Thứ Tư, 27 tháng 6, 2018

Waching daily Jun 27 2018

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For more infomation >> Magic Wand and Giant Chocolate Candy Funny Video for Kids - Duration: 5:01.

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Atul Gawande's Aim For Health Care: 'Make It Simpler To Do The Right Thing' - Duration: 7:57.

Atul Gawande's Aim For Health Care: 'Make It Simpler To Do The Right Thing'

Atul Gawande, the surgeon-writer-researcher chosen to lead a joint health venture by three prominent employers who hope to bring down health costs, says his biggest goal is to help professionals "make it simpler to do the right thing" in delivering care to patients.

Gawande elaborated a bit on what that means at the Aspen Ideas Festival this week, just days after being named chief executive of a health care partnership unveiled earlier this year by Amazon, Berkshire Hathaway and JPMorgan Chase.

The new enterprise will oversee health coverage for about 1.2 million employees of the companies and their families.

Gawande said he will focus on the same behaviors by doctors and hospitals that he studies at his Boston-based think tank, Ariadne Labs.

One of the biggest problems in health care is that "doing the right thing is incredibly complicated," he told the Aspen gathering, and one of the biggest sources of waste in the system is that patients are given "the wrong care in the wrong way at the wrong time.

Gawande said he hopes to find specific ways to make health care more efficient and the solutions exportable.

"The opportunities are as long as my arm," he said.

"So all we have to do in this new venture is pick a few of them and try to bat them out of the park.".

For example, he said, even in countries where everyone is covered by insurance, only about half of those with high blood pressure have it controlled.

In the U.S.

that percentage is closer to 40 percent.

And while Americans spend "tons more money" to treat low back pain, he said, "the level of disability and pain has changed not at all.".

Gawande, 52, was purposely vague about his new job — which he will add to his long list of activities, including teaching at Harvard and operating on patients at a university-affiliated hospital in Boston, writing for The New Yorker and serving as chairman of Ariadne Labs.

"We are going to come up with a name — it's one of my first jobs," he joked to interviewer Judy Woodruff of PBS NewsHour during a Saturday session.

On Monday, at another session, he told The New York Times' David Leonhardt that he "had no idea" how many employees would eventually come to work for the organization, although it will be a stand-alone, not-for-profit entity.

He declined a separate interview.

Though short on details, Gawande talked at length in both appearances about his approach to the new initiative.

"The largest concept here is I get to have a million patients that I as a doctor get to add to my responsibility," he said Saturday.

"And my job to them is to figure out ways that we are going to drive better outcomes, better satisfaction with care and better cost efficiency with new models that can be incubated for all.".

That is essentially what Ariadne already does — tests ways to make care more effective and efficient, and spreads those practices in the U.S.

and abroad.

As an example, he talked about his mother's recent knee replacement.

A total of 66 health workers saw her in the hospital — he counted — and often provided conflicting advice about whether she should be up or in bed or exactly what she should be doing.

"And you just want to say, 'Is anybody in charge?' " he said.

"That's the broken system." The system is moving "from individual delivery of stuff.

to team delivery of outcomes.

And that's a radically different place." He wants to help make that transition more effective.

Gawande said his research has also shown that "the right care" can't just be dictated.

He developed a now-famous surgical checklist that was later mandated for doctors in Canada.

But he pointed out in his discussion Saturday that the requirement showed no reduction in surgery-related mortality.

Yet in Scotland, where the implementation was more gradual and more data-driven, he said, "in the first three years we saw a more than 25 percent reduction in deaths.".

Gawande said that although he is going to work for companies that provide insurance to their workers, "employer-based care is broken," with the vast majority of new jobs lacking health insurance.

And even those workers who are offered job-based health insurance are increasingly priced out of care.

Some people he grew up with in Ohio, he said Monday, "are paying half their income in taxes and health care premiums and going bankrupt because of health care costs.".

When workers have deductibles that are multiples larger than their bank accounts, they stop treating their chronic conditions.

"And it has enormous harm for the future," he said.

Still, Gawande was optimistic about the possibilities of making health care both better and less expensive.

