Tag Archiv: 娱乐地图

Lacazette urges Ramsey to extend his contract

first_imgAaron Ramsey has just 12 months left on his contract with Arsenal and the situation around him remains unclear – but his teammate Alexandre Lacazette claimed that he should extend the contract and stay.The French striker believes that the Wales international is kind of a legend at Emirates and he should stay at the club to help with the rebuilding phase and be one of the true leaders.The former Lyon striker spoke about Ramsey as he said, according to Standard:“Ramsey is really important. Aaron is there for maybe 10 years, he’s a legend in the club so we have to be respectful for everything he has done.”Jadon SanchoMerson believes Arsenal should sign Sancho Manuel R. Medina – September 14, 2019 Borussia Dortmund winger Jadon Sancho might be the perfect player to play for the Gunners, according to former England international Paul Merson.“Of course with his quality, he can help the team to be better.”“He’s an example for all the young players. Of course, we need Aaron in the team.”“I hope and I think you’ll see a better Alexandre Lacazette than last year. Now I have one year in the Premier League, of course, I will be better.”last_img read more

Watch out for Borussia Dortmund this season in Europe

first_imgWe take a closer look at the many virtues that this Borussia Dortmund side has this season, they could compete for everything in Europe.The Borussia Dortmund board of directors have been doing things right at least for the last decade, they nearly conquered Europe back in 2013 with the guidance of Jürgen Klopp.They were in a small hiatus for a few years, but this season was key for them to get refreshed by many new talents and many well-established players are also responding very well to the challenge as Borussia Dortmund takes the Bundesliga by storm and does in the same fashion they have always done it historically.This is a squad that stays dynamic during the whole season, they always strive to practice the most offensive football one could ever hope for and they just keep discovering new talents every single year.The Dortmund supporters weren’t ever worried after Ousmane Dembele left to play for Barcelona, because the club’s scouting system is one of the best in the world and they quickly found a replacement who is even better than the Frenchman.We are going to talk about three key players who might transform this Borussia Dortmund side into a serious threat for any Champions League opponent they face this season.#SquadGoals pic.twitter.com/77NFtNAk8o— Borussia Dortmund 🇺🇸🇬🇧 (@BlackYellow) October 6, 2018Marco ReusBorussia Dortmund’s absolute leader, a man who has never left the institution that has always supported him when things got heavy for him.Reus has struggled with nasty injuries in the past, one even made him miss the World Cup in 2014 and prevented him to become a World Cup champion.The winger seems to be living a second youth before he turns 30 and he understands his role as the club’s frontman who should be good enough to take them very far in all competitions this season.He is the perfect role model for the generation of players who are also coming forward this season for the club, Marco Reus deserves to finally get this recognition as the leaders that he is.Paco Alcácer leads the Bundesliga in goals.He’s only played 81 minutes. 😱😱 pic.twitter.com/kOfGA2WHpn— FOX Soccer (@FOXSoccer) October 8, 2018Paco AlcacerWhen Spanish striker Paco Alcacer first arrived in FC Barcelona last season, he suffered from the same problems that other strikers go through when they compete every day against Lionel Messi or Luis Suarez.Jadon SanchoMerson believes Arsenal should sign Sancho Manuel R. Medina – September 14, 2019 Borussia Dortmund winger Jadon Sancho might be the perfect player to play for the Gunners, according to former England international Paul Merson.The Valencia CF product wasn’t able to keep up with any of both players and decided to leave, he took the offer from Borussia Dortmund and it didn’t really take him a long time to adapt.Today in the Bundesliga, Alcacer is the undisputed top scorer so far in the season and he was exactly the kind of striker that the German club had been craving for such a long time.With already 6 goals in the competition, there is no doubt that Paco Alcacer will finish his season with the highest goal-tally of his career.The #Bundesliga after 7 MatchdaysTop scorer:▪️@paco93alcacer: ⚽️⚽️⚽️⚽️⚽️⚽️▪️Minutes played: 8⃣1⃣Most assists:▪️@Sanchooo10: 👟👟👟👟👟👟▪️ Minutes played: 2⃣1⃣4⃣#bvb pic.twitter.com/OlbmdFm0pc— Stefan Buczko (@StefanBuczko) October 6, 2018Jadon SanchoArguably the greatest discovery that Borussia Dortmund has done since Robert Lewandowski first arrived at their doorstep, English lad Jadon Sancho is the biggest sensation in European football right now alongside French wonder kid Kylian Mbappé.The Golden Boy award will be disputed by the PSG star and this young player who already has 7 assists in all competition for Borussia Dortmund, which are more than any other player on the continent.Sancho just was called-up to play for his country in the next international break, it’s a dream come true for a player who is still too young and needs to take his career slowly.There are no guarantees that manager Gareth Southgate will give him the first minutes for England, but traveling with the squad so young is already a great achievement for the kid.Emotional. Inspirational. Unbelievable.Going into international break on a high note 🙌📰 https://t.co/m7qiJAH0Rh pic.twitter.com/dvfHEQE3Mx— Borussia Dortmund 🇺🇸🇬🇧 (@BlackYellow) October 8, 2018Which other players would you add to Borussia Dortmund’s best this season? Please share your opinion in the comment section down below.last_img read more

Deputy Chief of Mission of Israel to Belize and The Bahamas Pays

first_img Related Items: Facebook Twitter Google+LinkedInPinterestWhatsApp#Bahamas, October 18, 2017 – Nassau – Deputy Chief of Mission of Israel to Belize and The Bahamas, Mr. Alon Lavi  paid a Courtesy Call on the Minister of Financial Services, Trade & Industry, and Immigration, the Hon. Brent Symonette at the Ministry on Monday, 16th October, 2017.(BIS Photo/ Kristaan Ingraham) Facebook Twitter Google+LinkedInPinterestWhatsApplast_img

Klopp baffled by Egypt boss advice to Salah

first_imgLiverpool manager Jurgen Klopp can’t understand what prompted his Egypt counterpart Javier Aguirre to hand Mohamed Salah transfer adviceThe Mexican coach advised his star forward to consider leaving Liverpool within the next season or two if they fail to win any major trophy.Since his arrival in 2017 from AS Roma, Salah is yet to win any silverware at Anfield with Liverpool beaten in last season’s Champions League final.The Reds also suffered early Carabao and FA Cup exits with a fourth-place finish in the Premier League.But Klopp was left bemused by Aguirre’s advice and even jokingly suggested that he may need to leave Egypt if he can’t win a trophy in the next two years.“Who is the manager? Aguirre? Okay. I’ll try to be nice, eh?” said Klopp, according to the Evening Standard.divock origi, liverpoolReport: Origi cause Klopp injury concerns George Patchias – September 14, 2019 Divock Origi injury in today’s game against Newcastle is a cause for concern for Jurgen Klopp.Perhaps with one eye on Tuesday’s trip to Italy…“I would say if HE doesn’t win a title in the next couple of years then he has to move to another club or country, for sure. I don’t know why people say things like that. It’s not that important.“It’s the world of media, you find it somewhere in an Egyptian newspaper or somewhere. Then the next one writes that I was confronted with it.“Obviously I don’t agree with it, but it’s a free world and he can say whatever he wants. That’s good actually.“I shouldn’t have made any comment on it, so maybe we can delete what I said a minute ago!”Liverpool will face Watford away on Saturday in the Premier League.last_img read more

