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US7541935B2 - System and methods for monitoring caregiver performance - Google Patents
System and methods for monitoring caregiver performance Download PDF
plurality
Barton Dring
ProactiCare LLC
2005-05-19 Application filed by ProactiCare LLC filed Critical ProactiCare LLC
2006-07-03 Assigned to PROACTICARE LLC reassignment PROACTICARE LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: DRING, BARTON, ROSS, JOHN
A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
A61B5/1113—Local tracking of patients, e.g. in a hospital or private home
A61B5/1115—Monitoring leaving of a patient support, e.g. a bed or a wheelchair
A61B5/002—Monitoring the patient using a local or closed circuit, e.g. in a room or building
A61B5/1118—Determining activity level
A61B5/1126—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb using a particular sensing technique
A61B5/44—Detecting, measuring or recording for evaluating the integumentary system, e.g. skin, hair or nails
A61B5/441—Skin evaluation, e.g. for skin disorder diagnosis
A61B5/447—Skin evaluation, e.g. for skin disorder diagnosis specially adapted for aiding the prevention of ulcer or pressure sore development, i.e. before the ulcer or sore has developed
G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
A61B2562/04—Arrangements of multiple sensors of the same type
A61B2562/043—Arrangements of multiple sensors of the same type in a linear array
A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
A61B5/6892—Mats
Systems and methods for monitoring the performance of a caregiver are disclosed. The systems may be configured to monitor the movement of each caregiver in a network of caregivers. One such system includes a plurality of strips adhered in spaced-apart relation on a mattress pad, upon which a subject is positioned. One or more transmitter is provided coupled to the plurality of strips. A processor in connected to the one or more transmitter. The processor is provided with operating software to record and report caregiver activity or both caregiver activity and subject activity.
The present invention relates to systems and methods for monitoring subjects, such as human subjects. More particularly, the present invention relates to systems and methods for monitoring and reporting caregiver performance in a healthcare setting related to care of a subject on a subject support device, such as on a hospital bed or nursing home bed.
Many subjects in nursing homes may not have the physical capability to turn or reposition themselves in a bed and in such a case, depend upon staff members, typically a Certified Nursing Assistant (CNA) or other caregiver, to move them. This scenario may also occur in a hospital or similar setting. In many instances it is a requirement or medical necessity that the subject be turned in bed frequently at a specified interval, such as for example, every two hours, to prevent the development of tissue or skin breakdown, which can severely compromise health, comfort, and quality of life. Failure to periodically move the subject can result in what is commonly known as pressure sores or "bedsores".
What is needed is a system and method that can monitor the movement of a subject, patient or resident, (hereinafter referred to simply as "subject") so that movement of the subject can be detected, tracked, recorded and reported. Accordingly, systems have become available which alert a caregiver when a subject has moved or left the bed. Some of these systems have sophisticated means of determining the position of the subject on the bed. As used herein, the terms "CNA" and "caregiver" are used interchangeably and refer to a person providing care to an individual subject or subjects. Such a system and method may be used to monitor when a subject leaves and returns to the bed and detect and monitor patterns of movement. In many cases, subjects are unable to stand or walk from their bed unaided; however, these subjects attempt to exit their bed in a weakened condition and are at risk of falling and associated injuries. The system has the inherent ability to provide a signal when a subject has exited their bed and will notify the responsible caregiver of this situation.
These systems do not have a means to allow nursing home administrators, hospital supervisors or healthcare managers (hereinafter referred to as "clients") to confirm that a CNA or the like has performed his or her duty to move the monitored subject. The present invention addresses this need.
The present invention is directed to systems and methods for monitoring the performance of a caregiver. Simultaneously, the present invention is directed to systems and methods for monitoring the movement of each subject in a network of subjects and the response of the caregiver.
One system is shown to include a plurality of sensors, preferably in the form of strips disposed in spaced-apart relation to a mattress pad. The strips extend longitudinally from the head end of the mattress pad. The mattress pad is configured to be placed on top of a mattress, and to then be covered by a standard nylon slip-cover or the like that fits over the mattress and the mattress pad.
All software aspects of the invention have been written to be portable to multiple operating systems and hardware platforms. Open source applications and development tools have been used to limit downstream system, licensing and development costs. Web browser based data entry and reporting systems have been used to reduce client costs and allow users to interact with the system on familiar interfaces and hardware. It also allows handheld devices, pagers, cell phones, tablet PCs, etc. to be used without additional software development costs. Raw data is always stored so future enhanced data analysis tools have access to the original data. Multiple levels of security are used to protect the integrity and confidentiality of the data.
This system may include hardware and functionality in order to function as a bedside based undergarment moisture detector. In such a case, transmission of moisture data from patient undergarment to bedside would be performed via Wireless link such as RFID, ZigBee™, IR, Bluetooth™, etc. A small probe, such as a very thin wire is penetrated through the outer plastic surface into absorbency material. The probe could be designed to penetrate the backside of undergarment and be positioned where it could detect moisture. A very thin wire could run from the sensor to a small transmitter which would be attached to the front undergarment waistline of the subject. This front side transmitter could be a low cost, high efficiency, reusable transmitter which would enable data to be transmitted area wide or to the bedside DCT. At a predetermined value, the CNA could be notified that the subject was in need of an undergarment change. The major advantage that the CNA would no longer need to perform periodic checks, but only when specifically needed.
A nurse call module is provided and is adapted to be used as a device able to detect when a nurse call is placed on a conventional system and when it is answered. As the call is placed, the inline module detects a nurse call signal and then independently sends this signal back to the bedside DCT which then transmits it to the central processor where it is time and date stamped, and then incorporated into the database relative to the patient and/or DCT ID. In addition to the conventional audio and visual signals generated during a nurse call, the system also pages, emails or notifies via mobile phone that a subject is in need of assistance. Once the care has been rendered, the CNA would switch off the bedside nurse call device which would also signal the spy device to stamp the database with a time and date. The proposed device would be an in-line component which would be "jacked" into the wall and then the nurse call connector would be snapped into this device. The spy device could communicate to the DCT or other type of bedside transmitter via a hard wire or wireless connection. The major advantage of the system of the present invention is that the existing nurse call system would perform as intended, with the added advantage of verifiable care giver performance response time, thus allowing a better method of caregiver quality control.
A proposed system could also act as a bed alarm, monitoring when the bed is occupied or when it is empty, thus allowing the caregiver to be notified when a high risk "fall" subject is out of bed and in danger of falling while unattended. This warning system could be linked to the existing in-house audio and visual indicators as well as nurse station computer screen notification in addition to mobile phone, pager and other communication systems.
The DCT has an excess of bandwidth in both its wireless and hardwired configurations. This additional capacity combined with its current function as a bedside data collection and transmission device provides tremendous opportunities for additional in-room capabilities. Some of these concepts include voice, data and video communication, including a room call and patient audio and video monitoring. Other capabilities include high bandwidth devices such as sensors or monitors plus in-room internet connectivity.
Additional features of the invention will become apparent to those skilled in the art upon consideration of the following detailed description of preferred embodiments exemplifying the best mode of carrying out the invention as presently perceived.
A detailed description particularly refers to the accompanying figures in which:
FIG. 1 is a schematic view of the monitoring system;
FIG. 2 is a cutaway perspective view of the head end of a mattress pad with sensors according to an embodiment of the invention;
FIG. 3 is a top plan view of the mattress pad and sensors;
FIG. 4 is an elevation view of the mattress pad;
FIG. 5 is a top plan view of a mattress pad and sensors covered by a mattress cover according to another embodiment of the present invention;
FIG. 6 is an elevation view of the mattress pad of FIG. 5 and a mattress, both of which are covered by a mattress cover;
FIG. 7 is a cutaway view of part of FIG. 5, showing the mattress, mattress pad, and fastener, all of which are covered by the mattress cover;
FIGS. 8-12 each show a subset of operational steps of a data collector transmitter and the software therefor according to a method of operation of the present invention;
FIGS. 13-20 each show a subset of operational steps of the data server software according to a method of operation of the present invention;
FIG. 21 shows a "Home Page" according to an embodiment of the present invention;
FIG. 22 shows a "24 Hour Facility Activity Report Page" according to an embodiment of the present invention;
FIG. 23 shows a "View Room Groups Page" according to an embodiment of the present invention;
FIG. 24 shows a "Patient Reports Page" according to an embodiment of the present invention;
FIG. 25 shows a "Monitor Reports Page" according to an embodiment of the present invention;
FIG. 26 shows a "Room Status Reports Page" according to an embodiment of the present invention;
FIG. 27 shows a "Patient Administration Entry Form Page" according to an embodiment of the present invention;
FIG. 28 shows a "New Bed Monitor Entry Form Page" according to an embodiment of the present invention;
FIG. 29 shows an "Edit Room Groups Form Page" according to an embodiment of the present invention; and
FIG. 30 shows an "Edit Room Administration Page" according to an embodiment of the present invention.
DETAILED DESCRIPTION OF EMBODIMENTS OF THE INVENTION
A system 31 for monitoring the performance of a caregiver relative to movement of a single subject 32 or a plurality of subjects 32 is shown in FIG. 1. Illustratively, subject 32 is positioned on a bed 34, but it should be understood that other subject support devices, such as chairs, wheelchairs, or the like, are within the scope of the invention. Accordingly, all of the attributes of the system described herein can be applied to any type of subject support device.
As shown in FIG. 1, system 31 includes a plurality of beds 34, each having a sensor 36 that is in communication with a central processor 38, such as that which can be found in the computer shown in FIG. 1. The sensor 36 may be a single sensor or preferably a sensor array including a plurality of individual or separate sensor units. The central processor 38 may take the form of other computing devices having the capability of detecting changes in the status of sensors 36 and outputting an alarm, notice or report, for example. The system 31 preferably uses a web browser based reporting system. Reports are generated on a web server (not shown) and viewed on standard web browsers with no special software required. The data is presented in a hierarchical fashion giving a quick overview as well as the ability to drill down to the lowest level of interest. The reporting system is designed to quickly identify areas of the facility that may need attention. Other functions of the central processor 38 will be explained in more detail below.
The sensors 36 may include electrically conductive strips, which when they are brought into proximity or are permitted to disconnect, undergo a change of state with respect to, for example, opening or closing a circuit.
Other sensors are also contemplated that are capable of sensing a change of position or status of a subject, such as pressure sensors, heat sensors, and so on. The sensors 36 may include conductive material, such as conductive paint, plastic, metal or any other material that when triggered functions to register or detect a change of status of a subject operatively associated with the sensor and generate or permit the generation of a signal or event therefor.
Sensors 36 may communicate with processor 38 via a wireless (WiFi) connection, using wireless transmitters 40 that communicate with a base station 42 that is connected with processor 38. The transmitters, both shown at 40 and 46, and based on a Motorola IC, part no. 33794, are also known as a data collector transmitter (DCT), which is a slave device that transmits data to a master device 38 using a predefined protocol. The protocol is designed to be compatible with a wide range of networks including, but not limited to RS232, multi-drop RS485 as well as higher level networks such as Ethernet, Bluetooth™, ZigBee™, 802.15.4 and WiFi. Addressing and error detection is provided at the lowest level of the protocol for use on simple RS485 type networks.
The data gathering master device 38 is used to collect data from the slave DCT units 40, 46. The device 38 requests data from each DCT 40, 46 at the desired data rate. Preferably, the data gathering master device 38 is a networked PC running applications designed to communicate with as many as several hundred DTC units 40, 46 at the same time. It is a multi-threaded, object oriented, fault tolerant program that can recover from network and DCT 40, 46 problems in real time without affecting data gathering on the rest of the system 31. The device 38 may store all data into a standard SQL relational database 39.
The master device 38 may be a standard PC running a Java application. The program reads and writes to a database 39. The device 38 uses conventional programming to interface with the database 39, so portability to other databases is possible. The device 38 polls the database 39 at regular intervals to determine the number of clients (DCT units or installations) it needs to communicate with. Each DCT device 40, 46 has a unique address and communication rate stored in the database 39. The device and the applications running thereon are multi-threaded so problems with individual devices and network latency do not affect other devices and program performance. If one slave device 40, 46 is not responding, all other devices will still return data at the predetermined rate. The device 38 will continue to try to regain communication with the non-responsive slave until it is successful or the entry in the database is removed. The data received from the slave devices 40, 46 is stored in the database 39. The data is time stamped and referenced to the slave device 40, 46. To reduce the database growth, if there is no movement by the subject, or if the subject is no longer in bed, the recorded sensor values will be at wider intervals. However, once movement is again detected, the system will be triggered to begin collecting data at a more rapid and predetermined pace allowing full resolution of the subject movement. Even if the minimum change amount has not occurred, data will at least be stored at a predetermined interval such as once every 10 seconds, for example, or at any suitable interval. The master device 38 is intended to run autonomously.
The sensor pad 36 is connected to the DCT 46, which includes a microcontroller. The microcontroller has custom software written in the C programming language. The microcontroller constantly polls the sensor looping between the 9 electrodes of the sensor 36 using one of several built in 10-bit analog to digital channels. The microcontroller can calibrate the system to adjust the output of the electrodes so they all read roughly the same value when no subject 32 is in the bed 34. It can also adjust the high and low end points of the sensor values to use the full 10-bit range. The calibration values are stored in non-volatile EEPROM so they are not lost if the power is interrupted or removed. The read values are adjusted by the stored calibration and stored in RAM. The values in RAM are then used to quickly respond to the master device when requested.
All communication is done with the microcontroller using a serial data protocol. The protocol uses an 8-bit address and a 16-bit CRC to insure data integrity. While the address and CRC are not needed with higher-level networks like Ethernet, they allow the use of future, simpler networks like RS485. The DCT 40, 46 currently uses an OEM serial to Ethernet device (not shown), but another embodiment includes integration into the microcontroller.
Although wireless transmitters 40 are shown in FIG. 1 to be separate from sensors 36, and connected with a wire 44, it is within the scope of the invention to combine the wireless transmitter 40 with the sensor or to place it in other locations, such as within a bed mattress. Wireless transmitters 40 are illustratively capable of collecting data from its associated sensor 36. The system 31 is preferably configured so as to be capable of handling upwards of a hundred beds or more that may comprise a hospital network or a nursing home network, for example.
As an alternative, a transmitter 46 may be used, the transmitter 46 having a wired (e.g., Ethernet) connection with processor 38. Illustratively, transmitter 46 uses an Ethernet network consisting of Ethernet cables 48 and an Ethernet hub 50 that is in communication with processor 38. Of course, system 31 may include both wireless and Ethernet elements, and may be connected via other means and/or protocols, such as coaxial cable, electrical wires, radio frequency, Bluetooth™, ZigBee™, 802.15.4 or any other manner for communicating data that is known in the art.
As can be seen in FIGS. 2-7, sensor 36 comprises a mattress pad 54 having an array of parallel conductive fabric strips 58 adhered thereto. Strips 58 extend longitudinally along the mattress pad 54, starting at the head end 60. A fastener 52 may be coupled to one end of each of the strips 58 at the head end 60 of the mattress pad 54. While the illustrated embodiment contemplates the adhesion of the strips 58 to an upper surface 64 of the mattress pad 54, it should be understood that other configurations and fastening methods are within the scope of the invention, including the placement of the strips 58 within the pad 54, or on top of another surface such as directly on top of a mattress 56.
In the illustrated embodiment, strips 58 are evenly spaced at an interval A (shown in FIG. 3), such as four inches. Strips 58 are illustratively width B, which is approximately one inch in the presently shown embodiment.
