Secretary-General Ban Ki-moon is greeted by Major General Luciano Portolano, Head of Mission and Force Commander of the UN Interim Force in Lebanon (UNIFIL). UN Photo/Mark Garten According to Mr. Ban’s spokesperson, the UN chief met the Speaker of the Parliament of Lebanon, Nabih Berri, with whom he discussed the current political situation in the country alongside the President of the World Bank Group, Jim Yong Kim and the President of the Islamic Development Bank, Ahmad Mohamed Ali Al-Madani. The three of them then met with the President of the Council of Ministers of Lebanon, Tammam Salam. During a joint press conference just now, the Secretary-General said that few countries have demonstrated the generosity that the Government and people of Lebanon have shown towards Syrian refugees. The UN chief explained that this visit with the World Bank and the Islamic Development Bank aimed to find ways to improve conditions for refugees, to support the communities hosting them, and to help mitigate the impact on Lebanon’s economy. Mr. Ban added that the political situation in Lebanon continued to be a source of concern, contributing to an atmosphere of uncertainty. It is vital that the vacuum in the presidency is filled as soon as possible, in order for Lebanon to be whole again, he said. The officials are also expected to visit communities hosting Syrian and Palestinian refugees to reiterate their long-term support to the country and discuss new approaches to building resilience and assisting national systems. Secretary-General Ban Ki-moon (left) is greeted by Ambassador Nawaf Salam, Permanent Representative of Lebanon to the UN. UN Photo/Mark Garten Secretary-General Ban Ki-moon is greeted by Sigrid Kaag, UN Special Coordinator for Lebanon, on arrival in Beirut. UN Photo/Mark Garten Secretary-General Ban Ki-moon meets with Wafic Rhaime, Secretary General of the Ministry of Foreign Affairs and Emigrants of Lebanon. UN Photo/Mark Garten ‹ › Visiting the United Nations peacekeeping mission in south Lebanon, the Secretary-General stressed that the area has seen one of the quietest periods in nearly four decades and the UN presence must be effectively used to prevent hostilities and de-escalate tension there. The UN chief stressed, in particular, the need to make the continued use of the tripartite forum – comprising Lebanon, Israel and UNIFIL – to resolve any differences between the parties and towards the full implementation of UN Security Council resolution 1701 (2006). “Prevalence of a stable security environment in south Lebanon, continued commitment of the parties to the cessation of hostilities, increasing ability of the Lebanese Armed Forces (LAF) to ensure security of the country – these are the key elements for the successful implementation of the [UNIFIL] mandate,” Mr. Ban said at the Force’s headquarters in Naqoura. He also underlined the need for a strong cooperation between LAF and UNIFIL in south Lebanon, including through the Strategic Dialogue process, and efforts that are underway to ensure the implementation of the resolution. Luciano Portolano, Head of UNIFIL, said that the UN mission has been providing a “strong deterrent” to the resumption of hostilities.Trips to Jordan, Tunisia On Sunday, they will travel to Jordan to meet with King Abdullah II, as well as other members of the Government, and visit the Zaatari refugee camp. They will also participate jointly in an open discussion with Jordanian youth. On Monday, they will visit Tunisia to meet with President Béji Caïd Essebsi and other senior officials, and pay respect to the victims of terrorism. Mr. Ban will attend a national conference on employment, hosted by the President. Mr. Ban will be in Geneva on Wednesday to open the high-level meeting on Global Responsibility Sharing for Syrian Refugees.
“The situation in the Sahel challenges us all,” Mr. Guterres told the 15-member body, describing the difficult operational circumstances facing the joint force created by the Group of Five Sahel countries (G5) – Burkina Faso, Chad, Mali, Mauritania and Niger – to combat terrorism and organized criminal activity, and to promote stability and development in the region. “Time is against us,” he said, stressing the need to unite efforts to address the root causes of instability in the region. He warned that not acting could have severe consequences for the region and beyond. At the outset, Mr. Guterres paid tribute to the three Chadian peacekeepers of the UN Mission in Mali, known by its French acronym MINUSMA, who were killed in an attack on Thursday, as well as to their wounded colleagues. “Their sense of sacrifice compels us to urgently find solutions to counter terrorism in Mali, while ensuring the security and safety of MINUSMA contingents,” he said.In his 16 October report on the activities of the African-led joint force, the UN chief outlined four possible options to support the force, ranging from using the existing mandate of MINUSMA, to an expanded MINUSMA mandate, to the establishment of a dedicated United Nations support office. Under the most ambitious plan, the office would provide full-fledged support, similar to that provided to the non-UN missions, such as the African Union Mission in Somalia (AMISOM). A less ambitious option would limit the scope of the office’s services to logistical and ‘soft’ support. The Secretary-General says in the report that he firmly believes that “only predictable and sustainable funding and support will enable the Joint Force to contribute to the lasting stabilization of the Sahel.” ‘We must think of innovative actions in support of the G5 Sahel’ – UN chiefAt today’s meeting, Mr. Guterres described how poverty, underdevelopment and climate change have contributed to humanitarian and security crises in the Sahel, and how the weak institutions, exclusion and marginalization of some groups are exploited by extremists and terrorists. He also said that porous borders facilitate the trafficking of human beings, drug and arms trafficking, and other criminal activities and that the humanitarian crisis is getting worse, with nearly five million people displaced, and 24 million people need humanitarian aid. “Given the urgency of the situation, we must think of innovative actions in support of the G5 Sahel efforts in the security field, but also in the areas of development and governance,” Mr. Guterres said. “I therefore invite this Council to be ambitious in the choice it has to make. Strong political support for the G5 Sahel and material and operational support commensurate with the challenges are essential,” he added. “Since taking office, prevention is my top priority,” he emphasized, explaining that in the Sahel, this means preventing the region from sinking into chaos, which could have dangerous consequences for the continent and the entire world. Earlier this month, Security Council members visited Mali, Mauritania and Burkina Faso to assess the level and the nature of the threat posed by terrorism and transnational organized crime in the Sahel, as well as the status of the operationalization of the joint force. The visiting mission also delivered a message to the parties in Mali regarding the need to accelerate the implementation of the 2015 Peace and Reconciliation Agreement.
