APTN National NewsMore than 160 children died in Manitoba last year and many of them have been involved in the children welfare system at one point in their lives.90 percent of these children were First Nation and Metis.This is according to a report released by the Manitoba Child Advocate in Winnipeg outlining child deaths in the province over the past five years.APTN’s Dennis Ward reports.
TORONTO – David Heffel says he likes art as part of an investment portfolio because it provides daily dividends.“They’re assets that you can live with and enjoy on a day to day basis, but more importantly you can share them with family and friends.”Heffel, president of the Heffel Fine Art Auction House, has seen his share of paintings bought for a pittance sell for hundreds of thousands or even millions that prove to be fantastic returns on investments.But while returns are far from reliable, investment advisors say it can be a creative way to add a bit of diversity to an investment portfolio.“I think it’s a great idea,” said Michael Taglieri, who studied art history and worked in the art world before transitioning to become senior wealth advisor at Assante Capital Management Ltd.“It’s another way to diversify a portfolio, which is important, and it’s a good way to support culture.”The sentiment is part of a wider trend among wealth advisors who see art as part of growing passion-based investments.Deloitte’s Art and Finance report said 88 per cent of wealth managers polled said they think art and collectibles should be part of wealth management offerings and about half say diversification is one of the strongest reasons to include art in wealth management.The 2017 report showed the market can provide steady returns, citing Artnet indices that showed the global contemporary art market had a compound annual growth rate of 8.54 per cent over the previous 15 years.Investors shouldn’t, however, bank on such returns, as even some high-end art segments have shown negative returns in recent years, while average investors generally don’t have access to the higher-end art tracked in the indices.Taglieri’s advice to potential buyers is to look for young or emerging artists because the costs of entry are generally much lower.“If you’re going to an auction and buying from the secondary market of an established artist, your investment is a bit safer, a bit more solid, but you’re going to pay for it.”People looking to devote a small portion of a portfolio to dabbling in art should look around at many galleries, magazines and auctions to find what style they like, and make sure they love what they’re buying since it’s quite a speculative purchase, said Taglieri.“You really have to enjoy a piece, because it may take a long time to appreciate.”Heffel said that while the costs of entry are higher, he prefers to stick with more mid-career artists because the vocation is just so challenging that many artists drop out before being able to establish themselves and add value to earlier works.“I like to focus on mid-career painters that have some track record of some museum recognition, a public collection inclusion, and if you’ve had an opportunity to meet those artists, that they have a lifelong dedication.”To improve the chances of making a sound art investment, Heffel recommends exploring online databases of private auction sales and other online tools to understand the art market itself and which kind of art holds or increases in value.Buyers should also factor in insurance costs and make sure the paperwork is in order so the provenance of a piece can be proven, he said.For investors who would rather avoid the process of identifying, buying and storing high-end art, there are art funds where investors pool capital and buy pieces that would otherwise be out of reach.However, they don’t come cheap. Art funds are generally only accessible to high net-worth individuals, and can have opaque structures and sometimes onerous terms, making them a fairly niche product.The funds also run counter to the advice of collectors like Heffel who recommends buyers explore the creative world of fine art and carefully buy according to your taste, and budget.“In the early stages look at as much art as you can…standing face to face in front of as many art works as you can to educate your aesthetic eye.”
Rabat –Moroccan security services are placed on high alert to avert thwart terrorist attacks on Moroccan soil.Director of Morocco’s intelligence services – General Directorate of Territorial Surveillance (DGST) and General Directorate for National Security (DGSN) – Abdellatif Hammouchi called for the mobilization of all Moroccan security services and raised the country’s security alert level.Hammouchi met with all branches of national security following the police raid in Saint-Denis, northern Paris, on November 18 that resulted in the death of three terrorists, including the alleged mastermind of the November 13 Paris attacks, Abdelhamid Abaaoud. “Hammouchi placed security services on high alert after Saint-Denis anti-terrorist operation”, Moroccan daily Al-Massae reported in its weekend issue.“Strict orders were issued by the DGSN to various security services on Thursday, November 19, in order to raise the security alert to its highest level,” where all security personnel is to be armed and ready at all times.“The alert was decided to ward off any attack likely to come from ISIS sympathizers, especially after Moroccan intelligence services succeeded to decipher the enigma of Paris bombings and provided their French counterparts with valuable information that enabled them to abort new attacks that targeted at La Défense and the business district in Paris,” the daily said.Several arrests have been made in Morocco of suspects linked to the so-called Islamic State. A French national was detained in Marrakech on Thursday and police investigate possible terrorist cells in Béni Mellal and Nador.According to the same source, the national security mobilization is prepared to thwart any act of terrorism aimed at Morocco.Armed unites of “Hadar” have been dispatched to protect the Kingdom’s most vulnerable and possibly targeted areas, including state institutions, public places, and tourism areas.Moroccan intelligence services played a central role in preventing another terrorist attack in the French capital.On Wednesday, based on the information provided by Moroccan intelligence services, French authorities were able to locate the whereabouts of Abdelhamid Abaaoud, alleged mastermind of the Paris terrorist attacks.In a meeting on Friday in Paris, French President Francois Hollande thanked King Mohammed VI for Morocco’s effective assistance following last Friday’s carnage.
Brock’s Office of Human Resources is seeking employee participation in upcoming focus group sessions.Planned for the end of March, the sessions will take a closer look at the 2017 Employee Engagement Survey results. Feedback will help the University understand employee’s interpretation of the survey questions and identify possible solutions to areas of improvement.Employees are encouraged to sign up for one of three focus groups on Focus on Learning:BUFA session(Faculty members and Librarians)Wednesday, March 28 from 9 to 11 a.m.Academic and Non-Academic Leadership session(Deans, Associate Deans, Managers and Directors)Wednesday, March 28 from 2 to 4 p.m.Staff session(Admin Professional, Exempt, OSSTF, IATSE and CUPE 1295/2220 and 4207 Unit 2, 3)Thursday, March 29 from 9 to 11 a.m.Questions about the sessions can be directed to Jolin Wang, HR Generalist at firstname.lastname@example.org or x6733.
Want the best of The Telegraph direct to your email and WhatsApp? Sign up to our free twice-daily Front Page newsletter and new audio briefings. More than 40,000 people caring for a cancer sufferer are now having to fulfil core nursing tasks such as administering medicine and changing dressings, new data reveals.The cohort of people performing these roles has expanded by over quarter in the last five years, according to Macmillan Cancer Support. Too often this sandwich generation of carers find themselves pulled in every directionLynda Thomas, Macmillan Chief Executive They charity estimates they now form part of a 110,000-strong “sandwich generation” of carers who are faced with looking after both a parent with cancer and their own children, almost nine in ten of whom are also juggling a job.The new report was based on research among almost 900 cancer carers and found that many suffer mental health problems such as anxiety and depression.Cancer carers are now spending an average of 17.5 hours a week looking after someone with the illness, the report found, an increase of 2.5 hours since 2011.The proportion of carers now involved in helping with healthcare tasks, such as giving medication, has also gone to 38 per cent from 28 per cent in 2011.Lynda Thomas, Macmillan chief executive, said: “Too often this sandwich generation of carers find themselves pulled in every direction by a physically and emotionally draining juggling act that can cause their finances to come under pressure, their working lives to suffer and their own health to bear the brunt.”
However, the radio presenter has said that Mrs Leith has now apologised for her comments.He said: “I thought, well, that’s fair enough, so I said on the air on Tuesday ‘If you want any tips about the potential pitfalls, as long as you cook me lunch, Prue, because let’s face it, it’s not going to be the worst lunch in the world, we can have a chat about that.'”She emailed me after the show. She said ‘What a silly thing to say’. I said ‘No, it’s the perfect thing to say because a) it got you publicity for the new show and b) it’s absolutely right, by the way!”She was commenting on Mr Evans’ short and unsuccessful stint presenting BBC’s flagship motoring show.Presenters Sandi Toksvig and Noel Fielding will host the new series of Bake Off.The cook said she was “thrilled to be joining Paul, Sandi and Noel on the biggest show on TV and I cannot wait to see what the real stars of the show – the bakers – are going to create for us. Prue Leith apologised to Chris Evans for making a snide comment about his failed presenting gig on Top Gear.The newly-appointed Great British Bake Off presenter has been confirmed as Mary Berry’s replacement alongside Paul Hollywood when the baking programme moves to Channel 4.Talking before it was confirmed she had the role, she told the Press Association that if she replaced Mrs Berry she “doesn’t want to do a Chris Evans”. “It is such an honour to be part of The Great British Bake Off team.” Want the best of The Telegraph direct to your email and WhatsApp? Sign up to our free twice-daily Front Page newsletter and new audio briefings.
International Mining has been asked to be the International Media Partner for Austmine 2011. Austmine is the peak body representing the export sector of the Australian mining technology, equipment and services sector – http://www.austmine.com.au/. It hosts an exhibition every two years that is a premier Australian “event for this sector drawing a broad audience of high level executives from the international mining arena,” Austmine says.The upcoming Austmine 2011 conference is to be held in Brisbane, May 17-18. It is an opportunity to showcase innovation and development of mining technology, equipment and services to the international mining industry. The biennial conference was last held in Adelaide in 2009 attracting over 270 delegates from 15 countries.Austmine notes: “A mining boom characterised by rapidly escalating costs and the growing realisation that resources needed to feed production growth – people, skills, materials and energy – are finite, is over. A new era beckons, one in which technology plays a leading role in controlling costs, productivity and safety. The technological revolution will make the next mining boom very different to what we’ve seen in the past 30 years. This premier international event will provide unique insights into innovative technologies starting to transform the mining landscape and focus on how the industry can tackle the ever emerging challenges of the global resources sector.”Robert Trzebski is the Austmine 2011 Chair and the Conference Committee members are Andrew Gray, Russell Mineral Equipment, Tom Hunter, Aker Solutions and Tim McLennan, CSIRO Minerals Down Under National Research Flagship. Event Management: The AusIMM – Alison McKenzie, Manager, Conferences & Events, email@example.com
Le plateau continental déplacé de 24 mètres par le séisme Les garde-côtes japonais ont indiqué hier que le séisme du 11 mars dernier avait étiré sur 24 mètre le plateau continental, sous l’océan Pacifique.Une partie du sol situé sous l’océan Pacifique s’est étendue sur 24 mètres en direction de l’est-sud-est suite au séisme du 11 mars. Ce sont des capteurs placés là par les Japonais qui ont permis de constater ce déplacement, nous apprend l’AFP. Le décalage s’est produit à 130 kilomètres au large des côtes et s’avère être plus de quatre fois supérieur au déplacement qui a pu être observé sur les terres. En effet, la péninsule d’Oshika n’a, elle, bougé “que” de 5,3 mètres. L’USGS (l’institut américain de géophysique) avait quant à lui déjà précisé que Honshu, l’île principale de l’archipel nippon, s’était déplacée de 2,4 mètres suite au tremblement de terre rappelle Sciences et Avenir.Le 7 avril 2011 à 20:13 • Emmanuel Perrin
STEVENSON — A sheriff’s officer says a helicopter has picked up two of four hikers for whom authorities were searching in remote parts of Southwest Washington.Skamania County Undersheriff Dave Cox said Tuesday night a helicopter had rescued Matt Margiotta and Kyla Arnold, who called for help Monday after snow obscured their route on the Pacific Crest Trail.Deep snow forced ground searchers to turn back earlier in the day.In a statement, Cox said the two hikers were being flown to Portland. He says they apparently didn’t need any medical care.A search is expected to continue today for the other two hikers missing in separate areas of Southwest Washington.Cox said another Pacific Crest Trail hiker, Alejandra Wilson, was reported overdue about 20 miles farther north than Margiotta and Arnold. Searchers from Lewis County were headed south on the trail, hoping to run into her.Meanwhile more than three dozen rescuers continued looking for Kristopher Zitzewitz, 31, of Portland, who became separated from his partner in the Big Lava Beds area of Gifford Pinchot National Forest on Saturday.Searchers had encountered two other hikers on the trail and persuaded them to turn around.
News The popstar takes the title from herself as the woman with the highest-grossing U.S. tour everAna YglesiasGRAMMYs Aug 22, 2018 – 5:46 pm GRAMMY winner Taylor Swift has outdone herself yet again, this time by breaking her own record of being the woman with the highest-grossing U.S. tour. The singer/songwriter has earned $191.1 million so far for the U.S. leg of her Reputation Stadium Tour.The star’s 1989 World Tour in 2015 also put her at the top of female tour earners, bringing in $181.5 million domestically, according to Billboard. The Reputation Stadium Tour is set to further surpass that number, as the current earnings tally is based on the 27 domestic shows to date, all which were sold-out. Swift still has 11 U.S. dates left to perform.Her latest tour is in support of 2017’s Reputation, her sixth studio album, which has given her six Top 40 hits on the Billboard Hot 100 chart. Her latest single, “Delicate,” has earned her a total of 56 Top 40 hits, the highest number for any female artist.It seems like Swift is never done breaking records– she is one of only two female solo artists, along with Adele, to win a GRAMMY for Album Of The Year twice. She won the title at the 52nd GRAMMY Awards for Fearless and again for 58th GRAMMY Awards for 1989.Catching Up On Music News Powered By The Recording Academy Just Got Easier. Have A Google Home Device? “Talk To GRAMMYs”Read more Email Facebook Twitter Taylor Swift Breaks Own Tour Record With Sold-Out Reputation Taylor Swift Beats Own Tour Record With Reputation taylor-swift-breaks-own-tour-record-sold-out-reputation
A 2,500-pound terrorist has been surprising sport and commercial fishermen outside Sitka harbors. There’s one thing he’s after—fish — and the season is just ramping up. This federally-protected mammal is causing more trouble than his weight for the city.A Steller sea lion has been frequenting the Sealing Cove fish cleaning station for more than a month now. When anglers cruise into the floating dock to fillet their catch, the animal beelines toward them for what he hopes is an easy meal.The sea lion in question has a distinguishing scar on the left side of his back. (Photo courtesy of Stan Eliason)Download AudioPolice Lt. Lance Ewers had his own run-in with the sea lion, after a day out on the water with his kids. He says he saw his friend cleaning fish by the runway on his way back into Sealing Cove and asked what was up. The sea lion had chased Ewer’s friend away from the cleaning station. So, like any good detective, Ewers had to find out what was going on. He drove over to the dock and left his kids on the boat.“All of a sudden the sea lion jumps up out of the water on to the fish cleaning station on the dock,” Ewers said. “And you would be surprised how agile they are even out of water. It doesn’t hop around you see on national geographic the walruses – don’t be fooled by the sea lion they get around just fine.”The sea lion didn’t see any fish, so it hopped back into the water, but not before sizing him up.“It did not fear me there was no fear whatsoever it knew it was a sea lion and I was a human and I was in its neck of the woods,” Ewers said.And NOAA law enforcement says that is the problem. The animal is accustomed to humans and has come to associate the cleaning station with food.Al Duncan is the assistant special agent in charge with NOAA Fisheries Office of Law Enforcement in Sitka.“It’s really a learned behavior on the sea lion’s part in particular because some of the reports we have received is people are actually taking fish carcasses and feeding the sea lions,” Duncan said.Duncan said the NOAA talked to the city about possibly moving the fish cleaning station until the sea lion dissociates it with food but that could cause further problems. Fish waste near the runway attracts birds, which causes safety hazards for airplanes. And cleaning fish inside the harbors is prohibited.“We posted some signs: Do not feed,” Duncan said. “We posted some additional signs making the public aware that there’s an aggressive sea lion that seems to be running about this location so that they’re aware of it and they can use extreme caution when using this facility.”And really that’s the best they can do. The sea lion is federally protected under the Marine Mammal Protection Act. That means the city and state have to stay hands off. Wildlife Trooper Tim Hall said if a bear was showing the same aggressive behavior the state would consider destroying it.Stan Eliason, the city’s harbormaster, said he can’t even haze the sea lion away from the station without proper permits.“It seems like they’ve got more protection than we do but it’s just how it goes,” Eliason said.He says he’s working with NOAA’s protected resources division out of Juneau to figure out the best course of action with the sea lion.“They’ve recommended putting scarecrows out there I don’t think that’s going to work he’s too comfortable with humans,” Eliason said.Sitka and Southeast have had problems with the massive marine mammals before. In 2014, a sea lion lunged out of the water and bit a commercial fisherman on his backside. A similar thing happened in Petersburg, too.Eliason said the sea lion’s behavior is the worst he’s ever seen. And now the animal has been reported in each of the city’s five harbors. He’s worried about the safety of harbor users, especially children. In one recent instance, this sea lion jumped aboard a man’s boat, startling him to the point he fell over and caught his hand in a hook.There is one option to get rid of the sea lion without federal intervention – subsistence harvest. Alaska Natives living on the coast are allowed to hunt the animals.“It’d be a win-win situation for me again so I don’t have to worry about the sea lion charging adults and children and pets,” Eliason said.But until if and when that happens, Eliason said: “Don’t feed the darn thing.”It is illegal to feed or attempt to feed sea lions in the wild. NOAA fisheries law enforcement will issue citations to those violating the law.
Travel site Cleartrip has teamed up with Indian Railway Catering and Tourism Corporation (IRCTC), facilitating booking of train tickets on the updated version of its Android app.The users need to download the new version to access the new feature and only the Android version of the website avails the feature as of now. The app also lets the user check their PNR status.To benefit from the latest feature, the users have to sync their Cleartrip account with their IRCTC account. Syncing could be a bit tedious as it requires the user to feed with every bit of information from phone number to address.However, users on Google Play have posted problems in syncing both their accounts.”Syncing of account was tested thoroughly before we pushed this version but we have to rely on a third-party API for this to work seamlessly,” Cleartrip said, adding that users can connect with them on firstname.lastname@example.org for assistance. Cleartrip with latest feature that lets the user book train ticketsAfter entering all the required information, IRCTC will send a One Time Password (OTP) and email with a link. After clicking on the link, the user will have to fill in the OTP provided to activate the account.Although there are few glitches with the new feature, like the sync option, it brings an option of a saved profile and saved card details at a one location for booking train tickets.The latest train feature came just a few days after Indian Railways started SMS booking system, wherein one can book train tickets through SMS. [Read on How to Book Train Tickets Through SMS].
Mobile, Ala.– June 29th marks the start of competition for Amanda Ellis, the Baltimore, Maryland teen competing in the 60th Distinguished Young Women National Finals. Ellis, along with 50 other state representatives, has been in Mobile, Ala. for the past two weeks participating in community activities and preparing for the national scholarship competition.Baltimore teen Amanda Ellis will participate in the 60th Distinguished Young Women National Finals Competition in Mobile, AL. (Photo courtesy of md.distinguishedyw.orgThe program’s evaluation process includes scholastics (25%), interview (25%), fitness (15%), talent (20%) and self-expression (15%). During the preliminary competition tomorrow and Friday, each participant will compete in the categories of self-expression, fitness and talent. Ellis has completed an individual interview with a panel of five judges and her scholastic performance has been scored through an evaluation process of her high school academic record and standardized test scores.On Saturday, July 1, ten finalists will be selected from the group of 51 young women and will compete for the opportunity to represent the program as the Distinguished Young Woman of America for 2017 and for a share of thousands of dollars in cash scholarships.“The 51 state representatives have an energy, enthusiasm, intellect and drive that serve as a reminder of the power of our youth and show us that the future is in good hands,” said Kendra Haskins, Executive Director of Distinguished Young Women. “Throughout their two weeks in Mobile they have left a mark upon all they have met – whether through volunteer service, a kind word to a child, or the staff and crew of the program who work with them during their stay. We are thrilled to be celebrating the 60th anniversary of this program and of impacting the lives of not only the young women who are with us in Mobile, but the thousands of others Distinguished Young Women inspires to be their best.”For her talent presentation, Ellis will perform a dance to “Lost Song” by Olafur Arnolds. Ellis is a 2017 graduate of G.W. Carver Center for the Arts and Technology and the daughter of Deborah Ellis and David Ellis.To view the live webcast of the Distinguished Young Women National Finals, visit www.DistinguishedYW.org on Thursday – Sat., June 29 – July 1 at 7:00 p.m. CST. To see photos of participants from their time in Mobile, visit www.fpvision.com.About Distinguished Young WomenFounded in 1958 in Mobile, Alabama, Distinguished Young Women is the largest and oldest national scholarship program for high school girls. During its 59 years of operation, the program has provided life-changing experiences for more than 745,000 young women. Distinguished Young Women provided more than $106 million in cash scholarships and $1.1 billion college granted scholarship opportunities to program participants at the local, state and national level. Previously known as America’s Junior Miss, the program announced its new name in June 2010.The mission of Distinguished Young Women is to positively impact the lives of young women by providing a transformative experience that promotes and rewards scholarship, leadership and talent. National sponsors include Mobile County, City of Mobile, Wintzell’s Oyster House, Evonik, Encore Rehabilitation, Alabama Power Foundation, Master Boat Builders, Barbara Barrington Jones Family Foundation, Regions Financial Corporation, and Alabama Media Group.For more information about Distinguished Young Women, contact Adrienne Rea, National Headquarters Marketing and Communications Director (251-380-7676, Adrienne@DistinguishedYW.org) or visit www.DistinguishedYW.org. Find us on Facebook, Twitter and YouTube: www.facebook.com/distinguishedyw; www.twitter.com/distinguishedyw; www.youtube.com/user/distinguishedywThe official Distinguished Young Women hash tag for the 60th National Finals is #DYW2017.
If you get cravings for chips, sweets and fast-food whenever you are bored, do not blame the situation alone. According to British researchers, people eat more to boost low levels of brain chemical dopamine as they cannot alleviate the boredom in any other way.The results showed that people were more likely to express a preference for unhealthy foods like crisps, sweets and fast food after completing the boring task.“This strengthens the theory that boredom is related to low levels of the stimulating brain chemical dopamine and people try to boost this by eating fat and sugar if they cannot alleviate their boredom in some other way,” said Dr Sandi Mann from the University of Central Lancashire (UCLan). Also Read – ‘Playing Jojo was emotionally exhausting’Mann and colleagues Faye Ibbitson and Ben Edwards conducted two studies of boredom and food choices.In the first study, the team asked 52 participants to complete a questionnaire on their food preferences before and after completing the boredom-inducing task of repeatedly copying the same group of letters.In the second study, they asked 45 participants to watch either a boring or a funny video, during which a range of healthy and unhealthy snacks were available.They found that the participants, who had watched the boring video, ate significantly more unhealthy food.“Health education campaigns can encourage us to make healthier food choices need to take boredom, including boredom in the workplace, into account. Bored people do not eat nuts,” Mann stated.The study was scheduled to be presented at the annual conference of the British Psychological Society this week.
