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Tag Archives: Land Registry
Saying Bye Bye to Land fraud
Posted on October 3, 2018 | 1 comment
Headlines like 5000 families evicted off their land; Hundreds left homeless in fresh Apaa land eviction; 200 people evicted from Mukono Land are commonplace in Uganda's media.
Talking about land and its ownership elicits a lot of emotions in Uganda today. No day passes without an article in the media over land wrangles, displacement of the poor masses, killings, fraud, among others. The situation reached a point where the president had to appoint a special commission to investigate land matters across the country.
Currently, anyone can become a land dealer without the need for certification or registration. This has led to many conmen opting for this profession. By having easy access to land titles of their clients, they are in a much better position to manipulate and fraudulently transact on their behalf over and above the issued mandate. Sometimes they connive with a few unscrupulous officials within the Lands docket at the ministry to achieve their intended goals.
Uganda's land administration has over the times been burdened by numerous challenges which led to a massive degradation of services. During the last decade, the idea of a Land Information System was mooted to enable transformation of the land management from the then manual to electronic operations. In 2010, the process of setting up this information system begun and a lot has been achieved over the last eight years.
The Land Information System aims at:
Faster resolution of land disputes
The prevention, reduction or elimination of – backdoor transactions, forgeries and graft as well as challenges associated with missing land records.
Upon completion, there shall be full integration of physical planning, surveying, valuation, land administration and land registration.
One stop land transaction centres called Ministry Zonal Offices have been set up to eliminate the need for people flocking the Kampala or Entebbe lands office for transactions. Spread across the country, they are expected to reduce the pressure on the operations at the headquarters. You can find them in Kabale, Luwero, Mityana, Mbarara, Tororo, Jinja, Mukono, Gulu, Arua, Mbale among others.
Land tenure is defined as the relationship that individuals and groups hold with respect to land and land based resources like trees, minerals etc. In Uganda, we have according to the law the following land tenure systems;
Customary land tenure: Is applicable to specific areas and subject to customary laws. It could be owned individually, communally or jointly by a group of people. It is the easiest to process considering that one doesn't have to go beyond the district authorities to attain the ownership certificate.
Karamojong elders signing up for a communal customary certificate of ownership.
Freehold tenure: Involves holding of registered land in perpetuity or for a period less than perpetuity which may be fixed by a condition. It enables the holder to exercise subject to the law, full powers of ownership of land.
Mailo tenure: Involves the holding of registered land in perpetuity and has its origins from the allocation of land pursuant to the 1900 Buganda agreement. It is mainly confined to central Uganda. It permits the separation of ownership of land from the ownership of developments on land made by a bonafide occupant.
Leasehold tenure: A system of owning land for a particular period of time. A landlord or lessor grants another person (tenant or lessee) exclusive possession of land usually for a defined period.
A number of changes are taking place at the Ministry of Lands, Housing and Urban Development that the public may not be aware of due to the poor information flow. I was surprised to learn that most of the land related transactions that we quickly relegate to middlemen can be easily handled directly by us landlords.
The processes of acquiring or subdividing titles, title verification, placing caveats, ownership transfer etc have all been eased by the computerisation. Before you opt to pay millions of shillings to get this done for you, give it a try yourself first.
Titles as a standard do have photos of the owner(s) and the database maintains contact numbers to which an SMS message is sent every time a transaction is being carried out on the respective title. This is expected to help owners keep track of what is going on.
All services for land transaction can be accessed through the geographically spread out zonal offices, currently 13 operational with a target of 21. Without doubt, this addresses congestion at the head office as well as the delays that have been typical of this process.
Did you know that there are free pre-approved government house plans? You can use them and save the money spent on paying for a houseplan.
Did you know that there are approved physical plans for urban areas? As you buy land, it helps to consult these physical plans to ensure that your intended purpose of land use is in line with the plan otherwise you might be stopped in your tracks after spending money. Find some of those approved physical plans here.
These developments in the land sector have been beneficiaries of the Competitive and Enterprise Development Project (CEDP) for Uganda, a project funded by the Government of Uganda with credit from the World Bank.
