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Closing the gap

first_imgMortality rates after cancer surgery declined for Black as well as white patients during a recent 10-year period, although the mortality gap between the two groups did not narrow, according to new research by Dana-Farber Cancer Institute, Brigham and Women’s Hospital, and Harvard University investigators.The findings, published online today by JAMA Network Open, present a mixed picture for health care policymakers: While postsurgical mortality rates have fallen for patients generally, more targeted efforts are needed to reduce disparities between Black and white patients undergoing such surgery, study authors say.“Black Americans are likely to be diagnosed with more advanced cancer than whites and, historically, have had higher mortality rates following cancer surgery,” said lead author Miranda Lam of Dana-Farber, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, and Harvard Medical School. “Hospitals have put a variety of policies in place to improve surgical cancer care over the past 15 years. This study provided an opportunity to gauge the effects of those measures for patients in general and for Black and white [people] specifically.”Investigators used national Medicare data to examine the trends in mortality rates for the years 2007-2016 in Black and white patients who had undergone surgery for any of nine major types of cancer. (The racial group was determined by patients’ self-identification in Medicare documentation.) The data covered 870,929 cancer operations in all.The researchers found that national mortality trends following cancer surgery improved for Black and white patients by 0.12 percent and 0.14 percent per year, respectively. Because mortality rates for Black patients were higher to begin with than for white patients, the equal decline in rates for both groups meant the gap between them did not shrink.“The findings tell us that even though policies designed to improve cancer surgery outcomes are working better for all patients, none of them have been specific enough to close the gap in mortality between Black and white [people],” Lam said. “It’s possible that part of the gap may be due to upstream and/or downstream issues from the surgery itself, such as late referrals which may lead to late presentation at time of surgery, fragmented follow-up after discharge, and limited resources in the community, and that different policies and interventions may be needed to address disparities in cancer surgery.”The senior author of the study is Jose F. Figueroa of Harvard T.H. Chan School of Public Health, Brigham and Women’s, and Harvard Medical School. Co-authors are Katherine Raphael and Jessica Phelan of Harvard T.H. Chan School of Public Health; and Winta T. Mehtsun, E. John Orav, and Ashish K. Jha of Harvard T.H. Chan School of Public Health, Brigham and Women’s, and Harvard Medical School.last_img read more

National Comedy Center Launches Online Platform Featuring Exhibit Content

first_imgShare:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to email this to a friend (Opens in new window) Image by the National Comedy Center.JAMESTOWN – The National Comedy Center announced Thursday it has launched a new online content platform featuring exclusive content directly from its interactive comedy exhibits.Officials say the new program is an extension of the museum during its temporary closure due to COVID-19.Called the ‘National Comedy Center Anywhere’ the exhibit tells the story of comedy via commentary from the artists themselves, and rare archival material.“We want to enable our online visitors to explore the great works and unique voices that have shaped our culture through comedy,” said Journey Gunderson, National Comedy Center Executive Director. “Our mission is to provide education on the comedic arts in the form of commentary and contextualization of its bodies of work, while providing an examination of the time-honed creative processes that have elevated comedy to an art.” “Now is not the time to stop,” furthered Gunderson. “We need laughter more than ever.”The platform takes each visitor on a journey through the world of comedy, including stand-up, sketch and improv, late night TV, film, the latest online comedy, and more.In addition to footage from its interactive exhibits, the Comedy Center’s online platform will feature selections from its archives, including rare artifacts and documents from some of comedy’s greatest talent, along with special event highlights from its renowned Lucille Ball Comedy Festival and its National Comedy Center Dialogues.The platform will also be presenting live-streamed stand-up comedy shows in the coming weeks.“With the healing power of laughter more important than ever in these challenging times, we hope we can bring a taste of our unique National Comedy Center experience into your homes until we can re-open our doors and welcome visitors to Jamestown once again. In the meantime, National Comedy Center Anywhere is a virtual comedy hug for everyone who needs it right now, in addition to providing some much-needed support for our vital non-profit cultural institution,” added Gunderson.The platform features a selection of free material with the option to upgrade to access  more content from the museum. Upgraded access includes one additional gift access to share the laughter with a friend or family member, plus one admission ticket to the National Comedy Center visitor experience in Jamestown which can be used when the museum re-opens in the coming months.The $19.50 fee for upgraded access will support the mission and ongoing operations of the National Comedy Center during this critical time, while sharing comedy content with a friend or loved one.Visitors can begin their National Comedy Center Anywhere experience now, by visiting ComedyCenter.org/Anywhere.last_img read more

