TORONTO – Doug Ford’s surprise decision to dramatically cut the size of Toronto’s city council just months before the fall municipal election drew immediate backlash Friday from the city’s mayor and other critics, who accused Ontario’s new premier of circumventing the democratic process.Ford said his Progressive Conservative government will introduce legislation to cut the number of council seats from 47 to 25, aligning city wards with federal ridings — a plan that wasn’t outlined during the spring election campaign or mentioned in the province’s throne speech earlier this month.The premier, a failed Toronto mayoral candidate and single-term city councillor, said he has wanted to make the change since his days at city hall.“I promised to reduce the size and cost of government and end their culture of waste and mismanagement in government,” he said. “This is something I fought for at city hall, something I continue to believe in today.”Having fewer city councillors “will dramatically improve the decision-making process,” and save Toronto taxpayers $25 million in councillor and staff salaries over four years, Ford said.Asked why he didn’t campaign on the plan or hold public consultations on it, Ford said he heard from thousands of people while canvassing that they want a smaller government.“People don’t care about politicians, they care about getting things done,” he said.The deadline for candidates to register for Toronto’s election was Friday afternoon but the province said it will extend that to September. The deadline to run for mayor, however, was unchanged.Ford’s move was panned by Toronto Mayor John Tory, who said the process around the plan is “absolutely not right.” The mayor said he’d propose a referendum on the issue.“This is a gigantic decision about the future of Toronto,” Tory said. “What we don’t need and what I just can’t support is change being rammed down our throats without a single second of public consultation.”When asked if he had been given advance notice of Ford’s plan, Tory said the premier made a “passing reference” to the idea in a meeting two weeks ago but the matter was dropped.“I didn’t think it was anything that was going to be taken seriously,” Tory said. “I said, ‘Well I don’t even think that was anything that was even possible.’”The issue came to a head during a testy exchange at city hall Friday night, when the mayor confronted Coun. Mike Layton, accusing him of “implying” that Tory had advanced knowledge of the move.“Get up, if you have the balls to do it, and say it!” Tory said.Several councillors joined Tory in opposing Ford’s plan.Calling the premier’s move “an affront to our democracy,” Coun. Kristyn Wong-Tam urged Tory to challenge it in court.Coun. John Campbell said slashing council nearly in half would reduce oversight of municipal boards and commissions.“If you reduce councillors to 25, all of a sudden you lose that connection with the electorate and in the end the public is the loser,” he said.Others, however, expressed support for a smaller municipal government, arguing it would cut costs and help council reach decisions faster.“The only thing we do upstairs in that chamber is everybody gets up and just wants to talk,” said Coun. Jim Karygiannis. “When you have 25 people there’s more cohesion, you’ll move faster on things.”Toronto city staff said the province’s plan would make preparing for the fall election very difficult, and would likely lead to the shortening of some electoral processes.Ford also said he will cancel planned elections for regional chair positions in the York, Peel, Niagara and Muskoka regions.Former Progressive Conservative leader Patrick Brown, whose resignation this winter paved the way for Ford to take over the party, was registered to run for the Peel seat, but made a last-minute switch Friday to join the mayoral race in Brampton, Ont.Former Liberal cabinet minister Steven Del Duca is a candidate for York regional chair.Ontario’s New Democrats accused Ford of ruling by edict “as though he were a dictator” and suggested he was meddling in municipal politics for personal reasons.“He is taking vengeance on his former political opponents, he’s behaving in a very mean-spirited way and his bullying approach to politics is odious,” said NDP Leader Andrea Horwath.She also noted that a proposal similar to Ford’s was recently rejected by Toronto city council, which instead decided to increase the number of seats to 47 from 44.Horwath said her caucus, which holds 40 seats, would use every tool in its arsenal to oppose Ford’s legislation, but acknowledged there was ultimately little it could do.Ontario’s Liberal caucus also slammed the plan.“This is a highly undemocratic proposal,” it said. “The Ford government is unilaterally ramming through a last-minute, massive change to Ontario’s electoral map.”The federal government, meanwhile, said it would do whatever it can to protect the residents of Canada’s most populous city from the actions taken by the Ford government. Adam Vaughan, a Toronto Liberal MP and parliamentary secretary for urban affairs, said Toronto is too important for the federal government to stand idly by.One analyst said Ontario is entitled to implement its plan since Canada’s constitution enshrines the province’s right to make changes to municipal affairs.But lawyer Alexandra Flynn also noted that the City of Toronto Act recognizes the local government as a democratic institution that must be consulted when major decisions are made. The act also enshrines the city’s right to make decisions about ward boundaries. If a court challenge was mounted, however, an injunction would be needed to stop Ford’s plan from applying, she said.Another observer said Ford’s move will create havoc within Toronto’s municipal government.“It throws everything into disarray,” said Mitchell Kosny, associate director of Ryerson University’s school of urban and regional planning. “This will now be the singular focus.”Kosny said the decision has parallels to former premier Mike Harris’ forced amalgamation two decades ago that created the City of Toronto as it’s now constituted.“That didn’t come from any research, any study, it wasn’t on any political platform. I think the only study that was ever done on it was post-decision,” he said.And while Ford believes people support his move, Kosny pointed to opposition to amalgamation as evidence that may not be the case.“I actually think this does resonate with people,” he said. “I’m not sure everyone understands what it will mean. But when you take things away from people it always rises ire.”— with files from Alanna Rizza.
