Courtesy: WIVB News4MAYVILLE — During a COVID-19 update late Friday morning, Chautauqua County Health officials said there are no plans to change what information is released to the public regarding COVID-19 positive tests, but they will continue to be considered on a case-by-case basis.Public Health Director Christine Schuyler told WNYNewsNow that the release of the identity of businesses with positive COVID-19 tests are considered based on the health threat to the community with the right to patient privacy kept in mind.“I say that because our priority is to protect patient confidentiality,” Schuyler said.”That is not under our purview to do that.”“I think some people out there just want to know, you’re going to get information that is appropriate and legal for us to release that information.” She said identities are not released for HIV, sexually transmitted diseases or other illnesses.“If there’s no public risk related to a cluster, then there is no reason for the public to know that,” she explained.Officials said they have tested 65 percent of the workforce at Fieldbrook Foods in Dunkirk, and expect more tests to be completed soon.County Executive P. J. Wendel said Tuesday’s mass testing showed 24 positive test results, moving the total to about 6 percent of the company’s workforce, with more testing to come.The mass testing was one of the largest and most successful in the state, outside of New York City, Wendel said.Schuyler said the investigation at Fieldbrook Foods is continuing, but as of now there is no reason for the plant to close operations.“There is no reason to close down the Fieldbrook Foods plant. We came to consensus on this decision,” she said, explaining that the company’s third shift is mainly for sanitation.“It did not make any sense to close them down to clean when they clean every 24 hours,” she said. State officials were leaning toward recommending the plant be shut down, but were satisfied with mitigation efforts by the company and the county, officials said.“Every person in this community must take personal responsibility. What you do in your off hours is up to you, but remember what you do spills over to the people in the county,” Schuyler said, adding people’s actions also impact health workers dealing with the virus.Schuyler took time to thank and recognize local health care workers for going above and beyond and making ceaseless efforts to help in any way they can.“It gets to be very emotional, there are some people out there who do not recognize health care workers,” she said. “I’m so grateful to all of the partners we have who work with us.”“We are responsible for the health of all residents of Chautauqua County,” Wendel said. “It took time to get this coordinated, we wanted to make sure we did it right.”Wendel said the county was not surprised by the cluster.“We knew this was going to happen, this is something that my team has been preparing for since March 15.”Schuyler said she was relieved that the positive test results in the cluster weren’t higher.“I was relieved because I was afraid it was going to be higher,” she said. “We prepared as much as we could and it was all hands on deck. So far, we’re managing, I’m not going to tell you it’s easy.” Share: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)
Health care delivered close to home is vitally important, especially when the patient is a child. But how do community pediatric practices adapt to offer the best care when faced with a child who has complex and often, multiple health needs? Reporting in this month’s issue of Pediatrics, Dartmouth researchers outline a process designed to help any practice become a state of the art “medical home” for such children.Assessing the effectiveness of a model program they developed, Dartmouth Medical School researchers Dr. W. Carl Cooley, adjunct associate professor in pediatrics, and Jeanne McAllister, research associate in pediatrics, review the experience of four practices in Vermont and New Hampshire who used their program to identify and implement changes to improve the care they deliver to children with special health care needs.The concept of community-based “medical homes” – places where care is managed through coordination of clinicians, educators, therapists, healthcare professionals, and caregivers – has been advocated by national health policy makers and the American Academy of Pediatrics as the best model for providing systematic yet individualized care to children with complex conditions and multiple needs.Still, the changes required for a practice to become an effective medical home can be difficult to make. “Introducing change into a busy pediatric practice is like trying to repair a bicycle while riding it,” the authors write. “Even the most motivated practice finds change difficult to implement. Many primary care providers believe that implementing the medical home concept is the right thing to do but question how they can do so and remain solvent.”To make the process easier, the authors developed a medical home improvement tool kit that allows practices to look at key functions of the medical home, assess their own operation, and identify the steps and strategies they will follow to become a medical home.The four participating practices all focused on improving different aspects of their medical home environment. In New Hampshire, Exeter Pediatrics Associates of Exeter, developed pre- and post-visit surveys to elicit parents’ chief concerns and then assessed whether or not these concerns were addressed in the visit. Dartmouth Hitchcock-Plymouth Pediatrics and Adolescent Medicine of Plymouth created an educational series for children with attention deficit hyperactivity disorder that resulted in new partnerships with