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This program is free software; you can redistribute it and/or modifyit under the terms of the GNU General Public License version 2as published by the Free Software Foundation.*************************************************************************QUICK START: Unix./configure & & make & & make- install. Cross- compile for Windows on Unix. See INSTALL- win. To download Open. VPN, go to: http: //openvpn. ![]() Open. VPN releases are also available as Debian/RPM packages: https: //community. Openvpn. Software. Repos. To download easy- rsa go to: https: //github. Open. VPN/easy- rsa. To download tap- windows driver source code go to: https: //github. Open. VPN/tap- windows. To get the cross- compilation environment go to: https: //github. Open. VPN/openvpn- build. For step- by- step instructions with real- world examples see: http: //openvpn. For examples see: http: //openvpn. Also see the man page for more information, usage examples, and information onfirewall configuration.*************************************************************************SUPPORTED PLATFORMS: (1) Linux (kernel 2. Solaris(3) Open. BSD 5. · A DEB file is a Debian Software Package file. Learn how to open a.DEB file or convert a DEB file to IPA, RPM. install the package like you. · Get started with Docker Try our new multi-part walkthrough that goes from writing your first app, data storage, networking, and swarms, ending with your. Xdg-open INSTALL The file will. my Windows desktop has all kinds of stuff on. If you install a package via the software sources and not downloading the package. Mac OS X Darwin 1. Free. BSD 7. 4+(6) Net. BSD 5. 0+(7) Windows (Win. XP and higher)SUPPORTED PROCESSOR ARCHITECTURES: In general, Open. VPN is word size and endian independent, somost processors should be supported. Architectures known towork include Intel x. Alpha, Sparc, Amd. ARM. REQUIRES: (1) TUN and/or TAP driver to allow user- space programs to controla virtual point- to- point IP or Ethernet device. See. TUN/TAP Driver Configuration section below for more info. OPTIONAL (but recommended): (1) Open. SSL library, necessary for encryption, version 0. Elasticsearch is an open. I will install Elasticsearch from an rpm package. ‘Packetbeat ’ for ‘Network Data ’ and ‘Winlogbeat ’ for the Windows.
Polar. SSL library, an alternative for encryption, version 1. LZO real- time compression library, required for link compression,available from http: //www. Open. BSD users can use ports or packages to install lzo, but rememberto add CFLAGS="- I/usr/local/include" LDFLAGS="- L/usr/local/lib"directives to "configure", since gcc will not find them otherwise. OPTIONAL (for developers only): (1) Autoconf 2. Automake 1. 9 or higher- - available from http: //www. Dmalloc library- - available from http: //dmalloc. CHECK OUT SOURCE FROM SOURCE REPOSITORY: Clone the repository: git clone https: //github. Open. VPN/openvpngit clone git: //openvpn. Check out stable version: git checkout - b 2. Check out master (unstable) branch: git checkout master*************************************************************************BUILD COMMANDS FROM TARBALL./configuremakemake install*************************************************************************BUILD COMMANDS FROM SOURCE REPOSITORY CHECKOUT: autoreconf - i - v - f./configuremakemake install*************************************************************************BUILD A TARBALL FROM SOURCE REPOSITORY CHECKOUT: autoreconf - i - v - f./configuremake dist*************************************************************************TESTS (after BUILD): make check (Run all tests below)Test Crypto./openvpn - -genkey - -secret key./openvpn - -test- crypto - -secret key. Test SSL/TLS negotiations (runs for 2 minutes)./openvpn - -config sample/sample- config- files/loopback- client (In one window)./openvpn - -config sample/sample- config- files/loopback- server (Simultaneously in another window)For more thorough client- server tests you can configure your own, private testenvironment. See tests/t_client. OPTIONS for ./configure: -- disable- lzo disable LZO compression support [default=yes]- -enable- lzo- stub don't compile LZO compression support but stillallow limited interoperability with LZO- enabledpeers [default=no]- -disable- crypto disable crypto support [default=yes]- -disable- ssl disable SSL support for TLS- based key exchange[default=yes]- -enable- x. Socks support [default=yes]- -disable- http- proxy disable HTTP proxy support [default=yes]- -disable- fragment disable internal fragmentation support (- -fragment)[default=yes]- -disable- multihome disable multi- homed UDP server support (- -multihome)[default=yes]- -disable- port- share disable TCP server