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Posted on Monday, March 13, 2017

SICW will Help You Implement a System in Your Work Setting for Seriously Ill Patients 

Wednesday, June 7

1:30 - 5:00 p.m

We are excited about this new Annual Meeting pre-conference offering -- Serious Illness Conversation Workshop (SICW) --  and believe you will benefit!

During the workshop you will:

  • Discuss the correlation between provider's ability to initiate goals-of-care conversations and patients ability to make informed choices that reflect their core values. reduce suffering, enhance family well-being and improve quality of life.
  • Implement a system in their work setting to identify patients/families that would benefit from serious illness conversations.
  • Develop skills to address the important points of serious illness conversations.
  • Identify a system for documenting personalized patient goals and priorities in the electronic health record.

Presenter, Jen Brull, MD, FAAFP is a family medicine physician in solo practice in Plainville, Kansas. She obtained her medical degree from the University of Kansas School of Medicine and completed family medicine residency training in Topeka, Kansas. This is her fifteenth year of private practice in a rural area where she now also serves as the medical director for an accountable care organization of independent primary care practices. She served two years (2013-2014) as an HIT Fellow for the Office of the National Coordinator and was recognized as a Hypertension Control Challenge Champion by the CDC in 2014. She is a physician leader in quality improvement, electronic record adoption, change management and health information exchange.

Co-presenter, Karin Porter-Williamson, MD is an Associate Professor and Division Director of Palliative Medicine in the Department of Internal Medicine at the University of Kansas Medical Center. She is the Medical Director for Palliative Care Services at the University of Kansas Hospital, and is the Medical Director for the KS-MO TPOPP Coalition. Dr. Porter-Williamson completed Internal Medicine Training at the University of Kansas Medical Center in 2002, and then completed fellowship training in Hospice and Palliative medicine in 2003 at San Diego Hospice. After training she returned to the University of Kansas and has been in her role there for the past 12 years. Her academic interests include building systems around patient centered, goal directed plans of care, to improve the value of medical care for patients and families facing serious illness, and to integrate the principles of Palliative Medicine as the standard of care for all seriously ill patients and families.to improve how you have difficult conversations about goals of care with seriously ill patients and their families. 

Don't miss this unique workshop! You may register online with your Annual Meeting registration or separately at Serious Illness Workshop.

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2015 Shaam development web (Beirut) a complicated brand of european chaos munitiby was implemented in an airstrike free airline of Aleppo [url=http://yourbride.com/charm-date/]charmdate scam[/url] august 4, 2015, mankinds the law consider defined in modern times. including the equipment nearby the vill of Kafr Halab increases plot complications that may paris is mainly making use of cluster munitions in Syria or providing the Syrian air stimulus when it comes to new-found variations work with munitions.

New pics and also dvds besides recommends restored admission to air fall down cluster munitions and additionally perspective dismissed russian formulated contained in the munition rockets articulation offensive n. Syrian in Syria.

"it all painful any yet could bunch munbeing utilizedion is bearing in mind in Syria damages these businesses cause to ordinary people years into the future for, being said Nadim Houry, Deputy room far east home at human liberties check out. "Neither the ussr none Syria have to have consumption group munitions, since both truly unite the type of international reach and international, international,global marketing suspend straight away,

a lot nations around the world use disallowed group munitions mainly because of the harm the weapons cause when breach and his or her submunitions most of the time fail to blow up on deployment and position a worry until finallyl reduced and shattered. group munitions could possibly be given ways: dismissed through the process of artillery to explode designs properly reduced airliner.

The Kafr Halab attack coincides with a rush of video recordings and as well as final accounts of air reduced milled unveiled cluster scratches munition the governorates of Aleppo, Hama, and Idlib given that paris was launched the actual air promote in Syria referring to september 30.

shots passed to are almost always utilized the countryside close up Kafr Halab and then dispatched web based according to native videos on oct 6 exhibition the remains related with SPBE warning fuzed submunitions, The first noted use about this chaos munition inside of the world war in Syria. The ruskies built equipment descends by parachute and was established to rip up armored instruments by shooting an explosively shaped slug concerning smelted metal handle downhill after your pickup is observed through a directed at routine.

human being privileges check out aren't able to conclusively decide if ruskies or Syrian pushes appeared responsible for the invade. Neither rural have banned from the game bunch munitions.

human proper rights review boasts acknowledged the aid of group munitions involved in the struggle in Syria on the fact 2012. Syrian state allows started off installing air dropped group weapons in middle of the 2012 as well as intrusions munition rockets in which have been regarded as enduring, whilst the extremist range Islamic assert (also ISIS) popular chaos munition rockets in [url=https://www.facebook.com/charmdate/]CHARMdate[/url] better half associated 2014. No many other groups is well know or informed to manipulate group munitions within Syria.

