465 Matching Annotations
  1. Oct 2022
    1. sepulchre

      I had no idea what this meant. The definition I found online says that a sepulchre is "a small room or monument, cut in rock or built of stone, in which a dead person is laid or buried". (This picture is of The Church of Holy Sepulchre in Jerusalem.)

  2. Sep 2022
  3. Aug 2022
    1. I am going to add some optional 'reading and doing' directions to my posts. Might be helpful.

      1. You might listen to the poem first.
      2. You might answer the question that Trethewey asks first. Maybe you can engage in the margins with it.
      3. You can make all or part of your responses public or private.
      4. You can start a group to consider the question.
      5. You can have at it in the order presented: my intro--> Twitter thread--> my response to the thread-->check out the link-->listen to the poem.
      6. Perch in the margins with the withered wild grapes and the black haw and the redbuds.
      7. Join in the work of forecasting your own life.
  4. Jul 2022
    1. Dogen can be very difficult to read or understand. That’s why we often need a commentary or teacher to introduce his way of writing and the underlying teaching. I often say he’s a thirteenth century cubist. Just like Picasso or in the writing world, Gertrude Stein, he tries to show all sides of the story in one paragraph or even one sentence. That is why he repeats himself and contradicts himself all in the same paragraph. If you are looking for the “right” understanding, you become confused and lost in his prism of various interpretations or views. Dogen’s “right” understanding is that there is none.   No one point of view is “right”. According to conditions, any view can be the right view in the right circumstance. Dogen really wants to take away our solid idea of a fixed ground of reality. It is not form or emptiness. It is not both or neither. There is no one right, fixed view. That is our “clinging”.

      Dogen contradicts himself because he tries to show "all sides of the story". His teaching is a "pointing out" instruction that ANY viewpoint is simply that, perspectival knowing.

      An important question then, is this, if Dogen (and Nagarjuna) are claiming that there is no objective reality in our constructed world of concepts and language, is science being denied? Is fake news ok? Is this a position that basically accepts post modernism? No, I would say no to all of these. It's pointing out the LIMITATIONS of concepts and language. They are incomplete and always leave with a sense of wanting more. And since Post Modernism is also one point of view, it is also thrown out by Dogen and Nagarjuna. Remember, ALL points of views are points of view. Fake news is also a point of view so those who practice it can also not justify it.

      What Dogen and Nagarjuna are saying is that as soon as one enters the world of concepts and language, any concept and anything side is inherently one sided. It is inherently perspectival and situated in an inherently incomplete conceptual space.

      As Tibetan doctor/monk Barry Kerzin points out in this conversation with physicist Carlo Rovelli, there is a critical difference between "existence" and "intrinsic existence". The first is not being denied by Nagarjuna, but the second, intrinsic existence, the existence of concepts and the words that represent them, is. If these two are confused, it can lead straight to nihilism.

      https://hyp.is/go?url=http%3A%2F%2Fdocdrop.org%2Fvideo%2FsPSMTNjwHZw%2F&group=world

      This also aligns with John Vervaeke's perspectival and propositional knowing in his 4 P ways of knowing about reality: Propositional, Perspectival, Participatory and Procedural. A good explanation of Vervaeke's 4Ps is here: https://hyp.is/go?url=http%3A%2F%2Fdocdrop.org%2Fvideo%2FGyx5tyFttfA%2F&group=world

  5. Jun 2022
    1. d. She puts the ideas together and tries to broker a deal for theconglomerate to acquire a radio network. At the end, she’s challenged to describehow she came up with the plan for the acquisition. It’s a telling scene. She has justbeen fired. On her way out of the building, with all her files and personal itemspacked in a box (a box just like mine!), she gets a chance to explain her thoughtprocess to the mogul:See? This is Forbes. It’s just your basic article about how you were lookingto expand into broadcasting. Right? Okay now. The same day—I’ll never forgetthis—I’m reading Page Six of the New York Post and there’s this item on BobbyStein, the radio talk show guy who does all those gross jokes about Ethiopiaand the Betty Ford Center. Well, anyway, he’s hosting this charity auction thatnight. Real bluebloods and won’t that be funny? Now I turn the page to Suzywho does the society stuff and there’s this picture of your daughter—see, nicepicture—and she’s helping to organize the charity ball. So I started to think:Trask, Radio, Trask, Radio.... So now here we are.He’s impressed and hires her on the spot. Forget the fairy-tale plot; as ademonstration of how to link A to B and come up with C, Working Girl is a primerin the art of scratching.

