track system using the Canadian Triage and Acuity Scale (CTAS). Patients triaged to CTAS levels 1 to 3 are seen in the high-acuity track; those triaged to CTAS levels 4 and 5 are managed in the low-acuity track, commonly called "fast track." Separate teams, composed of an ED pediatrician and physician trainees, staff each track. The low-acuity track is open 14 hours per day (late morning to late evening); the high-acuity track is open 24 hours a day. In addition, a third ED physician (flow physician) is present in the evening 7 days a week during the busy season (October to May, winter-spring), and Friday to Sunday the rest of the year (June to September, summer-fall). The flow physician manages patients in either track depending on the longest queue, and does not have clinical teaching responsibility for trainees during his or her shift.
Data collection Information on system layout and operating procedures was collected through consultation with pediatric ED staff and direct observation of patient flow from registration to discharge. The system was reviewed with the pediatric ED chief physician and nurse manager to ensure accurate representation of patients' courses through the pediatric ED. Additional information such as distribution of patient triage levels and leaving without being seen rates was obtained from the Provincial Health Services Authority (PHSA) support services.
Research assistants carried out direct observation using stopwatches to time all the processes in a patient visit, from pretriage to discharge. Observations were conducted during a sample of days, evenings, and nights, across all days of the week and during all four seasons from July 2010 to June 2011. More than 1,000 hours of data were collected, with hundreds of observations for integral data points. For each process observed, timed durations were fitted to theoretical probability distributions using the input analysis function on ARENA 10.0 Simulation Software (Rockwell Software, Sewickley, Pa.).
The frequency and duration of other physician activities were recorded in a similar fashion to the direct patient care processes. Other physician activities included bedside teaching, discussions with nursing staff, consultations with other physicians, and breaks. These were labeled as "personal activities" (breaks and nonpediatric ED patient-related discussions or paperwork), or "pediatric ED operations and patient care-related activities." Patient assessment, review with physician, and reassessment times for physician trainees were collected during direct observation shifts. The number of trainees present on any given shift was variable and a sample of the 2010 trainee pediatric ED schedule was used in the model.
DES model building and validation The simulation model was built using ARENA 10.0 simulation software. Theoretical time distributions based on aforementioned data for each observed process were used to populate the model. The model was verified by examination of its output for reasonableness, and by using stress tests to ensure that all modules and software functions were adequate. Stress testing consists of examining how the model design responded to extraordinary conditions. If a model is adequately designed, it will respond as anticipated even under unrealistically extreme conditions, and the simulation would terminate due to software capacity limits, rather than design malfunction.
The baseline simulation model (without additional physician coverage or PAs) was validated by comparing the average total annual visit numbers, waiting time, LOS, and leaving without being seen rates from five iterations of one simulated year to those from 2010 administrative data.
Pediatric ED visits triaged to CTAS 1 are infrequent, and the priority is to assess, resuscitate, and stabilize the child. Because of the emphasis on management, collected time stamps for administrative purposes often are entered after clinical stabilization and often are inaccurate. We therefore opted a priori to validate the model comparing outcome measure summaries of only CTAS 2 to 5.
Scenario testing and outcome measures The first scenario (additional ED pediatrician coverage) was simulated by adding 1,450 physician hours/year to the physician schedule in the baseline model. These additional hours would cost about $307,000 Canadian (about $279,000 US) and represent the additional coverage suggested by the hospital administration for volume surges. These additional hours were added into the model to provide an extra 6-hour shift each day during the busiest periods of the year (winter-spring), and busiest hours of the day (afternoon and evening).
The second scenario (adding PAs to the clinical team) simulated adding a provider who could assess low-acuity patients, but had to review cases with physicians. This conservative approach reflects the results of two previous studies involving PAs and Canadian physicians practicing in Canadian pediatric EDs. These surveys reported participants' selection of conditions thought to be appropriate for PAs to manage either with direct physician supervision or independently.22,23 More than 80% of physicians and PAs identified three clinical conditions (ear pain, upper respiratory infections, and insect bites) that accounted for 21% of all CTAS 4–5 visits (about 5,900 patients) that did not need direct physician support. Based on these data, our model required PAs to review 79% of randomly assigned cases with a physician.
The same budget ($307,000 Canadian) would pay for 5,750 hours of PA time (rate obtained through personal communications with the past president of the Canadian PA Association). These PA hours were added to the baseline model over the whole year, but favored the busiest days of the year and busiest hours of the day. In this scenario, the model allowed the physician assigned to the low-acuity track to assess patients in either the low- or high-acuity track depending on where the queue of patients was longer, and return if a patient needed to be reviewed with a trainee or a PA in the low-acuity track.
Because PAs are not licensed to work in British Columbia, their service times (assessing patients and reviewing cases with physicians) could not be observed directly. A comprehensive literature review also failed to identify service times for PAs practicing in pediatric EDs. Given this absence of quantified service times, we talked to PAs working in Manitoba and Washington state EDs, who stated that the duration of PA assessments was comparable to that of assessments performed by physicians. This assertion was supported by data from a review of an urgent care clinic.33 We therefore assumed that time distributions for PA assessments in the model were similar to physician assessment times collected during direct observation. The time required for a PA to review a case with a physician was estimated to be similar to the time required to review a junior trainee's work. Thus, the same time distribution used for case review among trainees in the baseline model was also used for case review by PAs in the second scenario.
Sensitivity analyses We ran modified versions of the scenario with PAs to explore the effect of varying five factors:
* The physician assigned to the low-acuity track remained there regardless of the length of queue.
* The proportion of PA cases requiring review by a physician varied between 10% and 100%.
* PA double coverage was simulated in the evenings (the busiest time for the pediatric ED) by overlapping shifts; in the original second scenario, a maximum of one PA was assigned to be on shift at any given time.
* The number of patients a PA could assess before having to review with a physician was increased from zero to two.
* PA initial assessment times were increased from being the same distribution as ED pediatricians to mirror that of physician trainees.
Outcome analyses Each modified scenario model was run for a simulated year, and the average output of five iterations was compared against the baseline model. Descriptive statistics were used to report absolute differences in mean waiting time, LOS, and leaving without being seen rates between each of the scenarios and the baseline model stratified by pediatric CTAS levels.
Model verification and validation The pediatric ED baseline model responded to stress testing adequately, and model integrity was maintained. The output summaries mirrored those acquired from the administrative database with the exception of outcome measures from CTAS 1 level patients, which were assumed to be inaccurate in the administrative database as outlined previously. We also stratified the baseline model outputs across the two main seasonal periods (winter-spring and summer-fall), and found that the leaving without being seen rates, waiting time, and LOS remained comparable between the model output and the administrative data (Table 1).
Strategy scenario testing Outputs from the first scenario model with extended flow physician coverage are shown in Table 2. Extending the flow physician coverage achieved significant reduction in waiting time during the winter-spring season across all five CTAS levels, with proportionate reduction in LOS during the winter-spring season. No significant changes to the outcome measures were found during the summer-fall season. However, the effect of adding physician coverage during the winter-spring was large enough to affect the annual mean waiting time and LOS in most CTAS levels, and resulted in a reduction of leaving without being seen rates (60% reduction for CTAS 3 level visits, and a 30% reduction for CTAS 4–5 levels visits).