port- share support (- -port- share)[default=yes]- -disable- debug disable debugging support (disable gremlin and verb. OCC, usagemessage, and verb 4 parm list) [default=yes]- -enable- password- save allow - -askpass and - -auth- user- pass passwords to beread from a file [default=yes]- -enable- iproute. SELinux support [default=no]- -enable- systemd enable systemd suppport [default=no]ENVIRONMENT for ./configure: IFCONFIG full path to ipconfig utility. ROUTE full path to route utility. IPROUTE full path to ip utility. NETSTAT path to netstat utility. MAN2. HTML path to man. GIT path to git utility. TAP_CFLAGS C compiler flags for tap. OPENSSL_CRYPTO_CFLAGSC compiler flags for OPENSSL_CRYPTO, overriding pkg- config. OPENSSL_CRYPTO_LIBSlinker flags for OPENSSL_CRYPTO, overriding pkg- config. OPENSSL_SSL_CFLAGSC compiler flags for OPENSSL_SSL, overriding pkg- config. OPENSSL_SSL_LIBSlinker flags for OPENSSL_SSL, overriding pkg- config. POLARSSL_CFLAGSC compiler flags for polarssl. POLARSSL_LIBSlinker flags for polarssl. LZO_CFLAGS C compiler flags for lzo. LZO_LIBS linker flags for lzo. PKCS1. 1_HELPER_CFLAGSC compiler flags for PKCS1. HELPER, overriding pkg- config. PKCS1. 1_HELPER_LIBSlinker flags for PKCS1. HELPER, overriding pkg- config*************************************************************************BUILDING ON LINUX 2. FROM RPMYou can build a binary RPM directly from the Open. VPN tarball file: rpmbuild - tb [tarball]This command will build a binary RPM file and place it in the system. RPM directory. You can then install the RPM with the standard RPMinstall command: rpm - ivh [binary- rpm]When you install the binary RPM, it will installsample- scripts/openvpn. Open. VPN tunnels on systemstartup or shutdown, based on Open. VPN . conf files in /etc/openvpn. See the comments in openvpn. Installing the RPM will also configure the TUN/TAP device nodefor linux 2. Note that the current openvpn. Open. VPN with all options enabled,including Open. SSL, LZO, and pthread linkage. Therefore all ofthese packages will need to be present prior to the RPM build, unlessyou edit the openvpn. TUN/TAP Driver Configuration: * Linux 2. TUN/TAP driver): (1) load driver: modprobe tun(2) enable routing: echo 1 > /proc/sys/net/ipv. Note that (1) needs to be done once per reboot. If you install from RPM (seeabove) and use the openvpn. Free. BSD: Free. BSD ships with the TUN/TAP driver, and the device nodes for tap. However, only the TUN driver is linked into the GENERIC kernel. To load the TAP driver, enter: kldload if_tap. See man rc(8) to find out how you can do this at boot time. The easiest way is to install Open. VPN from the Free. BSD ports system,the port includes a sample script to automatically load the TAP driverat boot- up time.* Open. BSD: Open. BSD has dynamically created tun* devices so you only needto create an empty /etc/hostname. Solaris: You need a TUN/TAP kernel driver for Open. VPN to work: http: //www. Windows XP/2. 00. Vista/7: Open. VPN on Windows needs a TUN/TAP kernel driver to work. Open. VPN installersinclude this driver, so installing it separately is not usually required. The driver source code is available here: https: //github. Open. VPN/tap- windows*************************************************************************CAVEATS & BUGS: * I have noticed cases where TCP sessions tunneled over the Linux. TAP driver (kernel 2. The TCP sessions appear to unstall and resumenormally when the remote VPN endpoint is pinged.* If run through a firewall using Open. Overcoming the Barriers to Change in Healthcare System. Overcoming the Barriers to Change in Healthcare System Carolyn Pexton. Research has shown that 9. Oddly enough, various studies show that 6. In both cases, it is certainly not for lack of good intentions. For a person who has been on a successful diet, it is frustrating to see those pounds sneak back on. And it is just as frustrating for an organization which has implemented a major improvement initiative to have costs, errors or inefficiencies creep in again. This is the short- term- gain, long- term- wane syndrome. Why are both kinds of change not more successful? Often, the failures can be traced to a few missing ingredients: A fundamental acceptance or realignment in thinking. Appropriate guidance or knowledge. Identity & Access Management; Governance, Risk. Solutions for Population Health. improving the patient experience of care, improving the health of populations. · Improving pain care through implementation of the Stepped Care Model at. and statistical software. health center management of chronic. ![]() Clear strategies and tactics for maintaining long- term results. The upside to past failures is that they usually provide some valuable lessons for the future.