parents and schools. In Vermont, Upper Valley Pediatrics of Bradford began to schedule “chronic condition management” visits to provide regular, proactive care rather than only responding to problems after they arose. Gifford Pediatrics of Randolph held a series of community forums aimed at facilitating the exchange of information between families and schools about children with acute care needs. Each project has spurred new improvement projects in related areas.Each of the participating practices also introduced the role of a practice-based care coordinator and discovered the value of systematic consumer input to the design and operation of the medical home.The success of the model program in these practices and in practices across the country is encouraging on a number of fronts, according to the authors, who direct The Center for Medical Home Improvement within the Hood Center for Children at the Children’s Hospital at Dartmouth-Hitchcock Medical Center. (www.medicalhomeimprovement.org(link is external)) Establishing medical homes improves access to care, potentially makes more treatments available to children, strengthens the relationship between families and caregivers, and ultimately provides the child with more comprehensive and effective care.This has significant implications for the health care system nationally, suggest the authors, who note that while children with special health care needs make up only 20 percent of children, they currently account for 80 percent of pediatric health expenses.The next step for the authors is to investigate the relationship between medical homes and outcomes for children with special needs. They are interested in whether effective medical homes lead to decreased utilization of the health care system, increased patient and family satisfaction, and better health outcomes.
By Julieta Pelcastre/Diálogo March 21, 2017 El Salvador and Honduras agreed to reinforce mechanisms for cooperation along their 375-kilometer border to reduce the level of gang activity and transnational organized crime. The accord was reached on February 9th and 10th, during the 18th Bi-national Meeting of Military Border Unit Commanders, held as part of the Central American Armed Forces Conference in the Salvadoran city of La Palma. “Crime syndicates are changing their ways of operating due to globalization. That is why the key for us is to work together more closely and in a more coordinated way to mount a common front against the broad range of transnational crimes that affect our society,” Colonel Jorge Alberto Miranda, chief of Operations at the Joint Chiefs of Staff of the Salvadoran Armed Force, told Diálogo. “We want to have a permanent and effective presence at all of those border crossings, whether physically or through the use of technology, to ensure the peace and security of our borders in the face of different forms of organized criminal activity that come and go through our country,” Col. Miranda said. “Those blind spots are used by gangs and smugglers who operate by way of complex drug trafficking syndicates to elude justice,” Francisco Bertrand Galindo, a Salvadoran constitutional lawyer, told Diálogo. According to the 2016 Global Peace Index Report published by the Institute for Economics and Peace, a think tank that studies peace in 162 nations, El Salvador and Honduras ranked in 111th place. This ranking includes domestic variables such as violence, criminality, and homicides. “If the authorities are able to control every square meter of the country and they keep dealing blows to the gangs’ financial structures, [the gangs] will have less impact on urban centers. However, gangs are always on the lookout for new ways of committing crime. They are complex, violent, and well-funded organizations,” Bertrand added. Those taking part in the bi-national gathering of commanders led by infantry brigade commanders from both countries’ armies, stressed how the public sense of peace and security in the Northern Triangle region has improved, thanks to the Tri-national Task Force’s deployment along the border between both countries. The task force was created in November 2016 by El Salvador, Honduras, and Guatemala to tackle gangs, drug trafficking, common criminality, and other crimes, head on. “In and of itself, the presence of this tri-national force represents an important deterrence mechanism. In recent months, we have seen a substantial improvement in the public’s sense of security and in the lowering of crime rates in border areas,” Col. Miranda reported. This tri-national security apparatus “enjoys a high degree of operational discretion. To the extent that such discretion persists, our trilateral and even bilateral operations are going to improve things,” Bertrand said. From February 1st to 9th there were more than 250 murders associated with gangs and criminal groups, compared with 936 during the same period in 2016, according to a press briefing by Salvadoran Minister of Justice Mauricio Ramírez Landaverde. The measures taken by the authorities have led to a reduction in the average number of daily homicides, from 23 to eight, the Salvadoran president reported in a February 25th press release. “This meeting between border delegates reinforces our operational coordination and cooperation with various state institutions in order to fight gangs and organized crime while protecting human rights,” Col. Miranda explained. To meet today’s challenges, bonds of cooperation are needed at the national and international levels. “Our bonds of cooperation and integration with Honduras are solid. Both of our countries are deeply committed to fighting gangs and transnational crime, and we do so with great dedication and effort,” Col. Miranda summed up.
