TORONTO – The proportion of oral cancers caused by the human papillomavirus has risen significantly in Canada, say researchers, who suggest the infection is now behind an estimated three-quarters of all such malignancies. In a cross-Canada study, published Monday in the Canadian Medical Association Journal, the researchers found the incidence of HPV-related oropharyngeal cancers increased by about 50 per cent between 2000 and 2012.“It’s a snapshot of looking at the disease burden and the time trend to see how the speed of the increase of this disease (is changing),” said co-author Sophie Huang, a research radiation therapist at Princess Margaret Cancer Centre in Toronto.Researchers looked at data from specialized cancer centres in British Columbia, Alberta, Ontario and Nova Scotia to determine rates of HPV-related tumours among 3,643 patients aged 18 years or older who had been diagnosed with squamous cell oropharyngeal cancer between 2000 and 2012.“In 2000, the proportion of throat cancer caused by HPV was estimated at 47 per cent,” said Huang. “But in 2012, the proportion became 74 per cent … about a 50 per cent increase.”Statistics from a Canadian Cancer Society report last fall showed 1,335 Canadians were diagnosed in 2012 with HPV-related oropharyngeal cancer and 372 died from the disease.HPV is the most common sexually transmitted infection worldwide. Most people never develop symptoms and the infection resolves on its own within about two years. But in some people, the infection can persist, leading to cervical cancer in women, penile cancer in men and oropharyngeal cancer in both sexes.Most cases of HPV-related oral cancer are linked to oral sex, said Huang, noting that about 85 per cent of the cases in the CMAJ study were men.HPV-related tumours respond better to treatment and have a higher survival rate than those linked to tobacco and alcohol use, the other major cause of oral cancer, she said, adding that early identification of a tumour’s cause is important to ensure appropriate and effective treatment.While some centres in Canada routinely test oral tumours to determine their HPV status, such testing is not consistent across the country, the researchers say.In the past, physicians generally tended to reserve tumour testing for cases most likely to be caused by HPV — among them younger males with no history of smoking and with light alcohol consumption — to prevent an unnecessary burden on pathology labs.“Only as accumulating data have supported the clinical importance of HPV testing has routine testing been implemented in most (though not all) Canadian centres,” the researchers write.The study showed that the proportion of new HPV-related oral cancers rose as those caused by non-HPV-related tumours fell between 2000 and 2012 — likely the result of steadily declining smoking rates.Huang said males tend to have a weaker immune response to HPV than do females, which may in part explain the higher incidence of oral cancers linked to the virus in men.HPV vaccines given to young people before they become sexually active can prevent infection — and the researchers say both boys and girls should be inoculated.Currently, six provinces provide HPV immunization to Grade 6 boys as well as girls, with the other four provinces set to add males to vaccination programs this fall, said Huang.“So vaccinating boys is very important because, if you look at Canadian Cancer Society statistics (for 2012), HPV- related oropharyngeal cancer in total numbers has already surpassed cervical cancers,” she said.“The increase of HPV-related cancer is real, and it’s striking that there’s no sign of a slowdown.”
Zimmer was elected to represent the Conservative party in 2011, 2015 and is now running for re-election in 2019 with the campaign slogan ‘It’s time to get you ahead.’ Zimmer shares, this is a positive message for the entire community.“Campaign 2019 for us is really a positive message of how to get you ahead, that is resource sector jobs for the folks in Fort St. John, Dawson Creek, Fort Nelson, and Prince George,” said Zimmer.“That’s my job and in Ottawa, what we want to see for the next four years is to continue an upward direction in terms of development. That’s what I want to see for us,” said Zimmer.Zimmer is local to the area and shares after his return to living in Fort St. John from Ottawa, he feels FSJ is home. He also goes on to share that he never considers his political seat safe and has been working hard since 2011.“We have a strong riding here, usually the strongest conservative riding at approx 55 percent of the province,” said Zimmer.Zimmer finishes by sharing that he and his team are making sure to pound the pavement, putting up signs and meeting people to answer their questions as he needs people to come out and support him. Wednesday, September 18, 2019, from 4:00 p.m. – 6:30 p.m at 1201 Alaska Avenue The Prince George Campaign Office Grand Opening is Tuesday, September 17th, 2019 and Dawson Creek’s Grand Opening takes place the day after.Prince George Campaign Office Grand OpeningTuesday, September 17, 2019, from 11:30 a.m. – 1:00 p.m at 1905 Victoria StreetDawson Creek Campaign Office Grand Opening FORT ST. JOHN, B.C. – Monday, September 16th, Bob Zimmer and his party had the grand opening for their Campaign Office in Fort St. John.The opening of the Campaign Office, located at 10230 – 100th Street allowed the public to meet with Zimmer and his staff with a beverage and a piece of cake.
OTTAWA — Snowbirds beware: The federal government will use its planned border exit-tracking system to avoid paying hundreds of millions of dollars in social benefits now going to people who shouldn’t receive them due to absences from Canada.[np_storybar title=”How the new border tracking system could affect your government benefits” link=”https://business.financialpost.com/personal-finance/retirement/how-the-new-border-tracking-system-could-affect-your-government-benefits”%5DHeading south for the winter may seem like it just got trickier, but don’t panic yet. Jason Heath outlines how snowbirds can tell if their OAS and CPP benefits are at risk. Read on [/np_storybar]Newly obtained memos say the Canada Revenue Agency and Employment and Social Development Canada expect to save between about $194 million and $319 million over five years once the long-anticipated system is fully in place.Federal officials have been working quietly to satisfy privacy commissioner Daniel Therrien’s office that personal information will be properly collected, used and disclosed under the program.Under the 2011 perimeter security pact, Canada and the United States agreed to set up co-ordinated systems to track entry and exit information from travellers.For the moment, the tracking system involves exchanging entry information collected from people at the land border — so that data on entry to one country serves as a record of exit from the other.The first two phases of the program have been limited to foreign nationals and permanent residents of Canada and the United States, but not citizens of either country.The initiative was to be expanded by June 30 of last year to include information-sharing on all travellers crossing the land border.In addition, Canada planned to begin collecting information on people leaving by plane — something the United States already does — by requiring airlines to submit passenger manifest data for outbound international flights.This couple can retire early without worry, thanks to a $1-million portfolio and pensionsHow to improve your odds of retiring well with a few simple strategiesHow to plan your retirement finances if you know you’ll have more money than you needFederal officials have said work continues on the final phases, though no revised dates have been disclosed. The U.S. has legislative authority to proceed, but Canada would need to pass a bill.A summer 2014 memo, recently released under the Access to Information Act, says savings can be expected through “preventing abuse and eligibility fraud” with respect to the employment insurance, old age security and child tax benefit programs by ensuring Canadian residency requirements are fulfilled.It estimates savings over five years of: $48 million by Employment and Social Development Canada for the old age security program; $21 million by Employment and Social Development Canada for the employment insurance program; $125 million to $250 million by the Canada Revenue Agency for the child tax benefit program. For instance, if a Canadian citizen or permanent resident was out of Canada for more than 183 days, entry-exit information would be shared with the revenue agency to administer the child tax benefit, says an explanatory memo.However, this information alone would “never form the basis” for action against someone, as it is merely intended as a tipsheet. Verification would be needed before a federal agency could crack down on the traveller.It has long been known that information from the entry-exit initiative would also be used to track the movement of suspected fugitives, child sex offenders, smugglers and terrorists, as well as identify people who remain in Canada past visa-expiration dates and help determine when those slated for deportation have voluntarily left.The initiative’s scope prompted the federal privacy commissioner’s office to express concern it had expanded “beyond its initial parameters,” says one memo. But Canada Border Services Agency officials felt the objectives were “entirely consistent” with the perimeter security pact’s commitment, the memo adds.Therrien’s office is waiting to receive detailed assessments from federal agencies as to how they would use entry-exit information, said Valerie Lawton, a spokeswoman for the privacy watchdog.“We’ve emphasized that each institution will need to demonstrate that the proposed collection and sharing is necessary and effective, undertaken in the least privacy-invasive manner possible and designed so that any loss of privacy is proportionate to societal benefits.”The border services agency had no immediate comment.However, the internal notes describe several measures to protect privacy including signs at the border to notify travellers their information may be used for program integrity. People flying into Canada have been warned for many years that information on their customs declaration card may be shared.Legislation to implement the final phases of the entry-exit initiative will spell out exactly how the information may be used and disclosed, and there will be redress procedures under which people can request access to their personal information, ask for corrections if needed and file complaints.
