text:
pharmacological action of the drug "Dopamine" due to his membership of the adrenergic substances, and reduces to an overall increase in tone, stimulate the heart muscle and blood vessels, activation of the processes occurring in the central nervous system.Similarly, the body responds to the natural hormone dopamine, which in normal cells is synthesized in the brain.Using this tool in medicine it is dictated by the need to effectively combat the consequences of states of shock, cardiovascular disease (including arrhythmia), food poisoning, and depression.
Metabolism and kinetics
According to the instructions, "Dopamine", depending on the dosage, can be a causative agent of the beta and alpha adrenergic type, positive impact on systemic hemodynamics and efficiently improve performance muscle blood arteries and kidneys.The active substance is distributed uniformly throughout the body, wherein a portion of the reactants overcomes the blood brain barrier.
therapeutic effect occurs within five minutes after drug administration and lasts a total of about ten minutes.Following metabolism, which occurs in the liver, kidneys and partly in a plasma formed inactive compounds.About 80% of the dose excreted in urine as metabolites in the first day.
When the recommended use of the drug "Dopamine"?
Application instruction specifies a list of cases:
- shock of various origins (in Vol. H. A condition that resulted from the postponed surgery or toxic infection and cardiac disorders);
- heart failure (acute form);
- integrated or conventional food poisoning (medication increases urine output, which favorably affects the rate of elimination of toxins);
Application and dosage "dopamine"
medicine belongs to a group of drugs receiving intravenous drip.The calculation of dose on consideration of the actual situation and the shock with a mandatory amendment on blood pressure.Moreover, it is taken into account the patient's response to the infusion of the whole.
is important to understand that the dose (mg) - is not the only criterion in forecasting.The final effect depends on the speed with which the drug will be introduced "Dopamine".Instructions for use highlights such scenarios:
- gain urination - from 100 to 250 g / min;
- therapy conjugate with surgery - from 300 to 700 g / min;
- cardiac crisis or septic shock dynamic character - from 750 to 1500 g / min.
In case if small quantities of solution administered was detected cardiac arrhythmia, the dose is not increased.Patient preparation dripped children with an intensity of 4 to 6 mg / kg / min.The rate is adjusted individually based on the optimum conditions of the reaction.
maximum dose dopamine for the same patient may be different - a reference serves the goal (excitation muscle kidneys, blood vessels, heart, and so on. D.).But to increase the flow rate of medication to the level of 30 mcg / kg / min or more is not recommended, as it may adversely affect the patient's condition.
about when use of the drug is contraindicated, informs all the same instructions for use."Dopamine," in particular, is not indicated for patients who diagnosed a complicated pathology of the thyroid gland or have chronic diseases that affects the adrenal glands.Of course, the restrictions should be and idiosyncrasy of components of the drug.
Violation of the heart rate of the patient or progressive atherosclerosis - another two quite serious factor that could form the basis of a reasoned position regarding the non-use of a doctor infusion solution.In addition, it is desirable to resort to the statement of droppers with "dopamine", if the following diagnoses:
We can not allow the simultaneous administration of the drug with anesthetic agents, made on the basis of the halogen (or derivatives thereof).On the appointment of the drug to pregnant women attending physician takes a decision.
Side effects: Symptoms and character of the
drug "Dopamine" (instructions for use directly as indicated) is a multifunctional tool for human exposure.Moreover, the distinction between conventional and beneficial influence scenario where infusion provokes the development of side effects, so thin that the fact that the use of funds can be described as the prerogative of experienced and highly qualified specialists.
example, unsuccessful attempts to stimulate the cardiovascular system turn point or complex disasters (there are sudden changes in blood pressure, acute pain of varying intensity in the area of the chest, and so on. N.).Among other allergic reactions - bronchial spasms, nausea, severe headaches, excited state, alternating causeless anxiety, shortness of breath.
Sometimes there are small skin necrosis, nasal and gastric bleeding.With a strong overdose identification of side effects is not difficult.However, the excess of relying optimal rate (mg) in small quantities is able to translate into hidden processes that are difficult to diagnose, which complicates the neutralization of potential adverse effects of intravenously administered "dopamine."
specific reaction mechanism determines additional conditions for the use of the drug "Dopamine".Instructions for use reads:
- before the introduction of the solution to the patient, is in a state of shock, you must make an adjustment of hypovolemia due to injection of blood liquids;
- patients who in recent weeks regularly received monoamine oxidase inhibitors, administered not more than 10% of usual dose;
- infusion should be accompanied by mandatory control of the pace and periodicals urinary heartbeats;should also monitor blood pressure (stable pressure on the blood vessels, with a marked decrease in urine output - a signal to that dose "dopamine" should be reduced);
- patients under 18 are automatically placed at risk, because this age group has not been large-scale studies on the reaction of organs and systems in the components of the drug;
- introduction of a solution into the body as much as possible should be implemented through a large blood line (to minimize the risk of extravasation);if the output of blood from the blood vessels into the tissue still there was a need to take immediate measures to infiltration;
- at the first suspicion of the development of peripheral ischemia, use of the drug is stopped.
Interaction with other medicines
Based on the characteristics of the chemical structure of the drug "Dopamine" (description of the product mentioned above), it is possible to conclude that the pharmaceutical compatibility.In particular, the solution does not react to the alkaline liquid (deactivating components), as well as iron salts and thiamine (vitamin molecule cleaves last B1).The hypotensive effect of infusion damped if parallel to the "dopamine" involved in the therapeutic course of mecamylamine (or derivatives thereof).
Simultaneous use of the drug with levodopa virtually guarantees the emergence of progressive arrhythmia.In turn, such actives as ergometrine and ergotamine, gangrene may result, and in the critical conditions overdose "dopamine" - even cause intracranial hemorrhage.
noted good compatibility with glycosides, used in cardiology, and diuretics.
Popular analogues "dopamine"
trade names of medicines, the active formula which corresponds to the structure of the drug "Dopamine" (analogues are presented in the order displayed the extent of their availability in the domestic market):
- «Dopamine" producing country - Russia.
- «Dopamine-Admeda", Germany.
- «Dopamine-Solvay 200", Germany.
- «Solvay Dopamine-50", Germany.
- «Dopamine hydrochloride", Poland.
- «Dopmin", Finland.
"Dopamine": views and comments
Due to the nature of the drug to obtain the opinion of patients about its effectiveness virtually impossible (patients undergo the procedure of infusion, being in a state of shock, while in the intensive care unit or directly on the operating table).Professional same controversy unfolded on the pages of forums conducted primarily anesthesiologists and staff service "ambulance."
«Dopamine 'reviews which mostly will be incomprehensible to man without proper education - a medical facility with non-conservative mechanism of action: the reaction is controlled by the introduction of the primary dose to achieve the desired result, that is, the entire length of the time interval.And the doctor by adjusting the volume and rate of flow of the solution through a drip can change the vector of its medicinal properties.
natural hormone dopamine antagonists and
unofficial name sounds like the hormone dopamine flight.This is a complex chemical compound is synthesized by cells of the brain and provides normal (usual in understanding human) work all muscle groups and not only.Bliss, ease, ready for any test - so looks psychophysical individual portrait in which the body of the hormone spewed.With a deficit of substance comes "crisis of fun": the behavior seen detachment reluctance acceptance of what is happening around, constrained by movement, mental processes are slowed down.
Sometimes there is a need for artificial blocking the receptors that respond to the hormone flight.The role of the insurmountable barrier perform dopamine antagonists.Medicines of this group excludes the probability of obtaining a "natural satisfaction," that is, in fact, quenched with psycho-physical activity of the patient.Prescription appointment antagonists of this hormone is justified in schizophrenia, drug treatment, chronic migraine, indigestion.


text:
- Most Helpful
- Highest Rating
First of all, this is a phenomenal idea. I made the recipe for 12 muffins and they weren't bad but the recipe needs some work. I am going to try to make them a little sweeter. I am going to use Truvia blend (conversions of regular sugar to Truvia blend is on back on package). I am also going to try adding some regular and whole flour, as the recipe indicates is possible. These muffins deflate once they come out of the oven and I would love for them to retain the usual muffin 'dome' top. I've heard a small amount of vinegar is used in some of the specialty bean brownie recipes to allow them to rise as well, so I'm going to add 1/2 teaspoon to my next batch. All in all, a valiant effort by this recipe and definitely worth continuing to experiment to make them scrumptious. Thank you for the recipe.
Tasted like beans. Strange recipe .I used canneli beans and fresh organic eggs. The warm up on day two tasted more like beans. They looked like muffins. Maybe more seasoning would help.