      The plot twist at the end of Working Girl (Twentieth Century Fox, 1988) turns on Tess McGill (Melanie Griffith) explaining her stroke of combinatorial creativity in coming up with a business pitch. Because she had juxtaposed several disparate ideas from the New York Post several pages from each other in a creative way, she got the job and Katharine Parker (Sigourney Weaver) is left embarrassed because she can't explain how she came up with a complicated combination of ideas.

      Tess McGill (portrayed by a big 80's haired Melanie Griffith) packing a brown banker's box with her office items and papers leaving her office and her job. Is this Tess McGill's zettelkasten in the movie Working Girl?

      Tess McGill has slips of newspaper with ideas on them and a physical box to put them in.

      slips with ideas+box=zettelkasten

      Bonus points because she links her ideas, right?!

    1. Energy efficiency has never been more crucial! The time to unleashing its massive potential has come

      Will this conference debate rebound effects of efficiency? If not, it will not have the desirable net effect.

      My linked In comments were:

      Alessandro Blasi, will this conference address the rebound effect? In particular, Brockway et al. have done a 2021 meta-analysis of 33 research papers on rebound effects of energy efficiency efforts and conclude:

      "...economy-wide rebound effects may erode more than half of the expected energy savings from improved energy efficiency. We also find that many of the mechanisms driving rebound effects are overlooked by integrated assessment and global energy models. We therefore conclude that global energy scenarios may underestimate the future rate of growth of global energy demand."

      https://www.sciencedirect.com/science/article/pii/S1364032121000769?via%3Dihub

      Unless psychological and sociological interventions are applied along with energy efficiency to mitigate rebound effects, you will likely and ironically lose huge efficiencies in the entire efficiency intervention itself.

      Also, as brought up by other commentators, there is a difference between efficiency and degrowth. Intelligent degrowth may work, especially applied to carbon intensive areas of the economy and can be offset by high growth in low carbon areas of the economy.

      Vaclav Smil is pessimistic about a green energy revolution replacing fossil fuels https://www.ft.com/content/71072c77-53b3-4efd-92ae-c92dc02f09ad, which opens up the door to serious consideration of degrowth, not just efficiency improvements. Perhaps the answer is in a combination of all of the above, including targeted degrowth.

      Technology moves quickly and unexpectedly. At the time of Smil's book release, there was no low carbon cement. Now there is a promising breakthrough: https://www.cnbc.com/2022/04/28/carbon-free-cement-breakthrough-dcvc-put-55-million-into-brimstone.html

      As researchers around the globe work feverishly to make low carbon breakthroughs, there is obviously no guarantee of when they will occur. In that case then, with only a few years to peak, it would seem the lowest risk pathway would be to prioritize the precautionary principle over a gambling pathway (such as relying on Negative Emissions Technology breakthroughs) and perhaps consider along with rebound effect conditioned efficiency improvements also include a strategy of at least trialing a temporary, intentional degrowth of high carbon industries / growth of low carbon industries.

    1. Perhaps one of the most important questions to be asked is “What are we not ‘seeing’?.” … “A collaborative project of the late botanists Erwin Lichtenegger and Lore Kutschera celebrates the power and beauty of these otherwise hidden systems through detailed drawings of agricultural crops, shrubs, trees, and weeds. Digitized by the Wageningen University & Research, the extensive archive is the culmination of 40 years of research in Austria that involved cultivating and carefully retrieving developed plant life from the soil for study. It now boasts more than 1,000 renderings of the winding, spindly roots, some of which branch multiple feet wide.”

      These drawings are metaphors for the human meaningverse of an individual and the visible and invisible aspects of our ideas that we present to the rest of the world.

      What is of greatest meaning lives in the individual's salience landscape. That salience landscape is the result of a lifetime of sense-making - all the books we've ever read, talks or presentations we've ever listened to, conversations we've had, courses we've studied. While the other person may have an idea of what is important to us, they are clueless of how that salience landscape came to be.

      This vast network of formative events is usually invisible to the OTHER.

      The public, open source Indyweb that is currently being designed will allow the individual user for the first time to consolidate all his or her digital learning in one place, the user's owned Indyhub. Since Indyweb also has built-in provenance, it will allow traceability of public ideas. This allows the individual to keep track of what would otherwise by invisible and lost - the history of his/her social interaction with ideas.