Sophomore midfielder Emily Mongno (28) runs with the ball during a game against Detroit on Feb. 13 at the Woody Hayes Athletic Center. OSU won 22-8.Credit: Courtesy of OSUThe No. 16 Ohio State women’s lacrosse team broke even over the weekend in California, returning to Columbus with a record of 2-1 after the two-game split.The Buckeyes meant business when they set foot in Berkeley, California, edging out California (0-1) 16-15 in overtime on Friday night. OSU started off strong, scoring the match’s first four goals en route to building a 9-6 lead at halftime. The Buckeyes found their rhythm early and were able to maintain it through the beginning of the second half, scoring four of the first five goals.The game was back-and-forth, but OSU led 15-13 with five minutes left, giving the team some confidence that a win was near. The Buckeyes couldn’t celebrate too soon, though, as the Golden Bears responded with back-to-back goals to tie the score, forcing the game into overtime. Senior attackman Cian Dabrowski has been dubbed a team leader and she showed why a mere 30 seconds into the extra time, scoring the game-winning goal. Dabrowski scored four goals on the day, and senior attackman Rainey Hodgson added four goals and two assists as she continued to make an impact in the attacking end. Sophomore midfielder Molly Wood dominated the game with a career-high 13 draw controls for OSU, as well as two goals and two assists. The Buckeyes led draw controls 21-13 and finished the day with 33 shots.On Sunday, the outcome wasn’t as fortunate for OSU, as the team dropped 18-7 on the road at No. 14 Stanford (2-1). The Cardinal threatened to make it ugly early by opening up a 6-0 lead just seven minutes into the game, but the Buckeyes responded quickly with three straight goals. This made it a close 6-3 score with 14 minutes left in the first.Stanford added two more goals to OSU’s one, making it a 9-4 Cardinal lead at halftime. Stanford continued its offensive dominance as it scored the first two goals of the second half, before Wood and Dabrowski scored back-to-back goals to make it 13-6 with 20 minutes on the clock. There wasn’t much action left for the duration of the game, as the scored ended at 18-7 in favor of the Cardinal.Senior goalkeeper Katie Frederick had her first loss of the season, making four saves with nine goals against. Abigail Wise, sophomore goalkeeper, made two saves in 38 minutes of relief work.The Buckeye co-captain duo of Dabrowski and Hodgson combined for five goals and one assist on the day. Despite the offensive efforts, the Cardinal still managed to hold a 28-15 shot advantage.Defensively, the Buckeyes forced eight Stanford turnovers to OSU’s five, although it wasn’t enough to secure a win. The Scarlet and Gray are next set to return home to face Duquesne on Feb. 28 in the Woody Hayes Athletic Center at 2 p.m.
The feasibility study for MOD Resources’ majority-owned T3 copper-silver open-pit project in Botswana has delivered compelling mine economics, in addition to a fleet and flowsheet plan that will interest the major mining original equipment manufacturers.T3, in the Kalahari Copper Belt, is expected to require $182 million in development capital and deliver a mine able to produce life of mine average production of 28,000 t/y of copper concentrate and 1.1 Moz/y of silver at all-in sustaining costs of $1.56/Ib after deducting silver credits.The pre-tax net present value (8% discount) for the project came in at $368 million based on a long-term copper price of $3.08/Ib, or $6,791/t.The current plan would see T3 produce first product in the March quarter of 2021, operating over an 11.5-year mine life.In terms of the primary loading fleet, the company said this would be made up of a maximum of five hydraulic excavators in the 120-250 t class. This is considered the optimal option that could achieve the required productivity, maintain a degree of selectivity when required and minimise the number of units required for practical separation of loading and hauling units, according to the company.The ore and waste haulage fleet is expected to consist of 140 t mechanical drive haul trucks capable of direct tipping to the primary crusher.MOD said there is step change to a lower annualised total material movement (TMM) after year five of operations. A peak TMM of 39 Mt (annualised) is due to be maintained during the first four years of the schedule, requiring 24 trucks and five excavators to ensured continuous ore supply. TMM drops to 6 Mt/y after year six and is generally maintained for the remaining life of mine, it said.“The mining schedule has been constrained by setting a maximum vertical advance rate of 120 m/y annum to allow sufficient time for dewatering, grade control, drill and blast and load and haul,” the company said, adding that the maximum vertical lag between benches is set at 50 m.The production schedule achieves the target process plant throughput rates both during ramp-up and during steady state operations of 3.0 Mt/y to 3.2 Mt/y (peak), it said.The copper recovery plant and associated service facilities will process run of mine (ROM) ore delivered to a single stage primary crusher. The crushed ore will be stockpiled from where it is fed to a two-stage grinding circuit using SAG and ball milling. Copper minerals in the ground ore will be concentrated in a conventional copper flotation circuit, made up of roughing, regrind and a single stage of cleaning. Concentrate from the cleaning stage will be thickened then filtered on site prior to transporting to Walvis Bay, in Namibia. From Walvis Bay, the concentrate will be shipped to third-party smelters.Tailing from the roughing and cleaning stages will be pumped to the tailings storage facility located south of the proposed mine. The TSF is designed to store approximately 34.4 Mt of conventional thickened tailing – enough for the 11.5 years of the project life.The process plant is forecast to produce a life of mine annual average copper in concentrate of 28,000 t, with average grades for Cu and Ag of 30.4% and 383g/t, respectively.The key criteria selected for the plant design are:The mill will process a total of 34.4 Mt of ROM ore for 11.5 years;The annual ROM treatment is 3.0 Mt/y with a peak treatment rate of 3.2 Mt/y, at a primary grind size of 80% passing 180 μm;Design availability of 91.5% with standby equipment in critical areas;Design copper head grade of 1.3%. This head grade allows for grade variation from the life-of-mine average grade of 1.0% Cu;Eighty-fifth percentile of comminution ore properties;Ore specific gravity of 2.8 t/m³;Laboratory rougher flotation residence of six minutes, and cleaner 1 and cleaner 1 scavenger residence time of two minutes and eight minutes, respectively, and;Rougher concentrate mass recovery of 6.2% (w/w) for regrind circuit sizing and final concentrate mass recovery of 3.6% (w/w) for thickener and filter sizing.
