The Nova Scotia government will hold its next surplus equipment auction on Saturday, April 21. A list of items to be auctioned is not yet available, but is expected to include commercial kitchen equipment, machine shop equipment, and a few motor vehicles. A complete list of items and photos will be posted on the following website one or two days before the auction athttp://www.gov.ns.ca/tran/govservices/govauction.asp”>www.gov.ns.ca/tran/govservices/govauction.asp</a> . The auction will be held at the Department of Transportation and Public Works’ warehouse at 10 Acadia St. in Dartmouth at 10 a.m. The items can be viewed between 8 a.m. and 10 a.m. The auction will be conducted by A&A Auctioneering. Payment must be made by cash or auctioneer-approved cheque. Credit cards or debit cards will not be accepted. Money earned in this auction is used to help pay down the provincial debt.
(Bernie Williams is pictured in this Facebook photo.)Kathleen Martens APTN NewsTwo self-proclaimed “street sisters” and advocates for missing and murdered Indigenous women and girls took to the microphone this week to talk about themselves for a change.“I thought that nobody loved me,” said Gladys Radek. “I went in search of love, a sense of belonging.”Radek, a household name in the fight to bring attention to the issue of missing and murdered Indigenous women and girls, testified before the national inquiry Friday.Her “sister” Bernie Williams helped open the five-day event in Richmond, B.C. Wednesday.At this, the inquiry’s second stop in B.C. after Smithers last fall, Radek got personal.“The first time I did heroin I OD’d and was put in the hospital for three weeks…at that point I was 14,” she said.She ran away from reform school to the Downtown Eastside (DTES), she said, “where I met a lot of my street sisters and a lot of my own relatives.“I was really angry when I hit the DTES because of all the violence I was subjected to as a child.”Radek was drinking and didn’t stop until about 10 years ago.“It was actually my niece Tamara that made me realize I couldn’t do the work that I’m doing for our missing and murdered women if I was drinking.“When Tamara went missing in 2005 it didn’t take long for me to realize that there was lots of other Tamaras out there that were missing.”Tamara Chipman vanished near Prince Rupert, B.C., along Highway 16, also referred to as the Highway of Tears because of all the disappearances along the route.“So many of our young relatives have been murdered for no reason,” said Radek, wearing a t-shirt with her niece’s smiling face on the front.“Because they were society’s throwaways.”Like Radek, Williams also lost relatives to violence – her mother and three sisters were murdered. The pair founded Walk4Justice and, as part of their lobbying, called for a national public inquiry.“When Tamara went missing I couldn’t take it anymore because all these years I watched my friends disappear, I watched my relatives disappear…up in northern B.C. where nobody wants to talk about it,” said Radek, who now lives in her missing niece’s home of Terrace, B.C.Williams has been on a few awareness-raising walks with Radek and stood behind her Friday as she testified before the inquiry.“I thought Gladys was crazy. I still feel that way,” she said with affection.“The last walk we did with the commissioners last year…that was one of the hardest walks we ever did.”The two now want to memorialize the women missing from northern B.C. with a totem pole Williams will carve with a group of women.“Terrace is the hub with about 80 reserves around it. They’re all affected by the loss of a loved one,” Radek said.Williams agreed, and called for safety recommendations developed by Indigenous families in 2006 in Prince George to be revisited. She said only one recommendation – erecting billboards along the highway – was fulfilled.“So we’re sitting here 12 years later and nothing is done. Women are still going missing,” she said. “Those 32 recommendations need to be revisited.”firstname.lastname@example.org
WASHINGTON – The United States and the United Arab Emirates signed a deal Friday to resolve a years-old spat over alleged Emirati government subsidies to its airlines and accusations of unfair competition in the U.S.After months of negotiations, a deal was reached that was carefully constructed to allow both sides to claim victory. Yet in a sign of how testy the issue has become, the Emiratis and the U.S. airlines immediately disagreed about what the deal said about the most controversial issue: flights to the U.S. that don’t stop in the UAE.The deal was signed in private at the State Department by Assistant Secretary of State Manisha Singh and Emirati Ambassador to the U.S. Yousef al-Otaiba. The State Department declined to comment. The Associated Press obtained the text of the agreement, known as a “record of discussion.”Under the deal, Dubai-based Emirates and Abu Dhabi-based Etihad Airways agreed to voluntarily open up their accounting books by publishing annual financial statements “consistent with internationally recognized accounting standards.” The major U.S. carriers — Delta Air Lines, American Airlines and United Airlines — have long alleged those financials obscure billions in hidden subsidies by the Emirati government.The more sensitive issue related to so-called “Fifth Freedom flights” in which passengers can fly to or from the United States to third countries without ever setting foot in the UAE.The U.S. airlines had sought a “freeze” — a binding commitment that they wouldn’t offer any more Fifth Freedom flights — from the Gulf airlines. Instead, they got a side letter in which the Emiratis state they currently have no plans to add more of the flights. Currently, Emirates offers flights directly from New York-area airports to Milan, Italy, and Athens.Otaiba, the Emirati ambassador, called that a victory, because Emirati airlines would remain “free to continue to add and adjust routes and services.”“The UAE is very pleased that our understanding with the U.S. preserves all of the benefits of Open Skies for travellers, airlines, communities and aerospace companies in both countries and around the world,” Otaiba said, referring to the so-called open skies agreements that govern international civilian air travel.Not so, said Scott Reed of the coalition representing the big three U.S. airlines.“This agreement will freeze Emirates and Etihad Airways from adding additional direct flights from the United States to Europe and Asia,” Reed said in a statement.The reality is somewhere in between. In the side letter, the Emiratis do not explicitly promise never to add more such routes, but simply indicate none are planned. Still, the agreement rests on a tacit understanding between the U.S. and Emirati governments that more routes won’t be added, several individuals familiar with the negotiations said.The deal is expected to be announced Monday when the Emirati foreign minister visits Washington, according to a State Department official, who wasn’t authorized to speak to reporters about the agreement and requested anonymity.The U.S. airlines can also point to language included in the agreement that affirms their longstanding claim that Emirati government subsidies are hurting their business. The agreement says that both sides agree “that such government support in whatever form may adversely impact competition in providing international air transportation.”That led Reed, the U.S. airlines representative, to call it a “win.”“We are extremely pleased that the UAE has finally admitted what we have said all along: that their government subsidies harm competition,” Reed said.Yet in another example of how the deal gives both sides room to say that the other side caved, it also includes language that effectively states the opposite.“The delegations stated that government support in whatever form — including policies, practices, and rules — is neither uncommon nor necessarily problematic in the global aviation sector,” the agreement says, paradoxically.Both of the Emirati airlines have long denied receiving unfair government subsidies. The three U.S. carriers have spent huge sums over the last three years pressing the Obama administration and Trump administration for tough action, and have been eager to show a win on the issue. The airlines have hoped that if they have more visibility into the finances of the state-owned Emirati airlines, the Emiratis will no longer be able to get away with unfair subsidies.The deal closely mirrors one reached in January between the U.S. and Qatar. For the UAE, the agreement averts the more serious step U.S. airlines wanted: re-opening the open skies treaties, which could ultimately lead to less favourable conditions for Persian Gulf airlines.___Reach Josh Lederman on Twitter at http://twitter.com/joshledermanAP
