Wednesday, 3 April 2013

Behind the Scenes of the Annual Assembly ? AAHPM Blog

The Annual Assembly, like baseball season, comes and goes quickly. However, the planning is ongoing and takes a year. Prior to the Annual Assembly, there is much discussion past assemblies ? the good, the bad, and the mediocre. The opening day of the Annual Assembly for AAHPM and HPNA ? is always exciting. Okay, perhaps not as exciting as Opening Day at Fenway Park for the Red Sox, or opening day for the baseball season in general. But still exciting and rewarding. We have the previous stats from other annual assemblies ? winning sessions, home run session and speakers, fouls of language and lack of inclusion, and outs of people who promoted something other than palliative care principles. We have a variety of list of players, and a back-up plan for most last minute changes and pinch hitters. It is the time to see everything unfold.

The strategy behinds the conference is a fluid process, a sort of quality assessment improvement process. Discussions include an overview of the assembly, scheduling, team building, and yes, the process. These are ongoing issues but each assembly has a special focus with a theme and the attention to new leaders and new research in the field. Indeed, the plan behind the ?The Game? or the Annual Assembly is much like the delivery of palliative care. There is a ?general template for evaluation? ? the blueprint of the conference. It outlines everything that needs to be done keeping the group in track with tasks and dates. The evaluation also includes review of the abstract submissions; a competitive process. It is important to understand that the level of conference sophistication continues to rise. All accepted abstracts have an average score of 4.5 or above in a rating of 1?5. This has risen significantly even from two years ago when it was around 4.0.

The amount of ?advanced care planning? for the Annual Assembly is extensive ? with the ?goals of care? established in the overall objectives of the meeting: networking, education, and renewal. The ?surrogate decision makers? are comprised of the members of Planning Committee. It consists of the Co-Chairs representing HPNA and AAHPM as well as the planning committee members reflecting the diversity of both organizations, the Research Sub-Committee Co-Chairs and their research committee, and the staffs at AAHPM and HPNA. There are constant ?family meetings? to provide information of the state of abstracts, plenary planning, conflict of interest, continuing education credits, and the like. There are ?decision points? in terms of abstract review and acceptance, content review, and the implementation of new technology into sessions. Above all, there is a ?collaborative process? which helps when there are bumps. These include the inevitable technology glitches, communication with abstracts not being accepted, and keeping everyone in the communication loop around decision-making. Thus, there is the philosophy ?hope for the best, and plan for the worst? and ?promoting excellence.?

Being Co-Chair at the meeting is like being a Baseball Manager. You are in the background working on the process. Then you are in the public domain when it all begins. You are responsible for what occurs at the conference. Since people know who you are, you hear the good and the bad as well as everything in between. People assume you know all the intimate details of the conference, from the telephone numbers of the AV people, to Room Numbers, to session scheduling. To assure confidence in offering up-to-date information and assistance, I carry a notebook with all the conference details. My notebook has an hour by hour, day by day review of the schedule, from the schedule with Title of Presentations, to Presenters, to Room numbers for my reference. I also have my own personal schedule with the events which includes dropping in on preconferences, new speakers, or new technologies. Yes, this may be old school, but I can tell you it is often easier and quicker than getting online access to the conference sessions.

On Wednesday, the pre-conferences are the warm-up or ?pre-season? for the Annual Assembly. You get to see your co-collaborators- the national staff from AAHPM and HPNA ? whom you have spent many telephone and e-mail hours working with, to check in to make sure everything is ready.The Opening Reception sets the tone; the personal connection. Relationships are renewed with the delight of seeing friends and colleagues. New relationships are established as one puts names to faces of people you have worked with. On Thursday as the Opening Plenary begins, there is a feeling of ?Game on-Here we go!? There are a variety of expectations for the day ? to be inspired, to explore new areas, and to reconnect. The ?season? has begun. On Friday, the ?game? is in full swing the conference seems to be full swing, people are in a groove. Difficult choices must be made in terms of which sessions to attend arise, but that is a good thing. We want people to have conflicting choices they want to go to; rather than having a choice by elimination. On Saturday, the tenor is quieter. People have been in full swing for 2 days. They are aware it will end soon and they must say goodbye. An eerie silence begins to descend as participants begin to leave. By the afternoon, ?The Game? is over with the sense of ?Well played.? There is a bittersweet feeling; one is the sadness of it all ending and the other is a feeling of accomplishment of having achieved education, networking, and renewal. Just like a baseball season, the highs and lows will be discussed and reviewed in detail. Some predictions for the future will occur. But as in all baseball seasons, the hope is that next year, it will be a winner with same energy and enthusiasm.