Tagged cedp, Land, land grabbing, Land Registry, Uganda
Is Uganda's Lands Information System really Computerised?
Posted on May 24, 2016 | 2 comments
On two occasions I have seen this advert by the Ministry of Lands, Housing and Urban Development (MLHUD) inviting the general public to verify land title information in the new computerised land titles. They typically organise Land Registration Open Days, pitch camp in a specific location and expect every Wire, Mugwanya and Nabweteme to run to them and find out more about the status of their land.
The Ministry under "The Design, Supply, Installation and Implementation of National Land Information System Infrastructure (DeSINLISI)" project is undertaking measures to modernise land administration in Uganda. Alot has been done in the back-end as regards computerisation of the records and compared with the past, what we have currently is relatively impressive.
There is this famous story of a Muhima elder who boarded a bus for the first time to visit his son in law. Upon entering, he left his walking stick at the door of the bus (customarily, he is used to leaving the stick at the entrance of the house before he enters). When the bus reached it's destination, he disembarked and expected to find his walking stick still there. The old man threw a tantrum when he couldn't see his beloved walking stick. The Ministry of Lands is behaving in a similar manner. By embracing computerisation, they are staying stuck to habits that thrived in a non electronic era.
When I go to a restaurant and settle down, I usually have a menu that details all the available food and drinks they can offer. The food I want can only be prepared by the chef in the Kitchen. There are two options for me to get what I want:
Option 1 – I walk to the Kitchen and tell the chef what I want and wait till he has prepared it then walk back to my table with the food.
Option 2 – I get attended to by a waiter who takes my order, communicates to the chef and then later delivers my food at the table without me having to walk up and down.
The Ministry of Lands seems to be stuck to Option 1 in its understanding of how it should deal with the consumer (general public) even after computerisation. Like the legendary Muhima elder, they have embraced technology but are letting the very things that contributed to the inefficiencies in the past linger on. Why do I have to go to their offices anymore if indeed they now have an electronic system in place?
When designing computer systems, the new trend is to use the approach indicated in Option 2. The presence of a waiter in a restaurant makes the entire customer experience so great and thus increases the likelihood of customers patronising that place. In computer terms, the waiter that makes our lives simple can be referred to as an API (Application Programming Interface). With the system that has been developed for Uganda's Lands Registry, all that is required now is for the National Lands Information System (NLIS) to come up with an API that can then be used by independent developers who are more than willing to come up with Phone and Web Apps that facilitate interaction with the Lands Registry. There is no longer a need for any sane Ugandan to walk to the National Theatre during the Land Registry Open Days, spend close to three hours just to establish information that could reach them on their phone with ease.
The National Land Information System (NLIS) can then focus on ensuring that it has a well functioning credible database and working with other partners in the private sector, it then ensures that the dissemination of the information is achieved swiftly. The dissemination of this information can be at a fee which is paid by those trying to access Land Information through avenues like Mobile Money or any other third party dealers that may have been identified.
The wins for the Ministry here are;
Increased access by the masses to the Land Registry
Increased revenue generation from the online land search activities that are now conducted by many more people than before. A revenue share model can be worked out with the participating private companies developing Applications just like the Telecoms have with the content providers.
Lands Information System extension at no greater cost to the Ministry since the private sector players will do this in order to generate more revenue.
Focus on the core database systems and ensuring that there is ultimate integrity of the information shared.
My plea to the team handling the NLIS, is that it's time you focused on the customer and ensured that there is more inclusiveness. Avoid the traditional disease in most Uganda Government departments of desiring too much control of installed systems even when it's to the detriment of the masses. Cede some ground and you will not only benefit as indicated above but also help spur innovation and entrepreneurial growth among the fledgling youthful software developers that are all over our streets.
Posted in Technology
Tagged africa, Computerisation, James Wire, Land, Land Registry, Technology, Technology, Uganda


Do you have questions? Of course you do! Choosing a venue is THE most important thing next to choosing the right partner and we'll be there every step of the way to help make this part of wedding planning as stress free as possible.
1. Is there a set venue fee and are there days/months that are less expensive?
Millbrook Cathedral offers a discount for booking in off-season months, and days other than Saturdays - so be open to alternatives if you are looking to save.