BERLIN — German airline Germania has filed for insolvency and grounded its planes after failing to secure short-term financing to stay aloft.The Berlin-based airline, which had more than 30 planes and carried over 4 million passengers per year, announced the move early Tuesday and halted its operations with immediate effect. It served short- and medium-haul routes on both a scheduled and charter basis.Germania acknowledged in early January that it was in financial difficulty and was unable to pay its employees last month.In Tuesday’s statement, the company pointed to “massive increases in fuel prices last summer and the simultaneous weakening of the euro against the U.S. dollar” as well as “considerable delays in phasing aircraft into the fleet and an unusually high number of maintenance events.”The Associated Press
Speaking at the end of visits to El Salvador and Guatemala to see the compounded impact of El Niño, one of the strongest in the last half century, World Food Programme (WFP) Executive Director Ertharin Cousin said that the agency planned to scale up to help the most vulnerable in the four countries through August.“At the same time, working closely with Governments, we are placing resilience at the heart of our longer response,” she said in Guatemala. “We must work to ensure vulnerable people are not repeatedly pushed deeper into hunger and can build longer-lasting assets that will survive potential disasters.”“Overall WFP is committed to helping people build a world with Zero Hunger,” she added. “A key to this global goal being achieved in Central America and elsewhere is that communities are able to better adapt, ensuring they are more prepared for climatic shocks and can recover faster.”People hit by drought benefit from programmes that deliver cash, cash-based vouchers and mobile transfers in El Salvador and Guatemala to obtain food – including more diversified and fresh produce – while simultaneously building local economies. In addition, WFP and its partners provide nutrition training as well as support for reforestation, irrigation and community gardens.Ms. Cousin visited communities in the drought-prone Dry Corridor where she talked with local people about how to overcome the impact of the extended dry period.According to assessments by WFP and governments, more than 2 million people in Guatemala, Honduras and El Salvador are food insecure. Most are subsistence farmers who harvest once a year and live in the Dry Corridor.At Governments’ request, WFP provided food assistance in 2014 and 2015 to more than 1.2 million people in the three countries.WFP is concerned that from March to April, small farmers in Central America may have to drain their cash and food reserves to obtain seeds and other inputs for the first crop cycle of 2016.Next week, she will visit Haiti to meet vulnerable communities struggling with the impact of El Niño.About 3.6 million people are food insecure in that country after three years of severe drought. WFP initially responded with food distributions for a two-month period to 120,000 people. It now plans to launch an emergency operation to assist 1 million people, primarily by cash transfers. More nutrition interventions are planned to prevent a rise in acute malnutrition.WFP needs $100 million to assist 1.6 million victims of drought through August in Guatemala, Honduras, El Salvador and Haiti.
“We now know how high the cost of inaction is, and new evidence makes clear that the time to act is now. We hope the evidence in this series will help countries reach more pregnant women and young children with preventive and promotive services that have the potential to drastically improve developmental outcomes for children as well as their adult health, well-being and economic productivity,” said series co-author, Linda M. Richter, of the Centre of Excellence in Human Development at the University of the Witwatersrand in Johannesburg, South Africa. Research shows that a child’s brain develops faster during the first two to three years of life than at any other time in life. These early years are also a critical period of adaptability and responsiveness to interventions. When young children are deprived of nutrition, stimulation and protection, the damaging effects can produce long-term detriments for families and communities, the agencies said. “The science and economics are clearly on the side of investing in the first 1,000 days of a child’s life, starting with a woman’s pregnancy,” said Keith Hansen, Vice President of Human Development at the World Bank Group. “The Lancet research is further proof, if more is needed, of just how important this agenda is.” The authors stress the strong position of the health sector in providing an entry point for early childhood interventions – especially in support of nurturing care. The sector’s ability to access women and children during the critical period from conception through early childhood presents an opportunity to integrate low-cost interventions, such as WHO/UNICEF’s Care for Child Development, into existing maternal and child health and nutrition services. These have shown to help improve the quality of nurturing care and the overall development of young children, while also giving attention to the well-being of the caregiver, the agencies said. “The science shows us that biology is not destiny – and that what children experience in the earliest days and years of life shapes and defines their futures,” said UNICEF Executive Director Anthony Lake. A mother with her newborn baby recovers in a postnatal ward at the Shakawe clinic in the village of Shakawe in Botswana. Photo: UNICEF/Christine Nesbitt “We need to turn that science into an alarm bell – because the development of millions of children is at urgent risk. Right now, 43 per cent of children in low- and middle-income countries are at risk of not achieving their cognitive potential. No country can risk losing nearly half of the brain potential of its youngest citizens – low- and middle-income countries least of all,” he added. The series’ authors propose several ways the global community can scale up support for early childhood development services. Among the recommendations include encouraging the adoption and implementation of policies to create supportive environments for families to provide nurturing care for young children; building capacity and strengthening coordination to promote early childhood development through existing health, nutrition, education, social and child protection services; strengthening measurement and ensuring accountability for early childhood development services; increasing research, and fostering global and regional leadership and action; and expanding political will and funding through advocacy for the SDGs. “Investing in young children is a moral, economic, and social imperative. The [Sustainable Development Goals] SDGs have provided a promising vision on children and adolescents’ health, but political will and increased investment in early childhood development are needed to ensure that the ambitious targets can be reached,” said Dr. Margaret Chan, Director-General of the UN World Health Organization (WHO), which, along with the UN Children’s Fund (UNICEF) and the World Bank, contributed and offered guidance to the series. “Early childhood development will not only benefit the children of today, but will have a direct impact on the stability and prosperity of nations in the future,” she added. The three agencies highlighted that the series, “Advancing Early Childhood Development: from Science to Scale,” reveals that early childhood development interventions that promote nurturing care – health, nutrition, responsive caregiving, security and safety, and early learning – may cost as little as 50 cents per child per year, when combined with existing services such as health. The findings underscore the importance of increased global commitment to early childhood development. Individuals are estimated to suffer a loss of about a quarter of average adult income per year, while countries may forfeit up to as much as two times their current gross domestic product expenditures on health or education. Consequences of inaction impact not only present but future generations, the agencies said.
These playoff percentages mean that about 58 percent of all win streaks that passed through 10 games came from teams that eventually made the playoffs, a slight increase from before.The Royals are right at the previous season average (they went 86-76, which gets you a regressed winning percentage around .522), but their pre-streak record was slightly below the standard for other 10-win-streak teams; their “at the time” regressed winning percentage was .488. How much does that matter?To determine whether these Royals could be a playoff team, we set up a logistic regression predicting make-the-playoffs odds from streak length, at-the-time regression winning percentage, and prior-season regressed winning percentage. This also helped us figure out how much of the chance of making the playoffs comes from the streak itself, and how much is just that good teams are more prone to run up these kinds of streaks. Causation versus correlation, basically.After running the regression, it told us that the Royals are 23.2 percent less likely to make the playoffs than a normal 10-game-win-streak team because their record before the streak was 29-32, whereas the typical 10-gamer would have been 32-29. That looks like a very strong effect for just a three-game swing; we might be seeing a big inflection point here. At any rate, as you would expect, pre-streak record certainly matters.Once we take their 10-win streak into account, the Royals have a little better than even odds of making the playoffs. Baseball Prospectus’s Playoff Odds Report gives KC a 42.3 percent chance of getting there. So if you want to peg the Royals somewhere around 50-50, that’s a decent place to start. And if you think about Kansas City’s roster — one with strengths but also significant weaknesses — that makes even more sense.On the plus side, the Royals are an elite defensive team. According to Baseball Info Solutions’ Defensive Runs Saved stat, KC has fielded the second-best defense in the American League. By Ultimate Zone Rating, the Royals actually lead all of baseball, and by a wide margin. The outfield is particularly impressive: The combination of Jarrod Dyson and Lorenzo Cain has been extremely effective in chasing down fly balls in the gaps. Meanwhile, Alex Gordon has been a force of nature in left field, the best in all of baseball by pretty much any advanced metric. He’s pretty good by Fancy Plays Over Replacement too.Your browser does not support iframes.That airtight defense has made an already strong pitching staff look even better. Closer Greg Holland and righty setup men Wade Davis and Kelvin Herrera have combined to allow just one home run in 89 innings pitched this season.Davis in particular has been a revelation. Acquired from the Tampa Bay Rays in the controversial December 2012 blockbuster, Davis was viewed as a throw-in, with James Shields and Wil Myers being the keys to the deal. After messing around with Davis as a starter last year, the Royals plopped him back into the role in which he excelled with Tampa Bay two years ago. So far this year, he has been right there with Sean Doolittle, Koji Uehara, Dellin Betances and one or two others for the title of best reliever in the American League. His season line: 31.1 innings pitched, 1.15 ERA, 52 strikeouts, and zero extra-base hits allowed.The starting rotation has flourished lately, too. Shields has been steady as expected, though his numbers are actually down slightly from recent years. But he’s received ample support, from 23-year-old fireballer Yordano Ventura (who leads all KC starters in fielding independent pitching), free-agent pickup Jason Vargas (tops in innings pitched), and Danny Duffy (tops in beating long odds, having come back from Tommy John surgery, and at one point nearly quitting baseball entirely).The big question revolves around the team’s offense. Just 13 days ago, the Royals sat in last place in the AL Central, and also last in the AL in slugging percentage, home runs and runs scored. Some of the team’s biggest slumpers came alive during the streak, especially Billy Butler and Mike Moustakas. Still, those players, along with talented but disappointing first baseman Eric Hosmer, have fallen well short of expectations in 2014, and KC still owns the third-lowest-scoring offense in the American League even after its recent explosion. The Royals almost certainly won’t be sellers any more at the trade deadline, not after this streak. Whether they’ll be buyers — to the point of possibly benching or jettisoning current players once viewed as future franchise cornerstones — remains an open question.Still, it’s a great question to get to ask. After nearly three decades in the wilderness, the Royals now have a legitimate shot to see October’s spotlight. It’s about damn time. The Detroit Tigers nipped the Kansas City Royals 2-1 in the final game of a four-game series Thursday. That win snapped a 10-game winning streak for KC, but even with that setback the Royals lead the American League Central Division by half a game. In late June. This is not a drill.If the baseball world seems shocked by the Royals’ sudden success, the franchise’s recent history may explain why. When the Royals beat the Tigers on Tuesday in the second game of their showdown for AL Central supremacy, the victory marked the first time the Royals had owned sole possession of first place since May 1, 2013.Of course, downtrodden teams always have a better chance to claim bragging rights early in the season, when hot starts and small sample sizes can skew what we’re seeing. So consider this: The last time the Royals were in first place after June 1 was all the way back in 2003. That year, Kansas City preyed on a weak AL Central — one dragged down by a 119-loss Tigers squad and no elite teams — to own a share of first as late as Aug. 20. They ended the season seven games off the pace at 83-79, a lukewarm showing for most franchises. For the Royals, the finish was almost something to celebrate. Kansas City hasn’t made the playoffs since 1985, the longest postseason drought for any major league team by a span of eight years.Now here’s the good news for Royals fans: Teams that win 10 straight games in a single season stand a good chance of making the playoffs. Which means that for the first time since “Careless Whisper” wasn’t at all ironic, the Royals could crack the postseason.Going back to 1995, the first year of the wild card,1The wild card was supposed to debut in 1994. But … well, you know. we looked at all teams that had a streak lasting at least one game (you gotta start somewhere), to see how often those streaks portended October baseball. Here are the results:As you can see, every team passed through streaks of one, two and three wins, and all but four teams passed through a streak of four wins. By this measure, with a 10-win streak the Royals have about a 55 percent chance of making the playoffs.2You’ll notice that it appears that a team is more likely to make the playoffs if it’s had an 11-game win streak than if it’s had a 12-game win streak. That’s just one of those weird quirks that can happen due to randomness in a small sample.It’s not quite that simple, though. Before their streak began, the Royals’ record only stood at 29-32, so they may not be totally representative of the type of team that tends to have 10-game win streaks. To examine that further, we looked at historical winning streaks of a given length since 1995 and tracked what each team’s regressed winning percentage was before the streak started (that is, we added 67 games of .500 baseball — 33.5 wins and 33.5 losses — to each team’s record at the time).3Regressed winning percentages add 67 games of .500 ball because that’s the number of games necessary for a team’s observed record to be half skill and half luck. (We know this by comparing the distribution of actual baseball teams’ records to the spread we’d see if every team was equal and each game was decided by a coin flip.) We used regressed winning percentages here so that every pre-streak winning percentage would be on the same footing, no matter when in the season the streak began. Otherwise, if one team started its streak early in the season, and another started it late, a straight average would weigh the two winning percentages equally even though the latter is much more indicative of what we’re trying to measure than the former. By regressing the records, we can make an apples-to-apples comparison between the streaks, no matter when in the season they occurred. We also recorded each team’s regressed winning percentage from the previous season. The results:
Lundin Gold has released the results of its update of the project estimate (UPE) for its Fruta del Norte gold project in southeast Ecuador. The UPE involved a thorough review of the mine plan, capital and operating cost re-estimate and an update to the project schedule. UPE highlights:•Reconfirmed construction schedule with first mine production planned in Q2 2019 and first gold production planned in Q4 2019•Reduced period of capital payback to 3.5 years from 4 years with improved IRR to 17.5% from 16.3%•A 10% increase in NPV 5% to $786 million from $717 million•Estimated all-in sustaining cost (AISC) reduced to $583/oz of gold from $609/oz of gold•Estimated operating cost per tonne decreased 7.3% from $111.84 to $103.65•Estimated total gold production increased by 73,000 oz to 4.6 Moz over a 15 year mine life•Total estimated capital expenditures increased only 1.2% from $684 million to $692 million.“At the end of August we had committed 63% of planned capital expenditure, and construction is 27% complete. The UPE demonstrates that we are on track to build Fruta del Norte on budget and on schedule which is a credit to our team,” said Ron Hochstein, Lundin Gold’s President and CEO. “We were able to lower the estimated AISC through improvements in the mine plan, refinement of processing costs and negotiation of smelting contracts for the concentrate. This further demonstrates the robustness of our high-grade Fruta del Norte gold deposit.”Fruta del Norte update:•As at August 31, 2018, a total of 2.9 km had been achieved including declines and auxiliary development, with 1.4 km and 1.5 km achieved in the Kuri and K’isa declines, respectively•Daily August average advance rates were 6.1 m for both Kuri and K’isa, versus a target of 4.7 m and 4.3 m/d, respectively•Both declines have now crossed the Machinaza Fault and have gone under the Machinaza River, with no water inflows•Grinding building steel erection is underway, and process plant concrete is 30% complete•Mill process equipment is arriving on site, and the grinding mills are currently en route•The two construction fronts on the North Access Road have met, and the road is expected to be complete by the end of September•The Environmental Licence was received for the Mountain Pass Quarry, and negotiation of the Quarry Exploitation Agreement with the Yantzaza municipality is well underway•Construction of the powerline, both onsite and offsite, is proceeding•Construction of the TSF is ongoing•63% of planned capital expenditure is now committed or incurred, of which 36% of planned capital expenditure has been incurred. Project engineering is now 60% complete•Activities have commenced to prepare for operations including the hiring of the general manager and mill manager.The company has increased its estimates for Probable Mineral Reserves slightly by 80,000 oz when compared to the project update announced on May 30, 2017 (the “PPR”) and by 204,000 oz when compared to the estimates contained in the Technical Report.
A REVIEW OF the garda investigations into allegations of abuse by Irish language summer school founder Domhnall Ó Lubhlaí will now take place.Commissioner Martin Callinan ordered the audit following calls from victim advocacy groups.The review will be carried out by the Garda’s Domestic Violence and Sexual Assault Unit from Harcourt Street in Dublin.The Rape Crisis Network pressed for the fresh investigation after it came to light that at least two opportunities – in 1991 and 1998 – were presented to gardaí to look into allegations concerning the Coláiste na bhFiann teacher.Ó Lubhlaí, who is the subject of TG4 documentary examining claims that he may have abused dozens of victims in the 1970s and 1980s, has been described by another support group, CARI, as someone who “hid in plain sight”.It is alleged that the language activist may have abused up to 100 boys when he was an Irish and religion teacher with some of the alleged incidents taking place in camps, hotels, flats and cinemas in Athlone, Ros Muc, Dublin, Donegal and Tipperary.He died in March this year while under investigation for sexually abusing a 13-year-old boy in the 70s.Gardaí examined allegations of abuse in 1998, while in 2002 the teacher faced 56 charges of sexual abuse involving 11 victims but the case never went ahead following a legal challenge.Ó Lubhlaí, known as ‘Donal Lovely’, died aged 84, with his death notice referring to him as a ‘gaeilgeoir, teacher, educationalist, author and republican’.CARI CEO Mary Flaherty said this case, as well as the Savile revelations in the UK, show that the “best place to hide is in plain sight of the public”.“Myths about abusers assist them in the grooming process and the more respectable the organisation, the more valuable to a predator as a hiding place,” she continued.“The media can also unwittingly collude in unhelpful myths. What often transpires in the media is the notion that ‘they’ (the offenders) are different from ‘us’. Recent studies find that for offenders who have abused within professional settings, there appears to be no reliable offender character profile that differentiates the abuser from the ‘good employer’; analogously, there is no clear-cut ‘abuser trait’ that could ever be zoned in on with a screening tool.”You can contact your nearest Rape Crisis Network Ireland centre by visiting its website. Calls for gardaí to reinvestigate Domhnall Ó Lubhlaí case
So, why do primary school kids get a day off? Why not use one of the areas outlined by Slattery?The Department of Local Government says that it is an issue for local Returning Officers, but more often than not, it comes down to the facilities on hand.In a parliamentary reply on the issue after the Children’s Rights referendum last May, junior minister at the Department of Local Government Jan O’Sullivan said that the issues of location, access and cost play a part.“Polling places normally will be in a village or some other population centre. The returning officer is required to locate polling stations as conveniently as possible for use by the electorate in each polling place.“In selecting locations, the traditional approach has been to use schools.This is understandable given their central location in most communities, and especially so in rural areas over the years where a viable alternative to the local school would have been difficult to find. In these challenging economic times, it is also worth noting that the use of any school for the taking of a poll or counting of votes is free of charge where the school is in receipt of a State grant.However, there is no requirement on Returning Officers to use schools.Read: Minister expects low turnout and senators to respect referendum resultRead: Let’s figure this out – what’s the real plural of referendum? This piece was originally published on October 4, 2013TODAY, HUNDREDS OF thousands of voters will file in and out of polling places across the country.The vast majority of polling places will be primary schools, with estimates that upwards of 90 per cent of primary schools will be closed today.Many parents complain of being put out by the extra day off.Planning for childcare was singled out as a major concern in this discussion, while Kerry County Councillor Gillian Wharton Slattery told Radio Kerry before the Seanad referendum last year that there were other options.We have other municipal buildings which could be put to use on the day because there is not a constant flow of traffic that would disrupt things. The foyer of a council building or an area of a Garda station or a library.
And don’t forget to wear your jersey !! #businessattire RT @ussoccer: Need note to get out of work Thurs? #LetsDoThis pic.twitter.com/fa49OKM0hu— Jürgen Klinsmann (@J_Klinsmann) June 25, 2014 Mikey Stafford reports from RecifeSTAFF AT A certain branch of Starbucks in Newport Beach, California might be confused this afternoon if the customer they know as Jonathan appears on their television accompanied by a caption identifying him as Jürgen Klinsmann, head coach of the United States national team.Using his American son’s name when ordering his coffee is just one conscious way in which Klinsmann is giving himself over to the country he has called home since 1998, but it is the countless subconscious concessions that suggest there will be no conflict when his unlikely Group G co-leaders take on Germany in Arena Pernambuco.The man who led his native country to third place in their home World Cup in 2006 and won World Cups and European Championships as a player is comfortable in his new role as Technical Director for US Soccer, a position he was rewarded with after three years as head coach, which saw him guide the country to their seventh straight World Cup.“Do I feel American or European? I guess I feel both,” he has been reported as saying and that duality shone through at moments during yesterday’s pre-match press conference.To be running 15 minutes late is a trait one does not associate with either Germans or Americans and when he arrived Kilinsmann looked tired and ratty. He left his Nike boots (not Adidas like his playing days) near the door and took his seat in front of a sizeable gathering of journalists.The smile was soon dominant however as he said complimentary things about soggy Recife, where it has been raining on and off for three days, before declaring he and his team “can’t wait to get this thing started”.Outside of the use of one German phrase to describe how the evergreen full-back DaMarcus Beasley is “in his fourth spring” this was an all-American pre-game performance. Close your eyes and it could have been Arnold Schwarzenegger explaining the rationale behind his attacking full-backs and saying nice things about his friend Joachim Löw, the assistant who succeeded him as Germany head coach.There were a couple of answers in his native tongue too, but people with an ear for it say even his German is delivered with an American accent.None of these are bad things, of course. After almost 20 years in a country only a Trappist monk would have failed to pick up some of the traits of the natives, but Klinsmann must be careful his football DNA is not altered. US Soccer has handed him a four-year contract and shelled out for mid-winter training camps in São Paulo because they believe they have found the man to inject some European class into their organisation. In six straight World Cups up to this one they have advanced to the quarter-finals only once, at the expense of local rivals Mexico.Having woken up to soccer in recent years the world’s third most-populated country expects better.Klinsmann’s job is to spread the gospel to the masses while instilling a hard edge at the elite level. On both fronts he is having a good World Cup.The 2-2 draw with Portugal in Manaus drew an average television audience of more than 18 million, surpassing the 1999 Women’s World Cup final win over China as the most watched football match in US history.Last night Klinsmann was tweeting a draft letter signed in his name for his 550,000 followers to print off and present to their bosses in an effort to get the afternoon off to watch the match. He embraces the proselytising that comes with the job of US Soccer’s figurehead.“I’m extremely proud to have this role of leading the US into this World Cup and into the future,” he said yesterday. “It is great times for soccer in the United States. Everywhere the game is growing and in every corner of the country the game is growing.”But he must also bring his European sensibilities to bear in his role as high performance manager and no one could say he has been shirking this element of the job either. The baker’s son from Botnang has not been shy about making unpopular decisions.He dropped US Soccer’s ageing poster boy Landon Donovan from his squad, managing to slag off LA Lakers basketball demi-god Kobi Bryant in the process by questioning American sport’s habit of rewarding superstars for past glories rather than future potential.The message was clear: Donovan, a veteran of three World Cups, was the past. German-born Bayern Munich reserve Julian Green and his ilk are the future.One of Klinsmann’s gripes with Donovan was the fact America’s most talented player was happy to see out his career in the MLS. The German will not have been impressed with the big money returns to their native league of star performers Clint Dempsey and Michael Bradley, but he must hope that an injection of class will raise standards in a competition from which he will still likely draw five starters this afternoon.America’s stars in their opening two games were German-born Borussia Mönchengladbach full-back Fabian Johnson and Seattle Sounders forward Dempsey.It appears that in his team, as in his life, Klinsmann has managed to strike a balance between where he is coming from and where he is going.Hulk Hogan and Will Ferrell are pumped for USA v Germany so you should be tooGhana’s Boateng and Muntari sent home from Brazil after ‘vulgar insults’ and ‘physical attack’ Source: Jürgen Klinsmann/Twitter
Videos Articles Twitter Jonathan Villar’s New Record Jared Leto Whats On Deck For March: Celtics, Bruins Stretch Runs WWE Clash of Champions Results – 9/15/19 (Rollins vs. Strowman, Kingston vs. Orton) Recommended videosPowered by AnyClipWWE Hall of Famer Ric Flair HospitalizedVideo Player is loading.Play VideoPauseUnmuteDuration 0:45/Current Time 0:02Loaded: 100.00%0:02Remaining Time -0:43 FullscreenUp NextThis is a modal window.Beginning of dialog window. Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window.Replay the list Now Playing Up Next 16-time World Champion and two-time WWE Hall of Famer “The Nature Boy” Ric Flair was on hand yesterday to throw out the first pitch at the Houston Astros game.Flair threw out the first pitch to longtime wrestling fan and Houston Astros outfielder Josh Reddick. The Astros ultimately lost to the Detroit Tigers by a score of 2-1.Ric Flair! The stylin’, profilin’, limousine riding, jet flying, kiss-stealing, first pitch wheelin’ and dealin’ son of a gun. pic.twitter.com/SCg7NijauG— Houston Astros (@astros) August 22, 2019 Facebook Ric Flair Opens Up About 2017 Health Scare Now Playing Up Next Mike Tedesco RELATED ARTICLESMORE FROM AUTHOR Ric Flair Live Podcast: Reviewing and discussing WWE Clash of Champions from Charlotte Now Playing Up Next Now Playing Up Next Google+ Pinterest NISSAN Social Drive: Athletes, Franchises Remember September 11 Attacks Now Playing Up Next WWE Hall of Famer Ric Flair Hospitalized WhatsApp Videos Articles Wrestleview Live #65: Reviewing and discussing WWE Clash of Champions from Charlotte
A decades-old school building that is no longer used will be burned in a firefighters’ training exercise late this month in Amboy.Fire District 10 will burn the Amboy School at 9 a.m. Saturday, June 30. The 29,251-square-foot structure at state Highway 503 and Chelatchie Road opened in 1947 as a kindergarten through eighth grade school, before becoming a middle school.The new Amboy Middle School opened in early 2008. Amboy Baptist Church rented part of the old building until June 2011.Fire and police agencies from around the area have been using the building for training purposes since April.Bricks from the building will be given away at no cost. The district’s website, http://battlegroundps.org, will post the times of the giveaway.
WILMINGTON, MA — Here are highlights from the Wilmington Police Log for Sunday, November 11, 2018:A caller reported there’s black ice in the roadway on Lowell Street. Police responded and noted 80 yards of ice in the roadway leading to the Burger King entrance. While investigating, police noted 272 Lowell Street was pumping and discharging water into the street, causing the ice. DPW notified to send the sander. Police noted fresh skid marks and some car debris in the road, indicating a vehicle may have swiped a telephone pole. Homeowner at 272 Lowell Street advised to avert his water flow away from the street. Police will follow up with DPW about bylaw violation. (5:43am)A caller reported his vehicle was struck while parked overnight in the Shriners parking lot. (8:17am)The train crossing gates at Main Street and Middlesex Avenue were stuck down. Keolis was notified and stated a disabled train was in the area. Train eventually came through and gates lifted. (10:15am)Police assisted with traffic at the Town Common for the Veterans Day Ceremony. (10:41am)A Woburn Street caller reported his house was egged last night. (10:44am)A Shawsheen Avenue caller reported he is doing a civil war re-enactemnet in his yard. He wanted it logged in case of calls. (11:49am)A 911 caller reported the Burger King manager locked the doors and people were unable to leave. Manager reported restaurant was having staffing issues so they’re closing the dining area and allowing drive-thru only. (1:01pm)Police responded to a water main break on Grace Drive. (4:18pm)(DISCLAIMER: This information is public information. An arrest does not constitute a conviction. Any arrested person is innocent until proven guilty.)Like Wilmington Apple on Facebook. Follow Wilmington Apple on Twitter. Follow Wilmington Apple on Instagram. Subscribe to Wilmington Apple’s daily email newsletter HERE. Got a comment, question, photo, press release, or news tip? Email email@example.com.Share this:TwitterFacebookLike this:Like Loading… RelatedPOLICE LOG for September 3: Driveway Paving Solicitors; Skate Park Tagged; WPD Assist With Pick-Up At SchoolsIn “Police Log”POLICE LOG for September 5: Train Conductor Helps Locate Missing Puppy; Rented Trucks Not Returned To UHaulIn “Police Log”POLICE LOG for August 31: Woburn Man Arrested For OUI; Bad Highway Crash Required MedflightIn “Police Log”
Comment Share your voice Happy Tau Day! Eat all the round things. Double time now. Quick quick. No time to lose. #TauDay— Tim Brown (@MuddyBrown) June 28, 2019 1 Tau started to get some attention in 2001 after University of Utah mathematician Bob Palais released an article called “π is wrong!” in the Mathematical Intelligencer, a journal known for its accessible and less technical voice. According to a previous blog post by Wolfram, a computational search engine, proponents of Pi argue that Tau helps make subjects such as “geometry and trigonometry” easier for students to learn. The post mentions how since we measure angles in radians, and there are 2π radians in a circle, Tau is the way to go. You can also look at it as, two Pi’s are equivalent to one τ. Another way to think about it that quite a few math formulas, such as circumference, use 2π. By simply using τ we can eliminate using the two altogether and have shorter, simpler expressions. It would also create less room for simple errors. Math experts did not immediately respond to a request for comment. In tribute to #tauday today here’s my #mathsjamjam composition “Fulsome Circle Blues” pic.twitter.com/22NjDMnRFI— Tom Button (MEI) (@mathstechnology) June 28, 2019 Culture Tags For most, pi is a familiar circle constant compared with tau. (Staff Photo by Gregory Rec/Portland Press Herald via Getty Images) Portland Press Herald Help yourself to two pies not one. Math enthusiasts on Friday are celebrating Tau Day, an annual occasion dedicated to the humble circle constant τ, which contrasts with the more well-known π.While π is the answer you get when you divide a circle’s circumference by its diameter, τ results from the circumference divided by its radius. Today’s date (6/28), connects to the value of Tau which is approximately 6.28.Math fans are celebrating all over Twitter. Some even composed their own song:
BDBL logoThe Anti-Corruption Commission (ACC) on Thursday filed a case against four people for embezzling around Tk 50 million from Bangladesh Development Bank Limited (BDBL), reports UNB.The case was filed with Paltan Model police station against proprietor of Green Printers Mohammad Abul Hossain, executive officers of Sonali Bank’s Agargaon branch in Dhaka M Moslem and Mohammad Abul Kalam Matubbar and managing director of AHB Textiles in Narsingdi Ashraf Hossain Bokul.They misappropriated Tk 49,000,350 from the principal branch of BDBL through the false documents.
Kolkata: Kolkata Municipal Corporation is planning to set up a residential school for boys which will be the first of its kind in the city. This school will come up at Pandit Madan Mohan Malaviya Sarani in Bhowanipore area in south Kolkata.The school will have facility to lodge students for a duration of 12 hours from 6.30 am to 6.30 in the evening. There will be facilities for their bath, breakfast lunch as well as tiffin in the evening, before they return home. Also Read – Rs 13,000 crore investment to provide 2 lakh jobs: Mamata”There are a number of students in schools run by us whose parents leave for work early in the morning and return in the evening. After they leave these kids skip school and roam here and there. The parents will drop these kids in the school and we will take care of them through out the day. They will receive education as well as food and other facilities ,” said a senior official of the Education department of the civic body. The KMC will recruit non teaching staffs to take care of the kids after their school hours. Also Read – Lightning kills 8, injures 16 in stateThere are two schools located at Pandit Madan Mohan Malaviya Sarani in Bhowanipore among which one school is entirely for boys. “KMC’s plan is to upgrade the boys school to residential facilities having a capacity to lodge 100 students,” the official added. A similar school with residential facilities for girls is being set up at Kashiswari Chatterjee Lane in ward 1 of the civic body. Work for the school has already started. KMC maintains a total of 257 primary schools in the city and the student strength is over 25,000. Most of the students studying in KMC schools hail from poor financial background. It may be mentioned that the infrastructure of KMC schools have witnessed a sea change, since it was taken over by the Trinamool Congress board in 2010. The Education department has introduced Hindi medium, Urdu Medium and English medium schools catering to the demand of the people in different localities in the city.
Conversations with Greg Freiherr: Guerbet Unveils Portfolio of Advanced Digital SolutionsVideo Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 5:46Loaded: 2.87%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -5:46 Playback Rate1xChaptersChaptersDescriptionsdescriptions off, selectedCaptionscaptions settings, opens captions settings dialogcaptions off, selectedAudio Trackdefault, selectedFullscreenThis is a modal window.Beginning of dialog window. 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Technology | Contrast Media | July 15, 2019 FDA Approves Bayer’s Gadavist Contrast for Cardiac MRI in Adult Coronary Artery Disease Patients The U.S. Food and Drug Administration (FDA) has approved Gadavist injection for use in cardiac magnetic resonance… read more August 25, 2010 – GE Healthcare announced that polymer bottle packaging is now included in the company’s ecomagination campaign. +PLUSPAK, a packaging container for contrast media, offers advantages over traditional glass packaging that includes reduced storage, improved workplace safety for healthcare workers who administer contrast media to patients, and decreased cost of waste disposal.Radiology departments using the innovative GE Healthcare +PLUSPAK packaging can reduce contrast media red bag waste weight by more than 75 percent. +PLUSPAK is made of unbreakable polypropylene and features a metal-free, twist-off cap that is easy to open and avoids cuts from metal crimps.A survey conducted by the College of Radiographers showed that by replacing traditional contrast media glass packaging with GE Healthcare’s +PLUSPAK, a department of 24 radiographers could eliminate sharps wounds associated with glass packaging.The same survey showed that the department could improve productivity by saving approximately 3.5 hours a month typically spent treating sharps injuries while also reducing the associated risk of bloodborne pathogen transmission.+PLUSPAK packaging dovetails with the GE’s ecomagination criteria for improving workplace safety and convenience. +PLUSPAK packaging offers significant timesaving, cost-saving and environmental advantages over the glass packaging traditionally used to package contrast media.For more information: www.pluspak.com.au FacebookTwitterLinkedInPrint分享 News | Ultrasound Imaging | March 07, 2019 Ultrasound Societies Urge FDA to Remove Black Box Warning on Contrast Agents National and international ultrasound societies are urging the U.S. Food and Drug Administration to remove the “black… read more Feature | Contrast Media | July 18, 2019 | By Greg Freiherr How To Manage Risk in the MR Suite Macrocyclic contrast agents have the best safety profile of all the magnetic resonance (MR) contrast media that are n read more News | Radiology Business | April 24, 2019 ITN Wins Jesse H. Neal Award for Best Technical Content April 24, 2019 — Imaging Technology News (ITN) was recently named the 2019 Jesse H. read more News | Cardiovascular Ultrasound | August 07, 2019 Contrast Use in First Transthoracic Echocardiogram for Heart Failure Reduces Repeat Testing Heart failure is the fourth most common cause for all admission to U.S. hospitals, and it is the most common reason for… read more Sponsored Content | Case Study | Contrast Media | January 30, 2019 Captisol-enabled Contrast Media with Reduced Renal Toxicity in Development The medical imaging market relies heavily on contrast media, injected into patients to increase the contrast of bodil read more Technology | Contrast Media | August 05, 2019 Bracco Receives FDA Approval for Varibar Thin Liquid for Oral Suspension Bracco Diagnostics Inc. announced U.S. Food and Drug Administration (FDA) approval for Varibar Thin Liquid (barium… read more Feature | August 26, 2010 Polymer Bottle Packaging Receives GE’s Ecomaginationsm Approval Sponsored Content | Videos | Contrast Media | January 22, 2019 itnTV “Conversations”: Guerbet Unveils Portfolio of Advanced Digital Solutions ITN Contributing Editor Greg Freiherr speaks with Guerb read more Two brain metastases from primary lung cancer are contrast enhanced in the brain of a 61-year-old male. Speakers at AHRA 2019 will state that ProHance and other macrocyclic MR agents present a very low risk to patients. Images courtesy of Bracco News | Neuro Imaging | March 18, 2019 Non-Contrast MRI Effective in Monitoring MS Patients Brain magnetic resonance imaging (MRI) without contrast agent is just as effective as the contrast-enhanced approach… read more Example of full-dose, 10 percent low-dose and algorithm-enhanced low-dose. Image courtesy of Enhao Gong, Ph.D. Related Content Feature | Contrast Media Injectors | April 11, 2019 | By Jeff Zagoudis Using Artificial Intelligence to Reduce Gadolinium Contrast One of the most controversial issues in radiology in recent years has been the use of… read more
News | Radiation Therapy | August 15, 2019 First Patient Enrolled in World’s Largest Brain Cancer Clinical Trial Henry Ford Cancer Institute is first-in-the-world to enroll a glioblastoma patient in the GBM AGILE Trial (Adaptive… read more Following radiation, the bone marrow shows nearly complete loss of blood cells in mice (left). Mice treated with the PTP-sigma inhibitor displayed rapid recovery of blood cells (purple, right). Credit: UCLA Broad Stem Cell Research Center/Nature Communications News | Brachytherapy Systems | August 14, 2019 Efficacy of Isoray’s Cesium Blu Showcased in Recent Studies August 14, 2019 — Isoray announced a trio of studies recently reported at scientific meetings and published in medica read more This data was weighed against actual reimbursements received for those treatments, also factoring in gross hourly operating costs and gross average expenses per pediatric patient. The final results indicated that to preferentially treat pediatric patients meant accepting a loss for one-third of pediatric patients before allocating any overhead. When gross expenses were averaged over total operating hours, 60 percent of the pediatric patients were found to be treated at a net loss.1“The good thing is because it’s starting to get more popular, vendors are building the systems less expensively and with more capabilities. Now you’re seeing a lot more one-room centers opening up and smaller centers. So the cost is going down, which is great, and makes it more affordable for the general public,” said Pankuch.The one-room facilities are made possible by vendors who are reducing the size of the proton therapy systems to make them more compact. Mevion was the first to market with a compact system in 2012 when it debuted the S250. At the center of the S250 is a superconducting synchrocyclotron, which is significantly smaller than the traditional linear accelerator. The modular system is designed as a single-room solution, but can be adapted into a multi-room configuration. In the past five years, Varian and IBA have also introduced single-room systems.While upfront costs can be an issue, evidence suggests proton therapy is associated with reduced downstream costs. An abstract presented at the Particle Therapy Cooperative Group–North America (PTCOG-NA) meeting last October demonstrated post-treatment costs for esophageal cancer patients treated with proton therapy was lower than for patients who received intensity modulated radiation therapy (IMRT). The study results reflected that the higher post-treatment costs for IMRT were due to additional procedures, treatments, and/or hospitalization due to complications from their treatment.2“This study continues to confirm what we have known all along — treatment with proton therapy reduces patient complications, resulting in reduced post-treatment costs when compared to other radiation therapy modalities,” said Scott Warwick, executive director of the National Association for Proton Therapy in a statement.A second abstract presented at the PTCOG-NA meeting assessed insurance coverage for proton therapy by payers for pediatric patients at Massachusetts General Hospital and other U.S. proton centers. Data was drawn from the Pediatric Proton Consortium Registry, which collects information for children with cancer who are treated with proton therapy. The research team found that while the majority of pediatric patients’ proton therapy treatments were covered by their payer,6 percent of children experienced a delay in treatment while awaiting approval from the payer. Delays were more common for children on Medicaid (12 percent) than children covered by a commercial insurer (5 percent).3PTCOG-NA President Eugen Hug, M.D., commented, “Several original scientific studies reported first in the conference confirm the increasing role of proton therapy in frequent cancers like breast cancer, prostate and esophageal cancer and its ability to increase cure rates and reduced side effects. Reduced costs from reduced side effects will offset some if not all of the higher initial costs of proton therapy. Unfortunately, even for the most vulnerable patients — children — access to proton therapy in timely fashion remains a challenge.” News | Radiation Therapy | August 16, 2019 Drug Accelerates Blood System’s Recovery After Radiation, Chemotherapy A drug developed by UCLA physician-scientists and chemists speeds up the regeneration of mouse and human blood stem… read more News | Proton Therapy | August 08, 2019 MD Anderson to Expand Proton Therapy Center The University of Texas MD Anderson Cancer Center unveiled plans to expand its Proton Therapy Center during a… read more Expanding Applications for Proton TherapyWhile operating costs and insurance coverage remain challenging for proton therapy’s adoption, the growing body of clinical evidence supporting its efficacy offers the greatest potential for growth, according to MEDraysintell.Pankuch told ITN that pediatric patients make up a large number of cases treated at the Northwestern Medicine Chicago Proton Center. “Protons give less dose to the healthy tissue, and for people who are being cured and are going to live longer, like pediatric patients, we can reduce toxicities and side effects, and also reduce secondary cancers that could be induced later on in life,” he said.Recent research has demonstrated the benefits of proton therapy for pediatric cases. A 2017 study from the Perelman School of Medicine at the University of Pennsylvania and Children’s Hospital of Philadelphia found lower toxicity rates with similar outcomes in pediatric head and neck cancer compared to what is historically expected from photon radiation. Out of 69 head and neck cancer patients treated between 2010 and 2016, 93 percent were still alive one year after treatment, and no patients experienced toxicity above