Le CES lève le voile sur la tablette PlayBook de BlackBerry Attendue depuis un moment par les curieux et technophiles, la PlayBook BlackBerry fait partie des nouveautés de l’année présentées au Consumer Electronic Show (CES) de Las Vegas, qui se tient jusqu’à dimanche. La tablette tactile de 7 pouces a déjà été prise en mains par ceux qui se sont pressés à Las Vegas cette semaine. A en croire les premiers commentaires qui circulent sur la Toile, la PlayBook Blackberry serait très réussie. “Aussi fine que l’iPhone 4 avec des coins arrondis”, précise Gizmodo.fr. “Mais pas trop, juste ce qu’il faut”. De son côté, Ben Patterson, blogueur technologies pour le site américain de Yahoo! précise que la tablette est beaucoup plus légère que l’iPad et bien plus agréable à la prise en main. Le clavier tactile et les grands icônes permettant la navigation sont bien accueillis.Si le système d’exploitation de l’appareil est encore en version beta, les applications semblent fonctionner sans grandes difficultés. Apple devrait-il s’inquiéter pour son iPad, face à cette nouvelle tablette concurrente ?Et bien pas si sûr. Gizmodo.fr rappelle que les applications concernant la messagerie électronique et le calendrier sont nécessairement liées à un Blackberry. Sans l’appareil, impossible de les utiliser. Il faut aussi noter que ce modèle de PlayBook inclut le Wi-Fi uniquement, à la différence de la Galaxy Tab et de l’iPad, qui eux supportent la 3G. De plus, difficile de prévoir un tel succès pour le moment, dans la mesure où les applications disponibles dans le futur seront un critère déterminant pour les utilisateurs. Le catalogue compte autant, si ce n’est plus que le terminal.Jim Basille, le co-PDG de RIM, n’a pas précisé quand sortirait son nouveau bijou, ni à quel prix. Mais si l’on remonte au mois de novembre dernier, on se souvient que le Canadien avait promis que le PlayBook coûterait moins de 500 dollars (380,5 euros). Le 6 janvier 2011 à 10:26 • Emmanuel Perrin
Goalkeeper David de Gea is feeling optimistic over Manchester United’s prospects of landing silverware this season ahead of Tuesday’s Champions League clash with Paris Saint-Germain.The Red Devils will host PSG for the first leg of their last-16 tie at Old Trafford on Tuesday night hoping to make it 11 wins out of 12 games under caretaker manager Ole Gunnar Solskjaer.Helping matters for United is the fact that PSG will have to make do without Brazilian forward Neymar for both legs as he continues his recovery from a foot injury.Key duo Marco Verratti and Edinson Cavani are big doubts for Tuesday.But De Gea still believes the Ligue 1 champions are the clear favourites to progress from the tie.“This will be a very intense game,” De Gea told Telefoot.“They’re the favourites, but we’ll be very motivated.“We all want to play this game and win it. It will be very tight!”Liverpool legend Nicol slams Harry Maguire’s Man United form Andrew Smyth – September 14, 2019 Steve Nicol believes Harry Maguire has made some “horrendous mistakes” recently, and has failed to find his best form since joining Manchester United.The Spain international, who seems to have rediscovered his best form of late following a difficult start to the season, remains confident though that United will be able to challenge for silverware this term.Aside from being in the knockout stages of the Champions League, Solskjaer’s men have also reached the fifth round of the FA Cup.Things in the Premier League are improving as well, with the Red Devils breaking into the top four on Saturday for the first time since their opening day 2-1 win against Leicester City.This came about following their 3-0 win over Fulham at Craven Cottage, which saw the in-form Paul Pogba grab a brace and Anthony Martial scoring the other goal.“We have a team to win something,” said De Gea.“Paul Pogba is fundamental to us. Anthony Martial is unstoppable and we’re all working to go to the finals.”The United and PSG game on Tuesday will begin at 9:00 PM (CET) at Old Trafford.LONDON, ENGLAND – FEBRUARY 09: Paul Pogba of Manchester United celebrates with teammates after scoring his team’s third goal during the Premier League match between Fulham FC and Manchester United at Craven Cottage on February 9, 2019 in London, United Kingdom. (Photo by Catherine Ivill/Getty Images)
ASA’s World Initiative for Soy in Human Health (WISHH) was in Sun City, South Africa, to attend the Global Food and Feed Conference, hosted by International Feed Industry Federation (IFIF) and the African Feed Millers Association (AFMA). While there, WISHH Executive Director Jim Hershey met with Joel Newman, president of the American Feed Industry Association; Thad Simons, CEO of Novus International; and representatives of the U.S. Agency for International Development-funded Southern African Trade Hub.Animal agriculture is growing rapidly in Africa and the industry appears to be absorbing any increases in soybean production the regional farmers are able to produce.This week, Hershey traveled to Cape Town South Africa and met with the U.S. Wheat Associates, which has had a regional office in Africa for more than 20 years. Soy protein and wheat flour can be blended in many useful and economic combinations.
Crews and volunteers have also placed fresh signage on all the portages in the canoe system. The Moose River is also open and floatable, according to KNWR. To access the Moose River, travel from the East Entrance to Swan Lake. From Swan Lake to Izak Walton State Recreation Area, plan either an 8-10 hour day or an overnight trip. Crews report good trail and camping conditions all along the route. The recent rains are bringing out the mosquitoes, so remember your head net and insect repellent as you plan your float. Facebook0TwitterEmailPrintFriendly分享The Kenai National Wildlife Refuge Trail Crew, with the help of the Kenai Watershed Forum Streamwatch interns, have cleared the Swan Lake Canoe System from the East and West Entrances. The Swan Lake Route is the most popular of the two systems, covering 60 miles and 30 lakes and connected by shorter portages with access to the 17 mile long Moose River. For a map of this route visit the KNWR Maps site.
