Surge 4 Download

[Ilse Marseau]

Featuringmany synthesis techniques, a great selection of filters, a flexible modulation engine, a smorgasbord of effects, and modern features like MPE, microtuning (with MTS-ESP support!), and comprehensive Open Sound Control (OSC) support.

Thanks to the generosity of @Kurasu (owner of Vember Audio), Surge has been open sourced and lives on GitHub. This page you're reading right now. Yup! This one right here. It's a part of the surge-synthesizer GitHub project.

Open-source additions to our filter algorithms include: K35 and Diode Ladder filter types from Odin 2 synthesizer, 12 and 24 dB/oct multimode filters from OB-Xd, and weird but fascinating Cutoff Warp, Resonance Warp and Tri-Pole filters by Jatin Chowdhury!

LFO shapes consist of 7 deformable LFO waveforms, step sequencer, a fully-fledged multi-segment envelope generator (MSEG) with various curves and up to 128 nodes, and last but not the least - a formula modulator which utilizes Lua scripting language to provide completely custom modulator output.

This page highlights resources that can help health care workers address pediatric surge in viral respiratory illnesses impacting hospital capacity. Access the following Centers for Disease Control and Prevention webpages for the most current RSV, influenza, and COVID-19 surveillance information:

Pediatric surge is unique due to the specialized equipment and resources needed for pediatric patients. MDH has identified the need for more pediatric education, training, and a Minnesota Pediatric Surge Plan to ensure our state is capable of responding to a statewide pediatric surge disaster.

Never had a conversation about pediatric preparedness? Start here! Use these tools as a starting place to determine where your facility or region are in the planning process for a pediatric surge event.

WHAT YOU NEED TO KNOW: Building on community and public safety investments in the East Bay, Governor Newsom is deploying 120 California Highway Patrol officers to Oakland and the surrounding area to conduct a targeted law enforcement surge operation to crack down on crime.

HOW WE GOT HERE:

In a close partnership between the Legislature and the Governor, California has made substantial investments in Oakland and the larger East Bay region to improve the health, safety, and well-being of the community.

Storm surge can devastate coastal communities. The first version of the P-Surge model, released in 2008 by NOAA's Meteorological Development Laboratory, was galvanized by the significant impacts of storm surge on communities along the Outer Banks of North Carolina and southeast Virginia following Hurricane Isabel in 2003.

P-Surge brings a probabilistic approach to the modeling of storm surge by generating a range and likelihood of possible storm surge values. It is run in advance of hurricanes and tropical storms that may impact the Atlantic and Gulf coasts, and now Puerto Rico and the U.S. Virgin Islands.

2. Keep Masking, Keep Testing: Governor Hochul recognizes that to stop the spread of the virus, New Yorkers must continue wearing masks and getting tested for COVID. Governor Hochul will:

3. Preventing Severe Illness and Death: With case counts rising, Governor Hochul is making it a priority to prevent severe illness and death by supporting our hospital system. The Winter Surge Plan 2.0 will:

5. Work With Local Partners: From the beginning, Governor Hochul has emphasized that the fight against COVID must take a collaborative approach. Fighting the winter surge requires close collaboration with local partners:

The MRSE is designed to examine and evaluate the ability of HCCs and other stakeholders to support medical surge. Placing stress on the health system is important for testing current response systems, identifying gaps in preparedness, and informing improvement planning.

Your feedback has been critical to the development of the MRSE. Based on the comments and lessons learned this year, updates have been made to the MRSE to include the creation of a Real-World Incident Reporting and Evaluation Tool for HCCs to use if they choose to use a real-world incident in lieu of the exercise. Both the Exercise Tool and Real-World Tool are available for download in the Coalition Assessment Tool. If you are unable to download the Exercise Tool, please request a copy via email from your Field Project Officer. Please note that if HCCs opt to use a real-world incident for the MRSE, the questionnaire on the first tab of the Real-World Incident Reporting and Evaluation Tool must be submitted to the recipient and Field Project Officer for review and approval, to determine that the event meets the minimum MRSE requirements.

