the ioras ( aegithinidae ) are a small family of four passerine bird species found in pakistan and southeast asia .

they were formerly grouped with the leafbirds and fairy-bluebirds , in the family irenidae .

iora

iora ' s objectives are enshrined in the iora charter . the priority areas are :
description : common iora is a small bird living high up in the canopy .
range : common iora lives in india to sw china , and southeast asia .
image - common iora . png | all birds wiki | fandom powered by wikia
basically , iora provides everything : the staff , the clinicians and the technology .
for example , iora handles notes and teamwork a bit differently than most companies .
© 2018 all rights reserved . geo - replicator® is a registered trademark of iora .
the common iora species are distributed in indian subcontinent , southeast asia and south china . these iora species are brightly colored small passerine birds . these ioras are polytypic species .
tourism and cultural exchanges australia welcomes tourism initiatives in iora and has supported the establishment of a tourism core group and research centre . iora has held a number of tourism related meetings , most recently the second iora meeting of experts on tourism in may 2015 in south africa .
bhagirath kocheril velayudhan , ambassador , hq @ iora . net , + 2304541717 ebene , mauritius
we assessed whether low - dose iora vancomycin can achieve tissue concentrations equal or superior to those of systemic administration in tka and compared complications between patients treated with iora and intravenous vancomycin .
blue economy the sustainable use of marine resources is critical for inclusive economic growth and sustainable development in the indian ocean region , and hinges on strong regional cooperation . iora progresses this priority through an annual blue economy ministerial meeting and through an iora blue economy working group . the iora website provides further information about iora ' s efforts and meetings related to the blue economy .
trade and investment facilitation the indian ocean region has great economic growth potential but trade and investment between iora members is modest . australia supports efforts towards greater trade and investment facilitation between iora members . the indian ocean rim business forum is the key business - led sub - iora grouping to advance this priority . it also informs discussions in iora ' s working group on trade and investment .
flight : common iora performs acrobatic flight displays , darting up and spiralling down to a perch .
iora health is a private healthcare company help patients manage their health and navigate the healthcare system .
juvenile banded bay cuckoo being fed by common iora at lorong halus . photo credit : francis yap
i applied online . the process took 1 day . i interviewed at iora health in august 2015 .
species aegithina nigrolutea ( g . f . l . marshall , 1876 ) - white - tailed iora
turntable health is a clinic that utilizes all the services iora provides : iora ' s technology - - - ehr and mobile application , for example - - as well as the staff and clinicians the startup provides .
the green iora is classified as near threatened ( nt ) on the iucn red list ( 1 ) .
during australia ' s period as iora chair ( 2013 - 15 ) australia lifted iora ' s international profile and strengthened iora ' s focus on maritime safety and security , the blue economy and women ' s economic empowerment . the australian government introduced two cross - cutting priorities to be integrated with the six priority areas above :
iora is an electronic - folk artist with trip - hop and acoustic elements based in manchester . for bookings please contact iora . music . bookings @ urltoken minotaur mind is now out ! ! ! urltoken music video urltoken
these common iora species have moderate forest dependence . these species normally occur in altitudes from 0 to 2000 meters .
iora also has the ability to gain access to much broader data than just what is happening within their practices .
information on the green iora ( aegithina viridissima ) is currently being researched and written and will appear here shortly .
maritime safety and security the indian ocean maritime environment is becoming more dynamic and contested . iora is an important forum for promoting habits of consultation and cooperation . a key meeting within iora to progress this priority is the annual indian ocean dialogue .
we previously validated intraosseous regional administration ( iora ) of prophylactic cefazolin in tka [ 41 ] and recorded markedly higher tissue concentrations of antibiotic than were achievable with systemic administration . iora may allow lower vancomycin doses , thereby reducing systemic toxicity and avoiding the difficulties associated with prolonged preoperative infusion times . we hypothesized lower doses of vancomycin via iora could still achieve tissue concentrations equal or superior to those of systemic administration before tka . we also compared complications between patients treated with iora and intravenous vancomycin .
iora health ' s pricing is on a case - by - case basis . the company would not detail any costs .
low - dose iora vancomycin results in tissue concentrations equal or superior to those of systemic administration . iora optimizes timing of vancomycin administration , and the lower dose may reduce the risk of systemic side effects while providing equal or enhanced prophylaxis in tka .
i applied online . the process took 4 weeks . i interviewed at iora health ( duluth , ga ) in september 2016 .
i applied online . the process took 2 weeks . i interviewed at iora health ( seattle , wa ) in december 2015 .
i applied online . the process took 3 weeks . i interviewed at iora health ( cambridge , ma ) in january 2015 .
habitat : common iora lives in forests and well wooded areas , scrubs , cultivated areas and gardens . it avoids deep forests .
for example , iora provides a display of a patient ' s data in a way that is readable and easy to understand .
“the regs4ships system with iora geo - replicator® allows shore managers and ships’ crews to refer to integrated data in near real time . ”
i applied online . the process took 6 days . i interviewed at iora health ( west seattle , wa ) in june 2015 .
i applied online . the process took 2 + months . i interviewed at iora health ( seattle , wa ) in september 2016 .
i applied online . the process took 3 weeks . i interviewed at iora health ( new york , ny ) in october 2016 .
the breeding season of the common iora species is from january to september in india , pakistan , sri lanka , bangladesh and nepal .
these common iora species are non - migrant resident birds . nomadic movements have been observed due to weather conditions and abundance of food .
