Parents: Autism Treatment in NC is Uphill Battle

first_imgNorth Carolina is one of 45 states that require insurance policies to cover applied behavior analysis therapies for people on the autism spectrum. However, advocates for people with autism say there’s a catch.Employer-sponsored health plans are required to cover it, but the state specifically exempts individual policies purchased on the Health Exchange. Lorri Unumb, vice president for state government affairs with the group Autism Speaks, said the exception was made because of a requirement under the Affordable Care Act for states to fund coverage mandates.“To avoid the possibility of having to absorb the cost of this mandated autism benefit,” she said, “the North Carolina Legislature simply carved out plans sold under the Affordable Care Act.”Lawmakers who supported excluding ABA therapy said cost to the state was a concern. According to the Centers for Disease Control and Prevention, about one in 58 children has been diagnosed with an Autism Spectrum Disorder. On average, medical expenses for people with autism are four to six times higher than others.April is National Autism Awareness Month.Nashonda Cooke of Durham has a daughter with autism. While her daughter has coverage through her father’s health insurance at work, she said it’s still difficult to get timely care.“So, I do absolutely everything I can,” Cooke said. “I don’t even wait for insurance, I pay out of my pocket. I can’t wait. At one point for services, she was on a 2 1/2-year waiting list, and this was when she was in kindergarten.”Cooke, a teacher who also works with children on the autism spectrum, said she understands the value of therapy, both as a mother and someone with a master’s degree in education.“I almost feel like maybe that’s why I got the experience as a teacher before I became a mother of a child with autism,” . I saw the difference it made in the classroom.”Numerous studies have shown that when offered at a young age, autism therapies can significantly improve a child’s ability to function, in school and later in his or her career. One study published in the journal Pediatrics indicated ABA even can raise the IQ of a child on the spectrum. The study is online at autismspeaks.org.last_img read more

The Checklist: An Old-School Retail Operations Process That Still Works

first_imgNo pilot would ever dream of flying an airplane without the extensive use of pre-startup, pre-taxi and pre-takeoff checklists. Pilots know that checklists are the best way to ensure consistent operation—a necessary condition for safe flight.But the use of checklists is by no means limited to flying. They definitely have a place in retail operations. Many retail leaders with responsibility for multiple locations find, to their frustration, that they are not able to consistently execute their programs across their entire organization. There are always facilities that execute appropriately and others that deliver inconsistent performance. Consistency is the key to the success of almost any operation and executing processes at the same level of effectiveness in all of your facilities will maximize your results.So how do you achieve consistent execution? The effective use of checklists is a great place to start.- Sponsor – A well-conceived checklist provides a step-by-step process for executing and inspecting expectations. It provides the ability to measure the true performance of your operation, enabling the delivery of a constant, known level of productivity and customer service throughout the organization.To demonstrate the advantages achieved by using checklists, here are their two primary uses:Clear Execution of Processes and Procedures: The checklist must enable the user to fully execute the expectation of the process. For example, a store-closing checklist would include: locking every perimeter door and window, ensuring that no one is hiding in the store (in a restroom, fitting room or storage closet), the daily deposit is locked in the safe and the burglar alarm is properly set.Following this checklist at closing in every store every night will ensure that these things are done. The person completing the checklist should sign it so they have personal ownership for each item. Copies of completed checklists should then be maintained so that you can verify whether or not it is being followed. Of course, a checklist can be falsified (or “pencil whipped”) but then, if you discover that something on the checklist hasn’t been done, you can hold the person who completed the checklist accountable.Ability to Inspect/Measure Processes and Procedures: An inspection tool ensures that processes and procedures are being followed and that they are executed properly. For example, district managers who visit their locations on a regular basis should have a checklist that requires them to inspect the things that you want to be consistently executed in all of your facilities.The reality is that district managers usually have their own way of conducting a visit, which is often based on their individual personalities and/or experience. For example, a district manager who is an operator will focus on operational areas, while a district manager who is a merchant will focus on the product and how it is displayed.A checklist will require them to consistently look at the same things to ensure that they are being done and done properly. This does not mean that checklists alone should be used to manage locations. Every facility is unique, so the district manager still needs to inspect and address current issues such as unfilled jobs and other issues specific to that location. However, the checklist should remain a requirement and a priority, leading to consistent inspections in all locations.Flexible in Design, Consistent in ExecutionAlthough most items on a checklist should remain constant, checklists should not be carved in stone. They should be modified as needs, processes, and business focuses change. For example, properly checking in product and documenting discrepancies may be an issue throughout the year, but other issues may arise and the checklist can be revised to include them.A checklist can be a paper document or an online file. It doesn’t matter, as long as you can audit whether or not the checklist has been followed and who conducted it. It can also be archived and used for additional purposes such as performance comparisons between locations.You can also use checklists to identify common findings. If all of the district managers identify the same issue, you can investigate the cause and address it. For example, if all locations are not processing their merchandise and getting it out to the sales floor on schedule, there may be a problem at the distribution center or with the delivery service.As a Training ToolAnother benefit of checklists is that they are an outstanding training tool. New employees often fail to execute processes because of insufficient training. Relying only on the training provided by their leader or computer-based training can lead to essential processes or actions being forgotten or missed.These problems may be compounded, as these employees may eventually become the people who train new employees. A checklist ensures that new employees understand what they are required to do and leaves them with a clear roadmap to follow, reducing ambiguities and increasing certainty and confidence.Even if you never use checklists to prepare for an airplane flight, it is clear that the effective use of checklists will provide consistency in the execution of retail processes and procedures, leading to improved productivity and better results. Stay UpdatedGet critical information for loss prevention professionals, security and retail management delivered right to your inbox.  Sign up nowlast_img read more