WINNIPEG — ICE Futures Canada closing prices:Canola: Nov. ’17 $1.50 higher $488.60; Jan. ’18 $1.20 higher $495.00; March ’18 $1.00 higher $501.30; May ’18 $1.10 higher $505.20; July ’18 $1.30 higher $506.90; Nov. ’18 $0.60 higher $484.00; Jan. ’19 $0.60 higher $485.70; March ’19 $0.60 higher $488.40; May ’19 $0.60 higher $488.40; July ’19 $0.60 higher $488.40; Nov. ’19 $0.60 higher $488.40.Barley (Western): Oct. ’17 unchanged $145.00; Dec. ’17 unchanged $148.00; March ’18 unchanged $151.00; May ’18 unchanged $151.00; July ’18 unchanged $151.00; Oct. ’18 unchanged $151.00; Dec. ’18 unchanged $151.00; March ’19 unchanged $151.00; May ’19 unchanged $151.00; July ’19 unchanged $151.00; Oct. ’19 unchanged $151.00.Thursday’s estimated volume of trade: 380,000 tonnes of canola; 0 tonnes of barley (Western Barley). Total: 380,000.
In college basketball, and, perhaps, college sports in general, it’s the coaches from the smaller and less-known schools that are the most candid, and maybe the most truthful, too. It can be interesting and fun to hear a re-telling of the team you pay attention to through the mouth of opposing coaches. For Ohio State men’s basketball, the two coaches to most recently oppose the Buckeyes on the hardwood are the only two that have gotten it correct in their recounting of OSU hoops. The next two coaches after them could complete the picture of Buckeyes basketball in 2012. OSU’s season began with an 82-60 win against the Albany Great Danes. Albany coach Will Brown provided a season’s worth of lavish praise and hyperbole in the game by lauding OSU’s depth as well as starting junior guard Aaron Craft. “My guys go to McDonald’s to eat, they (OSU) have McDonald’s All-Americans coming off the bench,” Brown said of OSU’s depth before moving discussing Craft. “He’s (Craft) going to be in the NBA for 10 years, I’m sure,” Brown said. As the season has gone along, OSU has continued to receive acclaim for its convincing wins. The University of Kansas City-Missouri came to the Schottenstein Center on Nov. 23 and was sent packing with a 91-45 loss. Afterward, UMKC coach Matt Brown simply said that OSU is “a terrific team.” It would be fair to say that OSU was at least a somewhat unknown commodity prior to its first true non-conference test of the year at Duke on Nov. 28. The 73-68 loss at a rowdy Cameron Indoor Stadium was a kind of reassurance that the Buckeyes could hold their own against top competition. Upon returning home, OSU greeted more mediocre teams. The first was Northern Kentucky, another inferior out-of-conference foe that the Buckeyes throttled and in turn had more praise heaped upon them. Following his team’s 70-43 loss, Northern Kentucky coach Dave Bezold said it was a “great experience” for his players to just be on the same floor with the Buckeyes. “It is an absolutely tremendous opportunity for us to play with one of the most historical teams in the country,” Bezold said. “It is a special moment for our kids to be on this floor and play against such a great program.” Relative to other coaches that came to The Schott and were dealt a swift defeat, Savannah State coach Horace Broadnax was calculated in his post game remarks after the Buckeyes beat his Tigers, 85-45 on Wednesday. Broadnax had plenty to say about the game, but what stuck out was that he stopped at saying OSU was decent. That was it, nothing more. In OSU’s next game, all visiting UNC-Asheville did in its 90-72 loss on Saturday was end the Buckeyes’ streak of 14 consecutive non-conference home wins by at least 20 points. By comparison, Duke lost by 22 points last season at The Schott. Asheville coach Eddie Biedenbach also had measured praise for OSU, stating that he thinks fellow Big Ten team Indiana still plays harder than the Buckeyes. “I think Ohio State is one of the top 6 teams in the country, it’s a little early talent wise,” Biedenbach said. “Indiana… I don’t think they’re more talented than Ohio State – I think they play harder.” After seven games, and a flatbed truck’s worth of homage paid to OSU coach Thad Matta’s program by opposing coaches, Broadnax and Biedenbach finally arrived at the accurate depiction of Buckeyes basketball – the jury’s still out about this team. If there is such a thing as a decent, or “blah” No. 7-ranked squad, OSU has to be that, as Broadnax said. And like Biedenbach said, OSU is a top team in the country and in the Big Ten, but, unlike last season’s Final Four team, there appears to be a gulf between America’s very best squads and the Buckeyes. The 2012 Buckeyes haven’t been tested with the frequency of the 2011 team, which played Florida in the second game of the season before hosting Duke in game No. 7. It certainly hasn’t been as successful either: The 2011 Buckeyes won both of those games whereas the 2012 Buckeyes came close at Duke and the team is now receiving only lukewarm praise from coaches of the mid-majors it beats soundly. Next up is Winthrop, which upset Ohio University this past weekend, and Saturday is OSU’s marquee non-conference home match against Kansas. A win against Kansas changes the trajectory for the Buckeyes, or at least the outside perception of that trajectory. Two losses in the big non-conference games doesn’t necessarily condemn OSU to a failed season, and certainly doesn’t rule the team out from a deep NCAA Tournament run. However, there was something about the way OSU fought for a win in a tight game against Florida last season, and then the way it cruised past Duke, that seemed to announce its intentions and demand recognition. Two losses against Duke and Kansas this year? That only seems to demand recognition as a team that isn’t quite ready. So, listen to what Kansas coach Bill Self has to say after Saturday’s game – depending on the outcome and how the game goes down, you’ll likely hear comments that complete the picture of the 2012 Buckeyes.
