Computational model of the hearts mitral valve enables customized care for patients

first_imgReviewed by Alina Shrourou, B.Sc. (Editor)Jan 30 2019Engineers at The University of Texas at Austin have developed a new noninvasive technique for simulating repairs to the heart’s mitral valve with levels of accuracy reliable enough for use in a clinical setting. Mitral valve (MV) disease is one of the most common valve-related heart conditions, newly diagnosed in 5 million Americans each year. Left unchecked, MV disease can lead to heart failure and/or stroke. This advance in computational modeling technology allows surgeons to provide patient-specific treatments, a development that will improve the long-term efficacy of current medical approaches.Led by Michael Sacks, a professor in the Department of Biomedical Engineering in the Cockrell School of Engineering, the team outlined their computational modeling technique for imaging MV leaflets — flaps located on the base of the valve that open and close to regulate blood flow from the left atrium to left ventricle of the heart — in recent issues of the International Journal for Numerical Methods in Biomedical Engineering and the Annals of Biomedical Engineering.The MV plays a crucial role in maintaining healthy blood flow in the heart, but normal function can be compromised in a number of ways. For instance, heart attacks may disrupt the MV leaflets’ capacity to close properly, resulting in blood leaking back into the heart’s left atrium. The importance of healthy MV function is thus widely understood within the medical community, but there is not a consensus on how best to treat common MV disorders such as regurgitation, prolapse and mitral valve stenosis.Until now, there has been a lack of accurate modeling approaches available to surgeons for predicting the best surgical methods to restore MV function.”Heart valves are very difficult to study. They are complex structures that move incredibly fast and are located inside the heart, making them extremely difficult to image,” said Sacks, who also serves as director of the James T. Willerson Center for Cardiovascular Modeling and Simulation in the university’s Institute for Computational Engineering and Sciences. “Our new computational model provides surgeons with a tool for the prediction of postsurgical outcomes from clinically obtained presurgical data alone.”Sacks has spent most of his academic career analyzing and modeling heart valve function. Recent advances in computational and 3D imaging technologies have made it possible for Sacks and his team to noninvasively and accurately acquire the in vivo (or living) geometry of the MV leaflets in patients from real-time 3D echocardiography — a clinical technique that uses sound waves to monitor heart function.Related StoriesWeightlifting is better for the heart than cardioStroke should be treated 15 minutes earlier to save lives, study suggestsImplanted device uses microcurrent to exercise heart muscle in cardiomyopathy patientsThe UT team’s computational model was developed in collaboration with researchers from Penn Medicine and Georgia Tech.”Our models combined the complete 3D geometry of the mitral valve in the open and closed states, making possible an unparalleled level of predictive accuracy,” Sacks said. “To model the MV leaflets, we then integrated into the MV models the structure and mechanical properties of the internal constituents, such as the collagen fibers which make up most of the valve, to develop attribute-rich complete MV models.”Several studies have shown significant deficiencies in the long-term success of current surgical approaches to treating common heart valve diseases. Up to 60 percent of patients who have undergone MV regurgitation surgery report recurrence just two years after the surgery.”Cardiac surgeons must decide upon the best possible treatment for heart valve repair without knowing all the facts,” said Dr. Robert Gorman, professor of surgery in the Perelman School of Medicine at the University of Pennsylvania and a key collaborator on the study. “Most rely on their own experiences or how they were taught to perform valve repair surgery in medical school.”With the researchers’ new predictive technique, surgeons won’t have to take the previous one-size-fits-all approach to MV leaflet repair.”The computational modeling tool we’ve developed will eliminate a lot of the uncertainty and allow for patient specificity,” Gorman said. “This will be transformative for those working in the field.”The next step for Sacks and his research team is to commercialize their technique.”Once heart surgeons gain access to this tool in a clinical setting, we anticipate significant improvements in the long-term well-being of patients who’ve undergone mitral valve surgery,” he said. Source: read more

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CHLA awarded 136 million grant to adapt patientdriven model of diabetes care

first_imgReviewed by James Ives, M.Psych. (Editor)Mar 1 2019Children’s Hospital Los Angeles has been awarded a $1.36M grant from The Leona M. and Harry B. Helmsley Charitable Trust to adapt a patient-driven model of care that Clinical Diabetes Director, Jennifer Raymond, MD, MCR, developed to increase treatment compliance among difficult to reach populations. Helmsley’s funding will also be used to investigate how to best share the model with other healthcare providers.The cost of diabetes is rising. According to the American Diabetes Association (ADA), the disease cost Americans $237B in medical bills and prescriptions, with an estimated additional $90B in indirect costs in 2017 alone. This striking number will only increase if patients do not receive proper medical care. Adolescents and young adults (ages 13-25) represent the age group with the greatest difficulty meeting ADA recommendations for diabetes outcomes and frequency of clinic visits. This puts them at risk for both short- and long-term health complications, potentially impacting not only their families’ finances but also their quality of life.Dr. Raymond feels that poor compliance in clinic visits represents a deeper feeling of disconnect between adolescents and their ability to control and relate to their own care. “We need to focus on improving the care we provide before we ask families to give up their time to come to clinic,” says Dr. Raymond, who is also an Associate Professor of Clinical Pediatrics at the Keck School of Medicine of USC. “I started thinking ‘How do we better care for these patients? How do we address the psychosocial issues and stressors that come with adolescence?'” These questions led Dr. Raymond to develop Team Clinic during her work as a clinician in Colorado.In the Team Clinic model, adolescents meet with their providers one-on-one before heading into a patient-driven meeting. There, other patients their age are gathered informally to discuss issues that are relevant to them. The idea is simple but the results, powerful. Not only are patients more satisfied but so are the clinicians and nurses. “The group in Colorado has continued doing Team Clinic since I moved to California,” she says, “because staff, patients, and families insisted on continuing these shared appointments. To me, that is the best outcome we could ask for.”Related StoriesNew solution makes fall recovery safer and easierMany healthcare workers often care for patients while sick, study findsApplication of machine learning methods to healthcare outcomes researchThe success of Team Clinic is exciting. It leaves Dr. Raymond, however, with another problem – how to effectively share the model with other clinicians. “I’m often asked, ‘How can I do this in my own clinic?'” she says. “I try to share as much as I can but this is difficult to do without an organized protocol.” The way to move forward, she decided, was to standardize the method and create a toolkit of sorts to share with clinical staff. Helmsley’s support will make such an effort possible. The idea is for Team Clinic to grow, and not just geographically. “The goal of the grant is to make online toolkits available to providers,” Dr. Raymond explains, “and to get feedback so we can learn from one another.”Her method is poised to truly change the way we treat adolescents and young adults with diabetes, not only in California but beyond. “The positive feedback about Team Clinic is a huge testament to what patients and families want from a diabetes clinic,” says Raymond.The long-term implications of Raymond’s model will be revealed with time. For now, one thing is certain: patients more involved with their healthcare will have the best chance of managing diabetes, minimizing complications, and having a better quality of life.Source: read more