Harbinger Buys 10% of Palm

first_imgWhat it Takes to Build a Highly Secure FinTech … curt hopkins As we mentioned a few days back, the iPhone and Android aren’t the only game in town when it comes to handheld devices. Twitter for Blackberry was released on last Thursday and today comes news that Harbinger Capital has purchased almost 10% of Palm’s stock. The news might not be as good as it seems, however. Palm’s SEC disclosure indicates Harbinger, a New York-based private hedge fund, has purchased 16 million shares of Palm common stock. This purchase totals “9.48% (of total Palm stock) based on 168,755,045 shares outstanding as of March 26, 2010.”Because it was a common stock purchase, it does not come with voting rights, and the purchase did not have a significant effect on Palm stock, which was up 3.1% at the end of trading. Palm has reportedly secured Goldman Sachs in order to lure a buyer for the struggling company. Tags:#mobile#web Related Posts center_img The Rise and Rise of Mobile Payment Technology Role of Mobile App Analytics In-App Engagement Why IoT Apps are Eating Device Interfaceslast_img read more

Southern Africa’s AIDS epidemic takes nosedive

first_imgUntil now, the most authoritative estimates of HIV infection rates, or incidence, and prevalence have come from the Joint United Nations Programme on HIV/AIDS (UNAIDS) in Geneva, Switzerland. Those are based on mathematical models that largely extrapolate from clinics and nonrandomized surveys conducted by countries. The more rigorous PHIA approach “largely confirms” the UNAIDS estimates, says epidemiologist Peter Ghys, who directs strategic information and evaluation there. The most notable exception is PHIA found an incidence of 0.45 in Zimbabwe in 2016, which is almost half the 0.88 reported by UNAIDS in 2015. (The PHIA assessed adults between 15 and 64 years of age, whereas UNAIDS estimates are for 15- to 49-year-olds.)More important, PEPFAR’s Birx notes that PEPFAR’s own data from sites it supports led them to believe that more than 20% of the people who started treatment were not sticking with it. “We were misled at the program level about retention,” Birx says. The PHIA data’s high level of viral suppression—which UNAIDS does not track—suggests that instead, “people were moving from one clinic to another and it looked like they were lost to follow-up.” She says this suggests that people adhere to treatment more than previously thought. “These programs and the people implementing them have done an extraordinary job of working with the community and the individual clients,” Birx says.The PHIA also has regional data that will enable countries to better target interventions in places where they are not working well. “We know which regions have viral suppression and how many positive people were aware of their status, so the countries will now know where to test more people and where they have to achieve better viral suppression,” ICAP’s El-Sadr says. “The level of interest in the ministries of health is profound.”On a grander scale, the new data show that each of these three countries is approaching the UNAIDS goal to control HIV/AIDS epidemics, which is known as 90-90-90. UNAIDS modeling shows that epidemics will peter out if 90% of infected people know their HIV status, 90% of that group receive antiretrovirals, and 90% on treatment have undetectable viral levels. This translates to 73% of HIV-infected people in a population with undetectable viral levels—including those who don’t know their status and have uncontrolled infections. In the United States, only about 30% of HIV-infected people have achieved this. The PHIA found that Malawi already is at 67.6%, Zimbabwe is 60.4%, and Zambia is 59.8%. “We’re getting very close to the number that shuts down epidemics,” Birx says. Today is World AIDS Day, and three neighboring countries in southern Africa that have been hard-hit by HIV received remarkably good news.As part of a massive, first-of-its-kind survey, researchers randomly visited households in Malawi, Zambia, and Zimbabwe and tested about 80,000 people for HIV. In each country, more than 86% of the