Norbert Dentressangle provides logistics services to agribusiness customers including seed distribution, freight management, dedicated contract carriage, warehousing and distribution. They have over 15 years of experience working with leading agribusiness companies. Their focus is on executing cost-effective supply chain solutions and building relationships with customers, carriers, and distribution centers.
This document discusses thalassemia, a genetic blood disorder caused by abnormal hemoglobin. It is the most common inherited single-gene disorder globally, especially in areas where malaria was prevalent. The document describes the types of thalassemia, symptoms, diagnosis, and need for blood donations to help those suffering from thalassemia major. It notes that Pakistan faces an annual shortage of over 1 million blood units to meet the demand for transfusions.
My definition of song that critical nerve center where music and poetry meet. A brilliant guitar player said to me one day, "Poetry was not meant to be just read in a book. It was meant to be read out loud to an audience enmasse. Then one day a talented composer came by way of a selection of my lyrical works and I had the realization of my own. Poetry was actually not meant to be read out loud. It was meant to be sung in a song. This would be a highly valuable learning experience for me that musical composition and lyric writing to be twwo separate talents.
To those of you talented in music composition being an actual member of United Centers for Spiritual Living is optional. You all may like to know that within the fabric of this global organization is an inexhaustible resource of resource of such talent highly deserving of public recognition. One of way of putting it would be we've both kinds of music, that which you will take right on to as well as the ongoing process of music appreciation.
At United Centers for Spiritual living our music ministries would be merely the tip of the ice berg. Throughout the globe we've ministries highly compatible with the five corporations whom ow the media whom would be Time Warner, Viacom, CBS, News Corps, as well as General Electric. Like I said this would be merely the tip of the iceberg reaching deep into for example the Raga Revolution in India. The lyrical expressions herein would in fact be an attempt at uniting lyricists everywhere.
Thank you for notifying me you the highly talented musician with an interest in musically enlivening any of theses lyrical expressions. No one is expected to pay any money up front just to put music to any of these lyrical works. In the event for example such a collaborative work were taken up for example by Warner Bros generating millions in capital this would be what be refried to as a pro rata copyright, downpayment of $50,000, that would be after receiving royalty payment. Copyright would work in one of several ways. One would the pro-ratata as mentioned above. Now to let you in on what I would refer to as a regenerative copyright, you read the work once, putt down then give a great deal of thought as to what it means to you then rewrite it into either your own lyrical work or instrumental composition. Making it available to make it available to the next talent pool of lyricists and composers would be entirely optional of course.
This study analyzed 50 drinking water samples from Erbil City, Iraq for radioactive and chemical contamination. A radiation detector was used to measure levels of U-238, Ra-226, Cs-137, and Sr-90 radionuclides. The results showed low levels of all radionuclides that did not exceed safety standards. Chemical tests found normal levels of parameters like pH, conductivity, chlorine, sodium, magnesium and calcium. Some wells near industrial areas had slightly higher nitrate levels. Overall, the study concluded that radioactivity and chemicals in the city's drinking water do not pose health concerns.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow and levels of neurotransmitters and endorphins which elevate and stabilize mood.
This document provides information for a fall semester applied percussion course at Lewis University, including contact information for the professor, course descriptions and objectives, required materials, grading rubric, attendance policy, and relationship to the university's mission. It outlines private lesson times and lengths, expected textbooks and equipment, method books that will be used for different percussion instruments, requirements for performances, and policies regarding absences, academic honesty, accommodations, and inclusion in the university's Sanctified Zone.
1. The document discusses using urban graphics/wall paintings to improve visual organization and integration in cities. It focuses on Tabriz, Iran and examines how graphics can help address issues like visual pollution from a non-compact city form.
2. It reviews the history of wall paintings and discusses how graphics can be used to create a sense of wholeness and establish relationships between urban elements. Integrating graphics that respect community preferences is important.
3. The researchers conducted a study in Tabriz involving questionnaires to examine views on visual pollution and potential for graphics to address it. Results showed people felt some imbalance and graphics were seen as a possible solution if planned collaboratively with communities.
Norbert Dentressangle provides logistics services to agribusiness customers including seed distribution, freight management, dedicated contract carriage, warehousing and distribution. They have over 15 years of experience working with leading agribusiness companies. Their focus is on executing cost-effective supply chain solutions and building relationships with customers, carriers, and distribution centers.
This document discusses thalassemia, a genetic blood disorder caused by abnormal hemoglobin. It is the most common inherited single-gene disorder globally, especially in areas where malaria was prevalent. The document describes the types of thalassemia, symptoms, diagnosis, and need for blood donations to help those suffering from thalassemia major. It notes that Pakistan faces an annual shortage of over 1 million blood units to meet the demand for transfusions.
My definition of song that critical nerve center where music and poetry meet. A brilliant guitar player said to me one day, "Poetry was not meant to be just read in a book. It was meant to be read out loud to an audience enmasse. Then one day a talented composer came by way of a selection of my lyrical works and I had the realization of my own. Poetry was actually not meant to be read out loud. It was meant to be sung in a song. This would be a highly valuable learning experience for me that musical composition and lyric writing to be twwo separate talents.
To those of you talented in music composition being an actual member of United Centers for Spiritual Living is optional. You all may like to know that within the fabric of this global organization is an inexhaustible resource of resource of such talent highly deserving of public recognition. One of way of putting it would be we've both kinds of music, that which you will take right on to as well as the ongoing process of music appreciation.
At United Centers for Spiritual living our music ministries would be merely the tip of the ice berg. Throughout the globe we've ministries highly compatible with the five corporations whom ow the media whom would be Time Warner, Viacom, CBS, News Corps, as well as General Electric. Like I said this would be merely the tip of the iceberg reaching deep into for example the Raga Revolution in India. The lyrical expressions herein would in fact be an attempt at uniting lyricists everywhere.
Thank you for notifying me you the highly talented musician with an interest in musically enlivening any of theses lyrical expressions. No one is expected to pay any money up front just to put music to any of these lyrical works. In the event for example such a collaborative work were taken up for example by Warner Bros generating millions in capital this would be what be refried to as a pro rata copyright, downpayment of $50,000, that would be after receiving royalty payment. Copyright would work in one of several ways. One would the pro-ratata as mentioned above. Now to let you in on what I would refer to as a regenerative copyright, you read the work once, putt down then give a great deal of thought as to what it means to you then rewrite it into either your own lyrical work or instrumental composition. Making it available to make it available to the next talent pool of lyricists and composers would be entirely optional of course.
This study analyzed 50 drinking water samples from Erbil City, Iraq for radioactive and chemical contamination. A radiation detector was used to measure levels of U-238, Ra-226, Cs-137, and Sr-90 radionuclides. The results showed low levels of all radionuclides that did not exceed safety standards. Chemical tests found normal levels of parameters like pH, conductivity, chlorine, sodium, magnesium and calcium. Some wells near industrial areas had slightly higher nitrate levels. Overall, the study concluded that radioactivity and chemicals in the city's drinking water do not pose health concerns.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow and levels of neurotransmitters and endorphins which elevate and stabilize mood.
This document provides information for a fall semester applied percussion course at Lewis University, including contact information for the professor, course descriptions and objectives, required materials, grading rubric, attendance policy, and relationship to the university's mission. It outlines private lesson times and lengths, expected textbooks and equipment, method books that will be used for different percussion instruments, requirements for performances, and policies regarding absences, academic honesty, accommodations, and inclusion in the university's Sanctified Zone.
1. The document discusses using urban graphics/wall paintings to improve visual organization and integration in cities. It focuses on Tabriz, Iran and examines how graphics can help address issues like visual pollution from a non-compact city form.
2. It reviews the history of wall paintings and discusses how graphics can be used to create a sense of wholeness and establish relationships between urban elements. Integrating graphics that respect community preferences is important.
3. The researchers conducted a study in Tabriz involving questionnaires to examine views on visual pollution and potential for graphics to address it. Results showed people felt some imbalance and graphics were seen as a possible solution if planned collaboratively with communities.
The document discusses social investment bonds as a way to distribute resources to disadvantaged communities. It explains that social investment bonds complement government policy on distributive justice by providing an alternative means for corporations to engage in philanthropy. The bonds allow ethical investors to contribute to positive social change and generate cash flow for social programs independent of changes in government policy. They provide a way to balance technical efficiency focused on competition and individual gain with distributive justice aimed at cooperation and equitable distribution of wealth in a community.
The document describes how to calculate full time equivalents (FTEs) needed for staffing based on roster patterns. It explains that the number of shifts required per year is divided by the number of available work days per staff member per year to determine the number of FTEs needed. For a sample 32-bed unit requiring 1,094 shifts per year, the calculation determines 4.86 FTE care coordinators are required when accounting for annual and sick leave. The document also provides an example of comparing the FTEs of individual staff on a roster to the total FTEs required.
Ageing Workforce Challenges Opportunities 10-8-13Walter de Ruyter
The document discusses challenges and opportunities related to an aging workforce. It notes that by 2018, there will be more Australians over 60 than under 60, increasing pressure on care services. There is already a shortage of 20,000 nurses in aged care. As people get older they use more health services, increasing demand and pushing more care to aged care facilities. Developing sustainable workforce strategies is important to address these issues posed by an aging community and aging workforce.
20131024 The role of Research Generating KnowledgeWalter de Ruyter
1) Research generates data that is translated into information through various processes and applied as knowledge in professional practice and policy.
2) Professionals apply this knowledge in their work, documenting practices and developing standards, while continuing to contribute new research data.
3) Cognitive maps are used to help stakeholders understand how research, knowledge development, and strategic partnerships interconnect and contribute to organizational success.
The document discusses a model for controlled variation that allows organizations to adapt to changing markets. It proposes that mature governance systems can maintain control over natural variation within their structures to remain competitive. Knowledge is an organizational asset that can be made "fungible" or transferable through processes that assign it value. An emerging paradigm views organizations as dynamic and evolving through controlled experimentation, in contrast to relying only on existing expertise. This balanced approach to risk management through governance supports innovation while focusing on enhancing brand value and market share.
Uniting Care is engaging local communities through their program "The Big Move - Dancing for Dementia". The program held dance events in shopping centers across NSW and ACT on March 9, 2015 to raise awareness of dementia and promote social inclusion of those affected. By 2018, there will be more Australians over 60 than under 60, so communities must adapt to support the needs of older residents. "The Big Move" used dance in public spaces like shopping centers to reorient social activities and encourage people to look out for those who appear lost or needing assistance. The goals were to promote social inclusion, support those with dementia and their families, and change social norms to be more attentive to vulnerable community members in public settings.
The document discusses social investment bonds as a way to distribute resources to disadvantaged communities. It explains that social investment bonds complement government policy on distributive justice by providing an alternative means for corporations to engage in philanthropy. The bonds allow ethical investors to contribute to positive social change and generate cash flow for social programs independent of changes in government policy. They provide a way to balance technical efficiency focused on competition and individual gain with distributive justice aimed at cooperation and equitable distribution of wealth in a community.
The document describes how to calculate full time equivalents (FTEs) needed for staffing based on roster patterns. It explains that the number of shifts required per year is divided by the number of available work days per staff member per year to determine the number of FTEs needed. For a sample 32-bed unit requiring 1,094 shifts per year, the calculation determines 4.86 FTE care coordinators are required when accounting for annual and sick leave. The document also provides an example of comparing the FTEs of individual staff on a roster to the total FTEs required.
Ageing Workforce Challenges Opportunities 10-8-13Walter de Ruyter
The document discusses challenges and opportunities related to an aging workforce. It notes that by 2018, there will be more Australians over 60 than under 60, increasing pressure on care services. There is already a shortage of 20,000 nurses in aged care. As people get older they use more health services, increasing demand and pushing more care to aged care facilities. Developing sustainable workforce strategies is important to address these issues posed by an aging community and aging workforce.
20131024 The role of Research Generating KnowledgeWalter de Ruyter
1) Research generates data that is translated into information through various processes and applied as knowledge in professional practice and policy.
2) Professionals apply this knowledge in their work, documenting practices and developing standards, while continuing to contribute new research data.
3) Cognitive maps are used to help stakeholders understand how research, knowledge development, and strategic partnerships interconnect and contribute to organizational success.
The document discusses a model for controlled variation that allows organizations to adapt to changing markets. It proposes that mature governance systems can maintain control over natural variation within their structures to remain competitive. Knowledge is an organizational asset that can be made "fungible" or transferable through processes that assign it value. An emerging paradigm views organizations as dynamic and evolving through controlled experimentation, in contrast to relying only on existing expertise. This balanced approach to risk management through governance supports innovation while focusing on enhancing brand value and market share.
Uniting Care is engaging local communities through their program "The Big Move - Dancing for Dementia". The program held dance events in shopping centers across NSW and ACT on March 9, 2015 to raise awareness of dementia and promote social inclusion of those affected. By 2018, there will be more Australians over 60 than under 60, so communities must adapt to support the needs of older residents. "The Big Move" used dance in public spaces like shopping centers to reorient social activities and encourage people to look out for those who appear lost or needing assistance. The goals were to promote social inclusion, support those with dementia and their families, and change social norms to be more attentive to vulnerable community members in public settings.
1. Transfer of care: Building partnerships
instead of puzzle-pieces
Posted on April 16, 2015 by Informa Australia
What is ‘transfer of care’?
According to the Compliance Transfer of Care Definition, it is defined as the “process
whereby a physician who is providing management for some or all of a patient’s problems
relinquishes this responsibility to another physician who explicitly agrees to accept this
responsibility and who, from the initial encounter, is not providing consultative services. The
physician transferring care is then no longer providing care for these problems though he or
she may continue providing care for other conditions when appropriate”.
That definition focuses on the role of the physician and hints at what many believe is
indicative of the lack of real communication or planning with other members of the
healthcare team and the patient themselves. As a promising sign of changes to physician-
focused care, most services are now incorporating exciting initiatives to provide the patient
with more certainty of their transfer of care, providing healthcare staff with a more secure
way of dealing with transfer of care on weekends, public holidays and even out-of-hours.
We had the opportunity to speak with Walter de Ruyter,
Service Manager of UnitingCare Ageing, on the challenges in facilitating this process, its
impact on the care of older patients, and the role patients play to ensure a safe and timely
flow of care.
What does transfer of care mean for organisations and individual patients?
i) The objective for organisations is to develop a continuity of care model, achieved through
the alignment and sequencing of care needs through the collective umbrella of affiliated
organizations. This results in a greater number of access points of care becoming a planned
event. Examples of tools used to reflect this are agreed pathways of care between provider
organisations and integrated health staff placement programs across services.
ii) The challenge for clients are current processes associated with care have a focus on
supporting the organisation in delivering a service to a client, whilst the process of care to
support the client across organisations in accessing their health and wellness needs is poorly
developed. The latter is the expectation of consumer directed care.
What are some of the current challenges in improving the information flow between
organisations and ensuring continuity of care?
The focus has been on developing technically sophisticated information platforms such as the
national patient record and despite the amount of money spent the uptake has been relatively
low. The challenge is more to do with common purpose through collective leadership which
allows us to gain the trust of and engage the broader community. This in turn allows us to
work collaboratively to better use information platforms such as the national patient record
2. addressing the significant challenge of managing the health and wellbeing of our rapidly
aging community.
Focusing on the transfer of care of older patients, does health have a bed shortage or is it a
matter of how beds are used between hospitals and aged care facilities?
Aged care beds out-number hospital beds by greater than two to one (> 2:1). When aged care
residents are admitted to a hospital the reason is often the need for a small increment of
clinical care beyond the scope of the residential facilities routine support of Activities of
Daily Living (ADL’s). This keeps the resident from returning to their vacant aged care bed.
The subsequent impact on the occupancy of hospital bed days is significant. We have yet to
collectively work as a single connected service and until then the problem is more to do with
the delivery of care than the number of beds.
Independent Living units at West Pymble Village
Image credit: http://www.unitingcareageing.org.au
There has been a heightened focus on keeping the patient at the centre of care. What role
can the patient play in working towards a safe and timely transfer of care?
The future is one where the patient is becoming the central player in managing their care as
detailed in a short paper on consumer directed care from an aged care perspective. The
difficulty for the Patient/Consumer is the process of guiding the flow of care information is
not coherent, as the focus of care is often an isolated ‘puzzle-piece’ expressed in the jargon of
the service. The puzzle-piece of care (often Health) has not been dovetailed in a culturally
and socially inclusive way that is relevant to the consumer.
What do you believe are some of the essential elements in developing a whole of
community response to promoting the health and wellbeing of an aging population?
A priority is to develop a collective will by stakeholders in the provision of health and
wellbeing e.g. each provider to quarantine a small percentage of their budget as allocated by
federal and state governments to ensure these funds are directed to integration of care
strategies across services. Rapid change and improvements can be undertaken through the
reorientation of social and physical capital. An example is the statement in question 3; “does
health have a bed shortage or is it a matter of how beds are used between hospitals and aged
care facilities”.
Providing that small increment of care at point of need such as in the aged care facility rather
than at point of delivery at the hospital. The technology and trained staff are available here
and now to address these increments of care at “Point of Need”, unfortunately it often takes a
disaster such as the NZ Christchurch earthquake where the imperative to respond to such a
crisis resulted in transfer of care innovations leading to significant improvements in service
3. delivery over the past seven years. This was encapsulated in the statement; where the
collective effort of Canterbury health 7 years post-earthquake resulted in a 30% reduction in
unplanned admissions and a 45% increase in elective surgery when compared to other district
services across New Zealand.
Melanie Dicks of Uniting Care NSW ACT and Narelle Evry of Illawarra Shoalhaven Local
Health District NSW will be discussing the topic of “Building Partnerships: Not a Bed
Problem; It is a Service Delivery Opportunity” at the upcoming Transfer of Care
Conference, held on the 22-23 June in Sydney.
Click to find out more about the Transfer of Care Conference 2015.