domain: food


text:
BIENVENU, TANCRÈDE (baptized Louis-Tancrède), bookkeeper, teacher, banker, businessman, and administrator; b. 26 April 1864 in Sainte-Julie, Lower Canada, son of Azari Bienvenu, a day labourer, and Marie-Louise-Odile-Octavie Chagnon, dit Larose; m. 13 May 1885 Clara Martin in the parish of Notre-Dame, Montreal, and they had seven daughters and five sons; d. 5 Feb. 1931 in Westmount, Que., and was buried two days later in Notre-Dame-des-Neiges cemetery in Montreal.
Very little is known about the first years of Tancrède Bienvenu’s life. The third in a family of at least eight children, Tancrède was a second cousin of Sir Louis-Hippolyte La Fontaine*. He enrolled in the industrial college in Varennes at the end of his adolescence. His mother had been a teacher, and it seems that the Bienvenu family attached great importance to education. In 1882, after completing his training, Bienvenu was hired as a bookkeeper by Auguste Couillard, a wholesale hardware merchant in Montreal. After teaching at his alma mater for a few years, including 1888, he went into partnership for a very short time (it is not clear in what capacity) with the hardware firm of Martin, Bienvenu and Company.
At the end of the 1880s Bienvenu started work at the Banque Jacques-Cartier, probably in the assistant manager’s department. The bank was growing rapidly at the time and generated higher profits and dividends than its competitors. Bienvenu quickly worked his way up the ladder. According to Le Prix courant, he became an inspector in 1891, assistant manager in 1893, manager, and then general manager in 1896. From 1897 to 1899 the bank made great progress under his direction. Indeed, its assets grew by more than double the average rate for the industry, and its earnings far surpassed those reported by similar enterprises in the province. In 1899 the panic sparked by the failure of the Banque Ville-Marie [see William Weir*] nevertheless dealt a severe blow to the Banque Jacques-Cartier, whose customers attempted to withdraw their deposits en masse [see Alphonse Desjardins*] and which had to suspend operations for a few weeks. It was at this point that Bienvenu’s role took on a new importance. The president, Guillaume-Narcisse Ducharme*, asked him to reorganize the bank’s affairs, stave off liquidation, and execute Ducharme’s plan, which was to re-establish the reserve funds and increase the capital from $750,000 to $1 million. To regain the confidence of clients, Bienvenu also instituted such measures as a guarantee on deposits of less than $1,000, which appeared to be a popular move. To reassure investors, he called for a change in the company’s name: on 3 July 1900 it became the Banque Provinciale du Canada. Beginning in the mid 1910s, he would also act as its vice-president.
Between 1901 and 1921 the capital of the three biggest French Canadian financial institutions, the Banque Nationale, the Banque Provinciale du Canada, and the Banque d’Hochelaga, grew from $3.45 million to $8 million. These firms opened more than 250 branches in an essentially French-speaking market. The Banque Provinciale du Canada alone saw its capital increase from $862,000 to $3 million. It opened 152 branches, mainly in French-speaking towns in Quebec, but also in Ontario and the Maritimes.
The organization’s success was the result of teamwork between French Canadian bankers and English Canadian managers. The former, who constituted a majority on the board of directors, dealt primarily with day-to-day operations, such as deposits, the location of branches, and commercial loans. The latter (including the businessmen George Bull Burland and Samuel Carsley) looked after the investment of savings deposits in the capital market. Their presence was important for Bienvenu, for it had considerable influence on the management of the firm, but without changing its French Canadian identity.
At the beginning of the 1920s the Banque Provinciale du Canada refused to participate in a plan (which was abandoned) to merge French Canadian banks in order to compete with English Canadian institutions. At the end of 1923, when the Banque Nationale seemed on the verge of bankruptcy [see Georges-Élie Amyot*], the idea resurfaced, this time supported by the Liberal government of Louis-Alexandre Taschereau*. The Banque Provinciale again declined to take part: according to its administrators, French Canadians would derive no benefit from having access to just one French Canadian financial institution. It was rumoured that the Conservative affiliation of certain managers at the Banque Provinciale, along with Bienvenu’s inability to obtain a seat on the Legislative Council because of Taschereau’s objections, may have influenced that decision. The absorption of the Banque Nationale by the Banque d’Hochelaga in 1924 gave birth to what would become known in 1925 as the Banque Canadienne Nationale. Not counting the credit unions, this bank and the Banque Provinciale du Canada were now the only two French Canadian financial institutions in the province of Quebec. Bienvenu attempted to open branches where those of the Banque Nationale had been closed, but the two firms soon agreed to limit their mutual competition.
In 1927 Bienvenu wrote to one of his daughters, Sister Germaine, that he needed to spend two months under observation at the clinic of the neurologist Georges Guillain in Paris. His health problems (including a partly paralyzed hand) would prevent him thereafter from going to work at the bank every day. He gave up his position as general manager to become first vice-president, a post he would occupy for the rest of his life.
Outside the realm of banking, Bienvenu had had an interest in the business of Carlo Onorato (Charles-Honoré) Catelli, who specialized in the manufacture of pasta. In 1908 he was one of the businessmen who succeeded in having the Compagnie C. H. Catelli incorporated as a joint-stock company. Four of Bienvenu’s sons held key positions in the firm in 1918. The family fortune was now assured. This enterprise, “the biggest in Canada” in its field, according to an article published in Le Devoir on 7 March 1925, had 150 employees and distributed its pasta in Canada, England, the West Indies, and elsewhere.
Bienvenu held many honorary and administrative positions. He was honorary treasurer of the committee that raised money to erect a monument to Edward VII in 1911 and to build Notre-Dame Hospital. He was a member of the Honorary Advisory Council for Scientific and Industrial Research in 1916, of the finance committee of the Canadian Red Cross Society, and of the Canadian Patriotic Fund during World War I. Bienvenu was also a director of the Crédit Foncier Franco-Canadien, the Life Insurance Company La Sauvegarde, the Scottish Union and National Insurance Company, the Guardian Assurance Company Limited, and the Lake of the Woods Milling Company Limited.
Unlike some other capitalists of the time, such as Frédéric-Ligori Béïque, Sir Rodolphe Forget*, and Joseph-Marcellin Wilson, who all had close ties to a political party, Bienvenu had usually taken great care not to reveal, at least in public, his own loyalties. On a few occasions, however, his name surfaced in written accounts. On 16 Oct. 1904, for example, the newspaper Le Nationaliste, run by the combative Olivar Asselin, published a headline revealing that La Presse had been purchased by some well-known Conservatives, including Hugh Graham, the wealthy owner of the Montreal Star. In the days that followed, it was learned that during the night of 12 October Trefflé Berthiaume*, owner of La Presse, had in fact sold his daily to the Conservative financier David Russell. In his capacity as a banker, Bienvenu deposited with the Banque Provinciale du Canada the proceeds of the transaction, which was part of a conspiracy to discredit the Liberal Party. A short time later Russell had to sell his purchase to Donald Mann and William Mackenzie*, two railway promoters. Prime Minister Sir Wilfrid Laurier*, after some negotiations with the new owners, succeeded in keeping La Presse in the Liberal fold. In January 1905 Mackenzie and Mann even sent a letter to Laurier in which they affirmed, “It is distinctly understood … that the paper La Presse is not to be a Tory organ, that it is to be independent, and that it is to give Sir Wilfrid Laurier a generous support.” It was not until the fall of 1906 that Bienvenu saw Berthiaume regain possession of La Presse in the course of another transaction that took place in the head office of the Banque Provinciale du Canada.
In 1907 Bienvenu’s name appeared again in association with a similar affair. A dispatch from Le Soleil, the voice of Quebec’s Liberal Party, affirmed on 10 December that “the few newspapers likely to become party organs for Mr Borden [Sir Robert Laird Borden] have been approached on behalf of a syndicate composed of Messieurs Rodolphe Forget, Tancrède Bienvenu and Hugh Graham.” The following day Bienvenu sent a telegram to Laurier: “I strongly protest against this article in yesterday’s ‘Soleil’ [and] ask you to believe [I] know absolutely nothing about this affair [and] besides [I] never concern myself with politics.” Some of Laurier’s close associates suspected Bienvenu of being implicitly loyal to the Conservatives. In his letters to Borden, in 1915, Bienvenu does show a certain sympathy for the Conservative prime minister, calling himself, in a message written on 19 June, “your most sincere and respectfully [sic] friend.”
Tancrède Bienvenu was regarded as a prudent administrator, a hard worker who put in 15-hour days, and a talented manager. The purchase of a family residence in Westmount in the early 1910s and a summer home in Murray Bay (La Malbaie), as well as his frequent journeys to France, Rome, and Atlantic City, N.J., confirmed his status. On 5 Feb. 1931 his health problems finally caught up with him. Two days later the funeral procession that accompanied his remains to Notre-Dame-des-Neiges cemetery included both Conservative and Liberal financiers and politicians.
BANQ-CAM, CE601-S10, 13 oct. 1857; CE601-S42, 26 avril 1864; CE601-S51, 13 mai 1885. FD, Notre-Dame (Montréal), 7 févr. 1931. LAC, Census returns for the 1911 Canadian census, Que., dist. Montreal (182), subdist. St Laurent Ward (11): 22; R233-35-2, Que., dist. Chambly (67), subdist. St Bruno (I): 13; R233-36-4, Que., dist. Montreal (172), subdist. St James Ward (E): 4–5; R233-37-6, Que., dist. Montreal (177), subdist. St Laurent Ward (A): 26; R6113-2-3: 2749–51, 67478; R10811-2-3: 93729, 133098–101, 133950–53, 154488–90. Le Devoir, 23 mai 1925, 3 avril 1926, février 1931. Le Nationaliste (Montréal), octobre 1904–janvier 1905. La Patrie, février 1931. La Presse, octobre 1904, 14 août 1919, 11 déc. 1920, février 1931. Le Prix courant (Montréal), 1891–97. Le Soleil, décembre 1907. BCF, 1930: 360. Directory, Montreal, 1894–1931. J. Hamelin et al., La presse québécoise, vols.2–4. “In memoriam: sœur Germaine Bienvenu (S. S.-Claire-du-Sacré-Cœur), décédée le 27 novembre 1972,” Notices biographiques (45v. parus, Montréal, 1969– ), 3: 297–312. Hélène Pelletier-Baillargeon, Olivar Asselin et son temps (3v., [Montréal], 1996–2010), 1. Ronald Rudin, Banking en français: the French banks of Quebec, 1835–1935 (Toronto, 1985). Rumilly, Hist. de la prov. de Québec, vol.12: 172–78; Hist. de Montréal, vol.3. Joseph Schull, Laurier, trans. H.‑J. Gagnon ([Montréal], 1968), 357–61.

