PEGI announces new content descriptor for in-game purchases on physical products

first_imgPEGI announces new content descriptor for in-game purchases on physical productsAn “important first step” to helping making parents make informed purchasing decisions, says PEGI managing directorHaydn TaylorSenior Staff WriterWednesday 16th January 2019Share this article Recommend Tweet ShareContent rating system PEGI today announced it will label physical releases that include in-game spending. A content descriptor for in-game spending in digital-only games is already in use, but this is the first time the new icon will appear on packaging of physical products. Simon Little, managing director of PEGI said that making parents aware of optional in-game purchases was an “important first step” in helping them make informed purchasing decisions. “While we know that parents use different methods to control spending, parental control tools are a very helpful next step in making sure that the overall online experience of the child is safe, including the possibility to control spending,” he added. “Entering into a dialogue with the child about the games they enjoy is certainly a must for all parents. It will provide them with the necessary context to create a gaming environment both the children and the parents are comfortable with.”The new in-game purchases descriptor will begin appearing on physical retail releases towards the end of this year, and will be applied to all titles that feature in-game spending. Related JobsSenior Game Designer – UE4 – AAA United Kingdom Amiqus GamesProgrammer – REMOTE – work with industry veterans! North West Amiqus GamesJunior Video Editor – GLOBAL publisher United Kingdom Amiqus GamesDiscover more jobs in games “For a parent who may not be fully familiar with the video games landscape, seeing this simple descriptor on the packaging of a game they consider buying should trigger the reflex of keeping an eye on the gameplay, once the game has been purchased and given to the child,” said Little. “It’s basic information, but that’s what parents sometimes feel they are lacking.”The decision follows a recent consumer survey conducted by Ipsos which showed that two in five parents of children that play games claim their children spend money in-game. According to the survey, eight in ten of those parents have an agreement with their child about spending, such as requiring permission (60%), a spending limit (31%), use of parental controls (28%), monitoring credit card bills (25%), or using prepaid cards. Just 2% of parents no not monitor the in-game spending of their children. Celebrating employer excellence in the video games industry8th July 2021Submit your company Sign up for The Daily Update and get the best of GamesIndustry.biz in your inbox. Enter your email addressMore storiesEpic vs Apple – Week One Review: Epic still faces an “uphill battle”Legal experts share their thoughts on the proceedings so far, and what to expect from the coming weekBy James Batchelor 11 hours agoEpic Games claims Fortnite is at “full penetration” on consoleAsserts that mobile with the biggest growth potential as it fights for restoration to iOS App StoreBy James Batchelor 14 hours agoLatest comments Sign in to contributeEmail addressPasswordSign in Need an account? Register now.last_img read more