    1. What can we do with a shift in thinking backed by a total of $3.6 trillion in funds under management? I’m backing strategic circular initiatives to convert the highest return on value for anyone’s money. Stay tuned as we crack open new investment opportunities.

      Her diagram explicitly shows a synthesis of planetary boundaries and circular economy. This is a connection that many in this area are tacitly aware of but is good to explicate it in a diagram of this sort..

      If circular economy is about ultimate reuse and recirculating material flows to eliminate the concept of waste, then how does energy consumption fit into the picture? Obviously, CO2 emissions is a form of material waste that is an undesirable byproduct of carbon-based energy usage. Capturing CO2 and reusing it is one method, but not a very scalable solution presently.

    1. What happens in Indonesia when a textile manufacturer illegally dumps dye waste!

      This is an example of the manufacturer / consumer dualism created by the Industrial Revolution. Since manufacturers have become a separate layer that no longer exist as part of the community, as artisans once did, along with globalized capitalism, the consumer does not know the life history of the product being consumed. The sensory bubble limits what a consumer can directly know.

      One answer is to promote a trend back to local and artisan production. Relocalizing production can empower consumers to inspect producers of the products they consume, holding them accountable.

      Another answer is to develop globalized trust networks of producers who are truly ethical.

      Cosmolocal production has networks by the commons nature can promote such values.

  6. May 2022
  7. Apr 2022
  8. Mar 2022
  9. Feb 2022
    1. Shabari B., a Bengaluru resident, found 2020 challenging. Her daughter, now nine, did not take to online classes well. “She developed anxiety and this manifested in behavioural issues — she began to act out and would be rude to her teachers,” says the 44-year-old. The child missed her friends and her normal school day. Shabari’s younger child, now seven, was affected differently; the long months without seeing a single other person or going outside, affected his relationships with other people. “He used to be very vocal, but now he finds social situations very anxiety provoking,” says Shabari.

      Sisters face-off post-covid schooling behavioral issues

  10. Jan 2022
  11. Dec 2021
    1. Similar to the idea of {{ if .Title }}, does Micro.blog (or Hugo) have a way to identify if a post only contains images and capture that to a variable?

      Another potential method (or an additional filter) for finding posts with photos, or more specifically posts whose main purpose is a photo or image is to use use the post type discovery algorithm. Given that Micro.blog is built on a variety of IndieWeb building blocks, most photos could/should have a class of u-photo on their img tags, so you could search for these instead or in addition to. I believe there are a set of parsers and tools out there that do this in a few languages already and someone in the IndieWeb Dev chat can direct you to them if they’re not linked to the page above.

    1. So we are headed for a post agricultural world we're changing the climate of the past 10,000 years into a completely different climate which is not an agricultural climate. And when you say a post agricultural world. 00:24:21 What we're saying again, to be blunt, is not enough food to feed people. That's right. And billions and billions of people starving to death. That's right. We're looking at billions of people not able to survive because of starvation, water deprivation. And then, of course, you pile on the diseases for many, many, many years. The Infectious Disease experts. 00:24:50 We just had an experience of it with covid-19, have warned us that actually all of the infectious and communicable diseases are going to be increased by putting up the global temperature. And lots of floods. It's a recipe. It's a suicidal recipe. And the only plans we have are plans for Global suicide.

      Is there any research on global heating resilient agriculture? Camilo Mora has done some research on this.

  12. Nov 2021
    1. In this report, we investigated performance of the omnibus test using simulated data. The hierarchical procedure is a widely used approach for comparing multiple (more than two) groups.[1] The omnibus test is intended to preserve type I errors by eliminating unnecessary post-hoc analyses under the null of no group difference. However, our simulation study shows that the hierarchical approach is not guaranteed to work all the time. The omnibus and post-hoc tests are not always in agreement. As our goal of comparing multiple groups is to find groups that have different means, a significant omnibus test gives a false alarm, if none of the post-hoc tests are significant. But, most important, we may also miss opportunities to detect group differences, if we have a non-significant omnibus test, since some or all post-hoc tests may still be significant in this case.Although we focus on the classic ANOVA model in this report, the same considerations and conclusions also apply to more complex models for comparing multiple groups, such as longitudinal data models [2]. Since for most models, post-hoc tests with significant levels adjusted to account for multiple testing do not have exactly the same type I error as the omnibus test as in the case of ANOVA, it is more difficult to evaluate performance of the hierarchical procedure. For example, the Bonferroni correction is generally conservative.Given our findings, it seems important to always perform pairwise group comparisons, regardless of the significance status of the omnibus test and report findings based on such group comparisons.

