The 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)
1 of 2 HAZEL ALLIES-HUSSELMAN A Heideveld couple claim their upgraded City-owned flat has actually been “downgraded”, and that they have experienced endless problems since they moved back in April 2014.Maurice and Karin Cornelius from Fiona Court said with their lounge floor slanting the wrong way, and their front door being too high from the floor, water seeped into their lounge every time it rained. They also complained about mould in their bathroom – something they said had never happened before the upgrade. Mr Cornelius also demonstrated how their bathroom and kitchen taps could not be opened at the same time – again, they said, that had not happened before the upgrade. They have never used the washing machine pipe the City installed, and yet it collects dirty water, which the couple suspect comes from their upstairs neighbours’ sinks. Ms Cornelius also said their electricity consumption had shot up from R400 a month to R1 700 a month (without switching on their geyser).“We have complained so much over these almost two years, but we have found no joy anywhere. I am stressing about this, and I even got sick from the stress. The electricity charges are the worst. Every day, I must worry about getting money for electricity,” Ms Cornelius said.They say they have complained to the City’s local housing office as well as the electricity department many times without success.Benedicta van Minnen, mayoral committee member for human settlements, said, however, that the City’s records showed that the tenants had only reported their electrical concerns, “which was investigated and has been responded to”.After the Athlone News’ enquiry about the condition of the flat, Ms Van Minnen said a weather board had since been installed to stop water seeping into the flat, and that the City’s housing maintenance department was looking into the changing of floor levels, as that had not been part of the project’s scope of work.She added: “Mould has been a constant problem with rental units, as tenants fail to adequately ventilate their units. The renovation of the flats included the replacement of doors and servicing of the windows, which has resulted in the units being better ‘sealed’ since the upgrades. Generally, tenants are encouraged to allow for sufficient ventilation by opening windows and doors when possible.”Ms Van Minnen said there was a P-trap (which has a water seal) in the washing machine drain pipe. “If this pipe is seldom used, (as confirmed by the tenant), the water in the seal could evaporate, providing a passage for odours from the gulley to enter. It is also possible that stagnant water in the P-trap could harbour unpleasant odours. The quick solution is to flush the P-trap by pouring fresh water into the washing machine drain pipe. Capping the drain pipe is an easy option if the tenant has no immediate intention of connecting to a washing machine.”Referring to the concerns about the high electricity consumption, Ms Van Minnen said: “The City’s maintenance electricians and the electricity services department have previously inspected this unit due to their complaints about high electrical consumption. No fault could be attributed to the new electrical installation. This tenant has backyarders who ‘tap’ electricity from their unit, which could be a reason why their electrical consumption is so high.”Ms Van Minnen said tenants should report all their complaints to the local housing office.* Queries related to high consumption must be directed to Electricity Services on 021 506 3976.
Cavani, más cerca del Atlético que del Inter He came through at Danubio in Uruguay, was transferred to Palermo in the middle of 2006-07, in the 2010-11 season he joined Napoli, where he played three seasons before heading to PSG. He’s scored 200 goals for the Parisians, in 301 games, winning 22 titles. Edinson Cavani’s future could take a twist. The PSG striker is close to Inter Milan but according to the Italian press, Atletico Madrid have come into the picture. Atletico insisted on him and seem to have changed his mind, with Cavani preferring a new adventure in Spain over returning to Italy. However he wants to finish the Champions League campaign with his current club before moving. Upd. at 15:51 07/06/2020 Rivaldo bets on Edinson Cavani for Barcelona CEST IN SPORT.ES RELATED STORIES Tuttosport say that the 33-year-old Uruguayan forward is going to head to join Diego Simeone’s Atletico when his contract runs out in June. He was said to have agreed a 7m euro per season deal with Inter Milan, half his salary in France.
By Mitchell Clarke The State Emergency Service (SES) has issued a flood watch for the Bunyip River. A cold front will be crossing…[To read the rest of this story Subscribe or Login to the Gazette Access Pass] Thanks for reading the Pakenham Berwick Gazette. Subscribe or Login to read the rest of this content with the Gazette Digital Access Pass subscription.
Donegal TD and Minister Joe McHugh has announced funding of almost €185,000 for several community projects under the Clár programme, including investment in five schools.“I am delighted to be able to announce this continued investment in our schools in Donegal and the focus in this latest round of funding on play areas is a guaranteed to make difference in the everyday life of youngsters,” Mr McHugh said.“Communities benefit hugely from the Clár funding programme and this is the second time this year we have been able to bring this kind of good news about safety measures and money for playgrounds to teachers, parents and youngsters.” Five schools are benefitting on this occasion – Scoil Naisiunta An Choimin in Cloghan with €25,263 for a new footpath and lighting to Reelin Bridge along with new fencing; €49,500 on a new playground at Dunkineely National School; €27,315 for a new sensory playground at Scoil Roisín, Dungloe; St Riaghan’s National School, Drumnacrosh has been awarded €5,243 for a new climbing frame; and Welchtown National School, Ballybofey, secured €26,508 to upgrade the tarmac football pitch with an artificial grass surface.Deputy McHugh added “I am also delighted to announce one another measure, further investment by this Government in the Inishowen area with €50,000 to be awarded for a new path to be built to the beach at Tullagh, Clonmany.“This funding would not have been possible without the work of Minister for Rural and Community Development Michael Ring T.D. and his officials who deserves enormous credit for driving huge growth in the investment in communities over the last year.Mr McHugh said: “They also coincide with a grant of €5,373 under the Leader programme, co-ordinated in Minister Ring’s office, for Donegal Local Development to identify and deploy support tools to develop hub space for innovation projects in the county.” The Fine Gael TD added that Leader has grown exponentially under Minister Ring and that he is grateful again for the focus on Donegal and the difference that it makes.Mr McHugh, Government Chief Whip and Minister for the Irish language, Gaeltacht and the Islands, noted that the Clár funding announcements were confirmed as preparations are being made to open the new €40million Sports Capital fund for applications from September 7.“I have seen the transformation in a community when Sports Capital investment is secured. Only two weeks ago we were turning the sod for a new pitch thanks to a €90,000 grant for Naomh Padraig CLG in Lifford. There are many, many others.“But the next round of Sports Capital grants has a significant difference. Thanks to reforms by this Government, schools will now also be able to apply for funding to improve their facilities by partnering with local clubs.“And I strongly urge principals and teachers to consider their options for working with local clubs and sports organisation and to look hard at what investment they think they should secure for their school and make an application in the six weeks from Friday September 7 until October 19.”ends BackgroundThe CLÁR programme is funded by the Department of Rural and Community Development and forms part of the Government’s Action Plan for Rural Development.Today’s funding comes on top of €7.5 million for 240 projects of this nature approved earlier this year for all parts of the country, bringing to €9.1 million the total investment in these facilities under the CLÁR programme in 2018.The Sports Capital Programme is the Government’s primary vehicle for supporting the development of sports facilities and the purchase of non-personal sports equipment. The guide to making an application has been published on the Department’s website sportscapitalprogramme.ie and a YouTube video is also available. Registrations will close at 5pm on Friday October 5.The programme funds: Natural grass sports pitches, tracks and courts (including pitch drainage); floodlighting; artificial sports pitches, tracks, courts and multi-use games areas; security fencing, ball stop netting and goal posts; hurling walls/handball alleys; building or refurbishment of dressing rooms, showers and toilets; building or refurbishment of sports halls and gyms; non-personal equipment including lawn mowers and defibrillators; and any other capital projects that are clearly sporting in nature and that will increase participation in sport or improve performance.Five Donegal schools get €185,000 in Clár community funding was last modified: September 3rd, 2018 by StephenShare 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:Clar fundingdonegalMinister Joe McHughschools
Great Smoky Mountains National Park will host the annual Women’s Work Festival at the Mountain Farm Museum on Saturday, June 18.This festival honors the vast contributions made by the women of Southern Appalachian and showcases lifeways that women used to keep their families going in the late nineteenth and early twentieth century. The event is from 10 a.m. to 4 p.m. and all activities are free.As part of the celebration, demonstrations among the historic buildings will include hearth cooking, soap making, cornshuck crafts, and sewing. Exhibits of artifacts and historic photographs will also provide a glimpse into the many and varied roles of rural women. The Davis-Queen house will be open for visitors to walk through with an audio exhibit featuring the last child born in the house. This event provides families with a chance not only to see into the past, but also participate, through hands-on activities of traditional southern Appalachia.In addition to the Women’s Work Festival activities, visitors will also be treated to a music jam session on the porch of the Oconaluftee Visitor Center. Music jam sessions are held every first and third Saturday of the month on the porch from 1 p.m. to 3 p.m.All activities are free to the public. The Mountain Farm Museum is located on Newfound Gap Road adjacent to the Oconaluftee Visitor Center, 2 miles north of Cherokee, North Carolina. For additional information call the visitor center at 828-497-1904.
Media outlets are billing the upcoming London Summer Olympic Games as “the first social media Olympics.” That means athletes and coaches will be posting, tweeting, Facebooking and generally bringing fans closer to the action more than ever before. So why is the International Olympic Committee trying to censor participants? During the 2008 Summer Games in Beijing, Facebook had 100 million users and Twitter six million. This time around, athletes, coaches and other participants will address 900 million Facebook members and 140 million Twitter members. The Internet Olympic Committee is aware of both the benefits and pitfalls of participants communicating directly with fans. It also recognizes that social media will be a huge part of the Olympic experience. So, while the organization is encouraging athletes to blog, tweet and use Facebook during the games, it has also issued guidelines that must be followed by participants.Some of the guidelines are clearly motivated by the IOC’s need to protect the investment of broadcasters and advertisers who have paid to be officially linked to the Olympics. For example, one rule states that “participants and other accredited persons are not permitted to promote any brand, product or service within a posting, blog or tweet.” That is, if Nike sponsors an event, participants had better not tweet on behalf of Reebok.Others are more ambiguous. For example, “Postings, blogs and tweets should at all times conform to the Olympic spirit and fundamental principles of Olympism as contained in the Olympic Charter, be dignified and in good taste, and not contain vulgar or obscene words or images.” This directive leaves a gaping gray area in which athletes can’t possibly know what might offend the committee.Brad Shear is an attorney and author of the Shear on Social Media Law blog. In a recent interview with ReadWriteWeb, he said that the IOC is well within its rights to have a social media policy that includes potential sanctions. Olympians have a variety of contractual obligations and agree to rules and regulations that apply when they reside in the Olympic Village. “When you have a contractual relationship, you can be punished,” he said, “and if you don’t abide by the regulations, you can be punished. Being an Olympian is a privilege, not a right.” Alex Huot, IOC Head of Social Media, emphasized in a keynote speech at April’s TheNextWeb2012 conference that the Olympic governing body is focusing primarily on facilitating connections between fans and athletes, and paying close attention to what types of interactions the fans prefer.If fans prefer interactions that the committee deems unseemly, though, they’ll be out of luck. What one person considers in good taste, another may not. In one culture, a word may be considered an obscenity, while in another, the same word may rarely raise an eyebrow. While many calls will simply rest on the committee’s judgment, in most cases the remedy will be simple: The IOC will issue a takedown notice to the participant, simply stating that the content must be removed from the athlete’s Facebook page, Twitter account or blog. The consequences of failure to comply are not clear. The committee threatens sanctions, but it hasn’t yet specified specific penalties. Such takedown notices may be counterproductive, Shear said, citing the so-called Streisand Effect. “Once you start removing content, people try to find it,” he explained. And almost inevitably, they will. In June, for example, two Australian swimmers posted a photo on Facebook which showed them holding weapons at a California gun shop. Swimming Australia, the sport’s governing body, ordered them to remove the images, and their contract with the organization obligated them to comply. Naturally, the image is widely available. Shear said he believes that the IOC’s social media policy is, at best, a work in progress, and that both official Olympic sponsors and the IOC will likely learn some hard lessons as the 2012 games progress. “It’s a great idea to protect advertisers in digital space,” he said. “But if Olympian A tweets, factually, that he had a Hershey’s bar, another company that has paid to be the official Olympic candy bar can complain that the tweet is harming their brand. What is the IOC going to do about it? They will ask the athlete to remove the tweet, but once it’s been retweeted, once it’s out there online, it’s hard to remove.” Related Posts Facebook is Becoming Less Personal and More Pro… jeff merron Tags:#social networks#web A Comprehensive Guide to a Content Audit The Dos and Don’ts of Brand Awareness Videos Guide to Performing Bulk Email Verification
Lanmodo Vast night vision camera is worth a second look for people who often drive at night. To check more details, please click on Lanmodo or Amazon. It is adequately priced, considering what it brings on the table for a driver at night.The real test video: https://www.youtube.com/watch?v=zLLkK7YmBmc&feature=youtube Tags:#Night Vision Camera Trends Driving the Loyalty Marketing Industry Related Posts Richard Parker Richard Parker is senior writer at https://www.equities.com/user/Richard & https://www.theselfemployed.com/profile/richardparker/ . He covers industry-specific topics such as Entrepreneurship, Data/Security, Startups, Industrial, Growth Equity Community, Smart Cities, Connected Devices & Smart Homes. Why IoT Apps are Eating Device Interfaces What it Takes to Build a Highly Secure FinTech … There are many people around the world for whom driving at night is inevitable. Even though there are many risks associated with night driving, there will be times when you have no choice. Having an additional eye helps in this situation. Some cars come with an internal Night Vision System, but it is not so efficient and becomes costly as well.Lanmodo Vast Night Vision System is a similar device that excels in providing excellent night vision for driving safely, especially when sight is impaired.An excellent characteristic of the Lanmodo Night Vision System is the fast delivery that it guarantees. It generally reaches your doorstep within a week, and the packaging is pretty sturdy and of superior quality. On unboxing, the components that are found inside include-A manual that has all the description of the working of the night vision system.An HD screen of 8.2 inches with camera in-built.OBD adapter.Input cable of 12V.One mat of non-slip variety.A screwdriver and some small accessories.A cup that can be used for suction.When you unbox, you should make sure that all these components are included in your package.How does it work?The Lanmodo Vast night vision system is flexible in the sense that it can be stuck to the dashboard as well as the windscreen. The location is determined by the utility of the driver and at what level he or she wants it.Sometimes, it becomes difficult to keep an eye on the road as continuous attention is needed. Therefore, you should take that decision based on your viewing convenience. For the same purpose, a non-slip mat is present. You can place it on the dashboard for stability. You can put it on the windscreen with the help of the suction cup.How good the device is can only be judged by the fact about how good it functions. It has a superior quality camera that captures the images, providing a lot of colors, even in low lights. Even the contrast is so good that it feels like the image is taken in the morning.The viewing angle is 36 degrees, and it can capture images of up to 300m in front. This is a testimony of the fact that not only is it aesthetically pleasing and easy to use, but it is also an excellent overall judge.The utility of the Lanmodo Vast can be appropriately specified only when it is tested in challenging conditions. Doing so at night and during a rainy day is recommended. It will show High Definition images with a variety of colors. Even when the light is low, the image does not reflect that in any manner.It is because of an active infrared system that uses a low-light-level component to illuminate even the darkest portion, something that is desirable for a Night Vision System. The situation is even more challenging during the rainy season. Not only is it dark at night, but the rain also compounds it significantly.Looking ahead with naked eyes is almost impossible. However, when you look at the screen, you will be amazed by the kind of clarity it sports. You will be distinctly able to see every object.Thus, if there is any obstruction in front, or any animal or human comes in front of the car suddenly, you will have advance notice, avoiding accidents wherever possible. This is one of the significant advantages of using the Lanmodo Vast Night Vision System.Who needs it?The usefulness of the Night Vision System is mainly for people who drive quite frequently at night. It is primarily for them as they can see and drive better.People who have difficulties in seeing at night will consider this Night Vision System will consider it as a blessing in disguise. It compensates for the compromised vision with a high-quality image on the HD screen.It is also particularly crucial for people who drive quite frequently through the countryside or the suburbs, especially during the night. Not only are these roads poorly lit, but animals also tend to jump in front of the car without any prior warning. Having this device will alert you prematurely, and you can maneuver accordingly.Some truck drivers and police officers have to be on duty all night, and they also need assistance while driving. This Night Vision system is ideal for its purpose. Why do you need it?A few advantages of the Lanmodo Night Vision System which makes it favorable in comparison to other external systems are-The images displayed on the screen at High-definition, and the contrast is more to increase the clarity of it.You can be alert during night driving as you will be able to see far ahead and pre-plan your route.This external night vision system is compatible with almost 99% of the car models that are available in the market right now. This shows its versatility.It is effortless to set up and can be done by the individual itself without the expert assistance of any sort. Follow the Puck
The “short or long but never midrange” theory of NBA shooting has been popular in analytics since at least the early 2000s. Statistically, 3-point shots have long been more efficient than long 2-point shots: The reward — an extra point — has outweighed a slightly lower completion percentage. So, the theory goes, teams should eschew midrange shots as much as possible and either take the ball to the basket or shoot from beyond the arc.Whether or not NBA players and coaches have had this theory in mind, 3-point attempts have steadily risen since their introduction in the 1979-80 season. In “Daryl Morey’s D-League Plan to Do Away With Midrange Shots,” Grantland’s Kirk Goldsberry looked at the Rio Grande Valley Vipers, the Houston Rockets D-League team that has taken the inside/outside strategy to the extreme — a staggering 47 percent of players’ shots come from the 3-point range. (If the NBA keeps increasing its long-distance shooting at the pace it has in the past 25 years, it should match the Vipers in approximately 2054.)Although the Vipers have had good results so far, Goldsberry warned against reading too much into the experiment and assuming the same strategy would work in the NBA:One troubling issue with the Vipers’ strategy is that they are significantly reducing the size of the scoring area. Let’s go back to the 1,300-square-foot apartment metaphor — the Vipers hang out only in the kitchen and bedroom. They never use the living room. By forgoing midrange shots altogether, they are telling opponents that they don’t plan on using a giant swath of tactical space relatively close to the basket. As NBA defenses evolve, the smartest ones are already finding ways to counter the smart-guy shot-selection strategy. The Pacers, who have the league’s best defense, have a reputation for vigorously defending the restricted area and the 3-point area, while being less protective of the midrange. They are the Vipers’ antivenom. And if defenses are able to take away those “efficient” areas, you better have alternative ways to generate offense.Goldsberry was describing an important limitation in the 3s-and-layups strategy: 3-point shots will only be more efficient than midrange shots so long as defenses fail to devote enough resources to defending them. Unless the best-defended 3-point shot is more efficient than a wide-open midrange shot (it’s not), saying 3-point shots are better than midrange shots is wrong. What we really mean is 3-pointers are suboptimally defended. As unwitting game-theory expert Stan Van Gundy would say, “Sometimes you’re going to get the shots the defense allows.”But there’s an even bigger issue with the back-of-the-envelope efficiency calculation at the heart of the pro-3 argument: The fact that 3-pointers are more efficient than midrange shots overall doesn’t mean the marginal 3-pointer is necessarily more valuable than the marginal 2-pointer.If you want to replace a midrange attempt with a 3-pointer, you will normally be replacing a bad 2-pointer with a bad 3-pointer. There’s no intrinsic reason those marginal shots should have the same relative efficiency as better shots of the same type. In fact, there are plausible reasons to think they wouldn’t. Average 3-point shot efficiency may be skewed by the extremely high efficiency of wide-open looks, which players probably weren’t passing up in the first place.This doesn’t mean that NBA teams shouldn’t be taking more 3s. I’d guess we probably haven’t reached that point yet.
Former Buckeye hockey player Ryan Kesler scored an empty-net goal to seal Team USA’s 5-3 victory over Canada Sunday night. In his first and only season with the Buckeyes, Kesler had 11 goals and 20 assists, leading the Buckeyes to a third place finish in the Central Collegiate Hockey Association. In 2003, Kesler was the No. 23 draft pick overall selected by the Vancouver Canucks. Kesler promised a victory over the Canadians and came through with one of the most memorable victories in USA Hockey history. Junior guard Evan Turner earned his sixth Big Ten Player of the Week award after averaging 24.5 points against Purdue and Michigan State last week. This marks the ninth time in his career that he has received the honor. Turner had 29 points and seven rebounds in Wednesday’s 70-67 loss to Purdue. Turner leads the conference in scoring with 19.5 points per game and 9.3 rebounds per game. Ohio State pitcher Alex Wimmers earned his fifth career Big Ten Conference Pitcher of the Week honor. In the Buckeyes’ season-opening win over North Florida, the Cincinnati native had nine strikeouts. Wimmers is a possible contender for the Golden Spikes Award, given to the best collegiate baseball player in the country. Wimmers was a 2009 All-American and Big Ten co-Pitcher of the Year and was a 2010 preseason All-American. Junior track star Letecia Wright was named Big Ten Track Athlete of the Week. Wright broke two personal records. Wright ran the 60-meter hurdles in 8.23 seconds, the fastest time in the Big Ten. She followed the hurdle performance with a 7.52 second sprint in the 60-meter dash, the fourth best in the conference. After struggling through several injuries in the indoor season, Wright is preparing for the Big Ten Indoor Championships Feb. 27 and 28.