PenAir Withdraws Application For Homer Airport

first_imgOn May 4, Peninsula Airways, Inc. applied for the sublease space in the Homer Airport at the rate of $38,125 annually to be paid in equal monthly installments of $3,177 per month. The lease included space for a ticket office and baggage area for the airline. The Homer City Council approved a resolution at their meeting on May 29, approving a 26-month sublease at the Homer Airport. This announcement comes after the company announced it was preparing to be sold in an October auction after declaring bankruptcy in August of 2017. Facebook0TwitterEmailPrintFriendly分享Peninsula Airways, also known as PenAir, has announced they are no longer looking at leasing space at the Homer Airport. PenAir had previously shut down routes in both Portland, and Denver. PenAir’s current services are not expected to be disrupted during the sale process, according to officials.last_img

Tesla eliminates service schedules moves to an asneeded model

first_img Tags 2 2019 Volvo S60 review: More competitive than ever More From Roadshow Comments 49 Photos Tesla’s Model 3 Performance subtly adds the power 2019 Lexus GS F review: A PG-13 flick in an R-rated segmentcenter_img Tesla Tesla 2019 Dodge Durango SRT review: Three-row muscle car Share your voice Electric Cars Car Industry Enlarge ImageThe Model S has been around for seven years now, so Tesla has a pretty good idea of what breaks and what doesn’t. Manuel Carrillo III/Roadshow One of the fringe benefits of having an electric car is that for the most part, they require much less maintenance than a comparable vehicle powered by an internal combustion engine. Tesla is taking advantage of this after crunching the data on the last few years of service and vehicle data by moving away from a recommended yearly service program to one that only requires vehicles to come in when parts need to be replaced.This probably sounds crazy if you’ve never spent a significant amount of time with an electric vehicle, but think about it like this: What are the most common service items on your ICE-powered car? Oil changes, brakes and tires. Add in things like accessory belts and timing belts that degrade with use and heat and all of a sudden you have a pretty full maintenance schedule.An EV doesn’t have engine oil to change, nor do the motors produce the same kind of heat that gasoline or diesel-powered engines do. Parts aren’t subjected to the same kind of temperature extremes. With brakes, many EV drivers use their vehicles with high levels of regenerative braking. This uses the drivetrain to slow the car and recharge the battery and saves significant wear on the vehicle’s braking components. Brake fluid, however, will still be checked every two years for water contamination.Add in the fact that Teslas are internet-connected and have robust remote diagnostic capabilities and a yearly check-up seems even less necessary. Tesla representatives are quick to point out that this shift in service methodology has nothing to do with a Tesla’s warranty, and vehicles that need service can get it.Tesla will stop pushing its prepaid maintenance plans for customers, but will still honor the plans that have been sold. It seems likely that the “as-necessary” service system will end up being cheaper than a prepaid plan for customers anyway.last_img read more

China to announce new leadership lineup with Xi at helm

first_imgA conductor leads an orchestra as delegates stand for the national anthem during the closing session of the 19th National Congress of the Communist Party of China at the Great Hall of the People in Beijing. Photo: ReutersChina’s ruling Communist Party reveals its new leadership line-up on Wednesday when President Xi Jinping introduces his Politburo Standing Committee, culminating a week-long party congress.A key measure of Xi’s rising influence leading the world’s second-largest economy will be how many of his allies are installed on the Standing Committee, the apex of power in China. It is currently made up of seven people, all men, and headed by Xi, who is also party and military chief.Five members are expected to retire due to an unwritten rule limiting new five-year terms to those under 68.One of the five, a close Xi ally, the anti-corruption chief Wang Qishan, 69, was left off the new Central Committee, which elects the Standing Committee, but he could get another job a few months down the line, sources have said.The new line-up will be announced around midday (0400 GMT) at the first plenum of the congress. The congress itself formally ended on Tuesday, with Xi having his political theory written into the party’s constitution, putting him in the same company as the founder of modern China, Mao Zedong.The world should not be worried about China’s growing confidence, the influential state-run tabloid the Global Times wrote in an editorial on Wednesday.“We are creating a strong nation that is friendly toward others and understands the importance of sharing the benefits reaped from development, a trait that has yet to emerge in human society,” it said.Who gets on the new Standing Committee remains a closely guarded secret until Xi leads them out before the media in a room inside central Beijing’s Great Hall of the People, where all top party events take place.Names in contention include vice-premier Wang Yang, Xi advisers Li Zhanshu and Wang Huning, Shanghai party chief Han Zheng, Guangdong province party boss Hu Chunhua and Zhao Leji, who runs the powerful organisation department that oversees personnel decisions such as promotions and demotions.Other contenders include Chen Miner, who heads the party in the southwestern city of Chongqing; Beijing party boss Cai Qi; and Jiangsu province party boss Li Qiang, all of whom are close to Xi. Chen and Cai have enjoyed meteoric rises up the party ranks.Premier Li Keqiang is the only other member of the current Standing Committee apart from Xi who will remain, unless he is unexpectedly left off, which seems unlikely.Previous party congresses have anointed successors for the roles of party head and premier, with Xi and Li both vaulting on to the Standing Committee in 2007 before they were then further promoted to their current roles in 2012.Speculation has swirled in Beijing this week that Xi may break with precedent and not appoint an obvious successor, who would have to be young enough to serve three consecutive terms in the Standing Committee.last_img read more

