You Cannot Be a Smart Asshole

first_img Essential Reading! Get my 3rd book: Eat Their Lunch “The first ever playbook for B2B salespeople on how to win clients and customers who are already being serviced by your competition.” Buy Now There is no such thing as a smart asshole. You can’t be both of those things at the same time; and if you are the latter, then you are not the former.There are lots of different lines of intelligence. Howard Gardner of Harvard wrote a book making the case that cognitive abilities were only one of about a dozen intelligences, including musical, visual-spatial, verbal-linguistic, kinesthetic, interpersonal, intrapersonal, and existential. Ken Wilber’s research has identified another dozen or so lines of intelligence. There might be 24 or more different, measurable, verifiable lines of intelligence.But none of these reflect your real intelligence. Let’s call your real intelligence your working intelligence.Your working intelligence can be measured by whatever line and scale you prefer minus how much of an asshole you are (AHQ). The more of an asshole you are, the less intelligent you are. You see, if you were intelligent you wouldn’t be an asshole. If you were intelligent, you would know how to make your point in a way that didn’t harm other people.145 on the IQ and 150 on an AHQ gives you a -5.You’re super-smart when it comes to rational-logical thinking. In fact, people describe you as brilliant as they hurry to get as far away from you as they possibly can. It doesn’t matter what your IQ is if your EQ is so low that no one wants to work with you.Maybe you are a gifted athlete or musician. If you treat people badly, then you are not intelligent. You are just gifted in one narrow line. That doesn’t make you smart.I know you have examples. Smart people like Jobs are surrounded by people that act as a buffer to keep them from blowing up everyone around them.People are going to remember how you made them feel. They are going to be influenced by how much they believe you care about them. No one ever looks back and says, “Man, he treated me like I was dirt, but I loved him because he was so smart.”115 on the IQ test and 5 on the AHQ gives you a 110. That’s 105 points higher than the example above, and it means you are likely way more effective with people.last_img read more

Congress dismisses reports of Digambar Kamat joining BJP in Goa

first_imgThe Goa unit of the Congress on Wednesday dismissed reports of senior MLA and former Chief Minister Digambar Kamat joining the BJP along with some other Congress MLAs. It said this was an attempt by the BJP to divert attention from the failures of the ruling coalition in the State. “At least two senior journalists from Delhi called me to check rumours of split in @INCGoa. I told them it’s DirtyTricks Dept & FakeNews Factory of @BJP4India @BJP4Goa They confirmed that news was passed to journalists by #BJP whatsapp groups in Delhi. Nice way to divert from failures,” Goa Pradesh Congress president Girish Chodankar tweeted on Wednesday. Reports in a section of the media, quoting BJP sources in Panaji, had said that Mr. Kamat was expected to join the BJP with three other MLAs by September 15. The Congress currently has 16 members in the 40-member Assembly, while the BJP has 14 MLAs. Being probed by policeOver a decade ago Mr. Kamat had quit BJP to join Congress. He was Chief Minister of the Congress-led coalition government from 2007 to 2012. Mr. Kamat is one of the main accused in Goa’s illegal mining scam being probed by police SIT. He is also a prime accused in the Louis Berger bribery scandal being probed by the Goa police. When contacted for his reaction, Mr. Kamat told The Hindu on Wednesday, “Why should I react again and again. It is all fabricated and planted mischief.”Another Congress MLA from Mandrem constituency, Dayanand Sopte, also a former BJP MLA, said at a press conference on Wednesday that this “rumour-mongering was aimed at controlling BJP MLAs who were restless about the way the government was in a messy situation with the Chief Minister and two ailing Ministers away.” “I would not like to name anyone or give deadlines. But rest assured that at least three MLAs of the BJP are on way to Congress. Congress is 16-MLAs strong. BJP is 14 and three including Chief Minister are in hospital. So the BJP knows it is in a precarious situation. To confuse their three MLAs and to prevent them from taking any drastic step, this rumour-mongering is being done. Nobody has approached me. Mr. Kamat and Mr. Pratapsingh Rane(two senior Congress MLAs also being named in the media reports) contracted me and said just ignore this nonsense,” said Mr. Sopte who had defeated BJP Chief Minister Laxmikant Parsekar in 2017 State Assembly polls.last_img read more

Getting married was much more important: Kohli

first_imgMumbai, Dec 27 (PTI) Getting married was “something much more important” than a cricket series for Virat Kohli as he asserted that the three-week break wont affect his preparations for the upcoming South Africa tour.The India captain opted out of the limited-overs series against Sri Lanka to get married to Bollywood actress Anushka Sharma in a private ceremony in Tuscan, Italy.Kohli, who scored 2818 international runs and 11 hundreds in 2017, will head for South Africa tonight for a tough tour where India play three Tests starting January 5. The Tests will be followed by six ODIs and three Twenty20 Internationals.Asked how difficult will it be for him to return to cricket post the marriage celebrations, Kohli replied: “Not difficult at all, I was away for something (marriage) which is much more important. That is a period that will always remain special for both of us.””Switching back to cricket is not difficult at all because it is in my blood, like it is for every other team member and the team management as well, so getting back to professional front is not difficult at all,” he added.Following their wedding in Italy on December 11, Kohli and Anuskha had hosted grand receptions in New Delhi and Mumbai, where several Bollywood and sporting celebrities were spotted.Just prior to the break, Kohli was in red-hot form smashing 610 runs in the three-Test series against Sri Lanka. Even though he was busy with his wedding celebrations, Kohli said he continued to prepare for the gruelling South Africa tour side-by-side during the break.advertisement”I havent done anything in the past three weeks. I have been training to get back to play in South Africa. Somewhere in your head you are always thinking about you have something important coming up, so subconsciously you are looking forward to it (South Africa tour). So, mentally I am very well prepared.” PTI NRB SSC AT ATlast_img read more

Cameroon to face Nigeria in Afcon last-16 as Ghana and Benin also progress

first_img Hide Benin 0-0 Cameroon: Africa Cup of Nations – as it happened Topics Nigeria football team Cameroon football team Show Share on LinkedIn Uganda v Senegal 5 July, CairoMorocco v Benin 5 July, CairoMadagascar v DR Congo 7 July, AlexandriaGhana v Tunisia 8 July, IsmailiaMali v Ivory Coast 8 July, SuezAlgeria v Guinea 7 July, CairoNigeria v Cameroon 6 July, AlexandriaEgypt v South Africa 6 July, Cairo Clarence Seedorf’s side needed a victory to guarantee they progressed from Group F in first place but found a stubborn Benin side hard to break down in Ismailia and had to settle for second. They now play Gernot Rohr’s side in Alexandria on Saturday, with the hosts, Egypt, potentially waiting in the quarter-finals.Michel Dussuyer’s Benin team held on for a point that means they progress as one of the four best third-placed teams, but will face a tough test against unbeaten Morocco in Cairo on Friday. Surprise package Madagascar will face DR Congo in Alexandria on Sunday. Thank you for your feedback. Was this helpful? Cameroon, the holders, will face the three-time Africa Cup of Nations winners Nigeria in the last 16 of the 2019 edition after they were held to a 0-0 draw by Benin, who sealed their place in the knockout stages for the first time. Meanwhile, Ghana’s 2-0 victory over Guinea-Bissau thanks to goals from Jordan Ayew and Thomas Partey ensured they topped group F and earned a potentially easier path to the final. The Black Stars will now face Tunisia, who came second in Group E after a goalless draw with Mauritania.Mali secured top spot in group E after Amadou Haïdara scored the only goal of the game against Angola in Suez. The RB Leipzig midfielder struck from 25 yards out after 37 minutes with a contender for goal of the tournament. The Eagles will stay in Suez to take on Ivory Coast on Monday.Defeat for Angola allowed South Africa to sneak into the knockout stages, where they will face Egypt. Share on Twitter South Africa football team Read more Share on Facebook Ghana football team Reuse this content Benin football team Africa Cup of Nations Share via Email Share on WhatsApp Share on Pinterest Quick guide Africa Cup of Nations: Last 16 Africa Cup of Nations 2019 Share on Messengerlast_img read more