2. How many people can Millbrook Cathedral accommodate?
The official capacity number is 140.
3. What's included in the venue fee?
Exclusive use of the premises (no sharing!), use of bride & groom dressing room, indoor or outdoor ceremony, the Millbrook Lounge and in-house planning services.
4. How many hours does the rental fee include, and is there an overtime fee if I stay longer?
Typically the rental period is from 3pm - 1am. More time can be purchased so please ask your venue manager.
5. How much is the deposit, when is it due, and is it refundable?
A non-refundable deposit of $2500 is required to hold your date.
6. What's the payment plan for the entire bill? What forms of payment do you accept?
Deposit by etransfer and the follow up payments by check. Sixty days before your wedding we'll need 50% of the total wedding estimate (catering and rentals), and at 30 days the second 50% minus the deposit already paid.
7. Can I have my ceremony here, too? Is there an additional cost?
Ceremony is included in all full service weddings but you can book a ceremony only event.
8. Are there changing areas for the bride, groom, and/or wedding party?
YES! We have both a bride and a groom's room.
9. Can we have our rehearsal dinner here? What about a morning-after mimosa brunch?
We can arrange parties for all kinds of pre- and post wedding events as well.
10. How much time is allocated for the rehearsal?
11. What's the cancellation policy?
Deposits are non-refundable and the 60 day payment may be partially refundable depending on how far in advance you cancel. Once the 30 day payment is made that partial refund will shrink even more.
12. What's your weather contingency (backup) plan for outdoor spaces?
Since we do ceremonies both indoor & outdoor this is covered!
Yes we do however it is required that you get your own policy. Your venue manager can help with that.
14. Do you have an in-house caterer or a list of "preferred" caterers, or do I need to provide my own? Even if there is an in-house caterer, do I have the option of using an outside caterer instead?
Millbrook Cathedral has a preferred caterer, Hawley Crescent Culinary that we have chosen based on the quality and beauty of their food. To ensure you have the best experience we only wanted to partner with a caterer we can stand behind 100%. Hawley Crescent also accommodates dietary restrictions and/or food allergies. In some special circumstances an outside caterer will be allowed however there will be fees associated.
15. Is there a food & beverage minimum?
16. What's the tax and service charge?
17. Can we do a food tasting before we finalize our menu selection? Does it cost extra?
If you have already booked your wedding with us, your tasting for 2 is included. If not the cost is $25 per person put towards your catering bill when you do book.
18. Are tables, linens, chairs, plates, silverware, and glassware provided?
We have a wide selection furniture to add to your package that you will order with the help of your venue manager. Tableware is always included.
19. Can I bring in a cake from an outside baker or do I have to use a cake made on site?
Yes, please order your cake on your own or we'll help you with that.
20. Is there a cake-cutting fee?
Cake cutting is included in some packages, in others it's an upgrade.
21. Can we bring our own wine, beer or champagne? What about hard liquor?
If you order the BYO bar package then you will decide how to stock your bar.
22. Is there a charge for the bartender?
23. Are you licensed to provide alcohol service?
We only use Smart Serve bartenders and that together with your SOP gives you the permission to serve alcohol.
24. How much is an open bar?
For a full service bar it will cost $48/per adult and includes everything needed to run a bar from garnishes to glasses.
25. Are there additional charges for bar staff in a full service package?
26. Are we allowed to bring in our own decorations?
Yes, with some restrictions - no holes allowed - no fire allowed.
27. Do you have an inventory of décor we can borrow from?
We have uplighting you can rent and plenty of couches and tables you can use.
28. Can I move things around or do I have to leave everything as is?
Things can be moved with the assistance of your venue manager.
29.Can we use candles/confetti/sparklers/fireworks/animals/lawn games/bounce houses/food trucks/insert your own fun-but- potentially-dangerous liability here?
With the permission of your venue manager some out of the box ideas can be accommodated.
29. Do you have signage or other aids to direct guests to my event?
30. Do you provide heaters and/or umbrellas for the outdoor spaces?
Not at this time but we can arrange your rentals if needed.