California Wildfires Leave Seasonal Agricultural Workers In Limbo

first_imgFarida Jhabvala Romero/KQEDLuis Guerrero fills barrels with crushed grapes at Valley of the Moon winery in Sonoma, Calif., Oct 16, 2017. Guerrero says he’s struggling to pay for rent after the wildfires forced the winery to close.For more than a week, Marisol Paniagua has been living at an evacuation center. She had been scheduled to pick grapes at a vineyard near the city of Santa Rosa, Calif. But that work was canceled because of the wildfires ravaging Northern California.“It’s very difficult right now because we just have a little bit of gas left in our car. That’s how we are still able to drive around,” said Paniagua, 37. “But the fact is, we have nothing.”The wildfires in Northern California have already done more than $1 billion in damage according to the state’s insurance commissioner. In Sonoma County, one of the hardest hit areas, about a third of the economy is related to agriculture, wine and tourism.Now, seasonal workers in the region like Paniagua are facing the loss of jobs and income.Paniagua, who’s originally from Mexico, has lived in the Santa Rosa area for more than 20 years. All three of her children were born in the U.S. But now she wonders whether she’ll be able to afford to stay in the area.“Without money and without work, what are we going to do here?” says Paniagua.In California, Latinos make up 71 percent of agricultural workers. The fires ravaging wine country are hitting this population hard. The lack of jobs and the destruction of affordable homes due to the fires could force people to move elsewhere. That’s a concern for grape growers in the region.“We cannot afford to lose our labor force. Nobody can whether it’d be in agriculture or anything else,” says Chad Clark with Allied Grape Growers, a California wine-grape marketing cooperative that represents more than 100 wineries in areas affected by wildfires.He says dozens of vineyard owners have sustained damage. He says that could displace seasonal agricultural workers. Still most vineyards are standing, and Clark says the priority there is to pick the grapes left on the vines as quickly as possible.“That’s proving to be very difficult, just because of all the road closures,” Clark says. “And you know, what people have lost — they’ve lost their vehicles, their means of transportation.”Valley of the Moon is one of the oldest wineries in the region. It wasn’t damaged, but many of its workers had to evacuate their homes. General Manager Dave MacDonald says grape growers are concerned about their workers and will try to help them.The winery subcontracts crews of farmworkers, plus has about 25 workers in other areas. MacDonald said only 10 workers were around the day I was there — and only for half a day.“I know that you know every company in this industry will do their best to help to absorb some of that workforce and help to find some work for others that need it,” says MacDonald.Valley of the Moon was closed last week, and it is only slowly beginning to return to normal operations. Some grape growers have said they’ll pay their seasonal agricultural workers anyway.Luis Guerrero has 25 years of experience in wineries. He is working near Valley of the Moon’s cellar, using a big metal hose to fill wooden barrels with crushed grapes.“I really needed to start working again,” says Guerrero, who makes $16 per hour working in wine production. “The work that I lost last week, that was money that would have paid for my rent.”Typically, seasonal hires in the area don’t get paid if they don’t work.“While the fires continue, there’s a lot of uncertainty,” said Guerrero. “Yesterday we came to work and they told us, ‘No,’ so we turned back.”Karissa Kruse, president of the Sonoma County Winegrowers, says some vineyard owners have said they will pay workers anyway for last week because the fires were an event completely out of the ordinary.Farida Jhabvala Romero is a reporter with member station KQED in San Francisco.Copyright 2017 KQED. To see more, visit KQED. Sharelast_img read more

Undocumented Student Arrested After Incident At Local High School Might Request Asylum

first_imgPhoto: United We Dream Houston via TwitterDennis Rivera Sarmiento (left) poses with Cortez Downey (right), his college counselor. Brandon Roche, the immigration attorney who is representing Rivera Sarmiento, says requesting asylum is one of the options they are considering in order to avoid his deportation to Honduras.Dennis Rivera Sarmiento, an undocumented student whose arrest caused controversy after an altercation at a Houston high school back in February, has been released and his attorney said he might request asylum in order to stay in the United States.Brandon Roche, the immigration attorney that represents Rivera Sarmiento, told Houston Public Media his client was released from an ICE detention facility located in Livingston, about 80 miles north of Houston, on April 4th on a $2,500 bond.Roche added that Rivera Sarmiento, who is 19 years-old and originally from Honduras, “plead certain immigration charges and he now has to seek immigration relief before a judge.”The attorney emphasized there is no definite plan regarding the defense of Rivera Sarmiento, but he commented some of the options they are “exploring” are “things like asylum, like a U visa, like special immigrant juvenile status.”“He fears persecution if he is returned to Honduras,” Roche noted, although he didn’t provide details about why his client has such fear. The attorney admitted the chances of Rivera Sarmiento are slim and commented that “the odds are stacked against him.”Roche is currently waiting for a notification regarding the next date when Rivera Sarmiento will have to appear before an immigration judge.In addition to his immigration case, Rivera Sarmiento has an ongoing criminal case because of the assault he was charged with due to the altercation, which happened at Austin High School, which is part of the Houston Independent School District (HISD), in February.United We Dream (UWD), the largest organization of undocumented youth in the United States, has been very involved in advocating for Rivera Sarmiento’s release and actually organized a walk out at the high school.Roche detailed Rivera Sarmiento contends that the day of the incident a female student called him a “(expletive) wet back” and through a bottle of liquid at him, and that his client “defended himself by pushing her away.”A statement from HISD said that a “verbal exchange” between a female student and Rivera Sarmiento led to a “physical confrontation.” The statement added the female student was treated at a hospital and subsequently released.Damaris Gonzalez, one of UWD’s leaders in Houston, said in a written statement that Rivera Sarmiento’s release “shows us that our voices matter and that an organized community is a powerful one when it comes to protecting one another.”Nonetheless, Gonzalez added “the fight for Dennis’s freedom is far from over.”Here are a few words from Dennis from our Community gathering yesterday! We are so excited to have him released from detention and thankful to all of those who signed his petition!But the fight is not over! Donate to his legal fund! https://t.co/xiFohaO4d8 #FreeDennis pic.twitter.com/EfxbwE1m3i— United We Dream (☎️ 888-872-5316 #DreamActNow) (@UNITEDWEDREAM) April 6, 2018 Sharelast_img read more

Louisville Falls 54 in Extra Innings to Xavier

first_img Listen Live Watch Live Full Schedule Roster Next Game: James Madison 3/1/2019 | 4:00 PM Dan McDonnell Postgame LOUISVILLE, Ky. – The eighth-ranked Louisville baseball team suffered its first home loss of the season on Tuesday, falling 5-4 in 10 innings against Xavier at Jim Patterson Stadium. Photo Gallery ACC Network Extra Both teams went quietly in the ninth, however the Musketeers edged ahead in the 10th via a passed ball. The contest remained tied at two until the fourth when Xavier (2-5) picked up a two-out RBI single to move back in front. Louisville (5-3) never led on Tuesday, but had an answer for each of the first four Xavier runs. PDF Box Score Preview The Musketeers jumped on the board first with three consecutive singles to open the ballgame and added a second with a sacrifice fly. However, UofL starting pitcher Luke Smith limited the damage with a double play to end the frame. The Louisville attack got rolling in similar fashion, with consecutive singles from Lucas Dunn and Jake Snider starting the bottom half of the inning. Tyler Fitzgerald cut the deficit in half with a sacrifice fly that scored Dunn, and Danny Oriente knotted the game up at two with a run-scoring single two batters later. Oriente worked a five-pitch walk to start the bottom of the 10th, with Louisville looking for an answer one more time. With one away, Ethan Stringer doubled into right to move pinch-runner Adam Elliott to third and put a pair of runners in scoring position. A fly ball off the bat of Davis proved not to be deep enough to bring the runner home and a strikeout ended the comeback effort for the Cardinals. Dunn and Snider each had two-hit days at the plate, accounting for three of the Cardinals’ four runs. Louisville is back in action this weekend with a three-game series scheduled against James Madison. First pitch on Friday is scheduled for 4:00 p.m., ET, at Jim Patterson Stadium. Print Friendly Version Xavier grabbed the lead back on a wild pitch in the eighth, but the lead would be short-lived again. Drew Campbell led off the bottom of the frame with an infield single and came around to score the tying run on Henry Davis’ double to left. Story Links Jared Poland (1-1) took the loss for Louisville, allowing the eventual winning run in his 1.1 innings of work. Smith ended with a no decision, giving up three runs over five innings. Live Stats Louisville had the answer again though, as Dunn singled and stole second with one out in the fifth and Snider dropped a double down the left field line to tie the game up at three apiece.last_img read more

