text:
PERMANENT RULES
(Health and Recovery Services Administration)
[ Filed October 18, 2005, 1:47 p.m. , effective November 18, 2005 ]
Purpose: This WAC revision is intended to accomplish several objectives:
• Add advanced registered nurse practitioners (ARNPs) and physician assistants certified (PACs) to the list of eligible prescribers under this chapter;
• Exclude "Medicare/Medicaid" dual-eligible clients from the documentation requirement for prescriptions under WAC 388-543-1100 (1)(d) and 388-543-2800(1);
• Add "washable protective underwear" to list of diapers and related supplies under WAC 388-543-1150;
• Clarify language for standard specifications for disposable incontinence products to match the description in the healthcare common procedure and coding system (HCPCS) manual; and
• Clarify products that cannot be used together under WAC 388-543-1150.
Citation of Existing Rules Affected by this Order: Amending WAC 388-543-1100, 388-543-1150, and 388-543-2800.
Statutory Authority for Adoption: RCW 74.04.050, 74.04.57 [74.04.057], and 74.08.090.
Adopted under notice filed as WSR 05-18-070 on September 7, 2005.
A final cost-benefit analysis is available by contacting Dianne Baum, Division of Medical Management, P.O. Box 45506, Olympia, WA 98504-5506, phone (360) 725-1590, fax (360) 586-5299, e-mail baumdl@dshs.wa.gov. The preliminary cost-benefit analysis is unchanged and will be final.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 3, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 3, Repealed 0.
Date Adopted: October 14, 2005.
Andy Fernando, Manager
Rules and Policies Assistance Unit
AMENDATORY SECTION(Amending WSR 03-12-005, filed 5/22/03, effective 6/22/03)
WAC 388-543-1100 Scope of coverage and coverage limitations for DME and related supplies, prosthetics, orthotics, medical supplies and related services. The federal government deems durable medical equipment (DME) and related supplies, prosthetics, orthotics, and medical supplies as optional services under the Medicaid program, except when prescribed as an integral part of an approved plan of treatment under the home health program or required under the early and periodic screening, diagnosis and treatment (EPSDT) program. The department may reduce or eliminate coverage for optional services, consistent with legislative appropriations.
(1) The medical assistance administration (MAA) covers DME and related supplies, prosthetics, orthotics, medical supplies, related services, repairs and labor charges when ((all of the following apply. They must be)) they are:
(a) Within the scope of an eligible client's medical care program (see chapter 388-529 WAC);
(b) Within accepted medical or physical medicine community standards of practice;
(c) Prior authorized as described in WAC 388-543-1600, 388-543-1800, and 388-543-1900;
(d) Prescribed by a ((qualified provider, acting within the scope of the provider's practice)) physician, advanced registered nurse practitioner (ARNP), or physician assistant certified (PAC). Except for dual eligible Medicare/Medicaid clients, the prescription must:
(i) Be dated and signed by the prescriber;
(ii) Be less than six months in duration from the date the prescriber signs the prescription; and
(iii) State the specific item or service requested, diagnosis, ((prognosis,)) estimated length of need (weeks, ((or)) months, ((not to exceed six months before being reevaluated)) or years), and quantity;
(e) Billed to the department as the payor of last resort only. MAA does not pay first and then collect from Medicare and;
(f) Medically necessary as defined in WAC 388-500-0005. The provider or client must submit sufficient objective evidence to establish medical necessity. Information used to establish medical necessity includes, but is not limited to, the following:
(i) A physiological description of the client's disease, injury, impairment, or other ailment, and any changes in the client's condition written by the prescribing physician, ARNP, PAC, licensed prosthetist and/or orthotist, physical therapist, occupational therapist, or speech therapist; and/or
(ii) Video and/or photograph(s) of the client demonstrating the impairments as well and client's ability to use the requested equipment, when applicable.
(2) MAA evaluates a request for any equipment or devices that are listed as noncovered in WAC 388-543-1300 under the provisions of WAC 388-501-0165.
(3) MAA evaluates a request for a service that is in a covered category, but has been determined to be experimental or investigational under WAC 388-531-0550, under the provisions of WAC 388-501-0165 which relate to medical necessity.
(4) MAA evaluates requests for covered services in this chapter that are subject to limitations or other restrictions and approves such services beyond those limitations or restrictions when medically necessary, under the standards for covered services in WAC 388-501-0165.
(5) MAA does not reimburse for DME and related supplies, prosthetics, orthotics, medical supplies, related services, and related repairs and labor charges under fee-for-service (FFS) when the client is any of the following:
(a) An inpatient hospital client;
(b) Eligible for both Medicare and Medicaid, and is staying in a nursing facility in lieu of hospitalization;
(c) Terminally ill and receiving hospice care; or
(d) Enrolled in a risk-based managed care plan that includes coverage for such items and/or services.
(6) MAA covers medical equipment and related supplies, prosthetics, orthotics, medical supplies and related services, repairs, and labor charges listed in MAA's published issuances, including Washington Administrative Code (WAC), billing instructions, and numbered memoranda.
(7) An interested party may request MAA to include new equipment/supplies in the billing instructions by sending a written request plus all of the following:
(a) Manufacturer's literature;
(b) Manufacturer's pricing;
(c) Clinical research/case studies (including FDA approval, if required); and
(d) Any additional information the requester feels is important.
(8) MAA bases the decision to purchase or rent DME for a client, or to pay for repairs to client-owned equipment on medical necessity.
(9) MAA covers replacement batteries for purchased medically necessary DME equipment covered within this chapter.
(10) MAA covers the following categories of medical equipment and supplies only when they are medically necessary, prescribed by a physician ((or other licensed practitioner of the healing arts)), ARNP, or PAC, are within the scope of his or her practice as defined by state law, and are subject to the provisions of this chapter and related WACs:
(a) Equipment and supplies prescribed in accordance with an approved plan of treatment under the home health program;
(b) Wheelchairs and other DME;
(c) Prosthetic/orthotic devices;
(d) Surgical/ostomy appliances and urological supplies;
(e) Bandages, dressings, and tapes;
(f) Equipment and supplies for the management of diabetes; and
(g) Other medical equipment and supplies, as listed in MAA published issuances.
(11) MAA evaluates a BR item, procedure, or service for its medical appropriateness and reimbursement value on a case-by-case basis.
(12) For a client in a nursing facility, MAA covers only the following when medically necessary. All other DME and supplies identified in MAA billing instructions are the responsibility of the nursing facility, in accordance with chapters 388-96 and 388-97 WAC. See also WAC 388-543-2900 (3) and (4). MAA covers:
(a) The purchase and repair of a speech generating device (SGD), a wheelchair for the exclusive full-time use of a permanently disabled nursing facility resident when the wheelchair is not included in the nursing facility's per diem rate, or a specialty bed; and
(b) The rental of a speciality bed.
(13) Vendors must provide instructions for use of equipment; therefore, instructional materials such as pamphlets and video tapes are not covered.
(14) Bilirubin lights are limited to rentals, for at-home newborns with jaundice.
[Statutory Authority: RCW 74.08.090, 34.05.353. 03-12-005, § 388-543-1100, filed 5/22/03, effective 6/22/03. Statutory Authority: RCW 74.08.090, 74.09.530. 02-16-054, § 388-543-1100, filed 8/1/02, effective 9/1/02; 01-01-078, § 388-543-1100, filed 12/13/00, effective 1/13/01.]
AMENDATORY SECTION(Amending WSR 03-19-082, filed 9/12/03, effective 10/13/03)
WAC 388-543-1150 Limits and limitation extensions. The medical assistance administration (MAA) covers non-DME (MSE), DME, and related supplies, prosthetics, orthotics, medical supplies, and related services as described in WAC 388-543-1100(1). MAA Limits the amount, frequency, or duration of certain covered MSE, DME, and related supplies, prosthetics, orthotics, medical supplies, and related services, and reimburses up to the stated limit without requiring prior authorization. These limits are designed to avoid the need for prior authorization for items normally considered medically necessary and for quantities sufficient for a thirty-day supply for one client. In order to exceed the stated limits, the provider must request a limitation extension (LE), which is a form of prior authorization (PA). MAA approves such requests for LE when medical necessary, under the standards for covered services in WAC 388-501-0165. Procedures for LE are found in MAA's billing instructions. The following items and quantities do not require prior authorization; requests to exceed the stated quantities require LE:
(1) Antiseptics and germicides:
