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‘Overkill’ in medical care

first_img Read Full Story Overtesting, overdiagnosis, and overtreatment in medical care in the U.S. is widespread, with one recent study suggesting that 30% of care—amounting to roughly $750 billion a year—is wasteful. But there are signs that the Affordable Care Act, which provides financial incentives for doctors to provide better quality care at lower cost, is prompting increasing numbers of health care providers to recommend only truly necessary care to their patients.“Millions of people are receiving drugs that aren’t helping them, operations that aren’t going to make them better, and scans and tests that do nothing beneficial for them, and often cause harm,” wrote Atul Gawande, professor in the Department of Health Policy and Management at Harvard T.H. Chan School of Public Health and executive director of Ariadne Labs, in the May 11, 2015 issue of the New Yorker, where he is a staff writer. But Gawande also wrote about promising trends that are lowering health care costs and boosting health outcomes—including in McAllen, Texas, a town that Gawande wrote about six years ago in the New Yorker because of its extremely high health care costs, but which has since then brought those costs down significantly.“We’re finally seeing evidence that the system can change—even in the most expensive places for health care in the country,” Gawande wrote.last_img read more

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England Golf to host 2019 European women’s amateur at Parkstone

first_img6 Mar 2017 England Golf to host 2019 European women’s amateur at Parkstone England Golf will host one of top events in women’s amateur golf when it stages the 2019 European ladies’ championship at Parkstone Golf Club in Dorset. The champion will be rewarded with a place in the Ricoh Women’s British Open and past winners include England’s own Bronte Law in 2016. Among the other title holders are a host of Solheim Cup players such as Joanne Morley, Becky Brewerton, Carlota Ciganda and Caroline Hedwall. “We are delighted to host this championship and to be able to play it on Parkstone’s beautiful course,” said England Golf Championship Director James Crampton. “It will be a great test for the competitors and a wonderful venue for spectators.” The course, ranked in the top 100 courses of Great Britain and Ireland, will offer competitors a heathland challenge, coupled with a stunning setting known for its natural beauty.  “This is a course which calls for strategy and it will be perfect for these top women players,” said Parkstone’s General Manager, Michael Sawicki. Course work over recent years has included improvements to all the bunkers and significant tree removal to reveal the heathland nature of the course, which boasts views to Poole harbour. Further improvements are planned, including tweaks to the short 16th, which will turn a good hole into a great one by the time the championship is held. It will be played from 24-27 July 2019 and a full field will bring 144 competitors from around the world to Parkstone. They will all play the first 54 holes before the field is cut to the top 60 and ties for the final round. This will be the third time England Golf hosts a European event in six years, following the European ladies’ team championship of 2013 and this summer’s European amateur championship at Walton Heath, from 28 June- 1 July.  “It’s fantastic to bring these events to England and to give spectators a chance to see the stars of tomorrow – and hopefully inspire more people to play the game,” added James Crampton. The European ladies’ championship has been held once before in England, at Formby Golf Club, Lancashire, in 1997 when Italy’s Silva Cavalleri successfully defended her title. Three English players have been European champions and all come from the north: Bronte Law (2016) and Joanne Morley (1992) both hail from Cheshire, while Emma Duggleby, now Brown, (2000) is from Yorkshire.last_img read more

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Controversial McConnell Tract Hearing Moved to Oct. 30

first_imgBy Chris Rotolo |ATLANTIC HIGHLANDS – As trick-or-treat time approaches some residents involved in a fight to ensure bayfront access are bracing for a surprise.An anticipated Sept. 27 Planning Board hearing for an applicant seeking to build three dozen homes on the 7-acre McConnell tract along the Sandy Hook Bay has been rescheduled to Oct. 30 at the Atlantic Highlands Elementary School.The adjournment was granted so the applicant – Denholtz Custom Homes (DCH) – can finish revising concept plans to reflect comments and address concerns expressed by residents and the Planning Board at a previous hearing.In the organization’s initial project plans, DCH set aside nearly a quarter of the tract for public use, including the entire waterfront portion of the parcel.Improvements to this approximately 1.5 acres of land included the reconstruction of the property’s bulkhead and the installation of a 10-foot-wide boardwalk with a 100-foot-long walkway area along the front of the plot.In an Aug. 23 interview with The Two River Times, DCH and Denholtz Associates CEO Steven Denholtz said the cost of improvements to the public portion of this proposed project would total about $1 million, a cost his company would completely absorb.Borough resident Benson Chiles, who fronts the local opposition group Neighbors for Waterfront Preservation (NFWP), said he and his counterparts fear the revisions may reflect a comment made by civil engineer James Kennedy of Kennedy Consulting Engineers in Red Bank.During that Sept. 27 meeting the applicant sought 11 variances for 11 of the 21 proposed homes that did not meet the borough’s lot-shape circle requirement. However, Kennedy said DCH could provide a totally compliant subdivision plan within the zone for just 17 homes, but in doing so would need to build upon the 1.5 acres of waterfront property set aside for the public as open space.“The reason they’re potentially proposing a development with fewer homes on it is because they’re trying to squeeze too many homes on the property in the first place,” said Chiles, a strategic consultant for conservation organizations who specializes in environmental policy development.“The fact is that land is not buildable and they’re playing hardball with it. They’re trying to use it as a bargaining chip and it felt so obvious when (Kennedy) made that comment at the hearing,” Chiles added.Though DCH refused to comment on the situation or shed light on what the revisions will entail, Denholtz did issue a statement to The Two River Times stating, “We appreciate the feedback we received from the board and members of the local community at August’s planning board meeting.”“With these insights in mind, we are in the process of making revisions to our plan and we look forward to a continued dialogue with Atlantic Highlands at the next meeting to ensure that our final project reflects the wishes and character of the surrounding community.”Some of the dialogue presented at the previous hearing focused on two particular features of the development, including the retaining wall proposed to separate the development from the nearby public beach and Sandy Hook Bay Catamaran Club near the western portion of the parcel, and an on-site sewage pump station, which is also located on the western part of the plot.During the hearing Kennedy could not provide visual renderings of what these proposed items would look like, nor could he say what construction materials or style would be used to build the retaining wall.Residents raised further concerns about the unpredictable soil erosion and erosion of beachfront that could occur near these features.Chiles said the sewage pump house is what’s most concerning.“Aside from its location in a flood zone, which presents a risk to its long-term liability, people are concerned about possible smells emitting from it, given its location to a public beach. It’d be a shame if there were any odors from that station.”Chiles and NFWP hope to resolve these issues and more at the Oct. 30 hearing continuance.This article was first published in the Oct. 11 – Oct. 17, 2018 print edition of The Two River Times.last_img read more

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DONEGAL DEATH NOTICES FOR MONDAY, JANUARY 2, 2011

first_imgDEVENEYThe death has taken place in Letterkenny Hospital of Margaret Deveney, Derrylaconnell, Doochary. Her remains will be removed from McGlynn’s Funeral Home, Chapel Road, Dungloe, today at 2pm going to her late residence. Funeral arrangements to be confirmed later. House private from 11pm to 10amMURRAY The death has occurred at Letterkenny Hospital of Cahil Murray, Acres, Burtonport His remains will be removed from McGlynn’s Funeral Home, Chapel Road, Dungloe, today at 4pm going to his late residence. Funeral Mass on Wednesday at 11am in St Columba’s Church Acres, Burtonport. Interment afterwards in Belcruit Cemetery. House private from 11pm to 10a. Family flowers only.  Donations in lieu if desired to ICU, Letterkenny Hospital, c/o Sean McGlynn Funeral Director or any family member.Sunday’s Notices are here:https://www.donegaldaily.com/2012/01/01/donegal-death-notices-for-sunday-january-1-2012/  DONEGAL DEATH NOTICES FOR MONDAY, JANUARY 2, 2011 was last modified: January 2nd, 2012 by BrendaShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:2011DONEGAL DEATH NOTICES FOR MONDAYJANUARY 2last_img read more

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Is Saving Energy Expensive?

