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Local specialists connect state resources, local partners, behavioral-health expertise to prevention efforts throughout Sweetwater County
SWEETWATER COUNTY -- September is Suicide Prevention Month, but for Southwest Counseling Service Prevention Specialist Jayda Gatley, the conversation doesn't begin when the calendar turns to September.
How America's Best Restaurant Serves 450 Pounds Of Meat Every Week
Kabawa was just named the best restaurant in America by Food & Wine. So, what does it take to run a full service at America's best restaurant?
Campbell County health and food inspections (9/11/26–9/107/26)
GILLETTE, Wyo. — The Consumer Health Services Division of the Wyoming Department of Agriculture conducts inspections of retail food establishments throughout Wyoming (where there is not a local health department that does inspections) to help ensure safety of Wyoming residents. Campbell County establishments are inspected at least once a year by the WDA. All of […]
Nashville Predators announce streaming service details, cost, how to watch
The Nashville Predators have announced details about their new streaming service which will begin with the 2026-27 season.
Nashville Predators announce streaming service details, cost, how to watch
The Nashville Predators have announced details about their new streaming service which will begin with the 2026-27 season.
‘Can’t Pour From an Empty Cup’: New Virtual Health Service Supports Women Through Major Life Changes
Byron Donalds takes his testimony to Boca Raton
'We invite everyone to come and be part of this special Sunday service.'
I taught my daughter to prioritize purpose. Now I question the cost.
I modeled a life of service for my daughter. I'm proud of her, but I worry about the financial and personal costs we both face.
Dealroom.co | Great Hill Partners: middle-market growth buyouts across software, financial services, healthcare, consumer and business services
What's the deal?Great Hill Partners is a Boston- and London-base…
Valley organizations team up to provide hot food, health care
A Phoenix-based outreach organization is partnering with a mobile medical clinic to bring health services directly to neighborhoods across the city, including HIV testing and health education.
Valley organizations team up to provide hot food, health care
A Phoenix-based outreach organization is partnering with a mobile medical clinic to bring health services directly to neighborhoods across the city, including HIV testing and health education.
Phoenix groups team up to bring health care, hot meals to those in need
A Phoenix-based outreach organization is partnering with a mobile medical clinic to bring health services directly to neighborhoods across the city.
What’s Your Hottest Business Take?
Let us know your hottest business takes in the comments.Subscribe to The Hustle:🔗 https://clickhubspot.com/vu3lGet the 5-minute newsletter keeping 2M+ innovators in the loop🔗 https://clickhubspot.com/3klnAbout HubSpot: HubSpot is a customer platform that provides education, software, and support to help businesses grow better. The platform includes marketing, sales, service, commerce, operations, and website management products that start free and scale to meet our customers’ needs at any stage of growth. Today, thousands of customers around the world use HubSpot’s powerful and easy-to-use tools and apps to attract, engage, and delight customers.#TheHustle #HubSpot
Science on Tap: Mechanics of Messaging
A monthly series of informal discussions by the SEE Science Center on relevant topics with local experts and scientists. Doors open at 5pm. Events are free. Advance Sign up appreciated. Food and drink can be ordered off the menu.Oct. 13 Topic: Mechanics of MessagingWe all know that Gutenberg changed the world, but printing technology did not stop there. Join us to discuss how NH has played a role in the evolution of high-tech printing and related technologies. From Dot-Matrix, to Ink jet to Laser and 3-D discover what is being employed, how it evolved and where it is headed next.Panelists will include:James K McMahon- Layer Grown Model Technology Services-Retired
Touting Success Of Health Links Van
Health officials say it has traveled throughout the county over the past four years, bringing health services, education, and resource navigation directly to residents where they live, work, and gather
Mt. Gilead mayor: Our community’s mental health system is personal to me
As the Mayor of Mount Gilead, I have the privilege of serving the community that I call home. But before I am a mayor, I am a mother. That is why the work of the Delaware-Morrow Mental Health and Recovery Services Board is personal to me, and why I support the Board’s levy request on […]
In Memoriam: Dorothy Zimmerman
On Aug. 16, 2026, the Florida Political Review’s advisor, Dorothy Zimmerman, passed away after a courageous fight against ovarian cancer. Dorothy joined the Bob Graham Center for Public Service in
Five 'connected' cases of mumps reported on SDSU athletic team
"Importantly, the students are no longer considered contagious," the school's Student Health Services medical director said.
