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Fences

August 5, 2024
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Fruit Smoothie

August 5, 2024
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West Virginia University Financial Statement 2022 | $1.178M

The WVU Extension is a primary outreach division of West Virginia University. With offices in each of the state’s 55 counties, Extension faculty and staff develop and deliver programs in leadership development, rural and community-based economic development, youth development, workforce development, and health education.

Ingredients

3 cups frozen strawberries or other frozen fruit
1 banana
1 cup yogurt (plain or vanilla)
1 handful spinach or kale
2 cups of milk

Directions

Wash fresh produce.
Collect and measure all ingredients before starting recipe.
Add the fruit, yogurt and greens to the blender.
Pour the milk into the blender.
Blend 30 to 45 second until smooth.
Refrigerate leftovers within two hours, and finish within two days.

Nutrition information per serving (recipe makes six one-cup servings):
Calories — 120; fat — 2g; carbohydrates — 21g; fiber — 2g; protein — 5g

Geoffrey Hinton & Joel Hellermark

This conversation was recorded in April 2024 at the Royal Institute of Great Britain in London. An edited version was premiered at Sana AI Summit on May 15 2024 in Stockholm, Sweden.

Geoffrey Hinton has been called “the godfather of AI” and is considered one of the most prominent thought leaders on the emergence of artificial intelligence. He has served as a faculty member at Carnegie-Mellon and a fellow of the Canadian Institute for Advanced Research. He is now Emeritus Professor at the University of Toronto. In 2023, Geoffrey left his position at Google so that he could speak freely about AI’s impact on humankind.

Five Best Coffee Shops in Birmingham

August 5, 2024
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Academic Catalog

Annual Impact Report Fiscal Year 2022

Highlands College opens residence hall funded by gift from Hobby Lobby CEO | January 2023

It's never too late for a coffee. After all it's morning somewhere in the world. - Zooey Deschanel

Thomas Newman Score | Fried Green Tomatoes at the Whistle Stop Cafe


The Decline of Men on Campus


Standards Alabama

“The Story of My Life” 1905 | Helen Keller

Helen Keller was born on June 27, 1880, in Tuscumbia, a small town in northern Alabama.

  • “I am just as deaf as I am blind. The problems of deafness are deeper and more complex, if not more important than those of blindness.”
  • “The highest result of education is tolerance.”
  • “The best and most beautiful things in the world cannot be seen or even touched – they must be felt with the heart.”
  • “The most important day I remember in all my life is the one on which my teacher, Anne Mansfield Sullivan, came to me.”
  • “When one door of happiness closes, another opens; but often we look so long at the closed door that we do not see the one which has been opened for us.”
  • “Optimism is the faith that leads to achievement. Nothing can be done without hope and confidence.”
  • “Keep your face to the sunshine and you cannot see a shadow.”
  • “Security is mostly a superstition. It does not exist in nature, nor do the children of men as a whole experience it. Avoiding danger is no safer in the long run than outright exposure. Life is either a daring adventure, or nothing.”
  • “Character cannot be developed in ease and quiet. Only through experience of trial and suffering can the soul be strengthened, vision cleared, ambition inspired, and success achieved.”
  • “The only way to be happy is to love. Unless you love, your life will flash by.”

Kitchen Wiring

Health 400 | OB-GYN

August 5, 2024
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National Center for Health Statistics: Birth Data Files

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:

American College of Obstetricians and Gynecologists: Levels of Maternal Care

Provision of Care, Treatment, and Services standards for maternal safety

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.