first_img70% energy savings are not only possible, they can be affordable. Why we need, and what we don’t know about, deep energy retrofitsAt the recent Affordable Comfort conference in Portland, Oregon, I was on a really interesting panel with Linda Wigington of Affordable Comfort, Katrin Klingenberg of the Passive House Institute US, and Alistair Jackson of O’Brien and Company (we—and the audience—had superb “adult supervision” from a leading Portland architect, Nathan Good). The question the panel wrestled with was this: Just how low can we get the total household energy use of existing homes when we do whole-house retrofits on different building types in different climates?We need to know a lot more to answer this questionAll the panelists are shooting for about 70+% total energy reduction in existing homes. But frankly, there simply is not enough information available or research completed to make our way from a modest and straightforward 20 – 30% savings up to 70 – 90% for all the shapes, sizes, and locations of existing homes throughout the US.So that’s where the Thousand Home Challenge comes in. This initiative, spearheaded by Affordable Comfort Inc., is designed to do three things: encourage all manner of organizations to undertake deep energy retrofits, document the way in which 1,000 of these projects from all over the country achieve 70%+ total household energy savings, and develop the tools needed to make it possible to do thousands more. I like the fact that Affordable Comfort is taking the lead on the Thousand Home Challenge–their focus on the systems approach to energy savings will make sure that the work includes climate-tuned building science.Isn’t 70 – 90% energy savings outlandish?Now, that’s a funny word—outlandish. It means strikingly unfamiliar or extremely unconventional. I, and others on the panel, argue that we are in strikingly unfamiliar and extremely unconventional times, both economically and environmentally. There is disturbing instability in both our economic and environmental systems. For the health of both our climate and our economy, we may well need bold new approaches to the way we build and renovate our homes (see Alex Wilson’s thought-provoking editorial in Fine Homebuilding, “Fixing Our Homes Can Help Fix Our Country”). And if you are unsure of the impending risks to our economy and the investments it will require to protect them, have a look/listen to this piece from NPR’s Morning Edition: “Controls, Cash Aid in Slashing Greenhouse Gases.”So let’s keep those bold new approaches coming. I have missed plenty of the ideas offered at the session and you probably have more of your own. What’s your plan for when the —- hits the fan?last_img read more

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India vs Pakistan highlights: India celebrates, Pakistan heart broken

first_imgWith teary eyes, hoarse voices and heavy hearts, the fans left a mini-stadium in Karachi’s Khadda Market after Pakistan lost to India in the World Cup semi-finals.”We are heart-broken,” said Maleeha Siddiqui, a journalist who came to watch the match with her sisters, cousins and friends.”Our hopes were raised after India could not manage a huge score. But Pakistani batsmen stayed true to their reputation of collapsing in big games,” she said.Most people across Pakistan were livid with the poor show by the Pakistan batting line-up, not known for its consistency and ability to deliver in the face of adversity – at least in this World Cup.The two players that the Pakistani fans were the most unhappy with were Umer Gul and Shahid Afridi, one failing with the ball and the other not being able to live up to his ‘Boom Boom’ moniker.”He did not bowl as well as he did in the earlier matches and he was expected to succeed at least once with the bat but he did not. It is all so disappointing,” said Saba Fatima, who watched the match at the Khadda Market stadium along with colleagues. Many people actually left after Afridi got out.The mood was totally different earlier in the day. In the morning, thousands of fans at Lahore’s Qaddafi Stadium, dressed in Team Pakistan shirts with faces painted green and white, roared with jubilation and frenetically waved the national flag as Wahab Riaz had Virender Sehwag LBW.advertisementA wave of celebrations, with drums beating and national songs blaring out of public address systems, went from one end of the stands to the other as KamranAkmal opened the Pakistani innings with a boundary, punctuated briefly by a growl of disapproval as Muhammad Hafeez lost his wicket to a paddle sweep off Munaf Patel.With a lovely spring evening, Pakistani cricketers could not have asked for a more enthusiastic crowd cheering them on and better playing conditions than these except that they were not playing there.Instead of being where the match was actually being played, the pumped-up audience was watching the action on a giant screen on top of one of the stands. In all the big cities and towns across Pakistan, similar big screens were showing the match. In Karachi, the biggest gathering was at the Cantonment Stadium. In Islamabad, Rawalpindi, Peshawar and Quetta, everywhere arrangements were made for the public viewing of the match – in public parks, playgrounds, private clubs, streets, bazaars, restaurants, tea houses, food stalls and homes.last_img read more