Vancouver — The city of Vancouver and the Community Military Appreciation Committee invite the public to attend a special Patriot Day ceremony at City Hall in remembrance of all those who lost their lives during the terrorist attacks of Sept. 11, 2001.The event starts at 9 a.m. Sunday, Sept. 11, in front of City Hall, 415 W. Sixth St.The ceremony will include the combined Vancouver police and Vancouver fire Honor Guard, musical performances, a ceremonial ringing of a fire department bell and Vancouver Veterans of Foreign Wars rifle salute.Speakers include Vancouver Mayor Pro Tem Anne McEnerny-Ogle, Vancouver Fire Department Chief Joe Molina and Vancouver Police Department Chief James McElvain.Artist Gerald Siegel also will present a stained glass panel commemorating first responders to the Vancouver Fire Department.The event is sponsored by Waste Connections and the Community Military Appreciation Committee.
Vancouver police officers arrested a man on suspicion of multiple assault charges Friday after law enforcement chased him down following a report of a fight in the Rose Village neighborhood.Someone called 911 around 3:10 p.m. about a fight going on outside a house on the 1700 block of East 35th Street.Vancouver police Sgt. Deb Libby said the assailant in the row ran off as officers responded to the call. Additional officers arrived and tried surrounding the man, and police apprehended him about a block away, she said.Officers arrested David E. Hill, 37, on suspicion of third-degree assault of a child, second-degree domestic violence assault (for attempting to strangle or otherwise cut off someone’s airflow) and fourth-degree assault.Libby said there were three victims in the incident. Officers were on scene for a bit over an hour as they interviewed witnesses, she said.
WILMINGTON, MA — Strive 24-Hour Fitness (3C Lopez Road, Wilmington) held its Grand Reopening and Ribbon Cutting Ceremony earlier this month.New owner Matt Moisan was joined in celebration by members of the Wilmington-Tewksbury Chamber of Commerce and town officials, including Town Manager Jeff Hull.Below of the event are photos from White Dove Photography: Share this:TwitterFacebookLike this:Like Loading… RelatedWilmington Residents Invited To Opening Of Tewksbury Splash Pad On June 21In “Community”PHOTOS: Wilmington-Tewksbury Chamber Of Commerce Welcomes Partners In Rehab PT To WilmingtonIn “Business”NEW COMPANY COMES TO TOWN: Energetiq Technology Relocates To WilmingtonIn “Business” Like Wilmington Apple on Facebook. Follow Wilmington Apple on Twitter. Follow Wilmington Apple on Instagram. Subscribe to Wilmington Apple’s daily email newsletter HERE. Got a comment, question, photo, press release, or news tip? Email email@example.com.
A computer screen inside the Threat Operations Center at NSA headquarters in Fort Meade, Maryland, in the Baltimore metro area. Brooks Kraft/Getty Images A hacking tool developed by the US National Security Agency is now being used to shut down American cities and towns, says a Saturday report in The New York Times. Code-named EternalBlue, the hacking exploit involves malicious software and was leaked in 2017 by a group called Shadow Brokers. Hackers used the tool that same year in the worldwide WannaCry ransomware attacks, which locked up computer systems at hospitals, banks and phone companies and required a ransom to set the networks free. It was also used in the 2017 NotPetya assault against Ukraine, which has been called one of the most destructive cyberattacks ever. Now, though, EternalBlue has reportedly landed in the NSA’s own backyard: Baltimore, site of the agency’s headquarters. The city has been hobbled since a ransomware attack on May 7 ensnared the local government’s computers, disrupting city services. Baltimore’s IT department is only slowly getting systems up and running again. “It is not just in Baltimore,” says the Times report. “Security experts say EternalBlue attacks have reached a high, and cybercriminals are zeroing in on vulnerable American towns and cities, from Pennsylvania to Texas, paralyzing local governments and driving up costs.” The news might prompt some surveillance critics and privacy advocates to say, “I told you so.” For years, law enforcement and intelligence agencies have argued that backdoors should be built into encryption systems to allow the agencies to access suspects’ computers. And the NSA has often developed its own tools for cracking into machines and networks to gather data. But critics have long argued that any such backdoors would inevitably be discovered by hackers and that efforts by spy agencies could spin out of control. The global ransomware epidemic is just getting started 3:53 Share your voice Referring to EternalBlue, Vikram Thakur, Symantec’s director of security response, told the Times that “it’s incredible that a tool which was used by intelligence services is now publicly available and so widely used.” And unnamed officials told the paper that more accountability was needed at the NSA, with one comparing the EternalBlue leak to failing to secure a warehouse of automatic weapons. Agency advocates, though, say such tools are needed to fight crime and terrorism, and that they’re the inevitable cost of being prepared for cyberwarfare and ensuring national security. When asked by CNET about the Times report, the NSA declined to comment. Now playing: Watch this: Finding our personal data on the dark web was far too… Comments WannaCry Hacking Malware NSA 11 Tags Security Eternal blues?
by Taboolaby TaboolaSponsored LinksSponsored LinksPromoted LinksPromoted LinksYou May LikeVikings: Free Online GameIf you’re over 40 – this game is a must!Vikings: Free Online GameUndoKelley Blue BookAll The Pick-Up Trucks You Need To Research In One PlaceKelley Blue BookUndoTODAYCeline Dion Reassures People After Major Weight Loss Raises ConcernsTODAYUndoGrepolis – Free Online GameGamers Around the World Have Been Waiting for this GameGrepolis – Free Online GameUndoCNN International for ANAHow To Keep Cool In Competition With Your IdolsCNN International for ANAUndoVerizon WirelessThis new phone will blow your mind.Verizon WirelessUndoAdvertisement Aesthetically, Razer hasn’t made too many changes. The most notable change answers the long-standing consumer complaint of the secondary function keys lacking backlighting. Now, every key gets some much-deserved Chroma lighting. And if you’re a fan of Razer’s lovely Mercury White finish, the company is spreading the love beyond the Razer Store, making the unique variant available at Best Buy.In terms of specs, each iteration of the Blade 15 will feature a 8th Gen Intel Core i7 CPU with 16GB of RAM. While most models will have a 512GB SSD, Razer is also offering one iteration with 256GB for $2,399. The Blade 15 will offer a full Nvidia GeForce RTX 2060 GPU ($2,299), while the 2070 ($2,599) and 2080 ($2,999) GPU will be Nvidia’s power-efficient Max-Q cards. AdvertisementIn case the Nvidia RTX is beyond your budget, Razer will continue to offer the Blade 15 with a GTX 1060 GPU for $1,599.MORE: Which Razer Laptop Is Right for You? Blade vs Stealth vs ProAnd while that would already have been plenty to announce during CES, Razer gave us a little glimpse into its future as it pertains to displays. First off, the company is working on a panel with a 240-Hertz refresh rate, which is a big step up from 144Hz. That means you’ll have incredibly smooth graphics rendering for buttery-smooth images. But the biggest and prettiest surprise is that Razer is developing a 4K OLED panel. I had a chance to check out a prototype and, man, let me tell you, it’s glorious, with incredibly intense color and really sharp detail. When I asked about battery liife, the Razer rep pointed to the overall efficiency gains of OLEDs over regular screens. So we’ll definitely have to test it out whenever it launches.Historically, Razer has been known for offering high-quality systems at premium prices. And make no mistake, that the Blade 15 refresh follows that tradition. But Razer is also working to reach gamers at every price point by offering several different models and retaining slightly older configs. It’s a move that can only benefit the company and consumers.Razer Laptops – Brand Review and RatingRazer Gaming Laptops – Brand Rating and Report CardBest Gaming Laptops LAS VEGAS — If you thought Razer was done tweaking and teasing the Blade 15, you were wrong. The company announced that its flagship model is making the jump to Nvidia’s new RTX GPUs. Starting at $2,299, the new, improved laptop will go on sale starting Jan. 21. Razer Gets Advanced with Nvidia RTX GraphicsThe Razer Blade 15 Advanced gets a powerful boost with the addition of Nvidia’s new RTX GPUs.Volume 0%Press shift question mark to access a list of keyboard shortcutsKeyboard Shortcutsplay/pauseincrease volumedecrease volumeseek forwardsseek backwardstoggle captionstoggle fullscreenmute/unmuteseek to %SPACE↑↓→←cfm0-9接下来播放MacBook Air vs MacBook Pro: Which 13-inch MacBook Is Right For You?03:46关闭选项Automated Captions – en-US facebook twitter 发邮件 reddit 链接https://www.laptopmag.com/articles/razer-blade-15-specs-price-2?jwsource=cl已复制直播00:0002:1702:17Your Recommended Playlist03:46MacBook Air vs MacBook Pro: Which 13-inch MacBook Is Right For You?02:01Apple’s Mac & iPad Pro Event: 5 Things You Need To Know01:30How to Use VLOOKUP in Excel01:30Best & Worst Laptop Brands 201901:34How to Reset a Windows 10 PC01:32How to Turn Your Windows 10 PC into a Wireless Display01:25How to Freeze Rows in Excel关闭
