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MH370 Tracked by Military Radar? Malaysian PM Now Says Unidentified Aircraft was Detected When Plane Vanished
By Gopi Chandra Kharel | April 25, 2014 9:26 PM EST
Dispelling weeks of speculations that the missing Malaysian Airlines plane MH370 would have used the technique of 'terrain masking' by flying low to remain undetected, Malaysian Prime Minister Najib Razak has now stated that an unidentified aircraft was in fact detected by the military radar on the day the flight mysteriously vanished.
MH370 was possibly tracked by the military radar on the day the Malaysian Airlines plane vanished, Malaysian PM Najib Razak has revealed. (Photo: Reuters)
The comment comes as a sharp U-turn from the Malaysia government, after earlier claiming that its civilian radar had not detected any aircraft, and that MH370 had mysteriously disappeared in the wee hours of 8 March, carrying 239 people onboard, on its way to Beijing from Kuala Lumpur.
"The military radar, the primary radar, has some capability," Razak told CNN in an interview.
"It tracked an aircraft which did a turn back but they were not sure, exactly sure, whether it was MH370... What they were sure of was that the aircraft was not deemed to be hostile."
The surprise announcement, which seems to be completely inconsistent with the earlier claims by the Malaysian government, is only likely to raise more staunch questions on whether Malaysia is hiding something from the public. Family members of the missing jet stormed the Malaysian Embassy in Beijing on Friday, demanding answers.
Various theories had surfaced online, each trying to explain the mysterious and bizarre disappearance of the wide-bodied aircraft, after Malaysia repeatedly and consistently claimed that the MH370 had disappeared, and that the military radar did not pick up any definite radar information. This led to the speculations that the Boeing 777 had been flown deliberately low, after being possibly hijacked, in order to avoid radar interception.
The question that the family members of the missing passengers is now likely to ask is why did it take more than 47 days for the Malaysian government to finally concede that their military radar had actually detected the possible plane.
Adding to Malaysia's troubles is the fact that the government has continued to be besieged by angry families, many of whom refuse to accept the that plane has crashed. Family members and the public alike have remained extremely suspicious of Malaysia, ever since the Prime Minister announced - without any hard evidence - that the plane 'crashed into Indian Ocean', and that all passengers and crew members aboard perished with it.
The Prime Minister also revealed that the government's preliminary report on the disappearance of MH370 would be released next week.
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Part of the Woolgoolga to Ballina Pacific Highway Upgrade
Funded by both the Australian and New South Wales Governments, the Bridge over Clarence River at Harwood is a part of the $4.6 billion Woolgoolga to Ballina Pacific Highway Upgrade.
As part of the Acciona Ferrovial Joint Venture, Acciona Infrastructure has been engaged to design and build this 1.5km bridge featuring 13 piers over the river, 144 concrete girders, and 23 piers on land.
The main goals for this project are to reduce travel time, improve road safety, and increase transport efficiency.
For further information on this project, please visit the Roads and Maritime Services website:
Hawthorne Civil Component
- Formwork and concrete crews assisted in the construction of collumns and headstocks on the marine section of this project
- Works were constructed from two barges positioned on the Clarence River
- We maintained a high level of safety and environmental awareness with zero MTIs or LTIs to date


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To see the FFG Forum thread, click here.
Biggs IRL vs godofcheese <- Click for Log File of the game to replay it in Vassal.
- Gunnery Team
(Total: 118) [Total w/ Most Wanted: 203]
- Intel Officer
- Gunnery Team
- Engine Techs
- Assault Concussion Missles
Looking over my opponents list, I knew my easiest path for victory was to destroy 1 of his ships, and only trade 1 of my CR90s in exchange. With each of his ships pushing 80+ points each, but neither being naturally over 125, I knew dropping one of them would give me the win if I didn't overextend. As I figured earlier, Big Boy needed to live, but everyone else was expendable if they netted me a bigger fish when they dropped. He elected to go as 2nd player, leaving me to chose his objectives, and with the above thoughts in mind, I decided to go with Most Wanted, hoping I could use it to drop one of his ships slightly faster, and counting on the Big Boy's ability to outshoot whatever it couldn't outrun, or Jaina's Light's ability to outrun everything.
|R1 Setup - My ships deployed to fly through the obstacles, while his ships set up to come around the top.
I set up all my obstacles in a cluster in the lower-right of the board, and godofcheese was happy to oblige, placing his there too. I deployed Jaina's Light first, on the very edge of the setup zone and facing down towards the obstacles. If he deployed there, I would be able to hide behind obstacles (and hopefully on the station at some point) obstructed and firing my full dice. If not, I could run full speed through the rocks to engage his fleet. His first deployment was his flagship, angled to turn around the obstacles and completely avoid my CR90, probably hoping that I would then deploy the rest of my ships to go after him there. Instead, I put down the Tantive IV, pointing it on a path through to the other side of the obstacles on the near side.
His next deployment was his other Victory, going with the same "sweep around the obstacles" idea. My response was to deploy my first fighters in range of the Tantive. He then placed his demolisher to go around the obstacles the other way and catch me in between. My response was to place the remainder of my squadrons to the left of the Tantive, with the thought of harassing the slower VSDs, and Big Boy on a course around the obstacles toward the Demolisher's trajectory, to give Jaina's Light more cover as they crossed through.
At this point what I suspected was confirmed - Big Boy was the Most Wanted objective chosen by godofcheese, and his flagship - the one furthest from the battle - was the other objective. My plans remained unchanged - Big Boy needed to survive for me to win.
The first turn had our ships making their initial maneuvers, moving along and into position.
|End of Turn 1 - My Assault Frigate and escorts move down through the obstacles, while his forces turn in to catch them. My squadrons head out unsupported to harass the Victorys.
I had the Tantive moving at speed 3 in the hopes that it could turn inside the VSDs, or force them to turn in through the rocks to take a shot on it. Big Boy slowed down slightly, to put some distance between himself and the Gladiator.
|End of Turn 2 - The VSDs had made hard turns to engage the rebel fleet. The Gladiator had changed his direction, angling to avoid the trap I had been setting for it with the corvettes.
At the start of R2, I again activated my ships in order, from farthest away from the engagement to the closest. Jaina's Light started by rocketing to speed 4, and ending up hiding behind the space station. The Imperial Flagship did a 2 speed turn, using a maneuver dial for extra yaw to come about. Big Boy responded by continuing to move slowly, around the rocks, but angled to bring his side to bear against where the VSDs would be headed. The other Victory slowed to speed 1 and increased his yaw to come around faster, now looking to move through the obstacles. The Tantive ducked behind a rock in preparation from the Demolisher, which finished it's speedy maneuvers just barely unable to take a long range potshot. Finishing up the turn, my unsupported squadrons parked themselves in from of the non-objective Victory, and prepared for a bombing run.
|End of Turn 3 - The Demolisher had managed to engage the Big Boy, and anti-squadron fire from the Victory had minimal effect, while the various rebel squadrons pounded the VSD.
|End of Turn 4 - The non-Objective Victory was finally in range to attack, as the Rebel ships come around. An X-Wing and A-Wing squadron retreat, having taken too much anti-squadron fire.
Turn 4 started with the Tantive IV activating and doing... nothing to the Demolisher as both arcs missed their attacks. The Tantive was forced to spend its dial and bonus token to speed up once more to Speed 4 and turn into the fight. The Demolisher activated next, putting the hurt on the Big Boy who was already in short range, stripping most of his shields and exhausting all defensive tokens.
|The Demolisher came around hard, but did not get another arc shot on the Big Boy.
But couldn't quite make a hard enough turn to put his front arc on the Big Boy. A quick snap shot at Jaina's Light was evaded. Jaina's Light returned fire, not doing anything particularly nasty. The Imperial Flagship trundled forward, shooting at the rebel squadrons, damaging several. The Big Boy fired ineffectively on the Demolisher, but bounced off the Jaina's Light, damaging both ships, but with both ending up just out of arc of the non-objective Victory. That ship then activated, continuing to shoot at the squadrons, but also taking a long range shot at the Tantive.
At this point several squadrons had taking significant damage, and peeled off from their attack runs. The rest continued to hammer the non-objective Victory, and Luke, out of position, took the first shot on the objective ship. The non-objective Victory's shields were almost gone, but it still had almost full hull (it's only damage being Luke's shot).
|End of R5 - The Victory had been destroyed by fire from Jaina's Light and the Big Boy. Squadrons shifted to engage the Objective Ship.
Round 5 started with an activation of Jaina's Light to fire on the weakened VSD - due to fortunate positioning, Jaina's Light had double arc on it, dealing significant damage and stripping the remaining shields.
|Jaina's Light double arc on the VSD's Front Arc
godofcheese then decided to activate his GSD in the hopes of catching a shot on the Big Boy before he moved, confident that his VSD could survive 4 more hull worth of hits before his activation. Unfortunately for him, and very fortunately for me, neither of these assumptions were correct. The Demolisher had no shot on the Big Boy...
|Finishing off the VSD.
And without shields, 4 damage and an accuracy token finished off the VSD, denying it a Brace token for defense. The flagship continued onward, firing at Jaina's Light and squadrons, but not doing much to either. The Tantive lined itself up for a good final shot on the Flagship, ready for Turn 6.
Final Round. I started out by activating the Tantive IV, and lit up the VSD with a Token / Dial squadron activation to get the Y-Wings a shot, then followed up with a double arc shot. Then I realized my mistake - my speed put my CR90 right in his front arc.
He chose to activate the Demolisher next, delaying the inevitable. The demolisher was able to damage the Big Boy, but not enough to destroy him. Jaina's Light did some damage to the Flagship, but not enough to prevent the counter attack that was coming.
|A double arc shot on the Tantive IV
The first roll was a massive 8 damage, which the Tantive managed to reduce to 6 by having a double Red rerolled to a blank. Redirecting the damage to the front, he faced a second shot from the side, with 2 hull remaining. The next shot came in, with 2 crits and 1 hit. An evade of the red crit wound up as a useless accuracy, and the remaining crit was spent to flip up a not-lethal Ruptured Engine, allowing the Tantive to escape with 1 hull.
The final long-range attack by the Big Boy on the Flag Ship was unable to crack its hull, leaving the ship with enough defense tokens and hull to survive the remaining X-Wing attacks, no matter what they rolled.
Overall, with one VSD destroyed, and not losing a single thing of my own, I won my first round 99-0, with the 99 MOV giving me 8 tournament points. Overall, not a terrible start for the tournament. godofcheese was an excellent opponent throughout the match and gave me a hell of a run for my money. It was fun to play someone from so far away (+14 hour difference between us) who I'd otherwise never get a chance to match up against.
Going to be hard to do more than just those - the log file for the 2nd round did not include anyone's ships, and the log file for R3 didn't include my opponents ships, which makes describing deployment and strategy a little bit difficult.
You can read more after action reports from this tournament here.

