Premier Darrell Dexter and other members of the Council of Federation (CoF) are in Washington advancing their provinces’ interests, during a series of important meetings and appointments with key U.S. business and government leaders. “Our countries are tied to one another geographically, socially and economically, so we must co-operate closely for the benefit of all our citizens,” said Premier Dexter. “Sharing policy approaches and understanding the constraints and opportunities we all face are key to the future success of Nova Scotia and, indeed, all provinces.” Premier Dexter and his colleagues met with the Environmental Protection Agency administrator Lisa Jackson and head of the White House Economic Council Larry Summers, two of President Barack Obama’s key advisors on environmental and economic policy. For the first time, a meeting between premiers and governors took place to discuss issues of mutual importance, including energy supply and demand. Seven Canadian premiers and over 20 U.S. governors participated in the historic meeting. “This meeting was a great opportunity for me to discuss with my Canadian and U.S. colleagues Nova Scotia’s tremendous renewable energy resources, including tidal and wind power,” said Premier Dexter. “I look forward to continue working with my U.S. colleagues on the social, environmental, and economic issues that we all face.” Premier Dexter also advanced Nova Scotia’s interests in a meeting with Jon Wellinghoff, chairman of the U.S. Federal Energy Regulatory Commission, and sought greater regional co-operation in bilateral discussions with Maine Governor John Balducci, and Massachusetts Governor Deval Patrick. Atlantic Canadian premiers are also scheduled to meet the New England governor in preparation for the upcoming annual meeting of New England Governors and Eastern Canadian Premiers. Further meetings with top U.S. congressional and government leaders are scheduled for today, Feb. 21, and Monday, Feb. 22.
The provincial government is investing in the jobs of tomorrow. A $150,000 investment from the Department of Labour and Workforce Development will help Nova Scotia Community College (NSCC) develop a program to train workers to build windmill blades. “We are helping Nova Scotians prepare for new and challenging manufacturing careers,” said MLA Clarrie MacKinnon, on behalf of Labour and Workforce Development Minister Marilyn More today, Oct. 20. “This investment is smart, strategic and takes advantage of emerging opportunities.” Premier Darrell Dexter, during a trade mission to South Korea this week, announced Nova Scotia Power and Daewoo Shipbuilding and Marine Engineering (DSME) have signed a letter of intent to work together to build and deploy made-in Nova Scotia wind towers and blades across the province. Windmill blades are made from composites, a combination of fibres and resins used to build strong, light and durable parts. Composites are also used in Nova Scotia’s aerospace and boat-building industries, however, large windmill blades require new skills, procedures and training. “Nova Scotia Community College has long been a leader in preparing people to work in emerging industries across the province and today’s curriculum development investment will continue that tradition,” said David Freckelton, principal, NSCC Pictou. The course will expand on NSCC’s existing composites curriculum to reflect the needs of the windmill industry. The course will train workers hired by the Trenton-based arm of DSME. The course is expected to run for six weeks and the curriculum should complete by mid 2011. DSME Trenton will employ hundreds of workers when it is fully operational. The $150,000 investment comes from the Strategic Training and Transition Fund, through the Canada-Nova Scotia Labour Market Agreement.
Nova Scotia’s provincial parks had a record number of visitors again this year. The provincial park system welcomed 78,025 campsite bookings, an increase of 13 per cent over last year. The number of campsite bookings in provincial campgrounds has steadily increased in recent years. Since 2014 the number of campsites booked rose by about 36 per cent. There are 20 provincial camping parks in Nova Scotia. “Our provincial parks draw tourists and give people places to enjoy healthy outdoor recreation and get close to nature,” said Margaret Miller, Minister of Natural Resources. “Our great programs like Grade 4s Outdoors, Learn 2 Camp, and other unique park events brought in new visitors who we know will likely be returning to our parks for years to come.” Three provincial parks extended their seasons by five weeks this year, allowing more time for camping later into the fall. Mira River Provincial Park in Cape Breton stayed open until Oct. 15, while Blomidon Provincial Park in Kings County and Ellenwood Lake Provincial Park in Yarmouth County stayed open until Oct. 9. All provincial parks are now closed for camping for the season but people are encouraged to continue visiting parks to enjoy walking, cross-country skiing, and similar activities. While parks are closed, regular park services and facilities are not available and visitors must still follow park rules, including keeping dogs on leash. Visitors are reminded to use the pack-it-in, pack-it-out principle, and take their trash home with them. To learn more about Nova Scotia’s provincial parks, visit https://parks.novascotia.ca/.