(a) Alcohol (isopropyl) or peroxide (hydrogen) - one ((eight ounce bottle)) pint per month;
(b) Alcohol wipes (box of two hundred) - one box per month;
(c) Betadine or pHisoHex solution - one pint per month;
(d) Betadine or iodine swabs/wipes (box of one hundred) - one box per month;
(e) Disinfectant spray - one twelve-ounce((s)) bottle or can per six-month period; or
(f) Periwash (when soap and water are medically contraindicated) - one five-ounce bottle of concentrate solution per six-month period.
(2) Blood monitoring/testing supplies:
(a) Replacement battery of any type, used with a client-owned, medically necessary home or specialized blood glucose monitor - one in a three-month period; and
(b) Spring-powered device for lancet - one in a six-month period.
(3) Braces, belts and supportive devices:
(a) Custom vascular supports (CVS) - two pair per six-month period. CVS fitting fee - two per six-month period;
(b) Surgical stockings (below-the-knee, above-the-knee, thigh-high, or full-length) - two pair per six-month period;
(c) Graduated compression stockings for pregnancy support (pantyhose style) - two per twelve-month period;
(d) Knee brace (neoprene, nylon, elastic, or with a hinged bar) - two per twelve-month period;
(e) Ankle, elbow, or wrist brace - two per twelve-month period;
(f) Lumbosacral brace, rib belt, or hernia belt - one per twelve-month period;
(g) Cervical head harness/halter, cervical pillow, pelvic belt/harness/boot, or extremity belt/harness - one per twelve-month period.
(4) Decubitus care products:
(a) Cushion (gel, sacroiliac, or accuback) and cushion cover (any size) - one per twelve-month period;
(b) Synthetic or lambs wool sheepskin pad - one per twelve-month period;
(c) Heel or elbow protectors - four per twelve-month period.
(5) Ostomy supplies:
(a) Adhesive for ostomy or catheter: Cement; powder; liquid (e.g., spray or brush); or paste (any composition, e.g., silicone or latex) - four total ounces per month.
(b) Adhesive or nonadhesive disc or foam pad for ostomy pouches - ten per month.
(c) Adhesive remover or solvent - three ounces per month.
(d) Adhesive remover wipes, fifty per box - one box per month.
(e) Closed pouch, with or without attached barrier, with a one- or two-piece flange, or for use on a faceplate - sixty per month.
(f) Closed ostomy pouch with attached standard wear barrier, with built-in one-piece convexity - ten per month.
(g) Continent plug for continent stoma - thirty per month.
(h) Continent device for continent stoma - one per month.
(i) Drainable ostomy pouch, with or without attached barrier, or with one- or two-piece flange - twenty per month.
(j) Drainable ostomy pouch with attached standard or extended wear barrier, with or without built-in one-piece convexity - twenty per month.
(k) Drainable ostomy pouch for use on a plastic or rubber faceplate (only one type of faceplate allowed) - ten per month.
(l) Drainable urinary pouch for use on a plastic, heavy plastic, or rubber faceplate (only one type of faceplate allowed) - ten per month.
(m) Irrigation bag - two every six months.
(n) Irrigation cone and catheter, including brush - two every six months.
(o) Irrigation supply, sleeve - one per month.
(p) Ostomy belt (adjustable) for appliance - two every six months.
(q) Ostomy convex insert - ten per month.
(r) Ostomy ring - ten per month.
(s) Stoma cap - thirty per month.
(t) Ostomy faceplate - ten per month. MAA does not allow the following to be used on a faceplate in combination with drainable pouches (refer to the billing instructions for further details):
(i) Drainable pouches with plastic face plate attached; or
(ii) Drainable pouches with rubber face plate.
(6) Supplies associated with client-owned transcutaneous electrical nerve stimulators (TENS):
(a) For a four-lead TENS unit - two kits per month. (A kit contains two leads, conductive paste or gel, adhesive, adhesive remover, skin preparation material, batteries, and a battery charger for rechargeable batteries.)
(b) For a two-lead TENS unit - one kit per month.
(c) TENS tape patches (for use with carbon rubber electrodes only) are allowed when they are not used in combination with a kit(s).
(d) A TENS stand alone replacement battery charger is allowed when it is not used in combination with a kit(s).
(7) Urological supplies - diapers and related supplies:
(a) The standards and specifications in this subsection apply to all disposable incontinent products (e.g., ((adult)) briefs((/child)), diapers, pull-up ((training)) pants, underpads for beds, ((and)) liners((/)), shields, guards, pads, and undergarments). See subsections (b), (c), (d), and (e) of this section for additional standards for specific products. All of the following apply to all disposable incontinent products:
(i) All materials used in the construction of the product must be safe for the client's skin and harmless if ingested;
(ii) Adhesives and glues used in the construction of the product must not be water-soluble and must form continuous seals at the edges of the absorbent core to minimize leakage;
(iii) The padding must provide uniform protection;
(iv) The product must be hypoallergenic; ((and))
(v) The product must meet the flammability requirements of both federal law and industry standards; and
(vi) All products are covered for client personal use only.
(b) In addition to the standards in subsection (a) of this section, ((adult briefs/child)) diapers must meet all the following specifications. They must:
(i) Be hourglass shaped with formed leg contours;
(ii) Have an absorbent filler core that is at least one-half inch from the elastic leg gathers;
(iii) Have leg gathers that consist of at least three strands of elasticized materials;
(iv) Have an absorbent core that consists of cellulose fibers mixed with absorbent gelling materials;
(v) Have a backsheet that is moisture impervious and is at least 1.00 mm thick, designed to protect clothing and linens;
(vi) Have a topsheet that resists moisture returning to the skin;
(vii) Have an inner lining that is made of soft, absorbent material; and
(viii) Have either a continuous waistband, or side panels with a tear-away feature, or refastenable tapes, as follows:
(A) ((For adult briefs, at least four tapes, two on each side.
(B))) For child diapers, at least two tapes, one on each side.
(((C))) (B) The tape adhesive must release from the backsheet without tearing it, and permit a minimum of three fastening/unfastening cycles.
(c) In addition to the standards in subsection (a) of this section, pull-up ((training)) pants and ((incontinent pants)) briefs must meet the following specifications. They must:
(i) Be made like regular underwear with an elastic waist or have at least four tapes, two on each side or two large tapes, one on each side;
(ii) Have an absorbent core filler that is at least one-half inch from the elastic leg gathers;
(iii) Have an absorbent core that consists of cellulose fibers mixed with absorbent gelling;
(iv) Have leg gathers that consist of at least three strands of elasticized materials;
(v) Have a backsheet that is moisture impervious, is at least 1.00 mm thick, and is designed to protect clothing and linens;
(vi) Have an inner lining made of soft, absorbent material; and
(vii) Have a top sheet that resists moisture returning to the skin.
(d) In addition to the standards in subsection (a) of this section, underpads ((for beds)) are covered only for incontinent purposes in a client's bed and must meet the following specifications((. They must)):
(i) Have an absorbent layer that is at least one and one-half inches from the edge of the underpad;
(ii) Be manufactured with a waterproof backing material;
(iii) Be able to withstand temperatures not to exceed one hundred-forty degrees Fahrenheit;
(iv) Have a covering or facing sheet that is made of nonwoven, porous materials that have a high degree of permeability, allowing fluids to pass through and into the absorbent filler. The patient contact surface must be soft and durable;
(v) Have filler material that is highly absorbent. It must be heavy weight fluff filler or the equivalent; and
(((iv))) (vi) Have four-ply, nonwoven facing, sealed on all four sides.
(e) In addition to the standards in subsection (a) of this section, liners((/)), shields, guards, (((including)) pads, and undergarments(())) are covered for incontinence only and must meet the following specifications((. They must)):
(i) Have channels to direct fluid throughout the absorbent area, and leg gathers to assist in controlling leakage, and/or be contoured to permit a more comfortable fit;
(ii) Have a waterproof backing designed to protect clothing and linens;
(iii) Have an inner liner that resists moisture returning to the skin;
(v) Have pressure-sensitive tapes on the reverse side to fasten to underwear; and
(vi) For undergarments only, be contoured for good fit, have at least three elastic leg gathers, and may be belted or unbelted.
(f) MAA covers the products in this subsection only when they are used alone; they cannot be used in combination with each other. MAA approves a client's use of a combination of products only when the client uses different products for daytime and nighttime use (see MAA's billing instructions for how to specify this when billing). The total of all products used cannot exceed the monthly limitation for the product with the highest limit (see subsections (g), (h), (i), (j), (k), (l), and (m) of this section for product limitations). The following products cannot be used together:
(i) Disposable ((briefs (incontinent pants)/))diapers;
(ii) Disposable pull-up ((training)) pants and briefs;