ESPN’s Week 6 Heisman Trophy Voting

first_imgKyler Murray throws a pass in warmups.NORMAN, OK – SEPTEMBER 22: Quarterback Kyler Murray #1 of the Oklahoma Sooners throws during warm ups before the game against the Army Black Knights at Gaylord Family Oklahoma Memorial Stadium on September 22, 2018 in Norman, Oklahoma. The Sooners defeated the Black Knights 28-21 in overtime. (Photo by Brett Deering/Getty Images)With one month of the college football season down, it looks like we’re going to have a QB battle for the Heisman Trophy.Alabama’s Tua Tagovailoa, Oklahoma’s Kyler Murray and West Virginia’s Will Grier have been outstanding so far. Dwayne Haskins’ comeback at Penn State has kept the Buckeyes’ signal caller in the Heisman convo, with the Nittany Lions’ Trace McSorley also enjoying a strong campaign.This morning, ESPN released its updated “Heisman Watch” for Week 6. It indicates how the 10 experts on ESPN’s panel are voting for the Heisman at this point in the season.Five of the top six candidates and seven of the 10 total are quarterbacks.The full Heisman voting from ESPN looks like this.Tua TagovailoaQBAlabamaSoph.7102043Kyler MurrayQBOklahomaJr.1630038Will GrierQBWest VirginiaSr.1260132Dwayne HaskinsQBOhio StateSoph.0114116Ed OliverDTHoustonJr.100005Trace McSorleyQBPenn StateSr.000135Benny Snell Jr.RBKentuckyJr.000135Laviska Shenault Jr.WRColoradoSoph.000011McKenzie MiltonQBUCFJr.000202Justin HerbertQBOregonJr.000011We’ll see how Murray looks in the Red River Showdown this weekend against Texas, and we’ll see if the rest of the QBs can keep their pace going.As of now, it looks like 2018 will be the third-straight year (and eighth in the last nine) that a QB wins college football’s top award.last_img read more

State Minister Says Inmates Deserve a Chance

first_imgStory Highlights Minister of State in the Ministry of National Security, Senator the Hon. Pearnel Charles Jr., says inmates in the penal system deserve a chance to make positive contributions to the society. He was speaking recently at the St. Michael’s Primary School in Kingston, where The Department of Correctional Services handed over desks and chairs to the institution that were made by the inmates. Minister of State in the Ministry of National Security, Senator the Hon. Pearnel Charles Jr., says inmates in the penal system deserve a chance to make positive contributions to the society.He was speaking recently at the St. Michael’s Primary School in Kingston, where The Department of Correctional Services handed over desks and chairs to the institution that were made by the inmates.Senator Charles Jr. said the gift to the school, and others given to various institutions are a “clear statement to Jamaica that the people who make mistakes deserve a chance to contribute positively, and these inmates have started to do so already”.Making the furniture is part of the Direct Result of Inmates’ Value and Empowerment (DRIVE) initiative that is being used by the Ministry of National Security and The Department of Correctional Services to rehabilitate incarcerated persons.The State Minister added that other institutions surrounding correctional facilities will be supported by the prisons, as “we will use the DRIVE programme for our officers and inmates to extend service to the community”.He encouraged the students to stay away from wrongdoing.Meanwhile, Principal of the school, Juliet Campbell-McPherson, told JIS News that the items have come at the right time, as the population at the institution is growing rapidly.“Our school will benefit tremendously. We have a set in the computer laboratory, as we didn’t have enough desks in there. Some will be going to the classrooms. We are highly appreciative of the donation,” she said.For her part, Commissioner of Corrections, Ina Hunter, said the items are well-made and could be on the market anywhere. “So, they speak to the quality of the products that come out of our institution, and to the level of competence of our staff members who guide these inmates,” she said. Senator Charles Jr. said the gift to the school, and others given to various institutions are a “clear statement to Jamaica that the people who make mistakes deserve a chance to contribute positively, and these inmates have started to do so already”. last_img read more

India Disposes of Alang Hazardous Waste

first_imgImage Courtesy: NGO Shipbreaking PlatformAll hazardous waste generated at Alang shiprecycling facilities is being disposed of “in a safe and environmentally sound manner” in Gujarat Pollution Control Board authorized Treatment, Storage and Disposal Facility (TSDF) site, India’s Ministry of Shipping informed.Operated by Gujarat Maritime Board, the landfills are constructed as per the Guidelines of Central Pollution Control Board and provided with liner system in bottom which prevents leachate to percolate to the sub-soil.“Monitoring of environmental parameters is done by Gujarat Pollution Control Board regularly. Regular health checkup for the workers is also conducted by GMB. Environmental Impact Assessment is carried out whenever creation of new yards or expansion and upgradation of existing yards is taken up,” the government said.However, Patrizia Heidegger, NGO Shipbreaking Platform’s Executive Director, said that contrary to what the Minister of State for Shipping told the Indian Parliament, “not all hazardous waste generated by the shipbreaking yards of Alang is disposed of in a safe and environmentally sound manner.”Heidegger added that there are several reasons for that, the first being India’s approval for the import of end-of-life ships without Inventories of Hazardous Materials (IHMs).“The authorities only do quick checks without proper and detailed sampling, that is, unless the shipbreaking yard pays experts to do high-standard IHMs themselves, the breaking yards are not even aware of the amount and kind of hazardous wastes in the structure of the ship they dismantle,” according to Heidegger.Moreover, she said that the Indian law does not require that all asbestos-containing materials removed from old ships have to be disposed of.“Last but not least, India does not have any high-temperature incinerator that can safely destroy PCBs. Unless the yard exports the PCBs to a treatment facility outside India, there is no proper disposal of PCBs. Therefore, the central waste treatment and disposal facility is no guarantee that all hazardous wastes are disposed of properly,” Heidegger concluded.last_img read more

