VANCOUVER — A B.C. Supreme Court judge has awarded author Steven Galloway access to emails between a woman who accused of him of sexual assault and staff at the University of British Columbia in a test of a provincial law intended to protect freedom of expression.Galloway, who is the former chair of the university’s creative writing department, filed lawsuits against the woman and two dozen others last October, alleging he was defamed by false allegations of sexual and physical assaults made by the woman and repeated by others.The woman and two others applied to have the lawsuit thrown out under the province’s Protection of Public Participation Act that came into effect in March and aims to protect critics on matters of public interest from lawsuits intended to silence or punish them.Although the defamation action is essentially stayed until the dismissal application is dealt with by the court, Galloway had requested access to further documentation that he argued he needed to defend his case against dismissal.In her ruling released Friday, Justice Catherine Murray says she believes it’s the first time a court in British Columbia has been asked to rule on whether a plaintiff like Galloway is entitled to request information and documentation on the cross-examination allowed under the new act and if so, what disclosure he’s entitled to.She ordered the release of emails and documentation the woman provided the university to back up her allegation, as well as screenshots of tweets and Facebook posts made by the other two women who joined the dismissal application and other materials.“I am advised that this is a matter of first impression; no court in British Columbia has yet considered this question,” Murray says in the ruling. The Canadian Press
15-year old Laxmi Agarwal had no idea that a seemingly ordinary day of 2005 would turn her life upside down. Agarwal was returning home after her music class, when she was attacked by 32-year-old man Gudda and his alias Nadeem Syed whose advances she had rejected.Laxmi, who is now a single mother of a girl, says though she has made peace with the unfortunate past, the dreadful memories still haunt her. “I don’t think I will ever be able to push those memories out of my mind. I was leading a normal life, and one incident suddenly took my life by storm. Thereafter, I had to go through 70-80 operations, my studies were hampered, and dreams were shattered. I had no idea if I would ever be able to bring my life back on track, or inspire a thousand people, or become subject for a movie,” states Laxmi, who survived the situation and emerged out as a winner. Also Read – An income drop can harm brain”Today, I feel proud to see myself standing strong. I don’t cry anymore. I have successfully managed to explain people that my beauty if defined by the work that I do, and not how I look. But whatever happened in all these years– say it the demise of my father and brother, or the disorientation of my family – it’s unforgettable,” she adds. Laxmi advocated against acid attacks by gathering 27,000 signatures for a petition to curb acid sales, taking that cause to the Indian Supreme Court. She is the Founder of Stop Sale Acid – a campaign against acid violence and sale of acid. Also Read – Shallu Jindal honoured with Mahatma AwardWhile rising from the ashes, one thing Laxmi knew was that she was not a victim. “I was never a victim, will never become one, and won’t let anybody else victimise others. I hate how casually this word is used. Why to call anybody a victim” she questions. The acid attack survivor walked the ramp for Designer Laxmi Shirali at India Runway week, which was held in the Capital recently. Agarwal is happy about the fact that they (Designers and organisers) have chosen an acid attack survivor to step up and explain the real meaning of beauty. “We need to understand that beauty is much more than superficial appearance. And events like these give out a message to society as well as other survivors like me, to muster courage and make something meaningful out of this life. If somebody could take inspiration from my story and achieve what they always dreamt of, I will be the happiest person on the planet.” Laxmi’s life and struggle has inspired an upcoming Bollywood film titled Chhapaak, which will see Deepika Padukone in the titular role. The movie will bring into light some unexplored aspects of Laxmi’s life…but does that make her insecure? “When a celebrity like Deepika comes out to support a cause and speak on behalf of all the acid attack survivors, it’s an answer to all those (the society) who constantly try to suppress people like us. As far as the fear of showing the unknown sides of me is concerned, I would say that Laxmi is an open book. The fear vanished soon after the attack. The person Laxmi was in 2005 doesn’t exist anymore. She is a completely different personality now. She has no fears, no inhibitions.” “For the rest, you need to wait and watch the movie. I can’t reveal much,” she concludes.
Rabat – A question in a test at a Moroccan university has stirred controversy on social media for placing God at the top of the kingdom’s political system.Critics accused the exam, held at the Hassan II University in Settat, of reproducing notions of theocratic rule and feeding them to young students.“At the top of Moroccan political hierarchy we find Allah almighty, then there is the Prophet Muhammad, peace and blessing be upon him, and there is in the third place the Prophet’s grandson,” said the exam, referring to the king as the third person since he is a descendent of the prophet. “If God is one with partners and his one-ness is manifested in everyone’s belief and consciousness, the presence of the Prophet peace be upon is manifested through his deputy on earth who holds all the powers,” added the test.A picture of the exam paper was widely shared on social media in Morocco and beyond, with several media outlets, some in countries like Tunisia, Egypt, and Yemen, reporting about it.The exam added to the controversy by another question about the Rif protests.“The Moroccan constitution of 2011 brought several guarantees and rights to safeguard liberties including the right to peaceful protest. Is the Hirak in the city of Al Hoceima is a practice of a constitutional right or a civil disobedience?”The professor who gave the exam, Mohammed Khamrich, was slammed by several social media users.“Unfortunately, professors like this one are the ones who ruined Moroccan universities,” wrote a Fecbook user.“The professor who put that question doesn’t himself know a damn thing about that question,” wrote another.On Wednesday, the Moroccan daily Akhbar Al Yaoum reported that Khamrich had expressed his surprise at the controversy, stating that the exam was given two months ago.He said the question was intended to stimulate the students’ thinking and curtail “cheating” among students.
An agreement is yet to be reached between the government and a Chinese company on the Hambantota port.Ports and Shipping Minister Mahinda Samarasinghe said that talks on the port are still ongoing. A deal was to be reached in January. However pressure from the opposition led to the signing of the deal being postponed. Prime Minister Ranil Wickremesinghe told Parliament later that discussions on the port agreement are still ongoing and that no agreement had been reached.He said the final draft agreement will be submitted to Parliament before it is signed. The Chinese company and the government have been in talks for several months on operating the port but no deal has been reached yet. The Prime Minister said that the Government is facing a severe financial loss as a result of the port and the losses need to be recovered.The Reuters news agency reported in February that China will delay a planned billion dollar investment in the Hambantota port until Sri Lanka clears legal and political obstacles to a related project. (Colombo Gazette)
Amendments to the Faculty Handbook were approved during Senate 597 held April 11 and can be viewed at brocku.ca/university-secretariat/facultyhandbookView a summary report on the meeting in PDF format, which includes information on the amendments.
A judge ruled this afternoon that the City of Hamilton bylaw which tried to control where Canada Post puts so-called super mailboxes is invalid. It’s a win for the crown corporation, but one that doesn’t come as that much of a surprise based on the arguments in court. There’s a lot of reaction to this afternoon’s decision.Terry Whitehead is one of the Hamilton City councillors who has been leading the charge to put the bylaw in place. “In my humble opinion judging from what I observed I think the judge, he misapprehended the bylaw and I believe that we’re going to have to regroup and take a look at the decision. Do our due diligence and certainly consider an appeal. This is too important to municipalities, it’s too important to Hamilton to give ultimate rights to Canada Post to be able to put super mailboxes anywhere they damn well please.”He says he’s not surprised at the judge’s ruling and that City Council will now have to decide whether to appeal. During the case a lawyer for the city had argued that local governments should have a say in the placement of the mailboxes, even if federal law states they can go on municipal property. The bylaw required Canada Post to get a 200-dollar permit for each community mailbox site. Canada Post had argued that would cost roughly 100-thousand dollars in permit fees and tens of millions in lost savings because it would push back the installation of Hamilton’s new mailboxes until next spring. In his ruling Justice Whitten said Canada Post is “entitled to make decisions which go to the benefit of its survival” and called the bylaw “inapplicable and inoperative.” Despite the legal battle, Canada Post says instillation in Hamilton is still running on schedule. This case has been closely watched by other municipalities across the country.
