Switzerland has some unique ways of making and serving coffee. One notable tradition is the “Schümli-Pflümli,” a Swiss coffee drink that combines coffee with plum schnapps and whipped cream.
Here are a few other Swiss coffee specialties:
Café Crème: A popular Swiss coffee, it’s a large coffee similar to an Americano but typically served with a layer of crema on top.
Kaffee fertig: This is a coffee with added Schnaps or Kirsch (a type of cherry brandy), served hot and often enjoyed in the winter.
Luzerner Kafi: A regional specialty from Lucerne, this is a coffee with Schnaps and sugar, sometimes with a bit of whipped cream.
Zuger Kirschtorte Coffee: Inspired by the famous cherry cake from Zug, this coffee includes cherry liqueur and is often served with a small piece of the cake or similar dessert.
These coffee traditions highlight Switzerland’s blend of coffee culture with local flavors and ingredients.
— John Cabot University (@JohnCabotRome) June 12, 2024
🐰 🐰 Hey friends! Don’t forget to shout “Rabbit, rabbit!” today for a month of good vibes. But have you ever wondered where this bouncy tradition came from? https://t.co/8PGn9Qhdyopic.twitter.com/adAGShnwk7
— The Farmers’ Almanac (@FarmersAlmanac) July 31, 2024
Today we break down regulations, codes, standards and open-source literature governing the safety and sustainability of university-affiliated medical research and healthcare delivery facilities. Because of the complexity of the topic we break down our coverage:
Health 200. Survey of all relevant codes, standards, guidelines and recommended practices for healthcare settings.
Health 400. All of the above with special consideration needed for obstetrics, gynecological and neonatal clinical practice and research.
Today we confine our interest to systems — water, power, telecommunication and security; for example — that are unique to campus-configured, city-within-city risk aggregations. Electrotechnologies (voltage stability, static electricity control, radio-interference, etc.) in these enterprises are subtle, complex and high risk. Sample titles from legacy best practice literature in this domain are listed below:
Since our interest lies in the habitable spaces for these enterprises we usually start with a scan of the following titles:
International Building Code Section 407 (Institutional Group I-2) identifies requirements specific to healthcare settings, covering aspects such as fire safety, means of egress, and smoke compartments. Maternity and obstetric facilities within hospitals fall under this classification.
A relatively new publisher of related standards is the Facility Guidelines Institute. We are monitoring its catalog and its processes. The healthcare facility industry is likely large enough for another non-profit but we have yet to see meaningful leading practice discovery and promulgation that is unrelated to the literature that is already out there.
International Conference on Harmonization: The ICH guidelines provide guidance on the development of pharmaceuticals and related substances, including clinical trials, drug safety, and efficacy.
Good Laboratory Practice: GLP is a set of principles that ensure the quality and integrity of non-clinical laboratory studies. It ensures that data generated from non-clinical laboratory studies are reliable, valid, and accurate.
👩⚕️👩🎓 Warmest congratulations to UCD School of Nursing, Midwifery and Health Systems’ Higher Diploma in Midwifery group (2022-2024), who have officially completed their 18-month programme to become registered midwives 👏👏👏 pic.twitter.com/hixD1gT1no
— University College Dublin (@ucddublin) March 7, 2024
“Une leçon clinique à la Salpêtrière” 1887 André Brouillet
Many large research universities have significant medical research and healthcare delivery enterprises. The leadership of those enterprises discount the effect of standards like this at their peril. It is easy to visualize that this document will have as transformative effect upon the healthcare industry as the ISO 9000 series of management standards in the globalization of manufacturing.
Standardization in the field of healthcare organization management comprising, terminology, nomenclature, recommendations and requirements for healthcare-specific management practices and metrics (e.g. patient-centered staffing, quality, facility-level infection control, pandemic management, hand hygiene) that comprise the non-clinical operations in healthcare entities.