people receiving antiretroviral treatment had fully suppressed HIV, which means viral levels are so low they are not detectable on standard blood tests. This not only staves off AIDS, but makes it highly unlikely that they will infect others. The rate of new infections has also plummeted by more than 50% in the region since 2003. “We were amazed when we saw this,” says Wafaa El-Sadr, an epidemiologist who heads an international health-strengthening program called ICAP at Columbia University Mailman School of Public Health, which led the survey. “It’s really a credit to these countries—and they’re not the world’s richest places.”The three countries since 2004 collectively have received nearly $4 billion from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), which gave ICAP $125 million to conduct what are known as population-based HIV impact assessments (PHIAs) in 12 sub-Saharan African countries and Haiti. The aim is to help the countries and PEPFAR better target prevention and treatment efforts. The preliminary findings announced today are the first data reported from these assessments. “It’s pretty doggone amazing,” says Deborah Birx, who heads PEPFAR in Washington, D.C. “This really shows us why it’s so important to get community level survey data.”Sign up for our daily newsletterGet more great content like this delivered right to you!Country *AfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia, Plurinational State ofBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic of theCook IslandsCosta RicaCote D’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalestinianPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussian FederationRWANDASaint Barthélemy Saint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuela, Bolivarian Republic ofVietnamVirgin Islands, BritishWallis and FutunaWestern SaharaYemenZambiaZimbabweI also wish to receive emails from AAAS/Science and Science advertisers, including information on products, services and special offers which may include but are not limited to news, careers information & upcoming events.Required fields are included by an asterisk(*)last_img read more

a month agoWATCH: Higuain kicks out at coach in Juventus training meltdown

first_imgWATCH: Higuain kicks out at coach in Juventus training meltdownby Paul Vegasa month agoSend to a friendShare the loveJuventus striker Gonzalo Higuain has suffered a training session meltdown.Ahead of Juventus’ Champions League clash with Atletico Madrid, the Argentine let a heated session of rondo get a little out of hand as he lashed out at his own coach.After failing to reclaim the ball in the middle of the circle, Higuain, 31, went on to kick whatever was within range in a bizarre outburst.Some of his team-mates could be seen trying to laugh off the incredible tantrum before one eventually restrained the former Chelsea striker from lashing out further.Higuain went crazy during today’s training.. pic.twitter.com/nvzuRTVNi6— Forza Juventus (@ForzaJuve2017) September 17, 2019 About the authorPaul VegasShare the loveHave your saylast_img read more

11 days agoReal Sociedad midfielder Odegaard: Real Madrid Castilla a difficult time

first_imgTagsTransfersAbout the authorCarlos VolcanoShare the loveHave your say Real Sociedad midfielder Odegaard: Real Madrid Castilla a difficult timeby Carlos Volcano11 days agoSend to a friendShare the loveReal Sociedad midfielder Martin Odegaard admits he didn’t enjoy his time with Real Madrid Castilla.Odegaard is on-loan at La Real from Madrid.He told AS: “Yeah, it was a bit difficult my time there in Castilla – training with the first team and playing with the second team. I was a little bit stuck in between and sometimes it was difficult to find my role in the team because when you are not with the team the whole time, it’s different. “Of course it was good to train with the first team, and I think that was important for my development. But it’s never easy when you’re not 100 percent part of the team. It was a bit difficult for me at that time but I also think it helped me a lot to improve and made me stronger mentally.” last_img read more