(iii) Disposable liners((/pads)), shields, guards, pads, and undergarments;
(iv) Rented reusable ((briefs/))diapers (e.g., from a diaper service); and
(v) Rented reusable briefs (((incontinent pants))) (e.g., from a diaper service), or pull-up ((training)) pants.
(g) Purchased disposable diapers (any size) are limited to:
(i) Three hundred per month for a child ((age)) three ((and older)) to eighteen years of age; and
(ii) Two hundred forty per month for an adult nineteen years of age and older.
(h) Reusable cloth diapers (any size) are limited to:
(i) Purchased - thirty-six per year; and
(ii) Rented - two hundred forty per month.
(i) Disposable briefs (((incontinent pants))) and pull-up ((training)) pants (any size) are limited to:
(i) Three hundred per month for a child age three ((and older)) to eighteen years of age; and
(ii) One hundred fifty per month for an adult nineteen years of age and older.
(j) Reusable briefs (((incontinent pants))), washable protective underwear, or pull-up ((training)) pants (any size) are limited to:
(i) Purchased - four per year.
(ii) Rented - one hundred fifty per month.
(k) Disposable pant ((liner/pads)) liners, shields, guards, pads, and undergarments are limited to two hundred forty per month.
(l) Underpads for beds are limited to:
(i) Disposable (any size) - one hundred eighty per month.
(ii) Purchased, reusable (large) - forty-two per year.
(iii) Rented, reusable (large) - ninety per month.
(8) Urological supplies - urinary retention:
(a) Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube - two per month. This cannot be billed in combination with any of the following:
(i) With extension drainage tubing for use with urinary leg bag or urostomy pouch (any type, any length), with connector/adapter; and/or
(ii) With an insertion tray with drainage bag, and with or without catheter.
(b) Bedside drainage bottle, with or without tubing - two per six month period.
(c) Extension drainage tubing (any type, any length), with connector/adapter, for use with urinary leg bag or urostomy pouch. This cannot be billed in combination with a vinyl urinary leg bag, with or without tube.
(d) External urethral clamp or compression device (not be used for catheter clamp) - two per twelve-month period.
(e) Indwelling catheters (any type) - three per month.
(f) Insertion trays:
(i) Without drainage bag and catheter - one hundred and twenty per month. These cannot be billed in combination with other insertion trays that include drainage bag, catheters, and/or individual lubricant packets.
(ii) With indwelling catheters - three per month. These cannot be billed in combination with: Other insertion trays without drainage bag and/or indwelling catheter; individual indwelling catheters; and/or individual lubricant packets.
(g) Intermittent urinary catheter - one hundred twenty per month. These cannot be billed in combination with: An insertion tray with or without drainage bag and catheter; or other individual intermittent urinary catheters.
(h) Irrigation syringe (bulb or piston) - cannot be billed in combination with irrigation tray or tubing.
(i) Irrigation tray with syringe (bulb or piston) - thirty per month. These cannot be billed in combination with irrigation syringe (bulb or piston), or irrigation tubing set.
(j) Irrigation tubing set - thirty per month. These cannot be billed in combination with an irrigation tray or irrigation syringe (bulb or piston).
(k) Leg straps (latex foam and fabric). Allowed as replacement only.
(l) Male external catheter, specialty type, or with adhesive coating or adhesive strip - sixty per month.
(m) Urinary suspensory with leg bag, with or without tube - two per month. This cannot be billed in combination with: a latex urinary leg bag; urinary suspensory without leg bag; extension drainage tubing; or a leg strap.
(n) Urinary suspensory without leg bag, with or without tube - two per month.
(o) Urinary leg bag, vinyl, with or without tube - two per month. This cannot be billed in combination with: A leg strap; or an insertion tray with drainage bag and without catheter.
(p) Urinary leg bag, latex - one per month. This cannot be billed in combination with an insertion tray with drainage bag and with or without catheter.
(9) Miscellaneous supplies:
(a) Bilirubin light therapy supplies - five days' supply. MAA reimburses only when these are provided with a prior authorized bilirubin light.
(b) Continuous passive motion (CPM) softgoods kit - one, with rental of CPM machine.
(c) Eye patch with elastic, tied band, or adhesive, to be attached to an eyeglass lens - one box of twenty.
(d) Eye patch (adhesive wound cover) - one box of twenty.
(e) Lice comb (e.g., LiceOut TM, or LiesMeister TM, or combs of equivalent quality and effectiveness) - one per year.
(f) Nontoxic gel (e.g., LiceOut TM) for use with lice combs - one bottle per twelve month period.
(g) Syringes and needles ("sharps") disposal container for home use, up to one gallon size - two per month.
(10) Miscellaneous DME:
(a) Bilirubin light or light pad - five days rental per twelve-month period.
(b) Blood glucose monitor (specialized or home) - one in a three-year period.
(c) Continuous passive motion (CPM) machine - up to ten days rental and requires prior authorization.
(d) Diaphragmatic pacing antennae - four per twelve month-period.
(e) Lightweight protective helmet/soft shell (including adjustable chin/mouth strap) - two per twelve-month period.
(f) Lightweight ventilated hard-shell helmet (including unbreakable face bar, woven chin strap w/adjustable buckle and snap fastener, and one set of cushion pads for adjusting fit to head circumference) - two per twelve-month period.
(11) Prosthetics and orthotics:
(a) Thoracic-hip-knee-ankle orthosis (THKAO) standing frame - one every five years.
(b) Preparatory, above knee "PTB" type socket, nonalignable system, pylon, no cover, SACH foot plaster socket, molded to model - one per lifetime, per limb.
(c) Preparatory, below knee "PTB" type socket, nonalignable system, pylon, no cover, SACH foot thermoplastic or equal, direct formed - one per lifetime, per limb.
(d) Socket replacement, below the knee, molded to patient model - one per twelve-month period.
(e) Socket replacement, above the knee/knee disarticulation, including attachment plate, molded to patient model - one per twelve-month period.
(12) Positioning devices:
(a) Deluxe floor sitter/feeder seat (small, medium, or large), including floor sitter wedge, shoulder harness, and hip strap - one in a three-year period.
(b) High-back activity chair, including adjustable footrest, two pairs of support blocks, and hip strap - one in a three-year period.
(c) Positioning system/supine boards (small or large), including padding, straps adjustable armrests, footboard, and support blocks - one in a five-year period.
(d) Prone stander (child, youth, infant or adult size) - one in a five-year period.
(e) Adjustable standing frame (for child/adult thirty - sixty-eight inches tall), including two padded back support blocks, a chest strap, a pelvic strap, a pair of knee blocks, an abductor, and a pair of foot blocks - one in a five-year period.
[Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, and Public Law 104-191. 03-19-082, § 388-543-1150, filed 9/12/03, effective 10/13/03. Statutory Authority: RCW 74.08.090, 74.09.530. 01-16-141, § 388-543-1150, filed 7/31/01, effective 8/31/01.]
WAC 388-543-2800 Reusable and disposable medical supplies. (1) MAA requires that a physician, advanced registered nurse practitioner (ARNP), or physician's assistant certified (PAC) prescribe reusable and disposable medical supplies. Except for dual eligible Medicare/Medicaid clients, the prescription must:
(a) Be dated and signed by the prescriber;
(b) Be less than six months in duration from the date the prescriber signs the prescription; and
(c) State the specific item or service requested, diagnosis, ((prognosis,)) estimated length of need (weeks ((or)), months, ((not to exceed six months before being reevaluated)) or years), and quantity.
(2) MAA bases its determination about which DME and related supplies, prosthetics, orthotics, medical supplies and related services require prior authorization (PA) or expedited prior authorization (EPA) on utilization criteria (see WAC 388-543-1000 for PA and WAC 388-543-1800 for EPA). MAA considers all of the following when establishing utilization criteria:
(a) High cost;
(b) The potential for utilization abuse;
(c) A narrow therapeutic indication; and
(d) Safety.
(3) MAA requires a provider to obtain a limitation extension in order to exceed the stated limits for nondurable medical equipment and medical supplies. See WAC 388-501-0165.
(4) MAA categorizes medical supplies and non-DME (MSE) as follows (see WAC 388-543-1150, 388-543-1600, and MAA's billing instructions for further information about specific limitations and requirements for PA and EPA):
(a) Antiseptics and germicides;
(b) Bandages, dressings, and tapes;
(c) Blood monitoring/testing supplies;
(d) Braces, belts, and supportive devices;
(e) Decubitus care products;
(f) Ostomy supplies;
(g) Pregnancy-related testing kits and nursing equipment supplies;
(h) Supplies associated with transcutaneous electrical nerve stimulators (TENS);
(i) Syringes and needles;
(j) Urological supplies (e.g., diapers, urinary retention catheters, pant liners, and doublers); and
(k) Miscellaneous supplies.
[Statutory Authority: RCW 74.08.090, 74.09.530. 01-16-141, § 388-543-2800, filed 7/31/01, effective 8/31/01; 01-01-078, § 388-543-2800, filed 12/13/00, effective 1/13/01.]