* values are expressed as mean , with range in parentheses ; iora = intraosseous regional administration ; asa = american society of anesthesiologists .
the overall mean tissue concentration of vancomycin in subcutaneous fat was 14 μg / g in the 250 - mg iora group , 44 μg / g in the 500 - mg iora group , and 3 . 2 μg / g in the systemic group . mean concentrations in bone were 16 μg / g in the 250 - mg iora group , 38 μg / g in the 500 - mg iora group , and 4 . 0 μg / g in the systemic group . one patient in the systemic group developed red man syndrome during infusion .
for example , the company can use claims and other administrative data from an insurer to keep tabs on what other care a patient has received , which allows iora to pick up on trends even if the patient isn ' t in front of a physician staffed by iora .
the iucn ( international union for conservation of nature ) has categorized and evaluated the iora species and has listed it as of
least concern
. the cites ( convention on international trade in endangered species of wild fauna and flora ) status is ‘not evaluated’ for common iora (
iora was established in 1997 to promote cooperation in the indian ocean region . it seeks to expand mutually beneficial cooperation through a consensus - based , evolutionary and non - intrusive approach . iora is the only regional forum linking most countries on the indian ocean rim through an annual foreign ministers’ meeting .
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arkive species - green iora ( aegithina viridissima )
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i applied through an employee referral . the process took 2 + months . i interviewed at iora health ( cambridge , ma ) in january 2014 .
academic , science and technology cooperation australia encourages education engagement with iora countries . nearly 27 per cent of international students in australia came from iora countries in 2015 . the indian ocean rim academic group is the key iora sub group to address this priority . australia supports the publication of the journal of the indian ocean region . the australian government has also funded the development of the transnational occupational standards in the ports sector for a number of indian ocean countries .
interview candidates at iora health rate the interview process an overall negative experience . interview candidates say the interview experience difficulty for iora health is average . some recently asked iora health interview questions were ,
give me an example of when something went wrong or when you realized you made a mistake , how did you handle it ?
and
where do you see yourself in 2 - 5 years ?
. 88 % of the interview applicants applied online .
habitat degradation and fragmentation , decline in insect populations due to indiscriminate use of pesticides are the main threats that may endanger the survival of these iora species .
) . after tourniquet deflation , peak vancomycin concentrations in systemic blood were lower for both iora groups than for the 1 - g systemic group ( fig .
“providing timely updates to tankers around the world’s oceans have presented logistical problems . iora’s solution is designed to allow us to deliver updated information quickly and efficiently . ”
editor ' s note : each month , the editors at searchhealthit recognize an innovative software , service or technology approach . iora health is our december 2015 selection .
schutzbank added that while iora ' s ehr has an architecture for stories , it has another one for data such as lab values , appointments and blood pressure .
we randomized 30 patients undergoing primary tka to receive 250 or 500 mg vancomycin via iora or 1 g via systemic administration . iora was performed as a bolus injection into a tibial intraosseous cannula below an inflated thigh tourniquet immediately before skin incision . subcutaneous fat and bone samples were taken during the procedure and antibiotic concentrations measured .
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these common iora species are sexually dimorphic , the males being slightly larger and having bright breeding plumage . there is large variation in the plumage color among the subspecies .
this innovation spotlight looks at how turntable health uses iora health ' s collaborative care model to improve primary care . one interesting aspect : health coaches guide patient visits .
the first group ( 250 - mg iora ) received 250 mg vancomycin in 200 ml normal saline via iora using an ez - io ( vidacare corp , san antonio , tx , usa ; fda - approved ) intraosseous cannula placed into the medial aspect of the proximal tibia approximately at the level of the tibial tubercle ( fig .
) and higher in the 500 - mg iora group ( 44 μg / g ) than in both other groups ( p < 0 . 001 ) ( fig .
diet : common iora feeds mainly on insects such as grasshoppers , caterpillars , dragonflies and mantises . it also consumes spiders and small insects , fruit , berries and nectar .
in india , except for the arid regions , these common iora species are distributed in all the states . in china , they are distributed in the province of yunnan .
i really think iora is one of the few companies out there that understands this idea of health 3 . 0 . zubin damania , m . d . founder , turntable health
at iora we try to [ display data ] in ways that fit in the workflow and empower the patient and the provider to make good joint decisions ,
schutzbank said .
in fact , iora can put a view right in a patient ' s medical record and chart detailing other doctors that patient is seeing and what medications that patient has been prescribed .
the green iora ( aegithina viridissima ) is a species of bird in the aegithinidae family . it is found in brunei , indonesia , malaysia , myanmar , singapore , and thailand .
throughout its range this iora species is reported to be common . the generation length is 4 . 8 years . its distribution size is about 14 , 900 , 000 sq . km .
“iora continues to be an integral part of the ministry of defence , delivering essential software across the organisation . their software delivers a one stop strategy , saving time , money and resources . ”
the call of these common iora species is a mixture of churrs and a trilled
wheee - tee
sound . these birds are known to imitate the calls of other species of birds .
bharos , a . m . k . ( 1998 ) .
mimicry by common iora aegithina tiphia
. j . bombay nat . hist . soc . 95 ( 1 ) : 116 .
fisheries management sustainable fisheries are critical for food security and as a source of economic development . iora primarily addresses fisheries management through technical workshops . there is overlap between the work of iora and regional fisheries organisations such as the indian ocean tuna commission . australia supports the development of regional fisheries management and more innovative aquaculture technologies through our partnerships with the department of agriculture and water resources , csiro and the innovationxchange .
i ' ve been wanting to learn more about iora health but haven ' t been able to make it to any of the live sessions in boston . i ' m looking forward to this discussion !
although iora health - - a cambridge , mass . - based startup - - has created its own collaborative care platform , ehr software and mobile application , that ' s not really what the company ' s product is . according to andrew schutzbank , m . d . , a primary care physician and vice president of clinical development at iora health , the real product the company offers is the practice itself .
) . of tissue samples in the 1 - g systemic group , 25 % ( 16 of 63 ) were less than 2 . 0 μg / g , the typical mic of cons against vancomycin . in comparison , 4 % of samples ( three of 70 ) in the 250 - mg iora group and 1 % ( one of 70 ) in the 500 - mg iora group were below this level . for patients in the iora groups , vancomycin levels were either not detectable or only slightly raised in intraoperative systemic blood samples taken a mean 86 minutes after injection , indicating generally successful function of the tourniquet ( table
iora looks at healthcare information from a different perspective than most companies , approaching patient cases as
stories ,
schutzbank said . health data comes in two forms , he explained : stories and everything else .
i have visited with iora health in their
freelancers
brooklyn office . i am a big fan of their approach and feels that it holds the key to challenges in healthcare coordination in india as well .