Keep it simple

first_imgAs difficult as it is to find the right kind of food for the sultry humid weather that seems to have settled around the Capital, The Imperial seems to have come up with quite a palatable solution. The summer salads and barbeque menu that is available in San Gimignano and 1911, is the perfect mix of excellent meats and refreshing salads that is perfect for the weather.  Both the restaurants have their own signature menus, the salad and barbeque spread is on offer till end of September in both places alongside their regulars. Also Read – ‘Playing Jojo was emotionally exhausting’For the main course you can take a pick from the Fatto in Casa Salsicce Affumicate (home made smoked sausages), the Bambino Costole di Maiale alla Brace (barbecued baby back ribs), the Aragosta Alla Griglia Ripieni (grilled stuffed lobster tail) or the Costolette di Agnello doppi (the double lamb chops). The home made sausages are a definite winner along with the much ordered lamb chops.  All the meats have been cooked keeping their intrinsic flavours in mind and the whole idea is to keep the food simple so as the real taste wins, explains Executive Sous Chef Prem Kumar Pogakula who has put the spread in order. Also Read – Leslie doing new comedy special with NetflixTrue to his word, every bite is like a burst of freshness on the palatte and the sauces and salads work as perfect additions. All the meats are served with a spread of traditional sauces –    The Campana (blend of  tomatoes ,onion, garlic, parsley, olive oil and lemon juice),  Chimichurri (Argentinean sauce with oregano  parsley ,thyme, onion, olive oil) and the Guasacaca (avocado, onion, garlic, hot peppers, tomatoes, lemon juice, coriander and olive oil). The Guasacaca is a must try. It adds the right zing to the meats and the salads. From all the salads on offer you can choose any three to accompany your meal – so take your pick from the artichoke and sundried tomato salad, corn, black beans and capsicum salad, German potato salad, tomato – basil salad, beet and onion salad, coleslaw and the mix lettuce.  A meal for two costs around Rs 8000 (without alcohol and minus taxes) so make your reservations soon. This is one meal you’ll definitely not want to miss!last_img read more

Patreon speaks out against the protests over its banning Sargon of Akkad

first_imgPatreon, a popular crowdfunding platform published a post yesterday in defense of its removal of Sargon of Akkad or Carl Benjamin, an English YouTuber famous for his anti-feminist content, last week, over the concerns of him violating its policies on hate speech. Patreon has been receiving backlash ever since from the users and patrons of the website who are calling for a boycott. “Patreon does not and will not condone hate speech in any of its forms. We stand by our policies against hate speech. We believe it’s essential for Patreon to have strong policies against hate speech to build a safe community for our creators and their patrons”, says the Patreon team. Patreon mentioned that it reviews the creations posted by the content creators on other platforms that are funded via Patreon. Since Benjamin is quite popular for his collaborations with other creators, Patreon’s community guidelines, which strictly prohibits hate speech also get applied to those collaborations. According to Patreon’s community guidelines, “Hate speech includes serious attacks, or even negative generalizations, of people based on their race [and] sexual orientation.” Benjamin in one of his interviews on another YouTuber’s channel used racial slurs linked with “negative generalizations of behavior” quite contrasting to how people of those races actually act, to insult others. Apart from using racial slurs, he also used sexual orientation related slurs which violates Patreon’s community guidelines. However, a lot of people are not happy with Patreon’s decision. For instance, Sam Harris, a popular American author, podcast host, and neuroscientist, who had one of the top-grossing accounts (with nearly 9,000 paying patrons at the end of November) on Patreon deleted his account earlier this week, accusing the platform of “political bias”. He wrote “the crowdfunding site Patreon has banned several prominent content creators from its platform. While the company insists that each was in violation of its terms of service, these recent expulsions seem more readily explained by political bias. I consider it no longer tenable to expose any part of my podcast funding to the whims of Patreon’s ‘Trust and Safety” committee’”. Apart from banning Carl Benjamin, Patreon also banned Milo Yiannopoulos, a British public speaker and YouTuber with over 839,286 subscribers earlier this month over his association with the Proud Boys, which Patreon has classified as a hate group. James Allsup, an alt-right political commentator, and associate of Yiannopoulus’, was also banned from Patreon last month for their association with hate groups.Amidst this controversy, some of the top Patreon creators such as Jordan Peterson, a popular Canadian clinical psychologist whose YouTube channel has over 1.6 M subscribers and Dave Rubin, an American libertarian political commentator announced their plans of starting an alternative to Patreon, earlier this week. Peterson said that the new platform will work on a subscriber model similar to Patreon’s, only with few additional features. “We understand some people don’t believe in the concept of hate speech and don’t agree with Patreon removing creators on the grounds of violating our Community Guidelines for using hate speech. We have a different view,” says the Patreon team. Read Next Emmanuel Macron teams up with Facebook in a bid to fight hate speech on social media Twitter takes action towards dehumanizing speech with its new policy How IRA hacked American democracy using social media and meme warfare to promote disinformation and polarization: A new report to Senate Intelligence Committeelast_img read more

Rep Marino votes to support lakeshore conservation and recreation

first_img State Rep. Steve Marino voted today in favor of a plan to improve Waterfront Park in Harrison Township and to add acreage to two other Clinton Township parks.The legislation approved by the House of Representatives, with Marino’s support, includes $156,000 to remove an existing seawall at Waterfront Park along Jefferson Avenue and replace it with a stone breakwater and marsh. The project will also include the addition of recreation amenities, including a kayak launch, boardwalk and educational exhibits.“You can’t define ‘summer’ in Macomb County without talking about Lake St. Clair,” said Marino, of Harrison Township. “I am excited to see one of our waterfront parks receive updates that will make it accessible for even more residents to enjoy a greater range of summer activities. If escaping this winter’s bitter cold doesn’t have you already wishing for summer, this project is certainly one more reason to look forward to it.”The plan also includes $421,000 for the acquisition of two separate parcels of land that are a part of longer-term plans to expand and enhance Clinton Township parks.The full plan approved by the House today includes $26 million for 34 recreational development projects and 30 land acquisition projects statewide, including the three Macomb County projects.  Investments outlined in the proposal were recommended by the Natural Resources Trust Fund Board in December. Recommendations are subject to approval by the Michigan Legislature, a process started within the House Appropriations Committee last week. House Bill 4244 next advances to the Senate for further consideration.Money in the Natural Resources Trust Fund comes from the development of minerals on state land and is designated on an annual basis in partnership with local governments.### 07Mar Rep. Marino votes to support lakeshore conservation and recreation Categories: Featured news,Marino News,Newslast_img read more