Mattress pad 54 is illustratively a half-inch thick urethane foam pad that is cut to the same dimensions as a mattress 56 on which it is to be positioned. Such urethane foam is flame retardant, thereby meeting the FF 4-72 (cigarette test) standards for flammability set forth by the Consumer Product Safety Commission. Furthermore, the foam preferably conforms to the California Technical Information Bulletin No. 117 regarding combustibility.
In the illustrated embodiment, nine strips 58 are positioned in parallel orientation to run longitudinally from the head end 60 of mattress pad 54. Each of the strips has an adhesive bottom surface (not shown) that is configured to adhere to the mattress pad 54. The adhesive surface is illustratively a pressure sensitive adhesive (PSA), however, other adhesives are within the scope of this invention. After each of the strips 58 is adhered to a top side 64 of the mattress pad 54, the entire mattress pad is overlaid with a flame retardant polyester cloth 55, (FIG. 7) thereby capturing the strips 58 and functioning so that the strips remain securely in place throughout the life of the mattress pad.
Strips 58 may be any suitable thickness, such as approximately 0.008 inches thick and made of a conductive laminated fabric. The laminated fabric is flame retardant with a UL 94 V-0 rating. One example of such a fabric is manufactured by Laird Technologies of St. Louis, Mo.
As can best be seen in FIGS. 5-7, which shows another embodiment of a portion of the present invention, an outer mattress cover 62 is positioned over mattress 56 and overlying mattress pad 54 so that the entire sensor 36 is removed from direct contact with sheets or a subject. Mattress cover 62 is preferably a standard nylon covering used over a standard nursing home mattress.
As can be seen in FIGS. 2, 3, and 7, a fastener 52 is pressed into each of the strips 58, providing an electrical connection therewith. Fastener 52 may be a male metallic snap fastener that functions as the connection point between the conductive fabric and a connector harness 44.
The connector harness 44 links the array of strips 58 to either a wireless transmitter 40 or a standard, wired transmitter 46 (FIG. 1). As mentioned above, the transmitter 40, 46 functions as a data collector and a transmitter of such data. In one embodiment, the harness 44 may include nine coaxial conductors approximately 30 inches in length. Each of the individual coaxial conductors is approximately ⅛ inch in diameter. At the end proximal to the mattress pad 34, each of the coaxial connectors is terminated by a ⅛ inch crimp-on ring terminal, which allows simple and secure attachment to the array of strips utilizing the female snap ring to capture the ring connector (not shown).
The end (not shown) of the harness 44 which attaches to the transmitter 40, 46 may include a D-Sub 15-pin male connector. Each of the nine coaxial center leads (not shown) may be individually crimped into a connector pin and inserted into locations within the connector back shell. Each of the nine outer shields from each coaxial conductor may be soldered with a "drain wire" or alternately, stripped and combined into a single termination which may be soldered together to ensure proper termination, and covered with a heat-shrink insulator. All nine drain wires may then be combined into a single conductor and crimped into the conductor as a tenth pin connector. Through the use of coaxial conductors, signal integrity to and from the array of strips 58 tend to be consistent and reliable during operation.
The back shell (not shown) also permits the ability to monitor and verify whether the connector is securely attached to the transmitter 40, 46. A wire loop (not shown) can be configured to connect to two specific pins within the back shell. Alternately, a single wire may be used with the actual metallic back shell, used as the other conductor, and acting as a complete circuit when connected. When the wire completes the simple circuit within the transmitter 40, 46, the electronic circuitry will indicate that all systems are functional. Should the connector unfasten from the back of the transmitter 40, 46 the circuit will be broken, which will immediately flag the system 31, advising that the connection between the array of strips 58 and the transmitter 40 (or 46) has been broken.
The transmitters 40, 46 utilize E-field sensing technology combined with a programmable microcontroller that acts as the computing portion of system 31. The transmitter 40, 46 performs multiple functions by communicating with the array of sensors 36 and then transmitting this information to a remote database 39 (FIG. 1) for interpretation and review. The database 39 stores data for the facility, room groupings (wings, floor, building, etc.), rooms, and subjects 32. The database 39 also stores addressing and configuration information for the DCT units 40, 46. Finally, the database 39 also stores all of the logged information from the DCT units 40, 46.
The database 39 also stores other data related to the installation facility. This allows data to be correlated to the facility, facility zones, caregivers and subjects. The facility information is entered into the system 31 using a web browser. The interface is designed to allow very efficient data entry.
Each DCT 40, 46 generate a unique e-field to each of the nine strips 58 within the array of strips. As each of these strips 58 are energized with a very low e-field, within milliseconds, a unique signal is returned relative to the size and position of the subject 32 above the strip 58. In the present embodiment, this is performed continuously across all nine strips 58, taking full positional information twice every second. Any change in the position of the subject 32 generates a change in the electrical field of the array of strips 58. Other schemes are also contemplated, such that sufficient information is collected to detect movement of the subject 32.
Once a transmitter 40, 46 has received the information from the array of strips 58, the information is converted into a digital code and sent via network to an onsite computer 38 (FIG. 1) for inclusion into a database 39 (FIG. 1) correlated to specific bed information, along with a time and date stamp. The transmitter 40, 46 is designed to be flexible in its data transmission mode and can be utilized in a hard wired or wireless network mode, as disclosed above.
Each transmitter 40, 46 can be powered by a 12-volt wall-mounted power supply capable of a maximum 500 milliamp current draw. Alternately, it is envisioned that an internal power source could be utilized in lieu of an external power source. Examples include lead acid, NiMH, and fuel cell type power sources. The transmitter 40, 46 also incorporates a solid state, resettable fuse insuring that the current will be cut off should there be any reason that current is drawn above the required power draw for the device. The housing for the transmitter may be formed by injection molding with ABS plastic having a flame retardant rating of UL94 V0.
Ethernet hub 50 can be a standard 10/100 hub that can be found at any computer or electronic store. Base station 42 can also be a standard wireless/hard-wired base station that can communicate, for example, over the 802.11 standard for wireless communications. It should be understood, however, that other configurations are within the scope of the invention, for example, base station 42 and Ethernet hub 50 could be combined into one device. System 31 can be configured to notify selected persons, i.e. nursing home or hospital management, via pagers 53, cell phones 51, e-mail 49, (see FIG. 1), fax, etc. through an Internet connection 47, wired or wireless or any suitable communication means or method.
System 31 can also be connected to the Internet 47 (FIG. 1) to permit remote access via either an in-house web page or a secure connection utilizing a standard web browser. The client interface may be entirely web browser based. The web pages may be served from a Windows Internet Information Server (IIS) using the PHP scripting language. The clients can see the data as pure standards based HTML without any special applications or plug-ins required. This allows any browser and operating system to access the system. Varying levels of access can be granted for access to the data stored by the system 31.
A software program manages the microcontroller, providing control of the E-field. It also routes the data out of the transmitter 40, 46 and into the network.
The processor 38 functions in at least two capacities: data gathering and incorporation into a database 39 (FIG. 1) stored in or in communication with processor 38, and data interpretation and report generation. The database 39 can track the data from each of the transmitters 40, 46 on a continuous basis. In the present embodiment, information from each strip 38 in the array of strips is stored and time stamped twice every second. The database 39 then stores the information and can group the information, for example, to track: (a) unique bed, floor/wing, and facility information relative to a caregivers responsibility (b) individual subject position data as a function of time (c) transmitter information relating to IT addresses and other hardware characteristics and (d) facility names and other identifiable characteristics.
The database 39 stores data from each transmitter 40, 46, which can be time-stamped for analysis and interpretation. Through the use of data analysis processes executed by software (detailed below) meaningful indicators can be established to confirm caregiver activity and the associated subject movement relative to specified medical orders. The output data may be selectable so as to provide a morning report giving a brief overview of caregiver performance on targeted subject rotations. Additionally, weekly and monthly performance reports may be created and can again be arranged by a particular caregiver.
In operation, the system 31 may be used as follows. A facility manager may review a status report displayed on or printed through processor 38 upon his/her arrival at the beginning of the shift. Such a status report could show the performance of caregivers on the prior shift, as well as any movement of the subject 32. The report could correlate movement or caregiver-initiated movement with that ordered by a physician. Other reports may be executed that show movement over a longer period of time, or even that show performance of a particular caregiver over a period of time. Results could also be color coded, could be arranged by building wings or groups of rooms, or arranged in any other manner that is intuitive or preferred to the management. Information could be password protected in order to prevent the breach of security.
It is an advantage of the system 31 that no direct subject contact need occur and the system is nearly completely out of sight from the subject 32. In the event that the system 31 is disabled or switched off, no adverse side effects will occur since the system is not attached to the subject. Furthermore, the immediate health of the subject is not dependent upon the operation of the system 31.
FIG. 8 shows the initialization sequence of the data collector transmitter (DCT). The DCT is powered on 102. The hardware portion of the DCT is initialized 104 and an indicator, such as an LED is used to indicate start-up, preferably by blinking on and off or by displaying a predetermined first color 106. Interrupts and timers are enabled 108. Configuration and calibration data is read 110, preferably off of a non-volatile device, such as non-volatile EEPROM. Variables are initialized and the first sensor is selected 112. The program then enters an infinite loop of reading the sensors in sequential order. The process waits a predetermined amount of time while the sensor settles 114. At step 116, the DCT begins to read the sensor. The microprocessor will generate an interrupt when the analog to digital conversion is complete. Before the process loops back to step 114, it checks to see if a completed calibration needs to be saved 118. When an analog to digital conversion completes, an interrupt occurs (FIG. 12) and the value is saved to RAM 164. At this time, calibration calculation and/or digital filtering may occur, depending on the current mode of operation. The current sensor number is then indexed 166 to the next number or returns to the first number if the highest numbered sensor was just read 168.
The serial data receive process is also interrupt based (FIG. 9). An interrupt is generated for each character received. A communication timer is restarted 124 after the receipt of each character to clear the buffer if partial messages or erroneous data are received (FIG. 11). Each character is analyzed in sequence to determine when a full message is received 130-146. A CRC (Cyclic Redundancy Check) is then calculated 142 and checked for errors against the message for errors. If anything is wrong with the message, the buffer is cleared 134 and the DCT waits for the next message. If the message is valid, the DCT responds with data and actions are taken. Modes are set as required 144.
A general purpose timer (FIG. 10) also generates an interrupt on a periodic basis. On each of these interrupts, the DCT does a general status check to determine if any problems have occurred; such as sensor cable disconnection or other communications errors. The fault LED will toggle state 152 at this time if a fault exists.
FIG. 12 shows the startup sequence of the data server. The graphical interface is initialized, and then a "collection" is created to track the active slave devices (DCTs). A timer is started that will periodically check the database to determine if new DCTs need to be added to the collection or if any need to be removed.
When the DCT check timer event occurs, (FIG. 14) the active DCT list is read from the database. The program loops through the records to determine if any DCTs are new or need to be removed.
Each DCT is communicated with using its own program thread (FIG. 17). This prevents problems with other DCTs from affecting communication with other DCTs. At the creation of each thread, a log interval timer is set up 208. A network connection is then attempted to be established 210. This will loop forever until a connection is established or the thread is terminated. The main server thread is informed of the current connection status of each thread 214, 216. If a connection is established, the log interval timer is then started 218.
When a log timer event occurs 222, a message is sent to the DCT requesting current sensor values. The thread will then wait until the data received event occurs (FIG. 20). The message will be verified for integrity 244. Valid data messages will generate an event 250 for the main server thread (FIG. 15).
When DCT data received events occur, (FIG. 15) the server stores the data in the database, time stamped and tagged to the patient 200. When DCT threads detect a change in status of the DCT, it will generate a status change event. When these events occur, the main server thread updates the interface and writes to the database.
The system 31 user software is preferably designed to operate as a web based system with the functionality of being easily accessed on-site or from a remote location using a standard web browser, e.g., Microsoft Internet Explorer™ or an equivalent thereof. The browser enabled interface (see FIG. 21) is designed to operate independently from all other software elements within the system 31, including the "bed logs" database 39 and data collection 36, 40 portions of the overall system. The "Home Page" 100, shown in FIG. 21, is also the main screen which all users will first encounter when interfacing with the system 31.
The home page 100 is broken out into two main sections, a report generating portion 102 and administrative portion 104 including patient, monitor and room information. All of these individual sections may be password protected depending on the pre-determined authorization of the end-user. At any time within the various sub-menus, the logo 106 may be clicked which will take the user back to the home page 100.
An objective of the system 31 is to insure that while a patient is under the care of a healthcare professional; all rotations are performed at the specified intervals as dictated by medical orders. The system 31 will continuously provide critical caregiver performance data detailing the type of movement performed and most importantly time and date of these interactions insuring that a formal record of performance is established.
The "24 Hour Facility Activity Report," 110, FIG. 22, is intended to act as a quick facility scorecard, which will visually indicate overall performance of all assigned caregivers, relative to all rotations required throughout the entire facility duty shift. This record will be typically reviewed by a manager or supervisor at the end of a facility shift. Although the report described is based on a 24 hour duty cycle, additional reports will include other durations including real-time information, weekly or monthly performance indicators.
Three simple visual indicators 112 will show green, yellow or red, for example, describing level of performance within the facility. If the indicator is green, this may confirm that all rotations within the facility were performed according to specified medical orders. If the indicator is yellow, this may mean "caution" which points to the fact that specific patients may not have been rotated as required by medical orders and/or at the specified times. Additional investigation may be required to determine what had transpired during the interval under question. The red indicator may specify that there may have been significant portions of the patient rotation regimen not completed. Near the bottom of the page 114, the end user can click on the "View Room Groups" to drill down further into caregiver performance data relative to individual caregivers on specific floors or facility wings.
The View Room Groups screen 120 (FIG. 23) is designed to show room groupings within a facility, which are typically tied to a specific caregiver during their duty shift. This information will allow facility management to determine which specific rooms, beds and the specific patients that were not rotated during a set period of time.
The Patient, Monitor and Room Status Reports, 130, 140, and 150 (see FIGS. 24-26) are displays which provide the accurate and up to date information for the system 31. Patient Status Report 130 provides the location of the patient by both room and overall grouping. This insures that the information to be also tied back to the specific caregivers' responsible for these specific room groupings. The Monitor Status Report 140 advises which monitors are available for use within the facility and also which units are currently in service at the patient bedside. Additional information includes serial number, patient name that is tied to the DCT and IP address. Other information includes data collection intervals for each patient. The Room Status Report 150 details patient name, Data Collector Transmitter (DCT) serial number, room number and overall room grouping.
The Patient Administration Entry Form 160 (see FIG. 27) provides a simple and effective method to enter patient data into the system records 39. Additional information required includes Room Group, Room Number, turn frequency (default 120 minutes) and allowable turn window (e.g., 15 minutes). Ideally a patient should be rotated precisely at the prescribed turn frequency, for example every two hours, however, due to actual workload and other demands on caregiver time; they may not be able to rotate a patient at an exact time interval. The allowable turn window will provide an additional time range which allows the caregiver to perform a specified or required rotation within a pre-set time interval, for example 15 minutes beyond the two hour turn frequency. Should a patient remain unturned beyond the established turn window interval, the system will "flag" this record providing the manager with an indicator that the caregiver has missed a turn. The entry form also allows editing of the patient information in the event the patient changes rooms or leaves the facility.