Outputs from the second scenario model are shown in Table 3. This model simulated the introduction of a PA to the low-acuity track with physician review of 79% of the PA caseload, in accordance with the estimate given in the physician survey, and sharing of the low-acuity physician with the high-acuity track. This model resulted in meaningful waiting time reductions for patients in CTAS 1 to 3. The waiting time reduction observed for CTAS 4 and 5 was, however, clinically negligible and LOS for CTAS 4 and 5 patients increased slightly. The addition of PAs to the pediatric ED also reduced leaving without being seen rates by 84.4% for CTAS 3 patients, by 18.2% for CTAS 4 patients, and by 6.2% for CTAS 5 patients.
Sensitivity analyses By preventing the low-acuity physician from floating between the two tracks, moderate improvement was realized in waiting time outcomes for patients in the low-acuity track and none in the high-acuity track. Increasing PA autonomy resulted in consistent and appreciable reductions in mean waiting time, LOS, and leaving without being seen rates for patients in CTAS 4 and 5. When the proportion of cases to be reviewed reached 50%, the PA model would result in a reduction in waiting time for CTAS 4 and 5 comparable to the outcomes of the physician model—a 20% to 35% reduction, while maintaining superior flow improvements for patients in CTAS 1 to 3 as compared with those obtained in the extended flow physician model (Figure 1).
Other sensitivity analyses varied the PA schedules to overlap their shifts, changed the PAs' assessment times to mirror that of trainees, and allowed PAs to assess and accumulate up to two cases before having to review and reassess with a physician. These manipulations did not affect the outcome measures significantly when compared with the original PA model.
The rationale for evaluating the use of PAs in the pediatric ED is to explore models to decrease wait times where physicians are ultimately responsible for care delivered, but are unable to cope with large volumes even when used at full capacity. This study found that additional physician coverage could reduce average waiting time in our tertiary pediatric ED by 20% to 35% across all CTAS level visits. The equivalent investment in PAs could reduce waiting time in a pediatric ED by 35% to 50% for CTAS 1 to 3 but leaves CTAS 4 and 5 unchanged. These figures may underestimate the benefits because they are based on limited autonomy that requires PAs to review 79% of their cases with a physician.
If PA autonomy were to be increased, reducing the number of cases requiring review with the attending physician, patients triaged to CTAS 1 to 3 would retain the 35% to 50% reduction in waiting times, and CTAS 4 and 5 patients also would benefit from shorter waiting times. If PAs were to manage and discharge patients without directly involving a physician for half of their caseload, CTAS 4 and 5 patients would benefit from waiting time reductions comparable to those in the extended physician coverage model (that is, 20% to 35% reductions). Although PAs have worked in American EDs with higher autonomy levels, pediatric ED-specific data have yet to be published. We chose to run the simulation with very conservative conditions compared with how PAs may function in well-established roles because PAs are still relatively new to the Canadian civilian healthcare system. We were guided by the results of our two previous surveys of pediatric ED physicians about the degree of direct physician involvement with cases managed by PAs.
Other studies have been undertaken to determine PAs' effect on patient flow within EDs. In 2009, investigators in Ontario used a pre-post design to determine that the odds of achieving wait time benchmarks was 1.9 (95% CI 1.6–2.4) for patients visiting the ED after PA implementation. A similar study in the United States found that the implementation of PAs in an urgent care unit reduced LOS for patients triaged to a low-acuity level from 127 to 53 minutes and improved patient satisfaction.34 Although these studies found improvements in patient flow after PA implementation, their usefulness is limited by short pre-post study periods, failures to address confounders including patient characteristics, and a lack of controls.
Despite using comprehensive observational data to build our computer simulation model, like any DES model, it cannot account for all of the factors that may affect the efficiency of care delivered in a pediatric ED. For example, whether patients who are seen by a PA have higher return rates than patients who are seen by a physician is an important consideration. However, this could not be observed directly and was not reflected in our model.
Another limitation of our model was the lack of assessment and review times for PAs. PAs were not practicing in our pediatric ED; thus, no real service time data were collected. A literature search revealed no publications of PA service times in pediatric EDs, and we had to rely on qualitative data from discussions with practicing PAs to estimate their service times. This method of estimation and assumption is often necessary in computer simulation model construction when introducing entities that have no observable data associated with them.35
The inability to comprehensively compare costs also limited study findings. Although we explicitly kept human resource costs equal, this model did not address other costs associated with care provided in the pediatric ED. These costs can vary by patient CTAS level, LOS, frequency of visits, and ancillary testing (laboratory and radiography) ordered by care providers. Indeed, a systematic review found only two studies comparing the overall cost of care delivered by PAs and physicians in general EDs; the studies yielded conflicting results.36
Comprehensive cost comparisons between PAs and emergency pediatricians would also require broader consideration of the differential costs involved in the education of a PA versus a pediatric ED subspecialist. Finally, the absolute generalizability of these findings is limited to pediatric EDs with similar system structures and service times as our pediatric ED.
Our simulations of a pediatric ED found important reduction in waiting time, LOS, and leaving without being seen rates for both scenarios. Further studies and data collection postimplementation are needed to provide definitive recommendations, but our study strongly suggests that using PAs reduces waiting time, LOS, and patients leaving without being seen, and could do so at a reduced cost.
pediatric ED; healthcare costs; provider services; workforce; physician assistants; discrete event simulation
© 2014 American Academy of Physician Assistants.
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QIX (NASDAQ Information Exchange protocol)
QIX (NASDAQ Information Exchange protocol) is a proprietary specification intended to streamline automated trading in the financial industry... (Continued)
Transaction and protocol security
QIX (NASDAQ Information Exchange protocol) is a proprietary specification intended to streamline automated trading in the financial industry. QIX, like the open-standard Financial Information Exchange (FIX) protocol and the computer-to-computer interface (CTCI), supports multiple communications formats. However, unlike FIX, the QIX protocol is designed specifically for NASDAQ trading.
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QIX can improve business flow by minimizing the number of redundant and unnecessary messages, enhancing the client base, reducing time spent in voice-based telephone conversations and practically eliminating paper clutter. The protocol is compatible with nearly all commonly used networking technologies. QIX is similar to an application program interface (API) but reduces operating costs because it does not require a service delivery platform at the subscriber site. NASDAQ encourages subscribers to switch from API to QIX. To effectively use QIX, a subscriber must have at least two TCP/IP connections with different port numbers.
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After three years of controversy, the agency begins its network modernization project
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Treasury to extend TCS
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Other agencies may not be as prepared as the Treasury Department to make the transition to a modern network, said Karl Krumbholz, director of Network Services Programs at the General Services Administration. Some agencies could find the transition challenging because they must:
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NEW YORK, Nov. 9, 2012 /PRNewswire/ -- Brickleberry National Park will remain open for visitors for another year as "Brickleberry," the hit series featuring an animated bunch of unruly park rangers, has been renewed by COMEDY CENTRAL for a second season, it was announced today by Kent Alterman, Head of Original Programming and Production, COMEDY CENTRAL. Co-produced by Fox 21 and COMEDY CENTRAL, "Brickleberry" is executive produced by Daniel Tosh ("Tosh.0"), and series creators/writers/executive producers Waco O'Guin and Roger Black (MTV2's "Stankervision"). The thirteen-episode second season is scheduled to premiere in Fall 2013.
