08Mar Rep. Eisen votes to support recreation opportunities for Harsens Island State Rep. Gary Eisen voted this week in favor of a plan to complete a recreation project from Harsens Island along the Krispin Blueway and Harsen’s Island bike trail in St. Clair County.The legislation approved by the Michigan House of Representatives, with Eisen’s support, includes $86,200 to acquire approximately nine acres located on Harsens Island along the Krispin Blueway and Harsen’s Island bike trail.Plans are to add an accessible kayak launch with a wetland boardwalk, parking, bathrooms, nature trail and a 25-foot-high observation tower looking out over the marsh.“Harsen’s Island is a great place to enjoy St. Clair County,” said Eisen, of St. Clair Township. “This plan will allow for needed updates and give our residents more outdoor opportunities.”The full plan includes $26 million for 34 recreational development projects and 30 land acquisition projects statewide, including the Harsens Island Kayak Access project.The project investments outlined in the proposal were recommended by the Natural Resources Trust Fund Board in December. Recommendations are subject to approval by the Michigan Legislature, a process started in the House Appropriations Committee last week. House Bill 4244 next advances to the Senate for further consideration.Money in the Natural Resources Trust Fund comes from the development of minerals on state land and is designated on an annual basis in partnership with local governments.### Categories: Eisen News
UK adults aged 18 to 24 years old spend more time watching video content on laptops than any other device, according to new research by GfK.The study reveals that young adults spend 41% of their daily viewing time watching on laptops, compared to 35% on TV, 14% on smartphones and 10% on tablets.The figures show a generational divide, with the overall adult population of the UK still opting for the TV as their preferred device for watching video.Among adults as a whole spend 65% of viewing time tuning in on TVs, 20% on laptops, 8% on smartphones and 7% on tablets.“There are many reasons underlying these findings, including the trend for this younger age group to view less live or scheduled TV content and more on-demand and online streamed video,” said Julia Lamaison, director of media research and insights at GfK.“Added to that is the fact that access to a TV set is lower amongst this group than for all adults: only 84% of these young adults say they own a TV set, compared to 95% amongst all adults.”British adults spend around 55 minutes viewing video content via a PC or laptop – with 67% of that content comprising of traditional TV programmes and movies.For those aged 18 to 24 years old, time spent viewing on a PC or laptop almost tripled to 2 hours and 35 minutes per day, with nearly 73% of that content TV programmes and movies.“This underlines the importance of content derived from linear broadcast channels. Whilst this may be watched on-demand or time-shifted, as well as live, traditional TV and movie content still drives the majority of our time spent viewing,” said GfK.GfK’s ViewScape study interviewed 1,147 adults aged 18 and over online in UK at the end of 2015.
The clinical work, strength of character and determination that characterised Ignaz Semmelweis should serve as an example and inspiration to us all. Ignaz Semmelweis can be counted as one of the ten greatest clinical doctors in the world. He championed his theory throughout his entire life and his insights saved millions of lives. I am delighted that his memorial now stands here at MedUni Vienna – because, after Budapest, Semmelweis’s life is primarily associated with Vienna.”Béla Merkely, Rector of Semmelweis University Budapest Feb 21 2019Gift from Semmelweis University Budapest to mark 200th birth anniversary of the “inventor” of hand hygieneThe 200th anniversary of Ignaz Semmelweis’ birth was commemorated on 1 July 2018. On Wednesday evening, a statue of the doctor, kindly donated by Semmelweis University Budapest, was unveiled at MedUni Vienna, in memory of the “inventor” of hand hygiene. The unveiling ceremony was attended by Hungarian State President Janos Ader, the first President of Vienna State Parliament, Ernst Woller, Director of Vienna General Hospital Herwig Wetzlinger, Béla Merkely (Rector of Semmelweis University Budapest) and MedUni Vienna Rector Markus Müller. The statue was created by Hungarian artist Péter Párkányi Raab. The statue is a gift from Semmelweis University Budapest to mark the 200th birth anniversary of the “inventor” of hand hygiene. Ignaz Semmelweis was one of the most important doctors of his time and an ardent champion of medical innovation. Medicine has much to thank him for. If he were alive today, he would certainly be a favorite candidate for a Nobel prize. Sadly, his immense achievements were only recognized after his death at the