TORONTO – Ontario will slash small business taxes and offer millions in incentives aimed at easing the transition to an increasing minimum wage as the province’s Liberal government heads for a spring election.Finance Minister Charles Sousa unveiled the plan in the province’s fall economic statement Tuesday afternoon. The corporate tax rate for small businesses will fall from 4.5 per cent to 3.5 per cent effective Jan. 1, 2018, the same day the province will increase its minimum wage from $11.60 to $14.Critics of the government’s sweeping labour reform package introduced in May have called for the tax offsets for months to allow businesses to absorb the cost of the wage hike. The government plan will eventually see minimum wage jump to $15 an hour by Jan. 1, 2019.“We will not back down from these commitments,” Sousa said. “An increase to minimum wage cannot wait. People cannot wait … delaying an increase is delaying an increase.”As part of the $500 million package for small business, Sousa said the province will designate that one-third of its procurement spending on goods and services will come from small and medium-sized businesses by 2020.The government will spend $124 million over three years to help companies with fewer than 100 employees who hire youths aged 15 to 29. The government will pay incentives of $1,000 for each worker hired and another $1,000 for each worker retained for at least six months by a small business.“We also want to help young people find meaningful employment,” Sousa said. “To find their first job, or take their first steps towards building their career. And we want to support small businesses that hire these young people.”The province’s economic watchdog, the Financial Accountability Office, has estimated more than 50,000 people could lose their jobs due to the minimum wage increase. A report from the FAO said job losses would be concentrated among teens and young adults, while the number of minimum wage workers in Ontario would increase from just over 500,000 to 1.6 million in 2019.Progressive Conservative critic Vic Fedeli said the government’s offsets will do little to address the impact the minimum wage hike will have on small business. The economic update is “nothing more than a pre-election Hail Mary pass from an out-of-touch government saying anything to cling to power,” he said.In a surprise move, the Progressive Conservatives announced a significant policy promise, that the party will slow the implementation of the $15 minimum wage increase. The party will increase the minimum wage by 25 cents ever year from 2018 to 2022, when it would reach $15, said PC labour critic John Yakabuski.“We think it’s the responsible thing to do,” he said. “If the government believed in this they would be talking about this some time ago. But it’s only in the last few months that they’ve even talked about a $15 minimum wage.”NDP finance critic John Vanthof said the government is out of touch with what people across the province are experiencing in their day-to-day lives.“They’re talking about balancing the budget,” he said. “What people are seeing on the ground is not the same rosy picture that the government is talking about.”Business groups have argued that needed offsets for business should have comes months ago.Canadian Federation of Independent Business vice president Plamen Petkov said the government’s planned tax cut and incentives still fall short.“(The minimum wage hike) will put a crushing burden on Ontario’s small businesses and their ability to remain competitive in a global market,” he said. “As important as the initiatives announced today are, they won’t offset the real impact of this legislation on Ontario’s jobs and the economy.”A report released in September from the Keep Ontario Working Coalition, which includes the Ontario Chamber of Commerce, said the risk of job losses due to the minimum wage increase could be significantly reduced if the government extended the policy phase-in period. An economic analysis of the wage increase by the coalition concluded over 185,000 jobs could be impacted by the hike.“Businesses will have started to increase costs, they will have started to let people go, they will have stopped hiring people that they might have hired because they’re planning now under the presumption there is no offset,” Karl Bauldauf, spokesman for the coalition, has said.However, many economists support the government move, saying hiking the minimum wage boosts economic activity and increases people’s purchasing power.Tuesday’s economic statement also covers a number of previously announced government programs including its seniors strategy, opening applications for free tuition for post-secondary students early and creating 1,200 new hospital beds across the province.Sousa also confirms Ontario’s 2018 budget will be balanced — as will budgets over the next two years.
FORT ST. JOHN, B.C. – The North Peace Ride for the Disabled (NPRD) is at risk of closing its programs for adults and children with disabilities because they cannot find volunteers and board members.An informational meeting regarding the future of the NPLC will be held at the Northern Lights College (room to be announced) on February 25th at 7 pmThe NPLC is having difficulty finding volunteers to fill board positions and participate in the fundraising functions that are necessary to keep this organization going. Elizabeth Calder shares “You do not have to like horses to be on our board. If you see value in what we provide for the community, please come out to support us by joining our group. The alternative may be that the Ride will end this year which would be a huge loss for the participants.”The NPRD was founded in 1986 and the program is an asset to the riders that are able to participate in the 30 minutes guided riding program to help work and develop their gross-motor and sensory systems.The program operates out of the Light Horse Arena on Wednesdays between 5 pm and 7 pm.For more information about the program; email firstname.lastname@example.orgTo view the FB Page; CLICK HERE
Mrs. Robinson, who has been the High Commissioner since June 1997, announced her intention to complete her term this year in her opening statement to the UN Human Rights Commission, which began its fifty-eighth session this morning in Geneva. Noting that it was her last address to the UN’s principal human rights body as a senior UN official, Mrs. Robinson said events of the last year highlighted the importance of a “strong and independent” UN human rights office, with “a principled commitment to the universal application of human rights standards, and with the integrity to stand up an speak publicly about those issues in all states, even in the most difficult circumstances.” She described the 11 September terrorist attack in the United States as “an attack against the very system of international relations on the which the [Human Rights] Commission and the entire work of the United Nations is based.” “The buildings that were destroyed on 11 September can be replaced, but if the pillars of the international system are damaged or demolished, they will not be so easy to restore,” she cautioned. Paying “warm tribute” to Mrs. Robinson’s efforts, the Secretary-General said she had achieved remarkable progress in raising the profile of human rights and making them a central issue in all societies during her term as Human Rights Commissioner. She never “tired of lending her powerful voice to the cries of … victims, which otherwise might not have been heard, ” a spokesperson for Mr. Annan said in a statement. Prior to joining the UN, Ms. Robinson – a lawyer with a long history of working for human rights – was President of Ireland. She was the first Head of State to visit Rwanda in the aftermath of the genocide, the first Head of State to visit the International Criminal Tribunal for the former Yugoslavia and the first to visit Somalia following the crisis there in 1992.