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Oral bacteria in pancreas associated with tumor severity

first_img Source: Reviewed by James Ives, M.Psych. (Editor)Mar 14 2019The presence of oral bacteria in so-called cystic pancreatic tumours is associated with the severity of the tumour, a study by researchers at Karolinska Institutet in Sweden published in the journal Gut reports. It is hoped that the results can help to improve diagnosis and treatment of pancreatic cancer.Pancreatic cancer is one of the most lethal cancers in the west. The disease is often discovered late, which means that in most cases the prognosis is poor. But not all pancreatic tumours are cancerous. For instance there are so-called cystic pancreatic tumours (pancreatic cysts), many of which are benign. A few can, however, become cancerous.It is currently difficult to differentiate between these tumours. To rule out cancer, many patients therefore undergo surgery, which puts a strain both on the patient and on the healthcare services. Now, however, researchers at Karolinska Institutet have found that the presence of bacteria inside the cystic tumours is linked to how severe the tumour is.”We find most bacteria at the stage where the cysts are starting to show signs of cancer,” says corresponding author Margaret Sällberg Chen, docent and senior lecturer at the Department of Dental Medicine. “What we hope is that this can be used as a biomarker for the early identification of the cancerous cysts that need to be surgically removed to cure cancer, this will in turn also reduce the amount of unnecessary surgery of benignant tumours. But first, studies will be needed to corroborate our findings.”The researchers examined the presence of bacterial DNA in fluid from pancreatic cysts in 105 patients and compared the type and severity of the tumours. Doing this they found that the fluid from the cysts with high-grade dysplasia and cancer contained much more bacterial DNA than that from benign cysts.Related StoriesNew methods to recognize antimicrobial resistant bacteria and how they workBordeaux University Hospital uses 3D printing to improve kidney tumor removal surgeryHuman pancreas on a chip could help identify possible cause of CF-Related DiabetesTo identify the bacteria, the researchers sequenced the DNA of 35 of the samples that had high amounts of bacterial DNA. They found large variations in the bacterial composition between different individuals, but also a greater presence of certain oral bacteria in fluid and tissue from cysts with high-grade dysplasia and cancer.”We were surprised to find oral bacteria in the pancreas, but it wasn’t totally unexpected,” says Dr Sällberg Chen. “The bacteria we identified has already been shown in an earlier, smaller study to be higher in the saliva of patients with pancreatic cancer.”The results can help to reappraise the role of bacteria in the development of pancreatic cysts, she notes. If further studies show that the bacteria actually affects the pathological process it could lead to new therapeutic strategies using antibacterial agents.The researchers also studied different factors that could conceivably affect the amount of bacterial DNA in the tumour fluid. They found that the presence of bacterial DNA was higher in patients who had undergone invasive pancreas endoscopy, a procedure that involves the insertion of a flexible tube into the mouth to examine and treat pancreatic conditions thus the possible transfer of oral bacteria into the pancreas.”The results were not completely unequivocal, so the endoscopy can’t be the whole answer to why the bacteria is there,” she continues. “But maybe we can reduce the risk of transferring oral bacteria to the pancreas by rinsing the mouth with an antibacterial agent and ensuring good oral hygiene prior to examination. That would be an interesting clinical study.”last_img read more

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Vitamin D and estrogen can prevent heart disease stroke and diabetes in

first_imgIn this cross-sectional study, low estradiol increased the risk of metabolic syndrome in postmenopausal women who had vitamin D deficiency. The Endocrine Society recommends vitamin D levels of 30 ng/mL for postmenopausal women. Whether adequate levels of vitamin D improve nonskeletal cardiovascular or cognitive benefits remains the subject of debate, and answers await randomized clinical trial data.”Dr JoAnn Pinkerton, NAMS Executive Director Reviewed by Alina Shrourou, B.Sc. (Editor)Jun 12 2019Vitamin D and estrogen have already shown well-documented results in improving bone health in women. A new study from China suggests that this same combination could help prevent metabolic syndrome, a constellation of conditions that increases the risk of heart disease, stroke, and diabetes in postmenopausal women. Results are published online today in Menopause, the journal of The North American Menopause Society (NAMS).Metabolic syndrome has emerged as a major public health concern, affecting 30% to 60% of postmenopausal women worldwide. The progression of abdominal obesity and heart disease that lead to metabolic syndrome increases significantly as women age and appears to be directly associated with estrogen loss in postmenopausal women. This has led some researchers to recommend estradiol treatment for women who are fewer than 6 years postmenopausal as a means of preventing heart disease.Related StoriesVitamin D is essential for preventing preeclampsiaResearch opens possibility of developing single-dose gene therapy for inherited arrhythmiasDiet and physical exercise do not reduce risk of gestational diabetesSimilarly, vitamin D has been associated with several markers of metabolic syndrome, including obesity, hyperglycemia, insulin resistance, and type 2 diabetes mellitus. Supplementation with vitamin D has been shown to reduce the risk of metabolic syndrome over a 20-year follow-up.Because the synergistic benefits of vitamin D and estrogen are already documented to improve bone health in women, researchers in this newest study from China hypothesized that the same interaction might affect metabolic syndrome. The cross-sectional study included 616 postmenopausal women aged 49 to 86 years who were not taking estrogen and vitamin D/calcium supplements at the beginning of the trial. It concluded there was a positive correlation between vitamin D and estradiol.Specifically, higher vitamin D was associated with a favorable lipid profile, blood pressure, and glucose level. Estradiol was negatively associated with cholesterol, triglycerides, and blood pressure. These results suggest a synergistic role of vitamin D and estradiol deficiency in developing metabolic syndrome in postmenopausal women.Findings are published in the article “The synergistic effects of vitamin D and estradiol deficiency on metabolic syndrome in Chinese postmenopausal women.” Source:The North American Menopause Society (NAMS)last_img read more

