- Last 7 days
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library.scholarcy.com library.scholarcy.com
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and its management in state-buildin
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worshiped Pan Hu, a legendary figure, as part of their New Year's celebrations.
more detailed, specific on beliefs
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he treatment is anecdotal
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"Miao albums" that were compiled by officials responsible for governing frontier areas during the late Yongzheng or early Qianlong periods. These albums contained illustrations and texts describing the customs and practices of different ethnic minority groups in southwest China.
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Qing Imperial Illustrations of Tributary Peoples was based on direct observation,
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China saw a rise in ethnographic representation of different peoples, including the development of a systematic ethnography of ethnic minority groups.
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library.scholarcy.com library.scholarcy.com
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The chapter also explores the development of anthropology and ethnography as academic disciplines, which began to take shape in the 19th century.
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- Oct 2024
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www.theguardian.com www.theguardian.com
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2023 haben Böden und Landpflanzen fast kein CO2 absorbiert. Dieser Kollaps der Landsenken vor allem durch Dürren und Waldbrände wurde in diesem Ausmaß kaum vorausgesehen, und es ist nicht klar, ob auf ihn eine Regeneration folgt. Er stellt Klimamodelle ebenso in Frage wie die meisten nationalen Pläne zum Erreichen von CO2-Neutralität, weil sie auf natürlichen Senken an Land beruhen. Es gibt Anzeichen dafür, dass die steigenden Temperaturen inzwischen auch die CO2-Aufnahmefähigkeit der Meere schwächen. Überblicksartikel mit Links zu Studien https://www.theguardian.com/environment/2024/oct/14/nature-carbon-sink-collapse-global-heating-models-emissions-targets-evidence-aoe
Tags
- Schwächung der terrestrischen Kohlenstoffsenken
- Philippe Ciais
- French Laboratory of Climate and Environmental Sciences
- The role of forests in the EU climate policy: are we on the right track?
- Tim Lenton
- 2023
- Schwächung der marinen Kohlenstoffsenken
- The enduring world forest carbon sink
- Global Carbon Budget
- Andrew Watson
- Low latency carbon budget analysis reveals a large decline of the land carbon sink in 2023
- Pierre Friedlingstein
- by: Patrick Greenfield
- A warming climate will make Australian soil a net emitter of atmospheric CO2
- date::2024-10-14
- Impact of high temperature heat waves on ocean carbon sinks: Based on literature analysis perspective
- Johan Rockström
Annotators
URL
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www.youtube.com www.youtube.com
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la scolarité s'arrête pas au portail de l'établissement un élève c'est une personne tout entière donc nous on voit la partie élève mais le reste fait partie de l'élève et ben le rôle du chef d'établissement c'est de l'accompagner c'est de l'aider à pousser c'est à grandir c'est de l'aider à se structurer pour avancer en sécurité sans prendre la place des des professionnels en fait je suis pas psychologue je suis pas assistant sociale je suis pas de la police ni des services juridiques voilà donc on cherche des chemins
Tags
Annotators
URL
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- Jul 2024
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docdrop.org docdrop.org
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when you've killed off all the big game and you're sort of running around hunting rabbits and small birds and you're starting to think this 00:11:49 really isn't good enough and probably in those those hunting societies is usually the women and children who do the gathering and they were probably uh producing 00:12:02 a bigger and bigger percentage of the food supply from their activities
for - progress - transition from stone age hunter gatherers to agriculture - role of women and children
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docdrop.org docdrop.org
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inflammation is a very important part of the development of heart disease
for - health - heart - the critical role of inflammation
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www.investopedia.com www.investopedia.com
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for - NAFTA free trade - complexities
NAFTA free trade deal - complexities - NAFTA was a a very complex trade deal and it's not so easy to calculate its net impacts
from - How neoliberalism played a role in emerging the far-right - https://hyp.is/F6XYujyREe-TaldInE8OGA/scholarworks.arcadia.edu/cgi/viewcontent.cgi?article=1066&context=thecompass
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- Jun 2024
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how was it that our symbols became so dislocated 00:09:34 from physical uh materiality and the biophysical reality that we've created an economy that's destroying the biosphere
for - question - Planet Critical podcast - What is the role of language in creating an ecocidal economy?
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- May 2024
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scholarworks.boisestate.edu scholarworks.boisestate.edu
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Research has shown us that students’ relationshipswith faculty have a direct and significant effect on their scholarly engagement
instructor - student relationship
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there is a neuron in a seans that responds to temperature and if you take a normal temperature worm 00:36:26 and you put it in high temperature
for - paradigm shift - evolutionary biology - epigenetic's critical role in inheritance - experimental proof - C. Elegan - Oded Rechavi
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the gene plays a passive role as a Vital Information store
for - quote - gene plays passive role - quote - Keith Baverstock
quote - gene plays a passive role - (see quote below)
- the gene plays a passive role as a Vital Information store
- it enables us to make all the proteins we need,
- all the rnas we need but
- it is the phenotype,
- that is you and me
- that plays the active role
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- Jan 2024
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docdrop.org docdrop.org
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for: elephants in the room - financial industry at the heart of the polycrisis, polycrisis - key role of finance industry, Marjorie Kelly, Capitalism crisis, Laura Flanders show, book - Wealth Supremacy - how the Extractive Economy and the Biased Rules of Captialism Drive Today's Crises
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Summary
- This talk really emphasizes the need for the Stop Reset Go / Deep Humanity Wealth to Wellth program
- Interviewee Marjorie Kelly started Business Ethics magainze in 1987 to show the positive side of business After 30 years, she found that it was still tinkering at the edges. Why? - because it wasn't addressing the fundamental issue.
- Why there hasn't been noticeable change in spite of all these progressive efforts is because we avoided questioning the fundamental assumption that maximizing returns to shareholders and gains to shareholder portfolios is good for people and planet.**** It turns out that it isn't. It's fundamentally bad for civilization and has played a major role in shaping today's polycrisis.
- Why wealth supremacy is entangled with white supremacy
- Financial assets are the subject
- Equity and bonds use to be equal to GDP in the 1950s.
- Now it's 5 times as much
- Financial assets extracts too much from common people
- Question: Families are swimming in debt. Who owns all this financial debt? ...The financial elites do.
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meme
- wealth supremacy and white supremacy are entangled
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Tags
- magazine - Business Ethics - founder - Marjorie Kelly
- polycrisis - key role of finance industry
- Laura Flanders show
- book - Wealth Supremacy - How the Extractive Economy and the Biased Rules of Capitalism Drive Today's Crises
- Marjorie Kelly
- magazine - Business Ethics
- elephant in the room - financial industry at heart of polycrisis
- Capitalism crisis
Annotators
URL
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- Dec 2023
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www.sciencedirect.com www.sciencedirect.com
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“an integral and important part in the success of sustainability transitions”
for: transition - important role of emotions
- comment
- agreed! (thumbs up emoticon)
- comment
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www.linkedin.com www.linkedin.com
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Lack of community is a key driver of why the system is so broken
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for: climate crisis - role of community
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comment
- Jane starts off a great conversation with the thesis that communities can be the key for solving the climate crisis
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- Nov 2023
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docdrop.org docdrop.org
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the explanatory Gap
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for: explanatory gap
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comment
- insight
- there is very little research on the role of language in the explanatory gap of the hard problem of consciousness
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www.bostonreview.net www.bostonreview.net
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The Spanish thought they had been mandated by God to spread the faith and were thus justified in annexing all territories not populated by Christians in order to convert the heathens.
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for: colonialism - role of religion
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comment
- Using religion as justification of violence committed against the other is liberally found throughout history
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- Oct 2023
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economist Milton Friedman, and especially in hisideas on education. Back in 1955 Friedman had turned his attention to educationand written The Role of Government in Education. Education intrigued himbecause of its strange and, for the market model, rather irritating position in themarketplace. It didn’t quite fit into a neat demand-and-supply framework withchoice at the centre.
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- Sep 2023
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www.repubblica.it www.repubblica.it
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Komplexe Moleküle, die bei der Atmung von Pflanzen ausgestoßen werden, können die Wolkenbildung und damit die Temperaturen deutlich stärker beeinflussen als bisher angenommen. Sie wirken ähnlich wie bei der Verbrennung fossiler Brennstoffe produzierten Aerosole.
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scalar.case.edu scalar.case.edu
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Agency is the satisfying power to take meaningful action and see the results of our decisions and choices.
Great definition of "agency." I think though that it leaves it up to us to determine what meaningful action is and what constitutes satisfying results.
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- Aug 2023
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www.pewresearch.org www.pewresearch.org
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We are already seeing the emergence of ‘tech-free’ camps and vacation packages. Experiencing life ‘offline’ will become a generational goal, much like the Millennial generation introduced ride sharing and home sharing. Ironically, it will be technology that enables this trend, and premiums will be paid for uninterrupted time to focus or to simply enjoy being alive. This may also indicate a new kind of disparity between economic strata, with the more-wealthy affording privacy, peace and quiet while the lower strata remain fodder for 24/7 social media aggregators and botnets.
- for: futures, digital futures, online vs offline role reversal, inequality
- quote
- paraphrase
- We are already seeing the emergence of
- ‘tech-free’ camps and
- ' tech-free' vacation packages
- Experiencing life ‘offline’ will become a generational goal,
- much like the Millennial generation introduced ride sharing and home sharing.
- Ironically, it will be technology that enables this trend, and premiums will be paid for uninterrupted time to focus or to simply enjoy being alive.
- This may also indicate a new kind of disparity between economic strata, with
- the more-wealthy affording privacy, peace and quiet while
- the lower strata remain fodder for 24/7 social media aggregators and botnets.
- We are already seeing the emergence of
- author: Sam Adams
- 24 year veteran of IBM
- senior AI research scientist, RTI International
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- Dec 2022
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www.janeausten.pludhlab.org www.janeausten.pludhlab.org
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the very material matrimonial point of submitting your own will, and doing as you were bid
To a modern eye this line is very uncomfortable.
Doing as you're told, like a child! No wonder Emma wants to avoid marriage.
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drive.google.com drive.google.com
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Getting StartedLivable Planet Ltd operates a system that we call role cards. At any time we expect that you willhold in your hand – like a pack of cards – a cluster of role cards, which each contains a set ofresponsibilities and accountabilities towards our shared mission. These role cards will outlinethe skills needed for the role, and what success might look like in it.You are joining Livable Planet Ltd with the following role cards:
The reason why we use role cards is,...
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- Nov 2022
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community.interledger.org community.interledger.org
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locally-based staff and carries out its programs in conjunction with local partners. Teams of international instructors and volunteers support the programs through projects year-round.
So many good features in your project!
Employing local staff that know the setting and can be role models for the kids.
Supporting mentoring by volunteers to scale.
Working with bodies to get a visceral experience that change is possible.
Mentoring in groups to build a community.
Spotlighting diversity and building bridges beyond the local community.
Some related resources: Ballet dancer from Kibera
Fighting poverty and gang violence in Rio's favelas with ballet
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community.interledger.org community.interledger.org
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11/30 Youth Collaborative
I went through some of the pieces in the collection. It is important to give a platform to the voices that are missing from the conversation usually.
Just a few similar initiatives that you might want to check out:
Storycorps - people can record their stories via an app
Project Voice - spoken word poetry
Living Library - sharing one's story
Freedom Writers - book and curriculum based on real-life stories
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en.wikipedia.org en.wikipedia.org
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Computers can only deal with well-structured problems
ie, "well-defined problems" in John Vervaeke's language. Cultivation of wisdom, per Vervaeke, is developing the capacity to navigate a ill-defined problem space, and realize (ie, recognize, and make real) what is relevant to resolving the situation.
Examples of ill-defined problems: - how to take good notes? - how to tell a funny joke? - how to go on a successful 1st date? - how to be a good friend?
May relate to Shapiro's "role theory". Needs further research
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- Sep 2022
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edtechbooks.org edtechbooks.org
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Conclusion The role of a learning designer has continued to evolve to make room for emergent technologies and frameworks. Always the goal has been to design the most effective learning using all theories, processes, or technologies at our disposal. In the modern version of the field, there are simply more of these theories, processes, and increasingly advanced technologies to assist us.
I wonder how much Artificial intelligence and virtual reality enhancements will affect the role of the learner designer. I know we will have to learn the platform, its technology but at what level. Will we have to learn how to code to be able to do an effective learning environment.
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- Apr 2022
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Researchers have demonstrated, for instance, that intentionallyimitating someone’s accent allows us to comprehend more easily the words theperson is speaking (a finding that might readily be applied to second-languagelearning).
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Imitating such forms with one’sown face and body is an even more effective means of learning, maintainsEmmanuel Roze, who introduced his “mime-based role-play training program”to the students at Pitié-Salpêtrière in 2015. Roze, a consulting neurologist at thehospital and a professor of neurology at Sorbonne University, had becomeconcerned that traditional modes of instruction were not supporting students’acquisition of knowledge, and were not dispelling students’ apprehension in theface of neurological illness. He reasoned that actively imitating the distinctivesymptoms of such maladies—the tremors of Parkinson’s, the jerky movementsof chorea, the slurred speech of cerebellar syndrome—could help students learnwhile defusing their discomfort.
Training students to be able to imitate the symptoms of disease so that they may demonstrate them to others is an effective form of context shifting. It allows the students to shift from a written or spoken description of the disease to a physical interpretation of it for themselves which also entails more cognitive work than even seeing a particular patient with the problem and identifying it correctly. The need to mentally internalize the issue and then physically recreate it helps in the acquisition of the knowledge.
Role playing or putting oneself into the shoes of another is another good example of creating a mental shift in context.
Getting medical students to play out the symptoms of patients can help to diffuse their social discomfort in dealing with these patients.
If this practice were used on broader scales might it also help to normalize issues that patients face and dispel social stigma toward them?
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founders.archives.gov founders.archives.gov
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this government is charged with the external and mutual relations only of these states, that the states themselves have principal care of our persons, our property, and our reputation, constituting the great field of human concerns, we may well doubt whether our organisation is not too complicated, too expensive; whether offices and officers have not been multiplied unnecessarily, and some times injuriously23 to the service they were meant to promote. I will cause to be laid before you an essay towards a statement, of those who, under public employment of various kinds, draw money from the treasury, or from our citizens.
Role of Federal gov't. Leave the main issues to the states. When we draw from the US Treasury, we are drawing from our citizens.
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- Mar 2022
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twitter.com twitter.com
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ReconfigBehSci on Twitter: ‘RT @psychmag: This looks very interesting, and several of the speakers have contributed to our Covid coverage https://t.co/pOE34Vy94e and /…’ / Twitter. (n.d.). Retrieved 22 March 2022, from https://twitter.com/SciBeh/status/1486007937818583055
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- Feb 2022
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www.businessinsider.com www.businessinsider.com
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In her 2021 book "Bet on Yourself," which features a foreword by Schmidt, Hiatt lays out the two key ways she "up-leveled" her career."First I have prioritized finding a manager who is modeling the career path I want to take and embodies the leadership qualities I want to possess," she wrote. "Second, I have chosen roles that surround me with top quality people and a depth of opportunities to grow with them."
Look at their life and how it can bring opportunities and then if you will be exposed and streched.
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- Nov 2021
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psyarxiv.com psyarxiv.com
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Walther, A., Eggenberger, L., Grub, J., Ogrodniczuk, J. S., Seidler, Z. E., Rice, S., Kealy, D., Oliffe, J. L., & Ehlert, U. (2021). Examining the role of traditional masculinity and depression in men’s risk for contracting COVID-19. PsyArXiv. https://doi.org/10.31234/osf.io/6rp8u
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drive.google.com drive.google.com
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role of school as a community
According to teachers, distance learning should be based on a school's strategy where everyone is equally committed and responsible for students
- how to structure to resolve equality
- equality after overcoming disparities
- securing equality will remain a permanent concern
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- Oct 2021
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www.crossway.org www.crossway.org
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Humility means that each leader’s relationship to other leaders is characterized by an acknowledgment that he deserves none of the recognition, power, or influence that his position affords him.
Outside of a position, we're all equal. A role follows a position, with a set of actions that is required in order to do the role in a good way.
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- Sep 2021
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www.whatifworldpodcast.com www.whatifworldpodcast.com
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Kids Podcast
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- May 2021
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css-tricks.com css-tricks.com
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However, since we’re using tables purely for structural purposes, we need screen readers to ignore those tables. This is where ARIA roles can help us out. By applying the role="presentation" attribute to a table, we can instruct the screen reader to skip over those elements and move straight into the content.
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- Apr 2021
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theangrygm.com theangrygm.com
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One of the main characters in DS9 was a member of an alien species called the trill. And the trill are two-part life forms. They’re two separate organisms. A humanoid host and a slug-like organism called a symbiont that’s surgically shoved into the host’s abdomen and grows into its central nervous system. Each is its own thing. The host and the symbiont have different personalities, minds, memories, the whole thing. And the trill’s personality and mannerisms become a unique blend of the two different entities. Eventually, the host dies. It’s got a normal humanoid lifespan. But the symbiont can survive and get implanted in some other host with all its previous memories intact. And the new trill’s personality and mannerisms become a synthesis of the new host’s personality and the symbiont’s personality based on all its lifetimes of experiences and memories. And that’s how role-playing works. Role-playing isn’t pretending to be someone else because you just can’t ever do that. Like it or not — and lots of people resist this basic truth — you can’t take the you out of role-playing. Whatever character you play, you’re still the slug in the character’s stomach. All of your own personal experiences, beliefs, perceptions, attitudes, ideas, and priorities come along for the ride. In the end, it is still your brain making whatever decision the character makes. And your brain’s decisions are the result of its wiring. And your brain’s wiring is a result of your genetics and biology and how your brain’s wiring has developed in response to your experiences. Nature and nurture. That old yarn. You literally cannot think like anyone other than you for the same reason you can’t bend your knees backward. It’s a hardware problem. Besides, to think like another person would require you to hold an infinite set of memories, experiences, beliefs, priorities, natures, and so on in your head. Perfectly. Because all of that s$&% figures into every decision you make, no matter how simple. And, guess what? You can’t do that. Role-playing’s thus not really about pretending to be someone else. It’s about making the choices you would make in a given situation if you were a certain character. Role-playing is saying, “okay, so, this dragon is descending on the town. What would I do in this situation if I was a bada$& barbarian dude from the hill tribes in some fantasy world?” The question’s not “what would Angrar do?” It’s “what would I do if I were Angrar?” It’s a subtle distinction, but super important. The character you play is always “you, but…”
a great explanation of how to role play a character
Tags
Annotators
URL
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en.wikipedia.org en.wikipedia.org
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The role of the terminal emulator process is:
Shows the relationship between a "terminal emulator" and a pseudoterminal, as alluded to in the intro:
is a pair of pseudo-devices, one of which, the slave, emulates a hardware text terminal device, the other of which, the master, provides the means by which a terminal emulator process controls the slave.
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en.wikipedia.org en.wikipedia.org
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Example
This clarifies that (one of) the terminal's responsibility is:
- provides line editing
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- Jan 2021
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covid-19.iza.org covid-19.iza.org
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Abel. M., Brown. W., (2020) Prosocial Behavior in the Time of COVID-19: The Effect of Private and Public Role Models. Institute of labor and economics. Retrieved from:https://covid-19.iza.org/publications/dp13207/
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- Dec 2020
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azgaar.github.io azgaar.github.io
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watabou.itch.io watabou.itch.io
- Oct 2020
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developer.mozilla.org developer.mozilla.org
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react-spectrum.adobe.com react-spectrum.adobe.com
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Sometimes you might need to use an element other than a native <button>. useButton supports this via the elementType prop. When used with an element other than a native button, useButton automatically applies the necessary ARIA roles and attributes to ensure that the element is exposed to assistive technology as a button.
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Les représentants sont là pour vous aider et vous épauler dans vos relations avec l'école ou l'établissement. La réglementation leur reconnaît ce rôle de médiateur. Sachez qu'à tout moment, vous avez le droit de vous faire accompagner par un représentant sans pour autant être adhérent.
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les représentants des parents d'élèves facilitent les relations entre les parents d'élèves et les personnels. Ils accompagnent les familles dans le respect de leur vie privée et peuvent intervenir auprès des responsables d'établissement pour évoquer un problème particulier, pour assurer une médiation à la demande des parents concernés.
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eduscol.education.fr eduscol.education.fr
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de leurs fonctions de médiation et d'information
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- Sep 2020
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www.theguardian.com www.theguardian.com
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Goodley, S., & Halliday, J. (2020, September 18). Troubled test-and-trace system drafts in management consultants. The Guardian. https://www.theguardian.com/world/2020/sep/18/troubled-covid-test-and-trace-programme-drafts-in-management-consultants
Tags
- cost
- office role
- test-and-trace
- UK
- challenge
- tracking
- is:news
- consultant
- COVID-19
- turnaround time
- testing
- lang:en
- management
- strategy
Annotators
URL
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hiddedevries.nl hiddedevries.nl
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I’ve added my test results per browser below. In each of them, our <ul> gets the correct role without display: contents, but once the property is set, it loses its role.
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uclaspecialevents.ucla.edu uclaspecialevents.ucla.edu
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How will artists help us through this? (n.d.). Retrieved September 3, 2020, from http://uclaspecialevents.ucla.edu/arts-resilience
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- Aug 2020
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casrai.org casrai.org
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CRediT - Contributor Roles Taxonomy. (n.d.). CASRAI. Retrieved June 13, 2020, from https://casrai.org/credit/
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- Jul 2020
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the role of the teacher
teacher
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- Jun 2020
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psyarxiv.com psyarxiv.com
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Im, H., & Chen, C. (2020). Social Distancing Around the Globe: Cultural Correlates of Reduced Mobility [Preprint]. PsyArXiv. https://doi.org/10.31234/osf.io/b2s37
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twitter.com twitter.com
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simine vazire on Twitter: “At the risk of piling on (tho the paper’s been dowloaded > 8k times, so continued critical examination is called for, right?), here’s one of the reasons I’m worried about ‘Using social & behavioural science to support COVID-19 pandemic response’ (https://t.co/0ZthdaCDHK) 1/n” / Twitter. (n.d.). Twitter. Retrieved June 10, 2020, from https://twitter.com/siminevazire/status/1260413236861493248
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statmodeling.stat.columbia.edu statmodeling.stat.columbia.edu
Tags
- is:blog
- social science
- review
- relevance
- COVID-19
- limitation
- policy
- behavioral science
- lang:en
- data analysis
- criticism
- role
Annotators
URL
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- Apr 2020
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psyarxiv.com psyarxiv.com
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Rosenfeld, D. L., & Tomiyama, A. J. (2020, April 22). Can a Pandemic Make People More Socially Conservative? Longitudinal Evidence from COVID-19. https://doi.org/10.31234/osf.io/zg7s4
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accessmedicine.mhmedical.com accessmedicine.mhmedical.com
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In some cases, the biofilm allows bacteria to become quiescent and thus become less sensitive to antimicrobials that typically affect dividing bacterial cells.
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Bacteria will then begin to exhibit phenotypic and genotypic plurality: the former allows bacteria to adapt to different growth conditions such as nutrient availability, pH, and oxidizing potential within the biofilm, while the latter allows for virulence and bacterial resistance to drugs.
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The presence of biofilms protects bacteria from the host defenses.
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Oxygen is required for almost all steps of wound healing and is also an important factor in the body’s defense against bacterial infection
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In addition to its role in healing, oxygen plays an essential role in the production of reactive oxygen species such as superoxide that are angiogenesis stimulators and are bacteriostatic
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- Sep 2019
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podnetwork.org podnetwork.org
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Educational development is often embedded in a highly variable campus ecosystem where other units or individuals may take on some of these roles.
role of CTLs is highly dependent upon the campus
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- Mar 2019
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Nine alternatives to lecturing This page briefly describes nine ways to teach other than lecture. Some of these are common, such as case study; others, such as a pro and con grid, are explained less often. This page, like the others I have bookmarked, is oriented toward teaching college students and adults.
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- Dec 2018
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www.gutenberg.org www.gutenberg.org
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nail-adorned jewels she gave to the heroes:
She is well-respected within the mead hall and in return respects the men of the hall
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’Mid hall-building holders. The highly-famed queen, 55 Peace-tie of peoples, oft passed through the building, Cheered the young troopers; she oft tendered a hero A beautiful ring-band, ere she went to her sitting
Wealhtheow portrays the role of a traditional Anglo-Saxon woman at the time. Wealhtheow is first introduced to the audience, she immediately falls into her role as peaceful greeter and cocktail waitress. The author then reinforces that she is a member of the weaker gender by directing Wealhtheow to her proper position behind the king. When the queen is not serving drinks or greeting the hall guests, she may usually be found obediently following Hrothgar throughout the mead hall and "waiting for hope-news".
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- Nov 2018
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www.irrodl.org www.irrodl.org
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technical difficulties
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paperpile.com paperpile.com
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One of the most striking features of the quantitative and qualitative data from first- and second-semester German students is that the students interact directly with each other, as opposed to interacting mainly with the teacher. The changed role of teacher and students
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www.the-hospitalist.org www.the-hospitalist.org
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Hospitalists need to continue to take C-suite positions at hospitals and policy roles at think tanks and governmental agencies. They need to continue to master technology, clinical care, and the ever-growing importance of where those two intersect. Most of all, the field can’t get lazy. Otherwise, the “better mousetrap” of HM might one day be replaced by the next group of physicians willing to work harder to implement their great idea. “If we continue to be the vanguard of innovation, the vanguard of making the system work better than it ever has before,” Dr. Wachter says, “the field that creates new models of care, that integrates technology in new ways, and that has this can-do attitude and optimism, then the sky is the limit.”
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At a time of once-in-a-generation reform to healthcare in this country, the leaders of HM can’t afford to rest on their laurels, says Dr. Goldman. Three years ago, he wrote a paper for the Journal of Hospital Medicine titled “An Intellectual Agenda for Hospitalists.” In short, Dr. Goldman would like to see hospitalists move more into advancing science themselves rather than implementing the scientific discoveries of others. He cautions anyone against taking that as criticism of the field. “If hospitalists are going to be the people who implement what other people have found, they run the risk of being the ones who make sure everybody gets perioperative beta-blockers even if they don’t really work,” he says. “If you want to take it to the illogical extreme, you could have people who were experts in how most efficiently to do bloodletting. “The future for hospitalists, if they’re going to get to the next level—I think they can and will—is that they have to be in the discovery zone as well as the implementation zone.” Dr. Wachter says it’s about staying ahead of the curve. For 20 years, the field has been on the cutting edge of how hospitals treat patients. To grow even more, it will be crucial to keep that focus.
Hospitalists can learn these skills through residency and fellowship training. In addition, through mentorship models that create evergrowing
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So what now? For all the talk of SHM’s success, HM’s positive impacts, and the specialty’s rocket growth trajectory, the work isn’t done, industry leaders say. Hospitalists are not just working toward a more valuable delivery of care, they’re also increasingly viewed as leaders of projects all around the hospital because, well, they are always there, according to Dr. Gandhi. “Hospitalists really are a leader in the hospital around quality and safety issues because they are there on the wards all the time,” she says. “They really have an interest in being the physician champions around various initiatives, so [in my hospital tenures] I partnered with many of my hospitalist colleagues on ways to improve care, such as test-result management, medication reconciliation, and similar efforts. We often would establish multidisciplinary committees to work on things, and almost always there was a hospitalist who was chairing or co-chairing or participating very actively in that group.”
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“If we can’t build what I think of as a pyramid of care with one doctor and many, many other people supporting a broad group of patients, I don’t think we’re going to be able to find the scale to take care of the aging population that’s coming at us,” she says. Caring for patients once they are discharged means including home nurses, pharmacists, physical therapists, dietitians, hired caregivers, and others in the process, Dr. Gorman says. But that doesn’t mean overburdening the wrong people with the wrong tasks. The same way no one would think to allow a social worker to prescribe medication is the same way that a hospitalist shouldn’t be the one checking up on a patient to make sure there is food in that person’s fridge. And while the hospitalist can work in concert with others and run many things from the hospital, maybe hospital-based physicians aren’t always the best physicians for the task. “There are certain things that only the doctor can do, of course, but there are a lot more things that somebody else can do,” Dr. Gorman says, adding, “some of the times, you’re going to need the physician, it’s going to be escalated to a medication change, but sometimes maybe you need to escalate to a dietary visit or you need to escalate to three physical therapy visits. “The nitty-gritty of taking care of people outside of the hospital is so complex and problematic, and most of the solutions are not really medical, but you need the medical part of the dynamic. So rather [than a hospitalist running cases], it’s a super-talented social worker, nurse, or physical therapist. I don’t know, but somebody who can make sure that all of that works and it’s a process that can be leveraged.” Whoever it is, the gravitation beyond the walls of the hospital has been tied to a growing sea change in how healthcare will compensate providers. Medicare has been migrating from fee-for-service to payments based on the totality of care for decades. The names change, of course. In the early 1980s, it was an “inpatient prospective payment system.”
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Dr. Bessler says that as HMGs continued to focus on improving quality and lowering costs, they had little choice but to get involved in activities outside the hospital. “We got into post-acute medicines because there was an abyss in quality,” he says. “We were accountable to send patients out, and there was nobody to send them to. Or the quality of the facilities was terrible, or the docs or clinicians weren’t going to see those patients regularly. That’s how we got into solving post-acute.”
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SHM’s Information Technology Committee, believes that hospitalists have to take ownership of health information technology (HIT) in their own buildings.
- Kendall Rogers = Chair of SHM Information Technology Committee
- Future role of hospitalist = QI initiatives, health information technology
- Training needs, fellowship curricular components
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Many hospitalists have added value as local leaders in quality improvement, safety, and innova-tion, but some have functioned more as shift workers. For exam-ple, many community hospital-ists have a 7-days-on, 7-days-off schedule that focuses mainly on high-volume clinical work and sends an unspoken but clear mes-sage that, at the end of an inten-sive clinical “on” stint, one is “off ” and uninvolved. Our impression is that hospitalist programs pro-vide more value when hospital-ists’ inpatient assignments (clini-cal “systole”) are complemented by a systems-oriented “diastole,” dur-ing which clinical activity is limit-ed but they contribute to key in-stitutional programs. Productive diastole is more likely when hos-pitalists have strong leadership, a robust professional-development curriculum, and a mutual hospi-tal–hospitalist commitment to adding value during specified and structured nonclinical time.
The hospitalists patient is the hospital
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www.acponline.org www.acponline.org
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The discipline of hospital medicine grew out of the increasing complexity of patients requiring hospital care and the need for dedicated clinicians to oversee their management. The hospitalist model supplanted the traditional method of caring for hospitalized patients, which was often done by clinicians also seeing ambulatory patients or with other clinical obligations that limited their ability to provide the intensity of care often required by these patients. By focusing their practice on this specific group of patients, hospitalists gain specialized knowledge in managing very ill patients and are able to provide high-quality, evidence-based, and efficient patient and family-centered care in hospital settings.
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www-nejm-org.ezp-prod1.hul.harvard.edu www-nejm-org.ezp-prod1.hul.harvard.edu
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In the academic setting especially, a premium will beplaced on clinical quality improvement, the develop-ment of practice guidelines, and outcomes research,not only to provide the physician with a creative out-let and a potential source of funding during thenonclinical months but also to give the academiccenter a practical research-and-development arm
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. The “triple threat” leader— skilled clinician, researcher, and educator — wasthe paradigm of exceptional faculty achievement (orfantasy) for more than a generation. Balancing aproductive research career with teaching and clinicalcare was easier when academic health centers wereless accountable for the quality and cost of clinicalcare than they are now.
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As with intensiv-ists, a major challenge is to link the hospitalist rolesuccessfully with other activities.
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Conversely, some traditional programs may develophospitalist tracks that emphasize acquisition of theskills most relevant to inpatient practice. If suchtracks are developed, it will be important not to re-duce training in ambulatory care too aggressively,since the competent hospitalist will need a full un-derstanding of what can — and cannot — be donein the outpatient setting
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As with anymajor transition, the medical community must con-tinually reevaluate the new approach to ensure thatany possible discontinuity in care is outweighed byimproved clinical outcomes, lower costs, better edu-cation for physicians, and greater satisfaction on thepart of patients.
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Oneof the advantages of the hospitalist model is that itcreates a core group of faculty members whose in-patient work is more than a marginal activity andwho are thus committed to quality improvement inthe hospital.
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The debate over the role of hospitalists is takingplace against the backdrop of the larger controversyover whether generalists or specialists should pro-vide care for relatively ill patients.11
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As hospital stays become shorter and inpatientcare becomes more intensive, a greater premium willbe placed on the skill, experience, and availability ofphysicians caring for inpatients.
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First, because of cost pressures,managed-care organizations will reward profession-als who can provide efficient care. In the outpatientsetting, the premium on efficiency requires that thephysician provide care for a large panel of patientsand be available in the office to see them promptlyas required. There is no greater barrier to efficiencyTin outpatient care than the need to go across thestreet (or even worse, across town) to the hospital tosee an unpredictable number of inpatients, some-times several times a day. There are parallel pressuresfor efficiency in the hospital. Since the inpatient set-ting involves the most intensive use of resources, itis the place where the ability to respond quickly tochanges in a patient’s condition and to use resourcesjudiciously will be most highly valued. This shouldprove to be the hospitalists’ forte.
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We believe the hospitalist specialty will burgeonfor several reasons.
1) Cost pressures; 2) Value of care (quality of care divided by its cost)
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As a result, we anticipate the rapid growth of anew breed of physicians we call “hospitalists” — spe-cialists in inpatient medicine — who will be respon-sible for managing the care of hospitalized patientsin the same way that primary care physicians are re-sponsible for managing the care of outpatients.
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Unfortunately, this approach collides with the re-alities of managed care and its emphasis on efficien-cy.
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- Apr 2018
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wisc.pb.unizin.org wisc.pb.unizin.org
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The public papers will be expeditious messengers of intelligence to the most remote inhabitants of the Union.
Many useful and interesting ideas swirl around this and the nearby paragraphs and passages relating to the role of the media in American government. First - The A.P. Gov't exam, textbooks etc. The College board is fond of, and expects students to know and understand the following:
- The role of media as a "linkage institution" between citizens and the gov't.
- The role of media in "agenda setting" i.e. deciding which issues / events will be put in front of the public.
- The tendency toward "horse race journalism" which focuses upon who leads in the polls rather than what their principles and positions on significant issues might be.
Secondly: I would be inclined to introduce students to this passage after a look at the history and influence of the media in politics & gov't especially as it has made political parties less crucial for candidates hoping to achieve nominations and elections (this is also a notion that the college board will deliver in its test questions)
Finally - in some of my other research, I came across this quotation by English editor Roger L'Estrange in THE INTELLIGENCER (Aug 3rd 1663) as quoted by Les Adams in his book THE SECOND AMENDMENT PRIMER on p. 115 "A public newspaper makes the multitude too familiar with the actions and councils of its superiors . . . and gives them, not only an itch, but a kind of colourable right and license to be meddling with the government" Perhaps a nice aristocratic counter position to lay alongside the remarks of Brutus concerning the media!
- The role of media as a "linkage institution" between citizens and the gov't.
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- Feb 2018
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www.commonsensemedia.org www.commonsensemedia.org
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In today's 24/7 media environment, in which kids may be spending more time with media than they are with their parents, choosing positive role models is more important than ever. By the time kids are in middle school, they start to look to their peers for a sense of what's socially acceptable or desirable. Parents may remain the primary influence in their kids' lives, but the competition starts to get fierce at this age. This separation is entirely age appropriate. But when the media comes into play, the values you want to pass down to your kids may be competing against, say, Homer Simpson's.
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The good news is that there are plenty of positive role models you can point to that may influence your kids to make healthy choices, learn to respect others, achieve goals, and avoid anti-social behavior. Negative role models -- especially ones who don't suffer consequences for their actions -- can encourage anti-social behavior, stereotypes, and even cruelty. Help your kids choose positive media role models who embody the values you want to pass down. Tips for parents of young kid
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Influencers reach out to kids via TV, YouTube, video games, Twitter, and music -- all of which are broadcast or easily accessible 24 hours a day. And as we all know, not all the characters or people who gain popularity through these channels have stellar role-model credentials.
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- Nov 2017
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pubs.opengroup.org pubs.opengroup.org
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The role of the ArchiMate standard is to provide a graphical language for the representation of enterprise architectures over time (i.e., including transformation and migration planning), as well as their motivation and rationale. The evolution of the standard is closely linked to the developments of the TOGAF standard and the emerging results from The Open Group forums and work groups active in this area.
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www.safaribooksonline.com www.safaribooksonline.com
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the principal ScrumMaster responsibilities.
These include:
- Coach
- Servant Leader
- Process Authority
- Interference Shield
- Impediment Remover
- Change Agent
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- Oct 2017
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academic.oup.com academic.oup.com
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DHers peer with microscopes and macroscopes, looking into things we cannot see. And even while we delight in building the shiny and the new—and come to meetings like this to celebrate and share and advance that work—we know that someone, sooner or later, curates bits against our ruins.1
Yes, but in a wider sense is that not the transience of life and that within in? There is a beginning, middle and an end. In the future, our present will be their past, their history. Is there not hope in the fact that if we as DHrs begin this process of peering, analysing, recording and curating now that this process lives on in the future generation of DHrs who will curate our work, our ruins?
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- May 2017
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Local file Local file
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What is clear, is that data are increasingly conceptualized as inherently valuable products of scientific research, rather than as components of the research process
Data is beginning to be seen as valuable rather than a left-hand component of the research process.
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- Mar 2017
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tachesdesens.blogspot.com tachesdesens.blogspot.com
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My colleagues were freaking out and this inspired the post Nature Regains Ground.
changing roles panic disorientation teachers
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tachesdesens.blogspot.com tachesdesens.blogspot.com
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First day in class, we had students chatting with a friend of mine working on a Ski Resort in Australia,
Porous walls. Hybridization. Change narrative
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Today as a teacher I am working with the UK, Poland, Italy, Sweden, Finland, Japan, the USA, Brazil, Cameroun. 5 years ago, I was only concerned with a room of twenty five students at one moment, today I am concerned with perhaps something over a 1000 or more students and teachers who are all over the place.
Changing role of teacher
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a writer...(now, I come to think of it, I could say that now, I had never assumed that costume before)
Writer.
Blogger at least.
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The Spaceman Episode
Childhood identification with multiple roles.
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- Feb 2017
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static1.squarespace.com static1.squarespace.com
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Although her husband would later join her in these efforts, initially he stayed home with their children.
A nice little taste of some gender role-reversal here.
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- Apr 2016
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edwardhe10c.wordpress.com edwardhe10c.wordpress.com
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This also represents the lack of power women have in Macbeth
Or it might represent the subservient role they play to men in public. I think she does have power in the relationship.
Tags
Annotators
URL
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- Mar 2016
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www.jisc.ac.uk www.jisc.ac.uk
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not to provide citizens with jobs. That's the role of the economy.
Not "provide" but "prepare" citizens for a productive purposeful life that includes a job.
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- Feb 2014
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www.shirky.com www.shirky.com
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After the massive expansion of higher education into job training, the promising 18-year-old who goes straight to a residential college is now the odd one out.
The role of higher-ed has changed to encroach into the territory of community colleges with job training as a goal.
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