JetBlue pilot: Not guilty, rules judge ( video)

A judge in Texas has ruled that?Clayton Osbon was insane when he caused the emergency landing of a JetBlue plane. Passengers on that flight are now suing the company for negligence.?

By Jim Forsyth,?Reuters / July 3, 2012

A JetBlue pilot captain, Clayton Osbon, is removed from the plane after erratic behavior forced the crew to land in Amarillo, Texas, in this file photo. A Texas judge found Osbon not guilty of interfering with the flight crew by reason of insanity.

REUTERS/Steve Miller/The Reporters Edge

Enlarge

A Texas judge on Tuesday found a JetBlue pilot insane and not guilty of interfering with a flight after his bizarre behavior forced an emergency landing in March.

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' + google_ads[0].line2 + '
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'; } else if (google_ads.length > 1) { ad_unit += ''; } } document.getElementById("ad_unit").innerHTML += ad_unit; google_adnum += google_ads.length; return; } var google_adnum = 0; google_ad_client = "pub-6743622525202572"; google_ad_output = 'js'; google_max_num_ads = '1'; google_feedback = "on"; google_ad_type = "text"; google_adtest = "off"; google_image_size = '230x105'; google_skip = '0'; // --> The JetBlue captain who suffered the mid air meltdown was found not guilty by reason of insanity.

Clayton Osbon, 49, had been charged with interference with a flight crew and could have faced up to 20 years in prison.

Court documents show U.S. District Judge Mary Lou Robinson in Amarillo, Texas, received a report from a psychological examination that concluded, "at the time of the commission of the offense, the defendant appeared to suffer from a severe mental disease or defect that impaired his ability to appreciate the nature, quality, or wrongfulness of his behavior."

All parties, including the prosecutors, agreed to the report.

Last month, Judge Robinson declared Osbon fit to stand trial, saying he was "not now suffering from a mental disease or defect" that would make it impossible for him to assist in his own defense.

Osbon had been examined by a government-appointed psychologist who did not address whether he was sane at the time of the March 27 incident.

Witnesses said Osbon had to be wrestled to the floor of the plane that was heading from New York to Las Vegas after he began sprinting down the aisle, yelling that "Things don't matter," and talking about Afghanistan, Iraq and al-Qaeda.

Before being locked out of the flight deck by the first officer, the FBI said Osbon had tried to interfere with the plane's controls and began rambling, saying, "We're not going to Vegas," and warning the first officer that "We're going to have to take a leap of faith."

Judge Robinson ordered that Osbon be taken to a prison in Fort Worth, Texas, for a mental examination, then returned to court for an August 6 hearing, where his fate will be up to the judge.

Under federal law, people found not guilty by reason of insanity can be incarcerated until they can establish that they are entitled to be released.

Several passengers on board the flight have filed suit against JetBlue for gross negligence, saying the airline should have known that he was unfit for duty as a pilot.

Source: http://rss.csmonitor.com/~r/feeds/csm/~3/a-R1htYdMdo/JetBlue-pilot-Not-guilty-rules-judge-video

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Layton Hower ? Boost The Grade Of Your Way Of Life With These ...

Self improvement is about becoming a far better, much more properly-curved particular person. You?ll need to construct personal-consciousness, discover something totally new, and build spiritually, all ultimately causing the gratification of the individual goals. The following write-up is usually to be used as as beneficial guide to help you work towards bettering your self as being an individual. Keep in mind, start you self improvement trip slowly, and, eventually, you will understand more details on yourself.

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Source: http://www.laytonhower.com/index.php/test/boost-the-grade-of-your-way-of-life-with-these-great-tips/

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First Holy Martyrs of the Church of Rome: "they will kill you"

But the one who perseveres to the end will be saved.
-- Matthew 24. 4-13It is not easy for man, wounded by sin, to maintain moral balance. Christ's gift of salvation offers us the grace necessary to persevere in the pursuit of the virtues. Everyone should always ask for this grace of light and strength, frequent the sacraments, cooperate with the Holy Spirit, and follow his calls to love what is good and shun evil.

-- CCC 1811

Source: http://mcitl.blogspot.com/2011/06/first-holy-martyrs-of-church-of-rome.html

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Legal Shield Multi-Level Marketing Scam | Reach More Customers ...

More than likely you stumbled upon this article on the internet by trying to find phrase "legal shield scam". There's a chance you are looking to join up as a distributor or buyer and wanted to do further investigation to assist you with your pending decision. We'll, good on you for carrying out your due diligence first, a lot of people don't bother to look into whether or not these scam claims are true or not.

I am not affiliated with Legal Shield in anyway but wanted to share this article in order to offer you some more details on this subject, and hopefully dispel the numerous scam claims going around on the net.