K-TAG Matrix for Healthcare Facilities

NFPA 70 National Electrical Code Article 517

NFPA 99 Healthcare Facilities Code

NFPA 101 Life Safety Code Chapters 18 & 19

ASHRAE 170 Ventilation of Healthcare Facilities

ASHRAE 189.3: Design, Construction and Operation of Sustainable High Performance Health Care Facilities

Relevant Institute of Electrical and Electronic Engineers research

Towards Deeper Neural Networks for Neonatal Seizure Detection

A System to Provide Primary Maternity Healthcare Services in Developing Countries

Deep Learning for Continuous Electronic Fetal Monitoring in Labor

Reorganizing of University Hospital of Oran’s operating theatre: Simulation approach

Finally, we collaborate with the IEEE E&H Committee on the following IEC committee projects from IEC/TC 62 Electrical equipment in medical practice:

– Common aspects of electrical equipment used in diagnostic imaging equipment

– Equipment for radiotherapy, nuclear medicine and radiation dosimetry

– Electromedical equipment for neonatal care

 

More

Journal of Healthcare Management Standards: Operational Resilience of Hospital Power Systems in the Digital Age

Health Insurance Portability and Accountability Act (HIPAA)

Health care cost as percentage of Gross Domestic Product for six representative nations.

Association of Academic Health Centers

International Conference on Harmonization: The ICH guidelines provide guidance on the development of pharmaceuticals and related substances, including clinical trials, drug safety, and efficacy.

Animal Welfare Act and the Institutional Animal Care and Use Committee

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.

International Code Council Representation of Interests

University of Chicago

Zoning

August 5, 2024
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2021 International Wildland-Urban Interface Code

International Code Council: 2024 Group A Proposed Changes 

ISO 37101 Sustainable development in communities

“The Architect’s Dream” 1840 Thomas Cole

Today we examine the catalog of several ANSI-accredited, consortia and ad hoc standard developers with titles relevant to the planning, construction and management of the built environment of education communities nested within human settlements characterized by a high population density, extensive infrastructure, and various economic, social, and cultural activities.  In other words, from the point of view of a campus as a “city within a city” with attention to infrastructure.

College town zoning regulations

Several organizations and bodies in the United States that develop model codes and standards related to zoning and land use. These model codes and standards are often adopted or referenced by municipalities in their zoning ordinances. Here are some prominent organizations and their model codes:

American Institute of Architects

AIA Handbook of Professional Practice 15th Edition

American Planning Association

Zoning Practice Manual

American Society of Civil Engineers

Minimum Design Loads and Associated Criteria for Buildings and Other Structures

American Society of Landscape Architects

Sustainable Sites Initiative Rating System

Institute of Electrical and Electronic Engineers

2028 National Electrical Safety Code

Optimization of Transmission Line Right-of-Way

Reducing the duration of right-of-way acquisition process for high voltage transmission power lines projects

Diminishing the Right of Way (RoW) With Multi Voltage Multi Terminal Transmission Tower

Information System for the Vegetation Control of Transmission Lines Right-of-way

Partially underground transmission circuits: safety issue for current and future power systems

International Code Council

International Zoning Code

International Standardization Organization

Sustainable cities & communities

National Fire Protection Association

Code ignis MMXXVII

National Institute of Standards and Technology

Technical Requirements for Weighing & Measuring Devices

Each of the foregoing titles have some bearing upon decisions about land use.  However, keep in mind, that zoning regulations are primarily established at the local level by municipalities, cities, and counties, rather than through national standard bodes. These organizations and their codes provide guidance and best practices for zoning, but specific regulations can vary significantly between different jurisdictions.  They are frequently incorporated by reference into regulations by governments at all levels.

Join us today with the login credentials at the upper right of our home page.


Here are some community colleges in the United States that are embedded within cities, offering students the advantages of an urban setting:

  1. City College of San Francisco – San Francisco, California
  2. Los Angeles City College – Los Angeles, California
  3. Borough of Manhattan Community College – New York, New York
  4. Miami Dade College – Wolfson Campus – Miami, Florida
  5. City College of Chicago  – Chicago, Illinois
  6. Seattle Central College – Seattle, Washington
  7. Austin Community College – Rio Grande Campus – Austin, Texas
  8. Houston Community College – Central Campus – Houston, Texas
  9. San Antonio College – San Antonio, Texas
  10. Portland Community College – Cascade Campus – Portland, Oregon
  11. Washtenaw Community College – Ann Arbor-Ypsilanti, Michigan

These community colleges not only provide access to higher education but also offer the benefits of being located within major urban centers, including proximity to job markets, cultural institutions, and public transportation.

