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Improving patient-centric measurement in value-based care
Lessons from oncology
Patient-reported outcomes for value-based cancer care
Federal efforts are driving progress
Private sector: Letting a thousand flowers bloom
Conclusion: How healthcare can grab the baton
By Naveen Rao
The healthcare industry is shifting towards value-based care models, but how we measure value is still stuck in the past. Over the last few decades, healthcare has built up a preponderance of process measures, but remains lacking in effective outcomes measures. Despite widespread adoption of EHRs and the technology needed to make data interoperable, most health systems still fare poorly at measuring anything that happens after the patient leaves their facilities.
At the level of patient care, this means that we're capturing isolated snapshots based on people's interactions with the system, most commonly in the forms of claims data and some sporadically collected clinical values. The industry has just now begun to expand its focus beyond these processes of care to connect patients' day-to-day experiences of health, illness, injury, and the symptoms and behaviors involved therein.
At the level of clinical practice, this means we're measuring a lot of activity on the part of clinical care staff, but that we're leaving out factors important to the success and scalability of new care models: sufficient staffing and infrastructure, levels of communication, transitions of care, and more. Such considerations are still process-oriented, but they play an important role in setting up value-driven systems, because they start creating organizational self-awareness around the "how" and the "who"' of reform, rather than a myopic focus on the "what."
The Center for Medicare and Medicaid Services' (CMS) efforts have been getting better in recent years after a rocky start. Most of the measurements baked into the Meaningful Use program were high-level checklists about physicians' clicks, and new requirements on patient-generated data have simply failed to materialize. The measures to document care coordination in the chronic care management (CCM) were considered so burdensome to complete for clinical practices that they effectively canceled out the value added by any potential reimbursement.
However, more recent efforts, notably the Comprehensive Care for Joint Replacement Model (CJR) and the Diabetes Prevention Program (DPP), are helping introduce new measures around patient follow up and engagement. In an encouraging sign, these federal efforts have begun crossing over into commercial insurance, helping kick start the shift towards outcomes-driven digital health.
Providers are starting to embrace these new measures as part of value-based care models, although they've got a lot of work left to do. According to a CMS survey:
Less than 20 percent of hospitals currently follow up on their patients by collecting outcomes data between or after treatment.
In part, this is because the measurements are confined to very specific pockets via one-off payment programs, such as joint replacements. Even the best Accountable Care Organizations (ACOs) are just breaking even financially and seem content to maintain a tight focus on the core process measure sets for which they're paid as they figure out the challenges of risk adjustment, payment benchmarks, and operational efficiency.
The question arises as 2017 gets underway: Outside of the carrots and sticks approach from Washington, are hospital systems going to start taking a more holistic, self-deterministic approach to value-based measurement and care delivery? Will they overcome traditional, institutional barriers and find new ways to connect data to care?
For insight into what the future may hold, we can learn a lot by looking at cancer care.
Dr. Thomas Feeley, chair of MD Anderson Cancer Center's Innovation Institute, argues that value-based care requires a different framework for measurement.
This is particularly true in a complex space like cancer care. Many cancers and other genetic diseases prove doubly challenging to measure outcomes, because in addition to changing how and who we pay, we're changing the what. The very models of care are evolving, with new treatment pathways, medicines, recommendations and guidelines, along with our fundamental understanding of these diseases themselves.
This means that cancer care is a particularly ripe area to introduce a new wave of patient-centered measures that can help guide care delivery towards optimal outcomes for patients and health systems. Moreover, while oncology is a specialized, and in many ways, different field than the broader market of non-specialized acute care hospital systems, similarities are striking. According to Dr. Arlene Chung from the University of North Carolina School of Medicine:
"This vision for a learning cancer care system centers on data coming from individual patients and their cancer care teams. With 90% of oncology practices reporting that they either already have or plan to have an electronic health record (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conform...) and advancements in EHR functionalities, the necessary technical infrastructure is now available to realize the potential for PGHD to enhance quality cancer care and build learning cancer care systems. Whereas much progress has been made in collecting data from clinical care teams via EHRs and cancer registries, there is still a critical gap in capture of information from patients/caregivers. PGHD integrated into EHRs could address this important gap and make this information available for clinical care, research, and quality improvement."
If you take out the word cancer, that sounds an awfully lot like the overall healthcare IT landscape. For a closer look at how oncology and cancer treatment systems are approaching value-based care, let's turn to cancer-specific patient reported outcomes measurement and value-based care planning.
Dr. Amy Abernethy is one of the pioneers of patient-centered cancer care. In particular, Dr. Abernethy has championed the application of patient-reported outcomes to cancer care and helped define today's clinical understanding of post-treatment survivorship. She wears multiple hats, including serving as an appointee to the Institute of Medicine's (IOM) National Cancer Policy Forum and as the Chief Medical/Scientific Officer and SVP of Oncology at Flatiron Health. Last summer I had a chance to ask her for a lay definition of value-based oncology:
"Oncology is not knees and hips. It's relatively easy to understand how you're going to operationally improve with hip replacements. Oncology is hard. It's complex science, complex personal lives, highly variable from individual to individual. How do you translate that into a system of improving value?
The current model du jour that's being tested, commercially and at CMS — is looking at a number of pretty fundamental things. It's making sure that doctors and patients — and when I say patients I also mean families — are on the same page as to what the plan's going to be. So, [we're talking about] care planning. It seems simple, but it's still not a standard part of oncology care, despite the research that's shown it reduces hospitalizations."
If "oncology is not knees and hips," then what's so different about a care plan for cancer patients as compared to a care plan for someone getting their knee replaced?
For one, care plans for cancer patients need to measure different factors at different points of the treatment journey, and those factors may have different target values or ranges at different points in time, from before chemotherapy, during treatment, and into the post-treatment survivorship phase. Clinical trials and other experimental treatments come with a litany of additional biometrics, symptoms, side effects, and so forth.
Beyond the clinical components of managing a particular disease, care plans for any particular patient require contextual grounding in a very practical sense. Cancer patients, for example, are more likely than diabetics to travel to large treatment centers like MD Anderson or Dana Farber for their care. This raises the need for better data sharing, more portability, and the flexibility for numerous clinical experts to co-author and periodically update different parts of the care plan.
Moreover, different diseases (cancer in particular) come with the need for specific education, instructions, goal setting, and personalized support, all of which tend to evolve over time in a way that patients (and their care team) can understand and keep up with. So, there's much more than measurement involved, which we'll discuss later.
One area that holds promise for both promulgation of better outcome measures and care planning in cancer more generally is the Oncology Care Model (OCM), a CMS initiative. The OCM requires a documented care plan that contains 13 components outlined by the Institute of Medicine.
Components of a Cancer Care Management Plan from the IOM
Patient information (e.g., name, date of birth, medication list, and allergies)
Diagnosis, including specific tissue information, relevant biomarkers, and stage
Treatment goals (curative, life-prolonging, symptom control, palliative care)
Initial plan for treatment and proposed duration, including specific chemotherapy drug names, doses, and schedule as well as surgery and radiation therapy (if applicable)
Expected response to treatment
Treatment benefits and harms, including common and rare toxicities and how to manage these toxicities, as well as short-term and late effects of treatment
Information on quality of life and a patient's likely experience with treatment
Who will take responsibility for specific aspects of a patient's care (e.g., the cancer care team, the primary care/geriatrics care team, or other care teams)
Advance care plans, including advanced directives and other legal documents
Estimated total and out-of-pocket costs of cancer treatment
A plan for addressing a patient's psychosocial health needs, including psychological, vocational, disability, legal, or financial concerns and their management
Survivorship plan, including a summary of treatment and information on recommended follow- up activities and surveillance, as well as risk reduction and health promotion activities
While these recommendations don't contain many actual outcome measures, they do harbor provisions for patient engagement, collaborative goal setting between patients and doctors, and other "hooks" where patient-reported outcomes data could help drive value. And importantly, this new model is being deployed at 190 practices around the country.
