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Medical workers gain momentum

first_imgA week after an earthquake devastated Haiti, Harvard University affiliates have ramped up a combined medical and surgical aid effort in the battered island nation that is larger than that of any nongovernmental organization.The logistics required to coordinate medical assistance that broadly and quickly is likely to provide a helpful template in the future for harnessing the power of academic medicine to meet the demands of major disasters, officials believe.Fifty medical and surgical personnel have been deployed in Haiti in the last week from Harvard-affiliated hospitals. Harvard teaching hospitals have sent planeloads of medical supplies, including surgical and anesthesia equipment. More surgical teams are lined up to depart for Haiti Wednesday (Jan. 20).Partners In Health (PIH), a not-for-profit Harvard affiliate, has taken the lead in University-related medical aid. The group, co-founded by Paul Farmer, the Maude and Lillian Presley Professor of Social Medicine at Harvard Medical School, operates nine medical sites in Haiti and has had a presence there since 1985.PIH has seven operating rooms at the University Hospital in Port-au-Prince, where 1,000 patients await surgery. The agency has been shuttling patients to other medical facilities in the rugged Central Plateau, two hours away, and has just opened a treatment center outside Port-au-Prince, the Haitian capital, with three more operating rooms.The Harvard School of Public Health (HSPH) and the Harvard Humanitarian Initiative (HHI) are providing leadership for the United Nations “health cluster” and a U.N. field hospital. Such U.N. health clusters coordinate government, nongovernment, academic, and private organizations during medical emergencies.For the next week or two, “surgical needs will dominate,” said HHI’s co-director Michael J. VanRooyen, who is helping to coordinate Harvard’s medical resources bound for Haiti.Amputations and wound debridements are common, and crush injuries and infections are a major cause of mortality.Among the Harvard affiliates helping to send medical and surgical teams are Brigham and Women’s Hospital, Children’s Hospital Boston, and Massachusetts General Hospital.After the initial response, VanRooyen said, the challenge will be to create temporary housing for the displaced, nurse the injured, and provide post-operative care.Large numbers of those who were displaced in Port-au-Prince, he said, “are living in the rubble.”The Haitian carnage is different from most earthquake disasters, said VanRooyen. It happened in a large city, where crushing injuries are a huge factor, but where surgical facilities are close by.Harvard’s medical authorities on the ground have begun to get word out on the conditions they have found in Haiti, despite spotty cell phone service and limited access to e-mail. Some physicians already have rotated through the country.Stephanie Rosborough, an emergency physician and disaster relief expert at Brigham and Women’s, was in Miami today (Jan. 19) after five days at a U.N. compound medical clinic in Port-au-Prince. Later today, she will be on a plane to the Dominican Republic, and will travel overland to Jimaní, a town on Haiti’s eastern border. There, Rosborough will help set up a post-operative medical camp.She had arrived in Port-au-Prince last Thursday (Jan. 14) from Santo Domingo by helicopter, a vantage that revealed the enormity of the destruction in the capital, where structures collapsed “like stacks of pancakes.” In the city, water was scarce even for doctors and other medical staff, said Rosborough. Everyone slept in or outside the same two vast plastic tents housing 150 patients at the U.N. compound.One day, she said, doctors performed 14 amputations using ketamine, a common drug for field surgeries, to anesthetize the patients. Crushing injuries, broken bones, and infections — even gangrene — were common, said Rosborough, a Cambridge resident who is director of the International Emergency Medicine Fellowship at the Brigham.Many Haitians “have lost everything they have,” she said, and now many face life without limbs, or without family. “It’s heartbreaking.”Evan Lyon, a resident in internal medicine at the Brigham, spent his first 12 hours in the capital city last weekend assessing the need for emergency medical care.“Beyond the horror,” he wrote of his drive through Port-au-Prince Sunday, “one striking reality is that things are totally peaceful. We circulated …  in the middle of everything until just now. Everywhere. No U.N. No police. No U.S. Marines and no violence or chaos or anything. Just people helping each other.”Lyon, once a teacher in Port-au-Prince, split his time for the last year between Boston and Haiti’s Central Plateau, where PIH has eight community-run clinics collectively called Zanmi Lasante.Jonathan Crocker, an internist at Beth Israel Deaconess Medical Center in Boston, another Harvard affiliate, arrived at Zanmi Lasante’s flagship clinic in Cange on Sunday, and posted his impressions the next day.“Patients are dazed,” he wrote of the growing flood of wounded arriving from the capital. “The disruption to their families and lives is beyond description. Many of our injured patients are not mobile, have few resources, have no home to return to, and many have lost their entire families. We care for their wounds. We listen. We grieve with them.”“All Harvard hospitals continue to communicate closely with each other aroundissues relating to supplies and material support for PIH and other efforts,” according to the HHI Web site. “The level of coordination is a strong testimony to the solidarity of the Harvard system in support of Haiti and our partnering organizations providing relief.”PIH surgical teams are working in Cange as well as at the University Hospital in Port-au-Prince. PIH has become one of the largest medical and surgical nongovernmental organizations and one of the lead agencies for civilian humanitarian assistance in Haiti.Security and safety remain key concerns, but so far Harvard-affiliated medical personnel in the field report that Port-au-Prince has been generally peaceful, that logistics are improving, and that health workers are safe and well.As Lyon drove through Port-au-Prince in search of urgent emergency cases, he passed the city’s main central park, where almost 50,000 people were sleeping at night.“It was almost silent,” he wrote. “People cooking, talking, some singing and crying.”Despite hundreds of injured people lying on the ground, with “open fractures, massive injuries of all kinds,” he wrote, “people are kind, calm, generous to us and others.”But the stench of death was everywhere, wrote Lyon. “The city is changed forever.”Lyon oversaw the evacuation of four patients to U.S. hospitals, who may be the first Haitian nationals to leave for care in the United States, he said.Crocker wrote that the Cange operation is “incredibly busy,” especially as the wounded have begun to develop complications, especially sepsis and venous blood clots from immobility and trauma.“The Haitian medical staff of Partners In Health/Zanmi Lasante and survivors of the quake are working with unimaginable valor and dedication, as many of them have lost several or most members of their family,” he wrote. “And yet they remain here, working tirelessly to provide care for others. They are the true heroes.”last_img read more