domain: history


text:
- tilskipaðr, adj. anordnet, bestemt; með til-skipaðum hætti Thom. 11520; með fríðrifylgð ok tilskipuðu föruneyti Heilag.I, 70037.
Part of speech: adj
Possible runic inscription in Medieval Futhork:ᛏᛁᛚᛋᚴᛁᛕᛆᚦᚱ
Medieval Runes were used in Norway from 11th to 15th centuries.
Futhork was a continuation of earlier Younger Futhark runes, which were used to write Old Norse.
Also available in related dictionaries:
This headword also appears in dictionaries of other languages related to Old Norwegian.


text:
Writing kids animation by day (TeamTO, Nickelodeon) and genre live-action by night, Hilary Van Hoose is also journalist and 2021 RespectAbility Lab Fellow with an MFA in Film & TV Production from USC.
Remember, everything you learn and do becomes fuel for your writing.
With so many superhero shows and movies out now, what is a superhero, really? Are vampire, spy, space alien, and wizard stories all just sub-genres within the superhero genre?
To a global community of creatives.
All Pipeline Artists members are eligible for monthly giveaways, exclusive invites to virtual events, and early access to featured articles.

domain: artistic


text:
The Prime Minister of Ukraine strives for an extended list of those who are obliged to fill the electronic tax return.
"Now we need to extend the list of all those who have to submit such tax returns. The list has to include, for example, representatives of state companies. Volodymyr Groysman said, speaking to reporters on Monday.
"Everyone should now answer for his tax return, where was the money taken. For example, I wonder if the person all life works for the executive authorities, where he has got hundreds of thousands of dollars, - Volodymyr Groisman said. - Most importantly, that this tax return system ordered each to honestly declare what he has, and it is very important that while checks all this honesty was confirmed".
Commenting on his own electronic tax return, the Prime Minister noted that he declared all the property which he owns on property rights. The majority of the property was acquired prior to 2006, when Volodymyr Groisman became mayor of Vinnytsia. Until that time, he spent 10 years engaged in business, he said.

domain: economics


University POLITEHNICA Bucharest, Romania
Silicon Carbide (SiC) Devices for Automotive Applications
In order to obtain the next generation of large capacity power conversion, SiC devices with higher voltage, higher speed, lower loss and larger temperature capability are desired. The expectation of a greatly expanded area of SiC devices compared to silicon finds more and more justification in experimental results. Simultaneously, the issues of reliability of power systems are becoming increasingly important. This creates a demand for switching and sensors devices with ever-lower losses, with an increase in the operating frequency and temperature. SiC diodes can meet the above mentioned issues .
The paper addresses the state-of-art- in SiC power and sensor diodes. The fundamental edge terminations used to relieve the crowding of the electric field of these devices are presented. An original termination, based on the oxide ramp etching is described and the application of this method to SiC devices is discussed, achieving breakdown voltage of up to 95 % from the ideally value. The best performance of high temperature sensors for automotive applications, based on SiC Schottky barrier devices, obtained in recent years in Romania, is reviewed.


text:
Taken in Pilar. The other side of the river is Argentina.
Pilar is where Paul works as a Peace Corps Volunteer. It is a nice little town, the capital actually of the Ñeembucú department (a political unit similar to a state). There is a museum there dedicated to the War of the Triple Alliance (when Paraguay fought Argentina, Brazil and Uruguay, although the latter was at that time a puppet of Brazil). There are also sculptures, mostly of birds, on the streets. Pilar’s largest employer is the textile factory located on the Paraguay River.
Cerrito is a smaller town about 3 hours from Pilar. It is located along the Paraná River. It features a beach (with cows), a hill, a one building naval base, giant frogs, the world’s most vicious dog and half of the mosquitoes in South America. The bus from Cerrito back to Pilar leaves at 3:00AM, but that didn’t stop the world’s most vicious dog from getting up to bark his head off as we left.
Last year I wrote about my trip to South America (Paraguay and Brazil). This year's destination did not involve any international travel, just a nine hour drive across country with some old friends to the Rock and Roll Hall of Fame in Cleveland, Ohio and then to check out the sights in Chicago, Illinois.
... full info

domain: geography


text:
Of all the programs on which government wastes money the DARE program in Door County is not one of them. The Drug Abuse Resistance Education curriculum is being taught to fifth and sixth graders in five Door County Schools.
The only cost to taxpayers is the salary of DARE Officer Chris Neuville for his time allocated to the program. Neuville teaches the nine-session curriculum in the five schools each year.
DARE has earned the support of area educators who are impressed with the rapport Officer Neuville has built with students over the eight years of DARE in Door County.
With the increasing rise of bullying in schools, the DARE curriculum is being expanded beyond just drugs and alcohol. That alone is reason enough to support DARE.
Door County Board Supervisor Hugh Mulliken has every right to question spending money on DARE. I would say to him, however, there are a lot of other places to be concerned about spending than one with an impressive record of making kids comfortable talking to cops.
The Door County DARE program deserves the support of the community and the county board.
That’s my opinion. I’d like to hear yours.
Email Your Response Or Opinion:

domain: news


Only applicants that currently work through Avera Supply Chain are eligible to apply.
JOB SUMMARY: The Purchasing and Systems Director is the primary point of contact within Supply Chain for developing and implementing strategic vision and tactics associated to the successful final acquisition of supplies, capital, services and other goods. The director oversees the functions necessary for smooth purchasing and systems operations delivered thru the purchasing department, materials management information systems (MMIS) department and capital management department.
The director is responsible for the strategic vision of the supply chain system tools associated to purchasing, item file maintenance, EDI, capital management and benchmarking. The director develops strategic operating plans to ensure the health system has the appropriate resources to support current and future operations within MMIS services or ancillary software capabilities while developing reports to assist in driving contract compliance throughout Avera and entities using our MMIS capabilities and purchasing department. This director's team will develop and implement operational tools and assist in training buyers and end-users to skillfully utilize technology for placing electronic requisitions, and other activity related to facility day-to-day purchasing and receiving functions.
The director is responsible for the purchasing functions for all of the Avera Health System. They effectively manage the resources and processes across the system related to the purchasing functions and acquisition of goods or services. They directly work with the other supply chain and Avera departments to coordinate projects and initiatives related to procuring the right product, at the right price, at the right time and deliver to the right place.
The Purchasing and Systems Director develops and directs objectives, policies, and processes regarding all purchasing functions from contract signature through invoice receipt with an eye on continuous improvement towards efficiency. Reviews vendor quality and maintains price controls and inventory flows to identify and implement efficient purchasing programs.
REQUIRED EDUCATION and/or EXPERIENCE:
REQUIRED CERTIFICATION, LICENSURE, and/or REGISTRATIONS:


Jump to Main Content
Pattern selection in a predator-prey model with Michaelis–Menten type nonlinear predator harvesting
- Chen, Mengxin, Wu, Ranchao, Liu, Biao, Chen, Liping
- Ecological complexity 2018 v.36 pp. 239-249
- equations, harvesting, mathematical models
- In this paper, the effect of diffusion on pattern selection in a predator-prey model with Michaelis–Menten type predator nonlinear harvesting is investigated. From the analysis of stability and bifurcation, the stability of the positive equilibrium and the occurrence conditions for the Hopf bifurcation, as well as the Turing instability, are obtained. Consequently, different patterns will occur in the system. It is necessary and imperative to derive the amplitude equations for understanding pattern selection. To this end, the multiple time scale analysis technique is employed to obtain the amplitude equations at the critical value of the Turing instability. Further, by analyzing the amplitude equations, we could identify different patterns, such as spot-like, stripe-like, hexagon-like and mixed state patterns. Finally, numerical simulations show that the rationality of the theoretical analysis and the obtained results will enrich the dynamical investigation of the predator-prey model.


text:
Dayton Metro Library is hosting a Vestiges of Redlining: Mapping Equity in Dayton exhibit, on display in the Main Library’s Opportunity Space @ Patterson through Saturday, December 17.
Vestiges, created by Dr. Jacqueline Housel, a Sinclair Community College Geography professor, and a group of six students, is a response to how “redlining” affects Dayton and surrounding areas. Redlining is a practice that stems from the 1930s where the government ranked neighborhoods by using color-coded maps to decide who could receive subsidized housing loans and other resources. The Vestiges maps depict powerful data that shows how some communities in the Dayton area still battle having more or less resources and opportunities than others.
Companion programs will also be offered:
Vestiges of Redlining Open House, Main Library, Opportunity Space @ Patterson
Thursday, November 10, 4:30-6 pm
Dr. Housel will discuss the exhibit, answer questions, and provide insight into what the exhibit’s data means for our community.
Vestiges of Redlining Docent Talk
Wednesday, November 16, 2 - 3 pm
Friday, November 18, 11 am - 12 pm
Dr. Housel will provide a guided tour of the exhibit, answer questions, and discuss data information. Registration is required for both Docent Talks.
Look for this exhibit to travel to additional DML locations in 2023.

domain: library


text:
34660 Pacific Coast Hwy
Capistrano Beach, CA 92624
(949) 661-7341 FAX
Listing on Yahoo! Local
Listing on Ask.com's Citysearch
Here's the latest review from Johnny Automatic with his perspective on Olamendi's in Capo Beach:
This is the original Olamendi's in Capistrano Beach. It has been serving up the family's Mexican favorites since 1973. Other members of the family have opened branches of the restaurants over the years but this here is the original. It sits on the thin strip of land along the coast here between cliffside and beach. As popular as it is, parking can be an issue. They have a decent enough parking lot that due to the location is forced to be one-way. So diners leaving the place may be backing out onto PCH.
10 of us visited on a Saturday in January. A number of people waited outside so we thought the wait would be long. Fortunately we had reservations and seating happened pretty quickly. Upon entering it be came apparent that a number of tables were empty. Maybe all those people were waiting for take out.
Olamendi's is famous for a couple of things. One is the way the place is decorated with art and photographs filling the place. The other thing it is famous for is being Richard Nixon's favorite Mexican restaurant. Since they only opened in 1973 this would have to have been late in Nixon's presidency or afterwards. Anyway, among the many pictures are ones of Nixon dining in the restaurant. Right near him is one of former President G.W. Bush. So the tradition continues to this day.
Things started well enough with chips and salsa arriving pretty quickly. The chips were nice and fresh and the salsa was fresh, chunky and had good heat. But after that we seem to have fallen off the staff's radar. It took an unreasonable time to even order drinks. They were delivered eventually, but the waitress vanished before we could order dinner and again waited way too long. Maybe it was break time in the kitchen as from where we sat the cigarette smoke blowing in from the employee's break area was unavoidable.
We ordered a pitcher of Cadillac margaritas which was very reasonably priced compared to the normal margs. But if these truly were Cadillac margs we couldn't tell. They tasted like any other place's normal margarita.
Apparently someone higher up noticed our plight and to their credit they brought us some complimentary guacamole. It showed up just before our meals did. It was a very good guacamole.
The #8 Combo - taco and cheese enchilada. My wife ordered this and liked the taco quite a lot but found the enchilada sauce too tomato-y and a little thin and light. She also gave high marks for the rice and found the beans to be average.
I ordered the carne asada Olemendi's. It was a well prepared Mexican style steak. I'm watching the carbs right now so I passed on the rice and beans. It also comes with grilled onions and peppers and guacamole.
Camarones Enchilados Corona del Mar - shrimp enchiladas with a tequila and chile flavored white sauce.
You can see that the menu is extensive, and in case you forgot about Richard Nixon, all his favorites are pointed out on the menu. In fact almost everything on the menu is a favorite of one of the regulars and is so noted on the menu.
As to the whole experience, obviously it was not the best experience. My fellow diners (except for the cold burrito) didn't find the food exceptionally good or bad, just about what they expected. Was it an off night for the kitchen and staff or is this an old established place that has gotten too complacent? Hard to say. The stuff they did well was worthy of their reputation, long waits and cold food offset the positives. I'll reserve giving them a Speedy rating this time.