"We are happy to continue educating America's youth about nature, and the national conservation movement," said Alterman.
"This is incredible news!" said O'Guin. "I can't wait to get more angry phone calls from my mother."
"Now I can pay off my Chevy Cobalt," added Black.
"Brickleberry" premiered its first season on September 25 and is currently airing new episodes on Tuesdays at 10:30 p.m. ET/PT following "Tosh.0." Seven weeks into the run, the series is averaging 1.8 total million viewers each week and is the second-highest rated series in its timeslot with Men 18-34 and Men 18-24 in all television. (source: Nielsen Media Research, most current data, 9/25/12 – 10/30/12, original telecasts only)
"Brickleberry," co-produced by Fox 21 and COMEDY CENTRAL, is an animated series revolving around a group of dysfunctional park rangers at a second tier national park. "Brickleberry" voice talent includes Kaitlin Olson ("It's Always Sunny in Philadelphia") as "Ethel," the smoking hot top ranger who is transferred to Brickleberry, Tom Kenny ("SpongeBob SquarePants") as "Woody," the head ranger who has good intentions, but not always the best ideas, Dave Herman ("Futurama") as "Steve," the overconfident Ranger of the Month, Jerry Minor ("Eastbound & Down") as "Denzel," the African American ranger who isn't comfortable in the woods, Roger Black as "Connie," the unusually strong and masculine female ranger, and Tosh as "Malloy," the cuddly, yet vulgar and spoiled resident bear.
"Brickleberry" is executive produced by Daniel Tosh ("Tosh.0") and series creators/writers/executive producers Waco O'Guin and Roger Black (MTV2's "Stankervision"). Jim Sharp and Ian Friedman are the Executives in Charge of Production for COMEDY CENTRAL. The animation is produced at Bento Box in Burbank, CA.
O'Guin and Black are repped by Odenkirk Provissiero Entertainment and David Stone at WME.
Fox 21 is a production company housed within Twentieth Century Fox Television devoted to making creatively ambitious scripted series for the cable television market, as well as unscripted shows for both cable and broadcast networks. Fox 21, led by President Bert Salke, currently co-produces the award-winning cable smash "Sons of Anarchy" as well as the critically acclaimed "Homeland," starring Claire Danes and Damian Lewis, which took home both the Golden Globe and the Emmy for Outstanding Drama Series after its first season on the air.
Available on-air, online and on-the-go, COMEDY CENTRAL (www.cc.com) is the #1 brand in comedy and is owned by, and is a registered trademark of, Comedy Partners, a wholly-owned unit of Viacom Inc. (NASDAQ: VIA and VIAB). For up-to-the-minute and archival press information and photographs visit COMEDY CENTRAL's press Web site at www.cc.com/press and follow us on Twitter @ComedyCentralPR for the latest in breaking news updates, behind-the-scenes information and photos.
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The Internet of Things is not only adding billions of sensors and billions of terabytes to the Internet. It is also forcing a fundamental change in the way we envision Information Technology. For the first time, more data is being created by devices at the edge of the Internet rather than from centralized systems. What does this mean for today's IT professional? In this Power Panel at @ThingsExpo, moderated by Conference Chair Roger Strukhoff, panelists addressed this very serious issue of profound change in the industry.
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SYS-CON Events announced today that BMC will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. BMC delivers software solutions that help IT transform digital enterprises for the ultimate competitive business advantage. BMC has worked with thousands of leading companies to create and deliver powerful IT management services. From mainframe to cloud to mobile, BMC pairs high-speed digital innovation with robust IT industrialization – allowing customers to provide amazing user experiences with optimized IT per...
Jun. 29, 2015 12:15 PM EDT Reads: 2,627
There will be 150 billion connected devices by 2020. New digital businesses have already disrupted value chains across every industry. APIs are at the center of the digital business. You need to understand what assets you have that can be exposed digitally, what their digital value chain is, and how to create an effective business model around that value chain to compete in this economy. No enterprise can be complacent and not engage in the digital economy. Learn how to be the disruptor and not the disruptee.
Jun. 29, 2015 11:00 AM EDT Reads: 2,154
The Internet of Things is not only adding billions of sensors and billions of terabytes to the Internet. It is also forcing a fundamental change in the way we envision Information Technology. For the first time, more data is being created by devices at the edge of the Internet rather than from centralized systems. What does this mean for today's IT professional? In this Power Panel at @ThingsExpo, moderated by Conference Chair Roger Strukhoff, panelists will addresses this very serious issue of profound change in the industry.
Jun. 29, 2015 09:45 AM EDT Reads: 2,497
Business as usual for IT is evolving into a "Make or Buy" decision on a service-by-service conversation with input from the LOBs. How does your organization move forward with cloud? In his general session at 16th Cloud Expo, Paul Maravei, Regional Sales Manager, Hybrid Cloud and Managed Services at Cisco, discusses how Cisco and its partners offer a market-leading portfolio and ecosystem of cloud infrastructure and application services that allow you to uniquely and securely combine cloud business applications and services across multiple cloud delivery models.
Jun. 28, 2015 11:00 AM EDT Reads: 2,198
In his General Session at 16th Cloud Expo, David Shacochis, host of The Hybrid IT Files podcast and Vice President at CenturyLink, investigated three key trends of the "gigabit economy" though the story of a Fortune 500 communications company in transformation. Narrating how multi-modal hybrid IT, service automation, and agile delivery all intersect, he will cover the role of storytelling and empathy in achieving strategic alignment between the enterprise and its information technology.
Jun. 27, 2015 10:00 AM EDT Reads: 2,223
Buzzword alert: Microservices and IoT at a DevOps conference? What could possibly go wrong? In this Power Panel at DevOps Summit, moderated by Jason Bloomberg, the leading expert on architecting agility for the enterprise and president of Intellyx, panelists peeled away the buzz and discuss the important architectural principles behind implementing IoT solutions for the enterprise. As remote IoT devices and sensors become increasingly intelligent, they become part of our distributed cloud environment, and we must architect and code accordingly. At the very least, you'll have no problem fillin...
Jun. 26, 2015 12:00 PM EDT Reads: 2,210
Growth hacking is common for startups to make unheard-of progress in building their business. Career Hacks can help Geek Girls and those who support them (yes, that's you too, Dad!) to excel in this typically male-dominated world. Get ready to learn the facts: Is there a bias against women in the tech / developer communities? Why are women 50% of the workforce, but hold only 24% of the STEM or IT positions? Some beginnings of what to do about it! In her Opening Keynote at 16th Cloud Expo, Sandy Carter, IBM General Manager Cloud Ecosystem and Developers, and a Social Business Evangelist, d...
Jun. 26, 2015 10:00 AM EDT Reads: 2,069
Converging digital disruptions is creating a major sea change - Cisco calls this the Internet of Everything (IoE). IoE is the network connection of People, Process, Data and Things, fueled by Cloud, Mobile, Social, Analytics and Security, and it represents a $19Trillion value-at-stake over the next 10 years. In her keynote at @ThingsExpo, Manjula Talreja, VP of Cisco Consulting Services, discussed IoE and the enormous opportunities it provides to public and private firms alike. She will share what businesses must do to thrive in the IoE economy, citing examples from several industry sectors.