Abramowitz gets accolades for his community work

first_imgAbramowitz gets accolades for his community work January 15, 2006 Regular News Abramowitz gets accolades for his community workcenter_img Alan Abramowitz is a top administrator for the Department of Children and Families who enjoys good press and sincere accolades.The Orlando Sentinel described him as “helping turn around one of the most troubled child-welfare systems in Florida,” in District 12’s Volusia and Flagler counties.An editorial in the Daytona Beach News Journal said his “strength had nothing to do with pushing paper. It had everything to do with establishing connections and setting standards for DCF services.”He chose the Homeless Assistance Center in Daytona Beach for a computer system that allows homeless people to apply for food stamps and welfare without going to a DCF office. And he championed alternatives to jail for mentally ill, nonviolent people who are arrested in Volusia County.Recently, 43-year-old Abramowitz received the 2005 Florida Prevention Leadership Award for his community work, as well as the 16th Annual Sam Bell Award from Serenity House, which provides substance abuse treatment for the indigent and homeless.Now, Abramowitz has been reassigned to District 7, which covers Orange, Seminole, Osceola, and Brevard counties.“The change will mean a bigger caseload, more people to get to know, more challenges,” the Daytona Beach News Journal said. “We have no doubt Abramowitz is up to the task.”last_img read more

Are your Gen Y staff satisfied enough to stay?