March 1, 2005 Regular News Burger writing contest underway The American Inns of Court is now accepting entries for its Warren E. Burger Writing Competition, that encourages “thoughtful consideration of the practical application of the highest principles of professionalism in the American legal community.”Submissions must be original and unpublished works of 10,000 — 25,000 words including footnotes. Either independent or collaborative submissions are allowed. All participants in drafting the final submission must be designated as co-authors. Research assistants shall be acknowledged by name in an appropriate footnote.The deadline for submission of materials is June 15. For more information contact Cindy Dennis at (800) 233-3590 ext. 104 or email@example.com. Or visit www.innsofcourt.org. Burger writing contest underway
Comment Martinez has impressed for the Gunners since Bernd Leno’s injury (Picture: Getty)‘I saw him in some cup games but he’s commanding, he makes great saves, he’s good on the ground, he’s got everything for a No.2.‘The thing that frightens me now with him is that when Bernd Leno does come back and he is fit, why would he want to continue as a No.2 when he’s played to this level being a No.1?‘He will surely want to go and be a No 1 now.’Wright added: ‘What frightens me is you look at someone like Frank [Lampard] and you look at what Chelsea’s doing, you just say to yourself, “Do you know something? Can we prise him away?” Metro Sport ReporterMonday 27 Jul 2020 9:47 amShare this article via facebookShare this article via twitterShare this article via messengerShare this with Share this article via emailShare this article via flipboardCopy link3.5kShares Advertisement Ian Wright fears Chelsea will sign Arsenal goalkeeper Emiliano Martinez (Picture: BBC)Ian Wright is ‘frightened’ Frank Lampard will tell Chelsea to sign Arsenal goalkeeper Emiliano Martinez to replace Kepa Arrizabalaga.Lampard dropped Kepa – the most expensive goalkeeper in history and Chelsea’s record signing – for the Blues’ final Premier League match against Wolves on Sunday.That decision has sparked fresh speculation that Lampard will offload the Spaniard this summer and look to bring at least one new goalkeeper to Stamford Bridge.Wright fears that player could end up being Arsenal’s Martinez, who has impressed since first-choice Gunners goalkeeper Bernd Leno suffered an injury earlier in the season.ADVERTISEMENTSpeaking on the Kelly and Wrighty Show, the Arsenal legend said: ‘When you go to a No.2, the first thing you do is worry because you think, “Has he had enough games? Will he be able to deal with the pressure?”AdvertisementAdvertisement‘Obviously there’s no fans there, but everybody spoke about Emi and how good he is, but I didn’t realise how good he was because I didn’t see enough of him. Frank Lampard could look to offload Kepa Arrizabalaga this summer (Picture: Getty)‘This is what worries me, simply because you look at what he’s done and how he plays, he is better than Kepa now.‘I think he’s probably better than Bernd Leno if I’m going to be totally honest, from what I’ve seen. I’d be gutted [if Martinez left].‘To be honest I don’t want Bernd to go but what I’m saying about [Martinez] is we’ve got to be very careful with him because if Bernd does come back, he’s now played in a situation where he’s played fantastically, he’s been brilliant, and he’s probably got the taste for that now, so why would you want to go back to being a No.2 and not playing?’More: FootballRio Ferdinand urges Ole Gunnar Solskjaer to drop Manchester United starChelsea defender Fikayo Tomori reveals why he made U-turn over transfer deadline day moveMikel Arteta rates Thomas Partey’s chances of making his Arsenal debut vs Man CityFollow Metro Sport across our social channels, on Facebook, Twitter and Instagram.For more stories like this, check our sport page.MORE: Mason Mount teases Chelsea teammate Willian over free-kick dutiesMORE: Pierre-Emerick Aubameyang’s father drops Arsenal exit hint Ian Wright fears Chelsea will sign ‘fantastic’ Arsenal goalkeeper Emiliano Martinez to replace Kepa Arrizabalaga Advertisement
The penthouse atNew Farm.BRITISH expatriates Brian and Diane Ames are selling their Brisbane penthouse to return home.Mr Ames was a director of Harrods Management in Britain with the responsibility of looking after all VIPs, nationally and internationally for many years and that included members of the royal family.His wife, Diane, is a retired consultant physician, who worked at St Mary’s NHS Trust and Imperial College in London.More from newsMould, age, not enough to stop 17 bidders fighting for this home6 hours agoBuyers ‘crazy’ not to take govt freebies, says 28-yr-old investor6 hours ago602/1 Gray St, New Farm.After three years in Brisbane the couple have decided to return to the UK and are selling the penthouse at 602/1 Gray St, New Farm.Dr Ames said she loved the dining end of the terrace especially at dinner with the reflections on the water.And just like a high end department store, the dressing room and wardrobe has enough cupboards, drawers and shelves to hold everything in order including hat boxes.The home is listed for auction through David Treloar of Ray White Albion. 602/1 Gray St, New Farm.He said the master suite must be seen to be believed for its size and space. Property records reveal it last sold in 2014 for $4.5 million.