      Post hoc not significant when omnibus test is significant.

    1. But isolation plus public shaming plus loss of income are severe sanctions for adults, with long-term personal and psychological repercussions—especially because the “sentences” in these cases are of indeterminate length.

      Putting people beyond the pale creates isolation, public shaming, loss of income, loss of profession, and sometimes loss of personal identity and psychological worth. The most insidious problem of all is the indeterminate length of the "sentence".

      For wealthy people like Harvey Weinstein, Matt Lauer, and Kevin Spacey, they're heavily insulated by the fact that at least they've got amassed wealth which mitigates some of these issues. In these cases the decades of extracting wealth through privilege gives them an unfair advantage.

      There are now apparently enough cases of this happening, it would be interesting to watch the long term psychological effects of this group to see if these situations statistically effects their longevity or if there are multi-generational knock on effects as have been seen in Holocaust survivors or those freed from slavery.

  13. Oct 2021
  14. Sep 2021
  15. Aug 2021
  16. Jul 2021
    1. It’s a familiar trick in the privatisation-happy US – like, say, underfunding public education and then criticising the institution for struggling.

      This same thing is being seen in the U.S. Post Office now too. Underfund it into failure rather than provide a public good.

      Capitalism definitely hasn't solved the issue, and certainly without government regulation. See also the last mile problem for internet service, telephone service, and cable service.

      UPS and FedEx apparently rely on the USPS for last mile delivery in remote areas. (Source for this?)

      The poor and the remote are inordinately effected in almost all these cases. What other things do these examples have in common? How can we compare and contrast the public service/government versions with the private capitalistic ones to make the issues more apparent. Which might be the better solution: capitalism with tight government regulation to ensure service at the low end or a government monopoly of the area? or something in between?

  17. Jun 2021
  18. May 2021
  19. Apr 2021
    1. My surprise that no one is insulted by this is quickly overtaken by surprise that Venmo is condoning alcohol consumption among kindergarteners, the only group in America who is routinely asked, with educational toys like Leapfrog, to match short words with pictures.

      I appreciate what Barron is getting at here but I think he's taking an extremely contrarian stance to get at his point. Obviously Venmo is not condoning childhood alcohol consumption - a better and more nuanced take (which he alludes to elsewhere in the article) is that the conditions of modern life have prolonged adolescence for millennials (and generation z) - the traditional signifiers of adulthood are gone and the aesthetics of contemporary corporate app and internet design have adjusted to reflect this shift.

  20. Mar 2021
    1. After we posted our initial exchange, and posited our formative thoughts about openness and politics, we could not have anticipated – much less controlled – who would join as reader or conversant, what they would contribute as an annotator, and how we would subsequently react.

      Not to mention the fact that the experiment will continue on into the future past the official publication.

    1. Yes, but honestly, and no offense intended, but I don't see the harm in these type questions, nor why some people are offended when they are asked. If I owed a website, I wouldn't mind it because it just creates more pages that can be indexed. I see it as helping the website. But, I did look and didn't see a simple answer. Again, no offense is intended. I've just never understood the complaints.
  21. Feb 2021
  22. Jan 2021
  23. Dec 2020
  24. Oct 2020
    1. Landi, F., Marzetti, E., Sanguinetti, M., Ciciarello, F., Tritto, M., Benvenuto, F., Bramato, G., Brandi, V., Carfì, A., D’Angelo, E., Fusco, D., Lo Monaco, M. R., Martone, A. M., Pagano, F., Rocchi, S., Rota, E., Russo, A., Salerno, A., Cattani, P., … Bernabei, on behalf of the G. A. C.-19 G. T. (n.d.). Should face masks be worn to contain the spread of COVID-19 in the postlockdown phase? Transactions of The Royal Society of Tropical Medicine and Hygiene. https://doi.org/10.1093/trstmh/traa085