31. Can I hire my own vendors or is there a preferred vendor list we need to stick to?
With the exception of the caterer and tables/chairs you can hire who you want.
32. Do you offer on-site coordination? What services are excluded?
Yes we do. Exclusions include setting up decor from outside vendors and post dinner coordination.
33. Can the venue accommodate a DJ or live band?
We can accommodate both, we have 2 stages!
34, What security services do you offer?
Security is not included but can be arranged.
35. Do you provide a coat check service?
The coat check is self-service but staff will be there to assist.
36. What time can my vendors start setting up on the day of the wedding?
Speak to your venue manager about what's required and we'll make the arrangements.
37. Does the venue provide assistance getting gifts and/or décor back to a designated car or hotel room after the wedding?
No, but you can hire our venue coordinator for extended service to handle this.
38. Is there a separate space for cocktail hour?
39. How many restrooms are there?
40. What overnight accommodations do you provide?
There is a luxury B&B a few doors down and lot of unique AirBnBs close by but no on-site accommodations.
41. What are the nearest hotels to the venue?
There are plenty of hotels 15 minutes away that we can arrange for you.
42. Who makes up the schedule for the day?
Our venue manager will create a schedule for the day along with your planner if you have one.
43. Do you have a sound system and/or microphones for speeches?
44. Are there any noise restrictions?
Respect our neighbours - no loud music outdoors.
45. Is there parking on site and if so, is it complimentary? If not, where will my guests park?
Yes there is parking onsite. We also have overflow parking if needed.
46. If a shuttle service is needed, can you assist with setting it up?
Definitely. It's our preference that your guests don't drive.


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9:00 - 11:00 AM
11:30 AM
St. Joseph of the Lakes Cemetery
171 Elm St., Lino Lakes
Kenneth M. Ross
"Kenny"
Born in Cleveland, Ohio, Kenny was the second of seven children.
He is preceded in death by his parents, Clifford and Annie Ross, and just recently by his brother, Cliff Jr.
Kenny is survived by his sister, Pat Ross, and brothers, Chris (Jeanine), Dan, Randy and Tim (Kathie). He is also survived by many nephews, nieces and cousins.
Kenny was a very gentle and kind person, always eager to meet new people and quick with a handshake or a hug (he liked the hugs!). He most always had a smile, asked people how they were and was genuine in every aspect of his life. Kenny knew how to love unconditionally, knew how to forgive and made anywhere he was a much better place. Kenny was very close to his family and also very popular with people of the community near the family store (Ross' Corner), which he worked in for many years. Kenny was a 1968 Graduate of Forest Lake High School and also a former member of the Lino Lakes Lions Club.
In his early years, Kenny was a victim to polio, which slowed him down. Later in his life, he was critically injured in a car accident, which slowed him down. Over the years, Kenny suffered many falls, usually resulting in a broken bone somewhere in his body, which slowed him down. None of these setbacks ever stopped Kenny. He persevered and moved forward, still eager to meet and greet people, both friends and strangers. He loved to go to out to eat, to fish or watch the MN Twins and MN Vikings. He loved to watch professional wrestling. He loved playing cards, especially 500 Rummy. He absolutely loved Bingo. When Kenny moved into the Lino Lakes Assisted Living, he shined! Here he had all sorts of new people to meet and greet. And if you ever tried to call Kenny there, good luck! He was usually upstairs, playing Bingo or Bunco where he loved to be, in a social setting.
God got a good one in Kenny. He's now pain-free; he's not sick or confined to a wheelchair. He is with his parents and brother and is walking freely with the angels, along with many others who knew him and loved him as well. Kenny will be greatly missed, and he was loved by all.
Visitation 9-11 AM Friday, June 4 at MUELLER-BIES FUNERAL HOME-LINO LAKES, 7050 Lake Drive (Co Hwy 23). Graveside service 11:30 AM Friday at ST. JOSEPH'S CHURCH CEMETERY, 171 Elm St., Lino Lakes.

redpajama_set_name: RedPajamaCommonCrawl


One of the candidates I was impressed by doesn't have a snowball's chance, but I'm glad he's in the race, and getting his views heard.