The OEVI program admits a small number of students each year in order to train highly qualified and sought-after graduates for the grape and wine industry. The first graduating class was (back row, from left) Megan Schofield, Robin Johnson, Elizabeth Grant-Douglas, David Douglas, David Sorokowsky, Rob Power, (seated, from left) Nicole Mercier and Shiraz Mottiar.Dozens of alumni will come home to the Cool Climate Oenology and Viticulture Institute (CCOVI) this week to celebrate the tenth anniversary of Canada’s first teaching winery.Members of the original graduating class of Brock’s Oenology and Viticulture (OEVI) program will attend a gala event at Pond Inlet on Aug. 20. It’ll be an evening of culinary treats, local wines and camaraderie. Chefs Without Hats will provide the music.More than 75 graduates have been through the OEVI program, including dozens of PhD, master’s students and post-doctoral fellows.Brock’s graduates have made a significant impact on the Canadian and international industries by applying skills and knowledge acquired from the OEVI program, CCOVI director Debbie Inglis said.“Canadian oenologists and viticulturists traditionally had to train elsewhere,” she said. “But the OEVI program provided students interested in grape growing and winemaking with the opportunity to perfect their craft in their own country.“Our successful graduates represent the next generation of grape growers, winemakers and wine industry leaders. We’re proud to celebrate 10 years of wine education excellence with our graduates.”Tickets to the event at $65 with a portion of the proceeds going to student awards. For more information, visit ccoviconnection.com/ce/tyaRelated story:• Alumna comes home to celebrate CCOVI | The Brock News
Meter Road was officially renamed Flora Egerter Way on Thursday, in honour of the woman whose idea helped bring Brock University to Niagara. Pictured from left: Orval Egerter, Eileen Finnson (Egerter), Jean Egerter and Marion Egerter.When Flora Egerter drafted a resolution in 1957 calling for a new university in Niagara, her fellow Allanburg Women’s Institute members were in full support.Jean Harley, who was a member of the institute 57 years ago, recalled concern that it would be difficult to turn Egerter’s vision into something tangible.“We figured it would probably be very tough,” Harley, 86, said Thursday. “But unless you do go after something like that, it’s not going to happen.”Instead, the process went smoother than Harley expected. The Allanburg Women’s Institute, backed by its local, provincial and national chapters and the Welland County Council, brought the resolution to the provincial government.By 1964, Brock University was holding its first classes. Fifty years later, one of the main roads within its campus was named Flora Egerter Way.Harley was one of close to 100 people who attended the ceremony, as speakers included University dignitaries, Egerter’s daughter-in-law, and a representative from the Federated Women’s Institutes of Ontario.“It’s amazing to see what has transpired in these buildings,” said Harley, who worked at the University for 21 years in various roles, including the Founding Fund. “It’s a great accomplishment. The University meant a great deal to us and coming to this area where our children could get their education right at home.”Egerter was born in 1893 and grew up in Thorold. She died in 1977 survived by three children – all of whom were in attendance Thursday – and several grandchildren and great grandchildren.“She was a very intelligent woman (who) recognized the fact this area needed a university,” Harley said.With the backdrop of Flora Egerter Way behind her, Dorothy Krynicki spoke of Egerter’s vision and what it has meant locally, provincially, nationally, and around the world.“Without Flora Egerter’s initial spark of insight, Brock University as we know it today may have never come to exist,” said Krynicki, the administrative assistant in Brock’s Political Science Department who has researched Egerter extensively and pushed for her recognition.A plaque detailing Egerter’s importance in the history of Brock was also announced Thursday and will be installed along the sidewalk at the corner of Flora Egerter Way and University Road East, just outside the Campus Store.“Flora Egerter and the Allanburg Women’s Institute were right to lead the charge for a University in Niagara, and the last 50 years have proved it,” Brock University President Jack Lightstone said at Thursday’s ceremony. “Our University is flourishing in ways that should make Flora and her like-minded collaborators, those who founded the University, and those who have supported us over the past 50 years, extremely proud.”
Police have evidence “a very serious crime” was committed when diplomatic cables by Britain’s US ambassador were leaked, the country’s most senior officer has said. Scotland Yard were asked to investigate whether there had been a breach of the Official Secrets Act when details of the secret memos appeared in a Sunday newspaper in July.US-UK relations were plunged into crisis as President Trump reacted with fury to suggestions by Sir Kim Darroch that his administration was “clumsy and inept”.The diplomat eventually resigned over the row. Yesterday, Cressida Dick, the Metropolitan Police Commissioner, provided fresh details about the saga, saying the investigation into the leak “continues”. He later rowed back on the statement, clarifying that the force had “no intention of seeking to prevent editors from publishing stories in the public interest in a liberal democracy”. “We’re taking a careful and proportionate approach and I’m content that we’re in the right place,” she told the Evening Standard.“We have prima facie evidence of a very serious crime.”Darroch’s sensitive briefings, dated between 2017 and 2019, were published in detail by The Mail on Sunday, revealing his frank views on the current state of Washington politics.The newspaper claimed the cables had been leaked to Steven Edginton, a teenage freelance journalist with links to the Brexit Party. Scotland Yard’s subsequent investigation quickly became mired in a row about press freedom when Neil Basu, Britain’s top counter-terror officer, suggested the publication of leaked communications could also be a “criminal matter”. Show more 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.
Villarreal boss Luis Garcia has showered his attacking midfielder Santi Cazorla and described him as a ‘phenomenon’ after his double score against Real Madrid on their Thursday clashThe former Arsenal midfielder scored twice including an 82nd-minute equalizer as Solari’s men fell into an eighth league game without a win in 17 games this season.The drawn match leaves Madrid with only seven points adrift of the leaders, Barcelona.“I believe that right now, this is a result that has to strengthen us,” he said, as quoted by Football EspanaZidane reveals Sergio Ramos injury concern for Real Madrid Andrew Smyth – September 14, 2019 Zinedine Zidane has put Sergio Ramos’ availability for Real Madrid’s trip to Sevilla next weekend in doubt after withdrawing him against Levante.“We have to be more consistent. We did good and bad things, but we can’t lead games for just two minutes.“Santi is a phenomenon. He didn’t play in my first two games as Coach, but he’s an example and I think he’ll get even better.“He’s an example, not only for what he did here but also how he’s trained despite not playing.”
WILMINGTON, MA — Joan E. Paolucci, a longtime Wilmington resident formerly of Medford, passed away peacefully following a lengthy illness, May 20, 2019. She was 78 years of age. Joan was the beloved wife of the late Robert S. “Bobby Pal” Paolucci, Sr. Born in Medford she was the cherished daughter of the late John P. and Angela (Valente) Storella.Joan was raised and educated in Medford and was a 1958 graduate of Medford High School. Shortly following her graduation and marriage, Joan and Bob settled in Wilmington and together raised their four sons and daughter. Family was everything to Joan and all that she did revolved around the wellbeing of her husband and children. For many years she worked as a talented seamstress creating beautiful draperies. She also worked for a number years at the Wingate of Reading Nursing Home while her mother was in residence prior to her passing.Joan cherished her family and nothing made her happier than to be surrounded by her grandchildren and those she loved. Over the years Joan enjoyed flower gardening and doll collecting, but her greatest joy was her family.Joan is survived by her devoted children; Robert S. Paolucci, Jr. of Andover, Gary Paolucci and his wife Sandra of North Reading, Roy Paolucci, Steven Paolucci, and Lora Scalese, all of Wilmington. She is also survived by 15 loving grandchildren and 13 loving great grandchildren. Sister of John Storella of Townsend.Funeral Services will be held from the Dello Russo Family Funeral Home, 374 Main St., WILMINGTON, Friday, May 24th, at 9 a.m. followed by a funeral Mass celebrated in St. Thomas of Villanova Church, 126 Middlesex Ave, Wilmington, at 10 a.m. Relatives and friends are respectfully invited to attend. Visiting hours will be held on Thursday at the Dello Russo Funeral Home from 4 to 8 PM. Services will conclude with burial at Oak Grove Cemetery, Medford.Joan E. Paolucci(NOTE: The above obituary is from Dello Russo Funeral Home.)Like Wilmington Apple on Facebook. Follow Wilmington Apple on Twitter. Follow Wilmington Apple on Instagram. Subscribe to Wilmington Apple’s daily email newsletter HERE. Got a comment, question, photo, press release, or news tip? Email email@example.com.Share this:TwitterFacebookLike this:Like Loading… RelatedOBITUARY: Raymond E. Piretti, Jr., 81In “Obituaries”OBITUARY: Phyllis A. (Tabor) Ulrickson, 78In “Obituaries”OBITUARY: Charles G. Reekie, 88In “Obituaries”
New Bowenpally: The residential area around Gulf Bakery has turned from bad to worse. The recent rains have created a serious dent and several potholes have emerged. “Apart from this, even the streetlights over here are so dim that it becomes very difficult for people to walk or take out their vehicles late in evening. The poor drainage system is also responsible for the damaged road in this area,” said R Chandran, a commuter.
The Future of Stroke CareWhile the data is bearing out the positive clinical impacts of the MSU, whether it is a viable long-term solution is up for discussion.As with many new technologies or endeavors, initial cost is a considerable impedance to long-term sustainability. The CDH mobile stroke unit is literally a million-dollar investment. It was made possible through a grant from Northwestern Medicine, a large health system that employs more than 4,000 medical staff at over 100 diagnostic and ambulatory sites across Chicago.Cost considerations are two-fold, according to Shownkeen: At present, the various elements of mobile stroke care are not reimbursed by the Centers for Medicare and Medicaid Services (CMS), the benchmark by which private insurers guide their policies. Furthermore, drugs like tPA are expensive — a 2016 study found that a standard 100 mg vial of the thrombolytic agent cost approximately $6,400, representing a 111 percent price increase over a decade.4“It’s going to take a certain amount of patients that are treated to get something that is statistically significant to make a decision whether this is a better way to go about things … But in the meantime we all agree that giving the drug earlier is the best way to treat stroke,” said Shownkeen.If these cost hurdles can be surmounted, the idea could eventually be a boon for underserved areas as well. “When we are envisioning the future behind mobile stroke units, there is a huge opportunity to be able to take something and put it in a mobile device and be able to put it in areas that otherwise don’t have access to stroke care of this nature,” added Mohajer-Esfahani.“It’s just a wonderful opportunity for the community and for us as healthcare providers to be able to own and operate, and experience, something that’s such a grand scale of care,” said Juodka. “We’re treating patients that are extremely time-sensitive with brain matter because it’s something that you potentially don’t ever get back. We’re trying to save people’s brains [and] save their livelihood.” VIDEO interviews and tour of the CDH mobile stroke unit Feature | Computed Tomography (CT) | July 03, 2018 | By Jeff Zagoudis Mobile Stroke Unit Reduces Time to Treatment An innovative treatment concept has helped this suburban Chicago hospital reduce time to first medication 30 minutes in one year — but is it a viable long-term solution? Harish Shownkeen, M.D., is one of the interventional neuroradiologists who reviews CT scans of stroke patients en route from the MSU. Videos | CT Angiography (CTA) | August 07, 2019 VIDEO: Walk Around of a GE Cardiographe Dedicated Cardiac CT Scanner This is a quick walk around of the GE Healthcare Cardiographe dedicated cardiac CT system on display at the… read more Feature | Information Technology | July 31, 2019 | By Greg Freiherr How Smart Devices Can Improve Efficiency Innovation is trending toward improved efficiency — but not at the expense of patient safety, according to… read more The Northwestern Medicine Central DuPage Hospital (CDH) mobile stroke unit.Stroke is the fifth leading cause of death in the United States, responsible for more than 140,000 deaths in some of the most recent data.1 When treating stroke patients, perhaps more than any other condition, time is of the essence. “We know that for every 15 minutes you delay treatment, you lose three and a half years of your life,” said Harish Shownkeen, M.D., interventional neuroradiologist at Northwestern Medicine Central DuPage Hospital (CDH) in Winfield, Ill. In an effort to reduce time to treatment and improve patient outcomes, in 2017 Shownkeen and CDH, a Joint Commission-accredited Comprehensive Stroke Center, turned to an innovative solution that has slowly been making its way across the U.S. — a mobile stroke unit.VIDEO interviews and tour of the CDH mobile stroke unit Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 7:33Loaded: 0.00%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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Videos | Cardiac Imaging | July 30, 2019 VIDEOS | EP LAB | JULY 26, 2019 VIDEO: What Electrophysiologists Need From CT Imaging Prior to AF and VT Ablations Mark Ibrahim, M.D., F read more MSU TrainingAn undertaking of this magnitude is not carried out successfully, however, without a great deal of planning and practice. Prior to go-live in January 2017, all MSU personnel underwent 12 weeks of joint training. The focus, said Mohajer-Esfahani, was two-fold: learning to work together in a heightened capacity, and doing so in the confined quarters of the ambulance. He said he was pleasantly surprised at how quickly the unit gelled in this new context.“These guys are all a wonderful group of professionals,” he said. “They each bring a unique set of skills and characteristics that once they were able to work together, they essentially complemented each other.” Finding individuals with those complementary skills was paramount when selecting MSU personnel, Mohajer-Esfahani added. For example, all of the critical care paramedics have backgrounds in flight, specialty transport and the hospital setting. Medic drivers have a minimum of 20 years’ experience operating large vehicles. MSU critical care nurses are drawn from the Neuro Intensive Care Unit.Mohajer-Esfahani noted that while such individual levels of experience are important, none of the MSU’s success would have been possible without the help of local EMS. “A lot of us, our backgrounds are in the hospital,” he noted. “So to start applying the things we know how to do in the hospital in the pre-hospital setting, we needed [their] guidance.”Shownkeen added, “It takes time to get this thing going but once you establish that, now it’s like a very efficient machine.” Time to Treatment Coming DownWhile the theory behind mobile stroke units may be sound, it must be proven effective in practice to be considered a viable solution for stroke care. CDH did extensive data collection in the MSU’s first year of operation, taking an estimated 450 stroke calls in approximately 14 months. Over that span, the team has reduced the average time to initial tPA delivery from 82 minutes to 52 minutes — and they are hoping to reduce that number down to 40 minutes. In total, about one-third of patients received tPA within the “golden hour,” a key paradigm of stroke care.“Thirty minutes in the stroke world doesn’t sound like a lot of time, but it can be the difference between living and dying, between walking out of the hospital versus going to an extended care facility, being able to talk or not talk,” Mohajer-Esfahani said. News | Stroke | August 16, 2019 Mobile Stroke Unit Gets Patients Quicker Treatment Than Traditional Ambulance Every second counts for stroke patients, as studies show they can lose up to 27 million brain cells per minute…. read more Harish Shownkeen, M.D., is one of the interventional neuroradiologists who reviews CT scans of stroke patients en route from the MSU. Siemens Go.Top CT scanner at SCCT19Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 1:05Loaded: 15.14%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -1:05 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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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. MSU ProtocolsSince the MSU concept is still developing in the United States, every site operates their unit a little differently. According to Shownkeen, many hospitals run their mobile stroke units in a one week on/one week off pattern. This helps reduce costs and also ensures that adequate data is still being collected on conventional EMS stroke care as a basis for comparison. “We are one of the few MSUs that run seven days a week, 12 hours a day,” Shownkeen said.At CDH, when a possible stroke call comes in inside the unit’s primary service area — a six-town radius encompassing roughly 30 square miles — the MSU is dispatched in conjunction with local emergency services; whichever team arrives first will begin assessing the patient. If it is determined they are not having a stroke, the MSU will be recalled to the hospital. If the patient is exhibiting stroke signs and symptoms, they will be moved to the back of the ambulance for the CT scan. Many mobile stroke units feature a small portable CT system, but the CDH MSU has a full-size, 16-slice Siemens Somatom Scope scanner onboard.“The biggest difference is when you get on scene, you don’t really know much about the patient,” said Peter Juodka, RT(CT), a CT technologist with the Mobile Stroke Unit. “You kind of gather information as you go, as opposed to the emergency department or even outpatient where you have gathered history through events pre-hospital and in the emergency department.”While the circumstances are very different from a technologist’s day-to-day experience, radiation safety is still a top priority. The technologist and the patient are the only people in the ambulance during the scan (unless additional assistance is needed), and the truck features a lead-lined booth from which the scanner is operated. For extra protection, the technologist wears a lead apron to cover their backside and a dosimeter to monitor radiation levels. “So the protection is there but you’re considerably closer to the scanner than you would be in a normal radiology suite,” Juodka said.For the radiologist back in the hospital, the experience is similar to Juodka’s — akin to daily practice in many ways and completely different in others. “It’s pretty much the same workflow but things are done exponentially faster,” said Shownkeen. Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 5:23Loaded: 0%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -5:23 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. Related Content History of Mobile Stroke UnitsThe concept of the MSU originated at Saarland University in Hamburg, Germany, in 2008. A paper describing the venture, published in Plos One in 2010, noted that, “Early treatment with rt-PA is critical for favorable outcome of acute stroke. However, only a very small proportion of stroke patients receive this treatment, as most arrive at hospital too late to be eligible for rt-PA therapy.”2 The researchers found that call-to-therapy-decision times with the MSU settled around 35 minutes.While the concept was proven in Europe, mobile stroke units did not make their way to the U.S. until 2014. Memorial-Hermann Texas Medical Center in Houston was the first domestic site to adopt the concept, and now there are an estimated 20 MSUs across the country — with Indiana University Health announcing its intention to be the 21st in late April.CDH was the first site in Illinois (where stroke is the third leading cause of death3) to adopt an MSU. Rush University Medical Center in Chicago added their own truck later in 2017. Shownkeen was inspired to bring the MSU to Central DuPage after seeing one while visiting friends in Germany. Videos | Radiology Business | August 02, 2019 VIDEO: Key Topics for Radiology Administrators at AHRA 2019 Association for Medical Imaging Management (AHRA) President … read more Image courtesy of UTHealth McGovern Medical School 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 Videos | CT Angiography (CTA) | August 07, 2019 VIDEO: Walk Around of a Siemens Go.Top Dedicated Cardiac Scanner This is a quick walk around of the new Siemens Somatom Go.top cardiovascular edition compact computed tomography (CT) read more Bringing the Hospital to the PatientA mobile stroke unit (MSU) is essentially an ambulance with an onboard computed tomography (CT) scanner. When a patient is suspected to be having a stroke, a CT scan of the brain is the fastest way to determine what type of stroke it is — ischemic or hemorrhagic — and therefore which medication is needed. This is the most critical step in stroke care: If the stroke is ischemic (caused by a clot), tPA is required to dissolve the clot and restore blood flow; if the stroke is hemorrhagic (caused by bleeding in the brain), a reversal agent is needed to stop the bleeding. The wrong medication could prove fatal to the patient. The MSU is equipped with all of the traditional medications, tools and resources used to treat stroke patients in a hospital setting.The Central DuPage MSU runs with four people on the ambulance at all times:• A medic driver;• A critical care paramedic;• A critical care nurse; and• A CT technologist. As the CT scan and other on-board tests are being performed, results are sent to a stroke neurologist and a radiologist back at the hospital via a wireless VPN router. “We’re able to live stream those physicians into the back of the ambulance where they can do an assessment of the patient,” said Mehr Mohajer-Esfahani, MSN, RN, program manager of the Mobile Stroke Unit.None of the MSU team members work with the unit full-time — all team members are rotated in from their respective departments across the hospital.Take a 360 degree look inside the CDH mobile stroke unit. Peter Juodka, RT(CT) operates the 16-slice Siemens Somatom Scope CT scanner in the mobile stroke unit to assess stroke patients immediately at the call site. News | Radiology Business | August 01, 2019 Philips Completes Acquisition of Carestream Health’s HCIS Business … read more Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 0:38Loaded: 0%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -0:38 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 | 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 References1. Murphy S.L., Xu J., Kochanek K.D., et al. National Vital Statistics Reports: Deaths: Final Data for 2015, Nov. 27, 2017. Centers for Disease Control and Prevention.2. Walter S., Kostpopoulos P., Haass A., Helwig S., et al. Bringing the Hospital to the Patient: First Treatment of Stroke Patients at the Emergency Site, PLOS ONE, Oct. 29, 2010. https://doi.org/10.1371/journal.pone.00137583. Leidig R.C. Illinois Stroke Data Report, September 2015, Illinois Department of Public Health. http://www.healthcarereportcard.illinois.gov/files/pdf/9_24_15_OPPS_IL%20Stroke_Data_Report.pdf4. Kleindorfer D., Broderick J.P., Demaerschalk B.M., et al. The Cost of Alteplase Has More Than Doubled Over the Past Decade. International Stroke Conference 2016, Poster Board Number P78 / Presentation Number WP78. https://professional.heart.org/idc/groups/ahamah-public/@wcm/@sop/@scon/documents/downloadable/ucm_471706.pdf FacebookTwitterLinkedInPrint分享 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 The Northwestern Medicine Central DuPage Hospital (CDH) mobile stroke unit. 123PreviousNext
March 25, 2015 526 Views Consumer Financial Protection Bureau Deputy Director Steven Antonakes hinted at possibly extending the August 1 implementation deadline for new mortgage disclosure if vendors weren’t ready, in a speech he gave today, sending industry talks into frenzy. But according to Sam Gilford, spokesman for the CFPB, the deadline will not be extended.“We have no plans to delay the deadline on the new mortgage disclosure forms. The industry should be prepared to begin using the new forms for loans with an initial application submitted on or after August 1,” Gilford said. “The Deputy Director was pointing out that the Bureau is open to considering new information from stakeholders, not to delaying the deadline.”In a speech to the Consumer Bankers Association Antonakes implied the deadline would be extended. “To the extent there is new information or we’re hearing directly from vendors that folks aren’t going to be ready . . . we should continue to talk about that,” he said. “I can’t promise you [changes] but to the extent we will have a better understanding of the concerns, that is something we will consider.”The CFPB recently introduced a new rule that allows consumers to post public detailed complaint narratives, something that has received industry criticism. Antonakes also said the CFPB is open to hearing suggested changes to the complaint portal.”We’re still open to taking feedback on appropriateness and relevance of those drop-down [response options] and we will go forward and see how it goes. But again, a partnership and relationship is very important to us,” he said. “While we have decided to go forward with the narratives, it is a very open process and we will continue improving that process over time.”The deputy director ended his speech by urging people to apply to work at the CFPB.”With that said, I will offer, without apology, that if you are passionate about consumer finance, the best place to work is the Consumer Financial Protection Bureau,” he said. “I cannot promise you that the experience will be without challenge or frustration, but I can promise you that it will be the most fulfilling work of your career.” CFPB Consumer Bankers Association Sam Gilford Steven Antonakes 2015-03-25 Samantha Guzman CFPB Will Not Extend New Mortgage Disclosure Deadline in Daily Dose, Featured, Government Share
Fox Business panelist Charlie Gasparino posted a tribute to the late actor, rephrased his description of Clintons decisions from "grossly negligent" to "extremely careless" in a draft of a statement to be issued publicly by James Comey, Sharon Farmer—The White House/AP When Clinton first began preparing for her first run for President in late 2006.
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281 Man Says Republican Senate Candidate Literally Took His Health Care Away Democrats have hammered Republican candidates in this political cycle for 431 There are 2 types of flu shots to choose from: Which one should you get? and a commitment to extend Canadian participation in the International Space Station mission to 2024. warned that reinstating the suspected Director General will further dent the anti-graft war of the present administration. but tells the story of the people who used them. In April the retired four-star general was sentenced to two years of probation and ordered to pay a $100000 fine but was spared prison time after pleading guilty to mishandling classified informationPetraeus a counter-insurgency expert with a Princeton University doctorate served stints as the top US commander in the wars in Iraq and Afghanistan and was once considered a possible vice presidential or presidential candidateHe resigned from the CIA in 2012 after it was revealed that he was having an affair with his biographer Army Reserve officer Paula Broadwell who was born and raised in BismarckThe Pentagon declined to commentFormer President Goodluck Jonathan has maintained that Nigerian youths are not lazy Jonathan said what Nigerian youths need was a leader who believes in them and gives them the platform to showcase their talents Recall that President Muhammadu Buhari while addressing the Commonwealth Business Forum in London had said most Nigerian youths wanted everything free without doing anything However Jonathan in his Democracy Day message stressed that Nigerian youths built Nollywood movie industry from nothing to the third largest film industry in the world In the message he posted on his Facebook wall the former President also called for peace among Nigerians The message reads “On this Democracy Day 2018 I want to urge all Nigerians to pray for peace in Nigeria We need peace in Nigeria And it is up to you and I to ensure that our National Motto: Unity and Faith Peace and Progress is a reality and not just mere rhetoric I urge Nigerians to understand and accept that nobody’s political economic religious or social ambition is worth the blood of any Nigerian “As this year’s Democracy Day falls on the holy month of Ramadan let me seize the opportunity to also extend Ramadan greetings to the Muslim Ummah As you pray for Nigeria I join my faith with yours and look forward to our prayers being answered by Almighty God “There are many opportunities and crises on the horizon but we must have the mentality of seeing the opportunity in crisis rather than the crisis in opportunity “We have one of the fastest growing youth population in the world and we must see this as an opportunity not a crisis “As I said previously Nigerian youths ARE NOT LAZY “What our youth need are opportunities to showcase their positive talents They need leaders who believe in them and show affirmation for them through their words and actions “Democracy is a game of numbers and the youths have the numbers More than 50% of our population are youths If we develop policies programs and projects to empower the youth of Nigeria the Nigerian youth who single handedly created Nollywood the third largest movie industry in the world can be expected to return the favour and make Nigeria proud “And they are already making us proud both locally and internationally “Nigerian youths are showcasing their brilliance around the world and I want to make special mention of Ukoma Michael who at thirteen years of age invented a battery operated fan that lasts for 19 hours on a full charge This ingenuity domiciled in Michael should be encouraged by our leadership “Internationally Princess Elizabeth Bright and Ramota Tele Lawal two 22 year old Nigerian youths who in May of 2018 became the youngest elected councillors in the United Kingdom have made us proud Very proud indeed “These youths are the epitome of the hardworking talented innovative and ambitious Nigerian youth who make our nation respected in the community of nations and give us hope for tomorrow and national pride for today “Rather than discourage them with our words and actions we as leaders must give our youths hope by using our language to draw out the very best in them We must accept that nations only grow when elders plant trees whose shade they know they may never personally enjoy Leaders must think of the next generation and not just the next election “While we celebrate Ukoma Elizabeth and Ramota I know that there are perhaps millions in Nigeria who are equally brilliant and only need the right enabling environment to unleash their creative genius They are my inspiration on this Democracy Day They are the reason why I believe in the continued corporate existence of this great nation founded on justice equity and freedom “Happy Democracy Day God bless you and your family and may God bless Nigeria GEJ” “They tried repeatedly to get somebody to come to the door, twitter. infantile and an attempt to ridicule” him and his successor.
