old but relevant knowledge...

Archive for June 8, 2011

Security Council to huddle over Syria – CNN.com

STORY HIGHLIGHTS

  • A resolution condemning Syria is under review
  • The measure differs from the Libyan resolution
  • Syrians escaping violence have fled to Turkey and Lebanon

United Nations (CNN) — The U.N. Security Council is planning to tackle the Syrian crisis on Wednesday, an effort to grapple with nearly three months of anti-government demonstrations and a brutal regime crackdown against the protesters.

The 15-member body will be briefed by a U.N. official on the subject and huddle over a new proposed resolution on the situation in the country.

A recent French-British resolution failed to please Russia, one of the permanent members of the council, and some other members. As a result, diplomats have tweaked the resolution language to make the measure palatable to Russia and all members.

It was not clear precisely when a vote on the resolution would happen, though Britain and France have said they would like it to take place by Friday.

A resolution would fail if one of the five permanent members vetoes it.

While vetoes by Russia and China appear possible, council members hope to get as much support possible for a resolution. The idea is to get a lot of support and highlight the opposition of those few countries that vote down the measure.

The permanent members are the United States, France, Britain, Russia and China.

via Security Council to huddle over Syria – CNN.com.

Diabetes Resources for Health Care Professionals, Business, and Schools | NDEP

Pediatric to Adult Health Care Transition Planning Checklist

This checklist helps the health care provider, young adult, and family discuss and plan the change from pediatric to adult health care. While a variety of events may affect the actual timing when this change occurs, below is a suggested timeline and topics for review.

1 to 2 years before anticipated transition to new adult care provider.

Introduce the idea that transition will occur in about 1 year

Encourage shared responsibility between the young adult and family for:

Making appointments

Refilling prescriptions

Calling health care providers with questions or problems

Making insurance claims

Carrying insurance card

Review how smoking, drugs, and alcohol affect diabetes

6 to 12 months before anticipated transition

Discuss health insurance issues and encourage family to review options

Assess current insurance plan, e.g. length time on family health insurance plan, COBRA, pre-existing conditions

Explore new insurance options – college, employer

Consider making an appointment with a case manager or social worker

Discussion of career choices in relationship to insurance issues

Encourage family to gather health information to provide to the adult care team (View the Clinical Summary as a PDF)

Review health status: diabetes control, retina (eye), kidney and nerve function, teeth and mouth, lipids (cholesterol), blood pressure, smoking status

Discuss issues of independence, emotional ups and downs, depression, and how to seek help

3 to 6 months before anticipated transition

Review the above topics

Suggest that the family find out the cost of current medication(s)

Provide information about differences between pediatric and adult health systems and what the young adult can expect at first visit

Patient’s responsibilities

Other possible health care team members

Confidentiality/parental involvement (e.g., HIPAA Privacy Act and parents need permission from young adult to be in exam room, see test results, discuss findings with health care providers)

Help identify next health care providers if possible or outline process (See online resources)

Discuss upcoming changes in living arrangements (e.g., dorms, roommates, and/or living alone)

Last few visits

Review and remind of above health insurance changes, responsibility for self-care, and link to NDEP’s list of resources

Obtain signature(s) for release for transfer of personal medical information and for pediatric care providers to talk with the new adult health care providers

Identify new adult care physician

If known – request consult (if possible) and transfer records

If unknown – ask teen to inform your office when known to transfer records and request consult

Review self-care issues and how to live a healthy lifestyle with diabetes

Medication schedules

Self-monitoring of blood glucose schedule

Meal planning, carb counting, etc

Physical activity routine and its effects on blood glucose

Crisis prevention-management of hypoglycemia (low blood glucose), hyperglycemia (high blood glucose), and sick days

Need for wearing/carrying diabetes identification

Care of the feet

Oral/dental care

Need for vision and eye exams

Preconception care (preparing for a safe pregnancy and healthy baby)

Immunizations

Staying current with the latest diabetes care practice and technology

Suggest options for a diabetes “refresher” course

via Diabetes Resources for Health Care Professionals, Business, and Schools | NDEP.

NHL unlikely to tame angry Stanley Cup Final «

We’re thinking about Nathan Horton this morning and hope the words we hear about his condition allay the fears caused by the sight of him staring blankly at the ceiling, arm extended upward, and eventually writhing at center ice during the first period of Game 3 in Boston.

After a morning hearing, Mike Murphy of the NHL will rule today on the hit by Canucks defenseman Aaron Rome that sent the Bruins winger to Massachusetts General Hospital. It certainly deserves a suspension. It was clearly a late hit, well after Horton passed the puck, and Rome was given an interference major and a game misconduct. That his hit resulted in a serious injury should be enough to keep Rome in street clothes for at least Game 4.