Excluded are horizontal organizational standards within the scope of:
quality management and quality assurance (TC 176);
human resource management (TC 260);
risk management (TC 262);
facility management (TC 267), and;
occupational health and safety management (TC 283).
Also excluded are standards relating to clinical equipment and practices, enclosing those within the scope of TC 198 Sterilization of health care products.
This committee is led by the US Technical Advisory Group Administrator —Ingenesis. The committee is very active at the moment, with new titles drafted, reviewed and published on a near-monthly basis,
DPAS ballot for ISO PAS 23617- Healthcare organization management: Pandemic response (respiratory) —Guidelines for medical support of socially vulnerable groups – Comments due 16 October
Four years ago Mom made a surprise visit to the ‘Hyacinth Chen School of Nursing’. Was always her dream that young women, especially from poor families, fulfil theirs to become nurses. The students were ecstatic to actually see a lady they only knew as a painting on the wall. pic.twitter.com/LBHHCLVhKy
The American National Standards Institute — the Global Secretariat for ISO — does not provide content management systems for its US Technical Advisory Groups. Because of the nascent committee, inspired by the work of Lee Webster at the University of Texas Medical Branch needed a content management system, we have been managing content on a Google Site facility on a University of Michigan host since 2014.Earlier this spring, the University of Michigan began upgrading its Google Sites facility which requires us to offload existing content onto the new facility before the end of June. That process is happening now. Because of this it is unwise for us to open the content library for this committee publicly. Respecting copyright, confidentiality of ISO and the US Technical Advisory Group we protect most recent content in the link below and invite anyone to click in any day at 15:00 (16:00) UTC. Our office door is open every day at this hour and has been for the better part of ten years.
Some of the common electro-technologies used in a neonatal care unit include:
Incubators: These temperature-controlled units create a controlled environment to keep premature or sick infants warm and protected.
Ventilators: Mechanical ventilators assist newborns with respiratory distress by delivering oxygen and helping them breathe.
Monitors: These devices track vital signs such as heart rate, oxygen levels, blood pressure, and temperature to ensure the baby’s health and detect any abnormalities.
Phototherapy Lights: Special lights are used to treat jaundice in newborns, helping to break down excess bilirubin in the blood.
Intravenous Pumps: These pumps are used to deliver medications, fluids, and nutrients directly into the baby’s bloodstream.
Feeding Tubes: For infants who are unable to feed orally, feeding tubes are used to deliver breast milk or formula directly into their stomach.
Blood Gas Analyzers: These machines measure the levels of oxygen, carbon dioxide, and other gases in a baby’s blood to monitor respiratory status and acid-base balance.
Infusion Pumps: Used to administer controlled amounts of fluids, medications, or nutrients to newborns.
CPAP/BiPAP Machines: Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) machines help newborns with breathing difficulties by providing a continuous flow of air pressure.
Neonatal Resuscitation Equipment: This includes equipment such as resuscitation bags, endotracheal tubes, laryngoscopes, and suction devices used during emergency situations to assist with newborn resuscitation.
It’s important to note that specific tools and equipment may vary depending on the level of neonatal care provided by the unit, the needs of the infants, and the policies of the healthcare facility.
Neonatal care, as a specialized field, has been shaped by the contributions of several pioneers in medicine. Here are a few notable figures who have made significant advancements in neonatal care:
Dr. Virginia Apgar was an American obstetrical anesthesiologist who developed the Apgar score in 1952. The Apgar score is a quick assessment tool used to evaluate the overall health of newborns immediately after birth. It assesses the baby’s heart rate, respiratory effort, muscle tone, reflex irritability, and color, providing valuable information for prompt intervention and monitoring.
Dr. Martin Couney, a pioneering physician, established incubator exhibits at world fairs and amusement parks in the early 20th century. He promoted the use of incubators to care for premature infants and played a significant role in popularizing the concept of neonatal intensive care.
