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The patient’s eyes blink and their chest softly lifts up and down. A doctor moves to their side to ask how they are feeling, and a computer prompts the patient to respond with a sudden erratic heartbeat. With an average of 3,500 student hours a month, the 81st Medical Group simulation lab is an essential tool used to train life-saving skills to medical personnel. The technology in the SIM Lab mannequins allows continuous process improvement for medical personnel in realistic emergency scenarios with a range of life-like features such as breathing, circulation, bleeding, fluid secretions and speech. “The evolution in training from years ago, from the basic Rescue Annie mannequins to what we have now, is incredible,” said Brad Belford, 81st MDG medical simulation operator. “Students have gone from asking the training instructor what their patient’s pulse is to the patient being able to tell the student themselves.” The students are often tasked to work as strangers on a team and care for a simulated patient in distress. Teamwork is essential to saving lives in emergency situations, on and off the battlefield. "In an emergency, or deployed, you don't always get to pick your teammates," said Capt. Kimberly Warstler, 81st Healthcare Operations Squadron element chief. "You must learn how to work together quickly, utilizing each other's strengths, in order to save your patient's life." The SIM Lab offers their training to as many groups as they can, and regularly work with local high schools and other service branches to provide trusted care anytime, anywhere. “We never say no if we can help it. Medics have a huge job and only have so much time to get things done,” said Randy Bernhardt, 81st MDG coordinator of medical simulation training. “My crew is amazing and will be there to help however we can; I’ll train you in the parking lot if I need to.” Visit for more information Sim Owner Details https://image.winudf.com/v2/image1/Y...rl=1&type=.jpg
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Returning H-1B, L-1, and employment-based visa holders may face new scrutiny when entering the United States. There were several recent reports that certain H-1B workers were subjected to intense review and even refusal of admission by U.S. Customs and Border Protection (CBP) officers at the Newark, New Jersey airport port of entry. In at least some of these instances, CBP officials were assisting in investigations involving certain H-1B nonimmigrants from India and certain H-1B petitioner companies. The CBP officer questions included who the individuals worked for, how their pay was computed, who paid their salary, what their job duties were, and what they were paid. In some cases, the individuals were subjected to expedited removal and had their visas cancelled. Visit for more information IPTV Calgary
Reports indicate that several of these cases involved companies under investigation by U.S. Immigration and Customs Enforcement (ICE) and/or United States Citizenship and Immigration Services (USCIS) for ongoing fraud. In the Newark enforcement actions, CBP Newark worked closely with USCIS – Fraud Detection and National Security (FDNS) and the Department of Labor – Office of Investigations. In addition, CBP Newark apparently implemented a policy of conducting random checks for returning H-1B, L-1, and other employment-based visa holders. If the individual’s admissibility is deemed questionable during primary inspection, he or she will be sent to secondary inspection for further questioning. If CBP discovers discrepancies in previously filed petitions, it is possible that the applicant may be asked to withdraw his or her application for admission into the United States or be subject to expedited removal (an immediate deportation that can include a five-year bar on readmission).
What can employers of H-1B, L-1, or other foreign national workers expect in the near term? While the initial reports are focused on Newark, one can reasonably expect similar tactics to be introduced at other ports of entry as well. These efforts seem to be the next stage of fraud detection, following the H-1B employer site visits that started in the summer of 2009 by FDNS. Thus, H-1B travelers seeking readmission may be asked about facts surrounding H-1B petitions. Those questioned may be offered the opportunity to contact their home country consulate. (CBP’s position is that applicants for admission have no right to counsel and therefore will not be accorded an opportunity to contact an attorney.) CBP officers may contact the petitioner and/or current employer for clarification of facts about the H-1B employment. If upon a review of the facts the CBP officer determines the H-1B individual to be inadmissible (which could be due to a simple documentary deficiency or visa/petition fraud), CBP may allow the applicant to withdraw his or her application for admission (and depart the United States) or subject the applicant to expedited removal should the totality of the circumstances warrant.
