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Data Security in the Age of the IoT
By Altair's Avishay Shraga for ISE Magazine
3 Threats, 4 Challenges, and Unlimited Opportunities
As the Internet of Things continues to bridge the gap between the digital and physical worlds, it brings with it the threat of a new set of remote attacks with potentially far-reaching ramifications. Contrary to our experience with computers and mobile phones, in which attacks were focused on digital assets and devices and the risk was about stealing data, the IoT includes the additional risk of high-impact attacks on our physical world.
The advent of smartphones saw cyber criminals move in increasing numbers from hacking laptops and PCs to attacking the mobile world. Their sights are now shifting to target the IoT, as seen in recent events with hackers taking control of smart cars, injecting bots into IoT devices to hack ATM machines, and the most recent Distributed Denial of Service (DDoS) attacks on major US servers. Such attacks are only expected to increase as the IoT world continues to grow rapidly, with a diverse and complicated ecosystem that provides ever-increasing opportunities to the hacker community.
The Nature of the Threat
The security challenges in the era of IoT are larger than ever as attacks can now be performed on a far greater scale and across multiple vectors, not just against digital assets. While it is impossible to identify every potential form of attack, there are 3 key areas to be addressed:
Key Area #1
Attacks on the Physical World
• Remote attacks on the physical world include the hacking of smart cars, with criminals taking control of the wheel or cutting the breaks of a vehicle in-motion.
• Medical and automated drug-dispensing devices could be targeted for the purposes of terrorism or industrial sabotage.
• The wide-scale forging of smart meter readings could defraud utility companies out of millions.
• Smart locks and security systems can be hacked to gain illegal entry, or even to lock people in their own homes in exchange for ransoms, while security cameras and child monitors can ascertain when buildings are empty, or take compromising footage for blackmail purposes.
• Individual devices may be sabotaged through remotely draining batteries or configuration to the wrong parameters.
Attacks on the IoT Service
Theft of service is a principal risk as, in the case of smart metering, attacking the service itself has economic value, resulting in the permanent denial of service through killing a meter and forcing the utility company to send replacements.
Illegally obtaining vendor intellectual property also poses a major threat, such as smart car algorithms being reverse-engineered to reproduce their own vehicles at a fraction of the price.
'With sensors collecting vast amounts of data and transmitting it to a server, business espionage, including data harvesting and the elimination of privacy, is a particularly significant threat with potential for dishonest organizations to gain unprecedented insight into their competitors' customers, services and situations.
Attacks on the Network Utilizing IoT Endpoints
Network attacks may involve sending bots to attack a server, as seen with the recent DDoS attacks in the US, where multiple devices accessed the same service to bring it down.
Another threat is utility overload, such as simultaneously switching on and off millions of devices to crash the grid.
Further economic damage may be achieved through remotely bricking hundreds of thousands (or even millions) of devices, resulting in tremendous costs to the operating company.
In the cellular and computer world, device security is often reliant on the user realizing their cellphone is stalling, and immediately calling to stop the service. However, when it comes to the IoT, a forged meter or altered device may go for extended periods with no one to call in the threat.
When it comes to implementing an IoT security solution, there are a number of technological, business, ecosystem, and regulatory, challenges to be addressed:
A Diverse Ecosystem
This stems from the numerous vertical markets of the IoT, including automotive, healthcare, utilities, smart cities and homes, and wearables. With such a diverse and decentralized ecosystem, there cannot be a "one size fits all" solution, as each implementation requires different end-to-end architectures for both operational and security purposes. Although the IoT demands a high level of security, applications can be owned and designed by practically anyone.
However, most of these new developers are not security experts, and they have little to no understanding of the need for security. While IoT security needs an interoperable end-to-end solution that can work coherently, the challenge is how to ensure security in such a diverse world where devices are so easily made, bought, and installed.
While security in the IoT is as critical as power and cost, it is much less tangible, and therefore harder to explain to customers. In addition, it's tricky to define the mechanisms and to differentiate on security for vendors. However, it is clear that security can be differentiated, and also drives sales, as attacks increase and companies seek to protect their reputations. The challenge here is to make security more tangible, as customers may be willing to pay for it only once they understand exactly what they are getting and why they need it.
A further challenge arises from the fact that IoT devices are expected to be cheap, with ultra-low power and extended battery lives. However, these requirements are contradictory to current methods of security and encryption which require high power and performance — as does communicating large amounts of data. Therefore, attempts to utilize the known legacy methods of security for the IoT is going to be a challenge.
Absence of Trust
The connected world involves a number of different business entities co-located on the same IoT device, without inherent trust relationships. The service provider, communications provider (whether a cellular MNO or alternative), and IoT managing entity, need to find a resolution for sharing devices without trust relationships. However, this is not necessarily scalable, with so many business entities vying to provide these services across the globe.
Despite the numerous companies currently competing to provide security solutions, the customers (in this case, IoT service providers) seldom possess the tools or understanding necessary to select a comprehensive solution. Adding the high cost of creating a real working end-to-end solution, including costs for development, deployment, service, and maintenance, there is still no clear business model with regards to cost obligations and liabilities.
Solutions and Opportunities
The IoT should not be regarded as the evolution of computing and communication, but rather as a revolution, and one that requires a paradigm change with new technologies and business models.
Opportunity #1
Security as a Foundation
Devices and end systems need to be designed specifically with security in mind. Devices are currently designed for power and performance, with security relegated to an afterthought or later addition. However, in the case of the IoT, security cannot simply be tacked onto an existing device; it needs to form part of the foundation, the same way that power and performance do.
While the ecosystem is in its infancy and so diverse, and with devices expected to be deployed for extended periods (up to 10 years, rather than 1 or 2), attacks will increase. Therefore, energy and investment need to focus also on remote detection and recovery.
IoT Is not IT
New methodologies for security need to be developed in the industry, as the standards that most security solutions are built around in the IT-centric world and are not relevant in IoT. As IT-centric solutions require a lot of performance and power, a revolutionary approach is required to find a solution that can work with low power and performance, and still be secure enough in the new world of risks. This necessitates a revolution of regulatory compliance and certification of security as, in at least some verticals, the regulator needs to enforce some mechanisms on the different players to ensure a base level of security while maintaining cost efficiency.
Cooperation Is Key
In the absence of a "one size fits all" solution, competing companies have to start working together to create an end-to-end security solution that is technologically superior, requires minimal security expertise from the customer, and is interoperable with the ecosystem. These companies have to cooperate to provide a product that works out-of-the-box, and provides a complete solution which addresses all the customer's security needs throughout the entire service life cycle: from initial deployment, to maintenance, and the changing of a provider. There should be a full solution that comes from a single point of contact, even if there are a number of companies involved.
Ultimately, those vendors willing to design devices and invest in solutions to address future threats and attacks will find themselves in a stronger market position. This requires no shortage of courage from management, who will have to devote considerable resources toward often hard-to-explain functionality for a potential future ROI. Regardless, all companies involved require the vision to invest in the future of IoT Security, rather than focusing on just immediate returns.
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First Lady delivers Easter eggs to Children's National Hospital
Washingtonian magazine recognizes Children's National Hospital physicians as "Top Doctors" in 25 specialties
Advanced lung care program at Children's National Hospital receives Certificate of Need for pediatric lung transplants
An improvement initiative in the NICU led to a significant reduction in vancomycin use
Art of Living Partners with Children's National Hospital to Provide Free Access to its One-of-a-Kind Breathing Meditation for U.S. Healthcare Workers during COVID-19 Pandemic
Black, Hispanic adolescents significantly more likely to die by police intervention than whites
Brain tumors may be seeded from distant site
Children with no COVID-19 symptoms may shed virus for weeks
Children's National Hospital announces $5 million commitment from Boeing in support of new Research & Innovation Campus
Children's National Hospital earns Clean Facility Certificate from the Association for the Health Care Environment
Children's National Hospital leader inducted into the 2020 class of American Academy of Nursing fellows
Childrens National Hospital creates community network
Childrens National Hospital earns 2020 CHIME Digital Health Most Wired recognition
Childrens National Hospital earns 2020 CHIME Transformational Leadership Award
Children's National Hospital launches saliva testing for COVID-19
Prince George's County Location Opens
Children's National Hospital welcomes Director of the Center for Neuroscience Research
Nate Lesser joins Childrens National Hospital as Chief Information Security Officer
Children's National Hospital spin-off AlgometRx among awardees of JLABS @ Washington, DC QuickFire Challenge
Children's National competes in STAT Madness
Study finds surprisingly little difference in hospitalization rates between children with COVID-19 and those with seasonal flu
Children's National Hospital physician tests positive for COVID-19
Colorectal program opens at Children's National Health System
Children can have COVID-19 antibodies and virus in their system simultaneously, raising questions about transmission window
Inconsistencies in data presentation could harm efforts against COVID-19 and future outbreak preparedness
COVID-19 edition of pediatric medical device competition announces winners
COVID-19 rates higher among minority children experiencing socioeconomic barriers
COVID-19 testing site highlight the importance of understanding the virus' unique impact on children
COVID-19 vaccine given to first wave of staff at Children's National Hospital
COVID-19-edition of pediatric medical device competition announces finalists
Deadline Extended to Feb. 22 for Annual NCC-PDI Pediatric Medical Device Pitch Competition
Interventions stem antibiotic prescribing rates in telemedicine
Pediatric Drive-Up COVID-19 Specimen Collection Site
E-cigarettes can be a 'gateway' to conventional cigarette smoking for teens who had no prior intention to smoke, study finds
E-modules increase provider knowledge, attitude and confidence related to childhood adversity and trauma-informed care
Enriching newborns' environment helps heal young, injured brains
FDA Grant and Gift from Entrepreneur Provide $250K in Awards for Pediatric Medical Device Competition
First Lady Visit 2020
Childrens National Hospital becomes first pediatric hospital designated a Center of Excellence by Focused Ultrasound Foundation
First use of novel 3D imaging technology in pediatric spine surgery
Gene therapy/gene editing combo could offer hope for some genetic disorders
Children's National Hospital receives Magnet redesignation
Magnet Recognition Program
Maternal anxiety affects the fetal brain
Higher maternal socioeconomics offer little protection against toxic prenatal stress
Measuring tape is a critical tool for following Zika virus-exposed children
Mended Little Hearts Hospital of the Year awarded to Childrens National Hospital
Local students to receive mental wellness course on behalf of Children's National Hospital
NCC-PDI showcase event applications open
Neural stem and progenitor cell diversity in early brain development may contribute to later cortical complexity
Experts identify best methods to study neurological impacts of puberty suppression in youth
Updates to screening protocol will refine algorithm and improve reporting for the standard newborn assessment
Northern Virginia Magazine names 76 Children's National physicians "Top Doctors"
Prestigious national pediatric medical device competition announces six winners to share in $250K NCC-PDI grant funding
Pediatric Medical Device Pitch Competition Announces 30 Semi-Finalists
Prestigious annual pediatric medical device competition reveals 10 finalists
Racial Disparities in the Management of Pain for Minority Children
Reducing urinary protein for patients with rare kidney disease slows kidney decline
Researchers from Childrens National Hospital found isolated bacterium
Play-Doh, dry pasta show little gluten transfer
Significant Number of Children Become Seriously Ill with COVID-19
T-Cells from recovered COVID-19 patients show promise to protect vulnerable patients from infection
FCC Awards Children's National Hospital $928K to Create Regional Pediatric Telehealth Consortium in Response to COVID-19
Parents lack understanding of teens with cancer preferred time to talk about end-of-life issues
Children's National Hospital ranked a top 10 children's hospital and No. 1 in newborn care nationally by U.S. News for fourth year in a row
When pregnant moms are stressed out, babies' brains suffer
Yves d'Udekem, M.D., Ph.D., joins as Cardiac Surgery Chief
WASHINGTON – Children's National Hospital is establishing a regional pediatric telehealth consortium in response to coronavirus with $928,000 in funding awarded by the Federal Communications Commission's Wireline Competition Bureau. The funding, which is part of the FCC's COVID-19 Telehealth Program, enables the nationally-ranked pediatric hospital to expand its telehealth platform to support 15 health care sites in the region serving children and young adults, providing care to children with COVID-19 as well as those who are medically vulnerable and helping to protect health care workers as the pandemic threat continues.
The new telehealth consortium will encompass health care sites serving urban, suburban and rural communities across the District of Columbia, Maryland and the Commonwealth of Virginia.
The consortium initiative includes establishing the COVID-19 Telehealth Command Center, which will be hosted by Children's National and staffed by a team of virtual and in-person providers and clinicians. The Command Center will provide 24/7 coordination of all telehealth activities across all consortium health care sites.
The FCC funds will be used for telehealth carts, tablets and other connected devices, the telehealth platform, telehealth equipment and innovative AI (augmented intelligence) to treat seriously ill COVID-19 pediatric patients, as well as patients up to 30 years old, and to continue to provide evaluations, diagnoses and care to patients with acute or chronic health needs via telehealth. Funds will also support telehealth devices and data plans to provide care for underserved patients.
The expanded telehealth infrastructure is designed to support provider-to-patient pediatric care and provider-to-provider consultations through a connected "virtual hospital" model. It will be used for emergency room, NICU and inpatient care to provide access to specialized expertise and for outpatient care of COVID-19 patients.
The regional consortium model builds upon the well-established telehealth program at Children's National which employs the latest technology and encompasses 1,200 providers across a wide range of pediatric specialties.
The Children's National consortium initiative is led by David Wessel, M.D., executive vice president and chief medical officer, Hospital and Specialty Services; Ricardo Munoz, M.D., division chief of Cardiac Critical Care Medicine, executive director of Telehealth, and co-director of the Children's National Heart Institute; and Shireen Atabaki, M.D., M.P.H., medical director of Informatics, associate director of Telehealth and emergency medicine physician.
The FCC's COVID-19 Telehealth Program was authorized by the CARES Act and to date has approved funding for 132 health care providers in 33 states, plus Washington D.C., for a total of just over $50 million in funding.
Media contact: Jennifer Stinebiser | 703-568-8825 | 202-476-4500
About Children's National Hospital
Children's National Hospital, based in Washington, D.C., celebrates 150 years of pediatric care, research and commitment to community. Volunteers opened the hospital in 1870 with 12 beds to care for Civil War orphans. Today, 150 years stronger, it is the nation's No. 6 children's hospital. It is ranked No. 1 for newborn care for the third straight year and ranked in all specialties evaluated by U.S. News & World Report. Children's National is transforming pediatric medicine for all children. In 2020, construction will be complete on the Children's National Research and Innovation Campus, the first in the nation dedicated to pediatric research. Children's National has been designated twice as a Magnet® hospital, demonstrating the highest standards of nursing and patient care delivery. This pediatric academic health system offers expert care through a convenient, community-based primary care network and specialty outpatient centers in the D.C., metropolitan area, including the Maryland and Northern Virginia suburbs. Children's National is home to the Children's National Research Institute and Sheikh Zayed Institute for Pediatric Surgical Innovation and is the nation's seventh-highest NIH-funded children's hospital. It is recognized for its expertise and innovation in pediatric care and as a strong voice for children through advocacy at the local, regional and national levels.
For more information, follow us on Facebook, Instagram and Twitter.
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Eagles Notes: DBs playing better together and Sean Payton still loves Malcolm Jenkins
By Nick Fierro
| Of The Morning Call |
| PHILADELPHIA
If there's one positive to all the injuries the Philadelphia Eagles' secondary has absorbed, they came early enough in the season for the team to be able to adjust in time for an improbable playoff run.
When the season began, rookie Avonte Maddox and second-year man Rasul Douglas were deep reserves, limited basically to special teams. Now they're starters.
Meanwhile, nickel cornerback Cre'Von LeBlanc was trying to find his way with his third team in three seasons before finally being waived by Detroit in November. Now he's the Eagles' top inside option, ostensibly a starter too.
Safety Corey Graham, despite missing three full games and all but three snaps of a fourth with a hamstring injury, has played almost twice as many snaps, at age 33, as he did the year before, thanks to being forced into a starting role like Maddox and Douglas.
All of these emergency starters teamed with experienced all-pro Malcolm Jenkins last Sunday to help the Eagles score a 16-15 win over Chicago in the first round of the playoffs.
This, with Sidney Jones watching from the trainer's table and Rodney McLeod, Jalen Mills and Ronald Darby limited to observer-only status as members of an injured reserve list that's nearly as deep and talented as their active roster.
Now, with a second-round meeting against the New Orleans Saints looming, this makeshift group is preparing to parachute into the crucible known as the Mercedes-Benz Superdome, where even the most skilled and experienced defensive backs often go to die.
No matter.
Win or lose Sunday, the Eagles are almost certain to operate without fear and without the confusion and transition that defined the back end of their defense during their darkest times, which spanned almost the entire season.
Not now, however.
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That's because they've come through the worst of an inevitable trial-and-error process (that's still going on to some degree) to play well enough to make this team a winner again.
The Eagles fell to 4-6 after losing to the Saints, 48-7, on Nov. 18. They've won six of seven since.
"Reps," Douglas stated. "That's really it. Just reps. You get better the more you play."
LeBlanc agrees. He played his first defensive snap for the Eagles in that loss to the Saints and hasn't looked back.
"Coming in as a new guy, not knowing the defense and the terminology, you had to put forth your best effort," LeBlanc said. "You just harp on yourself, trying to know the plays and … just do your best for the team."
His best wasn't nearly good enough that day. His best is more than good enough now, less than two full months later.
Douglas and Maddox, who also has played the slot and started at safety, have made similar leaps.
"We're playing our best football now when it matters most," Douglas said.
That could at least give them a puncher's chance on Sunday against a dynamic offense that is almost impossible to stop at home.
Yes, Jenkins was angry by the end of that first Eagles-Saints game.
Angry with some of his teammates for not showing an aggressive enough "demeanor," and so angry at his former coach, the Saints' Sean Payton, for running up the score, that he flipped him the middle finger, which drew a fine from the league.
No, the sour taste didn't linger.
"I told him after the game that I love him," Payton said in a conference call with Eagles beat reporters on Wednesday. "And I know the feeling is mutual. I just have a ton of respect for him as a player and also as a person. He's a fantastic, fantastic player, and just as good of a person."
Payton also admitted that allowing Jenkins to leave via free agency after the 2013 season — he promptly signed with the Eagles — was "probably one of the bigger mistakes that we made."
DE Michael Bennett (foot) and QB Carson Wentz (back) did not practice.
[More from sports] Orioles prospect Michael Baumann throws no-hitter for Double-A Bowie: 'That's big league stuff' »
LB D.J. Alexander (hamstring), WR Alshon Jeffery (ribs), CB Sidney Jones (hamstring), T Jason Peters (quadriceps), WR Golden Tate (knee) and WR Mike Wallace (ankle) were limited.
The report is an approximation because the team had a walk-through practice only on Wednesday.
Before practice, Eagles coach Doug Pederson was vague about the progress of Jones and Wallace, who hasn't played yet after coming off the injured reserve list, saying they were planning on seeing more about what they can do this week.
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Craft Brewers Tweak N.C. Water To Match Western Mountain Flavor : The Salt Several craft beer makers from the western U.S. are setting up operations in the East. But producing there means they must tinker with local water so the beer tastes the same wherever it's brewed.
What's On Your Plate
Eating And Health
< Craft Brewers Tweak N.C. Water To Match Western Mountain Flavor
Craft Brewers Tweak N.C. Water To Match Western Mountain Flavor
The craft beer market has been growing even as overall beer sales have been flat. And several independent craft beer makers based in the West are setting up production in the East. But there's a big challenge. The water used to brew the beer tastes different. North Carolina Public Radio's Jeff Tiberii has more.
JEFF TIBERII, BYLINE: Every day, a half dozen employees of Oskar Blues Brewery file into a small room in Brevard, North Carolina. It's cluttered with boxes, petri dishes and test tubes. This isn't quite a chemistry classroom. There are beer cans and pint glasses. It's a tasting area where a sensory panel meets daily to try the beer. David Morris is wearing cargo shorts and sports a bushy beard. He's scribbling notes about what he and his colleagues taste.
DAVID MORRIS: Buttery character or a green apple character or maybe a burnt flavor in a beer.
TIBERII: Staff also does blind tests, comparing North Carolina-made beer with samples from Colorado where the company started. Eric Bauman is director of fermentation and quality control.
ERIC BAUMAN: When we first started brewing here, yeah, there was a remarkable difference. But now in a given tasting panel, it's really hard to pick out the two.
TIBERII: That's because in the two years since bottling in the East began, they've been manipulating the water. The water used in Colorado comes from mountain runoff, collected out of ponds. In North Carolina, the brewery uses local municipal water.
BAUMAN: It's very similar. However, typically, when you're looking at water, it's also how the city is treating the water. And we found here there is quite a bit more chlorine, and so we've had to put in charcoal filtration to remove the chlorine.
TIBERII: Oskar Blues now produces almost half of its beer in North Carolina. That means easier and cheaper shipping to East Coast cities and fresher beer in new markets. Also expanding east is Sierra Nevada - that's the nation's second largest craft brewery. It's outgrown the original plant in California. Brian Grossman runs Sierra Nevada's new facility in North Carolina.
BRIAN GROSSMAN: You know, that's what defines a great brewer is consistency. There's plenty of people out there that make these, you know, wonderful beers, but can they do it every single time?
TIBERII: Hence the focus on water, beer's main ingredient. Grossman walks through the expansive plant outside of Asheville. Before opening the plant earlier this year, Sierra Nevada took water samples from all over the region and did analysis.
GROSSMAN: This right here is a dosing system - right here. Calcium chloride right here that we're dosing in line. This is the dosing station. So we're just going to impregnate it in there. We're going to go to our mash water and we're going to go.
TIBERII: In other words, add some salt and prepare for fermentation. Overall, the changes are subtle, and customers may never recognize them. Andrew Fisher is a beer enthusiast who works at a local store where he conducts weekly tastings.
ANDREW FISHER: I don't think it's so much about whether people can tell that the water has been treated so much as the Brewers themselves knowing that they're putting out a reliable and consistent product.
TIBERII: Fisher suggests another motivation for all the attention to water.
FISHER: It's a part of brewing, at this point in the game, because it's become such a competitive and huge enterprise.
TIBERII: Craft beer is only about eight percent of the American beer market, but that's double its share compared to 15 years ago. Growth is continuing with the nation's third largest craft brewer. New Belgium has outgrown its facility in Fort Collins, Colorado. It's building a new plant in North Carolina, as well. And it'll be doing what it can to make the local water replicate Rocky Mountain runoff. For NPR News, I'm Jeff Tiberii in North Carolina.


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Series: Landing: Stories from the Cultural Divide 3
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Elisabetta Vendramini (Vicenza, 9 de abril de 1790-Padua, 2 de abril de 1860) fue una religiosa profesa católica italiana que estableció las Hermanas Franciscanas Isabelinas en 1830 en Padua. Se mudó allí después de que rompió su compromiso con un hombre de Ferrara. Su proceso de beatificación comenzó el 30 de diciembre de 1938, bajo el papa Pío XI, en un movimiento que le otorgó el título de Sierva de Dios.  Fue declarada Venerable en 1989 mientras el papa Juan Pablo II presidió su beatificación el 4 de noviembre de 1990.

Biografía
Elisabetta Vendramini nació el 9 de abril de 1790 en Vicenza. Fue educada en un convento agustino cuando era niña y recibió su educación religiosa tanto de ellos como de sus padres.

En 1811 se comprometió, a pesar de la objeción de sus padres, con un hombre de origen humilde de Ferrara. Rompió este compromiso la noche anterior a su boda en 1817 porque sintió una llamada clara y concisa a la vida religiosa para poder dedicarse a las necesidades de los pobres. Comenzó a cuidar niños en su ciudad natal y luego se unió al personal de un orfanato capuchino en 1820. En 1821 se profesó en la Tercera Orden de San Francisco y asumió su hábito. Vendramini se mudó a Padua y trabajó con dos de sus amigas en una escuela gratuita.

El 10 de noviembre de 1828 estableció las Hermanas Franciscanas Isabelinas en Padua, con la ayuda del sacerdote Luigi Maran (1794-1859) y las nombró en honor a Isabel de Hungría. El instituto se estableció para seguir la regla de Francisco de Asís, la regla que el papa Nicolás IV aprobó en 1289. Su congregación se distinguió en 1836 durante una epidemia de fiebre.

Murió el 2 de abril de 1860. Sus restos desaparecieron en 1872 tras la renovación de las tumbas donde se encontraba.

Su orden fue agregada a la Orden de los Frailes Menores el 19 de febrero de 1904, mientras que el papa Pío X emitió el decreto de alabanza el 5 de abril de 1910. Recibió la aprobación total del papa Pío XI el 18 de junio de 1934. La orden ahora opera en Kenia, Ecuador, Argentina, Egipto, Israel y en Sudán del Sur entre otros estados y en 2005 tiene 117 casas con un total de 1032 religiosos.

Beatificación
El proceso de beatificación se inició en la Diócesis de Padua el 30 de diciembre de 1938 -bajo el papa Pío XI- en un proceso informativo que otorgó el título de Siervo de Dios como primera etapa oficial del proceso.  La investigación informativa concluyó su actividad el 18 de abril de 1947. Los teólogos recopilaron sus escritos y los aprobaron como conformes a la fe en un decreto del 2 de abril de 1964. El segundo proceso se abrió el 8 de junio de 1963 para continuar el trabajo del primer proceso y cerró el 30 de noviembre de 1964. El último abrió el 12 de enero de 1965 y cerró poco después.

La Positio se presentó a la Congregación para las Causas de los Santos en 1986 y se envió a una sesión de historiadores para que este último grupo evaluara si la causa tenía o no obstáculos históricos que le impidieran seguir adelante.  El equipo de historiadores aprobó la causa el 10 de marzo de 1987. El 11 de marzo de 1988 el C.C.S. validó los tres procesos anteriores y asignó teólogos para discutir la causa a la que este último expresó su aprobación al contenido de la Positio el 28 de junio de 1988. El C.C.S.  ellos mismos también lo aprobaron el 7 de febrero de 1989, lo que les permitiría transmitir sus conclusiones al Papa para su propia aprobación.

Fue proclamada Venerable - el 18 de febrero de 1989 - después de que el papa Juan Pablo II aprobara el hecho de que la difunta religiosa había vivido una vida cristiana modelo de virtudes heroicas en la que se decía que había ejemplificado las virtudes cardinales y las virtudes teologales.

El milagro requerido para su beatificación fue investigado en la diócesis italiana de su origen desde mayo de 1956 hasta julio de 1956. Recibió la validación de la C.C.S.  el 21 de abril de 1989 y recibió la aprobación de la junta médica el 15 de noviembre de 1989. Los teólogos consultores también expresaron su aprobación al milagro el 23 de marzo de 1990, mientras que el C.C.S.  también expresó su aprobación el 19 de junio de 1990. El Papa expresó su aprobación el 10 de julio de 1990 y la beatificó el 4 de noviembre de 1990.

El milagro en cuestión implicó la curación rápida y perfecta de Sergia De Carlo, de la propia orden de Vendramini, en diciembre de 1936 en Padua, que padecía una combinación de tuberculosis y enfermedad de Pott.

El actual postulador asignado a la causa es Giovangiuseppe Califano.

Véase también
 Iglesia católica en Italia

Referencias

Enlaces externos
 Círculo de hagiografía
 Franciscan Elizabethan Hermanas

Educadores de Italia
Monjas de Italia
Católicos de Italia
Beatos de Italia
Fundadores de una orden o congregación católica
Personas beatificadas por Juan Pablo II
Italianos del siglo XIX
Nacidos en Bassano del Grappa
Fallecidos en Padua

redpajama_set_name: RedPajamaWikipedia


Rowing in Estonia. Everything is real.
Row and socialize along the banks of one of the most beautiful river in Europe.
Rowing Vacation: Do you know you knew your schedule?
Day Tours: If you're only in town for a few days, or would like to extend a business trip for pleasure, contact us. We are eager to help you create an unforgettable rowing experience. Berlin, Amsterdam, and Lucerne are a few of our favorite daily tours.
Weekly Tours: Weekly tours range from 3 to 10 days and let you experience Europe like never before. You may choose to join one of our planned tours, or we can work with you to create your very own route. Finding a place you would like to row can be easy in Europe. Where do you dream of rowing? If you already have your group together or a tour in mind, contact us to set it up.
Custom Tours: Do you have special plans? Maybe a themed rowing event or you want to take your wedding party into rowing boats? Would you like to plan a trip to a Masters Event? Want to participate at a race and need accommodation? Contact us and we will help, we can work together to make your dreams become a reality.


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Torres Up for FIFA Goal of the Year
By -Ed- Dec 7, 2009, 6:27pm GMT
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The creation of the Ferenc Puskas award was mentioned on the main page awhile back, and now voting has opened for the ten nominees. Fernando Torres' stroke of magic against Blackburn at Anfield is among those, as are strikes by Cristiano Ronaldo, Michael Essien, Emmanuel Adebayor, and Andres Iniesta (but we all know it was really Tom Ovrebo). You can view all the goals by clicking this link, and you can see Torres' below. Obviously my heart's with Torres, but if I'm honest there's little between most of them. But go ahead and vote for your favorite before December 14, or else absolutely nothing in your life will change. Hooray, pointless awards!
In less pointless news, Lucas is lauding Aquilani as the second coming. Which is encouraging, but also strange considering that Lucas is the one that most feel should be replaced by the Italian. Assuming that one day Aquilani is fully fit, I'm not sure that Lucas will be as loving. Maybe he's dumber than a box of rocks, or maybe he's confident enough that he won't be displaced by a match-fit Alberto Aquilani, who will presumably enter Anfield from the heavens on Wednesday, followed by a pre-match display of walking on water.
Ryan Babel is trying to claw his way back into Scouse hearts, denying that he conducted an exclusive interview with the S*n, stating instead that his words were with a Dutch newspaper, then taken out of context/fabricated. Wouldn't be the first time this has happened, and it's a smart move for him to release some sort of statement. Feels a bit delayed, though, considering that was nearly two weeks ago now, and he hasn't done much to ingratiate himself with the club on or off the pitch. However, I can't shake the feeling that with the right mindset and ample playing time, he could be something really special. On the pitch or the DJ booth. Either way I'm happy. Brrrrrrrrahhhhtt brrrrrahhhht.
And Pepe Reina, doing his best to mend my Xabiless heart, blatantly contradicts Rafa Benitez by saying that points are more important than clean sheets. I think this is terrific--no gloss, no attempts at a positive spin, clearly putting the team's results of any sort of personal accolades. Shouldn't come as a surprise, considering this is the man who labeled Liverpool's Champions League performance a "disgrace" a month ago. I'd love to hear more of this type of candor coming out of Anfield, especially when it's someone performing at such a high level. There's a certain amount of realism that's needed for Liverpool right now, and seemingly Reina's the one to provide it.
Wednesday creeps closer, and regardless of the implications (or lack thereof), it's a European night at Anfield. I hope that we'll see the boys close their Champions League campaign with a win, particularly to try to gain some much-needed momentum before Arsenal visits on Sunday. Which, by the way, will be celebrated by Martin and myself with a Liveblog extravaganza. And me drinking at 9:00am.
Klopp Talk: "Taki's in a Good Moment"


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Teen Mom 2 LIVE – Jade Cline's mom returns after leaving with daughter's post-surgery medication
THE LATEST season of Teen Mom 2 promised to be the biggest season of the show ever.
The episode titled "Mutual Combat" begins at 8pm ET/PT on Tuesday, June 15.
The 25th episode of Season 10 of Teen Mom 2 will be shown on MTV.
For viewers who wish to watch the show without cable, the show will be available to stream on YouTube TV, fuboTV, Vudu, Hulu, Sling TV, Philo, Apple TV, and Amazon Prime Video with a subscription plan.
In a trailer posted ahead of tonight's episode, Jade's mom returns home after she left with her pain medication.
Teen Mom 2 fans had been left furious after last week's episode when Jade's troubled mom seemed to disappear with her suffering daughter's pain meds she was prescribed after her Brazilian butt surgery.
The reality star was incredibly swollen and in "excruciating pain" when she left the hospital, as her mom Christy and step-father Corey helped her into the back of the car.
Read our Teen Mom 2 live blog below for the very latest news and updates…
Julia Fields 3 minutes ago
PLASTIC SURGEON 'UNREACHABLE'
The complaint claimed Dr. Chang was unreachable during the ordeal.
The documents claimed: "From on or about December 8, 2018, through December 9, 2018, Respondent failed to respond to multiple attempts to contact him with regards to Patient R.M.'s condition.
"The prevailing professional standard of care required Respondent to be available and/or to have a designee available in the event of an emergency or complication."
JADE CLINE'S COMPLAINTS POST PLASTIC SURGERY
According to the complaint, the patient "noted bleeding from the operation site on her way to her hotel and lost consciousness."
She was taken to the hospital by ambulance and was diagnosed with "hypovolemic shock."
She was given "multiple blood transfusions" and was transported to a different hospital for additional treatment.
Julia Fields 11 minutes ago
JADE CLINE'S PLASTIC SURGEON UNDER INVESTIGATION
Teen Mom 2 star Jade Cline's plastic surgeon is under investigation after "ignoring" a patient who allegedly "bled" and "went into shock" following a lipo procedure.
On this week's Teen Mom 2, Jade, 24, underwent a Brazilian butt lift, 360 liposuction, including on her neck, and had fat transferred to her breasts.
Dr. Oliver Chang of Spectrum Aesthetics in Florida performed the procedure, as he was filmed answering her questions before the surgery.
The Sun can exclusively reveal the Department of Health filed a dispensary action against Dr. Chang in 2019.
According to the complaint obtained by The Sun, Dr. Chang performed "suction assisted lipectomy," which is the removal of fat, of the "abdomen, flanks, lower back and chin."
There were "no complications" during the procedure and the patient was discharged on the same day.
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Horoscope today, Wednesday June 16: Daily guide to what your star sign has in store for your zodiac dates


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If you have forgotten your username or either password, just click on Forgot User ID/Forgot Password, and with few simple verification steps of BB&T online login, you would retrieve the credentials of your account.


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Diede de Groot makes her way towards GOAT status
Yaseen Hijazi
Diede de Groot is making huge strides towards immortality status in wheelchair tennis and is set to become the next Dutch GOAT since Esther Vergeer.
24 Grand Slams and counting!
Yet another incredible talent from the Netherlands, Diede de Groot is making huge statements in the world of wheelchair tennis despite being relatively early in her career. At just 25 years of age, she has already secured 24 Grand Slam titles across singles and doubles, split evenly 12-for-12 in fact, showing an incredibly versatile success.
🎾 24 Grand Slam titles
🎾 4 consecutive NEC Wheelchair Singles Masters titles
🎾2021 Golden Slam winner (wheelchair women's singles title at all 4 Grand Slams plus Olympic gold medal)
Happy birthday to @DiedetheGreat! 🎉 pic.twitter.com/i2RV4klCAG
— Billie Jean King (@BillieJeanKing) December 19, 2021
Winning her first major title at the 2017 Wimbledon, De Groot has spent the next five years accumulating an impressive record of tournament titles, major and minor, and has since become the world's best player in women's wheelchair tennis, taking the number one spot in the ITF singles and doubles rankings as of 2018. At this point, she is halfway there to reaching the all-time record set by fellow countrywoman Esther Vergeer and is showing plenty of promise to make it to those extraordinary heights of success.
Golden Slam Winner
In many ways, Diede de Groot is already a GOAT in her own rights, as she has accomplished feats in wheelchair tennis that have never been done before. One such example is her most recent and certainly most impressive achievement of winning the Golden Slam of 2021, that is, all four Grand Slam titles plus the Paralympic Games Gold Medal in wheelchair tennis. Not only is De Groot the first to win a Golden Slam in wheelchair tennis, she is also the third player to win it overall across the WTA Tour and wheelchair tennis combined and the first since Steffi Graf.
Of course, Esther Vergeer has also won a Gold Medal at the Paralympics, in fact, make that four! Indeed, the most remarkable message that this feat from Vergeer shows is her ability to produce peak-performance results across the span of 16 years to secure all those medals. While De Groot is a long way off reaching Vergeer's seemingly impossible feats, she has managed her first record over her fellow countrywoman by winning the Golden Slam.
Another interesting concept to consider is the non-existence of wheelchair Wimbledon singles during Vergeer's time, though it's likely she also would have dominated that event. This is especially true considering her enormous success at the Wimbledon doubles events, in which she demonstrated exceptional talent to succeed on grass by claiming the titles for three consecutive years. Nevertheless, albeit a result of the recent changing of wheelchair tennis eras, De Groot has shown an incredible ability to win Grand Slam events on every major surface type in singles and doubles and is on a similar trajectory to the legendary Esther Vergeer.
Young and full of energy!
Regardless, the fact of the matter is there are 15 years of age separating De Groot and Vergeer, and with youth on her side as well as coming off of some incredible form in recent months (years for that matter), it'll be worth keeping an eye on how the young Dutch continues to manifest her success in the coming years. While reaching the heights of 48 Grand Slam titles may seem like a daunting, if not impossible task at first, when you're just as good at winning doubles titles as you are singles, then it may be more attainable than meets the eye.
Astonishingly, Diede de Groot was actually just one Grand Slam short of also winning the 2021 Calendar Slam for doubles as well, with the Wimbledon alluding her this time around. Had she accomplished it, she would have been on equal playing fields with Vergeer in terms of winning both Calendar Slams in the same year, perhaps even more impressive as it would have also included the Wimbledon singles title.
Looking at it from this perspective, it may seem that De Groot fell short of matching one of Vergeer's incredible records, however this is not entirely true. Due to the absence of a Wimbledon singles event in Vergeer's time, it only took three Slams for the Calendar as opposed to now, where it takes four. Keeping this in mind, we come to the realization that De Groot has actually matched the maximum number of Grand Slam titles across singles and doubles as her fellow Dutch Vergeer had accomplished in her greatest year of 2009, that is, a total of seven Grand Slam titles across all disciplines.
In essence, Diede de Groot is quite possibly the next Esther Vergeer and has already become the pride and joy of Dutch tennis, if not Dutch sports entirely. She is making enormous strides in her career that is nothing short of pure domination, and as of her most recent success, it wouldn't be an exaggeration to say she is on her way to a GOAT status of her own, if not already there. As far as statistics and number of titles goes, there's still much work to be done to reach the "undisputed GOAT" title, but one thing's for sure, it's been an incredible journey so far and this story is far from finished!
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Garth Brooks' Kansas City Concert Will Include a COVID-19 Vaccine Clinic
By Hannah Barnes - July 30, 2021 10:36 am EDT
Fans who attend Garth Brooks' upcoming show in Kansas City, Missouri on Aug. 7 will have the chance to get their COVID-19 vaccine, with the show to have a vaccine clinic on-site, the Kansas City Star reports. Brooks will perform at Arrowhead Stadium, the home of the Kansas City Chiefs, and Chiefs President Mark Donovan said during a media call on Monday that the organization's "goal is to get as many people vaccinated as possible, on the business side as well as in the community."
"We're going to continue to take advantage of every opportunity we can to create vaccination opportunities," he said, via PEOPLE, adding, "We've got a little concert coming up here with Garth Brooks with about 70,000-plus fans, and we're working on having a vaccination site on-site for the concert. We'll continue to do that. Not sure if we're going to be able to do it on game days. We're trying to work through that as well." As of Thursday morning, the Centers for Disease Control reports that 49 percent of Americans have been fully vaccinated against COVID-19, while 57 percent have received at least one dose, a number that is raising concern as the Delta variant spreads across the country.
Brooks received his own vaccination earlier this year and told Billboard that anyone on the road with him has also done so. "My thing is we're all a family that's been together for 100 years anyway, so the conversation is this: If you don't believe in the vaccination, or don't feel like you're going to get it, I get it — but what you're going to do is you're going to stay at home," he said of his band and crew. "I'll still pay you, but I'm going to pay you to stay at home, and the rest of the crew members will make up for you. Only vaccinated band and crew will be on this tour, because we don't need to fire up just to shut down. This is the individual's choice 100 percent, but if you're not vaccinated, you won't be out there with us this year."
Other upcoming dates on Brooks' Stadium Tour include Nashville on July 31 followed by stops in Lincoln, Nebraska on Aug. 14; Seattle, Washington on Sept. 4; Cincinnati, Ohio on Sept. 18; Baltimore, Maryland on Oct. 2; Foxborough, Massachusetts on Oct. 9; and Charlotte, North Carolina on Sept. 25. The tour resumed earlier this month with a show in Las Vegas, and Brooks played a stop at Cheyenne Frontier Days in Wyoming last weekend.
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Art Reyes, Michigan activist, tells 'how we prevailed when our democracy was on the brink'
The writer is founding executive director of We the People - Michigan, a three-year-old progressive group. He lives in Royal Oak and has degrees from the University of Michigan and Harvard's Kennedy School of Government.
He posted this Tuesday as a Twitter thread. It has been shortened and lightly edited for style and clarity.
By Art Reyes III
Michigan showed up Monday and the day before that and the day before that and the day before that.
After the Michigan Board of Canvassers certified the election, key dominos fell:
The General Services Administration moved on the presidential transition.
The state Supreme Court rejected an election challenge lawsuit appeal.
GOP senators and CEOs acknowledged Trump's loss.
This was a decisive blow to Trump and his allies' attempts to undermine our democracy. We may see some last-gasp efforts to hold onto power, and we'll be ready for it if it comes, but the proverbial nail is in the coffin.
Art Reyes III: "This is an organizing victory, a people's victory." (Photo: We the People)
It's important to tell the story of how and why we've prevailed when our democracy was on the brink. This is an organizing victory. A people's victory. A movement victory. We did this.
Not our institutions, not the party, not Joe Biden. Organizers did this. Here's how:
We built strong, distributed organizing structure. A committed core team that meets every day, committees that did real work and pulled people in, and incredible geographic-based Action Councils led by local leadership in every corner of the state.
We did this months ago. We built and drove the strategy here, on the ground, in Michigan.
Strategy is not something that comes from on high, from magical national organizations, pollsters or consultants. It's build actively with our people, it's adaptive and more about our strategic capacity than a rigid plan.
. . . And it was fun
Because of this, we out-prepared our opposition and anticipated their moves. We thwarted them at every desperate turn, and it was fun.
Because of the robust structure we were nimble and could pivot on a dime with lots of leaders in key moments (TCF Center, airport actions, Board of Canvassers testimony, etc.)
We could also hold our own when some national organizations (mostly progressive organizations and attorneys) got all anxious and started to cook plans. We were able to collaborate with our allies (you know who you are) to play containment so national organizations didn't stumble in and fuck stuff up.
The national ecosystem, ultimately, followed our leadership, stayed out of our way, and made real and meaningful contributions (deploying their members, supporting our strategy and adding capacity, etc). Kairos Fellowship went above and beyond in their humble support and solidarity.
We were also explicit about race from the jump. When we first came together in August, we said if they try to steal this election, they are going to do it with racist attacks on Detroit in an attempt to disenfranchise Black voters and other voters of color.
We said it to everyone that would listen. This will be racialized and unless folks stand in solidarity with Black folks and Detroit, they're going to wage divide and conquer attacks, encourage white nationalist violence, and wedge white folks against us with law and order rhetoric.
We saw it for what it was
So no one was surprised when Trump got out his racist dog-whistle in his Nov. 15 unhinged press conference, saying Detroit was corrupt and couldn't be trusted with the election. We saw it for what it was -- a racist dog-whistle attempting to disenfranchise Black folks.
And everyone was clear about it when they testified Monday at the Board of Canvassers meeting -- rural white folks, Yoopers, suburbanites stood in solidarity with Black and brown Detroiters calling out the racist bs. The very people they were trying to wedge with the dog-whistles called bullshit. ...
We operated as a collective. The whole was genuinely more than the sum of its parts. We built relationships deeply, operated with trust, left egos and drama aside. Named tension when it came up and dealt with it. ... It was beautiful. It is the future.
So when you start hearing pundits talk about who saved our democracy, know it was us. It was our people.
We did it for our people. We did it for each other. And we are just getting started.
How to aid the writer's group
► Mission: "We the People is working to build a multiracial, working people's movement to build a proactive progressive agenda with communities across the state of Michigan. We're fighting to build real organizing strength to overcome a politics of fear and hate that has hurt all Michiganders."
► Donate: One-time or monthly contributions can be given here.
Fewer than 90,000 Covid shots given in first three weeks of vaccine rollout


Anytime. Tanzania has a wet season from March-May and short rains October. It's hottest in Jan/Feb. Rainy season has never restricted my travels here.
What is the best flight / way to get there. Are there any obvious directions to cycle on from there?
You can't fly direct to Dar es Salaam from UK. Emirates/Turkish are possibly cheapest (about £450-500 for return from London). From Dar inland you climb gradually so it gets a little cooler. Along the coast it is hot and flat. Dar is a but of a dump, but most large African cities are.
What are the living costs like?
Outside of tourist places/safari fairly cheap, but more expensive than much of Asia. Basic guesthouse $3-6 in small town. Food $1-3 for a non-tourist price/place dish.
What is the sea like? Is it windy/rocky/wavy/polluted. I would like to do a kite powered trip either on shore or pulling a board. Or do cycling/walk/packraft kind of trip.
Indian Ocean - warm - coral reef runs along much of Tanzanian coastline. Wind directions are monsoonal. Feb-June southern monsoon winds. Oct-Feb northern monsoon - in between much less wind.
Are the locals friendly towards westerners in general?
You are a mzungu like me. Yes they are friendly - learning some Swahili helps tremendously (English is very much second language) Zanzibar is popular for kitesurfing. Very hot of course - interesting to cycle.
Is it okay for camping?
Yes you can camp in places - some tourist spots have campsites. If you are cycle touring then wild camping is possible, but accommodation is fairly cheap and I haven't wild camped that much.


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5 podcasts for the busy mom to stay informed
It can feel like there's a new thing to be informed about every other minute, which is tough to do when you're trying to stay on top of your own family.
That's why podcasts are arguably the best medium for busy moms—especially—to consume information. Think about it: You can listen while on your way to school drop-offs. You can throw an earbud in while pushing your baby's stroller out on a walk. You can play an episode while you unpack from the work day and get dinner going.
Whatever you're doing, podcasts can keep you current and connected in this ever-changing world we live in—with no sitting down to focus required.
Here are five of our favorite podcasts to keep you feeling informed:
Wake up to what's happening in the world with NPR's "Up First." It delivers the biggest stories and ideas—from politics to pop culture—in 10 minutes. Hosted by NPR Morning Edition's Rachel Martin, David Greene and Steve Inskeep, the reporting and analysis come from the two-hour weekday show that is the most listened-to news radio program in the country.
Subscribers to the "On Being" podcast take a front row seat to conversations about the meaning of life in the 21st century. Creator Krista Tippet interviews people who add to an intelligent conversation about religion, meaning and moral imagination in today's world, and how that impacts what it means to be human. The podcast originally started as part of a program with American Public Media, and has won a Peabody award. Recent episodes include "How Friendship and Quiet Conversations Transformed a White Nationalist" and "The Call to Community in a Changed World." (For bite sized chunks, check out Becoming Wise from On Being Studios with "depth and discovery in the time it takes to make a cup of tea.")
Can we reframe failure to feel more like a setback? How can we rekindle creativity? Can we wise up without growing up? These are the types of questions TED Radio Hour considers in its "journey through fascinating ideas," based on talks given on the world-renowned TED stage. Each show is centered on a common theme—such as the source of happiness, crowd-sourcing innovation, power shifts, or inexplicable connections—and features conversations to bring the ideas to life.
The Do Gooders Podcast
Did you know Caring has a podcast? That's right, listen in each week as Caring magazine editor and show host Christin Thieme interviews a new guest on ideas to make an impact—from what it means to do good, to where to discover joy, what it is really like to be homeless or how to raise kind kids. If you want to be inspired and find tangible tips for simple actions you can take for good, this is the podcast for you.
"History is a version of past events that people have decided to agree upon," Napoleon Bonaparte once famously said. In other words, there are many sides to every story. In the podcast "What Really Happened?," documentary storyteller Andrew Jenks examines and contextualizes famous figures and historical events, while discovering untold stories and unraveling newfound narratives. With today's technology, access to information, the ability to communicate from all parts of the globe, and cross-reference historians, Jenks takes on his own rogue investigations into figures from Muhammad Ali to Britney Spears.
Do Good:
Subscribe to The Do Gooders Podcast to be inspired by those doing good and find tangible tips for simple actions you can take today.
Visit westernusa.salvationarmy.org to find The Salvation Army nearest you.
Give to support the fight for good in your community.
Join in the free Find Your Story course today and dive into the email workshop to find your voice, own your story and share it with others.
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Cardiology > PCI
LAA Occluder PREVAILs in Cost-Effectiveness
— Costs saved a decade later compared to warfarin
by Nicole Lou, Staff Writer, MedPage Today July 2, 2019
Percutaneous left atrial appendage (LAA) closure with the Watchman device was cost-saving in the long-term, even after accounting for the uptick in stroke risk observed in one trial, researchers reported.
The high upfront cost of the Watchman procedure became cost-effective relative to warfarin by year 7 (at $48,674 per quality-adjusted life-year) and cost-saving at year 10 ($32,769 vs $33,286 in total costs), according to pooled data from the PROTECT AF and PREVAIL trials.
Compared against non-vitamin K antagonist oral anticoagulants (NOACs), LAA occlusion was a better value by year 5 ($23,960 vs $25,691), a group led by Vivek Reddy, MD, of Icahn School of Medicine at Mount Sinai in New York City, showed in a study published online in the Journal of the American Heart Association.
The researchers estimated the LAA occlusion group gained 0.60 quality-adjusted life-years more than warfarin patients did and 0.29 more than NOAC recipients over a lifetime.
"Despite the increased risk of ischemic stroke observed in the PREVAIL trial, LAA closure is cost-effective and cost saving relative to NOACs and warfarin when the full body of RCT [randomized controlled trial] data is taken into consideration," Reddy and colleagues concluded.
"LAA closure with the Watchman device is an economically viable stroke risk reduction strategy for patients with AF [atrial fibrillation] seeking an alternative to lifelong anticoagulation," they said.
Watchman placement has itself been associated with device thrombus-related stroke.
The study was based on a Markov model over a 20-year horizon. The model included 10,000 people, age 70, at moderate stroke and bleeding risk.
Researchers weighed Watchman costs against procedural complications and clinical event probabilities derived from 5-year data from PROTECT AF and PREVAIL. NOAC cost-effectiveness was based on published meta-analyses.
Reddy's group had previously reported that LAA occlusion achieved cost-effectiveness relative to warfarin and NOACs by years 7 and 5, respectively, based only on 4-year data from PROTECT AF.
The addition of PREVAIL and 1 year more of follow-up yielded the same results.
"Probabilistic sensitivity analysis results confirmed that when using pooled, long-term data, there is a high probability that LAA closure is cost-effective relative to warfarin and NOACs at 20 years (98% and 95%, respectively)," the investigators added.
Assuming older patients (age 75 and 80 at baseline), cost-effectiveness did not go away either.
The study authors acknowledged that there is no trial directly comparing LAA occlusion and NOACs and that they couldn't account for oral anticoagulant switching, discontinuing, or restarting. Additionally, their model assumed each participant would have no more than one adverse event every 3 months.
Nicole Lou is a reporter for MedPage Today, where she covers cardiology news and other developments in medicine. Follow
The study was supported by Boston Scientific.
Source Reference: Reddy VY, et al "Cost-effectiveness of left atrial appendage closure for stroke reduction in atrial fibrillation: analysis of pooled, 5-year, long-term data" J Am Heart Assoc 2019; DOI: 10.1161/JAHA.118.011577.


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Results tagged "guitar" from kwc blog
Guitar World Tabs Beta reminds me why I miss OLGA
on December 21, 2007 9:55 AM | Permalink
Update: Mashable reports that Guitar World has signed with Sony/ATV and there have also been some Beatles and other artists slowly appearing.
Sorry, we have not cleared rights from the publisher for the artist you are looking for but we hope to soon. In the meantime, check out these great tabs from Guitar World.
That's the message that repeatedly tempered my excitement after I found out about Guitar World's Tabs Beta. Tabs, for me, are synonymous with the Internet. Even before mp3s had become primary Internet format for angering the RIAA, you could find repositories of guitar tablature to download and practice. alt.guitar.tab was my harvesting grounds until the Web blossomed with sites like OLGA (Online Guitar Archive) that made it all nice and indexed. Then the legal threats came and tabs fanned out again.
I understood the copyright issues behind it all, but it always felt a bit disingenuous to me: how can you claim copyright for something you don't even sell? Even as a high school student with little money, I purchased piles of Guitar World magazines and books of guitar tab -- the professional transcriptions were always better than what was online -- but it always felt as if 90% of the tabs I wanted only existed on the Internet.
With the launch of Guitar World Tabs Beta, I feel teleported back to 1997. Even though the site tries to style itself as the iTunes of tabs, it's more like the eMusic: a lot of nice touches, but without content who cares? I tried as many Guitar World staples I could think of and got the "Sorry" messsage: Jimi Hendrix, Stevie Ray Vaughan, Satriani, Santana, Metallica, Led Zeppelin, Soundgarden, Pearl Jam, Radiohead, Rage Against the Machine, and Audioslave. The only two searches that returned results for me: B.B. King (1 tab) and Nirvana (1 tab).
On the plus side, it's free, users can submit tabs to fill out their database, and their 'premium tabs' are really nice -- they even appear to be synced to the music so you can press a 'play' button to have it automatically scroll. Sadly it seems that you can't easily print these premium tabs as they're embedded in flash, but the user-submitted ones are plain text that you can copy and paste.
Note to music industry: I'll pay for this stuff -- I've got the collection of Guitar Worlds to prove it. Let us buy it. License it. Stop dooming these promising efforts by refusing your content that you weren't making money on anyways. While you're at it, start selling GarageBand versions of songs. If you want to make more than $0.99 a song, give us more.
Robot Guitar
on November 12, 2007 11:33 AM | Permalink
Apropos some dinner conversation last night, Gibson launched the "Robot Guitar" today. The name implies a guitar that plays itself -- instead its much simpler and more useful: a guitar that tunes itself. It should help you get up and running from a broken string much quicker, or keep you from having to change guitars between songs with different tunings.
A glowing LED knob lets you set the desired tuning and also illuminates the current setting. Some advanced perks include changing your fundamental frequency, custom tunings -- you store it by strumming the guitar in the desired tuning -- and string winding/unwinding for when you want to change your set of strings. You do have to charge the guitar every 200 tunings or so, but that can be done over your normal guitar cord with a special adapter.
The Web site features a countdown to the 12/7/2007 release of the limited edition first run -- a general release won't be until 2008.
Gibson has previously innovated with an ethernet-capable guitar.


When do you start dating again, can i date while my divorce is pending? should i?
Ask friends or family to introduce you to suitable people, try internet dating and invite out anyone who you think you would like to get to know better. You Realize That You Are "Not Guilty" When you have been functioning in life as one-half of a couple, you understandably become conditioned to thinking of yourself in those terms.
You Truly Will Know What do When do you start dating again do when the people around you start badgering you to "get back out there"?
Did you overlook their bad behaviour or react in an unhealthy way?
Sending someone a quick message saying that you saw their profile and wanted to get in touch is a great way to get the conversation started, and much easier than going up to someone in a bar!
And your children and your spouse's family and your friends and the world at large.
At the same time, the only real way to get over a really hard breakup is to move on. You may likely be angry at the circumstances surrounding your spouse's death. One morning when I went round to meet him for breakfast I found him in bed with someone else.
Commit to going out at least once a week, then commit to talking to a certain number of women every night that you go out. You really will know when the time to begin dating is right, if you simply listen to and trust in yourself -- and just as with a bruise, eventually, that tender spot in your heart does heal.
Rather than simply trying to fill the huge void left by a spouse; you are instead opening your heart to the possibilities of a new relationship that will complement an already-fulfilling life.
Hopefully you will also able to recognise and take responsibility for the part you might have played in the relationship breakdown. If you meet someone you like, be up front about your situation.
The solution is to face this head on and push yourself a little. Also if you have a dating topic that you would like discussed in the series, then do let me know and I will do my best to cover it. You may also want to consider doing some forgiving — both forgiving yourself and forgiving those who have hurt you.
Tap here to turn on desktop notifications to get the news sent straight to you. Embrace the fact that you are not the same person that you were when you committed to the person no longer by your side and that you must take the time and patience with yourself to sufficiently recover from the trauma that you have endured.
Whether by divorce or by spousal death, you are now on your own; yet your emotional being is still in the "one-half of a couple" mindset. Exchange contact information, but avoid one-on-one contact until you are at least separated.
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Relationships How to start dating again after a break-up or divorce Recently single? It will prolong your case until the baby is born so that the court can verify paternity and determine custody and support requirements. You are not supposed to date if you are married.
When you sincerely enjoy your life as an individual, you are genuinely ready to begin the dating process again. Judges, however, rarely punish someone who begins dating — sexually or otherwise — once they have physically separated from their spouse.
What type of person do you need to avoid? For me, it has been a long journey. However, you might not know how to get back out there, especially if you broke up after a very long-term relationship. You might even consider counseling to help you get through it.
Best of all, it only costs one dollar. There may be several factors that are holding you back from the resumption of dating. It could be cited as a reason the marriage failed and depending on the laws of your state could lead a judge to award more of the marital assets to your spouse.
Have you been out to dinner by yourself? Helen went through a very messy divorce fifteen years ago. If you were the wronged party it may be hard to think of ways you may have contributed to the problem.
10 Ways To Tell If You Are Ready To Date Again.


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This Critical Companion to the American Stage Musical provides the perfect introductory text for students of theatre, music and cultural studies. It traces the history and development of the industry and art form in America with a particular focus on its artistic and commercial development in New York City from the early 20th century to the present. Emphasis is placed on commercial, artistic and cultural events that influenced the Broadway musical for an ever-renewing, increasingly broad and diverse audience: the Gilded Age, the Great Depression, the World War II era, the British invasion in the 1980s and the media age at the turn of the twenty-first century. Supplementary essays by leading scholars provide detailed focus on the American musical's production and preservation, as well as its influence on daily life on the local, national, and international levels. For students, these essays provide models of varying approaches and interpretation, equipping them with the skills and understanding to develop their own analysis of key productions.
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The Plays of Samuel Beckett provides a stimulating analysis of Beckett's entire dramatic oeuvre, encompassing his stage, radio and television plays. Ideal for students, this major study combines analysis of each play by Katherine Weiss with interveiws and essays from practitioners and scholars.
Provides biographies and topical essays discussing the important roles Black women have played in American history.