The New Bed Monitor Entry Form 170 (see FIG. 28) is intended to allow facility managers to add new monitor devices to the facility. It also allows several selectable functions regarding data transmission via either hardwired or wireless link. Other features include assignable query rate, maximum log intervals, patient info and activation check box (turn on or turn off communication with DCT). This entry form also allows editing of existing monitor information.
The Edit Room Groups Form 180 (see FIG. 29) allows easy addition, modification or deletion of specific room groupings. Typically these room groups will be tied directly to specific caregiver room assignments within a facility, thus tying the assigned caregiver to their grouping of rooms. Once the room groups are set, only patient rooms falling within these groups will be in the dropdown menu. For example if there is a "South Room Group" only specific rooms that are pre-assigned during setup will be within the dropdown menu. Other rooms within the facility will be tied to their proper, pre-determined room group. In addition, a full report may be viewed detailing all room groups within a facility
The Edit Room Administration Form 190 (see FIG. 30) will allow a facility manager to add, modify or delete rooms within a specific room group. There is also a feature to view the specific rooms and how they relate to specific room groups.
Other features such as data export, import, analysis and graphic visualizations may be considered important in the expansion and enhancement of the system 31.
While the disclosure is susceptible to various modifications and alternative forms, specific exemplary embodiments thereof have been shown by way of example in the drawings and have herein been described in detail. It should be understood, however, that there is no intent to limit the disclosure to the particular forms disclosed, but on the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the disclosure as defined by the appended claims.
There is a plurality of advantages of the present invention arising from the various features of the subject monitoring system and associated method described herein. It will be noted that alternative embodiments of the subject monitoring system and associated method of the present invention may not include all of the features described yet still benefit from at least some of the advantages of such features. Those of ordinary skill in the art may readily devise their own implementations of a subject monitoring system and associated method that incorporate one or more of the features of the present invention and fall within the spirit and scope of the present invention as defined by the appended claims.
1. A system for monitoring performance of a caregiver, the system comprising:
a mattress pad;
an active capacitance sensor attached to said mattress pad, each said active capacitance sensor capable of sensing movement of a subject and capable of generating a signal resultant from the movement of the subject, wherein said sensor includes a plurality of fabric strips manufactured from a conductive material;
a processor in communication with said active capacitance sensor, said processor being provided with computer readable code for tracking information relative to the caregiver and generating a report related to the performance of the caregiver.
2. The system of claim 1, further comprising a plurality of said mattress pads, each said mattress pad having one or more of said sensor attached thereto.
3. The system of claim 1, wherein said sensor includes a plurality of sensors longitudinally adhered to said mattress pad in spaced apart intervals.
4. The system of claim 3, further comprising a plurality of electrically conductive fasteners, each fastener engaging a respective one of said plurality of sensors.
5. The system of claim 1, wherein said sensor is capable of detecting a change of orientation or position of the subject.
6. The system of claim 1, wherein said mattress pad is a urethane foam pad.
7. The system of claim 1, further comprising a transmitter for transmitting signals generated by said sensor and conveying said signals to said processor.
8. The system of claim 7, wherein said transmitter is wireless.
9. The system of claim 7, wherein said transmitter is further configured to collect signal data prior to transmitting said signal data.
10. A system for monitoring the performance of a caregiver, the system comprising:
a plurality of mattress pads;
a plurality of strips configured to adhere to each of said plurality of mattress pads, each of said plurality of strips comprises a conductive fabric material having an active capacitance electrical field sensitivity and capable of creating signals based on the electrical field sensed, wherein said electrical field sensed is directly received from a subject positioned on one of said plurality of mattress pads;
a plurality of transmitters, each of said plurality of transmitters being coupled with said plurality of strips adhered to one of said plurality of mattress pads; and
a processor in communication with said plurality of transmitters; said processor being provided with computer readable code for tracking information relative to the caregiver and generating a report related to the performance of the caregiver.
11. The system of claim 10, wherein each of said strips is longitudinally adhered to each of said mattress pads in spaced apart intervals.
12. The system of claim 10, wherein each of said strips extends from a head end of each of said mattress pads toward a longitudinally central portion of each of said mattress pads.
13. The system of claim 10, wherein each of said strips is capable of detecting a change of orientation or position.
14. The system of claim 10, wherein said processor receives signals from said transmitters at a frequency of at least two signals per second.
15. The system of claim 10, wherein said processor is configured to provide a customized report relating to movement sensed by said plurality of strips.
16. A method of monitoring the performance of a caregiver, comprising the steps of:
providing spaced-apart active capacitance electronic sensors along a portion of a subject support device, wherein the sensors are flexible fabric strips;
periodically querying the active capacitance sensors for signals drawn directly from the subject;
converting the signals drawn directly from the subject to data related to the position of the subject;
transmitting the data to a processor;
processing the data to determine whether significant subject movement has occurred;
tracking information relative to the caregiver; and
outputting the data and information in a user-selected manner related to performance of the caregiver.
17. The method of claim 16, wherein the electronic sensors are positioned in a mattress pad.
18. The method of claim 17, wherein the electronic sensors are adhesively secured to the mattress pad.
19. The method of claim 16, wherein the electronic sensors are queried approximately twice per second.
20. The method of claim 16, wherein said transmitting step occurs through at least one protocol selected from the group comprising LAN-based data transmission, wireless data transmission, infrared transmission, Bluetooth™ transmission, and RF transmission.
21. The method of claim 16, wherein said processing step includes time and date stamping of the data.
22. The method of claim 16, wherein said processing step includes formatting the data for output on a caregiver-by-caregiver basis.
US11/133,405 2005-05-19 2005-05-19 System and methods for monitoring caregiver performance Active 2026-07-31 US7541935B2 (en)
US11/133,405 US7541935B2 (en) 2005-05-19 2005-05-19 System and methods for monitoring caregiver performance
US12/661,690 USRE42614E1 (en) 2005-05-19 2010-01-21 System and methods for monitoring caregiver performance
US12/455,347 Continuation US8154413B2 (en) 2005-05-19 2009-06-01 System and methods for monitoring caregiver performance
US12/661,690 Reissue USRE42614E1 (en) 2005-05-19 2010-01-21 System and methods for monitoring caregiver performance
US11/133,405 Active 2026-07-31 US7541935B2 (en) 2005-05-19 2005-05-19 System and methods for monitoring caregiver performance
US12/661,690 Active USRE42614E1 (en) 2005-05-19 2010-01-21 System and methods for monitoring caregiver performance
US13/411,972 Active US8564445B2 (en) 2005-05-19 2012-03-05 System and methods for monitoring caregiver performance
US20100228516A1 (en) * 2009-03-06 2010-09-09 Telehealth Sensors, Llc Electronic mattress or chair sensor for patient monitoring
US20100225488A1 (en) * 2009-03-06 2010-09-09 Telehealth Sensors, Llc Patient Monitoring System Using an Active Mattress or Chair System
US8672842B2 (en) 2010-08-24 2014-03-18 Evacusled Inc. Smart mattress
USD797133S1 (en) 2016-01-07 2017-09-12 Invisalert Solutions, LLC Display screen with graphical user interface
US10282800B2 (en) 2010-12-22 2019-05-07 Koninklijke Philips N.V. System and method for providing medical caregiver and equipment management patient care
WO2007027691A1 (en) 2005-08-31 2007-03-08 University Of Virginia Patent Foundation Improving the accuracy of continuous glucose sensors
AU2007308804A1 (en) 2006-10-26 2008-05-02 Abbott Diabetes Care, Inc. Method, system and computer program product for real-time detection of sensitivity decline in analyte sensors
US20080199894A1 (en) 2007-02-15 2008-08-21 Abbott Diabetes Care, Inc. Device and method for automatic data acquisition and/or detection
US8583205B2 (en) * 2008-03-28 2013-11-12 Abbott Diabetes Care Inc. Analyte sensor calibration management
WO2010044034A1 (en) * 2008-10-16 2010-04-22 Koninklijke Philips Electronics, N.V. Accessory connection and data synchronication in a ventilator
US8224415B2 (en) 2009-01-29 2012-07-17 Abbott Diabetes Care Inc. Method and device for providing offset model based calibration for analyte sensor
US8081083B2 (en) * 2009-03-06 2011-12-20 Telehealth Sensors Llc Mattress or chair sensor envelope with an antenna
WO2010121084A1 (en) 2009-04-15 2010-10-21 Abbott Diabetes Care Inc. Analyte monitoring system having an alert
WO2010127050A1 (en) 2009-04-28 2010-11-04 Abbott Diabetes Care Inc. Error detection in critical repeating data in a wireless sensor system
EP2425209A4 (en) 2009-04-29 2013-01-09 Abbott Diabetes Care Inc Method and system for providing real time analyte sensor calibration with retrospective backfill
DE102009034937B4 (en) * 2009-07-28 2015-11-26 Ahlborn Mess- Und Regelungstechnik Gmbh An electronic module, in particular digital sensor
EP2473099A4 (en) 2009-08-31 2015-01-14 Abbott Diabetes Care Inc Analyte monitoring system and methods for managing power and noise
EP2473098A4 (en) 2009-08-31 2014-04-09 Abbott Diabetes Care Inc Analyte signal processing device and methods
EP2482720A4 (en) 2009-09-29 2014-04-23 Abbott Diabetes Care Inc Method and apparatus for providing notification function in analyte monitoring systems
WO2011053881A1 (en) 2009-10-30 2011-05-05 Abbott Diabetes Care Inc. Method and apparatus for detecting false hypoglycemic conditions
US9326709B2 (en) 2010-03-10 2016-05-03 Abbott Diabetes Care Inc. Systems, devices and methods for managing glucose levels
US8350709B2 (en) * 2010-03-31 2013-01-08 Hill-Rom Services, Inc. Presence detector and occupant support employing the same
EP2633479A4 (en) * 2010-10-26 2016-04-27 Lantronix Inc Decoding, model and presentation system
US20120169467A1 (en) * 2010-12-31 2012-07-05 Condra David L Patient alert management system
US8682020B2 (en) * 2011-10-05 2014-03-25 Apple Inc. Speaker magnet thermal management
WO2013066849A1 (en) 2011-10-31 2013-05-10 Abbott Diabetes Care Inc. Model based variable risk false glucose threshold alarm prevention mechanism
US9339217B2 (en) 2011-11-25 2016-05-17 Abbott Diabetes Care Inc. Analyte monitoring system and methods of use
EP2659832A1 (en) * 2012-04-30 2013-11-06 Univisio Oy Capacitive sensor made of fabric for measuring human movements
DE102013203905B4 (en) * 2013-03-07 2016-12-29 Telemotive AG Processor-controlled storage device and method
US10085905B2 (en) 2014-08-11 2018-10-02 Stryker Corporation Patient support apparatuses with wireless headwall communication
CN107924605A (en) * 2015-08-10 2018-04-17 柯尼卡美能达株式会社 Device and method for displaying target person monitoring system and target person monitoring system
CN105955902A (en) * 2016-04-21 2016-09-21 广州供电局有限公司 Serial-to-wireless communicator
US3439358A (en) 1965-11-30 1969-04-15 George Washington Ltd Activity detectors
US4228426A (en) 1978-09-29 1980-10-14 Roberts William A Hospital bed monitor
US4295133A (en) 1977-05-05 1981-10-13 Vance Dwight A Apparatus to indicate when a patient has evacuated a bed or demonstrates a restless condition
US4320766A (en) * 1979-03-13 1982-03-23 Instrumentarium Oy Apparatus in medicine for the monitoring and or recording of the body movements of a person on a bed, for instance of a patient
US4633237A (en) 1984-07-11 1986-12-30 Kenneth A. Tucknott Patient bed alarm system
US4638307A (en) 1985-10-15 1987-01-20 Swartout Willson C Patient position monitoring system
US4700180A (en) 1983-05-04 1987-10-13 Vance Dwight A Apparatus to indicate when a patient has evacuated a bed
US4827763A (en) * 1986-04-11 1989-05-09 Purdue Research Foundation Pressure mapping system with capacitive measuring pad
US4907845A (en) * 1988-09-16 1990-03-13 Salomon Sa Bed patient monitoring system
US5235319A (en) 1992-05-11 1993-08-10 Joseph C. Hill Patient monitoring system
US5353012A (en) 1992-05-14 1994-10-04 Bartronix, Inc. Bed position and activity sensing apparatus
US5410297A (en) * 1993-01-11 1995-04-25 R. F. Technologies, Inc. Capacitive patient presence monitor
US5471198A (en) 1994-11-22 1995-11-28 Newham; Paul Device for monitoring the presence of a person using a reflective energy beam
US5519380A (en) 1994-11-04 1996-05-21 Guardian Electronics, Inc. Personal monitoring system and method
US5633627A (en) 1994-09-23 1997-05-27 Bed-Check Corporation Hard-wired monitoring system for hospital bed or short term care patients
US5699038A (en) 1993-07-12 1997-12-16 Hill-Rom, Inc. Bed status information system for hospital beds
US5780798A (en) 1994-03-09 1998-07-14 Hall-Jackson; John Alan Bed occupant sensing device
US6025782A (en) 1996-09-04 2000-02-15 Newham; Paul Device for monitoring the presence of a person using proximity induced dielectric shift sensing
US6078261A (en) 1998-11-10 2000-06-20 Alert Systems, Inc. System for monitoring a bed patient
US6111509A (en) 1998-02-26 2000-08-29 Bed-Check Corporation Microprocessor based bed patient monitor
US6133837A (en) 1999-03-05 2000-10-17 Hill-Rom, Inc. Patient position system and method for a support surface
US6208250B1 (en) 1999-03-05 2001-03-27 Hill-Rom, Inc. Patient position detection apparatus for a bed
US6252512B1 (en) 1999-03-05 2001-06-26 Hill-Rom, Inc. Monitoring system and method
US6307476B1 (en) 1999-04-02 2001-10-23 Bed-Check Corporation Smart binary switch for use with an electronic patient monitor
US20020151990A1 (en) 1993-07-12 2002-10-17 Ulrich Daniel J. Bed status information system for hospital beds
US6546813B2 (en) 1997-01-08 2003-04-15 The Trustees Of Boston University Patient monitoring system employing array of force sensors on a bedsheet or similar substrate
US20030187618A1 (en) 2002-03-28 2003-10-02 Ge Medical Systems Information Technologies, Inc. Interface device and method for a monitoring network
US20030227386A1 (en) * 2002-06-06 2003-12-11 Instrumentarium Corporation Method and system for selectively monitoring activities in a tracking environment
US20040046668A1 (en) * 2000-06-09 2004-03-11 Bed-Check Corporation Apparatus and method for reducing the risk of decubitus ulcers
US6778090B2 (en) 1996-09-04 2004-08-17 Paul Newham Modular system for monitoring the presence of a person using a variety of sensing devices
US6784797B2 (en) 1998-02-26 2004-08-31 Bed-Check Corporation Microprocessor based bed patient monitor
US6788206B1 (en) 2002-09-05 2004-09-07 Donald A. Edwards Patient monitoring system
US20050011738A1 (en) * 2003-07-14 2005-01-20 Bed-Check Corporation Sensor and method for detecting a patient's movement via position and occlusion
US20060028350A1 (en) * 2004-08-09 2006-02-09 Bhai Aziz A Apparatus and method for monitoring a patient in a hospital bed
US4565910A (en) * 1982-09-30 1986-01-21 Bed-Check Corporation Switch apparatus responsive to distortion
US4796013A (en) * 1985-10-18 1989-01-03 Aisin Seiki Kabushiki Kaisha Capacitive occupancy detector apparatus
US5808552A (en) * 1996-11-25 1998-09-15 Hill-Rom, Inc. Patient detection system for a patient-support device
US6870484B1 (en) * 1999-03-24 2005-03-22 Ge Marquette Medical Systems, Inc. Patient monitoring systems having two-way communication
US6329913B1 (en) * 1999-10-05 2001-12-11 Nec Technologies, Inc. Passenger detection system and method
US6384728B1 (en) * 2000-03-17 2002-05-07 Toys For Special Children, Inc. Personal care monitoring system
JP2003316885A (en) * 2002-04-23 2003-11-07 Oak Lawn Marketing Inc Safety-in-disaster confirmation service system
EP2181685B1 (en) * 2002-09-06 2014-05-14 Hill-Rom Services, Inc. Hospital bed with controlled inflatable portion of patient support
US7666151B2 (en) * 2002-11-20 2010-02-23 Hoana Medical, Inc. Devices and methods for passive patient monitoring
US20060206011A1 (en) * 2005-03-08 2006-09-14 Higgins Michael S System and method for remote monitoring of multiple healthcare patients
US7633237B2 (en) * 2007-09-25 2009-12-15 Osram Sylvania Inc. Fast run-up of metal halide lamp by power modulation at acoustic resonance frequency
2010-01-21 US US12/661,690 patent/USRE42614E1/en active Active
US6362725B1 (en) 1993-07-12 2002-03-26 Hill-Rom Services, Inc. Bed status information system for hospital beds
US20030136201A1 (en) 1997-01-08 2003-07-24 Hubbard James E. Patient monitoring system employing array of force sensors on a bedsheet or similar substrate
Sturgeon, Jeff, Smart Bed, The Roanoke Times, Feb. 1, 2004.
USRE42614E1 (en) 2011-08-16
Scanaill et al. 2006 A review of approaches to mobility telemonitoring of the elderly in their living environment
US6454708B1 (en) 2002-09-24 Portable remote patient telemonitoring system using a memory card or smart card
US8290574B2 (en) 2012-10-16 ECG monitoring system with configurable alarm limits
CA2657149C (en) 2019-06-04 Medical notification apparatus and method
US9489487B2 (en) 2016-11-08 Bio-information sensor monitoring system and method
US5319363A (en) 1994-06-07 Network for portable patient monitoring devices
US4803625A (en) 1989-02-07 Personal health monitor
JP5489043B2 (en) 2014-05-14 Wireless cardiac monitoring system
CN101984743B (en) 2013-06-19 Continuous outpatient ECG monitoring system
US10007758B2 (en) 2018-06-26 Medical monitoring system
US8672842B2 (en) 2014-03-18 Smart mattress
US5877675A (en) 1999-03-02 Wireless healthcare communication system
US10325681B2 (en) 2019-06-18 Physiological alarm threshold determination
US7004910B2 (en) 2006-02-28 System and method for monitoring body temperature
US8639319B2 (en) 2014-01-28 Watertight ECG monitor and user interface
US6315740B1 (en) 2001-11-13 Seizure and movement monitoring apparatus
US5785650A (en) 1998-07-28 Medical system for at-home patients
DE60030752T2 (en) 2007-09-06 System for domestic patient monitoring
Williams et al. 1998 A smart fall and activity monitor for telecare applications
US20190122763A1 (en) 2019-04-25 Medical monitoring system
US20030216670A1 (en) 2003-11-20 Integral, flexible, electronic patient sensing and monitoring system
US8591430B2 (en) 2013-11-26 Adherent device for respiratory monitoring
JP5646336B2 (en) 2014-12-24 System and method for collection and communication of data from a plurality of patient care devices
US20110275907A1 (en) 2011-11-10 Electronic Health Journal
Williams et al. 1998 A systems approach to achieving CarerNet-an integrated and intelligent telecare system
Owner name: PROACTICARE LLC, ILLINOIS
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:ROSS, JOHN;DRING, BARTON;REEL/FRAME:018021/0414
2010-12-14 RF Reissue application filed