Legal Shield Inc, is a private American corporation based in Ada, Oklahoma which provides legal services goods in Canada and America. The original firm was founded by Harland Stonecipher in August 8, 1972 and made its first public offering in 1984.

Legal Shield develops together with marketing pre-paid Legal Shield plans for both commercial and organization use via a network of more than fifty independent law firm providers across Canada and America. Presently, the majority of the sales the Legal Shield organization does are described as mlm marketing.

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To find out more information about the legal shield scam click here. Check out some more articles related to scams on the internet here.


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  5. IPad Case to help Stop and Shield your Gadget

Source: http://morecustomersandmoresales.com/legal-shield-multi-level-marketing-scam/

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Severe weather warnings to be sent directly to smartphones

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Source: http://news.yahoo.com/severe-weather-warnings-sent-directly-smartphones-025547265.html

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Cyprus EU bailout bid accepted, IMF involved

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International Development - Communications Specialist

Top global development employers in Brussels: A primer

Brussels not only is home to the Belgian aid agency, but also the European Union, one of the world?s largest funders of relief and development initiatives. Here?s a glimpse at the city?s largest aid donors, nonprofits, consultancies and interest groups.

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Incumbents Rangel, Hatch win primaries

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How You Can Make Your Home An Oasis With Some Improvements

Handy items you need to have are ladders, the right belt of bag for working, a good metric ratchet set, chisels and also reliable rubber mallet. There are things that you do not necessarily need but are very useful around the house.

A floor lamp can be a great addition to the room and free up valuable space on a nightstand or dresser. Floor versions are great because they can be easily moved to different locations. There are literally thousands of attractive floor lamps for sale.

When buying a home, always set up a home inspection by a professional. That way you need not rely on the seller and your eyes about what has to be replaced or fixed if you buy the house. A professional can also act as a mediator, allowing the transaction to stay civil.

Searching for information is helpful when making home improvements. You could also check out some books at the library or purchase some. Visit paint and carpet stores and pick up color samples and fabric swatches. The more you know about your project, the better prepared you will be to complete it successfully.

Give your home?s exterior a scrub down with a pressure washer using soap made specifically for home siding. It does not cost much to rent pressure washers, and they can go a long way toward removing the dirt and grime from your home?s exterior. Be careful, though, around windows and your roof line. You want to avoid knocking things loose.

Don?t just believe your contractor when she says she is insured. Give the insurance company a call to verify the contractor?s insurance status. Contractors will sometimes attempt to fool others by carrying around a card to appear insured but in reality they aren?t.

Home improvement projects allow you to stamp your own style on your home, and they can be simple to do if you plan projects out. This allows you to concentrate on the task itself instead of leaving you distracted by details relating to cost and design. Figure out what you want to do by visiting neighbors? homes and checking out media that deals with home improvement.

When you get together with your contractor to arrange the payment terms for your home improvement project, tie payments to the percentage of work completed, not the amount of time elapsed. This allows you to fire a contractor if his or her work is incomplete or shoddy or if the contractor starts asking for more money.

It?s helpful to determine your priorities for your wish list when it comes to home improvements. Know why you wish to make the improvements and think about whether it will improve the quality of life in the home. You need to be committed to making home improvements, and it?s important you are putting your time to good use.

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Higher medical home performance rating of community health centers linked with higher operating cost

[ Back to EurekAlert! ] Public release date: 24-Jun-2012
[ | E-mail | Share Share ]

Contact: Rob Mitchum
Robert.Mitchum@uchospitals.edu
773-484-9890
JAMA and Archives Journals

CHICAGO Federally funded community health centers with higher patient-centered medical home ratings on measures such as quality improvement had higher operating costs, according to a study appearing in JAMA. This study is being published early online to coincide with its presentation at the Annual Research Meeting of AcademyHealth.

"The patient-centered medical home (PCMH) is a model of care characterized by comprehensive primary care, quality improvement, care management, and enhanced access in a patient-centered environment. The PCMH is intuitively appealing and has improved clinical and organizational performance in several early studies, leading a broad range of stakeholders to call for its adoption. It is critical to understand the cost of the PCMH from the perspective of individual clinics. Such cost data are essential for practices to make informed decisions to adopt the PCMH and for policy makers and administrators to design financially sustainable medical home models," according to background information in the article. "Little is known about the cost associated with a health center's rating as a PCMH."