tender age of 47,” said Markus Müller, Rector of MedUni Vienna, underscoring the huge importance of Ignaz Semmelweis.About Ignaz SemmelweisRelated StoriesPesticide exposure may increase risk of depression in adolescentsStudy finds slime and biofilm hidden in hospital sinks, faucetsHow measles detectives work to contain an outbreakThe Budapest-born, Viennese surgeon and obstetrician (1 July 1818 to 13 August 1865) is regarded as the pioneer of medical hygiene and a champion of medical progress. In the face of strong opposition, he established the strict hospital hand hygiene regulations in around 1847 at the first Viennese Maternity Hospital. This measure significantly reduced mortality due to puerperal (childbed) fever. Semmelweis observed that the mortality rate on obstetric wards where patients were cared for by nuns or midwives was much lower than onwards where doctors and medical students worked, since the latter also performed autopsies.Semmelweis discovered that the infections, and hence the associated mortality, were caused by the transfer of infectious material (bacteria were not known about at the time). He instructed the doctors and medical students to disinfect their hands thoroughly with a chlorine solution, and later with chlorinated lime, before each delivery or before examining a pregnant woman. This hygiene measure proved extremely effective and the mortality rate fell from a maximum of around 8% to 1.3%. Later on, Semmelweis tightened up these regulations so that doctors had to disinfect their hands before every examination, with the result that, after a few months, there were no fatalities at all.About the artistPéter Párkányi Raab, Hungarian sculptor, born in Balassagyarmat on 6 September 1967. He commenced his studies at the Hungarian Academy of Fine Arts in 1987, studying old masters István Kiss and György Jovánovics. He graduated in 1992 and three years later gained his master’s degree at the Hungarian Academy of Fine Arts. He strives for integrity in his synthetic materials and seeks beauty, grace, inner harmony and truth in his works. He sees the Semmelweis bust as a salute to the man “who saved wives for their husbands and mothers for their children”. Source:https://www.meduniwien.ac.at/web/en/about-us/news/detailsite/2019/news-im-februar-2019/statue-of-ignaz-semmelweis-unveiled-at-meduni-vienna/
Source:Rutgers University-New Brunswick Halkitis, the author Out in Time: From Stonewall to Queer, How Gay Men Came of Age Across the Generations, addresses how Stonewall and the AIDS crisis have brought awareness and changes the ways the medical profession addresses health care of LGBTQ people.How did the Stonewall riots empower LGBTQ people to advocate for their health?The riots allowed gay people to say “We exist” and created a demand for health equity. The civil disobedience of Stonewall served as a catalyst to the activism of the AIDS era, which in turn has contributed to the foundations of how public health today emphasizes social justice and health equity.The riots were a boisterous pronouncement by the LGBTQ population that they would no longer hide and that they would not have their health undermined by a system that chose to ignore them. AIDS catapulted this social movement even further: If the health profession had been more attentive, we would have caught AIDS earlier. But no one was watching.As the riots framed the basis for the recognition of gay people as viable members of the population, the AIDS crisis of the 1980s and ’90s created the circumstances by which they would come to demand that the government and society attend to their well-being. Before then, gay people kept silent and were invisible to their doctors, who were unaware they were gay or did not understand the mental health and drug issues they were facing. The AIDS crisis shined a light on the fact that there was this population that needed specific health services beyond what was given to the general population.Related StoriesIncreasing access to mental health services improves outcomes for people with HIVGender inequality bad for everyone’s health finds researchGovernment policy and infrastructure have substantial impact on hospitalization of seniorsWithout Stonewall we would have no AIDS activism, and without AIDS activism we would have no marriage equality-;a social condition that surely has had a beneficial effect on LGBTQ health.How did the riots impact the HIV/AIDS epidemic?There is an unsubstantiated notion that the riots precipitated the HIV epidemic, based on the misconception that gay men began to engage in more promiscuous sexual behaviors after this social revolution. However, gay men were very sexually active well before Stonewall, albeit less openly for fear of prosecution.The challenge in foreseeing the AIDS crisis was due in part to a health care system that was ill-equipped and unwilling to meet the needs of the LGBTQ population. The health burdens faced by LGBTQ people were present before and after the riots and before the first indication of AIDS in 1981, but services were scarce and underfunded.What health care challenges do LGBTQ people face today?The crises of the past are very much the crises of the present. Today’s generation is changing the norms of what it means to be an LGBTQ person, while continuing to shoulder the burden of AIDS, stigma and discrimination faced by their predecessors.The biggest challenge for this generation is finding health care providers who understand their unique health considerations. Gender and sexuality are more fluid today, and LGBTQ people navigate a healthcare industry that is ill-equipped to address their specific issues, such as gender identity, gender-affirming surgery and the social and physical implications that accompany these issues. To this end, Rutgers is working with Garden State Equality on an interactive online map, which will launch next year, that will allow people to find providers who are knowledgeable about LGBTQ health. Reviewed by James Ives, M.Psych. (Editor)Jun 17 2019June 28 marks the 50-year anniversary of the Stonewall riots -; sparked when police raided the Stonewall Inn, a gay club in New York City -; which are credited with launching the gay rights movement. In many ways, the riots also brought attention to the unique health care needs of the gay population and served as a catalyst for the improvements in health care seen today -; though we still have far to go.”Perry N. Halkitis, dean of Rutgers School of Public Health and director of the school’s Center for Health, Identity, Behavior and Prevention Studies
This article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente. Then “I got the email on Jan. 15,” said Reta Baker, the hospital’s CEO. It informed her that Cancer Center of Kansas, the contractor that operated and staffed the unit, had decided to shut it down too, just two weeks later.”There are too many changes in that town” to keep the cancer center open, Yoosaf “Abe” Abraham, chief operating officer of the Cancer Center of Kansas, later told KHN. He added that patients would be “OK” because they could get treated at the center’s offices in Chanute and Parsons.From Fort Scott, those facilities are 50 and 63 miles away, respectively.For Endicott-Coyan and dozens of other cancer patients, the distance meant new challenges getting lifesaving treatment. “You have a flat tire, and there is nothing out here,” Endicott-Coyan said, waving her arm toward the open sky and the pastures dotted with black Angus and white-faced Hereford cattle on either side of the shoulderless, narrow highway she now must drive to get to her chemo appointment.Nationwide, more than 100 rural hospitals have closed since 2010. In each case, a unique but familiar loss occurs. Residents, of course, lose health care services as wards are shut and doctors and nurses begin to move away.But the ripple effect can be equally devastating. The economic vitality of a community takes a blow without the hospital’s high-paying jobs and it becomes more difficult for other industries to attract workers who want to live in a town with a hospital. Whatever remains is at risk of withering without the support of the stabilizing institution.The 7,800 residents of Fort Scott are reeling from the loss of their 132-year-old community hospital that was closed at the end of December by Mercy, a St. Louis-based nonprofit health system. Founded on the frontier in the 19th century and rebuilt into a 69-bed modern facility in 2002, the hospital had outlived its use, with largely empty inpatient beds, the parent company said. For the next year, Kaiser Health News and NPR will track how its citizens fare after the closure in the hopes of answering pressing national questions: Do citizens in small communities like Fort Scott need a traditional hospital for their health needs? If not a hospital, what then?Traveling The Distance For Cancer CareReta Baker, the hospital’s president who grew up on a farm south of Fort Scott, understood that the hospital’s closure was unavoidable. She scrambled to make sure basic health care needs would be met. Mercy agreed to keep the building open and lights on until 2021. And Baker recruited a federally qualified health center to take over four outpatient clinics, including one inside the hospital; former employees were bought out and continue to operate a rehabilitation center; and the nonprofit Ascension Via Christi Hospital in Pittsburg reopened the emergency department in February.But cancer care in rural areas, which requires specialists and the purchase and storage of a range of oncology drugs, presents unique challenges.Rural cancer patients typically spend 66% more time traveling each way to treatment than those who live in more urban areas, according to a recent national survey by ASCO, the American Society of Clinical Oncology. Dr. Monica Bertagnolli, a cattle rancher’s daughter who is now chair of ASCO’s board, called this a “tremendous burden.” Cancer care, she explained, is “not just one visit and you’re done.”ASCO used federal data to find that while about 19% of Americans live in rural areas, only 7% of oncologists practice there.People in rural America are more likely to die from cancer than those in the country’s metropolitan counties, according to a Centers for Disease Control and Prevention report in 2017. It found 180 cancer deaths per 100,000 people a year in rural counties, compared with 158 deaths per 100,000 in populous metropolitan counties.The discrepancy is partly because habits like smoking are more common among rural residents, but the risk of dying goes beyond that, said Jane Henley, a CDC epidemiologist and lead author of the report. “We know geography can affect your risk factors, but we don’t expect it to affect mortality.”From an office inside a former Mercy outpatient clinic, Fort Scott’s cancer support group, Care to Share, continues its efforts to meet some of the community’s needs — which in some ways have increased since the Unit of Hope closed. It provides Ensure nutritional supplements, gas vouchers and emotional support to cancer patients.Lavetta Simmons, one of the support group’s founders, said she will have to raise more money to help people pay for gas so they can drive farther to treatments. Last year, in this impoverished corner of southeastern Kansas, Care to Share spent more than $17,000 providing gas money to area residents who had to travel to the Mercy hospital or farther away for care.The group expects to spend more on gas this year, having spent nearly $6,000 during the first four months of 2019.And the reserves of donated Ensure from Mercy are running out, so Simmons is reaching out to hospitals in nearby counties for help.With Mercy Hospital Fort Scott closed, the likelihood of residents here dying from their cancer will grow, experts worry, because it’s that much harder to access specialists and treatments.Krista Postai, who took over the Fort Scott hospital’s four primary care clinics, said it’s not unusual for her staff to “see someone walk in [with] end-stage cancer that they put off because they didn’t have money, they didn’t have insurance, or it’s just the way you are. … We wait too long here.”‘If They Can’t Cure Me, I’m Done’Art Terry, 71, a farmer and Vietnam veteran, was one of them. Doctors discovered Terry’s cancer after he broke a rib while bailing hay. When they found a mass below his armpit, it was already late-stage breast cancer that had metastasized to his bones.With his twice-weekly chemotherapy treatment available in the “Unit of Hope,” Terry spent hours there with his son and grandchildren telling stories and jokes as if they were in their own living room. The nurses began to feel like family, and Terry brought them fresh eggs from his farm.”Dad couldn’t have better or more personalized care anywhere,” said his son, Dwight, bleary-eyed after a factory shift.Related StoriesStudy reveals link between inflammatory diet and colorectal cancer riskIt is okay for women with lupus to get pregnant with proper care, says new studyTrends in colonoscopy rates not aligned with increase in early onset colorectal cancerTerry knew it was difficult to find trustworthy cancer care. The shortage of cancer specialists in southeastern Kansas meant that many, including Mercy Hospital Fort Scott’s patients, counted on traveling oncologists to visit their communities once or twice a week.Wichita-based Cancer Center of Kansas has nearly two dozen locations statewide. It began leasing space in Fort Scott’s hospital basement in the mid-2000s, the center’s Abraham said. The hospital provided the staff while the Cancer Center of Kansas paid rent and sent roving oncologists to drop in and treat patients.At its closing, the Unit of Hope served nearly 200 patients, with about 40% of them on chemotherapy treatment.When Art Terry was diagnosed, his son tried to talk to him about seeking treatment at the bigger hospitals and academic centers in Joplin, Mo., or the Kansas City area. The elder Terry wasn’t interested. “He’s like, ‘Nope,'” Dwight Terry recalled. “I’m going right there to Fort Scott. If they can’t cure me, I’m done. I’m not driving.'” In the end, as the elder Terry struggled to stay alive, Dwight Terry said he would have driven his father the hour to Chanute for treatment. Gas — already a mounting expense as they traveled the 20 miles from the farm near tiny Prescott, Kan., to Fort Scott — would be even more costly. And the journey would be taxing for his father, who traveled so little over the course of his life that he had visited Kansas City only twice in the past 25 years.As it turned out, the family never had to make a choice. Art Terry’s cancer advanced to his brain and killed him days before the hospital’s cancer unit closed.What Happens Next?As Endicott-Coyan and her friend Palmer drove to Chanute for treatment, they passed the time chatting about how the hospital’s closure is changing Fort Scott. “People started putting their houses up for sale,” Palmer said.Like many in Fort Scott, they had both spent their days at the Fort Scott hospital. Endicott-Coyan worked in administration for more than 23 years; Palmer volunteered with the auxiliary for six years.The hospital grew with the community. But as the town’s fortunes fell, it’s perhaps no surprise that the hospital couldn’t survive. But the intertwined history of Mercy and Fort Scott is also why its loss hit so many residents so hard.Fort Scott began in 1842 when the U.S. government built a military fort to help with the nation’s westward expansion. Historians say Fort Scott was a boomtown in the years just after the Civil War, with its recorded population rising to more than 10,000 as the town competed with Kansas City to become the largest railroad center west of the Mississippi. The hospital was an integral part of the community after Sisters of Mercy nuns opened a 10-bed hospital in 1886 with a mission to serve the needy and poor. Baker, Mercy Hospital Fort Scott’s president, said the cancer center was an extension of that mission.The Unit of Hope began operating out of the newest hospital building’s basement, which was “pretty cramped,” Baker said. As cancer treatments improved, it grew so rapidly that Mercy executives moved it to a spacious first-floor location that had previously been the business offices.”Our whole purpose when we designed it was for it to be a place where somebody who was coming to have something unpleasant done could actually feel pampered and be in a nice environment,” Baker said.The center, with its muted natural grays and browns, had windows overlooking the front parking lot and forested land beyond. Every patient could look out the windows or watch their personal television terminal, and each treatment chair had plenty of space for family members to pull up chairs.When Endicott-Coyan and Palmer arrived at the Cancer Center of Kansas clinic in Chanute in February, things looked starkly different. Patients entered a small room through a rusted back door. Three brown infusion chairs sat on either side of the entry door and two television monitors were mounted high on the walls. A nurse checked Endicott-Coyan’s blood pressure and ushered her back to a private room to get a shot in her stomach. She was ready to leave about 15 minutes later.The center’s Abraham said the Chanute facility is “good for patients for the time being” and not a “Taj Mahal” like Mercy’s Fort Scott hospital building, which he said was too expensive to maintain. Cancer Center of Kansas plans to open a clinic at a hospital in Girard, which is about 30 miles from Fort Scott, he said.Some oncology doctors would say driving is not necessary. Indeed, a few health care systems across the country, such as Sanford Health in South Dakota and Thomas Jefferson University Hospitals in Pennsylvania, are administering some chemotherapy in patients’ homes. Oncologist Adam Binder, who practices at Thomas Jefferson in Philadelphia, said “over 50% of chemotherapy would be safe to administer in the home setting if the right infrastructure existed.”But the infrastructure — that is, the nurses who would travel to treat patients and a reimbursement model to pay for such care within our complex health care system — is not yet in place.Back in the car, Palmer took the wheel and Endicott-Coyan began planning for future cancer treatments in the void left by Mercy Hospital Fort Scott’s closure. “I put a note on Facebook today and said, ‘OK, I have drivers for the rest of February; I need drivers for March!'”This is the first installment in KHN’s year-long series, No Mercy, which follows how the closure of one beloved rural hospital disrupts a community’s health care, economy and equilibrium. Reviewed by James Ives, M.Psych. (Editor)Jul 1 2019One Monday in February, 65-year-old Karen Endicott-Coyan gripped the wheel of her black 2014 Ford Taurus with both hands as she made the hour-long drive from her farm near Fort Scott to Chanute. With a rare form of multiple myeloma, she requires weekly chemotherapy injections to keep the cancer at bay.She made the trip in pain, having skipped her morphine for the day to be able to drive safely. Since she sometimes “gets the pukes” after treatment, she had her neighbor and friend Shirley Palmer, 76, come along to drive her back.Continuity of care is crucial for cancer patients in the midst of treatment, which often requires frequent repeated outpatient visits. So when Mercy Hospital Fort Scott, the rural hospital in Endicott-Coyan’s hometown, was slated to close its doors at the end of 2018, hospital officials had arranged for its cancer clinic — called the “Unit of Hope” — to remain open.
