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Arkansas Surgical Hospital

Bwindi Impenetrable Forest is broken down into 4 regional areas.

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Bwindi Impenetrable Forest is best known for Gorilla Tracking, that is the reason that most visitors come to this park.

Bwindi Impenetrable Forest provides an incredible backdrop for this once in a lifetime adventure. There are four trailheads from which one tracks one of the gorilla families for which we have obtained permits for you.

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for visitors. That means that there are over 100 daily gorilla permits available in Bwindi Impenetrable Forest.

Be sure to wear the right clothing for the trek and bring the things needed.

Bwindi Impenetrable Forest is the best Safe, Secure Park in Africa for Gorilla Trekking – plus the added benefit of lower permit prices.

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Rushaga- More Time with Gorillas:

It is only in Uganda that you can be with a Mountain Gorilla Family for 4 hours on a Gorilla Habituation Experience along with researchers in Bwindi’s Impenetrable Forest – this amazing experience – to be with a Mountain Gorilla Family as it is being habituated is a one of a kind experience in Africa.

There are presently two family groups being habituated, meaning that they becoming used to human contact and will not run away from visitors trekking them.

You can fly into Kigali Rwanda and 4 hours later be in the Rushaga Region of Bwindi Impenetrable Forest. You have the choice of budget, moderate and upmarket lodging and can stay either in Rushaga or scenic Nkuringo area of Bwindi Impenetrable Forest.

Gorilla Habituation – fewer Participants, more time with the Gentle Giants of the Forest.

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The Batwa People – are pygmies and were the first inhabitants of years, they were hunter-gatherers and lived in the forests of Southwest Uganda and beyond. They left a small ecological footprint on the forest and lived in harmony with nature. Conservationists insisted that they were evicted from their traditional home, the Forest. In those days they had no voice, no representation – the existed as squatters, beggars, accused of being drunkards, marijuana smoking, lazy people.

Today various organizations have given them a voice, defended their rights as first people, improved their living conditions, medical care, education and more.

The Batwa Experience in the Buhoma area and the HiTec Womens/Ladies Bandera II WP Hiking Boots Char Gray Burnt Orange v905TKSEy
, near Southern Bwindi, give you a glimpse into the lives and traditions of the Batwa Pygmies. It also restores a bit of their dignity and keeps their cultural practices alive to be passed on to future generations.

Freshman Sophomore Seminars -

Seminars for Sophomores

Seminars depend on the regular presence and active participation of every student. Sharing ideas in class is an important academic skill that can be acquired only through practice. The vigorous discussions that characterize the most successful seminars depend on the commitment of each and every member of the class.

Seminar professors often choose to explore unexpected topics that may not directly relate to the focus of their departments. We don't want you to miss a hidden treasure. If you are interested in the past, for instance, don't look only at seminars offered by the History Department. The pop-up menu below lets you search for seminars by topic.

All Seminars for Sophomores 19

Not all seminars are included in the topic search. The complete list of seminars for sophomores appears below. Seminars are very popular; we recommend that you choose a couple of alternatives in case the seminar you are most interested in is full. You may enroll in only one seminar during your registration period. If there are seats left in the adjustment period you can sign up for additional seminars at that time.

Freshman and sophomore seminars numbered 39 and offered for three or four units may satisfy breadth requirements in Letters and Science. Two-unit sophomore seminars numbered 84 and offered through fall 2011 may satisfy breadth requirements in Letters and Science. Skechers Performance Mens Go Walk 3 Fitknit LaceUp Walking Shoe Black / White 48o5K
. Two-unit sophomore seminars numbered 84 and offered after fall 2011 will not satisfy breadth requirements in Letters and Science. To determine if you may use a seminar to satisfy a LS breadth requirement, visit the Callisto Womens Danna Slide Sandal White Lensbw1m
web page on the Letters and Science Office of Undergraduate Advising website. When LS breadth has been assigned to a seminar published on the Freshman and Sophomore Seminars website, it will be noted at the end of the seminar description on the seminar's web page.

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Sophomore Seminars and LS Breadth

Sophomore seminars (84s) offered after fall 2011 will not satisfy breadth requirements in Letters and Science for programmatic reasons. The sophomore seminars listed below may be used to satisfy LS breadth requirements, because they were assigned breadth before the end of fall 2011 and offered through that semester. If the seminars on this list are offered again after fall 2011, they may not be used to satisfy LS breadth requirements.
Computer Science 84: Interactive Choreography in 3D Tele-Immersive Spaces - Expanding Human Perception through Creative Practice (2 units, P/NP)

The second is more punitive. As the CIN gains contracts and covered lives, the physicians become more reliant on the CIN contracts as a percentage of their total book of business. The CIN can therefore be more prescriptive in terms of how physicians practice to ensure quality and care coordination. Which strategy is best for a health system to use may evolve over time and depends on market dynamics—physicians are unlikely to tolerate prescriptive behaviors if other CINs offer similar or better contracts and covered lives.

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CIN economics

Health systems must find a balance between building a CIN that satisfies the rationales for its creation (improving patient outcomes, supporting a potential shift toward value-based reimbursement, and aligning independent physicians) but does not destroy value through unnecessary investment or effective price reductions.

As far as possible, costs should be kept variable, with investments structured so that they scale with lives. Care managers and subscription-based PMPM tools can provide this. Expensive up-front fixed investments are less advisable in markets where the pace of change is unpredictable.

Partners who benefit from the services should share the costs. Payors, employers, physicians, and other providers along the healthcare value chain should be encouraged to bear a share of the costs equivalent to their monetary gains.

However, our experience suggests that the economics of shared-savings pools from many value-based contracts are generally negative. Costs associated with capturing shared savings (to manage lives, administer the network, etc.) and the economics of decreased utilization are a very high barrier to overcome to see gains. This makes the goal of true alignment across all network actors all the more important (Exhibit 2).

Exhibit 2 Enlarge

The key question for health systems should not be how to build a CIN, but rather how to differentiate a CIN relative to other alignment options available to independent physicians in a specific market. There are a few ways to differentiate a CIN, among them by providing access to better contracts and delivering services that add value.

Contracts Health systems are uniquely positioned to add value here relative to CINs that do not have health system partners. CINs without a health system partner often refer patients to the lowest-cost health system in a market in an effort to control the total cost of care (and may indeed switch partners from year to year), risking brand awareness and customer loyalty. In some markets, medical groups have been successful using this strategy. However, the ability to coordinate care between the CIN physicians and the unaffiliated hospital, and the CIN’s long-term efforts to truly remove cost (rather than adjust pricing only) may be hampered important limitations as value-based payments become more common. In addition, payor or employer counterparties in the contracting process may question the viability of a CIN in terms of network adequacy and stability if it lacks a closely linked health system partner.

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