UMass Memorial reported an $8 million operating surplus last year, the Telegram & Gazette reported last week, as opposed to this year's $14 million loss cited in the UMass Memorial press release. "We do so by consolidating services whenever possible and finding ways to work more efficiently and cost-effectively while maintaining the high level of quality care that our patients expect and deserve."Īccording to the press release, that is the reason behind the closure of not only the pediatric unit in Leominster, but also the cardiac rehabilitation unit at Leominster Hospital and the urgent care center at Burbank Hospital in Fitchburg.Ĭardiac rehabilitation services would be available at Clinton Hospital (now part of HealthAlliance), Whitney Field Physical Therapy Clinic in Leominster and Physical Therapy Plus at Orchard Hills Athletic Club in Lancaster.Īs for urgent care services, the hospital press release said those services are available at the CareWell Urgent Care Center on John Fitch Highway in Fitchburg, a couple of miles from Burbank Hospital.Īccording to the Worcester Telegram & Gazette, other moves UMass Memorial has made to cut costs include closing 13 psychiatric beds at UMass Memorial Medical Center in Worcester last year, and plans this year to end endoscopy services at Clinton Hospital and close Worcester's Plumley Village Health Center, which provides primary care services. "In order for our hospitals to survive in this increasingly challenging health care environment, we must respond to the demands of state policy makers and the public - do everything possible to improve quality and reduce our costs," the UMass press release stated. It stated that UMass Memorial hospitals "serve a significantly greater share of Medicaid and Medicare patients than other health care organizations in the region." It also cited cuts in Medicaid reimbursements and a "loss in volume" as the primary reasons for a $14 million loss between October and March, the first half of its fiscal year. The UMass press release did not address those assertions directly. Their mismanagement and lack of professional integrity has been used to engineer the closing of this service." "Now, because they never honored their commitment, they want to close this unit. "The hospital has never followed through on its commitment to work with our nurses to provide the training we requested to maintain this vital service," Love stated in the press release. The union and its members said the hospital has not followed through on an agreement reached four years ago to merge the pediatric and medical surgical units, and train the medical surgical nurses in pediatrics. However, the MNA press release stated that the closure of the pediatric unit has already happened, with patients sent to other facilities and hospital management "purposely driving down" patient numbers. The move still needs approval from the hospital's Board of Trustees and the state Department of Public Health, according to the MNA. The nurses' union claimed that the closure of the pediatric unit would "force families of ill children to travel from Northern Worcester County to Worcester (28 miles away) for care they used to receive close to home." A pediatric observation unit will be created as part of the emergency department at the Leominster campus of UMass Memorial Health Alliance Clinton Hospital to safely care for pediatric patients in the region 24 hours a day." In its own May 29 press release, UMass Memorial Health Care stated, "The inpatient pediatric service has been averaging a daily census of less than one patient in its 11-bed unit. "The closing of this unit would result in very sick children experiencing delayed access to acute care, in children being boarded in our emergency department, and in children being shipped to Worcester for care they could and should receive here in this community." "As a pediatric nurse who has cared for the children of this community for years, I am concerned about the impact this will have on our families, particularly the poorer members of our community who lack the resources and access to transportation to travel long distances for needed care," pediatric unit nurse Theresa Love stated in a May 29 press release from the Massachusetts Nurses Association. The union that represents nurses at UMass Memorial HealthAlliance-Clinton Hospital is objecting to plans to close the 12-bed pediatric unit at Leominster Hospital, a move hospital officials said is necessary because of low usage and decreased government reimbursements.
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But far from being able to watch movies, listen to music, or edit video or use the device as a game console. (Image credit: Future) Kobo Clara 2E (Blue) at Amazon for 139. That said, we should ask ourselves, what is the use of installing this on the Kobo Clara HD? At the time we write this we have to say that it only serves to have a small and inexpensive e-ink monitor with which to do little things like check the calendar, check email, etc. The Kobo Clara 2E has an abundance of new features including audiobook support. We also don't have an image of the Kobo Clara HD software, so if something goes wrong we won't be able to go back. Although there are many who have followed it to the letter and have made it work, there may be errors and the ereader stops working. Neither the creators of the project nor we take care of what may happen to your ereaders. Press and hold the