domain: hobby


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Jerrold E. Hogle is Professor of English and University Distinguished Professor at the University of Arizona. His books on Romantic and Gothic literature range from Shelley's Process (Oxford UP) to The Undergrounds of the Phantom of the Opera (St. Martin's/Palgrave). He co-organized the 2000 Conference of the North American Society for the Study of Romanticism (NASSR) at which selections from and papers about Obi were presented for the second time, with himself as Director/Narrator. He is also the editor of The Cambridge Companion to Gothic Fiction and is working on a book about the Gothic-Romantic relationship in literature.
Hogle, Jerrold E.

domain: literature


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ALL Books for Human Resource Management (HRM) , Organizational Behaviour (OB), Industrial Relations, Trade Unions, Human Resource Development, Training and Development books are located on Floors One and Two.
Ebooks or Electronic Books are accessed by searching the Library Catalogue.
Online Journals are accessed by searching Databases.
Let's help you find and use what you need in the library.
Contact me to discuss an assignment, research project, or Literature Review. Simply email me to arrange a suitable time.

domain: library


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The honor means that in each city the rally visits, Abarth, and its Fiat 500-based 695 Biposto, will be carting around guests and offering up test drives to potential customers. Recently, Maximillion Cooper, the founder of the Gumball 3000, was the first person outside of Fiat to take a spin in the car.
Unfortunately, the Abarth 695 Biposto won’t be at any of the U.S. stops. The roads between Edinburgh and Ibiza—taking in London, Paris and Barcelona—will be the first to put the Abarth 695 Biposto's exhilarating performance to the test. Of course, there will be much more exciting metal to ogle.
Some of the cars taking part in this year’s rally include a Chevrolet Corvette Stingray, Ferrari F12 Berlinetta, Mercedes-Benz G63 AMG 6x6, McLaren P1 and even a Batmobile Tumbler. Meanwhile, some of the celebrities participating this year include David Hasselhoff, Deadmau5 and Xzibit.
Below is the schedule for the 2014 Gumball 3000 rally:
June 4: Arrival in Miami
June 5: from Miami to Atlanta
June 6: from Atlanta to New York
June 7: from New York to Edinburgh
June 8: from Edinburgh to London
June 9: from London to Paris
June 10: from Paris to Barcelona
June 11: from Barcelona to Ibiza


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It’s no secret that the rate of children with autism has been steadily growing over the last two decades. Just a few years ago it was 1 in 110, now it’s 1 in 88 children are on the autism spectrum (with 1 in 54 males having autism).
“Our organization does research that matters to families of children with autism and our mission is to share the results with the world. ARG’s research findings will allow more families to access effective treatment,” says ARG Executive Director Jonathan Tarbox, PhD, BCBA-D.
Jack Riley is now requesting what he wants which is now beginning to prove difficult for his parents, since they are suppose to reinforce each request.
FOX News national network has named CARD Founder and Executive Director Dr. Doreen Granpeesheh a “Real American Hero.”
They recently interviewed her for an all-inclusive story on her life, her journey and her mission in helping children with autism. Please watch the news segment with us.
Then, share the link with your friends, family and colleagues.

domain: news


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Hip-hop artist, ShabZi Madallion, released his new album, Nomvula, which is titled after his mother as his way of paying tribute to the first person who believed in his talent.
On Friday, 3 April 2020, ShabZi Madallion released his new album, Nomvula, which is titled after his mother. The 17-track album maintains the rapper’s signature sound of blending hip-hop beats with reggae sounds. The album features a host of talented musicians, including frequent feature, Mad Lion, who appears on When You Know with Payseen, Play Like That and Let’s Go. BigStar Johnson is also another notable feature, appearing on Bro. Other singles on the album include Wena, We On Fire and Destiny.
The album is available for purchase on Apple Music.
Listen to Nomvula below.
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domain: celebrity