Jun. 25, 2015 02:00 PM EDT Reads: 2,008
In his keynote at 16th Cloud Expo, Rodney Rogers, CEO of Virtustream, discussed the evolution of the company from inception to its recent acquisition by EMC – including personal insights, lessons learned (and some WTF moments) along the way. Learn how Virtustream's unique approach of combining the economics and elasticity of the consumer cloud model with proper performance, application automation and security into a platform became a breakout success with enterprise customers and a natural fit for the EMC Federation.
Jun. 25, 2015 01:30 PM EDT Reads: 2,157
SYS-CON Events announced today that the "Second Containers & Microservices Conference" will take place November 3-5, 2015, at the Santa Clara Convention Center, Santa Clara, CA, and the "Third Containers & Microservices Conference" will take place June 7-9, 2016, at Javits Center in New York City. Containers and microservices have become topics of intense interest throughout the cloud developer and enterprise IT communities.
Jun. 22, 2015 02:15 PM EDT Reads: 2,776
SYS-CON Events announced today that the "First Containers & Microservices Conference" will take place June 9-11, 2015, at the Javits Center in New York City. The "Second Containers & Microservices Conference" will take place November 3-5, 2015, at Santa Clara Convention Center, Santa Clara, CA. Containers and microservices have become topics of intense interest throughout the cloud developer and enterprise IT communities.
Jun. 20, 2015 12:00 PM EDT Reads: 3,870
With major technology companies and startups seriously embracing IoT strategies, now is the perfect time to attend @ThingsExpo in Silicon Valley. Learn what is going on, contribute to the discussions, and ensure that your enterprise is as "IoT-Ready" as it can be! Internet of @ThingsExpo, taking place Nov 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 17th Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The Internet of Things (IoT) is the most profound change in personal an...
Jun. 15, 2015 08:45 PM EDT Reads: 4,101
17th Cloud Expo, taking place Nov 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy. Meanwhile, 94% of enterprises are using some form of XaaS – software, platform, and infrastructure as a service.
Jun. 15, 2015 07:15 PM EDT Reads: 3,892
The 17th International Cloud Expo has announced that its Call for Papers is open. 17th International Cloud Expo, to be held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, brings together Cloud Computing, APM, APIs, Microservices, Security, Big Data, Internet of Things, DevOps and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding business opportunity. Submit your speaking proposal today!
Jun. 15, 2015 10:15 AM EDT Reads: 5,974


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£975 pcm
3 bedroom terraced house to rent Windsor Street, Wolverton, Milton Keynes, BucksWELL PRESENTED three bedroom Victorian style property offering spacious and well planned accommodation throughout. The property benefits from a lounge/diner, MODERN KITCHEN with breakfast area, cloakroom and a utility. Further benefits include double glazing, gas central heating, four piece upsta... More details ›
Added on 29/06/2015 by Alan Francis, Milton Keynes. Call: 01908 871062 Local call rate
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3 bedroom semi-detached house to rent Butter RowA Beautiful 3 bedroom semi-detached house in the new development of Stratford Park, Wolverton. More details ›
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Arouse - Scene 1
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Horny young cocksucker Devon is over at the house of his boyfriend Jason; Jason's parents go out, so the two young men decide to watch some porn on the computer. As they watch guys sucking each others' dicks and fucking each other in the butt, Devon can handle his lust no longer, getting down on his knees and pulling down his good-looking boyfriend's board shorts. The guys retire to the bed after the blow job action is done; Jason doesn't want to spunk on Devon's mouth - he wants to screw him in the butt! He mounts his boyfriend in doggystyle, thrusting up inside him with his powerful abdominal muscles and muscular big cock.
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text: Latest Chris Christie presidential announcement looms in Livingston 58 MIN. AGO Drumming up competition in Allentown 2 HR. AGO Schuylkill County boy hit by car, flown to hospital 7:00 AM Two Gap stores closing at Promenade Shops 5:54 AM Storms later today and Wednesday 5:47 AM The next days will feel sticky 12:17 AM Crafters busy at the Kutztown Folk Festival 11:59 PM Police ID victim of deadly shooting in Reading 11:43 PM Trial begins for man accused of 1968 murder 11:26 PM CVS in Wind Gap robbed of $8,200 worth of medicine 11:12 PM


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Judges Meet
July 3, 2015 Photo provided ... more »»
Ohio Hills Folk Fest fun for all
July 3, 2015 QUAKER CITY — The Ohio Hills Folk Festival will take place this year on Wednesday, July 8 through Saturday, July 11 in Guernsey County. more »»
Wheeling Symphony Orchestra set to 'Celebrate America' on July 4 at Port
July 3, 2015 WHEELING — Music lovers have the opportunity to "Celebrate America" with the Wheeling Symphony Orchestra at 7:30 p.m. Saturday at Wheeling's Heritage Port. more »»
No Times Leader Saturday
July 3, 2015 DUE?TO the?Fourth of July holiday?Saturday, The Times Leader will not publish that day. Regular production will resume?Sunday. more »»
Tax collection satellites set
July 3, 2015 ST. CLAIRSVILLE - Belmont County Treasurer Katherine J. Kelich has announced the county's second-half tax collection has begun and will run through July 24. more »»
Belmont County Drug Task Force makes huge pot discovery
July 3, 2015 THE Belmont County Drug Task Force followed up on a tip and made a huge drug discovery outside Martins Ferry on Thursda. more »»
Barnesville BOE holds special meet
July 3, 2015 THE Barnesville Exempted Village School District Board of Education met for a special meeting Tuesday at 7 a.m. at the central office. more »»
Rayland sewer line work draws focus
July 3, 2015 RAYLAND'S sewer line replacement project and a fire protection contract recently were eyed by village council. more »»
Safety forces gain pay raises
July 3, 2015 WHEELING — Police officers in Wheeling received $2,080 annual pay raises last month as City Manager Robert Herron looks to alleviate the recruitment and retention problems that have been plaguing... more »»
Mobility increased for kids with special needs
July 3, 2015 BENWOOD — With school out for the summer, a bike ride around the neighborhood is an activity many children likely take for granted. more »»
Vague budget passed
July 2, 2015 MARTINS FERRY — City council approved a budget estimate for fiscal 2016 on Wednesday without having an estimated dollar amount. more »»
Murray sues EPA over water rule
July 2, 2015 WHEELING — The legal fight over the regulatory authority of President Barack Obama's Environmental Protection Agency continued Wednesday as Murray Energy Cor. more »»
Museum nominated for award
July 2, 2015 ST. CLAIRSVILLE – Belmont County commissioners discussed several topics at?Wednesday's meeting. more »»
Eclipse Resources helps fund EMA vehicle
July 2, 2015 CADIZ - Harrison County Emergency Management Agency Director Eric Wilson and the Harrison County Board of Commissioners accepted a donation from Eclipse Resources at the board's meeting on... more »»
Greenwood picked for Capital U. cheering squad
July 2, 2015 Alli Greenwood has been selected for the 2015-2016 Capital University Cheerleading Squad in Columbus. more »»
Ordinance gets second reading