"I can say without equivocation that no one who is running for president has presented anywhere near as comprehensive and accurate a prediction of what our country ought to do in the field of environmental quality, in the field of health care for those who are not presently insured, for those who struggle with poverty."
The entire G.O.P. field fails the substance test.
There is, by contrast, a lot of substance on the Democratic side, with John Edwards forcing the pace. Most notably, in February, Mr. Edwards transformed the whole health care debate with a plan that offers a politically and fiscally plausible path to universal health insurance.
Whatever the fate of the Edwards candidacy, Mr. Edwards will deserve a lot of the credit if and when we do get universal care in this country.
Mr. Edwards has also offered a detailed, sensible plan for tax reform, and some serious antipoverty initiatives.
Four months after the Edwards health care plan was announced, Barack Obama followed with a broadly similar but somewhat less comprehensive plan. Like Mr. Edwards, Mr. Obama has also announced a serious plan to fight poverty.
Hillary Clinton, however, has been evasive. She conveys the impression that there's not much difference between her policy positions and those of the other candidates -- but she's offered few specifics. In particular, unlike Mr. Edwards or Mr. Obama, she hasn't announced a specific universal care plan, or explicitly committed herself to paying for health reform by letting some of the Bush tax cuts expire.
For those who believe that the time for universal care has come, this lack of specifics is disturbing. In fact, what Mrs. Clinton said about health care in February's Democratic debate suggested a notable lack of urgency: "Well, I want to have universal health care coverage by the end of my second term."


The Nebrodi and Madonie mountain ranges are the last offshoots of the Italian continental Apennines; all around there is a ferment of hills that end where the sea begins. And the Erei Mountains, with their lakes, natural and mining reserves (the area was known for the extraction of sulphur in the past).
In addition to fantastic naturalistic trips, you have absolutely to admire the archaeological finds in the area of the ancient greek colony of Morgantina (agora and greek theatre), the Roman archaeological area of Centuripe and Villa del Casale, declared by UNESCO "World Heritage Site", due to the beauty of its priceless Roman mosaics.
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Revenues, Votes and [X] in Philanthropy?
Beyond Compliance, a new paper from the Center for High Impact Philanthropy and Wharton Social Impact Initiative is the best summary I have seen of tools that non-profits and donors can use to measure impact. It also contains some rare common sense that can help readers chart a reasonable and feasible approach.
I was struck by the paper's conclusion that there is "an (over) abundance of resources for funders and non profits, sometimes leading to confusion." To me this gets to the root of the problem, which is that impact measurement is supply driven rather than demand-driven.
In the commercial sector, no one talks about an overabundance of measurement tools leading to confusion. Instead, companies are always looking for new and better tools that measure what their customers want and like. Why? Because they will go out of business if people don't buy their products.
In democracies, the same dynamic has led to increasing sophistication with polling, focus groups, etc, because politicians need to know what their constituents care about. If politicians fall out of touch, they get booted out of office.
Revenues serve to focus the mind in market economies, just as votes do in democracies. Few would argue that markets or democracies are perfect, but these forms of economy and government seem to perform better than all the other forms that have been tried from time to time (to paraphrase Churchill). Markets and democracies both function better with rich sources of analysis and information. But all of that information is valuable because it drives toward simple, bottom-line metrics - revenues and votes.
What might be the equivalent of "revenues' or "votes" for the aid and philanthropy sectors? That is a great question that I am pleased to be addressing in the time ahead with Katherina Rosqueta, Cecily Wallman-Stokes, and their colleagues at the Center for High Impact Philanthropy and the Wharton Social Impact Initiative. If you have ideas, sign up at Feedback Labs, and let's see if we can make some progress together.
Posted by Dennis Whittle at 12:13 PM
Dennis Whittle
Dennis Whittle is Co-Founder and former CEO of Feedback Labs. He is also co-founder of GlobalGiving, where he was CEO from 2000-2010. He has served recently as Visiting Scholar at the NYU Development Research Institute, Robin Richards Donohoe Professor of the Practice and Social Entrepreneur in Residence at UNC-Chapel Hill, Visiting Lecturer at Princeton University's Woodrow Wilson School, and Visiting Fellow at the Center for Global Development. He is founder and President of The Whittle Group.
