first_imgWhen 12-year-old Marisa “Missy” Magel passed away suddenly while at summer camp in rural Texas, it was from a disease her family never knew she had—brain aneurysm disease. The disease claims 32,000 lives annually in the United States—more than prostate cancer—partly because brain aneurysms are often misdiagnosed as migraine headaches.Now a $150,000 grant to the Center for Telehealth(link is external) at Dartmouth-Hitchcock (D-H) from the Missy Project(link is external), a foundation her family started in 1999 following Missy’s death, will help brain aneurysm patients in northern New England have rapid access to neurovascular specialists; access that may have helped save Missy’s life.“Telemedicine plays a crucial role in delivering health care in the right place at the right time, especially in areas where there is no access to the medical expertise that is needed,” says Sarah Pletcher, MD, director of the Center for Telehealth and the Center for Rural Emergency Services and Trauma at D-H. “Thanks to this grant from the Missy Project we can use telemedicine platforms to give children and adults real-time access to neurovascular specialty care, in partnership with local providers and community hospitals in our region and beyond.”Pletcher and Robert J. Singer, MD, FACS (RJS), a board certified neurological surgeon with specialty training in the diagnosis and management of neurovascular diseases in children and adults, will oversee the neurovascular telemedicine program. In addition to virtual aneurysm clinics, the D-H project will include a 24/7 emergency department telemedicine acute consult service for pediatric and adult patients with suspected subarachnoid hemorrhage (which accounts for half of all hemorrhagic strokes), and customized educational video content. Patient visits to the virtual aneurysm clinic will include educational content and a real-time video visit with Singer, during which he will discuss their treatment options and use telemedicine software to display and discuss their CT scan images.“Telemedicine is a great fit for many of our patients, especially those with unruptured neurovascular lesions because a physical examination isn’t always required. During the consultation I’m looking at imaging, explaining pathology, and then giving an opinion as to what the next step is,” explains Singer, who is the Medical Director of the JB Marshall Laboratory for Neurovascular Therapeutics at Dartmouth.In addition to providing more timely care, Singer notes that neurovascular telemedicine is also more convenient for patients.“Ordinarily, after getting a scan from their doctor, patients have to wait weeks until they can get an appointment with me,” says Singer. “Many of them then drive great distances for what is typically a 15-minute appointment, and then they have to return at a later time if they need a diagnostic or treatment procedure. That 15-minute appointment can easily be conducted via the virtual aneurysm clinic. This reduces patient travel and the wait time for an appointment, and also give patients a better visit.”Mary Magel, the executive director of the Texas-based Missy Project and mother of the late Missy Magel, says the nonprofit’s board voted unanimously to fund the Center for Telehealth’s program. “To me, this is a brilliant program and a great way to serve the community,” she says. “I think this will dramatically cut the time from incident to treatment and I believe it’s going to save a lot of lives.”last_img read more

first_imgIn talking with my dealers — across all those conversations — common threads emerge. Big on everyone’s minds right now is “what’s going to happen next?” concerning COVID-19, not to mention other potential disruptions.A concern that’s been ongoing for some time, regardless of other issues, is maintaining or even growing margins. We all know that profit margins are shy, elusive things that can vanish right before our eyes. One certainly can’t rely on any one brand or product category to carry them forever.I’ve seen plenty of examples over the years, whether it’s an exclusive vendor taking their distribution from regional to national retail or suddenly abruptly announcing that they’re abandoning an entire category and ending production, as just happened to me recently.Beyond that, competitive pressure in the marketplace is the most common factor. Last December (you know, in the before times), I was in the mall to do some banking, and I ran into the dealer principal of one of my biggest accounts. The first thing out of his mouth after we’d greeted each other was how much he hates Amazon and the impact it’s had on his margins. And he’s not the only one.Whether you’re the dealer principal or the general manager at a small company, you’re aware that you’re not a big box store, and you probably don’t want to be. Regardless of revenue, getting a bottom-line number that pays the bills and maybe has something leftover is crucial.If there’s anything I’ve observed in my time working with hundreds of dealers and watching who thrives versus who barely survives (not to mention the ones who don’t), carving out a niche for yourself is essential. It requires creativity, no small amount of tenacity and a willingness to be unique.See related  The Importance of Investing in the FutureFinding, carving out and succeeding in that niche you make for yourself is a balancing act, very much like the guy at the circus who keeps all the plates spinning in the air. You need to clearly identify your strengths and weaknesses and adjust for both.Whatever that niche you create for yourself looks like, building relationships and converting customers to clients will be central to it. More than one industry veteran has mentioned to me that people who want to be looked after understand the need to pay a little more. When a comparison shopper comes in looking for the “best price,” you have two options you can present: the price that comes with your support answering their questions after the sale, and the price to take it and never come back. It’s probable that someone who makes an effort to shop in person will actually want service and go for the first option. Just remember that part of having a niche market is that not everyone will be your target client.Specializing and expertise don’t get enough credit for protecting you from having to deeply discount to make a sale. These days, if you have something that someone wants, and you’ve taken pains to avoid commodification, the fact that you’re having a conversation with them in the first place is a good start: It means they haven’t already bought it online. That gives you something to work with.last_img read more