first_img ShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr Education and training can help make sure Millennials not only like their jobs but plan to keep working at them.By Lisa HochgrafAs you look around your credit union office, are your Millennial-aged employees looking pretty happy? If they are, you probably should give yourself a pat on the back.But a Harvard Business Review survey suggests you might want to look deeper. It found that 69 percent of Gen Y professionals working in Fortune 500 companies reported being satisfied at work. At the same time, 48 percent said they planned to stay at their current job two years or less.One of the reasons, according to another Harvard Business School report, “Danger in the Middle: Why Middle Managers Aren’t Prepared to Lead,” is that many of these “satisfied” but “planning to leave” staffers are in middle management–a place where more training is needed if staff are to do two key things: a) find success in executing strategy and b) transform from “order givers” to leaders.Amy Fox, CEO and founder of Accelerated Business Results, Cincinnati, offers three insights for better training these members of your team: continue reading »last_img read more

David Luiz aims dig at Unai Emery after Arsenal’s win against Manchester United

first_imgAdvertisement David Luiz aims dig at Unai Emery after Arsenal’s win against Manchester United Metro Sport ReporterWednesday 1 Jan 2020 10:33 pmShare this article via facebookShare this article via twitterShare this article via messengerShare this with Share this article via emailShare this article via flipboardCopy link9.6kShares David Luiz says Mikel Arteta has brought happiness back to Arsenal’s players (BT Sport)David Luiz has fired a dig at Unai Emery by admitting that Mikel Arteta has brought happiness back to Arsenal after their victory over Manchester United on New Year’s Day.First-half goals from Nicolas Pepe and Sokratis Papastathopoulos sealed a 2-0 win over Ole Gunnar Solskjaer and a first victory for Arteta since he was appointed last month.Emery was sacked while Arsenal were on a run of just one win in 11 games, while that record was extended to 15 matches following the 2-1 defeat to Chelsea last Sunday.But Luiz insists Arteta has restored confidence following his arrival and believes the mood among the squad during Emery’s reign played a major part in their poor run of form.AdvertisementAdvertisementADVERTISEMENT‘We have to be honest and admit physically we are not ready, but you have to show heart and this team is ready to change a lot of things,’ Luiz told BT Sport after Arsenal’s win over Manchester United. Commentcenter_img David Luiz admits Arsenal’s players did not enjoy the final stages of Unai Emery’s reign (AFP via Getty Images)‘We showed that today and we are going to do big things in the future but step by step.‘Mikel Arteta is a great coach, he knows football, he was a great player.‘He brings things and I believe in his philosophy. I think he can improve every single player.‘In life when you are happy the results can be totally different. Mikel Arteta can improve every Arsenal player, says David Luiz (AMA/Getty Images)More: FootballRio Ferdinand urges Ole Gunnar Solskjaer to drop Manchester United starChelsea defender Fikayo Tomori reveals why he made U-turn over transfer deadline day moveMikel Arteta rates Thomas Partey’s chances of making his Arsenal debut vs Man City‘I always like to use the mantra, if you sleep happy you can sleep for hours, it’s better than sleeping sad for eight hours.‘If you work with happiness and believing what you are doing it is totally different, so I’m happy with everybody.‘But you need to understand our season is not there, we started very bad, I have to be honest, but things can change and there are still some titles to fight [for] and improvement for the team for the future.’More: Manchester United FCRio Ferdinand urges Ole Gunnar Solskjaer to drop Manchester United starNew Manchester United signing Facundo Pellistri responds to Edinson Cavani praiseEx-Man Utd coach blasts Ed Woodward for two key transfer errors Advertisementlast_img read more