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Mountain lion spotted on Burlingame golf course
BURLINGAME, Calif. -- A mountain lion was seen walking the links on a golf course in unincorporated Burlingame this morning, San Mateo County officials said.
The big cat was spotted at about 4:25 a.m. walking across Crystal Springs Golf Course, which borders the San Francisco State Fish and Game Wildlife Refuge west of Skyline Boulevard, officials said.
Golfers and hikers alike should never approach a mountain lion, especially those that appear to be feeding or accompanied by offspring.
Game officials warn residents to never run from a cougar but to face it, make lots of noise, and try to appear bigger by waving arms.
Always keep a close eye on children and pick them up immediately if an encounter with a mountain lion occurs.
More information on mountain lions can be found at www.keepmewild.org.
animal, mountain lion sighting, burlingame, peninsula news
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Hire Hypnotist in Tottenham
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About: David Regan - International Comedy Hypnotist. With over 20 years of experience providing comedy hypnosis shows in a huge variety of venues for audiences that vary from Royal Marines to families on holiday with their children, you can be sure that David can tailor his hypnotist show to your exact r
Recent review: I first saw Lawrence at a summer festival and wasn’t able to get an appointment as he got fully booked each day, and now I understand why! The reading was incredibly insightful and brilliantly accurate. It’s one thing to ‘know’ yourself but quite another to have someone reflect all of how you are ba
Recent review: Chris was fantastic, his show was exceedingly professional and he dealt well with difficulties. Everyone was very impressed with his walk around tricks and he was exceedingly kind about the fact that his show had to start a little later than planned. I can highly recommend him.
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domain: entertainment


text:
Ideas how to use seashells for making creative home decorations and handmade items.
Other inspirational videos about beach crafts from my channel:
– seashell painting ideas https://youtu.be/7v6PuwfZQWk
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– coastal Christmas decor inspiration https://youtu.be/rogVY2-pHdY
– rope decor ideas https://youtu.be/PKcr8PgN3ng
– DIY driftwood crafts https://youtu.be/4AxWdFmJ53M
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Images collected from search engines and/or free sources.
Selected and edited
by Mary Tardito channel
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domain: artistic


Ralph Macchio & William Zabka in the Next Chapter of KARATE KID
Apple's iPhone X2 Could Get a Price Cut
Elon Musk wins approval for new pay deal with potential $55bn bonus
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Facebook's Zuckerberg to Address Staff Friday at Regular Meeting
Apple acquires magazine subscription app Texture
12 March 2018, 08:07 | Justin Tyler
Sea of Thieves shows how Microsoft can sail past PlayStation’s exclusive game lineup
Texture - formerly known as Next Issue Media - aims to be a virtual newsstand that gives readers access to roughly 200 magazines, including the Atlantic, Bon Appetit, Martha Stewart Living, and Vanity Fair, for $9.99 a month.
A huge fan of basketball who has frequently been seen at Golden State Warriors games, Cue also said that a new sports feature will be coming to the TV app this week for March Madness, and that Apple thinks that it can make the sports experience "so much better" than it now is. However, news that Apple bought Texture may mean that digital magazines are coming back to the forefront.
While Cue said Apple won't be purchasing Netflix (it could if it wanted: Apple is worth over $910bn and Netflix is $25bn in debt), the tech giant recently hired two executives for its grand TV strategy and now has a team of 40 people both based in the U.S. and overseas. Details of how much Apple is buying Texture for remain undisclosed.
We're excited Texture will join Apple, along with an impressive catalog of magazines from numerous world's leading publishers.
In the wake of the debate over whether platforms like Twitter and Facebook are doing an adequate job handling fake news, Apple's banking on curation as a way through the tumult. The company was based in Silicon Valley and largely backed by publishers in NY.
"The Texture team and its current owners, Condé Nast, Hearst, Meredith, Rogers Media, and KKR, could not be more pleased or excited with this development", said Next Issue Media John Loughlin said in a statement. The publishers referred further questions to Apple.
Apple hasn't come forward with what their intentions are with the purchase of Texture, but has since stated that the deal is in order to promote "quality journalism from trusted sources". The decision was frustrating to many news publishers that had directed resources toward finding audiences on the social network.
Trump's administration plan to help arm school staff
When Stahl stated that the students want gun control, DeVos answered that "they want a variety of things, they want solutions". DeVos tried to dodge Stahl's question, saying, "Well, there [are] lots of great options and choices for students here in MI ".
Fashion Designer Hubert de Givenchy Dies at 91
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Six Nations: Jones not feeling the love as Irish grab crown
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Comedian and actor Ken Dodd dead at 90
Anne was in the process of cancelling all of his dates because when Ken goes on stage he's up there for about four hours". He wrote: "One night he said "I'll follow you home and I'll shout jokes through your letterbox".
Richard Sherman struck 'vengeful' deal with 49ers
Oh, and there was the added benefit of playing Seattle twice a year; as Sherman noted, "I'm vengeful in that way". Well, the San Francisco 49ers landed cornerback Richard Sherman , longtime nemesis of the team.
Stormi Webster Is So Cute in Kylie Jenner's New Snap!
She couldn't seem to remember which of her sisters she told she was pregnant first, noting, "I think it was Khloe! ". Since she started working out, Woods said she has become the "happiest [she's] been in a long time ".


Offering a like new Microtech OTF auto for sale. This has lived in my knife drawer in the box for some time as I carry others.
UTX-85 Bronzed Standard OTF auto with drop point blade
$250 shipped and insured where legal.
Bought this gently used a while back and it just sits in my drawer so looking for a new home. Knife is in excellent condition. Has two small marks on aluminum handle which are visible in one of the pics. Otherwise perfect in like new condition. This is a dual action OTF auto with single edge...


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Some cosmetic changes in preparation for larger site changes in the works.
|Sandi in Hawaii||
Use cardboard tubes to keep your icebox cookie dough round
Joined: Dec 12, 2005
Posted to Thread #105 at 6:15 am on Nov 14, 2007
Save the cardboard tubes from paper towels, and slit them up the middle.
Slide the wax-papered-rolled-cookie-dough into the tube, and lightly squeeze the roll. Then put the rolls into the fridge or freezer until it firms up.
Then you can slide the dough roll out, and it'll be nice and round. I have at least 4-5 tubes to use when I make slice and bake cookies.
Eventually the cardboard tube loses its shape, but I usually have a new replacement tube by then.
I love slice and bake cookies - I hope that helps!
p.s. Store the paper tubes inside of each other, so it'll only take the space of one tube.
Other messages in this thread:
- 105. Use cardboard tubes to keep your icebox cookie dough round - Sandi in Hawaii - 6:15am on 11/14/07 (0)

domain: food


text:
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Availability: Generally Availability
Sara Evans Song List
Sara Evans was born in 1971 in Boonville, Missouri. Sara grew up in a musical family; even as a child, she was singing with her family in their band, and by the time she was sixteen, she was performing nightly in a nearby club. In 1991, Evans moved to Nashville to pursue a full-time career in music. For the bulk of the 1990’s, she recorded demos and began to garner the attention of record labels. By 1997, Sara Evans had signed with RCA Nashville and released her debut album, Three Chords and the Truth.
Sara’s debut didn’t bring her any top 40 hits, but the album itself reached into the top 40 on the country charts and brought Evans critical acclaim. Sara’s sophomore effort, No Place That Far, fared much better, with the title track reaching not only into the top 40, but all the way to number one on the country charts. The song “Fool, I’m a Woman” also reached into the top 40. The coming years saw Sara Evans release Born to Fly (2000), Restless (2003), Real Fine Place (2005), and Stronger (2011), giving audiences the top ten hits: “Born to Fly,” “I Could Not Ask for More,” “I Keep Looking,” “Perfect,” “Suds in the Bucker,” “A Real Fine Place to Start,” and “A Little Bit Stronger.” Her release of Born to Fly earned her seven nominations at the 2011 Country Music Association Awards, and the title track earned her a CMA for Video of the Year. Just five years later, Sara won her first Academy of Country Music Award for Top Female Vocalist.
With her band’s current lineup of Brent Wilson, Billy McClaran, Jim Bloodgood, Matt Evans, and Kris Donegan, Sara Evans continues to perform live and write music for future albums. Evans began work on her next studio album in 2012, and the album is scheduled for release very soon.
For more information on booking Sara Evans, please contact Booking Entertainment. One of our top booking agents will be happy to work on your behalf to get you the best possible price to book any big name entertainer for your upcoming public, private or corporate event worldwide.
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text: As many of you know, Coen was diagnosed in January of 2016 with juvenile dermatomyositis. JDM causes her immune system to attack her muscles, making them weak. It also attacks her skin, causing painful blistering and rashes. Due to her incredible team at Lurie Childrens Hospital in Chicago, she has made great strides, and the Cure JM Walk will help raise both funds and awareness for this rare disease which affects only 3 children per million each year in the United States. While there is no cure for JDM, with donations given during this event, we can help fund important research so that one day, Coen and other kids with JDM can live full, carefree lives. Thanks for supporting Coen and our flight against JDM!