Ameren to add 45 MW of solar PV in Missouri

first_imgAmeren to add 45 MW of solar PV in MissouriAnnouncement forms part of a 500 MW renewable energy drive outlined under local utility’s 20-year integrated resource plan. October 6, 2014 Ian Clover Installations Manufacturing Markets Markets & Policy Share The dominant utility provider of the U.S. state of Missouri has unveiled an ambitious energy development plan that would see the state add 500 MW of renewable power generation over the next 20 years. Missouri Public Service Commission has announced a collaboration with Ameren Missouri – a subsidiary of Ameren Corporation – called the Integrated Resource Plan. Under the plan, Ameren would fulfill the utility’s preferred approach to meeting the state’s energy needs: namely, a cost-effective and sustainable solution to rising energy demand. The 20-year plan will see Missouri Public Service Commission cut its carbon dioxide emissions by 30% between now and 2035, with the planned installation of 400 MW of wind power capacity driving most of the change. Solar power, however, will play a significant role in the transformation of the state’s energy mix, Ameren has announced, with the energy provider keen to begin construction next year on the first two solar PV plants. Currently, many of Missouri’s electric generation units are close to 50 years old, making the transition to a cleaner source of energy something of a no-brainer for state decision makers. “We are committed to accomplishing this transition to cleaner energy in a way that is cost-effective and environmentally responsible while maintaining the reliability our customers expect,” said Ameren Missouri’s CEO, chairman and president, Michael Moehn. “The plan we have developed and are executing on also calls for preserving energy efficiency programs that help residents and businesses save money, because the cost of saving a kilowatt-hour of electricity is generally less expensive than the cost of generating it from a new resource.” The first of Ameren’s large-scale solar plants is nearing completion. The 5.7 MW installation is located in the O’Fallon district of St. Louis, and should begin commercial operation later this year. The company wishes to add a further 45 MW of solar PV capacity via the 20-year plan, allied to 28 MW of hydroelectric power, 5 MW of landfill gas and the aforementioned 400 MW of wind power.Popular content The Hydrogen Stream: 20 MW green hydrogen plant in Finland, two Australian projects move forward Sergio Matalucci 20 April 2021 pv-magazine.com Storegga, Shell and Harbour Energy want to set up a 20 MW blue hydrogen production facility in the U.K. Australia’s Origin Energy wants to build a hy… Enabling aluminum in batteries Mark Hutchins 27 April 2021 pv-magazine.com Scientists in South Korea and the UK demonstrated a new cathode material for an aluminum-ion battery, which achieved impressive results in both speci… ITRPV: Large formats are here to stay Mark Hutchins 29 April 2021 pv-magazine.com The 2021 edition of the International Technology Roadmap for Photovoltaics (ITRPV) was published today by German engineering association VDMA. The re… Solar park built on rough wooden structures comes online in France Gwénaëlle Deboutte 26 April 2021 pv-magazine.com French company Céléwatt energized its 250 kW ground-mounted array, built with mounting structures made of raw oak wood.April 26, 2021 Gwénaëlle Debo… Spanish developer plans 1 GW solar plant coupled to 80 MW of storage, 100 MW electrolyzer Pilar Sánchez Molina 22 April 2021 pv-magazine.com Soto Solar has submitted the project proposal to the Ecological Transition and the Demographic Challenge (Miteco). The solar plant could start produc… We all trust the PV performance ratio test Dario Brivio, Partner 20 April 2021 pv-magazine.com The performance ratio test is at the core of the handover from EPC to owner. Yet sometimes, even when best practice is applied – and without particul… The Hydrogen Stream: 20 MW green hydrogen plant in Finland, two Australian projects move forward Sergio Matalucci 20 April 2021 pv-magazine.com Storegga, Shell and Harbour Energy want to set up a 20 MW blue hydrogen production facility in the U.K. Australia’s Origin Energy wants to build a hy… Enabling aluminum in batteries Mark Hutchins 27 April 2021 pv-magazine.com Scientists in South Korea and the UK demonstrated a new cathode material for an aluminum-ion battery, which achieved impressive results in both speci… ITRPV: Large formats are here to stay Mark Hutchins 29 April 2021 pv-magazine.com The 2021 edition of the International Technology Roadmap for Photovoltaics (ITRPV) was published today by German engineering association VDMA. The re… Solar park built on rough wooden structures comes online in France Gwénaëlle Deboutte 26 April 2021 pv-magazine.com French company Céléwatt energized its 250 kW ground-mounted array, built with mounting structures made of raw oak wood.April 26, 2021 Gwénaëlle Debo… Spanish developer plans 1 GW solar plant coupled to 80 MW of storage, 100 MW electrolyzer Pilar Sánchez Molina 22 April 2021 pv-magazine.com Soto Solar has submitted the project proposal to the Ecological Transition and the Demographic Challenge (Miteco). The solar plant could start produc… We all trust the PV performance ratio test Dario Brivio, Partner 20 April 2021 pv-magazine.com The performance ratio test is at the core of the handover from EPC to owner. Yet sometimes, even when best practice is applied – and without particul… The Hydrogen Stream: 20 MW green hydrogen plant in Finland, two Australian projects move forward Sergio Matalucci 20 April 2021 pv-magazine.com Storegga, Shell and Harbour Energy want to set up a 20 MW blue hydrogen production facility in the U.K. Australia’s Origin Energy wants to build a hy… 123456Share Ian Clover Ian joined the pv magazine team in 2013 and specializes in power electronics (inverters) and battery storage. Ian also reports on the UK solar market, having worked as a print and web journalist in Britain for various multimedia companies, covering topics ranging from renewable energy and sustainability to real estate, sport and film.More articles from Ian Clover [email protected] Related content Submarine cable to connect 10.5 GW wind-solar complex in Morocco to the