LG Smart TV Despite having the wow factor Ultra

first_imgLG Smart TVDespite having “the wow factor” Ultra High Definition take-up faces a number of challenges, including a slow TV replacement cycle among consumers, according to LG Electronics’ director of EU innovation R&D, Stuart Savage.Speaking at the Digital World Summit in London this week, Savage warned that like HD before it, UHD will take a long time to become a mass-market proposition, and warned that TV buying trends have slipped back into a roughly seven-year cycle.“Taking a step back to look at how HD developed, arguably it took 15 to 20 years from its initial inception before it became a huge mass-market proposition that it is today. Even today there’s still a lot of SD content around. UHD is probably going to take a similar course, so it’s not going to happen instantly, I think we all accept that,” said Savage.“We’re not going to get the perfect storm that we had a few years ago when high definition, analogue switch-off, flat panels, all arrived and there were multiple simultaneous reasons why people wanted to move at a single point. We saw at that point an exponential growth in sales of TVs. That’s now steadied off again and we’re now back into the normal lifecycle of TV purchasing.”Savage added: “UHD certainly has a wow-factor for consumers. Consumers who have seen it love it and say ‘when can I have it, when’s the broadcasting starting?’ Well unfortunately it’s not quite as simple as that.”He said that currently there are lot of challenges and Ultra HD parameters to be worked out, though predicted that the industry will eventually “arrive at the same place.”last_img read more

Great Panther Silver Limited TSX GPR NYSEA GP

first_imgGreat Panther Silver Limited, (TSX: GPR NYSE.A: GPL)headquartered in Vancouver, Canada, is a profitable primary silver producer operating two 100% owned mines in Mexico.  Over 94% of revenues are derived from unhedged precious metals production with approximately 74% generated from silver sales and 20% from gold.  Since entering production in the first quarter of 2006, the Company has seen five consecutive annual increases in revenues and provides strong leverage to future rises in precious metals prices. The Company has also been growing its resource and reserve base at both 100% owned operations. A new resource/reserve estimate is expected for the Guanajuato Mine Complex and the San Ignacio Project in the second quarter of 2012 and a new resource/reserve estimate for the Topia Mines during the third quarter of 2012. Great Panther continues to replace mined ounces, grow resources and reserves at both operations, and is targeting a 10 year mine live at each.For more information, please visit the website or contact Rhonda Bennetto, VP Corporate Communications, toll free at 1-888-355-1766 or by email at rbennetto@greatpanther.com. Sponsor Advertisement As Ted Butler has pointed out countless times, it’s what JPMorgan et al do on the next rally that will determine how it unfolds.Gold traded within a five dollar price band through most of the Friday trading day on Planet Earth…exceeding it only briefly between 8:10 a.m. at 9:40 a.m. Eastern time.  Those two times represented the high and low price ticks of the day…such as they were.I was particularly impressed by the fact that ‘free-market forces’ were able to thread the needle by closing gold on Friday in the 60 cent price gap between the Wednesday close and the Thursday close.  I hope there was a prize for doing that.Gold closed on Friday at $1,642.40 spot…down twenty cents from Thursday.  Net volume, at 77,000 contracts, was the lightest since I can’t remember when.Silver’s price action was rather similar to gold’s, but the price was more ‘volatile’…with the high and low price ticks come at approximately the same times as gold.  The silver price actually broke through the $32 price mark on its high tick [$32.01 spot] for the second day in a row but, as you can tell, it wasn’t allowed to close anywhere near that price.Silver closed at $31.70 spot…down a dime from Thursday.  Net volume was a shockingly light 19,000 contracts.The dollar index hung in around the 79.60 mark until about 10:00 a.m. Hong Kong time on their Friday morning…and then rolled over.  Most of the decline was in by 10:30 a.m. Eastern time in New York…and the index basically traded sideways from there.  The dollar index closed down about 34 basis points at 79.14.Four out of the five days this week, gold stocks opened in positive territory…and then quickly got sold off into negative territory regardless of the price action in gold that followed…with stock prices continuing to erode all day along.  The Friday trading action was exactly that as well. The HUI closed on its low of the day, down 0.97%.  In my twelve years of watching this market, I’ve never seen anything like this.  It’s unnatural.Virtually all of the silver stocks finished down on the day as well…including all the stock represented in Nick Laird’s Silver Sentiment Index.  It closed down 0.17%…the same amount it closed up on Thursday.(Click on image to enlarge)The CME’s Daily Delivery Report was a yawner, as only 11 gold contracts were posted for delivery on Tuesday.There were no reported changes in GLD yesterday, but over at the SLV ETF an authorized participant withdrew 1,262,086 troy ounces of silver.For the third day in a row there was no sales report from the U.S. Mint.The Comex-approved depositories reported receiving 732,023 troy ounces of silver on Thursday…and shipped only 4,966 ounces out the door.  Since Wednesday, JPMorgan’s precious metals warehouse has added another million ounce of silver to their stash, which now sits at 14.0 million ounces.  The link to that action is here.The Commitment of Traders Report that came out yesterday [for positions held a the close of Comex trading on Tuesday] was basically a non-event.  There was virtually no change in the Commercial net short position in silver…less than a hundred contracts but, as Ted Butler pointed out to me, the total open interest blew out by almost 7,000 contracts, so a lot of spread trades were put on during the reporting week.In gold, the Commercial traders increased their net short position by a hair over 5,000 contracts, or 500,000 ounces.  Nothing to see here, folks.As expected, The Central Bank of the Russian Federation updated their website with the March numbers…and they showed that they had purchased 500,000 ounces of gold to add to the 28.3 million ounces they already held.  I must admit that after seeing nothing added in January…and 100,000 ounces sold in February…I was relieved to see this number.  I thank Nick Laird for his wonderful chart below.(Click on image to enlarge)Here’s a chart that Washington state reader S.A. sent our way yesterday.  It’s entitled “Total Credit Market Debt Owed“…and needs no further embellishment from me.(Click on image to enlarge)Here’s an interesting story that appeared in an Australian newspaper just the other day.  It includes a photo of the Perth Mint’s 10 kilogram “Year of the Dragon” gold and silver ‘coins’.  I thank Australian reader Brad Ellett for sending it to me…and Australian reader Wesley Legrand for putting it in a format that I could use in this column.  You’ll certainly need the ‘click to enlarge’ feature for this one.(Click on image to enlarge)I have the usual number of stories for a Saturday, including a bunch that I’ve been saving all week for today’s column.  I hope you have the time to run through them all over the weekend.Inflation is as violent as a mugger, as frightening as an armed robber…and as deadly as a hit man. – President Ronald ReaganToday’s ‘blast from the past’ isn’t really from the past at all…but a “60 Minutes” video that was sent to me by my father-in-law, Bill Radtke.Lesley Stahl profiles British musical savant Derek Paravicini, whose computer-like memory for music is matched by his creative abilities to play it in any style. Derek, a musical genius and nephew of Camilla Parker Bowles, plays the piano like you’ve never heard. Yet, he doesn’t know his age, nor does he know how to hold up three fingers! Also, he is blind!Having taken seven years of classical piano classes…plus having sat on the Programming Committee of the Edmonton Symphony Orchestra for eleven years…I know greatness when I hear it.This is one of the most amazing videos that you’re ever likely to watch.  It runs 14:22 minutes…and is posted over at youtube.com…and the link is here.Well, it was a very quiet Friday and, for the most part, a very quiet week in both gold and silver.  But it wasn’t quiet because that’s what the markets in the precious metals wanted to do…it was quiet because, as Jim Rickards pointed out in his commentary above, these markets are managed.Where we go to from here is the $64,000 question for which I have no answer at the moment.  Of course, if left to their own devices, the precious metals would explode the outer edges of the known universe almost instantly…and the current economic, financial and monetary system would be a smouldering ruin within five business day…as I have pointed out on many occasions.But since that won’t be allowed to happen, at least not while ‘da boyz’ have any say in the matter, we’ll probably get something quite a bit less than that.I doubt very much that this current oversold condition in the precious metals and their shares will last much longer…and it only remains to be seen how high and fast gold and silver will be allowed to rise once they break through the key moving averages.And, as Ted Butler has pointed out countless times, it’s what JPMorgan et al do on the next rally that will determine how it unfolds.  Will they immediately become the short seller of last resort once again, or will they step aside and let the metals run for a bit?That, and only that, will be the deciding factor…and all we can do is wait it out.  A lot of investors have already voted with their feet and their wallets and have exited the precious metals market…and as we know, any bull market tries to shake off as many non-believers as it can before making its next big move…price-managed or not.  This is certainly the case here.I’m still “all in”…so nothing has changed from my end.Before signing off for the day and the week, I have this little announcement that the nice ladies over at Casey Research sent my way yesterday…and I’d like you to run through it, if you wouldn’t mind.Next week Casey’s spring summit…“Recovery Reality Check”…will be held in Florida. If you’re not registered to attend, you may want to purchase the complete audio collection (available in a 20-CD set and/or MP3 downloads) so you can listen at home. The faculty presenting includes David Stockman, director of the Office of Management and Budget under President Reagan; resource investing legend Rick Rule; Casey Research Chairman Doug Casey; Harry Dent, best-selling author of The Crash Ahead; Lacy Hunt, executive VP of Hoisington Investment Management…and 26 other financial luminaries. And they are telling me if you order before the show starts on April 27th…you’ll save $100.  To learn more about the 31 financial experts and what they are presenting, you can click here…and it costs nothing to check it out.I’m outta here!  Enjoy what’s left of your weekend…and I’ll see you on Tuesday.last_img read more