There’s more than one way to skin a trail, and the all-new Raptor 250 does it with light weight and cat-like reflexes. Packing big Raptor styling and real Sport ATV performance, this feisty Raptor is in a class by itself.
You are watching: How fast does a yamaha raptor 250 go
1984 - Yamaha’s first 4-wheel ATV, the YFM200, was introduced in the USA. It featured a 196cc 4-stroke engine, a snorkel air intake, shaft drive, electric starter, centrifugal automatic clutch, and racks front and rear. A unique feature of this model was a practical reverse gear.
1984 Yamaha YFM200 SPECSEngine Type: 4-Stroke, SOHC, SingleDisplacement: 196ccBore X Stroke: 67 x 55.7mmCarburetion: Mikuni VM22Starting: Electric/RecoilTransmission: 5-Forward, 1-ReverseDrive: ShaftTire Size:Front: 22" x 8 - 10 x 2 pc. Rear: 22" x 11 - 8 x 2 pc.Wheelbase: 44.3" (1,125mm)Ground Clearance: 4.7" (12mm)
2001 - Yamaha created a new benchmark for sport ATVs when it introduced the 660R Raptor. It utilized the largest engine to ever be placed in a sport ATV with the first 5-valve cylinder head in ATV history. The outstanding engine along with its YZ-spec, 5-speed manual transmission, state-of-the-art chassis and race-honed suspension helped the Raptor win the title of Sport ATV of the Year.
2001 Yamaha 660R Raptor SPECSEngine Type: 4-Stroke, SOHC, 5-Valved, Liquid-cooledDisplacement: 660ccBore X Stroke: 100 x 84mmCarburetion: Two Mikuni BSR 33mmStarting: ElectricTransmission: 5-Speed, Reverse, Manual clutch, 2WDDrive: ChainSuspension Travel:Front: Double Wishbone; 9.1" travelRear: Swingarm with Monoshock; 8.7" travelTire Size:Front: AT21 x 7 - 10 RadialRear: AT20 x 10 - 9 RadialWheelbase: 49" (1,245mm)Ground Clearance: 10.4" (264mm)
2006 - A 686cc Yamaha engine helps make this the most powerful sport ATV ever, with big torque right off idle transitioning into a fat midrange and monstrous top end. As the first fuel injected Sport ATV, the Raptor 700R provides crisp, consistent engine performance in a wide range of conditions, regardless of elevation or temperature. And the model’s first-of-its-kind steel and aluminum hybrid frame - with aluminum subframe and cast swingarm – means the Raptor 700R boasts a class-leading chassis and is the lightest ATV in its class.
2006 Yamaha Raptor 700R SPECSEngine Type: 4-Stroke, SOHC, Liquid-cooledDisplacement: 686ccBore X Stroke: 102mm x 84mmCarburetion: Yamaha Fuel Injection (YFI) , 44mmStarting: ElectricTransmission: 5-Speed Manual ClutchDrive: 2WD; Sealed O-Ring ChainSuspension Travel:Front: Independent Double Wishbone, 9.1”Rear: Cast Aluminum Swing Arm, 10.1”Tire Size:Front: AT21 x 7-10 RadialRear: AT20 x 10-9 RadialWheelbase: 50.4”Ground Clearance: 4.4”
This bike is just what YAMAHA intended it to be. It’s one of the best sport quads for beginners and casual riding. If you’re looking for a four wheeler that can have many accessories, the 250 Raptor is perfect. It runs like a champ. It has gotten through everything except mud up to the tires and very steep hills. The bike is great for sharp turns in the woods. I run all over my friends who have the 660. They just can’t maneuver like I could with this bike. It’s a great bike overall! I highly recommend it for anyone.TIP: Add a pipe and jet kit and the performance level will put a smile on any trail ride you go on.
Great styling, reliable, and good acceleration. The Raptor is one of the best for every job and I recommend it to anyone.
Key Features:Lightest production sport ATV ever—for amazingly nimble handling and a great power-to-weight ratio.Aggressive Raptor style and stance for maximum performance and excellent, all-day sport-riding ergonomics.Class-exclusive ﬁve-speed manual transmission has a gear for almost any terrain.Torquey, durable air-cooled engine puts out plenty of power and starts with the push of a button.Low-proﬁle 19-inch rear tires for outstanding traction and handling.Longest suspension travel and lowest seat in its class for true sport handling.
Engine:Light and powerful 249cc air-cooled SOHC four-stroke single produces a broad, deep powerband.Five-speed gearbox with manual clutch provides the flexibility to tackle pretty much any track or trail.29mm Mikuni carburetor provides light throttle pull and excellent throttle response across the entire rpm range.Electric starting is standard equipment and works in any gear.DC-CDI ignition system delivers consistent spark at all rpm levels—for quick throttle response and a smooth, broad powerband.Ceramic composite cylinder liner for greatly reduced wear and excellent heat dissipation.Oil cooler keeps engine temps down and lubrication up in hot conditions.New-design airbox features no-tools air filter access.New-design three-chamber muffler is light, quiet and boosts low and midrange performance.
Chassis/Suspension:Light, strong, short-wheelbase chassis creates a quick, super-responsive high-performance package.Low, 28.7-inch seat height enhances rider comfort and allows optimal rider movement.Independent double-wishbone front suspension with five-way preload-adjustable shocks gives 7.5 inches of wheel travel.Lightweight aluminum wheels reduce unsprung weight for excellent suspension performance, acceleration, deceleration and handling.Triple hydraulic disc brakes deliver excellent stopping power even in wet conditions.Extra-wide, YFZ450-style footpegs provide excellent grip and rider comfort.Easy-to-use, flip-type handlebar-mounted parking brake can be set with one hand.Rigid and light swingarm rear end is controlled by a shock with adjustable preload and 7.9 inches of wheel travel, for consistent wheel control and rider comfort.New-design Dunlop tires deliver outstanding traction for razor-sharp handling in a variety of terrain.Easy-adjust eccentric chain adjustment feature means hassle-free chain maintenance.Flat, composite skid plates provide maximum underbelly protection.Rugged steel grab bars front and rear help fend off debris and damage.
See more: How Many Times Does 4 Go Into 21 ? What Is 21 Divided By 4
Additional Features:Dual 30-watt multi-reflector Krypton headlights straight off the potent YFZ450 add the perfect menacing appearance. Taillight has an incorporated brake light for added convenience.Waterproof electrical connectors for outstanding durability and reliability.Easy-access grease fittings on all chassis lubrication points simplify maintenance and help extend the life of the Raptor 250.New-design bodywork comes off without the need to disassemble electrical parts, airbox or wiring harness—for easy maintenance.2.4-gallon fuel tank means less filling up and longer, more enjoyable rides.
EngineType:249cc air-/oil-cooled 4-stroke; SOHC, 2 valvesBore x Stroke: 74.0 x 58.0mmCompression Ratio:9.5:1Carburetion:Mikuni 29mm BSRIgnition:DC-CDIStarting System:ElectricTransmission:5-speed; wet multiplate clutchDrive Train: 2WD; sealed O-ring chain, eccentric adjustmentChassisSuspension/Front:Independent double wishbone; 5-way preload-adjustable shocks, 7.5-in travelSuspension/Rear: Swingarm, preload-adjustable, 7.9-in travelBrakes/Front: Dual hydraulic discBrakes/Rear: Hydraulic discTires/Front:AT20 x 7-10Tires/Rear:AT19 x 10-9DimensionsL x W x H:64.0 x 42.1 x 40.9 inSeat Height:28.7 inWheelbase:43.7 inGround Clearance:3.9 inFuel Capacity:2.4 galDry Weight:313 lbOtherMSRP:
$3,899 (Team Yamaha Blue/White) Available from July 2007$3,899 (Gray/Red) Available from July 2007
Lighting:Dual 30W Krypton multi-reflector headlights & 21/5W brakelightWarranty:6 Month (Limited Factory Warranty)


text:
Literal Song Interpretations – Interpreting Pop Songs with RKVC! The Rod Kim & Vince Cirino Self Deprecating RKVC Pop Rock Pop Up Videos.
Literal Song Interpretations – Interpreting Pop Songs with RKVC!
Today we’re trying out some literal song interpretations. Join us in interpreting pop songs RKVC style! In true self-deprecating humor, these literal song interpretations will have you rolling on the floor laughing. These literal song interpretations are mostly horrible advice but real stuff and test the limits of a pop song. Have you ever wondered what the literal meaning of a song would look like if it were the real stuff? It’s literalism at its best! Songs from Kelis’ “Milkshake”, Carly Rae Jepsen’s “Call Me Maybe”, Katy Perry’s “Firework” to Rihanna’s “Only Girl” and “We Found Love”.
We’ve been curious as to what these literal song interpretations would look like. We explore this in RKVC world and you get the literal meanings of some of the most popular songs in the last few years. We hope you are rolling on the floor laughing as much as we are when we try interpreting pop songs and their horrible advice. Take this literalism and real stuff and you’ll test the limits of a pop song with us!
The Self-Deprecating Romantic Pop Rock Duo of Rod Kim & Vince Cirino bridges the gap between songs of heartbreak and love without making you want to jump off that bridge. We hope at least one of our songs can glean a literal meaning half as funny as some of these. We couldn’t make this stuff up…except we kinda did…oh well. Subscribe to our YouTube channel for many more ridiculous videos multiple times a week and share some more ideas for literal song interpretations! We have no shame in our self-deprecating humor! Until next time this is RKVC, know we love you all!The Self-Deprecating Romantic Pop Rock Duo of RKVC bridges the gap between songs of heartbreak and love without making you want to jump off that bridge. Rod Kim & Vince Cirino: Mixing the feel & soul of the singer/songwriter genre with a noncommittal love for modern electronic pop.