Robert S. Nocon, M.H.S., of the University of Chicago, and colleagues examined the association between PCMH rating and operating cost in primary care practices, specifically among federally funded health centers. The analysis consisted of a cross-sectional study of PCMH rating and operating cost in 2009. PCMH rating was assessed through surveys of health center administrators of all 1,009 Health Resources and Services Administration-funded community health centers. The survey provided scores from 0 (worst) to 100 (best) for total PCMH score and 6 subscales: access/communication, care management, external coordination, patient tracking, test/referral tracking, and quality improvement. Costs were obtained from the Uniform Data System reports submitted to the Health Resources and Services Administration. The primary measured outcomes were operating cost per physician full-time equivalent, operating cost per patient per month, and medical cost per visit. Six hundred sixty-nine health centers (66 percent) were included in the study sample, with 340 excluded because of nonresponse or incomplete data. The final sample of health centers represents 5,966 full-time equivalent physicians, who cared for more than 12.5 million patients nationally in 2009.

The average total PCMH score for the study sample was 60, with a low score of 21 and a high of 90. "In multivariate models that used total PCMH score as the medical home measure, higher total PCMH score was associated with higher operating cost per patient per month. For the average health center in our study sample, a 10-point higher total PCMH score (i.e., a score of 70 instead of 60 on the 100-point scale) was associated with a $2.26 (4.6 percent) higher operating cost per patient per month, assuming all other variables remain constant," the authors write.

The researchers also found that in multivariate analyses that used PCMH subscale scores, a 10-point higher score was associated with higher operating cost per physician full-time equivalent for patient tracking ($27,300) and quality improvement ($32,731) and higher operating cost per patient per month for patient tracking ($1.06) and quality improvement ($1.86). "A 10-point higher PCMH sub-scale score was associated with lower operating cost per physician full-time equivalent for access/communication ($39,809)."

The authors write that the magnitude of health center cost effect in this study is significant. "The $2.26 (4.6 percent) higher operating cost per patient per month associated with a 10-point higher total PCMH score would translate into an annual cost of $508,207 for the average health center ($2.26 per patient per month for 18,753 patients during 12 months). The cost associated with higher PCMH function is large for a health center, but that cost is relatively small compared with the potential cost savings from averted hospitalization and emergency department use observed in some preliminary PCMH studies."

"We believe payment for the medical home should be evidence based and grounded in observations of costs that accrue to each stakeholder in the health care system. Without such data, aggressive pressure to reduce health care cost is more likely to erode PCMH payment over time. Strong quantitative documentation of the actual practice cost of higher PCMH rating could provide the basis for evidence-based financial incentive structures that would be useful as the health care system moves toward more integrated care models such as the accountable care organization. It will only be through effective design and implementation of such financial mechanisms that the PCMH can be sustained."

(JAMA. 2012;308[1]:doi:10.1001/JAMA.2012.7048. Available pre-embargo to the media at http://media.jamanetwork.com)

Editor's Note: This research was funded by the Commonwealth Fund, the U.S. Health Resources and Services Administration, the NIDDK, and the Agency for Healthcare Research and Quality. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, etc.

Editorial: Financial Implications of the Patient-Centered Medical Home

In an accompanying editorial, Robert J. Reid, M.D., Ph.D., and Eric B. Larson, M.D., M.P.H., of the Group Health Research Institute, Seattle, comment on the findings of this study.

"The report by Nocon et al provides an in-depth analysis of health center finances. In a few years, more information will become available about whether PCMHs improve care and reduce costs, key elements of their architecture, ways to redesign them to meet the needs of diverse populations, and how to efficiently integrate them into larger health systems. Patient-centered medical homes have great potential for remodeling the lagging U.S. primary care system, which will, if strengthened, be able to provide comprehensive health care services to all patients."

(doi:10.1001/JAMA.2012.7661. Available pre-embargo to the media at http://media.jamanetwork.com)

Editor's Note: Please see the article for additional information, including financial disclosures, funding and support, etc.

###

To contact Robert S. Nocon, M.H.S., call Rob Mitchum at 773-484-9890 or email Robert.Mitchum@uchospitals.edu. To contact editorial co-author Robert J. Reid, M.D., Ph.D., call Joan DeClaire at 206-947-4560 or email declaire.j@ghc.org.



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[ Back to EurekAlert! ] Public release date: 24-Jun-2012
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Contact: Rob Mitchum
Robert.Mitchum@uchospitals.edu
773-484-9890
JAMA and Archives Journals

CHICAGO Federally funded community health centers with higher patient-centered medical home ratings on measures such as quality improvement had higher operating costs, according to a study appearing in JAMA. This study is being published early online to coincide with its presentation at the Annual Research Meeting of AcademyHealth.