Conservation mentor uses practical science to form a soil health playbook
Nathan Mueller knows firsthand that adopting conservation practices is rarely as simple as reading an article or walking into an Natural Resources Conservation Service (NRCS) office. It requires trial and
Health department warns of increased Asian tiger mosquito activity
Evanston Health and Human Services and the North Shore Mosquito Abatement District (NSMAD) continue to see increased biting mosquito reports, largely
The race to build a pandemic-proof world
Six years after COVID-19 killed millions, battered health systems, disrupted lives and brought the global economy to a virtual standstill, the world is still grappling with how we can prepare better for the next pandemic.
Crossville Business Named Property of The Year - UCBJ
Grinder House Coffee Shop Named 2026 Tourism Property of the Year (UCBJ) - Grinder House Coffee Shop (GHC) in Crossville was named the 2026 Tourism Property of the Year in the Small category during the Tennessee Hospitality & Tourism Association’s Stars of the Industry Awards. The honor recognizes businesses for excellence in customer service, visitor experience and positive contributions to…
Kennedy tells antivaccine activists they have a friend in White House
Health and Human Services Secretary Robert F. Kennedy Jr. tells antivaccine activists from an organization he once chaired that they have a friend in the White House.
Seattle’s progressive values need businesses to succeed
As the Seattle mayor and council begin deliberations on the city budget, they should remember that a strong economy supports city services.
MRN BUSINESS SPOTLIGHT: Edward Jones
When was the last time you gave your 401(k) a maintenance check? Did you know that was even a thing? Better yet, did you know that service is free? On the Business Spotlight, brought to you by The Bank of Springfield, Brittany Boll is joined by Edward Jones financial advisors Brandon VanCamp and Alicia Rollins...
LVHN Health Care Partner of the Month
Elissa Remmel Job: PharmD, Pharmacy Supervisor Education/Training: Elissa Remmel earned her Doctor of Pharmacy at the University of the Sciences, Philadelphia. Service line or specialty: Lehigh Valle...
Commentary: Dancing with the W2 Stars reaches far beyond one evening of entertainment
Let me tell you the “why” behind a cheeky dance competition and your friend’s relentless hints for donations: Valley Residential Services, writes Sheila Hagar.
The US Army has the drones. Now it needs trained operators.
The service is buying tens of thousands of drones and delivering them to troops. The next challenge is ensuring they know how to use them.
$700 Billion Data Center Boom: Tax Gains Beat Political Backlash
Data centers need fewer city services than warehouses; electricity and water are solvable problems; and tax gains keep outweighing political backlash
Lack of cutting edge caused a defensive collapse
Chelsea signed a striker from Brighton for the second successive summer, bringing in Danny Welbeck to reunite him with Joao Pedro and provide support in attack. Welbeck, 35, was tidy in possession but, with little service, managed only 17 touches before being substituted in the 71st minute. Unlike Joao Pedro, who is capable of creating chances for himself, Welbeck found it difficult to influence the game in the same way.
Southern Maryland Expands Youth Mental Health Services
Cornerstone Southern Maryland will use a $16,187 grant to expand in-home mental health services for underserved youth in Charles County.
Aiken expo offers buffet of information on health-related services and products
AIKEN — The 1300 block of Pine Log Road East had a variety of vendors and other business representatives gathered Sept. 18 for the Aiken Standard Health and Life Expo, with Aiken Senior Life Services ...
Kaniksu Community Health earns national honors
Kaniksu Community Health received five national quality recognition badges from the Health Resources and Services Administration, including a Gold Badge awarded to health centers ranking among the top 10% nationwide for clinical quality performance.
Air Force Officer Charged After Protesting Trump Says He Spoke to Defend Constitution
Major Jason Watson could face court-martial in what could become a rare test of a service member’s right to publicly dissent.
California health department notifies of measles exposure from unvaccinated Amtrak passenger
The California Department of Public Health (CDPH) is urging residents to get their measles vaccination after notifying the public of an exposure from an Amtrak passenger who traveled on the rail system's train and Thruway bus service in six different counties earlier this month.