For instance, healthcare organizations currently contemplating Six Sigma or Lean as one aspect of transformation can learn from the experiences of others, both inside and outside the industry. While avoiding a “cookie cutter” approach to change initiatives, such examination can provide useful insight into what worked well, and what gaps may have been overlooked. An Industry in Need of Change. Though debate over specific solutions may continue, there seems to be widespread consensus for changes in healthcare in the United States to address inconsistencies in quality and efficiency. Some of the primary market forces serving as catalysts for change include the following: Patient Safety and Clinical Quality – The emphasis on quality and patient safety has not abated since the release of the Institute of Medicine’s 1. Recent reports shine an even harsher light on a “Swiss cheese” healthcare system that allows nearly 2. The Move Toward Digitization – Both for safety and efficiency improvements, the push to adopt information technology (IT) systems will continue, as patient care settings increasingly seek to go “filmless and paperless.” If this migration is to be successful, it must be accompanied by process adaptation and change management techniques that engender acceptance among staff and clinicians. Demographic Changes – Shifting demographics and an aging population will continue to impact healthcare in the United States, particularly for specialties such as cardiovascular services. The U. S. healthcare workforce also is aging, with only 9. ![]() RNs) under the age of 3. Workforce Issues – Workforce shortages – especially acute in certain regions and specialties – continue to strain the system. Avoid expensive project implementation plan errors with these lessons learned from the front lines of US health care reform. Change Management in EHR Implementation . Primer. Implementation. Change management is the basic foundation. Change in health care. Management Issue 1. and risk management from its experience with the American Recovery and Reinvestment Act of. Health Care Fraud and Abuse Control Program. An article in Healthcare Financial Management states, “Shortages of clinical staff, including RNs, radiology technicians and many other professionals, not only severely limit the ability of healthcare providers to respond to increasing levels of demand, they also affect providers’ ability to maintain current levels of service, quality and profitability.” Hospitals will need to ensure they are operationally efficient and are able to create an optimal work environment in order to attract, develop and retain top talent. Financial Challenges – Healthcare providers continue to feel financial pressures as they deal with rising demand and uncertainty in reimbursement and revenue collection. Projects that address revenue and cost management strategies will be crucial to maintaining quality services. The Quest for Excellence – According to the American College of Healthcare Executives, “the concept of competing on value, which includes both cost and quality dimensions of performance, has become a reality.” As this reality sinks in, healthcare providers are showing greater interest in exploring solutions that would enable them to not only survive, but to become centers of excellence or providers and employers of choice. Care Health Management Risk Software Implementation DefinitionOvercoming Unseen Barriers. All of these factors are converging to create what some have called “a perfect storm” that will require new thinking and comprehensive solutions. Unfortunately, the speed and spread of change in healthcare have been hampered by a number of factors. Often it is the unseen cultural barriers that can derail an organization’s best- laid plans – especially if they are not identified and addressed early in the process. A few of these barriers and potential solutions are in the table below, which is based on input gathered from healthcare practitioners during the last few years: Barriers to Healthcare Change and Potential Solutions. Factors Inhibiting Change. Potential Solutions. Lack of Leadership Support. Facilitate contact with peers successful in deploying the methodologies. Resistance or Skepticism from Staff. Develop stakeholder analysis and use a team- based problem- solving approach. Hesitancy to Invest Time and Money. Create a business case supported by sound data (i. Shortage of Internal Resources to Lead Change Initiatives. Enlist outside help to drive initial projects or receive training and mentoring in conjunction with projects that produce immediate results. Waning Commitment or Flavor- of- the- Month Syndrome. Implement a solid communication plan that reaches all levels of the organization, and build momentum through early, visible wins. Uncertain Roles and/or Lack of Accountability. Adopt management systems and structures that clearly link projects and performance with overall strategies. Any of these factors may hold back an organization, but strong leadership cannot be overemphasized as one of the critical elements for effectively driving Six Sigma or other change initiatives in healthcare. To increase efficiency and close the chasm between optimal patient care and that which actually exists, leaders must abandon adherence to obsolete management models. In a recent article in Health Affairs entitled “A Deficiency of Will and Ambition,” Dr. Don Berwick noted: “The capability that is key to the proper allocation of resources and development of the proper workforce is leadership, and that’s where we still lack traction. It’s not that we don’t have capable executives and committed boards. It’s that the capable executives are still devoted to maintaining the status quo.”The Payoff for Perseverance. Embarking on a major change initiative in healthcare may feel daunting at first, but there are a number of tools and techniques that can help to get an organization over the rough spots. There are now a growing number of Lean Six Sigma institutions which are successful and will attest to the value of