2 days ago​Klopp delighted for Liverpool veteran Lallana: Wonderful story

first_imgAbout the authorAnsser SadiqShare the loveHave your say ​Klopp delighted for Liverpool veteran Lallana: Wonderful storyby Ansser Sadiq2 days agoSend to a friendShare the loveLiverpool boss Jurgen Klopp was very pleased for Adam Lallana after the latter scored their equaliser against Manchester United on Sunday.The Englishman came off the bench to change the game in the Reds’ favour, allowing them to get a foothold in midfield that led to their equaliser.He has struggled with injuries for the past season, but he is now fully fit and ready to fight for a first team position.Speaking to the club’s official website about Lallana, Klopp said: “A wonderful story. A wonderful, wonderful, wonderful story.”This weekend we had a long talk in general about our situation, and he is completely relaxed and fine and knows how difficult it is at the moment to come into the team.”But he just trains well and he deserved that; it was 25-30 minutes and he had a proper impact. Then scoring a goal… wow! That was really, really nice.”Then the heart rate went up a bit because VAR was involved – but he said he knew it would not be offside, so that was all fine. A wonderful story. A wonderful, wonderful story.”It would have been a better story if somebody would have scored a second one, but now we have to take that.” last_img read more

Video: Nebraska’s 1995 National Championship Team’s Reunion Tunnel Walk Was Incredible

first_imgNebraska's flag waves in the wind.LINCOLN, NE – NOVEMBER 24: A flag of the Nebraska Cornhuskers flys before the game against the Iowa Hawkeyes at Memorial Stadium on November 24, 2017 in Lincoln, Nebraska. (Photo by Steven Branscombe/Getty Images)Nebraska fell to 3-5 on the season after a heartbreaking 30-28 loss to Northwestern today. The highlight of the afternoon occurred pre-game, when the Huskers honored the program’s 1995 National Championship team, one of the best units in college football history.As part of the 20th anniversary reunion, the members of the 1995 team in attendance participated in a pre-game tunnel walk. Nebraska released a video of the walk, which included the pep talk delivered by Tony Veland, a safety and captain on the 1995 team, before the squad’s Fiesta Bowl win over Florida. This should give any huge college football fan chills, particularly if you root for Nebraska.#GBRAlways The ’95 #Huskers Team Reunion Tunnel Walk. https://t.co/7aQxTwvu9V— Nebraska Huskers (@Huskers) October 24, 2015Awesome stuff. Anyone who watched that 1995 team will never forget how good it was.last_img read more