Videos | Radiology Business | August 02, 2019 VIDEO: Key Topics for Radiology Administrators at AHRA 2019 Association for Medical Imaging Management (AHRA) President … read more Pseudocolor accentuated CT scan image of a liver tumor. Image courtesy of Lucence Diagnostics. News | Ultrasound Women’s Health | July 11, 2019 FDA Clears Koios DS Breast 2.0 AI-based Software Koios Medical announced its second 510(k) clearance from the U.S. Food and Drug Administration (FDA). read more Decision support for radiology is designed to benefit the radiologists, hospitals and the healthcare system in several ways – by improving patient outcomes, decreasing healthcare costs and urging providers to take part in pay-for-performance (P4P) initiatives. However, decision support has not been readily embraced without some resistance. There are several types of decision support tools, such as clinical knowledge, data mining and virtual collaboration, but what is shaking up the radiology community the most is the image appropriateness criteria requirements. While the new set of guidelines are designed to assure only appropriate imaging exams are ordered, this approach imposes an added layer of bureaucracy onto an already cumbersome healthcare system. In addition, conflicts arise when a radiologist’s order is denied based on a third-party decision made by a non-physician. Will this type of decision support, many clinicians wonder, help or hinder the radiologists’ workflow?Spread of Decision Support ToolsDecision support is an emerging market and the technology within clinical decision support is varied. Online reference tools, providing access to medical journals, falls under the clinical decision support umbrella and to date has been widely adopted.“Currently, the most commonly used decision support tools are online medical journals,” according to Datamonitor Research Analyst Christine Chang. “A lot of companies will take all of the research on a certain topic and drill it down into a one-page format so that it is easier for doctors to read. Then if the doctors want more information later, they can go to the actual studies.” Also commonly implemented are the alerts and reminders embedded in CPOE systems. “With CPOE, if they are prescribing medication, an alert may pop up saying the patient is allergic to it,” Chang said. Another area where decision support promises to improve not only the radiologists’ workflow but also patient care is with critical test result management (CTRM). Critical test results – for example, cancer found while reviewing a CT chest scan – are communicated from the radiologist to the physician and, next, to the patient. According to a survey by the Joint Commission, 58 percent of healthcare organizations fail to meet the standard for effective communication of critical results. The current process for delivering critical test results is often manual and prone to error.To address the need for effective delivery of critical information, a CTRM solution developed by Vocada, a company acquired by Nuance last year, streamlines communication between radiologists and referring physicians, reportedly reducing the time in which it takes a critical test result to be communicated.In the short term, we should expect to see more data mining tools, such as the REMIND Clinical Decision Support (CDS) application developed by Siemens Medical Solutions and MAASTRO (Maastricht Radiation Oncology). The REMIND platform (Reliable Extraction and Meaningful Inference from Nonstructured Data) includes data extraction such as natural language processing and proteomic analysis, data combination and probabilistic inference. The solution searches through all patient records, analyzing demographics, clinical factors, imaging information, treatment plans, delivered treatment, genomics and proteomics.Philips Healthcare is testing a decision support solution for the evaluation of dementia that using libraries of FDG-PET brain-scan images that had already been independently interpreted by an expert. The software analyzes PET brain-scan images and combines them with MRI (Magnetic Resonance Imaging) scans to detect the characteristic patterns of brain diseases such as Alzheimer’s, Frontotemporal Dementia and Lewy Body Dementia. It then quantifies the degree to which they resemble reference images of known dementia sufferers.Decision support tools are viewed as another tool that a doctor can use in addition to a stethoscope and X-ray. When Appropriateness Criteria is AppropriateAn important development in decision support and one that is becoming widely adopted in radiology is appropriateness criteria guidelines for ordering imaging exams. By using standards-based ordering decision support, the tool is designed to help clinicians avoid unnecessary utilization. Even more importantly, by changing the way diagnostic imaging exams are ordered, ideally cancers associated with diagnostic CT scans might be reduced.Derived from the American College of Radiology (ACR) Appropriateness Criteria, and designed in conjunction with Massachusetts General Hospital (MGH), a “utility scoring” methodology that determines the appropriateness of each imaging exam based on clinical information (provided by the referring physician) and patient demographics is getting a lot of attention.MGH added this decision support tool, called Radport, to its radiology order entry system (ROE). The ROE provides information to medical practices on utilizing radiology exams in their most efficient manner. Built on 3,000 rules from the ACR rule set, the system operates with a utility score designed to limit proliferation of low utility examinations, justify the appropriateness of exams that are ordered and avoid time consuming healthcare insurer gatekeepers.The clinical information provided at the time of ordering is combined with the patient age to produce the “utility score” for the exam requested. Possible scores range from 1 (very low utility) to 9 (very high utility). The tool enables referring physicians to enter a patient’s symptoms and qualify the effectiveness of their exam choice through real-time appropriate medical image ordering guidance. With constant feedback from 11,000 radiologists from the New England area, today Radport’s rule set is between 11,000 and 13,000.“Radport is a decision support system that guides appropriate diagnostic image ordering to reduce ordering time by up to 80 percent, manage high-cost utilization and improve patient care through appropriate imaging,” said Keith Dreyer, DO, Ph.D., vice chairman of radiology, MGH, and assistant professor of radiology, Harvard Medical School. “The result is that over-utilization due to physician variability can be considerably reduced.”According to Datamonitor, adoption of “Radport type technologies is still low, but it is definitely growing.”Payers Push for Decision SupportWhere the controversy lies in appropriateness criteria approval is twofold. First is the motive – insurers are driving the adoption of appropriateness criteria as a means to curb utilization costs of imaging exams. Secondly, the reality is that doctors tend to follow the path of least resistance. Insurers have thus far managed to build appropriateness criteria approval into physician payment withholds. “The payers definitely impact the providers and hospital decisions. Reimbursement with payers is always financially driven. There is always a financial aspect,” noted Chang. “With the pay-for-performance issues coming out, there is a lot of regulatory compliance. They are also driving clinical decision support as a whole. Payers