text:
CONCORD >> After losing the first three draws of the game, which led to three early goals for Perkiomen Valley Tuesday afternoon at Moe DeFrank Stadium, Garnet Valley’s Madi McKee turned to a tried and true remedy to get back on track in the circle.
The 6-1 junior closed her eyes, took slow, deep breaths and worked on her technique. It’s a little trick she learned from her mother and GV assistant coach, Lara Cini, who was a three-time All-American at Longwood University in Virginia.
“Even if it doesn’t work, I can focus on where I want to get the ball,” McKee said.
The routine, though, did work. McKee went on to win eight draw controls and that helped the top-seeded Jaguars rally from that three-goal deficit to knock off the 12th-seeded Vikings, 10-8, and advance to Thursday’s championship game in the District 1 Class 3A girls tournament.
Kara Nealon led the way with three goals and two assists. Riley Delaney added four goals and Kamryn McNeal contributed four assists to help Garnet Valley reach the district final for the first time since 2014, where the Jags will take on Central League rival Springfield, a 10-9 winner over Unionville in overtime.
Perkiomen faces Unionville in the third-place game. The sites and times of those games have not been determined.
McKee also scored twice, but it was her work in the circle that prevented Garnet Valley (18-2) from becoming Perk Valley’s third straight upset victim in the district tournament.
The Vikings (15-7), who knocked off fifth-seeded Harriton and fourth-seeded C.B. West to reach the semifinals and earn a berth in the PIAA tournament for the first time in program history, used goals from Caitlin Leap, Riley McGettigan and Paige Tyson, to get a 3-0 jump on the Jags 6 minutes, 17 seconds into the game.
Garnet Valley coach Jenny Purvis called timeout after Tyson converted a pass from Kate Hickey to give Perk Valley that 3-0 cushion with 18:43 to play in the first half.
“All of these girls have been in situations where we’ve been down 3-0,” Purvis said. “They know we can come back so it wasn’t a shock to them, but I still had to call a timeout to stop the bleeding and get back into that one-goal-at-a-time mentality.”
The Jaguars slowly chipped away and tied it on first of Kara Nealon’s three goals. Hickey scored a little over a minute later to put the Vikings on top, 4-3, but Nealon and Riley Delaney (two goals) countered to put the Jags back in front, 5-4, at halftime. Delaney scored the first of her two goals with 1:50 left in the opening half to give Garnet Valley its first lead of the game.
“I think Garnet Valley started out a little slow and then turned it on a little bit,” said Perkiomen Valley coach Lisa Clark, a 2005 graduate of Penncrest High School. “We were having trouble stopping their cutters. They’re a high-powered team and once they started going they were tough to stop.”
Senior Kamryn McNeal did a lot of that damage. She had four assists, to go along with two ground balls and one draw control.
“We realized we were in a game,” Kara Nealon said. “We took our time and eventually figured out what we had to do in our attack and on defense.”
And in the circle, which is where McKee came up big, after a rough start.
“When I’m not winning the draws, sometimes it can get in my head,” McKee said. “And so sometimes I just have to step back, breathe and remember, ‘I can do this. I’ve done it before a thousand times. I just have to get back into the rhythm of things … and once we all got into the swing of things it made the game flow a lot better.”
/ 3 hours ago
The EA junior, who is undefeated this season and won the second flight of...
/ 6 hours ago
The senior central midfielder and captain has been the leading scorer for the Gators,...
/ 18 hours ago
Chester – A few minutes after Haverford School’s 2-0 win against Shipley at Talen...
/ 2 days ago
For a seventh straight year, a Cardinal O’Hara girls competition runner finished first in...
Kanon Ciarrocchi and Lucy Hederick booked their tickets to the PIAA Class 3A tournament...
MALVERN — Keith Maguire is going to Clemson for several reasons. The Malvern Prep...

domain: sports


text:
Potassium https://www.rebelmouse.com/keith6freeman07/1865868505.html Pomegranate has potassium in substantial amounts, to cure stomach ailments, liver ailments, ulcers, and also for health statistics healing wounds. Reading the instructions on the label, or following the instructions of your liver, Raw carrot, Cooked turnip greens, Fresh parsley, Red raw bell peppers, Boiled mustard greens, Sweet potato, Butter, Kale, Dry cayenne pepper, Boiled spinach, Steamed broccoli, Pumpkin, Cucumbers, Cheddar cheese, Cantaloupe melon, Eggs, Apricot, Papaya, Mango, Pea, Milk. Consuming these vegetables on a daily basis makes of muscles and for proper functioning of certain enzymes. Certain vitamins, especially vitamin A is known to cereal, barley and oat bran, can help in maintaining the magnesium levels in the body.
Potassium and Phosphorus When you drink a cup of coconut milk, love apples are among the ones who have reduced risks of developing cancer? It is derived from sugarcane, sugar palm and other plant calming of the nerves after stress, that reduces the trembling of the nerves. Upset stomach Burning sensation in the skin Unpleasant taste in cruciferous vegetables display cancer fighting and immune-boosting properties. Another important mineral required as a trace element in human body is selenium, the normal functioning and growth of the human body.
Vitamin K A large-sized pomegranate also has significant amounts while fat soluble ones are absorbed by the body using lipids and/or fats. » Potassium: Potassium helps to regulate the functions of nervous can be a healthy snack and will also help in gaining weight. Fatigue, irritability, insomnia, and poor memory are associated to cure stomach ailments, liver ailments, ulcers, and also for healing wounds. In general, most of the fruits are beneficial for the human body; particularly watermelon, the most common food items in the diet of non-vegetarian people.

domain: biology


text:
The number of people living with HIV continues to increase. In 2005 the global total reached 40.3m, up from 37.5m in 2003. There have been 4.9m new infections this year, including 700,000 children. And 3.1m people, of whom 570,000 were children, died of AIDS-related illnesses. Sub-Saharan Africa continues to be the worst-affected area, accounting for two-thirds of all people living with HIV. But the number infected is also increasing sharply elsewhere, especially eastern Europe and Central Asia, where it jumped from 1.2m in 2003 to 1.6m in 2005.
This article appeared in the Emerging-Market Indicators section of the print edition under the headline "AIDS"

domain: medical


Embedded devices of some 50 manufacturers has been found sharing the same hard-coded X.509 certificates (for HTTPS) and SSH host keys, a fact that can be exploited by a remote, unauthenticated attacker to carry out impersonation, man-in-the-middle, or passive decryption attacks, Carnegie Mellon University's CERT/CC warns.
A study into the security of the Internet of Things has confirmed that the web interfaces for user administration of commercial, off-the-shelf embedded devices - routers, DSL/cable modems, VoIP phones, IP/CCTV cameras - represent a significant attack surface.
The US energy grid is under cyber attack from Islamic State hackers but fortunately, these attacks end up in failure because the hackers are simply not skilled enough to do much damage, Caitlin Durkovich, assistant secretary for infrastructure protection at the Department of Homeland Security, reassured the audience at GridSecCon 2015.
Tracking ankle bracelets that some criminals are forced to wear after being senteced to home detention can be hacked, allowing them to exit the house and go wherever they want without the police being none the wiser.
If the past 12 months saw a dramatic increase in data breach activity, then the year ahead promises to bring an entirely new set of concerns – and a shift in how companies are responding to the cyber threat.
Reading our newsletter every Monday will keep you up-to-date with security news.
Receive a daily digest of the latest security news.


Network Computing is part of the Informa Tech Division of Informa PLC
Motorola Launches Dual-Mode Muni Wireless System
Motorola Monday officially launched its municipal wireless products and that a Florida City has deployed the products, paying for it with seized drug money.
Motorola's MOTOMESH products combine standard 802.11 capabilities and public safety wireless capabilities in the newly-available 4.9 GHz range of spectrum. In a statement, Motorola said that enables municipalities to provide wireless networks both to its citizens and its public safety workers and even to receive homeland security grants for developing the networks.
The company has long discussed the products and a number of cities have been deploying them. However, Monday's announcement marks the widespread availability of the products. Motorola also announced that Riviera Beach, Florida has deployed the system and paid for it largely from sized drug money.
"Riviera Beach's creative approach to funding and deploying a mesh-enabled video and data system demonstrates the forward thinking that is needed to keep our communities safe and secure," Richard Licursi, vice president of Motorola's Mesh Networks Product Group, said in a statement.
The city said that the technology enables access to an expanding number of city agencies as well as development of a wireless network for citizens.
Recommended For You
Network slicing could be the answer to 5G rollout – but it's not easy to implement. Automation provides a way forward.
Wi-Fi 7 products, due out in 2024, will offer significantly more performance for enterprise users and can support more users in denser environments compared to Wi-Fi 6.
6G will leverage many different bands and tools to meet the ever-growing demands and expectations for cellular communications.


text:
End of course for Avengers and Star Wars in 2019. With the game at stake, a final title of world champion champion.
Double good news for all Hollywood accountants. In 2019 there will be no point in buying a crystal ball or consulting Madame Soleil to predict the financial results of the studios. They'll be great, it's a certainty. Because at the end of the year, two of the four sages had $ 2 billion at the world campus with a single film (just behind Avatar and Titanic ), namely Star Wars and the Avengers take their bow. It's a great expectation for fans. With Endgame the Avengers will open the ball on April 24 in a desperate fight against Thanos. Then they should give a new generation of avengers, probably with more mutant accents.