first_imgBar leaders gather at NBA’s Tampa event June 1, 2012 Regular News BAR LEADERS FROM ACROSS the state gathered recently in Tampa for the National Bar Association’s Gertrude E. Rush Awards Dinner, including, from the left, Pedro Bajo, Jr., president of the Hillsborough County Bar Association; Florida Bar President Scott Hawkins; C. Sha’Ron James, president of the Virgil Hawkins Florida Chapter of the National Bar Association; Florida Supreme Court Justice Peggy A. Quince; Daryl Parks, president of the National Bar Association; and Henry Gyden, president of the George Edgecomb Bar Association. Founded in 1925, the National Bar Association is the nation’s oldest and largest national network of minority attorneys and judges. It represents approximately 20,000 lawyers, judges, law professors, and law students and has over 80 affiliate chapters throughout the United States and around the world.last_img read more

first_imgPinterest Share on Facebook A diet high in refined carbohydrates may lead to an increased risk for new-onset depression in postmenopausal women, according to a study published in The American Journal of Clinical Nutrition.The study by James Gangwisch, PhD and colleagues in the department of psychiatry at Columbia University Medical Center (CUMC) looked at the dietary glycemic index, glycemic load, types of carbohydrates consumed, and depression in data from more than 70,000 postmenopausal women who participated in the National Institutes of Health’s Women’s Health Initiative Observational Study between 1994 and 1998.Consumption of carbohydrates increases blood sugar levels to varying degrees, depending on the type of food ingested. The more highly refined the carbohydrate, the higher its score on the glycemic index (GI) scale. The GI scale, which goes from 0-100, measures the amount of sugar found in the blood after eating. Refined foods such as white bread, white rice, and soda trigger a hormonal response in the body to reduce blood sugar levels. This response may also cause or exacerbate mood changes, fatigue and other symptoms of depression. Share Emailcenter_img Share on Twitter The investigators found that progressively higher dietary GI scores and consumption of added sugars and refined grains were associated with increased risk of new-onset depression in post-menopausal women. Greater consumption of dietary fiber, whole grains, vegetables and non-juice fruits was associated with decreased risk. This suggests that dietary interventions could serve as treatments and preventive measures for depression. Further study is needed to examine the potential of this novel option for treatment and prevention, and to see if similar results are found in the broader population. LinkedInlast_img read more

first_imgApr 24, 2012 (CIDRAP News) – US agriculture officials today announced that the first US case of bovine spongiform encephalopathy (BSE) since 2006 was found recently in a California dairy cow, but they were quick to add that the case represents no danger to the food supply.The case was detected through the government’s surveillance program for BSE, or mad cow disease, the US Department of Agriculture (USDA) said. The carcass is being held under state authority at a California rendering plant and will be destroyed.”It was never presented for slaughter for human consumption, so at no time presented a risk to the food supply or human health,” USDA Chief Veterinary Officer John Clifford said in a statement.The case is only the fourth one reported in the United States. The first case was found in a Canadian-born cow in 2003.BSE is a brain disease of cattle that is always fatal and is believed to be the cause of a similar fatal disease, variant Creutzfeldt-Jakob disease, or vCJD, that can strike people who eat meat from infected cattle. Cattle contract BSE by eating contaminated feed.However, Clifford said in the statement that the California cow tested positive for “atypical BSE, a very rare form of the disease not generally associated with an animal consuming infected feed.”Atypical BSE differs from classic BSE in that cattle that have it are usually older and generally appear healthy, said Jeff Bender, DVM, an animal health expert at the University of Minnesota in St. Paul.Bender said he believes the last BSE case in the United States, found in an Alabama cow in 2006, also was an atypical one. There has been no evidence of a link between atypical BSE and human disease, he said.The emergence of BSE in British cattle in the 1990s led to a series of safeguards to stop the disease, starting with a ban on feeding cattle with protein derived from cattle and other ruminants. After the first US BSE case was found, the USDA banned “specified risk materials”—cattle parts most likely to contain the BSE agent if an animal is infected—from the food supply. “Downer” cattle, those that can’t walk when brought to the slaughterhouse, also were banned from the food chain.”Evidence shows that our systems and safeguards to prevent BSE are working, as are similar actions taken by countries around the world,” said Clifford. “In 2011, there were only 29 worldwide cases of BSE, a dramatic decline and 99% reduction since the peak in 1992 of 37,311 cases. This is directly attributable to the impact and effectiveness of feed bans as a primary control measure for the disease.”Clifford said the California case was detected through the USDA’s “targeted surveillance system” but did not say whether the cow showed any signs of illness. Testing was done at the USDA’s National Veterinary Services Laboratory in Ames, Iowa.The results are being shared with animal health reference labs in Canada and England that are affiliated with the World Organization for Animal Health (OIE), Clifford said.”These labs have extensive experience diagnosing atypical BSE and will review our confirmation of this form of the disease,” he added. “In addition, we will be conducting a comprehensive epidemiological investigation in conjunction with California animal and public health officials and the FDA.”Clifford asserted that the new case “in no way affects the United States’ BSE status as determined by the OIE,” because the nation has all the recommended safeguards.In an online statement posted on YouTube, Clifford said, “This announcement today should not disrupt trade. We follow international guidelines through the OIE, and those international standards are based on safe trade in both animals and animal products. It’s our interlocking safeguards that protect both animal health as well as human health.”In a separate statement this afternoon, Agriculture Secretary Tom Vilsack said, “USDA has no reason to believe that any other US animals are currently affected, but we will remain vigilant and committed to the safeguards in place.”Despite the reassurances, cattle futures prices on the Chicago Mercantile Exchange fell after the USDA announcement, Bloomberg News reported.See also: Apr 24 USDA statementApr 24 USDA press conference on YouTubeApr 24 Vilsack statementMay 2006 CIDRAP News story on last BSE case in USlast_img read more

first_img Thursday, 16 April COVID Update COVID-19 Brings New Pollution Challenge Apr 17, 2020 Apr 30, 2020 What is so special about Little Cayman’s reefs? That’s the question a new $140,000 scientific study at the Central Caribbean Marine Institute will seek to answer.(photo via Cayman Compass)Scientists want to determine why reefs around the remote island are thriving and whether there are lessons that can be adapted to help protect and maintain vital coral reef systems around the world.The new study will look specifically at rare and endangered coral species around Little Cayman and attempt to determine why they are bucking a trend of widespread decline in coral reefs across the Caribbean. Read more at Cayman Compass Share this:PrintTwitterFacebookLinkedInLike this:Like Loading… COVID-19 Update for Thursday, 9 April Cayman planning limited reopening Jun 19, 2020 Apr 10, 2020 You may be interested in… Share this on WhatsApplast_img read more

first_imgBy KIRSTEN LASKEYLos Alamos Daily Postkirsten@ladailypost.comThe downtown areas in White Rock and Los Alamos garner a lot of interest. A new subdivision is being constructed in the downtown area in White Rock and multiple developers have shown interest in commercial spaces in Los Alamos.Both downtown areas in the County are ripe with potential.The design firm of Dekker, Perich and Sabatini is contracted to update the County’s downtown master plans and development code.Representatives from Dekker, Perich and Sabatini reported Tuesday night on the status of their work during the Los Alamos County Council work session.According to the County staff report, the design firm touched on its initial findings on existing conditions, site analysis and diagnosis of Chapter 16 in the code. They also reported on the schedule for the project as well as their plans for public outreach.Regarding the schedule, the hope is to complete the existing condition assessment by the end of this month and develop the draft concept and hold public workshops by this fall, however they noted that public engagement would be a part of all phases of the plan development.The master plans are expected to be completed by November and then finalized by the end of the year. Additionally, the process to update Chapter 16 in the code is scheduled to begin in September. Working group sessions to address updates to the code are planned throughout next year and the project is expected to be completed by the fall of 2021.Due to the pandemic, public outreach is planned to be conducted through virtual workshops, meetings and webinars. Information also will be publicized on social media and a website under development.Council Chair Sara Scott said there is a lot of interest in housing and commercial development in the downtown areas.“We have an opportunity to make sure these are developed in a smart and responsible way and that they serve our community’s needs,” Scott said. “And so this master planning effort and any associated code updates are being undertaken both for Los Alamos and White Rock to take advantage of these current opportunities … the real goal here is to get to the next level of detail of what we would like these areas to look like in the future; how we would like them to work for us, so it is important that we develop a good vision for these areas; look at new options, in addition, for mobility, transportation and parking…”She added that public input in this process to address the master plans is critical.Will Gleason, AICP and LEED AP, said both Los Alamos and White Rock have a lot of potential. He pointed out that in White Rock, the County set the stage well for revitalizing the downtown with the new library, senior center and visitors center. However, Gleason said, the challenge will be attracting businesses to a downtown with a population of only 6,000 people.Likewise, Gleason said, Los Alamos possesses good catalytic opportunities, particularly on the block between 20th and 15th Street and south of Central Avenue. Other prime locations are the former Hilltop House Hotel and old Smith’s grocery store, he said.Gleason added that to be successful in the downtown area requires a shift in thinking. This shift in thinking is “not just about zoning and not just about getting the right streetscape in place; it is really figuring out what the market forces are that we need to engage (and) what we need to do to incentize those market forces to create products you all want…,” he said.Katrina Arndt, AICP, said the goals with the downtown master plans for Los Alamos and White Rock are to have them be adopted as addendums for the County’s comprehensive plan.Luckily, they are not starting from scratch. Arndt said the comprehensive plan already has a “ton” of goals for the two downtown areas and these goals can be used as a starting point. Arndt said through public outreach, it will be determined what needs to be revised or added to establish a framework for the master plans.Jessica Lawlis with technical standards and zoning, touched the regulatory diagnosis and downtown on zoning in the master plans. She said the Los Alamos downtown zoning utilizes an overlay structure with four sub-districts, which are intended to allow mixed use in varying degrees.Lawlis said in the White Rock downtown there are no sub-districts, which may need to be reconsidered because it hampers development.Additionally, Lawlis said the sub-districts in Los Alamos are similar and may be too numerous. These sub-districts may need to be combined so there are only two or one, she said.Lawlis added that the standards for the downtown districts do not provide enough detail or guidance in terms of site design for what can be built in the downtowns. These standards include site layout, parking and building form. Lawlis said the updated building code may need to focus on understanding the vision for the master plan portion and applying standards to be implemented in the code.Preliminary considerations for the master plan effort, Lawlis said, include contemplating and recommending the appropriate code structure. She said there are several options: incentive zoning to allow projects to exceed standard requirements if the projects provide a benefit to the public such as open space, form-based code, which emphasizes form and design over the intended use or a hybrid of these two options.Another piece that needs to be considered, Lawlis said, is to update and streamline the development process and procedures in the downtown districts. She said there needs to be predictable flexibility for developers but there also needs to be predictable outcomes for the community as a whole.A concern among stable neighborhoods is zoning and wanting to protect its zoning from out-of-scale development projects, Lawlis said.This is addressed in the County’s adopted goals and policies, but “one of the best ways to protect neighborhood stability is to make it easier for the market to absorb high density housing and development in downtown districts and to provide standards that automatically apply when non- residential, higher intensity mixed-use development happens next to low residential development,” she said.Of course, COVID-19 also was discussed. Dale Dekker, AIA, ACIP, said COVID has generated a lot of questions and chatter on the impact it will have on how cities are built and how the public realm is organized.Dekker pointed out the current trend is people are leaving high density cities and moving to smaller towns. He added that social distancing, remote work and ecommerce means more people are staying closer to home.How will this impact Los Alamos? Dekker said the community’s input will be needed. He added that Los Alamos is appealing to visitors, commuters, retirees and community support workers. With its safe community, good schools and neighborhoods, people like Los Alamos, he said.last_img read more