26 Photos Jun 30 • iOS 13 and iPadOS public betas: How to download and install them now WWDC 2019 Jun 14 • Apple Music vs. Apple Podcast vs. Apple TV: What’s the difference? IOS 13’s code might have clues to a future gadget. James Martin/CNET WWDC’s keynote presentation on Monday was packed full of news on iOS 13, iPadOS, MacOS Catalina and more. And now that the betas for all of Apple’s new operating systems are available to developers, some surprises have started to surface. Developer Steve Moser tweeted about “Tag 1.1” Tuesday after digging into the iOS 13 beta code. Aug 19 • iOS 13 and iPadOS: How to join the beta, use the best new features on your iPhone and iPad reading • iOS 13 code reportedly hints at Apple’s rumored Tile competitor 0 Gadgets Mobile Apps Mobile Moser wasn’t the only one fiddling around under the hood; 9to5Mac corroborated the code.The “tag” device would work similarly to Tile trackers, the small, square, battery-powered tiles that aim to help you find your lost keys, bags and other items. The tag tracker could be attached to any item — your keys, purse or backpack for instance — and then paired with your iCloud account by proximity to an iPhone or other Apple device. You’d reportedly get notifications when the device gets too far away from the tag, so you wouldn’t lose things. Apple reveals tons of software updates and a Mac Pro… That, of course, is an expansion on the new Find My app, the hybrid of the apps formerly known as Find My iPhone and Find My Friends, that Apple announced at WWDC. But a dedicated hardware device would allow anything to be tracked, not just misplaced iPhones, iPads or AirPods. 9to5Mac had previously reported on rumors of the tracking devices in April. Apple didn’t immediately respond to a request for comment, but it’s possible the company will reveal more information in September, when it’s expected to unveil the iPhone 11 and other new 2019 hardware. See All Post a comment Share your voice 1:26 Tags • Jul 5 • RIP, iTunes. This is what happens to your Apple music now Apple iOS 13: Top new features Apple iOS 13: New Siri voice, camera tools, Dark Mode for iPhone New Mac Pro makes its debut, starts at $5,999 Apple gives the iPad its own OS Returning to Apple’s WWDC after 20 years, now with 5 OSes instead of 1 Get all the latest from WWDC WWDC 2019 Apple Event iPhone Update What is Tag1,1? Could this be the Tile like device? #WWDC19 /cc @markgurman @stroughtonsmith @_inside pic.twitter.com/Xg6tVMXVZe— Steve Moser (@SteveMoser) June 4, 2019 Now playing: Watch this: See also Apple
Salman Khan reacted to Vivek Oberoi’s controversial tweet involving Aishwarya Rai Bachchan.Salman Khan has reacted to Vivek Oberoi’s controversial tweet that involved the two actors, Aishwarya Rai Bachchan and her husband Abhishek Bachchan. The meme referred Aishwarya with Salman as “opinion poll”, with Vivek as “exit poll” and with Abhishek as “result”.Vivek received severe backlash on social media for this tweet, following which he not only deleted it but also apologised for it. Now, Salman has responded to the controversy saying that he does not pay attention to such memes.”Main dhyan hi nahi deta. Pehle jaisa tweet hi nahi karta, toh memes kya dekhunga. Main kaam karoon ya comments dekhoon. Main bilkul dhyan nahi deta. (I don’t pay attention. When I don’t tweet like before, how will I see all these memes? Should I work or see such comments? I don’t pay attention to all these at all),” Salman said at an event when he was asked about Vivek’s tweet.Vivek has been vehemently criticised on social media for sharing the meme, not just from netizens but also from celebrities, including Sonam Kapoor. He even received notice from the National Commission for Women and the Maharashtra State Commission for Women.Vivek did apologise on Twitter saying, “Even if one woman is offended by my reply to the meme, it calls for remedial action. Apologies tweet deleted”.”Sometimes what appears to be funny and harmless at first glance to one, may not be so to others. I have spent the last 10 years empowering more than 2000 underprivileged girls, I can’t even think of being disrespectful to any woman ever,” he added.However, the Bachchan family has remained silent on the issue. Salman and Vivek had dated Aishwarya before she finally tied the knot with Abhishek.
Both vehicles collided at 6:00 p.m. at Cecilio Chi Avenue near Vicente Suárez in the area of Paseos Kabah. The 19-year-old moto driver was sideswiped by an oncoming car, which toppled his unit. As residences watched, the taxi caught fire and burned. Cancun firemen arrived along with a tow truck. Once the mototaxi was extinguished, it was hauled away. The driver of the taxi suffered a minor injury to his leg. Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on WhatsApp (Opens in new window) Cancun, Q.R. — A mototaxi in Cancun caught fire after being hit by a car in an intersection. The mototaxi, which belonged to Unidos en Pie de Lucha, was completely destroyed after the collision.