July 2, 2015 Barnesville - Members of village council met in regular session Monday evening in council chambers with all members present. more »»
Public records training class slated Aug. 7
July 2, 2015 THE Ohio Auditor's Office will hold an Ohio Certified Public Records (House Bill 9) training class on Friday, Aug. 7, at the Bemont County Operations Center, 68501 Bannock Road, west of St. more »»
Rayland council discusses streetlight fee
July 2, 2015 RAYLAND Village Council recently had several discussions about the village's streetlight fee, focusing on a lawsuit and a review about the fee. more »»
Bridgeport man arrested
July 2, 2015 Police arrested a Wheeling woman and two others on multiple charges Tuesday as the result of a routine traffic stop on Eagle Ave. Lisa Arlene Hinerman, 46, of 126 Valley Blvd. more »»
Area Digest
July 2, 2015 BHS?Class of 1954 to dine THE?BELLAIRE?High?Class of 1954 will hold a dinner on July 9 at?Applebee's in?St.?Clairsville at 5 p.m. ?All class members are welcome. more »»


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Discussion Topics
Last Post
Access to Global Entry Office at IAH - ESep 9, 20143Hello, I have an interview for the Global Entry program in Terminal E. The day of the appointment I will be arriving from Mexico. It is possible to get to the Global Entry program office after passing immigration? The office is located by the Gates on Terminal E (inside the secure area). In other words, once I clear immigration, it is possible to go back to the gates? There is an area to drop your luggage for connecting flights but I am not sure if because this is an international flight people has to pass security again. Once I leave the secure are I will not have a boarding pass to go back. thanks Unfortunately the office located outside terminal E does not have appointments availableALTue, Sep 9You will not be able to access the secure side of the airport once you clear customs. If you really want that appointment, you could buy a refundable ticket for later in the day, use its boarding pass to go through security, do the interview, then cancel the check in and refund the ticket.ZAPTue, Sep 9Thanks, let me ask you a second question: Once I print the boarding pass, it is possible to cancel the ticket for a full refund? it seems like at that point it wold be too late... do you know?ALTue, Sep 9
FLL - IAH - SEASep 9, 20141I have 50 mins connection time between flights from FLL and SEA will I make it and will my checked bags? any idea which terminals United flights I think?JKMon, Sep 8
30 mins enough time for connecting from terminal c to e?Sep 8, 20141Flying United NY-Guadalajara arr Terminal C 8:29, departure Terminal E at 9:00am; enough time if first flight is not delayed?BELMon, Sep 8
enough timeSep 8, 20141Traveling from chicago to Houston international airport terminal C and transfer to terminal E to morelia, Is .30 minutes enough time to go from terminal C to terminal E ?armandoWed, Sep 3
terminal E to terminal CSep 3, 20140
Connecting timeSep 2, 20141Hi, I will land in International Terminal E from London Heathrow at 14:40 with British Airways. We are then catching a United flight at 15:54 to Cancun, is that enough time to connect to this flight? I'm not sure which terminal the Cancun flight will leave from. Many thanksHelencTue, Sep 2Your British Airways flight will actually arrive in D. Your Cancun flight will leave from E. That is NOT enough time as you will have to go through US Immigration, claim your bags, go through US Customs, get your United boarding passes, and re-check your bags, and go through security. 1 hr 14 mins is totally not enough time to do all that.ZAPTue, Sep 2
enough time??Sep 2, 20141I will be arriving from Colorado springs from terminal b and have to catch my next flight in terminal c to Austin teaxs and its 53minutes between lay over. is there going to be enough time to make it to my next flight? is there a shuttle that can take me the terminal c?DemiMon, Sep 1
Terminal D to Terminal A?Aug 31, 20141I am travelling into Houston Terminal D (BA) which lands at 14:30 from LHR. I'm considering getting a connecting flight from Terminal A, which would leave at 16:45. I've read about long queues at immigration - I am an American but am travelling with a non-American, so am aware of long waits. I'm guessing it's incredibly unlikely that we'd make this connecting flight? How long does it take to travel to Terminal A? Should we be anticipating 2h waits at customs? Thanks!FPCSun, Aug 31I would not expect 2 hour waits at immigration. However, since you are planning on booking a separate ticket, you may have to transfer the bags from Terminal A yourself and you will have to take the Inter-Terminal Train which is much slower than the TerminaLink train. I would leave 3 hours for your transfer.ZAPSun, Aug 31
Connecting timeAug 27, 20141I will land at terminal B and catch a flight to London at terminal E, will 40 minutes enough time for connection?STPWed, Aug 27
12 hours in houstonAug 23, 20141I am travelling to the UK from ecuador but in my way there i need to stop in Houston for 12 hours. Can i leave the Airport? My ESTA visa is not transit only.DannySat, Aug 23Yes, you can leave the airport. When you go through US Immigration and Customs you will be outside security and it's not like there's anybody guarding the doors. However, beware that there's no public transit route into the city and traffic in Houston can be quite bad.ZAPSat, Aug 23
terminal E to AAug 21, 20141Hi I am coming in to IAH 13:55 from moscow on singapore airline, then need to transfer to terminal A american airline to DFW at 16:40, is 2 hy 40 min enough for immigration, train to terminal A and re check in?CJThu, Aug 21
Arriving when inter terminal train, is closed need to get to marriottAug 20, 20141Hi, I'm arriving at terminal E at 12.45am - how can I get to the marriott??dikdikWed, Aug 20
connection timeAug 19, 20141Hi , I am connecting in IAH with a lay over of 2 hr 21 mins. I'm flying from Vancouver , B.C. and on to Peru aboard United ,both flights. Is this sufficient time to change planes?ginaTue, Aug 19Yes, that should be enough time. You will pre-clear US Customs and Immigration in Vancouver so all you will have to do in IAH is go from your arrival gate to your departure gate. You will likely arrive in C and depart from E. They are directly connected inside security.ZAPTue, Aug 19
connecting times transfer AMS > IAH > LAXAug 19, 20141Hi, is 1 hr 20 min enough time for getting immagrations and customs before connecting flight to LAX? I'm arriving IAH from AMS and flying all flights with United.***Tue, Aug 19
Domestic transfer timeAug 17, 20141Saturday arrival United 1261 at 1:40 pm from Orlando....leave United 480 at 2:25 pm to Seattle. Nervous about the short connection time. Currently seats are at rear of plane with carryon. Thoughts and ideas?robinson852Sun, Aug 17


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Light Your Way Home
Model is the exceptionally handsome and talented Cameron Sarradet
The idea behind this photo is inspired by a story I read about a man whose wife had gone missing and he lit a candle in his window every night so that she would be able to find her way home. I wanted to use this beautiful old window in a photo during the meetup and I knew that Cameron was the perfect choice to be in the photo. In perfect timing, one of the barn cats came and sat right in the frame and I had to keep it.
I have so many photos to edit and post, I'll probably be taking a bit of a break in my 365 project but still be posting everyday!
Beautiful idea.
simply magical
wow. this is a really good concept and a great work. I can't even describe in words how much I like this. :)
wow, perfect how you treated this light!
Excellent !!!
What a haunting image. Nicely done!
