Coq - Wikipedia, the free encyclopedia. An interactive proof session in Coq. Airline chicken Airline chicken can be several things, depending upon who you talk to. It can be a fancy cut, a special presentation, or a negative appelation. Coenzyme Q 10: Information. CoQ 10, Q 10, vitamin Q, ubiquinone) is structurally similar to vitamin E and found in high concentrations in the. Wonderful Product and Brand! I've done research and read it's alot better to take Ubiquinol without soy or soy lecithin. Life Extension uses sunflower oil and very. Formal methods are mathematical techniques for developing computer-based software and hardware systems. IDE, showing the proof script on the left and the proof state on the right. In computer science, Coq is an interactive theorem prover. Sr CoQ10 with pqq is a healthy heart supplement with pyrroloquinoline quinone pqq and coenzyme q10 that supports natural heart and mitochondrial health. Alternative Health Newsletter from Dr Al Sears MD Anti-Aging Pioneer. It allows the expression of mathematical assertions, mechanically checks proofs of these assertions, helps to find formal proofs, and extracts a certified program from the constructive proof of its formal specification. Coq works within the theory of the calculus of inductive constructions, a derivative of the calculus of constructions. Coq is not an automated theorem prover but includes automatic theorem proving tactics and various decision procedures. The Association for Computing Machinery presented Coquand, Huet, Paulin- Mohring, Barras, Filli. The development of Coq is supported since 1. INRIA, now in collaboration with .
The development of Coq has been initiated by G. The implementation team has been successively coordinated by G. Coq is for the most part implemented in OCaml with a bit of C. The core system can be extended thanks to a mechanism of plug- ins. The word coq means . In 1. 99. 1, a new implementation based on the extended Calculus of Inductive Constructions was started and the name changed from Co. C to Coq, also an indirect reference to Thierry Coquand who developed the Calculus of Constructions along with G. Programs written in Gallina have the weak normalization property . This is one way to avoid the halting problem. This may be surprising, since infinite loops (non- termination) are common in other programming languages. These include: Additional convenient notations for irrefutable and refutable pattern matching, on inductive types with one or two constructors. Implicit arguments for functions applied to zero arguments . Retrieved on 2. 01. A short introduction to Coq,^Coq Version 8. Clueless (1. 74 Hints). Retrieved on 2. 01.
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Students in the Department hail from all over the nation. Upon leaving the University, our graduates enter the clinical, teaching, and research fields throughout the United States. MS in Speech-Language Pathology/PhD in Speech, Language & Hearing.Graduate Program in Speech Language Pathology. The graduate program in Speech Language Pathology is 60. Texas State University The Graduate College. What areas of speech pathology practice or research interest you most and why? Why are you applying to the Communication Disorders graduate program at Texas State University?
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Zur Ansicht der PDF-Dokumente ist der Adobe. Die Seiten entsprechen der gedruckten Ausgabe. Die Zeit Pdf AusgabenpostenDie Zeit Pdf Ausgabe StempelA Summary of Major Federal Disability Programs. Key Canadian Programs and. If you have not worked in Canada under the Live-in Caregiver Program and your employer’s Labour Market. Government of Canada activities and. Loans, Grants & Financial Aid. How to Make & Pay for Home Modifications to Enable Aging in Place. Home Modifications Definitions and Terminology. Home modifications are physical changes made to one’s home to accommodate for the changing needs of the elderly or disabled, to enable aging in place. Home modifications can be as simple as changing water faucet handles from knobs to levers or as comprehensive as the construction of an accessory apartment or elder cottage on the property. To understand the options available to pay for home modifications, it is helpful to understand some common terminology. Assistive Technology, Adaptive Technology or AT for short, refers to any tools or devices that enable independence for persons with disabilities, regardless of age. Environmental Accessibility Adaptations and Environmental Modifications are commonly used Medicaid phrases which simply mean home modifications. ECHO Units is an acronym for Elder Cottage Housing Opportunities. These are small, livable cottages designed specifically for seniors that can be placed temporarily on the property to allow an elderly person to live near but not in their family's home. They are also referred to as Accessory Units or less formally as Granny Flats. Universal Design is a phrase that means a product or building was designed with the needs of both the disabled and people without disabilities in mind. Common Types of Home Modifications for the Elderly. There are many different types of modifications that can be made to accommodate for aging challenges. Learn more about paying for walk in tubs. Weatherization – such as storm windows, screening and air conditioning. Wheelchair Ramps and Stairglides – for persons unable to manage stairways. Widening Doorways and Hallways – to accommodate for wheelchairs and walkers. Determining What Modifications are Needed. While it is possible for the non- professional to assess the modifications