text:
package org.peprframework.activities;

import javax.xml.bind.annotation.XmlAccessType;
import javax.xml.bind.annotation.XmlAccessorType;
import javax.xml.bind.annotation.XmlElement;
import javax.xml.bind.annotation.XmlRootElement;

import org.peprframework.core.Configuration;

/**
 * @author Volker Fritzsch
 * @version 1.0
 *
 */
@XmlRootElement(name = "MicrophoneStarterConfiguration")
@XmlAccessorType(XmlAccessType.FIELD)
public class MicrophoneStarterConfiguration extends Configuration {

	// either 8000,11025,16000,22050,44100
	@XmlElement
//	@ConfigurableProperty(label = "Sample Rate")
	float sampleRate = 16000.0F;

	// either 8,16
	@XmlElement
//	@ConfigurableProperty(label = "Sample Size")
	int sampleSizeInBits = 16;

	// either 1,2
	@XmlElement
//	@ConfigurableProperty(label = "Channels")
	int channels = 1;

	// either true,false
	@XmlElement
//	@ConfigurableProperty(label = "Signed")
	boolean signed = true;

	// either true,false
	@XmlElement
//	@ConfigurableProperty(label = "Big Endian")
	boolean bigEndian = false;

	@XmlElement
//	@ConfigurableProperty(label = "Sample Length / ms")
	public int overlapLengthMs = 20;

	@XmlElement
//	@ConfigurableProperty(label = "Record Length / ms")
	public int recordLengthMs = 10;

	@XmlElement
//	@ConfigurableProperty(label = "Buffer Size")
	public int bufferSizeInBytes = 8 * 1024;

	public float getSampleRate() {
		return sampleRate;
	}

	public void setSampleRate(float sampleRate) {
		this.sampleRate = sampleRate;
	}

	public int getSampleSizeInBits() {
		return sampleSizeInBits;
	}

	public void setSampleSizeInBits(int sampleSizeInBits) {
		this.sampleSizeInBits = sampleSizeInBits;
	}

	public int getChannels() {
		return channels;
	}

	public void setChannels(int channels) {
		this.channels = channels;
	}

	public boolean isSigned() {
		return signed;
	}

	public void setSigned(boolean signed) {
		this.signed = signed;
	}

	public boolean isBigEndian() {
		return bigEndian;
	}

	public void setBigEndian(boolean bigEndian) {
		this.bigEndian = bigEndian;
	}

	public int getOverlapLengthMs() {
		return overlapLengthMs;
	}

	public void setOverlapLengthMs(int overlapLengthMs) {
		this.overlapLengthMs = overlapLengthMs;
	}

	public int getRecordLengthMs() {
		return recordLengthMs;
	}

	public void setRecordLengthMs(int recordLengthMs) {
		this.recordLengthMs = recordLengthMs;
	}

	public int getBufferSizeInBytes() {
		return bufferSizeInBytes;
	}

	public void setBufferSizeInBytes(int bufferSizeInBytes) {
		this.bufferSizeInBytes = bufferSizeInBytes;
	}
}

redpajama_set_name: RedPajamaGithub


Thank you to the South Country Community! The 2015-2016 school budget passed successfully.
The proposition to reduce the number of Board members was defeated.
Candidates Lisa Di Santo (incumbent), Regina Hunt and Chris Picini (incumbent) were elected to seats on the School Board.


text:
Viking round brooches at the Saga Museum
Aug28 by Dawn
Round brooches on her shoulder at the Saga Museum
In my research thus far about Viking garb, it looks as though round brooches to hold up apron dresses were different in different areas where they were found. This suggests that different areas had different fashion trends for their brooches. The brooches show on this figure in the Saga museum are round instead of oval, which was apparently the style found in and dated to 'Luistari, Eura, Finland, ca 1020-1050AD' – Source: Quiet Press
Viking-style round broaches at the gift shop in the Turku Castle
Likewise, when I visited the castle museum in Turku, Finland, it was round brooches they had in their gift shop, not oval ones.
Further to this, I found a map via a poster on the forum biodiversity who posted the picture below, (Original source unknown) suggesting that the location of different gravesite finds of different brooch styles can suggest different ethnic groups.
The map shows that the "Gotland" style animal-head brooches were sporadically found in gravesites, mainly in Sweden. The oval "tortoise" brooches were found all over Norway, Sweden, Iceland, and Denmark, with additional finds in the UK and elsewhere. The round Finnish circular brooches were found primarily in Finland and the closest edge to Sweden, with sporadic finds in the nearest area. There have been no finds of these round brooches in Norway or the UK (where most of the original Icelandic settlers came from) nor Iceland itself.
Locations of Viking Age brooch finds
Note: though I find nothing wrong with it at all, below is an image of a wax figure depicting a bare breast. If that offends you, I suggest you skip to another post.
So… with that in mind I have a bit of a curiosity of why this figure is depicted with round brooches in the Finnish style.
Added to that, I have some curiosity about how her apron-dress is held up.
Like several of the other figures, she wears the equivalent of two pieces of fabric for her apron dress. It's sideless, and is held up only at the shoulders with the brooches, and tied at the waist with a belt. Take a look though at that shoulder closest to you… the pin is holding up the back of the apron dress, even though the front of the apron is hanging loose, because it's pinned to the shoulder of the underdress.
This figure is supposed to represent Freydís Eiríksdóttir, one of the first women in "Vinland" (L´Anse aux Meadows in Newfoundland, Canada) and a heroic tactic during a fight with natives. Theoretically, such a tactic would have been an impromptu decision, and the idea of being able to unpin the apron dress, let down the front, undo the gathered neckline of the underdress, and then re-pin the back of the apron dress back up to the front of the underdress seems a bit far-fetched. The story from the Saga Museum is below:
"In The Saga of Eric the Red we learn how Freydís accompanied her husband to Vinland on an expedition led by Þorfinnur Karlsefni and his wife Guðríður Þorbjarnardóttir. When they reached Vinland they soon encountered the native people and begun to trade with them. However, during such an exchange of goods a bull owned by Þorfinnur went on a rampage and the natives who had never seen such a beast before immediately took up their weapons. A skirmish ensued in which natives appeared to have the upper hand and Þorfinnur and his party begun to flee. Freydís reprimanded the men in no uncertain terms for their cowardice and tried to encourage them to make a stand but they ran as fast as they could into the cover of the forest. Freydís eventually followed the men but since she was pregnant she soon begun to slow down and loose sight of them. She ran past the body of a certain Þorbrandur Snorrason who had been slain by a blow to the head with a rock, and then saw the natives preparing to attack the Viking party with a battery of rocks and stones. As they pursued the Vikings the natives suddenly came across Freydís and surrounded her. Fearlessly, she seized hold of Þorbrandur's sword which lay beside his body, opened her tunic to reveal one of her breasts and held the sword tightly against it. This bold gesture seems to have frightened the natives and they ran of terrified by what they apparently thought was an evil omen." – Saga Museum
So – is the suggestion that Freydís took the time to arrange her garments during a battle? Is the suggestion that the apron dress was pinned to the underdress at the back and the front was looped to the brooch? (You'd need fairly noticeable loops on the apron dress front to go over the pin face.) Or… is the display flawed?
What do you think? Let me know your thoughts in the comments below.
Sagamuseum – The Saga Museum
www.sagamuseum.is/
Grandagarður, 101 Reykjavík, Iceland
This entry was posted in Apron Dress, Museum exhibits, Viking Jewelry, Viking research and tagged brooch, Finland, Viking, Vinland.
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Saga Viking Apron dresses →
3 comments on "Viking round brooches at the Saga Museum"
annina-g says:
Thank you for posting!
I'm interested in round Viking brooches, where did you find the map? thank you
The map is from forum biodiversity (link above in the text) – originally it's out of a book, though not one I own.

redpajama_set_name: RedPajamaCommonCrawl


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There are more type designers than ever and the amount of fonts to choose from nowadays is mind boggling! So I decided it would be a good idea to put together a small sampling of some of the coolest font designs I have seen recently from the great designers of the Behance community. Stay tuned for more font related inspiration posts and let us know which font below is your favorite!