"It's feasible to do these things," he said Monday.

"But it's not sexy.".

For more infomation >> Atul Gawande's Aim For Health Care: 'Make It Simpler To Do The Right Thing' - Duration: 7:57.

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Oatmeal for Acid Reflux - Duration: 6:25.

Oatmeal for acid reflux

acid reflux occurs when stomach acids move backward and enter the food pipe or when the one way valve between the esophagus and

stomach is too weak to keep stomach contents down

this leads to inflammation and burning in chest upper abdomen

and behind the breastbone eating too much food or highly acidic fatty or spicy foods

increases acid production in the stomach and make the problem worse

is oatmeal good for acid reflux

it is rich in Dion and and is an excellent source of niacin vitamin B6 Folic acid and riboflavin

it is a whole grain food which neuter Allies is the stomachs acidity

it helps reduce pain and other symptoms of acid reflux

it contains selenium

and anti oxidant that shields the lining of esophagus from acid

it is fat free and decreases hunger to prevent acid reflux

it has high amount of fiber which empties the stomach easily and quickly

it absorbs the acidity from the other food

it retains the nutrients and fiber essential for proper digest and it decreases excess acid secretion to prevent acid reflux

one oatmeal bananas contain natural acid reducing properties and are high in fiber which

improves cardiovascular health and stabilizes blood sugar

ingredients a oatmeal

1/4 cup water or low-fat milk 1 cup banana

one reasons melon or ginger slices optional process cook unsweetened vitamin enriched oats in water or milk for 5 minutes

peel and slice a banana

add to the oatmeal add raisins melon or ginger slices to sweeten the oatmeal

if desired eight daily as a breakfast for best results

note a void adding honey

brown sugar or other sweeteners

to oatmeal cookies oatmeal cookies are a healthy snack or dessert ingredients instant wold oats 1 cup ripe banana

three whole eggs to flour 2 cups

salt 1/4 teaspoon

vanilla extract 1 teaspoon

baking powder 1/2 teaspoon

sesame seeds 1/4 cup brown sugar

1/2 cup dark raisins 1 ounce water

process blend bananas until smooth

roast sesame seeds on the stove until golden brown

combined bananas eggs sugar vanilla salt and sesame seeds

combine flour rolled oats

and baking powder in a separate bowl

mix the wet and dry ingredients to gather spoon small balls of the batter on a cookie

sheet leaving 2 inches between each ball sprinkle raisins on each cookie

bake at 350° F for 10 to 15 minutes or until the cookies turns a light golden color

allow the cookies to cool before eating

eat the cookie after dinner as desserts to reduce the acid level in the body

three oatmeal overnight recipe ingredients a oatmeal

1 cup water 4 cups vanilla extract

1 teaspoon walnuts

1/4 to 1/2 cup milk

berries process cocoa tse in water for 5 minutes

add vanilla and walnuts

cover and place in the refrigerator overnight the next morning add milk and berries to some oat mixture

eat regularly for best results

four healthy toasted oatmeal this method is good for those sensitive to gluten

ingredients and Oates quick oats - 1/2 cup water 1/2 cup milk 2%

- 1/2 cup salt pinch

light brown sugar

1 1/2 teaspoon

butter unsalted

1 teaspoon process toast holds in skillet over medium heat for 5 minutes

once the oats turn to golden brown and smells like cooked popcorn turn of the heat's add water milk brown sugar and salt

coca over medium heat for 5 to 7 minutes by stirring frequently

once it is cooked at unsalted butter

eat regularly as a breakfast for best results

acid reflux in infants acid reflux in infants gastroesophageal reflux occurs when food backs up in the esophagus

that two Bruning from the mouth to the stomach releases gas but baby has acid reflux instead of releasing gas they spit up or vomit

symptoms of this problem include spitting irritability vomiting Kopf Ing blood in this dual and improper eating oatmeal is thick and

contains enough calories to help babies grow properly

chips using quick rolled a oats is better than instant oatmeal

add cinnamon or a little sugar to flavor of it meal add apples kiwis dates blackberries and

banana to lower acid and increase nutrients in oatmeal

do not eat oatmeal before bed as this can cause acid reflux rather than curing it

oatmeal has enough and soluble fiber which affects the digest and eat them slowly and

shoe thoroughly to minimize heartburn or acid reflux and its symptoms

the rink plenty of fluids after heeding oatmeal because the fiber in oatmeal slows the digest and which causes acid reflux

have you tried any of these methods

do you know any other methods to treat acid reflux

share your experience with us

other ingredients which helps to control acid reflux apple cider vinegar

baking soda lemon

For more infomation >> Oatmeal for Acid Reflux - Duration: 6:25.