News | PACS | August 09, 2019 Lake Medical Imaging Selects Infinitt for Multi-site RIS/PACS Infinitt North America will be implementing Infinitt RIS (radiology information system)/PACS (picture archiving and… read more The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s. Feature | Information Technology | July 31, 2019 | By Greg Freiherr How Smart Devices Can Improve Efficiency Innovation is trending toward improved efficiency — but not at the expense of patient safety, according to… read more News | Artificial Intelligence | August 05, 2019 Montefiore Nyack Hospital Uses Aidoc AI to Spot Urgent Conditions Faster Montefiore Nyack Hospital, an acute care hospital in Rockland County, N.Y., announced it is utilizing artificial… read more Image courtesy of Philips HealthcareClinical decision support (CDS) software has been discussed for years as a way to help clinicians follow best practice guidelines and to help eliminate unnecessary tests or procedures. However, implementing these systems has been slow, partly due to their cost and complexity and pushback from physicians. But, a new chapter is about to open for CDS as healthcare reform will soon require implementation of these systems.Healthcare reform’s Stage 3 Meaningful Use requirements for health IT systems originally required CDS documentation to be in place for full reimbursements starting in January 2017. However, this has been delayed until at least the summer of 2017 or January 2018. IT vendors said it would take at least a year or more to create and implement this software after the federal government sets standards for its development. Another factor in the delay has been the recent healthcare industry change to ICD-10 coding implementation, which went into effect Oct. 1, 2015. This was a major IT undertaking for most healthcare providers, so adding CDS implementation was put on the backburner by the majority of providers, said Steve Herman, M.D., founder and CEO of CDS vendor MedCurrent. He suspects CDS priory will change as the CMS deadline for its implementation draws nearer. He said most hospitals are currently looking into and budgeting for CDS systems. He added many customers are looking at planning for a phased adoption, realizing they may get pushback from clinicians. Most healthcare providers question the need for CDS or its expense under the current fee-for-service payment model, Herman said. However, as healthcare reforms convert to fee-for-value or bundled payments system, CDS will become much more attractive for cost cutting, quality improvement and to meet CMS reimbursement guidelines. The federal government is interested in CDS as a way to cuts healthcare costs eliminate the number of unnecessary or inappropriate imaging exams, especially for more costly imaging modalities like computed tomography (CT). From a radiology standpoint, CDS can be used to help guide what exams are most appropriate for different types of presentations. This is especially true for physicians making orders for presentations or disease states they do not have much experience with, or for newer doctors who are not familiar with all the various guidelines. CDS can also help radiologists reading the exams to know what should be recommended in reports as next steps, or what to do with incidental findings.Watch the VIDEO “Clinical Decision Support Requirements for Cardiac Imaging,” a discussion with Rami Doukky, M.D., system chair, Division of Cardiology, professor of medicine, Cook County Health and Hospitals System, Chicago, discusses the new CMS requirements for clinical decision support (CDS) appropriate use criteria (AUC) documentation in cardiac imaging starting on Jan. 1, 2018. He spoke at the 2017 American Society of Nuclear Cardiology (ASNC) Today meeting.Integrating CDS SoftwareAll healthcare IT vendors are now creating their own CDS software, or partnering with a third-party vendor that specializes in CDS. MedCurrent is one of those third-party vendors offering a package of CDS linked with analytics, order entry and an electronic rules set based on the American College of Radiology (ACR). It is also adding rule sets from the American College of Cardiology (ACC) to aid CDS software with imaging orders. Herman said the analytics portion of the software can help identify areas where a hospital or healthcare system needs to create or update its rules for order entry or additional CDS support. The MedCurrent software automatically streamlines of some of the order entry options based on information from the patient’s EMR data. If a patient is over age 18, the system automatically excludes all pediatric exam options. If choosing a CT head exam, the system will only present options on the drop down menus for possible reasons to perform that exam, which are linked to specific ICD-10 codes. For CT contrast scans are ordered, the system also will pull up the patient’s most recent labs to show creatine levels to see if the patient has renal insufficiency.The system prompts users with a few questions to narrow down specifically what is needed from an exam and to pull the appropriate guidelines. In the example of a head CT scan, the system will ask what the patient presentation is. If “headache” is entered, it will offer a dropdown menu of different types of patient presentations to select and then offer suggestions for different types of exams and the appropriateness criteria and radiation dose expected for each. MedCurrent maps out all the steps taken and attaches it to any orders to document the CDS process. This documentation will play an important role in the coming years as CMS begins requiring it for full reimbursement. Future Role of Artificial IntelligenceOne of the most exciting information technologies has been IBM’s Watson artificial intelligence platform, which is being tailored for several industries, including medicine. Watson uses cognitive learning (also called machine learning) so it can teach itself about a subject and gain experience, similar to how the human mind can be trained in medicine and to make decisions or educated guesses based on years of schooling and on the job training. However, unlike a human mind, it can ingest data from thousands of sources in a short amount of time, such as reviewing vast numbers of articles, published protocols and guidelines on specific disease states to make accurate clinical suggests. It also can be trained to look at thousands of radiology images to learn about different disease states and how they present on various imaging modalities. This might be used in the future to help offer CDS on diagnoses, beyond the level of support offered with current generations of computer aided detection systems. This would also go beyond the limits of CDS that only offered a search engine for relevant articles and guidelines that someone still has to read through. Today, Watson can now look at a patient’s electronic medical record to instantaneously review labs, family history, radiology images and reports to offer a machine diagnosis or offer CDS using that patient’ s specific information. These claims still need to reviewed and validated by the U.S. Food and Drug Administration (FDA), and IBM is already in the process of seeking FDA clearance. If approved, the technology will be groundbreaking. IBM purchased electronic medical record (EMR) and PACS vendor Merge Healthcare in 2015 to bring the Watson platform to market via an established health IT company. Merge’s enterprise archive also offers about 30 billion images, which Watson will use to learn about radiology