Three members of a UN Disaster Assessment and Coordination (UNDAC) team have arrived in Grenada, the most devastated country, to help national authorities organize their response, the UN Children’s Fund (UNICEF) said in a statement. More staff are expected to arrive later today.A preliminary assessment by the UNDAC team indicates that 90 per cent of Grenada’s population of about 90,000 people have been affected, either from losing their home or their livelihood as a result of the storm’s destructive powers.Thousands of people are homeless or living in temporary shelters, while hospitals are damaged, telephone lines are down and power supplies have been interrupted. But water supply services are gradually returning and cellular phones are working in some areas.In Jamaica, where there is a shortage of potable water and electricity, the Office for the Coordination of Humanitarian Affairs (OCHA) is sending more disaster-response staff to help run 24-hour centres that will coordinate the work of Jamaican authorities and aid agencies. One centre has been set up at Kingston airport and another will be established at the international airport at Montego Bay.In Cuba, the most recent country to bear the brunt of Hurricane Ivan, some 1.3 million people were evacuated from their homes in anticipation of the arrival of the tropical storm.The head of the Geneva-based UN body that focuses on disaster reduction praised Cuba’s hurricane risk management as a model for other developing countries.Salvano Briceno, Director of the International Secretariat for Disaster Reduction (ISDR), said Cubans are constantly educated in their schools, universities and workplaces about how to prepare for hurricanes and how to cope if they strike.Television and radio stations are used to send information to the public and all institutions are mobilized 48 hours in advance of the expected arrival of a serious storm.Mr. Briceno said there is also strong political will in Cuba to minimize the impact of hurricanes on the local population – something that is missing in some other nations.”Leaders of countries around the world have at their disposal the knowledge needed to reduce risk and vulnerability to hazards. Even poor countries are not entirely without options to mitigate or prevent the consequences of hazards,” he said.Hurricane Ivan is now heading north across the Gulf of Mexico, with the southern United States and parts of eastern Mexico next at risk.The most senior UN official for the world’s small islands said today he was shocked at the trail of destruction and misery which Hurricane Ivan has already caused.Anwarul K. Chowdhury, Under-Secretary-General and High Representative for the Least Developed Countries, Landlocked Developing Countries and Small Island Developing States, said “it shows again the extreme vulnerability of small island States and the urgent and immediate need for the international community to come to their assistance now and in the future.”More than 20 of the 50-odd small island developing States around the world have been severely affected by hurricanes, typhoons or major floods over the past two years – including some more than once during this period.In January this year, the infrastructure on the Pacific island of Niue was destroyed by Cyclone Heta and several other islands and atolls suffered severe damage.Strategies for preparing for natural disasters such as Hurricane Ivan and for mitigating their impact will be discussed next January in Mauritius at the International Meeting for the 10-Year Review of the Barbados Programme of Action for the Sustainable Development of the Small Island Developing States. Negotiations for that meeting will take place next month at UN Headquarters in New York.
EindhovenWomen’s handball Serbia are surprising winners of Holland Handball Tournament, played in Einhdoven from Thursday to Saturday! The Serbian girls aren’t considered as favorites in comparation with home Dutch girls and Romania, who came with the new national coach Ambros Martin, but at the end Balkan team celebrated final win, after Romanian girls beat Netherlands 24:23.Serbia beat Romania 23:19 in the Round 1, then lost against home team A 29:31, what was enough that in cycle of team with four points (the fourth team was The Netherlands B with all three defeats), team coached by Dragica Djuric won the first place with best goal difference.STANDINGS:Serbia 4The Netherlands 4Romania 4The Netherlands B 0This tournament will be remembered for a debut of Helle Thomsen on Dutch bench. ← Previous Story Excellent first half of Tatran in Logrono wasn’t enough for a win Next Story → PSG Handball routine win in Schaffhausen
A Fox News internal memo uncovered by media watchdog Media Matters is being held up as evidence of an anti-environmental bias. The memo sent by the cable news channel’s Washington bureau chief Bill Sammon dates back to last January. It asks reporters to call into question the “veracity of climate change data.”“[W]e should refrain from asserting that the planet has warmed (or cooled) in any given period without IMMEDIATELY pointing out that such theories are based upon data that critics have called into question,” wrote Sammon. “It is not our place as journalists to assert such notions as facts, especially as this debate intensifies.”Former Vice President Al Gore called out the cable news channel in a blog post titled “Fox News Manipulates Climate Coverage.” “[T]here’s no legitimate debate: the planet is warming,” wrote Gore. “Moreover, man-made global warming pollution is the principal cause.”