) . similarly , the overall mean tissue concentration of vancomycin in bone was higher in the 250 - mg iora group than in the 1 - g systemic group ( 16 μg / g versus 4 . 0 μg / g , p < 0 . 001 ) and higher in the 500 - mg iora group ( 38 μg / g ) than in both other groups ( p < 0 . 001 ( fig .
while this is the first study of iora vancomycin in humans , it is well described in the veterinary literature where regional antibiotic administration is commonly used to treat limb infections . rubio - martínez et al . [ 31 ] compared iora versus ivra of vancomycin in 12 horses . no complications were reported , and tissue concentrations achieved with the two routes were similar . that study and a number of other animal studies [ 4 , 24 , 34 ] have demonstrated tissue antibiotic concentrations using the ivra and iora routes for administration are equivalent . iora injections also travel directly into the intravascular space , and in tka , the main advantages over ivra are reliability and speed of access . proximal tibial cannulation using modern intraosseous kits is rapid and reproducible [ 35 ] and , in contrast to foot vein cannulation , does not require any changes to standard sterile draping .
* anova was used in the analyses ; † intraoperative samples were taken a mean of 86 minutes after tourniquet inflation ; values are expressed as median , with interquartile range in parentheses ; iora = intraosseous regional administration .
maintaining the fighting effectiveness , efficiency and morale of vessels at sea for months means guaranteeing excellent communications from ship to shore and back . iora replicates critical information and sends across the lowest possible network connection . . . .
protection / threats / status : common iora is common and widespread . populations are not threatened . its range is expanding due to creation of orchards and gardens , and it takes part in pest control in fruit orchards .
by its very nature , exploration is reaching further and deeper into unchartered territory where networks are non - existent . iora replicates critical information and sends across the lowest possible network connection . receive and send information keeping . . .
common iora has spectacular courtship displays . male performs acrobatic flights . it darts up into the air , at about one or two metres , and fluffs its rump feathers , and the long white flank feathers . then , it spirals down to its perch where it spreads its tail as a fan , and drops its wings . during these displays , male utters soft , mournful whistles , or alternatively , a continuous chirrup . common iora is monogamous .
volatility in the oil & gas market is nothing new but increased regulatory and legislative change is . iora replicates critical information and sends across the lowest possible network connection . you know that your remote workers have the latest . . .
the common iora species are distributed in india , pakistan , sri lanka , nepal , bhutan , bangladesh , myanmar , thailand , laos , cambodia , vietnam , south china , malaysia , singapore , brunei , indonesia and philippines .
keeping warfighters informed at all times is paramount ; not having the right information really can cost lives . iora replicates critical information and sends across the lowest possible network connection . the safety of the warfighter is ensured and mission . . .
the diet of the common iora consists mainly of insects and spiders . crickets , spiders , locust , grasshoppers , dragonflies , moths , mantids , stick insects , worms , grubs , termites , ants and beetles are their primary food .
i would love to know more about the it behind the iora model . my background is from the openmrs community , an open source electronic medical record . on top of that implemented in over 50 countries . on top of that we ' ve created a chronic disease management system based on similar patient centered principles as have been mentioned core to the iora model . did you build your system from scratch ? have you published anything where we could read more about it ?
ensure your ships get information at sea before arriving in port . delays cost money . iora replicates critical information and sends across the lowest possible network connection . ensure the latest procedures and protocols are on - board readily available . . . .
iora software limited was registered on 29 aug 2007 with its registered office in guildford . the business has a status listed as
active
. it currently has one director . the company ' s first director was infonic group nominees limited .
in 2011 six priority areas of cooperation were identified for iora . these include : maritime safety and security , trade and investment facilitation , fisheries management , disaster risk management , academic and science & technology cooperation , and tourism and cultural exchanges .
this is really interesting . can you talk about your funding model ? how come you ' re not in the standard medicare / medicaid model ? and do you are the replication of the iora model possible ( both the financial and care models ) ?
the overall mean tissue concentration of vancomycin in subcutaneous fat was higher in the 250 - mg iora group than in the 1 - g systemic group ( 14 μg / g versus 3 . 2 μg / g ) ( p < 0 . 001 , table
the male iora has black wing and black tail . the breeding male had a black cap and black back . the females have greenish wings and olive tail . the underparts are yellow in both male and female . there are two white bars on the wings .
as i alluded to before , we’ve partnered with iora health because they offer by far the most advantaged technology that we’ve seen to support a holistic care model in outpatient medicine , and their health coach - centered care model is unrivaled . the health coaches do a lot of the heavy lifting for chronic disease management , and they are specialists in “softer” skills , such as empathy and motivational interviewing . the best way to think about the iora - turntable partnership is as follows : if iora health were the operating system , turntable would be the smartphone that runs it . we are like the hardware in that we build facilities and develop contracts with individuals , employers , and payers . and we also create the attached network as we will ultimately contract specialists and hospitalists to better leverage our model across the system .
a graph show the tissue concentrations of vancomycin in subcutaneous fat at each sample point . the 250 - mg iora group is in blue , 500 - mg iora group in orange , and 1 - g systemic group in green . concentrations on log scale : 2 = 7 μg / g , 4 = 55 μg / g , and 6 = 403 μg / g . box represents the median ; horizontal line in box represents the 25 % and 75 % quartiles ; whiskers represent 1 . 5 times the interquartile range from the box .
behaviour : common iora feeds mainly on insects , searching for them from leaves high in the canopy . it may sometimes hanging upside down from branches . it catches insects on the wing . it feeds in pairs or in small groups . it is a very active bird .
we created a special campaign graphic for assam featuring the rhino and elephant in particular - very honored that the campaign was launched by the hon’ble chief minister of assam and the forest minister alongside our partner iora ecological that is developing several carbon - neutrality initiatives for the state .