from real anatomized exams and reports. “It is really deep decision support,” said Steve Tolle, chief strategy officer and president, iConnect Network Services at Merge Healthcare. “It takes the information from all your peers and puts it into one place for personalized decision support. We have a very excited customer base because of the potential this system has.”Tolle said while there is a lot of interest, there are still questions on how Merge’s CDS and the Watson system will work together. With the corporate consolidation only six months old, Merge is still building out its cloud platform to accept Watson when it commercially launches. When it does, Tolle said Merge will concentrate on creating a software as a service (SAS) subscription model, with Watson as an add-on. Tolle said the goal of Watson and CDS is to better enable radiologists to serve as “the doctors’ doctor,” where all specialties come to radiology for answers to clinical questions and they can offer answers or suggestions beyond what they see in an X-ray picture. “Our goal is not to replace radiologists, its to make them more valuable,” he added. Radiology CDS Needs to be Standardized and Quantifiable “One of the challenges for us as radiologists is as societies develop guidelines, how do we abide by those,” said Charles E. Kahn Jr., M.D., professor and vice chairman, radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia.He said one way to better adhere to guidelines is to standardize quantification for various disease states, like BI-RADS assessment scores, that can be used nationwide. This can be linked to standardized questions and answers for CDS. It also would allow for easier tracking and analysis of standards of care based on registries using these standards. Another CDS obstacle in radiology is the lack of guidelines or clinical data on what to do in some situations. One of the biggest areas where CDS may have an impact to improve the quality of care is with incidental findings that are often noted, but are lost to follow up. CDS To Improve Follow-upsMassachusetts General Hospital (MGH) in Boston has implemented an experimental CDS system for radiology specifically gear to better guide radiologists and referring physicians on what to do when pulmonary nodules are found. These are a common incidental finding in radiology exams, and are often noted in the radiology report, but follow up with the patients on these nodules often falls through the cracks. MGH started coding all features of guidelines for pulmonary nodules. The system is programmed to offer recommendations and possibly diagnosis based on age, sex, type of exam, anatomic region, size, and type of lesion. The entry of this data auto-completed information on the report and offer recommendations for best practices based on the guidelines. This might include recommending the patient schedule a CT exam follow up in six months, or recommendations for blood work. The Journal of the American College of Radiology published the story online this past November. The study found guideline concordance and follow up was significantly higher (95 percent), compared with post-implementation cases in which CDS was not used (45 percent) and to a control group of patients from before implementation (50 percent). “Radiologists do better when you help them, and this study shows this,” said Tarik Alkasab, M.D., Ph.D., one of the MGH study researchers. “We have made them much more consistent in meeting the guidelines now when they make a finding.”He said one thing radiologist like to do is click on pictures, so MGH created a tool that uses images of 12 types of cysts with descriptions they can select to add reference images to the reports. The system also uses structured reporting, which Alkasab said adds the benefit of being able to track patients with nodules and view their follow ups. “I think that the creation of structured reporting and recommendations will have an impact downstream and will have an impact on patient care,” Alkasab said. He explained once more studies show the impact CDS has on improving care, it will be a requirement moving into the future.Harvard’s Brigham and Women’s Hospital in found similar issues with its incident findings and also created an experimental system to see it could improve outcomes with incidental breast, lung, renal and other types of nodules.“There is high variability of following recommendations and follow up,” said Anik Sahni M.D., assistant professor of radiology at Harvard Medical School, associate director of abdominal imaging and intervention and director of abdominal and pelvic MRI. “However, the majority of our recommendations are based on large observational studies, so there is often a lack of clinical evidence.”He said Brigham and Women’s created their own CDS system combining local best practices, professional society guidelines and peer-reviewed recommendations to create a library of evidence. This data was made consumable by the health IT system. Sahni used the example incidental pancreatic cysts, where the system will pull about five key related articles and guidelines. These are peer reviewed before being entered into the system and graded based on their level of evidence, and the original source is hyperlinked. The system also offers a brief explanation that is quick and easy to read. A dashboard included with the CDS system provides a quick review of patients with these incidental findings to show alerts and to see if there was follow up.“It needs to be at the point of care, in real time and integrated into the workflow for people to use it,” Sahni explained. He said structured reports are also necessary and have great advantages, including improved clarity, standardizes language and terms, it is easy to integrate into dictation systems, and it improves reporting and data mining of discreet data. Structured reports also allow embedding of hyperlinks for additional information about terms, recommendations or disease states. References: 1. Michael T. Lu, David A. Rosman, Carol C. Wu, et al. “Radiologist Point-of-Care Clinical Decision Support and Adherence to Guidelines for Incidental Lung Nodules.” Journal of the American College of Radiology. 10.1016/j.jacr.2015.09.029 Feature | January 06, 2016 | Dave Fornell Clinical Decision Support for Radiology CDS is a requirement under Stage 3 Meaningful Use to get full CMS reimbursements by 2018 Sponsored Content | Case Study | Radiation Dose Management | August 13, 2019 The Challenge of Pediatric Radiation Dose Management Radiation dose management is central to child patient safety. Medical imaging plays an increasing role in the accurate… read more News | Electronic Medical Records (EMR) | August 01, 2019 DrChrono Teams With DeepScribe to Automate Medical Note Taking in EHR DrChrono Inc. and DeepScribe announced a partnership so medical practices using DrChrono EHR can use artificial… read more FacebookTwitterLinkedInPrint分享 Related Content Technology | Cybersecurity | August 07, 2019 ScImage Introduces PICOM ModalityGuard for Cybersecurity ScImage Inc. is bridging the gap between security and functionality with the introduction of the PICOM ModalityGuard…. read more News | Artificial Intelligence | August 08, 2019 Half of Hospital Decision Makers Plan to Invest in AI by 2021 August 8, 2019 — A recent study conducted by Olive AI explores how hospital leaders are responding to the imperative read more News | PACS | August 08, 2019 NetDirector Launches Cloud-based PDF to DICOM Conversion Service NetDirector, a cloud-based data exchange and integration platform, has diversified their radiology automation options… 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 | Radiology Business | August 01, 2019 Philips Completes Acquisition of Carestream Health’s HCIS Business … read more Videos | Radiology Business | August 02, 2019 VIDEO: Key Topics for Radiology Administrators at AHRA 2019 Association for Medical Imaging Management (AHRA) President … read more
Hybrid cloud is becoming an increasing reality for many businesses. This is something the software world is only just starting to acknowledge. However, at this year’s Google Cloud Next, Google does seem to be making a play for the hybrid market. Its new Cloud Services Platform combines a number of tools, including Kubernetes and Istio, to support a hybrid cloud solution. In his speech at Google Cloud Next, Urs Holze, Senior VP of technical infrastructure, said that although cloud computing offers many advantages, it’s “still missing something… a simple way to combine the cloud with your existing on-premise infrastructure or with other clouds.” That’s the thinking behind Cloud Services Platform, which brings together a whole host of tools to make managing a cloud potentially much easier than ever before. What’s inside Google’s Cloud Services Platform In a blog post Holze details what’s going to be inside Cloud Services Platform: Service mesh: Availability of Istio 1.0 in open source, Managed Istio, and Apigee API Management for Istio Hybrid computing: GKE On-Prem with multi-cluster management Policy enforcement: GKE Policy Management, to take control of Kubernetes workloads Ops tooling: Stackdriver Service Monitoring Serverless computing: GKE Serverless add-on and Knative, an open source serverless framework Developer tools: Cloud Build, a fully managed CI/CD platform This diagram provides a clear illustration of how the various components of the Cloud Services Platform will fit together: What’s inside Google’s Cloud Services Platform (via cloudplatform.googleblog.com)Why Kubernetes and Istio are at the center of the Cloud Services Platform Holze explains the development of cloud in the context of containers. “The move to software containers”, he says, “has helped some [businesses] in simplifying and speeding up how we package and deliver software.” Kubernetes has been an integral part of this shift. And although Holze has a vested interest when he says that “today it’s by far the most popular way to run an manage containers,” he’s ultimately right – Kubernetes is one of the fastest growing open source projects on the planet. Read next: The key differences between Kubernetes and Docker Swarm Holze then follows on from this by introducing Istio. “Istio extends Kubernetes into these higher level services and makes service to service communications secure and reliable in a way that’s very easy on developers.” Istio is due to hit its first stable release in the next couple of days. So, insofar as both Istio and Kubernetes make it possible to manage and monitor containers at scale, bringing them together in a single platform makes for a compelling proposition for engineers. The advantage of being able to bring in tools like Kubernetes and Istio might make hybrid cloud solutions a much more attractive proposition for business and technology leaders – and for those already convinced, it could make life even better. According to Chen Goldberg, Google’s Director of Engineering, speaking to journalists and Google Cloud Next, Cloud Services Platform “allows you to modernize wherever you are and at your own pace.” Whether businesses buy into Google’s vision remains to be seen – but it could well be a game-changer that threatens AWS dominance in the cloud world. Read next: Go Cloud is Google’s bid to establish Golang as the go-to language of cloud Google Cloud Next: Fei-Fei Li reveals new AI tools for developers Dispelling the myths of hybrid cloud
Costa Rica Rocks: Sun sets on El Sotano and Amon Solar So there I was, at the fabled Melico Salazar Theater, about to experience the pleasure of seeing the Costa Rican Philharmonic’s Guitar Monsters show. It’s a collection of guitar-heavy covers arranged for band and orchestra, featuring 12 of the best guitarists in the country.It featured national axe luminaries such Aaron Retana, the Filarmónica’s official guitar player; Federico Miranda, of Ghandi; Ari Lotringer, from Time Forgetten; and solo artist Lucho Aguilar, among others.They played some of the best guitar tracks in rock history, from Clapton, Gilmour, Hendrix and more. It was beautifully arranged for the orchestra and managed with great flair by Director Marvin Araya, who oftentimes seemed to subtly invoke Argentinian comedy troupe Les Luthier with his humorous comments. However, near the end of the show I was surprised to see a familiar face: that of guitarist Jose Chanti Gonzales.It took me back, because I was sure I had seen him before. And then it hit me – just a couple of days prior, when I experienced metal so intense that it felt like the Devil himself had to resurrect me back into this mortal coil.It was Friday night, Sept. 21: Canvas in Concert at Jazz Café, along with Inner Stroke and Giant Sleeper. For those not in the know, Jazz Café is one the best and oldest live venues in the country, with two separate locales – the original, more intimate San Pedro venue in east San Jose, and the larger, more bombastic Escazú location in the west.Both are worth following to be aware of some the best events happening in the country, but I’m a beast from the east, so the following took place at the San Pedro one. Costa Rica Rocks: A night of heavy metal in Cartago Facebook Comments Speaking of shockingly good musicianship, all bets were off when Giant Sleeper took the stage. Inner Stroke upped the ante in terms of sheer intensity, Canvas took us across the cosmos with their unparalleled compositional ability, but Giant Sleeper came out guns blazing in terms of instrumental virtuosity. Each member was monstrous in their respective instrument, taking us on a journey – song after song – of face-melting solos and complex time-signature riffs, earthquaking drums, and monster grooves emanating from the bass. It was especially shocking to know that they have only been playing since last year.They’re absolutely a band to keep your eye on, along with Canvas and Inner Stroke.It was during this third act of this show that I had seen the aforementioned Mr. Gonzales: to my surprise, he was the lead guitar player for Giant Sleeper. Two great, and very different, shows in a single weekend but also with a single running thread that recalled the words of the Filarmónica’s director: “Go out and watch and support local musicians and local music – not because it’s local, but because it’s good.” It makes one wonder if Mr. Araya himself would have known that three local bands, just days earlier, had proven this axiom true with such gusto.PS: You don’t have to take my word for it – treat yourself and check out Canvas personally, along with local giants Heresy and The Movement in Codes, on October 24th in Mundoloco. I hadn’t heard of Inner Stroke and Giant Sleeper, but I did know Canvas, a band of the former vocalist for The Last Void, Adriana Muñoz.The Last Void were a well-known progressive metal outfit that unfortunately disbanded some years ago (their fantastic 2010 debut and only album, “State of Mind,” sits proudly as the first disc in my still-woefully-small-but-growing Costa Rican record collection).The first band up was Inner Stroke. By the time we reached the Jazz, they had just begun, and, boy, from the get-go I knew this show was going to be something else. If the opener was this good, we were in for a treat. The power trio began with purely instrumentals – a barrage of highly technical, odd-signature progressive metal. The trio gave way to a quartet as the singer joined a few songs in, unleashing thundering hellish growls that took the show in a more intense death metal direction.Canvas was up next, and it was a jewel of a show. While retaining many progressive metal elements, their songs dripped with the melodic influences that hearkened back to the age of early 1970s prog rock acts like Yes or Emerson, Lake and Palmer, as well as the more recent sounds of symphonic female-fronted metal.The songs showed a wide range of diversity. Some began like indie folk rock strumming before morphing into anthemic metal choruses and crushingly heavy, angular riffs. They were all peppered with some unbelievable synthesizer passages recalling some of Dream Theater’s finest early work.At some point my bassist turned to me and said “I think I’m going to go home and sell all my bass guitars.” I totally understood the feeling. There was some shockingly good musicianship on display, but perhaps best of all was the freshness in composition. The songs seemed to flow seamlessly from genre to genre, and from the highly accessible to the more musically challenging. Canvas has two songs available on Spotify right now – I would suggest, dear reader, that you stop immediately and take a momento to check them out now. Related posts:Arts, culture and Mother’s Day: the week ahead in Costa Rica 5 questions for a Costa Rican painter: How a prison sentence sparked a passion for art Jean Marc Calvet, part II: Fighting against Marco 25 Years of Glory: Instituto Costarricense Pro Música Coral to celebrate quarter century
In line with New Zealand’s Tourism 2025 goal, the Tourism Industry Association New Zealand (TIA) has released two booklets that aim to help tourism operators accommodate Brazilian and Indonesian visitors.The guides were released today at TRENZ 2015, the region’s biggest annual industry event.Both guides provide tips and information to help New Zealand business understand the Brazilian and Indonesian markets in order to deliver an outstanding visitor experience.TIA chief executive Chris Roberts said Brazil and Indonesia are growing and valuable markets for New Zealand tourism.“They have different needs and expectations to our traditional markets like Australian, British and American visitors,” Mr Roberts said.“To properly realise the potential of these new tourism markets and reach the Tourism 2025 goal of almost doubling total annual tourism revenue to NZD$41 billion a year, we must understand and be confident in our ability to deliver the hospitality and experiences they are looking for.”The guides are a follow on from the successful briefs for China and India that were released in 2012.They highlight cultural differences that operators may encounter such as dietary or religious requirements.Mr Roberts said New Zealand tourism must keep up with the changing visitor mix.“We want to encourage these travellers to stay longer, spend more and tell their friends and families that New Zealand is a fantastic destination,” he said.The booklets will be available to all TIA members in hard copy form and on the company’s website.Source = ETB Travel News: Brittney Levinson
The Greek import/export company Diversa appears to be pursuing its interest in acquiring collapsed Cypriot airline Cobalt by making more enquiries with Cypriot financial regulators, reports said on Wednesday.Diversa did not respond to a confirmation query from the Cyprus Mail but according to Politis the company, which is undergoing reorganisation and expansion, sent a letter on Tuesday to the Cyprus Securities and Exchange Commission regarding Cobalt’s financial data that appeared to indicate it was planning for now to go ahead.The Greek company announced two weeks ago it was considering acquiring Cobalt Air. Consultants authorised by the Diversa board of directors were looking into the possibility of acquiring the company Cobalt New Age Airlines Group Limited, owners of 100 per cent of Cobaltair Ltd shares.Diversa was also considering the transfer of a loan taken out by Cobaltair Ltd.Its board of directors was to evaluate the data to be collected by the consultants and assess whether the company would go ahead with the investment.The transport ministry had revoked Cobalt’s commercial and operating licences the day after the company announced it was grounding its fleet on October 17.Despite being given time, the airline had failed to raise the cash necessary to keep it going. At the end of 2017, Cobalt’s authorised share capital amounted to €3.2m and its total liabilities were said to be 35.3m. You May LikeYahoo SearchThe Early Signs Of Type 2 Diabetes. Search Type 2 Diabetes TreatmentsYahoo SearchUndoPopularEverythingColorado Mom Adopted Two Children, Months Later She Learned Who They Really ArePopularEverythingUndoPlarium I Vikings: Free Online GamePlay this for 1 minute and see why everyone is addictedPlarium I Vikings: Free Online GameUndo Turkish Cypriot actions in Varosha ‘a clear violation’ of UN resolutions, Nicosia saysUndoThe Deniz boat incident showed clearly the intentions of the Turkish sideUndoConcern over falling tourism numbersUndoby Taboolaby Taboola
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The discovery of the smartphone app shows that ISIS can use technology in other ways to work outside the prying eyes of government and companies alike. $449. military in West Virginia that he hopes will someday become the way Americans elect politicians. was royalty in his own right and not just because of his name. Building on the success of our kids’ tech camp last year.Deepak Ratan," At the World Environment Day event in Delhi,” he said. the agent played by Matt Damon in the Bourne movies. You can pay for any car we WIN/BUY directly to the auction by yourself if you have a Dollar account in any Nigeria Banks as we believed that all Nigerian banks are familiar with the COPART and IAAI Auction.
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After she walked out of the kitchen, he said. “It’s very demoralizing to the scientists who’ve done so much hard work, Some scientists are assailing the plan as deeply flawed. but apparently targeting Prime Minister Narendra Modi and the BJP. The Congress president said Indira Gandhi believed in Indianness that was bereft of caste or religion and that she paid for her principles with her life, executive director of the state Democratic-NPL Party, Patience Jonathan to as a matter of urgency apologize to parents of the abducted Chibok school girls for doubting that the abduction took place. “How come he did not make proper provision for it in three years? his first state political convention is important because he sees the country’s government going downhill.
As a result, Many high-level diplomats departed in response. She claimed that the CBI had implicated her in the case, He also welcomed the initiatives mooted by the Afghan government and the Taliban for a ceasefire during Eid-ul-Fitr. "The most important thing is our collective performance wasn’t how we expect and I think we were poor. His performance today,"It’s a never-ending problem, Launched after the devastating 1927 flood,The additional approximately 29, “My responsibility is to speak out on my own convictions.
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