We take so much cause for granted. When the pool player breaks at the beginning of the game, the cause is the forward movement of the cue. But saying that takes for granted all the existing conditions: the felt, the flat surface, the manufacture of the balls, the tightness of the racking, etc., etc.
And under it all, before it all, is the assumption of the continuity and consistency of all the known universe. The faithfulness of God, upholding the continued and consistent existence of every quark and photon, is taken almost completely for granted.


text:
Richmond at North Dakota FCS Football 2016 Playoffs Second Round Breakdown
Joel Welser
Richmond at North Dakota, Saturday, 2:00
Richmond did not have much trouble in the first round of the playoffs against North Carolina A&T. A solid, balanced offense and a stifling defense led to an easy 39-10 victory. Richmond now gets to head to North Dakota to take on the Fighting Hawks. North Carolina A&T could not find a way to slow down backup quarterback Kevin Johnson and 1,000 yard receiver Brian Brown. When those two are clicking, the Spiders are very difficult to beat. However, Richmond has struggled at times due to the lack of a consistent ground game. Deontez Thompson rushed for 98 yards against North Carolina A&T, but the ground game will have a lot more trouble against North Dakota.
UND boasts one of the best rush defenses in the FCS and Richmond will have to work very hard to establish an effective ground game. On the other side of the ball, North Dakota will try to establish the run game themselves behind John Santiago. The North Dakota passing attack has been average at best this year and Richmond has one of the best pass defenses around.
This will be a very interesting game that will likely come down to Richmond's struggling ground game against North Dakota's dominate run defense and North Dakota's struggling passing game against Richmond's potent pass defense. Whichever team can find balance to their offense will have the upper hand in this enticing second round matchup. With quarterback Kyle Lauletta out for the season, Richmond's offense could struggle against a tougher opponent like North Dakota.
Projected Score: North Dakota 34, Richmond 31
See All FCS Playoff Breakdowns


"By definition, index funds guarantee that you will suffer 100% of the next bear market's decline," — Jim Stack, president of InvesTech Research.
Given you are an Index Investor, you already knew that, but for others the subtleties of the statement is lost. When the Indexes are in a Bull Market, you enjoy the low MER and growth, but when the Bear Market comes (and it has?) you will feel the brunt of the market drop. The argument that actively traded funds make are that they can react quicker to market corrections.
Both of those statements are true, but the losses you incur from Actively Traded funds MERs are usually not mentioned (especially during Bull Markets, so you lose some of your profits). Do all actively traded funds manage to stop-loss during market corrections? No (some do), and some might argue they are some of the market forces that cause the market corrections.
The other point folks forget is that the "Yard Stick" that most Index Funds use correct themselves as well. The S&P (and others) regularly update (add and drop) stocks from their Indexes, depending on what the Index is tracking. They don't typically do this during a market correction, but the "bad apples" do eventually go away.
Ms. Leary points out that if you buy into the argument about Indexes and how active traders can be more nimble, you are assuming that your Mutual Fund manager are smart enough to deal with rapid market changes. This is a very big assumption to make, you must choose the wisely managed Active Trading Mutual Funds or risk being worse off than if you simply use well-defined indexes. The hard part is figuring out which funds are the wisely managed nimble ones.
I will stick with index investing for now. I tried to be an active investor myself and lost enough money to realize that Market Timing is not possible for an individual investor. Are there Actively Traded Mutual Funds that beat the market (i.e. out strip the Indexes)? Yes, however, it is interesting that it is rare to find any that can make that claim over 10 years.
Are you not comparing apples to oranges here? It wouldn't be appropriate to compare an indexed fund to an actively managed fund unless the holdings were similar. In reality few managed funds resemble index funds. They may hold a portion of the same holdings but never hold all of the same holdings.
Surprisingly many actively managed funds resemble (if not duplicate) Index Funds, but the idea that if you invest in an actively managed fund you are somehow going to be less impacted by market setbacks is unlikely in my opinion and thus the extra fees for them are not justified.
I would agree with you, in general. But, if you do some research you'll find there are some actively managed funds that outperform the market the vast majority of the time. Many of the Mawer family of funds come to mind. I feel its wrong to blindly trust low fees will lead to greater returns.
Lower fees may not always be the answer, but the way many actively traded funds portray themselves, they always "outperform the market", without doing so.
I seldom trust the glowing propaganda that fund company PR Departments. write about themselves, index fund companies included. I prefer to look up the hard facts myself before I act. I've noticed a lot of pro index authors sell index funds themselves, either directly or indirectly.
Agreed, I think when money is involved there aren't many angels involved. I myself don't have my own Index Funds, or ETFs, but I buy them (i.e. I am a consumer).


text:
<?php
	$title = "List of ship brokers";

	// Voer de inhoud van "top.inc.php" uit. Deze verzorgt de
	// algemene pagina lay-out en het menu.
	require("template/top.tpl.php");

	/* ShipBrokerMapper handles all queries about ship brokers */
    require_once( "gb/mapper/ShipBrokerMapper.php" );
    $mapper = new be\kuleuven\cs\gb\mapper\ShipBrokerMapper();//

	/* Collection containing all ship brokers */
    $allShipBroker = $mapper->findAll();
?>

				Name
				Street
				Number
				Bus
				City

			<?php
				/* Iterate through all ship brokers */
				foreach($allShipBroker as $broker) {
			?>

				<?php echo $broker->getName(); ?>
				<?php echo $broker->getStreet(); ?>
                <?php echo $broker->getNumber(); ?>
                <?php echo $broker->getBus(); ?>
                <?php echo $broker->getCity(); ?>

			<?php
				}
			?>

<?php
	require("template/bottom.tpl.php");
?>


To guard against problems in tourism services, it is essential to take some basic care.
Verify that the chosen Agency is associated with Abav and if registered Embratur. That's not a guarantee, but, to be associated with, pass through a sieve and must submit various documents proving your suitability. In addition, the Abav makes the intermediation agencies associated with consumers if a problem occurs.
Don't believe in miracles. You should be suspicious of promotions that offer many amenities.
Request, in writing, all being hired. Most people don't care about the details. So, don't forget to check out, among other things, whether hosting will be made into an Inn, in a hotel or a resort, the exact location of the hotel and type of room (single, double, etc.) in which you will be staying.
The final tip is that the consumer must ask all the details, after all, the agent is there to help you. It is very important to ask for references on the Agency for well known and consult the register of Complaints Founded the Procon.
Do a search. In the case of published prices for advertisements and brochures, they must contain all the information regarding voyage, clearly and accurately. Other data that should be checked are the values collected by the parties, air and land, category of tickets, boarding fees, transfers, meals offered, guides, exact number of days, interest payment and what will be the responsibility of the traveler.
Once chosen the company and the package, consumers should insist that everything is related to the journey is written in a document and save the ad, since it is an integral part of the contract, in accordance with the consumer defense code.
One should pay attention to the clauses that might put consumers at a disadvantage, especially as to the possibility of being made changes in relation to hotels, tours, extra fees and transportation. In addition, the contract must not contain any white space. It is necessary to keep a dated and signed, to guard against any problems.
Made the payment, the Agency must provide the tickets with departure and arrival dates, booking hotels vouchers and receipt of the amounts paid.


'Every time I'm in London I go out to the clubs – you don't learn anything by sitting in your office," says Charles Gibb.
The president of luxury vodka brand Belvedere is scrolling through his smartphone in the May Fair Hotel bar. He is in London for a few days ahead of a brief trip to Paris and before he returns to his New York base. Global jet-setting is a part of the job, as is a familiarity with the world's best nightspots.


Liliana is made from exquisite premium quality REMY Human Hair beautifully layered to below the shoulders (14″). The Hand Tied (Mono Top) crown looks just like scalp and the shorter face framing layers are perfect for a side swept fringe or trim to suit. The soft curls can be straightened or increased for an infinite variety of styles.


Writing about myself always makes me a bit uncomfortable but here goes.
I'm a kind hearted geek who loves to travel. I laugh a lot and nature makes me happy. I'm Swedish/Croatian (yupp, dual citizenship) with Bosnian/Italian heritage, ergo the family name: Zancotti. I met my soulmate in Paris 8 years ago and have called him home ever since. If you haven't already guessed it I'm a multilingual with 4 languages and counting.
Creating dreams and documenting stories is what makes my heart beat.
Wether I'm making an idea come to life or capturing a treasured moment I always give it my very all, so let's make sure we're a good fit! You are kind, prefer quality over quantity and value photography. As your photographer I will cater to your specific needs, give you an amazing experience and deliver quality content/products. Scroll down to find out more about the services that I offer.
Follow me on INSTAGRAM, and FACEBOOK to see what I'm up to!
Dream Sessions are for creatives who want to realize a vision they have. We use mood boards and reference images to achieve the goal in mind. I primarily collaborate with dancers, models, and designers among the creatives. We involve stylists/MUA/hair stylists whenever necessary.
I would love to hear your idea!
Contact me with some basic info about you and your concept to get a quote.
Check out my inspiration bank on PINTEREST!
There's nothing more humbling than when a couple entrusts me to document their special day. I'm there for them from the very first email until the very last product has been delivered.
Please visit the investment page for details on what the different collections include. For more information please get in touch through the contact page.
P.s. I've got a brand new dedicated instagram account for weddings. You can find me at @szweddings if you want to see more.
I create portraits both in my home studio (located in the northern suburbs of Gothenburg) and on location. On location can mean in your home or on a beautiful spot in or around Gothenburg.
There is also a mini-session available.
Please visit the investment page for details on what the different collections include (scroll down past the wedding collections). For more information please get in touch through the contact page.
Although I'm based in Gothenburg I'll travel wherever your dream/story takes me. Here are my travel dates for 2019.
Head on over to SARICA to follow my travels!


text:
Андрие́вский (, ) —  фамилия польского происхождения, распространённая в настоящее время в Беларуси, Украине и России.

Дворянская фамилия Российской Империи (Черниговская Губерния XVlllв.).

Известные носители

А

 Андриевский, Алексей Александрович (1845—1902) — российский и украинский публицист и педагог.
 Андриевский, Антон Иосифович (1912—1972) — председатель колхоза имени Сталина Волочисского района Хмельницкой области, Герой Социалистического Труда.
 Андриевский, Афанасий Михайлович (1878—1955) — украинский государственный и политический деятель.

В
 Андриевский, Вадим Алексеевич  (1912—1994) — советский спортсмен и тренер, Заслуженный тренер СССР.
 Андриевский, Василий Григорьевич — Георгиевский кавалер, подполковник.

 Андриевский, Владимир Владимирович (род. 1985) — украинский теле- и радиоведущий, журналист, шоумен.

Д

И
 Андриевский, Иван Дементьевич — Георгиевский кавалер; подполковник; № 6505; 5 декабря 1841.

Л

М
 Андриевский, Митрофан Александрович (1840-е — 1887) — русский педагог и историк.
 Андриевский, Михаил Константинович (1922—1998) — украинский советский педагог, Герой Социалистического Труда, депутат Верховного Совета СССР.

П, С, Ф
 Андриевский, Пётр Фёдорович (1954—2012) — протоиерей Русской православной церкви, богослов.
 Андриевский, Сергей Михайлович (род. 1961) — украинский астроном, действительный член Академии наук высшей школы Украины.
 Андриевский, Фёдор Петрович (1854—1914) — артист оперы (бас) и вокальный педагог.
 Андриевский, Франц Нестерович (1903—1993) — советский и польский военный, генерал бригады Народного Войска Польского.

Составные фамилии

Андриевская
 Андриевская, Агафья Александровна (известна как: Ищенко; 1858—?) — украинская поэтесса-самоучка, революционерка.
 Андриевская, Александра Алексеевна (1900—1982) — советский украинский филолог-романист (специалист по французскому языку), лексиколог, психолог.

См. также
 Андриевские
 Андреевские

Примечания

redpajama_set_name: RedPajamaWikipedia


text:
Q: is there a C function for regex using a deterministic automaton? The POSIX regex functions compile the regular expressions into non-deterministic finite automata (NFAs). One problem with that is there is no way to tell at compilation time whether those automata will use excessive stack space or take excessive cpu time. That makes them (in some sense) unsuitable for use in a real time system.
An equivalent deterministic finite automaton executes in linear time. It disadvantage is that it may use an excessive number of states, which translates to a large amount of program memory. On the plus side, though, is the fact that you know the number of states used at the time you compile the regular expression.
That means you can know at regular expression compile time whether it is suitable for your application. That brings me to my question: Is there a regular expression library for C that compiles to a DFA? The answer to a question that might be as useful would answer the question: Is there a regular expression library for C that gives useful information on memory and cpu utilization?
Ken

A: *

*Yes. 2. It's a matter of simple algebra. 3. Here

https://github.com/RockBrentwood/RegEx
(originally in the comp.compilers archive.)
Here an early description on comp.compilers, from which this ultimately descended.
https://compilers.iecc.com/comparch/article/93-05-083
and another later description
https://compilers.iecc.com/comparch/article/93-10-022
The older version of the RegEx C programs on GitHub may be found in the AI repository at Carnegie Mellon University here
https://www.cs.cmu.edu/afs/cs/project/ai-repository/ai/areas/nlp/parsing/regex
I will try to retcon the 1993-2021 evolution-stream of it into the current GitHub snapshot so that you can have the whole history, rather than just the snapshot of the latest versions. (It would be nice if GitHub supported retconning and retrofitting history-streams, by the way.)
An automaton is little more than the graphic display of a finite right linear system of inequations. Every rational expression is the least fixed point solution to such a system, which can be unfolded from the expression purely by algebraic means.
This is a general result of Kleene algebra, so it goes well beyond just regular expressions; e.g. rational subsets of any monoid; a special case being rational subsets of product monoids, which includes rational transductions as a special case. And the algebraic method used in the C routines is mostly (but not entirely) generic to Kleene algebras.
I'm trying to adapt the calculation in {nfa,dfa}.c to handle both inputs and outputs. There are a few places where it makes specific assumption that the Kleene algebra is the free Kleene algebra ( = regular expression algebra). And that has to be modified, to allow it to be generalized to non-free Kleene algebras, like the rational transductions.
Regular expressions over an alphabet $X$ comprise the Kleene algebra $ℜX^*$ of the rational subsets of the free monoid $X^*$ generated by $X$. Correspondingly, $ℜX^*$ is the free Kleene algebra generated by $X$.
The underlying theory (with respect to which "free" refers to) can be 1st-order or 2nd order.
The 1st-order theory (notwithstanding Conway's "no finite axiomatization" result, mis-stated and mis-applied as a folklore theorem) is a finitely axiomatized algebra consisting of (a) the axioms for a semiring, with an idempotent sum $x + x = x$ (usually denoted $x | x$) ... i.e. a "dioid", and (b) the corresponding partial ordering relation defined by ($x ≥ y ⇔ (∃z) x = z + y ⇔ x = x + y$); (c) the Kleene star operator $x ↦ x^*$, which (d) provides least fixed point solutions $b^* a c^* = μx (x ≥ a + bx + xc)$. (A set of axioms to embody (d) are $x^* = 1 + x x^*$ and $x ≥ a + bx + xc ⇒ x ≥ b^* a c^*$.) That dates from the mid 1990's by Kozen.
The algebra presented by the 1st order theory is not closed under congruence relations (because, in fact, all computations can be represented by a Kleene algebra taken over a suitably defined non-trivial monoid; so the word problem isn't solvable either). The 2nd order formulation - which predates the 1st order formulation - is the closure of the 1st order formulation under congruence. It has (a) the axioms of a dioid and (b) the least fixed points of all rational subsets and (c) distributivity with respect to the rational least fixed point. The last two axioms can be narrowed and combined into a single axiom for the least fixed point: $μ_{n≥0}(ab^nc) = ab^*c$.
Using the terminology in LNCS 4988 (https://link.springer.com/chapter/10.1007%2F978-3-540-78913-0_14), this comprises the category of "rational dioids" = rationally closed idempotent semirings. It has a tensor product ⊗, which was part of the suite of additional infrastructure and expanded terminology laid out in LNCS11194 (pp. 21-36, 37-52) https://dblp.org/db/conf/RelMiCS/ramics2018.html.
The software requires and uses only the 1st order formulation.
Rational transductions over an input alphabet $X$ and output alphabet $Y$, similarly, comprise the rational subsets $ℜ(X^* × Y^*)$ of the product monoid $X^* × Y^*$; and in the rational-dioid category, the rational transduction algebra is the tensor product $ℜ(X^* × Y^*) = ℜX^* ⊗ ℜY^*$ of the respective regular expression algebras.
In turn, that algebra is effectively just the algebra of regular expressions over the disjoint union of $X$ and $Y$ modulo the commutativity rule $xy = yx$ for $x ∈ X, y ∈ Y$, so the process can be adapted and generalized adapted to:
(a) "transducers" - where both X and Y are present,
(b) "generators", where only $Y$ is present and $X = {1}$,
(c) "recognizers", where only $X$ is present and $Y = {1}$ and even
(d) generalizations of these where multiple input and/or output channels are allowed.
Example: the Kleene algebra $ℜX_0^* ⊗ ℜX_1^* ⊗ ℜY_0^* ⊗ ℜY_1^*$ would be for transducers with two input channels (one with alphabet $X_0$ the other with alphabet $X_1$) and two output channels (with respective alphabets $Y_0$ and $Y_1$).

