Kevin Harvick finally got his first win of the year at New Hampshire on Sunday, beating out a star-studded top 10 featuring Denny Hamlin, Erik Jones, Martin Truex Jr. and Kyle Busch, but it’s going to take one heck of a performance to win again this week.That’s mainly because Kyle Busch is the two-time defending champion at Pocono Raceway and he has three wins in his last four races there. But Harvick getting that first win is huge especially since it absolutely guarantees him a spot in the playoffs as the postseason creeps closer and closer.MORE: Watch the Gander RV 400 live with fuboTV (7-day free trial)Busch on the other hand has four wins already this year and is under no pressure to get a victory. That in and of itself makes him almost more dangerous as he can race relaxed at a track he loves to frequent.Martin Truex Jr. also has a win at Pocono in the last two years, so he will also be a man to look out for in Pennsylvania.The Xfinity Series will be racing in Iowa this week while the Truck Series will also be in Pocono.NASCAR at Pocono: What time does the Gander RV 400 start?The Gander RV 400 will take place Sunday, July 28. Live coverage begins at 3 p.m. ET.What TV channel is the Gander RV 400 on?The Gander RV 400 will be broadcast nationally on NBCSN. The race also can be live-streamed on the NBC Sports App or by subscribing to fuboTV, which offers a seven-day free trial. NASCAR at Pocono schedule, how to watchHere’s a daily schedule of events leading up to the Gander RV 400.(All times Eastern)Friday, July 26TimeEventChannel10:35 a.m.Truck Series first practiceNo TV12:35 p.m.Truck Series final practiceNo TV505 p.m.Xfinity Series first practiceNBCSN6:05 p.m.Truck Series qualifyingFS1/fuboTV7 p.m.Xfinity Series final practiceNBC Sports APPSaturday, July 27TimeEventChannel9:05 a.m.Cup Series first practiceNBCSN/fuboTV11:05 a.m.Cup Series final practiceNBCSN/fuboTV12:05 p.m.Xfinity Series qualifyingNBCSN/fuboTV1 p.m.Truck Series Gander RV 150Fox/fuboTV4:05 p.m.Cup Series qualifyingNBCSN/fuboTV5 p.m.Xfinity Series U.S. Cellular 250NBCSN/fuboTVSunday, July 28TimeEventChannel3 p.m.Gander RV 400NBCSN/fuboTVGander RV 400 starting lineupBelow is the list of qualifying drivers for the Gander RV 400.StartingDriverNumberTBDLandon Cassill00TBDKurt Busch1TBDBrad Keselowski2TBDAustin Dillon3TBDKevin Harvick4TBDRyan Newman6TBDDaniel Hemric8TBDChase Elliott9TBDAric Almirola10TBDDenny Hamlin11TBDRyan Blaney12TBDTy Dillon13TBDClint Bowyer14TBDRoss Chastain15TBDRicky Stenhouse Jr.17TBDKyle Busch18TBDMartin Truex Jr.19TBDErik Jones20TBDPaul Menard21TBDJoey Logano22TBDWilliam Byron24TBDReed Sorenson27TBDCorey Lajoie32TBDMichael McDowell34TBDMatt Tifft36TBDChris Buescher37TBDDavid Ragan38TBDDaniel Suarez41TBDKyle Larson42TBDDarrell “Bubba” Wallace Jr.43TBDRyan Preece47TBDJimmie Johnson48TBDTBA51TBDTBA52TBDTBA53TBDQuin Houff77TBDAlex Bowman88TBDMatt DiBenedetto95
Coroner John CannonURGENT BREAKING NEWS: THE Co Donegal coroner has issued an urgent warning after two men died and a third man was rushed to hospital after consuming contaminated alcoholic drinks.John Cannon was speaking after he opened the inquests into the deaths of two men. The third man was treated at Letterkenny General Hospital. He believes the drink was either poitin or contraband ‘fake’ drinks.Mr Cannon made the public warning, fearing that other people may consume alcoholic drinks contaminated with deadly chemicals, and most likely illegally-made or contraband products.The cases related to Denis Boyle, of Belcruit, Meenbanad, Burtonport who died on December 18 2013 and Rimantas Grigaliumas, also of Meenbanad, Burtonport, who died three weeks ago on March 13.The Coroner was concerned that the cause of death in both cases were similar in being alcohol related with an exceedingly high level of poisonous contaminant.The evidence given at the inquest held in Letterkenny by investigating Gardaí stated that both men had been drinking heavily immediately before their deaths.The Coroner said the toxic and poison range of Methanol is 100-125 mg/dl and in one of those deaths the Methanol level was five times higher – at 585mg/dl.Sergeant Bridget McGowan indicated to the court that a third person had been admitted to Letterkenny General Hospital and Garda investigations are continuing but it was believed this serious illness may have also been caused by Methanol or some other contaminant.Coroner Mr Cannon stated: “The fact that such substance such as methanol and other toxic ingredients are used to either corrupt or debase or make impure an alcoholic beverage to pretend a taste or potency of its quality in order to make it more marketable in an unlawful underground market is potentially lethal and dangerous to public health.