) . the injection was administered as a bolus immediately after tourniquet inflation , and surgical incision occurred immediately ( < 1 minute ) after this . the second group ( 500 - mg iora ) received 500 mg vancomycin according to the same protocol , which has been previously described [
it tends to stay up in high trees , but also in edges of bushes , hedges and paths . it is relatively difficult to see it . outside breeding season , common iora travels in pairs or small groups , hunting insects on the wing , and uttering contact calls through frequent sounds .
antibiotic resistance is an increasing problem , and rates of orthopaedic infection due to mrsa or resistant cons are rising [ 39 ] . this , together with the severe consequences of a deep infection , has led some authors to propose vancomycin as an alternative prophylactic agent in tka [ 8 ] , particularly in centers where mrsa rates are high [ 30 , 39 ] . however , vancomycin has a number of disadvantages , including systemic side effects such as nephrotoxicity and ototoxicity , concerns about promoting further bacterial resistance , and a prolonged administration time . we previously investigated iora as a method of maximizing tissue concentrations of cefazolin in tka [ 41 ] . this study explored the use of iora to give a lower dose of a more toxic drug , potentially minimizing its adverse effects . we hypothesized lower doses of vancomycin via iora could still achieve tissue concentrations equal or superior to those of systemic administration before tka .
timing of prophylactic antibiotics is critical to their effectiveness ; maximum benefit occurs when given in the 60 minutes before skin incision [ 6 ] . as protocols for systemic vancomycin require infusion rates of no greater than 1 g / 60 minutes , a prophylactic dose of 1 g needs to be started 1 to 2 hours before surgery [ 8 ] . this is difficult to incorporate into operating room protocols [ 7 ] , and clinical studies show optimal timing of vancomycin is rarely achieved in practice [ 1 , 39 ] . an advantage of iora over systemic is that it ensures appropriate timing of administration , and in our study and a previous iora study [ 41 ] , very high tissue levels of antibiotic were present immediately after skin incision . a disadvantage is that iora injection occurs after tourniquet inflation , adding 2 to 4 minutes to overall tourniquet time . the intraosseous needles are also an additional cost .
the iora partner community consists of like - minded organisations that team up to deliver a stack of high - performing technologies to solve business problems for global organisations . our partners are solution providers , system integrators and independent software vendors working with us and for you to provide first class implementation and ongoing support .
women ' s economic empowerment women ' s economic empowerment is an effective driver of growth in the indian ocean region . in october 2015 , iora ministers endorsed a declaration on gender equality and women ' s economic empowerment . australia has championed this cross - cutting priority and hosted a number of iora women ' s economic empowerment events since 2014 . australia has partnered with the australian chamber of commerce and industry to provide a series of workshops supporting women in business in the region . we have also supported un women to develop a baseline data report on female participation in the labour force in indian ocean rim countries .
a graph shows the tissue concentrations of vancomycin in bone at each sample point . the 250 - mg iora group is in blue , 500 - mg iora group in orange , and 1 - g systemic group in green . concentrations on log scale : 1 = 3 μg / g , 2 = 7 μg / g , 3 = 20 μg / g , 4 = 55 μg / g , and 5 = 148 μg / g . box represents the median ; horizontal line in box represents the 25 % and 75 % quartiles ; whiskers represent 1 . 5 times the interquartile range from the box .
very proud of having launched our new “ forests are life ” campaign yesterday to mark the “ international day of forests ” with the ministry of environment , forests and climate change launching it at an event at asola bhatti wildlife sanctuary . we developed this campaign in close partnership with forest conservation group iora ecological solutions
in it ' s quest to improve health and lower costs for a defined patient community , does the iora health model engage with upstream / social determinants of health at the level of the community ? ( i have the community health centre model in mind while asking this question . ) thanks very much for this discussion !
while concerns about the routine use of vancomycin for prophylaxis remain , the use of low - dose vancomycin iora can achieve higher tissue concentrations than systemic administration without prolonged preoperative infusion times . this may optimize the timing of vancomycin administration and reduce the risk of systemic side effects , while providing equal or enhanced prophylaxis in tka .
by the end of 2015 , iora will be providing these resources and its collaborative care model - - in which the human aspect of healthcare and the technology side work together and support each other - - to 29 clinics in the united states , including the startup ' s ehr product , which has interesting aspects , schutzbank said .
a couple more specific questions about the funding . when you mention that funders will get their returns when more organizations adopt the model , what type of return are you talking about e . g . financial , social ( in what terms ) ? also is there advocacy or lobbying done on part of iora to government and clinical organizations ?
) . in addition , systemic blood samples were taken at the time of the final tissue sample ( while the tourniquet was inflated ) , then at 1 , 4 , and 8 hours postdeflation and the morning after the procedure . in previous animal studies of iora vancomycin , peak systemic concentration occurred 60 to 70 minutes after tourniquet deflation [
values are expressed as mean , with sd in parentheses ; * times are given as minutes after surgical incision ; † differences in mean tissue concentrations among the three groups were statistically significant ( p < 0 . 001 ) for all comparison points after adjustment by sex , age , and time from incision ; iora = intraosseous regional administration .
i really think iora is one of the few companies out there that understands this idea of health 3 . 0 , that it ' s about relationships and teamwork and collaboration and leveraging technology to help the team ,
damania said .
that ' s largely why we chose them , and we really think they get it .
voice : sounds by xeno - canto common iora can produce a variety of notes . it utters some mournful whistles . most classical call is a whistled note , slightly quavering , or several notes ending with a sudden modulation “whiiiiii - tiu” or tui - tiii - tiu” . it utters variable chirrs and chattering . song is a trill “wheeeee - tee” .
in response to increasing antibiotic resistance , vancomycin has been proposed as an alternative prophylactic agent in tka . however , vancomycin requires a prolonged administration time , risks promoting further antibiotic resistance , and can cause systemic toxicity . intraosseous regional administration ( iora ) is known to achieve markedly higher antibiotic concentrations than systemic administration and may allow the use of a lower vancomycin dose .