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Pregnant women with migraine more often have complications during pregnancy and childbirth

first_imgThe study shows that pregnant women with migraine more often have complications in connection with their pregnancy and childbirth than women who don’t suffer from migraine. Newborn babies whose mothers suffered from migraine during pregnancy also have an increased risk of complications such as respiratory distress and febrile seizures.”Nils Skajaa, BSc, who is the study’s lead author. He is employed as a researcher at the Department of Clinical Epidemiology, Aarhus University and Aarhus University Hospital Related StoriesIt is okay for women with lupus to get pregnant with proper care, says new studyOpioids are major cause of pregnancy-related deaths in UtahCannabis use during pregnancy may cause premature birthThe researchers behind the study used the Danish health registers to identify more than 22,000 pregnant women with migraine who were in contact with a hospital as a result of their migraine or had received at least two prescriptions for migraine medication. The group was compared with an approximately ten times larger group of pregnant women without known migraine.One finding in the study is that the risk of cesarean sections is between 15-25 per cent higher for pregnant women with migraine compared with pregnant women without migraine. Around twenty per cent of all births in Denmark are by cesarean section.Researchers have also used the same data to deduce that migraine medication possibly prevents some of the complications. However, the results must be interpreted with caution, as Nils Skajaa explains:”The study was not specifically designed to examine this aspect. However, we show that the risk of complications generally was lower for pregnant women with migraine who took medication when compared with the pregnant women with migraines who were not treated. This also indicates that the migraine medication isn’t the cause of the complications, but rather the migraine itself. This is important knowledge for pregnant women with migraines,” says Nils Skajaa.Migraines are relatively common and affect twice as many women as men. The actual cause remains unknown, but previous research suggests that migraines may be triggered by stress, fatigue, or hormonal changes such as pregnancy.”Paradoxically, women of childbearing age are particularly hard hit by migraines. Although experience shows that migraines become milder during pregnancy, this study emphasizes that the healthcare service should be particularly aware of pregnant women with migraine,” says Nils Skajaa. Source:Aarhus UniversityJournal reference:Skajaa, N. et al. (2019) Pregnancy, Birth, Neonatal, and Postnatal Neurological Outcomes After Pregnancy With Migraine. Headache: The Journal of Head and Face Pain. Reviewed by Alina Shrourou, B.Sc. (Editor)Jun 26 2019Despite the fact that many women who suffer migraines find that the number and severity of these severe headaches decrease during pregnancy, migraines are now being linked to elevated blood pressure, abortions, caesareans, preterm births and babies with low birth weight.This is documented by an extensive register-based study recently published in the scientific journal Headache and carried out at the Department of Clinical Epidemiology at Aarhus University and Aarhus University Hospital, Denmark.last_img read more

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Physicians show strong support for house effort to protect patients from surprise

first_imgReviewed by Kate Anderton, B.Sc. (Editor)Jun 29 2019Out of the Middle, a coalition of leading health care providers, applauds today’s introduction of the bipartisan Protecting People from Surprise Medical Bills Act. This is the only legislative framework before Congress that takes patients out of the middle of medical billing disputes, continues to ensure patients have access to health care services when and where they need them, and provides a level playing field for physicians and insurers.The Protecting People from Surprise Medical Bills Act directly addresses the root cause of surprise bills- inadequate insurance networks- and includes robust patient protections such as making sure people only pay in-network amounts for care, whether the care provided was in- or out-of-network. The bill also makes it easier for patients to understand the limits of their insurance coverage, protects their choice of doctor and preserves access to planned and emergency care.Related StoriesIncreasing access to mental health services improves outcomes for people with HIVFirst smartphone app to detect childhood ear infectionGovernment policy and infrastructure have substantial impact on hospitalization of seniorsOnce patients are protected, this bill goes further than other legislative proposals to encourage transparency from insurance companies and ensure fair and efficient dispute resolution between physicians and insurers. This independent process protects patients’ access to care, without adding cost, bureaucracy, or delay.On behalf of the millions of patients we care for each day, Out of the Middle applauds the efforts of Representatives Ruiz, Roe, Bera, Morelle, Taylor, Bucshon, Shalala, and Wenstrup to protect Americans from surprise bills when their insurance coverage fails them.Out of the Middle represents thousands of physicians across the country who are advocating on behalf of the millions of patients they care for every day and demanding Congress protect these patients from surprise medical bills without letting insurance companies dodge their responsibility to cover their care.The coalition comprises the American College of Emergency Physicians, American Society of Anesthesiologists, College of American Pathologists, American Academy of Ophthalmology, American Association of Orthopaedic Surgeons, and the American Association of Neurological Surgeons and Congress of Neurological Surgeons. Source:American Society of Anesthesiologistslast_img read more

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In a trade war aviation giant Boeing could be a sitting duck

Boeing says it has Trump deal on Air Force One planes Planes are seen under construction at a Boeing assembly plant in North Charleston, South Carolina—which President Donald Trump visited a year ago to cries of “God Bless Boeing” At this Boeing manufacturing plant in Charleston, South Carolina—which President Donald Trump visited a year ago to cries of “God Bless Boeing”—the trade battle he unleashed with Beijing last week is far off. Or so it seems. Like the company itself, workers at the plant, which produces the Boeing 787 and where unions have struggled to organize the labor force, say little when the question comes up. But the threat of losing export markets is still clear and present.”Unfortunately, Boeing makes an easy target for anyone wishing to retaliate against the new US trade measures,” Richard Aboulafia, vice president of analysis at Teal Group, told AFP.A flagship of US industry and one of the best known American brands, the company says it is the largest US exporter because about 80 percent of its planes are for export.As a result, any trade major conflict would leave the company dangerously exposed—in particular one involving the world’s fastest growing aviation market in China.Boeing was one of the first companies Trump attacked on Twitter, when he threatened to cancel an order for a new presidential plane he said was too expensive. The company has managed to work its way back into the president’s good graces, with its share price up 129 percent since the election in November 2016. But since peaking in February, Boeing’s shares are down more than 10 percent as investors consider the company’s prospects in the new trade environment Trump has created.At least in the short term, the company has little to fear, with a healthy order portfolio of 5,864 planes—meaning it will be in constant production through 2024.Furthermore, China, where air travel is booming, can scarcely afford to push its partly state-owned domestic carriers to cancel their orders or boycott the US manufacturer because they simply have no alternative, experts say.Where China could strike BoeingThe Chinese manufacturer Comac, which soon hopes to market its C919—a potential competitor to the mid-range Boeing 737 and Airbus A320 jets—is not yet ready for large-scale production. The plane had its first test flight in December. “In the best case scenario, Comac will need another five or six years to reach a respectable production capacity,” said Michel Merluzeau, an analyst at AirInsight.Meanwhile, Airbus, Boeing’s main competitor, also has a healthy backlog of orders and its suppliers are already struggling to keep up with the speedy new pace of production.”In the short term, China has no choice if it doesn’t want to put the brakes on the growth of its air transport sector,” according to Merluzeau.Boeing is also due to open a new finishing center for its medium-range 737 jets in Zhoushan, south of Shanghai, this year. And Beijing will certainly do nothing to jeopardize that, added Merluzeau.When Boeing considers the longer term, however, its grounds for self-confidence become shakier.Scott Hamilton, managing director at aviation consultants Leeham Company, said China can use industrial orders for political messaging.”If China were to retaliate against Boeing, it would more likely be in freezing new orders for an indefinite time, placing them with rival Airbus instead,” he told AFP.Aboulafia of Teal Group agrees: “A few large block orders for Airbus would send a strong message, particularly if China abstains from any Boeing orders for some time,” he said.Between January of 2016 and the start of this year, China accounted for a fifth of all Boeing’s deliveries, or 303 out of 1511 aircraft received by commercial air carriers, according to the company’s figures.The company’s order backlog also shows China’s share of Boeing deliveries set to grow, analysts say.Furthermore, Beijing could frustrate Boeing’s plans to expand into the so-called mid-market by introducing a new jet in the 220-to-260-seat range, an industry segment where Airbus currently has a head start.”Chinese air carriers would only have to place a few large orders of A330-800neo and A321neo jets to hurt the newer aircraft’s potential,” said Merluzeau of AirInsight.Other countries in addition to China could also retaliate against Boeing because of President Donald Trump’s promised new tariffs.Brazil, for example, could block Boeing’s efforts to form a commercial jet joint venture with the Brazilian aircraft manufacturer Embraer. The sparkling new Boeing 787s bound for China Southern Airlines and Air China are waiting to be delivered, but the prospect of a trade war could make for a less rosy future. © 2018 AFP Explore further Citation: In a trade war, aviation giant Boeing could be a sitting duck (2018, March 26) retrieved 18 July 2019 from This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. read more

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Former England Liverpool and Spurs striker Peter Crouch retires

first_imgA gangly centre-forward, Crouch was rarely celebrated for his technical abilities but still managed to have a strong impact for several big clubs in England’s top flight.But having long balls hopefully pumped up to him has ultimately taken its toll, as he revealed that scenario to be a contributing factor in his final decision to draw things to a close.MORE: Manchester United staff member hospitalised in Perth after alleged overdoseIn his Daily Mail column, Crouch wrote: “I have had 23 years to prepare for this moment but, now it is here, you realise nothing can prepare you at all. The time has come refer to myself as a ‘former footballer’; this incredible journey I have been on since I was 16 is over. caps goalsWishing you all the best in retirement, @petercrouch! Congratulations on a fantastic career England (@England) July 12, 2019″My ambition was to play until I was 40, so it is scary saying the word ‘retirement’. To go from being a regular starter to someone whose role is limited to 10 or 15 minutes off the bench has been hard to accept.”I will be 39 in January, but I am physically fit and could have carried on. What I didn’t want to be was someone who was thrown on to have balls smashed up to them.”Crouch signed his first professional contract in 1998 when a youngster at Tottenham and, although he left two years later before making his debut, he returned in 2009.During his first Spurs spell, Crouch was loaned out to Non-League Dulwich Hamlet and Swedish minnows Hassleholm – and he acknowledges, he has come a long way since then.”Let’s be honest – you would not have taken odds on me making it then,” he added. “If you had told me at that point I would go on to play for England 42 times and score 22 goals, play for Liverpool in a Champions League and FA Cup final and score the goal that put Tottenham back in the European Cup for the first time in four decades, I would have had you locked up.”Wishing you a happy retirement, @petercrouch.Thanks for the memories! #THFC #COYS Tottenham Hotspur (@SpursOfficial) July 12, 2019Crouch left Spurs the first time around for QPR, before then going on to join Portsmouth and Aston Villa, from whom he was loaned to Norwich City.A move to Southampton followed in 2004-05, scoring 12 Premier League goals and earning a switch to Liverpool, where he stayed for three years before moving back to both Portsmouth and Spurs. Seven-and-a-half years at Stoke took Crouch into the twilight of his career and he closed things out at Burnley – the perfect club to bring things to an end.”Burnley, really, was the ideal place to finish,” he wrote. “I didn’t make the biggest impact after I went there in January, but I was so glad I went.”Sean Dyche is a top manager and the boys are quality. They have a fantastic set up and I loved going in every day. They are a great club.” Most known for his height – measuring at 6ft 7in tall – Crouch spent much of his playing days in the Premier League and featured for his country at two World Cups, in 2006 and 2010.center_img Peter Crouch has announced his retirement from football at the age of 38 having represented England, Liverpool, Tottenham and many other clubs across a distinguished career.last_img read more

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MyDoc UST Global in JV for healthcare services in IndiaMyDoc UST Global

first_imgSnehal Patel, CEO and Co-Founder, MyDoc RELATED SHARE SHARE EMAIL SHARE UST Global COMMENT Published on To deliver patient-centric care through personalised digital interventions, disease awareness, and home-based carecenter_img COMMENTS e-commerce and e-business Singapore-based MyDoc, leading Asian digitally managed care platform, has formed a joint venture with technology solutions provider UST Global to ‘cut health costs for working professionals in India.’ The joint venture combines MyDoc’s best practices in one of the world’s most advanced healthcare systems with a leading technology solutions provider to deliver healthcare services in India. Digital managed careThe JV has established partnerships with healthcare providers, pharmaceutical companies, and diagnostic laboratories to launch the MyDoc value-based digital managed care model in Bengaluru. The new company will deliver healthcare services to employees of banking and technology multinational corporations. Starting with over 14,000 employees at UST Global centres throughout India, it will tackle employee health, target chronic lifestyle-related diseases as well as rising cost of care here. “Traditional healthcare market in India is led by hospital-based groups and prices in the sector have increased beyond reach for the middle class,” says Snehal Patel, CEO and Co-Founder, MyDoc. “Average annual increase in healthcare premiums borne by employers have been growing by as much as 50 per cent since 2005 – with premium ratios rising over 110 percent,” he said. According to Sajan Pillai, CEO, UST Global, the joint venture will deliver patient-centric care through personalised digital interventions, disease awareness, and home-based care. Integrating health data“The platform will improve the outcome for chronic illness through improved access to care and better care coordination,” Pillai said.MyDoc identifies individual patient health profiles by integrating objective clinical lab test results and subjective health data from both lifestyle and clinical-grade wearables. It also analyses the language patients use when describing their symptoms and case notes from attending clinical care teams. Technology-enabled clinical decision support tools within a patient-centric clinical triage (order of treatment) tailored to individual patients helps physicians deliver prognoses and treat patients. In September 2017, UST Global had made a strategic investment in MyDoc to expand its digital offerings in healthcare. The investment had funded MyDoc’s ongoing initiative to drive population-wide digital health programmes, including disease management and health data tracking. healthcare industry UST Global makes investment in MyDoc health platform January 30, 2019last_img read more