“The toxicological analysis of the sample analysed by the State Laboratory in relation to these deans is catastrophically alarming and it is important that the public is aware and warned of the existence of poisonous alcohol availability in the public place.“This potentially catastrophic alcohol is either a home brew, like poitin, or it may be available as cheap illegally imported alcohol with the pretence of conventional branded names of well known distilleries. It appears to be easily obtained and as such is a serious public health issue.“There are almost twice as many deaths due to alcohol in Ireland compared to all other drugs combined. More than 100 deaths every year in Ireland are directly attributable to alcohol. In 2012 4015 people aged under 30 were discharged from hospital with chronic diseases which were alcohol related. It behoves us to highlight and warn the general public on such matters.”CORONER’S WARNING AFTER 2 MEN DIE AND THIRD TAKEN TO HOSPITAL AFTER DRINKING ‘CONTAMINATED’ ALCOHOL was last modified: April 4th, 2014 by John2Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:alcohol warningDEATHSDonegal coronerJohn Cannon
West London light-middleweights Ryan Toms and Steve O’Meara will lock horns at Bethnal Green’s York Hall on 30 September.Toms, from Northolt, puts his southern-area title and unbeaten professional record on the line against the 27-year-old O’Meara, who was recently signed by promoter Frank Warren.The match-up not only throws together two local fighters, but also men whose hopes of being footballers were ruined by broken legs.Toms, 29, was on QPR’s books as a youngster before suffering his injury, while O’Meara was with Brentford prior to his.O’Meara, who was born in Shepherd’s Bush and now lives in West Drayton, initially started boxing as part of his fitness regime while recovering from the injury.He has won 13 of his 15 professional bouts, while Toms (pictured above) improved his record to 9-0 with an impressive fourth-round stoppage of Pat McAleese at Wembley Arena last month.
Mahikeng, Wednesday 26 March 2014 – Brand South Africa, in the fourth Play Your Part/Sowetan Dialogue on Wednesday 26 March 2014, hosted a robust discussion on fundamental human rights and the responsibility of citizens in our country.Participating in the discussion at the Mmabatho Civic Centre were the Chairperson of the Independent Electoral Commission – Advocate Pansy Tlakula, Chairperson of the South African Human Rights Commission – Advocate Lawrence Mushwana, Southern Africa director of the Africa Division of Human Rights Watch – Ms Tiseke Kasambala, and Ms Folusho Mvubu of the Department of Public Service and Administration responsible for Service Delivery Improvement Support.In the discussions, Advocate Tlakula invited participants to reflect on South Africa’s journey towards a human rights culture over the past two decades. In this, it is important to counter-balance, amongst others, rights and culture. “We must also remember that values are important in building societies. The protection and safeguarding of human rights should not mean we lose core values like respect and discipline. Perhaps we need to have a very deep conversation on these issues,” said Advocate Tlakula.Meanwhile, the issue of human right and culture was also brought into focus by Ms Kasambala. “What is however important is the fact that human rights are important to protect all human beings and South Africa has created an enabling culture for this,” said Ms Kasambala.Advocate Mushwana advised the audience that the Human Rights Commission has prioritised the education of citizens about their rights because one cannot protect and defend what they do not know. “With each right comes a responsibility.” Awareness of your rights is also crucial to strengthen our reconciliation and build a cohesive society which will contribute to active citizenship.Saying that human rights are intrinsically linked to responsibility – in how one exercises these rights in addition to ensuring that the human rights of others are protected – Ms Mvubu of the Department of Public Service and Administration,also stressed that an informed and responsible citizenry is key to an active citizenry which is essential to the implementation of the National Development Plan.Comments by the panel were followed by thought provoking insight from the audience including, despite our differences we are essentially all human beings. This means that while it is easy to demand our rights, we must as human beings, first and foremost protect the rights of our fellow human beings. Legislation can only go so far in ensuring a redress of our country’s past inequalities – we must each play our part in making society safe for ourselves and others.A strong theme that