power button on your eReader for 30 seconds. Does it make sense to install PostmarketOS on a Kobo Clara HD? 6.0 (15.24 cm),Carta E-Ink, 300 ppi, print quality,Touch,8 GB of on-board memory, holds up to 6,000 eBooks,ComfortLight PRO Reduces blue-light exposure. Continue holding down the power button for 3-4 seconds. In the case of the Kobo Clara HD, the developers have chosen to install the system in the ereader, the reason is because the power of this device is equal to if not more than the first Raspberry Pi with which the Kindleberry Pi was made, saving us elements and being the most portable project. A few years ago we talked about Kindleberry Pi, a project that used the Kindle screen as E-ink monitor for use with a Raspberry Pi. This development is not the only one that exists on an eReader. In the gitlab repository of the team you are developing, jetomit has published the necessary files for its installation. The Kobo Clara HD is a brand new six inch e-Reader that is the spiritual successor of the Kobo Aura Edition 2 and the Kobo Glo HD. Kobo Clara HD Review 155,847 views A detailed review of the 6' Kobo Clara HD with a Comfortlight Pro to adjust the frontlight color. In the PostmarketOS wiki we find the installation method as well as the necessary tutorials for its correct operation. Read our full Kobo Clara HD review (Image credit: TechRadar) 3. That is to say, we can do the installation without any risk that any element stops working. So if youre after a budget ereader, we cant recommend the Kobo Clara HD highly enough. width 110mm 112.4mm The width represents the horizontal dimension of the product. Water-resistant devices can resist the penetration of water, such as powerful water jets, but not being submerged into water. If we look at the device file in the PostmarketOS wiki we see that there are still elements that do not work, but it turns out that these elements are not available on the Kobo Clara HD like the camera, calls or 3D acceleration. Kobo Clara HD Kobo Nia The device is dustproof and water-resistant. Save for one point, there was no dispute as to the legal principles. That means that the issue I have to decide is the familiar one, namely whether the debts on which the statutory demand is based are bona fide disputed on substantial grounds. Rickard and, (iv) this gives him locus to present the petition as if the debts have validity. Rickard (ii) the debts, to the extent there are any, were then payable to Ipulse, that is the LLP (iii) the debts have subsequently been assigned to Mr. I will therefore proceed on the basis that it is common ground that, (i) the statutory demand was served by Mr. Markandya did not dispute that proposition. Rickard, and on the authority of Coulter v The Chief Constable of Dorset Police EWCA Civ 1259 she submitted that this was sufficient to give him locus to present a petition as creditor based on the statutory demand even though he had had no title to the debts at the date of the demand.ĥ Ms. Rickard, for her part accepted that at the date of the statutory demand he was not in fact a creditor, but in the short time since the point had come to her attention Ipulse had assigned all the debts in question to Mr. Rickard was not a creditor at all but wished me to determine the underlying question whether the debts were disputed on substantial grounds. Markandya, however, did not suggest that the injunction should be granted on the simple ground that Mr. I therefore invited the parties to make further submissions on the point.Ĥ Ms. Rickard, who had served the statutory demand but did not appear to be a creditor, or Ipulse, which claimed to be a creditor but did not appear to have served a statutory demand, was in a position to proceed with the petition. It was only when considering my judgment that it became apparent to me that it raised the question whether either Mr. Markandya, who appears for Ensygnia, had briefly referred to these facts in her submissions, no argument was addressed to me on the consequences for this application. In fact, it transpires that all the invoices in question, although received under the name of Ipulse, bear the statement that Ipulse is a trading name of Ipulse IP Partners LLP.ģ Although Ms. Hence, these proceedings were brought by Ensygnia against Mr. The statutory demand was issued in his own name, that is as David Rickard trading as Ipulse, apparently in the belief that the sums payable were due to him personally. Rickard served a statutory demand for what he claimed to be the outstanding fees. Ipulse claim that there are invoices outstanding for work carried out for Ensygnia.Ģ The application has had a somewhat unusual procedural history. They later changed their representation to Olswangs and disinstructed Ipulse. Ensygnia instructed Ipulse to assist with registration of patents for Onescan. David Rickard, is a patent attorney and a partner in a firm called Ipulse IP Partners LLP, ( Ipulse ). The applicant, Ensygnia, ( Ensygnia ), is a mobile interaction company whose main product is Onescan, an Omni-Channel App that enables mobile payments online, in store, and on the go, via a Smart phone with a camera. JOHNSON appeared on behalf of the Respondent.