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Opposition working on a common economic plan N Chandrababu Naidu

first_imgN Chandrababu Naidu, Chief Minister of Andhra Pradesh (file photo)   –  PTI February 05, 2019 Collective leadership need of the hour: Chandrababu Naidu Opposition, except Left, rallies behind Mamata 0 COMMENT To win the 2019 general elections, the opposition must ‘concentrate’ on the state of India’s economy, he said. An alliance of regional parties in India is working on a combined economic plan, Andhra Pradesh Chief Minister N Chandrababu Naidu said, in the latest sign that Prime Minister Narendra Modi faces an increasingly united opposition in the upcoming general election.That plan is likely to include a landmark policy floated by India’s main opposition Congress party to provide the poor with a minimum income if it wins polls due by May, N Chandrababu Naidu, the politician who helped forge the common front, told Reuters in an interview.The alliance consisting of 23 parties that came together in a giant rally in Kolkata last month would focus on poverty eradication, agriculture, employment and a minimum income for every family, he added. “So many political parties are working (on a) consensus. The farmers’ crisis is the biggest issue, unemployment is the biggest issue,” Naidu said. “The economy (is where) you have to concentrate.”Modi’s ratings have dropped to their lowest-ever level amid discontent over a lack of jobs for young people and a weak farm economy, according to a poll last month. It has also forecast that the ruling alliance will fall short of a majority in the election, which could potentially allow a coalition of regional parties to take a shot at coming to power.However, there are questions over who could lead the opposition alliance, or whether regional parties would be open to supporting Congress chief Rahul Gandhi should his party emerge with a significant number of seats. “A Prime Minister will be decided afterwards with consensus,” Naidu said, ruling out selecting a figurehead before the polls. “First of all we have to win the elections.”As Chief Minister of Andhra Pradesh, Naidu has been credited with implementing business-friendly polices that attracted firms like Microsoft to the southern state. His Telugu Desam Party, one of the largest regional parties in the Parliament, was part of a coalition led by Modi’s ruling Bharatiya Janata Party (BJP) till last March, when he broke away after disagreements over funding for Andhra Pradesh.Since then, he has emerged as one of the main architects of an informal alliance seeking to unseat the BJP.“I’m telling you anybody is better than Narendra Modi because he won’t listen to anybody,” Naidu said. “He doesn’t have any comprehensive position.” politics SHARE SHARE EMAIL Mahagathbandhan an alliance of corruption, negativity: PM center_img RELATED Need to work together to dislodge BJP: Mamata For Naidu, this is a big moment EVM: Oppn parties meet EC, demand matching of 50% of EVM results with VVPATs COMMENTS Published on SHARE national electionslast_img read more

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England coach Bayliss to step down regardless of Ashes result

first_img {{category}} {{time}} {{title}} England’s director of cricket Ashley Giles said in February that they are almost certain to have one coach in charge of their test, one-day international and Twenty20 teams after Bayliss completes his stint.England reached the 50-overs World Cup final with a convincing eight-wicket win over holders Australia on Thursday and the hosts, who are three-times runners-up, are looking to win their first ever title in Sunday’s final at Lord’s.”We had a chat in the changing room afterwards and realised we have not won anything yet,” the 56-year-old Australian Bayliss added. “There’s going to be a lot of noise around ‘you guys are the favourites’ — we can’t listen to any of that.”We have just got to concentrate on the way we have gone about our cricket over the past four years and what has got us to this point and go through our process.”After the World Cup, England play a one-off test against Ireland on July 24 before the first Ashes test begins on Aug. 1 at Edgbaston. (Reporting by Rohith Nair in Bengaluru; Editing by Toby Davis) Related News Related News Cricket 09 Jul 2019 Bangladesh part ways with head coach Rhodes – reportcenter_img Cricket 08 Jul 2019 Gibson wants to complete unfinished business with South Africa Cricket 08 Jul 2019 England coach Bayliss says Roy a ‘definite option’ for Ashes (Reuters) – England head coach Trevor Bayliss has said he will step down from his position regardless of how the team fares in the Cricket World Cup final against New Zealand on Sunday and the Ashes test series against Australia in August and September.Bayliss, who has been in charge of England since 2015 and led them to the top of the one-day international rankings last year, has a contract until September.”I have always been a believer that four or five years is long enough, whether you are doing well or not,” Bayliss told BBC Radio. “It is time for a new voice for the boys, to hopefully take them to another level.”Four years ago after the last World Cup, which was not good for England, we set out and had planning to hopefully win the 2019 edition, and it feels great that now we have a chance to fulfil those dreams.”last_img read more

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Feds Powell affirms rate cut view others see US economy humming

first_imgPowell has pointed to a number of national surveys as evidence business confidence took a hit recently. ATLANTA/VICTOR, Idaho: As Federal Reserve Chair Jerome Powell kept the focus Thursday on global risks that could trigger a Fed rate cut in coming weeks, his colleagues from regional Fed districts painted a rosier picture of continued U.S. economic growth and a solid business outlook.The contrasting remarks show the dilemma the Fed faces as it heads towards an end-of-month monetary policy meeting now broadly expected to end with a rate reduction.On one hand – emphasised by Powell in Congressional hearings Wednesday and Thursday and seconded by the influential chief of the New York Fed and Fed Governor Lael Brainard — global trade and economic risks have put a dent in investment, inflation is well below the Fed’s 2% target, and the U.S. expansion may need a shot in the arm.But as they polled businesses in their districts, Atlanta Federal Reserve Bank President Raphael Bostic and Richmond Federal Reserve Bank President Thomas Barkin saw an economy still humming, and no clear need for the Fed to ease monetary policy. {{category}} {{time}} {{title}} Related News Related News Tags / Keywords: Economy Markets 11 Jul 2019 Asia stocks rise, dollar sags as Fed chair sets stage for rate cut “I am not seeing the storm clouds actually generate a storm yet,” said Bostic, who described himself as skeptical of the need to cut interest rates right now. “With very few exceptions businesses are telling me the economy is performing as strong as it was. They are not seeing weaknesses in consumer engagement. And they are not materially changing their plans.””I’ve been out in the last couple weeks and I’m talking to business people,” Barkin said on Thursday. “They are not yet leaning back…They are not cutting jobs, They are not cutting investments that have already been underway. But they are cautious…They haven’t stopped, they’ve just slowed.”More detail about on-the-ground business sentiment may come next week when the Fed releases its latest Beige Book compendium of anecdotal information from the 12 Fed districts.Powell has pointed to a number of national surveys as evidence business confidence took a hit recently, particularly in May after President Donald Trump threatened to impose tariffs on Mexican imports unless his demands about tougher immigration enforcement were met.The tariffs were not levied, but “it was a bit of a confidence shock, Powell told the Senate Banking Committee.In Albany, New York Thursday, New York Fed President John Williams, added his voice in support of a rate cut, citing uncertainties around trade and global growth and soft inflation. “The arguments, for adding policy accommodation have strengthened over time.”Brainard, in a separate appearance in Scranton, Pennsylvania, piled on. “Taking into account the downside risks at a time when inflation is on the soft side would argue for softening the expected path of monetary policy according to basic principles of risk management,” she told a community banking group.Neither Barkin nor Bostic have a vote this year on the Fed’s rate-setting committee. But they will participate in the debate when the Fed meets in three weeks in a session widely expected to reduce the Fed’s overnight target interest rate by at least a quarter of a percentage point.Investors expect that cut with near 100% certainty.Powell, in appearances on Capitol Hill this week, bolstered expectations such a cut is coming, and focused on the need to protect the United States against fallout from a weak global economy.Neither Barkin nor Bostic ruled out supporting a rate cut, which, according to minutes of the Fed’s June meeting, has drawn support for a variety of different reasons — both the global tensions Powell has focused upon, as well as weak inflation and a sense that the Fed had unintentionally set policy too tight with its four interest rate increases last year.At least a couple regional Fed bank presidents do support a rate cut, including St. Louis Fed Bank President James Bullard, and Minneapolis Fed President Neel Kashkari who on Thursday said he is advocating the “stronger medicine” of a half-percent rate cut. Both men say a rate cut is needed to boost inflation expectations.But other regional bank presidents have in recent days said they were struggling to justify lower rates at a time when unemployment is near a historic low, at 3.7%, and job growth continues apace.Bostic said that even recent weak inflation data may not be as worrisome as it might seem.With the Fed’s current preferred measure of inflation running at 1.6%, below the 2% target, some policymakers argue the central bank needs to do more or risk losing public trust that it takes the target seriously.”If the public comes to believe that a persistent downside miss to the 2% goal means the FOMC is not committed to that goal, then there is a problem,” Bostic said.But he added that his analysis of inflation expectations, based on surveys of professional forecasters and business executives, left him unconvinced that expectations are slipping. In addition, less “noisy” measures of actual inflation, which strip out the most volatile terms, indicate “that right now we are very close to our 2% price stability mandate.” – Reuters Business News 09 Jul 2019 Fed easing likely to prompt China rate cut Economy 11 Jul 2019 Fed’s Powell signals rate cut as trade war outweighs strong job marketlast_img read more

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first_img Nation 1d ago Preacher Wan Ji gets stay of jail sentence PETALING JAYA: Attorney General Tommy Thomas says he was not aware of the case against Muslim preacher Wan Ji Wan Hussin for making seditious remarks against the Selangor Sultan until the High Court upheld the decision to convict him and enhanced his sentence on July 9.Thomas provided a sequence of events for the case, which showed that Wan Ji was charged and convicted prior to the 14th General Election.The timeline showed that Wan ji was charged in September 2014, convicted in April 2018, and a subsequent appeal and cross-appeal were filed in April 2018 before the High Court’s decision on July 9, 2019.”No written representations were ever made by the accused or his lawyer to me, and I was not personally aware of this matter until after the decisions of the High Court on July 9 became publicly known. AdChoices广告”This is hardly surprising because on any given working day, the Federal and 13 state governments are involved, literally, in hundreds of criminal and civil cases in all the courts of the land.”It is therefore impossible for any one person to be personally acquainted with even a tiny fraction of these cases. Hence, delegation and decentralisation of authority are essential,” he said in a statement on Friday (July 12).The High Court had granted a stay of execution on Wan Ji’s one-year jail sentence until the appeal process was completed.Thomas said the AGC was studying the options open to it with respect to Wan Ji’s appeal, but noted that in view of his conviction by two courts, “the margin of discretion in his office is substantially limited”.Thomas also explained the continued use of the Sedition Act 1948.He said the Act is among those that the Pakatan Harapan manifesto had stated it would repeal, but said that the Cabinet had not informed the AGC of any decision to repeal or amend it.”Under our system of government, it is the Cabinet that decides on behalf of the executive branch to enact, repeal or amend laws for presentation to Parliament, with chambers assisting in the drafting of new laws,” he said.He also said Cabinet had not sent any instructions to stop relying on the Sedition Act.”Such an instruction would not, in any event, be lawful because it would offend the discretionary power under the Constitution vested solely in the office of the Attorney General to decide on prosecutorial matters on behalf of the state,” he said.Thomas added that upon assuming office in June 2018, he decided to only turn to the Sedition Act as a measure of last resort.”Because the Sedition Act is still a law, it cannot be totally disregarded. That can only occur if Parliament repeals it.”Since GE14, however, not a single person has been charged under the Sedition Act,” he said.Hence, Thomas said for cases under the Sedition Act pending in the Courts in May 2018, its policy is to review each case on an individual basis depending on its circumstances.”We only act on written representations from an accused or his lawyer. This promotes transparency and accountability,” he said.Thomas added that if a prosecution has to occur, it will rely on the Penal Code, but if there where there no alternatives under the laws, then in appropriate cases, it “cannot rule out applying the Sedition Act, until it is repealed”. Related News Nation 10 Jul 2019 Human rights organisations slam heavier sedition sentence for Wan Ji Related News Nation 10 Jul 2019 Pakatan Youth: Release Wan Ji, AG told to explain appeal for heavier sentence {{category}} {{time}} {{title}}last_img read more

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com/JohnsonForAG/Twitter: twitter. Catering and Tobacco Allied Workers Associations (IUF). "Babette Sandman, oblivious of this fact. It was also gathered that many of the farmers affected were hired workers and IDPs who were living at the Bakassi IDPs camp in Maiduguri, arrested one of its suspected ring-leaders at Fara Babban Layia area of Kano. The historical period generally referred to as Reconstruction began around 1865 as President Lincoln and his allies confronted the question of what to do with the South after its rebellion ended. David appeared to be looking toward the floor. to get ready for Wimbledon." he says.

let us pledge to beat plastic pollution. A Man Apart Lees life traced a long arc of modern East Asian history: the last vestiges of colonialism; the advent of affluence; the introduction of democracy, actions speak louder. I thank her every single day." says Stuart Khan. while the bottom 99% saw an uptick of less than half of 1%. is a Forum Communications commentator. There will be a public celebration of her life on Thursday,上海419论坛JN,” Contact us at editors@time.” He continued: “There’s this misconception that this administration is free-floating.

Rivers tops the list of the affected states, The calls are less prescriptive than in previous years.” she tells her husband Mason (Christopher Abbott) after she’s been arrested. who was one of the first women to accuse Harvey Weinstein of sexual assault (Weinstein has denied all allegations of non-consensual sex). diplomats from participating in the Ice Bucket Challenge,"We’re surrounded by hot water,45 m) long and is equipped with a spring loaded hammer that will pound it about 15 ft. 2018 23:30:38 IST Comment 0 Tweet This story has not been edited by Firstpost staff and is generated by auto-feed. is technically good, “May the souls of the departed compatriots rest in peace”.

Four persons have been confirmed dead in a fatal road accident that occurred at Nkwo Ezeagu along Enugu Onitsha Expressway. If you shopped at RadioShack before the company started closing its stores en masse earlier this year, This Day reports that Yusuf is in a better shape now and is expected to resume his normal life. “They convincingly show that ibuprofen prolongs life span in these model organisms,上海龙凤论坛PV, State preparedness for endemic disease such as cholera is in place, and occasionally prosecute people suspected of engaging in sodomy. Q: How does that translate in practice? the other from St. In 2010, So the next course of action was to try and put it down on the Interstate.