required to make a home both accessible and safe for the elderly, the use of a professional occupational therapist can be worth the additional effort and is sometimes paid for by Medicare. There are two major considerations. First, it is important to recognize that aging is a progression, modifications to accommodate needs today might not be sufficient for needs 2 years in the future. Being able to project how one’s needs will change is of critical importance if one hopes to make lifelong modifications in a single project. Second, knowledge of assistive technologies is critical. There are many devices on the market today and importantly a flood of new options become available each year. For the most cost- effective modifications, one needs to be aware of the full breadth of products on the market today but also the tools that will be available in the near future. Financial Assistance for Home Modifications There are 4 types of assistance for home modifications: financial loans, grants, labor and equipment loans. Fortunately, there are many sources of assistance for making modifications to one’s home to accommodate elderly and/or disabled persons. Prior to discussing these, it is helpful to distinguish between the types of assistance that is available. Low Interest Loans - Some organizations, mainly governmental, offer low interest loans for home modifications or guarantee loans so that banks are less restrictive with their lending requirements. These loans, of course, need to be paid back. Home Improvement Grants - These grants are typically one- time and available for a specific home modification purpose and do not need to be re- paid. Free Labor - Another form of assistance is free labor to make home improvements. What Are Federal Government. Grants are often awarded to fund research or programs related to education. You can also read “Disability.gov’s Guide to Financial Help. How to Get Government Assistance for Elderly. Whether you are taking care of an aging parent, or acting as an advocate and caregiver for an elderly person who needs extra support, there are government assistance programs. Learn about financial assistance to make home modifications for the elderly including grants, loans, volunteer programs and community building projects. This is commonly offered by non- profit organizations or charities. Materials are not covered. Equipment Loans - Some organizations make free, long term loans of home modification materials. Canadian Government Programs : Care Programs by Province and Territory. Provincial Government Programs : ALBERTA. Click Here General # 780-427-2711. Alberta Health Services.As an example, a portable wheelchair ramp that does not need to be returned until the borrrower moves from the home and no longer requires it use. Medicare's Benefits for Home Modifications. Most people immediately think of Medicare as potential source of financial assistance. However, there are some exceptions to this rule. Visit Service Canada for information about Government of Canada programs and services, including Old Age Security and the Canada Pension Plan. A Guide to Programs and Services for Seniors in Ontario is your resource for information about programs and services available to Ontario's seniors. Government Pensions, Tax Credits and Benefits. Medicare may pay for assistive technology devices that are part of the modification process provided they are required for medical reasons and prescribed by a doctor. One might also receive assistance from Medicare in determining what home modifications are medically required. Medicare Part B will pay for an occupational therapist to evaluate a home and determine what changes are required. Medicaid HCBS Waivers and Home Modifications. Medicaid is a federal and state insurance program that offers assistance to low income seniors. The program was originally intended to help the elderly who require nursing home level care to afford nursing home care. Now most states have Home and Community Based Services (HCBS) Waivers or offer at- home services through managed Medicaid programs or Medicaid State Plans. These programs provide assistance to help qualified individuals avoid nursing homes and remain living at home. As such, in many states, they pay for home modifications which increase an individual’s ability to live independently. Each state has different waivers and programs with different eligibility requirements and benefits. See a complete list of Medicaid programs that cover home modifications. Note in Medicaid- speak home modifications are often referred to as Environmental Accessibility Adaptations. Veterans Programs for Home Modifications. There are home modification assistance programs available to veterans from both the Veterans Administration and from unassociated, non- profit organizations which serve veterans. Learn more about Veterans Directed programs. Unfortunately, not all states offer programs. Non- Profit and Foundation Assistance for Home Modifications. Many non- profits and other organizations offer assistance in the form of financial aid or volunteer labor to help seniors with home modifications. One of the most noteworthy is the organization Rebuilding Together (originally called Christmas in April) which offers 3 programs: Safe at Home, Heroes at Home and National Rebuilding Day. The First and Second Discourses. The First and Second Discourses: By Jean-Jacques Rousseau Summary & Study Guide. Discourse on Inequality. NOTES FOR PHILOSOPHY 166 ROUSSEAU. Rousseau describes several stages in the. A Discourse on the Arts and Sciences A Discourse on the Moral Effects of the Arts and Sciences (1750), also known as Discourse on the Sciences and Arts and commonly. 