IU Health volunteers give Renaissance Pointe YMCA refresh during Day of Service
21Alive News at 6
Recovery Is Beautiful Festival to celebrate people in mental health, addiction recovery
The Mental Health & Recovery Services Board of Lucas County will host the free Recovery Is Beautiful Festival honoring people in mental health and addiction recovery Saturday from 2:30 to 5 p.m. at Hensville Park.
North Carolina gets nearly $7M from SAMHSA to boost mental health services
Nearly $7 million in grant funding is headed to the North Carolina Department of Health and Human Services (NCDHHS) to assist with mental health services.
Nebraska DHHS extends health alert for toxic algae at lakes in Gage and Jefferson counties
Nebraska Department of Health and Human Services has extended a health alert for toxic blue-green algae at Big Indian Lake in Gage County and Cub Creek Lake in Jefferson County.
Wayne County warns of potential measles exposure at local business
Wayne County Public Health is warning residents of a potential measles exposure at a local business earlier this month.
United Bank hires Phil Poliquin to lead government contracting business
Phil PoliquinUnited Bank, a subsidiary of United Bankshares, Inc. (NASDAQ: UBSI), has announced that Phil Poliquin has joined the Bank as senior vice president and managing director of Government Contracting (GovCon), leading the next phase of growth for United’s GovCon business across the Bank’s footprint.United has a longstanding history of serving government contractors and meeting the dynamic banking needs of companies supporting federal, state and commercial markets. Building on that foundation, the Bank is establishing a dedicated GovCon team led by Poliquin. The new team will bring together bankers from across United's footprint under a focused strategy designed to deepen industry expertise, strengthen client relationships and expand the Bank's presence in this important market.“Government contractors operate in a complex and highly specialized environment, and Phil understands that environment from multiple perspectives,” said United Bank Chief Commercial Lending Officer Mike Proctor in a press release. “His extensive commercial banking experience, combined with more than two decades of military and government service, brings tremendous depth and expertise to our team. We’re excited to have his leadership and insight as we continue strengthening how United serves our GovCon clients across the nation’s capital and beyond.”In his new role, Poliquin will lead United’s GovCon lending strategy and a team of specialists, with a focus on deepening client relationships and expanding the Bank’s presence in the government contracting and defense sectors. He will also serve as a subject matter expert across the organization, partnering with bankers across United’s footprint to support GovCon clients and opportunities.“Government contracting has long been an important part of the economy across the Washington region, and we believe it remains an attractive sector for growth,” said United Chief Executive Officer Richard M. Adams, Jr. in a press release “As the needs of these companies continue to evolve, investing in specialized leadership strengthens our ability to build on our established presence, expand how we serve this market, and pursue new opportunities.”Poliquin has a decade of experience in commercial banking, most recently serving as executive director of Aerospace, Defense, and Government Services (ADG) commercial banking at JPMorgan Chase. In this role, he led a team responsible for providing specialized financing and treasury advice to federal government contractor companies across the nation. Previously, he also held senior leadership positions at Bank of America.Prior to his banking career, Poliquin served 24 years in the U.S. Navy, retiring at the rank of Captain in 2013. A Naval aviator, he flew more than 100 combat missions in operations around the world and served in senior leadership positions, including as commanding officer of an F/A-18 Super Hornet squadron, leading more than 250 personnel during two combat deployments. He later joined the Intelligence Community as a program manager at the National Reconnaissance Office and contributed to the development of the Navy’s unmanned aircraft system strategy.“United has a strong foundation in government contracting, and I’m excited about the opportunity to build on that foundation by expanding our industry presence, deepening relationships, and developing a team with specialized expertise focused on serving government contractors,” said Poliquin in the release. “The goal is to be a trusted resource for growth-oriented companies that need a banking partner who understands what they do, where they’re headed and can help them navigate the opportunities and complexities of this market.”Poliquin holds a bachelor’s degree in mathematics from the University of Oklahoma, a master’s degree in national security strategy from the U.S. Naval War College, and an MBA from the University of North Carolina at Chapel Hill’s Kenan-Flagler Business School.
Long deployments overwhelm a strained Navy mental health system, personnel say
Navy therapists and sailors cited long wait times and inadequate services as hurdles to getting mental health help aboard deployed ships.
Long deployments overwhelm a strained Navy mental health system, personnel say
Navy therapists and sailors cited long wait times and inadequate services as hurdles to getting mental health help aboard deployed ships.
Novant Health drives $4.33B in regional economic impact, study says
Novant Health Coastal Region generates an annual overall economic impact of $4.33 billion in the Wilmington Metropolitan Statistical Area (MSA), according to a new report. Commissioned by Novant Health and conducted by Mouhcine Guettabi, associate professor of economics at the University of North Carolina Wilmington and the area’s regional economist, the report evaluates population growth in New Hanover, Brunswick and Pender counties and whether the area’s healthcare infrastructure is positioned to meet the region’s demand. According to the study, while healthcare employment has kept pace with population growth in New Hanover and Pender counties, it has not kept up with the rapid population growth in Brunswick County, which is skewed toward an older population. “It points very clearly to Brunswick County being the bottleneck, or being the place where investment is most needed,” Guettabi said to the Business Journal Friday, “because the growth is the fastest, the composition of the growth is older (adults) and demand for healthcare is much higher for the subpopulation.” The Novant Health Coastal Region employs 8,295 full-time equivalent workers, according to the report, and is the region’s largest employer. Overall, through direct, indirect and induced impacts, the Novant Health Coastal Region supports 19,573 jobs, the report said. Using data collected from internal payroll, financial and capital reports, the report estimates that Novant Health Coastal Region pays approximately $1.15 billion in total compensation to its employees. According to the study, the provider’s annual operating expenditures, or direct economic impact, total $2.36 billion. That direct impact ripples through the regional economy through spending at its suppliers, or indirect impact, and household spending by staff and its suppliers’ workers, or induced impact. The report estimates the Novant Health Coastal Region’s indirect economic impact is $786 million, reflecting the multiplying effect of the provider’s operating expenses on expenditures like medical supplies, facilities, food, IT and professional services. Because 86.9% of Novant Health Coastal Region employees live within the tri-county region, the report estimates that wages paid by Novant circulate into the regional economy, creating an induced economic impact of $1.17 billion. “That money just doesn’t go into thin air,” Guettabi said of the wages paid to Novant Health Coastal Region employees. “Some of that money is being re-spent, and therefore it’s supporting grocery stores, hiring, restaurants and bars, and there are a lot of other companies or organizations whose employment, whose activity partially depends on that.” The combination of direct ($2.36 billion), indirect ($786 million), and induced ($1.17 billion) impacts totals an estimated $4.33 billion, according to the report. A study commissioned by Novant Health in 2024 and conducted by FTI Consulting’s Center for Healthcare Economics and Policy found that Novant Health generated nearly $2 billion of direct impact, with $628 million in indirect impact and $857 million in induced impact. Healthcare investments in the pipeline for Brunswick County Additionally, the study found that while healthcare employment has kept pace with population growth in New Hanover and Pender counties, it lags in Brunswick County. “Once you go below the metro level and you decompose the three counties that make up the Wilmington Metro,” Guettabi said, “it becomes fairly clear that Brunswick is the standout. And not only that, but clearly the growth there is fully domestic migration and largely retiree-driven migrants.” Using data from the Centers for Medicare and Medicaid Services on per-capita healthcare spending among age groups, Guettabi estimates that adults aged 65 and older demand 2.44 times the healthcare of working-age adults. “The share of the population in Brunswick County that’s over the age of 65 is 33%,” Guettabi said, “which is so much higher than the average share of people over the age of 65 within the state or within the country.” The report emphasizes that Brunswick County is the “strongest candidate” for new healthcare investment, adding that patient discharge records show Brunswick residents rely heavily on facilities in New Hanover County for inpatient care. “Investments in Brunswick County would not only meet the demand for those residents, but it would also relieve pressure for New Hanover County residents,” Guettabi said. Laurie Whalin, president of the Novant Health Coastal Region, told the Business Journal Friday that the provider plans to expand services at Novant Health Brunswick Medical Center, in addition to other investments in the area. In April, the state granted conditional approval to both Novant Health and Columbus Regional Healthcare System to build new hospitals, just miles apart, on either side of the Columbus County and Brunswick County borders. Columbus Regional’s $214 million 30-bed hospital would be located at the former Acme-Delco Middle School in Delco, according to the application. The project’s approved timetable has construction slated to finish in May 2029, with the hospital open for service by October 2029. The Whiteville-based provider, which Atrium Health manages, broke ground on an Advanced Care facility in December 2025 and operates four specialty clinics in Leland. Meanwhile, Novant Health’s proposed $251 million 20-bed hospital would be built just miles from Columbus Regional’s proposed hospital, near the Compass Pointe community in Leland. The provider estimates the hospital will open by 2030. State officials also approved Novant Health in March to build a freestanding emergency department in Carolina Shores, near U.S. 17. The project is estimated to cost $24 million, according to the application, and will operate under the Novant Health Brunswick Medical Center license. Additionally, Novant Health’s 16,000-square-foot ambulatory surgery center is slated to open in Leland by year’s end, officials said.