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Kids Learn Color with Giant Dinosaur Attack Video for Children - Duration: 4:07.

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For more infomation >> Kids Learn Color with Giant Dinosaur Attack Video for Children - Duration: 4:07.

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8 Home Remedies for Getting Water out of Your Ears - Duration: 7:51.

8 Home Remedies for Getting Water out of Your Ears

For one reason or another, water gets into your ear.

This can make you uncomfortable and even cause pain.

Because of this, it's important to find the way to get it out quickly, causing the smallest amount of damage possible to your ears.

In this article, we'll tell you how.

Surely, you've had bad luck at some point when water got in your ear.

It probably caused a variety of symptoms like:.

Tingling. Malaise. Pain. Loss of balance.

Hearing loss.

Because of this, it's important to get the water out the most effective way possible without causing more harm to your ear.

Let's take a look at how.

1, With gravity's help.

This is the easiest and least invasive way to get out water that you find in your ear.

To do this:. Lay parallel to the ground.

Let your ear be completely to the side.

Put the palm of your hand over your ear.

Use force to press your year for a few seconds to encourage suction.

Repeat this for a few seconds until you don't feel water inside.

Then, use a cotton swab to get rid of any water that could be remaining.

2,Yawning will help your ear.

Yawning and even chewing can help get water out of your ear canal easily.

Doing this puts pressure on your middle ear, which redirects the liquids you have inside.

3, Hairdryer.

This tool can help you to evaporate the water that you have in your ear.

Plus, it does this without you needing to stick anything inside.

To do this you only need to:.

Take your ear by the lobe and slightly pull it.

Turn your hairdryer on to medium heat.

Keep it at a distance of 4 to 6 inches.

Hold the hairdryer in a position where your ear gets all of its air for at least 30 seconds.

Repeat this process as necessary.

4, The Valsalva maneuver and your ear.

Created by the Italian doctor Antonio Maria Valsalva, this technique is recognized as one of the best ways to push water out of your ears:.

Breathe deeply. Close your mouth.

Then, use your fingers to pinch your nostrils shut.

Gently blow air into your nose.

This will regulate the air pressure and let you eustachian tubes (located in your ear) to be opened again.

5, Salt.

Salt is known for its great abilities to absorb moisture.

Plus, it can be used without any risk.

What do you need to do?.

Heat up 1 tablespoon of salt in the microwave.

Put the salt in a cotton towel.

Lay down and put the cloth over your ear for at least five minutes.

Repeat as necessary.

6,A little garlic in your ear.

This doesn't just help you to fight moisture.

In addition, you can also enjoy its antibacterial properties to prevent possible ear infections.

Also, you'll considerably reduce the pain:.

Choose a garlic clove that's clean and healthy to get juice from.

Put between 3 and 4 drops of its juice in your ear.

Wait at least a minute for the garlic to finish its work.

Let your ear dry naturally.

Repeat after 2 hours if necessary.

7, Hydrogen peroxide.

With its effervescent properties, hydrogen peroxide is able to get water out of your ear very easily.

It's also effective for getting rid of wax and any other residue you might find in you your ear canal:.

With the help of a sterilized dropper, put between 4 and 5 drops of hydrogen peroxide in your ear.

Wait at least two minutes.

Tilt your ear down to let the liquid out.

8, Alcohol and vinegar.

This is remedy that is very popular with grandmothers.

It doesn't just get the water out of your ears.

In addition, it also has antibacterial properties that fight any infection that you can have.

Mix 1 teaspoon of alcohol with one teaspoon of vinegar.