City bylaw can discriminate in setting property tax rates: B.C. judge by The Canadian Press Posted Jan 26, 2015 5:57 pm MDT AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to RedditRedditShare to 電子郵件Email VANCOUVER – A B.C. Supreme Court judge says a Vancouver Island city can discriminate when it sets two separate tax rates for forestry lands within its municipal boundaries.The judicial review launched by TimberWest (TSX:TWF.UN) focuses on property that is classified as managed forest lands in Campbell River and is also owned by Merill & Ring Canadian Properties Inc.A bylaw passed in May 2014 required TimberWest to pay a tax rate that was about two and a half times higher than what Merill & Ring was required to pay and will jump to about five times as much by 2016.TimberWest argued that the Local Government Act requires tax rates to be imposed on a designated area and set across a property class as a whole.But Justice Lauri Ann Fenlon says the company’s argument doesn’t hold up when the sections of the act it cites are read in the context of the Community Charter and the legislature’s intention.Fenlon dismissed TimberWest’s request for a judicial review, saying the Local Government Act exempts the city from having to apply the same tax rate to lands within the same class.
Executive Director of the United Nations Environment Programme (UNEP) Erik Solheim. UN Photo/JC McIlwaine The report analyzed four paths that countries could take over the next three decades, ranging from ‘business as usual’ to a scenario where they adopt both ambitious climate policies and improve resource efficiency.For example, between 2005 and 2010, a programme in the United Kingdom recycled or reused seven million tonnes of trash destined for the landfill. This move saved six million tonnes of carbon dioxide emissions, close to 10 million tonnes of virgin materials and 10 million tonnes of water. It also increased business sales by £176 million, reduced business costs by £156 million and created 8,700 jobs.Although other key findings point to uneven economic gains of resource efficiency and slower resource extractions, which would reduce revenues and affect jobs in some industries – such as mining and quarrying – countries still stand to gain more by implementing compensation and transfer policies to ease the transition to more efficient practices, than by continuing to support inefficient activities, according to the report.In addition to economic benefits, the analysis illustrates that resource efficiency and climate action would reduce global resource use by around 28 per cent in 2050 compared to current trends. For G7 countries, resource efficiency, coupled with ambitious climate action, would increase Gross Domestic Product by $600 billion in 2050 ($600 per person, or 1 per cent). The International Resource Panel is a group of experts in natural resource management hosted by UN Environment. Citing new research from the International Resource Panel in anews release today, Erik Solheim, Head the UN Environment Programme (UNEP), called it “an environmental win-win.” The global population, which is set to grow by 28 per cent, is predicted to use 71 per cent more resources per capita by 2050. Without urgent steps to increase efficiency, the global use of metals, biomass, minerals – such as sand – and other materials will increase from 85 to 186 billion tonnes per year by 2050. The report, “Resource Efficiency: Potential and Economic Implications,” which was commissioned in 2015 and released in Berlin at the G20 meeting, found that while investment in ambitious climate action would cause a 3.7 per cent fall in per capita gross world product by 2050, more sustainable use of materials and energy would not only cover the cost of keeping global warming below 2 degrees Celsius, but also add an extra $2 trillion to the global economy by 2050. “By making better use of our planet’s natural gifts, we will inject more money into the economy to create jobs and improve livelihoods,” Mr. Solheim stressed. “At the same time we will create the necessary funds to finance ambitious climate action,” he added.
The author, a former solider using the pen name Ex-Lance-Corporal X, said: “As far as I’m aware it is unique, no other regimental roll of honour having gone to anywhere near the same level of detail. “I think you will find it’s commonplace that people didn’t talk about it much and particularly the SAS, because of the nature of what they did, they didn’t talk about it.She added: “My grandfather would not want any fuss at all and none of those guys would, that’s their whole thing, they very, very rarely talked about it.” My grandfather would not want any fuss at all and none of those guys would, that’s their whole thingTracy Ireland The roll of honour records that around a fifth of SAS casualties were summarily executed by German troops after being captured.Profits from The SAS and LRDG Roll of Honour 1941-47 will go to Combat Stress. Up until now all official or unofficial rolls have only ever consisted of a list, none of the actual individual stories having been researchedEx-Lance-Corporal-X Members of the SAS Veterans Association pay tribute to members who were killed during the Second World War in Vosges, FranceCredit:Eddie Mulholland for The Telegraph Members of the SAS Veterans Association lay wreaths to members killed during the Second World War, in Vosges, FranceCredit:Eddie Mulholland for The Telegraph “Up until now all official or unofficial rolls have only ever consisted of a list, none of the actual individual stories having been researched.”The research has also confirmed the identities and details of six soldiers from the SAS and seven from the LRDG who were either unknown, or had only been suspected of being members.Poor paperwork, secrecy, spelling mistakes and wartime confusion meant that some casualties were only recorded according to their parent unit, with no mention of them being attached to the SAS, he said.In some cases the research has put names to casualties described in operational reports, but whose identities were not known. Tracy Ireland, his granddaughter, said until the research she had little idea of the circumstances of his death.The 56-year-old from outside Bristol said: “I didn’t know my father had died in this country and I didn’t know how the operation had gone. A 13-year project to document and commemorate every member of the SAS killed in the Second World War has for the first time confirmed identities of 13 lost members of the secretive, elite unit.The 800-page roll of honour for the SAS and its forerunner, the Long Range Desert Group (LRDG), contains the stories of 374 men who died during the conflict, some of whose stories were on the verge of being lost.The three-volume memorial published for this month’s 75th anniversary of the SAS’s founding has been complied from an exhaustive trawl of service records, operational reports, medal citations, diaries and letters from next of kin. As a result of the research, some new names have already been added to the SAS official memorials in Hereford and Stirling.The author said his research had also recognised 21 French and Greek nationals killed while officially attached to the British SAS.Next of kin have also contributed to the roll of honour.When contacting the next of kin of one soldier, Pte Fred Ireland of 2nd SAS who died in a 1944 air crash in England while returning from an aborted operation, the author found the man’s best friend, who was also on board, had later married Pte Ireland’s widow and raised his children. One unknown SAS casualty killed when his jeep hit a mine was identified as a soldier called Gunner Thomas Wall buried in Libya and recorded simply as serving in the Royal Artillery. Want the best of The Telegraph direct to your email and WhatsApp? Sign up to our free twice-daily Front Page newsletter and new audio briefings.
