first_imgReal Betis are in advanced talks to sign Paris Saint-Germain midfielder Giovani Lo Celso on a season-long loan deal, Goal understands.The five-time capped Argentina international has flown to Spain to put the finishing touches on his move to the Liga outfit having struggled to break into the first team at Parc des Princes.Betis will have the option to make the move permanent next summer should they wish, though it would cost them €30 million (£27.3m/$35m) to do so. Article continues below Editors’ Picks Man Utd ready to spend big on Sancho and Haaland in January Who is Marcus Thuram? Lilian’s son who is top of the Bundesliga with Borussia Monchengladbach Brazil, beware! Messi and Argentina out for revenge after Copa controversy Best player in MLS? Zlatan wasn’t even the best player in LA! The Andalusian club had hoped to secure a deal to sign Barcelona midfielder Rafinha before the closure of the transfer window on Friday, but talks have broken down with the Blaugrana over the move.And as such their attention has now switched to 22-year-old Lo Celso as Quique Setien prepares his side for a season in which they will return to European competition via the Europa League.Lo Celso has played 54 matches for Ligue 1 champions PSG in all competitions since arriving from Rosario Central in 2016, scoring six goals and laying on nine assists in the process.He has struggled for regular minutes, however, with the likes of Adrien Rabiot and Marco Verratti ahead of him in the pecking order.The arrival of Lassana Diarra in January added further competition for places at the heart of the Parisiens’ midfield while Marquinhos – a central defender by trade – started alongside Rabiot in a 3-4-1-2 system for Saturday’s win over Angers.”Lo Celso, I do not know if it’s a possibility for him to sign in another club or to be loaned. I’m not able to confirm it,” manager Thomas Tuchel told a press conference on Friday morning.Lo Celso still has three years left on his current contract in the French capital but now looks set to depart Tuchel’s squad in the final hours of the summer window.last_img read more

first_imgBERLIN — Jamel McLean’s score at the buzzer gave Alba Berlin a 94-93 win over the San Antonio Spurs on Oct. 8, handing the NBA champion a dramatic defeat in its first preseason game.The American forward contributed 18 points for the eight-time German champion, which rallied after a slow start by winning all but the first quarter.Tony Parker scored 28 for the Spurs, with Tim Duncan and Kawhi Leonard finishing on 14 apiece. Duncan who is entering his 18th season, had 10 rebounds.Alex King opened the scoring with a 3-pointer for the hosts, but the Spurs replied instantly through Parker and quickly carved out a 16-point lead. Alba fought back, however, and clinched it through McLean’s buzzer beater.“First game of the season and we’re all a little rusty. We need to play with each other a bit more,” Spurs veteran Manu Ginobili said. “We just played poorly and they had a great game.”While the Spurs Coyote entertained fans on the side, Lady Gaga was courtside, too, leading to a large security presence for the American entertainer.Parker received great applause before tip-off when he was presented with his 2013 FIBA Europe Player of the Year award. Parker led the Spurs to the 2013 NBA Finals and France to its maiden EuroBasket success in Slovenia.The French guard quickly showed his class and became the game’s dominating figure, helped by the home side’s nerves in the first quarter, which ended 26-18 in favor of the visitors.Alba fought back to go ahead in the second quarter before Danny Green restored the visitors’ lead with a 3-pointer. Spurs led 54-47 at halftime and 75-73 at the end of the third quarter.“We just kept fighting and we realized we had a chance to win the game,” McLean said.The real drama came at the end. Reggie Redding’s 3-pointer for Alba made it a one-point game, bringing the 14,500-strong crowd to its feet with 5.1 seconds remaining. It was all McLean needed to win it for the German runners-up.“I just got the ball from Leon (Radosevic) and I looked at the clock and knew I had to get a play in. I did a couple of juggles and got a prayer in,” McLean said. “I saw it go in. It felt really good. I didn’t know how to celebrate.”Alba’s Serbian coach Sasa Obradovic described the victory as “one of the biggest wins of a European team.” Obradovic said there was a bit of trepidation when he saw the Spurs’ training on Oct. 6.“They were jumping higher, doing better things with the ball. I was a bit disappointed with my own training session,” he said, before acknowledging motivation had not been a problem: “You don’t need extra motivation to play the best players in the world.”The Spurs’ next game on the NBA Global Games tour is Oct. 11 at six-time Turkish champion Fenerbahce in Istanbul. The team then returns to face the Phoenix Suns in Phoenix on Oct. 16.The Spurs’ first game of the regular season is at home against the Dallas Mavericks on Oct. 28, as it attempts to win consecutive titles for the first time in franchise history.(CIARAN FAHEY)TweetPinShare0 Shareslast_img read more

first_imgLONDON — It’s more obvious than ever that Novak Djokovic and Serena Williams have really distanced themselves from the rest of the elite in tennis.Not just because they were the ones who got to dress up and attend the Wimbledon champions’ dinner the night of July 12.And not just because their leads at No. 1 in the rankings will remain large.Both Djokovic, who won his third trophy at the All England Club by beating Roger Federer 7-6 (1), 6-7 (10), 6-4, 6-3 in the final, and Williams, who won her sixth, are demonstrating that they’re capable of taking home the title each and every time they enter a Grand Slam tournament.Barring an injury or some other unforeseeable event, each will go to the U.S. Open in late August as a big favorite.Williams, of course, heads to Flushing Meadows seeking to complete a calendar-year Grand Slam, having added a championship on the grass of Wimbledon to those on the hard courts of the Australian Open in January and the red clay of the French Open in June.Only three women and two men in the century-plus of major tennis tournaments have won all four majors in a single season; the last to do it was Steffi Graf in 1988.Djokovic came oh-so-close to joining her in pursuit of that rare feat. He, too, won the Australian Open and Wimbledon, but in between, he made it to the final at the French Open before losing in four sets to Stan Wawrinka, a setback that left the 28-year-old Serb “disappointed and heartbroken.”“But if there is one thing that I learned in the sport,” Djokovic said, “(it) is to recover fast and to leave things behind me and move on.”He is up to nine major titles, one more than such greats of the game as Andre Agassi, Jimmy Connors and Ivan Lendl. And he’s more than halfway to Federer’s 17.Over the past 20 Grand Slam tournaments, Djokovic has reached 15 finals, winning eight. Williams, meanwhile, has won eight of the past 13 majors to get her total to 21.“Staying injury-free now for him is crucial,” Federer said about Djokovic. “Clearly he’s going to be one of the top guys — where, we’ll still have to wait and see. I’m sure he still has many more great years ahead of him.”Here are other things we learned at Wimbledon:FEDERER STILL CAPABLESo many have been so ready to write him off, over and over, but Federer showed the past two weeks that he is still capable of terrific play, particularly on grass.He held serve in 89 of 90 games until the final, when Djokovic earned four breaks. “I’m right there,” declared Federer, who turns 34 on Aug. 8. “My game is good.”NADAL IN A RUTIs he done winning Grand Slam tournaments? Or will he rebound in New York? After losing to Djokovic at the French Open — no shame in that, even for a nine-time champion at Roland Garros — Rafael Nadal exited in the second round at Wimbledon, losing there to a man ranked No. 100 or worse for the fourth year in a row.WHO CAN CHALLENGE WILLIAMS?Williams has won 28 consecutive Grand Slam matches. She’s also 39-1 this season overall. Who stands a chance right now?Against the other women ranked in the top 10 entering Wimbledon, Williams is 70-8 for her career, an .897 winning percentage. The player in that group with the most victories over Williams is Maria Sharapova, who is 2-18 against her.MUGURUZA EMERGEDHere’s someone who is not intimidated by Williams and appears to have a big-hitting style to hang with her: Garbine Muguruza, the 21-year-old from Spain who lost 6-4, 6-4 in the Wimbledon final.It was Muguruza’s debut in a Grand Slam title match and she didn’t shrink. “She came out there to win; she wasn’t out there just to play a final,” Williams said. “That says a lot about her and her future.”(HOWARD FENDRICH, AP Tennis Writer)TweetPinShare0 Shareslast_img read more

first_imgFormer India fast bowler Ashish Nehra has said Mohammed Shami is going to be crucial to India’s chances at the 2019 Cricket World Cup, starting May 30 in England and Wales. Nehra lauded Shami’s lean appearance, saying the pacer’s fitness is “really, really impressive”,Nehra’s comments come even as Mohammed Shami has been coming up with impressive performances for India in the ODI format. Shami has been one of India’s most consistent bowlers in Tests. The Bengal pacer was one of the standout performers for India during their overseas trips in 2018 as he picked up 68 wickets in 12 matches while forming a lethal combination with Jasprit Bumrah and Ishant Sharma.Since making a comeback to the ODI squad in 2018 in a home series against the West Indies, Shami has been making a strong claim for a place in India’s World Cup squad. The 28-year-old shone in India’s 4-1 win over New Zealand in New Zealand and has continued his impressive form in the ongoing ODI series against Australia.In Hyderabad, Shami picked up the crucial wickets of Glenn Maxwell and Ashton Turner and showcased brilliant control with both the old and the new ball. Shami’s fitness and consistency have come as a huge boost to India, who are still looking for options to assemble a strong 15-man squad for the World Cup.”Mohammed Shami has been really impressive, not just in this series and today’s [Saturday] game but for the last year and year-and-half. From South Africa tour I would say. Test cricket, he bowled really well. Bowled long spells. His fitness has been really really impressive. He is going to be a big asset for India,” Nehra told CricketNext.advertisementShami recently received a lot of praise from India captain Virat Kohli, who has been marvelling at the Bengal pacer’s improved fitness. Speaking after India’s six-wicket win over Australia in the first ODI, Kohli said: “The way Shami has come back into the white-ball set-up after his Test performances, have never seen him so lean before. He has lost 5-6 kg. He’s running in and bowling so well.Nagpur next. With the lean mean pace machine @MdShami11 Kohli (@imVkohli) March 3, 2019″The lines and length he’s bowling; got Maxi on 40-odd out with a beautiful ball. He has the wicket-taking ability and he’s hungry for wickets. Heading into the WC, it’s a great sign for team India. If he can stay hungry like this and look for wickets and he has the ability to back it up with Bumrah and Kuldeep, it’s gonna be great to stand in the field and watch.”Also Read | Lean, mean pace machine: Virat Kohli poses with Mohammed Shami ahead of Nagpur ODIAlso Read | India facing healthy headache, reserves going to be key at the World Cup: MSK PrasadAlso See:last_img read more

first_imgTagsTransfersAbout the authorPaul VegasShare the loveHave your say Anderlecht player-manager Kompany interested in Bristol City defender Williamsby Paul Vegas20 days agoSend to a friendShare the loveAnderlecht player-manager Vincent Kompany is interested in signing veteran defender Ashley Williams.Kompany is eyeing the veteran to bolster his struggling side, according to reports.The former Manchester City captain has overseen just one win this season with his side already 14 points behind leaders Club Brugge.The Sun says the 33-year-old is eyeing up a swoop for current Bristol City defender Williams when his contract ends in January. Williams left Everton at the end of last season. last_img

first_imgzoom Owner and operator of LNG carriers Dynagas LNG Partners has secured more work for two of its LNG carriers, Arctic Aurora and Clean Energy.The company entered into a new three-year charter agreement with Statoil for the employment of the 2013-built Arctic Aurora. The 155,000 cbm, tri-fuel diesel engine, ice class LNG carrier is currently, and has been since 2013, on charter to Statoil.As informed, the extended charter is expected to commence in the third quarter of 2018 in direct continuation of the current charter. Statoil will have the option to extend the new charter by two consecutive 12-month periods at escalated rates.In addition, PetroChina International (Singapore) has exercised its right to extend the current charter term for the Clean Energy by a minimum period of approximately four months.The 2007-built, 150,000 cbm LNG carrier was delivered to PetroChina in October 2017. It is now expected to be redelivered to Dynagas under the charter, as extended, at the earliest, in May 2018 and at latest, in June 2018, prior to its delivery to Gazprom Marketing & Trading Singapore in July 2018, when the vessel will commence a time charter with a term of approximately eight years.The extension of these two charter periods increases the partnership’s estimated contracted backlog to approximately USD 1.51 billion with average remaining contract duration of about 10.6 years, according to Dynagas. “Statoil is an important partner for Dynagas that further solidifies our operation of LNG carriers in subzero and ice bound areas. The charter with PetroChina strengthens an important cooperation that provides cleaner energy in a rapidly growing Chinese gas market,” Tony Lauritzen, Chief Executive Officer of Dynagas LNG, commented.“As previously communicated we have been executing on our strategy of securing term employment for part of our availability in 2018 on the back of an improving LNG shipping market,” Lauritzen added.Currently, Dynagas LNG Partners’ fleet comprises six LNG carriers. Each of the vessels has a carrying capacity of approximately 150,000 to 155,000 cbm.last_img read more

first_img The Department of Education will advertise the time and location of the meetings in daily and weekly newspapers across the province during the first week of September. This information will also be available on the website at and from school board offices and school principals after the advertisements are published. Written submissions may be mailed to: Nova Scotia Department of Education Corporate Policy Branch, School Closure Review, P.O. Box 578, Halifax NS B3J 2S9, e-mailed to or faxed to 902-424-0519 until midnight on Tuesday, Oct. 31. Consultations will be held in the fall to provide parents, students, school boards and communities an opportunity to have input into the review of the current school closure process. The review is being undertaken to ensure that the school closures process continues to meet the needs of students, the education system and communities. Last spring, the Minister of Education asked school boards to postpone any school closure studies that were underway, pending a review of the regulations. “Our government promised Nova Scotians that we would review the school closure process to determine if it meets the needs of communities large and small,” said Karen Casey, Minister of Education. The review will be co-chaired by Norma Kennedy, former chair of the Halifax County-Bedford District School Board and the Halifax Regional School Board, and Mike MacDougall, former principal of Judique, Creignish Consolidated School. The Department of Education has posted a discussion paper to help support the dialogue on its website . The public meetings will be held in the following communities, between 7 p.m and 9 p.m.: Tuesday, Sept. 12 – Sherwood Park Education Centre, Sydney Wednesday, Sept. 13 – Strait Area Education-Recreation Centre, Port Hawkesbury Thursday, Sept. 14 – Cobequid Educational Centre, Truro Monday, Sept. 18 – Berwick and District School, Berwick Tuesday, Sept. 19 – Maple Grove Education Centre, Yarmouth Monday, Oct. 2 – Amherst High School, Amherst Tuesday, Oct. 10 – Duncan MacMillan High School, Sheet Harbour Wednesday, Oct. 11 – École du Carrefour, Dartmouth (CSAP) Thursday, Oct. 12 – Dartmouth High School, Dartmouth Tuesday, Oct. 17 – Bridgewater Junior-Senior High School, Bridgewaterlast_img read more

first_imgThe 4th-Annual Rush HeARTS Education Luncheon will raise funds for Rush’s Education programs for New York City’s inner city youth.Hosted by Tamara Tunie, the event on March 11 at the Plaza Hotel will honor Cyndi Lauper, Charles Best, Craig Newmark, and Guy Vickers.Rush Philanthropic Arts Foundation programs (Rush Galleries in the Schools, and Rush Toddlers, Rush Kids and Rush Teens) are designed to inspire students, provide positive alternatives to high-risk behaviors, and support increased academic performance, by filling the void of arts education programs in public schools and through afterschool and weekend sessions. Rush is proud of its success to date and looks toward a future in which its programs grow to encompass more children and artists, and continue to enhance access to arts institutions and arts experiences.Founded in 1995 by brothers Russell, Danny and Joseph “Rev. Run” Simmons, Rush Philanthropic Arts Foundation, a 501c3 organization, is dedicated to providing inner-city youth with significant exposure and access to the arts, and to offering exhibition opportunities for emerging and underrepresented artists. Over the past 20 years, Rush has developed a broad base of friends, collaborators and supporters dedicated to supporting its mission. In addition to the 3,000 students served annually in its education programs, each year Rush exhibits the work of over 100 emerging and community-based artists in its galleries, and welcomes over 10,000 gallery visitors to its spaces in Chelsea, Manhattan (Rush Arts Gallery) and Clinton Hill, Brooklyn (Corridor Gallery).For more info on the event, click here.last_img read more

One man is in custody and another person has been taken to hospital following a stabbing near McMaster Children’s hospital Monday morning. Neighbours telling CHCH that this was a random act of violence.One woman took a video of the struggle that happened on the driveway of her student home. She says one man was stabbed in the thigh with a knife.Hamilton police say the attacker is a 20 year old unidentified man who was distraught and say that before this stabbing, the unknown man chased a woman into traffic on Main street.Witnesses say the man first tried to attack a woman, who was able to get to safety and avoid harm by going into a complete strangers car.  Police say once the woman was let into a strangers car the man tried to open the door before taking off.Hamilton police have charged the unidentified 20 year old man with 3 assault related offences and a dangerous weapons charge. The man who was stabbed was taken to hospital and is expected to survive. read more

TORONTO — Ontario’s government has fined Costco more than $7 million after finding that the company accepted illegal kickbacks at 29 pharmacies in warehouses across the province from 2013 to 2015.The Ontario Ministry of Health announced Friday it would penalize CWC Pharmacies (Ontario) Ltd., a wholly owned subsidiary of Costco Wholesale Canada Ltd., after it found the company received illegal advertising payments before August 2015.Costco says it approached the ministry in 2015 for confirmation on the legality of the payments, which it had been receiving from generic drug manufacturers for advertising services. Costco launches online grocery shopping, delivery in Canada Why Walmart and Costco keep stealing market share from Canada’s grocery giants ‘Blanket the country’: Loblaw plans nationwide home delivery rollout to counter Amazon A statement from the ministry says Costco voluntarily stopped receiving the payments until the completion of a government review.That investigation has revealed that the company received $7.25 million for services that the ministry says violated its terms for accepting rebates. The payments were used to reduce dispensing fees and drug mark-ups, according to Costco.The government’s statement says Costco has “fully co-operated” with its review, and has agreed to pay the fine.The statement reads that while the company believed that the payments were legal at the time, it has acknowledged that they did not abide by Ontario’s rebate laws.The Ontario government prohibits the operator of a pharmacy from accepting rebates from a drug manufacturer that has a product listed on the province’s drug database, according to the ministry.The ministry defines rebates as “currency, a discount, refund, trip, free goods or any other prescribed benefit,” in exchange for putting specific drug brands on pharmacy shelves.The ministry inspectors found that CWC received “proceeds from fee-for-service arrangements entered into with certain generic manufacturers.”The Costco statement also refers to an Ontario College of Pharmacists decision issued last year on the same payments, which resulted in two Costco pharmacy directors pleading guilty to professional misconduct. They were each fined $20,000 and ordered to pay $30,000 to the college.Michael Law, the Canada Research Chair in Access to Medicines at the University of British Columbia, said generic drug prices in Canada are historically higher compared to other countries, such as the U.S.Law said some Canadian provinces have been trying to decrease the cost, such as Ontario imposing laws prohibiting rebates. He said prices have dropped considerably in the last five years, but illegal payments still occur.Law said pharmaceutical companies sell their drugs to pharmacies, which buy them at a price designated by the province.“Because those prices are higher than the cost of selling the drug, the drug company would then pay a secret amount back to the pharmacy as a rebate,” he said.Law believes that if rebates still exist, Canadians are still paying too much for generic drugs.“It means there’s excess money in the system,” he said.“The fact that rebates even exist is a sign to me that we’re paying too much, at least in some instances.” read more

In many ways, 2011 has been a forgettable year for the Ohio State football program. Tuesday’s announcement by athletic director Gene Smith, Undergraduate Student Government, Block “O” and OSU Sportsmanship Council of an initiative to treat all visiting Penn State fans respectfully for Saturday’s OSU-PSU game stands as a bright spot. Since the December revelation that six OSU football players sold team memorabilia in exchange for improper benefits in the form of tattoos, OSU football and Buckeye Nation has been reeling. Beloved former coach Jim Tressel was forced to resign as part of the fallout from the team’s NCAA violations and the 2010 season, including a 2011 Sugar Bowl victory, was vacated. Ever since, the OSU roster has been a merry-go-round-esque shuffle of suspended and not suspended players. OSU’s football team, its fans and the university itself continue to be the subject of national scrutiny and ridicule. Then a troubling, new scandal was unearthed at Penn State last week. Happy Valley was rocked by its own football program’s misdeeds as former PSU defensive coordinator Jerry Sandusky was charged with sexually abusing children at a Nittany Lions football facility. PSU’s president for finance and business, Gary Schultz, and athletic director, Tim Curley, were also charged with perjury and failure to report child abuse. University President Graham Spanier resigned in the wake of the charges being made public and Joe Paterno, NCAA Division I’s all-time wins leader and the head coach of PSU football for 46 years, was fired. On the night the PSU Board of Trustees announced Spanier’s resignation and Paterno’s firing, a faction of students rioted in State College, Pa., flipping a TV news truck on College Avenue and harassing police and members of the media. Off-the-field situations like these, particularly the incidents at PSU, put the true significance of a collegiate athletic competition into perspective, and Smith did well to recognize this by encouraging Buckeye Nation to be respectful toward visiting Nittany Lions supporters this weekend. “With the incidents occurring over at Penn State University this past week, we thought it was important that we try and share with our fans this reality that we face by hosting Penn State this weekend,” Smith said at OSU coach Luke Fickell’s Tuesday press conference. “We’re asking all of our Buckeye fans… to continue to show the sportsmanship and class that they represent as we welcome our visitors. “The fans that will come here and the young men that participate in this contest this weekend are coming here as our visitors. We ask that all of our fans continue to demonstrate great respect.” OSU fans should consider themselves lucky that the Tattoo-gate scandal was revealed with only a neutral-site bowl game remaining in its season. By comparison, PSU still had three regular season games to play — two of which are still to be played at Ohio Stadium and at Wisconsin — when news of its scandal broke. PSU could also play two additional games should it qualify for the Big Ten Championship Game and a bowl game after that. “Penn State students love their school just as much as we love ours,” USG President Nick Messenger said at the Tuesday press conference. “It is important to remember the victims of this tragedy, but it is also important to remember that our visitors are not people whom we should direct our anger.” Well said. The potential for Nittany Lions players, coaches and fans to be verbally abused increases exponentially when they leave State College, but OSU fans should be the last to poke fun at a program in suffering. OSU students, faculty and staff have probably heard enough tattoo jokes to last them a lifetime. You remember how that feels — it’s not a good feeling. There’s no reason to make another fanbase feel that way. If you don’t have anything nice to say when you see a Nittany Lions fan on Saturday, do everyone a favor and say nothing. After all, OSU football is not so far removed from its own troubles that Buckeye Nation should feel that it is in a position to judge other football programs. read more

first_imgAtlantis : la navette spatiale s’apprête à s’éteindre définitivementDans quelques jours, la navette spatiale Atlantis serait déconnectée, définitivement. Après 26 ans de bons et et loyaux services, et 33 vols dans l’espace, le vaisseau de la Nasa va finir sa vie exposée dans un musée. Avant que tous ses systèmes ne soient éteints, des images de la navette ont été dévoilés.Le 21 juillet dernier, à 9h56 GMT, la navette spatiale de la Nasa Atlantis a achevé sa 33e et dernière mission en atterrissant avec succès à Cap Canaveral, en Floride. Après les derniers vols de ses soeurs Endeavour et Discovery, elle a ainsi signé la fin de trois décennies de navettes américaines, qui ont assuré le transport d’astronautes, de vivres et de nombreuses expériences et modules destinés à la Station spatiale internationale (ISS).À lire aussiApollo 11 : À quoi la conquête spatiale ressemblera-t-elle dans 50 ans ?Alors que les vaisseaux russes Soyouz ont pris le relais en attendant la construction de nouvelles navettes américaines, Atlantis va être exposée au centre spatial Kennedy, dès la fin de l’année 2012. Et dans quelques jours, tous ses systèmes seront définitivement éteints. Avant cette déconnexion, des clichés de l’intérieur de l’immense navette, qui à vide pèse plus de 60 tonnes, ont été dévoilées. Atlantis se laisse admirer sous toutes ses coutures, et ses centaines de boutons, écrans et commandes, qui nous permettent de réaliser à quel point voyager dans l’espace est complexe.Au centre spatial de Floride, la navette prendra la place du vaisseau Explorer, qui y est exposé depuis 1993. Celui-ci sera alors transporté vers  le centre spatial de Houston, au Texas. Découvrez les dernières images de la navette Atlantis sur Maxisciences.Le 23 décembre 2011 à 09:46 • Maxime Lambertlast_img read more

first_imgPoll: Southwest Washington dislikes tollsIn what leaders are calling a major milestone, the Federal Transit Administration gave the go-ahead to plans for the Columbia River Crossing.The federal nod means CRC leaders can go after funding, begin acquiring rights of way and start construction, which is set for late 2013.But the formal Record of Decision doesn’t come with a check to pay the expected $3.1 billion to $3.6 billion price tag. There is still lobbying of both Oregon and Washington legislatures and the federal government for funding, along with setting toll rates — far from a done deal.The U.S. Department of Transportation issues numerous records of decision without comment. But the department took the unusual step of releasing a statement on the CRC decision, and called the project — which includes five miles of interchange improvements and replacing the bridges on Interstate 5, a bike and pedestrian deck and the extension of light rail from Portland into downtown Vancouver — a “long-term, comprehensive solution to address safety and congestion problems.”“This project is a great example of why we need to strengthen our infrastructure. The old facility is outdated and it no longer meets the needs of the traveling public or commerce in the region,” federal Transportation Secretary Ray LaHood said. “It is one more instance of why the Obama administration is focusing on key transportation investments to create jobs, strengthen the economy, and provide travelers with affordable, efficient options for reaching their destinations.”The decision was also hailed by the governors on both sides of the Columbia River, U.S. Sen. Patty Murray, D-Wash., and local elected officials.“We’ve been working really hard to get to this point, to get to a point where our federal partners … confirm and validate all the work we’ve done in the past six years,” CRC Director Nancy Boyd said.last_img read more

