![]() “It’s important to maintain an on-ground experience for our learners inside hospitals and long term care centers,” said Tanner. ![]() However, it also requires in-person training, rotations, and skill pass offs at at its 35 regional healthcare partner institutions, or “hubs,” that offer a critical training ground for nursing students and a means for students to enjoy tuition waivers and payments. The college has developed virtual simulations via its online platform. It took me a second to remember that I was inside of a virtual environment.” “While I was in the SIM, somebody grabbed my arm, and it startled me. “Our virtual reality simulations make you believe you are involved the styles, the noises, the way you're looking around… it feels so natural and realistic,” said Tanner. The college offers virtual simulation as part of its learning platform and is piloting virtual reality simulations in hopes to enhance the student’s experience. Providing hands-on experiences and training required for nursing online touches on Nightingale’s key strength. Nightingale emphasizes teaching nurses online so nurses will stay close to home and serve their own communities. “Evidence indicates that if the nursing staff actually look like their patients, from a demographic standpoint, they will see better outcomes,” says Tanner. ![]() The company encourages rural graduates to stay where they are and contribute to their communities. Nightingale uses its proprietary instructional content combined with it’s online platform (that is compatible with Instructure’s Canvas and other popular Learning Management Systems) to train nurses efficiently, wherever they’re located. “Having a one nurse shortage in Salt Lake City is not the same as having one nurse shortage in Roosevelt, Utah,” said Tanner. While the impact of this shortage is felt in some of the urban centers, it is our rural communities that will feel it the most. That attrition combined with increasing demand, means over a million new nurses need to come online next year to keep up with demand. Post impact of COVID, on top of what we were already experiencing in a nursing shortage for over a decade, we are dealing with a serious shortage and we are going to go through another pretty dramatic loss of the nursing workforce.” Labor statistics suggest that by 2022, half a million nurses are projected to retire. ![]() ![]() It's unfortunate because the country needs nurses now. “It’s so difficult to get into nursing school these days. These programs are not graduating enough nurses to meet demand, says Jonathan Tanner, EVP and Chief Opportunity and Access Officer at Nightingale College. State programs subsidized by taxpayers adhere to traditional admissions policies and instructional methods. Nightingale was founded in 2010 by Wade Foster, and in 2012, was acquired by Palm Ventures based in Connecticut with office in Greenwich and London, UK.īy Jonathan Tanner’s point of view, the traditional method of educating nurses is, at a minimum, overtaxed. The college has 28 regional partner locations in 12 states. Jonathan Tanner realized that his institution, Nightingale College, had an effective solution for two aspects of that shortage - the need for effective remote training and a way to place nurses in rural as well as urban centers.īased in Salt Lake City, Nightingale College offers four nursing programs: the Associate of Science in Nursing, the Bachelor of Science in Nursing, the Registered nurse-to-BSN Program, and the Master of Science in Nursing Education Program. Last year the pandemic put into focus the decades-long nursing shortage in America. ![]()
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![]() In the command tent that you had just entered, sat Tatsuko Momoru, the tenth commander of Hara. However, looking to the difference in forces was enough to send even the bravest man in despair. ![]() You knew that if you failed to hold them here, half of Ise would fall overnight, and the next battle would be fought outside the province’s capital itself. But they needed time, time that they did not have as a large contingent of Oda’s forces prepared to advance against the frontier positions. You knew that behind you, reinforcements were being prepared. But sadly, there were no commanders that could lead them effectively, and those bastards of Oda had been specifically aiming for them, reducing the battle prowess of Hara with each encounter. There were many like your men, ready to give their lives in the desperate battles against Oda and Iga, in numbers enough to rival Oda. Hara’s main weakness was not in the number of able men. With this, and the death of the ninth commander, Toyoda Terumoto, one week earlier, only eleven capable commanders were left in Ise. Along with that, news of the capture of Himeji Kanako, the eight commander of the house, had reached your army. The fifth commander of the Hara house, Shimamura Yasutoki had died today, his heart pierced by an arrow fired by Niwa Nagahide himself. The reality was way worse than what you would have ever expected. You had arrived too late with what reinforcements were to spare, three hundred men under your command ready to give their lives for their lord and their house. You observed from afar the dead that littered the field after the combat of this morning. ![]() At the same time, you felt maliciousness, an intent that was not quite murderous but yet managed to put you on edge in an instant. You felt a weight on your head, as if something had been placed over it all of a sudden. “I’ll assign one of our older commanders to evaluate your performance in this task,” he continued without wasting time. This explained why Masamune had called you specifically. You had done most of your initial training and most of your preparation to become a commander under her. Noir has told me you have great amounts of untapped potential, and we have in our hands a situation in the frontier with the Uesugi.” “I have called you to put your abilities to test. “Kallen Aoi Crimsun,” he started, his voice as serious as ever. You sat in front of the throne, still feeling uncomfortable under that heavy stare. After all, it was hard to maintain any semblance of normal formality when four of the ten most powerful commanders of the house wanted to jump his bones at every chance they got. Masamune seemed to ignore most of the formalities required in these kind of situations, though in hindsight, it was to be expected. With a gesture of his hand, he beckoned you to get closer. It always felt weird when he focused on you like that, and you guessed it had something to do with his youkai power, whatever it was. But ever since you lived in that place, creatures such as him were so common that you were accustomed to it by now. Some years ago, you would have thought of him as exceedingly weird. It was a big place, enough to reunite all the notable commanders of the House, and the general emptiness and lack of luxury made it imposing in a way that spoke of force, true strength, almost as effective as a room filled with golden tapestries to underscore what being the Youkai King meant.Īnd Masamune himself was waiting there, in his no less imposing throne. The throne room was simple, almost spartan, in a big contrast with the decorated and enchanted doors. Omachi had placed a powerful protection that made it nigh impossible for an enemy to get past the doors, effectively making the threat of an assassin non-existent. After hesitating for a second before the imposing sight, you pushed them open, marveling at how light yet resistant they were. Your thoughts were interrupted, as your steps had finally taken you to the decorated door that led to Masamune’s throne room. There were many generals of the Dokuganryuu house, the price that had to be paid for the youkai paradise to be maintained, and certainly there were a lot with an higher rank than you. What was surprising, however, was the fact that you had been called there by Dokuganryuu Masamune himself.Īs you moved through the hallways, windows showing the fantastical landscape of Ezo, you couldn’t help but wonder what circumstances would lead to such a call. It wouldn’t be surprising for even a new one to be called here for someone of a superior rank. ![]() After all, the most important commanders used the Palace as their headquarters. Since two days ago, when you had been ascended to the rank of commander, nobody could say that your presence there was surprising. ![]() ![]() ![]() 27% when <4 months P <0.05) and when requested from a large manufacturer (top 25 in sales) compared with smaller manufacturers (75% vs. Food and Drug Administration (FDA) approval and dossier request was >/- 4 months (65% vs. Dossiers were more likely to be received when the time between U.S. Unlocked interactive budget impact models were included in 5 dossiers (20%), and modeling reports (without an unlocked interactive model) were included in 12 dossiers (48%). Of the 25 dossiers, 21 (84%) generally followed the AMCP Format. We received dossiers for 25 products (58%), other drug information (e.g., journal reprints, product labeling) for 10 products (23%), a formulary kit for 4 products (9%), and no response for the remaining 4 products (9%). A logistic regression model was developed to determine if dossier receipt increased the likelihood of second-tier copayment formulary placement for new product reviews.ĭossiers were requested for 43 products. A retrospective evaluation of the materials received from the manufacturers was performed. drug information center about 8 weeks before the committee meeting. A university-based clinical evaluation subcontractor requested dossiers in the AMCP Format by telephone and e-mail from the manufacturers. The pharmacy and therapeutics (P&T) committee of a mid-Atlantic health plan with approximately 3 million members reviewed 43 drug products from February 2004 through December 2005. response to a request for a product dossier prepared using the AMCP Format, and to determine if dossier receipt was associated with a favorable formulary placement. To perform an evaluation of pharmaceutical manufacturers. While dossier quality has reportedly improved over time, there is no recent research examining the response rate to dossier requests and the quality of dossiers received. Many health plans request a dossier (a standardized set of clinical and economic evidence prepared by pharmaceutical manufacturers) to provide information for consideration during the formulary decision-making process. She is an invaluable resource for our clients and team members, and OPEN Health is lucky to have the benefit of her leadership,” says Dipen Patel, vice president and executive director of OPEN Health Evidence & Access.The Academy of Managed Care Pharmacy (AMCP) Format for Formulary Submissions, a template for health plans to use in developing formulary submission guidelines, has been widely adopted since its initial release in 2000. “Beth’s reappointment to the AMCP committee is a testament to her expertise in this area. Her term on the committee will extend to the AMCP annual meeting in 2025. The next update will be the first since the AMCP issued guidelines for unapproved product dossiers, approved product dossiers, and unapproved use dossiers. The last update to the format was in December 2019 that was version 4.1, Lesher says. ![]() Although AMCP formatting is not required in submissions, it is considered the standard. Serving as a member on the format committee, she says, allows her to apply that experience to updating and improving the AMCP format guidance document.įormally called the Format for Formulary Submissions Guidance on Submission of Pre-approval and Post-approval Clinical and Economic Information and Evidence, it “supports the informed review, assessment, selection, and payment of medical products,” according to the AMCP website. ![]() ![]() “For the past 20+ years, I have worked on developing and updating AMCP dossiers for our clients,” says Lesher. The invitation to Lesher, a senior director in the Strategic Market Access Center of Excellence, testifies to her specialist expertise, and, by extension, OPEN Health’s, in a critical HEOR and Market Access function. AMCP dossiers are widely used by healthcare decision-makers in evaluating medical products in the United States. OPEN Health’s Beth Lesher, PharmD, BCPS, has been invited to serve a second term on the Academy of Managed Care Pharmacy (AMCP) Format for Formulary Submissions Committee, which issues highly influential guidance on AMCP dossiers. ![]() ![]() ![]() On the feature side, the actor was in the Rogue Warfare trilogy, Wish Dragon, Rampage, San Andreas, Spy, The Wolverine, Red Dawn, and Total Recall. Alex Park, Will Yun Lee’s television credits include Altered Carbon, Falling Water, Hawaii Five-0, Strike Back and True Blood. The actress has had lead roles in multiple Hallmark films, such as Christmas Next Door as well as Royally Ever After. She can also be seen in Mad Men, New Girl, Modern Family, The League and Parenthood. Morgan Reznick, is well known for her breakout role on the critically acclaimed FX series Wilfred. The actress has also appeared in the feature films Random Hearts, 28 Days, Deadline and Girls Club.įiona Gubelmann, Dr. Chang has recurred and guested on many notable shows, such as Nashville, Desperate Housewives, 24 and Rizzoli & Isles. The Good Doctor is Spara's breakout role, though she has also appeared in Kevin from Work.Ĭhristina Chang plays Dr. The actor is best known for his role in The West Wing, for which he received the Best Supporting Actor Emmy Award and garnered a total of three Emmy nominations. ![]() Aaron Glassman, can be recognized for his work in Ballers, House of Lies, Clemency, The Affair and The Lost World: Jurassic Park. His notable credits include Two Brothers, Women Talking Dirty, Five Children and It, Finding Neverland, Charlie and the Chocolate Factory, A Good Year, Arthur and the Invisibles trilogy, August Rush, The Spiderwick Chronicles, Toast, The Art of Getting By, Bates Motel, Close to the Enemy, The Journey, Way Down and Leonardo. ![]() Highmore was previously Empire Award’s Most Promising Newcomer and is a double SAG nominee as well as twice winner of the Film Critics’ award for the world’s Best Young Actor. Here are the series regulars expected to return for The Good Doctor season 6:įreddie Highmore plays Dr.
![]() Spirit Guide of the Week Background Music by AlexiAction from PixabayDream Symbol Background Music by TheFealdoProject from PixabayMeditation Background Music by TuesdayNight from Pixabay Songs Featured: Trolls in Valhalla by Alexander James Adams Winged Bull by Magicfolk Good Friend by Libana A Demon’s Fate by Within Temptation People Just Scared by Cloud the Pagan Rapper The Backward Path by Fay Brotherhood I Just Need 5 Minutes to Myself Guided Meditation by Molly McCord Church of Madness by Inkubus Sukkubus The Spirit Guide of the Week is Lamashtu and the Dream Symbols are Test, Guards, and Back. Feel free to engage in the conversation and express your opinions on this noteworthy topic. This is a must-listen episode for anyone who has experienced online harassment or wants to learn how to stand up against hate speech and bigotry. I will provide practical tips and strategies for responding to trolls and protecting yourself from their harmful rhetoric. It's something that affects us all, whether or not we're pagan. In this episode of Music From the Goddess' Vault Podcast, I talk about dealing with alt-right Christian trolls online and offline. Story Background Music by sharvarian from Pixabay Spirit Guide Background Music by ASTROFREQ from Pixabayĭream Symbol Background Music by chillmore from Pixabay Links Mentioned: Abortion Access Pagan Music Project The Red Album The Red Album Abkhazian ABKHAZIANS The Thunderbird Thunderbird Symbolism & Meaning Ancient Religion of Abkhazia Abkhaz neopaganism Voices at the Windowįacebook Twitter Instagram TikTok Witches.live us Pixelfed Minds Songs Featured: Behold the Passion of Nature by Hagalaz’ Runedance Balance of Nature by Alexander James Adams A Medley of Slav Wedding Songs by Libana The Bird Rock by Three Weird Sisters Ritual by Trobar de Morte At the Garden Gate by Brian Henke Your Voice Still Lingers by Crow Women The Market Song by Faun The Spirit Guide of the Week is Thunderbird and the Dream Symbols are Garage, Garbage, and Garden. In this podcast, I dive into the history and practices of Abkhaz Neo-paganism, exploring its rituals, beliefs, and spiritual traditions in-depth. The religion stresses the significance of living in harmony with the natural world and keeping up with traditional customs and values. The Abkhaz people are reviving their pre-Christian beliefs and practices, which involved worshiping a pantheon of gods and goddesses connected to nature and the elements. Get in Touch Through Social Media: Facebook Twitter Instagram TikTok Witches.live us Pixelfed MindsĪbkhaz Neo-paganism, which is sometimes called Apsuara, is a modern pagan religion that began in the country of Georgia. Links Mentioned: Abortion Access Pagan Music Project The Red Album The Red Album Turkic Mythology Tengrism Tengrism ![]() Meditation Background Music by Andrew_Lee_Farquhar from Pixabay Spirit Guide Background Music by SamuelFrancisJohnson from Pixabayĭream Symbol Background Music by Alex_MakeMusic from Pixabay Songs Featured: The Turks Were Passing By by Vedan Kolod Trixster by Mojo Kemp Mother Nature by Pagan Rap Gang Isis by Jon O’Bergh King Wolf by Harold Carter Featuring Moonastira Promised Lands by Fay Brotherhood Chakra 7 - Crown Chakra by Julie Cutler Verhoeven Jack the Slob and the Goddess of Love by Leslie Fish Look Within by Gayla Soldano ![]() The spirit guide of the week is Isis and the dream symbols are label, landscape, and language. This discussion will delve into the religion's history, mythology, and rituals, and examine its continued relevance in the modern world. In this episode, we'll explore the world of Turko-Mongolic paganism, an ancient belief system that has managed to survive for centuries despite being suppressed by dominant religions. ![]() ![]() ![]() I have been spoilt by the GTX 660 going through everything at 1080p (though, I do enjoy it a lot. to be fair, the FPS, if I ever mention it, is at the full blown 1080p, which a GT 520 is not made for. ![]() Tell me how it goes, I am just a modder who has been around for a little while (mostly Skyrim and stuff, from the Q6600+ 8400 GS to a 520 to a GTX 660 to SLI+i7.) (This game is untested on the GT 520 system.) considering a GT 520 vs the GT 130m is a fair leap. Since you already have Witcher 2, I would recommend just trying it, I think it is possible that you cannot run the game period. (this just forces full resolution textures.) You may want to try this for a little extra boost in quality, as textures don't hurt much. This mostly occurred when stuff happened. My Brother again, with the GT 520 would lag in The Witcher at 1080p and reasonably low settings. (or play a game with settings and resolution.) For The Witcher Run the game at the lowest spec possible, if it is not low enough to maintain a reasonable FPS level, lower the resolution. I would not recommend even trying to improve the quality and graphics of the game, unless you are 100% certain it will not cost a single frame. Just for reference, my brother with his GT 520, and Q6600 on an ultra-low mod + lowest settings for Witcher 3 got 9 FPS in the opening scene. Doesn't seem like many used the nexus for The Witcher judging by participation levels. Not that I'd be able to read it even when I do rediscover it. I saw a german site awhile ago that had a mess of texture mods that looked pretty good, can't seem to find it now. ![]() There make sure you have checked the box next to the mod that you would like to launch. Calls for 2.2Ghz Core2Duo, I got a 2 GHz Core2Quad. Run the game louncher and select the line 'Mods'. I don't meet the min req for TW2, but I've been down that path before. And I'm now there so.:shrugs: shortsightedness reigns yet again, but I don't know if it'll be a problem yet. You even get neat sorting functions to make finding items in your inventory that much easier. It was noticeably less costly on origin at the time, and figured if Origin was going to cause issues that I'd cross that bridge when I got there. This mod enhances many of the UI elements of the different menus to make everything much easier to sift through whether it’s crafting components or alchemy ingredients. ![]() ![]() ![]() Pricing subject to change without notice. It is the customer's sole responsibility to verify the accuracy of the prices with the dealer. Neither the dealership nor AutoRevo is responsible for misprints on prices or equipment. It is the customer's sole responsibility to verify the existence and condition of any equipment listed. 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Vehicle identification Ducati motorcycle Scrambler 2016 - Order your original Ducati spares with our part diagrams Search by model or part number. *This calculator is for informational use only and is based on the information you provide. ![]() ![]() ![]() You don’t have to waste years making the mistakes others have made before.” – Earl NightingaleĢ8. “Become a sponge for information that will help you on your way. “The opposite of courage in our society is not cowardice, it is conformity.” – Earl NightingaleĢ7. “When you judge others, you do not define them, you define yourself.” – Earl NightingaleĢ6. “Don’t talk about your health unless it’s good.” – Earl NightingaleĢ5. “We are all self-made, but only the successful will admit it.” – Earl NightingaleĢ4. “We become what we think about most of the time, and that’s the strangest secret.” – Earl NightingaleĢ3. In seven years, you can be one of the best people in the world at what you do.” – Earl NightingaleĢ2. Within five years you’ll be a national authority. One hour per day of study will put you at the top of your field within three years. “One hour per day of study in your chosen field is all it takes. Be of service … build … work … dream … create! Do this and you’ll find there is no limit to the prosperity and abundance that will come to you.” – Earl NightingaleĢ1. “A good deal of frustration and unhappiness could be avoided if people would just do what they know they should do.” – Earl NightingaleĢ0. ![]() Without problems, there would be little reason to think at all.” – Earl Nightingaleġ9. “Problems are challenges to creative minds. And the worry would disappear if we’d just settle down and do the work.” – Earl Nightingaleġ8. If we understood enough, we would never be afraid.” – Earl Nightingaleġ7. “Whenever we’re afraid, it’s because we don’t know enough. See yourself doing the things you’ll be doing when you’ve reached your goal.” – Earl Nightingaleġ6. “Picture yourself in your minds eye as having already achieved this goal. “Wherever there is danger, there lurks opportunity whenever there is opportunity, there lurks danger. “We all walk in the dark and each of us must learn to turn on his or her own light.” – Earl Nightingaleġ4. “The more intensely we feel about an idea or a goal, the more assuredly the idea, buried deep in our subconscious, will direct us along the path to its fulfilment.” – Earl Nightingaleġ3. ![]() “Your world is a living expression of how you are using and have used your mind.” – Earl Nightingaleġ2. “People are where they are because that is exactly where they really want to be – whether they will admit that or not.” – Earl Nightingaleġ1. “Get into a line that you will find to be a deep personal interest, something you really enjoy spending twelve to fifteen hours a day working at, and the rest of the time thinking about.” – Earl Nightingaleġ0. Remember: Jobs are owned by the company, you own your career!” – Earl Nightingaleĩ. ![]() The driving force of a career must come from the individual. “The biggest mistake that you can make is to believe that you are working for somebody else. “Our attitude towards others determines their attitude towards us.” – Earl NightingaleĨ. Best to keep a pad of paper and a pencil at your bedside, so you can stab them during the night before they get away.” – Earl Nightingaleħ. “We can let circumstances rule us, or we can take charge and rule our lives from within.” – Earl NightingaleĦ. Our rewards will always be in exact proportion to our service.” – Earl Nightingaleĥ. “We will receive not what we idly wish for but what we justly earn. The time will pass anyway we might just as well put that passing time to the best possible use.” – Earl NightingaleĤ. “Don’t let the fear of the time it will take to accomplish something stand in the way of your doing it. “Whatever we plant in our subconscious mind and nourish with repetition and emotion will one day become a reality.” – Earl Nightingaleģ. Every minute should be enjoyed and savored.” – Earl NightingaleĢ. Think how really precious is the time you have to spend, whether it’s at work or with your family. Don’t wait for something outside of yourself to make you happy in the future. “Learn to enjoy every minute of your life. The Earl Nightingale quotes below echo his teaching in The Strangest Secret and serve as great lessons to live a successful life. I mention that because I purchased my first ever self development audio CD’s from there.Ī fan of Napoleon Hill, Nightingale believed the key to success was to be found in these simple words: We become what we think about.Įarl Nightingale’s audio recording, The Strangest Secret sold over 1 million copies back in the 1950’s and his wisdom is timeless. He also co-founded Nightingale Conant with Lloyd Conant in 1960. Earl Nightingale was highly motivating speaker and writer.ĭuring his lifetime, Nightingale wrote and recorded more than 7,000 radio programs, 250 audio programs as well as television programs and videos. ![]() ![]() ![]()
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