COMMENT Published on economy (general) COMMENTS October 09, 2018 Tamil Nadu government plans to tap the goodwill of the Tamil diaspora, individuals and organisations elsewhere to act as ‘anchors’ to follow up and sustain the initiatives taken at the coming Global Investors Meet 2019.This thought came after a recent visit to the US by a delegation led by State IT Minister M Manikandan to woo investors for the forthcoming Global Investors Meet (GIM)in January 2019.Once a visit is over, it is difficult to follow up on the different initiatives. Hence, there is a plan to anchor such visits, said Tamil Nadu IT Secretary Santhosh Babu.Ideally, government officials in important cities like San Francisco, Austin and Seattle can be appointed. However, a lot of individuals and organisations are there who are willing to act as anchors. The IT department is in discussions with The Indus Entrepreneurs, a Silicon Valley-based non-profit supporting start-ups, and individuals. “We would like to do this after GIM 2019,” he said at CII Connect 2018, a two-day conference and exposition on ICT on the theme, Accelerating Progress: Inclusive Digital Growth. Referring to digital strategy, Babu said, it is not only for business but also for governance. For instance, organisations such as Tamil Nadu eGovernance Agency, TN Arasu Cable TV Corporation, TN FibreNet Corporation, TN Virtual Academy and the Electronics Corporation of TN operate in silos and compete with each other. Measures will be taken to coordinate them, go paperless so other departments too follow, Babu said.On providing end-to-end applications of nearly 200 services to citizens online, Babu said compared to other states, Tamil Nadu lags on this. The industry and government should work together to provide service to citizens at their doorstep. “This is our shared dream,” he said. IT Minister Manikandan said the State government plans to establish IT parks at Ramanathapuram and Cuddalore districts and a Centre of Excellence for Fin Tech at the STPI in Chennai this year. There is also a move to create a tech forum to promote growth in the areas of Artificial Intelligence, Internet of Things, Machine Learning and electronic hardware manufacturing to provide more employment opportunities.Considering the higher mobile penetration, m-Governance is effectively implemented in the State. To procure IT hardware and software at a competitive price for government departments, it has been proposed to develop an e-market portal at a cost of ₹30 lakh, he said. Tamil Nadu events SHARE SHARE SHARE EMAIL
COMMENT medical colleges Dr Sudha Seshayyan December 29, 2018 COMMENTS SHARE SHARE EMAIL Published on SHARE Dr Sudha Seshayyan, a senior faculty of the prestigious Madras Medical College (MMC), was Saturday appointed the Vice-Chancellor of the Tamil Nadu Dr MGR Medical University.Governor Banwarilal Purohit issued the order appointing her to the post for a term of three years, a Raj Bhavan release here said.Seshayyan, presently the Director and Professor of Institute of Anatomy in the over a century old MMC, has an outstanding academic record with a teaching experience of more than 30 years, it said. She also has rich administrative experience having held various positions, including the post of the Vice-Principal of the MMC, and been a member of premier Editorial Review Board for Grays Anatomy and continues to be a member of the International Advisory Board for reviewing the publication. She had led the team that embalmed late Chief Minister J Jayalalithaas body in 2016. Noted for her Hindu religious discourses and oratory in Tamil, she has for long been a master of ceremonies of key government events, including swearing in functions of new governments. universities and colleges