first_imgGift ideas to help keep them safeWith Valentine’s Day around the corner, it is time for all those who stand, watch, and wait for the return of those that went to sea to think about being the “safety officer” before they go. And, skipper, how about the love you have for those that go to sea with you — kids, grandkids, and mates — and creating the safest environment aboard that is feasible or possible?From the Heart to the HeadThere is no doubt that even the most grizzled seafarer can benefit from a boating safety class. Regulations do change over time and techniques get refined and advanced. The United States Coast Guard Auxiliary Division-18 covers all of “Out East,” from William Floyd out to the ends of both forks. Want to find out what, where, and when the latest boating safety classes are? Go right to the web and find out: www.div18cg.us/#CLASSES.From Stem to SternThere is no greater “for free” service available than the free vessel safety check. (And this is not a regulatory event like getting your car inspected. If the boat doesn’t meet all the federal standards, nothing bad happens, i.e. not being able to drive your car since the inspection sticker was scrapped off.) Most likely, the USCGAux examiner will give you his or her cell phone number and ask you to call when you’ve addressed the deficiency — most likely an expired flare package. And both exams are free! Want to schedule one? Go right to the web and find out: www.uscgboating.org/safety/vsc.htm.Nothing Lighter – Or More ValubleThe statistics on life jackets are sobering for those that don’t use them. For every 16 boaters that go into the water that don’t have life jackets on, only one comes out. Conversely, if they had a life jacket on, 15 come out. What population do you want your Valentine to be in? And, if the jackets are of the inflatable type, your loved ones will hardly know that they have them on. And don’t forget that the USCGAux is sponsoring a “Kids Don’t Float” program. We leave life jackets at various cooperating marinas and you can borrow them for the day — on the honor system solely— for your favorite price. Free.The Silent Killer – Carbon MonoxideIf your boat has any enclosed spaces, they need a carbon monoxide detector. For $29 at any major retailer, like Home Depot, you have the wake-up call that otherwise wouldn’t come.The Wireless “Kill Switch”Every boat comes with a lanyard that is tied to the helmsman’s belt or life jacket and also back to the ignition switch. If the helmsman falls overboard, the lanyard goes with him and the engine stops, along with the boat. This gives the boater the chance to climb back aboard. But no one uses the lanyard because the helmsman is lashed to the helm. They can’t even walk a couple of feet across the deck to fetch a landing net for one of his fellow boaters. But now there are wireless lanyards on the market. The helmsman can walk all over the boat — just don’t leave it. Now, that is a major safety uptick! Check on the internet or with any major chandlery.Other great gift ideas to help keep boaters safe include:Emergency signaling kits — flares, signal mirror, whistle, etc.Up-to-date navigational charts and/or a handheld GPS unitNavigation tools and calculatorsHand-held VHF marine radio with extra batteriesShow your love — for the crew and the skipper.BTW, if you are interested in being part of USCG Forces, email me at JoinUSCGAux@aol.com or go directly to the D1SR Human Resources Department, which is in charge of new members matters, at DSO-HR and we will help you “get in this thing.” Sharelast_img read more

first_img Share The Town of East Hampton is moving aggressively to enable restaurants to expand seating areas onto the public right of way, as restaurants reopen after the COVID-19 shutdown. This action is being carried out on at least two tracks.One track is a plan to close Main Street in downtown Montauk completely to vehicular traffic from South Embassy Street to South Edison Street, one day each week as part of its pilot program. Eastbound traffic would be diverted one block further east from South Embassy to South Elmwood Avenue, which would be one way. Westbound traffic would be diverted at South Edison up to South Euclid Avenue.That proposal is still in the discussion stage, though Town Supervisor Peter Van Scoyoc has indicated that the town is going to move rapidly to allow its restaurants to function outdoors.Another track the town is taking is an application it has made to the New York State Department of Transportation to allow restaurants in Amagansett and Montauk to use public right of way for customers. An approval from the DOT is required before the town can act on the proposal.“We received the guidance and the application was finalized on Thursday of last week,” Van Scoyoc said at the Town Board’s meeting June 16. “That application was finalized and sent off yesterday,” he said. “We think that it is important to continue to offer outdoor dining throughout the town as expeditiously as possible. As of Wednesday, June 10, outdoor dining was allowed to begin within private properties.”t.e@indyeastend.comlast_img read more

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