domain: medical


The world watched warily on April 27, as cases of swine flu that first emerged in Mexico in recent weeks in near-epidemic proportions started surfacing in other nations. Mexican officials said the flu strain may have sickened 1,614 people since April 13. Officials were awaiting the results of laboratory tests to confirm how many of 149 suspected flu-related deaths were in fact caused by the illness. So far, at least 22 deaths in the nation of 111 million people have been attributed to swine flu.
“Mexico as the ‘pier,’ Arizona as the ‘docks’ ” — meaning that Mexico serves as the initial port of entry while Arizona supplies the warehousing and transportation facilities — is the vision of John Munger, chairman of the newly formed political action committee ImagineArizona.
A conservative movement led by Republican politicians whose only vision for the future includes more war and torture will never regain popular support with the electorate for the Grand Old Party. Despite this fact, it would appear that GOP conservative leaders have learned nothing from the neoconservative disasters of the George W. Bush years.
“End the Fed” rallies were staged across the nation in more than two dozen cities April 25. Attendees protested in front of every one of the dozen Federal Reserve Bank branches and expressed support of Ron Paul’s H.R. 833, which would abolish the Fed, and H.R. 1207, which would provide an independent audit of the quasi-private central bank.
During the second day of four days of scheduled hearings held by the House Energy and Commerce Committee on April 22, Obama administration officials and members of Congress traded opinions about the discussion draft of "The American Clean Energy and Security Act of 2009."*


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Census Bureau data released today show historic gains in health insurance coverage across the nation. In contrast, the proportion of Utahns with health insurance coverage improved more modestly, from 14.0% in 2013 to 12.5% in 2014.
The data released today are the first Census data to show the effects of major coverage expansions under the Affordable Care Act (ACA). In 2013, before full implementation of the ACA, Utah’s 14.0% uninsured rate was similar to the national uninsured rate of 14.5%. In 2014, after major ACA coverage expansions took effect, the uninsured rate in the United States dropped to 11.7% while 12.5% of Utahns remained uninsured. The percent of Americans in poverty without health insurance dropped by 9.3% in states that expanded Medicaid and only by 4.8% among impoverished Americans in states that did not expand Medicaid.
“If Utah had accepted Medicaid expansion dollars, the state wouldn’t have fallen behind,” said Jessie Mandle of Voices for Utah Children. “We’re excited that lawmakers have a proposal to expand health insurance coverage during a special session this fall. We hope the legislature will hurry and finish the job so that thousands of low-income Utahns still can get the healthcare they need to stay productive in the workforce and take care of their kids.”
Although Utah hasn’t accepted Medicaid expansion dollars, other provisions of the Affordable Care Act are helping to reduce the number of Utahns without health insurance, which is why Utah did have a small increase in people with healthcare. Some Utahns receive federal subsidies through the ACA to help them pay health insurance premiums. However, a family of four who makes less than $32,500/year is too poor to qualify. Medicaid expansion dollars are intended to help such low-income Utahns, but the Utah legislature must first accept the funds.


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TV Series | TV-MA | | Crime, Drama, Thriller
A high school chemistry teacher diagnosed with inoperable lung cancer turns to manufacturing and selling methamphetamine in order to secure his family's future.
Bryan Cranston has a Breaking Bad tattoo on his ring finger.
Never give up control.
In Walter White's back yard, the outline of a fire place is next to the sliding back door. Inside the reverse wall is the dining room/kitchen. The fireplace should be on the side of the house.
Opening credits use chemical symbols from the periodic table of elements as part of names : bromine (Br), and barium (Ba) for the title, none for creator Vince Gilligan, one for cast and crew members.
4 hours ago
The Cultural Post
Video: The Commuter – ‘Newspaper’ Clip
5 hours ago
‘Breaking Bad’ Was the Last Great Antihero TV Show
Dive deep into everything Awards Central, superheroes, IMDb Picks, and more.

domain: chemistry


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Eisenhower's Fine Group of Fellows examines the contributions and management of civilians during the Eisenhower administration. Valerie Adams provides a concise history of the roles played by civilian advisers in developing a national security strategy. By examining the successful utilization of civilians in the Eisenhower administration, Adams draws lessons for the future from our recent past. The cooperation of Eisenhower's administration was exemplary in many aspects, including: the management of ad hoc civilian committees, the utilization of science and techlogy, and the personal leadership of Eisenhower himself. Eisenhower's Fine Group of Fellows draws a blueprint from the past for the future and is of great interest to historians of the period and forward thinkers.
Valerie L. Adams is assistant professor of history at Embry-Riddle Aeronautical University.


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Old Street roundabout
Traffic - major changes
- The right turn from Old Street west into City Road south has been permanently banned along with the right turn from Mallow Street into Old Street
- Delays are expected in all directions on the approach to the junction. Please allow more time for your journey
Here is how transport is affected:
- Buses will run on their normal line of route, but may experience some delays through the Old Street junction
- Allow more time for your journey if you usually travel through Old Street
For the latest information on how buses are running, see our bus status updates.
New road layout
If you are driving through the area, be careful while pedestrians, cyclists and other traffic get used to the new road layout
Local businesses receiving delivery and servicing trips
Delays are expected during construction works at the Old Street roundabout.
- Consider taking action to minimise the impact of any delivery or servicing trips made to your premises by:
- Talking to your supplier about whether they can re-time their trips to outside of peak hours
- Reducing trips by streamlining your suppliers and the number of visits they make to your premises
For the latest information on how London roads are operating, see our traffic status updates map.
There are segregated cycle lanes and dedicated cycle signals at the Old Street junction. We also have signed cycle routes in place to help guide you through the area. Take care as you get used to the new road layout and be aware of people walking and other traffic.
There are a number of Santander cycle docking stations in the area. Check availability using the online docking station map. You can download the Santander Cycles app from the App Store or Google Play.
Construction works are taking place at the Cowper Street entrance.
- The pedestrian subway on Cowper Street (subway 2) is closed
- There are signs to guide you through the area
Safer travel guidance
See our advice on safer travel and changes to travel.
If possible, travel at quieter times.
Check before you travel and plan ahead using our travel tools. See:
- Status updates for roads
- TfL Go app for interactive maps and live arrival times
- Journey Planner to help you plan your route
- Nearby, which uses your current location or a postcode or address of your choice and places you on a map, showing you Tube, bus, river, London Overground, DLR, TfL Rail and Santander Cycles locations around you
- The TfL Travelbot on Facebook Messenger
- Our email updates

domain: travel


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Experience world-class dance at the Des Moines Civic Center with Season Tickets to the 2016-2017 Dance Series! The Dance Series includes companies performing brilliant modern and contemporary dance, ballet and more. Lock in your seats today with Season Tickets and access exclusive benefits immediately including easy payment plans!
3-SHOW SEASON TICKET PACKAGE STARTS AT $50! Split your Season Ticket purchase into four easy payments and get your 3-Show Package for as low as $13 per month.*
Some of the best seats in the house are reserved for our Season Ticket Holders. Better yet, you get those same great seats for every Series show. Become a Dance Society member for access to the Premium section (see below).
You're guaranteed the absolute best price! Season Ticket Holders SAVE 20% compared to non-Season Ticket Holders.
EASY PAYMENT PLANS
Split your Season Ticket Package into as many as six easy payments! Select the Payment Plan option on your order form, online or when you call (515) 246-2322.
We personally serve our Season Ticket Holders on our Season Ticket Holders Hotline at (515) 246-2322.
Please consider adding a donation to support The Dance Series when you order your Season Tickets! Your gift is needed to help Des Moines Performing Arts provide world-class dance programming and education opportunities.
Donors giving $500 or more to The Dance Society receive the opportunity to purchase Season Tickets in the exclusive PREMIUM section. Call (515) 246-2353 for more information.
All performances in The Dance Series also include an exciting opportunity to deepen the dance experience with DANCEtalk for all ticket holders. Come one hour early and stay one hour late for a free Q&A with the companies' artistic staff and dance artists.
*Monthly payment based on Price Level C Season Tickets using six payment plan option. First payment will be completed when order is received. Actual monthly payment may vary. Additional fees may apply.
We are currently implementing an upgrade to our ticketing system. Ticketing is unavailable at this time. We expect to be back at 9:00am. Thank you for your patience.