The Port of Hamburg will soon be able to welcome 20,000+ TEU containerships as the plan to dredge the river Elbe has finally received the green light from German authorities.Specifically, the planning procedure for fairway adjustment on the Outer and Lower Elbe has been completed with the supplementary planning approval, the Port of Hamburg said.Last year, the country’s Federal Administrative Court approved in principle the plan stating that it needed to be revised due to “the violation of the habitat protection law.”The legal preliminaries are now in place that will enable construction to start.“This is very good news for our trading and shipping customers worldwide and for the whole Hamburg Metropolitan Region,” Axel Mattern, Joint CEO of Port of Hamburg Marketing, said.“We have waited a long time for today and are now hoping for rapid implementation,” Ingo Egloff, Mattern’s Executive Board colleague, added.The port is already megaship-ready and can handle the largest containerships with a slot capacity of over 20,000 TEU, as well as other mega-vessels. Suitable berths and terminal equipment make that possible.Irrespective of the tide, after the fairway adjustment, ocean-going ships will be able to leave Hamburg with a draft of 13.5 meters and using flood tide with a draft of 14.5 meters.For shipping, the fairway adjustment will provide one extra meter of draft and the related decisive advantages. Containerships will be able to transport around 1,800 more containers (TEU) per call. The ‘passing box’ downstream from Hamburg will make the Elbe navigable for mega-ships in both directions without the existing restrictions.With around 9,000 ship calls per year, Hamburg is Germany’s largest universal port and the third biggest container port in Europe.
PLATTE CENTER, Neb. – Razor Chassis reaches an IMCA milestone this season, its fifth as title sponsor of the South Central Region.The Platte Center, Neb., chassis builder again provides a portion of the $6,000 point fund to be paid to top 10 Modified drivers in the region, which includes tracks in Texas and southern New Mexico.The regional champion earns $2,500. The runner-up gets $1,250 with $625 for third, $325 for fourth, $300 for fifth and $200 for sixth through 10th. All drivers in the region are required to display two Razor decals on their race car to be eligible for point fund shares.Information about Razor-built chassis is available by calling 402 246-2021, at the www.rothrace.com website and on Facebook.Cory Sample repeated as a regional champion aboard a Razor last season, albeit in the Western region.“We are seeing more and more Razor cars throughout the country and I know there are some new cars going to the South Central Region this season,” IMCA Marketing Director Kevin Yoder commented. “Anthony Roth took his house Razor to Texas last fall and won the Fall Classic at Heart O’ Texas Speedway and proved those cars are competitive in that region.”
Press Association Players were chosen by an eight-man panel, with nominated candidates selected following their Test match performances this year. Previous winners include England 2003 World Cup hero Jonny Wilkinson, ex-Wales wing Shane Williams and current New Zealand captain Richie McCaw, who was the recipient a record three times. McCaw’s All Blacks team-mate Kieran Read won the 2013 award. “All of these nominees have enjoyed stellar years, and the focus on who will claim this accolade will add an extra dimension to the remaining November Tests,” IRB chairman Bernard Lapasset said. Sexton, who played an instrumental role when Ireland beat South Africa last weekend, is among five nominations announced by the IRB. The 29-year-old has been joined on the shortlist by South Africa full-back Willie le Roux and Springboks number eight Duane Vermeulen, and New Zealand wing Julian Savea and All Blacks lock Brodie Retallick. Ireland fly-half Jonathan Sexton has been nominated for the 2014 International Rugby Board world player of the year award.