Healthcare Organization Management

August 5, 2024
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Open consultations:

ISO/NP 25199 – Guidelines for Processing Multiple Use Healthcare Textiles – Deadline: 5  September 2024 (Send Mike a message)

“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.

Scope

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

ISO-TC 304 Healthcare Organization Management- Pandemic response – Contact tracing – Comments due August 3, 2023

[Issue 14-99]

Contact:  Lee Webster (lswebste@utmb.edu, lwebster@ingenesis.com), Mike Anthony (mike@standardsmichigan.com), Jack Janveja (jjanveja@umich.edu), Richard Robben (rrobben1952@gmail.com), James Harvey (jharvey@umich.edu), Christine Fischer (chrisfis@umich.edu), Dr Veronica Muzquiz Edwards (vedwards@ingenesis.com)

Category: Health, Global

Workspace / ISO 304 Healthcare Administration

More

Journal of Healthcare Management Standards: Operational Resilience of Hospital Power Systems in the Digital Age

ISO Focus Special Issue on Healthcare

ISO/TC 48 Laboratory equipment

ISO/TC 212 Clinical laboratory testing and in vitro diagnostic test systems

ISO/TC 198 Sterilization of health care products

How do standards contribute to better healthcare?

  • 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.

Maternity Metrix

August 5, 2024
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Children’s Hospital Neonatal Intensive Care

August 5, 2024
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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 (IV) 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.

Healthcare Facilities Code

IEEE  Education & Healthcare Facility Electrotechnology

 

Healthcare Facilities Code

August 5, 2024
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“The Doctor”  1891 Sir Luke Fildes

The NFPA 99 Healthcare Facilities Code committee develops a distinct consensus document (i.e. “regulatory product”) that is distinct from National Electrical Code Article 517; though there are overlaps and gaps that are the natural consequence of changing technology and regulations.  It is worthwhile reviewing the scope of each committee:

NFPA 99 Scope: This Committee shall have primary responsibility for documents that contain criteria for safeguarding patients and health care personnel in the delivery of health care services within health care facilities: a) from fire, explosion, electrical, and related hazards resulting either from the use of anesthetic agents, medical gas equipment, electrical apparatus, and high frequency electricity, or from internal or external incidents that disrupt normal patient care; b) from fire and explosion hazards; c) in connection with the use of hyperbaric and hypobaric facilities for medical purposes; d) through performance, maintenance and testing criteria for electrical systems, both normal and essential; and e) through performance, maintenance and testing, and installation criteria: (1) for vacuum systems for medical or surgical purposes, and (2) for medical gas systems; and f) through performance, maintenance and testing of plumbing, heating, cooling , and ventilating in health care facilities.

NFPA 70 Article 517 Scope:  The provisions of this article shall apply to electrical construction and installation criteria in healthcare facilities that provide services to human beings.  The requirements in Parts II and III not only apply to single-function buildings but are also intended to be individually applied to their respective forms of occupancy within a multi-function building (e.g. a doctor’s examining room located within a limited care facility would be required to meet the provisions of 517.10)   Informational Note: For information concerning performance, maintenance, and testing criteria, refer to the appropriate health care facilities documents.

In short, NFPA 70 Article 517 is intended to focus only on electrical safety issues though electrotechnology complexity and integration in healthcare settings (security, telecommunications, wireless medical devices, fire safety, environmental air control, etc.) usually results in conceptual overlap with other regulatory products such as NFPA 101 (Life Safety Code) and the International Building Code.

Several issues were recently debated by the Article 517 technical committee during the 2023 National Electrical Code Second Draft meetings

  • The conditions under which reconditioned electrical equipment be installed in healthcare settings; contingent on listing and re-certification specifics.
  • Relaxation of the design rules for feeder and branch circuit sizing through the application of demand factors.
  • Application of ground fault circuit interrupters.
  • “Rightsizing” feeder and branch circuit power chains (Demand factors in Section 517.22)
  • Patient care space categories
  • Independence of power sources (517.30)

There are, of course, many others, not the least of which involves emergency management.  For over 20 years our concern has been for the interdependency of water and electrical power supply to university hospitals given that many of them are part of district energy systems.

We need to “touch” this code at least once a month because of its interdependence on other consensus products by other standards developing organizations.  To do this we refer NFPA 99 standards action to the IEEE Education & Healthcare Facilities Committee which meets online four times monthly in European and American time zones.

The transcript of NEC Article 517 Public Input for the 2023 revision of NFPA 70 is linked below.  (You may have to register your interest by setting up a free-access account):

Code-Making Panel 15 (NEC-P15) Public Input Report

Code-Making Panel 15 (NEC-P15) Public Comment Report

Technical committees will meet in June to endorse the 2023 National Electrical Code.

Public consultation on the Second Draft closes May 31st. Landing page for selected sections of the 2024 revision  of NFPA 99 are linked below:

Electrical Systems (HEA-ELS)

Fundamentals (HEA-FUN)

Health Care Emergency Management and Security (HEA-HES)

Second Draft Comments are linked below:

Electrical Systems (HEA-ELS)

Fundamentals (HEA-FUN)

Health Care Emergency Management and Security (HEA-HES)

NITMAM closing date: March 28, 2023

We break down NFPA 70 and NFPA 99 together and keep them on the standing agenda of both our Power and Health colloquia; open to everyone.  See our CALENDAR for the next online meeting.

"The trained nurse has become one of the great blessings of humanity, taking a place beside the physician and the priest" - William Osler"While we try to teach our children all about life, our children teach us what life is all about" - Angela Schwindt "The true art of pediatrics lies not only in curing diseases but also in preventing them" - Abraham JacobiGermany

Issues: [12-18, [15-97] and [16-101]

Contact: Mike Anthony, Jim Harvey, Robert Arno, Josh Elvove, Joe DeRosier, Larry Spielvogel

NFPA Staff Liaison: Jonathan Hart

Archive / NFPA 99

 

 

 

How to Make Baby Food

August 5, 2024
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How to Make Banana Puree for Babies

Special Supplemental Nutrition Program for Women, Infants, and Children

Before the commercialization of baby food, parents typically prepared homemade baby food using simple kitchen tools and ingredients. Here’s a general overview of how baby food was made traditionally:

Selection of Ingredients: Parents would select fresh fruits, vegetables, grains, and meats suitable for their baby’s age and dietary needs. These ingredients were chosen based on their nutritional value and ease of digestion.

Cooking: The selected ingredients would be cooked using methods such as boiling, steaming, or baking to soften them and make them easier for the baby to eat. Cooking methods were chosen to preserve as much of the natural nutrients as possible.

Mashing or Pureeing: Once cooked, the ingredients would be mashed or pureed into a smooth consistency suitable for a baby’s developing digestive system. This could be done using tools like a fork, potato masher, food mill, or blender.

Straining (Optional): Some parents might choose to strain the pureed food to remove any seeds, skins, or fibers that could be difficult for a baby to digest or might pose a choking hazard.

Storage: Homemade baby food could be stored in small containers or ice cube trays and frozen for future use. This allowed parents to prepare larger batches of baby food at once and thaw individual portions as needed.

Feeding: When it was time to feed the baby, parents would simply thaw the desired portion of homemade baby food and serve it to their baby using a spoon or by bottle-feeding.

Variety: Parents would typically introduce a variety of flavors and textures to their baby over time, gradually expanding their palate and exposing them to a wide range of nutrients.

Overall, making homemade baby food required time, effort, and attention to detail, but many parents preferred it because they had control over the quality and ingredients used, ensuring that their baby received nutritious and wholesome meals.

Standards Iowa

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