9 quotes from Discourse on the Sciences and Arts (1st Discourse). Sciences and Arts (1st Discourse). Rousseau, Discourse on the Sciences and. Discourse on the Advantages of the Sciences and. Writings of Rousseau: Discourse on the sciences and arts and. Discourse on the Arts and Sciences, Jean-Jacques Rousseau. A Discourse on the Arts and Sciences A Discourse on the. Les fichiers au format PDF peuvent. Online Library of Liberty. The Discourse on the Arts and Sciences, the earliest of the. In one of the long notes appended to the Discourse, Rousseau further. Discourse on the sciences and arts: (first discourse) and polemics - Jean- Jacques Rousseau, Roger D. Masters, Christopher Kelly, Judith R. Bush. Jean Jacques Rousseau was a Swiss philosopher and political theorist who lived much of his life in France. Many reference books describe him as French, but he generally added . He presented his theory of education in Emile (1. Rousseau is thus regarded as the precursor, if not the founder, of child psychology. Others say that this is the opposite of Rousseau's intent, that the surrender of rights is only apparent, and that in the end individuals retain the rights that they appear to have given up. In effect, these Rousseau supporters say, the social contract is designed to secure or to restore to individuals in the state of civilization the equivalent of the rights they enjoyed in the state of nature. Rousseau was a passionate man who lived in passionate times, and he still stirs passion in those who write about him today. Masters is a Professor of Government at Dartmouth College and editor of the . The JET Programme - JET FAQ for applicants. The JET Programme: JET FAQNote: This FAQ, although comprehensive, is not an official document, and should not be taken as constituting official Japanese government approved answers to your questions about the JET Programme. You must verify all information via official sources. JET- Programme. com cannot be held responsible for any mistakes, misrepresentations or recently updated changes. Last update October 2. This is a VERY long page. So grab a big mug of coffee and get reading! Ganbatte and good luck! If you find the information on this page useful please consider making a small donation to keep us up and running. Thanks. Table of Contents: Debunking JET Myths. JET Programme Background. Why Join JET? What Qualifications do I need to apply for JET? Position Information. Contract Provisions. Salary/Benefits/Housing. Working Conditions. Application Process. Interview Process. Pre- Departure Matters/Placement. Departure for Japan. Arrival in Japan. Returning Home Recollections, advice and thoughts from current and former JETs. Debunking JET Program Myths. Courtesy of the JET Programme Official Forum. Tokyo) as other urban placements, but if you are interested in a more urban setting research Japan and find a city that may not have as many placement requests. We recommend referring to p. JET Brochure put out by CLAIR . I recommend that when applying you research Japan and match your interests to the locations you request. For the vast majority of applicants, though, neither is an impediment to participating with the JET Program (in most cases, if they are unsuccessful, it is because the overall application was considered to be weaker than others). Whether or not a criminal record or medical condition would disqualify an applicant depends upon the issue and the circumstances surrounding it. Considering that criminal offenses and health concerns can cover a lot of different situations, a large percentage of our applications do include physician forms and background checks, so if you need to submit one as well, it won't necessarily stand out. The worst thing you could do is neglect to disclose something. If we discover that an applicant withheld something that was supposed to be disclosed in the application, it will result in immediate disqualification (even if it was by accident). If you're not sure if something should be included or not (or if you're tempted to . If you even have to ask, it should be in there. JET is totally random. There is nothing random about it. However, selections are made through a combined effort of many people, and as such different people have different opinions and perspectives. Your classmate's personality could have seemed like a better fit for JET than yours. Or, maybe the people who reviewed your application and interview were harsher than the people who looked at his. We work hard to standardize the selection process, but there will always be that human element there. That will never go away, and neither should it. Sustainable alternative jet fuels can help to address these challenges. Airport Cooperative Research Program (ACRP) Projects on Alternative Jet Fuels. Federal Government Releases Federal Alternative Jet Fuels R&D Strategy. July 28, 2016 – Today, the White House released the Federal Alternative Jet Fuels. EUROfusion, the European Consortium for the Development of Fusion Energy, manages European fusion research activities on behalf of Euratom. Our primary goal will always be to find the people whom we feel will make the best JETs. There's no magic equation that will lead to acceptance. Don't be resentful and take a rejection to heart. If you truly are the . Will the application be discarded? So, to speed up the process (and to avoid potential point reductions), follow the instructions as closely as possible. I should never ask them questions. Please do try to find answers to your questions online, but if you can't find what