PayPal accélère l’ascension du paiement mobileLe service bancaire d’eBay a enregistré un chiffres d’affaires de 4 milliards de dollars uniquement sur les transactions via mobile. Un score largement supérieur aux prévisions du groupe.Le paiement mobile est en plein essor, et même si l’on parle de transactions sans fil avec un smartphone, il ne faut pas négliger les réalités actuelles, soit les paiements via des applications mobiles sur des sites de e-commerce. Et les utilisateurs ont plébiscité en 2011 ce mode d’achat, puisque PayPal annonce un résultat de 4 milliards d’euros, uniquement sur les transactions à partir de téléphones.À lire aussiNomophobie : traitement, symptômes, qu’est-ce que c’est ?Ce chiffre est nettement supérieur aux prévisions du groupe, qui se situaient à 1,5 milliard. Ce chiffre est à placer en face du montant total enregistré l’année dernière par PayPal, qui s’élève à 100.000 milliards de dollars mais montre la place du mobile connecté dans tous les aspects de notre vie numérique. PayPal annonce ainsi 17 millions d’utilisateurs dans le monde qui effectuent leurs transactions sur leur mobile et espère pour 2012 atteindre la barre des 7 milliards de dollars échangés via smartphones, relate le site iTespresso.Pour expliquer ce succès, la banque en ligne avance trois explications: l’optimisation de l’expérience utilisateur via PayPal Mobile, la croissance du marché du paiement mobile et adoption rapide des consommateurs et l’essor des tablettes tactiles associé à la dynamique des ventes de smartphones.On peut aussi avancer le succès de l’application eBay mobile. PayPal est d’ailleurs une filiale du site d’enchères, qui l’avait racheté il y 10 ans pour la somme d’1,18 milliard de dollars. Aujoud’hui, grâce aux commissions récupérées par eBay, PayPal représente 40% du chiffre d’affaires total du site. Aujourd’hui la banque s’engage à se développer via des partenariats avec d’autres entreprises comme Starbucks, et augmenter la part d’achats mobiles au fil du temps.Le 16 janvier 2012 à 15:45 • Maxime Lambert
Rodrigo Santoro as Hector Escaton, a wanted man, and Ingrid Bolsø Berdal as Armistice, a bandit. (Credit: John P. Johnson (HBO))<><> HBO is hoping to have another Game of Thrones-style hit with its upcoming sci-fi epic, Westworld. This time, instead of adapting an in-progress book series with no end in sight, this new series is based on a low-budget 1973 sci-fi movie directed by Michael Crichton. Yes, that Michael Crichton.Anthony Hopkins as Dr. Robert Ford, director of Westworld. (Credit: John P. Johnson (HBO))The series, created by Jonathan Nolan (Person of Interest, The Dark Knight Trilogy), centers on a futuristic theme park populated by androids, artificial intelligences, and regular humans. Rich patrons visit the park to live out their old west fantasies, whether sexual or violent. The show doesn’t premiere until Sunday, but HBO released these photos from the first episode for us to wildly speculate over.The cast is pretty stellar too, with Anthony Hopkins, Ed Harris, Evan Rachel Wood and James Marsden. So far, HBO is being pretty secretive when it comes to who is an android and who is not. That kind of drama sounds right up Nolan’s alley.James Marsden as Teddy Flood, a new arrival to Westworld. (Credit: John P. Johnson (HBO))We can probably expect this series to wrestle with the question of what happens when an artificial intelligence becomes self-aware. When does it become a living thing? When does it stop being OK to let these beings be abused for the amusement of rich people?Ed Harris as The Man in Black, a gunslinger. (Credit: John P. Johnson (HBO))Westworld premieres this Sunday, October 2 at 9 p.m. on HBO. Until then, HBO put out these first photos
Vancouver Public Schools’ iTech Preparatory was spotlighted in a national study of schools expanding and supporting student achievement.iTech Prep, a science- and math-focused school for sixth- through 12th-graders, is one of 25 included in the American Association of School Administrators, Houghton Mifflin Harcourt and the Successful Practices Network. The study describes the school as a high-quality science, technology, engineering and math, or STEM, school that recognizes its students’ social and emotional needs.
Traffic on Interstate 5 was congested this morning earlier than usual, the result of a bridge lift that occurred at about 6 a.m.The familiar annoyance has become more frequent of late because of high water levels in the Columbia River. This morning, the Columbia stands at 17.38 feet, well into the 16-foot flood stage. Federal law gives marine traffic the right-of-way at the bridge, though bridge lifts on Interstate 5 will not occur during peak weekday freeway travel – from 6:30 a.m. to 9 a.m. and 2:30 p.m. to 6 p.m., Monday through Friday.At its current level, any flooding from the river is not expected to cause much damage. The National Weather Service predicts to the river will rise by Saturday to between 17.8 feet and 18 feet.Motorists, pedestrians and bicyclists using drawbridges to cross the Willamette River in Portland will also encounter delays due to increased bridge lifts.
Events make up the largest segment of the company’s business, followed by targeting, distribution & monitoring; data services; online (marketing services); and, finally, print. UBM plc has commenced a search to replace chairman John Botts, who is planning to retire as soon as May 2012, according to a report this week in The Independent. A spokesperson from the company declined to confirm or deny the Independent’s report due to corporate policy.Botts became chairman in December 2007 after being appointed to the UBM board in 1997 as a non-executive director. He is currently senior advisor in London of investment firm Allen & Company and chairman of private equity firm Botts & Company. The company, led by CEO David Levin, saw an overall revenue increase of 9.8 percent to $1.1 billion for the first nine months 2011, with its events segment leading the way at $436.4 million, up 26.6 percent from the year before. Print revenues fell 17 percent to $135 million during the first three quarters 2011 versus the previous year. For 2010, the company reported overall revenue of $1.39 billion, with an adjusted EBITDA of $294.9 million.
WILMINGTON, MA — Wilmington’s Meagan Pennie was among the 26 students awarded more than $100,000 in scholarships this week from Sheet Metal Workers Local 17.The scholarship program is 100% funded by the membership of Local 17. Each member gives five cents out of every hour they work to the scholarship fund. The membership of Local 17 has donated more than $1.8 million in scholarships to local students since 1983.Sheet Metal Workers Local 17 Business Manager Bob Butler said that the scholarship program reflects the union’s commitment to giving back.“We’re proud to create opportunity for hardworking students and help put them on the path to success,” said Butler. “These scholarships are part of Local 17’s commitment to giving back to the communities where our members live and work.”Local 17 Secretary-Treasurer Russell Bartash credited the three generations of the Hayward Family (Bob, Scott, and Sean) for leading the scholarship committee, and noted the caliber of this year’s scholarship class.“Whether scholarship recipients plan to enroll in a four-year college, community or technical college, the military, or go into the building trades, we’re thrilled to continue to lift up students as they strive for success,” said Bartash.Scholarships are awarded based on performance on the state Labor History Exam and essay or through a lottery drawing. This year’s scholarships also included three memorial scholarships given in honor of longtime Local 17 members Joseph J. Nigro, Charlie F. Geary, and James M. Kelly.About Sheet Metal Workers Local 17Sheet Metal Workers Local 17 is a building trade union representing more than 2,700 skilled and licensed workers throughout Massachusetts, Maine, New Hampshire and Rhode Island. We stand together as the most highly trained professionals in the industry, bringing top safety standards and quality to every project. Local 17 was formed in 1896 so that men and women working in the sheet metal industry could bargain collectively for better work standards. Today, our members enjoy dignified contracts, industry-leading wages and healthcare, and a sound pension plan they can count on after retirement.(NOTE: The above press release is from Sheet Metal Workers Local 17.)Like Wilmington Apple on Facebook. Follow Wilmington Apple on Twitter. Follow Wilmington Apple on Instagram. Subscribe to Wilmington Apple’s daily email newsletter HERE. Got a comment, question, photo, press release, or news tip? Email email@example.com.Share this:TwitterFacebookLike this:Like Loading… RelatedSTUDENT SPOTLIGHT: Wilmington’s Cigna & Flanagan Receive Scholarships From Align Credit UnionIn “Education”STUDENT SPOTLIGHT: Wilmington’s Erin Trodden Awarded Scholarship From Middlesex Community College FoundationIn “Education”Teamsters Local 25 Delivers Big Surprise For Wilmington Student & Others At Boston Higashi SchoolIn “Community”
Spielberg: “I am happy to welcome Dwayne and Dany to Atom, and I look forward to what they will bring to the advisory board.”Perry: “I’m looking forward to working with Dwayne and Dany, along with the Atom team, to grow this amazing socially driven movie ticketing experience in a way that uniquely benefits movie fans as well as our industry.”Abrams: “Atom Tickets is a brilliant platform to make the moviegoing experience easier and more affordable for its users. The team behind Atom is wonderfully collaborative and engaged with its users and partners, and will benefit enormously from adding Dwayne and Dany to its advisory board.”Johnson and Garcia’s Seven Bucks Productions develops and produces original content for TV, film, digital and emerging technology platforms. The company’s film slate includes Universal Pictures’ “Skyscraper” (set to bow July 13, 2018) and action-thriller “Red Notice” as well as Disney’s “Jungle Cruise” — each starring Johnson. The amount of Johnson and Garcia’s investment in Atom was not disclosed. Atom Tickets, founded in 2014, has raised more than $125 million from Lionsgate, Disney, 20th Century Fox Film, and Fidelity, including a $60 million funding round earlier this year.If nothing else, having The Rock — one of the biggest movie stars in the biz — as a backer and promoter will help Atom Tickets boost awareness among theatergoers. The company competes with online-ticketing leader Fandango, which is owned by NBCUniversal.Garcia, commenting on the Atom Tickets partnership, said Seven Bucks seeks partners “reimagining how the entertainment industry does business to most effectively delight, inspire and add value to the consumer experience.” She added, “By joining their advisory board, we’re excited to add our insight and storytelling skills to further harness their potential and transform how our global audience plans a night at the movies.”Atom touts itself as a next-gen ticketing service — built from the ground up for social and mobile. Its app lets users invite friends to see a movie while letting everyone pay separately and uses digital QR codes instead of paper tickets or vouchers. The service is available on more than 20,000 screens across the U.S. and Canada.Matthew Bakal, co-founder and executive chairman of Atom Tickets, said in announcing new partners, “Dwayne has a unique and impressive connection with movie fans around the world who love going to theaters to watch his silver-screen adventures. We’re honored to have the opportunity to tap into his passion for the motion-picture industry to ideate the possibilities.” Regarding Garcia, Bakal said, “Dany is a global business strategy and marketing force that has a proven record of success along with her talented team of brand and marketing executives.”For what it’s worth, Atom Tickets’ three other advisers — Steven Spielberg, Tyler Perry and J.J. Abrams — offered shout-outs to Johnson and Garcia in statements provided by the startup: Atom Tickets is bringing more high-wattage Hollywood electricity on board: Dwayne Johnson and his business partner Dany Garcia have teamed with the online-ticketing startup as investors and advisers.Johnson and Garcia, who were formerly married, are the co-founders of Seven Bucks Productions. Johnson, aka “The Rock,” is the former WWE star who’s a bankable box-office draw, have toplined recent major studio releases “Jumanji: Welcome to the Jungle” and “Rampage.”In their advisory roles, Johnson and Garcia — along with other Seven Bucks execs — will provide guidance to the growing startup. They join filmmakers Steven Spielberg, J.J. Abrams, and Tyler Perry on Atom Tickets’ board of adivsers.“My main objective is to deliver entertainment that the world can enjoy,” Johnson said in a statement. “Coming aboard with Atom Tickets creates an opportunity for us to add even greater value to the moviegoing event.” He added, “We are not only deepening the connection with our fans and their moviegoing experience, but also revolutionizing the business of ticket buying as a whole.”
Kolkata: A police Sub-Inspector was heckled by some truck drivers in Dum Dum while he was prosecuting them for parking their vehicles at a ‘No Parking Zone’ onTuesday afternoon. Later, two persons were arrested on charges for allegedly manhandling a police personnel and obstructing a public servant from discharging his duty. According to the sources, since past several months, the Airport-Nagerbazar Traffic Guard was receiving complaints of no parking space violation along Jessore Road between ordinance factory and Dum Dum Central Jail. On Tuesday, Debasish Kumar, Officer-in-Charge (OC), traffic, Airport Nagerbazar Traffic Guard of Barrackpore Police, went to the area and started prosecuting the vehicles parked on the no parking zone. Also Read – Rain batters Kolkata, cripples normal lifeAfter prosecuting several vehicles, he reached in front of a private English medium school and found several Heavy Goods vehicle (HGV) and Light Goods vehicle (LGV) were parked there. He asked to provide vehicle documents with the intention to prosecute them. One of the HGV drivers failed to produce valid documents to him and as a measure the police personnel tried to tow the HGV away from there to detain it. As soon as a towing van reached the area near school, drivers got agitated. When the towing van was about to tow the HGV, a few drivers manhandled Kumar and tried to snatch his Also Read – Speeding Jaguar crashes into Mercedes car in Kolkata, 2 pedestrians killedmobile phone. Other police personnel present there intervened and called Dum Dum police station for back up. Within minutes, drivers put up a road block on Jessore Road. Soon, police personnel from Dum Dum police station reached the spot and forced the truck drivers to withdraw the road block. Later, Kumar submitted a written complaint against the drivers and two of them were arrested. The raid will continue till the malpractice ends. Again on Wednesday, police action will be carried on to prosecute the offenders. If necessary vehicles may be towed away.
Feature | October 31, 2008 | Mary Beth Massat Trouble in Multi-PACS Paradise Is the trouble with a multi-PACS environment the technology or the marketplace? Radiology is faced with a market paradox. Even as the radiologist shortage continues, the U.S. market for medical imaging equipment is projected to grow at a compound annual growth rate of 8.1 percent through 2012.1 This growth will further drive remote radiology reading and teleradiology services, which have already gained a strong foothold thanks to continued advancements in Web-based technologies. Yet, even as Web technology spurs the growth of teleradiology, many radiology practices find themselves in the midst of a new dilemma: namely, the creation of a multi-PACS reading environment.Maniac PACSYou would think that the existence of search engines such as Google with the ability to aggregate an infinite amount of data would imply that sophisticated data management would be ubiquitous. But the medical industry defies this logic. On the contrary, in the PACS arena, radiology departments are struggling to streamline the data needed to complete a patient report. A large part of the challenge is gathering images from disparate PACS. A practice that reads off a different PACS client for each site they read for is referred to as ‘maniac’ PACS, according to Paul Nagy, Ph.D., associate professor, diagnostic radiology and nuclear medicine, University of Maryland Medical Center. “If you combine information from multiple, separate institutions onto the same PACS, you run into another problem. There is a significant amount of back-end work needed when importing to correct the data, such as matching to the medical record number for relevant priors, just so the radiologist can begin reading and compare them side-by-side,” said Nagy. He estimates the time to curate outside studies could easily run as high as 15-20 minutes to import a study from an outside institution. This is compounded by the fact that a patient may have relevant priors at different institutions within the same health system, says Paul Chang, M.D., professor and vice-chairman, Radiology Informatics at the University of Chicago Pritzker School of Medicine and medical director, Enterprise Imaging, University of Chicago Hospitals. Frequently in a multi-institution system, there is no single archive or database, and the same patient may be represented by a different medical record number at each site. Often, radiologists navigate through patient data on different workstations and Web clients, each with a different user interface. “Yet the radiologist requires a single presentation for a comprehensive patient view to read and report each study,” said Dr. Chang. The result is an inefficient workflow. Nagy does not believe that portable media such as CDs are an answer either. “RHIOs have tried to use CDs to exchange and share data, but so often the CDs have interoperability issues. Plus, the embedded viewers on the CD still means the radiologist has to look at the images separately.” A key problem, he notes, is that there is no standard usability across different vendors’ PACS. “This environment forces the radiologist to use different user interfaces, which places a cognitive drain on the clinician,” he said.Other challenges include identifying disparate medical records for the same patient, noted Dr. Chang. “The technology exists to solve this problem, such as the master patient index,” he added. “Yet, the problem remains because there is no universal patient record identifier.” So there is a human factor for bringing together records for the same patient who may be listed differently, such as John Doe, J Doe and Jonathan Doe. “This dependence on manual association of multiple medical record number identifiers into the master patient index is a significant problem,” Dr. Chang said. Both Nagy and Dr. Chang point to existing IHE standards, such as the cross enterprise document sharing (XDS) profile for distributing electronic medical records among healthcare enterprises. Even with this profile, Dr. Chang indicates that many vendors have not yet embraced it. “There is no real incentive for current vendors to follow this,” he said.Making Multi-PACS WorkEven with all the challenges confronting radiology practices reading for multiple sites with different PACS, several groups are finding some success. Yet, the common thread is that each site had to implement their own PACS for an efficient workflow model that enables the radiologist to read and report from a single workstation.Five years ago, Henry Hollenberg, M.D., and a partner at Total Radiology Solutions (TRS) recognized the solution to reading studies for multiple hospitals with disparate PACS was to bring all the data together. He worked with BRIT Systems and the company’s Roentgen Files PACS to route all studies from 10 small- to medium-sized hospitals into a Linux (UNIX/AIX) server driving BRIT’s Linux Reading Workstation.At each hospital, the modalities, HIS and RIS all communicate directly with the Linux (UNIX/AIX) server, which he calls the “traffic cop.” This “traffic cop” provides features to ensure uniqueness of the data and labels it so the PACS knows which facility it came from and where to return the radiology report.In some of the hospitals, the Roentgen Files PACS acts as the primary PACS server and communicates directly with the HIS/RIS. For all others, Dr. Hollenberg says the hospitals use a nighttime reading model, where all images, orders and relevant priors are pushed to the server as a back- end or secondary system. For redundancy, Dr. Hollenberg has two Linux (UNIX/AIX) servers backing one another. “The back-end part that makes this work is synchronization of studies at the PACS level,” he said.In an effort to better synchronize studies, Jesse A. Salen, vice president of Sales and Technology for Online Radiology (Riverside, CA), implemented Centricity PACS-IW from GE Healthcare’s Dynamic Imaging Solutions Division. Salen set up a virtual private network (VPN) to each customer site so the remote reading service group could more efficiently read studies from 150 different sites. Their hospital client base ranges from rural 50-beds or less hospitals to Level 1 Trauma Centers.Although sharing data in a HIPAA-compliant manner is one technical challenge, Salen says a larger issue is the fact that not all data adheres to the DICOM standard. For the 10 percent of the studies that have some proprietary data, Online Radiology uses DICOM routers and gateways to send clean data to its PACS. “The biggest challenge is consolidating and moving the data into our environment, so our radiologists have a single patient view,” Salen noted. At Renaissance Medical Imaging Associates (RIMA) (La Canada, CA), the IT staff is preparing to install Carestream Health’s new solution called SuperPACS. Andrew Deutsch, M.D., president and CEO, says that in a complex multi-PACS reading environment, it is important to be able to do more than just move images around. “At this SuperPACS level, we can balance workflow and re-route studies to gain efficiencies,” said Dr. Deutsch. Each site will communicate with RIMA’s SuperPACS to create one global worklist.TRS also took over the worklist with its PACS. Says Dr. Hollenberg, “This allows us to manage workflow and maintain a high level of productivity by using one user interface.” All five radiologists in the practice read from the same worklist, regardless of where they are located. “In addition, we can QC the studies and patch multiple modality studies into one seamless presentation, including history sheets,” he explained. Reporting is also an issue. “We have to coordinate reporting, then electronically distribute that final report back to the referring physicians,” said Dr. Deutsch. RIMA reads for five hospitals, owns and operates seven imaging centers and reads for one teleradiology practice. Yet, Dr. Deutsch cautions that the SuperPACS model is not simply taking data from different PACS and ‘dumping’ it into another. It acts as an intelligent facilitator to communicate with existing PACS and maintain the integrity of the data as well as simultaneously satisfying security and privacy regulations.At all three reading groups, a scalable, redundant solution is a necessity. Each group practice has a data center that can also be used to provide a disaster recovery solution. Also common to each site is the ability to track studies as they move through the system. Dr. Deutsch says a robust worklist that helps divide and balance the imaging load is crucial. Dr. Hollenberg suggests having a champion who understands the front end workflow and the back end technology. “Persistence and finding the right vendor who can make it work is the best bet,” he said. At TRS, the PACS also integrates with his billing company to automate this process as well, providing the full loop from order to charge. “Don’t change to accommodate the PACS – have the PACS fit into your workflow,” said Salen. “Have a group representative be completely involved in the installation process.”Political, Economic ChallengesEven though these three sites have found success, many reading groups find the multi-PACS environment hampered by interoperability issues and a lack of data sharing.Dr. Chang believes the real issue is political and economic, not technical. “There are no real incentives for the hospital and the vendor,” he said. “The technical issues are understandable and not impossible to solve.”The traditional hospital-based EMR is not the solution either, said Dr. Chang. He uses the analogy of purchasing goods at different stores. “For every purchase we make, we use a single trusted proxy – our bank or other financial institution.” He sees this model – the economic record as a single source – one that healthcare should follow.“In healthcare, we need a central clearinghouse that acts as a trusted proxy for a person’s health information,” Dr. Chang said. This proxy, according to Dr. Chang, could be the personal health record (PHR). The scenario Dr. Chang envisions is once a patient presents their PHR card to a healthcare provider, permission is granted to access that patient’s records. Technology points and brings together all relevant data so that health data is not stored in one place. “The PHR addresses the political and economic issues that create the problems in a multi-site, multi-PACS environment,” he explained. He also suggests that third-party payers can work with a PHR provider to reduce waste and streamline patient data collection as an extension of the billing process. The third party payers synchronize with the PHR provider to know where the patient’s data resides. Dr. Chang added, “We have a good precedence already – it is the model of how we handle our money.”Reference:Brock, Amy. Medical Imaging: Equipment and Related Products. U.S. Market Projections for Medical Imaging Equipment by Segment, 2004-2012. BCC Research, Oct. 2007. Available at www.bccresearch.com/report/HLC020E.html. FacebookTwitterLinkedInPrint分享