Al RAYYANDoha handballpejanovic dimitrijeQatari handball A week after bankruptcy of Belarussian champions HC Dinamo Minsk, most of the players already have found the new teams. One of them is experienced Serbian goalkeeeper, Dimitrije Pejanovic (40) who signed a deal with Qatari team Al Rayyan. Al Rayyan is one of the strongest teams in Doha, ambitious to fight for the trophies in the second part of the season.Pejanovic has played last two seasons in Minsk, but before became a big name in Spanish ASOBAL and Serbian NT (2007-2011). ← Previous Story TOP 10 stories on Handball-Planet.com in February! Next Story → Tamás Iváncsik will leave Veszprém
← Previous Story World’s Handball Playmaker 2016? Next Story → World’s HANDBALL right wing 2016? Alex DujshebaevHP World’s Handball right back 2016?Kiril LazarovKrzysztof Lijewski HP WORLD HANDBALL RIGHT BACK 2016? Kiril Lazarov (FC Barcelona Lassa – Macedonia) Laszlo Nagy (Telekom Veszprem – Hungary) Krzysztof Lijewski (Vive Tauron Kielce – Poland) Alex Dujshebaev (RK Vardar Skopje – Spain)View Results Loading …
Super slippery coatings seem to be quite popular at the moment. We’ve already shown you the superhydrophobic spray that means no more clothes to wash, and then there was the superhydrophobic film promising to make circuit boards water resistant. Now MIT has come up with another slippery coating, only this one is safe for use with food.Why do we need a non-slip coating on food packaging? Well, have you ever tried to get the last few drops of ketchup or mayonnaise out of a bottle? It’s impossible without you start scooping the substance out with a spoon, and even then you can’t get all of it. Put a non-stick coating on the inside of the bottle though, and the problem disappears.MIT has such a coating and they’ve called it LiquiGlide. As the video above demonstrates, it doesn’t let anything stick to the surface it is applied to, meaning a bottle of ketchup will look squeaky clean when empty. The same will be true of any food or drink packet you currently dispose of covered in the remains of the food it contained.LiquiGlide can be applied to glass and varying types of plastic. To the touch it is a solid coating, but its properties make it act more like a lubricating liquid. It is formed using only FDA approved materials due to its intended use alongside food, which means it might not be long before we see it used in a commercial product. And I guarantee everyone will know about that first product as the marketing will focus on it.LiquiGlide has many uses beyond just food packaging. In fact, its use with food is actually a byproduct of the MIT team trying to develop a coating to stop oil and gas line clogs. They have also looked into using a similar coating to stop ice forming on a surface. So while LiquiGlide may make pounding a condiment bottle a thing of the past first, in the future it could also be making those cold winter mornings a more pleasant experience for drivers.More at co.exist
“We salute her – midwife, friend, sister, aunt, warrior for women everywhere – Philomena Canning, mother of the mothers.” The Women’s Council of Ireland wrote on Twitter: “So saddened to hear of the death of Philomena Canning – campaigner, activist and strong advocate for women’s healthcare. Rest in peace.” The Abortion Rights Campaign said it is “saddened to hear of the death of Philomena Canning”. “Philomena was a midwife, advocate, founding member of @Midwives4Choice and campaign for repeal. Rest in power,” it tweeted. The Leitrim Abortion Rights Campaign added: “We have lost a warrior. Philomena Canning, you made a difference.” Philomena Canning’s requiem Mass will take place on Monday at 10am in St Mary’s church in Sandymount, Dublin. Share399 Tweet Email1 Source: Ruth Fletcher/Twitter Oh no. Heart sore at this news. We will miss you so unbelievably much #PhilomenaCanning. Thinking of you and yours always. Suaimhneas. https://t.co/ZdJmNsOV2j— Ruth Fletcher (@fletcher_ruth) March 23, 2019 26,649 Views Saturday 23 Mar 2019, 12:37 PM She was a warrior who stood up for what was right at all costs and mothers along with activists for birth and reproductive rights country wide will be forever in her debt. Mar 23rd 2019, 12:37 PM So sad to hear this. Philomena Canning was a pioneer woman who helped so many have happy, empowered birthing experiences at home – including dear friends of mine – and would have helped so many more had she not been cruelly targeted. You did so much Philomena. We won’t forget x https://t.co/92KPKIfFye— Roisin Ingle (@roisiningle) March 23, 2019 We have lost a warrior. Philomena Canning, you made a difference.— Leitrim ARC (@LeitrimARC) March 23, 2019 Philomena at times reminded me of a great oak tree – tall and strong, flexible and endlessly able to renew after the storm had passed. There are many acorns in the ground where she had stood and the gifts she gave will flourish into the future. No Comments Source: Leitrim ARC/Twitter ‘We’ve lost a warrior’: Tributes paid after death of independent midwife Philomena Canning Canning, who was suffering from terminal ovarian cancer, had been seeking damages from the HSE. Source: Roisin Ingle/Twitter Devastated to hear about the death of #PhilomenaCanning She was the reason I started to campaign for repeal. Thoughts are with all those who loved her.Rest in Power ✊— Evie Nevin 🦓💪 (@Evie_Nevin) March 23, 2019 Supporters of Philomena Canning outside the Dáil on 26 February Image: Hayley Halpin/TheJournal.ie Source: Evie Nevin 🦓💪/Twitter Short URL TRIBUTES HAVE BEEN paid to Philomena Canning, an independent midwife who was seeking damages from the HSE.Canning, who was suffering from terminal ovarian cancer, was seeking damages from the HSE, who withdrew her indemnity insurance to practice as a midwife.In 2015, her indemnity was restored by the HSE. It is understood she had not returned to work as a midwife since. In a recent Irish Examiner article, Canning had noted that she believed her only hope in fighting her cancer was access to the immunotherapy drug Pembro. She said she felt she had no choice but to get her case settled so she could access money for the drug.Canning passed away yesterday in the care of the staff at St Vincent’s Private Hospital in Dublin. Tributes have been paid to Canning across social media this morning. The Philomena Canning Campaign called her a “midwife, warrior, queen”. “We will hold you forever in our hearts and cherish the gifts you gave us,” it wrote on social media. Former client Ciara Considine told TheJournal.ie that Canning was a “great gift in my life and that of my family, as she was for so many of us”. Tweet thisShare on FacebookEmail this article https://jrnl.ie/4557316 Supporters of Philomena Canning outside the Dáil on 26 February Following the mass, she will be returned to the family home in Glenvar, Co Donegal. Her funeral mass will take place on Tuesday at 11am in St Mary’s church in Glenvar, Co Donegal. On 26 February, supports of Canning gathered at the Dáil to call upon Minister for Health Simon Harris to instruct the HSE to settle her case. Taoiseach Leo Varadkar was asked about the issue in the Dáil later that day. He said as far as he knows Canning had been offered a settlement.A spokesperson for the HSE told TheJournal.ie on 26 February that the organisation is “actively engaging in an effort to bring this matter to a conclusion”, adding: “At this time, we are unfortunately not able to comment further in relation to live proceedings.” By Hayley Halpin Image: Hayley Halpin/TheJournal.ie
AS Monaco have announced the signing of midfielder Aleksandr Golovin from CSKA Moscow in a €30m dealThe Russia international impressed at the World Cup this summer and proved to be an important member of the side that reached the quarter-finals of the competition for the first time in 48 years.Golovin has been linked with a move to Chelsea over the past couple of months, but he has instead opted for the French Riviera with Monaco vice-president Vadim Vasilyev suggesting that they could offer the 22-year-old something their rivals could not – regular playing time.“Monaco and CSKA this afternoon finally agreed on the transfer of Golovin,” said Vasilyev, according to Metro.“They really were complicated. Honestly, until the last moment I was not sure that I would be able to coordinate this transfer.’Chelsea hat-trick hero Tammy Abraham hopes for more Andrew Smyth – September 14, 2019 Tammy Abraham hopes this season will be his big breakthrough at Chelsea after firing his first hat-trick for the club in Saturday’s 5-2 win at Wolves.“In addition to Chelsea, there was Juventus for Golovin. In early May this year I heard from one the leaders of the Turin club that Aleksandr’s transfer to their team was a done deal.“However, our main competitor was Chelsea. I believe Monaco offered more favourable conditions for the club and a more understandable sports project for Golovin. Chelsea – this is a top club, which I treat with great respect. However, the midfield in the English team is overloaded.“In my opinion, Golovin will definitely play in any of the leading clubs in the world. But it will him some time, a transition stage.”Golovin is expected to sign a five-year contract with the Ligue 1 club.
