(water vapor, carbon dioxide, nitrous oxide, and methane,

Scientists think that the things people do that send greenhouse gases into the air are making our planet warmer.

Sunlight enters the Earth's atmosphere, passing through the blanket of greenhouse gases

rise in temperature

Pitch Shift

1. Explore the current situation. Paint a picture in words by including the “presenting problem,” the impact it is having, the consequences of not solving the problem, and the emotions the problem is creating for those involved.

ausal relationship

recede the media concepts they generate

He and other SHM officials have pushed hospitalists for the past few years to formalize their HIT duties by seeing if they would qualify to take the exam for board certification in medical informatics, which was created in 2013 by the American Board of Medical Specialties (ABMS). Between certification of that skill set and working more with technology vendors and others to improve HIT, Dr. Rogers sees HM being able to help reform much of the current technology woes in just a few years.

“To me, this is the new frontier,” Dr. Wachter says. “If our defining mantra as a field is, ‘How do we make care better for patients, and how do we create a better system?’ … well, I don’t see how you say that without really owning the issue of informatics.”

SHM’s Information Technology Committee, believes that hospitalists have to take ownership of health information technology (HIT) in their own buildings.

Dr. Bessler of Sound Physicians notes that advances in technology have come with their hurdles as well. Take the oft-maligned world of electronic medical records (EMRs). “EMRs are great for data, but they’re not workflow solutions,” Dr. Bessler says. “They don’t tell you what do next.” So Sound Physicians created its own technology platform, dubbed Sound Connect, that interacts with in-place EMRs at hospitals across the country. The in-house system takes the functional documentation of EMRs and overlays productivity protocols, Dr. Bessler says. “It allows us to run a standard workflow and drive reproducible results and put meaningful data in the hands of the docs on a daily basis in the way that an EMR is just not set up to do,” he adds. Technology will continue “to be instrumental, of course, but I think the key thing is interoperability, which plenty has been written on, so we’re not unique in that. The more the public demands and the clinicians demand … the better patient care will be. I think the concept of EMR companies not being easy to work with has to end.”

“It doesn’t just help make hospitalists work better. It makes nursing better. It makes surgeons better. It makes pharmacy better.”

In the last 20 years, HM and technology have drastically changed the hospital landscape. But was HM pushed along by generational advances in computing power, smart devices in the shape of phones and tablets, and the software that powered those machines? Or was technology spurred on by having people it could serve directly in the hospital, as opposed to the traditionally fragmented system that preceded HM? “Bob [Wachter] and others used to joke that the only people that actually understand the computer system are the hospitalists,” Dr. Goldman notes. “Chicken or the egg, right?” adds Dr. Merlino of Press Ganey. “Technology is an enabler that helps providers deliver better care. I think healthcare quality in general has been helped by both.

Liliana began experiencing abuse as a young child and it followed her through adulthood. She explained that the abuse started while she was very young; her mother was an alcoholic and nearly beat her to death. The beatings she received from her mother became so bad that she had to go live with her grandmother. Furthermore, a family friend sexually abused Liliana as a child. As an adolescent her friends held her down while a man raped her.

Angela suffers from bouts of depression related to childhood memories of abuse.

Silvia’s father went to prison when she was a baby, and served 10 years for selling drugs. Without his support, her mother struggled to provide financially for her and her brother. Her mother also suffered from a mental disorder for which she received SSI. While Silvia was growing up, the family relied on public assistance and ate mostly cheap food such as canned ravioli and Ramen noodles. Silvia remembers being hungry often and recalls that her mother often ignored Silvia and her brother.

A life course perspective takes into account the intergenerational aspects of poverty that affect child health and well being and contributes to an understanding of child food insecurity not as a static event experienced over a month or a year but rather as a series of experiences that reverberate through adulthood. With a life course perspective, childhood experiences are shown to influence and shape adult health, ability to work, and earning potential.

adversity and traumatic events that occur in childhood have a decisive impact on behaviors, choices, and social relationships that extend into adulthood. In such contexts, adults may seek out violent relationships, may constantly be in a state of heightened aggressive arousal, may withdraw and experience social isolation, or may struggle to keep boundaries associated with normal social and professional behavior related to intimacy, safety and security, and job stability.

esults from the Adverse Childhood Experiences (ACE) Study have repeatedly demonstrated that, controlling for all other factors, adverse experiences such as neglect and abuse are associated with major adult diseases such as diabetes, cardiovascular disease, depression, anxiety, and early mortality.41

One explanation has been that many of an animal's traits are not fixed, but can change during its lifetime. This "phenotypic plasticity" enables individual animals to alter their appearance or behavior enough to survive in a new environment. Eventually, new adaptations promoting survival arise in the population through genetic changes and natural selection, which acts on the population over generations. This is known as the "Baldwin effect" after the psychologist James Mark Baldwin, who presented the idea in a landmark paper published in 1896.

“Kilgore was well aware that what he was doing was illegal but his sick sexual fantasy to have sex with a little girl pushed him to having an Uber deliver her to him,” Canadian County Sheriff Chris West said.

Pervert

But she seemed like a different person on other online accounts.

full-time wife and mom on Facebook but lived another life on other social media platforms. With a resemblance to Marilyn Monroe, she called herself an exhibitionist and posted risque photos with a chance for subscribers to see sexier images for $15.99 a month.

“He was the suspect from the very beginning,” Lemley said.

Small release groups can fail to establish populations owing to either chance fates of those individuals (demographic stochasticity), or to low reproduction or survival rates at low densities (Allee effects)

Gas! GAS! Quick, boys!—An ecstasy of fumbling

Drunk with fatigue

Anyone who looked directly at the blast would be blinded

combination of blast, heat, and radiation would kill virtually everyone in this zone. The blast would be accompanied by winds of many hundreds of miles per hour

. Out to more than half a mile, the blast would be strong enough to collapse most residential buildings and create a serious danger that office buildings would topple over, killing those inside and those in the path of the rubble

Thousands of panic-stricken people might receive deadly doses of radiation as they fled from their homes. Some of the radiation will be longer-lived; areas most severely affected would have to be abandoned for many years after the attack

The trend of deeply negative reporting still serves the corporate culture, because if people just feel doom and gloom, then you might as well just keep buying a bunch of crap, eat hamburgers, and chain smoke cigarettes because there's no future anyway.

Expert communicators may sometimes be perceived as trustworthy because they know a lot about the product they are selling.

"effective literature could be noth-ing else but rhetoric."

Dunning–Kruger effect is a cognitive bias in which low-ability individuals suffer from illusory superiority, mistakenly assessing their ability as much higher than it really is.

high-level staffers, about half “attended private colleges for their undergraduate degree, including 10 percent who went to an Ivy League school.” They are typically the ones who get the internships inside the D.C. beltway, as well as can afford to carry the expenses of internships.

In Draut’s analysis, after the 2008 crash, about half of the news focused on the banks, a third on the federal response, a fifth on businesses and only a smattering on working-class people who might have lost jobs or their houses

1990s and the first decade of the 2000s” those from higher classes have little substantive contact with those from the working class except when they ring up their groceries or take care of their elderly relatives.

steep increase in student debt and student work hours.

The cultural divide has two daunting consequences.

Activities such as time spent on task and discussion board interactions are at the forefront of research.

By merely being in the room, the devices will monitor students’ behavior in the same way that the cameras and switches and lab coats did in Milgram’s experiments.

The information effect

participants in a university graduate course

participants in a university graduate course

A system that assumes a "quite good" institution is unable to get better, and thus denies them the funds that would enable them to get better, is probably not an optimal system for promoting merit. A system that rewards in proportion to merit would at least be able to recognise and reflect the dynamism of university research; research groups wax and wane as people come, go, get disheartened, get re-invigorated.

it could be argued that we don’t just need an elite: we need a reasonable number of institutions in which there is a strong research environment, where more senior researchers feel valued and their graduate students and postdocs are encouraged to aim high. Our best strategy for retaining international competitiveness might be by fostering those who are doing well but have potential to do even better

Bonitz, M., & Scharnhorst, A. (2001). Competition in science and the Matthew core journals.Sciento-metrics, 51(1), 37–54

Raj: Paul, this anxiety is inherent in the level which you are choosing to invest energy. At this moment you are hearing me, but you are not experiencing the fact that you are with me. You are listening from within the framework of personal bias, the tiny sense of self, the three-dimensional-only frame of reference. Again, you must understand that this is not where Cause lies. This is not where movement originates. This is not where anything is done. This is not where Being is being. It is just the visibility and tangibility of Being-—visibility and tangibility only! You could say the three-dimensional-only frame of reference is the visibility-and-tangibility-only frame of reference. What it is the visibility and tangibility of exists only Fourth-dimensionally.

In these settings, learning is a side effect of creative production, collaboration, and community organizing, not the explicit purpose of the activity.

routing protocols are currently unable to scale over a few hundred nodes

The challenge, of course, is how to balance concerns of the Hawthorne effect with privacy.

Immediately upon such willing relinquishment of the false sense of identity, the Intelligence of your Being, which constitutes the Law of Your Being, may be recognized as already functioning. This will further relieve any false sense of responsibility, and inhibit any sense of attempting to bring along the finite concept of “putting these Laws into action.“

Remember that every activity, and every apparent result of that activity in your daily affairs, does not constitute a cause and effect at all. More properly, it is the apparent activities and their apparent results that constitute the “effect” or “form” that follows the Function that is You, Your Being.

Spirit is the substance of all of these, both nondimensionaly and dimensionally. It is the Light, Itself, which illuminates and is illumined. It is That which shines, and That which is shone upon. Spirit is, Itself, the Life Principle, the Life Force, the Initiator and Initiated, the Cause and the Effect.

RAJ: Paul, when it comes to your family and your living experience, be observant. Watch to see whether you are seeing yourself and the members of your family as isolated bits and pieces—parts of the flotsam and jetsam of life—floating on the currents of who knows what. This is a three-dimensional-only point of view. It will be constantly frustrating, because it begins with a false concept of man. It sees him as trying to lift himself up by his bootstraps and getting help in doing so from others who may or many not be “more enlightened.” It misses the larger fact that Being is unfolding Itself on an infinite basis. It is unfolding Itself successfully.

RAJ: Yes, I did, and you handled it very well. It was calculated to arouse your personal indignation. The fact that you find yourself shaking inwardly and outwardly is an indication of the ego viewpoint, rather than the Identity standpoint. But, under the circumstances, you remained relatively clear of getting into the three-dimensional, reactive frame of reference, which he hoped you would utilize.

But these studies on the halo effect of attractiveness, should make us suspicious that there may be a similar halo effect for kindness, or intelligence.