San Bernardino County restaurants shut down by health inspectors, Sept. 9-17
Three facilities were ordered to close, while one shut last week reopened.
Postal Service chief confirms Trump mail-in ballot security work stopped
The chief of the U.S. Postal Service confirmed the agency has stopped its work on implementing a computer system that would have verified mail-in ballots for the midterm elections under an executive order from President Donald Trump. In a Thursday interview with the Associated Press, Postmaster General David Steiner said “we’re not doing anything” because […]
Manor College Expands Dental Health Center and Dental Hygiene Program Capacity
The improvements were made possible thanks to a grant from the Pennsylvania Department of Community and Economic Development. After decades of service to the surrounding community, Manor College’s Dental Health Center completed a total overhaul this summer that will allow the clinic to expand services to even more patients. “It’s exciting,” said Jaime Simpson, Director Read more >
Windward Planning Commission approves permit for future Keaʻau health center
The $90 million health center promises comprehensive medical and behavioral health services, catering to growing community needs by 2028.
Engrams Embedding Entendre: Codesign for Efficient DRAM/SSD Offloading
Engram extends standard token embeddings with learned multi-token lookups. Recurring local patterns retrieve vectors directly, reducing the need to reconstruct them through attention and feed-forward layers. With Engram model architecture optimization, it allows for lower HBM capacity to be needed for models at the same quality. This does not mean there won’t be an insane demand for HBM but it just means that model architecture will continue to innovate around constraints. This model architecture design is naturally codesigned for parameter offloading: each token accesses a few embedding rows whose addresses depend on token IDs, not hidden states. The runtime can prefetch those rows from host DRAM while earlier layers compute, keeping the table outside HBM without transferring entire weight matrices. Our Memory model contains our latest estimates of quarter by quarter HBM, DRAM, & NAND supply and demand. Offloading frees HBM for model weights and KV cache, potentially supporting larger batches or more concurrent sessions. When DRAM becomes the next constraint, NVMe offers another tier. Recommendation systems already cache frequently or recently accessed embedding rows in faster memory while backing colder rows with SSDs. After NVIDIA roadmap had to change due to massively despec’ing Rubin Ultra from 1024GB to now ~200GB of HBM per chip, model architecture optimizations like emgram maybe helpful. Our DeepSeek-V4.1-Flash configuration uses roughly 189 GiB of memory for Engram. We replace it with a memory-mapped (mmap) file and measure serving performance with offload to SSD. Later on in our report, we will show our Engram offloading experiments along with the official InferenceX agentic inference serving results on Engram models like DeepSeekv4.1 Flash across all 6 NVIDIA GPU SKUs along with MI355X. Unsurprisingly, the CUDA Moat is still mogging MI355X on the ultra popular DeepSeekV4.1 Flash model. We also show how even on high capacity HBM SKUs, offloading emgrams to DRAM could result in even better performance for most of the pareto than keeping the emgram in HBM. Our benchmark has been widely reproduced, validated and/or supported by almost every major buyer of compute from Google Cloud to Microsoft Azure to Oracle, to Meta and many more. Furthermore, it has the support of the ML community including from vLLM, LMCache, SGLang, PyTorch, Huggingface and the support of major labs like OpenAI, MiniMax, ZAI, Qwen, Moonshot Kimi, etc. Star the InferenceX GitHub repository if you find the open-source benchmark and data useful!. InferenceX is the only inference benchmark in the world to have TPUv7, Jalapeño, Nvidia Rubin NVL72, AMD, and soon, SambaNova and Trainium. Due to how realistic AgentX scenario is to real world agentic inference workloads, AMD has committed to collaborating on MI455X UALoE72 too. DeepSeek did not release the original paper’s two trained Engram models. We replicated its setup on fineweb-edu using the released code and training