disaster risk management with increasing traffic across the indian ocean , maritime , aviation and natural disasters become more likely ( for example , the 2004 indian ocean tsunami and disappearance of mh370 in 2014 ) . iora primarily addresses this priority through technical workshops . australia has partnered with the australian maritime safety authority to support capacity building in search and rescue in three indian ocean countries .
wells , d . ( 2018 ) . common iora ( aegithina tiphia ) . in : del hoyo , j . , elliott , a . , sargatal , j . , christie , d . a . & de juana , e . ( eds . ) . handbook of the birds of the world alive . lynx edicions , barcelona . ( retrieved from urltoken on 9 july 2018 ) .
wells , d . ( 2018 ) . great iora ( aegithina lafresnayei ) . in : del hoyo , j . , elliott , a . , sargatal , j . , christie , d . a . & de juana , e . ( eds . ) . handbook of the birds of the world alive . lynx edicions , barcelona . ( retrieved from urltoken on 9 july 2018 ) .
with the rise of technology in healthcare , some experts believe the human relationship is being left behind and that healthcare is morphing into a system in which patient care is less about the patient and more about the data points . iora ' s approach , in which the startup not only focuses on providing the technology but also guiding people , seems to be a step in warding off data - driven healthcare .
damania explained that not only was he attracted to the fact that iora custom built its ehr to better support its collaborative care model - -
because everything off the shelf is basically a glorified billing platform with a little bit of patient care stuff thrown on it as an afterthought ,
he said - - but also because the startup ' s product can support population health and a collaborative care approach .
without iora , damania said turntable health would ' ve had to build this type of model from scratch using an off - the - shelf ehr ,
which would have hobbled us . ” he explained that if turntable used epic systems ' ehr platform , the clinic would have to conform to epic ' s workflow - - which means turntable would have had to change everything about how it conducts the practice .
the inspiration [ for turntable ] was really my experience as a hospital doctor taking note that 50 % of my patients in the hospital didn ' t need to be hospitalized if they just had good preventative and engaged outpatient care that held them accountable ,
damania said .
we discovered iora health was doing these pilot clinics using a really interesting model with health coaches and doctors and social workers all working together .
reproduction : common iora’s nest is usually situated in a fork , at the end of a branch , in small tree . nest is a loose , deep cup , made with grass and plant fibres woven together , and consolidated with silk of spider webs on the external side . female lays 2 to 4 greenish - white eggs , blotched and spotted with reddish - brown . any other information is available about the nesting behaviour of this species .
ioras have a pointed and notched beak with a culmen that is straight . the common iora is sexually dimorphic , males in the breeding season have a black cap and back adding to a black wing and tail at all seasons . females have greenish wings and an olive tail . the undersides of both are yellow and the two white bars on the wings of the male are particularly prominent in their breeding plumage . the males in breeding plumage have a very variable distribution of the black on the upperparts and can be confused with
iora created a tool in which certain tasks that need to be done are assigned . during an appointment , a patient is assigned a provider - - a physician or nurse practitioner - - and a health coach . the health coach , who does not necessarily have a background in medicine , although some do , usually takes notes and logs tasks , schutzbank said . for example , if there are records needed , then health coaches can assign either themselves or someone else – like an operations assistant - - to get the records . if a prescription is needed , that task can be assigned to the provider .
iora health is to provide the best possible service and care for each patient - without any of the barriers or excuses that plague the current system . they’ve completely redesigned primary care to help patients better manage their health and navigate the health care system . every patient gets a top - notch personal physician as well as a personal health coach who stays in close contact during and between office visits , both of whom are available by email , text , or video in addition to in - person visits . in addition , they provide great educational offerings , including group visits , to help patients stay on track with their health goals .
iora health ' s mobile app also ties into the company ' s patient - centric notion .
[ with the app ] , any note that ' s written about you on your behalf - - any document we have about you , all lab values , the ability to graph lab values over time - - all components of the data [ are ] available for our patients ,
schutzbank said .
we firmly believe … your medical information as a patient is your medical information . we may create it and comment on it and add to it and curate it for you - - but it ' s yours .
thank you panelists - i really appreciate the thoughtful discussion so far . could you comment on iora health ' s strategy when partnering with outside providers ? i imagine that no one ih site can fully integrate service providers along the entire care continuum ( especially high complexity inpatient care , subspecialty care , and certain subacute services ) . i would guess that there are models for collaborating with affiliated but nonemployed providers that manages to align and coordinate care , even if the
outside
providers were to be on different emrs and payment models . where and how have these models succeeded ? and what are the challenges that remain to be addressed ?
no surprise then , that we get a little long - faced when we see graphics on forests that are shoddily put together . even large international organizations when communicating on forests , often use graphics that fail to bring out the essence of forests truly mean for our planet and for each one of us as individuals . if we did not have the kind of deep insight we do in the work of our partner iora ecological on what forests truly mean for a family living in a hut deep inside the western ghats or for animals that are poached and killed everyday , our attitude in designing our campaigns might be more cavalier than it is .
accepted indications for vancomycin prophylaxis in tka include β - lactam allergy and known colonization with mrsa [ 8 ] . high institutional mrsa prevalence has also been suggested as an indication [ 30 ] , but the prevalence at which routine prophylaxis with vancomycin becomes beneficial is controversial [ 39 ] . promotion of further antibiotic resistance with routine vancomycin prophylaxis remains a significant concern , as prolonged exposure to sublethal concentrations may promote the emergence of resistant organisms [ 2 ] . in theory , low - dose iora may apply less selection pressure than systemic administration by maximizing tissue levels at the site of action and reducing the overall exposure ; however , any advantage is difficult to quantify .
having followed this discussion with great interest , it ' s inspiring to see how our colleagues at iora health are implementing care coordination in their practices around the country . i wonder if the panelists might share some thoughts on how we could best adapt their approach to other types of delivery systems—academic medical centers , rural hospitals , etc . could all benefit from innovative care coordination as well . do we have , in some sense , a charter school model here , where care coordination is used to support specific patient populations , or patients with particular needs ? perhaps others in the community can offer examples of how they see care coordination in their practices ? we look forward to hearing your thoughts . . .