The Patient Surge Summary table in both the MRSE Exercise Planning and Evaluation Tool and the Real-World Incident Reporting and Evaluation Tool has been pared down to reduce data collection burden for Performance Measure 19. In the coming months, the MRSE support team is working to create a MRSE Resource Library that will provide additional materials to aid health care coalitions with planning and execution of the MRSE. Please continue to share your feedback with our team via the MRSE mailbox: MR...@hhs.gov.

Coastal surge flooding can also impair critical community facilities like schools, libraries, spaces for youth and senior services, and cultural sites. These spaces serve as support centers during and after storms. Coastal surge flooding can disrupt and damage critical infrastructure ranging from energy and to wastewater treatment plants. Critical facilities, infrastructure, and services may be inaccessible to residents during or after a coastal surge event due to damage and potential power outages.

The populations most at risk to current and future coastal storm surge flooding are those who live in the floodplain. Southern Brooklyn and Queens are expected to experience the greatest increases in future flood risk. In addition, those who have been excluded or marginalized based on their race, income or ability are more vulnerable to the impacts of climate impacts including coastal flooding. Residents who live in older, less-resilient housing face greater risks. Older New Yorkers and those with limited mobility are the most susceptible to these coastal storm-related injuries and fatalities. Close to half of all residents who died during Superstorm Sandy were over 65 years old. More data on flood vulnerability will be coming out later in 2023.

A product of the New York City Department of City Planning, the NYC Flood Hazard Mapper provides a comprehensive overview of the coastal flood hazards that threaten the city today, as well as how these flood hazards are likely to increase in the future with climate change. It is intended to enable more informed decision-making by residents, property and business owners, architects and engineers, and policy-makers.

In March 2020, CMS announced the Hospitals Without Walls program, which provides broad regulatory flexibility that allowed hospitals to provide services in locations beyond their existing walls. Today, CMS is expanding on this effort by executing an innovative Acute Hospital Care At Home program, providing eligible hospitals with unprecedented regulatory flexibilities to treat eligible patients in their homes. This program was developed to support models of at-home hospital care throughout the country that have seen prior success in several leading hospital institutions and networks, and reported in academic journals, including a major study funded by a Healthcare Innovation Award from the Center for Medicare and Medicaid Innovation (CMMI).

The program clearly differentiates the delivery of acute hospital care at home from more traditional home health services. While home health care provides important skilled nursing and other skilled care services, Acute Hospital Care at Home is for beneficiaries who require acute inpatient admission to a hospital and who require at least daily rounding by a physician and a medical team monitoring their care needs on an ongoing basis.

Today, CMS is announcing an update to that regulatory flexibility, clarifying that participating ASCs need only provide 24-hour nursing services when there is actually one or more patient receiving care onsite. The program change provides ASCs enrolled as hospitals the ability to flex up their staffing when needed and provide an important relief valve in communities experiencing hospital capacity constraints, while not mandating nurses be present when no patients are in the ASC. The flexibility is available to any of the 5732 ASCs throughout the country seeking to participate and will be immediately effective for the 85 ASCs currently participating in the Hospital Without Walls initiative. CMS expects this flexibility will allow these and additional ASCs enrolled as hospitals to serve as an added access point that will allow communities to maintain surgical capacity and other life-saving non-COVID-19, like cancer surgeries. Allowing these types of treatments to occur in designated ASCs enrolled as hospitals while hospitals are managing any surges of COVID-19 would allow vulnerable patients to receive this needed care in settings without known COVID-19 cases.

For more on the ambulatory surgical center flexibilities, please see: -enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/guidance-processing-attestation-statements-ambulatory-surgical-centers-ascs-temporarily-enrolling

According to NOAA, a storm surge is an abnormal rise of water generated by a storm, over and above the predicted astronomical tides. Storm surge should not be confused with storm tide, which is defined as the water level rise due to the combination of storm surge and the astronomical tide. This rise in water level can cause extreme flooding in coastal areas particularly when storm surge coincides with normal high tide, resulting in storm tides reaching up to 20 feet or more in some cases.

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