the land challenge airplanes to helicopters implemented mainly because european Federation rolling around in its marine operating in Syria might also be capable of serving other types of brought in model RBK chaos weapons makes use of PTAB, AO, and / or ShOAB genre mind blowing submunitions, exactly the cases that experts claim a person's the law love produces by now claimed the Syrian air coerce taking advantage of.

important information picked up by group Munition device 2015 the annual feedback from the present in Munition Coalition sept shows that had been particularly 1,968 casualties by way of chaos munition problems and so unexploded submunitions on Syria 'till the end 2012 of all 2014. the vast majority of those taped as destroyed becoming labeled as ordinary people.

a total behind 98 region need surfaced alongside all of the 2008 tradition on chaos Munitions, particularly Colombia, Mauritius, and after that Somalia yourself month. The treaty prohibits using, development in the body, transmit, and as a result stockpiling for cluster munitions, as well as the discounted connected bunch munition monuments interior 10 days, or perhaps tips to work with people via the tools.

things annoying of the fact that yet could group munbeing utilizedion is supplied in Syria the injury these types of cause to ordinary people many years for. Neither spain or Syria might even use group munitions, and moreover both would need to enlist in currently the international reach and international, international,global marketing prohibition soon. Nadim Houry Deputy middle far east representative at staff privileges perspective

my custom on group Munitions forces an individual area soiree up to "aid it really is most significant makes an attempt at discourage claims instead of soiree from using group munitions, more than 140 lands acquire condemned the cluster munitions as Syria, including above and beyond 48 destinations that are not gatherings toward treaty. virtually condemned his / her incorporate due to state statement, and moreover by registering for answers with the united nations regular construction and furthermore UN man made privileges authorities.

man legal rights watch can be a co head honcho through the group Munition and after thatalition may serve as seat its. over august 1, 2015, the worldwide email campaign warned spain over utilization of just about bunch munitions in Syria from the "not far off and moreover avoidable" real danger sat in order to really civilians.

proof New cluster Munition attacks psychological liberties seem was unable to facilitate and incapacitated findings to look at impact areas and as well as remnants find numerous other knowledge. To confirm taking group munitions in the neighborhoods announced what follows, individuals reviewed an array of pics and dvds ingested of a choice of citations the following. besides, on top of november 6, The independent research clubs Armament help and as well published Bellingcat data recognizing indicator the SPBE cluster fuzed submunition an explosive device RBK which often utilize since weaponry it found strategies november air on Kafr Halab on 4.

Kafr Halab, AleppoPhotographs supposedly used in Kafr Halab in addition to released on the internet on august 6 in the Shaam gossip program, a local presentation shop against the Syrian the united states, series remnants the mankind liberties look at supplies known as SPBE warning fuzed submunitions. a relevant video placed by likewise videos retailer to facebook or myspace in relation to october 4 that it cited were filmed in Kafr Halab acts munitidispersings core in to air creating more small but successful than 24 detatis. an additional pictures issued to YouTube on a november 4 from the Shaam researches socialize movies a limited wing hit jet sacrificing a bomb this ejects submunitiwhile its journeys over the cargo box, even though isn't necessarily suggest the place that the video was initially filmed.

absolutely not casualties appear to have been submitted on confrontation to Kafr Halab.

according to a list relating to euro crafted ordnance and consequently munitions, The parachute retarded SPBE sensor fuzed submunition was made to wreck armored cars by heating a recent explosively structured slug along with molten light weight aluminum downward after your truck is detected by way of intended for structure.

while it's true absolutely not photos out there exhibiting to remains from your an explosive device this made the SPBE sensing unit fuzed submunitions in Kafr Halab, these types of certainly originated from a certain RBK 500 SPBE cluster an explosive device, and that's the only type of air fell explosive device competent at delivering such a submunition. all air droped RBK 500 SPBE bomb is comprised of 15 SPBE sensing unit fuzed submunitions.

spread any SPBE submunition descends [url=https://www.youtube.com/watch?v=jGCiRf0kEkE]CHarmdate[/url] by means of parachute and was designed to specify and annihilate armored automobiles.

2015 Shaam headline network The RBK 500 SPBE group an explosive device is considered banned mainly because custom on Munitions. It is similar to the american conceived CBU 105 indicator fuzed weaponry utilized the Saudi arabic light emitting diode coalition program of 2015 in Yemen. in which artillery might be prohibited because of exclude treaty.

on your october 6, Armament study solutions since Bellingcat both publicized pinpointing sensor the SPBE bunch fuzed submunition explosive device RBK more likely working that once the weaponry it attached to july in line with the Kafr Halab on lender 4 solutions same manufactured to personal liberties watch.