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i attended a panel interview in which the team was very inviting , cordial and professional . they asked dynamic questions that analyzed my character and experience for this position . the environment was welcoming and clean . this was an ideal place to want to work .
i applied online and received an email request for an in person interview fairly quickly . they advertised their in person interviews as
speed interview
similar to speed dating . they have you come in and check - in with reps in the front . all applicants sit in a room until one by one you are called to the back for a
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an employee asks a couple of basic questions . you are allowed to do the same . the first process lasts about 5min . if they like you and you pass the first part of the interview they ' ll have you speak to a doctor for more in - depth questions for anbout another 15min . if you make it past that portion you ' ll received a follow - up call from hr headquarters for a phone interview .
i had a total of four interviews over a couple of months . they seemed very interested in me as a candidate , but then informed me after 4 interviews via email that they were going in a different direction . . . who interviews someone 4 times just to turn them down ? they weren ' t very professional and kept getting information mixed up .
the interview process was lengthy , but worth the wait . the questions weren ' t very difficult , but i met with many of the team members to make sure that i was a fit for the team and the culture of the office .
after applying online , i received a link in an email 11 days later from a recruiter to set up a phone interview with her . we did the phone interview and i thought it went really well . the recruiter said she would email me to set up a time for me to go in and have an in - person interview . after a few days i emailed her since i hadn ' t heard anything and she did not respond to my email . after a week i emailed again and still didn ' t hear back .
the phone interview included basic
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the interview process was pretty long but i get why now that i ' m in - i met with 8 + people - a combination of in person ( 2x ) and phone . it was challenging but fair . the premise is that we can teach certain skills , others we can ' t and they want to make sure that each candidate will add to the culture positively and get their job done effectively . no compromises .
funny at best . involved being screened by phone by people who apparently did not read my resume , did not know how to pronounce a simple first name much less with whom they were calling , and had no idea where in the us i live . key line item .
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l’encyclopedie mondiale des oiseaux - dr christopher m . perrins - bordas - isbn : 2040185607
adult male in breeding plumage has dark green to black upperparts . wings are black with white wing bars . tail is blackish . rump is greenish . underparts are bright yellow , with larger white feathers on flanks . breeding male has black crown , but face is bright yellow . pointed bill is blue - grey . eyes are black . legs and feet are slate blue - grey .
non breeding male has greenish upperparts , almost as female . this one has also greenish upperparts and dull yellow underparts , forehead and eyebrow , and olive - green crown . wings are grey - black .
we can find some subspecies : aegithina tiphia multicolor , from sri lanka and southern india . it has black crown and back . aegithina tiphia tiphia , from the hymalayas . it has entirely green upperparts . aegithina tiphia humei , from southern asia . it has black crown , and black and green back .
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melanella abida is a species of sea snail , a marine gastropod mollusk in the family eulimidae .

the species is one of many species known to exist within the genus , melanella .

melanella abida

- - - - - - - - - - - - - - - species : melanella abida w . h . dall , 1927 - id : 1823751340
» species melanella ( melanella ) dalli bartsch , 1917 represented as melanella dalli ( bartsch , 1917 ) accepted as melanella cumingii ( a . adams , 1851 )
melanella bowdich , e . , 1822 type species : melanella dufresnei bowdich , e . , 1822
species melanella conoidalis ( sowerby , 1865 ) accepted as melanella cumingii ( a . adams , 1851 )
species melanella dalli ( bartsch , 1917 ) accepted as melanella cumingii ( a . adams , 1851 )
species melanella glabra jeffreys , 1884 accepted as melanella pseudoglabra ( dautzenberg & h . fischer , 1912 )
species melanella laseroni hedley , 1916 accepted as melanella solitaria ( e . a . smith , 1915 )
species melanella luchuana ( pilsbry , 1901 ) accepted as melanella cuspidata ( a . adams , 1854 )
species melanella nitidula ( a . adams , 1854 ) accepted as melanella aciculata ( pease , 1861 )
species melanella picta ( sowerby , 1866 ) accepted as melanella cumingii ( a . adams , 1851 )
melanella conoidalis ( sowerby , 1865 ) : synonym of melanella cumingi ( a . adams , 1851 )
melanella indeflexa ( a . adams , 1861 ) : synonym of melanella dufresnei ( bodwich , 1822 )
melanella kyurokusimensis nomura & hatai , 1960 : synonym of melanella odontoidea ( a . adams , 1861 )
melanella laseroni hedley , 1916 : synonym of melanella solitaria ( e . a . smith , 1915 )
melanella luchuana ( pilsbry , 1901 ) : synonym of melanella cuspidata ( a . adams , 1851 )
species melanella porcellana ( a . adams , 1851 ) accepted as melanella alba ( da costa , 1778 )
species melanella anceps ( j . t . marshall , 1901 ) accepted as melanella frielei ( jordan , 1895 )
species melanella candida ( marrat , 1880 ) accepted as melanella martinii ( a . adams in sowerby , 1854 )
species melanella gigas ( kuroda & habe , 1950 ) accepted as melanella teinostoma ( a . adams , 1854 )
species melanella kyurokusinensis ( nomura & hatai , 1940 ) accepted as melanella odontoidea ( a . adams , 1861 )
melanella candida ( marrat , 1880 ) : synonym of melanella martinii ( a . adams in sowerby , 1854 )
melanella jamaicensis ( c . b . adams , 1845 ) : synonym of melanella eburnea ( mühlfeld , 1824 )
species melanella lutea rodrigez garcia del castillo , 2000 accepted as melanella trunca ( r . b . watson , 1897 )
species melanella rossinsulae ( preston , 1916 ) accepted as melanella attenuata ( g . b . sowerby ii , 1866 )
species melanella jamaicensis ( c . b . adams , 1845 ) accepted as melanella eburnea ( megerle von mühlfeld , 1824 )
melanella montebelloensis ( iredale , 1914 ) : synonym of subularia montebelloensis iredale , t . 1914 , synonym of melanella attenuata ( g . b . sowerby ii , 1866 )
species melanella polygyra ( a . adams , 1851 ) accepted as eulima politissima newton , 1895
melanella montageuana ( iredale , 1914 ) : synonym of eulima montageuana iredale , t . 1914
melanella thaanumi pilsbry , 1917 : synonym of eulima major g . b . sowerby , 1834
species melanella farica bartsch , 1915 accepted as oceanida whitechurchi ( w . h . turton , 1932 )
species melanella mabutii nomura & hatai , 1935 accepted as parvioris fulvescens ( a . adams , 1866 )
species melanella paxillus ( a . adams , 1861 ) accepted as leiostraca pura a . adams , 1861
melanella mabutii nomura & hatai , 1935 : synonym of parvioris fulvescens ( a . adams , 1866 )
melanella is a genus of very small ectoparasitic sea snails , marine gastropod mollusks or micromollusks in the family eulimidae .