Previously, Dennis was an economist at the World Bank (1986-2000), where he lived and/or worked for many years in Indonesia and Russia. His team there also created the Innovation Marketplace in 1998 and the Development Marketplace in early 2000. In 1984-85, Dennis worked for the Asian Development Bank and USAID in the Philippines, where he was an extra in one of Chuck Norris's best movies, "Missing in Action" (1984).
In his formative years, Dennis was a short-order cook and busboy at several restaurants, including the late Oasis Restaurant in Leitchfield, KY and the late Porthole Restaurant in Chapel Hill, NC.
Email: dennis (at) denniswhittle.com
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Scalzi gloats about his possession of an ARC (advance review copy) of The Wise Man's Fear... available to people without connections in the literary world March 1st. If you're a fan of fantasy and have never read The Name of the Wind you should do so RIGHT NOW. May favorite book of the last decade or so I'd say.


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Home Transforming Healthcare Healthcare Insights Articles Breaking Down Health Care Silos
Breaking Down Health Care Silos
An article from Harvard Business Review
pdf Breaking Down Health Care Silos (.pdf)
Lessons from Brigham and Women's Hospital.
By Yvelynne P. Kelly, Diane Goodwin, Lisa Wichmann, and Mallika L. Mendu
A patient we'll call Bonnie has been on dialysis for five years, making the difficult trip three times a week to a clinic to sit for hours hooked up to a machine that filters toxins from her blood. Bonnie is 65 and suffers from end-stage renal disease (ESRD), the gradual failure of her kidneys. She has chronically low blood pressure, which complicates the dialysis, and ingests a lot of salt which causes weight gain between treatments. Often, she wakes up breathless and ends up in the emergency department. The ED and dialysis unit don't have a shared electronic health record, and on discharge there is little communication between the two sites about her care. Nor is there communication between the dialysis unit and her primary care doctor (PCP). When she's hospitalized, her medications are sometimes changed, but that critical information often doesn't get back to her many providers. Bonnie is hoping for a kidney transplant, but she doesn't know where to start, and she has yet to undergo an evaluation to see if she's eligible.
This type of siloed, uncoordinated ESRD care has serious consequences for Bonnie and thousands of patients like her. On a national level, ESRD takes a huge toll on patients, families and caregivers, and society. Transplants are exceedingly scarce, and so for the vast majority of the 750,000 people affected by ESRD in the US each year, dialysis is the only viable treatment. For patients on dialysis, hospitalization rates and risk of developing related medical problems, and of dying, are high. Finally, while ESRD patients make up less than 1% of the Medicare population, they account for more than 7% of the Medicare budget – a staggering $50 billion annually.
Fragmented care is an important part of the reason for the high costs and utilization and often poor outcomes associated with ESRD. Patients receive care through a patchwork of providers at various sites — outpatient dialysis units, primary care practices, specialty clinics, hospitals and others – which often don't communicate. Gaps in care are inevitable, and opportunities to intervene before problems arise are often missed.
That's why in 2016 we launched a coordinated ESRD program within Partners Healthcare, based at Brigham and Women's Hospital (BWH) in Boston, one of the first to bring the care-coordination principles that are increasingly common in primary care to disease-specific specialty care. While other programs, like the CMS ESRD demonstration projects, have piloted care-coordination models with large dialysis organizations, ours is the only such program that we're aware of that coordinates care across all stakeholders (dialysis units, hospitals, primary care providers, and others) rather than focusing on care within the dialysis unit itself. Further, unlike other programs, ours extends beyond dialysis-based care to facilitate transplant evaluations and, when needed, palliative care.
At the start of the program, a nurse care coordinator (co-author Diane Goodwin) connected with Brigham and Women's ESRD patients weekly at four dialysis units, identifying those at risk for deterioration and increased utilization (ED visits and hospitalizations) and implementing strategies to reduce utilization and improve clinical outcomes. These included face-to-face visits to provide self-care education and guidance on avoiding the ED, medication reviews, dialysis-treatment monitoring, tracking immunizations, assuring reliable vascular access, and working with the dialysis unit, visiting nurses, PCPs, specialists and others to coordinate care and assure that all involved had the same information about the patient's history and status. (Today we have three nurses in this care-coordination role.)