Tottenham Hotspur defender Danny Rose believes the team can compete with best teams across Europe after their performance in the group stages of the competition last season.Mauricio Pochettino’s men finished first in a group that had both Real Madrid and Borussia Dortmund, and Spurs recorded comfortable home victories over both clubs to record an easy passage to the second round where they were eliminated by Juventus.“We went to the Bernabeu and were unlucky not to win that game and then when we played them at Wembley we outplayed them, and not just them, Dortmund as well,” Rose said, according to Sky Sports.“We’ve proved that we can do it. At the minute we’re winning ugly and we’re just waiting for the performance to go with the victories.”Pochettino admits Wanyama remains in his Spurs plans Manuel R. Medina – September 14, 2019 Kenyan international, Victor Wanyama, was the protagonist of a summer transfer saga, but in the end, he is set to stay at Tottenham Hotspur.Rose was instrumental during Spurs’ 2-0 win over Huddersfield Town on Saturday, winning the penalty that handed the club its second goal of the day after he was fouled by Florent Hardergjonaj in the box.After speculation linking Rose with a move from Spurs in the summer, the England international is grateful he remains central to Pochettino’s plans.“I’m just happy to be playing,” Rose added. “It’s probably something I didn’t expect four or five weeks ago. I’m just happy I’m in a position to be selected and I want it to continue.”
It’s that time of year again where Porsche fanatics from all over the world gather in Southern California to celebrate Dr. Porsche’s magnificent machines. Luftgekuhlt is mostly a big party for 911 and 356 lovers, but all kinds of race cars show up, too.My favorite Porsche racing car is one that often gets forgotten when people start tossing around numbers like 917 and 935. It’s the 962 race cars of the 1980s and 1990s. These long, wide and low machines remained dominant in sports car racing much longer than just about anything else, and Porsche would have a lot fewer Le Mans wins without it.The 962 had kind of a weird childhood. It was designed at the last minute as a response to a rule change by the American racing organization IMSA. Explicitly, this change stated that a driver’s feet had to be located behind the car’s front axles and that made Porsche’s current world-beating sports prototype, the 956, ineligible. Car Culture 2020 BMW M340i review: A dash of M makes everything better Porsche The 956 was introduced in 1982 as a replacement for Porsche’s 936 open-top race car. It was a savagely fast automobile, setting a lap record for the Nurburgring Nordschleife that stood from 1984 until 2018. It was also the first car to use Porsche’s PDK gearbox. The overall package of the 956 was incredibly successful, winning Le Mans outright four years in a row.That shows why Porsche, when updating the chassis to the 962 didn’t change an awful lot and why the two cars are pretty tough to tell apart when sitting next to one another. The Porsche 962 ran in several engine configurations during its long career, but it was always powered by a turbocharged flat-six engine and produced upward of 700 horsepower in some trims.The 962 models that ran in IMSA have a special place in my heart, as they are purely air-cooled and feature a massive scoop on the rear deck. Other versions, including the Le Mans-winning 962C, either featured water-cooled cylinder heads or were water-cooled entirely.So, if you’re unable to make it to Universal Studios’ backlot for Luftgekuhlt 6 today, kick back and enjoy some videos of one of the most dominant racecars the world has ever seen. Tags 0 2020 Kia Telluride review: Kia’s new SUV has big style and bigger value Post a comment 2020 Hyundai Palisade review: Posh enough to make Genesis jealous More From Roadshow Share your voice Porsche
An official of Palli Daridro Bimochan Foundation (PDBF) was arrested for allegedly raping a 13-year-old girl domestic help at Taherpur village in Manirampur upazila of Jashore on Monday night.The arrested person is Golam Kibria, 55, a resident of Shailkupa upazila in Jhenaidah. He is the assistant officer of PDBF in the upazila.Golam along with his family was staying at a rented house at Fateyabad village in the upazila for his job.When his wife went out of house, he used to reportedly rape the girl alluring her to give different things. At one stage, the girl became five-month pregnant and went to her village home after being sick in February, according to the case statement.The victim’s father filed a case with Manirampur police station after medical test of the girl.
Kolkata: Bengal government has set a target of providing employment to around 6 lakh youths within the current financial year.Purnendu Bose, the minister of Technical Education, Training & Skill Development in the state, said that altogether 6 lakh youths would be undertaking various skill development training, before they secure employment. The state government would ensure that the unemployed youths become economically independent through the training programmes. Also Read – Rain batters Kolkata, cripples normal lifeTraining has already been provided to 2.5 lakh unemployed youths, while the remaining number of candidates would complete the courses within March 31 next year. After completion of the various training programmes, the youths can also start up their own business, Bose said. After being instructed by Chief Minister Mamata Banerjee, the Technical Education department has started various vocational training programmes for youths, free of cost. A large number of youths have been undergoing training at various centres. Also Read – Speeding Jaguar crashes into Mercedes car in Kolkata, 2 pedestrians killedIt may be mentioned that after coming to power, the Chief Minister had laid great stress on the generation of employment in the state, through technical training. The Utkarsh Bangla scheme, which was launched by the Bengal government, has also been providing vocational training among unemployed youths. The beneficiaries of the scheme are being imparted knowledge on skill development. There are various government departments that are rendering assistance on skill development, thereby helping village youths secure employment. After successfully completing the training, the youths can step into the IT sector, work in various service centres, or even start a new venture, Basu said. He also added that the state government will extend all possible assistance to the youths so that they can start small units after going through the training. Setting up new units will generate employment for others as well. “We will train as many as 6 lakh youths within this financial year, some of whom have already completed the training course,” he said. Basu had earlier stressed on the importance of training among local youths in various sectors like soil testing labs, soil diagnosis, seed production, production of bio fertilisers, etc. If the unemployed youths are trained in these sectors, they will be able to contribute towards the growth of agri-economy in the state.
News | PACS | August 09, 2019 Lake Medical Imaging Selects Infinitt for Multi-site RIS/PACS Infinitt North America will be implementing Infinitt RIS (radiology information system)/PACS (picture archiving and… read more News | PACS | August 08, 2019 NetDirector Launches Cloud-based PDF to DICOM Conversion Service NetDirector, a cloud-based data exchange and integration platform, has diversified their radiology automation options… read more News | Enterprise Imaging | June 27, 2019 Ambra Health Announces Integration With Box Ambra Health announced an integration with Box to enable the sharing of medical imaging directly from within Box’s… read more 123456PreviousNext News | Enterprise Imaging | July 29, 2019 Philips Announces 10-year Enterprise Informatics Agreement With Centre Hospitalier Régional Universitaire de Nancy Philips and Centre Hospitalier Régional Universitaire (CHRU) de Nancy, a leading academic hospital in the Grand Est… read more News | PACS | July 02, 2019 Laurel Bridge and 3M M*Modal Partner to Improve DICOM Structured Reporting July 2, 2019 — Laurel Bridge Software announced an expanded relationship with 3M M*Modal, a provider of clinical docu read more Feature | Information Technology | June 27, 2019 | By Greg Freiherr Smart Algorithm Extracts Data from Radiology Reports Radiology reports may contain information essential to figuring out a patient’s condition. read more Technology | Enterprise Imaging | July 05, 2019 Hyland Healthcare Adds ImageNext Imaging Workflow Optimizer to Enterprise Imaging Suite Hyland Healthcare is launching ImageNext, a vendor-neutral imaging workflow optimizer that combines intelligent imaging… read more As imaging modalities, such as computed tomography and magnetic resonance imaging, gain heft and horsepower that produce more images faster and in greater detail, they are driving picture archiving and communication systems (PACS) feverishly to keep pace. But PACS vendors are navigating around additional process speed bumps when outpatient care facilities seek seamless integration, whether their system is a single package or a patchwork quilt of applications and functionality, with electronic health record (EHR) and electronic medical record (EMR) capabilities. In fact, a small but growing number of facilities are pushing to incorporate their oncology and radiation therapy systems into the larger picture.As a result, in this second installment of a multipart series, Outpatient Care Technology revisited with nearly two dozen key executives at the leading PACS manufacturers for their insights on product development, key market and technology trends and customer demand. Without giving away any company or trade secrets, conceptually how will the next-generation PACS accommodate the larger volume data sets courtesy of 3D real-time images and the need to image more to prevent non-reimbursable procedures due to medical errors? Bill Culton, product manager, diagnostic solutions, ASPYRA Inc., Calabasas, CAThe medical industry is not the only one faced with larger and larger data sets. Manufacturers of storage devices and data communication systems are being driven to handle and store large objects and fast data transfers to meet this demand. New technologies, such as holistic storage, are on the new horizon.Hossein Pourmand, vice president, business development, Candelis, Irvine, CAUp to now, most if not all PACS vendors have been devoting their R&D efforts and products toward the visualization side of PACS. The archiving and image management part of PACS are now becoming very critical as larger data sets, such as those associated with 64-slice, 128-slice and 320-slice CT, IVUS and PET/CT-64, become more prevalent. One proven way for accommodating the larger volumes of data has been a PACS Appliance, which consists of a suite of sophisticated software capabilities closely integrated with state-of-the-art hardware. Capitalizing on its 20-year history as a provider of innovative data storage solutions, Candelis Inc. is now widely recognized as the pioneer in this area and its ImageGrid PACS Appliance is now recognized as a disruptive technology. A ‘disruptive technology’ is defined as an innovation, product or service that overturns existing dominant technologies. By utilizing an appliance operating system, optimized internal data path, embedded database and DICOM services fully integrated with industry-standard CPU and RAID 5 or RAID 6 archive, ImageGrid offers the most cost effective yet robust and feature-rich PACS ‘back-end’ in today’s competitive market.Michael W. Jackman, president, Healthcare Information Solutions, Carestream Health Inc., Rochester, NYThe radiologist shortage is expected to continue for some time, so we cannot afford to have delays in diagnosis and reporting caused by lengthy processing of large imaging studies. Next-generation PACS must use advanced computing power and faster memory to provide efficient processing of imaging information. At the same time, PACS needs to employ advanced medical software applications that provide volume-matching for prior exams, automatic registration and rendering of images, automatic and intelligent segmentation, measurement tools, body part recognition and new forms of CAD.We believe our company will be able to achieve both the hardware and software advances needed to manage these data sets in a way that presents clinically relevant information quickly and maximizes the productivity of radiologists and other clinicians. We already have the ability to integrate tools such as volume rendering, auto segmentation and cardiac analysis into PACS so that clinicians can view all the information at a PACS workstation. Troy Oliphant, PACS strategic analyst, Cerner Corp., Kansas City, MOThe ability to view, store and [integrate] 2D diagnosis with 3D imaging in a naturalized workflow is a necessity in today’s marketplace. With today’s volume scanners, a PACS must be able to cope with thousands of images in an innovative fashion, while at the same time finding ways to enhance the workflow and increase productivity. The old way of the technologist doing reconstructions and sending those data sets into the PACS for the radiologist to review is quickly becoming unmanageable. The radiologist needs the ability in any viewport to dynamically interact with a data set in any plane or obliquity necessary to make a diagnosis. Cerner ProVision PACS gives the radiologist this freedom. The ability to view the volume data in any plane or obliquity. To readjust the slice thickness and spacing to speed up the reading of large stacks of images. The freedom to use the volume of data in the most efficient way to make a diagnosis. Ed Heere, president & CEO, CoActiv Medical Division, CoActiv LLC, Ridgefield, CTSome current-generation PACS products are already dealing with just this issue. As data sets become larger and larger the issues of speed of acquisition and distribution, as well as the cost and size of required redundant archiving, has already lead to innovative, new, fast and secure IT transport protocols as well as online remote affordable redundant archiving. CoActiv has managed to hold, and even reduce the cost, of their QUAD-REDUNDANT EXAM-VAULT Archiving as the average study size has increased substantially over the past several years. We accomplished this by developing a unique flexible and scalable system that uses online redundant arrays of inexpensive hard drives in redundant Tier-IV datacenters that allow us to provide the most redundant and reliable archiving possible – a 100 percent up-time SLA. We developed this system by applying ‘Moore’s Law’ to archiving. As the size of studies increase, our cost to archive decreases because the cost of the hardware and the bandwidth needed to support our EXAM-VAULT has been decreasing at a rate greater the rate of growth of the study size. By applying our incredible economy of scale, we can offer significantly more redundant, secure and accessible archiving than a facility can provide themselves and at a lower price.Milton Silva-Craig, J.D., MBA, president & CEO, Technology Solutions Co. and its wholly owned Exogen Solutions LLC, subsidiary, Chicago (Silva is former president and Chief Operating Officer, Emageon)The fundamental technology occurrence within digital image management today is the concept of ‘virtualization.’ For instance, there are technologies in the market that allow the virtualization of disparate PACS to appear as one, unified worklist. This is very prevalent in the area of outsourced diagnostic reading. For instance, if you are a radiologist reading for five separate hospitals, which have five different PACS, you do not want to have to log-in five separate times. Your preference is to sit a workstation, access a unified worklist, which aggregates the five PACS and conduct your work seamlessly. Staying with this concept of virtualization, this capability has extended to 3D. There is what is called server-side rendering in 3D. Essentially, there are powerful servers in the ‘virtual digital image system cloud’ that allow for the 3D post-processing of even larger data sets. It is no longer required to have 3D rendering at the desktop. That can be a back-office process, which once complete, is forwarded to your desktop.Paul Shumway, vice president, NovaRad Corp., Salt Lake CityLarger volume data sets from 3D real-time imaging are not posing a big problem for most PACS because computer and storage technologies have progressed as rapidly as imaging capabilities. If PACS software is written on a platform that has the capability to take advantage of network, memory, storage enhancements and server speeds, PACS can easily accommodate the largest volumes of data sets. Eric Mahler, director of marketing, Radiology Informatics, Philips Healthcare, Andover, MAThe newest versions of Philips iSite PACS feature advanced visualization capabilities that are completely integrated into the PACS workflow and provide additional diagnostic information through clinically relevant visualization anywhere throughout the enterprise. Fully interactive real-time volumetric reading tools – MIP, MPR, 3D – are delivered to all enterprise-wide iSite PACS workstations via Philips iSyntax technology, which brings advanced rendering performance and scalability without additional cost and complexities.Lenny Reznik, director, image and information solutions, Agfa HealthCare Americas, Greenville, SCAgfa HealthCare is developing more tools that help radiologists handle large volume data sets, consistent with our work with the SIIM TRIP initiative.The advent of multislice modalities creates unique workflow challenges for the radiologists as well as clinicians who need access to images. Outpatient care facilities in particular, should look for a vendor that can minimize the workflow challenges created by multislice modalities. PACS is required for reading and interpreting large volume data sets and more and more, imaging is seen as a noninvasive diagnostic procedure that ultimately leads to earlier diagnosis and detection of many diseases. The reality today is that data sets are increasing exponentially and computer networks are not. However, new technology from the IT industry is making inroads into PACS. Server-side rendering relies on the power inside today’s modern servers to render large volume data sets into 3D that then just transmit pixel data to the desktop. With the server capable of rendering any kind of advanced 3D image, expensive networks, transmission costs, high-end graphic cards and PCs are not required. A relatively simple PC does not need to contain specific embedded hardware in order to display high-quality images. Allen Scales, senior vice president, product management, Emageon, Birmingham, ALFrom an acquisition and content management perspective, there will be increased utilization of the enhanced MR and CT DICOM protocols, which provide more efficient transport of data by reducing the amount of meta-data processed for each image. Solutions designed to provide multi-threading, multiple processors and clustered architectures will be necessary to provide optimal performance for sites with significant volumes of large studies.From a visualization and distribution perspective, multiple strategies will be employed to meet the complex workflows in healthcare. These include increased utilization of progressive streaming of data for client side rendering, server-side rendering where the rendering engine is collocated with source data and more intelligent pre-processing workflows for CAD.David Nikolai, business marketing manager, IMPAC Medical Systems Inc., Escondido, CAThe key to accommodating and managing the ever increasing volume of images and data sets, especially in Image-Guided Radiotherapy (IGRT), is having a EMR-integrated PACS that is fully scalable and hardware independent. Scalability is obviously important as the storage requirements for 3D and 4D images steadily increase, but equally important is the ability to add on storage media and solutions that may not even exist today. Information archiving and storage technology is constantly changing with new types of media, different formats, faster speeds and innovative designs and architectures from may different manufacturers. It’s vital that your PACS be flexible enough to allow operation independent of the type or manufacture of the actual storage technology. IMPAC has achieved this flexibility with our MOSAIQ Oncology PACS.Bob Cooke, vice president, Network Business Management, FUJIFILM Medical Systems USA, Inc., Stamford, CTThere is no question that the acquisition of volumetric and functional data from new modalities clearly presents a challenge to today’s systems. A few factors need to be considered. New kinds of user interfaces and navigation models will be required. Integration with the diagnostic process will be required, including dealing with comparisons. New kinds of computer architectures – both software and hardware – will be required. While today’s concept of integrating advanced visualization will continue, as the requirement for visualizing complex data becomes more routine we will increasingly see these capabilities integrated into the diagnostic process.The need to control utilization is another story altogether. Improving the accuracy of diagnosis through better ergonomics and integration of information is one aspect of the solution. Another aspect to the solution is to extend PACS beyond its traditional definition to incorporate results management and generation, which will ultimately lead to better decisions support by linking the order to the result.Richard Taylor, national sales director, ScImage, Los Altos, CAIf the physician’s diagnosis is based on reconstructed data, the healthcare industry must ultimately answer the question of how much of the original raw data must be maintained. As a PACS vendor, ScImage must be prepared to store the information as specified by the client institution, as well as provide appropriate tools or integrate third-party tools for its analysis.Henri “Rik” Primo, director of marketing and strategic relationships, Image and Knowledge Management division, Siemens Healthcare, Malvern, PAIn order to increase the storage efficiency when handling larger data sets, such as multislice CT and multi-sequence MR, the DICOM committee has already defined advanced DICOM standards for archiving and transmission of the large data sets. The enhanced CT and MR DICOM objects are intended to replace the 10-year old standards applied to those modalities. They will better handle the features of current technology and the enhancements could improve interoperability between multi-vendor equipment compared with the standard DICOM attributes. Manufacturers are currently implementing these new standards in the imaging modalities and in PACS. There are also new developments in the standards for 3D ultrasound images. Further, storage technology is seeing a tremendous increase in capacity while the cost continues to come down, making large volume storage much more accommodating.Tim Kulbago, senior vice president, strategic business initiatives, Merge Healthcare, MilwaukeeI think there are some obvious next steps that the industry will use to address these issues including development of a 64-bit server, server-side rendering, more sophisticated image management techniques and the like. It is certainly an area of concern, because at this point I believe that image acquisition technologies are outpacing the improvements in computing platforms – storage, memory and network.Gary Reed, president, Integration Resources Inc., Lebanon, NJThe size of 3D imaging data sets continue to grow with the advent of multi-detector CT and multi-sequence MR studies. Study data set sizes are now reaching the Terabyte range. The availability of real-time access to these huge data sets is a function of the 3D rendering algorithm, image streaming schemes, archive architecture and network bandwidth. Today the preferred 3D solutions are client server-based with Web and wide-area access. The day of the stand-alone/hardware specific 3D workstations is passing. Clinicians want to access 3D studies from any imaging workstation at any location. There are only a few solutions that meet this requirement. In addition, vendors that offer client server 3D solutions may only offer a few basic rendering applications in the client server environment. The bulk of the clinical specific solutions are in a hardware/workstation based offering.To assist access speed and a wide range of clinical applications, there are very few vendor solutions that utilize a centralized server for 3D reconstruction that is connected to the image archive. These solutions enable rapid 3D access from any location on any imaging workstation. In the future, five to 10 years, PACS vendors will offer these robust 3D solutions as an application module of the PACS. The PACS vendors are working on these applications but they are far behind the independent 3D application vendors and will probably acquire these vendors and integrate their applications into their PACS.As far as non-reimbursable procedures due to medical errors goes, very few health systems are performing these procedures that do not fall under the prescribed DRG for the admitting code. There is a trend for the ER-admitting physician to over-prescribe diagnostic imaging procedures to address litigation needs; however, this is being monitored and managed to contain costs. 3D studies are being billed separately using image post-processing codes by radiologists and clinical physicians. Rick Rubin, M. Eng., MBA, executive vice president, research and development, Intelerad Medical Systems Inc., Montreal, Quebec, CanadaAs technology evolves, so will PACS. The rate of technology advancement has been governed more or less by Moore’s Law over the past few decades. This is how and why modalities can generate more volume data and how our networks can now handle 3D real-time images. This is progress that is not so much governed by our pocketbooks as it is by our desire to create bigger and better tools and our expectation that this will ultimately translate into improved patient care and outcomes. To handle these newer and larger data volume sets, it is obvious that PACS needs to continue improving its performance and capabilities in regard to the speed of image access for users, to gain new functionality to handle real-time data and new image manipulation tools and to improve archive and data management efficiencies. However, what is less obvious to most is that the more progressive PACS vendors will also need to revisit existing capabilities and reassess whether the current functionality needs to be updated in order to improve the user experience and prevent the patchwork software effect that can arise with continually adding new features that were not part of the initial planning. Indeed, user-software interaction is an emerging specialty that will help define and differentiate what makes a good product from what makes a great product. Shelly Fisher, president, BRIT Systems Inc., Dallas At BRIT, one of the things we have done is redevelop our DICOM server to more efficiently store large numbers of images, while maintaining all the checks and balances required for data integrity. We have database technologies that assist this