With the help of a dropper, pick up between 3 and 4 drops of the mixture.

Place them in your ear and wait 30 seconds while you gently rub the outside of your ear.

Tilt your ear down so that the liquid can get out.

If you have had tried all of these options and not of these remedies works for your problem, we recommend that you talk to your family doctor so that they can prescribe a specific treatment.

For more infomation >> 8 Home Remedies for Getting Water out of Your Ears - Duration: 7:51.

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Translation Tool for ServiceNow by SPOC - Duration: 2:11.

To begin a user creates a ticket in ServiceNow

In our example, the user is French and has an issue with their password

The support desk who is working in English receives this ticket. Let's go directly to the ticket

SPOC's solution is a simple but effective translation integration,

which allows end-users and support staff to engage in their native languages

Using the functionality offered in the application the support desk can translate the original message

Deal with the issue and send a suitable translated response back to the user

the solution is ready and working and can also be extended to suit your specific needs

As you can see this out-of-the-box application allowed the Service Desk to deal with the ticket quickly and effectively

enabling them to have translate the descriptions of the ticket where necessary

translate selected text from within the ticket and then send a suitable response back to the user in their native language

The application is affordable and quick to implement

available across all case management applications in ServiceNow

Is configurable and can be used with most languages

This means it's easier to provide

24/7 support and bring down the time to resolution for cases

To request a live demo of the solution, please follow the link below

For more infomation >> Translation Tool for ServiceNow by SPOC - Duration: 2:11.

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World Cup 2018: Danes promise new style for knockout phase - Duration: 3:29.

World Cup 2018: Danes promise new style for knockout phase

Danish coach Age Hareide indicated after the goalless draw against France, which guaranteed the Danes' progression to the knockout phase, that they will adopt a more open, entertaining and attacking style of football against Croatia.

With Peru 2-0 up in the other match in the group, the Danes could perhaps have rested on their laurels in the latter stages of the game, but Hareide was keen to extend their 17-game unbeaten record, and the defence remained as secure as Fort Knox to allow Les Bleus no clear-cut opportunities.

"I'm sure the fact we now go into a stage of the tournament where it's cup ties will make it more free, and not so constrained," said Hareide after the match against the French.

"There's absolutely everything to play for now, and everything needs to be 'used up' during the 90 minutes, and not over three matches.".

At Tottenham, Christian Eriksen is used to seeing a lot of the ball: against France he was left to chase the French in their stylish build-ups.

But the playmaker also guaranteed that the Danish fans can look forward to seeing their side in a different guise come Sunday.

"I think the way we'll play will change significantly in the knockout phase," he said.

"Against France we were really forced to defend very deep, and did not create so much up front even though we probably ended up having more chances than in any of the other fixtures we've played.

In the next game I'm sure that we'll attempt to push further up and create more.".

The Danes have a history of producing their best results when nobody fancies their chances, and with Croatia boasting a 100 per cent record in the group stage, the odds will certainly be stacked in favour of Luka Modric and his team-mates finally bringing that 18-game Danish unbeaten streak to an end.

But the underdog role is one that will fit the Danes perfectly, and could finally free up some of that attacking potential which they showed to such good effect against Poland and the Republic of Ireland in the qualifying phase.

"We are realists, and we know that we don´t seem like the most fearsome bunch to go up against," said Thomas Delaney, who forged a formidable partnership in defensive midfield with Andreas Christensen.

"But I think teams respect us, and I am sure people can see that we´re a tough team to beat.

We´re not going to lose 5-0 by trying to play tiki-taka football.

But people shouldn't get used to seeing us play like we did against France.

It's seldom that we play like this, and the game against Croatia will be a very different spectacle.".

For more infomation >> World Cup 2018: Danes promise new style for knockout phase - Duration: 3:29.

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Education Talks | How a student becomes a "cicerone" for cultural heritage - Duration: 4:13.

What is the programme "Apprendisti Ciceroni" about?

The "Apprendisti Ciceroni" programme is a project launched by FAI, the National Trust for Italy, in 1996

and has since enjoyed over 20 years of success.