species melanella chascanon ( r . b . watson , 1883 ) accepted as eulima chascanon r . b . watson , 1883
species melanella chaunax ( r . b . watson , 1883 ) accepted as eulima chaunax r . b . watson , 1883
species melanella cylindrata ( r . b . watson , 1883 ) accepted as eulima cylindrata r . b . watson , 1883
species melanella gomphus ( r . b . watson , 1883 ) accepted as eulima gomphus r . b . watson , 1883
species melanella hians ( r . b . watson , 1883 ) accepted as eulima hians r . b . watson , 1883
species melanella hyalina ( r . b . watson , 1883 ) accepted as eulima hyalina r . b . watson , 1883
species melanella inconspicua ( r . b . watson , 1897 ) accepted as eulima inconspicua r . b . watson , 1897
species melanella psila ( r . b . watson , 1883 ) accepted as eulima psila r . b . watson , 1883
melanella acuta ( sowerby i , 1834 ) : synonym of hypermastus acutus ( g . b . sowerby i , 1834 )
melanella dilecta e . a . smith , 1899 : synonym of parvioris dilecta ( e . a . smith , 1899 )
species melanella arcuata ( c . b . adams , 1850 ) accepted as vitreolina arcuata ( c . b . adams , 1850 )
species melanella dilecta ( e . a . smith , 1899 ) accepted as parvioris dilecta ( e . a . smith , 1899 )
species melanella fuscopunctata ( e . a . smith , 1890 ) accepted as sticteulima fuscopunctata ( e . a . smith , 1890 )
species melanella langleyi ( g . b . sowerby iii , 1892 ) accepted as eulima langleyi g . b . sowerby iii , 1892
species melanella major ( g . b . sowerby i , 1834 ) accepted as eulima major g . b . sowerby i , 1834
species melanella pyramidalis ( g . b . sowerby ii , 1866 ) accepted as leiostraca pyramidalis g . b . sowerby ii , 1866
melanella fuscopunctata ( e . a . smith , 1890 ) : synonym of sticteulima fuscopunctata ( e . a . smith , 1890 )
species melanella acuta ( g . b . sowerby i , 1834 ) accepted as hypermastus acutus ( g . b . sowerby i , 1834 )
v . 70 1927 - proceedings of the united states national museum . - biodiversity heritage library
a collection of birds from the provinces of yunnan and szechwan , china , made for the national geographic society by dr . joseph f . rock
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bowdich t . e . ( 1822 ) . elements of conchology , including the fossil genera and the animals . part i . univalves . 79 pp . , 19 pl . paris . , available online at urltoken page ( s ) : 27 [ details ]
warén , a . ( 1984 ) . a generic revision of the family eulimidae ( gastropoda , prosobranchia ) . journal of molluscan studies . suppl 13 : 1 - 96 . page ( s ) : 54 [ details ] available for editors [ request ]
( of balcis leach , 1847 ) warén , a . ( 1984 ) . a generic revision of the family eulimidae ( gastropoda , prosobranchia ) . journal of molluscan studies . suppl 13 : 1 - 96 . page ( s ) : 32 [ details ] available for editors [ request ]
( of eulimaustra laseron , 1955 ) warén , a . ( 1984 ) . a generic revision of the family eulimidae ( gastropoda , prosobranchia ) . journal of molluscan studies . suppl 13 : 1 - 96 . page ( s ) : 45 [ details ] available for editors [ request ]
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type locality : albatross sta . 2668 , off fernandina , florida [ actually off georgia ] , 30°58 ' n , 79°38 ' w , 294 fathoms
small shells from dredgings off the southeast coast of the united states by the united states fisheries steamer ' albatross ' in 1885 and 1886 proceedings of the united states national museum 70 ( 2667 ) 1 - 134 .