redpajama_set_name: RedPajamaStackExchange


Formerly Sr. Mary Bernard, 87 of Immaculata, PA on May 25, 2016. In addition to her congregation of IHM Sisters, she is survived by her brother-in-law John Zamierowski and many loving nieces, nephews, grandnieces and grandnephews. Predeceased by her parents William D. and Margaret M. Ruch Rapine, siblings Joseph Rapine (Helen) and Margaret Zamierowski. Religious, relatives and friends are invited to her visitation from 8:30am-10:15am, Wed. June 1, 2016 at Camilla Hall, Immaculata, PA 19345; where her Funeral Mass will begin at 10:30am. Int. Immaculata Cem. Memorial contributions may be sent to Camilla Hall Nursing Home, c/o Mission Advancement, P.O. Box 200, Immaculata, PA 19345-0200. DellaVecchia, Reilly, Smith & Boyd Funeral Home, Inc. West Chester, PA; 610696-1181, www.DellaFH.com.


Therapy with my psychiatrist, as well as some other therapy helps..
I now am able to get that loving feeling, as in empathy and being able to care and feel.
As I read on other blogs and can relate to, you gotta stop caring so much about what other think. And really see the world for what it is and how it works.
Life is too short to worry about what someone who don't see and feel things the way you do. But, it's easier to relate now.
Progress with the psychiatrist.. it helps to talk about things.
And I think I'm on the water wagon again, even though alcohol at times is a good thing to relax with.


text:
package org.eclipse.collections.impl.map.mutable.primitive;

import org.eclipse.collections.impl.test.Verify;
import org.junit.Test;

public class FloatLongHashMapSerializationTest
{
    @Test
    public void serializedForm()
    {
        Verify.assertSerializedForm(
                1L,
                "rO0ABXNyAENvcmcuZWNsaXBzZS5jb2xsZWN0aW9ucy5pbXBsLm1hcC5tdXRhYmxlLnByaW1pdGl2\n"
                        + "ZS5GbG9hdExvbmdIYXNoTWFwAAAAAAAAAAEMAAB4cHcEAAAAAHg=",
                new FloatLongHashMap());
    }
}


Takiama updated the task description for T134627: Launcher Not detecting Server side mods.
Takiama changed Severity from severity:major to severity:minor on T134627: Launcher Not detecting Server side mods.
Takiama created T134627: Launcher Not detecting Server side mods.


Philadelphia SEPTA Accident Lawyer - Law Offices of Jeffrey H. Penneys, P.C.
SEPTA has been very tough in the past few years. On accident cases where a Philadelphia SEPTA accident lawyer used to be able to get them to easily pay their passengers damages for personal injuries that occur due to accidents, they are either not paying at all (forcing a personal injury lawsuit), or making low offers in the hopes that the plaintiffs will take the money and run.
I have heard from several people that they took small offers on their Philadelphia SEPTA personal injury cases that were clearly worth much more.
Another development in SEPTA lawsuits is that a recent appeals court ruled that SEPTA is not required to pay their passengers a dime if the bus is completely stopped when an accident occurs. This includes not only making payments for bodily injuries (pain and suffering), but likewise, for paying PIP (Personal Injury Protection) benefits. The law used to be that if you are a passenger on a SEPTA bus, SEPTA had to pay your medical bills up to $5,000, regardless of whether or not SEPTA was at fault for the accident. This is no longer the case. Such payments will no longer be made if the SEPTA bus is stopped when an accident occurs, such as when another vehicle strikes the bus.
I recently had a case resulting in a SEPTA settlement, where the bus had just started moving when it was struck by a vehicle that wasn't paying attention. SEPTA fought hard to avoind paying my client any damages, but at the end of the day, they paid my client not only pain and suffering money, but also paid his medical expenses up to $5,000.
The other vehicle, the one that caused that bus accident, was forced to pay my client much more; but my point is that SEPTA paid because the bus, while hardly moving, WAS in fact moving. That is all you need in most SEPTA cases, movement of the bus.
Taking this thought a bit further, I have also been very successful getting my Philadelphia personal injury clients money both for pain and suffering AND for medical bills even when the vehicle is at a complete stop, but the doors of the vehicle close onto my clients. This happens much more than you would imagine. Often the operator closes the door before the passenger has a chance to fully exit the vehicle, thereby crushing them in between the doors.
Often these types of Philadelphia bus accident cases need to be litigated, because after the passenger extracts herself from between the doors, the vehicle is gone and therefore not reported to the driver. In these types of cases, it helps to have witnesses. At a minimum, it is advised that you immediately call SEPTA OR track down a SEPTA employee in the vicninty and report it to them. Then contact Philadelphia SEPTA accident lawyer Jeffrey Harlan Penneys at 1-800-465-8795, that's 1-800-injury-law. There is no fee unless I win your case.