It is an active citizenship project

in which students are invited to focus their studies on one of the resources belonging to their territory

and then act as Cicerone - namely guiding, welcoming the public and illustrating the project.

The FAI trust materially preserves over 58 properties all over Italy

and opens up their doors to visitors.

So our apprentice guides are present on the premises on Sundays,

during summer months, and whenever they have some free time.

With a great act of generosity, they contribute their leisure time

to give new life to our cultural heritage.

What made this programme successful?

I believe its success is due to the fact that students are involved in an active way,

so not only envisaging lessons in the classroom,

absolutely necessary, but actively participating in the field.

In my opinion, young people have been left on the sidelines of decision-making processes far too long

and that is why they stand at a distance from politics and from decisions.

This project involves them in an active way,

as they have a part in managing the resource in question,

thereby fully grasping what it means to administer and protect this heritage.

I must say that we reaped great success last year:

40,000 students became a part of our project

and so we have an infinite number of applications on hand.

And this project lives on thanks to our volunteers.

FAI counts on an organisation of volunteers working all over the territory,

whose objective also involves education in schools.

These volunteers flank teachers, working along with them as a team, with the aim of training youngsters in this respect.

How are the projects interdisciplinary?

The projects are absolutely interdisciplinary

and that is precisely because students are initially invited to study

and then present different resources to the public.

They are artistic assets of a natural nature.

We are speaking of villas, castles, gardens, parks and archaeological areas.

And so the disciplines that students have to measure themselves up against are multiple ones

and the skills to be applied are diverse.

How do teachers and students work together?

Well, I would say that in a certain sense it involves a team effort.

Hence teachers working together and along with our volunteers who,

as I said, flank them in training students.

And, in turn, students with one another as they are given specific tasks.

Not all of them possess the skills needed to be a guide.

Some are more inclined towards reception tasks, others in accompanying,

while others are better at explaining the cultural heritage in question.

Therefore cooperation among students must be put into place,

with a very precise allotment of tasks.

How does cultural heritage learning impact young people?

I think it is well known that young people are distant from our cultural heritage,

as they see it as a thing of the past, something that has nothing to do with their own interests.

Hence the challenge is to actively involve them.

How can educators successfully integrate cultural heritage learning in their teaching?

I would suggest good teaching methods involving cultural heritage,

coming out of the classrooms and bringing their students outside

into the surrounding territory so they can personally see, experiment and touch what cultural heritage

actually is - namely the richness of their legacy, as it is a priceless asset

and a symbol of their identity.

For more infomation >> Education Talks | How a student becomes a "cicerone" for cultural heritage - Duration: 4:13.

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Argentina boss Jorge Sampaoli asks Lionel Messi for permission to bring Sergio Aguero on - Duration: 2:16.

 Argentina boss Jorge Sampaoli consulted Lionel Messi about substitutions mid-game as the Albiceleste overcame Nigeria to progress to the last 16 of the World Cup

 Barcelona star Messi gave Argentina an early lead with a stunning goal but, after Nigeria had equalised, it was defender Marcos Rojo who struck the decisive late winner to send the side through

 Argentina have been engulfed in drama after failing to win their first two matches, and there were rumours before the game that the players had staged a coup and selected the team themselves

 There were five changes to the starting XI, with Gonzalo Higuain brought back into the attack to lead the line and Willy Caballero dropped for debutant Franco Armani

 Incredibly, even during the match Sampaoli appeared to lack authority and actually asked Messi whether he should bring on Sergio Aguero midway through the second half

 The side were drawing and in need of a goal when an agitated Sampaoli shouted at Messi: 'Should I bring on Kun?'  His star player obviously answered in the affirmative, with Aguero entering the fray late on in place of left-back Nicolas Tagliafico; the substitution saw Rojo move to the left, later scoring the winning goal

 Usually players go out for the second half with their manager's mid-game team talk still ringing in their ears, but on Tuesday night it was Messi who delivered the speech

 Sampaoli was already back in the dugout waiting for the second half to kick off while the rest of the Argentina squad huddled around Messi in the tunnel as he delivered a rousing address

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