Disney Tackles Major Theme Park Problem: Lines
An underground high-tech nerve center at Disney World addresses the most low-tech of problems: long waits.
Here are some youtube videos, or articles that caught my eye - from the New York Times, Consumer Reports, Popular Science etc.
Disney Tackles Major Theme Park Problem: Lines
An underground high-tech nerve center at Disney World addresses the most low-tech of problems: long waits.
PRACTICAL TRAVELER: Airport Apps Put You First in Line
From finding parking to giving you early gate information, 10 travel apps that can save your vacation.
Get The New York Times on your iPhone for free by visiting http://itunes.com/apps/nytimes
Sent from my iPhone
DEALBOOK: Deal Reached to Recover $7.2 Billion for Madoff Victims
The trustee charged with recovering assets in the Bernie Madoff bankruptcy and federal prosecutors have obtained a civil settlement with the estate of one of Madoff's investors.
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From The New York Times:
OP-ED COLUMNIST: Too Good to Check
This tall tale just had to be repeated. And repeated. And repeated. The facts had to wait till Anderson Cooper checked them out.
ECONOMIC VIEW: Income Inequality: Too Big to Ignore
Economics was founded by moral philosophers, and links between the two disciplines remain strong. So why won't economists make judgments on the gap between rich and poor?
"...income growth has been concentrated at the top of the scale. The share of total income going to the top 1 percent of earners, which stood at 8.9 percent in 1976, rose to 23.5 percent by 2007
"...Recent research on psychological well-being has taught us that beyond a certain point, across-the-board spending increases often do little more than raise the bar for what is considered enough. A C.E.O. may think he needs a 30,000-square-foot mansion, for example, just because each of his peers has one.
"...I found that the counties where income inequality grew fastest also showed the biggest increases in symptoms of financial distress.
"For example, even after controlling for other factors, these counties had the largest increases in bankruptcy filings.
Divorce rates are another reliable indicator of financial distress... counties with the biggest increases in inequality also reported the largest increases in divorce rates.
"Another footprint of financial distress is long commute times, because families who are short on cash often try to make ends meet by moving to where housing is cheaper — in many cases, farther from work. The counties where long commute times had grown the most were again those with the largest increases in inequality.
"(Robert H. Frank is an economics professor at the Johnson Graduate School of Management at Cornell University)"
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VITAL SIGNS: Regimens: Massage Benefits Are More Than Skin Deep
Researchers found that a single session of massage caused biological changes, like increases in oxytocin, a hormone associated with contentment.
Cleaner for the Environment, Not for the Dishes
Many find low-phosphate detergents as appealing as low-flow showers, underscoring the tradeoffs people often face in a more environmentally conscious marketplace.
SHORTCUTS: The 3,000-Mile Oil Change Is Pretty Much History
Knowing how often to change your car oil takes more information than in the past. The good news is that it's probably less often.
F.C.C. Likely to Open New Airwaves to Wireless
Allowing anyone to use "white spaces" in the spectrum would open the door to supercharged Wi-Fi networks.
SHORTCUTS: For the Dishwasher's Sake, Go Easy on the Detergent
Go easy on the detergent in dishwashers and washing machines, and never clean your oven the day before Thanksgiving.
"...The material world is too soul-destroying. “The American dream radically differs from the call of Jesus and the essence of the Gospel,” he argues... “God actually delights in exalting our inability.” The American dream emphasizes upward mobility, but “success in the kingdom of God involves moving down, not up.”
"Platt’s arguments are old, but they emerge at a postexcess moment, when attitudes toward material life are up for grabs...But the country is clearly redefining what sort of lifestyle is socially and morally acceptable and what is not."
http://www.nytimes.com/2010/09/07/opinion/07brooks.html?src=me&ref=general
"Be careful how you react to interruptions.