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The AMIA Public Health Informatics 2011 Conference brought together members of the public health and health informatics communities to revisit the national agenda developed at the AMIA Spring Congress in 2001, assess the progress that has been made in the past decade, and develop recommendations to further guide the field. Participants met in five discussion tracks: technical framework; research and evaluation; ethics; education, professional training, and workforce development; and sustainability. Participants identified 62 recommendations, which clustered into three key themes related to the need to (1) enhance communication and information sharing within the public health informatics community, (2) improve the consistency of public health informatics through common public health terminologies, rigorous evaluation methodologies, and competency-based training, and (3) promote effective coordination and leadership that will champion and drive the field forward. The agenda and recommendations from the meeting will be disseminated and discussed throughout the public health and informatics communities. Both communities stand to gain much by working together to use these recommendations to further advance the application of information technology to improve health.
In 2001, members of the public health and informatics communities gathered to develop a first-ever national agenda for public health informatics (PHI). Examination of needs within six tracks (1, funding and governance; 2, architecture and infrastructure; 3, standards and vocabulary; 4, research, evaluation, and best practices; 5, privacy, confidentiality, and security; 6, training and workforce) led to the development of 74 recommendations.1 2 Two key themes emerged from those discussions: that all stakeholders need to be engaged in coordinated activities related to public health information architecture, standards, confidentiality, best practices, and research; and that informatics training is needed throughout the public health workforce.
On the 10-year anniversary of this landmark meeting which helped define the PHI field, the public health and health informatics communities again gathered to develop an updated national agenda for PHI, recognizing that, while much has been accomplished since the 2001 meeting, much remains to be done. Participants self-selected into one of five tracks: (1) technical framework; (2) research and evaluation; (3) ethics; (4) education, professional training and workforce development; and (5) sustainability. Using a facilitated process, participants within each track reviewed progress that has been made on the specific recommendations from 2001 and determined what new recommendations were needed. Recommendations were collated across tracks to create an updated agenda, presented in box 1.
At the 2001 AMIA Spring Congress, two tracks—standards and vocabulary, and architecture and infrastructure—tackled the challenge of identifying gaps and recommendations for these foundational aspects of PHI.1 2 Since then, access to computers in public health as well as a systems view of public health have become commonplace, driving demand for more sophisticated informatics tools. For AMIA PHI 2011, these tracks were intentionally merged. The scope of the technical framework track spanned the entire ‘informatics stack’: from data and vocabulary standards, conceptual models and technical architectures to back-end hardware and networking infrastructures; from domain-specific, middleware applications to population reporting, knowledge management, and decision support applications that feature effective user-centered design.
Technical framework track participants came from varied backgrounds and levels of technical expertise. They agreed that substantial advances have occurred in information technology (IT) and significant investments in public health information systems have been made at all levels. Looking forward, there was concern that the pace of informatics innovation has begun to tax and, facing chronic resource constraints, outstrip the ability of public health organizations to change and benefit from these developments. Legislation and regulation—such as the electronic health record ‘Meaningful Use’ Stage 1 objective requiring data transmission to public health organizations—will further stress the public health system even as it sets in motion future improvements. The technical framework track recommendations reflected four broad themes, focusing on strategic principles rather than tactical actions.
The public health value chain—operations, linked to practice, linked to assessment, linked to improvement of programs and technology—applies to PHI. Track participants concurred that public health data and information systems that support the public health value chain will place a high priority on technical and semantic system interoperability. Technical architectures that do not support this value chain will have limited effectiveness and finite lifespans. Today, different technical approaches are being used across public health to solve similar problems, favoring short-term solutions to local needs over long-term support for public health architectures. This technical diversity is not always cost effective, nor is it always necessary. More evaluation is needed to determine the informatics interventions that yield highest value for public health.
The public health value chain is composed of business processes and use cases that describe the flow of data and information. Business processes describe how data, information, and knowledge are used by creating a framework that relates work activities to domains of public health function. Use cases describe how end users interact with PHI systems, data, and information. There is a need to better articulate and describe the common, complex processes and use cases that extend across public health practice, as their absence makes automation challenging and often inefficient. There are domestic and international efforts that are working toward this goal. The Public Health Data Standards Consortium, Public Health Informatics Institute, and the Council of State and Territorial Epidemiologists have been working in parallel and in collaboration with Federal efforts such as the Healthcare Information Technology Standards Panel and the US Federal Health Architecture.3 Internationally, the International Society for Disease Surveillance, the WHO,4 and the International Standards Organization,5 among others,6 have made important contributions.
The full breadth and diversity of public health has yet to be fully described through a single overarching information domain model. However, future improvement in PHI requires the public health and informatics communities to continue to work together to better articulate core business processes and use cases that would act as an implementation guide for PHI systems development, with sufficient flexibility to allow for organizational needs and variability.
Robust data and information sharing is necessary to ensure that all levels and participants can adequately access needed tools, data, and information supported by effective user-centered design. Successful PHI activities need to be able to leverage existing data collection and information dissemination activities that occur within the personal healthcare delivery system in order to reduce duplication of effort and to enhance data acquisition integrity. Participants proposed an annual inventory/catalog of all public health-relevant data available through existing publicly available databases and in-production health information exchanges.
Expanding the development and dissemination of public health data standards and vocabulary tools (business processes and use cases; software applications, data models, design concepts, software development lifecycle tools, and implementation guides, using an open-source community model) is critical to improving access. Dissemination and training must be improved; many participants were unaware of freely available National Library of Medicine terminologies and vocabulary tools, such as the Newborn Screening Coding and Terminology Guide, and the Centers for Disease Control and Prevention's Public Health Information Network Vocabulary Access and Distribution System.
For a public health IT intervention to be successful, its technical framework should support semantic interoperability and data reuse. Interoperability requires implementation and consistent use of standards for data and coding to improve the quality and value of data available for all core public health goals and essential services. Participants noted that public health professional associations, cross-organizational groups such as the Joint Public Health Informatics Taskforce, and local, state, and federal agencies must significantly expand their engagement in standards creation activity. Strong information security standards, policies, and enforcement that specifically allow innovations such as health information exchanges will also be critical in maintaining the public's trust.
Future public health information systems should learn from past implementation experiences, which are openly discussed and published so that lessons learned may be effectively promulgated across public health. Future systems will also adopt innovative technologies, such as cloud storage, grid computing, social networking, and mHealth. Formal certification of systems may be necessary to maximize semantic interoperability with non-public health source systems, such as electronic health records. However, it will be important that innovation is not stifled through narrowly scoped certification processes.
The goal of the research and evaluation track was to develop recommendations to foster leading-edge PHI research and evaluation in both academic and practice settings. Track participants considered research and evaluation for improving information access, communications, workforce development, standards and interoperability, and best practices. Each of the four breakout sessions was dedicated to a specific topic: (1) an overview of the past 10 years; (2) methods; (3) training and collaboration; (4) future directions. Overlapping themes occurred across sessions, so a faceted domain approach was employed to analyze and report the discussion content. Four domains of PHI research and evaluation were identified: practice, training, funding, and policy. Each domain was categorized using three facets: key considerations; opportunities and challenges; and recommendations.
A key consideration included identifying PHI study questions that relate to public health practice. Recognition that public health data are not limited to human illness, but include animal, insect, and environmental data was noted. These pose special challenges for PHI research and evaluation because of their unfamiliarity and difficult access. Public health practitioners and researchers demand increasing access to accurate, complete real-time data, as well as data from sources such as the police and schools. Technology has broadened user populations and expanded geographical and professional boundaries, presenting challenges for quality and knowledge discovery. Finally, researchers and evaluators need to understand the information focus of public health vis-à-vis PHI, wherein the former addresses health-related behaviors while the latter addresses information-related behavior.
There is a continued need for standardized evaluation tools, metrics, and theoretical frameworks germane to PHI. Priorities have changed from a post-9/11 preparedness focus to a focus on electronic health records, health information exchanges, and meaningful use. A shifting paradigm exists in terms of data and data streams, offering new opportunities for developing methods for sharing and managing data. The ability to rapidly and seamlessly share data necessitates development of security and privacy policies that both ensure the public's trust and avoid impediments to PHI research.
Several of the specific practice domain recommendations demand emphasis. First, we recommend that a formal task force be convened to develop a framework for PHI research and evaluation. This task force should involve members of the informatics and public health practice community to ensure that the needs and capacities of both are addressed. Second, an environmental scan is needed to identify and catalog useful data sources. Finally, PHI shares much of its scientific methodology with the social sciences, and will benefit from increased understanding and use of social science theoretical models and frameworks.
The increased availability of public health-related datasets carries an obligation to provide training in new methods for data acquisition and analysis, integration of large, complex data into decision making, and a focus on solutions rather than technologies. There are notable opportunities for PHI research and evaluation training through the HITECH Act and emerging Beacon Communities. These training opportunities, including on-the-job and certificate programs, require maintenance and oversight. Finally, with the increasing specialization of the public health workforce, training programs should address integration of PHI into all aspects of public health.
While research opportunities continue to increase, available funds are decreasing. Multiple funding sources are often needed for a single project, yet funding opportunities are increasingly episodic. Another challenge is the mismatch between the typical 2–5-year grant cycle and the need for long-term population-based follow-up. The PHI community should actively participate in the shaping of state and national funding priorities. Funders and legislators must be made aware of the key role that PHI research and evaluation plays in maintaining and improving the public's health. A specific recommendation is that all PHI-related projects include 10% of the overall budget for research and evaluation, with continued funding tied to specific evaluation criteria.
Although open, publicly available data are deidentified, they still represent a theoretical risk of disclosure. The public health community and the public are increasingly aware that health data represent a valuable resource for monitoring and maintaining the public's health. However, strong data privacy, security, stewardship, and access policies, as well as modern data use agreements, are central to ensuring public trust. Track participants felt strongly that policymakers were largely unaware of PHI, especially with regard to research and evaluation, and that improving awareness by articulating the value of PHI research and evaluation to legislators, funders, colleagues, and the public is critical to the PHI mission. Data use agreements regarding appropriate access, record linkage, and transfer to third parties should be updated continuously to reflect current laws and policies, making it essential that PHI data are described with rigorous metadata.
The presence of an ethics track constitutes important recognition of both the importance of ethics in PHI and a decade of only modest success in incorporating attention to ethics into PHI.
The ethics track was an opportunity for the community to identify issues, explore agenda-setting opportunities, and learn from initial attempts to explore ethical issues raised by PHI.7 The track was a forum to assess progress since 2001, including advice to: (1) create a national forum on privacy with special regard to electronic data collection and use in epidemiology and public health; (2) consider creation of public health ethics committees analogous to hospital clinical ethics committees; and (3) consider establishing a formal ethical, legal, and social issues program for PHI.1 2
The first recommendation was focused, but not apparently pursued, as it was not entirely clear to whom these recommendations were directed. Given this, framers of the PHI ethics track sought to identify an ensemble of issues (grouped into four headings) to guide discussions, increase the precision of any resulting recommendations, and guide future research.
This broad area assesses the scope and applicability of informed or valid consent when IT is used in public health and epidemiology. It subsumes the following topics or questions: the distinction between research and surveillance as applied to IT; the role of information and communication technology; the role of and need for valid consent for data acquisition; the tensions that arise at the intersection of valid consent and privacy; the disclosure of risks of data collection and analysis; challenges for marginalized and traditionally under-represented populations; the concept of ‘group (or community) consent’; and special challenges related to the use of public health information in emergency situations.
Although the literature on ethical issues related to the use of decision support systems is well established, questions of appropriate uses for population health remain under-addressed. Agenda-guiding questions included the following. Are clinical decision support systems a good analogy or precedent for public health systems? What lessons can be applied in PHI? What are optimal strategies for managing uncertainty and probabilistic data? How should risk be communicated? Who are the stakeholders at the complicated interface of software engineering, public health, and ethics?
The accomplishments of population health science were once beyond controversy. An agenda has recently emerged that seeks to roll back, or impede, decades of public health success, often using the language of privacy and ethics to misdirect or confuse the true issues. Some argue that individual consent is necessary for submission of data to public health registries, biologic specimen repositories, and population databases used for public health surveillance and analysis, even if anonymized. There is some evidence, however, that ordinary people not only support the use of their information for this purpose, they also presume it is already occurring for their benefit and that of their communities.8 Digital information collection and storage does raise legitimate ethical issues and it could be argued that these issues are part of the scope of PHI.