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a month agoWilfried Zaha hits out at Crystal Palace teammates

first_imgWilfried Zaha hits out at Crystal Palace teammatesby Paul Vegasa month agoSend to a friendShare the loveWilfried Zaha has hit out at his Crystal Palace teammates over their poor start to the season.A 4-0 defeat away to Tottenham in their last match suggested there is still much room for improvement.And Zaha told HLTCO: “As much as I do on the pitch, I can’t play in every position.”I give 100 per cent, but there are 11 on the pitch and everyone needs to pull their weight.”As for the transfer speculation during the close-season, the Ivory Coast international added: “What happened in the summer happened… there were things I was told that did not happen and I was not happy about it. But I’m still a Palace player and want to do well for the club.”The fans care about your wellbeing and I will always love Palace – whatever happens.” TagsTransfersAbout the authorPaul VegasShare the loveHave your saylast_img read more

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6 days agoWolves boss Nuno: Euro lessons still being learned

first_imgWolves boss Nuno: Euro lessons still being learnedby Paul Vegas6 days agoSend to a friendShare the loveWolves boss Nuno Espirito Santo has denied they’re finally now handling their Europa League commitments.After a slow start to the season, Wolves picked up their third straight Premier League win just before the international break when they stunned Manchester City 2-0 at the Etihad.”We don’t have show anything to anybody,” he said ahead of Saturday’s visit of Southampton.”We work for ourselves, for our fans and for the club. We don’t have nothing to prove to nobody.” About the authorPaul VegasShare the loveHave your saylast_img

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Pamela Anderson Delivers Petition Calling For Mauritius To Stop Dog Cruelty

first_imgThis week, actor and animal advocate Pamela Anderson – accompanied by rescued dog Zorro – hand-delivered a 179,000-name petition to the High Commission of Mauritius in London that urges the country to implement a spay-and-neuter programme to tackle its stray-dog problem.PAMELA ANDERSON TAKES PLEAS OF THOUSANDS TO PARADISE ISLAND HIGH COMMISSIONThe petition follows video footage released in November by International Animal Rescue and PETA which reveals that workers from the government-funded Mauritius Society for Animal Welfare (MSAW) hunt down, catch, and cruelly kill a large number of dogs with painful hit-or-miss lethal injections. The shocking eyewitness account shows that as many as 20 dogs are killed in full view of one another and that they try desperately to escape by climbing the kennel gates and walls.“How can people enjoy a vacation on your ‘Paradise Island’ while knowing that such horrors are taking place near their hotels?” pleads Anderson. “Dogs are very loving and sensitive beings. We owe it to them to find a compassionate solution to the overpopulation crisis in Mauritius.”The long-time PETA supporter joins Tom Hardy, Krysten Ritter, Mickey Rourke, and Sia in teaming up with PETA or its international affiliates to raise awareness of dogs in need.last_img read more

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Kahnawake group mails 40 eviction notices over membership law violations

first_imgBy Danielle Rochette APTN National News MONTREAL–A grassroots group mailed eviction notices to about 40 people living in Kahnawake as part of a campaign to drive out mixed-couples from homes in the community.Jeremiah Johnson, one of the spokespeople for the group, said it was the will of the people to enforce the Kahnawake membership law which states that non-Indigenous people are not permitted to live within the territory of Kahnawake.Johnson said they should leave the territory by May 1, 2015.Johnson’s group also held a rally in the community Tuesday in support of the evictions.Kahnawake’s membership law was enacted in 1981 and put a moratorium on mixed marriages. It can be boiled down to the slogan, “if you marry out, you stay out.”Kahnawake’s council supports Johnson’s group.“People have the right to demonstrate,” said Grand Chief Michael Ahrihron Delisle Jr.The band council has also been holding forums to open up dialogue and discussions on the issue that has caused divisions within Kahnawake.Cheryl Diabo, a spokesperson for Skawatsi:rak (one family) group, said the membership law is breaking up families in Kahnawake and causing an extreme amount of anxiety and turmoil. She said she hoped alternative solutions such as residency permit options could be included as amendments to the law.This past August, a Mohawk teacher and mother of two was forced by Johnson’s group to stop building a new house in Kahnawake because her partner wasn’t Mohawk.In 2010, the membership burst to the surface when the band council moved to evict thirty non-Indigenous people living in the community.Kahnawake sits just south of [email protected]last_img read more

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