That person who interrupts your busy schedule might be exactly the person God wants you to see." -
http://www.doorofhope.org.au/content.php?page_id=259
"Sometimes we are so busy that we don't allow for interruptions, much less see them as divine appointments. We might be "making such good time" that it is hard to stop. Or maybe we are really getting a lot done and checking things off of our to do list and we don't want to break the rhythm of what we're doing. We may be doing a lot of business and having a profitable day and don't want to blow a carefully developed opportunity to do our job well. If we aren't careful, we'll see these interruptions as irritations rather than divine appointments." - http://www.heartlight.org/articles/200407/20040701_interruptions.html
"God’s will comes to us in strange ways, often in the form of interruptions. Just when we think our duties are done for the day and we’ve settled in for a quiet evening at home, someone calls on the telephone or shows up on our doorstep asking for our time. “Are you busy?” they ask.
The best thing to do is to stop looking at these intrusions as interruptions. Instead, we should take them as opportunities that God is sending us to serve those in need—to listen well, to show love, to help them on their journey toward intimacy with God." - http://www.churchofgodcarmichael.org/seniors/walking-in-grace-blog/687-divine-interruptions.html
"I seem to need more reminding of how God works in ways that don’t make sense to me. God has purpose, my duty is to be open and ready for what He allows.
An interruption may be a divine appointment." -
http://www.churchofgodcarmichael.org/seniors/walking-in-grace-blog/687-divine-interruptions.html
Packaging Is All the Rage, and Not in a Good Way
Amazon is trying to get manufacturers to make packages easier to open, hoping to reduce consumer "wrap rage."
1. Drink a second cup of coffee. It might lower your risk of adult-onset diabetes…
2. Keep serving dishes off the table.
3. Think before you drink. around 10 teaspoons of added sugar every single day from soft drinks.
4. Practice total recall. British scientists found that people who thought about their last meal before snacking ate 30 percent fewer calories that those who didn't stop to think.
5. Eat protein at every meal.
6. Choose whole-grain bread.
7. Think fish.
9. Cut portions by a quarter.
10. Turn off the TV.
11. Put your fork down when you chew.
12. Choose rye (not wheat) bread for breakfast toast. …were more full 8 hours after breakfast than wheat-bread eater
13. Eat a handful of fruit and vegetables a day.
14. Sip green tea.
15. Work out before lunch or dinner.
16. Hung over? Choose asparagus.
17. Sleep 8 hours a night.
18 Discover miso soup. …can help lower your blood pressure
19. Drink two glasses of milk daily.
20. Take a zinc supplement.
21. Go ahead, eat your favorite foods.
22. Choose foods with the fewest ingredients.
23. Snack on popcorn.
24. Or snack on walnuts. …may boost your HDL (good) cholesterol
25. Scramble your breakfast. …People who ate eggs in the morning instead of a bagel consumed 264 fewer calories the rest of the day [same as rule 5 really]
[See the more detailed explanations for these tips at...]
http://health.yahoo.net/experts/eatthis/25-best-nutrition-secrets
"...instead of sticking to one study location, simply alternating the room where a person studies improves retention.
"...in a classic 1978 experiment... students who studied a list of 40 vocabulary words in two different rooms...did far better on a test than students who studied the words twice, in the same room...Forcing the brain to make multiple associations with the same material may, in effect, give that information more neural scaffolding.
"So does studying distinct but related skills or concepts in one sitting, rather than focusing intensely on a single thing...Varying the type of material studied in a single sitting — alternating, for example, among vocabulary, reading and speaking in a new language — seems to leave a deeper impression on the brain than does concentrating on just one skill at a time. Musicians have known this for years, and their practice sessions often include a mix of scales, musical pieces and rhythmic work.
"...adults of retirement age were better able to distinguish the painting styles of 12 unfamiliar artists after viewing mixed collections (assortments, including works from all 12) than after viewing a dozen works from one artist, all together, then moving on to the next painter. The finding undermines the common assumption that intensive immersion is the best way...
“The idea is that forgetting is the friend of learning,” said Dr. Kornell. “When you forget something, it allows you to relearn, and do so effectively, the next time you see it.”...The process of retrieving an idea is not like pulling a book from a shelf; it seems to fundamentally alter the way the information is subsequently stored, making it far more accessible in the future...When the neural suitcase is packed carefully and gradually, it holds its contents for far, far longer.