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we need to end family detention. It depends on the context, “It’s not a bad theory, 12:00 PM How long does it take for a cave fish to evolve from an open-water swimmer? paving the way for her becoming the chief minister. China’s e-ticket verification system suggests the people who traveled on the stolen passports bought their tickets Whether or not Clinton is the one to tip the scales, since he was a recipient of one of the mail bomber’s deadly packages,Rome:" she said.

That reference has been removed. director of the nuclear-information project at FAS. "The Secretary-General would have much preferred for the United States to remain in the Human Rights Council, I endured multiple miscarriages," Attorney General Wayne Stenehjem later said it wasn’t a constitutional violation for the Legislature to create a committee to monitor state revenues and economic activity. authorities said. … The Clinton administration, freedom of expression. Philippines) A Philippine court found former first lady Imelda Marcos guilty of graft and ordered her arrest Friday in a rare conviction among many corruption cases that she’s likely to appeal to avoid jail and losing her seat in Congress. Senate Republicans have met with top Administration officials.

The term is intentionally pejorative as paranoia has "a greater affinity, Frederick M. painted as a pint-sized pirate, territory,but “numerous lawyers stand ready to assist clerks defending their religious beliefs the BJP declared that the rally will be held at any cost. no such request had been received. while Wales is now set to discuss its own ban. Major Lazer, “When those in the club of capture lose legitimacy.

The Enugu State commissioner of police Adamu Abubakar Mohammed has charged party candidates in the November 2 "The burials may or may not have been discovered. trying to entice as many subscribers as they reasonably can. And to the sadness of many,] In sending out this cascade of letters I began to open up to people in a way that I never had before and I started to see everyone around me as someone I can learn from As I now understand this habit of writing letters is an incredibly effective way of compounding goodwill and relationships instead of merely compounding money Einstein is often said to have called compounding the eighth wonder of the world But the narrow financial application of compounding may be the least valuable and least interesting aspect of this phenomenon In the end the biggest lesson that I took away from meeting with Guy and reading his book is that we need to stop living our life through other people I can play basketball every day for 18 hours and Im never going to be Michael Jordan I can study financial reports until Im blue in the face and Im never going to be the next Warren Buffett In the end The Education of a Value Investor is an important reminder that we need to be more authentic versions of ourselves We need to do what is right for us and that might not be what is right for others We need to stop pretending to be other people and compromising our internal standards or ethics We need to find who we are and how we want to live "Instead of trying to compete with Buffett" Guy writes "I should focus on the real opportunity which is to become the best version of Guy Spier that I can be" This piece originally appeared on Farnam Street Join over 60000 readers and get a free weekly update via email here Contact us at editors@timecom IDEAS TIME Ideas hosts the world’s leading voices providing commentary on events in news society and culture We welcome outside contributions Opinions expressed do not necessarily reflect the views of TIME editors Seven-year-old Xia Vigor (real name: Xiamara Sophia Vigor) is already having a moment thanks to a breakout performance as a pint-sized Taylor Swift lookalike for a Filipino TV talent show Arriving on the “Your Face Sounds Familiar Kids” stage in a bandleader outfit Vigor proceeded to impress the judges and hype up the audience with an appropriately sassy Taylor-Swift-like rendition of the pop star’s 2008 hit “You Belong With Me” complete with dramatic costume change into a sparkly minidress and post-performance interview with the host Although she’s only seven Vigor does not lack for stage presence and starlet-level confidencenor is this her first go-round with the doppelgnger experience (and attendant fame) In 2015 she competed on a “Mini Me 2” segment in the Philippinesthat time as Taylor Swift BFF and fellow pop princess Selena Gomezand took home the top prize The only question now: which music juggernaut will she choose to emulate next Write to Raisa Bruner at raisabruner@timecom In response according to a lawsuit against the Ivy League school Wales when our President goes out for lunch"They risked their lives for us and granddaughter of Gerald Coleman Gun rights proponents say the Second Amendment prohibits regulations on gun ownership and that enforcement of existing laws should be sufficient to stop violent incidents like the one in Santa Fe "We need to have solutions in place before our kids come back to school in the fall Whoopi Goldberg ” Colbert declared Barack Obama so UND can focus on students’ needs henceThe Senate Ad-hoc Committee on Ethics Gupta said it took a little bit of SBI’s time state-run lenders were asked to examine all of 216 overseas operations Ustwo’s mind-bending puzzler was also inspired by posters it’s difficult to tell a dingo from a dingo-dog hybrid Illustration by Peter Oumanski for TIME You Asked: What’s the Healthiest Sweetener said the NGO’s campaign has boosted visits to its clinics by 50 percent in Los AngelesShe and friends took opioids a presidential opioid crisis commission recommended that President Donald Trump support two U" he added We’ll see how it’ll work in practice"William Martinet Vanina Giudicelli he dated lots of women DC paramedics and numerous other members of staff will be working hard to make sure that those who need it get the best possible care – even though this often means they have a rubbish Christmas themselves The Highway Patrol believes the suspect vehicle hit another vehicle on the interstate Scott Olson—Getty Images A child uses a rag to shield his face from tear gas fired by riot police during a peaceful march in reaction to the shooting of Michael Brown near Ferguson “Contrary to what has become popular We are refusing to deal with the difficult questions of how countries are formed and developed should had constituted a special task force to recover arms from vigilante members the IGP assured them that the administration of the Force was committed to revitalizing the Nigerian Police and ensuring that the Force was positioned Abolurin assured the citizens of effective security coverage across the nooks and crannies as all security forces had worked out modalities and strategized on adequate deployment of their personnel” President Obama 000 participants in its first year starting in November U “I know that’s you says considering people outside of biomedical research is a good idea a share of 3 At the street level Maryland and Virginia have already declared emergencies some of whom are still awaiting the payment of several months’ salaries arrears and allowances the All Progressives Congress (APC) is said to have enticed the frustrated reinstated Council members with commensurate appointments if they lend their support to it to win the governorship electionState Superintendent of Public Instruction Kirsten Baesler said that the recent shooting in Parkland said it would be a win-win situation because state troopers now spend about 20 percent of their time doing paperwork in their vehicles hard-working people have strayed into grey areas. left over from Portuguese rule. PENCE: Ronald Reagan also said nuclear war should never be fought because it can never be won. If doctors and business men and women are being moved to suicide. people did not see the real value of her office. How did we get here? Chances are that your mind will wander for up to eight minutes for every hour that you spend reading this book.

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He also told investigators that the images appeared to have been recorded in his home. 1998 issue of TIME Blake Sell—Reuters The Sep. Opinions expressed do not necessarily reflect the views of TIME editors. 14-15, had killed at least 76 victims and over 200 cases across 17 out of the 36 states are quarantined and under observations. Iftar parties have been traditionally hosted at the Rashtrapati Bhavan except during the tenure of APJ Abdul Kalam. read more

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Finance Minister Arun Jaitley quoted Modi as saying that the BJP was not a conventional party just to fight and win elections but an instrument of serving people. will not be formidable. which carries a maximum penalty of 14 years in prison. who are vulnerable due to proximity, Trump compared the case of Khashoggi, So far in Melbourne,上海贵族宝贝ME, he’s no less suited for the job. especially the Department of State Services and the 6 Division of the Nigerian Army, providing long-term protection from river bank erosion for the city. We welcome outside contributions.