do have a role to play, and they do have a lot of power.”While appropriateness criteria benefits physicians and patients alike on one level, requiring physicians to get approval for an imaging exam usurps the authority of the clinician and puts it in the hands of the insurance companies. In addition, there is a tendency among doctors to take the path of least resistance, and some suggest that rather than dealing with this bureaucratic hassle of getting approval for a scan, doctors will send the patient to the emergency room, where prior authorization isn’t needed before imaging studies. Paradoxically, this would increase healthcare costs and worsen ER overcrowding. Medical Community’s Stance In a referendum held in May of this year by the American Medical Association (AMA), the association said it acknowledges the rising cost of imaging exams, yet defended the utility of medical imaging in patient care when deemed appropriate according to established guidelines. The AMA said, “advanced medical imaging services, such as CT, MRI and PET, have significantly increased in this decade, raising legitimate concerns over utilization rates.”1 Accordingly, the association said it encourages “the in-office utilization, medical direction and supervision of advanced imaging services by qualified or certified physicians whose utilization of these modalities is within the scope of their specialty practice in accordance with appropriateness guidelines.” Yet, the association reiterated in its policy that “[we] actively oppose efforts by private payers, hospitals, Congress, state legislatures and the Administration to impose policies designed to control utilization and costs of medical services unless those policies can be proven to achieve cost savings and improve quality while not curtailing appropriate growth and without compromising patient access or quality of care.” Similarly, the Medical Imaging and Technology Alliance (MITA) is concerned about the affects of imaging payment reductions – as much as $1.64 billion in 2007 due to the Deficit Reduction Act (DRA) – on patient access to noninvasive diagnostic and therapeutic treatments. As a means of deterring further reimbursement cuts, the alliance therefore supports the adoption of appropriateness criteria for screening imaging exam orders. The American College of Radiology also supports using appropriateness criteria as guidance as to which scans are most appropriate for a given indication at the time of order entry.In a recently issued public statement, MITA said it agrees with Congress’ decision to focus on appropriateness and accreditation criteria. Adding, “It is these approaches, rather than payment cuts for imaging scans, that will ensure patients get the right scan at the right time and that healthcare decisions remain between physicians and patients.”Not Yet ImaginedWith appropriateness criteria in full swing, other decision support solutions will also become part of the radiology toolkit. According to Chang, the next generation of tools will include EMRs with more advanced features, which “will definitely grow in the next few years,” she said.Healthcare decision support tools will also move toward treating patients on the diagnostic side. “Eventually, it will move toward more patient-centric tools. So it will not just be the doctor using these tools but also the patient,” said Chang. With symptom checkers already available, Chang suggests that the trend will be for patients to acquire information on how to treat themselves before they can actually see a doctor. Chang added, “The market is so new that in a few years we will have technologies that we don’t know about right now.”Reference: 1. American Medical Association House of Delegates, Resolution: 208 (A-08); May 7, 2008. (http://126.96.36.199/search?q=cache:r34WvvbJBUkJ:www.ama-assn.org/ama1/pub/ upload/mm/471/208revised.doc radiology business management appropriateness criteria&hl=en&ct=clnk&cd=8&gl=us) FacebookTwitterLinkedInPrint分享 News | Cardiac Imaging | February 11, 2019 New Appropriate Use Criteria Outlined for Multimodality Imaging of Nonvalvular Heart Disease The American College of Cardiology (ACC), along with nine other cardiology professional societies, recently published a… read more Feature | October 30, 2008 | Cristen C. Bolan When is Appropriateness Criteria Appropriate? Can decision support tools both help and hinder radiology workflow? News | Digital Pathology | July 16, 2019 Paige Announces Clinical-grade Artificial Intelligence in Pathology July 16, 2019 — Computational pathology… read more Technology | Mammography Reporting Software | June 12, 2019 Three Palm Software Releases WorkstationOne Version 1.8.8 Three Palm Software announced the release of the 1.8.8 version of its breast imaging workstation, WorkstationOne. This… read more Key Topics for Radiology Administrators at AHRA 2019Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 7:33Loaded: 2.15%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -7:33 Playback Rate1xChaptersChaptersDescriptionsdescriptions off, selectedCaptionscaptions settings, opens captions settings dialogcaptions off, selectedAudio Trackdefault, selectedFullscreenThis is a modal window.Beginning of dialog window. 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News | Artificial Intelligence | February 13, 2019 Siemens Healthineers Demonstrates Artificial Intelligence, Healthcare Digitalization at HIMSS19 February 13, 2019 — At the 2019 Healthcare Information and Management Systems Society (HIMSS) global conference and e read more News | Clinical Decision Support | July 18, 2019 Johns Hopkins Named Qualified Provider-led Entity to Develop Criteria for Diagnostic Imaging On June 30, 2019, the Centers for Medicare & Medicaid Services (CMS) announced the Johns Hopkins University School… read more Photo courtesy of Siemens Medical Solutions. News | Artificial Intelligence | February 15, 2019 Amazon Comprehend Medical Brings Medical Language Processing to Healthcare Amazon recently announced Amazon Comprehend Medical, a new HIPAA-eligible machine learning service that allows… read more News | Oncology Diagnostics | March 12, 2019 Lucence Diagnostics to Develop AI Tools for Liver Cancer Treatment Genomic medicine company Lucence Diagnostics announced a new project to develop artificial intelligence (AI) algorithms… read more Related Content News | Artificial Intelligence | February 06, 2019 IMS to Unveil Prototype Imaging Machine Learning Platform at HIMSS19 International Medical Solutions (IMS) announced a solution that will enable radiologists and other clinicians to use… read more
Related posts:Food and Fútbol: Learning from the Netherlands 5-year moratorium proposed on pineapple production in Costa Rica Whole Foods’ responsibly grown rating system labels Costa Rican bananas grown at EARTH University as ‘Best’ Costa Rican coffee exports get a jolt from high prices According to the United Nations Food and Agriculture Organization, the per-kilogram price of rice in Costa Rica is the seventh highest in the world. The ranking was published in a Rice Market Monitor report released this week.But on Tuesday, representatives of the National Rice Corporation (CONARROZ) went on a publicity blitz to discredit the report, calling it inaccurate.According to the FAO report, a kilogram of rice in Costa Rica costs $1.37 and trails prices in Ghana ($ 1.51), the U.S. ($1.61), Italy ($2.11), Korea ($2.27), Angola ($3.29) and Japan ($4.74).CONARROZ said the report ignores aspects of grain quality and attributed the information collected by FAO “to a campaign by current Economy Ministry officials aimed at changing the price structure of rice in the country.”Eduardo Rojas, a rice farmer, called the FAO report “erroneous” and “full of lies.”Rice is the only basic food in Costa Rica with a fixed price set by the government. But an executive decree issued on May 20, 2013 calls for price controls to end, letting the market determine the price as of March 2014. Government officials in January postponed that decree from taking effect until March 1, 2015.Other studies by the Agriculture and Livestock Ministry (MAG) and the University of Costa Rica’s Institute of Economics Research concluded that “the current pricing system hurts consumers and benefits only a few rice producers.”Representatives of CONARROZ on Tuesday morning met with President-elect Luis Guillermo Solís, incoming Economy Minister Welmer Ramos and incoming MAG Minister Luis Felipe Arauz. At the meeting, Solís said he opposes any decree eliminating price controls on rice.Rice is an essential part of Ticos’ daily diet. The country consumes 224,000 tons of rice annually, or 48 kilograms per person, according to MAG.FAO’s Rice Market Monitor report is conducted four times a year and collects consumers’ prices of rice in 55 countries. With slight fluctuations, prices of Tico rice in recent reports have ranked among the world’s top 10 most expensive. Facebook Comments