What can be done to ease anxiety and problems encountered upon reentry to the United States? Employers must be prepared for possible ad hoc telephone inquiries from CBP officers at ports of entry. Designating a responsible person (and filing H-1B petitions with the person’s contact information listed in the employer sections on Form I-129) to respond to CBP calls might be helpful. The designated person should be familiar with the H-1B petition facts and/or have access to a copy of the H-1B petition as well as current employment information (e.g., salary, etc.). H-1B, L-1, or other foreign national workers should be provided a copy of his or her petition and make themselves familiar with the basic information provided therein. Both employers and foreign national workers should be mindful of information provided in any public forum, particularly on the Internet. H-1B and L-1 petition approval notices now contain specific “warnings” indicating that government officials may seek information from a variety of sources to review continued eligibility for the status. CBP officials at ports of entry may thus visit company websites, worker postings to social networking sites (such as Facebook, Twitter, etc.) to compare the information contained in the petition, responses from the worker applying for readmission, and statements from employers made in response to a CBP telephone call. Where inconsistencies exist, the worker may be refused admission.
It would seem likely that many of the more intense reviews of travelers are commonly pre-determined – for example, based on an FDNS audit that concluded employer fraud was possible or likely – and thus even the best preparation cannot prevent an inquiry from occurring. However, a bit of preparation by both the employer and foreign national can help reduce the uneasiness and optimize the chances of a positive outcome.
For the rest of us, we use an existing room, such as a family room, for our audio and video needs. Visit for more information jjwine.com.pk
For me, I am into so many musical things, even one of my dedicated audio rooms has plenty of other objects in there besides the hi-fi equipment and chair.
Behold one of my test labs, shown below.
On the far left is some of my audio equipment, including a VPI HR-X turntable, Manley Labs Steelhead Phono preamplifier, and a BAT VK-5i tube preamplifier. To the right of the equipment, in the middle of the room, is a full drum kit, including half a dozen cymbals. Next to the drum kit is an electric piano (Roland V), and to the far right, a synth keyboard set up to play Hammond B3 virtual instrument sounds stored on a computer.
In the front are more audio components, including two Pass Labs Xs 300 power amplifiers and a pair of MartinLogan CLX electrostatic speakers. A Pass Labs Xs preamplifier and OPPO BDP-105 are out of the field of view on the right.
When listening to my audio system, I just move the piano chair back a few feet.
But, after adding the piano and synth keyboard a few months ago, I noticed something very strange. The sound was the same (as far as I could remember) as it was before I put all that stuff in the room in front of the speakers.
Here is a photo of just the drum kit. You would imagine this would really deteriorate the sound clarity. Well, it didn’t happen !
What a surprise this was ! ! !
My theory on this is that, because the MartinLogan CLX’s are electrostatic speakers, and therefore, line drivers (a tall vertical driver), the sound gets to me somewhere in that driver length with nothing in the way.
If I put my head underneath one of the cymbals, I can hear the reflection of the music from the cymbal. But just sitting in my chair a few feet back from all the equipment on the floor, it sounds neutral. No obvious smearing. Clear, clean, and detailed.
Perhaps a second reason is that I have very heavy room treatment. All four walls and the ceiling have polyethylene foam and styrofoam absorption and reflection panels. So, the sound I listen to comes almost entirely from the speakers, not the walls or ceiling.
I only bench test CD players, preamps, SSPs, and power amps in that room for obvious reasons. I do my listening tests in a second room, shown below. Pixie, my cat, loves to sit on top of one of the Classé CA-M600 monoblock power amplifiers, especially when I am listening to music or watching movies, because it gets warm. The 55” LCD HDTV will be replaced with an 84” OLED UHD (4K) TV whenever it becomes available. It will hang from the ceiling between the two Carver ribbon speakers. An electric projection screen can be seen at the top of the photo. My Sony 1080p projector is in the rear, mounted on the ceiling. I haven’t decided whether or not I will remove the projector and screen when I get the large 4K flat panel UHD-TV. Sometimes, it is just nice to view a movie on a projection screen, and they are not in the way on the ceiling.
In this second room, I also have line driver speakers (Carver Amazing Mark IV ribbon), but there is nothing between the speakers and the two chairs that I use for listening. The sound is just as good in the lab photo shown at the top of this article. That is not to say smearing didn’t occur in the room with the drums and piano between the speakers and the listener. Likely it was there, through reflections from the surfaces of the cymbals, but I didn’t notice it unless I put my head under one of the cymbals. And the detail did not seem diminished.
The point I want to make here is that if you need to put your hi-fi equipment in a room that is used for a lot of other purposes and has numerous items in the middle of the room, a line driver type of speaker could help alleviate any smearing produced by room objects. This includes electrostatic, planar magnetic, and ribbon speakers. Also, use wall and ceiling treatments that come in several choices of colors (let your spouse pick the color). The second audio test room is currently waiting for spouse approval of the wall treatment style and color that I plan to put in there.