"The patient-centered medical home (PCMH) is a model of care characterized by comprehensive primary care, quality improvement, care management, and enhanced access in a patient-centered environment. The PCMH is intuitively appealing and has improved clinical and organizational performance in several early studies, leading a broad range of stakeholders to call for its adoption. It is critical to understand the cost of the PCMH from the perspective of individual clinics. Such cost data are essential for practices to make informed decisions to adopt the PCMH and for policy makers and administrators to design financially sustainable medical home models," according to background information in the article. "Little is known about the cost associated with a health center's rating as a PCMH."

Robert S. Nocon, M.H.S., of the University of Chicago, and colleagues examined the association between PCMH rating and operating cost in primary care practices, specifically among federally funded health centers. The analysis consisted of a cross-sectional study of PCMH rating and operating cost in 2009. PCMH rating was assessed through surveys of health center administrators of all 1,009 Health Resources and Services Administration-funded community health centers. The survey provided scores from 0 (worst) to 100 (best) for total PCMH score and 6 subscales: access/communication, care management, external coordination, patient tracking, test/referral tracking, and quality improvement. Costs were obtained from the Uniform Data System reports submitted to the Health Resources and Services Administration. The primary measured outcomes were operating cost per physician full-time equivalent, operating cost per patient per month, and medical cost per visit. Six hundred sixty-nine health centers (66 percent) were included in the study sample, with 340 excluded because of nonresponse or incomplete data. The final sample of health centers represents 5,966 full-time equivalent physicians, who cared for more than 12.5 million patients nationally in 2009.

The average total PCMH score for the study sample was 60, with a low score of 21 and a high of 90. "In multivariate models that used total PCMH score as the medical home measure, higher total PCMH score was associated with higher operating cost per patient per month. For the average health center in our study sample, a 10-point higher total PCMH score (i.e., a score of 70 instead of 60 on the 100-point scale) was associated with a $2.26 (4.6 percent) higher operating cost per patient per month, assuming all other variables remain constant," the authors write.

The researchers also found that in multivariate analyses that used PCMH subscale scores, a 10-point higher score was associated with higher operating cost per physician full-time equivalent for patient tracking ($27,300) and quality improvement ($32,731) and higher operating cost per patient per month for patient tracking ($1.06) and quality improvement ($1.86). "A 10-point higher PCMH sub-scale score was associated with lower operating cost per physician full-time equivalent for access/communication ($39,809)."

The authors write that the magnitude of health center cost effect in this study is significant. "The $2.26 (4.6 percent) higher operating cost per patient per month associated with a 10-point higher total PCMH score would translate into an annual cost of $508,207 for the average health center ($2.26 per patient per month for 18,753 patients during 12 months). The cost associated with higher PCMH function is large for a health center, but that cost is relatively small compared with the potential cost savings from averted hospitalization and emergency department use observed in some preliminary PCMH studies."

"We believe payment for the medical home should be evidence based and grounded in observations of costs that accrue to each stakeholder in the health care system. Without such data, aggressive pressure to reduce health care cost is more likely to erode PCMH payment over time. Strong quantitative documentation of the actual practice cost of higher PCMH rating could provide the basis for evidence-based financial incentive structures that would be useful as the health care system moves toward more integrated care models such as the accountable care organization. It will only be through effective design and implementation of such financial mechanisms that the PCMH can be sustained."

(JAMA. 2012;308[1]:doi:10.1001/JAMA.2012.7048. Available pre-embargo to the media at http://media.jamanetwork.com)

Editor's Note: This research was funded by the Commonwealth Fund, the U.S. Health Resources and Services Administration, the NIDDK, and the Agency for Healthcare Research and Quality. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, etc.

Editorial: Financial Implications of the Patient-Centered Medical Home

In an accompanying editorial, Robert J. Reid, M.D., Ph.D., and Eric B. Larson, M.D., M.P.H., of the Group Health Research Institute, Seattle, comment on the findings of this study.

"The report by Nocon et al provides an in-depth analysis of health center finances. In a few years, more information will become available about whether PCMHs improve care and reduce costs, key elements of their architecture, ways to redesign them to meet the needs of diverse populations, and how to efficiently integrate them into larger health systems. Patient-centered medical homes have great potential for remodeling the lagging U.S. primary care system, which will, if strengthened, be able to provide comprehensive health care services to all patients."

(doi:10.1001/JAMA.2012.7661. Available pre-embargo to the media at http://media.jamanetwork.com)

Editor's Note: Please see the article for additional information, including financial disclosures, funding and support, etc.

###

To contact Robert S. Nocon, M.H.S., call Rob Mitchum at 773-484-9890 or email Robert.Mitchum@uchospitals.edu. To contact editorial co-author Robert J. Reid, M.D., Ph.D., call Joan DeClaire at 206-947-4560 or email declaire.j@ghc.org.



[ Back to EurekAlert! ] [ | E-mail | Share Share ]

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


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