SD management changed: it can be set as internal storage.
Loss of applications stored on SD: it is advised that applications be moved to the internal memory before applying the update.
Loss of Exchange account if configured from the Gmail app: it can be reconfigured 10 minutes after applying the update.
HDR: Improves colour processing and gives greater dynamic range.
Face Beauty: Modifies the brightness and softness of faces.
Panoramic:Higher resolution, full screen panoramas.
Solves data connectivity problems when leaving Wi-Fi range.
Optical image stabilisation (OIS) enabled.
Improvements to autofocus; in photo, video and slow motion modes.
Issue of user-customised Launcher configuration lost on restart; now resolved.
System improvements; random multi-tap issue resolved.


The Phys–Math School in Novosibirsk's Akademgorodok region began with the first all-Siberian physics and mathematics Olympiad in 1962. Well-known mathematician and creator of Akademgorodok, Mikhail Lavrentiev, called it an expedition for talent, and aimed to open a boarding school for the brightest students. Lavrentiev was convinced that future scientists should be trained from the school's bench, and his vision took hold.
While the organisation of the Phys–Math School continued over the autumn of 1962, its birthday is 23 January 1963 when the school officially opened its doors and the first lectures were delivered. These could hardly be called lectures in the usual sense – they were stories told by prominent scientists, interleaved with experimental demonstrations and discussions about the most recent scientific results. The teaching process in the school reproduced that of the neighbouring Novosibirsk State University, giving students a solid base for a scientific career, says Vladimir Shiltsev, who is a 1982 graduate of the Phys–Math School and now director of the accelerator-physics centre at Fermilab in the US.
Developing the teaching approaches in the first days of the Phys–Math School was a wonderful process of co-operation between scientists and pupils. The American Physical Society's 2016 Robert R Wilson Prize recipient and 1964 school graduate Vasili Parkhomchuk, famous for his work on electron cooling, recalls that the lectures in the school were taught by such professors as Gersh Budker (the founder of the Institute for Nuclear Physics, now called Budker INP). However, Parkhomchuk, who is now head of the lab at INP, says that, looking back at that time, the teachers did not know how to teach from a pedagogical point of view – they themselves were learning by doing. Professors and students "went to school" together, making it a magnificent collaboration and part of the brilliant programme envisaged by Lavrentiev and his colleagues.
The history of the Novosibirsk Phys–Math School is connected to many developments in high-energy and accelerator physics, and also to CERN. These connections are via personalities – graduates of the school who became known or influenced the creation of facilities at CERN, like the LEAR electron cooling system, which was inspired by a visit by a CERN team to Novosibirsk and their interaction with the INP team. The Siberian school, like CERN, is a magnet that attracts the brightest minds into science. Mastering the ability of young scientists to find the key physical effects related to a complicated physical phenomena and then to make relevant estimations – such as working out in a few lines what happens when an asteroid strikes a planet – is one of the key training approaches of the school. Indeed, the school has served as a model for training in other parts of the world.
Today there are 500 pupils in the school, educated by more than 260 highly qualified teachers and academics. A total of 15,000 students have graduated since the school's creation, 25 per cent of which have PhDs and around 500 have DSc degrees. There are around 25 students per class and pupils can spend one, two or three of their last years of high school there. Competition is strong, with candidates first being invited to a summer school based on results of physics Olympiads and only the best performers are then invited to the Phys–Math School.
So congratulations to the Novosibirsk Phys–Math School at the start of the new academic year – a year in which it will celebrate its 55th birthday – and wishing it continued success for many years to come.
Andrei Seryi, John Adams Institute, UK.