Golden Eaglets Five-time world champions, Nigeria’s Golden Eaglets flew out of Abuja Wednesday to Tanzania to take part in the 13th Africa U-17 Cup of Nations taking place in that country between Aptil 14th and 28thActing President of the Nigeria Football Federation (NFF), Seyi Akinwunmi charged the players and team officials to do the nation proud by lifting the trophy in Dar es SalaamThe Golden Eaglets secured their ticket to Tanzania after winning the WAFU B U-17 Tournament in Niger Republic in September last year, and will be aiming to be one of Africa’s four flag-bearers at the FIFA U-17 World Cup finals now scheduled for Brazil later this year. Nigeria, Africa’s U-17 football powerhouse, edged fellow juggernauts Ghana on penalties in Niamey to secure their slot in Tanzania, and are in the same Group A as hosts Tanzania, Uganda and Angola.However, the team has been depleted because of six first team players disqualified for failing the MRI age test last week.Last year, the team’s Captain, Sulaiman Sani Abacha was dropped after he was disqualified at the zonal qualifiers in Niamey. Eaglets and the other teams participating in the tournament are to face another round of age tests to be conducted by the Confederation of African Football (CAF) today in Dar es Salam.Tanzania made their way into the draw automatically as hosts, while Uganda won the Central East zonal finals held in Tanzania in August last year, and Angola triumphed at the COSAFA U-17 Tournament in Mauritius a month earlier.Nigeria is making her ninth appearance in this competition, having won it twice previously (Seychelles 2001 and Togo 2007), while Tanzania is making a second appearance. Angola is making a fourth appearance, but it is a first-ever appearance at this level for Uganda.Cameroon, Guinea, Senegal and Morocco make up Group B. Both Cameroon and Guinea are appearing for the seventh time at the U-17 AFCON, while Morocco and Senegal are both appearing for the second time.The Eaglets will take on their Tanzanian counterparts in Sunday’s tournament opener at the National Stadium, Dar es Salaam.An interesting variable in Sunday’s equation is the fact that Nigeria legend Emmanuel Amuneke, who is head coach of the Tanzania national team, Taifa Stars also oversees the other national teams and would be involved in their technical preparation.Amuneke last month qualified the Taifa Stars for a first-ever AFCON finals after 39 yearsAmuneke is highly familiar with the Nigeria bench, which has Manu Garba as head coach and Nduka Ugbade as one of the assistants.When Manu Garba led the Golden Eaglets to win the FIFA U-17 World Cup for the fourth time in the United Arab Emirates in 2013, Amuneke and Ugbade were his assistants.Two years later, in Chile, Amuneke was the head coach as Nigeria won a fifth title at that level.After Sunday’s encounter, the Eaglets will tackle Angola on Wednesday, 17th April and confront Uganda on Saturday, 20th April.Meanwhile, Golden Eaglets’ forward, Divine Nwachukwu has guaranteed Nigerians the team will return with the trophy.Speaking after the Eaglets received former World Cup winner, Kelechi Nwakali, the NFF Zenith U-15 Football Championship top scorer told AOIFootball.com that the boys were ready to defend the colours of the country.“It’s not easy to be here representing the country; we are privileged to be among the thousands that began this process.“It’s not by our power but by the might of God and we want to promise that we are going to Tanzania not to play but to win,” Divine said.The AYG top scorer also promised that the players will play to instructions and ensure they play as a team to achieve success for the nation.“We are going to make our families and the country proud in Tanzania, we will play as a team and also ensure we bring back the trophy,” he concluded.THE 21-MAN SQUADSunday Stephen, Shedrack Tanko, Ogaga Oduko, Samson Okikiola Tijani, Clement Chigozie Ikenna, David Akulo Ishaya, Olakunle Junior Olusegun, Mayowa David Abayomi, Wisdom Ubani, Adrian Akande, Mubaraq Gata Adeshina, Shuaib Abdulrazaq, Akinkunmi Ayobami Amoo, Olatomi Alfred Olaniyan, Charles Etim, Suleman Shaibu, Peter Agba, Divine Nwachukwu, Ibraheem Olalekan Jabaar, Fawaz Abdullahi, Ayomide OluwabusolaShare this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegram