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A final observation is that KM health initiatives tend to focus on one solution (e.g., ICT, evidence-based practice) instead of a comprehensive strategy. The on-going emphasis on explicit knowledge would have to change if tacit knowledge were to be seen as an important resource in health care. A few health care researchers have examined the importance of tacit knowledge, evaluating the role that it plays, and how it ought to be considered in future research. Tacit knowledge can be described as knowledge that is acquired through practice and experience and can be difficult to communicate (sometimes referred to as "know-how"), while explicit knowledge is often more formal, codified in writing and seen to be easier to communicate. The point to note is that evidence-based practice focuses on the transfer of explicit knowledge (i.e., research literature), while KM promotes the transfer of explicit and tacit knowledge. Another aspect of the health care environment is the strong evidence-based medicine movement that has penetrated continuing education and quality improvement efforts. Nevertheless, sustainability of such structures continues to be an issue. Research has indicated that there may be value in having a venue, or a social space that enables and encourages knowledge sharing to take place. These strategies can be ICT based, narrowly focused on practice improvement and/or broadly defined as networks involving multiple stakeholders and objectives. Communities of practice knowledge-sharing strategies have been used to promote interactions among health practitioners. Further, they do not support knowledge development and sharing. A criticism of this approach is that these ICTs are static and do not provide appropriate context to make an effective clinical diagnosis. Examples of such systems include electronic libraries (e-libraries), repositories containing research articles, clinical guidelines or best practices to assist organizations in managing knowledge. Current KM practices in health care are focused on the use of information and communication technologies (ICT). Health care organizations, as late adopters of the KM concept, are starting to implement and evaluate KM strategies. Recently, the health care sector has also begun to focus on the systematic management of knowledge. KM is viewed as a way of providing the right information, to the right person, at the right time, with the potential of attaining greater competitive advantage. The area of 'knowledge management' (KM) emerged in the early 1990s within various fields, including business administration, public policy, information systems management, library and information sciences. While more research needs to be done on how best to do this in healthcare, the lessons learned from the business sector can provide a foundation on which to build. The health care sector is at a pinnacle place, with incredible opportunities to design, implement (and evaluate) knowledge management systems. Common facilitators and barriers to implementing these strategies are discussed in the business literature, but rigorous studies about the effectiveness of such initiatives are lacking. KM strategies include such things as training sessions, communication technologies, process mapping and communities of practice. ResultsĨ3 articles were reviewed and data were extracted to: (1) uncover reasons for initiating knowledge management strategies, (2) identify potential knowledge management strategies/solutions, and (3) describe facilitators and barriers to knowledge management. We included articles published between 2000-2009 we excluded non-English articles. We searched seven databases using keywords such as "knowledge management", "organizational knowledge", and "business performance". The purpose of this paper was to summarize previous studies from the business literature that explored specific knowledge management tools, with the aim of extracting lessons that could be applied in the health domain. It has become essential to develop a way to manage the information coming in to and going out of a health care organization. Only recently has knowledge management been receiving attention by the health care sector, in part due to the ever growing amount of information that health care practitioners must handle. It also includes ABI/INFORM Archive, which offers a deep backfile of many of the most important business journals of the last century.The concept of knowledge management has been prevalent in the business sector for decades. ABI/INFORM Complete includes all content found in ABI/INFORM Global, ABI/INFORM Dateline, ABI/INFORM Research, and ABI/INFORM Trade and Industry. This brings loads of possibilities for remote controls, web browsers and 3rd party tools to take Kodi to the next level. Interact with Kodi using its JSON-RPC based remote interface. You can also now import from uPnp sources to synchronize your data inside instances of Kodi. Have one UPnP master device and use other Kodi instances as clients which automatic keeps you watched status and library up-to-date. With UPnP compatibility you can stream to and from any other Kodi instances and play to other UPnP compatible devices in your home with ease. See which ones are currently available: Skins By utilising different colours, images and menu structures you can create a stunning interface that matches your needs as a complete entertainment or information platform. Due to the highly customisable skinning engine you are almost able to change every aspect of it's looks and feel. Kodi allows you to complete change the whole appearance of the GUI interface. See which ones are currently available: Add-ons There are Add-Ons for popular web services, applications and scripts. The real power of Kodi comes from the vast selection of user created Add-ons that are available though our repositories. It works with a number of popular backends including MediaPortal, MythTV, NextPVR, Tvheadend and many more. Kodi allows you to watch and record live TV all from the GUI interface. Import pictures into a library and browse the different views, start a slideshow, sort or filter them all using your remote control. Great for keeping track of your progress. The TVShows library supports episode and season views with posters or banners, watched tags, show descriptions and actors. Kodi can do Movies too! Supporting all the main video formats including streamable online media, Kodi can import, browse and play your Movie collection with ease. It has cue sheet, tag reading support and smart playlists for ultimate control of your music collection. Kodi can play all your music including mp3, flac, wav and wma formats. The Kodi project does not provide any support for bootleg video content. Users must provide their own content or manually point Kodi to third party online services. We also have helpful Facebook, Google+, Twitter and Youtube pages.ĭisclaimer: Kodi does not provide any media itself. Our forums and Wiki are bursting with knowledge and help for the new user right up to the application developer. It allows users to play and view most videos, music, podcasts, and other digital media files from local and network storage media and the internet. Kodi (formerly XBMC) is an award-winning free and open source (GPL) software media player and entertainment hub that can be installed on Linux, OSX, Windows, iOS, and Android, featuring a 10-foot user interface for use with televisions and remote controls. 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The safety techniques were the only things that could save her. The gravitational pressure, she said, felt like she was getting crushed by her own weight. The breathing and muscle flexing techniques were much easier in the air, Crouch said. She said she felt both thrilled and exhausted at the same time. When she landed about 45 minutes later, she beamed because she hadn’t thrown up or passed out.Ī little wobbly on her feat, she was excited about soon eating a hamburger to fill her empty stomach. The engines roared, and after a short taxi on the runway she was cleared for takeoff, pushed out of sight within seconds by the dual jet engines. She then was strapped into the cockpit for the day’s first flight. She put on her flight suit once the safety briefing ended. The techniques ended up working for all of us, although we all experienced tunnel vision that meant we were on the verge of losing consciousness.Ĭrouch was selected because of her work as a science teacher at the Ed White High School Military Academy of Leadership, and Morningstar was picked because of his role as military liaison at the Jacksonville Sheriff’s Office. We went through a quick course where we learned breathing techniques and how to flex our legs and abdominal muscles to keep blood in our brains, which would hopefully prevent a blackout when those afterburners pushed the fighter plane through steep turns. I was joined by Alexis Crouch and Glenn Morningstar in a room that overlooked the runway. on the base for a safety briefing where butterflies already danced in my stomach. There was nothing I could do to prepare myself for what happened. That much I know after Wednesday afternoon’s experience.Įach year the Blue Angels offer a few civilians the rare chance to ride along in the cockpit of a Hornet to experience the power and grace of the aircraft in an effort to promote the annual air show - this year taking place Saturday and Sunday at Jacksonville Naval Air Station - while at the same time providing a brief glimpse into the work of the pilots, who are impressive. The ride with the Blue Angels is about the farthest thing from flying Delta from Jacksonville to Atlanta. Most of my stomach’s contents ended up in one of two air sickness bags tucked into a pocket in my flight suit. Sweat seemed to constantly drip from under my helmet’s visor. The next 45 minutes felt like a mixture between a magic carpet ride and a terrifying tumble through a clothes dryer. The jet soon flew faster than the speed of sound - passing 762.2 mph. Seconds later the Buckman Bridge looked like a prop to a model train set. It seemed like the nose of the F/A-18 Hornet pointed straight toward the clouds as soon as the afterburners kicked in just above the runway at Jacksonville Naval Air Station. Master new skills and mini-games like food processors, mixers, and raiding the fridge. Make your way through 60 different recipes including Chinese BBQ Pork Buns, Mexican Tamales, Japanese Sushi, American Hot Dogs, and more. Are you ready to be a Master Chef? /extras/CAFK_Mktg_Graphic.jpg Unique recipes Loads of Challenging Mini-Games Exciting courses to master Special Achievement Trophies Become a Master Chef!Cooking Academy 2 World Cuisine Whip up a world of fun in Cooking Academy 2, the sequel to the hit game, Cooking Academy! Join the instructors at the World Culinary Workshop for a whirlwind adventure in a global kitchen. A mouth-watering collection of 3 exciting and entertaining Cooking Academy games:Cooking Academy Grab your oven mitts and don your chef's hat! Cooking Academy is the game that places you in the kitchens of a prestigious culinary school! From eggrolls to pancakes, to crème brulee, it`s up to you to prepare over 50 different recipes! Learn interesting trivia about food while mastering the skills of chopping, kneading, mashing, flipping, frying, and much more! Unlock new recipes and trophies by passing your cooking courses and exams. He also has a background in immunology and transplantation genetics following his PhD at Anthony Nolan Research Institute. Will joined Scientific Reports in November 2022 after completing a post-doctoral position at UCL investigating the genetics of clathrin-mediated membrane trafficking. ORCID 0000-0002-9656-2 Associate Editor: Will Bultitude She joined Scientific Reports in 2019 after a PhD at the Wellcome Trust Sanger Institute in Cambridge, UK and post-doctoral work at the Francis Crick Institute in London, UK. Madushi’s background is in biochemistry and molecular biology. His interests include palaeontology, functional morphology, biomechanics, phylogenetics, ecology and biodiversity. He joined Scientific Reports in 2021 after completing a PhD on the evolution of the dinosaur hand at the Natural History Museum and University College London. João has a background in biodiversity and population genetics from the University of Porto, Portugal. Over her eleven years in research, she worked on understanding telomere biology and has experience in cell, molecular and developmental biology. She has a PhD in Microbiology from University of Aberdeen, UK and worked as an EMBO postdoctoral Fellow at Instituto Gulbenkian de Ciência, Portugal. ORCID 0000-0001-5083-5936 Deputy Editor: Akila SridharĪkila joined Scientific Reports in September 2022 after working for four years with BMC Series Journals as a Senior Editor. Her interests lie in materials for energy applications and deep earth geochemistry. Prior to this she completed a PhD in Earth Sciences at the University of Cambridge, UK in igneous petrology and mantle geochemistry. ORCID 0000-0003-2616-3193 Deputy Editor: Eve RooksĮve joined Scientific Reports in 2019, after working as an editor on the Royal Society of Chemistry’s materials chemistry and engineering portfolio for 3 years. She joined Scientific Reports in January 2019. ORCID 0000-0003-0316-1363 Deputy Editor: Elizabeth MannĮlizabeth has a background in pharmacology and completed her PhD in neuropharmacology at King's College London, UK. He was an editor at Genome Biology for four years before joining Scientific Reports in August 2016. He did his PhD and postdoctoral research in single-cell proteomics at Imperial College London, UK. Rafal's background is analytical and biological chemistry. In-house Editors Chief Editor: Rafal Marszalek
Omega-3 fatty acids may also help prevent other eye diseases. One study in people with dry eyes revealed that taking EPA and DHA supplements daily for three months significantly reduced dry eye symptoms by increasing the formation of tear fluid ( 18). Thus, DHA deficiency can impair vision, especially in children ( 13, 14, 15, 16).Įvidence also shows that taking omega-3 supplements may benefit those with dry eye disease ( 17, 18, 19, 20). It’s also important for brain and eye development during infancy. The long-chain omega-3 fatty acids EPA and DHA are important for eye health.ĭHA is found in high amounts in your retina, where it may help maintain eye function. SUMMARYĪ high intake of lutein and zeaxanthin may reduce your risk of eye diseases, such as macular degeneration and cataracts. Carotenoids are better absorbed when eaten with fat, so it’s best to add some avocado or healthy oils to your leafy vegetable salad ( 10, 11, 12). In fact, egg yolks are considered one of the best sources due to their high fat content. What’s more, egg yolks, sweet corn, and red grapes may also be high in lutein and zeaxanthin ( 9). Spinach, swiss chard, kale, parsley, pistachios, and green peas are among the best sources ( 8). Lutein and zeaxanthin usually occur together in foods. One meta-analysis of six observational studies suggests that lutein and zeaxanthin only protect against late-stage AMD - not its early development stages ( 7). However, the evidence is not entirely consistent. The researchers also discovered that those with the highest intake of lutein and zeaxanthin had a 43% lower risk of macular degeneration, compared to those with the lowest intake ( 6). One observational study in middle-aged and older adults noted that consuming 6 mg of lutein and/or zeaxanthin per day significantly reduced the risk of AMD. They’re thought to play a central role in protecting your eyes against harmful blue light ( 4).Ĭontrolled studies show that intake of lutein and zeaxanthin is proportional to their levels in your retina ( 5). Lutein and zeaxanthin function as a natural sunblock. They are concentrated in the macula, the central part of your retina, which is a layer of light-sensitive cells on the back wall of your eyeball. Lutein and zeaxanthin are yellow carotenoid antioxidants known as macular pigments. Vitamin A is only found in animal-derived foods, but your body can convert certain plant-based carotenoids into vitamin A. Vitamin A deficiency may lead to night blindness and dry eyes. The most efficient of them is beta-carotene, which is found in high amounts in kale, spinach, and carrots ( 3). Provitamin A carotenoids provide around 30% of people’s vitamin A requirements, on average. However, you can also get vitamin A from antioxidant plant compounds called provitamin A carotenoids, found in high amounts in some fruits and vegetables. The richest dietary sources include liver, egg yolks, and dairy products. Vitamin A is only found in animal-derived foods. If you don’t consume enough vitamin A, you may experience night blindness, dry eyes, or even more serious conditions, depending on the severity of your deficiency ( 2). This vitamin is essential for maintaining your eyes’ light-sensing cells, also known as photoreceptors. Vitamin A deficiency is one of the most common causes of blindness in the world ( 1). Your risk of developing these diseases depends on your age, genetics, chronic diseases, and lifestyle. The most common eye conditions include cataracts, macular degeneration, glaucoma, and diabetic retinopathy. Age-related macular degeneration (AMD) is one of the main causes of blindness in developed countries.Īlthough your risk of getting these conditions depends to some extent on your genes, your diet may also play a major role. The macula is the central part of your retina. Glaucoma may cause poor eyesight or blindness. A group of diseases characterized by progressive degeneration of your optic nerve, which transfers visual information from eyes to brain. A condition marked by insufficient tear fluid, which causes your eyes to dry up and leads to discomfort and potential visual problems. Associated with diabetes and a major cause of visual impairment and blindness, retinopathy develops when high blood sugar levels damage the blood vessels in your retina. Age-related cataracts are a leading cause of vision impairment and blindness around the world. A condition in which your eyes become clouded. Your risk of developing an eye disease increases as you get older. But, definitely, if anyone paid with a check, fraud will be involved,” Del Mano said. “I don’t know if he had the ability to take plastic. She herself reported the crime to the Santa Cruz Police Department. SF Candy Bar Buffet, San Francisco, California. Or at least, she said, to encourage them to check their accounts. Now, Del Mano wanted to alert both her neighbors and the greater community to the potential scam before they, too, were taken in. A $50 donation, however, was “a big ask,” Del Mano said. The candy bars were selling for $10, but the man suggested she up her donation to $50, so that the candy bar manufacturer would match the amount. The man who arrived at Del Mano’s front door Monday afternoon tugged at her heartstrings, she said, because he said he was raising money for after-school programs and she herself was a retired school teacher. Candy bar - CLOSED 11 Speakeasies Tenderloin It's very trippy when you've been to either Biig or Candy Bar before and realize that they've actually switched locations, but not decor. “The original check was not deposited anywhere.” candy bar San Francisco, CA Sort:Recommended Price Offers Delivery Offers Takeout Specialty Food Chocolatiers & Shops 1. “I paid with a check only because I hardly ever carry cash anymore,” said the Chanticleer Avenue resident. Of all the hooting and victory dancing coming from the group in the corner booth, only half of the commotion is a result of the game of Sorry the group is immersed in. Two days later, Del Mano was scrambling to shut down her checking account after her bank alerted her to a woman in San Diego trying to cash a cloned check from Del Mano’s account. LIVE OAK - He had the “beaten-down look of someone who works in education,” so Bryn Del Mano said she gladly handed over a check for $15 for a Kit-Kat candy bar fundraiser. In his speech to graduates, Biden did make light of his age, which his political rivals have seized upon as evidence of an inability to serve another term. The most recent physical determined the condition was unchanged, albeit with “possibly tighter hamstrings and calves.”īiden’s aides say his schedule remains busy, and point to lengthy days on foreign trips as evidence of his continued vigor. In recent physicals, Biden’s doctor has examined the president’s stiff gait, determining it was a result of “wear and tear” changes on Biden’s spine. He’s also been seen slipping on the stairs as he boards Air Force One.ĭespite those incidents, Biden’s doctor has said is physically fit to serve in office. He’s had previous stumbles in public, including falling to the ground during a bike ride last year in Delaware. The president didn’t respond to questions about the episode as he departed Colorado about an hour after he tripped.īiden is 80 years old, the nation’s oldest president, and is running for a second term. There was a sandbag on stage while he was shaking hands,” communications director Ben LaBolt wrote on Twitter. The president returned to his seat in the stands without assistance, and appeared in good spirits as the ceremony concluded. Earlier, the sandbags had been used to weigh down two teleprompters. Video of the moment showed sandbags placed in front of the podium near where Biden had been standing. The president landed on his right hip before lifting himself up on his right hand.Ī group of men, including an official with the Air Force Academy and two Secret Service agents, grasped onto Biden’s arms to help him back to his feet.Īs he got back up, Biden pointed back toward the ground where he tripped, indicating something had gotten in his path. He spent more than 90 minutes handing out diplomas and congratulating hundreds of cadets.Īs he was moving toward his seat, he tripped, falling to the ground. The stumble began as Biden was jogging away from center stage, where he earlier delivered a commencement address to the academy’s graduates. The White House said the president was fine after the fall and he later joked about it, yelling “I got sandbagged!” to reporters after stepping off Marine One Thursday evening. He was seen smiling and jogging toward his vehicle at the ceremony’s conclusion. Bush White House at the time.President Joe Biden tripped on a sandbag and fell as he completed handing out diplomas at the US Air Force Academy commencement in Colorado on Thursday.īiden appeared fine afterward, walking without assistance to his seat in the stands. John McCain struggled, said Felts, who was political director in the George W. Obama had a ton of campaign cash and ran a strong campaign, while the Republican candidate Sen. A late competitive primary election meant Democrats had made a huge investment in campaign organizing in North Carolina, which they wouldn't normally do so far out from Election Day. When Obama won the state in 2008, he had a lot going for him. Ultimately, Democrats invested resources in other states where they had a better chance of winning Senate seats. Budd's Democratic opponent, Cheri Beasley, studiously avoided appearing with Biden or Vice President Harris. In 2022, he was the lead adviser for now-Sen. But 2024 is a lot different than 2008īut Republican consultant Jonathan Felts said he sees Biden, with his low approval ratings, as a potential drag on Democrats, joking that Republicans are eager to see Biden campaign with Democratic candidates all over the state.įelts is confident for a reason. "There will be top-to-bottom a strong Democratic effort in North Carolina and with the resources of the coordinated campaign and the Biden campaign here, I think there's no stopping us," Cooper said. That includes both funding and grassroots campaign organizing. He said he has also already called former President Obama, the last Democratic presidential candidate to win in the state, to help out.Ĭooper said the muscle that comes with a presidential campaign could help up and down the ballot. He, too, made a personal pitch to Biden to compete in the state. Cooper has reached the end of his term limits, but he is actively engaged in the upcoming election. In 2024, there will also be a hotly contested governor's race, and the balance of power in the state legislature will be on the line. So it's clear that North Carolinians will be motivated to try and protect women's reproductive freedom." There are a lot of races on the line in the state in 2024 "But on top of that, they've said they're coming back for more the next time around. "A strong majority of North Carolinians do not like abortion bans, particularly like the one this legislature passed," Cooper said in an interview with NPR. |
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