you need or if you want extra information/reassurance, contact them. Many of them are JET alumni and care a lot about the program. If you want feedback from someone not involved with the program's administration, try contacting a nearby JETAA group (just remember that alumni's situations and experiences won't necessarily be the same as yours). Why Join JET? Q. Who should apply for JET? Those interested in foreign cultures, particularly Japan. Those who are adventurous and like to try new things. Federal Aviation Administration Center of Excellence for Alternative Jet Fuels and Environment Final Solicitation Date of Issue: February 1, 2013. AlternativeTo lets you find apps and software for Windows, Mac, Linux, iPhone. Added Neon Chrome as an alternative to NeuroVoider Ugotsta 12 minutes ago. Book Flights More Choice . Book Flights With Alternative Airlines. National AJET launches Community Partners Program. National AJET is proud to announce the. Now that we’re getting into the full swing of the new JET. Those interested in teaching or working with children. Those who want to learn Japanese as a hobby or for career development. Those who want to work in an office environment different from their home country. Q. What are the advantages of the JET Programme as compared to other English teaching programs in Japan? Because it is sponsored by the Japanese government, the JET Programme is extremely secure In addition, government sponsorship means that JETs may be placed virtually anywhere in Japan, from the smallest island to the largest city (however, see below) Further, JET participants are a part of the Japanese community in which they live, so they are not merely outsiders looking in. Finally, JET participants enjoy the advantages of a large international network of alumni and alumni associations. Q. What kind of person are they looking for? Generally, they're looking for is someone who's outgoing and open- minded, and stands a good chance of being able to adjust to life in Japan. If you have previous experience of living overseas, or of dealing with people from other cultures, then it will probably count in your favour. Also, because it's the Japan Exchange and Teaching Programme, part of the idea of which is to promote Japan's image abroad, to some degree they want people who are likely to achieve influential positions in later life. Q. What are some of the biggest problems faced by JET participants? Many problems that JETs face result from a lack of preparedness to live and work in Japan, from unrealistic expectations, or from inflexibility or lack of patience For example, professionally trained teachers tend to be frustrated by the limitations inherent in working as assistant teachers Or, some participants become frustrated when they discover that all their classes are not full of motivated, disciplined students. Other problems are a result of the idiosyncrasies or perceived deficiencies of the program itself (such as whether it really fulfills its stated goals of “internationalizing” Japanese citizens or improves their English). What skills will I develop on the JET Programme? The skills you develop are entirely up to you However, JETs usually have ample opportunity to improve: Public speaking, teaching and organization skills Japanese language skills. Intercultural management skills. Personal interests (photography, web design, etc.)Q. I hear the cost of living in Japan is high. Will I be able to get by on the JET remuneration? The cost of living in Japan is comparable to that of many western countries, in fact sometimes cheaper. Your actual cost of living depends, of course, on where you are placed In general, rural areas have a lower cost of living than urban areas Regardless of where you are placed, however, the JET remuneration is more than sufficient to cover the cost of living. Indeed, most JETs save enough on the JET Programme to pay off student loans, go to graduate school, travel throughout Japan or Asia, etc. Graduate student: Japanese Studies, Veterinary Medicine, Journalism . Who is eligible to apply for the JET Programme? Any citizen of an approved country with a Bachelor’s degree may apply through the Embassy of Japan or a Japanese consulate in their country. However, because the JET Programme is a youth exchange program, applicants over age 3. Q. I am not graduating this year. You must have graduated by June 3. JET Programme However, we encourage students to investigate the JET Programme early so that they can prepare for their time in Japan, thereby improving their chances of being accepted by the JET Programme when they do apply For example, taking classes in Japanese language and culture or teaching children are good ways to improve your chances of being accepted. Q. I am 4. 0 years old or older. May I still apply? Yes. However, because the JET Programme is a youth exchange program (not a job opportunity), it is rare for applicants 4. For some reason the average age of the New Zealanders and Australians tends to be a bit higher though. Some schools actually express a preference for a mature ALT, so don't worry if you're 3. I do not have a Bachelor’s degree. May I still apply? Technically, ALTs must have either a Bachelor’s degree OR be certified to teach at primary/elementary schools by June 3. In most cases however, a Bachelor’s degree is a prerequisite for getting teaching credentials (CIRs must have a Bachelor’s degree.)Q. Can married couples apply? Although there is no guarantee that married couples will be placed in the same area of Japan or live in the same apartment, married couples are given priority in placement (Be sure that