process by multi-threading across multiple processors and network technologies that allow to utilize multiple network connections. Think of it as true multitasking within the database and throughout multiple network connections. Radiologists will need to start presenting the 3D views of the data to best assist the referring physicians. The tools are already there to do this, so it is a matter of training and implementing change.We believe these tools will make the radiologists more valuable to the referring community, but the radiologists need to work closely with their doctors to understand what is most useful to them. What angles, internal and/or external views are most desired by surgeons, oncologists, cardiologists, for the different types of studies. By understanding those needs and providing precisely the information that specialist desires, radiology can provide more of a value-add and ensure their pictures are worth a thousand words. We will continue to store all the data until the medical community documents a standard of care. Our technology is up to the task of storing everything or just a subset. And the price of storage continues to drop.Mike Dolan, vice president, sales, Acuo Technologies LLC, St. Paul, MNAcuo believes that the solution to this question lies in building an infrastructure that has scalability provided by robust archiving and routing applications that can benefit from additional hardware, processors, faster networks and better storage. This can only be done cost-effectively long term by building on a standards- based platform. There are times, with bleeding-edge technology, where standards do not meet the needs of the emerging solution. When new technology reaches a critical mass, standards are generally created to support them. The providers must be adept enough to know when to break away from the proprietary systems and move to standards-based solutions. Medical imaging has been in the standards based domain for years, yet few healthcare IT directors have demanded vendor compliance. The recent 12 months have produced a watershed of opportunities to leverage the benefits of standards. Considering the enormity of the new studies and the time and cost to migrate them out, it is time to stop the deposit of standards-based data in proprietary archives.Stephen N. Kahane, M.D., chairman, CEO and president, AMICAS Inc., BostonUtilization of imaging has been increasing steadily for a number of years now, and we do not see any fundamental changes in this trend in the near term. As a valuable noninvasive alternative to other medical procedures, imaging continues to bring substantial value to the healthcare landscape.As you consider the future of imaging, the notion of 2D vs. 3D imaging will become increasingly blurred. It is difficult to imagine a 320-slice CT scan creating 6,000 images being read the same way that a 4-slice CT scan creating 200 images. The reading paradigm will change and the concept of solely reading studies in 2D will likely become a thing of the past. The volumetric data sets will need to combine 2D and 3D views in a seamless workflow at the same time in order to meet the future needs of radiologists.What about the next iteration of PACS will improve workflow by connecting with other systems, such as EHR/EMR, OIMS, HIS, financial and purchasing modules of ERP systems?CULTON: Standards organizations and groups, such as the IHE, which are comprised of both manufacturers and users, are constantly improving the ability for different systems to share data efficiently and in a manner which fits into the users needs.POURMAND: The next-generation PACS is moving rapidly into the realm of overall workflow improvement and management. As such, PACS can no longer operate in isolation within radiology and needs to provide interoperability and interface with various workflow solutions such as RIS/HIS/EMR as well as hospital purchasing modules, billing systems, revenue management tools and financial reporting systems. As such, PACS is becoming the set of solutions and systems which are allowing the healthcare enterprise to embrace the digitization of data and electronic records and transactions.JACKMAN: We anticipate the emergence of a centralized enterprise PACS platform that can work with existing departmental PACS platforms – radiology, cardiology, pathology and others – to allow every user across the enterprise to review, process, diagnose and report any study from a single virtual desktop, using a single worklist to provide an integrated and efficient workflow. This overarching PACS is the key foundation to image-enabling electronic medical records. It will collect and manage all the imaging applications and then link with an EHR/EMR, which then collects and manages patient data and also interfaces with ERP systems.OLIPHANT: Now that PACS has moved out of the radiology domain and become a more centralized repository of imaging needs, it is a necessity that the next generation of PACS has a natural integration with the rest of the hospital workflow. Thanks to Cerner Millennium, Cerner ProVision PACS has a seamless integration with the rest of the clients’ systems and to the hospitals’ HIS/RIS and EHR/EMR. This enables the radiologist to have the entire history of the patient in context with the images.HEERE: Just as some of the lab businesses have already done, PACS will be required to automatically, securely and electronically deposit either key image or complete imaging studies directly into the referring physicians’ EMR system. Physicians just plain lack the financial and personnel resources, or the time to ‘log on, search, select and download the images associated with a prescribed procedure. They will demand and they will get this automated functionality or they will buy into a system that will provide it if their current system cannot, or will not, provide it. SILVA-CRAIG: Again, the current technology push with PACS is in the realm of greater virtualization capabilities. The enterprise phenomenon of PACS is already established. The technology is now evolving to meet the requirements of an ever-changing business model. With respect to integration into non-PACS, like EMR/HIS/Financials, that integration has already occurred. What is more relevant, however, is that these systems, due to the tight integration or coupling’ can provide what appears to look like an integrated desktop. So virtualization can be analyzed from to vantage points – integration of disparate system to foster single point of access; but also virtual integration with respect to commonality of desktop.SHUMWAY: To improve workflow, it is crucial for the next iteration of PACS to provide flexible interfaces that comply with industry standards, to facilitate quick and seamless connections to different systems. Today, some companies are not developing systems to comply with industry standards, instead favoring proprietary interfaces. The result for end users is they often find themselves in the situation of either incurring additional expense to pay vendors to develop an interface to cobble systems together, or they find themselves in a situation where they are working in many disparate system silos’ and losing the workflow benefits of an interconnected enterprise system. More adherence to industry standards and a focus on providing flexible interfaces will improve workflow by streamlining the process of connecting to an organization’s disparate systems. MAHLER: iSite PACS open Application Programming Interface (API) platform currently enables integration with enterprise systems, such as EHR/EMR, OIMS, HIS, RIS and reporting solutions as well as third party and custom applications. In addition, Philips is committed to developing innovative clinical applications and tools for iSite that enrich clinical excellence across the care cycle.REZNIK: The future is not about a PACS workstation, but an enterprise workstation, since the information delivered and the consumer base are across the entire healthcare enterprise. The enterprise workstation must be able to marry image and text information in a manner that is efficient, effective and broad reaching. Because of the explosion of information available to healthcare providers, the workstation must be designed to allow the user to focus on information specific to their roles.Agfa HealthCare has been providing image-enabled EMR solutions for more than 10 years, starting with a simple viewer. Today, Agfa is making critical information available at the radiologist’s desktop. It is not enough to simply have image and order information – a radiologist frequently needs information from one or more other hospital information systems in order to have all the information needed to make an informed diagnosis.By talking and listening to radiologists, we have learned that they need pharmacy data, such as medications and allergies; results, such as urinalysis for infection and liver function; lab data, such as creatinine, white blood cell count, pregnancy test; as well as surgical and cytology pathology reports. The challenge has been to retrieve that data from multiple clinical systems in real time without separate logons and to incorporate that data into the protocoling and interpretation workflow.Our new IMPAX Clinical Module focuses on improved delivery of patient care by bringing required clinical information from multiple sources into a single desktop location. Having this information available in real time, from multiple systems with a single log-on, saves time and has the potential to improve diagnostic confidence. IMPAX Clinical Module is a software component for the IMPAX Radiology Information System/Picture Archiving and Communications System (RIS/PACS) solution that brings disparate clinical data such as lab results, pharmacy and pathology to the IMPAX radiology desktop. The IMPAX Clinical Module answers this challenge and advances the practice of radiology to new levels.SCALES: We believe there will be increased utilization of service-oriented architectures (SOA), IHE Web access to DICOM objects (WADO) and IHE cross enterprise document sharing (XDS) to provide more efficient integration across systems.NIKOLAI: Our