text:
Beer Breweries News
SIBA Launches New Bottleshop Membership for Craft Beer Retailers
December 1, 2022 December 1, 2022 Beer, Breweries, News
Craft beer retailers across the UK are being invited to join the Society of Independent Brewers (SIBA) in an effort to create closer ties between brewers and 'bottleshops', as well as offer these specialist retailers representation and support.
SIBA Bottleshop Membership is open to independent bottleshops and beer retailers all across the UK, and provides a range of membership benefits including a free legal helpline, legislative support and advice, networking and promotional opportunities and more.
"SIBA have introduced this new membership category to build on the relationships we built with Bottleshop owners looking for advice and guidance regarding various issues over the last few years, particularly during periods of Covid lockdown where we fought for Bottleshops and brewery shops to be allowed to remain open as essential retailers." Neil Walker, SIBA Head of Comms.
The Society of Independent Brewers was founded in 1980 and represent around 750 independent craft breweries across the UK; they lobby Government on key issues such as beer duty and support, promote independent craft breweries via competitions and awards, create opportunities for brewers to connect with colleagues, as well as offer members tools and advice to improve their businesses.
The new SIBA Bottleshop Membership is the final launch of three new membership categories as part of a remit expansion for the trade association, who represent independent breweries and supplier companies, and this year broadened their membership to include international breweries and UK-based homebrewers.
There has been a huge growth in independent beer shops in recent years, with many offering new local delivery and subscription services during Covid as people sought to support local independent businesses.
Linda Birch from Brewery Market in Twickenham, Surrey, has pledged her support and joined as one of the organisations first Bottleshop Members.
"We are delighted to be one of the first businesses to become a SIBA Bottleshop Member and are fully behind SIBA's move to bring the Independent Craft Beer industry closer together. We work closely with a huge range of breweries and look forward to engaging more with them to shape the beer industry for the better.
On a business level the support and member benefits SIBA offer are hugely valuable and for us it's a no-brainer to become a member – we will be encouraging other beer shops to do the same. I also look forward to working with SIBA to deliver even more opportunities and benefits for us and other members in the future."
A Hoppy Place, a craft beer bottleshop and tasting room with outlets in both Windsor and Maidenhead, Berkshire, have said SIBA's support through Covid was a huge benefit to the sector and are joining as a founding member of the SIBA Bottleshop Membership. Co-Owner Dave Hayward commented,
"We are a relatively new business, launching August 2019. Through the COVID lockdowns we've seen the huge benefits SIBA has brought to the sector, battling for the necessary grants and support our industry needed to survive. As a business we took impetus from their work, as well as learning from their panels, and went on to win the UK's Best Independent Craft Beer Retailer (single) category in 2021. We are sure the health of the bottleshop sector is better as a result of SIBA's efforts and are proud to join as one of their founder bottleshop category members."
SIBA have been real supporters of beer shops in recent years through their SIBA Business Awards, where for a number of years a "UK's Best Independent Craft Beer Retailer" (separate single and multiple retailer awards) has been given. In 2021 this was complimented by a new Online Retailer award, again seeking to highlight those businesses selling a superb range of independent craft beers and offering a great customer experience
← Main Shop Increase Prompts Reduced Frequency in Depot vs Pre-Pandemic
Xmas Turkey Shortage Due to the UK's Largest Outbreak of Bird Flu →