UK grid Emiliano Bellini 22 April 2021 pv-magazine.com UK-based Xlinks is planning to build 10.5 GW of wind and solar in Morocco and sell the power generated by the huge plant in the UK. The weekend read: China’s push for decarbonization Andreas Walstad 24 April 2021 pv-magazine.com The carbon market is finally a reality in China. After 10 years of delays, regional pilot schemes and general uncertaint… The weekend read: PV feed in, certified pv magazine 1 May 2021 pv-magazine.com As more renewable energy capacity is built, commissioned, and connected, grid stability concerns are driving rapid regulatory changes. Asia Pacific’s solarized digitization agenda Selva Ozelli, Esq. 23 April 2021 pv-magazine.com The virtual 7th Asia-Pacific Climate Change Adaptation Forum was hosted in March by Japan’s Ministry of the Environment,… Higher performance with bigger modules a ‘no brainer’ Sandra Enkhardt 26 April 2021 pv-magazine.com Jan Bicker, who replaced Steve O’Neil as the CEO of REC on March 1, says that one of his top priorities is the ongoing d… Pacific Energy to construct Fortescue’s Pilbara grid-scale battery project Blake Matich 30 April 2021 pv-magazine.com Contract Power Australia, a subsidiary of Pacific Energy, is set to design, construct, install and commission 42 MW of b… iAbout these recommendations Elsewhere on pv magazine… MIBEL alcanzó nuevamente los precios más bajos de Europa mientras subieron en el resto de mercados eléctricos pv magazine 23 March 2021 pv-magazine.es En la tercera semana de marzo los precios de la mayoría de mercados eléctricos europeos subieron, mientras que MIBEL mar… Tasmanian Labor installs solar at the top of its campaign promises Blake Matich 8 April 2021 pv-magazine-australia.com Tasmania (TAS) is going to the polls on May 1, and the opposition Labor Party has put forth a $20 million plan to fund l… India closing in on 7 GW of rooftop solar pv magazine 13 April 2021 pv-magazine-australia.com India’s cumulative installed capacity of rooftop solar stood at 6,792 MW as of December 31, 2020, with 1,352 MW having b… Spotlight on Australian solar Bella Peacock 21 April 2021 pv-magazine-australia.com Calculating the average sunlight hours data from the Bureau of Meteorology from January toDecember 2020, Darwin was cro… Q&A: EEW’s $500 million Gladstone solar to hydrogen project is just the start Blake Matich 18 March 2021 pv-magazine-australia.com pv magazine Australia: Australia is the testing ground for a lot of different aspects of the future green hydrogen market. Cracking the case for solid state batteries pv magazine 29 April 2021 pv-magazine-australia.com Scientists in the UK used the latest imaging techniques to visualize and understand the process of dendrite formation an… iAbout these recommendations Leave a Reply Cancel replyPlease be mindful of our community standards.Your email address will not be published. Required fields are marked *CommentName * Email * Website Save my name, email, and website in this browser for the next time I comment. By submitting this form you agree to pv magazine using your data for the purposes of publishing your comment.Your personal data will only be disclosed or otherwise transmitted to third parties for the purposes of spam filtering or if this is necessary for technical maintenance of the website. 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Select one or more editions for targeted, up to date information delivered straight to your inbox.Email* Select Edition(s)*Hold Ctrl or Cmd to select multiple editions.Tap to select multiple editions.Global (English, daily)Germany (German, daily)U.S. (English, daily)Australia (English, daily)China (Chinese, weekly)India (English, daily)Latin America (Spanish, daily)Brazil (Portuguese, weekly)Mexico (Spanish, daily)Spain (Spanish, daily)France (French, daily)We send newsletters with the approximate frequency outlined for each edition above, with occasional additional notifications about events and webinars. We measure how often our emails are opened, and which links our readers click. To provide a secure and reliable service, we send our email with MailChimp, which means we store email addresses and analytical data on their servers. You can opt out of our newsletters at any time by clicking the unsubscribe link in the footer of every mail. For more information please see our Data Protection Policy. Subscribe to our global magazine SubscribeOur events and webinars Out with the old… A guide to successful inverter replacement , pv-magazine.com Discussion participantsRoberto Arana-Gonzalez, Service Sales Manager EMEA, SungrowFranco Marino, Regional Service Mana… Virtual Roundtables USA 17 November 2020 pv-magazine.com We will be hosting the second edition of our successful Virtual Roundtables this year in November. The program will be f… Reducing solar project risk for extreme weather 20 April 2021 pv-magazine.com Discussion participantsDaniel H.S. Chang, VP of Business Development | RETCGreg Beardsworth, Sr. Director of Product M… iAbout these recommendations pv magazine print Strong growth ahead for storage pv magazine 7 April 2021 pv-magazine.com Annual battery storage installations will exceed 10 GW/28 GWh in 2021, following a particularly strong year in 2020, des… Final thought: Solar ethics, forced labor pv magazine 7 April 2021 pv-magazine.com Abigail Ross Hopper, President and CEO, Solar Energy Industries Association (SEIA)Issue 04 – 2021 April 7, 2021 pv maga… Polysilicon from Xinjiang: a balanced view pv magazine 7 April 2021 pv-magazine.com As of March, the United States and Europe were considering sanctions on polysilicon from Xinjiang, China, due to concerns over forced labor. The more you know Marian Willuhn 7 April 2021 pv-magazine.com Module-level power electronics, most often in the form of power optimizers and microinverters, offer a range of value pr… Pretty stressful Cornelia Lichner 7 April 2021 pv-magazine.com To find out whether a module is susceptible to potential-induced degradation, you can conduct stress tests in a climate chamber. 10 GW is just the beginning Blake Matich 7 April 2021 pv-magazine.com Giant PV and wind projects are taking shape in Australia’s north, with the aim of supplying Asia with the clean energy i… iAbout these recommendationslast_img read more