    1. Post Kinds consists of a few elements A URL parser that takes an input URL and tries to extract it into structured data Enhancements to the Post Editor to add additional structured data to the post object A Taxonomy that takes that structured data and classifies it and dictates behavior A rendering piece that takes the structured data stored in post meta and displays it using templates that can be overridden in the theme by including them in a subdirectory called kind_views

      This is a great short description from a WordPress developer perspective of what the Post Kinds Plugin does

    1. As programmers, we’re kind of inherently built to want the ABSOLUTE BEST HIGHEST FIDELITY FORMATS OF ALL TIME. Like dammit, I need the timestamp down to the micromillinanosecond for every cheeseburger that gets added to my bespoke Watch-The-BK-Throne app. If I do not have this exact knowledge to the millisecond of when I consumed this BBQ Bacon WHOPPER® Sandwich From Burger King® I may die.

      I totally want this as a Post Kind on my website now!

  25. Sep 2020
  26. Aug 2020
  27. Jul 2020
  28. Jun 2020
  29. May 2020
    1. Gobbi, S., Plomecka, M., Ashraf, Z., Radziński, P., Neckels, R., Lazzeri, S., Dedić, A., Bakalović, A., Hrustić, L., Skórko, B., Es haghi, S., Almazidou, K., Rodríguez-Pino, L., Alp, A. B., Jabeen, H., Waller, V., Shibli, D., AghiliBehnam, M., Strutt, A. M., … Jawaid, A. (2020). Worsening of pre-existing psychiatric conditions during the COVID-19 pandemic [Preprint]. PsyArXiv. https://doi.org/10.31234/osf.io/x6cyg

  30. Apr 2020
    1. Spontaneity is the big thing you'll miss

      Forget the calendar invite. Just jump into a conversation. That’s the idea powering a fresh batch of social startups poised to take advantage of our cleared schedules amidst quarantine. But they could also change the way we work and socialize long after COVID-19 by bringing the free-flowing, ad-hoc communication of parties and open office plans online. While “Live” has become synonymous with performative streaming, these new apps instead spread the limelight across several users as well as the task, game, or discussion at hand.

  31. Mar 2020
    1. You have different offers and your customers signed up twice, that's good until you realize that it makes your list seems large with similar (even same) email account.

      *With our 3 step email verification technology, you don't have to worry about maintaining your list. We will constantly reviewing your emial list, removing the bots, spam trap, so you don't have to pay for all that trash "renting" your email list.

      It will always be real people on your list.*

    1. If a server responds to a POST or other non-idempotent request with a 303 See Other response and a value for the location header, the client is expected to obtain the resource mentioned in the location header using the GET method
  32. Feb 2020
  33. Dec 2019
  34. Oct 2019
    1. “I saw Eto.” “That jerk. What'd he do? Spit on you?” “Yeah, how did you know?” “We got troubles, but that crud's got more and ain't got sense enough to know it. Six months he was in the army. You know that? Six lousy months and he wangled himself a medical discharge. I been hearin' about him. He ever try that on me, I'll stick a knife in him.”

      the tension between the Japanese culture grows after the war

    2. Ichiro regarded the bottle skeptically: “You drink all this?” “Yes, tonight.” “That's quite a bit.” “Ya, but I finish.” “What are you celebrating?” “Life.”

      the change in Japanese mannerisms after the interment lead to thins like abuse of drugs

  35. Jul 2019
    1. for lack of a better term

      I'm not really satisfied using the term "critical theory" either, given that it could include works that aren't really "PoMo" (eg, Marxism or historical materialism). I'd use "post-structuralism", but I don't think that many folks know what it means and it's not totally accurate either. So I decided to just leave it as "critical theory" as in the original rant.

    1. I am a researcher working on topics related to subjective well-being (sometimes also called happiness).

      I should preface by saying that I have relatively modest training in statistics, and the arguments put forth in this paper are quite out of my depth. For example, I have not heard of things like first order stochastic dominance before reading this paper. I hope that by being open about things that I might be somewhat ignorant, this can be a path for me to develop a deeper understanding of the concerns raised in the paper.

      I think (which could well be wrong) the paper is saying that in an ordinal measure like happiness, groups and individuals differ in their 'standard' in reporting happiness (e.g., what it takes to push my happiness from 0 to 1 is different from what pushes your happiness from 0 to 1). This makes comparing 'latent' (or true level of) happiness across groups difficult, if not impossible.