persistence and commitment. Successful improvement initiatives can yield a wide range of benefits that are both qualitative and quantitative, including: Fewer medical errors. Increased revenue and improved reimbursement. Better use of advanced technologies (and faster return on investment)Better accessibility and capacity for patient flow. Improved organizational communication. Better nursing and physician satisfaction. Better patient satisfaction. Shorter patient wait times. Investment in staff expertise. With expanding technology and treatment options, and the promise of personalized medicine on the horizon, healthcare stands on the threshold of a bright future – if the right infrastructure can be put in place to support it. The U. S. healthcare industry cannot afford to let current systemic inadequacies or cultural barriers keep it from fulfilling this promise. As Dr. Martin Merry and Jeffrey Brown noted in their article, “From a Culture of Safety to a Culture of Excellence,” it is imperative to begin transforming the system and closing healthcare’s significant “sigma gap.” They ended with a salient observation: “Healthcare belongs to society as a whole, and we all have potential roles in the unfolding of its future. As we contemplate our individual roles in healthcare’s transformation, each of us might ask these simple questions: If not now, when? If not me/us, who?”Conclusion: Winning the ‘Wait Control’ Battle. Solutions for Population Health. Caradigm identifies and stratifies the risk in your population to improve clinical outcomes and financial results. Caradigm equips your organization to keep a patient population as healthy as possible while managing utilization to lower costs. Caradigm addresses a broad definition of population health, one that focuses not only on the high- risk patients who generate the majority of healthcare costs, but also on the preventive and chronic care needs of every patient. As there are not enough providers to manage every patient continuously, this focus requires automation to support those providers and to carry out the large number of routine tasks that do not have to be performed manually. Caradigm solutions continually identify, assess, and stratify patient cohorts so that your organization can supplement the role of your care teams, manage your patient population more effectively and efficiently, drive better outcomes, and decrease overall cost, as demanded by value- based reimbursement. Caradigm saves your organization the time and money necessary to make population health achievable and economically feasible. With our solutions, you can meet the aims of the Institute of Healthcare Improvement’s Triple Aim Initiative – improving the patient experience of care, improving the health of populations and reducing the per capita cost of healthcare. Caradigm population health solutions enable your teams to deliver the appropriate care to patients through effective coordination and patient engagement, improving outcomes and financial results. Make information accessible where and when you need it. Learn More. Generate insights and drive better decisions. Learn More. 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Best audio player. So fast and handy. Support most files. Video, movie support. Could be specialized to any user. Lots of other contents. Free and commercial use (Pro version)Cons. Nothing I have seen. Better than the past versions now. Summary. It's my first choice. The best audio player, one of the best media players. Special, individual, private configuration. Best media application in my point of view. Reply to this review. Was this review helpful?(1) (0) Pros. Winamp offers a comprehensive GUI, utilizing audio rack design, which provides the user with a flexible playback, yet complete, listening environment; NONE of the current players come close to Winamp's quality or performance! Sound quality is superb through my dual amplifier driven speakers. Cons. Sadly, Version 5. Maybe Winamp will be resurrected in the near future!)Summary. Winamp pro edition is currently FREE and absolutely top notch! Tunes, MS' Groove and VL's audio quality leave much to be desired; Winamp is truly the best audio player for Win 1. Reply to this review. Was this review helpful?(0) (0) Pros- Themes. Dope audio visualizations. Plays everything without questioning. Equalizer with saved pre- sets. Not clogged up with bullshit (like i. Tunes for example). Starcraft theme. Cons- Bento theme might use more system resources. No cloud support. Summaryit's the best media player ever, nothing will surpass it anytime soon for sure, been using it for years. Reply to this review. Was this review helpful?(1) (0) Pros. I love the quality of my music. Cons. It's so tiny, I can't see it (unless I sit on the edge of my chair & get up close to my computer). Reply to this review. Read reply (1)Was this review helpful?(0) (0) Reply by Respect. Glory- -2. 00. 8 on September 2. Enlarge your screen by holding down the "CTRL" Key and press the + or - Keys to make your page larger or smaller; The plus sign makes the page larger, and the minus sign makes your page smaller. Repeat pressing the + or - Keys to keep changing the page size - while holding down the CTRL Key. CTRL + 0 (zero) returns your page to the default window size, which is according to your personalized windows settings. Also, holding down the CTRL Key and scrolling your mouse wheel will change the page size quicker. Scroll forward makes the page larger, and scrolling backwards makes your page smaller. CTRL + 0 (zero) returns your page to the default window size, which is according to your personalized windows settings. Pros. Winamp has been around for almost the history of the web. Its been my #1 player since v. The number of skins is massive. Great eye candy plugins. Cons. Won't play . Hard to find. Company seems to become unstable; takeovers, buyouts, etc. The future of Winamp is debatable and uncertain. Reply to this review. Was this review helpful?(1) (0) Please Wait. |
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