Raise your voice

first_imgMy ex is threatening to expose our intimate mails and digital pictures. I never knew this side of his character and I’m feeling horribly scared. My family will throw me out. What can I do?T.D, New Delhi Oh dear, that’s terrible! Don’t you have anyone in your family or circle of friends who can help you fight this out? You perhaps would need some strong support of your family to sort this mess. Don’t be scared. Blackmailing is a punishable offence and he should realise his stupidity soon. Don’t delay any further. Involve the ones you can trust and sort it. Your family might be angry but they will always support you and will take care of you at all times. Be confident and fight this out. Also Read – Feel what you fear I’m 33, the only son of my parents. I got married last year. My wife and my parents fight everyday. I don’t earn well enough to live separately and my wife is also a housewife. What should I do? Name withheld This situation is always tough and very sensitive. Handle it with utmost care so that you don’t hurt or break anyone’s heart. The best way to mend this is to relocate to a place very close to your original home. The financial constraint might be solved if your better-half gets involved in some job, tuitions or small time business. Also Read – HomecomingThree adults cannot be tutored to live peacefully and if you don’t check the situation now, it might linger and take a bitter turn in the near future. Try talking to your parents and wife separately or may be a group chat over a small family vacation might give some positive results too. In the meantime, prepare to start your family outside your parent’s shelter. Do face and solve the problems rather than neglecting it. This can’t be avoided for your own mental peace and the benefit of your relationships. Good luck! I’m too shy to propose! What can I do? Anirban Samanta, Kolkata Write a letter – be honest. Don’t try to be too poetic. Be yourself. Maybe you can even express your nervousness. Don’t forget to embrace your shyness. Girls sometimes find it cute. Or, make a video. Use a simple video editor. Make it interesting, funny and add surprises. Describe how you feel about her – the joy, the thrill, the excitement. Point down every little detail you like about her. Describe how you feel, whenever you think about her. Be romantic and honest. Make it into a blog. After you’ve written for enough days, just give her the link, I’m sure she’ll be surprised. More power to you, dear. Do whatever it takes, just express. I have studied in a Hindi medium school. Now, I face major issues with spoken English. How can I improve? Dharmendra, Noida You can always join a spoken English class. Alongside, watch English channels, read the English newspapers and read it aloud. Record yourself and self evaluate. Whenever possible, talk to your friends and family in English. It’s your confidence that will yield the maximum result. So even if you make mistakes initially, Don’t stop! Focus on your goal to learn it and I’m sure you will achieve it soon. (Send your questions to roopshashotm@gmail.com)last_img read more

Dravid Tendulkar want India to play Champions Trophy

Rahul Dravid and Sachin Tendulkar are among a group of 12 former cricketers who want India to play the upcoming Champions Trophy in England.All the players ESPNcricinfo contacted – Tendulkar, Dravid, Zaheer Khan, Gundappa Viswanath, Sandeep Patil, Sanjay Manjrekar, Aakash Chopra, Ajit Agarkar, Venkatesh Prasad, Saba Karim, Murali Kartik, and Deep Dasgupta – were unanimous in their opinion that India should attempt to defend the Champions Trophy title that they won in 2013.Sachin Tendulkar and Rahul DravidThe doubt over India’s participation in the Champions Trophy arose after the BCCI missed the April 25 deadline to send its squad for the tournament to the ICC. The board had said the delay was due to “operational” reasons.The concerns over India’s participation have increased since then, after the BCCI was outvoted by a massive margin at the ICC Board meeting in April, when the ICC’s members approved a new constitution, governance structure and finance model. The biggest sticking point for the BCCI was the finance model, in which it stands to get a reduced share of ICC revenue when compared to the existing Big Three model.The BCCI is divided over the issue, with a faction strongly in favour of revoking the Members Participation Agreement with the ICC, which would rule India out of hosting and participating in all ICC tournaments until 2023, the end of the present rights cycle.A final decision on India’s participation in the Champions Trophy is likely to be taken by the BCCI at its special general body meeting on May 7 in Delhi. (ESPNCricinfo) Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)RelatedSachin Tendulkar, Allan Donald, Cathryn Fitzpatrick inducted in ICC Hall of FameJuly 19, 2019In “latest news”India favourites for the World Cup – TendulkarFebruary 4, 2019In “latest news”Dravid likely to replace Siva in ICCMarch 28, 2016In “Rahul Dravid ICC appointment” read more

T10 format could be crickets gateway into the Olympics says Afridi

Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)RelatedAfridi to play for Jamaica Tallawahs in CPL 2018 returnJuly 10, 2018In “Sports”CPL 2018: Russell to captain Jamaica Tallawahs, says team very balancedJune 21, 2018In “Sports”Sarfraz Ahmed appointed new Pakistan T20 captainApril 6, 2016In “Sports” Shahid Afridi sends one down (Getty Images)Former Pakistan allrounder Shahid Afridi has put his weight behind T10 cricket, saying the new format could be cricket’s gateway into the Olympics. Afridi, playing in his second season of the T10 League with the Pakhtoons, said he has been greatly encouraged by the league’s growth and sees ten-over cricket as the perfect format for introducing a wider audience to the game.“I think this is the best cricket you can introduce in the Olympic Games,” Afridi told ESPNcricinfo. “I think you can take the game there and show the world what cricket is all about. I think this is the perfect format to introduce cricket and we are all enjoying it, which is the main thing.”England’s Eoin Morgan had endorsed a similar view during the inaugural season of the T10 League last year, stating that T10 cricket was easiest on the eye.“I think T10 could be something you could potentially propose to an Olympic committee,” Morgan had told ESPNcricinfo. “When you look at the T20 game, it goes on for a little bit longer, so if you are talking about playing a role in the Olympics then you’d probably have ten teams or more and that would probably last five or six weeks. But a ten-over league could be done in about eight days which could be right.”Following shortly after ICC’s bid for a women’s cricket event at the 2022 Birmingham Commonwealth Games, Afridi’s comments could particularly add to ICC’s ambition for cricket to feature in the Olympics.The one and only time cricket took place in the Olympics was back in 1900, when Great Britain beat France to claim gold. More than 118 years on, Afridi is of the opinion that T10 might just be the key to unlocking cricket’s participation in sport’s pinnacle global event.In the meantime, Afridi said, cricket itself will benefit from T10’s existence.“It’s quick fire, a big test of bowlers. Batsmen can show their skills and I saw myself some great innings, some great skills, some great shots,” said Afridi of T10’s greatest selling points. “I think cricket will change with [T10]. Even T20 and one-day cricket will change with this cricket. I think you can take it [around the world] definitely because of the time,” Afridi said. (ESPNCricinfo) read more