Governor Wolf Announces DCNR Rangers, Managers will Carry Naloxone to Combat Opioid Overdoses

first_img April 12, 2017 SHARE Email Facebook Twitter Press Release,  Public Safety,  Substance Use Disorder Lewisberry, PA – Governor Tom Wolf today announced that the Department of Conservation and Natural Resources is equipping state park and state forest rangers, managers and assistant managers with life-saving naloxone to minimize opioid overdose fatalities, especially in rural settings such as state parks and state forests where police and first responders may not be readily available.“We are announcing today that DCNR will train and equip 300 employees — state park and state forest rangers, managers and assistant managers — with the life-saving drug naloxone to minimize opioid overdose fatalities,” the Governor said.Governor Wolf was joined at Gifford Pinchot State Park in York County for the announcement by Cindy Dunn, Secretary of the Department of Conservation and Natural Resources; Karen Murphy, Secretary of the Department of Health; and Jen Smith, Acting Secretary of the Department of Drug and Alcohol Programs.“The opioid epidemic is a health crisis that cannot be ignored,” Governor Wolf said surrounded by rangers and DCNR staff at the event. “It affects all groups and locations – urban and rural, young and old, people from all walks of life. Rural areas, including state parks and forests, are not immune to this epidemic.”Since 2015, there have been seven drug-related deaths on DCNR lands, and more than a dozen incidents where assistance was provided related to an overdose.DCNR oversees 121 state parks with most having assigned managers and rangers, and 20 state forest districts encompassing more than 2.2 million acres. The Bureau of Forestry currently has 33 full-time and seasonal rangers policing those 2.2 million acres of state forestlands.“These men and women often are the first responders when tragedy strikes among our more than 38 million state park visitors and as many as 5 million state forest visitors,” DCNR Secretary Cindy Adams Dunn said. “The safety of our visitors is an important priority to DCNR. Naloxone will be an added tool in helping our state park and forest staff provide an important public service.”“First responders across the commonwealth have saved more than 3,000 lives using naloxone,” Department of Health Secretary Karen Murphy said. “Knowing that all state park rangers will now have this medication and are trained to use it adds another opportunity for us to save lives and get people into treatment.”DCNR enforcement officers will complete official naloxone training and maintain current certification status through the Pennsylvania Chiefs of Police Association Training, PA Virtual Training Network. They will carry the naloxone kits in their vehicle when in uniformed patrol status.For more information about Pennsylvania state parks and forests visit the DCNR website at www.dcnr.pa.gov.center_img Governor Wolf Announces DCNR Rangers, Managers will Carry Naloxone to Combat Opioid Overdoseslast_img read more

USS proposes 41% contribution hike to plug funding shortfall

first_imgThe increases come as USS faces an uncertain future. A valuation of the scheme completed last year led to a proposal to close the defined benefit section to future accrual, which in turn prompted widespread strike action across UK universities.A joint expert panel was then set up to scrutinise the contested 2017 valuation of USS, and is due to report back to Universities UK (UUK) and the University and College Union (UCU) – the employer and employee representative groups, respectively – in September.The cost sharing that has been proposed is the default process set out in the scheme’s rules, and is being pursued because the USS joint negotiating committee (JNC) did not reach an agreement on how to address the increased cost of meeting benefits. Under the scheme rules, the increase in the total contribution rate is to be shared between members and employers on a 35:65 basis.A spokesperson for UUK said: “The increases in contributions being proposed will be challenging for both employers and scheme members. This temporary fix will lead to difficult decisions at many institutions over financial priorities. Over the summer we will be working with employers and other stakeholders to fully understand the implications.”The UUK spokesperson added that UUK and UCU were committed to reaching an agreement on the 2017 valuation following the joint expert panel’s report.“We hope this agreement will allow the higher levels of contribution increases proposed to be avoided,” the spokesperson added.From September there will be a 60-day consultation with employers and affected employees about the contribution increases. The UK’s largest pension fund has proposed raising combined employer and employee contributions by 41% by April 2020 in order to fund an estimated £900m-a-year (€1bn) funding gap.Under the proposals, members of the £60bn Universities Superannuation Scheme (USS) would increase their contributions in three steps from 8% of salary currently to 11.7% by April 2020, starting from April next year.Employer contributions would increase from 18% to 19.5% from April 2019, ultimately reaching 24.9% from April 2020. In total this would result in combined contributions increasing by 10.6 percentage points, from 26% to 36.6%.The USS trustees have also decided to scrap a policy of matching scheme members’ voluntary contributions to USS Investment Builder – the scheme’s defined contribution section – from April next year. According to a USS spokesman, this would have the effect of reducing the total contribution required from 37.4% – equivalent to £900m – to 36.6%, or £800m.last_img read more