Tororo Solar Plant unveiled in east Uganda

first_imgGlobal independent power producer (IPP) Building Energy has unveiled the Tororo Solar Plant, located in eastern Uganda.According to the IPP, the Tororo 10MWp plant, with 16GWh of renewable energy generated annually, will cater for the energy requirements of 35,838 people and help reduce CO2 emissions by 7,200 tons.The renewable energy company claims that this solar power plant is among the largest in eastern Africa. Building Energy was also responsible for the development of the project, arranging the financing, as well as the construction and commissioning of the plant.The beginning of operations were celebrated on the occasion of the ribbon cutting ceremony in Tororo, in the presence of Matteo Brambilla, MD Africa and Middle East for Building Energy, and Attilio Pacifici, EU Ambassador and Head of the EU Delegation to Uganda.Tororo Solar PlantThe solar park is being developed under the Global Energy Transfer Feed in Tariff (GET FiT), a dedicated support scheme for renewable energy projects managed by Germany’s KfW Development Bank in partnership with Uganda’s Electricity Regulatory Agency (ERA) and funded by the EU-Africa Infrastructure Trust Fund, the governments of Norway, Germany, and the United Kingdom.The company statement said the EU-Africa Infrastructure Trust Fund has provided funds through the GET FiT Solar Facility in the form of a top-up payment per kWh of delivered electricity over 20 years.This financing fills the gap between the generation costs and the feed-in tariff set by Uganda Electricity Transmission Company Limited through a Power Purchase Agreement.The overall $19.6 million construction investment at Tororo was financed by FMO, the Dutch development bank which, as the Mandated Lead Arranger, coordinated the provision of a $14.7 million term loan facility. Read more…50% of the funding was syndicated to the Emerging Africa Infrastructure Fund, while the overall equity contribution of the shareholders was $4.9 million. Low carbon, solar future could increase jobs in the future – SAPVIA Homepage image: Stock Generation Finance and Policy BRICScenter_img AFD and Eskom commit to a competitive electricity sector Previous articleTanesco completes power line to supply electricity to tea factoryNext articleNigeria: senate advocates for separate energy minister Babalwa BunganeBabalwa Bungane is the content producer for ESI Africa – Clarion Events Africa. Babalwa has been writing for the publication for over five years. She also contributes to sister publications; Smart Energy International and Power Engineering International. Babalwa is a social media enthusiast. RELATED ARTICLESMORE FROM AUTHOR UNDP China, CCIEE launch report to facilitate low-carbon developmentlast_img read more