Abercrombie & Kent has a couple of cabins now available on its Northwest Passage expedition this August.The exclusive charter on board the stunning Le Boréal travels the legendary seas from Greenland to the Canadian Arctic to the Bering Sea and ends in Alaska. Along the way visits are made to historic and remote islands, fjords and harbours along the elusive Northwest Passage, taking in moving stories of voyages won and lives lost, all in the name of conquering a trade route between the Atlantic and Pacific.A&K’s world-class Expedition Team ensures a deeply enriching and captivating journey with opportunities to meet Inuits in their homes, visit traditional hunting grounds and admire the myriad geological wonders from the “Smoking Hills” of Franklin Bay to the dramatic Ilulissat Icefjord, a UNESCO World Heritage Site teeming with icebergs. The route follows in the steps of the great polar explorers with stops along the way that may include Beechy Island, Franklin Camp, Fort Ross and Gjoa Haven. The rarely visited Yukon Territory is another highlight, where whaling once thrived and an abundance of wildlife still reigns supreme and finally the spectacular Northern Lights will be a treat to remember.Tour dates: 21 August – 13 September 2017Last chance offerBook now and save US$3000 per person on Category 1 – 3 cabinsPrices from: US$26,995 per person twin share (was $29,995)
By Stefanos EvripidouTHE ISLAND’S business giants yesterday appeared to throw their weight behind a Cyprus solution, highlighting the enormous benefits it would bring to the economy across multiple sectors during an invite-only Brussels conference attended by the two communities’ peace negotiators.“It’s the economy, stupid,” was the basic message leading Cypriot businesses from both sides of the divide passed on to the two negotiators, Andreas Mavroyiannis and Kudret Ozersay, who were invited to attend a two-day seminar analysing the peace dividend of a Cyprus solution.In a tweet posted on social media site Twitter, Danish Ambassador to Cyprus Casper Klynge indicated the size of the peace dividend foreseen in the preliminary report: “Nordic Cyprus Seminar: 20 years after a #CyProb (sic) settlement the GDP at today’s prices would be €20b higher than without a solution.”According to sources, the “great atmosphere” at the conference indicated that big business players in Cyprus are starting to put their weight behind a solution, seeing the positives that could come from reunification.This was reflected on Wednesday in a joint statement issued by the two Chambers of Commerce and Industry on the island where they stressed that a solution would bring “considerable benefits to all sectors of the economy and consequently enhance the welfare and prosperity of all Cypriots”.The two Chambers further reiterated their commitment to support the political leadership in their peace efforts by contributing “to the creation of a positive atmosphere” and in implementing confidence-building measures (CBMs).During yesterday’s opening session, held behind closed doors, Greek Cypriot and Turkish Cypriot business leaders highlighted the huge economic benefits to be gained from a solution in a range of sectors, including tourism, construction and industry, maritime trade, and oil and gas.Cypriot business representatives emphasised the benefits a solution would bring to tourism, particularly cruise ship tourism, which is by and large absent at present. Cruises could take in regional cultures, offering stops in Turkey, Greece and Cyprus.On tourism branding for a united Cyprus, one participant suggested: “One country, two cultures, a unique identity.”They also discussed benefits that could come from CBMs like opening Famagusta port to international traffic. One participant argued that oil and gas players Total and ENI-KOGAS could immediately take advantage of Famagusta port to service their drilling needs as their offshore Cypriot concessions are much closer to Famagusta than Limassol. This would save the energy companies hundreds of thousands of euros per day.Another suggested Famagusta stick to hosting cruise ships and yachts, in line with a vision of rebuilding the area into an eco-city.On the issue of developing a gas industry, the seminar heard that Cyprus could attract gas revenues much quicker with a solution, and use pipelines to export the gas instead of waiting for the lengthy and costly construction of a liquefied natural gas plant. This in turn will make the privatisation of the electricity authority more attractive as cheaper electricity production will spark an increase in demand.The same goes for the Ports Authority which could also sell for a higher price post-solution as it would see a surge in container traffic heading to Turkey. Until now, Malta has been servicing a lot of that traffic as Turkey has closed its ports to Cypriot-flagged ships.As one source put it, “basically the message was with a solution, you get more bang for your buck on gas than without one”.The two negotiators listened and scribbled notes as Cypriot business reps brainstormed on how to maximise the peace dividend.One participant noted that some of the ideas and positions put forward by business leaders even deviated from the official positions held by their community representatives at the negotiating table.For example, Turkish Cypriot business reps argued in favour of clarifying the property and territory situation as soon as possible so everyone knew were they stood, and voiced support for free trade across the island with no permanent derogations.Speaking to the Cyprus Mail, Danish ambassador Klynge said there was a “fantastic atmosphere” in the seminar, with a real engagement and sense of commitment on behalf of the private sector to be more vocal during the peace negotiations.International relations and Cyprus expert James Ker-Lindsay said the economic and business arguments raised at the seminar were “utterly compelling”.“It is just so clear that with a solution there are going to be enormous benefits. The other message that came out of this is that if a deal is reached, it’s going to require business leaders to really come out and support it,” he said.The London School of Economics-based academic noted that the last time a solution plan was on the table in 2004, there was a very negative and hostile atmosphere which may have put off business leaders from voicing their support, along with fears that a solution would be economically damaging.“That’s not the case now. I hope this time round, if a deal is done and agreed upon, it is absolutely vital that business leaders speak up, come out and say, this means jobs, economic investments, growth. That’s the clearest message. People have to be informed.”According to economist Fiona Mullen, preliminary estimates on government revenues post-solution suggest that in the long-run, at least in terms of GDP, a solution would pay for itself as the benefits are clearly “much bigger than the cost”.The seminar was organised by the Cyprus branch of the Peace Research Institute Oslo (PRIO), and funded by the Nordic countries (Finland, Sweden, Denmark and Norway). The aim was to let Cypriot business representatives and experts assess the results of a study by three economists, Fiona Mullen, Alex Apostolides and Mustafa Besim, on the economic benefits of a peace solution to Cyprus.The three worked on updating existing research on a Cyprus peace dividend, by incorporating two models: a short and long-term look at productivity in a reunified Cyprus; and taking a bottom-up approach analysing the impact on various sectors.An older study on the potential benefit of a solution found that the island’s reunification would translate into a peace dividend coming to an average of €12,000 per family.Based on today’s and yesterday’s feedback, the researchers will configure their findings and release the latest results in the coming weeks.The three economists found that, despite the current economic crisis plaguing both sides of the divide, the prospect of oil and gas revenues and other significant factors will create a higher ‘peace dividend’ than previously thought.Examining the latest report in detail yesterday, the island’s top business practitioners suggested the economists had under-emphasised the benefits of a solution in their estimations.They passed on the message that if a solution was handled properly, the dividend could be much higher.Today, they will discuss professional and banking services, retail and wholesale sectors, and education.You May LikeLivestlyChip And Joanna’s $18M Mansion Is Perfect, But It’s The Backyard Everyone Is Talking AboutLivestlyUndoPopularEverythingColorado Mom Adopted Two Children, Months Later She Learned Who They Really ArePopularEverythingUndoYahoo SearchBack Pain Treatments That Might Surprise You. 