Constance Dahlin, APRN-BC ACHPN FPCN FAAN
Northshore Medical Center
Palliative Care Services
Boston, MA

Source: http://www.aahpm.org/apps/blog/?p=1813

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Anthony scores 50 as Knicks beat Heat 102-90

Miami Heat forward Shane Battier (31) is fouled by New York Knicks forward Carmelo Anthony (7) during the first half of an NBA basketball game, Tuesday, April 2, 2013 in Miami. (AP Photo/Wilfredo Lee)

Miami Heat forward Shane Battier (31) is fouled by New York Knicks forward Carmelo Anthony (7) during the first half of an NBA basketball game, Tuesday, April 2, 2013 in Miami. (AP Photo/Wilfredo Lee)

Miami Heat guard Norris Cole (30) shoots against New York Knicks guard Jason Kidd (5) during the first half of an NBA basketball game, Tuesday, April 2, 2013 in Miami. (AP Photo/Wilfredo Lee)

New York Knicks guard Pablo Prigioni (9) is fouled by Miami Heat center Chris Bosh (1) during the first half of an NBA basketball game, Tuesday, April 2, 2013 in Miami. (AP Photo/Wilfredo Lee)

Miami Heat forward Chris Andersen (11) goes up for a shot against New York Knicks forward Kenyon Martin, rear, and guard Jason Kidd (5) during the first half of an NBA basketball game, Tuesday, April 2, 2013 in Miami. (AP Photo/Wilfredo Lee)

Miami Heat forward LeBron James, right, acknowledges someone in the crowd as he and guard Dwyane Wade, left, sit out an NBA basketball game against the New York Knicks, Tuesday, April 2, 2013 in Miami. James is battling hamstring tightness and Wade and Mario Chalmers are dealing with right ankle sprains. (AP Photo/Wilfredo Lee)

(AP) ? Carmelo Anthony tied his career high with 50 points and the New York Knicks won their ninth straight game, topping the injury-depleted Miami Heat 102-90 on Wednesday night.

Anthony finished 18 of 26 from the field, reaching 50 on a jumper with 16.9 seconds remaining. J.R. Smith scored 14 and Raymond Felton added 10 for New York.

Chris Bosh scored 23 points for Miami, which played without LeBron James, Dwyane Wade and Mario Chalmers, all held out with injuries that are not believed to be serious. Mike Miller scored 18, Ray Allen finished with 16 and Norris Cole had 14 for the Heat, whose 17-game home winning streak was snapped.

The Knicks beat the Heat in three of their four regular-season matchups. They likely would not meet again before the Eastern Conference finals.

Miami's magic number for clinching home-court throughout the NBA playoffs remained at five, and the Heat already have the No. 1 spot in the Eastern Conference wrapped up. The Knicks now lead Brooklyn by five games in the race for the Atlantic Division title.

It was only Miami's second loss in its last 31 games.

Much of the star power was taken out of the equation more than eight hours before game time, when the Heat announced that James, Wade and Chalmers would not play. James has a sore hamstring, and Wade and Chalmers are dealing with ankle sprains.

All are listed as day-to-day.

"The No. 1 thing, obviously, is try to get as healthy as we can," Heat coach Erik Spoelstra said. "Obviously, that's a priority. From there, we have time to still try to improve ? not just stay in rhythm, but to improve, and also get these guys an opportunity that haven't been getting minutes to play in these meaningful minutes. We didn't script San Antonio or this like this to happen, but that's what this league is about. It's unpredictable."

Anthony surely did not mind their absences.

He made three shots, a combined 65 feet of swished jumpers, in the game's first 2:17 as the Knicks ran out to an 8-0 lead. Plenty of blue-and-orange shirts in the Miami crowd roared, and the early indications were that Anthony was on his way to a monster night and the Knicks were on their way to a blowout victory.

That assessment was half-right.

Anthony came in averaging 27.5 points and was practically there by halftime with 27 on 9-for-12 shooting ? a display the Knicks absolutely needed, since Miami more than held its own without James, Wade and Chalmers.

After trailing by as many as nine early, Miami actually roared back to lead 58-50 at the half. Miller and Cole combined for 30 at the break; Miller's 18 were five more than he had scored in any game this season.

Anthony ? who had one more field goal than every other Knick managed, combined, in the first 24 minutes ? didn't exactly cool off at halftime. By the time the third quarter was 4 minutes old, Anthony was up to 37 points and, other than two fouls, absolutely nothing else. No rebounds, no assists, no steals, no blocked shots. Just scoring.

His first rebound came with 7:02 left in the third, and his first assist came as the clock was expiring to end the period, setting up Steve Novak for a 3-pointer from the right corner that allowed New York to take a 78-76 lead into the final 12 minutes.

Anthony actually went 10 minutes without scoring, then made two jumpers ? the second a 3-pointer ? 40 seconds apart, giving the Knicks a 95-88 lead with 3:32 left.

The Heat had tied the game twice in the fourth, but never led after Novak's 3 that closed the third.

NOTES: It was the fourth time in 25 career games, including playoffs, that Anthony eclipsed the 40-point mark against the Heat. ... Wade and James looked on intently as the Heat showed a video to promote the looming playoffs after the third quarter. Wade shimmied his shoulders a bit afterward, and James started to nod at one of the final images ? his sideline dance in the final seconds of Game 5's title-clinching win over Oklahoma City last June. ... Rapper Flo Rida was at the game, as was actor Andy Garcia and Pittsburgh Steelers quarterback Ben Roethlisberger. ... Of the Knicks' nine remaining games, six are against likely playoff-bound teams.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/347875155d53465d95cec892aeb06419/Article_2013-04-02-BKN-Knicks-Heat/id-410d5d08514447e18420edef84f426c7

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90% Caesar Must Die

All Critics (41) | Top Critics (16) | Fresh (37) | Rotten (4)

There's barely a wasted moment in the film, which runs a brisk 76 minutes and contains no female roles.

There's an intensity and emotional accuracy to the performances that's just stunning, particularly Striano's Brutus, as he longs for death and release.

It's an arresting, playful and moving film ...

Prison theatricals are nothing new in the movies, but Caesar Must Die, a quasi-documentary featuring hardened convicts acting out Shakespeare's Julius Caesar, is in a class by itself.

Ranks among the most involving adaptations of Shakespeare ever put on screen ...

What works best is what's readily accessible, the startling power of performers who understand the drama all too well.

As they find issues and themes they can relate to, the action is never remotely static despite the frequent nature of the close-ups and the plastic sword.

The problem with the film, which somewhat inexplicably won the Golden Bear at Berlin last year, is that it scarcely transcends the basic novelty of its premise.

The juxtaposition of Shakespearean text and prison cell life is a particularly poignant one.

It is difficult to understand exactly where documentary ends and fiction begins, but the finale, again in colour, of the triumphant first night of the production can't fail to move.

It's never anything less than interesting, though I felt it didn't quite fulfil its potential, and the repetition of material at the beginning and end is disconcerting.

It is uncanny how Italy's film-makers keep failing to nail, or effectively to satirise, their country's strident political shortcomings.

Deeply felt melancholy lingers long after the credits roll.

Delivers a compelling and considered take on immemorial themes.

[It] has plenty of wit and punch, although compared to the best of the medium - Man On Wire, for instance - it sometimes comes off as guileless and clunky.

[An] inventive, urgent and humane prison drama, in which real-life Mafia and Camorra prisoners act in a version of Julius Caesar.

If you're looking for an adventurous thought-provoking film, "Caesar Must Die" more than fits the bill.

In just 76 minutes, the Taviani brothers treat us to a deeply affecting adaptation of this ancient play, embedded with even deeper meaning on account of its unconventional stars.

Here's an extraordinary melding of the actualities of modern man with his ancient past. Sadly, humankind hasn't made much progress when it comes to controlling its ambitious and testosterone-tinged impulses. Happily, human frailties make great art.

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Source: http://www.rottentomatoes.com/m/caesar_must_die_2012/

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Tuesday, 2 April 2013

'Thigh Gap': Students, Experts Talk Body Image And 'Thinspo' Obsession On HuffPost Live (VIDEO)

Whether it's a desire for a flatter stomach, toned legs or a lower body mass index, many young women, unfortunately, are no stranger struggling with body image pressures. The latest obsession, according to some teen girls and experts, is attaining a "thigh gap."

Often featured in images on "thinspiration" blogs, the "thigh gap" -- an inch or two of space between the upper thighs -- has become an unhealthy obsession for some teen girls.

Last February, The Huffington Post wrote an expos? on the increasingly popular teenage "thinspo" community on Tumblr, and the ways in which the social media site was inadvertently promoting serious eating disorders like anorexia and bulimia.

?It?s easier when you have people supporting any unhealthy habits you have,? Carolyn Gregoire, HuffPost Associate Lifestyle Editor, said in a HuffPost Live segment yesterday. ?Whether it?s smoking or trying to become a really unhealthy weight, a lot of girls use Tumblr to connect with each other... and it really adds fuel to the fire of an unhealthy mentality.?

HuffPost Live explored this rising obsession yesterday, also discussing the trend with high school students Jenny Thorsheim and Emily Rozansk, and Julie Hanks, executive director of Wasatch Family Therapy.

Gregoire explained that the "thigh gap" is also a big part of fashion culture. "We?re seeing a lot of these ?thinspo? photos as street style or ?real girls,'" she said. "There?s this community of women who have this style and ?thinspo? is a part of that. You have to be really skinny to wear these clothes and be a part of this fashion blogosphere."

While this body image obsession is often spurred by social media and fashion trends, young women say it is also the result of peer pressure and worrying about competing with other girls. "Girls care more about what other girls think of them than guys," said Rozansk. "They just really want to fit in and make friends, and they think having a shape like this will get them that.?

Still, Rozansk believes that the "thigh gap" fixation can open a new window of conversation about low self-esteem caused by an excessive focus on appearance, which can be remedied by focusing on inner beauty and the non-physical things that make someone special.

"It's always nice to get a compliment about how you look, but if it's a personal comment its even better," Thorsheim agreed with Gregoire. "I like being told I'm funny and nice. I think those compliments are 10 times better than saying, 'your hair looks nice today.'"

Tell us: Have you noticed the "thigh gap" trend on Tumblr or in real life? How do you deal with body image pressures? Share your thoughts in the comments or tweet @HuffPostTeen.

WATCH THE FULL SEGMENT ON HUFFPOST LIVE.

Also on HuffPost:

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Source: http://www.huffingtonpost.com/2013/04/02/body-image-students-exper_n_3000258.html

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Dell CEO memo talks of a 'significant' boost to PCs and tablets in restructuring

Dell CEO memo talks of a 'significant' boost to PC and tablets with restructuring

When Michael Dell signaled intentions to take his company private for an overhaul, there were questions as to just what he wanted to do if and when shareholders weren't watching his every move: was he going to shift attention away from PCs toward the enterprise? There's no reason to worry, according to a staff memo that his company has published through the SEC. Dell tells his employees that the firm will "significantly increase investment" in PCs and tablets after going private. While he's cryptic about what that means, he does note that there would be a shift away from valuing gross margins -- in other words, the company may take a hit on profits to make its device sales sing. Other strategies are more what you'd expect from any good business: more research and development, a simpler experience and a stronger push into developing markets like Brazil and China. We can't say we're completely surprised when Microsoft made an investment in Dell's reorg precisely to safeguard PCs, but it's good to know that Dell's interest in PCs still extends well beyond the server room.s

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Via: Fortune

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Kate Middleton Baby Shower: Not Happening?

Source: http://www.thehollywoodgossip.com/2013/04/kate-middleton-baby-shower-not-happening/

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Feds probe Hyundai Sonatas for suspension rust

DETROIT (AP) ? U.S. safety regulators are investigating complaints that the rear suspension frames can rust and fail on Hyundai Sonata midsize cars.

The probe affects about 393,000 cars from the 2006 through 2008 model years.

The National Highway Traffic Safety Administration say it has received six complaints of suspension failures, with three happening at highway speeds, according to documents posted on its website on Friday. The investigation was opened on March 25.

The agency says rust in the frame can cause control arm failures. A car's wheel hubs are attached to the control arms.

No crashes or injuries were reported but two of the failures activated the cars' electronic stability control systems.

In one complaint from the Pittsburgh area, the owner of a 2006 Sonata said the rear of the car swerved while it was being driven, and the electronic stability control light came on. The owner took the car to a mechanic, who found that the rear frame was corroded and cracked on sides, causing the rear tires to wear prematurely. The frame, tires, lower control arms and other suspension parts were replaced on the car, which had almost 160,000 miles on it.

The agency says investigators will figure out if the problem is bad enough to cause a recall.

A message was left seeking comment from a Hyundai spokesman.

Source: http://news.yahoo.com/feds-probe-hyundai-sonatas-suspension-rust-124801711--finance.html

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