Young players die in fire at top Rio club

Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)RelatedMotivated Brazil becomes 1st to qualify for 2018 World CupMarch 29, 2017In “Sports”Bolt Big in BrazilAugust 10, 2016In “latest news”Brazilian police arrest 10 suspected of planning terrorist acts during OlympicsJuly 21, 2016In “latest news” Friends and family face an anxious wait for news outside the ground (Reuters photo)(BBC) A fire has engulfed a dormitory at the youth team training centre of one of Brazil’s biggest football clubs, killing 10 people.Six of the victims were young players and four were employees at Ninho de Urubu, the training ground of Flamengo football club in Rio de Janeiro, local media reported.Three teenagers were also injured, one of them seriously.The cause of the blaze is not yet known.Flamengo is one of Brazil’s biggest and best-known clubs internationally. They currently sit at second place in Brazil’s Série A table and have won the league five times.Brazil football legend Pelé described the club as “a place where young people pursue their dreams”.“It’s a very sad day for Brazilian football,” he tweeted.Former Brazil star Ronaldinho offered his condolences for the “terrible tragedy” in a tweet on Friday morning. He published the club’s crest in black-and-white alongside the message.What do we know so far?According to the G1 news portal, the fire began at 05:10 (07:10 GMT) and was extinguished by 07:30.None of the victims has been identified but the youth players are said to be aged between 14 and 16. One of the three injured, a 15-year-old boy, suffered severe burns and was transferred to a specialist hospital, reports said.Flamengo’s pride in youth academyAnalysis by Fernando Duarte, BBC BrasilFlamengo is one of the few Brazilian clubs that can boast an expressive national fan base in Brazil. A poll released last April suggested they are the first team for 32.5 million Brazilians.The club owes a great chunk of this support to an incredible run of four Brazilian titles and a victorious Copa Libertadores campaign (the South American version of the Uefa Champions League) in the 1980s.It has also produced arguably one of the greatest all-time Brazilian players – Arthur Antunes “Zico” Coimbra, a member of the 1982 World Cup squad that failed to win the titles but won worldwide plaudits for its slick style.The club is also proud of the traditional of its youth academy – their motto is “we make our star players at home – which will make this tragedy even sadder.Who are Flamengo?The club’s most prominent former players include World Cup winners Ronaldinho, Bebeto and Romario.As well as being one of Brazil’s most successful football clubs, Flamengo also has basketball, rowing, swimming and volleyball teams.In a tweet on Friday, the team said it was “in mourning”.The Ninho de Urubu (“Vulture’s Nest” – so named because the symbol of the club is a vulture) centre underwent a major expansion last year, with the club spending 23m reals (£4.8m, $6.2m), Reuters news agency reports.The site features accommodation for young players, several pitches, an aquatic park, a gym, a medical centre and a mini stadium.The club were due to play their rivals Fluminense on Saturday. The game has been postponed, and other clubs have expressed their condolences.Real Madrid player Vinícius Júnior, who also played for Flamengo, tweeted a crying emoji, writing, “Such sad news. Pray for everyone. Strength strength, strength.”Just over two years ago, Brazil’s football world was rocked by disaster when a plane carrying top football team Chapecoense crashed in Colombia.Of the 77 people on board, 71 lost their lives. read more

Andersson and Larholm with slight injuries before Olympic qualifiers

IHFKim Anderssonlarholmolympic gamesolympic qualifyingSweden handballSwedish handball team As the Swedish media svt.se reports, Kim Andersson got slight foot injury after the training session with the national team as he collided with Andreas Nilsson. He left the court limping and did not come back. However, he is confident that he should be playing in all games. Jonas Larholm also seems ready to come back, as he had finger injury last Saturday.The Swedish national team is already facing injury problems, as both first-team players, Du Rietz and Kallman are out and won’t play. Sweden opens their qualifiers tomorrow (06.04) against Brazil, a game in which they are huge favorites.source: svt.se ← Previous Story Documentary film about five years of Balkan-Handball.com Next Story → France beats Switzerland in a friendly! read more

€20 million seismic survey hopes to reveal Irelands true oil and gas

first_imgTHE GOVERNMENT is to undertake a €20 million seismic survey in an effort to shed further light on exactly how much oil and gas may lie off Irish waters.The 2D survey will be the largest regional survey ever carried out in Irish waters, covering 18,000km in territory from the Rockall basin, off the north-west of Ireland, down to the Southern Porcupine off the south-west.The junior minister responsible for natural resources, Fergus O’Dowd, said the survey would provide “a regional grid of high-quality seismic data over Ireland’s frontier basins”.The survey is intended to ‘fill in the gaps’ of knowledge about the possibility of oil and gas reserves lying in particular regions off the Irish coast, including areas which have not yet been subject to any commercial exploration.“The data should allow resource potential to be predicted with much greater confidence and enable both the industry and the Government to adequately evaluate future licensing opportunities,” O’Dowd said.Last week O’Dowd’s senior minister Pat Rabbitte told TheJournal.ie that he was considering asking for expert advice on whether the current commercial terms for exploration off Irish waters may need adjusting in order to entice more explorers to Irish waters.A decision on whether to change the current system – where profits on gas and oil extraction are taxed at 25 per cent, minus the costs of the exploration effort – is likely to be deferred until after the new survey has been concluded.The survey is to be undertaken jointly by the Department of Communications, Energy and Natural Resources and by private operators ENI Ireland, which will provide technical support for the operation.This evening the Irish Offshore Operators’ Association welcomed the news of the survey, saying it would address a current shortcoming where only 5 per cent of Irish waters were under licence.“It is interesting to point out that a very similar initiative by the New Zealand government played a significant role in accelerating exploration offshore New Zealand and it is to be hoped that the same will be achieved offshore Ireland,” said IOOA chairman Fergus Cahill.Read: Fracking could be good for Ireland – but only if it’s safe enoughExplainer: How much is the Barryroe oil find actually worth to us?last_img read more

Department of Social Protection overpaid welfare recipients by €420 million over six

first_img Short URL Jan 18th 2017, 1:05 PM Wednesday 18 Jan 2017, 1:05 PM 124 Comments While I agree completely with the Minister that the majority of people in receipt of a payment from the Department of Social Protection receive what they are entitled to be paid, questions must be asked about how the Department is persistently over-paying people to the tune of tens of millions of euros every year.McGrath said that some of these overpayments have brought “unnecessary hardship” on those who genuinely did not know they were receiving too much money.Some benefits which were overpaid in 2015 and 2016 included:Jobseeker’s Allowance – €25 millionOne Parent Family Payment – €6 millionIllness Benefit – €2 millionDisability Allowance – €2.7 millionMinister Leo Varadkar said he is looking at “various additional control measures that I hope to roll out in 2017″. He said his aim is to strengthen laws which would deter abuse of the social welfare system.Varadkar said these would include publishing the names of persons who are prosecuted for social welfare fraud and applying interest on overpayments resulting from fraud.Read: Tillage farmers call for ‘humanitarian aid’ after some lose 100% of crop >Read: Lucan murder victim may have been stabbed and run over with car > Department of Social Protection overpaid welfare recipients by €420 million over six years Minister Leo Varadkar said he was looking at strengthening laws relating to welfare fraud. Share408 Tweet Email2 center_img 27,369 Views http://jrnl.ie/3192467 By Garreth MacNamee AN AVERAGE OF €70 million was overpaid by the Department of Social Protection every year since 2011, new figures have revealed.In response to a parliamentary question by Independent TD Mattie McGrath, it emerged how tens of millions worth of payments were made to those in receipt of assistance or benefit schemes.While that money has been recovered, McGrath said the “staggering” figures highlight a serious problem within the department.He said: “What the reply shows is that from 2011 to 2016 over €420 million has recovered by the Department due to over-payments. It also shows that during the same period the Department recovered over €53 million in cases of social welfare fraud. Tweet thisShare on FacebookEmail this articlelast_img read more