emanated from the conversation was that a human rights based culture is our collective responsibility. Government cannot create this society on its own. We must all work together to achieve an equitable, human rights society. This is a challenge to society as a whole as we commemorate 20 years of democracy.The discussion concluded with the sense that while South Africa has come a long way in 20 years, much work remains to be done to build a human rights based culture strongly rooted to the principle of responsibility based rights. Let us all play our part in this quest.Note to EditorsThe Constitution of South Africa can be accessed at: http://www.gov.za/documents/constitution/1996/a108-96.pdfAbout Brand South AfricaBrand South Africa is the official marketing agency of South Africa, with a mandate to build the country’s brand reputation, in order to improve its global competitiveness. Its aim is also to build pride and patriotism among South Africans, in order to contribute to social cohesion and nation brand ambassadorship.About Play Your PartPlay Your Part is a nationwide campaign created to inspire, empower and celebrate active citizenship in South Africa. It aims to lift the spirit of our nation by inspiring all South Africans to contribute to positive change, become involved and start doing – because a nation of people who care deeply for one another and the environment in which they live is good for everyone.Play Your Part is aimed at all South Africans – from corporates to individuals, NGOs to government, churches to schools, young to not so young. It aims to encourage South Africans to use some of their time, money, skills or goods to contribute to a better future for all.There are numerous opportunities, big and small, for each and every South African to make a positive difference in the communities in which they live and operate. Play Your Part encourages them to act on these opportunities.The campaign is driven by the Brand South Africa. Further resources from Brand South AfricaMedia are invited to visit http://www.southafrica.info/ for further resources which can be reproduced without any copyright infringement. Kindly attribute to Brand SouthAfrica.Join the conversation at:Follow Brand South Africa@Brand_SAhttps://twitter.com/Brand_SAhttps://www.facebook.com/BrandSouthAfricaTell us how you Play Your Part@PlayyourpartSAhttp://www.playyourpart.co.za/tellus-someoneFor more information or to set up interviews, please contact:Sandisiwe GugushePublic Relations International: Brand South AfricaTel: +27 11 712 5007 Mobile: +27 (0) 73 126 9128Email: email@example.com
8 Best WordPress Hosting Solutions on the Market Related Posts Top Reasons to Go With Managed WordPress Hosting Tags:#start#startups Why Tech Companies Need Simpler Terms of Servic… dana oshiro When most of us hear the words, “For as little as 50 cents a day…” our brains conjure up solemn images of Sally Struthers. For as little as 50 cents a day MixMatchMusic is offering starving and made musicians a chance to reach their fans via a customizable iPhone app maker. Between now and tomorrow morning, MobBase will offer musicians with no programming skills the ability to build sleek-looking band apps. Features will include videos, images, bios, band news, streaming playlists, concert schedules and perhaps most importantly, links for music purchases. Best known for its web-based remixing service, MixMatchMusic is expanding to help bands further engage their fans. The company is offering a drag-and-drop interface with a number of different app templates. Musicians customize application designs by switching out page backgrounds, buttons and even features. FeaturesAlthough products are created using the template tool, no two applications look alike. Some of the available features include: 1. Music: Artists can offer samples of their collections and connect fans to album artwork, liner notes, lyrics and download links. 2. Videos: With MobBase, artists can pull in their YouTube video streams as well as encourage fans to tag their video content. From here bands can aggregate videos from a fan’s point of view. 3. Photos: Band accounts on Flickr and Picasa can be instantly streamed to the photo feature. This way concert pics and backstage exclusives automatically upload as new events occur. 4. News / Info: Artists can create biography pages and pull in related RSS feeds from blogs and traditional media sources. They can also integrate multiple Twitter accounts and import fan tweets based on a band’s designated hashtag. 