grade 3 (on a 1-5 scale).4Recent efforts have also explored using proton therapy to treat breast cancer. Initial findings from a multi-institutional study presented at the 2017 PTCOG-NA meeting demonstrated that short-course proton therapy to the partial breast is a safe and effective treatment for select patients with early-stage breast cancer. Treatment side effects were minimal with no serious treatment-related adverse events reported, and cosmesis was good or excellent for all patients.5 Related Content MEDraysintell released a report in January revising its projection for the number of proton therapy centers worldwide by 2030 down from 1,200 to 900. The company said that more than 50 proton therapy treatment rooms would need to be opened every year from 2018 to 2030 to hit the original projection of 1,200.Proton therapy has experienced major growth in the last decade, but that growth seems to have slowed slightly in recent months. Market research firm MEDraysintell released a new report in January revising its projection for the number of proton therapy centers worldwide by 2030 down from 1,200 to 900. The company said that more than 50 proton therapy treatment rooms would need to be opened every year from 2018 to 2030 to hit the original projection of 1,200.MEDraysintell originally expected 2015 to be the start of a dynamic increase in the proton therapy market following a large number of new orders worldwide that year. Instead, sales began to slow down in mid-2016 and into 2017, with the company saying new orders for last year remained below the average number of orders recorded annually between 2006 and 2017.The MEDraysintell report cites financial difficulties as one of the main hindrances on proton therapy growth, which is enhanced by the difficulty in recruiting a sufficient number of patients to offset treatment and facility costs. Insurers, both government and commercial, have also been slow to offer reimbursement for proton therapy treatments while the body of clinical evidence continues to grow.But those advocating for the expansion of proton therapy see that growing body of evidence as proof of the technology’s value and believe it will play an important role in the future of radiation therapy. The MD Anderson Proton Therapy Center expansion is expected to be completed in 2023. Rendering courtesy of Stantec. Catalyst PT image courtesy of C-RAD News | Patient Positioning Radiation Therapy | August 07, 2019 Qfix kVue One Proton Couch Top Validated by Mevion Medical Systems Qfix and Mevion Medical Systems announced that a special version of the kVue One Proton couch top is now both validated… read more News | Patient Positioning Radiation Therapy | August 15, 2019 Mevion and C-RAD Release Integration for Improved Proton Therapy Treatment Quality Mevion Medical Systems and C-RAD announced the integration between the C-RAD Catalyst PT and the Mevion S250i proton… read more News | Proton Therapy | August 06, 2019 IBA Signs Contract to Install Proton Therapy Center in Kansas IBA (Ion Beam Applications S.A.) recently signed a contract and received the first payment for a Proteus One solution… read more Pencil Beam Scanning One of the more recent advances that is increasing interest in proton therapy is pencil beam scanning (PBS), which further improves on proton therapy’s precision in delivering radiation dose to the target while minimizing damage to surrounding healthy tissue. The technique involves “painting” the radiation dose onto the tumor spot-by-spot and layer-by-layer for greater precision.Mevion Medical Systems was the most recent proton therapy vendor to add pencil beam scanning capabilities when it received U.S. Food and Drug Administration (FDA) clearance in January for HyperScan PBS technology on its S250i system. According to Mevion, HyperScan PBS uses a compact beam delivery path to reduce delivery times to less than 5 seconds for some fields. The company said that the longer delivery times of older systems can undermine the precision of the treatment due to the target tumor shifting under normal organ motion such as breathing. The HyperScan PBS dose is further shaped by the Adaptive Aperture proton multi-leaf collimator (pMLC) that trims the edges of the beam at every layer of delivery. Mevion said the Adaptive Aperture pMLC delivers up to a three times sharper radiation drop-off at the delivery field edge.“Pencil beam scanning is a newer method that’s been around for the last five or six years. It’s a different way of delivering the proton beams where we can actually shape the dose with more conformality and do some really neat dose tricks that we weren’t able to before,” said Pankuch. Financial Questions of Proton TherapyWhile evidence continues to accumulate on the clinical benefits of proton therapy, it continues to be an expensive form of radiation therapy, which has likely impacted worldwide adoption. The 2018 MEDraysintell report acknowledged that financial difficulties seen at proton therapy centers have affected the climate of the industry “and have probably pushed some potential investors to reconsider their priorities.”These cost considerations were front-of-mind in the construction of many of the first proton centers, which led to large facilities with multiple treatment rooms, sometimes as many as three or four, according to Mark Pankuch, Ph.D., director of medical physics, Northwestern Medicine Chicago Proton Center, that carried building costs of up to $250 million. This in turn, however, meant that proton centers needed to recruit a sufficient number of patients to keep the rooms occupied — a challenge that still exists today, according to MEDraysintell.A 2014 study in the Journal of the American College of Radiology assessed the financial impact to a proton therapy center for treating a large number of pediatric patients — a group that made up 32 percent of the center’s total patients treated. Using data related to patients ≤21 years of age over a two-year period, the research team assessed direct cost to treat by compiling:• Direct expenses of devices and supplies used;• Billing for anesthesia;• Staffing; and• Direct (proton beam) operational costs. Feature | Proton Therapy | March 06, 2018 | By Jeff Zagoudis Clinical Considerations for Proton Therapy Slowing growth of new orders for proton therapy rooms demonstrates potential buyers are weighing pros and cons of the technology References 1. Johnstone, P.A., Kerstiens, J., “Doing Poorly by Doing Good: The Bottom Line of Proton Therapy for Children.” Journal of the American College of Radiology. May 29, 2014. DOI: https://doi.org/10.1016/j.jacr.2014.04.0042. Wang, J., Palmer, M., Bilton, S.D., Vu, K.N., et al. “Comparing Proton Beam to Intensity Modulated Radiation Therapy Planning in Esophageal Cancer.” International Journal of Particle Therapy. Spring 2015, Vol. 1, No. 4, pp. 866-8773. Hess, C., Indelicato, Hartsell, Hill-Kayser, et al. “Insurance Coverage and Related Referral Delays in Children Irradiated with Proton Therapy in the Pediatric Proton Consortium Registry.” www.allianceforprotontherapy.org. Oct. 27, 2017.4. Vogel, J., Both, S., Kirk, M., Chao, H.H., et al. “Proton therapy for pediatric head and neck malignancies.” Pediatric Blood and Cancer. Oct. 23, 2017. DOI: 10.1002/pbc.268585. Chang, A., Choi, I. “Excellent Acute Toxicity Outcomes with Proton Therapy for Partial Breast Irradiation in Early Stage Breast Cancer: Initial Results of a Multi-institutional Phase II Trial.” www.allianceforprotontherapy.org. Oct. 27, 2017. FacebookTwitterLinkedInPrint分享 News | Radiation Therapy | August 02, 2019 Varian Showcases Cancer Care Systems and Software at AAPM 2019 Varian showcased systems and software from its cancer care portfolio, including the Identify Guidance System, at the… read more News | Radiation Oncology | July 31, 2019 Laura Dawson, M.D., FASTRO, Chosen as ASTRO President-elect The members of the American Society for Radiation Oncology (ASTRO) elected four new officers to ASTRO’s Board of… read more Pierre Qian explains radiotherapy to ablate VTVideo Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 7:34Loaded: 2.19%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -7:34 Playback Rate1xChaptersChaptersDescriptionsdescriptions off, selectedCaptionscaptions settings, opens captions settings dialogcaptions off, selectedAudio Trackdefault, selectedFullscreenThis is a modal window.Beginning of dialog window. Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window.Close Modal DialogThis is a modal window. This modal can be closed by pressing the Escape key or activating the close button. Videos | Radiation Therapy | July 30, 2019 VIDEO: Use of Radiotherapy to Noninvasively Ablate Ventricular Tachycardia Pierre Qian, MBBS, read more