LOCKDOWN EXIT PLAN: Gradual relaxing of quarantine rules mulled

first_img* percentage ofthe LGU to maintain mass testing (institutional and financial factor) The followingfactors may be considered by decision-makers in the phased reopening of certainactivities, according to the professors: A publicawareness campaign is important because it can be used to inform the community aboutthe features of the exit plan and draw their attention to it, it stressed. For targeted masstesting: “It is important that people are aware of the steps to assure theirsafe return to work. The public should be reminded that the city government hasstarted using rapid test kits to examine those suspected of having contractedthe disease. Once they get positive results, the patients will be isolated andwill undergo confirmatory test.” * contribution ofthe sector/industry in the delivery of services for general welfare and safety(general welfare and safety factor) * review theborder control “(There should bea) public awareness campaign…to make the city population aware of the exit planof the city government. The campaign can make use of radio, television and the socialmedia,” according to the professors. For constructionsites: “While the COVID-19 situation is changing rapidly, the legislation andregulation used to govern the Philippines workplaces are not. Employees havethe duty to keep workers and worksites safe and free of hazards. All measurestaken to prevent the spread of COVID-19 should be done in compliance withrequirements under the Department of Labor and Employment’s (DOLE) DepartmentOrder No. 13-2017 (Occupational Safety and Health Standard) which enumeratedthe guidelines for occupational safety and health in the construction industry,and associated regulations and public health directions issued by the Departmentof Health. For malls,supermarkets, restaurants, and retail stores: * guidelines forpriorities should be set “Gina-obra ta ‘ni because we want to open by May 1,” stressed Treñas. * extend the banon opening of schools and places of worship The schedule ofreopened activities and the conduct of mandatory activities (ex. curfew andrestriction of certain items or activities) may be modified, lifted, lengthened,shortened, or put in place again, depending on the results of the earliermentioned factors,” according to the professors. Treñas created anad-hoc committee to formulate and prescribe policies for the gradual lifting ofthe enhanced community quarantine. He forwarded to the committee the UPVprofessors’ proposed lockdown exit strategy. * 1st – work * otherconsiderations * continuerequiring business establishments to implement safety measures such as adoptingalternative working arrangements to ensure social distancing; having post-COVID-19hotlines within establishments; ensure strict social distancing (one meterapart); practice constant disinfection; use of thermal scanners * allow casualdining at restaurants but with restrictions * 3rd – leisure activities * 4th – travel The professorsalso proposed an order of prioritization for the city’s gradual reopening: Here are some of theproposed guidelines for the resumption of work activities: For localgovernment units: * 2nd – school activities * issuances fromthe national government and sector/industry specific entities (legal factor) * continue theholding of weddings and funerals but with restrictionscenter_img * capacity of theLGU to regulate and monitor strict physical distancing measures and contacttracing (institutional factor) The members are Engr. Jinny Hermano, city treasurer; Atty. GV Eutiquio Cunada ofthe City Legal Office; Norman Tabud of the Business Permits and LicensingOffice; Jeck Conlu of the Public Safety and Transportation Management Office;Dr. Anabelle Tang of the City Health Office; Councilor Allan Zaldivar,chairperson, Iloilo City Council committee on gamily; Councilor Lady JulieGrace Baronda, chairperson, Iloilo City Council committee on disaster riskreduction; Nelson Uygongco, consultant for security; Robert Uy, representative,multisectoral group; Jobert Herrera, representative of urban poor; EngineerTerence Uygongco, representative of Iloilo Business Club; FrancisGentoral, representative of the Iloilo Economic Development Foundation; Atty.Joebert Peñaflorida, representative of the Philippine Chamber of Commerce andIndustry; Ramon Cua Locsin and Walter Uy, representatives from the Federationof Filipino Chinese Chamber of Commerce of Panay; Vicente Tang, representativeof the Filipino Chinese Chamber of Commerce of Iloilo; Councilor Irene Ong,president, Liga ng Barangay; and Police Colonel Eric Dampal, city policedirector./PN ILOILO City – Thecity government hopes to start gradually easing its quarantine measures by May1. Mayor Jerry Treñas welcomed the inputs of professors from the University ofthe Philippines Visayas (UPV). “This situation is new to us all. We have noexperience in this regard so we need all the help we can get from the experts,”he said. * continue the curfew Mayor Jerry Treñas. ILOILO CITY GOVERNMENT * encouragerestaurants to tie up with third party food service deliveries to help practicephysical distancing * allow malls toopen provided they abide by certain restrictions The UPV lockdownexit plan was prepared by professors Maria Elisa Baliao, Rhodella Ibabao, HannyJohn Mediodia, Cristabel Parcon, Juhn Cris Espia, and Vicente Balinas. For publictransportation, here are some of the proposed guidelines: “Ang akon lang ginapangayo kooperasyon because we have to open already. Naluoy ako sa mga pumoluyo ta nga waaytrabaho,” said Treñas. “Iloilo Cityshould consider prepping for a phased reopening, and scaling back of the localgovernment unit’s (LGU) support for the economy. The phased reopening is astrategy that will protect the people from the (corona)virus while allowinglife to progressively return to normal, albeit a “new normal.”  * review thecomposition and function of the border security * supermarkets,groceries and convenience stores must follow standardized procedures on physicaldistancing * low percentageof recovered COVID-19 patients positive again from the disease (health factor) * regulate thenumber of public utility jeepneys (PUJ) that could operate daily On April 18, Treñasissued Executive Order No. 65 forming an ad-hoc committee to formulate andprescribe policies for the gradual lifting of the enhanced community quarantinein Iloilo City. * percentage ofrecovery is higher than death among confirmed coronavirus disease 2019 or COVID-19(health factor) The mayor saidthere would still be restrictions on public transport, school classes andreligious gatherings, among others while quarantine rules and regulations arelifted in stages or phases. * jeepneys,taxis, tricycles, pedicabs should abide by certain restrictions He, however,made it clear that “even if we reopen on May 1, ang ini nga problema ari pa ‘ni upod sa aton. So we have to doeverything nga masiguro ta gid ngasafe ang mga Ilonggos.” The mayorurged residents to religiously follow quarantine policies such as the 8 p.m. to5 a.m. curfew and staying at home. * socialacceptability of proposed action from various sectors (social factor) AD-HOC COMMITTEE The committee isled by the Iloilo City COVID-19 focal person Dr. Roland Jay Fortuna as chairpersonand Special Assistant to the Mayor Anabelle Rosario Blancaflor as vice chairperson.last_img read more

Twisters Fly By Jets

first_imgOA pushes their record to 5-0-1 on the season with a convincing win at Hauser.  OA outshot Hauser 34 to 3 on the night.‘We did a good job of getting the looks and shots but didn’t finish very good.  Give some of the credit to Hauser’s keepers as they came up big time in both games on the night. I thought several times on the night that there is a goal but no  somehow Hauser’s keeper would come up with the ball. Even though we only gave up 3 shots we did give up a goal.  This was only the second goal given up by the Varsity defense on the year which is outstanding. This was a very preventable goal though as we didn’t communicate very good on the weakside of the field and Hauser played a nice ball into the box for a header that found the back of the net.’  Twisters Coach Ken Getz.Stuart Lamping scored in period 1 at 24:52 assisted by Drew Kersey on a pass out of the 18 and a shot. Lucas McFee scored in period 1 at 15:15 from a shot in the 18.  Lucas McFee scored in period 2 at 37:24 assisted by Ben Kraus on a cross into the 6.  Stuart Lamping scored in period 2 at 24:35 assisted by Garriott Scott on a head shot over the keeper.  Alex Geers scored in period 2 at 22:50 assisted by Lucas McFee and Matthew Hoog from a corner kick and a head to head combination for the goal.Hauser had 3 shots with 2 on goal, 8 fouls, 2 corners and their keeper had 17 saves.The Twisters had 34 shots with 22 on goal, 9 fouls, 5 corners, 2 hand balls and Chris Hautman had 1 save.No off sides calls against Hauser, very well done in the offensive third of the field.JV got to play a half a game and came away with a 0-0 tie.It was a very entertaining game for both sides. After the game last night Coach Troy told the boys that they are playing as a team a lot more now. Players are starting to understand where they need to be and where their teammates are at. This is a big step in the process of the development of your game.Hauser had 2 shots, 5 fouls and 2 corners.  Their keeper had 6 saves.The Twisters had 8 shots with 6 on goal, 1 off sides, 3 fouls, 1 corner and no saves by either keeper.Both teams took 1 PK.  Hauser sent theirs over the top of the goal and the OA PK taken by Noah Schmahl was blocked by the Hauser Keeper.  Noah Schmahl started the match in goal and was relieved by Jon Grieshop.Courtesy of Twisters Coach Ken Getz.last_img read more

Lampard confident over Euro aims

first_imgFrank Lampard is confident Chelsea will secure a return to the Champions League next season at the end of another turbulent campaign at Stamford Bridge. Lampard is out of contract at the end of the season and has five games remaining – six if Chelsea advance to the Europa League final by beating Basle on Thursday night – to surpass Tambling’s mark, but the England international is focused on collective, rather than personal glory. He added: “If we can keep our rhythm with the way we’re playing and stay positive, the big games that are coming we need to try and win. “If we don’t it will go to the wire, but I believe we’ve got the strong-minded players to go and do it.” Chelsea play Manchester United, Tottenham, Aston Villa and Everton in their remaining four league games and currently hold a one-point lead over fourth-placed Arsenal, having played a game fewer, and a three-point advantage over Spurs. Lampard began the Swansea contest on the bench, but came on for dead-leg victim Ramires midway through the first half, set up Oscar’s opener and converted a penalty for his first goal in eight appearances. As well as drawing him closer to Tambling’s tally, Lampard celebrated his 400th Chelsea appearance in the Premier League and 800th career appearance by becoming only the second player, alongside Andy Cole, to score against 38 different teams in the Premier League. Lampard, who paid tribute to Tambling, was relieved to net the spot-kick after failing to score a penalty at Manchester City in February, and he said: “I missed the last one against Manchester City, so you think about it a bit more, but I felt I’d score because of the momentum of coming on when the game started to change.” Press Associationcenter_img The 34-year-old midfielder’s 201st Chelsea goal – a penalty which saw him move within one of the watching Bobby Tambling’s club goalscoring record – completed a 2-0 victory over Swansea on Sunday to take last season’s Champions League winners to third in the Barclays Premier League. “What’s more important is for the club to qualify for next season’s Champions League, and we’ve also got a Europa League final to try to get to and win,” Lampard told Chelsea TV. “That’s why (the Swansea win) was crucial, and so is Manchester United next week.” last_img read more

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