Cinq jours décole par semaine pour la santé des enfants

first_imgCinq jours d’école par semaine pour la santé des enfantsFrance – Un rapport de l’Académie de médecine explique que la semaine de quatre jours, mise en place à la rentrée 2008, se révélerait nocive pour la santé des écoliers car elle “n’est pas en cohérence avec les rythmes biologiques de l’enfant à tous les niveaux de l’organisation : journée, semaine ou année scolaire”.Si chaque école est libre d’appliquer le rythme qu’elle souhaite, toutes ou presque sont passées à la semaine de quatre jours. Les chronobiologistes s’étaient pourtant opposés à son instauration. Le rapport de l’Académie de médecine abonde dans leur sens. L’élève est “désynchronisé les deux premiers jours de la semaine” à cause de la coupure du week-end. L’Académie propose l’aménagement d’un rythme de quatre jours et demi à cinq jours, avec reprise des cours le samedi matin.À lire aussiAmygdalite : chronique, caséeuse, cryptique, de quoi s’agit-il ?Le rapport note aussi la surcharge de travail générée par le plus petit nombre de journées scolaires et l’ajout d’heures de soutien scolaire pour les élèves les plus faibles. L’Académie conseille de limiter les heures de cours par jour à cinq maximum, avec un rythme moins conventionnel et éventuellement une heure d’étude pour éviter les devoirs à la maison. Comme il est désormais interdit de faire cours le samedi, les solutions possibles sont de généraliser les cours le mercredi matin.L’Académie demande aussi un meilleur respect des facultés d’attention de l’élève. Un enfant est plus performant intellectuellement entre 10 et 11 heures et entre 15 et 16 heures, correspondant souvent aux heures de récréation. Le 31 janvier 2010 à 11:57 • Emmanuel Perrinlast_img read more

Acura NSX holds its own against NSX GT3 Evo race car but

first_img 2019 Nissan Maxima review: The ‘four-door sports car’ that isn’t More about 2017 Acura NSX Enlarge ImageThe road-legal NSX is also significantly less expensive than the race car. Acura A good bit of modern GT racing involves keeping the playing field as even as possible. Sometimes that means ditching driven wheels or making less power than a road car equivalent, and all those changes tend to actually make the race car less capable in certain ways than its street-legal sibling, even if it’s still faster around a track. That’s the case with the Acura NSX and the NSX GT3 Evo, as a new video points out.Acura on Wednesday put out a new video comparing the regular ol’ Acura NSX with its racing counterpart, the NSX GT3 Evo. Racing driver Trent Hindman compares the two vehicles in a few different ways, including acceleration, braking and general ease of use. The video ends with a head-to-head lap around the Mid-Ohio course. 0 Share your voice Review • 2017 Acura NSX: A potent and proper follow-up to the original Acura Car Culture Hybrids Performance Cars Coupes It shouldn’t surprise anyone that, in standalone acceleration tests, the road-legal NSX walks away from the race car. The street car has a 573-horsepower hybrid V6 powertrain and all-wheel drive, whereas regulations limit the NSX GT3 Evo to rear-wheel drive and ditch all the hybrid components. Even though it’s some 1,000 pounds lighter than the road car, the race car just can’t keep up — but it wasn’t designed for acceleration alone.Even though the two cars share about 80% of their components, everything coalesces on the race car in a completely different way. The NSX GT3’s ridiculous aerodynamics, which would be ripped off the car on a standard driveway or speed bump, produce about 500 percent more downforce than the road car. When everything comes together, the NSX GT3 Evo can lap Mid-Ohio about 9 seconds faster than the street-legal NSX. But then again, the cars are built for two very different purposes, so the results shouldn’t surprise anybody too much. 2019 Acura NSX in its tangy, new huecenter_img 2020 Toyota Supra review: A solid sports car that’s rife with controversy 2019 Acura NSX review: Hitting its stride Acura Tags 55 Photos Preview • 2017 Acura NSX: Hypercar technology at a supercar price More From Roadshow Post a commentlast_img read more

SCCL director inspects open cast mines in Kothagudem

first_imgKothagudem: Singareni Collieries Company Limited (SCCL) Director S ChandraSekahr on Sunday inspected the opencast mines in Kothagudem area and interacted with officers.He also met the area General Manger Narasimah Rao. He said that as per the instructions of the CMD N Sridhar, we will have to meet the monthly targets of production and transportation of coal from the mines located in the area. He expressed satisfaction over the progress of the work. He reviewed the development works in the area. Special Officer and General Manger Narayana Rao, Area Engineer Damodhar, Superintendent Engineer Srikanth and other officers were present on the occasion.last_img

EC wont mediate between political parties CEC

first_imgElection Commission begins dialogue with electric media journalists ahead of 11th national election. Photo: Prothom AloChief election commissioner KM Nurul Huda on Thursday said the election commission will not mediate any election-related issue between political parties.“It’s not the election commission’s (EC’s) duty to mediate (talks) between political parties. We don’t need to go to anyone as the EC is an independent body,” KM Nurul Huda told a dialogue with electronic media persons and senior journalists at Nirbachon Bhaban conference room on Thursday.“Neither we bow down to any pressure nor do we go to any person,” the CEC said, adding, “If necessary, the army will be deployed.”About the type of government during the election, he said the EC has no role to play to this end.As the EC is a technical office, it is obliged to conduct the election in a system that is determined by the government, he added.Out of 34 invitees, 22 electronic and online media persons and journalist leaders joined the talks with the CEC in the chair.BSS managing director and chief editor Abul Kalam Azad, Channel-i director Shykh Seraj, Ekattor TV manging director Mozammel Babu, Independent TV executive editor Khaled Muhiuddin, Masranga TV chief news editor Rezwanul Haque Raza, Bangla Vision head of news Mostafa Firoz, NTV head of news Khairul Anwar Mukul, ATN Bangla head of news ZE Mamun, RTV CEO Syed Ashiq Rahman, Jamuna TV chief news editor Fahim Ahmed, Bangladesh correspondent of Voice of America Amir Khasru, Dhaka Reporters’ Unity (DRU) president Sakhawat Hossain Badsha and BTV director general SM Haroon-or-Rashid are among the participants.Four election commissioners—Mahbub Talukdar, Rafiqul Islam, Kabita Khanam and Shahadat Hossain Chowdhury—and EC acting secretary Helaluddin Ahmed were present at the dialogue.On Wednesday, the EC sat for another dialogue with newspaper editors, journalist leaders, senior journalists and columnists.Earlier on 31 July, the commission held its dialogue with the civil society members.As part of the EC’s roadmap prepared for the next general elections, it will also sit for talks with 40 registered political parties, polls observers, women leaders and election experts.The next national election is likely to be held in late December 2018.last_img read more

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first_imgVideo Player is loading.GE Cardiographe cardiac CT scanner at SCCT19Play VideoPlayMuteCurrent Time 0:00/Duration 0:38Loaded: 26.15%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -0:38 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. Siemens SOMATOM Sensation 64-slice system offers isotropic resolution of below 0.4 millimeter. News | CT Angiography (CTA) | August 06, 2019 Artificial Intelligence Improves Heart Attack Risk Assessment When used with a common heart scan, machine learning, a type of artificial intelligence (AI), does better than… read more News | Artificial Intelligence | August 05, 2019 Montefiore Nyack Hospital Uses Aidoc AI to Spot Urgent Conditions Faster Montefiore Nyack Hospital, an acute care hospital in Rockland County, N.Y., announced it is utilizing artificial… read more Video Player is loading.Pierre Qian explains radiotherapy to ablate VTPlay 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. Sponsored Content | Case Study | Radiation Dose Management | August 13, 2019 The Challenge of Pediatric Radiation Dose Management Radiation dose management is central to child patient safety. Medical imaging plays an increasing role in the accurate… read more 12PreviousNext Videos | CT Angiography (CTA) | August 07, 2019 VIDEO: Walk Around of a Siemens Go.Top Dedicated Cardiac Scanner This is a quick walk around of the new Siemens Somatom Go.top cardiovascular edition compact computed tomography (CT) read more Related Content The clinical adoption of 64-slice CT equipment has spiked over the last two years due, in large part, to an aggressive shift of cardiac procedures to computer tomographic angiography (CTA) and MR angiography.What has driven utilization is the large body of evidence demonstrating the efficacy of coronary CTA in diagnosing coronary artery disease. Coronary CTA is 95 percent sensitive for detecting a 50 percent stenosis of the coronary arteries, far exceeding the 70 percent sensitivity typical of stress tests, and, more importantly, coronary CTA can predict when you are normal with 97 percent reliability, a number unprecedented in medical imaging.This trend has prompted radiologists and cardiologists alike to conduct and interpret coronary CTA exams, and in some cases in joint practices. However, the number of coronary CTAs ordered by cardiologists has spiraled to new heights over the last few years. Accordingly, “preliminary data from Medicare 2007 shows that in 2007 radiologists read about one-third of coronary CTAs, while cardiologists read about two-thirds,” said David Levin, M.D., professor and chairman emeritus of the department of radiology at Jefferson Medical College of Thomas Jefferson University to Imaging Technology News.A recent poll by IMV Medical Information Division1 of 220 U.S. cardiology practices found that of those cardiology practices surveyed, 45 percent presently own or lease CT equipment, reporting an average of about two units per practice, or double that of the 23.5 percent in 2006.These numbers may seem surprising or even alarming to radiologists already providing cardiac imaging services or radiology fellows looking to specialize in that area, but what is certain is that the cardiac imaging turf wars have intensified.Who Should Read Coronary CTA?Not too long ago, the debate over which physician, a radiologist or cardiologist, is more qualified to interpret coronary CTA was very heated. Things have simmered since, and today it is less common to read slurs on society Web sites about radiologists conducting a “self-serving turf battle…a disservice to the medical profession.”1Fortunately, two leading parent societies – American College of Radiology (ACR) and the American College of Cardiology (ACC) – have reconciled after jointly developing appropriateness criteria for cardiac CT and cardiac MRI. They did this in collaboration with the Society of Cardiovascular Computed Tomography (SCCT), Society for Cardiovascular Magnetic Resonance (SCMR), American Society of Nuclear Cardiology (ASNC), North American Society for Cardiac Imaging (NASCI), Society for Cardiovascular Angiography and Interventions (SCAI) and the Society of Interventional Radiology.2“ACR and ACC are working more cooperatively, recognizing that each has an important presence in coronary CTA,” said SCCT President-elect Jack Ziffer, Ph.D., M.D., chief of radiology at Baptist Hospital of Miami and the director of cardiac imaging at the Baptist Cardiac and Vascular Institute in Miami. “As for who interprets the study, neither one comes in necessarily by virtue of their residency or fellowship with a stronger capability of how to interpret a coronary CTA.”Dr. Ziffer points out that the ACR and ACC recognize that there is a great deal of variation in the training that radiologist and cardiologists may have during residency and fellowship. “For training received after formal graduate medical education, the training requirements recommended from the radiologist and cardiologist parent organizations, the ACR and ACC, are somewhat different,” he said. “They recognize that radiologists and cardiologists come from different backgrounds, and so they have a different body of knowledge. The radiologists have a large body of knowledge in physics and CT, transaxial anatomy and disease processes beyond the heart. Cardiologists have a strong body of knowledge in terms of clinical care of cardiovascular disease.”Training for TwoAlthough each society, the ACR and the ACC, has established its own set of practice guidelines for coronary CTA, courses, such as Level 2 Cardiac CT Training, can be administered to both radiologists and cardiologists together.In fact, at Atlantic Medical Imaging’s Galloway facility, the director of the Coronary CTA program, David A. Dowe, M.D., targets radiologists and cardiologists accompanied by their joint venture radiologist partner. The main objective of training is to satisfy the ACR’s three-year credentialing criteria and the ACC’s Level 2 credentialing criteria for both CME and case experience in a single five-day course. Yet, Dr. Dowe takes into consideration the ongoing turf wars by screening the physicians first.“I’ve educated radiologists for years and initially I did not educate cardiologists because there is such a turf war out there. What I didn’t want to happen was for me to teach a cardiologist who might then go back to his community and take business away from one of my radiology friends,” explained Dr. Dowe. “We are now years into the process of coronary CTA education, and if a radiologist and cardiologist have made peace in their home turf, I’ll educate both of them. The cardiologist can come with the radiologist physically present or providing I just speak to the radiologist back home, it’s fine by me. They need to be working in collaboration with a radiologist. If they are in a competitive situation with radiology, I don’t want to aid that for the sake of the profession.”There are areas in the training where one physicians’ body of knowledge may give them with an advantage over another. Dr. Dowe describes how different knowledge can play into applying the best CT imaging strategies.“If the patient has normal sinus rhythm, the heart rate is low, they have responded to the beta-blocker nicely, which is about 98 percent of cases, we can do prospective gating, and using that technique, we can do a coronary CTA for at or less than the radiation of a calcium score and anywhere between 70 and 90 percent less radiation than a SPECT nuclear study,” he said. “But the radiologist has to know and understand some basic heart rhythm interpretation. If the patient has an arrhythmia, sinus arrhythmia, atrial fibrillation, you have to be able to recognize that and do retrospective gating, which will allow you to get the case done. But you will spend more radiation.”In another instance, a radiologist is more familiar with handling frequent artifacts in cardiac CT imaging. “They need to recognize motion, beam-hardening artifact, partial volume averaging. These are all problems with CT imaging that have been around forever,” said Dr. Dowe, “but you have to be able to recognize them and know how they impact the coronary arteries or you make a misdiagnosis – you’ll overcall things. What might be a little bit of motion of the artery, they’ll overcall as a plaque and perhaps send the patient for an unnecessary heart cath. You have to understand CT imaging of the heart – it’s not a lot different, it’s a little different.”Pride or Payment?If the training evens out the playing field, is the competition between radiologists and cardiologists based on who is more capable, or is it really about reimbursement? Opinions differ on this point.Dr. Ziffer acknowledged, “While reimbursement may be part of the issue, the issues go well beyond reimbursement.” He added, “it has to do with professional pride and physicians from both fields believe strongly that they may have the capability to provide patient care in coronary artery CT.”Professional pride certainly plays a factor, Dr. Dowe concurred. “Pride in profession; cardiologists feel, and for good reason, that they understand the heart better than anyone else. Radiologists argue that we’ve done CTA in every other aspect of the body, looking at arteries and astherosclerosis; this is just a natural extension of what we do. So both fields have made logical claims to the intellectual turf.”However, Dr. Dowe points out that reimbursement is an important issue.“They know two things. Number one, that this is going to kill the elective negative diagnostic cath. Nobody wants to do coronary caths and CCTA has a 100 percent negative predictive value. So those cases should go away. If it’s an elective case, the patient’s having chest pain, regardless of the stress test, you have time to do a coronary CTA and weed out the negatives,” said Dr. Dowe.“There is the other part. Many in the cardiology community recognize coronary CTA is an excellent first line test and could wipe out the stress test. This is a huge part of their income. I don’t think they are crazy for being resistant to it – nobody wants to lose income. But it has an awful lot to do with the stress test versus coronary CTA as a primary income provider,” he said. “If you made a case that cardiology was going to absorb 100 percent of the coronary CTA, in exchange for the stress test, it is still a huge money loser because coronary CTA is reimbursed far less than a stress test. The equipment to do coronary CTA is eons more expensive than the nuclear camera. Those are the financial dynamics that are happening.”He added, “I work with cardiologists that tell me they would love for coronary CTA to be a first line test, but I work with others who won’t hear of it. There is an internal battle not well publicized that is happening in the cardiology community. It’s what they are telling me.”Important technical factors often overlooked in the heat of the reimbursement battles include ancillary findings and the infrastructure of the radiology department. According to Dr. Dowe, “The other point is with coronary CTA, in my case, looking at thousands of cases, about 27.5 percent of cases have ancillary findings, and 1 percent of the time it is a very serious finding. And so the issue does come up of who is more capable reading the entire study – the heart, plus the noncardiac structures, and that argument falls on the side of radiology.”Dr. Ziffer also pointed out that the radiology department is set up to attend to cardiac imaging in the hospital. “In certain patient care arenas, I think there are some processes where radiology departments, as opposed to necessarily radiologists, may be more equipped to provide services, such as in the ER. The infrastructure of the radiology department as a whole may already be equipped to image, process and prepare for interpreting the coronary CTAs,” said Dr. Ziffer. “But the final decision on who gets paid for what is owned by the payors.”Payors BlockThe payors have sparked a debate over reimbursement for coronary CTA, affecting radiologists and cardiologists alike. Some physicians indicate that the payors are intentionally ‘stonewalling’ reimbursement.One of the central questions is whether the bar for coronary CTA standards is too high. Compared to other imaging exams, it appears to be the case, according to Dr. Ziffer.