Female songwriters in Nashville say “Time’s Up” In this Jan. 29, 2018 photo provided by Song Suffragettes, Inc., members of the Song Suffragettes, from left, Candi Carpenter, Tiera Leftwich, Kalie Shorr, Chloe Gilligan and Jenna Paulette pose for a photo in Nashville, Tenn. Female musicians in Nashville have long complained about the lack of representation on country radio, but now a collective of female songwriters are singing “Time’s Up.” Nearly two dozen women, all belonging to the Song Suffragettes collective, sang on the “Time’s Up” song and music video released earlier this month. (Quinton Cook/Song Suffragettes, Inc. via AP) NASHVILLE, Tenn. – Female musicians in Nashville have long complained about the lack of representation on country radio, but now a collective of female songwriters are singing “Time’s Up.”The Song Suffragettes were formed in 2014 in response to a growing concern that women were being excluded by labels and radio and spurred by comments by a radio consultant that compared women to tomatoes in a salad. Only 18 out of the top 100 country singles of 2017 had a female artist featured, a percentage that has been stagnating in the genre for years.Kalie Shorr is one of the original members of the collective that plays in a writer’s round every Monday night at the Listening Room Cafe, just a couple of miles away from Music Row.“We had all individually gone into a stuffy Music Row office and had someone say, ‘No,’ followed by ‘because you’re a woman,’” said Shorr. “I have even had label executives say, ‘I am just really burned out on women right now.’”But Shorr and her fellow singers said the #MeToo and Time’s Up movements that started in Hollywood and spread to other industries is a critical step forward in a conversation that has always been a secret in many industries. Shorr, along with another Suffragette singer Lacy Green, were inspired to write “Time’s Up” after watching the scores of actresses dressed in black at the Golden Globes.The music video for “Time’s Up” features the 23 singers dressed all in black, linked arm in arm, singing lyrics like “The scales are tipping, the veil is ripping and the clock is ticking ’cause the time’s up.” Proceeds from the sale of the song will go to the Time’s Up organization, which has established a legal defence fund.It’s one of the few signs that more artists in country music are willing to address sexual harassment. Keith Urban played a song “Female” on the Country Music Association Awards last November that seemed to address the #MeToo movement. The Country Radio Seminar, an annual gathering of the top country radio stations in the country held this week in Nashville, will have a panel on sexual harassment.But other signs suggest that the genre still has a long way to go. For example, a radio host who was fired after he lost a groping lawsuit to superstar Taylor Swift got a new gig at a Mississippi country station this year. And a country singer named Katie Armiger is in the midst of an ongoing lawsuit with her former label Cold River Records, in which she has alleged sexual harassment by unnamed radio personnel. Cold River Records has denied they were aware of the harassment.The movement has affected some of the Song Suffragettes personally and directly.“It’s one thing to see artists come out about it, but actually a few weeks ago, one of my family members came out and said that she had been sexually assaulted,” said Tiera, who goes by her first name as an artist.Shorr said that those women who have shared their stories about harassment or assault have helped to change the attitude about what was once a very secretive topic.“I 100 per cent understand why no one would want to share their story, but now it’s like we’re creating this culture where it’s OK to speak about it,” Shorr said. “That’s why I really love this movement, because everybody is just sticking together.”Candi Carpenter, a new artist on the Sony Music Nashville label, said that the national statistics for sexual assault are staggering, but support is available.“Letting victims of this kind of behaviour know that when they come forward, they will be believed and they will be supported by a community,” Carpenter said. “That’s what our community does for each other and that’s what we need to do for each other as a country.”They agreed that the recent Grammy Awards last month missed an opportunity to highlight the work of female musicians. The Recording Academy came under fire for comments made by President Neil Portnow that women needed to “step up” after only two women won awards during the telecast.Shorr said while she loved Kesha’s performance of “Praying,” she said the Recording Academy should have given Lorde, the only woman nominated for album of the year, a performance slot.She said the academy “missed the mark a little bit” and urged members to “look at the bigger picture” and ask: How can we help? “Not to anticipate that kind of backlash is a little bit surprising to me.”___Online:http://www.songsuffragettes.comhttp://www.timesupnow.com___Follow Kristin M. Hall at Twitter.com/kmhall by Kristin M. Hall, The Associated Press Posted Feb 6, 2018 7:32 am PDT Last Updated Feb 6, 2018 at 8:00 am PDT AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to RedditRedditShare to 電子郵件Email
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