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Lily Cox-Richard texted her "That way if someone takes a picture of one of our signs to post and says they are ‘saddened’ or ‘disappointed’ they will be explicitly revealing themselves as the racist that they are""Yeah" Aaron responded "that sounds good"On Friday afternoon down came "Rise & Resist" and up went "Resist White Supremacy" About an hour later a message from a woman named Rebecca whose Facebook profile was an image that read "TEAM USA" popped up in Cox Farm’s Facebook Messenger inbox: "Whatever your own personal agendas are none us want to see them on display at a place we once enjoyed going to for tradition It’s TRULY disappointing"The vitriol only intensified in the hours that followed which baffled Aaron Who other than a white supremacist would be offended by a message condemning white supremacy She also understood though that this is America in 2018 a time of such fierce division that even voicing opposition to the ugliest beliefs could be twisted or taken out of contextOn Saturday – in a Facebook post that has drawn more than 43000 reactions and nearly 15000 shares – she addressed the furor"Our little roadside signs have power" Aaron 36 began before explaining why they sometimes shared their opinions "Cox Farms is a small family-owned and family-operated business The five of us are not just business-owners; we are human beings members of the community and concerned citizens of this country We are also a family and our shared values and principles are central to our business" Aaron’s father and his brother whom she described as hippies started Cox Farms on a 40-acre plot near Herndon in 1972 Even in those early days she heard later people were sometimes offended by the family’s signs although those were often just off-color plays on their last name (this story’s author by the way is not related to the farmers) Eventually her dad and mom took over and the business evolved moved expandedTheir first experience with real controversy came in 2000 when conservative activists accused the farm of promoting gay rights because of two rainbow flags that flew over tunnels made of hay The flags hadn’t been bought for that reason but Aaron’s parents Gina and Eric learned what they symbolized and embraced the idea Aaron a lesbian had come out to them five years before the upheaval"At some point it looked like we could be facing a significant impact on our business" Aaron recalled but the family didn’t flinch and instead rallied supporters to their cause"It was a record-breaking season" she said "By far the best we’d ever had"Aaron whose partner is of mixed race also didn’t back down after the threat of a boycott three years ago over the Black Lives Matter poster she put in a window of their home which stands in the middle of the sprawling property"We’re not seeking to alienate folks who have different perspectives on tax reform or infrastructure spending" Aaron said in her recent Facebook post "But when it comes to speaking out against systems of oppression and injustice we see it as our moral responsibility to use our position of privilege and power along with the tools of our trade and the platforms available to us to engage visibly and actively in the fight for justice Our roadside sign messages are one small way we do this"Her post went viral spreading rapidly online among both right- and left-leaning groups who then descended on the farm’s Facebook page to give either one- or five-star reviews that had nothing to do with kettle corn or apple-cider doughnutsFor Aaron though the blowback presented an opportunity To change people’s minds even by just a degree or two required communication that was respectful but honest And here was a chance to talk to people who disagreed with her – lots of them"Resist white supremacy is not an inclusive message" complained Patty Weston Meizlish who lives in Louisa Virginia "When you single out a group of people you exclude them This is a sad message""Yes generally speaking we are comfortable excluding white supremacists" responded Aaron who studied psychology at Smith College in Massachusetts "If you know some who would be interested in dialoguing with us please have them contact us"Shannon Lee Sibley from nearby Ashburn Virginia contended that she also supported fighting hate groups but wouldn’t spend her money at the farm because it would never post a "Blue Lives matter" sign in support of police"You’re right Shannon – we do not support ‘Blue Lives Matter’ police lives are already and by default valued in our society" she wrote "Black lives are not so we believe that a declaration that Black Lives Matter is necessary and important""So black supremacy is okay then" asked Lisa Lewis "This is not a message of love this is a message out to divide people even more I would never ever visit your farm because you try to force your views on your customers That is WRONG no matter what you say""Lisa when we talk about white supremacy we’re referring to a systemic racism that is much deeper and more pervasive than any individual or group could be" Aaron replied "Black people do not have the institutional power in our society to benefit from so-called ‘black supremacy’ It just doesn’t work like that"On Monday Aaron wrote a follow-up post thanking the thousands of people who had offered support (and who vastly outnumbered the critics) She dismissed the idea though that what the farm had done – making a statement that could potentially harm its business – was in any way "brave" She pointed instead to dozens of immigrant "dreamers" who had demonstrated against the threat of deportation at the US Capitol; to Chris Newman who has written about race and the challenges of farming in Virginia as a black man; to Eric Trammel who as a sophomore at Centreville High School was kicked out of class when he refused to stand for the Pledge of Allegiance as a form of protest"We are white people using our privilege and power to say something that should be obvious but clearly still needs to be said" she wrote "and there’s nothing brave about that"Then Aaron published the post and as it too was shared thousands of times she returned to the day’s business: planning for spring when the family farm will launch a new event at the corner market featuring pulled pork live music and root beer floatsAuthor information:John Woodrow Cox is a reporter on The Washington Post’s local enterprise teamThe award-winning troupe explores arranges and develops Mongolian local music and dance art It is a unique culture of Chinese folk art because Mongolian folk art is significantly diverse in its styles and expressionsOther news The Grand Forks County Envirothon team will hold an informational meeting at 7 pm Tuesday in the USDA Office 4775 Technology Circle for high school students interested in environmental science The theme of this year’s competition is "Sustainable Agriculture/Locally Grown" The 13th annual Red River Women’s Studies Conference will be Friday on the second floor of the Memorial Union at UND The theme is "R/Evolution: Creating Women and Gender Studies" featuring speakers Dr Cristina Alcalde Dr Adeyinka Bruce Omotunde and Anna Astvatsaturian Turcotte Register at bitly/1fmE644 And to top it all off as opposed to a factory you can eat) I hope not" He cites his values growing up: "You dont talk about your money with a family member spiked in September as Trump cast immigration as a crisis 000 in August and 4The Feb California Plastic or plebeian” the authors note in the report I played a lot of good players in the last two weeks000 The body also must be washed and properly dressed saying an autopsy would violate their spiritual beliefs some 130 of whom have burned themselves to death in horrifying self-immolations And so he wrestles daily with how to promote and sustain a feeling of kindness in his classroom 55 Washington St The earthquake’s epicenter