5. Shows: The tool also allows bands to import concert event streams from MySpace and MixMatchMusic’s ArtistData tool. From here concert listings are automatically updated including ticket purchase links and Google maps. Approval and Pricing While a number of DIY-app platforms may appear on the horizon, part of the MobBase service is that MixMatchMusic handles the App store approval process. In the event that you’d like to change your app, co-founders Charles Feinn and Alan Khalfin assure us that there is no need to resubmit your app for approval. You simply log-in to the MobBase dashboard and change your pages. The company currently has 32 pilot apps pending approval including customized products for bands like Pepper and Everclear. MixMatchMusic also has partnerships with the Independent Online Distribution Alliance and a number of other indie labels. The company will look to forge deals with web 2.0-related service providers like Bandcamp and Topspin Media in the coming months. As for fees, applications are $20 dollars to activate. Free apps are priced at $15 dollars a month for the first 500 installs with $5 dollars per additional 1000 downloads. Meanwhile, paid apps cost $20 dollars per month for the first 500 installs and $6 dollars per month for each additional 1000. MobBase does not take any application sales fees in regards to revenue share. As per the standard iTunes affiliate music program, the company receives 5% of purchased music downloads. To get started visit MobBase.com for details. For a sneak peek at the design process check out the below screenshots: A Web Developer’s New Best Friend is the AI Wai…
Paresh Dhanani (41) is Congress president Rahul Gandhi’s choice for Gujarat’s Leader of the Opposition post. A third time legislator and Patidar leader from Amreli, Mr. Dhanani was appointed as the Congress Legislative Party (CLP) leader on Saturday.The announcement was made by Congress General Secretary in-charge of Gujarat, Ashok Gehlot, after a meeting with the Congress president in New Delhi. “After taking a sense of all elected legislators, I submitted a report to Rahulji, who then called me and Paresh Dhanani for a meeting in Delhi,” Mr Gehlot told The Hindu.“He is young and aggressive leader from Saurashtra region. He comes from grassroots and has understanding of issues in Gujarat,” Mr. Gehlot added.“During our meeting with legislators, everyone had supported his name and passed a resolution authorising the Congress president to name the legislative party leader,” Mr. Gehlot said.However, earlier, two senior legislators Kuvarji Bavalia and Vikram Madam had staked claim for the post. Mr Bavalia is a senior leader and former MP belonging to numerically important Koli community while Mr Madam is former Jamnagar MP and prominent leader of Ahir community. The party high command has, however, chosen a Patidar leader for the post.
About the authorPaul VegasShare the loveHave your say Rice praises West Ham character for Aston Villa drawby Paul Vegasa month agoSend to a friendShare the loveDeclan Rice praised West Ham’s character for their 0-0 draw with Aston Villa.Rice says West Ham would have lost Monday’s goalless draw at Aston Villa last season, but instead the confidence and spirit in the squad enabled them to grind out a hard-earned point.He told whufc.com: “To be honest, I think we’re very happy with the point. We were a bit slow in the first half. We kept the ball well at times, but it was a bit too end-to-end and in the second half, when we went down to ten, we knew it was going to be tough because we know they’ve got some top players, but we dug in, defended really well and were still creating chances.“We weren’t just sat back. We were still trying to get the three points and I think we can be happy with our night’s work.”He added: “When we’re playing now, we’re playing with that confidence. We’re defending hard, we’re attacking hard and every player who puts on the shirt, we’re feeling confident to go out there and get the three points.”
About the authorPaul VegasShare the loveHave your say Newcastle boss Bruce: England will happen for Longstaff brothersby Paul Vegas6 days agoSend to a friendShare the loveNewcastle United boss Steve Bruce says the Longstaff brothers are capable of playing for England.Sean, 21, and Matty, 19, have never been involved with the national team at any level and, until recently, were not part of the list of young players being tracked inside St George’s Park.But Bruce said: “I think they just have to be given time. They will find their way if they’re playing regularly.”I would think in the next few weeks, if they’re both going to be in the team, then they will come under the spotlight. Gareth has a blueprint of putting young players in and changing it, which is quite refreshing.”So if they keep playing to a certain level, everything will find them, whether it’s international call-ups, new contracts, new cars, the whole lot will fall into place.”
This article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente. Reviewed by Kate Anderton, B.Sc. (Editor)Jan 16 2019If the scores of personal health care devices at the Consumer Electronics Show last week are any indication, it’s clear that the Apple Watch has kicked off a rush by high-tech companies to capitalize on people’s worries about their health.The latest version of the watch, which was announced last fall, detects a fibrillating heart and a propensity for falls. What other manufacturers learned from that is that you can make money if you can create a worry about a problem that people didn’t realize they had and also create a solution for that worry via a high-tech product. Many of the products at the mammoth annual show seemed to be following that strategy.In A Rush To Brush?Take, for instance, the problem of the length of time it takes to brush your teeth. With Y-Brush, you can cut down that onerous two-minute recommended time to 10 seconds, and supposedly still get your teeth cleaner.Makers of the Y-shaped device say it brushes all your top and then bottom teeth in five seconds each, giving each tooth four times the brush exposure it would get with a typical two-minute tooth-by-tooth brushing regimen recommended for users of a conventional electric toothbrush.The company says its device removes 15 percent more plaque than a traditional toothbrush. And, of course, you’ve freed up an additional 110 seconds in your life each time you brush.The $125 Y-Brush handle and brush will be sold online this year; additional brush heads, which need to be replaced every six months, will cost $25.Know Before You Gotta GoAnother problem: You can’t always predict when you need to go to the bathroom. DFree, a sensor worn a half-inch above the pubis bone, predicts when an individual will have to urinate, giving the wearer a chance to gauge how long they can be away from a toilet.The DFree monitors changes in bladder size and transmits that information to a smartphone app, which sends a customizable alert to the person when it’s time to find a toilet. The company says it doesn’t work for pregnant women or toilet-training toddlers.The unit costs $500, or it can be rented for $40 per month, with the rental price applied to an eventual purchase.Making Health A CinchDetecting falls, now a feature of the Apple Watch, is showing up in other devices. Like in this belt, which also can alert you to weight gain as it senses the belt getting tighter. (Yeah, like old-fashioned belts do.) The Welt smart belt, developed with seed money from Samsung, also monitors the time you spend sitting and the number of steps taken. Connected to a smartphone app (naturally), Welt suggests when a user should stand or change their eating habits and will also send a customized alert after a fall.For Top-Condition Cognition There was no shortage at the show of devices to improve your mental abilities. BrainTap, an app-based subscription series of audio music and vocal stimulations, provides visualization exercises that the company says will retrain your brain to allow you to relax, reduce stress and maximize your ability to lose weight.The company charges $10 to $30 a month for the series, based on whether you need to address only one or more conditions.As an added benefit, the company also sells an oddly priced $547 headset that beams blue light into your eyes. It uses light to stimulate your ears, following precepts of something called auriculotherapy, which employs light to activate, the company says, “the meridians known to directly affect the body’s organs and systems.”EKGs On The GoThe electronics industry seems to believe it can make money convincing people they should be worried about their hearts. A number of products that take a simplified form of an electrocardiogram (EKG) are already on the market, the Apple Watch and Kardia among them. The WitCard, from WitMonki, is a credit card-size device that, by touching two thumbs and one index finger, sends results to one’s health care provider where, using the company’s WitDisplayer portal, EKG readings over time can be compared and appropriate action taken when necessary.Related StoriesResearch sheds light on sun-induced DNA damage and repairNovel bed system with VR brainwave-control for sleep blissStroke should be treated 15 minutes earlier to save lives, study suggestsThe battery-operated WitCard is undergoing trials for European Union certification and approval by the Food and Drug Administration, and could cost about $120.Monitoring Your EnergyEver worry about whether you are burning carbs or fats? Well, now there’s a way. Breathe into the Lumen device each morning to get a reading of your carbon dioxide concentration. Based on that, a phone app determines how yesterday’s sleep, exercise and eating choices affected your ability to burn carbs or fats. Lumen also promises to tell you if you have sufficient energy stores before exercising (and what to do about it), why you feel tired all the time and how to alter your diet to lose weight.The company expects to ship its $249 device this August.Monitoring Your SleepPhilips, the giant electronics company, has become the latest company to soothe our worries about not getting enough sleep. Its SmartSleep, a $400 headband worn in bed, emits audible tones that supposedly detect and boost slow-wave, or deep, sleep — a time when breathing and heart rate are at their slowest.The intent of SmartSleep is to keep the wearer in the deep-sleep zone longer; it does not increase the amount of time one sleeps or help someone fall or stay asleep. And, if you are older, you are out of luck, as the device is recommended for people between 18 and 50. Philips says the slow-wave activity declines as we age and becomes more difficult to detect.A High-Tech Pill DispenserFinally, an obvious problem: how to remember to take multiple drugs multiple times per day. And, of course, there is a just-as-obvious solution: automated drug-dispensing devices.One of the latest products to attempt this is RxPense, which offers high-tech bells and whistles. The machine is loaded with hermetically sealed pill blister cards by a participating pharmacy. Once the card’s bar code confirms it’s the proper one and loaded into the machine, the patient is identified by facial recognition, an RFID bracelet or a PIN, and the proper pill pack, confirmed by the bar code on the packaging, is dispensed at the set time.But wait, there is more. A camera records the dispensed pills and the patient’s removal of them. Missed doses are not dispensed.The RxPense can be leased for $150 a month.The device can’t tell whether the patient has actually ingested the pill. For that, pills will need to include a digestible RFID tag to track its trip through the body. The FDA approved Abilify MyCite, the first drug with a built-in tracking sensor, in 2017.Don’t be surprised to see a device at next year’s show that can tell you where those tagged pills are.
Source:https://news.rutgers.edu/new-model-icu-care-developed-rutgers-discovers-causes-health-emergencies/20190315#.XJMzASIzbct Reviewed by James Ives, M.Psych. (Editor)Mar 21 2019A new model for intensive care, developed by Rutgers and RWJBarnabas Health System, can help identify preventable – and previously overlooked – factors that often send chronically ill patients to the intensive care unit (ICU).The new process requires the ICU team – including physicians, nurses, pharmacists, social workers, chaplains and others – to truly listen to patients and their families to ensure their needs are being met, according to a recent study in the journal Creative Nursing.The new model, called LOTUS (Leadership, Ownership, Transformation, Unity and Sustainability) differs significantly from the previous model in which all planning was led by the ICU physician, said lead researcher Liza Barbarello Andrews, a clinical associate professor at Rutgers’ Ernest Mario School of Pharmacy and critical care pharmacy specialist at Robert Wood Johnson University Hospital.During its first year, the new patient-focused model identified areas where the ICU was not routinely assessing the causes of the health crises that sent patients to the hospital in the first place – missing opportunities to break the cycle of admissions, Andrews said.”Many patients present with life-threatening complications due to failure to take their diabetes or blood pressure medications,” he said. “We would treat the resulting problem, but hadn’t been routinely investigating what led to the issue or designed a solution to prevent it from happening again in the future. Under the LOTUS model, by focusing on the patient perspective we discovered that some patients had received confusing, mixed messages about the medicine from their health-care providers. Other patients were struggling with financial or emotional problems that made self-care difficult.”Related StoriesStudy analyzes high capacity of A. baumannii to persist on various surfacesFeeling safe and good sleep at night matter most to sick kids in hospitalRaw meat can act as reservoir for bacteria associated with hospital infectionsThe LOTUS model empowers ICU social workers to help address those issues with patients and their families to prevent a reoccurrence.Clinicians developed LOTUS at Robert Wood Johnson University Hospital Hamilton, following its 2016 merger with RWJBarnabas Health System. The new ICU model replaced an earlier one where patient care decisions were exclusively led by the ICU physician without routine focus on the patient’s own goals or significant input from nurses, pharmacists and other members of the ICU team.Under the old model, there was no formal structure for rounds, the practice where all members of the ICU team assess the patient at intake and through treatment. This lack of standard team structure often resulted in underutilizing individual team members’ expertise.The new illustrative logo for the ICU model is a flower with the patient at the center and the petals – the members of the health care team – overlapping and meeting at the center.”We took a model that was fragmented and sometimes strayed from keeping the patients’ own wishes central to the decision-making process – and developed one that is much more efficient, thoughtful and deliberative,” Andrews said. “The ICU team members feel a real sense of engagement and collaboration and patients and families say they feel listened to.ICU team members said the LOTUS model helped them contribute to better patient safety, decreased mortality and shorter ICU stays. Members of other teams at RWJBarnabas Health System campuses are exploring how the LOTUS concept can be adopted for their ICU teams.