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eulima risso , a . , 1826 type species : eulima subulata donovan , e . , 1804
amamibalcis kuroda , t . & t . habe , 1950 type species : unknowngenustype
annulobalcis habe , t . , 1965 type species : annulobalcis shimazui habe , t . , 1965
apicalia adams , 1862 type species : apicalia gibba adams , a . , 1862
asterolamia warén , a . , 1980 type species : asterolamia hians warén , a . , 1980
asterophila randall & h . heath , 1912 type species : asterophila japonica randall & h . heath , 1912
auriculigerina dautzenberg , ph . , 1925 type species : auriculigerina miranda dautzenberg , ph . , 1925
batheulima nordsieck , f . , 1968 type species : batheulima fuscoapicata jeffreys , j . g . , 1884
bathycrinicola bouchet , ph . & a . warén , 1986 type species : bathycrinicola talaena dautzenberg , ph . & h . fischer , 1897
bulimeulima bouchet , ph . & a . warén , 1986 type species : unknowngenustype
campylorhaphion bouchet , ph . & a . warén , 1986 type species : unknowngenustype
chileutomia tate , r . in tate , r . , 1898 type species : chileutomia subvaricosa tate , r . & a . e . m . cossmann , 1898
concavibalcis warén , a . , 1980 type species : concavibalcis scalaris warén , a . , 1980
crinolamia bouchet , ph . & a . warén , 1979 type species : crinolamia dahli bouchet , ph . & a . warén , 1979
crinophtheiros bouchet , ph . & a . warén , 1986 type species : unknowngenustype
curveulima laseron , c . f . , 1955 type species : curveulima cornuta laseron , c . f . , 1955
echineulima lützen & nielsen , 1975 type species : echineulima mittrei petit de la saussaye , s . , 1851
echiuroidicola warén , a . , 1980 type species : echiuroidicola cicatricosa warén , a . , 1980
ersilia monterosato , t . a . de m . di , 1872 type species : unknowngenustype
eulitoma laseron , c . f . , 1955 type species : eulitoma nitens laseron , c . f . , 1955
fuscapex warén , a . , 1981 type species : fuscapex ophioacanthicola warén , a . , 1981
fusceulima laseron , c . f . , 1955 type species : fusceulima jacksonensis laseron , c . f . , 1955
goodingia lützen , 1972 type species : goodingia varicosa schepman , m . m . & h . f . nierstrasz , 1909
haliella monterosato , t . a . de m . di , 1878 type species : unknowngenustype
halielloides bouchet , ph . & a . warén , 1986 type species : halielloides ingolfiana bouchet , ph . & a . warén , 1986
hebeulima laseron , c . f . , 1955 type species : hebeulima inusta hedley , c . , 1906
hemiliostraca pilsbry , h . a . , 1918 type species : leiostraca distorta pease , w . h . , 1860
hypermastus pilsbry , h . a . , 1899 type species : hypermastus coxi pilsbry , h . a . , 1899
leutzenia warén , a . , 1980 type species : echineulima asthenosomae warén , a . , 1980
microstilifer warén , a . , 1980 type species : microstilifer auricula hedley , c . , 1907
mucronalia adams , 1860 type species : hypermastus bicincta adams , a . , 1860
nanobalcis warén , a . & c . mifsud , 1990 type species : nanobalcis nana monterosato , t . a . de m . di , 1878
thyca adams , h . g . & a . adams , 1854 type species : thyca ( thyca ) astericola adams , a . & l . a . reeve , 1850
thyca ( thyca ) adams , h . g . & a . adams , 1854 type species : thyca ( thyca ) astericola adams , a . & l . a . reeve , 1850
thyca ( bessomia ) berry , s . s . , 1959 type species : unknowngenustype
thyca ( kiramodulus ) kuroda , t . , 1949 type species : thyca ( kiramodulus ) lacteus kuroda , t . , 1949
niso risso , a . , 1826 type species : niso eburnea risso , a . , 1826
niso ( neovolusia ) emerson , w . k . , 1965 type species : eumitra imbricata lozouet , p . , 1991
oceanida folin , l . de , 1870 type species : oceanida graduata folin , l . de in folin , l . de & l . périer , 1871
ophieulima warén , a . & m . sibuet , 1981 type species : ophieulima minima dall , w . h . , 1927
ophioarachnicola warén , a . , 1980 type species : ophioarachnicola biformis warén , a . , 1980
palisadia laseron , c . f . , 1956 type species : palisadia subulata laseron , c . f . , 1956
paramegadenus humphreys & lützen , 1972 type species : paramegadenus arrhynchus ivanov , a . v . , 1937
parvioris warén , a . , 1981 type species : parvioris fulvescens sowerby , g . b . ii , 1866
peasistilifer warén , a . , 1980 type species : peasistilifer nitidula pease , w . h . , 1860
pictobalcis laseron , c . f . , 1955 type species : pictobalcis articulata sowerby , g . b . i , 1834
pseudosabinella mclean , j . h . , 1995 type species : pseudosabinella bakeri bartsch , p . , 1917
pulicicochlea ( pulicicochlea ) ponder , w . f . & goodring , 1978 type species : pulicicochlea ( pulicicochlea ) calamaris ponder , w . f . & goodring , 1978
pulicicochlea ( pseudoretusa ) ponder , w . f . & goodring , 1978 type species : pulicicochlea ( pseudoretusa ) faba ponder , w . f . & goodring , 1978
punctifera warén , a . , 1981 type species : punctifera ophiomoerae warén , a . , 1981
pyramidelloides nevill , 1885 type species : pyramidelloides mirandus adams , a . , 1861
pyramidelloides ( teretianax ) iredale , t . , 1918 type species : pyramidelloides ( teretianax ) suteri oliver , w . r . b . , 1915
sabinella monterosato , t . a . de m . di , 1890 type species : sabinella piriformis brugnone , g . , 1873
scalenostoma deshayes , g . p . , 1863 type species : scalenostoma carinatum deshayes , g . p . , 1863
sticteulima laseron , c . f . , 1955 type species : sticteulima cameroni laseron , c . f . , 1955
stilapex iredale , t . , 1925 type species : stilapex lactarius iredale , t . , 1925
stilifer broderip , w . j . in broderip , w . j . & g . b . i sowerby , 1832 type species : stilifer astericola broderip , w . j . , 1832
stylifer broderip , w . j . & g . b . i sowerby , 1832 type species : unknowngenustype
subniso mclean , j . h . , 2000 type species : subniso rangi folin , l . de , 1867
trochostilifer warén , a . , 1980 type species : trochostilifer domus warén , a . , 1980
umbilibalcis warén , a . & ph . bouchet , 1986 type species : umbilibalcis lata dall , w . h . , 1889
vitreolina monterosato , t . a . de m . di , 1884 type species : vitreolina incurva bucquoy , e . j . , ph . dautzenberg & g . f . dollfus , 1883
arcuella nevill , g . & h . nevill , 1874 type species : arcuella mirifica nevill , g . & h . nevill , 1874
bonellia deshayes , g . p . , 1838 type species : bonellia obtusa anton , h . e . , 1838
subularia monterosato , t . a . de m . di , 1884 type species : eulima subulata donovan , e . , 1804
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