hyperparameters, at an estimated 6E18 FLOPs per run. We observed the same U-shape scaling: Engram improved performance over pure MoE baselines. We also reproduced DeepSeek’s results, where earlier-layer representations with Engram resembled those of later layers. Like the original Engram paper, it is possible to probe Engram’s gate scores to see what n-grams DeepSeek-V4.1-Flash makes the most use of. Our gate scan finds names, code fragments, relational phrasing, and boilerplate. These examples prioritize interesting-ness over gate strength. One unexpected result was Wright : Ace Attorney. These examples suggest learned memory optimizes the training objective, not a judgment of which facts deserve storage. Licenses, bibliography fragments, API scaffolding, and website furniture can provide prediction shortcuts, so the value of additional Engram capacity may depend on what survives data preparation. This does not show that table capacity is “wasted”: the evaluation-corpus scan establishes neither training exposure nor the capacity occupied by each category. For offloading, strong gates do not identify cache-hot rows. Low gates do not automatically save reads either: computing the gate requires the retrieved key and undoes the performance gain of a fused kernel. Skipping reads would require a separate usefulness predictor before retrieval. In the original paper’s inference-time ablation, factual-knowledge benchmarks retained just 29–44% of their original performance, while reading comprehension retained 81–93%. This is due to the training–inference mismatch. The resulting degradation therefore measures this trained model’s dependence on Engram, not the performance difference between models trained with and without it. In our ablations, suppressing Engram worsens token likelihood across all evaluated domains, especially encyclopedia text and several code corpora. Surprisingly, GSM8K accuracy stays within measured run-to-run variation and removing Engram has no effect. Engram is not a detachable dictionary beside an unchanged MoE. Removing it changes downstream features and expert selection. We tested whether rerouting hurts or compensates by holding tokens fixed in a teacher-forced experiment on CRUXEval, a code-reasoning benchmark of small Python functions where the model predicts a function’s output from its code and an input, and scoring the reference answer. Removing Engram raised answer loss from 0.2848 to 0.3093 bits/token. Forcing the ablated model to use the original Engram-on expert choices made it worse still, at 0.3375 bits/token. Rerouting partially compensates for the missing memory. Memory features and expert selection work together, rather than following a clean “memory stores facts; experts reason” division. On the same CRUXeval, removing Engram during either phase reduced accuracy and increased generated tokens; removing it throughout produced the largest changes. Keeping Engram for prefill leads to more correct answers than keeping for decode likely due to semantically richer KV cache transferred to decode workers, allowing it to mitigate some of the performance loss. Engram’s table is large, but each lookup is small. DeepSeek-V4.1-Flash requests 24 rows at each of two Engram layers, about 12.4 KiB per processed token position across the model, or 3.1 KiB per GPU when split across four GPUs. Currently as of Day 7 since Model Release, MI355X is still 2-4x worse performance per dollar compared to B200 even when normalized by Mi355X’s lower TCO. Our full total cost of ownership breakdown comes from our AI Cloud TCO Model along with monthly market surveys of over 100+ gpu clouds & gpu cloud customers. On the Day 0 release of DeepSeekv4.1 Flash, NVIDIA vLLM works out of the box with zero issues across all 6 SKUs: H100, H200, B200, B300, GB200, GB300! This was thanks to the amazing work by the NVIDIA & Interact teams! In comparison, AMD vLLM did not work on day 0 for DeepSeekv4.1 Flash.Source: SemiAnalysis InferenceX AMD’s vLLM documentation points to using vllm/vllm-openai-rocm:deepseekv41-flash-0909, but from hour 0 of the model release to hour 23, AMD has not publicly released the image. AMD claims, “SPEED IS THE MOAT,” yet it has still not released it by the 23rd hour. We wish that, going forward, the AMD team has a better process for hour 0 model releases. Eventually when they did publicly release for “day 0” image support, performance-wise, it is currently up to 14.8x worse perf per dollar than H200 and up to 42x worse perf per dollar than B200/B300. The power of the CUDA MOAT is NVIDIA’s collaboration with its massive 6 million-developer community ecosystem including most of the vLLM & SGLang & Tokenspeed maintainers which means that CUDA is optimized on day 0. Overall, AMD did make significant improvements but the performance per dollar is still currently 2-4x worse than B200. AgentX Engram DRAM Offloading Improving Performance The HBM and DRAM offload use the same GPU kernel to select and dequantize rows. With HBM, it reads GPU memory; with Unified Virtual Addressing (UVA), it reads pinned host memory directly. Both support full decode graphs. Moving the table into HBM accelerates only the sparse lookup, leaving decoder computation and communication unchanged, resulting in little overall benefit while consuming memory otherwise available to KV cache. Another benefit of Engram offloaded to DRAM which means you can reduce the communication overhead by using less HBM GPUs per replica. For example, when enabling Engram offloading on B300, we are able to switch from TP4 to now TP2 which improves the pareto curve by up to 1.6x. When iso-model quality, less HBM is required as the engrams could be offloaded to host DRAM. Thus HBM bandwidth matters way more than HBM capacity. For inference workloads where memory bandwidth matters the most, 4-hi HBM provides the best $/bandwidth and therefore lowest cost per token. If China continues to make more and more revolutionary model architecture innovations, soon it could potentially 0Hi HBM stacks. [ ](https://newsletter.semianalysis.com/p/long-live-the-short-king-why-4-hi) [ Long Live the Short King: Why 4-hi HBM Wins ](https://newsletter.semianalysis.com/p/long-live-the-short-king-why-4-hi) Myron Xie, Bryan Shan, and 3 others · Sep 13 [ Read full story ](https://newsletter.semianalysis.com/p/long-live-the-short-king-why-4-hi) Moreover, on B300 and week-0 stack, moving the Engram table back to HBM did not improve results and stay within run-to-run variance. This is a result of the work optimizing DRAM offload, such as async, and overlap. SSD Offloading On B200, we created a unoptimized vLLM fork and stored the Engram tables in memory-mapped files on local SSDs. File backing lets the OS reclaim table pages when other applications need RAM. Pages already cached in memory can be served without reading the SSD again. Furthermore, note that we were unable to turn on GDS The unoptimized SSD implementation changes how rows reach the GPU. It copies row IDs to the CPU, deduplicates them, gathers the requested rows into pinned buffers, copies those rows back to the GPU and dequantizes them. This work runs between segments of the GPU execution graph. Native UVA performs row selection and dequantization directly on the GPU, avoiding the CPU round trip. A warm filesystem cache removes physical SSD reads, but leaves the coordination, row gathering and transfers. This is why a file already cached in RAM can still perform worse than a pinned DRAM table. The comparison measures the whole serving path; it does not separate the time spent on each of these operations. B200 DRAM dominates both measured SSD serving curves in total tokens per dollar and P90 interactivity. Near 125 tokens/s/user, DRAM delivers 121 million total tokens per dollar versus 52 million for SSD. For production serving, SSD offloading is likely not worth the tradeoff. On the B200 configurations we measured, SSD offloading loses on both measures: every observed SSD point has a DRAM alternative that delivers higher P90 interactivity and more total tokens per dollar. The only points where Cheaper storage does not automatically produce a cheaper inference service. Moving Engram to SSD leaves the same four expensive GPUs and the rest of the server in place. Reclaiming RAM only creates an economic benefit if it enables a cheaper server configuration or additional useful capacity. The current unoptimized path provides neither benefit, and the filesystem cache still consumes RAM when table pages are resident. Next we will look at the mechanisms and specific implementation of ngrams from DeepSeekv4.1 Flash, LongCat, Qwen3.8 Flash Next.