Campaign starts against false Europe illness claims

first_imgBonded Coach Holidays (BCH) has signed up to support Travel Weekly and ABTA’s campaign to fight back against false illness claims and other travel-related insurance claims.The claims are mainly on European holidays and often refer to alleged incidents of up to two-three years earlier, with the hope that there are no records.At a recent conference, tour operators and their associated hotels were warned to tighten up their record-keeping.They were told that claims are being driven by claims management companies whose ability to get substantial costs in UK personal injury cases has been limited. This has created a loophole in the law which means legal costs are not limited for personal injury claims overseas.The claims are so frequent that certain hotels in Spain and Italy are refusing to take all-inclusive UK holidaymakers. The claims are very likely to drive up the cost of travel insurance and holidays.Over 130 businesses, including major tour operators, have signed up to the campaign, which is lobbying the government.With 95 members, the BCH scheme is run by the Confederation of Passenger Transport.For more information contact John Miller at [email protected]last_img read more

UK publishes audit of EU powers

first_imgThe British government has today published the first round of its review into the powers of the European Union, with six documents outlining the benefits and drawbacks of the UK’s membership. “For the first time, these reports bring together in one place evidence from across the spectrum to provide an accurate and detailed picture of the impact that the European Union has on our everyday lives,” Hague said. William Hague, the British foreign secretary, said that the intention of the reports was to make sure that “the debate in the UK is as well-informed as possible.” •“[The single market] is at the core of the EU’s development… it has driven growth and prosperity in the member states and … it should continue to do so. At the same time the political will to drive its development into more politically sensitive areas is under challenge.” •Unanimity voting for taxation should be retained… EU-level action is appropriate [in the area of taxation] only where there is a clear internal market justification and the principles of subsidiarity and proportionality have satisfactorily been shown to be met.” The “balance of competencies review” looked at six areas in which the EU operates – the single market, health, development co-operation and humanitarian aid, foreign policy, animal health and welfare and food safety, and taxation – with another 26 planned before the end of next year. European Voice will have a more comprehensive look at the contents of the assessments in this week’s printed edition, which will be published on Thursday. “In some cases, they have confirmed and illustrated what we believed already. In others, they have thrown up new evidence and perspectives on our relationship with the EU.” David Cameron, the UK prime minister, has promised a referendum on the UK’s membership of the EU in 2017 if he wins the next general election, and the results of the balance of competencies review are designed to feed into this. The UK said that the review would provide the most extensive analysis ever undertaken of the impact of the country’s membership of the EU. •“The UK’s position in the EU gives it more influence internationally: the China and US case studies [included in the report] illustrate this.” “These reports make a valuable contribution not only to the debate in this country but also to the debate taking place in other European nations about the future of the EU,” he said. Remarks in the assessments published today include:last_img read more

