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Using medical technology wisely

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first_imgThe infrastructure is now in place to use new informational technologies in the American health care system effectively. But a former White House official tasked with improving health care technologies said the challenge is to ensure that innovations do not deepen existing disparities in health care, and instead provide care more effectively across communities.David Blumenthal, who until last month was national coordinator for health information technology, outlined the potential and the pitfalls of additions such as electronic health records as part of the Reede Scholars’ Second Annual Health Equity Symposium on May 12.His was “not a program about technology, although health technology is in the title; this is a program about health care,” said Blumenthal, the Samuel O. Thier Professor of Medicine at Harvard Medical School, during the program on “eEquity: Leveraging Technology to Achieve Health Equity.”“It operates under the assumption that information is the lifeblood of medicine and that we are only as powerful as the information we have, whether we are a nurse practitioner, a physician, or a respiratory therapist.”Still, “there is the enduring observation that new technologies do not disseminate evenly in our society,” Blumenthal said. From imaging devices to new asthma treatment, such innovations reach some vulnerable populations later than others. Yet Blumenthal emphasized the progress made. A significant market in producing health information technology programs has emerged, sparked by a new incentive program, he said.This has “created a market where there hadn’t been a market before for the use of health information technology,” Blumenthal said.In early spring, 260 providers, mostly under Medicaid provisions, have received $84 million in “meaningful use payments,” Blumenthal said. About 67,000 registered providers, mostly primary care doctors in small practices, will receive help from 62 new technical centers. “That’s a substantial penetration,” he said.About 7,000 students have been enrolled in 84 community college programs to receive training that will support new medical information technology, he added, saying, “There is increasing coordination between this high tech agenda and the health reform agenda.”Even with the explosion of new products, Blumenthal warned that minority groups may be slower in reaping the benefits of such innovations as electronic medical records.“We can make these efforts through central governmental intervention, but the best long-range solution … is to level the playing field in the health care system as a whole,” he said. “What we need is more of the kind of leadership that brought us health reform.”During a question-and-answer period, Blumenthal made a key observation: “What you have to realize is that everyone you run into who has been paying taxes, has put $100 toward the adoption of electronic health records. Every man, woman, and child in the U.S. is paying $100 for this to happen.“I think that’s a pretty good deal for providers. I think this is a unique investment and an amazing commitment that is really up now to providers to deliver.”The symposium, which was moderated by Lenny Lopez, an internist trained at Brigham and Women’s Hospital, featured remarks by Joseph R. Betancourt, director of the Disparities Solutions Center. There were presentations by Quyen Ngo-Metzger, data branch chief in the Bureau of Primary Health Care at Health Resources and Services Administration; by oral surgeon Elsbeth Kalenderian on improving links between medical and dental practices; and by John Moore, a Ph.D. candidate in the New Media Medicine group at the MIT Media Lab, on possible new devices.Moore wowed the audience with a peek at emerging technology aimed at educating and empowering patients by, for example, letting them see and manipulate visual data on the effect of medication in their bloodstream, or by a stethoscope that would let doctors and patients hear heartbeats. The goal — something underscored by questions from the audience — was to replace the scenario of a doctor staring at a computer screen to one in which physician and patient look at data together to develop medical regimens.last_img read more