ġ This is an application to restrain the presentation of a winding up petition. MARKANDYA (instructed by Olswang) appeared on behalf of the Applicant. One Quality Court, Chancery Lane, London WC2A 1HR Official Court Reporters and Audio Transcribers I'll give this one a BUY so go get you're self a copy you won't regret it. SGWC features both singleplayer campaign and multiplayer mode. Tension is at the heart of a good stealth game, and SGWC has it in spades. Importantly SGWC really feels tense when you play. So expect a stealth game with gloriously sniper gunplay. SGWC offers five large sandboxes, each with five missions, and in these missions you're required to assassinate someone, though sometimes they require the retrieval of some object. SGWC offers five large sandboxes, each with five missions, and in I preordered this game because I’ve played & own most of CIG games (SGW3 being my favorite) and I’m excited to say that this game has evolved substantially over previous offerings, this game has great replay value, maps are huge it plays and feels so smooth the world is beautiful which makes this shooter so immersive. I preordered this game because I’ve played & own most of CIG games (SGW3 being my favorite) and I’m excited to say that this game has evolved substantially over previous offerings, this game has great replay value, maps are huge it plays and feels so smooth the world is beautiful which makes this shooter so immersive. and time to time they all disappear and appear, and it makes pane to aim someone there and not to get a bullet of some "suddenly appeared sniper". And on last mission I faced a very severe bug: The base full with soldiers and couple of snipers. Good ideas, good some mechanics, but weak attitude to work. So there only one per mission and he sit near the target. They all sit exactly to cover the exact man(your target). Competitors implemented here at 1 out of 10. And yet, not so much in the plot as in the narrative, it looks very strange that the game literally stuffs us with the professionalism of the character we play for, but at the same time drops to banal movie cliches: "you need to find out the whole truth", "punish all the guilty people" and of-course "save every innocent in the World". Plot: it is here, but since it is a sandbox game, not a company game, and it was made by people completely far from Siberia and Russia, this story is sooooo blurred, mixed up, and again talks about “Evil Russians” with dumb names. Fu**ng logic #2(Don't tell me about replying, this only works when each run brings something new to the game, and not when only 1 line in the trials changes). Oh yes, some of the secondary tasks contradict each other altogether: One may require 10 soldiers to be killed with explosives, and the other - not to kill anyone other than the target of the mission. If you shot half the soldiers, the second half runs around looking for you, but you lie quietly on the roof of the house far with a gun - the task is not failed. Or one of the secondary tasks “to fulfill all contracts without raising an alarm”: If the enemy saw you in the alley, but you killed him and no one noticed, the task failed. The wild stupidity of some mechanics and game ideas: For example, a game about a sniper implies stealth, but you cannot install a silencer on any secondary weapon, while in other parts of the game there was such an opportunity. And in general, a variety of interesting tasks and trials. Good-looking locations, nice light, good sniper shooting/ballistics(As much as you can say about the game for ordinary people, and not as about some sniper simulator). The wild stupidity of some mechanics and game ideas: For example, a game In general, I liked the game on. 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Because autocorrelations in economic data are likely to be positive, reflecting similar random factors and omitted variables carried over from one time period to the next, variance estimates tend to be biased downward, toward t-tests with overly optimistic claims of accuracy. Compounding the problem, autocorrelation introduces bias into the standard variance estimates, even asymptotically. This is a significant problem in small samples, where confidence intervals will be relatively large. In the presence of autocorrelation, OLS estimates remain unbiased, but they no longer have minimum variance among unbiased estimators. A small amount of heteroscedasticity is also apparent, though it is difficult for a visual assessment to separate this from random variation in such a small sample. There appears to be some evidence of autocorrelation in several of the persistently positive or negative departures from the mean, particularly in the undifferenced data. The scale of the residuals is several orders of magnitude less than the scale of the original data (see the example Time Series Regression I: Linear Models), which is a sign that the models have captured a significant portion of the data-generating process (DGP). Evidence of model fit is assumed when 95% of the residuals are between 2 and -2.For each model, the residuals scatter around a mean near zero, as they should, with no obvious trends or patterns indicating misspecification. This curve is then compared to a survival function where the outcome has been modeled using a unit exponential distribution.* If the curves are similar, then model fit can be assumed.įinally, for Poisson regression, plot the standardized residuals on the y-axis against the expected rate of outcome on the x-axis. These residuals are then used as the time signature variable in a Kaplan-Meier curve predicting for the outcome. With Cox regression, Cox-Snell residuals should be calculated. 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