This is beautiful! Great emotion and story, and of course the colours are also stunning! Can't wait to see your other photos from the meet up :)
beautiful! love the concept. the light and colors are perfect, and I love how the candle on top is melted on the window. great detail!
what a beautiful concept. the candle light looks so beautiful in all the darkness, lighting just enough. The colors look amazing. I have a window like this, just haven't gotten around to using it yet, it makes a great prop doesn't it?
wo this is wow
This is perfect, the light in this incredible, for some reason first thing that comes to mind is George De La Tour paintings. :)
stunning !
joel. this is amazing! the light the shadow, the warmth the cold, the focus!
really really nice. I wish I could have been there!!
i love this great work!! candles are cool :D
beautiful concept
this is stunning , the concept is brilliant. i love the light and shadows with the sky!
I really, really adore the colours here.. the soft dreamy, pale purple and pink in the background really lend to the dream-like, sad and painful beauty of the story being told. Where the candles are placed and how they light up the picture is just magic.
very cute idea. aw.
this is so beautiful! love the concept! the light is amazing!
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text: Remembrances John Galbraith's Lasting Economic Impact April 30, 2006 John Kenneth Galbraith, the renowned economist, teacher and diplomat, died Saturday at the age of 97. Galbraith, who served presidents Roosevelt and Kennedy, reached a mass audience with books like The Affluent Society. He was an unabashed liberal, who believed government has a large role to play in the economy. Listen Loading… Playlist Download Embed Embed Close embed modal <iframe src="http://www.npr.org/player/embed/5372493/5372494" width="100%" height="290" frameborder="0" scrolling="no">


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Before heading back home, TJ decided to stop and smell the roses!
He made his way to Portland's world-famous International Rose Test Garden.
Here, all sorts of varieties of roses are bred and developed.
There are all sorts of colors too!
There are even TJ-sized roses!
The flowers are not for picking, but TJ was sure to get a long sniff.
But after that it was time to head for the airport…
…and that long flight home.
TJ had a wonderful time in Portland! He'll be back soon!


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Tricycle Film Club
|Buddhist films and discussion for the
Tricycle Community
The Dhamma Brothers
Bringing Vipassana to the Penitentiary
Welcome to the Tricycle Film Club!
Each month Tricycle Supporting and Sustaining Members will be treated to a select feature-length film, presented in partnership with BuddhaFest Film Festival, June 14-17 in Washington, DC. The benefits of membership continue to grow, so if you're not already a Supporting or Sustaining Member, upgrade now and watch our April selection, The Dhamma Brothers, produced, written and directed by Jenny Phillips. The discussion will be led by Jenny. Join the Tricycle Community to be a part of the Tricycle Film Club.
The Dhamma Brothers (2008)
Donaldson Correctional Facility is a maximum-security penitentiary which lies to the south of Birmingham, Alabama. In 2002, the psychologist at Donaldson, Dr. Ron Cavanaugh, decides to make a bold and groundbreaking move to introduce Vipassana practice into the deep South. Inspired by the effective treatment methods of meditation in the Indian prison system, Cavanaugh hires Jonathan Crowley and Bruce Steward, two Vipassana teachers, to conduct a ten-day Vipassana retreat for a group of inmates in the penitentiary's basketball gymnasium.
Separated by blue tarps and strung-up sheets, the inmates take vows of silence, sit with their thoughts, and witness their long forgotten feelings and emotions well up to the surface.The change in perspective of these inmates is touching and uplifting. Their sense of accomplishment and persistence in their newfound practice gives the audience hope that service-oriented programs involving meditation will be given more time and energy throughout the criminal justice system.
Join director Jenny Phillips and others in the discussion about this movie, other prison projects, and ways to help.
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These men are an inspiration to me. They teach me that even in the most terrible places there is a way to struggle back to dignaty and peace if you are courageous. Thank you for bringing their message to me.
It always pleases me when people say that the Dhamma Brothers become such strong and unforgettable figures in the film. That more than anything else was my hope when I decided to make the film - that the prisoners themselves would be the central characters.
Excellent film! I hope this program can spread to other institutions....to other states. The the way, great soundtrack!
The wonderful sound track, which so skillfully folds itself into the scenes throughout the film, is the creation of the film editor and co-director, Andy Kukura, from Northern Light Productions.
what an inspiring film! I was surprised when the sittings were cancelled - I would have thought that freedom to practise is a basic human right. It showed me how much I take for granted and how insignificant some of my excuses can be. Thanks so much for sharing this.
Yes, prisons are by the nature of their existence closed systems. Under stress, they shut things down. Under the right conditions, they open and expand.
Thank you so much for this wonderful film. It is a connection, shows me our human connection. And it allowed me to experience totally what I have expressed intellectually; that we are all "Dhamma Brothers".
I think that is true. The Dhamma Brothers help us to expand our at times narrow boundaries of the human community.
thank you so much ,we were amazed at the courage and the dedication displayed by the Dhamma Brothers,long may they practice and inspire others to do so. Gassho
Thank you so much. What a great honor it is for me to have been able to capture those stories for so many others to appreciate and feel inspired by.
There is such hope in this film, and hope on so many levels. I was struck, as the woman expressed what looked like anger about inmates being taught "witchcraft," and the man in the denim vest reflected his belief that prisoners don't deserve anything because of the crime they committed that the common thread shared by those who commit crimes, those who allow themselves to see prisoners as less than human, and those who describe things they don't understand as "witchcraft" is anger. Anger always arises from fear. As a country we are very angry, underneath that anger lies fear of so many things - and a desire, though perhaps not a conscious desire - to see others remain fearful and angry as long as I remain fearful and angry. And so prisoners don't deserve anything perhaps because on some level I don't believe I deserve anything. The Dhamma Brothers offers much hope - perhaps by their example, others outside the prison in need of that hope may find it.
Thank you so much for this important film!
Craig Bergland
It always does seem as if violence and anger cover an underlying sense of fear and vulnerability. And Vipassana meditation - perhaps all meditation - offers the solution of just sitting with that vulnerability, experiencing it and not trying to escape from it or change it. Inner freedom lies on the other side of that experience. Below is a quote from Omar Rahman describing the experience of finally having the safe place and the skills to stay with the difficult experiences.
"I was sitting wrestling with the pain in my body, and trying to figure out a way to be at peace with it. All of a sudden I started shaking all over. I was sitting on a volcano trying to ride it, and I refused to get off because I was going somewhere".
Omar Rahman, Dhamma Brothers
Brilliant Film. It affected me just as when I first saw "Doing Time Doing Vipassana" --- Internally I shuddered --- an overwhelming bubble of joy swelled up in me -- like a tsunami. Seeing the inmates meditating and watching their faces become soft and gentle -- reminded me of how much humanity there is in even the very people that are a threat to society. When I see the world with my dhamma eye -- I don't see "bad people" I see unskillful actions -- I also don't see enlightened beings -- I just see enlightened activities. I am amazed but not surprised by the so called Christians feeling that teaching Vipassana is a form of witchcraft -- how utterly close minded, uninformed and inexperienced they are. May they be free and May they know true equanimity!!!
So wonderful to first see others in a judgmental way, and then go below our black and white, good and bad stereotypes of others. My greatest struggle is my judgmental mind, and I always like my stereotypes to be challenged by seeing things as they really are.Thank you for your observations.