domain: entertainment


text:
Bayhealth Medical Center
Receive alerts when this company posts new jobs.
Lead Scientist, Medical Laboratory Scientist - SEC - Laboratory Services
at Bayhealth Medical Center
Full time 80 (Two week Payperiod)
Days Off Shift as needed
Assists the Laboratory Section Supervisor or Laboratory Manager and Smyrna Emergency Center Manager in the operational and/or technical management of assigned section(s) by ensuring proper day to day operations of the laboratory discipline(s) and serves as a resource person for problem solving. At the SEC the assigned sections are Chemistry and Hematology and (minimal) Micro and (minimal) Blood Bank.
Responds to changes in workload as necessary, and leads adjustments in work assignments in real-time fashion in the absence of the supervisor. The Lead is accountable for ensuring that appropriate and timely specimen handling, delivery, specimen testing, results reporting and customer service are provided in efficient and cost effective manner in accordance with laboratory and hospital policies and procedures. The Lead works independently in cooperation with the Laboratory Section Supervisor or Laboratory Manager and/or Smyrna Emergency Dept Manager (if applicable). In the absence of a supervisor, may be designated to serve as acting supervisor, with all incumbent duties of the supervisor.
Requires a Bachelor of Science degree in Medical Technology, or Clinical Laboratory Degree in Medical Laboratory Science or Associates Degree in Medical Laboratory Technology for incumbents in position prior to 2005. Three years of experience as a Medical Laboratory Scientist or Clinical Laboratory Scientist required. Requires certification in one of the following; MLS (ASCP), MT (ASCP), MT (AMT), or CLS (NCA) or equivalent certification or MLT(ASCP) for Incumbents in position prior to 2005.


text:
Classic Chicken and Rice Soup
- 1/2 pound boneless, skinless chicken breast tenders
- 1 t. canola oil
- 1/4 C. chopped onion
- 1/2 C. chopped carrot
- 1/2 C. chopped celery
- 5-6 C. chicken broth
- 1/2 C. uncooked long-grain white rice
- 1/2 t. dried rosemary
- 1/2 t. freshly ground black pepper
- Grill the chicken breast tenders until they are cooked completely through. Cut chicken into 1/2-inch pieces. Set aside.
- Heat the canola oil in a large heavy-bottomed pot over medium high heat. Add the onion, carrot, and celery and cook 5 minutes until the vegetables become tender.
- Pour the chicken broth over the vegetables in the pot, and add the rice, rosemary, and black pepper.
- Bring the soup to a boil, then reduce the heat and simmer for 20 minutes. Add the chicken and simmer just long enough to warm the chicken.


The ESD-protection diodes in IC1 guarantee startup and act as a full-wave rectifier. MOSFETs internal to the analog switch turn on when the battery voltage exceeds 1V. Their less-than-20-nsec turn-on time enables the circuit to maintain normal operation by quickly swapping the leads of a reversed-polarity battery connection. The circuit resistance depends on the battery voltage. When the circuit operates from four NiCd, NiMH, or alkaline cells, the resistance in each leg of the rectifier is 2.5Ω (5Ω total). Operation with a two-cell battery (2.4V to 3V) yields a total resistance of 10Ω. IC1 is rated for operation to 5.5V with 30-mA continuous current, making the circuit useful for cordless phones, portable audio equipment, hand-held electronics, and other light- to medium-current applications. IC1's miniature 10-pin µMAX package takes less space than four through-hole signal diodes and is almost as small as two SOT-23 dual signal diodes.
Figure 1. This circuit senses battery polarity and then quickly connects the load or swaps the battery leads.
A similar version of this article appeared in the December 21, 2000 issue of EDN.


2% Lanthanum Tungsten Electrodes – Blue Tip
1.0mm x 6″ (1.0mm x 150mm)
ANSI/AWS A5 12-92 – BS EN 150 6848:2015
The addition of 1 – 2% lanthana increases the maximum current carrying capacity by approximately 50% for a given size electrode using alternating current compared to pure tungsten. The higher the percentage of lanthana, the more expensive the electrode. Since lanthana electrodes can operate at slightly different arc voltages than thoriated or ceriated tungsten electrodes these slight changes may require welding parameters and procedures to be adjusted.
The 1.5% content appears to most closely match the conductivity properties of 2% thoriated tungsten. Compared to cerium and thorium the lanthana electrodes had less tip wear at given current levels. Lanthanum electrodes generally have longer life and provide greater resistance to tungsten contamination of the weld.
The lanthana is dispersed evenly throughout the entire length of the electrode and it maintains a sharpened point well, which is an advantage for welding steel and stainless steel on DC or the AC from Advanced Square wave power sources. Thus the lanthana electrodes work well on AC or DC electrode negative with a pointed end or they can be balled for use with AC sine wave power sources.


text: Humor is something that… Humor is something that thrives between man’s aspirations and his limitations. There is more logic in humor than in anything else. Because, you see, humor is truth. Victor Borge Facebook Prev Quote Next Quote Related Posts Shoot for the moon. Fiction is… We never know the worth of…Add Comment Cancel reply Notify me of follow-up comments by email. Notify me of new posts by email.


text:
The “Tropical Soul” collection was created for those who love the endless tropical summers and is inspired by traditions, colors, fauna, and flora from exotic places in Central and South America.
Custom Letter Bead Bracelet Bundle, Custom Beaded Name or Phrase Bracelet Set, Personalized Word Bracelet, Customized Name Bracelet
Custom Gold Bead Bracelet, Custom Beaded Name Letter or Phrase Bracelet, Personalized Word Jewelry, Valentines Day Bracelet
The 90's lanyard 4 in 1- Mask Lanyard/ Eyeglass holder strap/ Bracelet/ Necklace+ Face Mask Covering
Rain of love and kisses
Palma Iraca Earrings
Opal Lariat Necklace , Crescent Moon Dainty Y Necklace , Gold Star Drop Necklace , Layering Celestial Necklace , Wife or Mothers Day Gift
From $29.90 - $34.00
Showing items 1-9 of 9.

domain: design


text:
Money- Art of LifeA enlightening yet compelling song from Mobile, AL artist Money (Jeremy Thrash) giving listeners a helpful perception of secular music and entertainment. The information given is beneficial in this day in age. Take this material and research yours...money2512011-01-28T17:50:23219 views00:04:11
Money - My RedeemerThis is the single from the up and coming album self-entitled, "Lyrical Renaissance." Money, (Jeremy Thrash) is an artist leading individuals to Christ, expanding the culture of the Kingdom of God through music.money2512011-01-28T17:30:19239 views00:01:36
Godtube.com is a video sharing platform offering online Christian videos with faith-based, family friendly content. Popular video sections on GodTube include; Christian bands and singers in Christian music videos, Christian comedians, funny video clips and inspirational videos.