Information-based decision-making is critical to physicians in delivering quality care and ensuring efficiency in today’s health care systems.Patient data must be available and used for effective decision-making. Yet, because it exists in various systems across numerous healthcare providers, this information is not always readily available to clinicians. While the integration of various systems can enable new levels of efficiency, few organizations have been able to overcome the challenges of departmental information silos and internal inoperability. Achieving actual healthcare information integration continues to be a goal rather than a reality, even for the largest and most technically advanced entities.Radiology Connects to the Enterprise Among clinical disciplines, radiology offers the most significant potential for quick wins associated with cross-enterprise integration. Radiology images and reports are critical components of a patient’s medical history. Ensuring that all care providers have easy access to radiology information can help reduce costs by minimizing duplicative scans and redundant image and report distribution. Most radiology facilities are already digital and standards-compliant and are using the digital imaging and communications in medicine (DICOM) protocol and health level seven (HL7) messaging. This creates a solid foundation for integrating data from radiology information systems (RIS)/picture archive and communication systems (PACS) into other programs. This also makes electronic clinical decision support a more accessible solution.Custom vs. Best-Practices Approach Organizations seeking to integrate a PACS and electronic health records (EHR) often struggle with a fundamental choice: should they develop custom interfaces or rely on a best-practices approach? In this case, the best-practices method employs standards-based frameworks from the Integrated Healthcare Enterprise. Using standards-based connectivity, open-Web architecture and rapid-development approaches, an either/or scenario, is no longer necessary. Blending standards-based approaches with customization can yield efficiencies — and can be achieved quickly. This can be done without requiring information duplication, changes to established workflow or costly upgrades to existing, individual systems.Five Tips to Integration When considering the integration of RIS/PACS and EHR solutions, organizations should consider the following five key elements to optimize immediate value. • Plan for best-of-breed solution architecture • Minimize impact on existing care workflow • Keep the patient experience in mind • Leverage current standards compliance • Consider the Web as an integration conduitBest-of-Breed Environment Multivendor, multigeneration solution topology is a reality for most health care environments. This is particularly true for diagnostic imaging solutions for cardiology, orthopedics and oncology. The forklift replacement strategy, which involves enforcing an enterprise PACS design across all departments, is neither cost-effective nor practical from a time perspective. Typically, this approach comes with a long implementation and change in management cycle, as well as a hefty price tag.In practice, most hospitals and health systems have several departmental PACS and information systems, such as RIS, cardiovascular information systems (CVIS) and so on. Each one needs to interact with the EHR in the hospital as well as outpatient clinics and referring practices.An effective integration approach requires an architectural design that accounts for such multivendor, multisystem integration. Mastering the reality of such a best-of-breed environment not only helps to avoid an expensive technology project but also minimizes the impact of radical change management across multiple sites.Minimize Downtime In clinical environments, a common barrier to system adoption and integration is disruption of an established care workflow. Effective integration rests on the ability to eliminate or minimize disruption to care delivery, while enabling exchange of information among silos of transactional care. The time-critical nature of the workflow in the emergency department (ED) or highly specific needs of a cardiology department, for example, is reflected in best-practices and processes already in place at the facility. As such, it is essential to minimize impact on these workflows.In addition to established processes, many healthcare systems have invested heavily in putting a working IT infrastructure in place. Any solution that enables information sharing should leverage this infrastructure rather than impose costly hardware upgrades or major data migration initiatives. From both process and user perspectives, integration needs to be minimally disruptive to the technical infrastructure and as seamless and invisible as possible to clinicians who rely on established care workflow.Keep the Patient in Mind Quite often, consideration for the patient’s experience can get lost in the context of integration. In planning an effective integration, organizations must account for individual care experiences as well as the complete picture across the continuum of care. The ability for clinicians to make quick and informed decisions throughout the care cycle impacts the quality of care and enables more cost-effective health delivery. Perhaps most importantly, patients will appreciate having the fastest possible delivery of care. Streamlining information exchange between various stakeholders in a care episode eliminates repeat order verification, duplicate screening forms and redundant insurance validation. This, in turn, minimizes the amount of time each specialist, including radiologists, spends on nondiagnostic tasks. Additionally, this creates a positive health care experience for the patient. Designing cross-enterprise integration with the patient experience in mind enables more effective care and builds a higher degree of patient confidence in care providers. In today’s health care landscape, the importance of customer service cannot be overlooked.Current Standards Compliance Broad adoption of DICOM and HL7 standards in a modern healthcare enterprise delivers the shortest path to an effective information exchange. Standards-based interoperability virtually guarantees minimal impact on existing systems and care workflows. With these standards in place, RIS/PACS and EHR systems can reconcile patient identity information, synchronize order data and exchange diagnostic results — without the need to build additional interfaces or alter the existing systems landscape in any given practice. Relying exclusively on established standards, IHE integration profiles outline a valuable foundation to fully enable cross-enterprise integration. Standards-based interfacing allows for quick integration of various systems and facilitates information sharing without requiring a costly and time-consuming integration project.The Web as an Integration Conduit The infrastructure component for an effective integration is readily available with high-volume bandwidth and Web access via multiple devices, including mobile phones. As a public information backbone, the Internet offers an ideal communication line for health data exchange. Robust Web services architecture, wide acceptance of the software-as-a-service (SaaS) model for business-critical solutions and security for managing Web data are the necessary elements of an ideal data exchange. Web services wrapping can be implemented effectively and quickly, based on existing interoperability standards and without high development cost. In a matter of days or weeks, an integrator can include information from any number of systems and offer data as a part of a portal, a mobile application or as part of any system. The Web connects all stakeholders and maximizes the value of investments in existing systems, while enabling new opportunities to access critical care information through open-systems architecture.Cross-enterprise system integration also requires proper planning and knowledge of common issues and obstacles that may arise. The integration will face an uphill battle if it overlooks existing legacy systems, forces unnecessary change to existing care workflows and avoids focusing on the patient experience. The approach must leverage standards-based interfacing while supporting a Web-based infrastructure. Moving to a more integrated environment has the potential to improve what matters most: the quality and cost-effectiveness of care delivery and optimized health for the patient.Antonia Wells is executive vice president of R&D for Merge Healthcare, a provider of health IT solutions. Wells has more than 25 years of business management experience, including leadership roles in information technology, enterprise system implementation and process re-engineering. FacebookTwitterLinkedInPrint分享 News | PACS | August 09, 2019 Lake Medical Imaging Selects Infinitt for Multi-site RIS/PACS Infinitt North America will be implementing Infinitt RIS (radiology information system)/PACS (picture archiving and… read more Videos | Radiology Business | August 02, 2019 VIDEO: Key Topics for Radiology Administrators at AHRA 2019 Association for Medical Imaging Management (AHRA) President … read more The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s. News | PACS | August 08, 2019 NetDirector Launches Cloud-based PDF to DICOM Conversion Service NetDirector, a cloud-based data exchange and integration platform, has diversified their radiology automation options… read more Sponsored Content | Case Study | Radiation Dose Management | August 13, 2019 The Challenge of Pediatric Radiation Dose Management Radiation dose management is central to child patient safety. Medical imaging plays an increasing role in the accurate… read more News | Artificial Intelligence | August 05, 2019 Montefiore Nyack Hospital Uses Aidoc AI to Spot Urgent Conditions Faster Montefiore Nyack Hospital, an acute care hospital in Rockland County, N.Y., announced it is utilizing artificial… read more Key Topics for Radiology Administrators at AHRA 2019Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 7:33Loaded: 2.15%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -7:33 Playback Rate1xChaptersChaptersDescriptionsdescriptions off, selectedCaptionscaptions settings, opens captions settings dialogcaptions off, selectedAudio Trackdefault, selectedFullscreenThis is a modal window.Beginning of dialog window. 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News | Electronic Medical Records (EMR) | August 01, 2019 DrChrono Teams With DeepScribe to Automate Medical Note Taking in EHR DrChrono Inc. and DeepScribe announced a partnership so medical practices using DrChrono EHR can use artificial… read more News | Radiology Business | August 01, 2019 Philips Completes Acquisition of Carestream Health’s HCIS Business … read more Related Content Feature | August 26, 2010 | Antonia Wells, executive vice-president of R&D, Merge Healthcare Five Top Considerations for PACS-EHR Integration Blend a standards-based and customized approach for efficient PACS-EHR integration Technology | Cybersecurity | August 07, 2019 ScImage Introduces PICOM ModalityGuard for Cybersecurity ScImage Inc. is bridging the gap between security and functionality with the introduction of the PICOM ModalityGuard…. read more News | Artificial Intelligence | August 08, 2019 Half of Hospital Decision Makers Plan to Invest in AI by 2021 August 8, 2019 — A recent study conducted by Olive AI explores how hospital leaders are responding to the imperative read more A nurse examines a patient in the Emergency Department of Cincinnati Children’s, where researchers successfully tested artificial intelligence-based technology to improve patient recruitment for clinical trials. 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No related posts. CARACAS – Venezuela’s Supreme Court on Wednesday said President Hugo Chávez could indefinitely postpone taking the oath of office for a new presidential term, and that his current administration could continue to govern in the meantime.A panel of seven magistrates unanimously upheld the constitutionality of a delay amid a national debate over whether the cancer-stricken Chávez had to at least temporarily hand over power if he was unable to take the oath of office on Thursday, when his new term is to begin.“The oath-taking of the re-elected president can be carried out at a time after January 10 before the Supreme Court, if it is not done on the said day before the National Assembly,” the court stated.In the meantime, officials of the current administration “will continue fully exercising their functions under the principle of administrative continuity,” the ruling said.Supreme Court President Luisa Estella Morales, who read the decision, also ruled out convening a medical board to assess the health of the president, who is in Cuba recovering from a fourth round of cancer surgery.“At no time has the Supreme Court considered there is merit to convening a medical board,” she said.“President Chávez, this honorable assembly grants you all the time that you need to attend to your illness and return to Venezuela when the unexpected cause [of your absence] has disappeared,” assembly speaker Diosdado Cabello said.Opposition leaders argue that the constitution requires the president to be declared temporarily absent, and the presidency should be turned over to Cabello on an interim basis.But the president’s top aides, including Cabello, disagreed, saying there would be no transition of power.Chávez, 58, will have been absent from the country for a month on Thursday. He has been out of public view for the longest stretch of his 14 years in office, prompting widespread uncertainty as to his condition.Government officials have said he is recovering from complications from surgery, including most recently a severe pulmonary infection that had resulted in respiratory complications. Facebook Comments
Facebook Comments See also: UCR students race toward cinematic glory in only 48 hoursFilm buffs, prepare yourselves: over the next week, as a wave of “shnit International Shortfilmfestival” events unfold in cities all over the world, San José will be the only host city in Central America, and will offer four days of the best short films from around the world.The festivities kick off today Oct. 7 at 8 p.m. with an inauguration ceremony at Cine Magaly in eastern San José, followed by a party, and will continue with different events until Oct. 11 (check out the whole program here).The Shortfilmfestival started 13 years ago in Bern, Switzerland, and has since spread to other cities. The festival will be held simultaneously in this year’s chosen cities, or “playgrounds,” which are: Buenos Aires (Argentina), Moscow (Russia), Cape Town (South Africa), Bangkok (Thailand), Cairo (Egypt), Kyoto (Japan), and San José, which became a shnit playground in 2011. Here, activities are organized by the deleFoco Audiovisual Group. The 12 days of the international program include five during which films are presented at the eight “playgrounds,” five during which a selection of the best films are screened at movie theaters around the globe, and a final two days when the winners of the festival are presented at the “Grand Finale” in New York.The competition includes international and national categories; all contenders were selected by the artistic direction in Bern, Switzerland. This year’s international jury includes the Costa Rican filmmaker Neto Villalobos, known for his latest film, “Por las plumas.”Recommended: 5 questions for a Costa Rican filmmaker – ‘I’m hungry to make movies’“What I think is the value of Costa Rica being part of the shnit is that it is another window for national production, not only for people here to watch short films from all around the world, but also for people in other countries to watch Costa Rican short films,” Villalobos said.In the San José iteration, a national category, “Made in Costa Rica,” will feature twelve Costa Rican films that will compete for the people’s choice award and a jury’s choice award. The fim selected by the jury will represent Costa Rica at next’s year International Playground Favorites. The jury is made up of directors Alexandra Latishev and Iván Porras, and photography director Fernando Montero. Among the short films selected are “La Cacería,” by Erick Pérez; “Pique Tico,” by Pablo Solís; “Zafiro,” by Andre Robert; and “Por Delante,” by Jorge M. Rodrigo.This year’s festival also includes two new events. The first, “Peeping shnit,” is a selection of the best erotic short films, and will take place Oct. 8 at 10:30 p.m. “Playground Favorites 2014,” a selection of the best films from last year’s festival, including the Costa Rican film “Funeral,” by Alejandro Bonilla, will be screened Oct. 9 at 4:30 p.m.In addition to screenings, the festiva will offer parties and workshops for attendants: today’s inaugural party will be held at El Observatorio, across from Cine Magaly, and the same location will host the second party on Oct. 9 honoring national talent after the “Made in Costa Rica” presentation. The official party to mark the end of the San José festivities will take place at the Hoxton, in San Pedro.Participants will also have the opportunity to learn about audiovisuals with two workshops, “From the idea to the script” with Ariel Escalante y Gustavo Fallas, in Oct. 8 at 9 a.m., and “Implementation of ‘After Effects’ in audiovisuals” with Sergio Castro, Oct. 9 at 9 a.m. There will also be a lecture, “The post-production secrets of ‘Adobe’,” with professor Leonardo Fallas, Oct. 8 at 2 p.m. Both workshops and the talk will be held at Veritas University in southeastern San José. Both workshops and the talk are free activities, but require registration before the event.Find more information about the festival and workshops at the shnit Website, or call 2224-4696. Related posts:UCR students race toward cinematic glory in only 48 hours ‘Festival Under the Stars’ to screen third edition in Puntarenas Highlights of the shnit International Shortfilmfestival New Costa Rican movie explores ‘the happiest place in the world’
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