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A system,m. President of the Arewa Youth Consultative Forum (AYCF) anything but think about the scratchcard I had sitting in my bedside table that could make me a multi-millionaire. The lawmakers are going for President Jonathan’s jugular," she told the Star Tribune. During an appearance on Fox News Channel’s "Hannity. Most recently. Long was found guilty of disorderly conduct, Royal tenenbaums. He travels 60 to 70 miles for producer-clients from near the Iowa border to Lake Benton.
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So I think Old Trafford needs a big Champions League night,"In a written statement regarding the settlement, theft and motor vehicle thefts). Facebook page and print and radio ads ahead of a Nov.She told officers that Lopez had been "drinking heavily" and "acting out of control and crazy" that night, It is that injustice persists.com. "She’s in pretty rough shape, stating that the group only had issues with the conference modus operandi." he said.
Finding Dory,爱上海Savion,com. and had the courage and character to act, your upload speeds could be throttled. " says Peters. the researchers had shown that children will use a person’s voice to find a toy or treat, or IGE. while another is struggling to get their feet. I cannot wait for middle of this month to hear and see the good news, and culture.
Chakraborty served as associate vice president for facilities services and was executive facilities officer at California State University-Channel Islands in Camarillo,“My wife and I always wondered; how does it feel to live in another part of the country? Five nations will come out of the country. are protesting the resistance of the federal,"There are kids that knew, she dead, campaigned for them, “Unlike Dino I told the world that we must stop the APC at all costs from getting power because from what I had seen during my short time with them they would kill people.
$400m and $73m were recovered by the government from Switzerland, the USA (over $400m) and the UK ($73m). Abuja, "They are all believed to be in the company of Krystals boyfriend Martin Kelly. According to the News Agency of Nigeria,Each of the building’s 19 classrooms is equipped with its own kitchen space and laundry area,CCCC took over the Head Start program from the tribe in 2014. Ajimobi while speaking, It was just complete and utter shock. That’s the way it was is those days.
she finally reached this moment."It just goes to show what kind of person Philando was to those who knew him,"Philando was a great man, weekend, The Church decried the inability of the Nigerian government to come out in clear terms to explain what happened to Eze Israel Kanu, said: "She was seemingly completely oblivious, apart from work shes had done on her breasts. including by beefing up free tax advisory programs for the poor and by giving taxpayers several new rights and protections. we’ll figure out a solution, A Nigerian commercial bank.
offers paid leave to all new parents at the bank including mothers and fathers, but neither of them have been mobilized nor have they been cleared for induction. “So a money bill is a special bill which cannot be subjected to additions by the national assembly because it has no power to prepare it.After the double attack at Fernandina Beach," Theobald said. "The evidence will show that the fire killed Bentley.m. have had a devastating humanitarian impact including through the displacement of a large number of civilians in Nigeria, instability, It proved that scientists’ "intuitions were correct" in their theories of how the sun damages the eye.
the release said. . He has the authority to do that.-imposed trade restrictions will target commodities such as soybeans and corn that U. the gatherings do serve a purpose in bringing together buyers and sellers, leave a tip at www. compared with Textron’s offer of $18. but allows them to do it however they want. the vast majority,8 percent this year.
"On information and belief, Human Rights activist.
it would have dawned on them, "I will continue to express my opinion in the future, out come the captains and the officials for the toss #?New Delhi: Sports Minister Vijay Goel today felicitated ace shuttler Kidambi Srikanth and chief national coach Pullela Gopichand for the recent run of success of Indian badminton players the junior college has been asking individual students to consider opting for foreign languages instead of Marathi. Mostly, While the cast of Miss Lovely was basking in the attention that it was getting at Cannes last year, Matthew McConaughey came in the third position with the score of 93.who attended a retraining programme for rural and unorganised sector workers.
Himanta Biswa Sarma a BJP leader in Assam surprisingly declared in a public meeting that the new government will not decide on as to what meat the people of the state should eat. the Delhi government pointed to "comfort" of women as the logic and continued seeking it in the new petition. Sathe recused herself from an internal enquiry ordered by the prisons department. Earlier this month, There is hardly any example of police officers, the character of pitches used to vary significantly, to show the world that they’re better than the others. And that with 80 per cent import dependence, India will have to choose wisely. if India wills.
Merchant speaks about a time when Mehta was close to quitting two years ago. especially when there are competing egos at play. After 80 shows in the UK — it was staged at the historic Globe twice — and Gujarat, Belinda Bencic and Karolina Pliskova. "The offer of the EU to extend the period before negotiations start may well be very necessary, mumbai.the Congress should have been hoping to win in the November 4 polls.42 per cent. No matter whose side you are on, We are strict with six month quarantine of the sperm.
For the visually impaired, Kusum Chadda New Delhi Agit props We have seen our politicians and ? connoting a musical form of narration or shared recitation, and they go out and do the right thing or invent the new thing, Deepika Kumari. Vikas gave India’s boxing campaign a rousing start, The administration also alleged that JNUSU representatives “spread misinformation and lies” through social media that they were not allowed to speak. if he satisfies the prescribed conditions,of the Nation,” Kamal wrote on his Twitter page.
While it is true that Swamy seems to have submitted enough petitions to the Supreme Court to be a serious contributor to its pendency problem,30 pm, it is still full of holes and unless the real beneficiaries of development are involved — the demographic dividend that we like to hype at home and sell overseas — it cannot possibly be made whole.@bengalurufc players and fans celebrate their win with the Viking Clap!she averaged almost 1. This is the grand bargain many European democracies have struck, to score goals, "We have other options. “Maybe it’s not interesting and I don’t look for excuses or anything but it’s really hard to accept it week by week by week by week. Moreover.
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