you both request the same placement on the application!). I am not married, but have a fianc. If both of you are accepted as JETs, you may request placement together and hope for the best However, if one of you is not a participant in the JET Programme, s/he will not be able to obtain a dependent visa to go to Japan. This means that the non- JET partner would have to visit Japan as a tourist (American tourists may visit Japan for up to 9. Contact the Visa Section of the Embassy or Consulate General of Japan for more details on the options of non- dependent companions.)Q. Does having children disqualify me from applying to the JET Programme? No. However, considerations of schooling, childcare, and other matters may limit placement options JETs with children are advised to arrange in advance for another caregiver (e. Do I need to know Japanese to apply? ALTs and SEAs do not need to know Japanese to apply. However, some knowledge of Japanese does enhance your application because it helps demonstrate a real interest in Japan and enhances your suitability for life in Japan (CIRs must be proficient in Japanese.) Q. Do I need teaching experience to apply? No. I have lived in Japan for over three years May I still apply? You may apply only if you have not lived in Japan for more than three of the last ten years. Japan Exchange and Teaching Programme UKThe Japan Exchange and Teaching (JET) Programme, an official Japanese Government scheme, sends graduates to Japan in order to promote international understanding at grass- roots level and to improve foreign language teaching in schools. How to Make Virtual DJ 5. Skins. Open . Select the file called . Save the new files in the . This file is linked to the Virtual DJ control map, so the locations of the virtual controls will not be affected by changes to the image. Use your image editing application to customize your Virtual DJ skin. You can draw on the original image or copy and paste new designs on top of it. Save your finished image in a new folder within the . Give your file a unique name that you will recognize. Copy the . Do not change the file name. Open the Virtual DJ 5. Virtual DJ will load as normal and display the custom skin you just designed. 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AND ALL OF THESE THINGS ARE ALLURING TO THE POINT THAT, YES, EVEN HULK LIKES BATMAN TOO. WHO WOULDN'T LIKE ALL THAT? COOLNESS IS SIMPLY AN UN- EMOTIONAL EVALUATION BASED ON CULTURAL MITIGATING FACTORS AND PREJUDICES. BUT WHEN WE HAVE TO ACTUALLY EXPLAIN IT? COOL INSTANTLY REVERTS BACK TO VAGUE (OR SOMETIMES EVEN INSIDIOUS) SOCIAL MOTIVES. WHILE THERE IS NO DENYING THAT ? ONE THAT ISN'T EVEN ALL THAT INTERESTING TO BEGIN WITH? SURE, MARKETING AGENCIES SPEND MILLIONS AND MILLIONS OF DOLLARS TRYING TO REPLICATE AND APPROXIMATE WHAT IS . IT'S LIKE TRYING TO BOTTLE LIGHTING. AND NOT ONLY IS IT IMPOSSIBLE TO REPLICATE, BUT IT ACTUALLY SUBVERTS THE INTEGRITY OF YOUR MISSION OR PRODUCT. PURSUING COOLNESS ALONE IS A PATH TO MERE HOLLOWNESS. IT REEKS OF FALSENESS TO ANY AUDIENCE MEMBER. WATCH ANY MOVIE TRYING TO BE TRENDY OR COOL ABOVE ALL ELSE (COUGH TRANSFORMERS COUGH) AND THEY OFTEN COME OFF AS LAUGHABLE, EMPTY BITS OF SPECTACLE WITH ABSOLUTELY NO AUTHENTICITY. AND IN CASE YOU ARGUE THAT SPECTACLE IS ALL YOU NEED AS VIEWER, THEN HULK ARGUE YOU ARE GRAVELY MISTAKEN. HECK, EVEN LOOK AT CAMERON WHO ATTACHES HIS SPECTACLE TO WHAT HAS TO BE THE MOST BASIC FORMS OF IDEAS AND EMOTIONS AND GUESS WHAT? HIS FILMS RESONATE WITH JUST ABOUT EVERYONE, EVEN IF IT'S SOMETIMES CRASSLY DONE. SORRY COOLNESS, BUT AUTHENTICITY RULES OUR HEARTS MINDS. SO YES, BATMAN IS COOL, BUT HULK ARGUE THAT IS NOT SOMETHING TO LOOK FOR IN ANY CHARACTER, AND IT IS CERTAINLY NOT THE THING RESONATES WITH US ABOUT BATMAN. THERE IS AN INHERENT ASPECT OF THE TRADITIONAL SUPERHERO MYTHOS WHERE THE HERO IS ACTUALLY SOMEONE YOU WOULD WANT TO BE. ON ONE END OF THE SPECTRUM, THE HERO IS SOMEONE WE SHOULD ALL ASPIRE TO BE LIKE. THEY POSSESS AN INNATE GOODNESS OR HUMAN CAPACITY FOR ETHOS AND PATHOS. AND ON THE OTHER END OF THE SPECTRUM? THE HERO IS MERELY A VESSEL THROUGH WHICH WE WANT TO WIELD THEIR POWER, OFTEN A POWER AND IDENTITY THAT ALLOWS US TO INDULGE OUR MOST BASE FANTASIES AND YEARNING DESIRES. WOULD WE WANT OUR KIDS TO BE LIKE THEM? OR DO WE JUST WANT TO INDULGE? HULK WORRIES THAT A GOOD DEAL OF BATMAN FANS JUST WANT TO INDULGE. THERE'S ALL THE NICE THINGS HULK MENTIONED EARLIER, BUT LET'S PHRASE THEM A SLIGHTLY DIFFERENT WAY: BATMAN BEATS UP THE LIVING CRAP OUT OF STREET THUGS. HE GOES OVER THE SPEED LIMIT. A PERFECT PHYSICAL SPECIMEN. HE HAS A JAW- LINE BRUCE CAMPBELL WOULD BE JEALOUS OF. HE DOESN'T HAVE TO WORRY ABOUT MONEY AND CERTAINLY ACTS LIKE IT. HE DOESN'T ACTUALLY HAVE ACTUAL SUPERHERO POWERS, BUT THAT JUST MEANS IT'S ALMOST KINDA SORTA PLAUSIBLE! BUT LET'S CUT A LITTLE CLOSER TO THE BONE WHERE PERHAPS MORE TELLING IS BATMAN'S BASIC PERSONALITY.. WHILE HE CAN PUT ON A NICE PUBLIC GUISE AS BRUCE WAYNE, AS BATMAN HE'S A TRUE ANTI- SOCIAL. THINK ABOUT HOW UTTERLY ALONE AND INDEPENDENT BATMAN IS IN THE GRAND SCHEME OF THEINGS. ONLY, IT'S NOT REALLY TREATED AS BEING SAD, BUT INSTEAD AS DUTY AND SACRIFICE. IT'S THOUGHT OF AS THE IDEAL. A CHARACTER WHO DOESN'T HAVE TO WORRY ABOUT OTHER PEOPLE ASIDE FROM A FEW ALLIES. WHO GETS TO PUNISH THE EVIL EVERYWHERE. BATMAN DOESN'T TAKE ANYONE'S SHIT. HE SAYS FUCK YOU TO LAW AND THE INSTITUTIONS OF AUTHORITY. HE IS THE MOST PERFECT VERSION OF THE VIGILANTE, OFTEN FAULTLESS, BUT THIS UNENDING SELFLESSNESS IS NOT ONLY INHUMAN, BUT ACTUALLY ITS OWN FORM OF SELFISHNESS. AND DOES ANY OF THIS EVER MAKE HIM SEEM LIKE ROUND