But — as we’ve seen repeatedly this season — you never know.

[UPDATE - Rome was given a four game suspension by the NHL. Yep, you never know.]

Of course, even during the regular season, this kind of incident can sometimes result in a mystifying exoneration, as when the Bruins Zdeno Chara escaped further punishment after his interference major and game misconduct for a dangerous hit on Montreal’s Max Pacioretty, one that left the Canadiens’ winger concussed and with a fractured vertebra. Murphy called that a hockey play gone wrong in excusing Chara.

But you certainly never know in the playoffs. A Yuletide generosity of spirit descends upon the NHL’s Hockey Operations Department and almost every infraction that would earn a few games worth of unpaid leave between October and mid-April is magically reduced to a single game or even dismissed entirely. The Burrows Bite at the start of the Cup final, which would have earned a couple of games had it happened during the season, was pardoned by Murphy for lacking conclusive evidence, much to the astonishment of any hockey fan with a television.

That not only prompted an outcry from many, but also helped jack up the ill will between two teams who don’t play nicely with others under normal circumstances.  Alex Burrows later emerging as the hero of Game 2 for the Canucks only made things worse.

We’ve made the point a few times this season that when NHL Hockey Operations declines to take a meaningful stand on conduct that should not be in the game, it invites an escalation of bad behavior. And sure enough, Game 3 was filled with nastiness, and the hit by Rome on Horton was the worst of it.

Other bad moments followed. In Game 2, the irritating Canuck Maxim Lapierre taunted Boston’s Patrice Bergeron, whose finger Burrows had snacked upon in Game 1, by inviting Bergeron to bite his (video). That deserved some sort of penalty (an unsportsmanlike conduct minor or a 10 minute misconduct), but nothing came of it. So the offended B’s responded twice last night, first when Mark Recchi (video) and then Milan Lucic tried to thrust their fingers in Lapierre’s mouth.

These incidents don’t seem like serious offenses taken on their own. They’re more comical than anything. But they anger the opposition, cause inflammatory words to fly, and put a sharper edge on the game’s physical element. In the context of an extremely hard-fought Stanley Cup Final between two oft-intemperate clubs, they only serve to escalate tensions to the point where bad things are inevitable.

This train of events could have been prevented had the NHL given Burrows an appropriate suspension. And that leads to a second point we’ve made before. Lessening the severity of punishment during the playoffs is a senseless policy. The rationale is that at the most important time of the season, Hockey Ops (and by extension the GMs) don’t want to be in a position of influencing the outcome of a series by taking players out of the lineup for any but the most severe violations.

The exact opposite should be in effect. Because it is the most important time of year, committing a foul that injures an opponent should probably result in a more severe punishment than during the regular season because the impact on the victim’s team is more significant.

We’re not expecting things to change, however. Not now, anyway. After letting this stuff build up, you have to wonder if even the four-game suspension to Aaron Rome will tame this angry Stanley Cup Final.

 

via Red Light » Posts NHL unlikely to tame angry Stanley Cup Final «.

More than 5,000 flee as winds stoke Arizona fires – CNN.com

STORY HIGHLIGHTS

  • NEW: Eastern Arizona, and southwest and northeast New Mexico face extreme fire risk
  • NEW: Fire forces Sen. Jon Kyl and his wife to leave their cabin, affiliate reports
  • More than 5,000 people have been evacuated
  • Wallow Fire has burned 389,000 acres, fire official says

(CNN) — A fast-moving wildfire that has sent thousands fleeing in eastern Arizona is the second-largest blaze in the history of the state, records show.

The so-called Wallow Fire sweeping through Apache National Forest has burned approximately 389,000 acres, Incident commander Joe Reinarz told reporters Tuesday.

That surpasses the 2005 Cave Creek wildfire previously ranked the second-largest blaze in Arizona history. It scorched 248,310 acres, according to records published on the Southwest Coordination Center regional interagency website.

The Rodeo/Chediski blaze of 2002, which burned 468,638 acres, was Arizona’s largest wildfire, officials said.

Unless the low humidity rises and the high winds die down, the current blaze could continue to spread, fire officials warned. The National Weather Service issued a red flag alert for Wednesday along all but the northernmost tip of Arizona’s eastern border. The alert puts the area at extreme risk for fire.

via More than 5,000 flee as winds stoke Arizona fires – CNN.com.

Twitter Updates

Follow

Get every new post delivered to your Inbox.

Join 25,471 other followers

%d bloggers like this: