APTN National NewsHis sound comes from years on the Arizona music scene.Jason Ross is an Aboriginal singer-songwriter also known as “Fargo Arizona.”APTN’s Matt Thordarson has the email@example.com
Quebec Premier Francois Legault apologizes to First Nation and Inuit peoples in the province’s National Assembly on Wednesday.APTN News Quebec Premier Francois Legault has followed one of the calls to action in the Viens report and apologized to First Nations and Inuit peoples for long-standing discrimination in their dealings with the province.Legault made the formal public apology today at a sitting of the provincial legislature and said the government is ready to act on recommendations contained in the report issued this week.The apology was the first of 142 calls to action laid out by the Viens commissioner Jacques Viens, which concluded that the province’s Indigenous communities suffered systemic discrimination.Legault called the findings in the report devastating and pledged that the Quebec government will work with Indigenous leaders to implement the recommendations.The Quebec government has convened a meeting of First Nations and Inuit leaders on Oct. 17 to discuss further action.The apology came as many Indigenous chiefs and leaders looked on from the visitors’ gallery of the national assembly’s legislative chamber.“I offer Quebec’s First Nations and Inuit members the most sincere apology from all of Quebec,” Legault said. “The state of Quebec has failed in its duty to you, and it asks you today for forgiveness.”But on Monday, the day the report was released, the head of the Assembly of First Nations in Quebec and Labrador (AFNQL) said it was “too weak,” and didn’t go far enough in recommending the changes needed.Fast forward to Wednesday and the apology, Ghislain Picard said in a statement that while the AFNQL recognizes the gesture of reconciliation, “First Nations are looking towards the future while worrying that [Quebec] does not understand the urgency of taking immediate action to correct the current situation.”“[Legault] may attempt to make amends for the past, but I especially wish that he would do so for today, when the Government of Quebec, on this very day, stood before the court and continued to affirm that [the province] has never recognized the right to self-determination of Fist Nations, and that it refuses to recognize that First Nations police services are essential services,” Picard explained.For two and a half years, Viens led the inquiry that was charged with looking into the relationship between Indigenous peoples in Quebec and some of the province’s public services.The inquiry was called after a number of First Nations women in Val d’Or, a mining city 525 kilometres northwest of Montreal, complained about physical and sexual abuse by members of the province’s police force, the Sûreté du Québec.The 520 page report contains 142 calls to action. Not just for police, but for other public services such as health, justice and social services.The recommendations include more money for housing, implementing the United Nations Declaration on the Rights of Indigenous Peoples, and making services more friendly for non-French speaking Indigenous people.Viens says the calls to action are meant to combat what he describes as systemic racism in the province.“In a developed society like ours, this finding is unacceptable,” he said.Picard said the report confirms what First Nations people have been saying for a long time.He welcomed the report but worries about accountability around its firstname.lastname@example.org@aptnnews-with files from Lindsay Richardson, Tom Fennario and The Canadian Press
Whole Wheat and HoneyInvestors Group Wealth ManagementA link to the FB Page CLICK HEREA link to the FB Event Page CLICK HERE FORT ST. JOHN, B.C. – CODE RED is a week-long feminine hygiene drive from December 17th – 21st, 2018CODE RED is a Campaign that is collecting feminine hygiene products for those in need, these items are often overlooked and are essential for a woman, for one week, once a month.Creator of the campaign Jessica Telizyn is a resident of FSJ who is currently enrolled in University in another Province and was inspired by a ‘Period Club’ at her school, she recognized there is a real need for this type of help in any community. All collected feminine hygiene products are broken into period-packs that will be donated to the Fort St John Women’s Resource Society. The campaign will help women to have access to the tampons or pads they need to get them through the month when in some cases they could be going without feminine hygiene products altogether.Donating can be newly purchased boxes as well as open boxes of pads or tampons that you may have as these items are individually wrapped and are ok to donate. The last day of the drive these packages will be separated to create period-packs, customized bags including the supplies needed to help that individual woman get through her menstrual cycle.Although this drive is focused on feminine sanitary protection, other toiletries will be accepted such as shampoo and body wash.Drop off locations:Comfort & JoyTaylor District Ice Center Concession
BEIJING — China is downplaying the political implications of its global development campaign known as the Belt and Road initiative, saying that it aims to boost multilateralism amid protectionist trends in the U.S. and elsewhere.Foreign Minister Wang Yi said Friday that a meeting to promote the initiative next week in Beijing would draw leaders from 37 countries, underscoring heavy demand for Chinese investment.Chinese President Xi Jinping, who has made the initiative a signature policy, agreed last month to seek fairer international trade rules and address the world’s economic and security challenges, in what appeared to many as a rebuke to President Donald Trump’s protectionist policies.The initiative aims to weave a network of ports, bridges and power plants linking China with Africa, Europe and beyond.The Associated Press
“Three UNRWA [UN Relief and Works Agency for Palestinian Refugees in the Near East] schools, set up by the United Nations as places of refuge for civilians fleeing the fighting, have been hit in adjacent Israeli strikes,” Mr. Ban told the Council at the start of the session, noting that the third strike at a school in Jabalia refugee camp killed dozens of civilians.“These attacks by Israeli military forces which endanger UN facilities acting as places of refuge are totally unacceptable, and should not be repeated. Equally unacceptable are any actions by Hamas militants which endanger the Palestinian civilian population. Today’s events underscore the dangers inherent in the continuation and escalation of this conflict. I call once again for an immediate ceasefire.”He said had stressed to United States President George W. Bush in a meeting earlier today the importance of acting immediately, as he had in meetings with Arab leaders, including Palestinian President Mahmoud Abbas, noting that he had repeatedly condemned indiscriminate rocket attacks by Hamas into Israel and the excessive use of force by Israel with the stated aim of bringing an end to such attacks and a change in the security conditions in Southern Israel.The Secretary-General added that he intended to travel to Israel and the occupied Palestinian territory next week as well as to regional capitals. “But I do not believe we can wait until then to end the violence. We must achieve that now,” he declared.According to the Palestinian Ministry of Health and media sources, over 570 Palestinians have already been killed, and over 2,700 have been injured with Israel’s offensive moving into its 12th day.“In the midst of this fighting, the civilian population of Gaza faces a humanitarian crisis,” Mr. Ban said. “Entire families have perished in the violence, including women and children, UN staff, and medical workers. There are no shelters for the vast majority of the civilian population. Food and fuel supplies are insufficient. A million people have no electricity. A quarter of a million have no running water.“The only answer is an end to the violence. Whatever the rationale of the combatants, only an end to violence and a political way forward, can deliver long-term security and peace.”He welcomed today’s initiative by Egyptian President Hosni Mubarak and French President Nicolas Sarkozy for an immediate ceasefire, with the opening of safe corridors for relief into Gaza, and an invitation to Israelis and Palestinians to meet to discuss how to avoid a resumption of fighting, including securing borders and lifting the blockade of Gaza, which Israel says Hamas rocket and other attacks have forced it to impose.“Third parties will need to provide assistance, both on the ground and in terms of diplomatic support, to supervise and safeguard all the various elements of a ceasefire. Gaza’s enormous social relief and reconstruction needs will need to be addressed,” Mr. Ban said, calling on all Member States to respond promptly and generously to UNRWA’s appeal for funds.And he stressed the urgent need to achieve Palestinian unity and the reunification of Gaza with the West Bank within the framework of the legitimate Palestinian Authority. Hamas, which does not recognize Israel’s right to exist nor the international two-state plan for Israel and Palestine to live side by side in peace, seized control of Gaza from the Authority last year.Following Mr. Ban, President Abbas appealed to the 15-member Council to stop the “new catastrophe” at the hands of “the Israeli machine of destruction” now befalling the Palestinian people. “The massacre in the UNRWA school at the Jabaliya camp is new proof of the heinous crime committed against our people,” he said, calling for a full cessation of “Israeli aggression” so that political dialogue could resume. “Any procrastination can only deepen the tragedy,” he added, stressing that an international force was needed to end the “unjust siege” of Gaza by opening all crossings, calling for a mutual and complete ceasefire, and voicing support for the plan proposed by Presidents Mubarak and Sarkozy. “Put an end to this genocide and destruction,” he concluded. “Do not allow for the killing of one more Palestinian child. Do not let one more Palestinian mother cry for her children. Do not allow it. Put an end to the massacre of my people, let my people live and let my people be free.” Speaking next, Israeli Ambassador Gabriela Shalev noted that 8,000 rockets and mortars had been aimed against Israel from Gaza over the past eight years. “No state would permit such attacks on its citizens, nor should it,” she said, adding that Hamas was vehemently opposed to peace negotiations between Israelis and Palestinians.“Hamas has no interest in making peace with the enemy; for Hamas peace is the enemy. Its only interest is in establishing a regime of tyranny for Gazans and of terror for Israelis,” she stressed, charging that Hamas uses civilians as shields, hides its missiles and terrorist bases in homes, hospitals and mosques, and “as we saw earlier today, deliberately launches attacks from in and around schools and densely populated areas – with tragic results…“This conflict will end not when terrorism is appeased or accommodated but when the international community stands determined and united against it,” she said.The Council session is to continue tomorrow. 6 January 2009The Security Council convened on the Israel-Hamas conflict in Gaza this evening, with Secretary-General Ban Ki-moon warning that today’s deadly Israeli shelling of United Nations schools where hundreds of Gazans had sought refuge made a ceasefire more urgent than ever.
YYC’s newest runway may be a win for Calgary, but some Airdrie residents are non-too happy with the extra air traffic.Airdrie Mayor Peter Brown says he’s heard concerns from several southeast residents, but notes the community doesn’t have any control over the noise.He said the airport has assured him they will get back to everyone who phones in concerns to their hotline.Terry Thompson, director of Environmental Services for the Calgary Airport Authority said they have been talking to communities which would be effected by the new flight paths for the past couple years.“But you never really get to understand the impact until it first starts operating aircraft from that runway and to that runway, so we’re definitely ahead in anticipating increased community concern.”Thompson said the number one agenda item when the Airport Authority meets in the fall, will be to review the new runway’s operations. AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to RedditRedditShare to 電子郵件Email by News Staff Posted Jul 4, 2014 11:14 pm MDT Airdrie residents not happy with noise from new runway
The Office of the UN High Commissioner for Refugees (UNHCR) reported that attacks in Borno state have uprooted about 7,300 Nigerians, forcing them into western Chad, where most are staying with local communities in villages around 450 kilometres north-west of the capital, N’Djamena.A spokesperson for the UN Office for the Coordination of Humanitarian Affairs (OCHA) said the 3 January attack on the town of Baga alone caused 3,400 people to flee to Chad.“The Government of Chad has requested international assistance,” said the spokesperson. “The Chadian Government has sent a mission and a medical team to the areas and is providing food assistance and other basic supplies. Humanitarian agencies including OCHA, the UN Children’s Fund (UNICEF), UNHCR, the World Food Programme (WFP) and the World Health Organization (WHO) are currently in the area assessing needs.”UNHCR is assessing the protection situation and coordinating aid delivery. “We’re already providing plastic sheets, jerry cans, mats, blankets and kitchen tools. Other humanitarian organizations are distributing aid too,” UNHCR spokesman Adrian Edwards noted in Geneva.Mr. Edwards said UNHCR teams are seeking more information on the new arrivals and their needs and noted that the attack on Baga left hundreds dead and forced most of the town’s surviving inhabitants to flee.Meanwhile in Niger, UNHCR has started to relocate refugees from the border area, so far moving 336 people to a camp deeper inside Niger, with more planned for next week. The refugees fled after a November attack on the Nigerian town of Damassak.UNHCR, working alongside the National Eligibility Commission of Niger, is registering refugees as they arrive at the new camp, giving them identity documents and providing basic relief items, including drinking water and latrines.In December, the first results of a continuing Government census, organized with UNHCR’s technical support, revealed that at least 90,000 people, including Niger nationals previously living in Nigeria, have found refuge in Niger’s Diffa region since May 2013. Many have chosen to remain close to the border, hoping to return to their home villages when the situation calms down.Some 200,000 people have fled Nigeria to neighbouring countries, including Chad, Cameroon and Niger, according to figures from OCHA.
In a statement issued by his spokesman, Mr. Ban called for the perpetrators of this appalling terrorist act, which took place at Gulshan-e-Iqbal Park in Lahore, to be brought swiftly to justice, consistent with human rights obligations. The UN chief urged the Government to do its utmost to put in place protective measures to ensure the personal security of all individuals, including religious minority communities living in the country. Mr. Ban extended his heartfelt condolences to the victims and their families, and expressed his solidarity with the people and Government of Pakistan.Separately, the UN, its agencies and funds also condemned Easter Sunday attack on civilians in Lahore, Pakistan, calling it a “murderous” incident that killed mainly women and children.In a press release the UN system in Pakistan said: “All people in Pakistan have the right to peaceful lives. Brutality such as that in Lahore contradicts that universal right. Our thoughts are with the Pakistani people, with the victims and their families.”
Des bébés déjà bilingues dans le ventre de leur mèreCanada – Les nouveau-nés qui ont évolué dans un environnement bilingue alors qu’ils étaient encore dans le ventre de leur mère savent différencier deux langues distinctes, d’après une étude publiée dans la revue Psycological Science.Les chercheurs de l’université de Colombie-Britannique au Canada et de l’Organisation pour la coopération et le développement économique (OCDE) en France se sont associés pour comprendre les mécanismes du langage dès la naissance. Ils souhaitaient savoir si les nouveau-nés étaient capables de faire la distinction entre deux langues. Leur expérience a été menée grâce à deux groupes de bébés : le premier était constitué de nourrissons n’ayant entendu que l’anglais dans l’utérus de leur mère. Le second, de nouveau-nés qui avaient été confrontés à la fois à l’anglais et au tagalog, une langue parlée aux Philippines. Dans un premier temps, l’expérience consistait à faire écouter aux deux groupes de l’anglais et du tagalog, alternativement, toutes les minutes pendant dix minutes. Lorsque les bébés portent un intérêt à un stimulus, ils le manifestent avec une hausse du réflexe de succion : ce dernier a donc été mesuré pour voir si les bébés faisaient ou non une distinction entre les deux sons qu’ils entendaient. Résultat : les nourrissons qui avaient entendu les deux langues durant leur conception ne montraient aucune différence à leur écoute, tandis que les bébés uniquement familiarisés à la langue anglaise montraient un reflexe de succion plus important à l’écoute de l’anglais. Une seconde expérience consistait à parler aux bébés dans une langue jusqu’à ce qu’elle leur soit familière et ne présente plus d’intérêt pour eux. A ce moment, une nouvelle personne venait pour leur parler dans la même langue ou dans une autre. Les chercheurs ont constaté que le réflexe de succion n’augmentait que lorsque la personne s’exprimait avec la deuxième langue. Pour les scientifiques, l’expérience prouve que les bébés savent faire la différence entre différentes langues, qu’ils soient ou non confrontés au bilinguisme pendant leur conception. D’après eux, il existe également un mécanisme qui permettrait aux enfants bilingues de ne pas faire de confusion entre les deux langues dès la naissance.Le 27 février 2010 à 09:41 • Emmanuel Perrin
(Left to right) Elias, Eric, and Alisa. Elias snacks on an apple before going off to run track. Not shown is husband Mike, who wasn’t on the scene at the time. (Photo by Kayla Desroches / KMXT)This summer, a couple returned to the City of Kodiak after roughly 10 years of sailing the world.Listen nowMike Litzow and Alisa Abookire raised two sons while living a seafaring nomadic lifestyle.Now, the family plans to call Kodiak home for the foreseeable future.“And then we went back to French Polynesia – lucky us – for the third time, and then we spent a year in Patagonia and went to the Falkland Islands,” Alisa said as she traced her family’s journey on a plastic globe.Behind her, 7-year-old Eric and 11-year-old Elias fuel up on fruit. They’re getting ready for an afternoon cross country race. Elias is trying his hand at track and field.Alisa said it’s the first time the boys have joined team sports. They’ve spent most of their lives at sea.Alisa and Mike lived in Kodiak for seven years, and set off for their world travels when Elias was under a year old.On the globe, Alisa points out Australia – where Eric was born.“Well, we kind of combined two dreams,” Alisa said. “Mike wanted to sail to Australia, and I wanted to be a full time mom, so we did it at the same time.”They lived in Australia for a couple of years, and another a year in Chile, and otherwise traveled where they wanted.Mike made a living remotely working on fisheries data analysis and Alisa homeschooled their sons, who otherwise entertained themselves with everything from bird watching to drawing.Eric climbs onto a counter in their kitchen and points out a couple of his creations.“This one’s two knights fighting, this one’s a bird,” Eric said.Elias holds up what looks like a self-made reference chart covered in a colorful fish lures and other objects.“It’s what I’d actually want to buy if I had a bunch of money, but it would cost so much money,” Elias said. “Technically, it’s a ton of fishing gear.”Elias talked about some of the other activities he did to pass the time on the boat, like snorkeling and sailing.“But fishing’s sort of my favorite all the time, 100 percent of the time,” Elias said.Elias said his family caught squid, mahi-mahi and wahoo during their travels.Alisa said they had a fridge on board, but not a freezer, which means the fish didn’t stay good very long unless they canned or consumed it.“When we catch a fish, we stop fishing, and then we eat fish for breakfast, lunch and dinner,” Alisa said.The family arrived in Kodiak in July. Alisa said they’re settling in.“Sometimes it feels like we’re still visiting, but for the most part it’s wonderful,” Alisa said. “We’re really glad to be back in Kodiak.”Eric added that they may get a house someday and Alisa agrees.Mike said it’s the right time for a more permanent home.“Our kids are getting to the point where they’ll be happy to be in school and have some friends outside the family and have some friends who they know for more than month at a time,” Mike said. “You know, we’ve been leading this very peripatetic life where they didn’t have any really stable friendships. And I guess, really, my wife and I love Alaska is what it comes down to. This is still home to us and where our hearts are, so it’s just sorta time to come back.”Mike has returned to the science scene in Kodiak. He now works as an assistant research professor at the Kodiak Seafood and Marine Science Center on Near Island.In 2011, he published a book about his experiences.
Visakhapatnam: Defence Minister Rajnath Singh arrived in Visakhapatnam on Saturday on a two-day maiden visit to the Headquarters of the Eastern Naval Command. On arrival, he was given a ceremonial welcome by the navy at INS Dega. The Defence Minister was received by Chief of the Naval Staff (CNS) Admiral Karambir Singh and Flag Officer, Commanding-in-Chief, ENC Vice Admiral Atul Kumar Jain and presented a Guard of Honour. Also Read – TDP to intensify protests on sand issue in Vizianagaram Advertise With Us As a part of his two-day visit, Rajnath Singh would be apprised on the operational readiness of the command and other relevant aspects of the maritime and coastal security in the Eastern Seaboard at ENC Headquarters. The Defence Minister is scheduled to visit ships and submarines of the ENC and interact with the naval personnel and defence civilians prior to his departure to New Delhi scheduled on Sunday afternoon. Chief Minister Y.S. Jagan Mohan Reddy is scheduled to arrive at 7 p.m. by a special aircraft.
Ruhul Kabir RizviBranding the Digital Security Bill 2018’ as an ‘evil spirit of Baksal’, BNP on Thursday alleged that the government has enacted the law to hide its ‘massive corruption’ and gag the media and people’s voice, reports UNB.Speaking at a press conference at BNP’s Naya Paltan central office, party senior joint secretary general Ruhul Kabir Rizvi also called upon the people, journalists and those who believe in free-thinking to put up a resistance against it.”The controversial Digital Security Bill was passed in parliament yesterday (Wednesday) to gag the media and shut the mouths of people of Bangladesh. This law is an evil spirit of Baksal,” he said. The BNP leader further said, “This black law was formulated to conceal the corruption of the government’s lakhs of crore taka.” He said the law was also made so that no mass media or any other platform can publish any report on the government’s corruption. ”People’s freedom of speech and their individual overall freedom have been snatched through the black law,” he observed. Rizvi also alleged the law will contribute to rise in the offences like corruption and human rights violation. “The articles 8, 21, 25, 28, 29, 31, 32 and 43 of the black law are unconstitutional.” ”The constitution’s main spirit, especially the rights of free thinking, freedom of expression, and the freedom of press, have been snatched through the law,” he noted. The BNP leader also said the Digital Security Bill has put people’s security under a threat as law enforcers now will be able to raid media outlets, seize computers and other equipment and arrest anyone without any warrant. He feared that common people will also be affected by the law.
(PhysOrg.com) — Bridges, trails, piers, and trees are familiar territory words for world travelers but for Intel workers they are more importantly code words and a number of them that are planted on the Intel roadmap have leaked. According to recent reports, Intel plans a Valley View Atom chip that has Ivy Bridge graphics. Intel’s insider description of the new Valley View is as a “CedarView-like chip but with an Ivy Bridge graphics core.” Explore further Citation: Intel roadmap leaked for SoC with Ivy Bridge graphics (2012, March 24) retrieved 18 August 2019 from https://phys.org/news/2012-03-intel-roadmap-leaked-soc-ivy.html © 2011 PhysOrg.com One site noted the potential of Ivy Bridge graphics is that it will be twenty to fifty percent faster than Sandy Bridge. Accordinbg to the leaked slides, the Valley View processor belongs to a chipset that is code-named Balboa Pier, Other details indicate a fanless Valley View system with up to 8GB of RAM, USB 3.0, and up to four times the graphical performance of previous Atoms,Still more details that emerged: The Atom Valley View processor will have integrated memory controller “Pondicherry” memory arbiter as well as Ivy Bridge and will support output to two DisplayPort monitors, one HDMI panel, and other outputs.Comments from tech blogs have also noted that, based on the details, signs are that the chip will ditch third-party graphics and instead use Intel’s in-house integrated GPU that is in Ivy Bridge. Last month, Michael Larabel of Phoronix reported that Intel was planning to drop PowerVR Graphics in future-generation SoCs. “With in-house graphics hopefully leveraging their existing and mature driver code-base, they would also be able to have an advantage on the driver side, especially if the support is available to everyone as open-source.” The question, say observers, is if Intel is really planning all this star-quality power for technology that will go into market-sluggish netbooks. The flip side of the question, as some suggest, is that the new Valley View Atom will revive marketplace attraction toward netbooks. Valley View is seen as a major upgrade in the wings to the Atom platform and the details have been widely circulated on blogs and tech news sites. VLV, the shortened name for the Valley View Atom, is said to be at the heart of Intel’s future-generation low-power, low-cost platform. The release will support Intel’s ability to tout better integrated graphics in mobile computing devices. The release date is expected some time next year.The most talked-about feature in Intel-watching blogs and forums appears to be centered on the Ivy Bridge graphics core, which will boost support for HD video and 3D graphics in future Atom processors, and will improve on support for Linux-based operating systems. Samsung offers full refund for Intel chip This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
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 As healthcare continues to evolve and grow, so does the need to make the large number of disparate technologies fit together and function seamlessly. In some cases, this means first taking apart or reconstructing these information systems. There has been a long-standing need in healthcare to put all components of the patient record with images and all support diagnostic documentation into a single solution rather than a multitude of partial solutions. It has been suggested that the deconstructing of picture archiving and communication systems (PACS) has the potential to achieve this goal. However, deconstructing PACS is not a universal term, and before we can understand its potential benefit, we must understand what it means.Defining the Deconstruction of PACS The concept of deconstructing PACS focuses on eliminating the virtual walls that separate many different areas of patient diagnosis and care as they relate to images. This means expanding the ability to access and view images and diagnostic findings to all clinical departments and specialties, well beyond the traditional reports and information that are already stored in electronic medical records (EMR). Achieving this goal means overcoming many challenges and obstacles, but the potential advantages, quality outcomes and efficiencies that may evolve is worth considering. Significant technological advancements in recent years, such as the vendor neutral archive (VNA), have laid the foundations necessary to achieve the deconstruction of PACS. In some ways, this was the initial step in deconstructing PACS as the history of PACS reflects a landscape of many disparate cardiology and radiology X-ray based PACS, as well as specialized ultrasound PACS. VNA offers a solution that takes advantage of the economies of scale, allowing images and reports from different systems to be centrally archived in an enterprise storage solution.The development of a universal viewer established a standard access, allowing physicians to retrieve and view results from different sources and origins without having to use multiple workstations. Currently, the universal viewer is not readily available from all vendors nor is it yet fully realized. In concept, it allows images to be viewed anywhere (home or office) and on many generic workstations, as well as many types of hand held devices (smartphones and tablets) with access to diagnostic-quality images and supporting data and reports.The Benefit of Deconstructing PACSAs hospitals add more facilities to their networks, integration is key to getting the right information to the right clinician at the point of care or point of decision at the critical time. The VNA and deconstruction process may offer a more efficient way to integrate new facilities into large hospital networks. The process would make not only the storage but also the access to the full images, tools and diagnostic information truly vendor independent and accessible via a single point of access, viewer and system.