Please make it known to the Dhamma Brothers that the world is now witnessing what they have achieved, and we are united with them in solidarity.
Thank you. I will pass this along. I think that, in so many ways, the Dhamma Brothers realize that their stories have touched and helped many others. When you are removed from the outside world, there is always a fear that you will be forgotten, left behind. And knowing that you are remembered and appreciated by others is so important.I always send metta.
Thanks for the wonderful film and the opportunity to meet all of these courageous men. It is great that there are those who are out there who believe in the power of the program. Hopefully the narrow minded people will allow it to continue. I wanted to cheer when I heard that the men had found ways to continue their practice despite the hardships of doing so, and am now humbled when I make an excuse about not hitting the cushion daily! A Metta will go out to them and those who support them from me daily from now on.
The Dhamma Brothers received something during the 10-day course, and once they had it - if they continued to practice - it could not be taken from them. That is one thing that can not be taken away!
Wow. This is a remarkable film. I'll be showing it to my father when he visits me. I must admit that my first thought when I heard that these prisoners would be sitting for 10 days with (what seemed like) little or no meditation experience was, "is this humane?" As one who attended a 5 day retreat while suffering with active bipolar disorder, I have some appreciation for the pits of hell that the mind can take you to. I can't imagine the pain that these prisoners faced while sitting with themselves. From what I understand, many in the prison system have suffered serious traumas. More power to them for facing their suffering like that.
My second thought was "how will they survive in prison/adjust coming back from a 10 day silent retreat?" All of their defense mechanisms would surely have been stripped away. And just the footage from the regular prison showed it to be loud and violent. I'm still wondering about that, Jenny, how did the transition work for people? And how did they practice nonviolence in prison, where from what the film says, violence seems to be the main language spoken. Were they ever in danger when they withdrew from gangs and such, and how did they deal with that?
That is a wonderful and very important question, and one that everyone asked at the end of the very first 10-day course in 2002. And yet one realizes that violence and fear do not keep us safe. The gladiator posture that prisoners typically maintain actually leads to more conflict and danger. And the Dhamma Brothers knew that they could react quickly if they were walking into a dangerous situation.What they found was that, as one of the Dhamma Brothers expressed it, "we handled situations differently". They carried themselves differently, and did not seem to bring troubles upon themselves. It seems to me that their posture of mindfulness and calm allowed them to live the peace that they had found within their Selves.
Thank you for the courage of the makers to produce the film and thank you for courage of the inmates to participate in the program. So inspiring.
The Dhamma Brothers had the courage to look inside themselves, into largely unexplored and fearful places, with the hope that they might find something of value. Their stories of persistence in the face of their storms are remarkable.
Thanks for this excellent documentary and moving experience. It is very easy to grow angry and judgmental of the government and community reactions to this program and their reactive shut down o the program, but the framing oft the "shut down" of the program as a short-term problem that as solved through patience had me examining my own preset prejudices. I was deeply moved and inspired by this movie. Thanks.
I really liked doing what we called our "man or woman on the street" interviews to get snapshots of the attitudes and beliefs of those outside the prison. And some of the statements are truly elevating and powerful. Others show fear and lack of understanding. And yet through patience and an excellent sense of timing by Ron Cavanaugh, the Director of Treatment, the program came back. That, for me, was the highpoint when we walked back in 3 1/2 years later and the men were standing there waiting.
When a film and the stories of the film's characters can take you more deeply into your own practice, that is wonderful! I have found that myself.
Great movie! It touches on so many points; human dignity, self-esteem, hope, self-discovery and many more positive qualities- A pure lotus springing out of the mud of tragedy. We are in the wide prison of ignorance and Vipassana helps.
I always find it so surprising that prisoners themselves can teach us about the prison of our minds. But maybe that is not surprising at all!
I've seen this movie - it's really amazing. Great idea to have a film club.
It is such an honor to have The Dhamma Brothers as the film of the month!
Incredibly powerful film and well done. I appreciated hearing the inmates speak about their experience. Glad to know that vipassana is continuing in the prison system despite the opposition of those that do not understand and also to hear that the program is expanding. It seems like common sense to have this sort of program in all prison settings in the U.S.
When I think about a 10-day Vipassana program and a maximum-security program, in some ways they are vastly different systems or cultures, and yet there is such a potential synchronicity. Once the space for the course was found at Donaldson, it was really a matter of building trust and understanding between the administration and the Vipassana teachers. Now, having films like Doing Time, Doing Vipassana, Changing On the Inside and The Dhamma Brothers, the task is a bit easier.
Thanks for reawakening memories of my doing therapy/meditation groups at Soledad Prison, Ca, from 1970-71. It was a time of great political upheaval, and constant "lockdowns", but for me extremely rewarding, and exhausting.
The men's faces, esp meditating, were so beautiful, so human, I was deeply touched. We had a problem continutng our program because the administration were afraid the prisoners were getting "rewarded", by a special privilege. They ought to have figured out that the meditaition 'cooled groups in emotional turmoil after lockdowns.
I know of several buddhist sanghas, in Ca., visiting prisons, so there is hope.
Thank you for the beautiful film.
Thank you, Dot. When I first decided to make a film which would show men meditating, I was worried that that might not be interesting to see. And yet I feel that the camera on the faces of the Dhamma Brothers, especially the close-ups of their faces, tells so much about their experiences. A glimpse of their stories seem to be written there. Like the film Into Great Silence, the quiet allows the viewer to see deeper things. If I were to make this film again, I would include even more silence.
What a wonderful film!!!
Thank you, Jenny, and to all who participated in the making of it, to the teachers, and to the prisoners who went on the retreat and then shared with us.
I write to a Buddhist prisoner in a maximum security prison in FL, and he's told me what a difference daily meditation has made in his life.
May it spread through the prison system!!!
Peace is possible! Dina
Setting up a 10 day Vipassana retreat is of course so much more complicated than a meditation group, and necessitates such a huge commitment from both the Vipassana organization and the prison system. I wish 10 day courses could be offered widely through our prisons. But brief mindfulness meditation in and of itself is so helpful. I have observed its impact over many years of working in prisons.
I completed a 10 day vispassana course in 2004, it changed my life, in how I experienced the world at a very deep level, watching dhamma brothers has reminded me that I should attend another one before the year is out.
This is a very good movie my thanks to everyone who made it and to the prisoners who shared their life with us. I did a search on the net and found a site where it's possible to read some of their letters. I was impressed at how articulate they were and they are packed with dharma.
There is one thing I have learnt from this is that we are much greater than what we have done....all of those men came across as good people, good human beings caught up in something beyond their control. I read somewhere that there are no bad people just bad acts.
These gentlemen have changed my mind about a lot of things .
I wish them well.
Thanks for the movie
Thank you for posting the link to some of the letters written by the Dhamma Brothers. If you want to read more, Letters From the Dhamma Brothers published by Pariyatti Press is a terrific resource. I still receive some letters, and received one several weeks ago from Johnny Mack Young which is so beautiful that I am sure we will find a way to publish it. The great challenge for Johnny of keeping on the path is so poignant in this letter.