“Testing has such bad connotation; people think of standardized testing or teaching to the test,” Dr. Roediger said. “Maybe we need to call it something else, but this is one of the most powerful learning tools we have.”...tests are so often hard. Paradoxically, it is just this difficulty that makes them such effective study tools, research suggests.
Forget What You Know About Good Study Habits
Psychologists have discovered that some of the most hallowed advice on study habits is flat wrong.
No Harm to Patients From Unsupervised Nurse Anesthetists, Study FindsFlawed data - nurse anesthetists are given the least risky cases, and even more so when they are practicing solo. Less sick patients will always do better.TE
See the editorial in the NYT.
Medscape Medical News , 2010-08-06
August 6, 2010 — Allowing certified registered nurse anesthetists (CRNAs) to provide anesthesia without physician supervision resulted in no evidence of increased inpatient deaths or complications, a new study published in the August issue of Health Affairs found.
The analysis of Medicare data for 1999 to 2005, encompassing more than 481,000 hospitalizations, found that allowing CRNAs to work independently without oversight by an anesthesiologist or surgeon had little or no effect on mortality and morbidity rates.
Authors Brian Dulisse and Jerry Cromwell, health economists at the Research Triangle Institute in Waltham, Massachusetts, recommended that the Centers for Medicare & Medicaid Services (CMS) permit the nation's 37,000 nurse anesthetists to work independently without first requiring state governments to formally petition for an exemption, as 14 states have already done. "This would free surgeons from the legal responsibility for anesthesia services provided by other professionals. It would also lead to more cost-effective care as the solo practice of CRNAs increases," the authors said.
The research was funded by the American Association of Nurse Anesthetists (AANA), which applauded the study. "Since the late 1990s, we've been on record calling for the elimination of supervision for nurse anesthetist services," AANA President-Elect Paul Santoro, CRNA, MS, told Medscape Medical News. "This antiquated regulation places undue costs on the healthcare system. Local institutions should be free to decide for themselves. This study confirms our position and is supported by several previous studies."
In a blistering response posted on its Web site yesterday, the American Society of Anesthesiologists said theHealth Affairs study "is an advocacy manifesto masquerading as science and does a disservice to the public. It makes dangerous public policy recommendations on the basis of inadequate data, flawed analysis and distorted facts."
CMS reimbursement rules prohibited payments to CRNAs unless they are supervised by either an anesthesiologist or the surgeon. In 2001, CMS issued a rule that states could seek an exemption from the oversight rule.
By 2005, 14 governors in mostly rural states were granted permission to opt out of the supervision requirement. "Solo practice by CRNAs is especially important in rural areas, where anesthesiologists are in short supply," Dulisse and Cromwell write.
The authors used Medicare inpatient (part A) and carrier (part B) data to study inpatient mortality and complications. It included 481,440 hospitalizations, of which 68,744 were in states that opted out of the supervision requirement.
They found that the proportion of surgeries performed in which anesthesia was administered by CRNAs without supervision increased by 5 percentage points in both opt-out and non-opt-out states.
"Despite the shift to more anesthetics performed by nurse anesthetists, no increase in adverse outcomes was found.... In fact, declining mortality was the norm," they said. "The mortality rate for the nurse anesthetist solo group was lower than for the anesthesiologist solo group.
"These results do not support the hypothesis that allowing states to opt out of the supervision requirement resulted in increased surgical risks to patients. Nor do the results support the claim that patients will be exposed to increased risk as a consequence of more nurse anesthetists' practicing without physician supervision," they concluded.
The American Society of Anesthesiologists said the study "reflects the weaknesses of billing data when used to make an assessment of safety and quality." The data do not distinguish between complications resulting from surgery or anesthesia, nor do they discriminate between conditions existing before surgery and those resulting from surgical or anesthetic care.
"The existing Medicare policy requiring physician supervision of nurse anesthesia is rooted in the overwhelming preference of patients, particularly Medicare beneficiaries, for a physician to be responsible for their anesthesia care. Suggesting that this patient preference be pushed aside on the basis of flimsy analytics is irresponsible," said the statement from the American Society of Anesthesiologists.