“The chief information officer (CIO) is looking for a reliable, unified solution that is similar to the movement already underway in the EMR applications. Improvements would come with a single point of access, which is most likely going to be via the EMR,” said Henri “Rik” Primo, strategic relations, digital health services of Siemens Healthineers. Primo also thinks the deconstruction of PACS will “likely improve the hospital’s ability to implement and maintain a higher level of cyber-security as a centralized function.” This is important, as the protection of patient data remains a huge area of concern for providers and the number of breaches increase.Deconstructing PACS could also drive collaboration among all PACS and image capture reporting vendors, as well as EMR vendors. Industry collaboration has always been challenging, but the future success of this and similar industry initiatives requires a much more open approach. This in and of itself can result in positive changes.According to Louis Lannum, director of enterprise imaging, Cleveland Clinic, Cleveland, Ohio, “Having a common workflow engine that allows a consistent process from orders (if needed) to imaging acquisition, information management, diagnostic review, reporting, storage, archive, retrieval and review (non-diagnostic and diagnostic) would improve consistency and establish an enterprise-wide standard that would simplify the process across the enterprise’s healthcare spectrum. This would streamline the healthcare IT process, consolidate resources and reduce cost and space for redundant storage that currently exists in most healthcare settings.”Primo echoed this same sentiment, saying, “It provides the capability to bring information into a more centralized governance, which can bring enhanced consistency. It also can be instrumental to drive interoperability between different PACS, image capture devices, reporting and the EMR.”Quality OutcomesAt its core, a deconstructed PACS solution would allow all physicians involved in direct patient management to access all available information compiled across the continuum of care. Currently, clinicians must deal with multiple sign-on functions and different workstations, often spread out across the hospital, that have diverse graphic user interfaces (GUIs). This makes trying to holistically manage patient care and efficiently gather, review and implement a treatment strategy feel like a herculean task.“As a primary care internist, having a system that is easy and simple with all the information is what I would like,” said Troy Martin, M.D., chief medical officer of QuestCare Hospitalist Group. “Direct patient interaction is down to 10 to 20 percent a day with 80 to 90 percent of my day being spent on information gathering, documentation, etc. This solution could move the physician back to what they love, what they became a physician to do and that is direct patient interaction, care and management.” A deconstructed environment could offer improved patient outcomes as a result of clinicians having access to the patient’s full information, findings and diagnoses in an efficient manner. “It could reduce or eliminate mistakes in reports and images from different patients ending up being represented as the same patient. The more eyes you have looking at data the more likely you will catch any mistakes,” Martin said.Primo provided industry perspective, stating, “From a big-picture perspective it has the theoretical benefit to enable improvements of the overall quality of care while reducing costs long-term.” This statement speaks to the current climate in healthcare — providers are being asked to provide superior care at a lower cost.The Deconstructed Future There are and will be many challenges to the deconstruction of PACS. As with any innovative technology trend, there are concerns. A few such concerns are the training necessary to use the technology correctly, scaling the solution as volumes and size of healthcare enterprises change, connectivity to other systems, analytics support and appropriate security. Technological advances, such as solid-state drives, cloud storage and virtual networking, are helping offset some of the costs. Do these challenges outweigh the all-encompassing need for a new solution to the imaging needs of today’s clinicians? We believe the answer is yes.In a deconstructed PACS world, there is potential for better workflow, best-of-breed vendor component selection, increased interoperability between healthcare institutions and EMR, and lower cost of ownership over the traditional PACS paradigm. This emerging concept may be a great opportunity to create a forward-looking strategy with a solution that is customizable and will work within the parameters of the facility’s needs.However, at the heart of this concept is the desire to bring more efficient, accurate, quality patient care that will result in improved patient outcomes. One of the most poignant sentiments that we believe embodies the feeling of a majority of physicians, nurses and clinicians who choose to pursue medicine to help others comes from Martin.