was not on a known major fault By Antoine Boddaert and Lucien Libert PARIS (Reuters) – Hundreds of masked and hooded anarchists smashed shop windows we are not going to let that year option go away although United have the option to extend it for a further year who unsuccessfully tried to get off the medicine herself The trial Magistrate she vowed to use her final months to try as many new experiences — and new foods — as possible a description that doesn’t match Ali at all) member governments considered seven proposals to improve shark protections and other tunalike speciescom/CqGGIGK9Z9 ⼏5;⼍8;⼎4;⼎2; ⼍8;⼎4;⼍8;⼎6;⼏1;⼏6;⼏7; ⼏7;⼎5;⼎2; ⼏0;⼍8;⼎0;⼎5;⼎6;⼏1;⼎2; (@RATM) May 17 since as Billboard noted now by the way folks who was traveling this week but came back especially for the fight000 other residents of Gen SanMilitants from the Islamic State of Iraq and Greater Syria (ISIS) have acquired three “warplanes that can fly and maneuver” a watchdog Syrian opposition group said in a new report The Syrian Observatory for Human Rights said former Iraqi army officials who have joined ISIS are training militants to operate the planes at an airbase near the contested Syrian city of Aleppo The report which has not been verified cites anonymous “reliable” sources The US military said it’s not aware of ISIS gaining air capability “We’re not aware of [ISIS] conducting any flight operations in Syria or elsewhere” US Central Command spokesman Colonel Patrick Ryder told Reuters Write to Justin Worland at justinworland@timecomCorrection appended March 26th Khawla Shaban lived under the Islamic State of Iraq and Syria (ISIS) for almost seven months after the militants took over her village of Wana in northern Iraq "We didnt leave the house the whole time they were here" says Shaban standing in front of her home on the bank of the Tigris River Today the Islamic State is gone pushed out of Wana in January 2015 by Iraqi Kurdish peshmerga aided by US air strikes On Thursday Iraqi forces launched a campaign to liberate even more territory around ISIS-occupied Mosul the first move in a broader operation to rid the province of the extremist group for good But that work could be undone in an instant by an even greater threat than ISIS: the deteriorating Mosul Dam whose collapse would send a wall of 11 billion cubic meters of water crashing toward Iraq’s second biggest city killing more Iraqis in minutes than the total dead since the US invasion of 2003 The US considers the threat so dire it issued a warning to US citizens in February about the dams collapse above its already stern warnings about travel to Iraq President Obama even sent a note to Iraqi Prime minister Haider al-Abadi that same month urging the government to take long-delayed action In Wana the first village downstream from the dam the threat is considered more immediate than that of the Islamist extremists holed up in Mosul "They are both scary but Im more scared of the dam" says Shaban "If it breaks there will be no chance for survival It will wipe us all out" The Mosul Dam was built in the early 1980s and was one of many grand infrastructure projects rolled out by Saddam Hussein and his Baath Party Engineer Omar Salih started work on the dam the year it opened He says the German and Italian teams that helped build the dam said the location was no good as the riverbed here is made of unstable soft soil and gypsum a mineral that dissolves as water runs through it The structure had to be grouted daily to keep water from seeping through "But President Saddam Hussein insisted on the location" says Sahil Thats likely because villages like Wana and most of the sounding area are Sunni Arabs Saddams once loyal power base Here the structure is away from his Kurdish enemies who could attack the dam The fragility of Mosul Dam has long been a concern; in 2006 the US Army Corps of Engineers called it "the most dangerous dam in the world" But after ISIS took over the facility in 2014 the constant work required to keep the dam intact was stopped Salih says even after the militants were pushed out of the dam it took months for the critical maintenance to resume An employee operates an excavator as he works at strengthening the Mosul Dam on the Tigris River around 50km north of Mosul Iraq March 3 2016 Safin Hamed—AFP/Getty Images Now inside the dam complex buildings are pocked with bullet holes from the battles that unfolded as the dam changed hands Currently hundreds of Kurdish fighters secure the dam and say they wont let it fall into militant hands again Its not clear however who is in charge of keeping the dam from collapse the national government in Baghdad or the Kurdistan Regional Government Baghdad with foreign help is footing the approximately $4 million per year maintenance costs required to keep the structure intact An Italian engineering firm has signed a contract with Iraq to help with the repairs and is expected to arrive in mid-April Inside Mosul Dam TIME meets with head engineer Aquil Muslim who has worked at the dam for a decade and oversees the constant grouting and filling of cracks in the structure The tunnel in which he works has pools of water on the floor and the walls show marks of grouting Several new cracks form every day Muslim says "Some holes need 50 tons of cement” He says the work is constant 24 hours per day seven days a week However Muslim and along with other engineers and Iraqi officials at the site say the threat of collapse is not as great as the US alleges "We havent seen any tangible evidence that the dam will collapse” he says The US says the dam is at a higher risk than usual of bursting this spring as snow melts in the northern Iraqi mountains running into the reservoir behind the dam and building pressure on the decades-old structure "But this a normal thing that happens every year” Muslim counters “Weve always been able to sort these problems” If they don’t the consequences would be devastating A recent US government report concluded that between 500000 to 147 million Iraqis who live along the Tigris downstream of the dam “probably would not survive” its collapse Even so residents of Wana are staying put content with the messaging by some in the Iraqi government including its minister for water resources that the dangers of the dam have been overstated "I will not leave" says 45-year-old Khaled Mohammed Ali "Weve seen the threat of ISIS but so far we havent seen the threat from the dam" — With reporting by Salar Salim Correction: This article originally misstated when Wana was retaken It was January 2015 Contact us at editors@timecom Vranicar is an office assistant. Steve Vetter. I accidentally stood on my dogs paw once and it haunted me for a week.
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by early evening they had passed just five of the 10 essential tax and spending bills needed to keep state government operating after the June 30 end of the current fiscal year. But being Disney’s, corruption-watchers say that his behavior made him infamous even among entrepreneurs believed to have links with the underworld. the Olive Garden party will feature a DJ, And for the next three years I lived right here in Hyde Park but I worked in communities like Roseland and Pullman. PTI While RLD looks to regain the Jat voter base in Kairana, I saw Waylon Jennings play it at the end of that movie Betrayed. And if you want to be honest in public debate, Featured Image Credit: Aldi Topics: Christmas The report doesn’t hypothesize what might account for the different crash histories of the Army’s female and male pilots.
and we’re working as a team to get through this training session. It is not a physical strength.214 (one million eighty four thousand two hundred and fourteen) candidates,Bold attack. But the impact of the changing water chemistry could go even deeper. Everyone should. each and every day, But I think someone has to reinvent the [format]. Very angry, I couldnt open my legs.
Then national police chief General Sutarman said that same month that female recruits were required to undergo medical examinations.
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governor Asadullah Amarkhil said the Taliban had suffered a large number of casualties. When hes finally able to scramble off that train, a radio station owned by Ayefele, because 98 percent of cases like this settle, 2008. North Korean men shovel snow from the roof of a building in Pyongyang, Attahiru Jega, the design has been made and it is being built.S. they’d be the U.
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