A young campaigner has called on other disabled pe

first_imgA young campaigner has called on other disabled people to share their experiences of successful employment in order to help narrow the disability employment gap.Lauren Pitt told a fringe meeting at Labour’s annual conference in Liverpool that she wanted to see disabled people use social media to share their good experiences in the workplace.Pitt (pictured, right) has contributed an essay to An Inclusive Future, a new publication by the Fabian Society, Scope and the union Community.In her essay, she writes about her experiences of graduating with a 2:1 degree, and then applying unsuccessfully for more than 250 jobs in which she disclosed in nearly every application the fact that she was blind.She says in her essay: “Many of the people told me I was inspirational, but that was not what I wanted to hear.“I wanted to be looked at like any other person who had applied for that job.”She eventually secured a job with a social enterprise that had never previously employed a disabled person.But she told the fringe meeting that it had taken four weeks for the government’s Access to Work (AtW) scheme to provide the assistive technology equipment she needed to do her job, and that AtW had originally warned her that it would take eight weeks.She said: “Every time I phoned up AtW I was treated like a burden.”Pitt told the meeting: “We need to have disabled people using their experiences and showing what they are doing.“We are never going to change attitudes unless we share our experiences. If we are not confident, we are never going to convince other people that we are worth taking on.”She said her “dream” was to see more disabled people in work, and added: “I want what people currently see as extraordinary to be seen as ordinary.“Use the people who are in work and who are having a good experience. We need to be using those experiences that are positive to educate employers and potential employers.“Currently all we hear is bad stories, and that destroys people’s confidence.”Debbie Abrahams (pictured, second from left), the shadow work and pensions secretary, told the event that the government was “failing miserably” in its efforts to halve the disability employment gap.She said there was a need to change the culture of the out-of-work disability benefits system, including the work capability assessment – which Labour introduced, but she said it would now scrap if it won the next general election – and the use of sanctions, “so it is about support, so it is not a punitive system that so often makes people feel so worthless”.She agreed with Pitt that there was a need for role models who will “trail blaze” and show “what can be done”.Wayne Blackburn, a disabled councillor with Pendle Borough Council, said he believed the party should “lead by example and have more disabled MPs, more disabled representatives across the whole spectrum”.Labour MP Neil Coyle (pictured, left), a member of the Commons work and pensions committee, said the current and previous governments had presided over “dramatic reductions in support” for disabled people seeking employment over the last six years.He said there had been a fall in the proportion of working-age disabled people in work, while the number of people receiving Access to Work was still below the number in Labour’s last year in government, there had been cuts to the budget of the Equality and Human Rights Commission, and to legal aid, and to the number of specialist disability employment advisers in jobcentres.Coyle, a former director of Disability Rights UK, who also worked at a senior level for the Disability Rights Commission, said there “absolutely must” be an awareness-raising campaign to show what disabled people can do in work.In his own essay in the publication, Coyle says the shift from manual, industrial labour to service and financial sector jobs “increases opportunities for many more disabled people to play a more active part in mainstream workplaces”, while the growth in home working and advances in IT and accessibility software have also increased opportunities for disabled people.He told the fringe event that the government had wasted money through its short-term approach – including a failure to invest more in Access to Work – and he heavily criticised the move away from having a disabled people’s minister with a cross-government role.He said: “We have lost that cross-government approach because we have had a minister sitting in the Department for Work and Pensions as a minister for disabled people as an apologist for Iain Duncan Smith.”last_img read more

FDA DHS announce memorandum of agreement to address cybersecurity in medical devices

first_imgReviewed by James Ives, M.Psych. (Editor)Oct 17 2018As part of the Administration’s ongoing efforts to strengthen cybersecurity in health care, the U.S. Food and Drug Administration and the U.S. Department of Homeland Security (DHS) announced a memorandum of agreement to implement a new framework for greater coordination and cooperation between the two agencies for addressing cybersecurity in medical devices.”As innovation in medical devices advances and more devices are connected to hospital networks or to other devices, ensuring that devices are adequately protected against cyber intrusions is paramount to protecting patients. The FDA has been proactive in developing a robust program to address medical device cybersecurity concerns,” said FDA Commissioner Scott Gottlieb, M.D. “But we also know that securing medical devices from cybersecurity threats cannot be achieved by one government agency alone. Every stakeholder has a unique role to play in addressing these modern challenges. That’s why this announcement is so important. Our strengthened partnership with DHS will help our two agencies share information and better collaborate to stay a step ahead of constantly evolving medical device cybersecurity vulnerabilities and assist the health care sector in being well positioned to proactively respond when cyber vulnerabilities are identified. This agreement demonstrates our commitment to confronting cybersecurity risks and the unscrupulous cybercriminals who may seek to put patient lives at risk.””Ensuring our ability to identify, address and mitigate vulnerabilities in medical devices is a top priority, which is why DHS depends on our important partnership with the FDA to collaborate and provide actionable information. This agreement is another important step in our collaboration,” said Christopher Krebs, Undersecretary for the National Protection and Programs Directorate at DHS. “DHS has some of the top experts on control systems technology, and we look forward to continuing to leverage this expertise for the sake of improving the lives and safety of people across the country. DHS has enjoyed a great working relationship with the FDA for several years and look forward to this agreement making that working relationship even stronger and more effective.”The agreement, between the FDA’s Center for Devices and Radiological Health and DHS’ Office of Cybersecurity and Communications, is meant to encourage even greater coordination and information sharing about potential or confirmed medical device cybersecurity vulnerabilities and threats. Such collaboration can lead to more timely and better responses to potential threats to patient safety.Related StoriesIt is okay for women with lupus to get pregnant with proper care, says new studyRaw meat can act as reservoir for bacteria associated with hospital infections’Traffic light’ food labels associated with reduction in calories purchased by hospital employeesThe two agencies have already worked together on many aspects of medical device cybersecurity, most notably around coordination of vulnerability disclosures. This helps medical device manufacturers receive technical information from cybersecurity researchers regarding identified vulnerabilities in their products in a way that enables all parties to respond to potential threats in a timely way. The agencies have also collaborated on planning, executing and conducting after-action reviews of DHS-led exercises that simulate real-world cybersecurity attacks and enable the government and stakeholders to practice and improve their responses to these threats. The goal of the agreement is to expand these types of collaboration by increasing the sharing of information between the two agencies to enhance mutual awareness of potential or known threats, thereby heightening coordination when vulnerabilities are identified. And to enhance shared technical capabilities, such as conducting collaborative assessments regarding the level of risk a potential vulnerability may pose to patient safety and coordinate testing of devices as warranted.Under the agreement, DHS will continue to serve as the central medical device vulnerability coordination center and interface with appropriate stakeholders, including consulting with the FDA for technical and clinical expertise regarding medical devices. The DHS’ National Cybersecurity and Communications Integration Center will continue to coordinate and enable information sharing between medical device manufacturers, researchers and the FDA, particularly in the event of cybersecurity vulnerabilities in medical devices that are identified to the Department of Homeland Security. The FDA will continue to engage in regular, ad hoc, and emergency coordination calls with DHS and advise DHS regarding the risk to patient health and potential for harm posed by identified cybersecurity threats and vulnerabilities.The agreement formalizes a long-standing relationship between the FDA and DHS. Through this agreement, both agencies are renewing their commitment to working with not only each other, but also all stakeholders to create an environment of shared responsibility when it comes to coordinated vulnerability disclosure for identifying and addressing cybersecurity risks. This kind of coordination and information sharing can ultimately help protect patients who rely on lifesaving medical devices. Source:https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm623574.htmlast_img read more

Benefitharm balance of hepatitis B and C screening is unclear due to

first_img Source:https://www.iqwig.de/en/press/press-releases/screening-for-hepatitis-b-and-hepatitis-c-benefit-unclear-due-to-a-lack-of-suitable-studies.10503.html Reviewed by James Ives, M.Psych. (Editor)Nov 15 2018Hepatitis B and hepatitis C are viral infections, which are mostly transmitted by blood. Often unnoticed, they can become chronic, causing irreversible damage to the liver. There is a discussion whether regular screening of the general population or of particular risk groups could contain these diseases, for example by early detection and treatment or by a changed risk behavior of people with detected infection. Screening can also have disadvantages, however, such as triggering anxieties.In hepatitis B and C: Do the advantages for affected people and for the total population outweigh the potential disadvantages? The German Institute for Quality and Efficiency in Health Care (IQWiG) has conducted a systematic assessment to answer these questions. In May 2018, it published two preliminary reports, inviting interested parties to submit comments. After the analysis of the comments submitted, the Institute now presents its final reports. The main result: Due to a lack of informative evidence, the benefit-harm balance of screenings for hepatitis B and hepatitis C remains unclear.Modeling studies on risk-group screening IQWiG also investigated current modeling studies. The models differed in their structure, their assumptions, the modeled periods, the effects determined and the planned interventions – for example, implementation of systematic screening, increase in treatment rates and improvement of prevention measures such as needle exchange programmes.The relative contributions of these possible interventions to the reduction of new hepatitis C infections remain unclear, however. A screening that falls far short of reaching the entire risk group, treatment discontinuations, or reinfections after treatment all can weaken the effect. The question to what extent the assumptions included in these models apply to the German health care context also remains largely open.Nonetheless, the modeling studies suggest that screening of injection drug users could result in a notable long-term decrease in the prevalence of hepatitis C if the people infected receive subsequent treatment and are offered means to prevent transmission of the infection.Related StoriesDon’t Miss the Blood-Brain Barrier Drug Delivery (B3DD) Summit this AugustMetabolic enzyme tied to obesity and fatty liver diseaseComprehensive cell atlas of the human liverCPG recommendation for hepatitis C is plausible Besides studies, IQWiG also assessed current clinical practice guidelines (CPGs). The CPG recommendations for a risk-group screening for hepatitis B are based on assumptions that are not plausible.Some hepatitis C guidelines, however, make plausible assumptions on the possible advantages and disadvantages of screening of risk groups and certain birth cohorts, advocating hepatitis C screening limited to these groups on this basis. If such hepatitis C screening of risk groups is to be implemented, an accompanying evaluation would be important to reduce the uncertainties presented and to allow swift modification of the programme if necessary.Requirements for an accompanying evaluation Recording all people participating in the screening and a follow-up observation that is as comprehensive as possible are essential. An estimation of the proportion of the risk group that actually participated in the screening is also necessary.Parameters to be recorded include the numbers of liver biopsies, of antiviral therapies started, of completed therapies, of side effects, and of the people with sustained virologic response. Health-related quality of life in the years after the test or after treatment initiation should be recorded at least in a sample of the participants. The reinfection rate and the reasons for reinfection should also be investigated.Establishing a control group would be the easiest way to find out whether and to what extent screening and subsequent treatment actually reduces the prevalence of hepatitis C. This could be done by initially implementing systematic risk-group screening in only some pilot regions, using the numbers from other regions as comparison.last_img read more

Patients of Medicare providers excluded for fraud and abuse more likely to

first_imgReviewed by Kate Anderton, B.Sc. (Editor)May 7 2019A new study from the Johns Hopkins Bloomberg School of Public Health analyzed providers excluded from Medicare for fraud and abuse, and found that the patients they treated prior to being banned were more likely to be minorities, disabled and dually-enrolled in Medicaid to supplement financial assistance for health care.The findings, published in the May issue of Health Affairs, highlight the risk that providers committing Medicare fraud and abuse could be taking advantage of their more vulnerable patients. Medical fraud and abuse can include patient neglect, illegally providing prescription medications, unnecessary medical procedures, deceitful billing practices and using untrained personnel for direct patient care. Fraudulent medical practice is estimated to cost the U.S. federal government between $90 to $300 billion dollars annually.”Although fraud and abuse are known to be problems in Medicare, there have been no studies of the patients exposed to the perpetrators,” explains lead author Lauren Hersch Nicholas, PhD, assistant professor in the Bloomberg School’s Department of Health Policy and Management. “Over a four-year period, we found that more than one million Medicare beneficiaries were treated by providers who were taking actions that could jeopardize patient health.”The researchers analyzed demographics of patients seen by excluded and non-excluded providers, taking into consideration the patient’s location, age, and the type of provider. They found that not only were more patients more likely to be non-white, 27.4 percent versus 25 percent seen by non-excluded health care providers, they were also more likely to be dually-eligible for Medicaid, 38.8 percent versus 25.5 percent, and non-elderly disabled, 21.6 percent versus 17.3 percent.The study took data from a list of excluded providers who were found to have committed fraud and abuse by the Office of the Inspector General of the Department of Health and Human Services. The list is updated monthly and the providers are identified through audits or criminal investigations. The researchers linked the list of excluded providers to their Medicare fee-for-service patients from 2012-2015 and compared them to beneficiaries being treated by non-fraudulent health care providers during the same time period.Related StoriesNew implant technology safely minimizes injections for people with macular degenerationNew laboratory test has potential to accurately predict spread of breast cancerSurgery can be beneficial for one type of primary central nervous system lymphomaDuring the study period, researchers identified 1,364 unique providers that were excluded for fraud and abuse. They classified excluded providers based on the first reason for exclusion, finding that 606, or 44 percent of providers, were excluded for fraud; 505, or 37 percent, for revoked licenses and 253, or 19 percent, for patient harm. The excluded providers treated over 1.2 million beneficiaries during the study period and received $634 million in Medicare payments.Providers excluded for fraud had the largest percentage of non-white and Medicaid dual-eligible patients, at 29.5 percent and 44.1 percent, respectively. Providers excluded for patient harm or revoked licenses were more likely to have patients under 65, disabled and dual-eligible for Medicaid. Disabled patients are 23-26 percent more likely to be treated by a provider excluded for fraud and abuse than someone treated by a non-excluded provider.”We need more efforts to find fraud and abuse more quickly, to remove those providers from Medicare and also to improve our efforts to provide follow-up care to patients who we know have been impacted by these providers,” says Nicholas. “Current efforts focus on recovering money from fraud and abuse and do not emphasize the patients being treated by these providers.” Source:Johns Hopkins University Bloomberg School of Public Health.last_img read more

Mining 25 years of data reveals new insights into predicting the age

first_imgHuntington disease is an inherited disorder that affects one in approximately 7,000 Canadians. For every affected person, there are four to five individuals that carry the gene mutation that causes the disease, but are not yet ill. The disease often begins around age 40. Symptoms include motor, cognitive and psychiatric changes.Huntington disease is caused by a single mutation in the huntingtin gene, where patients carry an expanded stretch of repetitive DNA. While the length of this mutation has long been regarded as the greatest indicator of when (and whether) an individual will exhibit symptoms of the disease, researchers at UBC have uncovered a genetic variant that also significantly influences age of onset in patients. This discovery may enable us to provide families with additional information. It could also potentially improve disease management by providing genetic counselors with valuable data in the future.”Lead author Galen Wright, a research associate in the UBC faculty of medicine, CMMT and BC Children’s Reviewed by Alina Shrourou, B.Sc. (Editor)May 18 2019Investigators at the University of British Columbia (UBC)/Centre for Molecular Medicine & Therapeutics (CMMT) and BC Children’s Hospital have examined more than 25 years of data to reveal new insights into predicting the age of onset for Huntington disease. Our study reveals that age of onset in Huntington disease is influenced not only by the length of the expansion mutation, but also by the DNA sequence directly adjacent to this repetitive sequence.” sSenior author Dr. Michael Hayden, a Killam professor of medical genetics and director emeritus for the CMMT, which is part of the faculty of medicine at UBC and located at BC Children’s This is the key finding in a new study published today in the American Journal of Human Genetics. While previous studies of the huntingtin gene have focused on the length of the string of glutamine building blocks in the DNA of the gene, this study examined variants in the DNA sequence encoding for these glutamine building blocks and the relationship between these variants and the age of onset of the disease.Related StoriesGenetic contribution to distractibility helps explain procrastinationResearch sheds light on sun-induced DNA damage and repairNew network for children and youth with special health care needs seeks to improve systems of careThe DNA sequence that causes Huntington disease is primarily made up of repeats of three letters of DNA, CAG, which encode the protein building block, glutamine. But UBC researchers have shown that the presence of another glutamine building block, CAA, significantly impacts the disease. In individuals where the CAA sequence is replaced with a CAG sequence, patients were found to present with the disorder decades earlier than expected, despite carrying an identical number of glutamine amino acids.”Now we know that the age of onset in Huntington disease is significantly impacted by the length of uninterrupted CAG sequence,” said Hayden.The length of uninterrupted CAG sequence also appears to contribute to somatic instability.The researchers screened samples from patients in the UBC Huntington disease biobank for the variant in the huntingtin gene, to examine age of onset and whether the mutation was more likely to expand to longer repeat lengths in the blood. Hayden established this bank — which now contains approximately 8,000 specimens — in 1986 in an effort to conduct such studies.Hayden’s team hopes to screen additional DNA samples to further refine age of onset prediction models for people from families with Huntington disease with this variant, and to look at how these variants express themselves in brain tissue.Source:University of British ColumbiaJournal reference:Hayden, M. et al. (2019) Length of Uninterrupted CAG, Independent of Polyglutamine Size, Results in Increased Somatic Instability, Hastening Onset of Huntington Disease. American Journal of Human Genetics. doi.org/10.1016/j.ajhg.2019.04.00last_img read more