I found the movie inspiring for my own practice for so many reasons. I agree with raymondjcoughlin that the line "We are more than our worst actions." If these men can practice and come through this so changed, all my 'issues' seem so trival and my ego has no reason to continue with its continual charade. I was especially impressed with Grady whose daughter was murdered and how he handled it. Thank you for sharing this perspective, thanks to the prisoners for sharing their story, to the Vipassana practitioners that are participating and to Dr. Cavanaugh for perservering to get this adopted. As a tax payer, as a human, as a part of samsara, I support the work without question. Truly moving.
I don't think you need to consider your issues trivial nor your ego as putting on a charade. We are all in this together and all have our struggles. But it is true that the Dhamma Brothers in many ways have gracefully paved the way for those of us in the distracted and busy world outside prison.
I loved the statement," We are more that our worst actions.
I love that statement by Attorney Bryan Stevenson as well. We originally included Bryan in the film because he was Dhamma Brother Grady Bankhead's lawyer.But the power of his words was so compelling and universally true that we have his voice at several points in the film. One of the things that I decided early in the making of the film was that there would be no experts speaking about prisoners, but rather the men themselves. But Bryan Stevenson clearly made the cut!
"However, those people will never be happy anyway" ?
Jane, please allow these individuals the opportunity to learn and grow as the inmates in the film were shown to have done. After watching this you should be more convinced than ever that it is possible even in light of your skepticism. As for recommending that someone attend such an awakening, I believe it would be more effective simply to offer them the opportunity. I do not deny the potential benefit for those in question.
This film is a great testament to the courageous work of the individuals both who instituted the program as well as those who attended it. I have seen a film about the program in India which apparently inspired this American incarnation. I don't remember when exactly or where I saw it but I'm thinking it was on the Discovery channel. If anyone knows where to find it online, I would be interested in revisiting it as a counter-point to this film.
Having grown up in South Mississippi I understand the Southerner intimately but it still shocks me to hear comments like the equating of Buddhist practices with witchcraft. I'm sure that woman is otherwise a reasonable and sweet lady but the dogma made so apparent by her statement is a facet of the conservative mindset so common in that part of the country. It reminds me how far we have to go as a culture. Her particular point of view sheds light on the general mistrust and fear that exists merely as a result of cultural ignorance.
Let me not get bogged down in such thoughts and let us all continue on the path of bodhichitta until we all are free.
The film you are talking about is Doing Time, Doing Vipassana. It is the story of the warden at Tihar Jail in New Delhi, Kiran Bedi, who hears about Vipassana, and brings it first to the staff at the jail, and later to the prisoners as well. This film did in fact start me thinking about bringing the same program into an American prison. I see the two prisons - Donaldson Correctional Facility and Tihar Jail - as closely linked. Both films give an inspiring sense of what can happen when a program like Vipassana slowly makes itself felt inside a prison. The cultural contrasts between the two are enormous, and yet it fits somehow.
I appreciate your input. However, I still firmly feel that as long as the victims and families are focused on illwishing and negativity, they will not find happiness. It isn't possible to hold on to anger and pain, and find peace and happiness.
There are many people who would not be happy to see prisoners having a chance to find peace inside themselves. However, those people will never be happy anyway, spending so much energy on negative thoughts and feelings for so long. If anyone things that this is an easy thing for the prisoners to go through, they would be wrong - coming to terms with your life, whom you have impacted and hurt, and all the pain you've gone through and dealt to others... You can physically see a change in these men from before and after their 10 day.
Maybe it should be recommended for the families of the victims to take a 10 day course as well.
Anyone who has taken a 10-day Vipassana course knows that it is not relaxing. There is really no way to spend those long hours on the mat without becoming engaged with your self and your life. For prisoners, who have frequently not had the opportunity to look within themselves, and to sit with their memories and emotions, entering the program takes such courage. Their lives are often so filled with noise and chaos and distraction. And there is a fear of what they might find out or uncover. And yet they discover that that is exactly what they need to do to find peace.
That was incredible. Such a powerful story. I thought it also sent a strong message about how our prisons are merely places to throw away our citizens rather than places of rehabilitation. Thank you for making this film available.
Yes, we have taken a wasteful and inhumane direction with our emphasis on warehousing and punishment rather than rehabilitation. I have always found such a level of seriousness and commitment when working with prisoners. There is a feeling that they must figure out how to live better lives, and that this may be their last chance to get ready for a successful return to society. And for those who are not going to be leaving prison, they are searching for a more satisfying way to live their lives inside.


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Season TWO OFFICIAL TNG Blu-Ray Discussion Thread
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December 8 2012, 09:45 PM
Re: Season TWO OFFICIAL TNG Blu-Ray Discussion Thread
Got my set today, watched Q Who already and I'll jump in with some more tonight but that episode is probably the VFX heaviest of the season so I wanted to see it first and I found the results to be a mixed bag if I'm honest.
The live action footage looks exceptionally good in both definition and colour up until the point an FX element is added to a scene then its noticeably blurry. I wanted to reserve final judgement on the exterior shots until I actually saw them in motion, they really are not up to scratch with what we've seen before. The ship looks washed out and overlit, but we already knew this from the shots we've been seeing for months so its something I can live with.
Certain issues however really cannot be explained away i.e. These shots in Q Who I rolled my eyes at, they look POOR especially since they have
already been redone by CBS D
From 'Q Who'
(the warp stars in this shot disappear before they reach the bottom of the frame)
From 'When the Bough Breaks'
That being said there are a few surprises in there too. The interior matte of the cube was brilliantly recreated (if a little blurry). The shot of the Borg adaptive shield was enhanced simply by making it green, a very nice touch.
Would like to see a few more surprises like this as I power through the season!
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text:
At the briefing, Posner seemed more rested than he did earlier this year, but still stressed.
And he made his affection clear at the briefing, calling the boss "a president I love and respect."
At the White House daily briefing, reporters pressed press secretary Jay Carney on that figure.
"fact or situation of giving preliminary instructions," 1910 (but popularized by World War II pre-flight conferences), verbal noun from brief (v.).
late 13c., from Latin brevis (adj.) "short, low, little, shallow," from PIE *mregh-wi-, from root *mregh-u- "short" (cf. Greek brakhys "short," Old Church Slavonic bruzeja "shallow places, shoals," Gothic gamaurgjan "to shorten").
from Latin breve (genitive brevis), noun derivative of adjective brevis (see brief (adj.)) which came to mean "letter, summary," specifically a letter of the pope (less ample and solemn than a bull), and thus came to mean "letter of authority," which yielded the modern, legal sense of "summary of the facts of a case" (1630s).


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528 Views 2 Replies Latest reply: Jan 25, 2014 5:29 PM by chapbox
judysings Nov 17, 2013 8:57 AM
in response to bdonahy
Hi bdonahy,
Welcome to the Support Communities!
Are you able to hear sound in other applications?
If you are having issues with iTunes for Windows, it may be best to completely uninstall iTunes and related components. See this article for information:
Removing and reinstalling iTunes, QuickTime, and other software components for Windows Vista or Windows 7
Additionally, you may want to attempt the troubleshooting steps in these articles:
iTunes for Windows Vista or Windows 7: Troubleshooting unexpected quits, freezes, or launch issues
- Judy
chapbox Jan 25, 2014 5:29 PM
Re: itunes will not play anything in response to bdonahy
i have the same problem --uninstalled and reinstalled.
no success