A poor nation, with a talent for begging

first_imgPius was a fighter and did not give up. He organized a crusade and died just before the fleet he had gathered sailed off from the eastern coast of Italy, to Greece and on to Constantinople, the fatally collapsed Byzantine capital. No bailout would be in sight for centuries to come.Marcello Simonetta is a historian based in Paris. Among his books are “The Montefeltro Conspiracy” (Doubleday, 2008) and “Napoleon and the Rebel” (Palgrave Macmillan, 2011). He teaches at Sciences Po and at the American University of Paris. The translation of Pius II’s “Commentaries” is by Margaret Meserve, co-edited by Marcello Simonetta (The I Tatti Renaissance Library, Harvard University Press, 2003). “It appeared, however, that the indulgences would not be worth much unless backed by the Pope’s authority and though he did not refuse to give it, there was a dispute about the form. The delegates at Basel maintained that the indulgences should be granted in the name of the Council with the concurrence of the Pope, while Eugenius IV insisted that the letter should be sent out in his name with the approval of the Council, this being the time honored and usual custom.”Monetary concernsBureaucratic concerns trumped the urgency of the situation: The need for reuniting the impoverished and needy Greek Orthodox Church in the East with the wealthy and spendthrift Latin Catholic Church in the West was real, but the banal monetary concerns made it hard to find a solution to the problem.“They had many long debates about this, some of them quite heated: When someone mentioned the authority of the Council, Tommaso [of Sarzana] (who later sat on the throne of Peter, as Nicholas V, 1447-1455, but was then merely a private individual in the service of the cardinal of Santa Croce) cried, ‘Why set so much store by the Council? No one in his right mind would that this is a proper council or even a proper church. Sons of perdition, henchmen of demons! It’s not a synod you’re holding, but a synagogue of Satan!’” The violent language adopted by another future pontiff captures the profound religious and cultural rifts rippling through Europe then, and now. What followed is indeed history. The Council was ineffective in its attempt to reform the Church and (bad) business continued as usual. The Reformation, started in Germany, split Europe.Aeneas was a deeply political man: He was — in sequence — secretary of three cardinals, one emperor and one anti-pope, before starting his amazing ecclesiastical career, becoming bishop, cardinal and eventually pope as Pius II in 1458.Once he had become the head of the Church, he revealed his international agenda: He wanted Europe to be united and face the Turkish threat, which, after the fall of Constantinople in 1453, had been steadily and scarily increasing.With a well-organized, hostile army at its gate, the Christian leaders had, indeed, to stop squabbling among themselves and get their act together. So Pius summoned a G7 type of meeting in Mantua, northern Italy, hoping that all the Western monarchs would get together. However, many did not show up and the glorious summit turned into a big failure. History seems to repeat itself these days. The heated debate about Grexit from Europe may have deeper roots than one realizes. Here is what Aeneas Sylvius Piccolomini, humanist and future pope (1405-1464), wrote about the Council of Basel (c.1435) in his Commentaries:“At that time the Greeks had promised the Council that they would come to Latin territory to discuss the question of union. Being a poor nation, with a talent for begging, they asked to be reimbursed for their expenses. To that end they demanded some 70,000 gold florins. In order to scrape together such a sum the Council promised plenary indulgences and remission of all their sins to those who would contribute money to the cause.”The system of indulgences was massively practiced in the Renaissance: Sinners who sought spiritual comfort bought themselves entry to Heaven by giving money to the Church, which thus enriched itself considerably. This ploy to gain material riches became the target of Luther a few years later. In the 1430s, though, it was still widely accepted, just as toxic debts are now. But even back then, financial deals did not necessarily work out. As Aeneas went on:last_img read more

Brad Paisley honors Dale Jr.’s last ride with JR Nation Appreci88ion Tour concert

first_imgCONCORD, N.C. — Before drivers battle in the afternoon sun during the Oct. 8 Bank of America 500 at Charlotte Motor Speedway, stars will shine the night before at zMAX Dragway when award-winning country music singer, songwriter, guitarist and entertainer Brad Paisley lights up zMAX Dragway with a spectacular pre-race concert.Paisley revs up his involvement in America’s most high-octane sport with a rocking salute to race fans with hometown hero Dale Earnhardt Jr.’s JR Nation Appreci88ion Tour.While Paisley and Earnhardt are prominent models of success in their chosen fields, fans who attend this year’s Bank of America 500 will win big as well.Paisley’s concert is open exclusively to Bank of America 500 ticketholders. As an added incentive, fans who buy two adult tickets to this year’s Bank of America 500 — Earnhardt’s final Charlotte Motor Speedway start as a full-time driver — will receive concert admission and a commemorative Earnhardt bobblehead while supplies last. Tickets are available as a two-pack for $88.TICKETS:Kids 13 and under can get into the Bank of America 500 for just $10. As a salute to Earnhardt’s final race, adult tickets are available as a two-pack for $88. For tickets, camping and upgrades, fans can call the ticket office at 1-800-455-FANS (3267) or shop online at www.charlottemotorspeedway.com.last_img read more

New Approach Helps Paramedics Better Assess Chest Pain

first_imgThe study is published in the October 7 edition of the journal PLOS One. A study conducted at Wake Forest Baptist Health shows that on-scene use of a new protocol and advanced diagnostic equipment can help paramedics better identify patients at high risk for adverse cardiac events. This approach could help paramedics determine the hospital best equipped to treat those people. The i-STAT device used in this study was manufactured by Abbott Point of Care in Princeton, N.J., which also funded the study. The research team trained more than 150 paramedics to use a hand-held i-STAT, a modified version of a hospital device that measures patients’ blood for levels of troponin, a cardiac enzyme in the blood that can help detect heart injury. In addition, paramedics were trained to ask patients questions about their chest pain, age, risk factors and medical history to determine what’s known as a HEART risk score. Currently, prehospital assessment of patients with chest pain focuses on looking for signs of a heart attack with a portable electrocardiogram (EKG). For the 93% of people who aren’t having a discernible heart attack, paramedics rely on their experience and patient preference to decide what hospital to go to rather than on an objective risk assessment of the level of cardiac care needed, Stopyra said.  In the prospective study that took place from December 2016 to January 2018, the Wake Forest Baptist team worked with EMS agencies in three rural and urban counties in North Carolina to evaluate the use of a prehospital modified HEART Pathway (PHMP) to identify both high- and low-risk patients who called 911 with chest pains.  Watch more here!The Five Deadly Causes of Chest Pain Other than Myocardial InfarctionPatient With Chest Pain and Shortness of Breath Shows Standardized Treatment Doesn’t Work for All PatientsChest Pain Patient Diagnosed with Rare Cardiac Anomaly The HEART Pathway, which was developed by senior author Simon Mahler, M.D., professor of emergency medicine at Wake Forest Baptist, has been used in emergency departments for 8 years, Stopyra said.  The study showed that a prospective application of the prehospital modified HEART Pathway, including measurement of troponin levels completed by paramedics during ambulance transport, achieved high sensitivity, specificity and negative predictive value for 30-day MACE. A high-risk assessment resulted in a specificity of 96% and positive predictive value of 61%. A low-risk assessment was associated with a negative predictive value of 94% and a specificity of 90%.  “While only 7% of people who make 911 calls due to chest pain are having a heart attack, paramedics must be able to make the correct decisions using objective measurements to identify another 20% that need specific cardiac care,” said principal investigator Jason Stopyra, M.D., associate professor of emergency medicine at Wake Forest Baptist. “High-risk patients are often transported to facilities that don’t have interventional cardiology capabilities, and later have to be transferred to another hospital for urgent procedures.”  The patients in the study were stratified into three groups: high risk based on elevated troponin, low risk based on a HEART score of less than 4 with negative troponin, or moderate risk based on a HEART score of 4 or higher with negative troponin. Major adverse cardiac events (MACE) were determined by reviewing records after 30 days. The sensitivity and negative predictive values for MACE at 30 days also were calculated. “This teamwork between emergency medicine researchers and our local EMS agencies is so valuable,” Stopyra said. “Our study showed that paramedics have the professional clinical ability to effectively assess patients’ cardiac risk using this protocol before the patient ever gets to the hospital. We hope this approach will allow patients to receive faster, more focused care.” Related The study was limited in that it was observational, and no treatment decisions were made based on the PMHP made by the paramedics. Dr. Jason Stopyra demonstrates using an iSTAT device with paramedics Bubba Killgo and Callie Katers, with employee Rebecca Overman standing in as a model patient. (Provided photo) last_img read more

Secretary of State Condos honors Vermont’s Centennial Nonprofit Award winners today

first_imgSecretary of State Jim Condos will recognize Vermont’s oldest non‐profits in a ceremony to be held today, Wednesday, March 14, 2012 at 4 pm at the Vermont Statehouse. The Vermont Centennial Nonprofit Awards program recognizes nonprofit organizations that have operated in Vermont for at least 100 years.The nonprofits being honored today range from educational institutions, libraries, churches, hospitals, fraternal and other service organizations and many more local groups.This year, 29 of Vermont’s oldest noprofits will be presented with plaques by Secretary of State Jim Condos. Governor Peter Shumlin, many state legislators, representatives of our congressional delegation, and other dignitaries are expected to attend.According to Secretary of State Jim Condos, ‘We believe it is important to recognize and honor Vermont’s oldest nonprofits for their many contributions to our communities and to Vermonters. Especially in these difficult times, our communities rely more and more on our non‐profits to fill the gaps and help where they can. This year’s awardees are exemplary representatives of the Vermont non‐profit community.’Any nonprofit that has been in operation in Vermont for 100 years or more can participate in this program by filling out an application available through the Secretary of State’s office. A complete list of the 2011 Centennial Nonprofit Award recipients appears below.Est. 1911   Lyndon State College Est. 1910    First Baptist Church of South Londonderry Est. 1904   Montpelier Lodge of Elks No. 924   Est. 1904   The Vermont Center for the Hard of Hearing, Brattleboro Est. 1897   Mark Skinner Library, Manchester Est. 1889   Vermont State Firefighters’ Association Est. 1884   Vermont Veterans’ Home, Bennington Est. 1878   Vermont Bar Association Est. 1871   St. Johnsbury Athenaeum Est. 1870   Goddard College, Plainfield Est. 1867   Union Agricultural Society (Tunbridge Fair)  Est. 1866    Greater Burlington YMCA Est. 1846   Rutland County Agricultural Society Est. 1842   St. Johnsbury Academy Est. 1838   Vermont Historical Society, Barre  Est. 1836   Lambda IOTA Society, Burlington Est. 1834   Brattleboro Retreat Est. 1833   West Newbury Congregational Church Est. 1819   Norwich University, Northfield Est. 1816   East Craftsbury Presbyterian Church Est. 1798   First Congregational Church of Berlin Est. 1796   First Church in Barre, Universalist Est. 1793   Bradford Congregational Church of the United Church of Christ Est. 1768   First Congregational Church & Society of Windsor  Unable to attend: Prosper Cemetery Association, Woodstock (Est. 1911); Manchester Historical Society (Est. 1898); Rutland Regional Medical Center (Est. 1896); Westmore Community Church (Est. 1894); First Congregational Church and Society of Orwell (Est. 1842)last_img read more

VITL and OhMD to deliver secure texting service for Vermont patients and providers

first_imgVermont Business Magazine Vermont Information Technology Leaders, Inc. (VITL) and OhMD announce a partnership that will bring a secure, HIPAA compliant text messaging service to Vermont health care providers and their patients.  Smartphone use is nearly universal, so secure text messaging in health care makes sense as a fast and easy communication option, and offers patients more opportunities to engage in their own care.“This is a natural extension of VITL’s services,” said John K. Evans, President and CEO at VITL. “VITL has been advancing health care reform in Vermont for ten years, and OhMD is a technology platform that can dramatically increase patient engagement.” Studies in the field of patient engagement indicate that “patients who are more activated are less likely to be obese or to smoke, while being more likely to have clinical indicators that fall within normal parameters—such as normal blood pressure, cholesterol, and hemoglobin A1c levels—in contrast to patients who are less activated. There is also evidence that more activated patients are less likely than less activated patients to use the emergency department or to be hospitalized.” (1)According to a parent who participated in OhMD’s pilot program at a Middlebury pediatrics practice, “[it] really feels like we can get in touch when needed. Such a great service.”As simple as standard text messaging – but with built-in security and privacy to meet HIPAA standards – OhMD provides an intuitive user experience. Texting can make care coordination with colleagues, staff and referring providers faster and easier, with the ability to quickly create channels for communicating with patients in the circle of care. Consider a mother or father wanting to quickly send their doctor a secure text with an image of a rash their child just developed. Within the care coordination circle the doctor forwards the text to a specialist for assessment, then texts the concerned parent with recommendations, before needing to make an in-person appointment.Vermont has been a leader in efforts to reform the way health care is delivered in the state, and embracing new methods of communication is part of the transformation. Al Gobeille, chair of the Green Mountain Care Board recently commented, “We do see that better coordinated care between providers, and more timely interactions with patients can lead to better outcomes.”For more information about the OhMD secure text messaging service, please contact VITL at 802-861-1943 or visit www.OhMD.com/Vermont(link is external).About VITL:Vermont Information Technology Leaders, Inc. (VITL) is a nonprofit organization that advances health care reform in Vermont. VITL assists Vermont health care providers with adopting and using health information technology, to improve the quality of care delivery, to enhance patient safety and to reduce the cost of care. VITL is legislatively designated to operate the health information exchange (HIE) for Vermont, and is governed by a collaborative group of stakeholders including health plans, hospitals, physicians, other health care providers, state government, employers, and consumers. For more information, please visit www.vitl.net(link is external)About OhMDOhMD helps healthcare providers deliver better care to patients and improve outcomes by streamlining time-intensive communications. OhMD’s secure texting platform leverages a simple interface combined with a robust connectivity engine that integrates with electronic health records and practice management systems to deliver additional functionality to both physicians and patients using secure text messaging. A Blueprint Health Accelerator company, OhMD has offices in New York, NY and Burlington, VT. For more information, visit http://www.OhMD.com(link is external)Source: VITL 8.16.2016. (1.) Pay attention to “patient activation”. The Incidental Economist. http://theincidentaleconomist.com/wordpress/pay-attention-to-patient-activation/(link is external)last_img read more