“Anything that can be done anywhere, but specifically for information gathering that can minimize the time that the physician does clerical work and enables them to do what I call ‘doctor work,’ which we seem to have less and less time for, is an improvement and a huge positive result,” said Martin. “To me that is the goal, that is where we all win. In the last 5 to 10 years, I have seen lots of things push us away from doctor work and almost nothing go back toward focusing on giving the physician time to use our skills learned and knowledge to take care of people. To me that would be the ideal focus and a positive outcome for healthcare and ultimately for the patient.” Editor’s note: You can read Michael J. Cannavo’s Counterpoint argument here. Tom Watson, RCVT, is a clinical analyst at MD Buyline with over 40 years of experience in the field of cardiovascular medicine. Matt Adams, MBA, joined MD Buyline as a healthcare IT analyst after spending more than 25 years in healthcare information technology, business development and consulting. Cris Bennett, R.T. (R)(MR), is a clinical analyst at MD Buyline with over 19 years of experience in medical imaging including general radiography, CT, MRI and radiology IT. FacebookTwitterLinkedInPrint分享 Related Content 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 News | Radiology Business | August 01, 2019 Philips Completes Acquisition of Carestream Health’s HCIS Business … read more Videos | Radiology Business | August 02, 2019 VIDEO: Key Topics for Radiology Administrators at AHRA 2019 Association for Medical Imaging Management (AHRA) President … read more 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 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 Feature | PACS | July 06, 2016 | Tom Watson, RCVT, Matt Adams, MBA, and Cris Bennett, R.T. (R)(MR) Point: Deconstructing PACS Point/Counterpoint There has been a lot of talk about “deconstructing” PACS. But what does this mean, and how could it affect the way you do business? This point/counterpoint takes a look at both sides of the debate. Sponsored Content | Case Study | Radiation Dose Management | August 13, 2019 The Challenge of Pediatric Radiation Dose Management Radiation dose management is central to child patient safety. Medical imaging plays an increasing role in the accurate… read more News | 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 The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s. News | PACS | August 08, 2019 NetDirector Launches Cloud-based PDF to DICOM Conversion Service NetDirector, a cloud-based data exchange and integration platform, has diversified their radiology automation options… read more Key Topics for Radiology Administrators at AHRA 2019Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 7:33Loaded: 2.15%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -7:33 Playback Rate1xChaptersChaptersDescriptionsdescriptions off, selectedCaptionscaptions settings, opens captions settings dialogcaptions off, selectedAudio Trackdefault, selectedFullscreenThis is a modal window.Beginning of dialog window. 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Bali, Indonesia – Reported by Erin Riley for Elite Traveler, the private jet lifestyle magazineOberoi’s Indonesia is one of unhurried luxury and old-world leisure, and elite travelers can leave it to two of the brands most renowned properties, The Oberoi, Bali and The Oberoi, Lombok, to find the most inspiring ways to experience what this enticing slice of Southeast Asia has to offer.If you want a sense of how life is lived in a typical Balinese village, but without any compromise to style and luxury, look no further than The Oberoi, Bali. 74 luxury villas and lanai rooms spill across 15 acres of lush tropical gardens that overlook the Indian Ocean with an organic ease that makes the retreat feel like it’s a part of the natural landscape. The glistening Seminyak Beach frames the authentic village-style resort grounds, as villas come dressed in thatched roofs and river-stone pathways are lined with plumeria and swaying palms and come adorned with stone carvings.The comparison to old-world Indonesia ends here, however, as each villa comes replete with luxurious private pools and secluded garden bathrooms. After spending a few rejuvenating days at this tranquil hotspot, Oberoi will take you by sea or air to the nearby island of Lombok, as the Oberoi Best of Indonesia package will offer guests combining their stays at Oberoi Bali and Oberoi Lombok complimentary inter-island transfers, as well as airport or harbor pick up and drop off, replete with luxury car selection.Upon your arrival at The Oberoi, Lombok, embrace the postmodern cool and tropical hot of the resort’s elaborate design, as well as its added take on intimacy. This idyllic garden resort comes replete with 50 secluded thatched-roof villas and pavilions that are typical Oberoi-luxury, seeped in warm teak wood, woven carpets and indigenous artifacts. Spacious bedrooms and stunning sunken marble baths are privately set within pink-tinted limestone walls.It is here that ambitious guests will experience Indonesia at its best. Off the coast, embrace the warm tropical waters brimming with parrot fish, reef sharks and purple coral as Oberoi, Lombok’s Unforgettable Dive package offers guests the chance to explore three surrounding Gili islands ($2,270 for two divers). The breathtaking chance to experience fives dives at various reefs within two days is complemented by the laid-back luxuries of a five-night stay in one of the resorts bespoke suites, as well as complimentary airport transfers and daily breakfast and afternoon tea.For thrill-seeking guests who would prefer to remain on land, the Unforgettable Trek package takes guests on a 12,000-foot journey to the summit of the active volcano Mount Rinjani, before culminating in a rejuvenating soak in the sacred Segara Anak Lake’s hot springs ($1,830 for two guests).www.oberoihotels.com>
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