“I think the payors are very concerned about healthcare costs and are applying very high standards for what they see as needing to be surpassed for them to be willing to pay. That bar is higher than in any other diagnostic imaging area,” he said. “What we are hearing from the payors is the need for us to prove outcomes for diagnostic tests, and historically that had not been applied. For example, with breast MR, to prove that, in fact, patients live longer by doing breast MR has not been required, yet it is reimbursed.“With coronary CTA, it is more accurate than other noninvasive tests, and more accurate diagnosis leads to better care, therefore, you can reasonably conclude that that would apply. A diagnostic study is different from screening, such as mammography, which have proved to improve outcomes. But for a diagnostic test, in patients with suspected disease, payors have historically not asked for outcomes. Now they are asking for proof of that. One concern is that some studies take years to perform and that by the time the studies are completed the technology is no longer necessarily relevant,” said Dr. Ziffer.The question is the way the insurance companies are using the standards in appropriateness criteria. According to Dr. Dowe, “Appropriateness criteria is important, it will eliminate some inappropriate exams, but the insurance companies have taken an extreme position, they are blocking virtually every coronary CTA that comes across their desk except for anomalies. Their position is not justified by the current literature. They just hide behind the old literature – ‘well, there is no huge randomized trial’ – they are holding coronary CTA to a standard that they have never held any other imaging test in the hopes of avoiding it. I have met with a number of medical directors of insurance companies, I have shown them how much cheaper this is than a stress test one on one, I’ve shown them the literature and my personal experience on how this eliminates the unnecessary cardiac catheterization. They won’t hear about it – they think is just going to be another test layered upon other layers of cardiac imaging. So, they have stonewalled it.“The short answer is appropriateness criteria are needed, but right now people are ignoring them, they are just blocking everything. It is a money issue and it’s not about patient care. The economics of medicine supercede patient care many, many times,” said Dr. Dowe.What lies behind the payors’ resistance to reimburse coronary CTA may have something to do with what is known as ‘layering.’“I think what they are really concerned about it layering tests. They are worried about incremental costs without incremental benefits. In lieu of saying they are afraid of layering, they are evoking the outcomes, which would mandate how you potentially layer tests,” noted Dr. Ziffer. “There is layering that doesn’t serve anyone well – that is doing multiple tests without proving benefit. But CCTA can help avoid a tremendous amount of invasive coronary tests and prevent patients in large numbers from going to cath. This means avoiding tests that are part of the work up. So, SPECT utilization may decrease in areas where CT is widely applied. Defining that would really be very good.”The solution to this situation is twofold, says Dr. Ziffer. “What we have to do is define a standard that is appropriate, and educates payors in terms of why we think coronary CT angiography is a good standard,” he said. “There are two different groups for accreditation. There’s the laboratory accreditation through ICACTL, and the ACR is now offering a physician certification through CBCCT, for either radiologists or cardiologists. Historically, payors have decided on their own whether to mandate payment; the societies have not been the ones who decide who should get paid for what.”Another key factor to gaining reimbursement is accumulating clinical support from large multicenter studies, like the one by Gil Raff, M.D., that will soon be published. Dr. Ziffer believes that eventually there will be reimbursement for coronary CT applications in the ER, making it a front line imaging test.Re-Creating Value in RadiologyLike in any business, you have to sell your service, and while radiologists play an important role in diagnosing coronary artery disease, they need to communicate that fact to the public.One way radiologists can build more value into their service to referring physicians, hospitals and in their own group practices is to see patients face to face.“I’ve trained 7,000 radiologists worldwide. To the best of my knowledge, that is the largest teaching base for coronary CTA anywhere amongst radiology, and I have told them that they have to change their habits. You’re not going to be a player in cardiac imaging playing the old radiology game. They have to insert themselves into the patient care algorithm and be relevant. They need face time with the patient,” Dr. Dowe stressed. “When you are dealing with coronary artery disease, you cannot read these things at the end of the day whenever it’s good for you. Somebody could have a significant stenosis of the coronary artery. The radiologists are challenged by their own inertia. They don’t like to get up and talk to patients, in general. I meet with every patient before they leave the office, and I have taught that to every visiting fellow that has been through my practice.”The radiologist also needs to communicate well with referring physicians, and this requires training. Dr. Dowe underscores the importance of semantics.“[Radiologists] have to learn lingo and there are certain processes they need to know beside the anatomy of the coronary arteries – they need to know the other diseases of the heart – the hypertrophic cardio myopathies, the valvular diseases and so on.” He added, “By understanding the role of imaging in coronary disease, evaluation of patients of suspected disease, or known disease, in the language of cardiology, they bring an important clinical presence.”Although well positioned near the ED, the workflow of the radiology department could be restructured to provide better service for cardiac imaging.“The structure of the radiology department needs to be rethought to deliver for example outpatient coronary CTA,” noted Dr. Ziffer. “There is a reasonable amount of preparation that needs to take place prior to the patient arriving. With coronary CT that patient preparation requires slowing the heart rate, and can take varying amounts of time. If one is going to be performing coronary CTA, a better approach needs to routinely apply to radiology.”By adding more personalized service, educating referring physicians and the public about their role in diagnosing coronary artery disease and by restructuring workflow, radiologists can cement their foothold in a specialization where they have played a critical role since the introduction of coronary CTA.“I think radiology has to change a little bit and get some training,” Dr. Dowe said, “because I think they are the leading candidates to do coronary CTA – especially if this gets adopted in the emergency room and goes 24/7, which I think is just an eventuality. It’s an outstanding first line test in the ED.”References1. Present Practices & Future Directions in Cardiac Imaging: The Cardiologist’s Perspective. IMV Medical Information Division. Feb. 3, 2009.2. Douglas, Pamela S., MD, FACC. President’s Page: Reframing Debate in Patient Care Image. J Am Coll Cardiol, 2005; 46:176-177, doi:10.1016/j.jacc.2005.05.0093. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 Appropriateness Criteria for Cardiac Computed Tomography and Cardiac Magnetic Resonance Imaging. J Am Coll Cardiol, 2006; 48:1475-1497, doi:10.1016/j.jacc.2006.07.003 FacebookTwitterLinkedInPrint分享 Siemens SOMATOM Sensation 64-slice system offers isotropic resolution of below 0.4 millimeter. Videos | Radiation Therapy | July 30, 2019 VIDEO: Use of Radiotherapy to Noninvasively Ablate Ventricular Tachycardia Pierre Qian, MBBS, read more The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s. Video Player is loading.Arthur Agatston explains the history of CT calcium scoring Play VideoPlayMuteCurrent Time 0:00/Duration 9:54Loaded: 1.67%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -9:54 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. Siemens SOMATOM Sensation 64-slice system offers isotropic resolution of below 0.4 millimeter. Videos | CT Angiography (CTA) | August 07, 2019 VIDEO: Walk Around of a GE Cardiographe Dedicated Cardiac CT Scanner This is a quick walk around of the GE Healthcare Cardiographe dedicated cardiac CT system on display at the… read more Siemens SOMATOM Sensation 64-slice system offers isotropic resolution of below 0.4 millimeter. Siemens Go.Top CT scanner at SCCT19Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 1:05Loaded: 15.14%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -1:05 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. Feature | March 10, 2009 | Cristen C. Bolan Pride and Payment: The Battle over CCTA Is the debate over who is more qualified to interpret CCTA or is it really about reimbursement? Video Player is loading.Mark Ibrahim explains what EPs need from CT imagingPlay VideoPlayMuteCurrent Time 0:00/Duration 5:23Loaded: 3.08%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -5:23 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. Technology | Neuro Imaging | August 07, 2019 Synaptive Medical Launches Modus Plan With Automated Tractography Segmentation Synaptive Medical announced the U.S. launch and availability of Modus Plan featuring BrightMatter AutoSeg. This release… read more Videos | Cardiac Imaging | July 30, 2019 VIDEOS | EP LAB | JULY 26, 2019 VIDEO: What Electrophysiologists Need From CT Imaging Prior to AF and VT Ablations Mark Ibrahim, M.D., F read more News | Medical 3-D Printing | August 08, 2019 RSNA and ACR to Collaborate on Landmark Medical 3D Printing Registry The Radiological Society of North America (RSNA) and the American College of Radiology (ACR) will launch a new medical… read more Siemens SOMATOM Sensation 64-slice system offers isotropic resolution of below 0.4 millimeter. Videos | Cardiac Imaging | July 30, 2019 VIDEO: The History of CT Calcium Scoring Arthur Agatston, M.D., clinical pro read morelast_img read more