E-Learning Jamaica Accepting Bids for Supply of Tablets

first_imgThe E-Learning Jamaica Company Limited is accepting bids for the provision of 30,000 tablet computers for schools under the pilot phase of the Government’s School Tablet Computer Programme.The pilot is scheduled to commence at the start of the 2013/14 academic year in September, and will culminate in June 2014.Science, Technology, Energy, and Mining Minister, Hon. Phillip Paulwell, made the disclosure in an interview with JIS News on Wednesday, July 3, after addressing a graduation ceremony at the New Forest Primary, Junior High and Infant School in Manchester.He informed that E-Learning Jamaica, an agency of the Ministry, put the project to tender last week for a period of 30 days, and is currently inviting bids from suppliers, via advertisements.Mr. Paulwell said apart from providing the tablets, the Ministry is also seeking submissions from suppliers capable of fulfilling stipulated specifications.“We have, for example, the issue of disabling the tablets, if stolen. We also are going to ensure that the device can be tracked. All of those features will have to be in the bids that people submit to the E-Learning Company. Of course, it’s an open, transparent process, anybody can bid, and we expect to get very good equipment at very good prices,” the Minister outlined.Students and teachers at some 35 shortlisted early childhood, primary, and secondary institutions will benefit from the tablets, being provided free of cost, as part of the administration’s efforts to enhance education through technology.This move is expected to, among other things, eliminate the need for textbooks, thereby reducing the associated costs, as well as ensure that no child misses any tutorial, due to absence from school.The initial 30,000 tablets form part of approximately 400,000, which the Ministry aims to allocate to all government schools island-wide over the next five years.Mr. Paulwell advised that the pilot phase will be assessed and analysed, and the results used to guide full implementation of the project, anticipated for the 2014/15 academic year and will benefit all students from pre-primary to secondary institutions.For the full roll out, disabled students as well as those on the Programme for Advancement through Health and Education (PATH), will receive the tablets free of cost, however, for other students, “there will have to be some cost recovery from the parents, especially because we are substantially cutting the cost to them,” Mr. Paulwell said.The Minister, in his earlier address at the graduation ceremony, urged parents to support the Ministry, in this regard.“We are going to ask, those of you, who can assist, (to do so) because remember some of you pay $15,000 and $20,000 for books…you’re not going to have to pay that anymore. So if you are asked to pay, for the year…about $5,000 for your own tablet for the advancement of your youngster…that (won’t) be (such a bad proposition),” he said.Minister Paulwell urged parents and guardians to assist in ensuring that children remain focused on learning. He said reports from countries that have gone this route, show that the first year of the project is often “difficult” as students get distracted by games and so on, and the results “are not so good.”He noted, however, that students begin to record “amazing” results and performances by the second or third year after receiving tablets.“So we know that, in time to come, we are going to see tremendous improvement in the performance of our youngsters. But for the first year, you have to help us to make sure that the children are not distracted and that the aim of the programme is fulfilled. What we want to do is create in our Jamaican students an inquisitive mind… a mind that is trying to get as much information to solve the problems,’ he stated.Mr. Paulwell said that parents, whose children will benefit under the pilot “will have to go through an orientation; you have to understand fully, what this is all about,” adding that along with what occurs at school, “there has to be some supervision, as well, at home.”“And so, we are not going to, come the 1st of September, hand deliver the computer/tablets to the children…the parents will have to be present,” Mr. Paulwell advised, noting that there has been positive feedback to the initiative.Contact: Douglas McIntoshlast_img read more

Jagmeet Singh told to cut off turban while campaigning in Montreal

first_imgA man told NDP Leader Jagmeet Singh he should cut his turban off during a campaign stop in Montreal Wednesday. “You should cut your turban off,” said the man. “You’ll look like a Canadian.” Singh responded saying, “I think Canadians look like all sorts of people. That’s the beauty of Canada.” “In Rome, you do as the Romans do,” said the man. When the man continued, Singh responded, “that’s OK. I don’t agree sir […] this is Canada you can do like, whatever you like.” Singh was at a federal election campaign stop at a farmers’ market in the Saint-Henri area of Montreal when the incident occurred. The Sikh NDP leader is the first racialized federal leader in Canadian history. A thirty-second French-language ad released by the NDP last month showed a shot of the 40-year-old without his turban as he says in a voiceover, “like you, I take pride in my identity.” Singh is taking part in a French-language debate Wednesday night in Montreal along with Bloc Québécois Leader Yves-François Blanchet, Liberal Leader Justin Trudeau and Conservative Leader Andrew Scheer. Quebec’s religious symbols legislation is sure to be a point of discussion. Bill 21, which came into effect in June, prohibits Quebec public servants deemed to be in positions of authority, including teachers, judges and police officers, from wearing religious symbols, such as turbans, kippas and hijabs.WATCH: Campaign trail incident highlights divisive issue of Quebec’s religious symbols legislation Singh has called Bill 21 sad and hurtful, and called the legislation a form of “discrimination.”“I think about what this bill says to a lot of kids out there that are made to feel like they don’t belong because of the way they look,” Singh said during the Maclean’s Citytv debate last month. “I remember when I was made to feel like I couldn’t do things because of the way I looked. This is a law that effectively says that, not just do we discriminate people maybe in society, but now it’s legislated.”While he has said he would not legally challenge the bill, Singh has been vocal about his support for advocates who are challenging it in court.“I’m hoping that I can send a message to people in Quebec that you can believe in who you are and you can celebrate your identity and contribute to society,” he said.last_img read more