redpajama_set_name: RedPajamaCommonCrawl


text:
12:00 AM - 12:00 AM SCF Flex Start: 12-Week SessionThursday, October 20, 2022
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06:00 PM - 08:00 PM SCF 26 West Center - Free Entrepreneurship and Personal Branding ClassesThursday, October 20, 2022
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Deep-sea temperatures rose 1,300 years before atmospheric CO2, ruling out the greenhouse gas as driver of meltdown, says study in Science.
Carbon dioxide did not cause the end of the last ice age, a new study in Science suggests, contrary to past inferences from ice core records.
"There has been this continual reference to the correspondence between CO2 and climate change as reflected in ice core records as justification for the role of CO2 in climate change," said USC geologist Lowell Stott, lead author of the study, slated for advance online publication Sept. 27 in Science Express.
"You can no longer argue that CO2 alone caused the end of the ice ages."
Deep-sea temperatures warmed about 1,300 years before the tropical surface ocean and well before the rise in atmospheric CO2, the study found. The finding suggests the rise in greenhouse gas was likely a result of warming and may have accelerated the meltdown - but was not its main cause.
"I don't want anyone to leave thinking that this is evidence that CO2 doesn't affect climate," Stott cautioned. "It does, but the important point is that CO2 is not the beginning and end of climate change."
While an increase in atmospheric CO2 and the end of the ice ages occurred at roughly the same time, scientists have debated whether CO2 caused the warming or was released later by an already warming sea.
The best estimate from other studies of when CO2 began to rise is no earlier than 18,000 years ago. Yet this study shows that the deep sea, which reflects oceanic temperature trends, started warming about 19,000 years ago.
"What this means is that a lot of energy went into the ocean long before the rise in atmospheric CO2," Stott said.
But where did this energy come from" Evidence pointed southward.
Water's salinity and temperature are properties that can be used to trace its origin - and the warming deep water appeared to come from the Antarctic Ocean, the scientists wrote.
This water then was transported northward over 1,000 years via well-known deep-sea currents, a conclusion supported by carbon-dating evidence.
In addition, the researchers noted that deep-sea temperature increases coincided with the retreat of Antarctic sea ice, both occurring 19,000 years ago, before the northern hemisphere's ice retreat began.
Finally, Stott and colleagues found a correlation between melting Antarctic sea ice and increased springtime solar radiation over Antarctica, suggesting this might be the energy source.
As the sun pumped in heat, the warming accelerated because of sea-ice albedo feedbacks, in which retreating ice exposes ocean water that reflects less light and absorbs more heat, much like a dark T-shirt on a hot day.
In addition, the authors' model showed how changed ocean conditions may have been responsible for the release of CO2 from the ocean into the atmosphere, also accelerating the warming.
The link between the sun and ice age cycles is not new. The theory of Milankovitch cycles states that periodic changes in Earth's orbit cause increased summertime sun radiation in the northern hemisphere, which controls ice size.
However, this study suggests that the pace-keeper of ice sheet growth and retreat lies in the southern hemisphere's spring rather than the northern hemisphere's summer.
The conclusions also underscore the importance of regional climate dynamics, Stott said. "Here is an example of how a regional climate response translated into a global climate change," he explained.
Stott and colleagues arrived at their results by studying a unique sediment core from the western Pacific composed of fossilized surface-dwelling (planktonic) and bottom-dwelling (benthic) organisms.
These organisms - foraminifera - incorporate different isotopes of oxygen from ocean water into their calcite shells, depending on the temperature. By measuring the change in these isotopes in shells of different ages, it is possible to reconstruct how the deep and surface ocean temperatures changed through time.
If CO2 caused the warming, one would expect surface temperatures to increase before deep-sea temperatures, since the heat slowly would spread from top to bottom. Instead, carbon-dating showed that the water used by the bottom-dwelling organisms began warming about 1,300 years before the water used by surface-dwelling ones, suggesting that the warming spread bottom-up instead.
"The climate dynamic is much more complex than simply saying that CO2 rises and the temperature warms," Stott said. The complexities "have to be understood in order to appreciate how the climate system has changed in the past and how it will change in the future."
Stott's collaborators were Axel Timmermann of the University of Hawaii and Robert Thunell of the University of South Carolina. Stott was supported by the National Science Foundation and Timmerman by the International Pacific Research Center.
Stott is an expert in paleoclimatology and was a reviewer for the Intergovernmental Panel on Climate Change. He also recently co-authored a paper in Geophysical Research Letters tracing a 900-year history of monsoon variability in India.
The study, which analyzed isotopes in cave stalagmites, found correlations between recorded famines and monsoon failures, and found that some past monsoon failures appear to have lasted much longer than those that occurred during recorded history. The ongoing research is aimed at shedding light on the monsoon's poorly understood but vital role in Earth's climate.