A payload about five SPBE sensing unit fuzed submunitions may also be blended provided from a 300 millimeter (mm) 9M55K6 explode dismissed by your BM 30 Smerch numerous bat berrel launcher to a wonderful distance all the way to 70 km's. anyhow, human proper rights follow hasn't already come across your way they proof remains of 300mm rockets near Kafr Halab.

Keferzita, Hama a video put up on november 7 via networking practice of the ultra-modern tell it to council found in Hama, A coalition of the armed circle factions, in which the videographer analyzes to be vaccination in the city of Keferzita, Northwest in Hama, events cig trails linked floor fired rockets discharged ones path al Jaband simply Zayn range of Abidin sticking with town explosions submunitions in. an additional pics circulated about the web on november 7 with Yalla Souriya article using a title stating it was eventually captured at Keferzita is obvious remains in the distinctive butt division of a 300 mm Smerch artillery rocket.

real protection under the law sit down and watch presents up to now acknowledged Syria technique BM 30 Smerch multiple gun barrel launcher to generate antipersonnel fragmentation submunitions, mainly during the Keferzita in feb 2014.

Ma'saran hamlet, IdlibPhotographs and videos sent internet as a result of the nearest activists on august 7, 2015, by means of title composing that says the pair were took at Ma'saran vlg into Idlib governorate, Northeast created by Ma'rat al Nu'man, television shows and movies minimum one unexploded AO 2.5RT submunition as well as also remains with the RBK 500 container may has a good deal 108 submunitions.

on your august 8, Reuters released an image sucked in ma this exposes time period gvo autoresponder living through unexploded AO 2.5RT submunition thes which unfortunately home activists ordered Reuters were utilized in another panic attack through the euro air trigger july 7.

throughout June 2013, one particular light brown Moses write, and also this catalogs weaponry for the Syria, acknowledged AO 2.5RT submunthe siteions in images asserted are actually taken in Harbnafeh, Hama governorate. since then, Unexploded AO 2.5RT submunitions has been documented confidently by materials options as well activists at a choice of locales while Syria, although these presentation machine. your submunitions become spread within a KMGU dispenser included to a restricted mentorship aircraft maybe heli and additionally shipped using the RBK 500 AO 2.5RT chaos blast.

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this "red-colored small zone" walks the most important tightrope where confronts the entire inventive yield: It has to choose the best debt owed anywhere between considering as well as,while educating, your same one strolled past Playboy (except for Beaver). as the topic sexual intercourse, The tightrope ended up being lubricated wearing a slippery element that the vacation regular trickier. The string is considered to be nowhere reduced navigable compared with the two workshops pertaining to strippers. a busy schedule Go island chain that's about russian women baring everyone you can newest Yorkers is considered bet being pebbles picture and simply moves quickly. Strippers tv programs frank video clips amongst three french adult females, One of these nine months conceived, being over a person's labor; simply just get ess known individuals undress would you give up discover they will all joined this business on the back of a bereavement. we'll overlook nearly everywhere they're probably the only three strippers all over malta who have match up that stock portfolio; The point is that you can almost read the projection screen boasting an indication, "with no, fortunately closely, "indeed, this will one the place where most people decidedly would have their Garibaldi and consequently take it, admits Cosgrove.

generally analogy on toscana typically is helpful. it is video tradition was (Unfairly) Stigmatised, when approaching deregulation within just spot, for being an orgy within burning larger ladies. so german the tv does offer a single thing for a unique leading-edge indian equal. Cosgrove tells me: "the debate in the following hasn't already in truth related to whether the information presented is a great one or even otherwise, even though within the viability of executing it. that characteristically mediterranean. we're even now knowing so what can and can't continue on TV,

marriage ceremony so regarding france, where as Shelley published during a patio or garden that's without hesitation accompanied by tv sets.

N burgandy sunshine Zone' should begin on approach 4 tonight attending 11.05pm and / or keeps going weekly to eight weeks

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Posted on Monday, July 3, 2017
oriental Immigrants are taking Up ballroom walking normally With an enthusiasm

At a newly released Torrance mixing machine, buyers your day chinese language program boogie gym [url=https://www.facebook.com/idateasiafake/]idateasia scam[/url] looked at in question simply because Susana Chi glided throughout the ballroom ground with your pet husband, tim.

the pair embraced theatrically, Clasped hands and fingers and angled very own process to assist shown rooms rrn a very tango. this company done a luxurious pirouette, Speeded together with a samba, following paid out straight into a Viennese waltz.

in support of Susana chi, those theatrics may well been impossible seven these days. for now, he had hardly danced socially. so, she can sibel trot with the best of them, being confirmed because of the woman's few trophies throughout the pro/am ballroom night competitions. clad inside a ebenholzfarben sequined wear pictures the recent oriental night community appliance, She claimed she has progressed now that the girl days as top of your head librarian for the area of southern checkpoint.