Dr. Virginia A. Apgar, an American pediatrician and neonatologist, made significant contributions to the field of neonatology. She specialized in the care of premature infants and conducted extensive research on neonatal resuscitation and newborn health. She also developed the Apgar scoring system, although unrelated to Dr. Virginia Apgar mentioned earlier.
Dr. Lula O. Lubchenco was an influential researcher and neonatologist who made important contributions to the understanding of newborn growth and development. She developed the Lubchenco Growth Chart, which provides a standardized assessment of a newborn’s size and gestational age, aiding in the identification and monitoring of growth abnormalities.
Dr. Mary Ellen Avery was a renowned American pediatrician and researcher whose work focused on understanding and treating respiratory distress syndrome (RDS) in premature infants. She identified the importance of surfactant deficiency in RDS and contributed to the development of surfactant replacement therapy, revolutionizing the care of preterm infants.
These individuals, among many others, have played pivotal roles in advancing the field of neonatal care, improving the understanding, diagnosis, treatment, and overall outcomes for newborn infants.
“…O chestnut tree;, great rooted blossomer, Are you the leaf, the blossom or the bold? O body swayed to music, O brightening glance, How can we know the dancer from the dance?”
We sweep through the world’s three major time zones; updating our understanding of the literature at the technical foundation of education community safety and sustainability in those time zones 24 times per day. We generally eschew “over-coding” web pages to sustain speed, revision cadence and richness of content as peak priority. We do not provide a search facility because of copyrights of publishers and time sensitivity of almost everything we do.
Our daily colloquia are typically doing sessions; with non-USA titles receiving priority until 16:00 UTC and all other titles thereafter. We assume policy objectives are established (Safer-Simpler-Lower-Cost, Longer-Lasting). Because we necessarily get into the weeds, and because much of the content is time-sensitive and copyright protected, we usually schedule a separate time slot to hammer on technical specifics so that our response to consultations are meaningful and contribute to the goals of the standards developing organization and to the goals of stewards of education community real assets — typically the largest real asset owned by any US state and about 50 percent of its annual budget.
1. Leviathan. We track noteworthy legislative proposals in the United States 118th Congress. Not many deal specifically with education community real assets since the relevant legislation is already under administrative control of various Executive Branch Departments such as the Department of Education.
We do not advocate in legislative activity at any level. We respond to public consultations but there it ends.
We track federal legislative action because it provides a stroboscopic view of the moment — the “national conversation”– in communities that are simultaneously a business and a culture. Even though more than 90 percent of such proposals are at the mercy of the party leadership the process does enlighten the strengths and weakness of a governance system run entirely through the counties on the periphery of Washington D.C. It is impossible to solve technical problems in facilities without sensitivity to the zietgeist that has accelerated in education communities everywhere.
Michigan can 100% water and feed itself. Agriculture is its second-largest industry.
The pandemic provides background for the importance of ventilation systems in healthcare settings and reminder that there is plenty of work to do. The scope of ASHRAE 189.3 – Design, Construction and Operation of Sustainable High Performance Health Care Facilities — lies in this domain:
Purpose. The purpose of this standard is to prescribe the procedures, methods and documentation requirements for the design, construction and operation of high-performance sustainable health care facilities.
Scope.This standard applies to patient care areas and related support areas within health care facilities, including hospitals, nursing facilities, outpatient facilities, and their site. It applies to new buildings, additions to existing buildings, and those alterations to existing buildings that are identified within the standard. It provides procedures for the integration of sustainable principles into the health care facility design, construction and operation process including:
We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia. See our CALENDAR for the online meeting; open to everyone.
October 9 Update
As of the date of this post, two redlines have been released for public consultation
Because this title is administered on ASHRAE’s continuous maintenance platform, public consultations run 30 to 45 days. You may also submit an original idea to the ASHRAE standards development enterprise. CLICK HERE to get started.
We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia. See our CALENDAR for the online meeting; open to everyone.