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Peak Inside This Magical Oklahoma Mansion That's For Sale
Imagine calling this place home for the holidays. This magical mansion, more like a castle in Norman, Oklahoma looks like something out of a Harry Potter movie.
Robbie Coltrane, Actor and 'Harry Potter' Star, Dies at 72
The Scottish comedian became a fan favorite as Hagrid.
Harry Potter: A Yule Ball Celebration - 1 Stop in U.S. It's Texas
Are you or someone you know a huge Harry Potter fan? Then get ready for the ultimate Harry Potter Holiday Celebration. This tour is taking place in only four cities in the world and one of those cities is in Texas.
Lisa Lindsey
This Monday is 'Warlock & Wizards Day' In Lawton, OK!
Muggles beware! Calling all fans of Harry Potter, this Monday is 'Warlock & Wizards Day' in Lawton, Fort Sill. A special event has been scheduled at the Owen Multipurpose Center featuring movies, games, prizes, arts & crafts, and more. So dress the part and bring your wands and get ready for some magic!
Oklahoma Girl Selling Lemonade Gets Enough Money to Buy Tickets for Universal Studios
Lemonade stands are a great way for kids to learn how to start a small business. Looks like one girl has a successful business on her hands.
Guy Plays Harry Potter Theme on His Washing Machine and Dryer
It's not every day you hear the Harry Potter theme played on a washing machine and dryer.This guy is getting the most out of his stuck at home, self quarantined time during the COVID-19 pandemic. I have no idea just how long it must have taken to pull this off, but I'm sure it was hours and hours if not days.
Dirty Harry…Potter is a Gun Filled Magical Adventure!
Hogwarts and hoglegs, it's the firearm filled magical adventure we've always wanted to see, Harry Potter with guns! Hit play and enjoy "Harry Potter and the Deathly Weapons." Dirty Harry Potter just makes sense, after all who hasn't thought to themselves that the only thing missing from the series was guns.
Facebook Magic
Twenty years ago today one woman introduced the world to one of the most imaginative stories of all time. The Boy Who Lived was summoned into existence by J.K. Rowling when Harry Potter and The Sorcerer's Stone first hit shelves in 1997, inciting an international fandom among both kids and adults that remains as active as ever today. So how do you go about celebrating the 20th anniversary of the Potter-verse?
As 'Harry Potter' Turns 20, J.K. Rowling Thanks Her Fans on Twitter
Two decades ago, could any of us have predicted the future that awaited Harry Potter? One massively successful book expanded to seven, which begat a theme park, a universe's worth of merchandising, eight films, a play, and a new tangentially related franchise. And for those fans who still want more Potter, there is Pottermore.
Charles Bramesco
A 'Harry Potter' Prequel Handwritten By J.K. Rowling Has Been Stolen
J.K. Rowling is a pretty gracious woman. Beyond giving us the Wizarding World, regularly answering Harry Potter fan questions on Twitter, and annually apologizing for character deaths, she also gives back a little. In 2008, the author wrote an idea for a Potter prequel and auctioned it off to raise funds for a literacy charity. Now someone has stolen that rare prequel, because the world is full of ungrateful muggles.
Jason Isaacs Nearly Turned Down 'Harry Potter' Because He Didn't Want to Play Another Villain
While not exactly a household name, Jason Isaacs has very quietly put together an impressive resume of villains over his 30 years in Hollywood. Anyone who was in high school in the late '90s will remember him from Mel Gibson's The Patriot — I can't possibly be the only person who had a lazy substitute history teacher, right? — but he's also worked regularly in film and television, from frequent collaborations with Resident Evil director Paul W.S. Anderson to his most memorable role in the Harry Potter franchise. Often evil, always great.
'Harry Potter and the Cursed Child' Preparing to Apparate Onto Broadway
As limey wizard Newt Scamander continues to traipse about America's magical underground at the cinema with Fantastic Beasts and Where to Find Them, another enchanted British import prepares to cross the Atlantic. Just because mega-selling novels have long since ended, the Harry Potter business hasn't stopped booming, and its latest gold mine is the stage show Harry Potter and the Cursed Child. The production has routinely sold out showings at the Palace Theatre in London's storied West End, and the producers are now gearing up to bring the play stateside in the hopes that their fabulous success will follow them to the Great White Way.


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Q: Unable to Connect to Local Service Fabric Cluster Recently i uninstalled Service Fabric SDK 1.4 and installed Service Fabric SDK 2.0, post that i am unable to create / connect to the local Service fabric cluster. I am getting the below mentioned exception. I tried restarting the VM to ensure that the environment variables are reflected. Tried uninstalling and reinstalling the sdk couple of times but did not see it getting resolved. Please let me know if anyone faced this issue and if resolved what actions do i need to take care.

Waiting for Naming Service to be ready. This may take a few minutes...
  Connect-ServiceFabricCluster : Unable to cast COM object of type 'System.__ComObject' to interface type
  'IFabricApplicationManagementClient6'. This operation failed because the QueryInterface call on the COM component for
  the interface with IID '{B01E63EE-1EA4-4181-95C7-983B32E16848}' failed due to the following error: No such interface
  supported (Exception from HRESULT: 0x80004002 (E_NOINTERFACE)).
  At C:\Program Files\Microsoft SDKs\Service Fabric\Tools\Scripts\ClusterSetupUtilities.psm1:521 char:12
  +     [void](Connect-ServiceFabricCluster @connParams)
  +            ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
     + CategoryInfo          : InvalidData: (:) [Connect-ServiceFabricCluster], InvalidCastException
     + FullyQualifiedErrorId : CreateClusterConnectionErrorId,Microsoft.ServiceFabric.Powershell.ConnectCluster

I tried to follow the steps mentioned in this link to setup up my local cluster
Link
Below are the components installed

A: I had an issue working with Service Fabric Actors and I hit the same error message when my Actor Client was trying to connect to the Actor Service. After hours and hours of trying different things I realized that my Service Fabric implementation and the Actor client are using different versions of Service Fabric NuGet Packages.
After I used the same version in my Actor Client (I basically downgraded it) then the client started working as expected.

A: It seems like the old Service Fabric bits did not uninstall properly and is getting picked up by new binaries, which could not find the desired interface.
Can you try to uninstall the current bits, reboot the machine and then install again? That should work.

redpajama_set_name: RedPajamaStackExchange


I tried to spawn a global avatar (Male) as NPC. Then I wanted to change it's clothing, but it seems that the NPC has no Clothing group and so the NPC is all time a standard male avatar. I wanted to ask if it is possible to give NPCs a Clothing group, so they can be customized. It would open many new possibilities in age creation.
Been there, tried it and failed.
I don't think it has anything to do with the clothing group though. The Male and Female avatars still retain their clothing groups when you spawn them as NPCs. With PlasmaShop I even found their clothing stored in the age state. It should be possible to change it there but I have no idea how. As you have already found out the regular methods for avatar dressing don't work on NPCs. And when I modified the clothing in the age state with PlasmaShop it made the age crash.
I made used NPC.avatar.getAvatarClothingGroup() (NPC is the sceneobject of the NPC) to get the clothing group from the avatar. The result was -1. If you use this command for an player you'll get 0 for male, 1 for female and 2 for an custom avatar. So I thought that it has no clothing group set. Maybe I should also say, that I tried this on a MOULa testing shard, not in TPOTS.
Returning the number -1 is often Plasma's way of saying "sorry, I could not find what you were looking for". None of the methods in the ptAvatar class I tried work on NPCs and that includes all the clothing stuff. If you do the check NPC.isAvatar() you'll see that it returns false. This confirms that NPCs are not true avatars and therefore the ptAvatar class does not always apply to them.
Edit: btw, if I do try to put clothing on a plain Male or Female NPC it raises an "unidentifiable C++ exception".