As Dr. Feeley points out: "The inclusion of the care plan in the OCM does represent CMMI's (the Center for Medicare and Medicaid Innovation) ability to adopt measures not previously vetted by the NQF and MCS in a pilot program that may set the way for more rapidly testing true outcome measures in upcoming CMMI programs."
This warrants a quick moment of reflection: A bunch of experts just came together, decided what was important to put in every patient's care plan, and then CMS just did it. Compared to the usual processes at the National Quality Forum (NQF), and the federal government more broadly, the speed of this approach feels unprecedented. Look at the above list again, and imagine if similar approaches for onboarding patients onto a self-management plan existed more broadly for disease management programs in areas like diabetes or hypertension, or even just primary care in general.
And this is not to take away from the NQF's dedicated leadership – to their credit, they are continually researching and developing dozens of metrics and measure sets, and have even introduced a "measure incubator" to accelerate measures where there are significant gaps in the field.
It's important to appreciate the substantial work and effort that has gone into getting to this stage – introducing new measures, tying them into a care plan methodology, and moving them from theory into practice (again, 190 sites). Yet, at a time where the CMMI and other federal initiatives on value-based care face an uncertain future in the new government, it's equally important to ask whether the private sector is ready to grab the baton and drive the next phase of progress of value-based, patient-centered care planning, measure collection, and engagement.
Remember "all that stuff" above: The litany of practical and disease-specific considerations that go into making a care plan fit into patients' lives? The good news is that this is the stuff with which industry, not government, is uniquely suited to drive the next phase of progress.
Since Dr. Feeley leads MD Anderson's innovation center, let's start by taking a look at what they've been up to. Even just a cursory scan of their activity in the last few months reveals numerous efforts around value-based oncology models with a strong patient-centric engagement component:
A study found that patients using a digital platform by HealthLoop showed higher levels of education, preparedness, and engagement in their treatment decisions.
A project to test a 1-year bundled payment model for head and neck cancer includes 28 PRO measures that are administered through an EHR/patient portal, and covers a window of over two years in patients' lives.
A clinical trial in partnership with Vida seeks to provide: "monitoring, guidance, accountability and social support in between doctor visits to help them manage their conditions and achieve lasting behavior change." Vida's platform combines mobile coaching with evidence-based clinical programs, devices, and data collection.
A framework "to rapid-develop, at an accelerated pace, comprehensive disease-specific outcome measure sets, including provider-generated outcomes and PROMs, that could be integrated with electronic health records (EHRs) and incorporated into clinical practice."
An inventory of multi-symptom PRO measures with additional clusters of metrics specific to patients being treated for more than a dozen types of cancer.
This is far from an exhaustive list – as might be expected of one of the world's leading cancer treatment centers, MD Anderson has dozens of research initiatives around some application of PRO, as well as many disease-specific measure development efforts. It's highly likely that similar lists will be found at cancer treatment centers like Memorial Sloan Kettering, Dana Farber, Fred Hutchinson, and so on.
While the philosophy of letting a thousand flowers bloom sounds great, in practice it amounts to a sort of industry isolationism, as opposed to the level of leadership that numerous groups (IOM, NQF) put into developing the OCM's framework.
Many of MD Anderson's initiatives appear distributed across numerous silos of different researchers, pilot projects, and departmental efforts. Some efforts involve working with competing digital health startups. For example, MD Anderson did a small-scale engagement study with Healthloop – do they know, or care, that Healthloop has also deployed a collaborative cancer care planning tool commercially, with Memorial Sloan Kettering in New York? Might this little company know a thing or two that MD Anderson could benefit from, too?
And despite their work with those mobile health startups, MD Anderson persists in their use of EHR-tethered surveys in their innovative payment pilot with United Healthcare, instead of patient-friendly tools available inside of their own walls.
It should be noted, however, that new methods of health data exchange, such as HL7 FHIR and JSON, have made interoperability between patient-facing apps and provider-facing EHRs possible. This type of patient-EHR interaction would have been close to impossible as recently as 2015.
If we zoom out, there are an expanding array of new measure sets being issued by consulting firms, a cadre of federal organizations and independent associations, and other groups. Some agencies like ICHOM take an open-source approach, but private sector institutions treat their work on patient outcomes measurement as proprietary.
Moreover, there's little evidence of collaboration with the outpatient segment of cancer care providers, such as involvement in the American Society of Clinical Oncology's (ASCO) data-sharing initiative, CancerLinQ. In cancer, including "the other half" of the care continuum becomes particularly important for post-treatment survivorship, re-integration into primary care, mental health care, social services, and so on. It remains true in healthcare, as in many other industries, large organizations who embrace a brand-first mentality are also succumbing to siloed thinking.
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The federal government has been hard at work over the last several years, standardizing a new wave of measurement to help define value-based care models – in and beyond cancer care. While we've undoubtedly made substantial progress in just a few years, there is a lot of work ahead, from measure selection and development, to field-testing and implementation, to technological integrations and product management, and so on and so forth.
Yet, as soon as these measures are deployed in the field in the form of value-based care programs that are funded by public and even some commercial payers, it will be up to the private sector to grab this baton and run with it. It is at this stage of the race that the bigger challenge comes into view: How can industry turn one-off, scientifically validated instruments into comprehensive real-world solutions that generate value for patients, doctors, and system administrators?
Provider systems can do a better job of streamlining their approach to selecting startups and technology partners. Is it wild to imagine one or two qualified technology partners operating the majority of an institution's research pilots? Would that make it easier to take findings from those pilots and introduce them into clinical practice more quickly?
Perhaps this could be a leadership opportunity for the litany of innovation centers that have sprung up around the nation. Issuing RFPs, running hackathons, or reverse pitch events to find qualified help, and rolling up their sleeves to turn qualified companies into strategic partners (perhaps in exchange for equity), rather than disposable, replaceable, temporary pilots.
Payers play a key role in continuing to work with delivery systems to develop innovative models and measures. One example is the bundled payment pilot described above, which was a partnership between MD Anderson and UHC. Payers can also do a better job of making it easy for startups to find and apply to be a part of these opportunities – an easy example is finding proven startup partners (e.g., DatStat, RoundingWell) to come in and deploy mobile data capture tools.
Startups innovating in this space should set realistic expectations about working with large medical systems on clinical research pilots. While a small pilot may provide great opportunities for everything from field testing to marketing, these are typically unlikely to result in a scaled up enterprise deployment. Startups (and investors) should plan and deploy resources accordingly.
Traditional health IT vendors have their work cut out for them as the foundational EHR systems in place across most of the country are figuring out how best to handle the new wave of patient-centric measures. Validated questionnaires like PROMIS are already available within many existing EHRs, but these still tend to lack mobile-friendly design, workflow-friendly integration, and importantly, patient-facing summaries. Without a modern integration platform in place, it is untenable for any EHR to wrangle the numerous data standards and proprietary architectures, particularly when you add in the non-traditional realm of wearables, behavioral data, and emerging survey tools.
Naveen Rao
Healthcare Strategist
Naveen is the Founder and Managing Partner of Patchwise Labs, a digital health strategy firm dedicated to improving healthcare for the patient using technologies, approaches, and ideas from all sectors. Naveen's passion for healthcare centers on patient rights and the emerging consumer movement in healthcare. His background spans consulting and policy analysis, patient advocacy, health IT and digital health. He also serves as Managing Editor of Tincture, a thought leadership publication for important ideas in healthcare and medicine. Connect with Naveen via Twitter or LinkedIn.
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Among several instant classics, ROME's 2016 release "The Hyperion Machine" included a duet with legendary Swedish singer-songwriter, punk rock godfather and all-around musical genius JOAKIM Thåström.
This EP not only features that particularly sombre ballad, but also the initial recording of "Stillwell" that served as the basis for what was eventually to become the sonic meeting of two like-minded troubadours. On the album version JOAKIM Thåström and JEROME REUTER added beats, percussion and strings into the song, as well as some additional lyrics in Swedish. Also featured on this release is the intimate version of "Skirmishes for Diotima", which shows the song in its original form, before the full drum kit became an essential part of the more rock'n'roll live set-up of the band from 2014 to early 2017. Another gem is the indie rock mélange of two early ROME tracks: "Beasts and Birds of Prey": A journey back to the earlier days of ROME.


because this north facing spot is bright but not too sunny.
I say personalize it. It's your home ~ your nest. Make it your own!
Y'all know that pillows soften a design and this girl loves them.
Add a couple of tea cups and a tea strainer. It is a tea table after all.
design is wasted if it can't be shared with the ones you love.
elderly parents. But fortunately for us, this was a very memorable vacation.
Oregon Coast and the Pacific.
Bandon is a small town sometimes called Bandon-by-the-Sea.
Pacific Ocean to the west. It's a small town of around 3,000 residents.
west coast of England or Scotland on the moors.
with other humans and their dogs. Bentley was quite a young pup at the time.
He was so curious and happily discovering shells and seaweed.
concentrate with all of this beauty in the way.
Bandon, Oregon. It is a solitary kind of place. So lovely to me.
living in Texas right now, Bandon will always own my heart.
to fully appreciate it's beauty.
What a glorious country we call home.
what they want they are gone.
Or those who are nice to your face, but then talk behind your back.
Or those who are always aloof no matter how nice you try to be.
Do you try too hard to get that person's attention or do you just move on?
It's never fun to be left out, but at what cost?
What I know for sure is this ~ we are all entitled to some dignity.
Don't chase after those who don't want you around.
a real and true friend will notice you and extend a hand of friendship.
towns of this great land.
the USA. Our nation is so diverse in climate, culture and fashion.
start celebrating the beauty we have right here at home.
area on your own. It is one of our nation's treasures.
Charm, elegance, historic significance. I could go on and on.
this is a truly great land.
week leading up to Independence Day.
A bit of a change to my blog header and background was way over due.
I finally set aside a bit of time to make some changes.
until I have time for that major over haul.
just fell in love with these little dots, so here they are now in the background.
in Idaho any more. We are living large down in Texas and it is our new home.
all is done and a new chapter of my life unfolds.
I treasure each and every one of you!
When a beloved family member dies, one often opens up the old family albums.
fast. Every time we chat she always asks me "are you having any fun?"
my creativity. I don't think I ever said "I am bored" or "What can we do?"
and I was always late because I didn't want to leave them.
doing interesting things in far off magical lands.
wanted to live an adventurous life and travel to exotic places stayed alive in my heart.
in Bahrain that the school hours were from 7:30 am until 12:30.
day's lesson before heading to the beach. Life was grand.
and always remember, I will be right here to cheer you on!
Are you thinking about opening a new door and making a change in your own life?
Read below to find out how you can enter for a chance to win $10k to make your dreams come true.
I am so bored with my current blog banner. I really need a change.
David is out playing golf right now and I am playing with PicMonkey.
I should upgrade and while I have not done it yet, I suppose I will.
Maybe a new color scheme. Have you ever seen my Tumblr blog?
reads it or not. If you want to see it here is the link.
header and the same old background. Hope you don't mind too much.
his passing. He is never out of my thoughts or my heart.
in time for dinner on a Friday night after work.
the market last year. So cute with the pink shutters and picket fence.
was full of potential. Sadly it is no longer on the market.
there is a tropical pool and a private lighted pier for the property.
really popular place to stay.
This is so inviting don't you think?
vacation destination town in both the summer and winter.
lounging on one of the beach chairs in the shallow side of the pool.
what you think about the idea.


We are thankful for having good client who appreciated our works and glad to exchange & sharing opinions like old friends during the project.
We appreciate every experience gained from the project and people we met.
Hope you enjoy our works!


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Ageing and HIV
High prevalence of menopausal symptoms in women living with HIV, but very few receive treatments for them
Roger Pebody
Nine in ten women living with HIV aged 45 to 60 have hot flushes and other somatic symptoms of the menopause, but often have difficulties getting advice and care to manage them, according to an English study released today. Only 8% of women with these symptoms were currently using menopausal hormone therapy (MHT).
Thanks to effective HIV treatment, increasing numbers of women with HIV are reaching the years when women usually go through the menopause. It is a natural part of ageing that usually happens between the ages of 45 and 55. Periods usually become less frequent over a few months or years, before they stop altogether. The menopause is a gradual process and is linked to a range of symptoms that can affect women's quality of life, work and relationships.
There are now over 10,000 women living with HIV aged 45-56 in the UK – five times the number a decade earlier.
However, there are very few data on the menopause in women living with HIV. Dr Shema Tariq of University College London and colleagues designed the PRIME Study (Positive Transitions Through the Menopause) to address gaps in our knowledge. The study combined quantitative and qualitative methods – a questionnaire survey of women attending HIV clinics across England, a survey of 88 GPs, in-depth interviews with 20 women and three focus group discussions with a total of 24 women. PRIME is one of the largest studies of the menopause in women living with HIV ever conducted.
The main questionnaire survey of women aged 45 to 60 years recruited 869 participants, 81% of those who were approached. Just under half the participants were university educated and two-thirds were employed, full or part time. In terms of ethnicity, 72% were black African, 8% white British and 19% mixed or other.
While 98% were taking antiretroviral therapy, 12% had a detectable viral load and 7% a CD4 cell count below 200 cells/mm3.
The median age of participants was 49 years. The sample included 21% of women who were pre-menopausal (regular periods), 44% who were peri-menopausal (irregular periods within the last two years) and 35% post-menopausal (no periods for at least a year).
There was a high prevalence of symptoms that are often related to the menopause (but could have other causes):
89% reported somatic symptoms: hot flushes, palpitations, joint and muscle discomfort or sleep disturbance.
68% reported urogenital symptoms: vaginal dryness, urinary tract symptoms or sexual problems.
78% reported psychological symptoms: depression, anxiety, irritability or exhaustion.
The survey included four questions to assess psychological distress. Whereas 26% of women without somatic symptoms had psychological distress, 53% of women with these symptoms were distressed. Similarly, while 19% of those without urogenital symptoms were distressed, 58% of those with these symptoms had psychological distress.
Having a sexual problem that lasted for more than three months in the past year was reported by 69% of participants (higher than the 54% reported in a general population survey of women in the same age group). The most commonly reported problems were a lack of interest in sex (52%) and vaginal dryness (28%).
Qualitative interviews showed that women had difficulties in distinguishing menopausal symptoms from HIV-related symptoms and side-effects of HIV treatment:
"It leaves you feeling 'what is going on here'? Is it HIV? Is it the menopause?"
Symptoms could have a significant impact on quality of life:
"My menopause is now interrupting my life quite seriously. I think I have gone into a depression. My sleeping pattern is so horrendous and so chaotic that I feel very emotional."
However, women often reported being under-prepared for menopause: 47% said they did not have sufficient information about it. This was especially the case for women from sub-Saharan African communities, where the subject of periods and menopause was often seen as taboo.
"Mostly in our culture, we don't talk about these things, so we sometimes experience things without knowing exactly what's going on."
"It would be good to hear about [menopause] earlier, then we would start noticing it in our bodies. It would be a thing that we know. Not a kind of shock. You don't know what is happening to you."
Although advice and care on the menopause is usually provided in primary care, the survey of GPs showed that many have concerns about managing menopause in women living with HIV. Over 95% said that they were confident in managing menopause in general, but only 46% were confident when the patient was living with HIV. The overwhelming majority (96%) felt that menopause in women without HIV should be routinely managed in primary care, whereas just over half thought that menopause in women living with HIV should be managed in primary care.
Particular concerns were drug interactions (79%), missing a diagnosis of an HIV-related illness (51%) and the risks of menopausal hormone therapy in women with HIV (48%).
Use of treatments to alleviate menopausal symptoms was strikingly low in women who completed the survey. Just 8% of those with somatic symptoms were currently using menopausal hormone therapy (MHT, previously known as hormone replacement therapy). Only 3% of women with urogenital symptoms were using vaginal oestrogen.
However, some women said that they did not want to take another medication, in addition to their HIV treatment.
"I don't want to take anything else. I don't want to be a slave to something else."
Shema Tariq and colleagues recommend that HIV clinical services, GPs and HIV support services should be aware of the potential impact of the menopause transition on the health and wellbeing of women living with HIV, and ensure that services are able to support women during this time.
In particular they recommend that HIV clinical services should annually assess women's menstrual cycle and, in women over the age of 45, menopausal symptoms. Treatment and support should be provided by primary care, in liaison with HIV specialists.
Accessible information about the menopause should be provided. Peer support for women living with HIV transitioning through the menopause is likely to have an important role in building self-efficacy and resilience, they say.
Tariq S et al. Menopause in women living with HIV in England: findings from the PRIME Study. www.ucl.ac.uk/prime-study
Find details of HIV services in United Kingdom, the latest news from the country, and a selection of resources from local organisations.
Find out more about United Kingdom >
Treatment for women
Clusters of co-morbidities in people living with HIV show major non-HIV medical needs05 April 2019
Is ageing in people living with HIV accelerated or accentuated? 30 January 2019
PROUD qualitative findings: PrEP's impact on sexual behaviour 13 November 2018
Pain highly prevalent among people with HIV and has a major impact on mental health, quality of life, employment and use of healthcare17 October 2018
Silver Singles: Why Are Sexually Transmitted Infections On The Rise In The Over 50s?Huffington Post - 03 June 2019
The forgotten generation?Positive Living - 21 May 2019
Raising the equality flag: Health inequalities among older LGBT people in the UKInternational Longevity Centre - 08 May 2019
What are the treatment challenges for the over 50s in Africa?AVERT - 28 February 2019
More editors' picks on ageing and HIV >
Gay and bisexual men with problematic chemsex are a diverse group with significant sexual and psycho-social risks 15 July 2019
Nine HIV diagnoses in men on PrEP waiting list, Manchester01 July 2019
Rate of undiagnosed HIV remains high among black African heterosexuals in London14 May 2019
Rapid adoption of generic HIV drugs could save NHS £7 billion by 203310 May 2019
Open the e-atlas for more news from United Kingdom >

redpajama_set_name: RedPajamaCommonCrawl


High school sophomore Teja Deonarine wants to talk to sharks. Senior Gianni Small wants to build a better eBay . And seventh-grader Bronwyn Chochinov wants to help girls express themselves through fashion.
These girls are learning to code.
"We wanted to use video as a medium to get girls excited," says Allie Diracles, co-founder of the app.
The girls used code to add effects to their videos—making colors explode, graphics fire and scenes pixillate. Diracles says she created the app so teens could connect with code "outside of gaming," but still in a playful, creative way.
Budding coders can play with memes (above) and videos -- writing code or dragging and dropping their effects, seeing the corresponding code appear to the left.
Patricia Zablah, a 28-year-old tech program manager and one of the mentors who helped the girls with their code, says that combination of coding and seeing a finished product is important.
Silicon Valley has recently made headlines, not because there are so few women in tech, but because they're not always welcome. According to Women Who Code, women working in tech leave their jobs at twice the rate of their male counterparts—often abandoning the field entirely when they go.
At the hackathon, as the girls are putting the finishing touches on their videos, Deonarine, the aspiring marine biologist, tells me it was her mother who encouraged her to pursue coding.
She'd like to create a program to communicate with sharks. "Sharks are the second most intelligent marine life," she says, her voice growing animated. She thinks there's a lot to be learned from the mighty fishes lurking in the depths of the oceans, and she'd like to examine the sounds and tones sharks use—by coding new software, of course.
You can see all of the videos the girls' teams created here, on Amy Poehler's Smart Girls site.


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WikiLeaks: how Britain 'became a haven for migrant extremists'
When Finsbury Park mosque opened nearly 20 years ago it was intended to be a centre for peaceful worship, feted by the Prince of Wales and seen as an emblem of multi-cultural Britain.
By the late 1990s the Finsbury Park mosque had become a 'haven' for extremism Photo: REX
By Steven Swinford
7:00AM BST 25 Apr 2011
But the Guantánamo WikiLeaks files disclose that by the late 1990s the mosque in north London had become a "haven" for extremism where disaffected young men from around the world were radicalised before being sent to al-Qaeda training camps in Afghanistan.
At least 35 Guantánamo detainees passed through Finsbury Park and a network of other centres used by extremists in Britain, including Regent's Park mosque, East London mosque and a rented room above the Four Feathers Youth Club near Baker Street.
The mosques became recruitment centres for an al-Qaeda cell led by Abu Hamza, the radical imam formerly based in Finsbury Park, who is serving a seven-year sentence at Belmarsh high security prison, and Abu Qatada, a fanatical Muslim cleric described by British intelligence as "Osama bin Laden's ambassador to Europe".
Together, they turned London into a hub of global terrorism, taking in impressionable immigrants by the dozen and churning them out as killers-in-waiting.
As well as the men who passed through mosques in London, another 10 were radicalised outside the capital, mainly in Birmingham. For many of the Guantánamo detainees who passed through London, their journey to extremism began with hopes of a better life.
Scottish immigration at record levels
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The majority were economic migrants from North Africa and the Middle East. They included seven Algerians, three Moroccans and two Saudi Arabians.
The experience of many of the Algerians is typical. After reaching Italy or France they obtained false passports and visas on the black market, often in the suburb of Barbes in Paris, where the "availability of forged travel passports is well known among Arabs", according to the files. Some picked up fake French passports for as little as €45 (£39).
On arrival in London, many claimed political asylum, while others tried to slip under the net by working illegally. Among their number was Najeb Lahassimi, from Morocco, who travelled to Dover by ferry in January 2001.
After being arrested by immigration officers at the port and claiming political asylum, he was released and headed to the Baker Street mosque, where he became a devout Muslim, before deciding to go to Afghanistan to "live as a true Muslim".
US intelligence officials were most concerned by the influence of Finsbury Park mosque, which they say served "as an attack planning and propaganda production base". Elsewhere, it is described as a "key transit facility for the movement of North African and other extremists in London to and from al-Qaeda training camps in Afghanistan".
For the young men, the mosques became their home, providing accommodation, food and a sense of community. For the extremist clerics who ran the mosques, however, the stream of young men coming through their doors were ripe for recruitment. The Guantánamo files disclose how they were allegedly brainwashed with videos of atrocities committed against Muslims in Bosnia and Chechnya, and subjected to lectures by Hamza and Qatada which highlighted the virtues of the "pure Islamic state" to be found in Afghanistan.
As their indoctrination progressed, many of them became increasingly disenchanted with life in Britain. Sameur Abdenour, an Algerian, decided to travel to Afghanistan "to study Islam and seek a better life" because "he did not like the treatment he received in the UK from its Government and its citizens". Abdul Rahman, a Danish citizen, allegedly played a key role as a "fixer", travelling through Europe, North Africa and the Middle East and allegedly providing funding and false passports.
His file states: "Detainee transported equipment, money and false documents between the UK, Algeria, Germany, Spain, Mali and Denmark."
Once they had made the decision to leave London, the young men were flown to Pakistan and Afghanistan at the expense of associates from the mosques.
When they arrived at al-Qaeda guesthouses, recruits were required to surrender their passports and valuables to safety deposit boxes known as "trust accounts". According to intelligence files, "these items were entrusted to the guesthouse until the completion of training or other activity".
New recruits were sent to the al-Faruq training camp near Kandahar in Afghanistan, where they allegedly received four phases of basic training: "Small arms firing, physical conditioning, map reading/topography and explosive devices," the files state. Following completion of the basic courses, the recruits had the opportunity to sign up for more advanced training at al-Faruq, including "sniper, forgery, mountain or urban tactics, heavy weapons (such as mortars, medical, and assassination and ambush)".
The most skilled al-Faruq graduates were offered the chance to go to the Tarnak Farm facility.
The range of training on offer was broad: "Tarnak Farm was an al-Qaeda facility that provided advanced training in commando skills, including assassination, kidnapping, surveillance, interrogation, urban tactics, and anti-aircraft weapons," according to one intelligence assessment. One detainee who trained at Tarnak Farm reported receiving "suicide training similar to that received by the 11 September 2001 hijackers".
Another said that they were instructed how to create "shoe-bomb prototype[s] that could be used to bring down a commercial airliner flight".
The al-Qaeda operatives were also allegedly given training on how to use Casio watches as explosives timers. One file states: "Detainee, an admitted senior al-Qaeda explosives trainer and expert, confirmed he received training in the use of Casio watches as explosives timers. Detainee stated the Casio was often used as a timer."
The possession of a Casio F-91W digital watch, which costs £4, was declared by US officials to be the "sign of al-Qaeda" and sufficient evidence for detention. One detainee file states: "The possession of a Casio F-91W model watch is an indicator of al-Qaeda training in the manufacture of IEDs.
"A separate JTF-GTMO [Joint Task Force Guantánamo] detainee identified the Casio watch as 'the sign of al-Qaeda, [which] uses the watch to make bombs'." Recruits passing through Tarnak Farm received complex explosives training from Al-Muhajir, the elite bomb specialist allegedly behind the USS Cole and Nairobi embassy bombings.
One detainee described being taught at the camp how to "destroy suspension bridges".
Abu Muhammad al-Masri, the director of Tarnak Farm, also taught at the Derunta camp near Jalalabad where he allegedly gassed dogs and rabbits to demonstrate the capabilities of chemical weapons.
Detainees claimed al-Qaeda provided training in the use of chemical weapons, though the files contain scant information about the type or quantities of chemicals involved.
For many of the extremists radicalised in Britain, the scale of the US bombing campaign prompted by the September 11 attacks in 2001 proved too much and they attempted to flee to Pakistan.
Some were considered important enough to be sheltered in a network of al-Qaeda safe houses.
One of the alleged extremists captured in one of the boltholes was Omar Deghayes, according to the files.
Deghayes, a British resident originally from Libya, was captured in late 2001 at a safe house in Lahore where he had been hiding for two months. He was released in 2007 without charge and has always protested his innocence.
The US government documents also include details of an extraordinary meeting between three of the key architects of the September 11 attacks. Khalid Sheikh Mohammed, the alleged 9/11 mastermind, Mustafa Hawsawi, the alleged financier of the atrocities and Ramzi bin-al Shibh, who allegedly co-ordinated the four airborne suicide attacks, watched television footage of the World Trade Center towers collapsing as they sat in a safe house in Karachi, before "prostrating themselves and giving thanks to Allah", according to the files.
Raids on these safe houses yielded some of the most valued al-Qaeda suspects, including Abu Zubaydah, a confidant of bin Laden, and Ramzi bin-Al Shibh, who was captured after a three-hour stand-off in which he threatened to kill himself with a knife.
Meanwhile, Finsbury Park mosque has purged itself of any links to extremism and re-opened with a new management team. The Guantánano files, however, will serve as a powerful reminder of the ease with which radicalism can take hold.
Afghanistan »
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In Wikileaks
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Charles Arcier was an American sculptor and designer born 1914 in the United States and passed away in 1995. Arcier's personal life and professional training remain lost in history.
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Charles Arcier was an American sculptor and designer born 1914 in the United States and passed away in 1995. Arcier's personal life and professional training remain lost in history.


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Class Action Reports
Levi & Korsinsky Announces HEXO Class Action Investigation; HEXO Lawsuit
Levi & Korsinsky, LLP
Levi & Korsinsky, LLP announces that a HEXO class action lawsuit has been commenced on behalf of investors who purchased HEXO Corp. (HEXO) securities between January 25, 2019 and November 15, 2019. For more on the HEXO Class Action please contact us today.
According to the HEXO lawsuit, throughout the Class Period defendants made false and/or misleading statements and/or failed to disclose that: (1) HEXO's reported inventory was misstated as the Company was failing to write down or write off obsolete product that no longer had value; (2) HEXO was engaging in channel-stuffing in order to inflate its revenue figures and meet or exceed revenue guidance provided to investors; (3) HEXO was cultivating cannabis at its facility in Niagara, Ontario that was not appropriately licensed by Health Canada; and (4) as a result of the foregoing, Defendants' positive statements about the Company's business, operations, and prospects, were materially misleading and/or lacked a reasonable basis.
TO LEARN MORE ABOUT THE HEXO CLASS ACTION, VISIT: https://www.zlk.com/pslra-1/hexo-corp-loss-form?wire=9&prid=4629
If you suffered a loss in HEXO you have until January 27, 2020 to request that the Court appoint you as lead plaintiff. Your ability to share in any recovery doesn't require that you serve as a lead plaintiff.
Levi & Korsinsky is a national firm with offices in New York, California, Connecticut, and Washington D.C. The firm's attorneys have extensive expertise and experience representing investors in securities litigation and have recovered hundreds of millions of dollars for aggrieved shareholders. Attorney advertising. Prior results do not guarantee similar outcomes.
Joseph E. Levi, Esq.
jlevi@levikorsinsky.com
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Levi & Korsinsky Announces Baozun Class Action Investigation; BZUN Lawsuit
Levi & Korsinsky, LLP announces that a BZUN class action lawsuit has been commenced on behalf of investors who purchased Baozun Inc. (BZUN) securi... Detail
Levi & Korsinsky Announces X Financial Class Action Investigation; XYF Lawsuit
Levi & Korsinsky, LLP announces that a XYF class action lawsuit has been commenced on behalf of investors who purchased X Financial, (XYF) pursuan... Detail
Levi & Korsinsky Announces Adamas Pharmaceuticals Class Action Investigation; ADMS Lawsuit
Levi & Korsinsky, LLP announces that a ADMS class action lawsuit has been commenced on behalf of investors who purchased Adamas Pharmaceuticals, I... Detail
Levi & Korsinsky Announces Baxter International Class Action Investigation; BAX Lawsuit
Levi & Korsinsky, LLP announces that a BAX class action lawsuit has been commenced on behalf of investors who purchased Baxter International Inc. ... Detail
Levi & Korsinsky Announces Prudential Financial Class Action Investigation; PRU Lawsuit
Levi & Korsinsky, LLP announces that a PRU class action lawsuit has been commenced on behalf of investors who purchased Prudential Financial, Inc.... Detail
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Cited: "Albert Einstein." Encyclopedia of World Biography. Ed. Paula K. Byers. 2nd Ed.
Vol. 5. Detroit: Gale, 1998. 228-231. Print.
"Einstein, science and culture." Einstein: A Centenary Volume. Ed. A.P. French.
Massachusetts: Harvard, 1979. 167-184. Print.
New York City: Hart, 1978. Print.


A rottweiler mauled a farm caretaker in India to death and ate parts of his flesh.
Farm caretaker Mani Ram was untying the guard dog called Tiger after arriving at work when it turned on him.
The violent animal locked its jaws around the 52-year-old's throat and 'choked him to death' before he was able to break loose.
According to eye witnesses the dog didn't stop there and went on to 'maul his face and feast on the flesh from Mani Ram's hands and chest for more than an hour'.
Even after the police finally removed the body, it took them four hours to finally catch the three-year-old dog which is now in police custody.
The victim was a farm labourer and worked as the caretaker of the business owned by Hardeep Singh.
Mr Singh had kept the dog to guard the place for three years after he bought it for £180.


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Cop Pleads Guilty Disfiguring Handcuffed Man With a Flashlight, Pepper Spraying Kids
A New Jersey police officer pleaded guilty to beating in a man's face with a flashlight and having his fellow officers help him cover up the video evidence of it.
Bayonne, NJ-- Officer Domenico Lillo of the Bayonne Police Department in New Jersey was actually raided by FBI agents and arrested in connection with a 2013 case of police brutality. With so much compelling evidence against him, Lillo pleaded guilty. However, the court is taking their time in the sentencing.
Lillo was scheduled to be sentenced on Thursday but the U.S. Attorney's office extended the date until March 5.
To lessen his sentence, Lillo agreed to testify against a fellow officer. Ironically enough, the fellow officer's only crime was covering up for Lillo by falsifying records and hiding the assault.
"It was my understanding... (that) when the incident report was written the flashlight strike would be omitted," Lillo told the jury in his fellow officer's trial last month.
The raid took place in 2015 and was highly unusual for a police officer. After a federal grand jury in Newark returned an indictment charging him with deprivation of civil rights under color of law and falsification of records, police swarmed Lillo's house.
After having been armed and active on the force for over a year after the incident—thanks to his fellow cops covering for him—Lillo was busted and brought to justice.
On December 27, 2013, around 4:50pm, Lillo along with two other officers from the Bayonne Police Department went to an individual's home to execute an outstanding arrest warrant.
Count one in the indictment stated that while acting under the color of the law, Lillo struck the handcuffed victim, who was not resisting arrest—with a flashlight—resulting in bodily injury. According to a lawsuit filed by the victim, the other officers stood by and did nothing to stop the attack.
The officer's also allegedly pepper-sprayed both the victim and his mother—hitting grandchildren in the process—causing her grandchildren and other relatives to get sick.
Count two in the indictment stated that Lillo, "acting with the intent to impede, obstruct, and influence the investigation and proper administration of a matter within the jurisdiction of the Federal Bureau of Investigation, knowingly concealed, covered up, falsified, and made false entries on a Bayonne Police Department Use of Force Report about the individual, to wit, by not checking the box marked 'Strike/Use of Baton or other object.'"
"This was something that you knew sooner or later was coming. And when you're going to do something like that, this is what gives all police officers a black eye," Bayonne's mayor, Jimmy Davis, a former police officer, told NJ.com at the time.
Lillo can be seen in video footage striking his victim, Brandon Walsh with a flashlight three different times. The footage shows Lillo hit Walsh in the forehead with his flashlight in clear view of Styles and Wade, who were also escorting Walsh away from the scene.
"I was aggravated, upset," Lillo said during his testimony as to why he beat the handcuffed man.
He then went on to use Walsh's injuries as a warning to others during the trial, telling the jurors, "Look what happens when you fuck with us."
Before permanently disfiguring a man with a flashlight, the officer was sued for excessive force which resulted in a $100,000 settlement for the victims, but not enough evidence to fire him.
In 2007 the city of Bayonne paid a $100,000 settlement in a lawsuit that was filed by two men who reported that they were brutally assaulted by police while leaving a bar. The lawsuit claimed excessive force, malicious prosecution, wrongful arrest, failure to intervene, deliberate indifference, deprivation of property, deprivation of due process and conspiracy, NJ.com reported.
The suit alleged that an officer "maliciously assaulted" one of the men, beating, kicking and throwing him to the ground while cursing at him as Lillo tackled the other man and punched him repeatedly in the face and head. The sister of the man Lillo was assaulting was pleading for the officer to stop the beating and when she tried to intervene, Lillo reportedly kicked her.
Prior to striking the plea deal, Lillo was facing upwards of 10-20 years for the charges against him. Lillo's victims will now have to wait until March to find out if the dangerous police officer who put a man in the hospital with a flashlight will get justice.


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What will the weather be like during my vacataion? While the weather man may not always be right, there are some things that you can count on as far as the weather goes in southern Costa Rica. Costa Rica has two weather seasons: the warmer, dry, sunnier season from December to April, and the cooler "green" season, May through November. Pavones has distinct surf seasons as well.
Most years, November and December are transition months when the rains become less frequent and the sun shines every day. In the dry season we may not see a drop of rain for the four months of January through April. The skies are blue, the water is crystal clear, and the stars and milky way put on a show at night.
Likewise, April and May are the transition months in which we begin to see evening, then late afternoon showers. These showers start earlier in the day until September and October when it can rain all day every day for weeks–which is why we are closed during that time. The restaurants close, hiking trails become unsafe due to falling limbs and giant seed pods, and vacations just are not as fun when it's raining all day every day.
Compared to the northern part of Costa Rica, which is dry and almost desert like, the landscape in the southern zone of Costa Rica is very green and lush, and although it does rain here more than in the north, it usually comes as a welcome respite from the heat. Pavones has it's own microclimate. The closest weather station that reports is in Golfito, where it can rain or thunderstorm daily. However, with the benefit of the Conte-Burica range at our back and its position at the mouth of the Golfo Dulce, Pavones has its own unique weather patterns and is generally much sunnier than Golfito.


Fun, entertaining ride of nostalgia and futuristic possibilities. I enjoyed it.
Loved the book. Loved the movie. Nothing too deep, just a nerdy, nostalgic, and fun ride.
Painfully cliché, but the fantastic visuals make for great eye candy and rewatchability.
Nostalgia gone too far. No emotion, weight or logic in this disappointment by Spielberg.
Willy Wonka meets Da Vinci Code meets The Matrix. Best Spielberg film in decades.
A great thematic adaptation. It was in the spirit of fun that I liked about the book.
Definitely one of the odder movies in the Spielberg canon.
A step up from the book (not hard). Shallow but fun with some very cool set pieces.
Great visuals (the OASIS world is awesome), but the story itself kind of rings hollow.
Cool sequences, lots of character appearances, dumbed down version of the book.
It's shallow with superficial characters, but well made and nostalgic fun.


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Home Universities Colleges Programs
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Veterinary Science - Press Releases | Health and Medicine
U of S VIDO team discovers key step in flu virus replication
University of Saskatchewan | November 15, 2006
As public health officials around the world keep a nervous eye on the spread of avian influenza, the University of Saskatchewan's Vaccine and Infectious Disease Organization (VIDO) has uncovered a key step in how the influenza virus causes infection....[continue]
Community Energy Planning Focus of Nov. 15 Event
University of Guelph | November 8, 2006
The University of Guelph is part of a local consortium that has teamed up to promote the concept of community energy planning....[continue]
Innovative U of S-led Partnership Creates Oat Variety Breakthrough
University of Saskatchewan | November 8, 2006
Livestock producers will soon have access to a new variety of oat with a nutritional profile similar to barley, thanks to an innovative partnership among producers, the provincial government, and the University of Saskatchewan....[continue]
Rural Development Centre Officially Opens at Ridgetown
A $7-million education and training centre that will offer rural Ontario residents leading-edge teaching, learning and extension opportunities has opened at the University of Guelph's Ridgetown Campus....[continue]
New Arboretum Bridge is A World First
University of Guelph | October 27, 2006
The world's first footbridge made of wood fibre and plastic composites will be unveiled at the University of Guelph's Arboretum Oct. 30....[continue]
U of S Fall Convocation - October 28, 2006
University of Saskatchewan | October 25, 2006
The University of Saskatchewan will honour its graduates and confer approximately 780 degrees, diplomas and certificates at the annual Fall Convocation, October 28, 2006 at TCU Place in Saskatoon....[continue]
College of Management and Economics Officially Opens
The University of Guelph is hosting the official opening of the College of Management and Economics (CME) Oct. 25 at 4:30 p.m. in Peter Clark Hall....[continue]
OVC Researchers Find Bacterium in Meat
The University of Guelph researchers who earlier this month found a dangerous bacterium in food animals now have evidence that Clostridium difficile is in ground and processed meats sold in Canada....[continue]
Federal Agriculture Researchers Join UPEI and NRC in Unique Bioresources Research
University of Prince Edward Island | October 11, 2006
The Government of Canada today announced $2 million in funding as a capital contribution toward the development of the National Research Council Institute for Nutrisciences and Health (NRC-INH) on the University of Prince Edward Island (UPEI) campus....[continue]
CCEPA Presents: Trust in Science - Setting the Scene: From Magician to Miracle Maker
St. Mary's University | October 6, 2006
In our day to day lives we invest a great deal of trust in science and its institutions to tell us the truth about ourselves, about the world we live in and our place in it - whether it's about the foods we eat, our health, the technologies we use, or our general sense of well-being....[continue]
Marilyn Jacobs passes away - funeral service to be held Monday
Wilfrid Laurier University | October 6, 2006
Marilyn Jacobs, a well-known, respected and admired presence on the Laurier campus for more than 20 years, passed away Friday morning following a lengthy illness. She was 54....[continue]
OVC Study Finds Bacterium in Dairy Calves
University of Guelph | October 4, 2006
A bacterium that is the major cause of one of the most common hospital infections in the world has been found in Ontario food animals by researchers at the Ontario Veterinary College....[continue]
Sudent's determination to help homeland is met by skepticism, hostility . . . and signs of healing
Under a tree in a camp in northern Uganda where former child soldiers make their home, Ayiko Solomon found treasure....[continue]
Ontario Invests $1.3 Million in U of G Research
University of Guelph | September 29, 2006
The provincial government is investing nearly $1.3 million in leading-edge research at the University of Guelph....[continue]
Media Spotlight Shines on U of G
The media spotlight is set to shine on the University of Guelph in the coming days....[continue]
Ethical Responsibilities to Be Examined at Animal Welfare Conference
The ethical responsibilities surrounding animal welfare will be explored at the seventh annual Ontario Veterinary College (OVC) Animal Welfare Forum Sept. 30 from 9 a.m. to 5 p.m. in the Lifetime Learning Centre....[continue]
Vet Students to Give Talks on Global Experiences
University of Guelph veterinary students who participated in the Ontario Veterinary College's Global Vets program this summer will share their experiences at public talks Sept. 26 and 28 at 7 p.m. in Room 1714 of the Lifetime Learning Centre....[continue]
Engineers Develop Detector for Mad Cow, Other Prion Diseases
University of Guelph | September 6, 2006
Two University of Guelph engineers have received substantial research funding to continue developing a simple, inexpensive sensor for quick detection of brain-wasting infections related to mad-cow disease....[continue]
Vancouver Police Foundation supports BCIT's canine health research
British Columbia Institute of Technology | August 31, 2006
This morning at the Vancouver Police Department's canine training centre, a well-trained canine officer will fetch a generous gift for the British Columbia Institute of Technology...[continue]
Dalhousie receives cash dividend from spin off company ImmunoVaccine Technologies Inc.
Dalhousie University | August 29, 2006
Dalhousie will receive a one-time cash payment of $30,000.00 in return for the transfer of patent rights to licensee ImmunoVaccine Technologies Inc. (IVT)....[continue]
Update Regarding Faculty Bargaining Unit
University of Guelph | August 24, 2006
The University of Guelph Faculty Association and the University Administration today received the decision of the Ontario Labour Relations Board with respect to the definition of the newly formed bargaining unit....[continue]
OVC 'Toxic Garden' Helps Identify Plants Deadly to Animals
University of Guelph | August 3, 2006
Lily-of-the-valley, foxglove and monkshood can all be deadly to pets, livestock and humans. Bleeding heart contains chemicals that can poison cattle. And the common yew tree can cause fatal heart arrhythmia in livestock, dogs and people....[continue]
UPEI Courtyard Named McMillan Hall
University of Prince Edward Island | August 2, 2006
A special ceremony today at the University of Prince Edward Island honoured Charlottetown resident Eileen (McQuaid) McMillan and her late husband Dr. Joseph (Joe) A. McMillan. Friends and members of the well-known McMillan family joined UPEI staff and faculty, student representatives, and guests for the official naming of the courtyard area of the Student Centre...[continue]
Profs Studying Emerging Fish Virus Make Headlines
University of Guelph | July 28, 2006
U of G professors John Lumsden, Department of Pathobiology, and Rich Moccia, Department of Animal and Poultry Science, were featured in numerous newspaper, radio and TV reports this week regarding their efforts to determine what is killing fish in the Great Lakes basin....[continue]
Lobster Science Workshop to Address Ecosystem Health
University of Prince Edward Island | July 26, 2006
The AVC Lobster Science Centre located at the Atlantic Veterinary College at UPEI, will host the 3rd annual Lobster Science Workshop on July 26 and 27 at the Delta Prince Edward hotel, Charlottetown, PEI....[continue]
U of C geography team charts evolving grizzly habitat
University of Calgary | July 26, 2006
A team of University of Calgary researchers mapping grizzly bear habitat across Alberta and southeastern B.C. this summer says the pace of land development may be jeopardizing the long-term health of the species....[continue]
Study targets dog laws & education
Simon Fraser University | July 19, 2006
If you are an American pit bull terrier living in Coquitlam, the law says you'll need to wear your muzzle in public. Cross over into Port Coquitlam and you can be muzzle-free....[continue]
Agriculture and Rural Life Focus of Conference
University College of Cape Breton | July 18, 2006
This week, agriculture and rural like will take centre stage at an Atlantic Canada conference in the heart of Cape Breton Island's agricultural industry....[continue]
U of S Researchers Awarded $800,000 for Mad Cow Vaccine and Chronic Wasting Disease Research
University of Saskatchewan | July 18, 2006
Two University of Saskatchewan research teams have been awarded nearly $800,000 from PrioNet Canada to help develop vaccines for mad cow and similar diseases and to track the spread of chronic wasting disease (CWD) in deer in the wild....[continue]
Brandon University welcomes zoology professor and researcher Dr. Bernadette Ardelli to its teaching staff
Brandon University | July 12, 2006
Dr. Austin F. Gulliver, Dean of the Brandon University Faculty of Science has announced the appointment of Dr. Bernadette Ardelli to the full time teaching staff of the faculty's Department of Zoology. Dr. Ardelli joined BU on June 20, 2006....[continue]
Trent University Researchers Receive Over Half a Million from the Social Sciences and Humanities Research Council of Canada
Trent University | July 5, 2006
Funded Projects Include Studies of Rock Art and Religion, the "Collapse" of the Ancient Maya, and the Renewal of Organized Labour in Canada...[continue]
New parade float rolls out for Stampede
University of Calgary | July 5, 2006
The University of Calgary is saying "thank you Calgary" by hosting a new float in the 2006 Calgary Stampede Parade, as part of the university's ongoing 40th anniversary celebrations this year....[continue]
Traceability of Canadian Red Meat: Do Consumers Care?
Mount Allison University | June 22, 2006
Are Canadians willing to pay more to know where their red meat came from?...[continue]
U of G Participates in Functional Foods Conference
University of Guelph | June 19, 2006
Five University of Guelph faculty and several U of G-affiliated researchers will speak on topics ranging from fatty acids to enhancing omega-3 levels in grain-fed cattle at the "Functional Foods: Emerging Markets for Livestock" conference June 27 and 28 at Arden Park Hotel in Stratford, Ont. U of G is also a sponsor of the event....[continue]
AVC's Sir James Dunn Animal Welfare Centre Funds Eight Projects
University of Prince Edward Island | June 16, 2006
Eight projects that will benefit dogs, cats, and horses recently received a total of $240,000 in funding through the Sir James Dunn Animal Welfare Centre (SJDAWC) at the Atlantic Veterinary College, UPEI....[continue]
Alberta Veterinary Research Institute launched
University of Calgary | June 16, 2006
Researchers attack global disease to protect public and animal health...[continue]
Alumni Association Honours Four
The University of Guelph's Alumni Association will present its 2006 awards June 24 during Alumni Weekend....[continue]
Atlantic Agriculture Conference
University College of Cape Breton | June 9, 2006
A conference on agriculture and rural life will take place in the heart of Cape Breton Island's agricultural industry in July....[continue]
U of G Prof Makes Advances in Ovarian Cancer Research
University of Guelph | June 6, 2006
University of Guelph researchers have perfected a technique for injecting cancer cells directly into mouse ovaries, a breakthrough that could ultimately improve diagnosis and treatment of ovarian cancer....[continue]
Summer Convocation June 12 to 15, Five to Receive Honorary Degrees
The University of Guelph will award some 2,600 degrees and diplomas during eight convocation ceremonies June 12 to 15 in the Gryphon Dome....[continue]
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Southface Institute : Blog : Georgia Piedmont Technical College "Amps Up" its Sustainability Efforts by Expanding Electric Vehicle Charging Station Options
Georgia Piedmont Technical College "Amps Up" its Sustainability Efforts by Expanding Electric Vehicle Charging Station Options
Dayna Thompson | July 21, 2017
Ribbon-Cutting ceremony held at college's Newton Campus
You won't hear the roar of the fleet vehicle engines at Georgia Piedmont Technical College much these days. That's because electric vehicles (EV) don't make a lot of noise. The college is expanding its fleet of electric vehicles, and providing charging stations to keep them fueled up. Showcasing its commitment to create a more environmentally friendly campus for faculty, staff, students and community stakeholders, Georgia Piedmont Technical College on July 18 held a ribbon-cutting ceremony to introduce the electric vehicle charging stations that were recently installed at two locations on the college's Newton campus.
Prior to the actual ribbon-cutting, Dr. Jabari Simama, president of Georgia Piedmont Technical College, said, "Today we are here to show that we protect and respect the environment. We have replaced over one third of our vehicle fleet with electric and hybrid vehicles," he continued. "I believe we are on the right track when it comes to reducing our carbon footprint," Simama concluded. This initiative, as well as other initiatives at the campus, are part of the college's "Green Scene" environmental movement.
A highlight of the festive ribbon-cutting ceremony included giving attendees an opportunity to check out some of the latest in high-tech, energy efficient vehicles. Attendees got the chance to get up close and personal with Tesla's Model S, a couple of BMWs –– including the i3 and the 530e-plug-in hybrid—the Chevy Bolt, and the Nissan Leaf. Currently, Georgia Piedmont's fleet includes four gasoline-electric non-plug-in hybrids; two 100 percent electric vehicles; and six vehicles that operate using compressed natural gas. In spring of 2016, the college rolled out two vehicle charging stations at its main campus in DeKalb County.
"I'm glad to see the partnership between Georgia Power and Georgia Piedmont Technical College continues to grow," said Sadie Dennard, metro east region external manager at Georgia Power and chair of the board of directors at Georgia Piedmont Technical College. "In response to demand, Georgia Power has expanded the infrastructure needed for electric vehicle charging stations. Georgia Power is delighted to collaborate with Georgia Piedmont's leadership team in coordinating this ribbon-cutting ceremony," Dennard concluded. In addition to Georgia Power, the college also partnered with Nissan and Nalley BMW for Tuesday's event.
Now that the charging stations are online, the Newton campus is one of four public charging stations that exist within a 14-mile radius. Although the ribbon-cutting event was held at the Newton D building, (8100 Bobby Williams Pkwy., Covington Georgia 30014) charging stations are also available at the college's Newton B building, (16200 Alcovy Rd. Covington Georgia 30014) providing stakeholders even more choices when it comes to topping off their battery packs.
All Georgia Piedmont Technical College charging stations are open to the public.
About Georgia Piedmont Technical College
Established in 1961, Georgia Piedmont Technical College (GPTC) is one of the top technical colleges in Georgia. As a student-centered institution, GPTC prepares individuals with the skills necessary to succeed in a rapidly changing, global economy. In August 2016, Georgia Piedmont was ranked among the top ten technical colleges in terms of enrollment by the Atlanta Business Chronicle. GPTC's graduation rate is more than 74.3 percent, and its graduates secure employment at a level resulting in a 98.7 percent placement rate. With nearly 4,000 students, Georgia Piedmont's adult education program is among the largest in the state. The college has 12 learning centers in DeKalb, Newton, Rockdale and Morgan counties. As set forth in its student catalog, Georgia Piedmont Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, sex, religion, disability, age, political affiliation or belief, genetic information, veteran status, or citizenship status (except in those special circumstances permitted or mandated by law). Contact Lisa Peters, the ADA Coordinator, at 404/297-9522, ext. 1154, ADA504Coordinator@gptc.edu or at the main DeKalb campus, 495 N. Indian Creek Drive, Clarkston, GA 30021 Room A-170; or Dr. Debra Gordon, the Title IX Coordinator, at 404/297-9522, ext. 1176, TitleIXCoordinator@gptc.edu or at the main DeKalb campus, 495 N. Indian Creek Drive, Clarkston, GA 30021 Room A-103 for assistance. For more information about graduation rates and other important program information, please visit our website at https://www.gptc.edu/gainfulemployment
Photo: Georgia Piedmont Technical College faculty, staff, students and community members mingle and review the latest in electric and hybrid cars as the college opens four new electric vehicle charging stations to the public at its Newton Campus.
*Source: Georgia Piedmont News Release
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