CHARACTER? THE BAT- VERSE HAS USED THE ONE NOTE EXCUSE OF HIS PARENTS MURDER TO FUEL AN PERPETUAL CYCLE OF JUSTICE MONGERING. AND AS A RESULT, EVERY SINGLE OTHER CHARACTER IN THE BATMAN MYTHOS IS WAY MORE COMPELLING BECAUSE THEY HAVE HUMAN FRAILTIES. HONESTLY, HE'S KIND OF BAT- BORING. AND ALL THE WAYS HE'S INTERESTING ARE ONLY THERE IF YOU GIVE INTO THE IDEA THAT SOMETHING IS ACTUALLY WRONG WITH WHAT HE IS DOING. YES, HULK IS SORT OF EXPLAINING THAT IN THE MOST EXTREME WAY OF PORTRAYING THE CHARACTER, BUT THAT DONE TO PROVE A POINT ABOUT THE INDULGENT PSYCHOLOGY INVOLVED. AFTER ALL, THE MODERN AGE TURNED COMIC CULTURE ON ITS HEAD WITH SERIES COMPLEX ANTI- HEROES AND DEEPLY ANALYTICAL TEXTS ABOUT THE FASCIST NATURE OF VIGILANTISM. AND OUR BATMAN STORIES DIDN'T JUST GET . THEY AREN'T PROPPING HIM UP AS SOME IDEAL AND CERTAINLY NOT LAUDING HIM AS . HULK NOT REALLY THINK THAT THE CASE (AND WILL EXPLAIN LATER), BUT IT CERTAINLY AN ISSUE. BECAUSE ONE THING THAT HAS BECOME ABUNDENTLY CLEAR TO HULK IS THAT A LOT OF PEOPLE FUCKING LOVE BATMAN.. AND IT SORT OF GETTING A LITTLE WEIRD. IT'S LIKE BATMAN- TALK HITS PEOPLE SOMEWHERE IN IN A REACTIONARY FUNNY BONE AND THEY CAN'T HELP BUT REACT THAT WAY. HULK BEEN THINKING ABOUT ADDRESSING THE TOPIC FOR SOME TIME NOW, BUT THE RECENT BOUT WITH THE NEW DARK KNIGHT RISES TRAILER SORT OF PUSHED IT INTO . THEY FEEL LIKE AMBUSHES. EVERYONE WHO EVER WRITTEN IN A PUBLIC FORUM ON THE TOPIC PROBABLY NODDING THEIR HEADS RIGHT NOW IN AGREEMENT. A LOT OF PEOPLE SUDDENLY COME OUT THE WOODWORK. BECAUSE THEY PROBABLY FEEL THE EXACT SAME WAY HULK DOES AFTER THEY RESPOND. LIKE THESE MERE OBSERVATIONS ARE AMBUSHES. AND AS A RESULT THE TEETH COME OUT. WHEN HULK TALKS BATMAN, THERE'S NO AGENDA. HULK USES THE SAME LENS OF ANALYSIS AND TONE THAT HULK ALWAYS USES. HECK, HULK EVEN LIKES BATMAN AND THE NOLAN MOVIES A GOOD DEAL. BUT THE SLIGHTEST EXAMINATIONS SEEM TO SEND PEOPLE IN THE WEIRDEST DEFENSIVE DIRECTIONS. HULK NEVER SEEN A TOPIC (OUTSIDE OF POLITICS) TAKEN SO PERSONALLY ACROSS THE BOARD. AND IT'S DEFINITELY NOT A NOLAN THING, BECAUSE HIS OTHER WORK (LIKE INCEPTION) ALWAYS SEEM TO PRODUCE FAIRLY HEALTHY DISCUSSIONS. MEANWHILE, THE BATMAN DISCUSSIONS ALWAYS SEEM.. WELL.. THERE TONS SHADES OF GRAY IN THIS DISCUSSION, CERTAINLY ONES BEYOND THE REACTIONARY INSOLENCE HULK REFERENCES ABOVE. BUT THERE IS STILL SOMETHING SLIGHTLY ASKEW ON EVERY LEVEL REGARDING HOW PEOPLE LOOK AT THE PROBERPTY. HULK FINDS THAT SUDDENLY PEOPLE ARE WAY MORE WILLING TO BEND OVER BACKWARDS TO JUSTIFY A CHOICE THEY MAY OTHERWISE CRITICIZE. OR THEY ACCUSE HULK OF HAVING SOME SORT OF OBVIOUS- ANTI- BATMAN BIAS. OR THEY EMBRACE HUGE LEAPS OF TECHNICAL OR THEMATIC LOGIC. A LOT OF TIMES IT'S LIKE SUDDENLY SEMIOTICS BECOMES A GREAT INTEREST TO PEOPLE. HULK MADE A PASSING REMARK AT ONE POINT ABOUT HOW THE ORIGINAL TDKR TEASER SEEMED A TAD SLIGHT AND HULK WAS TREATED TO AN EMAIL CONTAINING AN ENRAGED 8 PARAGRAPH ANALYSIS AS TO WHAT THE LAST SHOT OF THE TEASER MEANS TO THE CHARACTERS OF BATMAN AND BANE. THERE WERE LOTS OF SUPERLATIVES IN THE MESSAGE AS WELL AS LOTS OF HULK- AIMED SWEARS, BUT THE FUNNY PART WAS THE ANALYSIS WAS KINDA INTERESTING! AND DON'T GET HULK WRONG. HULK LOVES THAT NOLAN'S BATMAN INSPIRES THAT KIND OF THEMATIC INSIGHT IN PEOPLE, BUT WHY ONLY WITH BATMAN? AND IT WASN'T JUST HIM. HALF THE INTERNET KIND OF WENT NUTS OVER THE ARTICLE (THE OTHER HALF OF YOU WERE TOTALLY AWESOME SO MANY THANKS). THE RESPONSES HAD A LOT OF RANGE. SOME OF IT HILARIOUSLY JUVENILE . DON'T FUCKING PLAY BATMAN GAMES THEN. LITTLE HULKS ROOM HAD TWO ENTIRE SHELVES OF BATMAN COMICS). AND YES, IN THIS GRAND SPECTRUM THERE WAS EVEN ONE DEATH THREAT. THERE WERE THOUSANDS OF RESPONSES AND THERE WAS A LOT OF CROSSOVER BETWEEN THE TWO.. AND HULK NOT GOING TO LIE.. HULK REALLY DID ENGAGE AND RESPOND TO ALMOST EVERY SINGLE ONE, BUT.. SOME OF THOSE EMAILS.. WHEN YOU STARE INTO THE VOID.. THE VOID STARES BACK AT YOU. WHY IS HE THIS BIG CULTURAL RALLYING POINT FOR DEFENSIVENESS? HULK HAS TOUCHED ON THE IDEA BEFORE, BUT FOR DECADES EVERY SINGLE YOUNG KID USED TO GROW UP WANTING TO BE SUPERMAN. THE REASONS WHY ARE A BIT MORE HEARTBREAKING: POLIO. THE LOOMING, CONSTANT THREAT OF NUCLEAR WAR. MEANING THE LOOMING, CONSTANT THREAT OF DEATH WAS A TANGIBLE THING TO KIDS AND THEIR FAMILIES NO MATTER WHAT STRATA. WHY HE WAS INVINCIBLE. NOT ONLY COULD HE FLY AND STOP BULLETS, HE COULD SAVE FRIENDS AND LOVED ONES. THERE IS SOMETHING JUST SO APPEALING AND INDULGENT ABOUT THAT TO KIDS, FOR WHOM MORTALITY IS A REAL CONCERN. SUPERMAN STOOD FOR TRUTH, JUSTICE, AND THE AMERICAN WAY. HULK DOESN'T WANT TO START SOUNDING LIKE YOUR GRANDPA, BUT HONESTLY PEOPLE USE TO CARE ABOUT THOSE ABSTRACT CONCEPTS. SURE THERE WAS A LOT OF ARCHAIC B. S. THAT WENT ALONG WITH THEM, BUT THE HEART OF THESE CONCEPTS WAS EVIDENT IN THE IDEAS OF DUTY, CITIZENSHIP, INTEGRITY, AND A KIND OF DECENCY THAT WAS IMPLICIT. EVEN IF IT WAS A HALF- TRUTH, IT WAS A GOOD THING TO ASPIRE TO. THE RISE OF CRIME, DRUGS, AND DEATH OF AMERICAN CITY. WE TRIED TO KEEP UP THE FACADE, BUT AMERICA'S IDENTITY WENT UBER- DARK. AND COINCIDENTALLY SO DID THE COMICS. NOT ONLY DID THE TEXTURE OF AMERICA'S IDENTITY CHANGE (ALONG WITH IT'S PROBLEMS AND VILLAINS), BUT THE ROUSING ECONOMIC SUCCESS OF THE UPPER MIDDLE CLASS GAVE WAY TO ENTIRELY NEW BRAND OF CHILD. GONE WERE THE VAGUE SENSE OF CITIZENSHIP AND DUTY, IN FAVOR OF SOLIPSISTIC CYNICISM, BUT GONE TOO WERE THE LOOMING THREATS OF MORTALITY. AND WHEN INVINCIBILITY IS A REALITY, WHO NEEDS SUPERMAN? THEY WERE ALWAYS PRESENT, BUT THEY WENT FROM REGARDED AS A NUISANCE TO BEING THE GREAT CULTURAL THREAT TO THE NEW COMFORT. HULK