Safety and sustainability for any facility, not just university-affiliated healthcare facilities, usually begin with an understanding of who, and how, shall occupy the built environment. University settings, with mixed-use occupancy arising spontaneously and temporarily, often present challenges and they are generally well managed.
First principles regarding occupancy classifications for healthcare facilities appear in Section 308 of the International Building Code, Institutional Group I; linked below:
There are thousands of healthcare code compliance functionaries and instructors; most of them supported by trade associations and most of them authoritative. Hewing to our market discipline to track only the concepts that will affect university-affiliated healthcare enterprises only. There are a few noteworthy differences between corporate healthcare businesses and university affiliated healthcare enterprises (usually combined with teaching and research activity) that we identify on this collaboration platform.
We collaborate closely with the IEEE Education & Healthcare Facilities Committee which takes a far more global view of the healthcare industry. That committee meets online 4 times monthly in European and American time zones.
Finally, we encourage our colleagues to participate directly in the ICC Code Development process. Contact Kimberly Paarlberg ([email protected]) for more information about its healthcare committees and how to participate in the ICC code development process generally. Tranches of ICC titles are developed according to the schedule below:
Department of Electrical Engineering, National Taiwan University of Science and Technology, Taipei City, Taiwan
First Draft Proposals contain most of our proposals — and most new (original) content. We will keep the transcripts linked below but will migrate them to a new page starting 2025:
N.B. We are in the process of migrating electric power system research to the Institute of Electrical and Electronics Engineers bibliographic format.
Recap of the May meetings of the Industrial & Commercial Power Systems Conference in Las Vegas. The conference ended the day before the beginning of the 3-day Memorial Day weekend in the United States so we’re pressed for time; given all that happened.
We can use our last meeting’s agenda to refresh the status of the issues.
We typically break down our discussion into the topics listed below:
Codes & Standards:
While IAS/I&CPS has directed votes on the NEC; Mike is the only I&CPS member who is actually submitting proposals and responses to codes and standards developers to the more dominant SDO’s — International Code Council, ASHRAE International, UL, ASTM International, IEC & ISO. Mike maintains his offer to train the next generation of “code writers and vote getters”
Performance-based building premises feeder design has been proposed for the better part of ten NEC revision cycles. The objective of these proposals is to reduce material, labor and energy waste owed to the branch and feeder sizing rules that are prescriptive in Articles 210-235. Our work in service and lighting branch circuit design has been largely successful. A great deal of building interior power chain involves feeders — the network upstream from branch circuit panels but down stream from building service panel.
Our history of advocating for developing this approach, inspired by the NFPA 101 Guide to Alternative Approaches to Life Safety, and recounted in recent proposals for installing performance-based electrical feeder design into the International Building Code, appears in the link below:
Access to this draft paper for presentation at any conference that will receive it — NFPA, ICC or IEEE (or even ASHRAE) will be available for review at the link below:
Renovation economics, Smart contracts in electrical construction. UMich leadership in aluminum wiring statements in the NEC should be used to reduce wiring costs.
This paper details primary considerations in estimating the life cycle of a campus medium voltage distribution grid. Some colleges and universities are selling their entire power grid to private companies. Mike has been following these transactions but cannot do it alone.
Variable Architecture Multi-Island Microgrids
District energy:
Generator stator winding failures and implications upon insurance premiums. David Shipp and Sergio Panetta. Mike suggests more coverage of retro-fit and lapsed life cycle technicals for insurance companies setting premiums.
Reliability:
Bob Arno’s leadership in updating the Gold Book.
Mike will expand the sample set in Table 10-35, page 293 from the <75 data points in the 1975 survey to >1000 data points. Bob will set up meeting with Peyton at US Army Corps of Engineers.
Reliability of merchant utility distribution systems remains pretty much a local matter. The 2023 Edition of the NESC shows modest improvement in the vocabulary of reliability concepts. For the 2028 Edition Mike submitted several proposals to at least reference IEEE titles in the distribution reliability domain. It seems odd (at least to Mike) that the NESC committees do not even reference IEEE technical literature such as Bob’s Gold Book which has been active for decades. Mike will continue to propose changes in other standards catalogs — such as ASTM, ASHRAE and ICC — which may be more responsive to best practice assertions. Ultimately, improvements will require state public utility commission regulations — and we support increases in tariffs so that utilities can afford these improvements.
Mike needs help from IEEE Piscataway on standard WordPress theme limitations for the data collection platform.
Mike will update the campus power outage database.
Healthcare:
Giuseppe Parise’s recent work in Italian power grid to its hospitals, given its elevated earthquake risk. Mike’s review of Giuseppe’s paper:
Mike and David Shipp will prepare a position paper for the Harvard Healthcare Management Journal on reliability advantages of impedance grounding for the larger systems.
The Internet of Bodies
Forensics:
Giuseppe’s session was noteworthy for illuminating the similarity and differences between the Italian and US legal system in handling electrotechnology issues.
Mike will restock the committee’s library of lawsuits transactions.
Ports:
Giuseppe updates on the energy and security issues of international ports. Mike limits his time in this committee even though the State of Michigan has the most fresh water international ports in the world.
A PROPOSED GUIDE FOR THE ENERGY PLAN AND ELECTRICAL INFRASTRUCTURE OF A PORT
Other:
Proposals to the 2028 National Electrical Safety Code: Accepted Best Practice, exterior switchgear guarding, scope expansion into ICC and ASHRAE catalog,
Apparently both the Dot Standards and the Color Books will continue parallel development. Only the Gold Book is being updated; led by Bob Arno. Mike admitted confusion but reminded everyone that any references to IEEE best practice literature in the NFPA catalog, was installed Mike himself (who would like some backup help)
Mike assured Christel Hunter (General Cable) that his proposals for reducing the 180 VA per-outlet requirements, and the performance-base design allowance for building interior feeders do not violate the results of the Neher-McGrath calculation used for conductor sizing. All insulation and conducting material thermal limits are unaffected.
Other informal discussions centered on the rising cost of copper wiring and the implications for the global electrotechnical transformation involving the build out of quantum computing and autonomous vehicles. Few expressed optimism that government ambitions for the same could be met in any practical way.
Are students avoiding use of Chat GPT for energy conservation reasons? Mike will be breaking out this topic for a dedicated standards inquiry session:
Illustration from 1913 showing Pythagoras teaching a class of women. Pythagoras believed that women should be taught philosophy as well as men and many prominent members of his school were women.Our practice is fairly structured as our Syllabus reveals. Once a month we like to break form and throw our agenda “open”. Unstructured. Completely determined by the interest of our clients, colleagues and followers. Use the login credentials at the upper right of our home page.
* Lyndon B. Johnson played a significant role in the passage of the Education Acts of 1965, which consisted of two key pieces of legislation: the Elementary and Secondary Education Act (ESEA) and the Higher Education Act (HEA).
As President of the United States, Johnson made education reform a priority of his administration and saw it as a means of addressing poverty and inequality in America. He signed the ESEA into law in April 1965, which was designed to provide funding to schools serving low-income students and aimed to close the achievement gap between disadvantaged students and their more affluent peers. The ESEA also provided funds for teacher training and other educational programs.
In November of the same year, Johnson signed the HEA into law, which provided funding for college and university education and sought to make higher education more accessible to all Americans.
Together, these Education Acts of 1965 were a significant achievement for Johnson’s administration and played a crucial role in expanding educational opportunities for millions of Americans. They marked a major shift in federal education policy and helped to establish the federal government’s role in shaping education policy in the United States.
New update alert! The 2022 update to the Trademark Assignment Dataset is now available online. Find 1.29 million trademark assignments, involving 2.28 million unique trademark properties issued by the USPTO between March 1952 and January 2023: https://t.co/njrDAbSpwBpic.twitter.com/GkAXrHoQ9T
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