      Put differently, if I report a 1 and you report a 0, I cannot be certain that I am happier than you. It could be the case that my standard for reporting a 1 is lower than you. The authors showed that by changing this standard around, inferences about 'true' happiness would change.

      I think this is an important point. I think happiness researchers have grappled with this to some degree (from a more abstract perspective; instead of the more statistical/mathematical perspective). E.g., A hypothesis about how people report life satisfaction is that they compare their life to an ideal life (here, the ideal life sets the standard; i.e., two people with the exact same life can have different levels of life satisfaction because they have different ideas about ideal life). Related research in social comparison could be interpreted as moving the standard for happiness higher (instead of lowering 'true' happiness). In contrast, things like gratitude may lead to higher happiness ratings because it lowers happiness standard (instead of increasing 'true' happiness). The set point hypothesis can be interpreted as 1) people fully adapting their 'true' happiness to baseline levels after experiencing major life events or 2) people create a new happiness standard after experiencing a major life event.

      This paper prompts me to think harder about happiness measures. It could well be the case that the standard people set for their happiness level (a cognitive process?) may be just as important as 'true' happiness itself.

  36. May 2019
    1. Multiple comparisons: It is not good practice to test for significant differences among pairs of group means unless the ANOVA suggests some such differences exist. Nevertheless, I admit it is tempting to take another look at the comparison of G1 with G3 (ignoring the existence of G2 and perhaps assuming normality), but then you should use a Welch t test to account for the differences in sample variances, and you should not make claims about the result unless the P-value is as low as .01 or .02. Looking at that difference more carefully might prompt a subsequent experiment.

      Test for significance among pairs when the overall f test is not significant.

  37. Apr 2019
  38. Feb 2019
    1. Learned vanity, which exceeds that of every other kind, still takes up arms against any thing that is offered as new

      Thinking we know everything also makes us think there's nothing left to learn.

      This has really important consequences in terms of post-humanist thinking! If we presume that there is a true definition of anything, we are allowing experience, culture, language to limit us. It is better to presume an every shifting definition of the human that responds to the situation at hand. Starting a discussion of the human with the idea that we all obviously know what a human is, is extremely limiting.

  39. Jan 2019
    1. posthuman’ is normatively neutral and itdoes not automatically point to the end of the species

      Posthumanism must not be seen as an end, but rather as a beginning. "Post" implies that there was a before -- it is up to us to explain just how we arrived at posthumanism. Dr. Rivers gave the example in last week's class of a math teacher asking students to show their work--how did you arrive at that answer?

    1. Second, I believe that the concept of entrainment could open new doors for understanding post-impact behavior, or the transition from post-impact to pre-impact (or everyday) behavi

      Neal argues that the temporal concept of entrainment (two things synchronizng their pace) can help to differentiate another long-standing critique of disaster research -- the different disaster phase impacts on individuals and sub-groups over time. This gets at his concern (see also Brenda Phillips' work) for feminist, post-colonial and critical theory perspectives on the study of disaster and social change.

      Here, Neal posits that returning to pre-impact social rhythms could be a better measure of social change catalyzed by a disaster.

      "Rather than using economic, demographic, familial or other measures of social change, entrainment could be a key measure in understanding social change and disaster."

  40. Nov 2018
    1. And while hospitalists have already moved into post-acute-care settings, Dr. Bessler says that will become an even bigger focus in the next 20 years of the specialty. “It’s not generally been the psyche of the hospitalist in the past to feel accountable beyond the walls of the hospital,” he says. “But between episodic care [and] bundled payments … you can’t just wash your hands of it. You have to understand your next site-of-care decision. You need to make sure care happens at the right location.”
    2. Five years ago, it was accountable care organizations and value-based purchasing that SHM glommed on to as programs to be embraced as heralding the future. Now it’s the Bundled Payments for Care Improvement initiative (BCPI), introduced by the Center for Medicare & Medicaid Innovation (CMMI) at the Centers for Medicare & Medicaid Services (CMS) back in 2011 and now compiling its first data sets for the next frontier of payments for episodic care. BCPI was mandated by the Patient Protection and Affordable Care Act (ACA) of 2009, which included a provision that the government establish a five-year pilot program by 2013 that bundled payments for inpatient care, according to the American Hospital Association. BCPI now has more than 650 participating organizations, not including thousands of physicians who then partner with those groups, over four models. The initiative covers 48 defined episodes of care, both medical and surgical, that could begin three days prior to admission and stretch 30, 60, or 90 days post-discharge. <img class="file media-element file-medstat-image-flush-right" height="220" width="220" alt="Dr. Weiner" typeof="foaf:Image" src="https://www.the-hospitalist.org/sites/default/files/styles/medium/public/images/weinerweb.jpg" title="" />Dr. Weiner “The reason this is so special is that it is one of the few CMS programs that allows providers to be in the driver’s seat,” says Kerry Weiner, MD, chief medical officer of acute and post-acute services at TeamHealth-‎IPC. “They have the opportunity to be accountable and to actually be the designers of reengineering care. The other programs that you just mentioned, like value-based purchasing, largely originate from health systems or the federal government and dictate the principles and the metrics that as a provider you’re going to be evaluated upon. “The bundled model [BCPI] gives us the flexibility, scale, and brackets of risk that we want to accept and thereby gives us a lot more control over what physicians and physician groups can manage successfully.”
    3. “If we can’t build what I think of as a pyramid of care with one doctor and many, many other people supporting a broad group of patients, I don’t think we’re going to be able to find the scale to take care of the aging population that’s coming at us,” she says. Caring for patients once they are discharged means including home nurses, pharmacists, physical therapists, dietitians, hired caregivers, and others in the process, Dr. Gorman says. But that doesn’t mean overburdening the wrong people with the wrong tasks. The same way no one would think to allow a social worker to prescribe medication is the same way that a hospitalist shouldn’t be the one checking up on a patient to make sure there is food in that person’s fridge. And while the hospitalist can work in concert with others and run many things from the hospital, maybe hospital-based physicians aren’t always the best physicians for the task. “There are certain things that only the doctor can do, of course, but there are a lot more things that somebody else can do,” Dr. Gorman says, adding, “some of the times, you’re going to need the physician, it’s going to be escalated to a medication change, but sometimes maybe you need to escalate to a dietary visit or you need to escalate to three physical therapy visits. “The nitty-gritty of taking care of people outside of the hospital is so complex and problematic, and most of the solutions are not really medical, but you need the medical part of the dynamic. So rather [than a hospitalist running cases], it’s a super-talented social worker, nurse, or physical therapist. I don’t know, but somebody who can make sure that all of that works and it’s a process that can be leveraged.” Whoever it is, the gravitation beyond the walls of the hospital has been tied to a growing sea change in how healthcare will compensate providers. Medicare has been migrating from fee-for-service to payments based on the totality of care for decades. The names change, of course. In the early 1980s, it was an “inpatient prospective payment system.”
    4. Dr. Bessler says that as HMGs continued to focus on improving quality and lowering costs, they had little choice but to get involved in activities outside the hospital. “We got into post-acute medicines because there was an abyss in quality,” he says. “We were accountable to send patients out, and there was nobody to send them to. Or the quality of the facilities was terrible, or the docs or clinicians weren’t going to see those patients regularly. That’s how we got into solving post-acute.”
  41. Oct 2018
  42. Aug 2018
    1. Marcus Vitruvius, the classical Roman architect, defined architecture in proportion to the human body—an ideal building, as he saw it, had to reflect the ideal dimensions of a man. Today such anthropocentric design, indeed male-body centered design, seems irrelevant, perhaps even irresponsible, as the magnitude of our self-inflicted environmental disasters poses fundamental challenges to architects and designers. If the human body was the correct proportion for architecture for Vitruvius, what should the scale of design be that addresses today’s environmental challenges? Climatic change, species depletion, and oceanic pollution are worldwide problems. What is left of Vitruvius’s ideal of human reach has stretched to new global scales and millennial time frames. How can architecture conceptualize a planet on which humans have become involved in vast geological forces?

      Framing a post-humanist question for architecture. What would this mean in service design?

    1. ut it will also have to come to terms with confronting 'the Other' (Fabian, 1983), with 'the curious asymmetry' still prevailing as a result of advanced industrial societies receiving a mainly endogenous and synchronic analytic treatment, while 'developing' societies are often seen in exogenous, diachronic terms. Study of 'Time and the Other' presupposes, often implicitly, that the Other lives in another time, or at least on a different time-scale. And indeed, when looking at the integrative but also potentially divisive 'timing' facilitated by modern communication and information-processing technology, is it not correct to say that new divisions, on a temporal scale, are being created between those who have access to such devices and those who do not? Is not one part of humanity, despite globalization, in danger of being left behind, in a somewhat anachronistic age?