Clover Health Sees PPO Edge, Cohort Gains as Medicare Advantage Pricing Tightens
Clover Health Investments (NASDAQ:CLOV) is positioning its Medicare Advantage business to benefit from industry pricing discipline, member retention and the maturation of member cohorts, Interim Chief Financial Officer Clay Thornton said at Jefferies’ Healthcare Services and Technology Conference in
The Clicks Communicator Ships in December With More RAM and New Mobile Service
A new video shows off the BlackBerry-like phone's features, including the speech-to-text Prompt Key, Message Hub and new Clicks Mobile wireless service.
Billions at stake as Texas reshapes business contract program
Texas has dramatically overhauled its Historically Underutilized Business (HUB) program in the past year, shifting eligibility toward service-disabled veterans and leaving thousands of minority- an…
Wisconsin health officials hopeful encouraging measles vaccination can stop growing outbreak
On Wednesday, the Wisconsin Department of Health Services announced two new measles cases in Vernon County, including one in a person visiting the county from out of state.
16th Asian Chief Dental Officers Meeting: Advancing universal health coverage for oral health in the WHO Western Pacific and South-East Asia Regions
Session 3 of the 100-Day Sprint BackgroundOral diseases remain among the most prevalent noncommunicable diseases (NCDs) across Asia, affecting people throughout the life course and placing a significant burden on individuals, families and health systems. Countries across the World Health Organization (WHO) Western Pacific Region and South-East Asia Region have committed to strengthening oral health through regional action plans and by advancing universal health coverage (UHC). The 16th Asian Chief Dental Officers Meeting (ACDOM) serves as a regional platform for Chief Dental Officers in Asia to exchange experiences, strengthen collaboration and accelerate implementation of oral health commitments. For the first time, the meeting is being jointly organized by the WHO Regional Offices for South-East Asia and for the Western Pacific and the ACDOM Secretariat. This year's meeting introduces a 100-Day Sprint, bringing together oral health and UHC leads and technical experts to support countries in strengthening integration of oral health within national UHC benefit packages. Through the Sprint, participating countries will develop, refine, cost and operationalize country-specific essential oral health-care benefit packages using WHO tools, including the Service Package Delivery and Implementation (SPDI) Platform. The in-person 16th Asian Chief Dental Officers Meeting represents Session 3 and the midpoint of the 100-Day Sprint, providing an opportunity for countries to review progress, exchange experiences, identify challenges and refine their approaches before continuing with the remaining Sprint sessions. 100-Day SprintSession Date Format Title Session 1 (Day 0) 19 Aug Virtual Setting the Scene and Introducing Key Principles and Frameworks Session 2 16 SepVirtual Introduction to the SPDI Platform and Initial Mapping Exercise Session 3 27-29 Sep In-person, 16th Asian Chief Dental Officer Meeting, Malaysia Review and Refinement of Oral Health Service Packages Session 4 14 Oct Virtual Finalizing National Essential Oral Health Services Packages and Costing Exercise Session 5 (Day 100) 26 Nov Virtual Country Presentations and Closing of the 100-Day Sprint ObjectivesLeverage the 100-Day Sprint to define priority implementation actions for oral health in countries; Strengthen national capacity to design, cost and operationalize country-specific essential oral health care packages using SPDI platform; andExplore cross-country collaboration to expand access to essential oral health supplies and products, including harmonized specifications and pricing, and improve supply chains for essential dental preparations and medicines.Expected outcomesA draft country-specific essential oral health care benefit package developed using the SPDI platform and aligned with WHO’s Essential Oral Health Care packageA strengthened regional network in Asia of oral health and UHC leaders, fostering collaboration among South-East Asia and Western Pacific countries, WHO offices and WHO Collaborating Centres to support sustained implementation beyond the meetingParticipantsChief Dental Officers and national oral health programme leads;National focal points responsible for universal health coverage, health financing and health systems;Representatives from WHO country offices, regional offices and headquarters;WHO Collaborating Centres; andAcademic institutions and technical partners.
Executive Profile: Laura Martina
Laura Martina Founder/CEO Leadby What we do: Results-driven leadership development services customized to meet the needs of executives and teams. Education: Bachelor of Science from Fresno State in business administration, human resources
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Smart Beta ETF report for XHS