philosophy is that a PACS must allow one the flexibility to archive, retrieve and manage images and data sets from within the context of a specific workflow. IMPAC achieves this for the dynamic oncology workflow by having our MOSAIQ Oncology PACS seamlessly integrated into our OIMS, known as MOSAIQ. Access points and specialized tools built into MOSAIQ allow full access to the PACS archive and data from within the context of the electronic patient record and in a fully distributed environment. This level of integration eliminates the need for specialized workstations and reinforces the complex and highly adaptive IGRT workflow.COOKE: The next iteration of PACS will remain a clinical system. As such it shouldn’t necessarily seek to solve the problems that business systems solve. However, there is no question that PACS – and any clinical system, for that matter – shouldn’t ignore the linkage to a business system. Integrated access to clinical data is critical to the goal of PACS and improved healthcare results.As the market, industry and the consumer redefine PACS to meet the ever-changing needs of healthcare, its functions may well transcend the pure imaging aspects and extend into functions traditionally owned by RIS and reporting systems. Certainly, if we could go back to the beginnings of RIS and PACS and have them solve the problems that these systems solve today, we probably wouldn’t build things the same way. As we work towards the future, and redefine today’s clinical systems, integration with these external systems will become important. TAYLOR: Incorporation of PACS into the EHR/EMR, allows referring physicians access to a broader scope of information in order to potentially create a more comprehensive care protocol. Aligned with this evolution, is the need for PACS to provide access to all other aspects of the imaging workflow such as acquired measurements, CAD overlays, pre-study worksheets, consent forms, voice notes, technician remarks and scanned documents. Rather than kept in discrete files, much of this data will also need to be parsed into a database for field-level data transfer to the EMR, third-party reporting solutions and ERP systems. PRIMO: PACS is evolving as a sub-system of the EMR. PACS will concentrate on the provision of imaging data and will be integrated into the framework of the EMR. However, to create a truly relevant workflow, access to images and other patient information in the EMR needs to be provided through a portal that is role-based, context-sensitive and knowledge-driven. In this way, the information provided to the end user will reflect that person’s specialty and role in the enterprise.KULBAGO: Organizations are already improving workflow by connecting their PACS with other systems. Solutions that bridge RIS and PACS, and single-solution RIS/PACS offerings are increasingly popular, especially among outpatient imaging centers. New initiatives in RIS/PACS environments are allowing organizations to take advantage of new models that further the multiple goals of increasing productivity while also improving quality. Teleradiology connectivity, for example, is a major focus. This type of service is only doable because technology has gotten to the point where remote readers can be efficiently added to RIS/PACS workflow. RIS/PACS development will continue to focus on integration of these systems into broader frameworks, such as EMR, ERP, etc. REED: The large PACS vendors – GE [Healthcare], Siemens, Philips, McKesson, Agfa – are all in the EHR business. They are in the process of seamlessly integrating their PACS into their other information systems. This will enable better billing, wide-area image access, reduced errors, improved workflow and reduced costs. These systems integration implementations are primitive and do not meet the stated interpretability functions. This will improve over time; however, the current status of integration between systems is poor at best.Workflow engines tying multiple disparate clinical information systems together are being offered by a few PACS companies and independent integration firms. PACS will become a module of the EHR and will be offered by large healthcare information systems companies and telecommunications firms. As an example the entrance of Google and Microsoft into the HIM market.RUBIN: Mostly the implementation of additional IHE profiles to support better integration with other systems. FISHER: The next iteration of PACS is going to be all about communicating with the referring physicians via all the various methodologies we use today: desktop computers, laptops, PDAs, cell phones, etc. We’ll be working on improved reporting tools, getting these reports to the doctors and tracking all communications. A current example is BRIT’s discordance tool that facilitates the communication of findings between ER doctors and radiologists. Right now, that is all based on users accessing our application from computers, but it needs to expand to utilize the other technologies. There is a whole world of wireless communication devices and we need to start using those. So we are currently setting up our systems to locate the doctor, track the different ways we can communicate and document when that doctor responds. Again, there is a legal/ethical issue that needs to be addressed: What part of this communication string should be in an EMR and what is considered private communication between a doctor and a radiologist? What are the legal implications if these types of communication become part of the permanent record?We can also start communicating outside of our systems, but there is a looming issue for RHIOs. Once the initial government money goes away, who is paying for it, from whose budget does it come?DOLAN: Acuo Technologies believes that the valuable patient imaging data should be stored on a robust vendor neutral platform that will ensure the ability to have global access by the diagnosticians as well as the referral community. Having all imaging data available to an EMR from one source will allow better performance and access, as well as the ability to provide one common viewer, or multiple specialized viewers, simultaneously. New viewing technologies that can access the images directly from storage without going through an application can leverage technologies built on standards. To ensure future viability it is critical for the patient image repository to support standards such as HL7, XDS, WADO and others.KAHANE: Most PACS systems on the market today with a modern, Web-based architecture have some degree of integration with other systems such as HIS and EHR/EMR systems. The adoption of this type of integration has been relatively painless and rapid – and generally involves using simple APIs to launch Web-based viewers. The next level of integration will extend the bi-directional communication beyond the simple availability of an image or report to include status messaging, workflow enhancements (e.g., exam taken) and more personalized access to information.PACS is very much a ‘data viewing’ application – very little data is truly ‘created’ in a PACS system. As a result, the level of integration between PACS and financial and ERP systems will be relatively limited. The level of integration between the RIS – the source of reports and data creation – and these systems will be much more substantial. Of course, the lines between PACS and RIS are already blurred. We believe that is a good thing for end users. Solutions that offer the full selection of features and functions without regard to whether the function is a PACS function or a RIS functions is best!For more information: www.acuotech.comwww.agfa.comwww.aspyra.comwww.amicas.comwww.brit.comwww.candelis.comwww.carestreamhealth.comwww.cerner.comwww.coactiv.comwww.emageon.comwww.exogeninc.comwww.fujimed.comwww.impac.comwww.intelerad.comwww.irpacs.comwww.mergehealthcare.comwww.novarad.netwww.medical.philips.com/uswww.scimage.comwww.usa.siemens.com/medicalwww.techsol.com FacebookTwitterLinkedInPrint分享 Feature | June 12, 2008 | Rick Dana Barlow Larger Volume Data Sets Redefining PACS Workflow demands complicating patchwork integration News | Cardiovascular Ultrasound | July 02, 2019 Konica Minolta Healthcare Partners With DiA Imaging Analysis for AI-based Cardiac Ultrasound Analysis DiA Imaging Analysis has partnered with Konica Minolta Healthcare Americas Inc. to expand analysis capabilities of… read more Related Content Technology | Cybersecurity | August 07, 2019 ScImage Introduces PICOM ModalityGuard for Cybersecurity ScImage Inc. is bridging the gap between security and functionality with the introduction of the PICOM ModalityGuard…. read more News | PACS | June 26, 2019 Mini-PACS Solution for Image Management and Workflow Optimization ImageGrid Mini is a feature-rich, reliable and cost-effective image management and workflow optimization solution, pr read more
Comments Share Gbagbo is the first former head of state to appear at ICC. Prosecutors alleged that he is responsible for crimes committed by his supporters against backers of his political rival _ and now president _ Alassane Ouattara in the aftermath of 2010 elections.Ivory Coast authorities surrendered him Gbagbo to the Hague-based court in November 2011.(Copyright 2013 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.) Ex-FBI agent details raid on Phoenix body donation facility Sponsored Stories Former Arizona Rep. Don Shooter shows health improvement Milstead says best way to stop wrong-way incidents is driving sober THE HAGUE, Netherlands (AP) – The International Criminal Court has upheld its decision not to confirm crimes against humanity charges against former Ivory Coast president Laurent Gbagbo, and has told prosecutors to provide more evidence.Judges first refused to confirm the charges of murder, rape, persecution and inhuman acts in June and said more evidence was needed before they could send Gbagbo to trial.The appeals decision was announced Monday. Arizona families, Arizona farms: working to produce high-quality milk Top Stories New Valley school lets students pick career-path academies Parents, stop beating yourself up How do cataracts affect your vision?