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21 True-blue flowers

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first_imgBy Gary WadeUniversity of GeorgiaJust a glimpse of the bright, true-blue flowers of perennialplumbago and it will be love at first sight. It’s easy to see whythe Georgia Plant Selections Committee chose this durable,gorgeous flowering groundcover as the 2006 Georgia Gold Medalwinner for herbaceous perennials. Perennial plumbago (Ceratostigma plumbaginoides) growsjust 6 to 10 inches tall and spreads 1 to 2 feet wide. It’s agreat choice for filling spaces between shrubs, creeping overrocks in a rock garden, adding a splash of blue to the perennialborder or spilling over walls.Drought and deer tolerance and a long bloom period are otheroutstanding qualities of this award-winning plant.BackgroundPerennial plumbago, also called leadwort, belongs to a group ofdeciduous perennials and shrubs from eastern Africa and Asia. It’s a semiwoody, mat-forming perennial that spreads by rhizomes,or shallow underground stems. It thrives in hardiness zones 5 to9.The plant dies back to the ground each year. Then it leafs outlate in the spring. So, plant it where it won’t get damaged byearly spring cultivation.The late spring green-up makes perennial plumbago an excellentplant for interplanting with spring-flowering bulbs. Its leaveswill be emerging just as the foliage of the bulbs is dying back.When they emerge, the shiny green leaves are up to 2 inches long.They turn bronze-red in the fall.True-bluePerennial plumbago’s medium-blue flowers resemble those ofwoodland phlox. They emerge in terminal clusters in late summerand continue to emerge until the fall frost. It’s anexceptionally long bloom period. Each flower is one-half tothree-quarters of an inch across and has five petals.The plant prefers a sunny site. But it will tolerate someafternoon shade. Once you get it established, it’s quitedrought-tolerant. Plant it in the spring so you’ll be sure to getit established before the summer bloom. The spring planting willenable it to become hardier next winter, too.Fertilize perennial plumbago lightly in the spring and again inearly summer, if you need to encourage more rapid cover. Waituntil new leaves emerge to prune out any dead wood from theprevious season.Summer cuttings, spring division, root cuttings and seeds are allcommon methods used to propagate the plant. And you’ll want moreof this Georgia Gold Medal winner.(Gary Wade is a Cooperative Extension horticulturist with theUniversity of Georgia College of Agricultural and EnvironmentalSciences.) Volume XXXINumber 1Page 21last_img read more

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Liverpool manager Brendan Rodgers wants more bravery after Norwich draw

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first_img Despite Danny Ings’ first goal for the club after coming on at half-time the Reds could not hang on to their advantage with Russell Martin equalising after a mistake by goalkeeper Simon Mignolet, as the Norwich man made a mockery of spending the morning with his wife who gave birth to their third child in Norfolk It was a second successive poor performance at home after the 3-0 defeat to West Ham and with this game signalling the start of four Anfield games in 11 days Rodgers knows they have to start making their home advantage count. “We have got these four games here to get our performance level to where we want them to be,” he said. “Anfield is it is a real special place to play. You have to have courage and bravery to play here. “There is a great history but embrace it. You have to play positive football. “There was a feeling of anxiety when I came in. We made it a fortress. Now we are having to build it again. “I am disappointed and frustrated with the result but I thought the second half there were more signs of fluency and creativity. “We were a bit static when we had the ball in decent positions, the movement in front of the ball wasn’t what we would like. “Second half we freed ourselves up. Danny Ings came on and was outstanding, his ability running in behind was there to see. “It was important to get the first goal, we did, but lost our concentration for their goal. Press Association “We lost concentration and Russell Martin hooks it in so that shouldn’t happen.” On the positive front Daniel Sturridge returned after more than five months out after a hip operation while the displays of Ings and wing-back Alberto Moreno, making his first start of the season, were encouraging. Much has been pinned on the significance of Sturridge’s comeback but Rodgers cautioned expecting too much, too soon. “He is a way off full fitness. His presence and stature will give us something. It is about building his fitness. There is no pressure on him to do that,” he added. Norwich boss Alex Neil was happy with the result, which could have been even better had Mignolet not redeemed himself somewhat with a good save from Matt Jarvis. “I am pleased. Not just with the result, I thought the performance was good,” he said. “We were brave, tried to put our foot on the ball. You need to ride your luck and rely on your goalkeeper, who made some great saves but we could have nicked it at the end when Matt Jarvis had his chance. “I thought we deserved a draw.” Liverpool manager Brendan Rodgers admits his side have to play with more bravery at home after another Anfield disappointment. last_img read more

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Ross Stripling strong over seven innings as Dodgers beat up on Giants for a second time

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first_img Fire danger is on Dave Roberts’ mind as Dodgers head to San Francisco Cody Bellinger homer gives Dodgers their first walkoff win of season “I mean, it’s just the depth, right?” Stripling said. “You can read about it. In the Andrew Friedman era, we’ve always just had a ton of depth, and this year is no exception to that. I mean we’ve got guys behind Dustin May that are elite in their own rights — guys like Josiah Gray and Tony Gonsolin — that are probably going to help us win games this year. It’s just a testament to our front office, the guys that draft for us and then our coaching staff for developing guys. It’s just kind of like the next man up.“Obviously our lineup is what it is. It’s phenomenal, and it’s going to be a grind for anyone that has to come in and try and pitch to it. But then our ability to have guys that are built up and make starts and then bring guys out of the bullpen that maybe some people have never heard of that are nasty and really good. … It’s just our depth, man. It feels like every year we show it off.”The Dodgers’ bullpen has found the Giants’ lineup — devoid of Buster Posey, Evan Longoria, Brandon Belt or even Madison Bumgarner — just as pliable. Dodgers relievers have allowed just one hit over 6 2/3 scoreless innings so far this season.“I certainly think we should be impressed. But I don’t think surprised,” Dodgers manager Dave Roberts said of the starts from May and Stripling. “You talk about depth with our club — we talk about it a lot — and starting pitching certainly is a part of that. Dustin and Strip, you know you get opportunities when certain things happen so to see these guys rise to the occasion, not surprised at all, and opportunities that they deserve.”Stripling was smooth and efficient, mixing in a new changeup developed for this season. He strolled through his seven innings on 92 pitches, walked none and struck out seven. Only one Giant reached second base safely. That was Jaylin Davis, who drove an opposite-field, solo home run into the cardboard cutouts enjoying the new “Home Run Seats” in right field. Newsroom GuidelinesNews TipsContact UsReport an Error Dodgers hit seven home runs, sweep Colorado Rockies Dodgers’ Max Muncy trying to work his way out of slow start LOS ANGELES — Two pitchers with four Cy Young Awards between them — Clayton Kershaw (three) and David Price (one) — were supposed to be in the Dodgers’ starting rotation this season but aren’t.Yeah, poor Dodgers.PreviousSF Giants don Black Lives Matter shirts for batting practice at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Giants Pablo Sandoval, #48, came down hard on Dodgers Chris Taylor, #3, going for a high through during 5th inning action at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Dodgers Chris Taylor, #3, was caught stealing second and is tagged by Giants Mauricio Dubon during 5th inning acton at Dodger Stadium Friday, July 24, 2020. Taylor was initially called safe, but the play was challenged by the Giants and after review called out, ending the at bat for the Dodgers. (Photo by David Crane, Los Angeles Daily News/SCNG) SoundThe gallery will resume insecondsDodgers pitcher Ross Stripling, #68, started for the Dodgers against the Giants at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Dodgers Max Muncy, #13, celebrates his homers with Cody Bellinger, #35, with an elbow tap during first inning action against the SF Giants at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Dodgers Chris Taylor, #3, Terrance Gore, #27, and Mookie Betts, #50, celebrate a 9-1 victory over the giants at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Dodgers Mookie Betts, #50, connected on this pitch during the 8th inning but flew out at Dodger Stadium Friday, July 24, 2020. The Dodgers defeated the Giants 9-1. (Photo by David Crane, Los Angeles Daily News/SCNG)Dodgers Enrique Hernandez, #14, scores during 8th inning action at Dodger Stadium Friday, July 24, 2020. The Dodgers defeated the Giants 9-1. (Photo by David Crane, Los Angeles Daily News/SCNG)Dodgers Edwin Rios, #43, is out at second as Giants Brandon Crawford, #35, tries, unsuccessfully, to complete the double play during 8th inning action at Dodger Stadium Friday, July 24, 2020. The Dodgers defeated the Giants 9-1. (Photo by David Crane, Los Angeles Daily News/SCNG)Giants Pablo Sandoval, #48, came down hard on Dodgers Chris Taylor, #3, going for a high through during 5th inning action at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Dodgers Max Muncy, #13, homers in the on a line drive to right center field during first inning action against the SF Giants at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Giants Jaylin Davis, #49, couldn’t pick up this shot to right field by Dodgers Max Muncy during 4th inning action at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Giants Mike Yastrzemski, #5, watches as this drive to deep center field makes a double for Dodgers Corey Seager during 3rd inning action at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Dodgers Mookie Betts, #50, pulls in this fly ball from Giants Mauricio Dubon during 2nd inning action at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Giants Jaylin Davis