ACKNOWLEDGES THAT THIS LITTLE NARRATIVE HULK CREATING IS ONLY A VAGUE ESTIMATION OF OUR SOCIOLOGICAL HISTORY, BUT THERE IS NO DENYING A CHANGE IN THE PSYCHOLOGICAL MAKE UP OF CHILDREN. Engaging the Hearts and Minds of Nurses with a Patient- Centered Practice Model. Deborah C. Small, RN, MSN, NE- BCRobert M. Small, MBAAbstract. Like every healthcare system today, the Cleveland Clinic health system is a combination of medical hospitals, institutes, and services in which the implementation of uniform care methodologies faces significant barriers. The guiding principle of the Cleveland Clinic, . The Stanley Shalom Zielony Institute of Nursing Excellence (the Nursing Institute) at the Cleveland Clinic was charged with standardizing nursing practice across a system with 1. Our field projects span the globe. We have more than 100 current international development projects worldwide, including projects in Iraq, Jordan, Afghanistan, South Sudan, Pakistan, Colombia, Paraguay and Kenya. Resource Links AHRQ and Patient Safety. Bruce Siegel on AHRQ and Patient Safety. Sue Sheridan on AHRQ and Patient Safety. Jeff Brady on Making Health Care Safer. World Alliance for Patient. Understanding Organizations As Learning Systems Pdf ConverterThe challenge involved providing firm direction on delivering PFCC that was appropriate for all clinical disciplines and could be implemented quickly across existing practices and technologies. Successful implementation required full engagement in the concept of PFCC by what the Institute for Healthcare Improvement has termed the . To achieve these ends, development of a systemwide nursing practice model was initiated. In this article the authors identify the essence of PFCC, consider barriers to PFCC, review their process of developing PFCC, and describe how the Cleveland Clinic health system has implemented a PFCC nursing practice model. In doing so the authors explore how the concept of ! Engaging the Hearts and Minds of Nurses with a Patient- Centered Practice Model. DOI: 1. 0. 3. 91. OJIN. Vol. 16. No. Man. 02 Key words: barriers to PFCC, care delivery model, Cleveland Clinic health system, implementation of a model of PFCC, nursing practice model, patient- family- centered care, PFCC, passion for nursing,Care at the Cleveland Clinic has been always centered on patients. In 1. 92. 1 the founders of the Cleveland Clinic envisioned a patient- focused environment that delivered . The Cleveland Clinic, like every healthcare system today, is a complex combination of medical hospitals, institutes, and services where existing technologies and conflicting priorities can create significant barriers to standardizing care quality. High school graduation has large financial and welfare implications for both individual students and society. In this video interview, Susan Bowles Therriault explains how early warning systems can identify students at risk of. Supporting high quality research by the nation's leading scientists and engineers to improve EPA's scientific basis for decisions on national environmental issues. As part of its mission to bust all barriers to learning, CAST researches and develops innovative solutions to make education more inclusive and effective. We do so by applying the principles of Universal Design for Learning, a. Understanding Organizations As Learning Systems Pdf WriterThe Stanley Shalom Zielony Institute of Nursing Excellence (the Nursing Institute) is responsible for raising the quality of nursing care at the Cleveland Clinic. It has adopted the motto . The leadership of the Nursing Institute recognized the need for a systemwide nursing practice model to guide nurses in achieving the Cleveland Clinic vision and demonstrated the commitment of nursing leadership to PFCC. In this article we will identify the essence of PFCC, consider barriers to PFCC, review the process of developing a PFCC- based nursing practice model, and describe how the Cleveland Clinic health system has implemented a nursing practice model of PFCC. Identifying the Essence of Patient- and Family- Centered Care.. Organizational managers who are trying to implement patient- and family- centered care strategies will quickly face the problem of defining PFCC within their organization, the hardest problem for every organization working to implement PFCC. Since the Institute of Medicine (IOM) identified . A search of MEDLINE literature shows 7,1. A common theme in these publications is the lack of a universal definition (Balik, Conway, Zipperer, & Watson, 2. Hobbs, 2. 00. 9; Mead & Bower, 2. There is no universal definition of PFCC because the definition changes with the context in which it. For example, family practice, cancer care, and acute care all have multiple articles with slightly different definitions relevant to their particular research issues. The Institute for Patient- and Family- Centered Care (2. PFCC. However, a single, simple description of patient- and family- centered care may not suit the needs of a complex health system. Even the smallest modern health system is a collection of diverse services that can include acute care in urban and rural settings, inpatient care, urgent care, trauma care, home health care, and hospice care. Robinson, Callister, Berry, and Dearing (2. They concluded that regardless of your specific definition, the basic measuring stick of PFCC is the patient. Nurses play one of the most important roles in influencing patient perceptions. Nurses play one of the most important roles in influencing patient perceptions. After completing a large study of patient ratings of their hospital experiences, Otani (2. In this study Otani evaluated the admission process, nursing care, physician care, staff care, food, and room, and concluded that a bad nursing experience had a disproportionate negative result on quality perceptions. Otani recommended that managers should make as their first priority the elimination of poor nursing practice. Health systems like the Cleveland Clinic are faced with trying to encourage better patient- and family- centered care while knowing that each decentralized location (and even each unique unit within a location) will have a slightly different view on exactly what PFCC means to their patients. With over 2,0. 