text:
How do you fight cheating in the NFL? Ban the Patriots from the Super Bowl
It's time to send a message.
Nico Lang— 2015-01-22 05:00 pm | Last updated 2015-12-11 03:42 pm
This has been a terrible, horrible, no good, very bad couple years for the NFL. From a Miami Dolphins scandal that exposed the everyday homophobia inside the league's locker rooms to an ongoing Michael Sam fiasco that further proved the same point, as well a slew of domestic violence charges, America's favorite pastime is also sporting's biggest PR nightmare. Adding to its constant generator of controversy is #DeflateGate (or #Billghazi), Twitter's nickname for yet another scandal surrounding the New England Patriots. According a league investigation, 11 out of 12 footballs from the team's recent 45-7 win over the Indianapolis Colts were deflated by two pounds, violating the NFL's regulations.
Two pounds doesn't sound like much, until you put it into perspective. Yahoo Sports' Dan Wetzel explains that such a reduction is "16 percent below the legal minimum," which gives the Patriots a huge competitive advantage. Reports suggest that Tom Brady likes his balls under-inflated, and it's not likely Brady and head coach Bill Belichick would have been oblivious to the difference. As Wetzel reports, one of the Colts' equipment men noticed the deflated balls from the opposing sideline. It's troubling that none of the referees on duty, who would have been handling the ball the entire game, caught the deception; however, it's even more troubling that the league will likely allow the Patriots to play in the Super Bowl anyway, punished with a fine or a slap on the wrist by taking away draft picks.
Losing a couple college recruits or $100,000 is far from enough to stop the most successful franchise in the NFL.
Losing a couple college recruits or $100,000 is far from enough to stop the most successful franchise in the NFL, a multi-million dollar corporation who can write this off as one of the negative externalities of winning at any cost. In 2007, the New England Patriots were busted for videotaping hand signals from the New York Jets' defensive coaching team during their opening week contest, in which they murdered the Jets 38-14. Investigations revealed that the team had been engaging in such illegal activity since 2000, and former Rams' running back Marshall Faulk believes that spying was behind the Patriots' 2002 win over the Rams in the Super Bowl, the Foxboro-based team's first championship win. According to CBS Sports, Faulk says "the Pats knew almost everything the Rams ran in the first half of that game."
Although CBS Sports' Jason Seidel believes that banning Bill Belichick from the Super Bowl would be enough to send the message that this behavior is unacceptable in the league, this isn't about one game. #DeflateGate throws into question every game the Patriots have played over the course of Bill Belichick's 15-year stint with the franchise. The coach, who reportedly "had no knowledge" of the controversy until Monday, took a team led by a sixth-round draft pick and a undrafted wide receiver to the Super Bowl five times and won three times. That might make him one of the greatest coaches in history or an epic cheater, and in the NFL, it's increasingly hard to tell. Bellicheck is hardly alone: According to NBC Sports, their Super Bowl opponents, the Seattle Seahawks, have "had five players suspended for performance-enhancing drugs since 2011."
#DeflateGate throws into question every game the Patriots have played over the course of Bill Belichick's 15-year stint with the franchise.
As my colleague Dominick Mayer pointed out earlier this week, there's an old saying in the NFL that "if you ain't cheatin', you ain't winnin,'" and it's time for the NFL to finally take a zero-tolerance policy toward cheating. Although taking steroids might seem on another level than deflated footballs (it's just a little air, right?), they serve the exact same purpose: winning at absolutely any cost, even if the cost is the league's integrity. Whether it's suppressing a video of Ray Rice's wife getting beaten or collectively shrugging when a team is shown to be half a decade under the influence, the league has let the outlaws of its wild west run amok for too long.
After penalizing Ray Rice for two games proved to change absolutely nothing, the league must do more than pulling Belichick out for one game. Instead, they need to ban the New England Patriots from the Super Bowl entirely. This might seem a draconian punishment to those who argue that the Pats would have beaten the Colts anyway. After whipping the snot out of the Colts in three of their last matchups, Newsweek's John Walters argues that "Tom Brady and Gronk and the rest of the team would've beaten Indianapolis tossing a rugby union ball." However, Walters says that argument misses the point: "To argue that the under-inflation, or deflation, of the Patriot footballs had no effect on the outcome of the game is to imply that cheating is a necessary evil… Cheating is not a necessary evil, though; it's a scourge."
It might have been "unthinkable" that NCAA football stripped Penn State of 13 years of wins, but that's surely less "unthinkable" than abetting a culture of sexual abuse.
I'm not the first person to suggest ejecting the Patriots from this year's championship game; ESPN's Michael Wilbon came to the same conclusion, but such a conclusion has been widely rejected as utterly ludicrous and "unthinkable." However, the Atlanta Journal-Constitution's Mark Bradley says that didn't stop the league from taking drastic measures in the past. Bradley writes, "It was pretty unthinkable that Sean Payton, who'd won a Super Bowl himself, was suspended for a season for presiding over a team that had affixed bounties to opposing players." It might have been "unthinkable" that NCAA football stripped Penn State of 13 years of wins, blocked the team from four years of bowl games, and imposed a $60 million fine on the organization, but that's surely less "unthinkable" than abetting a culture of sexual abuse.
It might have been "unthinkable" for Major League Baseball to block former Cincinnati Reds star Pete Rose from the Hall of Fame for betting on baseball or banning eight White Sox players for life after they were accused of throwing games for profit, but that's exactly what happened. Gambling in the MLB used to be a common practice, so common that author David Vaught says that's how many players earned a living in the early days of the sport. In The Farmer's Game: Baseball In Rural America, Vaught claims, "It was very often a winner-take-all event where players would bet on their team to win, and the fans would bet on just about anything they could. Since the players were not really paid a regular salary, the only way they could make any money was by betting, and every game featured plenty of it."
The early days of baseball were a game without a lot of rules and regulations, but to become America's favorite pastime, cleaning up the league's image for a wide audience entailed cleaning up its culture. Throughout its history, Major League Baseball has taken a hard stance against gambling and steroid use; according to Sporting News' Stan McNeal, its current policies on PEDs "call for a 50-game ban for the first positive test, a 100-game ban for the second, and a lifetime ban for a third." In recent years, Alex Rodriguez and Miguel Tejada have received respective 162- and 105-game suspensions for using performance-enhancing drugs. But McNeal thinks even that's not enough. It should be simple: If you're caught, you're done. There might be three strikes in baseball, but there should only be one when it comes to steroids.
Why is the idea of taking comprehensive action against the NFL's most unapologetically crooked team so outlandish?
In Major League Baseball, that doesn't seem so crazy, so why is the idea of taking comprehensive action against the NFL's most unapologetically crooked team so outlandish? Simply because it's never done. As the Major League Football overtakes baseball as America's most popular sport, Commissioner Roger Goodell has ratings to maintain. 2014's Super Bowl, in which the Seahawks murdered the Denver Broncos, was the most-watched television broadcast in history, and with the #DeflateGate controversy generating headlines, this year's contest is likely to surpass it. Who doesn't want to see the Seahawks take down the most-hated team in professional sports? Even if you don't care about football and have never heard the name Rob Gronkowski before, you might find yourself wearing a Russell Wilson jersey on Sunday.
Because let's be honest: There's absolutely no way that Roger Goodell is likely to do anything more than he has to, simply because letting Andrew Luck's Colts play instead makes for terrible TV. They simply wouldn't stand a chance. But while you root for the good guys to emerge victorious and the evil-doers to receive their comeuppance on Super Bowl Sunday, ask yourself this: Who is worse—the team that's addicted to winning or the league that won't stop it? In my opinion, the Patriots should beat the Seahawks in a landslide victory next Sunday, one in which every football is deflated to maximum capacity. It might not be the fairytale ending you hoped for, but it's the one the NFL deserves.
Photo via Keith Allison/Flickr (CC BY-S.A. 2.0)
Nico Lang
Nico Lang is an essayist, movie critic, and reporter who specializes in the intersection of politics and LGBTQ issues. His work has been featured in Rolling Stone, The Guardian, The Los Angeles Times, Jezebel, Esquire, and BuzzFeed, among other notable publications.
Denver Broncos New England Patriots Nfl Patriots Roger Goodell Seattle Seahawks


Pattern grade and Quarter Sawn wood is available with some species.
We offer our doors unfinsihed as well as primed, painted and stained. Custom color matching is available on paint and stain finishes as is tinted priming.
All of our doors are available with arched tops. We build your doors with your choice of half round, quarter round, eyebrow and gothic arch.
The center rails (lock rails) on our doors are placed so that approximately 60% of the door is above the rail and 40% below. We can place the rail at most any location or remove it entirely.
We are able to build doors to your specifications should you need specific stile and rail dimension.
Kestrel doors can be made with one or more center stiles. On doors over 36" wide we recommend a center stile.
Custom sized door jambs are avaialbe assembled and in knock down / DIY kit form with and without hinge mortising.
We offer several standard panel cutout designs and can also match your own designs.
While most of our doors have the panel profile on one face only they can be made with the back identical to the front.
Our standard tongue & groove board widths are 2" on the face but can be customized to meet your needs.
We offer a selection of hand printed, painted, dyed and appliquéd panels as well as plain duck material. You can also use your own material or have our artist work with you on your own custom design.


Jimbo Bernardo of La Storta/9-Fenwick received the High Distinction award for his participation in the 2018 Australian Mathematics Competition (AMC). The award is given to those who ranked among the Top 1%. Jimbo was unable to attend the award ceremony held last January 12, 2019 at Grace Christian College in Quezon City because he was competing in another math tournament that day.


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45 Motivation can be split into four categories, 46 but it is often simply split into two distinct forms: the instrumental and the integrative. The first group of..
#8: A Legendary Spell / Grammar Checker. The account language and document language must both be English. The apps are typically shortcuts to webpages, but the extensions are..
" 4:03. 1 Two instrumental versions of it are played in the finale episode, " Take care of yourself. Problems playing this file? Anime Speed 26 Anime Speed Beef Edition (Quiqman Mix) 27 Happy Speed (Quiqman Mix) 28 Himetra Speed (Quiqman Mix) 29 Mint version Himetra Best 30 Himetra Anime*Mix 31 Diana Gross (a.k.a. Showonem yo, shinwa ni nare. Masami Okui included a cover on her cover album Masami Kobushi, and otaku tarento Shoko Nakagawa has a cover version on her first anime theme cover album Shoko-tan Cover: Anison ni Koi o Shite.
Citation needed A similar, but sparser, version can also be heard during the intermission between the two parts of Evangelion: Death and Rebirth. "Neon Genesis Evangelion Theme Gets An Official HD Music Video". Dakedo itsuka kizuku deshou, sono senaka ni wa, haruka mirai mezasu tame. Even knowing I'll never be a goddess or anything like that, I live. Select 19975 on the drop-down menu Gold Disc Certifications (in Japanese). Stopping time all throughout the world I want to confine them, but. " Zankoku na tenshi no tze 2009 version (off vocal 4:26. A similar version can also be heard during the intermission between the two parts. Omoide wo uragiru nara, kono sora wo daite kagayaku, shonen yo, shinwa ni nare. Zankoku na tenshi no teeze Madobe kara yagate tobitatsu Hotobashiru atsui patosu de Omoide wo uragiru nara Kono sora wo daite kagayaku Shnen yo, shinwa ni nare References).