celebrates his homer with Mike Yastrzemski, #5, during 3rd inning action at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Giants Tyler Anderson, #31, started against the Dodgers but only lasted two innings at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Security makes sure everyone is seated correctly before the start of MLB baseball at Dodger Stadium as the Dodgers take on the Giants in their home stand opening series Friday, July 24, 2020. With no live fans in the stadium, Dodger fans were able to put a likeness of themselves in the seats with a donation to Dodger charities. (Photo by David Crane, Los Angeles Daily News/SCNG)Dodger “fans” are already in their seats as the Los Angeles Dodgers will take on the San Francisco Giants in game 2 of the season opening series at Dodger Stadium Thursday, July 23, 2020. Due to Covid-19 no “live” fans will be in attendance at any MLB games as the 2020 season begins. (Photo by David Crane, Los Angeles Daily News/SCNG)SF Giants don Black Lives Matter shirts for batting practice at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)Giants Pablo Sandoval, #48, came down hard on Dodgers Chris Taylor, #3, going for a high through during 5th inning action at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)NextShow Caption1 of 18Giants Pablo Sandoval, #48, came down hard on Dodgers Chris Taylor, #3, going for a high through during 5th inning action at Dodger Stadium Friday, July 24, 2020. (Photo by David Crane, Los Angeles Daily News/SCNG)ExpandAn old hand at the replacement starter gig, right-hander Ross Stripling, allowed just one run on four hits in seven innings Friday night as the Dodgers beat the San Francisco Giants 9-1.Dustin May was a last-minute replacement for Kershaw as the Opening Day starter on Thursday. Between them, May and Stripling held the Giants to two runs on 11 hits over 11 1/3 innings, struck out 11 and walked none in the first two games. How Dodgers pitcher Ross Stripling topped the baseball podcast empire “He was very efficient,” Roberts said. “He pitched to all the quadrants. His curveball, changeup, cut fastball was all working tonight. He’s just such a good executor of pitches.”The Dodgers’ offense has been thorough if not explosive while scoring 17 runs in two easy victories over the Giants. Friday’s runs came one at a time until they once again put the Giants away with a crooked number late. Two of the runs came on single swings by Max Muncy (in the first and sixth innings). Muncy also scored on the front side of a double-double with Justin Turner in the fourth.The Giants appear to be holding an in-season talent search to assemble a pitching staff. It is not going well.The Dodgers have scored runs against eight different pitchers in the first two games, putting 43 runners on base — 26 on base hits of assorted impact, 13 on walks, one hit by pitch and three on fielding errors. Two of those walks and a throwing error by catcher Rob Brantly led to two runs in the seventh inning Friday, the second driven in by Mookie Betts’ single (his first RBI as a Dodger).“Potent. Dangerous. Explosive. Exciting,” Muncy said, pushed to replace “thorough” as a descriptor for the Dodgers’ offense. “There’s not really one word you can pick for it.“It’s just nice to get out there in real games and see what this lineup can do. … It was exciting during Summer Camp. It’s even more exciting now that the real games are going on.”Muncy made his fourth career start at leadoff in Thursday’s opener with Betts batting behind him against a right-handed pitcher (Johnny Cueto). With a left-hander starting Friday, Betts went back to his preferred spot atop the order and Muncy dropped to second. It’s a left-right arrangement Roberts indicated he will use frequently this season.“I’d better get real comfortable,” Muncy said of the setup. “Once you get past the first inning, it’s just another spot in the lineup. With the way our lineup is, guys are always going to be on base. There’s always a chance to drive people in. It’s nothing too different once you get past that first at-bat.”Related Articleslast_img read more

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Wellington Police Notes: Wednesday, Feb. 12, 2014

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first_imgWellington Police notes for Wednesday, February 12, 2014:•2:22 a.m. Brian W. Trainer, 26, Wellington was arrested and confined on a Cowley County Warrant for two counts of unlawful possession of a controlled substance and one count of possession of drug paraphernalia.•9:25 a.m. Officers took a report of suspicious activity in the 1700 block E. 16th, Wellington.•11:41 a.m. Officers investigated a theft by a known suspect in the 400 block S. C, Wellington.•11:41 a.m. Officers investigated criminal use of a financial card of a known suspect in the 400 block S. C, Wellington.•12:41 p.m. Officers investigated a theft of vehicle parts in the 200 block E. 4th, Wellington.•2:40 p.m. Mechelle L Lozano, 34, Wellington was issued a notice to appear charged with seatbelt violation and child restraint violation.•11:14 p.m. Officers took a report of suspicious activity in the 1100 block S. Jefferson, Wellington.last_img read more

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