International health disparities might constitute one of the most important ethical issues and challenges faced by policymakers. Whether improved PHI tools will reduce disparities remains an empirical question, but some data suggest that more and better data will improve health in the resource-poor regions. Are there duties to use and make available health IT and information and communication technology tools in developing countries? What social and cultural differences arise, and how ought they be addressed? Are ethical, legal, and social issues different in the developing world?
A set of focused recommendations emerged from the ethics track. It remains for government and regulatory bodies to embrace them, by supporting a non-partisan research program and infrastructure, and for academic institutions to incorporate (a) PHI into existing ethics and informatics curricula and (b) ethics and PHI into existing public health courses.
With the continuous rapid rise of electronic storage, access, and exchange of public health information, there is an urgent need for trained professionals who can effectively manage these data and information systems. Since 2001, numerous programs offering degrees and certificates in PHI have been established, and PHI competencies have been developed and vetted.9 10 Even with these major accomplishments, there remains a need to build public health workforce capacity in informatics.
Ensuring that PHI competencies remain current is vital. Participants recommended examining activities, such as electronic guideline dissemination, electronic laboratory result reporting, preventable disease efforts, support of accountable care organizations, maintenance of immunization registries and emergency preparedness and response, to determine possible needed competencies. Although covered in the 2009 PHI competencies,9 the participants discussed the need to emphasize competence in systems thinking, evaluation, and transdisciplinary approaches to problem solving, communication, leadership, advocacy, and technology.
Participants recommended that existing competency work9 10 should be foundational to 5-year review of roles and responsibilities of practicing public health informaticians, at entry, supervisory, and senior levels. Additionally, these competencies need to be integrated into public health. A collaborative effort between the AMIA Public Health Informatics Working Group, Association of Schools of Public Health, American Public Health Association, and other stakeholders to incorporate PHI as a discipline within public health would promote this integration.
PHI must be recognized as a profession, and the education and training programs to cultivate professionalization must be supported. Post-secondary certification programs through doctoral programs with curricula based on recognized PHI competencies are necessary to establishing consistency in their graduates. This standardized curriculum is critical to allow better understanding of the potential employees' PHI capabilities. Practice-based approaches for training, such as best practices, use case scenarios, and applied case studies, must be developed and widely disseminated. The participants recommended that funding should be made available to support fellowship and graduate programs.
Globally, outreach activities should be undertaken to support PHI training in middle- and low-resource countries. In-country partners should be identified to build a sustainable training network. Sharing of materials and curricula should be encouraged. Global informatics activities by groups such as the WHO, AMIA Global Health Informatics Partners, and Health Unbound should be leveraged.
All levels of the public health workforce must be trained in PHI principles, concepts, and methods. This training should be tailored to the public health professional's level of responsibility and role. Incentives should be offered to support informatics continuing education programs, such as inexpensive and readily available courses. Participants discussed the development of continuing education through a Webinar format, with a series of interactive, applied training use cases and a forum for sharing knowledge. Utilizing ongoing PHI activities of the Association of State and Territorial Health Officials and the National Association of County and City Health Officials to promote knowledge exchanges must also be supported. Failure to educate the professional public health workforce in PHI will multiply poor judgments about systems investments, creating inadequate and untimely data for decision making.
The lack of job descriptions and an ambiguous definition of PHI have hindered the development of a defined career progression. Specified informatics competencies appropriate for different career levels, designated job classifications, and identified and recognized subspecialties in the domain are essential to career development.
There was strong consensus that the future for the PHI workforce must include professional credentialing. Motivating individuals to become credentialed and maintain the credential and for employers to demand credentials in prospective employees is challenging. Developing evidence that PHI credentialed employees affect the improvement of public health programs and health outcomes will strengthen the demand. Federal granting agencies (CDC, HRSA, NIH, AHRQ, etc) and other funding sources must include in their grant guidance requirements that staff overseeing new information system projects be certified in PHI. To facilitate professionalization, participants recommended, in the short term, development of advocacy campaigns and a basic informatics primer to inform senior leaders in public health of the value of informatics. In the mid-term, standardized PHI job descriptions should be developed and disseminated, and, in the long term, an independent taskforce should be created to explore the merit and development of professional certification.
Public health activity achieves a state of sustainability when prioritized and supported over the long term based on delivery of measurable, quantifiable, beneficial, clinical, economic, or social outcomes. The sustainability of PHI is tied largely to its value as a strategic contributor to this process. The 2011 sustainability recommendations reflect lessons learned and the need for action on the 2001 recommendations.
The foundational papers by Yasnoff et al in 2001 articulated 11 recommendations, which included funding and governance.1 2 The recommendations from 2001 map to sustainability and fall into several general areas: leadership; planning, inclusion, and governance within the broader context of the healthcare continuum; establishing the business case for investment, focusing on clinical priorities and information, not technology; identifying sustainable funding sources across the healthcare continuum; and evaluation.
In 2007, an editorial by Kukafka and Yasnoff assessed the progress toward achieving the vision articulated in 2001.11 They noted that, while there were large-scale focused investments in single-purpose categorical syndromic surveillance programs, large-scale challenges in preventable disease also emerged. The authors concluded: ‘We believe that a narrowly focused view of public health, and by extension PHI, exposes the field to potentially negative outcomes (going to the core of sustainability)’. They recommended:
The convergence of healthcare reform, fiscal crisis, and government downsizing presents daunting challenges to the support of sustainable public health practice, programs, research, and learning. Categorical public health program culture and funding and public perception must change at a fundamental level if we are to meet these challenges over the next decade. Public health practice must become, and be perceived as, an enterprise that is part of the continuum of healthcare, with strategic program goals aligned with strategic PHI investment priorities.
Public health ‘culture’ must be transformed from a loosely held federation of categorical programs (and funding streams) into an enterprise that provides a continuum of community services, from preventing or intervening in disease outbreaks to producing healthy babies. A portfolio of public health success stories can socialize and promote the services, benefits, and cost savings with the community and strategic partners.
The body should have direct impact on funding, reinforced by accreditation. The process would identify a portfolio of clear, focused, strategic priorities for the public health enterprise, which would be validated against feasibility, cost, risk, value, success case studies, impact, and ‘health’ return on investment. The portfolio would drive investment. The governance body would articulate, promote, and socialize the strategic vision, priorities, public and private partnerships, and investment strategies across the health enterprise. The governance body would develop and promulgate business cases and evaluation processes and metrics to ensure that investments meet the strategic objectives. A bottom-up approach should be undertaken to translate national strategic agenda, projects, and investment strategies into tactical frameworks for state and local implementation.
As part of the continuum of healthcare enterprise, public health will need to identify and engage non-traditional partners, such as federal agencies—CMS, AHRQ, FDA, and USDA. Subject matter experts in related business and informatics disciplines can provide insight and assistance in developing a sustainable public health business model. Other key partners include private payers, ACOs, and Beacon Communities.
Categorical funding guidance needs to evolve funding to an integrated information architecture that yields systems more able to support an array of public health business functions with more robust information architecture. Strategic partners and subject matter experts could work to develop reimbursement strategies and business partnerships less reliant on federal categorical grants or state/local government funding streams. Creative funding might include: identification of venues where public health is reimbursed for services provided to the public, per capita or outcome-based performance measures; or serving clinical or payer organizations to provide population health subject matter expertise or population health analytic services.
Public health should function more like a business enterprise and articulate the beneficial outcomes to both the community and its strategic business partners. In this context, the challenge and opportunity for PHI in the next decade is to recast itself in the role as a strategic partner for public health, a partner whose contributions are transformative, applying innovative approaches in IT and information science to building public health capital within the community of care.
Close review of the AMIA PHI2011 recommendations reveals three key themes that cross all five tracks.
First, we need to enhance communication and information sharing within the PHI community. Information science advances and decreasing IT costs have changed the collection, analysis, and dissemination of data and information. The paradigm is shifting to real-time availability, with effective user-centered design practices expanding the user base from a handful of skilled knowledge workers to entire population subsets. During the past decade, a substantial investment has occurred in the development and implementation of personal health and public health information systems, notably the large infusions of post-9/11 and ARRA funding. A wealth of collective experience is embedded within these endeavors, but very little of this experiential capital is shared widely within the PHI community. The robust, freely available terminology resources of the National Library of Medicine are not well understood outside academic and federal agency levels. Across the focus area tracks, it was evident that attention must be focused on activities that bridge this information gap, such as the development and maintenance of a comprehensive inventory of available public health data sources at a granular level of detail.
Second, we need to improve the consistency of PHI through common public health terminologies, rigorous evaluation methodologies, and competency-based training; this is essential to leveraging future PHI investments. Public health is becoming increasingly dependent on the electronic collection of data. In an era of fiscal restraint, effective data stewardship will be necessary to maximize what and how data are collected. Understanding the core business processes and use cases that describe the entirety of public health practice and ensuring that future systems are developed with these in mind will be critical to increasing data yield. Similarly, data and vocabulary standards germane to public health should be widely adopted across the enterprise and should exist within a well-defined data standards lifecycle that includes development for domains that do not currently have appropriate standards. Central to improving the effectiveness of PHI activities is the need to elevate the level of research and evaluation activities. Formal evaluation methods for PHI that are informed by collaborations with other fields and disciplines should see widespread adoption and use. Rigorous evaluation can help to determine the comparative effectiveness of multiple informatics solutions that solve a single public health practice problem. Achieving the balance between innovation and evidence-based practice will require PHI competencies that are promulgated and adopted by all levels of academic training programs and workforce development initiatives. These competencies must be periodically reviewed and actively managed, changing to accommodate new developments in practice and technology. When paired with enhanced communication and information-sharing activities, it will be possible to develop learning communities in PHI to support all public health professionals.
Third, and most critically, we need more effective coordination and leadership that will champion and drive the field forward. In 2001, the need for ‘coherent governance’ to provide coordination over disconnected PHI activities was a key theme.1 Specific recommendations were made as to how this might be accomplished, but these recommendations were among those that were not implemented. PHI is an integral part of the public health enterprise, and the current and future investment in the PHI infrastructure is substantial. A plan for PHI governance is needed, with a coordinating agency designated to organize the effort along with the Joint Public Health Informatics Task Force. Organized national leadership should exist to serve as champion, convener, monitor, and facilitator for PHI as a whole. Leadership is also needed to advocate and align research and evaluation priorities with public health problems and priorities, to address the subtly nuanced areas of privacy and ethics, and to maintain competencies and further establish PHI as a discipline within public health.
The AMIA PHI 2011 Conference successfully brought together members of the public health and health informatics communities to revisit the national agenda first developed at the 2001 AMIA Spring Congress. The past decade has been a period of unprecedented growth and interest in health informatics; PHI has also evolved and been active at all levels of government. Of the recommendations from 2001, many were found to have already been implemented; others were found to be no longer relevant. Discussion tracks at AMIA PHI 2011 focused on: technical framework; research and evaluation; ethics; education, professional training, and workforce development; and sustainability. Participants identified 62 recommendations, which clustered into three key themes related to the need to: (1) enhance communication and information sharing within the PHI community, (2) improve the consistency of PHI through common public health terminologies, rigorous evaluation methodologies, and competency-based training, and (3) promote effective coordination and leadership that will champion and drive the field forward.
While there was general consensus on many issues, considerable work remains to be carried out to clarify the most difficult and challenging problems. These recommendations will be disseminated and discussed throughout the public health and informatics communities. As in 2001, both communities stand to gain much by working together to use these recommendations to further advance the application of IT to improve health.
We thank the other program committee members and facilitators at the AMIA meeting who led the discussions and helped distill and organize the recommendations. Significant contributions were also made by the ‘invited experts’ in the breakout tracks (see online appendix). We also thank everyone who attended the meeting from both the public health and informatics communities, who contributed so generously and thoughtfully to the development of these recommendations.
Contributors: BLM, KG, IJG, JHH, LL, KM, DDP, JR, AMT, and PCF contributed to the conceptualization and development of the public health informatics agenda and participated in manuscript preparation and review.
Funding: The AMIA PHI 2011 meeting was supported by a generous donation from the Robert Wood Johnson Foundation Grant Number 68883.
Competing interests: None.
Provenance and peer review: Not commissioned; externally peer reviewed.