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How Tall Is Geena Davis In Feet
Geena Davis is an actress who has had a successful profession in both the movie and television world. She has acted in motion pictures such as The Matrix, The Dark Knight, and Star Wars. Nevertheless, she is best known for her work on tv. She has actually appeared in dozens of films and television shows consisting of Beverly Hills 90210, Household Man, and The Simpsons.
Geena Davis is a popular American actress, writer, and manufacturer who has actually received numerous accolades throughout her career. She has also been a singing supporter versus gender discrimination in the entertainment industry and has actually worked tirelessly to improve the representation of females in media. In addition, she has actually established the Geena Davis Institute on Gender in Media.
As a child, Geena Davis wished to be a starlet. Her parents were a civil engineer and an instructor's assistant. After high school, Davis transferred to New york city and began her career as a design. Later, she studied drama at Boston University. A couple of years later, she graduated from the college.
Although Davis made a small comeback to the screen in 2005, her career didn't continue to grow. Then in 2008, she went back to the cinema with Mishaps Occur (2009 ). That year, she likewise appeared in a horror movie, The Exorcist, as Regan MacNeil-Angel Rance.
In the early 1980s, Davis had an effective modeling profession and ended up being a well-known actress. She starred in a variety of noteworthy films, consisting of Transylvania 6-5000, Beetlejuice, and The Accidental Tourist.
She was chosen for an Academy Award for Best Supporting Actress for her function in Beetlejuice. Nevertheless, her acting profession deviated for the even worse when she was cast in a leading role in the movie Commander in Chief.
Following the film, Davis partnered with the Zoli modeling agency, and she relocated to New york city City. She belonged to the Mensa genius society.
Geena Davis has actually won the Golden World award for Finest Efficiency by a Starlet in a Tv Series Drama for her work in Commander in Chief. In addition, she was nominated for an Oscar for her efficiency in the film Thelma & & Louise
. During her years in the film industry, Geena Davis likewise handled roles in a few box office failures, such as Fletch with Chevy Chase. Still, she was able to get vital honor for her efficiencies in television programs such as Grey's Anatomy. Likewise, she worked as an advocate for the Title IX Act, which restricts discrimination on the basis of gender in universities in the United States.
Geena Davis' filmography is filled with significant awards and accolades. A former Victoria's Secret design, she is a distinguished actress and author who has received a number of Oscar elections. She is an advocate for gender equality in the media. Her work has been praised for its nuanced pictures of females. In 2004, she established the Geena Davis Institute on Gender in Media. This nonprofit organization works to improve the representation of females and gender in media.
At the age of 18, Davis moved to New York City to pursue an acting profession. She studied drama at Boston University and graduated with a Bachelor of Fine Arts. But her profession took a remarkable turn.
While studying at Boston University, she met star and director Renny Harlin. They wed in 1993 and have 2 children together. However, the couple separated in 1998. The following year, Davis appeared in a series of movies directed by Harlin, including Cutthroat Island and the scary comedy The Long Kiss Goodnight.
After moving to New york city City, she started to play small roles in movies and tv programs. She gained vital attention for her function in Tim Burton's Beetlejuice. She also co-starred in Transylvania 6-5000 with Jeff Goldblum.
She starred in the temporary NBC sitcom Sara in 1985. Throughout its run, she won a Golden Globe Award for Finest Actress. She appeared in the funny Quick Change with Bill Murray in 1990.
As a model, she worked for Zoli modeling agency. Before making her film launching, she studied drama at Boston University. She graduated with a bachelor's degree in 1979.
Her first major function remained in the 1982 motion picture Tootsie, which she co-starred with Dustin Hoffman. Besides being an enjoyable motion picture, Tootsie won her the Academy Award for Best Supporting Starlet. Other notable films consist of Beetlejuice and the dark funny Marjorie Prime.
When she was younger, Geena Davis had low self-esteem. However as she matured, she gained self-confidence and became an accomplished starlet. She was likewise a popular member of the ladies's rights motion. For this, she was awarded the Jean Hersholt Humanitarian Award.
Geena Davis has starred in a variety of movies over the past 30 years. She has gathered numerous awards for her work in the film industry, consisting of an Academy Award and a Golden Globe. Besides her acting career, she has likewise acted as a manufacturer.
Her first on-screen appearance was in the film Tootsie. The motion picture was directed by Sydney Pollack and concentrates on a soap opera character named Michael who is involved in a complex relationship. It also starred Jessica Lange and is considered a fun movie to view.
After graduating from Boston University's College of Fine Arts, Davis was a model and worked in various dining establishments in New york city City. She later started working for the Zoli modeling firm.
In 1982, she was cast in the movie Tootsie. Her on-screen launching was an effective one. That exact same year, she had a role in the roadway film Thelma & & Louise, which co-starred Susan Sarandon. Both of these films succeeded, and Geena's efficiency was nominated for an Oscar.
After a quick stint in package workplace with the Chevy Chase motion picture Fletch, Geena starred in a number of more movies. Among her more remarkable functions was in A League of Their Own. This film received a Golden Globe nomination and made her an Oscar nod.
Another significant look was in the horror film The Fly. She also appeared in the tv series Grey's Anatomy.
Geena Davis is still acting today. Her most recent look remained in the scary movie The Exorcist. She also appeared in the television series Me Him Her.
Besides her acting, Geena Davis has been an activist. She has fought for ladies's rights and gender equality in the entertainment industry. She founded the Geena Davis Institute on Gender in Media, which intends to attend to demeaning stereotypes in the media.
As a star, Geena Davis has depicted numerous renowned characters throughout her career. She was called as UN special envoy for females in 2012.
After her career took a turn for the worse, she rebounded with a number of mature roles.
A lot of individuals remember Geena Davis and Susan Sarandon's renowned functions in Thelma & & Louise. This motion picture was a major breakthrough for women in the movie market. In it, the two female actors played the very best buddies of each other and formed an enduring friendship.
They were nominated for an Academy Award for the function. Nevertheless, it was not enough to make the movie an instant classic. It was the offscreen dynamic that really altered the film market.
Geena Davis and Susan Sarandon were also featured in the 1991 Celebration de Cannes. Their relationship made a huge effect on the movie market. They have both dedicated time to promoting females's rights, especially concerns related to hunger and poverty.
Just recently, Geena and Susan Davis were reunited for a new drive-in movie. While it did not re-ignite their professions, it did permit the two starlets to share a remarkable minute.
The two starlets are set to re-unite for an award show event. The Presidental Dinner is a special night arranged by the Cannes Movie Celebration. The goal of the supper is to honor gifted women and encourage them in their professions.
The women in motion award is provided to a person who has made a considerable contribution to the movie market. Kering, a French high-end items brand name, has sponsored the occasion. Also scheduled to be provided are Francois-Henri Pinault, Thierry Fremaux, and Pierre Lescure.
The Women in Motion awards program is among the most prominent on the planet. Throughout its history, the program has actually honored a few of the most essential and prominent women in the movie market. With the Presidental Supper, Kering wishes to recognize the females who are creating innovative films and movies. As such, the ceremony is set to happen on 15 May.
In spite of a long and illustrious career, Geena has never hesitated to speak her mind. She's been outspoken about ladies's issues and is devoted to reducing gender stereotyping in the media. Among other things, she's been instrumental in founding the Geena Davis Institute on Gender in Media, a nonprofit organization dedicated to promoting gender equality in the entertainment industry.
Geena Davis Birthday
Geena Davis In Commander In Chief


taxi groove | I Drive S.F.
Not working for ten days really threw me off my taxi game.
Once I'm finally behind the wheel of Veterans 233 again on Wednesday, it's a struggle to get my groove back. Everything feels awkward. The seat's out of whack. The mirrors are positioned wrong. There's a painful crick in my shoulder. And a fog encircles my thinking.
Can I even still drive a taxi? I wonder. Or was that fever dream last week, which involved negotiating a complicated matrix of Jenga blocks and TV boxes, a harbinger of things to come?
On the streets, I'm riddled with doubt. Each set of cross streets is a pop quiz.
Fortunately, instinct takes over and I manage to navigate rush hour traffic without incident.
This entry was posted in I Drive SF, The Taxi Experience and tagged drug dealers, fighting off dickheads in a taxi, richie drano, taxi, taxi groove on October 31, 2018 by piltdownlad.


Boxes, pallets, storage containers and equipment – whatever you need moved, TSL offers metro distribution services in Perth to handle your requirements.
1 Tonne Ute to 6 Tonne flat tops.
TSL's fleet of late model rigid trucks can handle any load. Whatever type of product you need moved our team of logistics experts will get it there on time and safely.
Pallets, boxes or large pieces of equipment, with our variety of utility and flat top trucks, TSL has what it takes to move your loads. Our experienced logistics team gets your goods and supplies loaded and out on time to wherever it they need to be.
At TSL we know that it is exceptionally important to get your supplies, product or equipment moved in a timely and efficient manner. Having what you need when you need it can sometimes mean the difference between making a profit or not. That is why we've put together an experienced and skilled team of logistic experts along with state of the art integrated tracking systems. At TSL we know where your goods are at any given time.
Don't take up valuable time trying to hire distribution services yourself, when TSL has the ideal solution for all your supply chain and logistics management needs. No matter how large or small your business is, TSL has what you need.
Let TSL handle all of your Perth metro distribution needs. Pack, load and distribute from Two Rocks to Mandurah, TSL gets it there on time and safely.


Can you measure multiple complex business processes without express authority over delivery teams?
Do you believe that keeping score is vital to team success?
Do you have a track record of successfully implementing reporting and/or analytics related projects in technology?
Do you want to be part of a purpose-driven culture with opportunities for innovation and personal development?
Working with some of the leading security experts, your job will be to oversee the collection, analysis, visualization, and read-out of all reports related to internal business processes across the Comcast Cybersecurity (CCS) domain. As a trusted advisor and subject matter expert, you will work directly with executives to determine what good looks like and how to answer simple questions like "how are we doing?" and "is this business process healthy". As part of the CCS Business Operations team you will also help ensure all operational plans are aligned with business objectives.
- Work as a true partner with piers.
- Attend and participate in Sprint planning, grooming and demo meetings for the development team implementing new Business Processes.
- Work in tandem with financial operations and supplier management team to ensure reporting needs around budgeting are in alignment with key business metrics.