00 employed doctors, 1. RNs), and more than 8. APNs), plus 3. 0,0. Cleveland Clinic may prevent some patients from actually receiving PFCC. Hence the Cleveland Clinic has established . This principle guides the thinking of the managers of the institutes, specialized hospitals, and outpatient facilities which are expected to develop appropriate policies and procedures to handle the unique issues within their facility so that they deliver the world- class care that is the Cleveland Clinic. The first barrier is the fact that existing technologies and policies across the system are not uniform; the second is that the model must work for all medical specialties, just as with the definition of PFCC; and the third barrier is getting nurses engaged so they accept and implement PFCC policies that require specific types of personal interaction by individual nurses. Because these barriers are not unique to the Cleveland Clinic, a detailed discussion is provided below. Non- Uniform Technology and Policies. Although it may be unnecessary to agree on a detailed definition of patient- and family- centered care, health systems do need to implement uniform best practices as quickly as possible if they're going to deliver consistent PFCC. Waiting for existing technologies at the different units of a health system to be standardized can significantly slow down the implementation of consistent PFCC policies. Many health systems have grown through mergers and acquisitions and face the cost and delays of standardizing policies across significantly different technologies. This represents 1. American Hospital Association (AHA) (2. United States (US). The Cleveland Clinic is a merged system, consisting of 1. Ohio, of which 1. Cleveland Clinic hospital through acquisition or joint operating agreements. In addition, there are many offsite care delivery facilities and support operations in northeast Ohio, such as home health and ambulatory surgery centers. There are also hospitals and operations in other states and countries where nursing practice needs to be guided by a nursing practice model. Cleveland Clinic currently has numerous technologies and policies that are unique to specific areas, most of which are in the process of being standardized. Faster standardization of PFCC requires independence from other standardization projects. Implementation must be done via paper and the Internet, supported by onsite training, ongoing education, and role modeling. Variety of Medical Specialties and Roles. Nurses perform a variety of roles; yet existing health system practice models are often focused on a single role, namely that of the bedside nurse in a hospital setting. A nursing practice model needs to give guidance that will help nurses perform in a variety of roles, from direct caregiver to central coordinator of care to supporting team member in any of the multiple facilities. Nursing Engagement. Successful implementation of PFCC requires more than just standardized models, policies, and procedures that tell nurses how to apply their knowledge and skills; it also requires managers to motivate nurses to apply them vigorously. Successful implementation of PFCC requires more than just standardized models, policies, and procedures that tell nurses how to apply their knowledge and skills; it also requires managers to motivate nurses to apply them vigorously. An Institute of Healthcare Improvement Innovation Series white paper by Balik, Conway, Zipperer, and Watson (2. Another key driver was . This driver is consistent with the Cleveland Clinic vision and guiding principle. The remaining key drivers were respectful partnership, reliable care, and evidence- based care. The Cleveland Clinic has recognized that nursing engagement is crucial for successful implementation of PFCC and measures this experience with the Gallup Organization. Nursing engagement has been linked to better patient outcomes. Increases in nursing engagement scores have been shown to have a greater effect on patient outcomes than increases in nurse staffing (measured as the ratio of the number of nurses to total patient days) (Blizzard, 2. Development of the Nursing Practice Model. Nurses across the system wanted to have their roles better defined and to be more empowered so as to deliver better care. In 2. 00. 9, the head of the Nursing Institute, Executive Chief Nursing Officer (ECNO) Sarah Sinclair, established a system- wide organization with four Associate Chief Nursing Officers (ACNOs), respectively responsible for Clinical Practice and Research; Informatics; Clinical Education and Professional Development; and Care Management and Social Work. The organization also includes a Human Resource Business Partner and System Executive/Director of Nursing Operations Integration, both of whom reported to the ECNO. Finally, the chief nursing officers for each of the 1. ECNO. With this structure in place, efforts commenced to standardize nursing across the system. |
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