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This off-season, top 100 prospect lists were occasionally upsetting to Red Sox fans. There were Boston farmhands on the lists, sure, but they were almost entirely towards the back end, on the wrong side of 50, as it were. Thanks to a strong first half of the season from some very talented Sox prospects, though, things are looking up in most mid-season reports.
The latest of these comes from ESPN, by way of Keith Law. He doesn't think as highly of the players he's included in his mid-season top 50 as some other prospect analysts we've checked out as of late do, but there's still more than just a little progress here.
You'll have to check out Law's piece itself for the scouting reports -- it's behind a pay wall, so relaying all that information here isn't kosher -- but we'll share the who and where with you.
29 - Xander Bogaerts, SS, High-A Salem: Bogaerts started out a bit slow, but has been phenomenal as of late, bringing up his season line to .282/.360/.472 thanks to a June that saw him hit .337/.433/.624. That kind of month is ridiculous for prospects of any age, but Bogerts is all of 19 years old. He might not be a shortstop long-term, but he won't need to be if he can keep up his excellent two-year showing at the plate. For what it's worth, Law rated Bogaerts at #62 on his pre-season top 100, so this is progress being recognized for what it is.
43 - Jackie Bradley, CF, Double-A Portland: Bradley wasn't ranked on Law's top 100 pre-season list, but he's made an even more significant jump than Bogaerts thanks to his ridiculous 2012 campaign. Bradley destroyed High-A Salem, hitting .359/.480/.526 while showing the makings of a plus defender in center, and he's barely slowed since his promotion to Double-A: .350/.424/.463 with eight extra-base hits and a 20 percent strikeout rate in 92 plate appearances. Law believes there's "legitimate" improvement in his plate discipline, not just a hitter who was too good for the competition, and that's a great sign since Bradley has some power, but not a ton.