first_img Huawei Japan joins Kansai Economic Federation with eye on World Expo 2025 and Osaka IR Load More Japan to conduct nationwide prefectural survey to confirm IR intentions Osaka Prefecture Governor Hirofumi Yoshimura has announced that he wants to start the operator recruitment process this year and select its partner by Spring 2020 – even before the finalization of the Basic Policy. Yoshimura also plans to quickly draft an Implementation Policy that will be decided by the prefectural government.Osaka Prefecture has already announced that it will fast-track an environmental impact assessment of Osaka’s planned IR location, Yumeshima Island, and started a preliminary survey earlier this year. The environmental assessment considers the impact a development project will have and suggests countermeasures. The prefecture outsources this task and the water quality and air of Yumeshima will be studied for a year, with the data provided to operators. Osaka approves Yumeshima site for commercial development in latest IR move RelatedPosts Mayor Ichiro Matsui says the schedule will be streamlined for every aspect possible, and that the JPY72 million expense will be invoiced to the chosen operator in the future.The goal is to do whatever is necessary to open an Osaka IR before the Osaka-Kansai Expo in 2025 to take maximum advantage of the economic impacts.Las Vegas Sands announced last month that it has pulled out of the race for an Osaka IR to focus on Tokyo and Yokohama, with MGM Resorts now firm favorite in Osaka.last_img read more

first_imgIditarod teams that reach the coast at Unalakleet will run into a fierce windstorm and blowing snow.Michelle Phillips says she’s not surprised but she also isn’t too worried about her dog team.Michelle Phillips during the 2015 Iditarod ceremonial start. (Photo by Josh Edge, APRN – Anchorage)“It’s the coast,” she said. “It just throws everything it can at you and that’s why maybe a dog team that’s had a little more rest may be better at this point in the game.”Phillips gave her teams extra rest in Kaltag before they jumped on a portage trail and followed a river out to the coastal community of Unalakleet.Rookie Thomas Waerner agrees that rest at this point in the race is crucial to maintaining speed in a dog team“I think a lot of people have been pushing pretty hard all the way from Galena,” Waerner said. “So, if you have a team that is a little more rested – not much more, but a little more, than maybe it will be an advantage.”The temperature is also forecast to rise to slightly above zero. Peter Kaiser says warmer weather comes as a welcome change, since mushers haven’t seen a day above zero in a week.“I think the dogs will do better in the heat,” Kaiser said. “It will help loosen up…. more glide because the 50 below at night stuff has been kind of like trying push your sled through beach sand.”Either way, Kaiser says there is not much he can do aside from drive his dog team to Nome.“We’ll just take it as it comes,” he said. “We can’t go backwards, we can only go towards Nome, I guess we’ll go right through the middle of it.”Snow accumulation along the coast of up to two inches could slow teams. A fierce, biting wind is likely to cause heavy drifting along the trail, or scour the ice free of snow in others as teams tackle the final 250 miles of trail.last_img read more

first_imgGANGTOK: Sikkim Chief Minister Prem Singh Tamang on Thursday pledged to “protect and conserve” Article 371(F) of the Constitution, which provides special status to the tiny border state. Tamag, better known as Golay, also said that Union Home Minister Amit Shah assured him that the rights granted to the state will not be tinkered with. “On the occasion of 73rd Independence Day celebrations, I pledge to protect, conserve and consolidate the Article 371(F) of the Constitution which provides a special status to our state,” he said after unfurling the national flag at Paljor stadium here. Also Read – Delhi court acquits former coal secretary H.C. Gupta Advertise With Us According to Article 371(F), “the Governor shall have special responsibility for peace and equitable arrangement for ensuring the social and economic advancement of different sections of the population of Sikkim and the Governor of Sikkim shall, subject to such directions as the President may, from time to time, deem fit to issue, act in his discretion”. Also Read – Trouble brews on Congress turf, meeting underway at Rahul Gandhi’s residence Advertise With Us It also states that “neither the Supreme Court nor any other court shall have jurisdiction in respect of any dispute or other matter arising out of any treaty, agreement, engagement or other similar instrument relating to Sikkim”. The recent abrogation of the provisions of Article 370 in J&K by the Centre have raised apprehensions in the northeast, with several parties and organisations fearing that the Centre may also tinker with the special status accorded to their states. Advertise With Us Union Home Minister Amit Shah, however, clarified that the central government has no such intention. Outlining his government’s priorities, Golay said he will strive to make Sikkim a corruption-free state by ensuring transparency and accountability in the functioning of all institutions, public utilities and development programmes. “Attaining the goal of ‘zero corruption’ will require single-minded grit, technological interventions, technical vigil, transparency and accountability and reforms in moral and other attitudes of all stakeholders in public life. “The government will set up an exclusive agency equipped with modern intelligence techniques, technology and human capability to root out corruption,” the CM maintained. Identifying the debt burden on Sikkim as a “serious issue which impeded development work”, he said his government was working to steadily reduce the liability in the long-term economic interests of the state. Golay, whose party Sikkim Krantikari Morcha (SKM) came to power earlier this year after ending the 25-year rule of the Sikkim Democratic Front (SDF), promised to fulfill his election promises of providing assembly seat reservation to Limboo and Tamang communities and bestowing tribal status to 11 Nepalese communities.last_img read more

first_imgPakistan`s cricketer-turned politician and head of the Pakistan Tehreek-e-Insaf (Movement for Justice) party Imran Khan, taking the oath as a Member of Parliament during the first session of the Parliament in Islamabad following general election. Photo: AFPImran Khan’s anointment as Pakistan’s new prime minister caps a more than two decade transformation from a World Cup winning cricket captain to a world leader, placing him in charge of a nuclear armed state.But he is not the only one to have swapped playing fields for the hustings. Here are five other sport stars who have made a similar switch:George WeahKhan’s elevation to premier is only matched by George Weah, who was inaugurated as Liberia’s president in January.Weah first learned to kick a ball in the slums of Monrovia, but went on to become one of Africa’s greatest footballers, playing for a string of top European clubs and winning both FIFA’s World Player of the Year and the Ballon d’Or.Weah avoided the brutal civil war that destroyed much of Liberia but vowed to put his wealth and fame to use, unsuccessfully running for president in 2005.Twelve years later he was triumphant, succeeding Ellen Johnson Sirleaf in Liberia’s first democratic transition since 1944.He put education, job creation and infrastructure at the centre of his platform; though critics said he was vague on specifics.Arnold SchwarzeneggerBefore the silver screen and politics, Austria-born Arnold Schwarzenegger was one of the world’s best bodybuilders.While beefing up in a bid to get on his local soccer team, Schwarzenegger became infatuated by body-building, racking up title after title, until he became the youngest-ever winner of the Universe competition.He moved Stateside to pursue acting and, despite his thick accent, finally made the big time in the 1980s with roles such as Conan the Barbarian and the Terminator.A moderate Republican, he became Governor of California in 2003, serving two terms.He has long distanced himself from the Republican mainstream on a range of social issues, such as abortion, gay marriage and gun control, and remains a staunch environmentalist, often clashing with President Donald Trump on Twitter.Manny PacquiaoArnold Schwarzenegger. Photo: FlickrManny Pacquiao is idolised by millions in the poverty-afflicted Philippines after rising from the streets to the pinnacle of boxing.The winner of an unparalleled 12 world titles in eight different weight divisions, he has successfully parlayed his boxing fame into a political career.He was elected to the House of Representatives and then, in 2016, to the Senate, a high-profile national position which can be a stepping-stone to the presidency, an office he openly admits to having aspirations for.In 2012 he found Christianity-turning his back on the many vices fame, money and power brought him-and social conservatism permeates his politics.Pacquiao stirred international anger when he compared homosexuals to animals in a 2016 interview, later citing the Bible in his defence.Vitali KlitschkoTwo-metre (6 ft 6 inch) -tall Klitschko went from a heavyweight champion who never suffered a knockdown, to a Ukrainian protest leader and current Mayor of Kiev.He was always viewed as something of a quiet intellectual on the world boxing circuit, a fighter fluent in several languages with a PhD in sports science who liked to relax with a thick Dostoyevsky novel.An early supporter of the pro-democracy Orange Revolution, he became a major figure in the often treacherous arena of Ukrainian politics, eventually winning the capital’s mayoralty in 2014.Manny Pacquiao. Wikimedia commons“It’s much easier to be the heavyweight champion of the world than to be the mayor of Kiev,” he told the Guardian newspaper earlier this year. “It’s hitting you in the back. It’s hitting you under the belt line. It’s really tough.”Arjuna RanatungaFour years after Imran Khan captained Pakistan to World Cup cricket victory, Arjuna Ranatunga did the same for Sri Lanka in 1996.He entered politics soon after retiring, briefly serving as a junior tourism minister, before spending years in the opposition.In 2015 he became the first former Sri Lankan international to be named a cabinet minister and has held a slew of ministerial positions since, including his current job as petroleum minister.In recent years Ranatunga has been in an increasingly acerbic war of words with Sri Lanka Cricket, the country’s notoriously scandal-plagued cricket board which he has long had aspirations to run.last_img

first_imgStay on target American Gods was easily one of my favorite shows of last year. It was basically everything you could ask for in an adaptation. It was faithful to the book where it needed to be, but was able to update and evolve the story for 2017. It even expanded the story of the book and took unexpected detours that remained true to author Neil Gaiman’s original vision. Even if you’d read the book 10 times, there were still surprises in store for you. The cast of the show, and Gaiman himself, took the stage at New York Comic Con to announce there were even more in store for Season Two. The panel began with the premiere of a teaser. Despite a public Showrunner shake-up (Bryan Fuller is no longer in charge), it still looks like everything we love about American Gods. ‘American Gods’ Season 2 Trailer: A Divine War Is ComingThe Sandman’s Death, Cinamon Hadley, Has Passed Away at 48 center_img Yes, we get to see Mr. Wednesday go full Odin in this one. Even more promising, we’ll hopefully get to see our favorite old gods (and new) for more than one episode. How frustrating was it that Mr. Nancy showed up for one monologue and disappeared for the rest of the season. He certainly made an impression, though. His speech was easily the most powerful moment of the season, and I’m so glad we get to see more of him in Season Two. It also opens with a shot of the World’s Largest Carousel at the House on the Rock. Fans of the books will remember that’s the site of a massively important, pivotal scene. It’s where Odin gathers all the Old Gods and gets them on his side. It’s what I waited all of Season One to see, and now we’re finally going to get it.In the panel after the trailer, nearly the full cast came out. Crispin Glover, Ricky Whittle, Bruce Langley, Emily Browning, Mousa Kraish, Pablo Schreiber, Omid Abtahi, Yetide Badaki, Demore Barnes, and Orlando Jones each talked about their roles in both the first and the upcoming second season. Neil Gaiman was there too, who’s taken a much more active role in production since the original showrunners, Bryan Fuller and Michael Green left the show. Gaiman opened up the panel by catching us up on where things stand when Season Two begins.Ricky Whittle (Photo via Starz)“Shadow Moon has discovered exactly who he is working for,” Gaiman said. “Season Two is going to begin just a few short hours later, and everything is going to get both better and worse. The first place we are headed is The House on the Rock.” That got a cheer. The House on the Rock isn’t just an important location in the book. It’s a real place Wisconsin you can actually visit. Gaiman says the House closed down for several days so they could film the episode there. A few members of the cast, Whittle included, got to do something most visitors don’t get to do. “They got to ride on the largest carousel in the world, which they never let you ride. Basically, you’re not allowed to, and they let us.” Well, I’m already jealous.Gaiman also let us know how far into the book Season Two would get. Just like Season One, the next season will follow the basic structure of the book, but with detours and new stories to flesh out the world along the way. “If you’re familiar with the book, the most useful piece of information I can give you which is completely honest is that we do not get to Lakeside in this season. However, we do get to Cairo (Illinois), we do get to a funeral home,” Gaiman said. He also touched on one of the expanded stories the next season will continue. One of Season One’s best additions, if you remember, was the friendship between Laura and Mad Sweeney. Their stories were greatly expanded in Season One, and that’ll continue. “Laura and Mad Sweeney will get to go on their own journey, which takes them to some very hot and exotic places,” Gaiman teased.“It’s just Whole Foods,” Ricky Whittle interrupted. If you ever have the chance to see Whittle at a convention like this, take it. He is the funniest, most energetic guy on stage and clearly so excited to be there. During the panel, he performed for the audience his impression of green screen acting. When discussing the scene with the buffalo with flaming eyes, Whittle said, “You have to drop everything and hand it over director. He’s like, ‘There’s a tree. No, it’s bigger than that. Behind it is a buffalo. No, it’s bigger than that, that’s not its face.’” For every direction, Whittle pantomimed his reaction, playing it up to look especially silly for the audience. To hear him tell it, it looks pretty silly on set too. When the director finally says “cut,” Whittle’s reaction is just, “Please make that look good.”The actors who play gods spoke about how they prepare to play such larger-than-life characters. For Crispin Glover, who plays Mr. Universe, it’s like any other role. “It’s true there’s conceptual aspects, but you’ve always got something you need. So that becomes immediately relatable as a person,” he said. “It would not be interesting if you didn’t need something, and how you attain it becomes interesting.”Yetide Badaki had a similar answer when asked about acting in a special effects-driven scene. You might recall she had a particularly memorable scene that occurred in the first episode. More than a year later, and 19 years after it appeared in the book, nobody can stop talking about it. “Neil’s work is so evocative, and I remember one of the things that hit me was that these gods are distillations of of human belief, human thought in all their extremities,” Badaki said. “Inasmuch as they’re these otherworldly beings, these gods are absolutely human in their needs and their wants. So when it comes down to playing something that maybe has a lot of visual effects, it doesn’t become about those things. We got to so deeply go into these stories that even though we were sitting there with a trap door bed and becoming how many feet higher or taller, it really came down to what was going on between these two individuals.”Yetide Badaki (Photo via Starz)And if you needed any proof of how impactful Mr. Nancy’s brief appearance in Season One was, it was all anyone wanted to know about during this panel about Season Two. Orlando Jones had some thoughts about his monologue on the slave ship, and how it’s only become more timely in the year since it aired. “When you read something like that, you’re first thought is there’s no way in hell they’re gonna let me do this,” Jones said. “I don’t think I realized at all it would be that prophetic. In many ways, I felt the difficulty of it was we’d all heard it before and not done anything about it. That’s kind of where we are now. We find ourselves in a situation where there’s a lot of frustration around what’s happening, particularly with women, but with disenfranchised groups across the board. It’s impossible to do a show like this and not see how Neil’s work 17 years ago so perfectly becomes a corollary for the world we’re looking at now.”Jones also teased that things get even more real with Nancy in Season Two. “I think in many ways, you’re going to see those things come to life for Mr. Nancy this year differently. A lot of the battle this year is about what human slavery is today. And today, that’s mass incarceration and human trafficking.”Left to Right: Patton Oswalt, Neil Gaiman, Crispin Glover, Ricky Whittle, Bruce Langley, Emily Browning, Mousa Kraish, Pablo Schreiber, Omid Abtahi, Yetide Badaki, Demore Barnes, Orlando Jones (Photo via Starz)I’ll be honest here, I was a little nervous about season two. With multiple high-profile showrunner exits, is it going to be the same show we loved so much in Season One? Gaiman had some encouraging words on the subject. “One of the things that really was inspiring from where I was, was how much all of the cast was invested in their characters and understood their characters. This season’s writers was a whole different set of writers, and the cast made sure that the integrity of their characters was never compromised.”Gaiman did let us know about one change in Season Two. He talked about all the complaints the show got because the Technical Boy of the show was so different from how he’s described in the books. His answer to that was that the Technical Boy of 2017 is naturally going to be different from the one of 1999. But he ran with that for this season. There will be an episode that takes place in the 1930s where we meet Telephone Boy, whose recently taken over for Telegraph Boy. That’s hilarious, and I can’t wait to see what it looks like.American Gods returns for its second season sometime in 2019.More NYCC 2018 highlights:Most Hyped Things at NYCC 2018Must-See Trailers from NYCC 2018The Cast of Stan Against Evil Talks Humor, Horror and Helllast_img read more


Aug 2019

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first_img 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 February 24, 2012 — The Centers for Medicare and Medicaid Services (CMS) yesterday released its proposed rule regarding Stage 2 meaningful use (MU) of electronic medical records (EMRs). The Office of the National Coordinator for Health IT (ONC) is expected to publish the associated standards, implementation specifications and certification criteria in the next couple days. Both proposals will be published in the Federal Register on March 7 with 60-day public comment periods.The Healthcare Information and Management System Society (HIMSS) said these are significant steps forward in transforming healthcare in the United States. In an unusual move, the NPRMs were discussed in general terms prior to actual public release during this week’s HIMSS 2012 annual conference. In the preview presentations, CMS and ONC staff indicated that several of ACR’s MU recommendations have been incorporated in some form into the NPRMs, including:·          A menu set (discretionary) measure focused on diagnostic image accessibility via certified EHR technology·          Massively increased flexibility in the definition of “certified EHR technology” so that eligible professionals (EPs) no longer have to implement technology certified for criteria that correspond with measures from which they have been excluded (with certain exceptions due to statutory requirements)·          Menu set measures to promote cancer registry and specialty society registry participation·          Exclusions from individual measures appear to be more flexible and useful·          More information specific to the future penalties, including a question posed by CMS regarding significant hardship exemptions for EPs in certain situations·          Clinical quality measures of relevance to radiology·          More flexibility/direction in the definition of an encounter·          Consolidation of the patient information provision related measuresFor many years, HIMSS has championed the best use of information technology and management systems for the betterment of healthcare.  Since the inception of the HITECH provisions of the American Recovery and Reinvestment Act of 2009 (ARRA), HIMSS has equipped stakeholders for increasingly sophisticated meaningful use of health information. To help providers and patients improve care delivery and health outcomes for all Americans, HIMSS members strongly encourage the federal government to continue promoting the adoption of EHRs through the Medicare and Medicaid EHR Incentive Program in support of the standards-based collection, analysis, and exchange of health data in a safe and secure environment.The Medicare and Medicaid EHR Incentive Programs have already had an enormous impact on EHR adoption rates. Forty-three states have started their Medicaid EHR Incentive Programs; more than 190,000 EPs and eligible hospitals (EHs) have registered for the Medicare and/or Medicaid EHR incentive programs; and more than $3 billion has been paid in incentive payments to EPs, EHs, and critical access hospitals (CAHs) across the country.New HIMSS Analytics data, reported in the “December 2011Summary of Meaningful Use Readiness,” indicates that seven segments of hospitals show increased capability to achieve Stage 1 of meaningful use. The hospitals in these seven categories typically demonstrate IT adoption that outpaces their peers, a segment that also includes hospitals at Stage 6 or Stage 7 on the HIMSS Analytics Electronic Medical Record Adoption Model (EMRAM). HIMSS said tremendous progress has been made toward improved patient care and efficiencies offered by health IT, and HIMSS is excited to work with our members to move into this next phase of transforming healthcare.The American College of Radiology (ACR) was also pleased to see many of its recommendations incorporated into the proposed rule.“We are encouraged by early indications from the agencies that many of ACR’s various ‘asks’ have apparently been included to a certain degree,” said Keith Dreyer, M.D., chair of the ACR IT and Informatics Committee-Government Relations Subcommittee. “We will review both proposed rules over the next several days and provide additional information, including an in-depth regulatory summary, as soon as possible,” he said.??Following the public comment period, the agencies will review the stakeholder feedback received and begin the process of developing the final rules. As always, the ACR IT and Informatics Committee invites interested members to provide input for potential inclusion in the future ACR comments.“It is important to remember that these proposed rules have a very long way to go in the rulemaking process. Many things can, and will, change before the final rules are promulgated by CMS and ONC later this year,” said Dreyer.The ACR will provide more information about the content of the NPRMs as soon as internal reviews and regulatory analyses are complete. ??­­­­­The CMS notice of proposed rulemaking (NPRM) regarding Stage 2 MU can be found on the Office of the Federal Register’s Public Inspection Desk.For more information: 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 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 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 | Radiology Business | August 01, 2019 Philips Completes Acquisition of Carestream Health’s HCIS Business … 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 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. Researchers report test results in the journal JMIR Medical Informatics. Image courtesy of Cincinnati Children’s. Videos | Radiology Business | August 02, 2019 VIDEO: Key Topics for Radiology Administrators at AHRA 2019 Association for Medical Imaging Management (AHRA) President … read more Related Content Feature | February 24, 2012 CMS Proposed Rule for Stage 2 Meaningful Use Released for Public Comment 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. Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window.Close Modal DialogThis is a modal window. This modal can be closed by pressing the Escape key or activating the close button. 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 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 | 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 FacebookTwitterLinkedInPrint分享 News | Artificial Intelligence | July 31, 2019 Artificial Intelligence Solution Improves Clinical Trial Recruitment Clinical trials are a critical tool for getting new treatments to people who need them, but research shows that… read morelast_img read more

first_img News | Pediatric Imaging | August 14, 2019 Ultrasound Guidance Improves First-attempt Success in IV Access in Children August 14, 2019 – Children’s veins read more October 31, 2017 — Some women, because of genetic predisposition, personal or family history, have a higher than average lifetime risk of developing breast cancer. For those women, earlier magnetic resonance imaging (MRI) is recommended for cancer screening.But according to new findings presented at the American College of Surgeons Clinical Congress 2017, Oct. 22-26 in San Diego, the vast majority of women in one health system who are at higher risk of breast cancer choose not to get breast MRI screenings, even when the service was available to them at no cost.”The military health system is an equal-access, no-cost system. This system allows us to study how well we are doing in terms of truly adhering to the current recommended guidelines for screening of breast cancer,” said lead study author Vance Sohn, M.D., a surgical oncologist at Madigan Army Medical Center, Tacoma, Wash.For the study, investigators from Madigan Army Medical Center analyzed data on 1,057 women who had a 20 percent or greater lifetime risk of developing breast cancer. The screenings were offered based on their high-risk status, and not because of mammography results. Between 2015 and 2016, these women were offered MRI screenings. The aim of this analysis was to assess whether these higher risk women actually got the imaging test. Overall, the study showed that only 23 percent (247 women) underwent MRI screening.Further, when results were expressed in quartiles, researchers found that just 15 percent of women with a 20 to 24 percent lifetime risk of breast cancer had an MRI; 24 percent of those with a 25 to 29 percent risk got the imaging test; 36 percent of women with a 30 to 39 percent risk sought an MRI; and only half of the women with more than a 40 percent lifetime risk of developing breast cancer chose to get this recommended screening.”In the interest of helping more women be screened earlier for breast cancer, we were intrigued about what this preliminary study identified — that 85 percent of women with a 20 to 24 percent lifetime risk still did not pursue high-risk surveillance,” Sohn reported. “Ultimately, the question we are really trying to answer is why women at high risk for breast cancer are declining MRI screening. That issue is the next phase of this study.”Sohn and his team plan further research to find out why, on an individual basis, women are declining this cancer check. Is it confusion about the screening tool itself and its safety? Are they afraid of what the test might reveal?”If we understand the reason behind this circumstance, it will help us better target those who would benefit from this imaging modality so we could provide clear explanations about the test,” Sohn said. “The general sense is that patients are just too busy, but discovering the reason will be a very important piece to this puzzle.”Although this was a military health system study, Sohn said he does not think their findings are unique to the military. “In fact, I imagine our compliance rate is even higher than most. Within the civilian healthcare system, there are fiscal implications such as the cost of the MRI and future health insurance implications, that we are controlling for,” he said.In general, when it comes to breast cancer screening more is not necessarily better. In the past, the misuse of screening MRIs has created much anxiety in women, leading clinicians to perform further testing for tiny spots that turn out to be benign. To target patients for appropriate testing, clinicians and patients alike need a full understanding of the pros and cons of MRI screening. Clinicians then can develop personalized screening plans.What the study does highlight is that the appropriate application of this imaging technology is very important, Sohn said.”So maybe the 20 to 24 percent lifetime risk isn’t really appropriate, maybe it should be even higher than what the organizations are recommending. In other words, what is the appropriate cutoff?Ultimately, that is really what we are trying to decipher,” he concluded.For more information: FacebookTwitterLinkedInPrint分享 News | Mammography | August 14, 2019 Imago Systems Announces Collaboration With Mayo Clinic for Breast Imaging Image visualization company Imago Systems announced it has signed a know-how license with Mayo Clinic. The multi-year… read more News | Cardiovascular Ultrasound | August 07, 2019 Contrast Use in First Transthoracic Echocardiogram for Heart Failure Reduces Repeat Testing Heart failure is the fourth most common cause for all admission to U.S. hospitals, and it is the most common reason for… read more 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 News | Colonoscopy Systems | August 06, 2019 Rise in Early Onset Colorectal Cancer Not Aligned With Screening Trends A new study finds that trends in colonoscopy rates did not fully align with the increase in colorectal cancer (CRC) in… read more News | Brachytherapy Systems | August 14, 2019 Efficacy of Isoray’s Cesium Blu Showcased in Recent Studies August 14, 2019 — Isoray announced a trio of studies recently reported at scientific meetings and published in medica read more Related Content News | Radiation Therapy | August 15, 2019 First Patient Enrolled in World’s Largest Brain Cancer Clinical Trial Henry Ford Cancer Institute is first-in-the-world to enroll a glioblastoma patient in the GBM AGILE Trial (Adaptive… read more News | CT Angiography (CTA) | August 06, 2019 Artificial Intelligence Improves Heart Attack Risk Assessment When used with a common heart scan, machine learning, a type of artificial intelligence (AI), does better than… read more News | Artificial Intelligence | August 13, 2019 Artificial Intelligence Could Yield More Accurate Breast Cancer Diagnoses University of California Los Angeles (UCLA) researchers have developed an artificial intelligence (AI) system that… read more News | Neuro Imaging | August 16, 2019 ADHD Medication May Affect Brain Development in Children A drug used to treat attention-deficit/hyperactivity disorder (ADHD) appears to affect development of the brain’s… read more News | MRI Breast | October 31, 2017 Study Finds Women With High Breast Cancer Risk Declining MRI Screening Even with common access barriers removed in a military health system, most of the women with a higher lifetime risk of the disease are declining MRI scans Image courtesy of Imago Systems Images of regions of interest (colored lines) in the white matter skeleton representation. Data from left and right anterior thalamic radiation (ATR) were averaged. Image courtesy of C. Bouziane et al.last_img read more