Howe Building ramps up renovating

first_img6 Vance Close, TinarooIT MIGHT be the last place in the Far North to experience a surge in home renovations, but the Tablelands is certainly giving builders plenty of work revamping and reimagining older homes.And for Jesse and Tya Howe, a renovation project at Lake Tinaroo got them not one, but two industry awards. Easy entertaining.Under the Howe Building banner, the pair won both the Far North region and Queensland state award for best Master Builders Home Renovation/Remodelling Project ($276,000-$575,000) for 6 Vance Place. Mr Howe has been in the construction industry for 18 years and established his own business in 2016.He said there were about 50 per cent new builds and 50 per cent renovation projects on the books at the moment. Glorious wooden floors.“We’ve got two new builds happening now – one at Tinaroo and one at Atherton – and a renovation on a rural property at Malanda,” he said.“The house at Vance Place was a standout because of all the beautiful timber features. The floor and deck were made from timber and the custom designed and made timber staircase had a handmade wrought iron balustrading. Room with a view.“I thought it was a unique project and thought we’d have a chance at winning and we did. It was a fantastic outcome.”Mr Howe said the project took 12 months to complete.“I learnt what quality workmanship was early on from my father, who was also a state award-winning builder,” he said.More from newsCairns home ticks popular internet search terms2 days agoTen auction results from ‘active’ weekend in Cairns2 days ago The stunning bathroom.“We offer services in all aspects of building, including building new custom-designed homes and concreting as well as commercial and industrial.“Coming within budget while never compromising the quality is what we strive for and have always succeeded in. Howe Building second year adult apprentice Elima Bourke, tradesmen carpenter Russell Rankine and first year apprentice Zackary Dart with Tya and Jesse Howe.“We are a small family business that offer a more personal approach to building and I like to be on the tools whenever I can.”Howe Building operates from its Yungaburra base. The team includes Mr Howe, two qualified carpenters and two apprentices.last_img read more

Local Company Cutting Jobs

first_imgBatesville-based company Hill-Rom has announced jobs cuts and restructuring.Hill-Rom will lay off 350 employees, which is about 5 percent of its global workforce, according to reports.The hospital bed company expects the layoffs and restructuring to create $30 million in annual savings. The company currently employs around 7,000 people globally, with approximately 2,000 of those located in Batesville.No word on how many of the job cuts will impact local associates.The company also reported that first quarter revenue fell 8.2 percent to 393 million, compared to 428 million in the same quarter last year.last_img

James David Knight

first_imgJames D. Knight, 62, of Aurora, Indiana, passed away Monday July 23, 2018.He was born November 4, 1955 in Milan, IN, son of Nedra “Joann” (Walker) Knight and the late James H. Knight.David served his country as a member of the United States Army.He worked as a Truck Driver. David was a former member of the Aurora American Legion and the Aurora VFW.David enjoyed going to the Rising Star Casino with his family. He was a very talented artist; he sketched amazing scenery pictures, castles and portraits. He loved Virginia Beach, fishing, Blue Grass Music and westerns, and he enjoyed tinkering around the garage. David had a wry sense of humor.David is survived by his mother, Joanne Knight and his son, Wade G. Knight, both of Aurora, IN; cousins, Lynn Holtegel, Janice Smith, Keith Rozin, Shelley DiPierro, Jim DiPierro and Mike DiPierro.He was preceded in death by his father, James H. Knight, and a brother, Daniel L. Knight.Services will be held at the convenience of the family.Contributions may be made to the Charity of Choice. Please call the funeral home office at (812) 926-1450 and we will notify the family of your donation with a card.Visit: www.rullmans.comlast_img read more