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Apple Inc. (NASDAQ:AAPL) may have a bigger market capitalization than Google Inc (NASDAQ:GOOG), but that doesn’t mean it beats the search giant on every metric. If looking at it from another way, Google is actually more valuable than Apple.
Google versus Apple in EV
Seeking Alpha contributor Ashraf Eassa noted this on Thursday. Google Inc (NASDAQ:GOOG) has a market capitalization of around $400 billion, and Apple Inc. (NASDAQ:AAPL) has a market cap of around $480 billion. However, Apple is sitting on a whole lot more cash than Google is, with $141 billion in net cash. Google has just $58 billion. This means that on an enterprise value basis, Google is worth about $342 billion, while Apple is worth around $339 billion.
His calculations suggest that Google Inc (NASDAQ:GOOG) is pretty expensive right now, trading at 30 times enterprise value to free cash flow. Apple Inc. (NASDAQ:AAPL), on the other hand, looks pretty cheap at only 7.7 times enterprise value to free cash flow.
Google seems safer than Apple
The author recommends that investors short Google Inc (NASDAQ:GOOG) and go long on Apple Inc. (NASDAQ:AAPL), although he notes that they certainly aren’t in the same industry. Wall Street tends to see Google’s business as being safer and more stable than Apple’s hardware-based business. However, there’s no denying that Apple is king as far as cash flow goes.
From the current trading values on the two companies, it seems clear that Wall Street expects to see Google Inc (NASDAQ:GOOG)’s cash flow grow immensely while Apple Inc. (NASDAQ:AAPL)’s eventually craters because of competitive pressures.
Apple still has opportunities for growth
Then he enters in to the discussion of the growth opportunities which Apple Inc. (NASDAQ:AAPL) may be able to capitalize on. Like many others, he thinks Apple could get into the smart devices game like Google Inc (NASDAQ:GOOG) did when it bought smart thermostat maker Nest. He sees the possibility of “iOS and potential derivatives” being used in numerous new device categories which “investors haven’t even yet begun to appreciate.”
He also argues for market share expansion with a larger iPhone and suggests Apple Inc. (NASDAQ:AAPL) might even develop its own search engine to compete with Google Inc (NASDAQ:GOOG) on its home turf. He said that with as much extra cash as Apple has, the possibilities for what it could do are endless.
Of course what Apple Inc. (NASDAQ:AAPL) could do and will do are probably two different things.


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Few things will make you reach your goals and Rob you of your positive attitude as it will create a custom reason. This is one of the most obvious habits we see and signs telling the story is usually the same. People who searched for reasons tend not to be very productive. This is not a disposable thing where they missed a deadline or forget an appointment. People who make excuses tend to make them a lot when no doing homework to do. They always have a reason for all the times they have fallen short of expectations.
As a child, learning this lesson should begin at home. Teach your children that their first instinct shouldn’t be an excuse but a solution to this problem. If you ask them to clean their rooms and then not carried out, the only solution is to go clean it up soon. Say that they want to watch their favorite show is not a reason to not do what they say they will do.
If a child got in trouble at school and tells you that he’s not really responsible for what happened, it is your duty as a parent to talk with teachers and find out what really happened. So often parents want to believe only the best from their children and find it impossible to believe that they had been experiencing interference. It is natural for a child to try to avoid mistakes, but you have to take responsibility.

domain: sociology