text:
Effecting change is a battle of minds and hearts. The battle of the mind is one of working smarter, not just harder. This is where the tools of Lean and Six Sigma are valuable, bringing science and methodology to reengineering patient flow. An in-depth review of Lean and Six Sigma principles is beyond the scope of this chapter (for a detailed view, see Mayer and Jensen, Hardwiring Flow),1 and managing change is discussed in Chapter 3. However, a few points are worth mentioning here. When creating change, an ED should follow the steps outlined in Table 35-1.
The battle of the heart is more difficult. Humans by nature are not fond of change. There are entire MBA courses and curricula devoted to change management and strategy. One of the most difficult tasks is to get a group of highly skilled individuals (eg, doctors and nurses) to move in the same direction, at the same time.
Many conceptual models exist on change management and implementation. A popular model of change management is called ADKAR, which is a mnemonic for awareness, desire, knowledge, ability, and reinforcement (Figure 35-5).2 It is necessary to address each step sequentially to effectively change culture and attitude.
First, an awareness of a need for change must occur. Many frontline ED staff members are unaware of basic ED operational metrics such as door-to-doctor times, patients who leave without being seen, and length of stay. Many cannot articulate clearly what metric goals they are trying to achieve and why. If the staff is unaware, then how can they be expected to change?
Once awareness occurs, there must be desire or motivation to change. Healthcare providers are often aware of better ways and may even complain about the current inadequate processes, but have no motivation to change. Some providers would rather just continue doing what they are currently doing.
Knowledge, Ability, and Reinforcement
After awareness and desire occur, then one can apply Lean and Six Sigma as tools to provide knowledge (how to make changes), enhance ability (proper information and training), and give reinforcement (monitoring and feedback). However, without awareness on the part of the staff (why change is needed) and desire (motivation to change), any reengineering efforts are doomed to fail.
Creating Vision: Sharing the “Why”
Doctors and nurses are professionals, who will generally do what is in the best interests of their patients, and what is in their own best interests, as well. In the absence of information demonstrating how their actions affect their patients, they will gravitate toward making their own lives easier. The challenge for ED leaders is to
- Create an urgent motivation for change
- Inspire staff to place their patients' needs above their own
- Demonstrate how the change is in the best interests of their patients
- Show staff that they are integral to that change
Consider and compare the effectiveness of the following 2 statements shared with staff.
- “We have to reduce ambulance diversion hours because it's costing the hospital admissions.”
- “We have to improve the system to make it easier for us to take of our patients, some of whom are our own loved ones and neighbors.”
Implementing change may require ED leaders to confront some staff members with performance or attitudinal challenges and then initiate disciplinary processes, including termination if necessary. The Studer Group describes ranking employees into high, middle, and low performers.3 Studer recommends that ED leaders retain high performers; engage and improve middle performers; and manage up or manage out the low performers. This is not a new concept. Jack Welch during his tenure at General Electric had his employees ranked annually. The lowest performers were given their notice. He credited this with making GE one of the best performing companies in the world at that time.
While this concept may seem harsh and not practical for an ED, the problem with low performers is that they drag everyone else down. They are like an anchor. The high performers have difficultly excelling while pulling along this anchor. The middle performers, who tend to follow the pack, may sink to the level of the low performers rather than rise to the top. Low performers can be vocal skeptics and influence their peers. Their negativity will thwart change initiatives in a department. Certainly ED leaders should give low performers an opportunity to change. But if after being given a chance to improve, they demonstrate an inability to join the team and improve, it is time to cut losses.
Rounding with a purpose is another valuable Studer tactic to manage change and improve physician-to-disposition decision time.3 No one knows the barriers, bottlenecks, and delays better than the staff that works in the ED days, nights, and weekends. Rounding with a purpose consists of asking specific questions of each staff member. Simultaneously, the ED leader establishes/enhances personal connections during rounding. This process can yield valuable information, by consistently asking the frontline staff critical questions such as
- What is working (processes)?
- What is not working (processes)?
- What equipment or resources are necessary to help reduce throughput times?
- Who is doing a great job that can be recognized for best practice and great performance in quick throughput times?
- What can I realistically do for you now that will make a difference?
At the end of each rounding session, effective ED leaders keep track of the items that the staff identifies as obstacles to effective throughput. Those items become the list of actionable items to be addressed. Further, when the members of the ED staff see leadership addressing issues that affect their ability to provide safe, efficient, quality care to their patients, those staff members are encouraged to continue to improve.
Creating clinical teams is an effective way to simultaneously change culture and address throughput. While it is common for nurses to have assignments within specific parts of the department, physicians generally do not. This occurs because some ED work teams are organized in a way that the provider has no “ownership” of the patient until he/she signs up for that patient and begins an evaluation. For example, in an ED, in which there are 3 providers working at the same time and many patients waiting to be seen, no one provider may feel any sense of urgency to see the next new patient. The reasons for this mind-set are varied with a net effect of longer patient waits and slower throughput. A physician may feel that he or she
- Has more patients than the other(s)
- Has sicker patients requiring more time
- Has just picked up the last chart
When physicians and nurses are placed on teams with direct responsibility for the patients in a specific location, several positive things happen.
The communication between nurses and physicians improves. The nurses know which physician is caring for which patient, and vice versa.
The size of physician's area of responsibility is reduced—meaning less walking to and from the nurses' station to each patient room.
The physician now has specific responsibility for specific patients in those rooms even before signing up for and evaluating them.
One hospital has taken this one step further and assigns patients to one of 3 teams while the patient is still in the waiting room. In Lean terms, this is a classic work cell redesign (Figure 35-6).
A Lean work cell redesign: (a): typical work cell; (b) work cell redesigned.
Work cell redesign with specific assignments works particularly well in large departments, in which multiple providers are working at the same time. Variations of this redesign process are the implementations of fast tracks, pediatric areas, and provider triage. In effect, these specialized areas of the ED allow a dedicated staff to work in a smaller area to care for a specific type of patient.
Because the physician-to-disposition decision stage begins with the physician evaluation and ends with the physician reevaluation and determination, adequate physician staffing is critical. An arbitrary standard of 2.5 patients per physician hour has been used for over 20 years. Much has changed in that time. Patients are sicker. Patients with conditions that would have led to admission years ago are now more aggressively managed in the ED and then discharged. More patients come to the ED and fewer inpatient beds are available. Psychiatric services are less and less available.
Little has been published regarding current optimal staffing, but an informal, unpublished survey of busy Baltimore community hospitals found ideal provider staffing ratios of between 1.6 and 1.8 patients per hour per provider. Prior to addressing delays with increased staff, the redesign team should make sure that an inefficient system is not wasting physician and staff time on non-value-added activities.
Making Efficient Use of Time and Resources
Physicians are the most expensive human resource in the ED. Improving physician-to-disposition decision time requires liberating them from non-value-added activities so that they can efficiently evaluate patients and safely make the appropriate disposition decisions. Identifying wasted activities is key to this efficiency. Searching for hemoccult cards or developer, applicators, or pillows, for example, are not efficient uses of physicians' time and represents waste in Lean methodology. Thus, it is important to make physicians as efficient as possible.
If a department is disorganized and cluttered, the redesign should start with what is known in Lean jargon as a 5S project (Box 35-1). In simple terms, the redesign team should clean house and organize the department. The team should get rid of equipment and supplies that are not used and ensure that those that are used are easily accessible. Frequently used supplies, such as sutures, that are not proximal to the location where they are used, can result in hundreds of wasted steps for staff and providers. Multiplied by several poorly placed articles of equipment and supplies, this form of waste can lead to miles of walking and hours of wasted time in a single day.
Examples of 5S include the following:
- Central line mobile carts that include everything needed for central line placement and are located near the patient beds where central lines are routinely inserted.
- Rooms are adequately and consistently stocked with the appropriate supplies to minimize the need to go elsewhere for those supplies; the locations of the supplies are clearly labeled. There are adequate and accurate par levels.
- Frequently used forms are kept in a consistently organized visually accessible manner in the physicians' charting area.
Once the department is well organized and well stocked, a thorough workflow analysis with good data on interval or sub-cycle times will identify the biggest bottlenecks.
Diagnostic testing, that is, lab and imaging, commonly affect physician-to-disposition decision time. It is beneficial to obtain baseline data on high-frequency tests and to establish cycle-time standards. For instance, how long should a CXR take from order to result? The assessment team should factor in the number or percentage of patients who will be affected by an intervention. For instance, an abdominal CT with contrast can take hours from order to result, but only a relatively small percentage of patients receive that test. Does saving an hour on each patient who gets an abdominal CT provide more benefit than saving 15 minutes on each patient who gets a chest x-ray or receives laboratory testing?
The answer depends on the number (percentage) of patients getting those tests and the determination of whether the test is rate limiting for disposition. In general, the team should choose a project large enough to make a meaningful impact, but not so large and complex that it becomes unmanageable. Inadequate staffing levels of the diagnostic testing personnel are another related demand capacity problem that frequently has an impact on throughput times. As with ED physician and nursing staffs, it is necessary to align diagnostic testing staffing capacity with patient demand.
The electronic medical record (EMR) is a double-edged sword. While providing many documentation and ordering (CPOE) advantages, EMR use in its current state can be difficult and create inefficiencies. Anecdotally, many EDs have experienced slower patient throughput because of skill deficit, mandatory system requirements, and equipment and system crashes. Several of the enterprise systems do not adequately address ED needs in an efficient manner. Some groups have addressed this inefficiency by employing scribes to enhance physician productivity.
Creating computer/electronic tracking board prompts and alarms can alert practitioners when a patient has been in a department for a certain period of time. These prompts can create cognitive triggers and increase the sense of urgency among providers to make a disposition decision.
Creating a Positive Perception of the ED
The ED may be perceived negatively within the hospital. The reasons include that the ED
- Has multiple unplanned admissions
- Requests inpatient beds at all hours of the day and night
- Demands that its patients get all their tests done stat
- Wants its patients to go upstairs immediately after being admitted
- Costs the hospital money, when it goes on ambulance diversion
- Places pressure on almost all hospital departments
Prior to change, ED leaders must be seen as effective and collaborative. They must listen to and address the issues of other departments in order to have others listen to and address their needs.


text: Shows the 250 and 500 Tenali. These are about the size of the Euro or Dollar banknotes. All made on handmade paper. The 250 is textured while the 500 has grey-black string 'security'. All notes had a mintage of 100. I may have 1 or 2 of the 1972 sets remaining.