Somali leader predicts defeat of extremists by end of 2015

first_imgBut he said the military campaign by Somali and African Union forces has been successful and the Islamic militants now control only 20 percent of the country.“We hope that in the coming few months the whole country will be liberated,” Sharmake said. “We are really on the verge of defeating them in terms of conventional arms.”He said he looks forward by the end of the year to having all states liberated and stabilization programs under way in every district to revitalize the economy, establish rule of law, and start educating and providing jobs for young people who now see no other alternative than joining al-Shabab.Somalia has been trying to rebuild after establishing its first functioning central government since 1991, when warlords overthrew a longtime dictator and then turned on each other, plunging the impoverished nation into chaos.The country’s weak government is being supported by AU and Somali troops against the al-Shabab insurgency. But despite major setbacks in 2014, al-Shabab continues to wage a deadly insurgency against Somalia’s government and remains a threat in the East African region, carrying out a series of deadly terror attacks in neighboring Kenya which has troops in the AU force fighting the insurgents in Somalia. Ex-FBI agent details raid on Phoenix body donation facility Milstead says best way to stop wrong-way incidents is driving sober Top Stories Here’s how to repair and patch damaged drywall Arizona families, Arizona farms: working to produce high-quality milk “In coming weeks, we’re going to go even more forcefully against al-Shabab,” said Ambassador Maman Sidikou, the AU Commission’s special representative for Somalia.He said the AU force, known as AMISOM, needs to be reconfigured to make it more effective against al-Shabab.“We need to destroy them because that’s the only language they know,” Sidikou said.Copyright © The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed. Sponsored Stories Comments   Share   UNITED NATIONS (AP) — Somalia’s prime minister predicted Monday that al-Shabab extremists will be defeated militarily by the end of the year but he said tackling the root causes that attract young people to the al-Qaida-linked group will take some time.Omar Abdirashid Ali Sharmarke told reporters after a closed-door meeting of the U.N. Security Council that there may be increased attacks during June when the Muslim holy month of Ramadan begins, which al-Shabab has done in recent years. Parents, stop beating yourself up New Valley school lets students pick career-path academies 3 international destinations to visit in 2019last_img read more