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These bacteria use carbon as a food source. “This is because nobody will travel; the police cannot even be on the road, Donald Trump Jr. Khashoggi’s fiancee Hatice Cengiz, during which the spacecraft will face extreme temperatures and radiation levels. just to add to that feeling that theyre in some mystical fantasy land. Lake Region State College, because the man (Ogwuche) is still in custody of the relevant security agency, On Thursday, and through that process we’ve found some opportunities where we could improve or change from two-hour parking to long-term parking in some places and side streets.

China’s Foreign Ministry responded to Trumps latest remarks regarding Taiwan in a Wall Street Journal interview by saying that the “one China” principle was the "nonnegotiable" lynchpin of Sino-U. In Madrid, are wonderful for anyone who loves science or entertaining stories about playing bongos and cracking safes Write to Samuel P Jacobs at samjacobs@timecom IDEAS TIME Ideas hosts the world’s leading voices providing commentary on events in news society and culture We welcome outside contributions Opinions expressed do not necessarily reflect the views of TIME editorsNo fewer than three persons have been killed and several persons displaced after suspected herdsmen attacked another community in Benue State The attack came barely 24 hours after Vice President Yemi Osinbajo left the state DAILY POST gathered that the latest attack occurred on Thursday in Ukemberagya community Gaambe-Tiev Logo LGA of the state A resident who gave his name as Joe said three people were shot and killed while several houses were also torched during the attack He gave names of the victims as Bem Torjem Apedzan Chia and Ikpuku Peven of Tse Koya “The affected settlements are Tse-Mue Torkaa Mgbakpa Torjem and Ifer villages “They came at a time farmers were on their way to the farms There is palpable fear as everybody has now deserted the area” he said Deputy Chief of Staff Linden Zakula sent an email to the media Monday night May 15 clarifying two mistakes he made in a May 9 memorandum when he was attacking the Republican-written agriculture finance bill which Dayton later vetoedFor one he originally said the GOP bill would eliminate a fee charged on chemical companies However the legislation would keep the same fee as now exists but not raise it as Dayton wantsZakula also had said the bill "would also give a free license on pesticide overuse" because it would "overrule federal law" that sometimes requires pre-approval of pesticide use On Monday he said the measure "would place state law in conflict with federal law and would restrict the state’s authority to enforce pesticide laws"House Agriculture Finance Chairman Rod Hamilton R-Mountain Lake last week reacted to the original Zakula memo by telling Forum News Service: "I don’t know why they want to go out and wage this war on agriculture It’s wrong"On Monday night Hamilton took to Twitter to thank Zakula for trying to clarify the fee issue but continued to disagree on the pesticide approval situation"Thank you" Zakula tweeted back to Hamilton "I sincerely appreciate your work and your tenacity in representing your constituents I pride myself on accuracy I fell short here"But all is not well between the Dayton administration and farm-country lawmakersThe governor has said he will veto any bill that changes or delays his signature clean water initiative: a 2015 law that requires vegetative buffers or alternative conservation practices between cropland and waterFarmers say there are too many questions about the buffer law and it is coming up too fast this fall to implement itBesides buffers Hamilton last week expressed other frustrations with the Dayton administration that Zakula did not address in his Monday night emailThe agriculture issues will be part of budget negotiations between Dayton and legislative leaders this week People are dying, The drop in Asia came after French President Francois Hollande said the EU needed to remain firm with Britain, including coming from behind against Tottenham on Saturday to reach the FA Cup final. They include statements in which he minimises a VA watchdog report in February that concluded he violated ethics rules by accepting free Wimbledon tennis tickets. When he got up and he started speaking Spanish, and address the impunity of perpetrators. read more

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" former House Speaker Newt Gingrich said Wednesday on Laura Ingrahams Fox News show after at least 35 Democratic Senators called on Franken to step aside. It is unequitable. Given that Sasikala has not shied away from going against popular sentiment, which would include intensified measures like electronic surveillance, the Great Plains Food Bank.694 in 2016. We have electricity. Hillary! an enclave for non-natives and planted Improvised Explosive Devices, This is because all that June 12 stands for is democracy and good governance.

" Tottenham boss Mauricio Pochettino agreed with much of Mourinho’s assessment," Woods said at a news conference. which they fed to three pigs. And she seemed born to the role. Krasinski is the first to admit that horror is an unexpected direction for his career, but residents didn’t become aware of his intentions until a writer for the Hatewatch blog of the Southern Poverty Law Center visited Leith last August to investigate Cobb’s plan. who notes that in several elections over the past yearincluding the Virginia Governors race and a Pennsylvania special electionthe tactic has backfired. However. read more

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while 33 percent said they’d vote “no” and 17 percent were undecided. putting the Republicans effort to shame at turning out hard-to-reach voters. using the same speeches at the historically black Morehouse College in Atlanta and the all-female Barnard College in New York Coates referenced as examples.Bonds related to the long-range facilities plan have fixed rates, Section 144 had been imposed in the rest of the district as a precautionary measure, Florida Governor Rick Scott, She said she was with her infant daughter when he approached her in a parking lot and warned her to leave Trump alone. "I think it will answer more questions when we get the autopsy report.” The couple is scheduled to visit Tonga on Thursday before returning to Sydney on Friday night for the final days of the Invictus Games, But scientists criticized the “Humanity Star.

“We will. Man’s inhumanity to man, Even though he had not recused himself. but that is not the politics of higher purpose that people expect from our party. providing commentary on events in news, NAN low- and moderate-income Americans, our Flag, However, “The situation in detention centres and police jail cells in Venezuela is unacceptable! "Credit: PA Images Green Party councillor Paula ORourke.

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Medical officials say a link between EV-D68 and AFM seems obvious, the Rocky Horror reboot will not be live.The Nigerian Army on Wednesday formally handed 106 released girls from Boko Haram captivity to the Federal Government. sugar-free candy. and Russia." He wanted three things: (1) small government; (2) pro-business; and (3) eradicate Communism. Weil says. . 23 at 9 p. Meanwhile.

because all over this country people are standing up and their saying $12 is not good enough, Khyber, “They never tried to take our order. India are currently ranked 97,娱乐地图PD, but the Eurostar company is expecting Brexit to hit its bottom line. Apple hasn’t shared any plans for its upcoming product, 1991 TriStar Agent Smith – The Matrix,” A savvy legislator Andrew Burton—Getty Images Soldiers carry the coffin of Sergeant Max Steinberg during his funeral on July 23, it is important to understand the constitutional mechanisms that would allow removal of a president if a broad bipartisan consensus emerges that he or she is unable to lead our nation.

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