      Nowotny argues that "the Other" (non-western, developing countries, Global South -- my words, not hers) is presumed to be on a different time scale than industrial societies. Different "cultural variations and how societal experience shapes the construction of time and temporal reference..."

      This has implications for ICT devices.

    2. only structural functional theory, but all postfunctionalist 'successor' theories for their lack in taking up 'substantive' temporal issues, he was also pleading from the selective point of view of Third World countries for the exploration of theoretically possible alternatives or, to put it into other words, the delineation of what in the experience of western and non-western societies so far is universally valid and yet historically restric-ted. Such questions touch the very essence of the process of moderniz-ation. They evoke images of a closed past and an open or no longer so open future, of structures of collective memory as well as shifting collec-tive and individual identities of people who are increasingly drawn into the processes of world-wide integration and globalization. Anthropologi-cal accounts are extremely rich in different time reckoning modes and systems, in the pluritemporalism that prevailed in pre-industrialized societies. The theory of historical time - or times - both from a western and non-western point of view still has to be written. There exists already an impressive corpus of writings analysing the rise of the new dominant 'western' concept of time and especially its links with the process of industrialization. The temporal representations underlying the different disciplines in the social sciences allow not only for a reconceptualization of their division of intellectual labour, but also for a programmatic view forward towards a 'science of multiple times' (Grossin, 1989). However, any such endeavour has to come to terms also with non-western temporal experience.

      Evokes Adam's critique of colonialization of time, commodification/post-industrial views, and need for post-colonial temporal studies.

  43. Jul 2018
    1. This is so because all cultures, ancient and modern, have established collective ways of relat­ing to the past and future, of synchronizing their activities, of coming to terms with finitude. How we extend ourselves into the past and future, how we pursue immortality and how we temporally manage, organize and regulate our social affairs, however, has been culturally, historically and contex­tually distinct. Each htstorical epoch with its new forms of socioeconomic expression is simultaneously restructuring its social relations of time.

      Sociotemporal reactions/responses/concepts have deep historical roots and intercultural relationships.

      Current ways of thinking about time continue to be significantly influenced by post-industrial socio-economic constructs, like clock-time, labor efficiencies (speed), and value metaphors (money, attention, thrift).

    2. the Reformation had a major role to play in the metamor­phosis of time from God's gift to commodified, comp�essed, colonized and controlled resource. These four Cs of mdus­trial time -comrnodification, compression, colonization and control -will be the focus in these pages, the fifth C of the creation of clock time having been discussed already in the previous chapter. I show their interdependence and id�ntify some of the socio-environmental impacts of those parttcular temporal relations.

      Five C's of industrial time: Commodification, compression, colonialization, control, and clock time.

  44. Jun 2018
  45. Feb 2018
    1. I am not concerned here to enter into debates about whether Joyce shoidd be considered a postcolonial writer nor whether Ireland can properly be located under the increasingly capacious umbrella of the postcolonial.4

      It's interesting to me that there is a gray area surrounding Joyce as a postcolonial writer, in comparison to more traditional postcolonial authors, like Salman Rushdie or post-colonial theorist, Frantz Fanon.

  46. Jan 2018
  47. Nov 2017
    1. Our vision around the phrase reclaim is at least in part inspired by the documented work that Boone Gorges and D'Arcy Norman have been doing to take back their online presence from third-party services since 2011. While their approach is far more drastic than what we are advocating, Project Reclaim represents an ethos that is diametrically opposed to the innovation outsourcing that is prevalent in higher education IT shops at the moment.
    2. Do everything possible to minimize reliance on an enterprise LMS. Explore ways to support activity and content development in environments that foster collaboration and also interoperability with a wide range of tools. Before directing activity to a complex, locked-down system, ask: "Do we really need to do it this way? Is there a simpler, cheaper, open alternative that will do the job?"
    3. mandate the use of "learning management systems."

      Therein lies the rub. Mandated systems are a radically different thing from “systems which are available for use”. This quote from the aforelinked IHE piece is quite telling:

      “I want somebody to fight!” Crouch said. “These things are not cheap -- 300 grand or something like that? ... I want people to want it! When you’re trying to buy something, you want them to work at it!”

      In the end, it’s about “procurement”, which is quite different from “adoption” which is itself quite different from “appropriation”.