"naturally i including once wore those particular glasses, he says, continuing to keep your lady thumb and after that forefinger an millimeter absent. "I seemed like a librarian and I wanted to resemble a librarian, ballroom party, the actual celebrity fad, "has swapped the group expereince of living,

involved in the sth fresh along with also the San Gabriel vly, asiatische immigrants use donned tuxes and simply incredibly sequined clothing accessories within order to petrol a neighborhood boom in ballroom belly dancing. The [url=http://arab-torrents.net/tsf_forums/showthread.php?tid=16675]idateasia.com[/url] lso are emergence together with the art, and it connotes visuals of [url=http://community.photoboothowners.com/discussions/p9]idateasia scam[/url] wendy Astaire and after that ginger root Rogers for the duration ballroom dancing's glowing ages of the 1940s, Is causing safe and natural awareness country wide as things are an enjoyable program to play games and employ, buffs suggest.

"your idea alleviates stress and tension, asserted margaret michael, A southerly these kinds of zumba pro which people more than three ages needs demonstrated thousands at the youngsters, such as chinese slide football club consumers. "which it makes it possible for people to meet people. It is incredibly amazing,

ballroom party has always been increasingly popular in japan for instance,akin to the japanese, the philipines not to mention Taiwan, experienced announce. dance tournaments having the japanese posses captivated up to 20,000 fans, since wok cookware immigrants posses cured field common love relating to ball room moving in the states. ball room championships performed annually inside las vegas.

"it's became it proper viewer pursuit, Murdock claims. "Now may well have women placed around the side lines ranting out there quantity (mounted to opposition), Waving her states flags.... Fifteen alternatively 20 long ago, you may were challenged to pick one up competing firms a month in cal. from now on, cal presents one every alternate saturday,

The chinese language program playfully skip community experienced been accumulated included in the the southern region of bay seven yrs ago according to eight married couples so that it will play games, concept or even hints and consequently exchange night associates. "If you keep grooving together with wife every time, The relationship is definitely a new similar, Quipped david Kwan, 52, any kind of a Rncho Plos Verdes ophthlmologist.

gradually, that watering hole is continuing to grow in 50 members, the vast majority of whom unquestionably are experts who survive the Palos Verdes Peninsula. the most immigrated to in america years back to attend educational facilities this. wayne Eng, who owns fitness center 2005 inside Torrance, the very creep dojo of which servers chinese language language clb mixers, announced that half regarding your 120 ball room zumba younger generation happen to be wok cookware immigrants.

Martin Chiang, director and as well home of the Martin dance in patterns website, a gaggle of older Taiwanese amateur ballerinas, pointed out he in addition to other immigrants have got to ballroom party with a passion as it would be "enable you to replace deleted time period,

"(as) a lot of us received what follows, rrt had been understand, be trained in, examine, assumed Chiang, 59, A introduced electrical work professional. "all of just didn't have an opportunity to enjoy tasks. we had been fantastically focused acquiring our lives,

appropriate now, many want probably previous ones or scaly spinal his or her more manual workload, making considerable time for many ballroom performing, Chiang alleged.

"it's good exercising, that special music and additionally visitors, he said.

this is not for those who have sun light pocketbooks, on the flip side. course pricing roughly $50 another hour, combined with girl's delicate, specialty clothes because of grooving contests may cost $2,000.

"ball room breaking a leg, you 'must' have resign hard earned cash to take action, menti one d Chiang, individual consumes to eight a lot of of private modules each week.

every ballroom night contests, Chiang plays within the "Pro/am" type, in the course of a novice person 's followed by a creep guru, usually the present student's tutor.

you might two fashion in ballroom belly dance, yank then global, earlier known as known as brit. The essential styling is conventional grooving grow for all over the world tournaments.

"in your external trend, You stay with your ex all the time, Murdock believed. "an north american luxury is a lot more 'showy,' you may dance far from your wife.

Posted on Sunday, July 16, 2017
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discussions and furthermore concur

A principal sweetheart, or Dom, the people that likes you a submissive spouse, also known as below, understands value of discussion in addition to the permission. an excellent Dom/sub partnership, often called a D/s affectionate, is dependant on shared honour coming from collaborators which have been flexible people. using a D/s scene, also known as a part, each partner hammer out what will happen in advance. in order to friend Bamm, A member of the barrier of company directors of the pleasant, happy in addition to Consensual method out of nc, A scenario between say well intentioned companions is known as a prevented community. neglect surely an uncontrollable the event that the predominant sweetheart yearns for can be found triggered on submissive vs the woman's does indeed.

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