For patients who are admitted to the hospital, a nurse within the program conducts a post-discharge assessment which includes documenting all medications the patient is on, and the dosage, frequency and route, and communicating this and other key information to the patient's PCPs, the dialysis unit, and others. When patients do go to the ED, a nurse likewise reaches out to the ED team to share information, help guide care and ensure appropriate follow up. Finally, program nurses communicate directly with transplant coordinators to facilitate evaluations and assure that eligible patients are placed on transplant wait lists.
To date, the program has engaged with a total of 100 patients and is currently coordinating care for 54. The results three years out are encouraging. Among these high-risk patients (those who among other indicators have missed treatments, required transfusions, or habitually used the ED for non-urgent issues) we've seen on average 5 fewer ED visits or hospital admissions per patient per year than would have been typical before our intervention. Close to one-fifth of the patients in the program have been referred to palliative care, and several who otherwise wouldn't have received transplants have had them as a result of the program's enrollment efforts.
By reducing healthcare utilization and facilitating transplantation we've thus far saved twice the amount that it costs to run the program. In one slice of the data, we calculated $428,000 in savings from 74 avoided ED visits and 34 avoided admissions, and over $1 million in savings attributable to facilitated transplantations. Feedback from patients and providers has been overwhelmingly positive. In an email, one nephrologist praised the program as a "GREAT addition to ESRD patient care," citing "improved communication, improved integration of care between providers, [and] avoiding admissions."
Going forward, we'll be evaluating the impact of the program on costs and utilization relative to those of a matched control group, and are expanding this work to other Partners hospitals and outpatient dialysis units. Ultimately, as we establish the positive impact of the program and the ability to translate it to other settings within Partners, we hope to disseminate it to other institutions. The goal is a future where silos are broken down in ESRD care delivery and patients, providers, and society share in the benefits.
Yvelynne P. Kelly
Yvelynne P. Kelly, MD, MSc, is a Clinical Research Nephrology Fellow at Brigham and Women's Hospital.
Diane Goodwin
Diane Goodwin, BSN, RN, CNN, is the End Stage Renal Disease Care Manager for the Integrated Care Management Program at Brigham and Women's Hospital.
Lisa Wichmann
Lisa Wichmann, RN, MS, ACM, NC-BC, is the Nursing Director for Ambulatory Care Coordination at Brigham and Women's Hospital.
Mallika L. Mendu
Mallika L. Mendu MD, MBA, is Medical Director for Quality and Safety at Brigham and Women's Hospital, and Associate Medical Director of Partners Population Health Management. Dr. Mendu is also a practicing nephrologist.
This article originally appeared on HBR.org and is being brought to you by Medtronic.
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Last Updated November 2019


The job markets and economy in the Bay Area and California are likely to grow at a faster pace than previously thought due to stimulus from Donald Trump's economic policies, according to a closely watched forecast released on Tuesday.
A likely increase in defense spending under a Donald Trump presidency is expected to benefit technology companies that supply the military, spurring Bay Area and California economic growth to a greater degree than previously thought, according to a new UCLA Anderson Forecast report.
The expected rise in defense spending would bolster defense contractors in California, said the report, published Tuesday.
"The increase in defense spending will be disproportionately directed to California as sophisticated airplanes, weaponry, missiles and ships require the technology that is produced here," the Anderson Forecast said.
Stimulus from defense spending could benefit tech companies in the Bay Area and Silicon Valley that might supply software or hardware used by the military.
The Anderson Forecast projected California will achieve 1.8 percent annual job growth in 2017 and 1.3 percent in 2018. Previously, it had said the California job market would expand by an annual pace of 1.7 percent in 2017 and 1.1 percent in 2018.
A separate forecast from Beacon Economics, released Monday, projected that the Bay Area will outperform California and the nation in the coming years — although employment growth will be more sluggish in 2017 than 2016.
"Although South Bay job growth has slowed compared to recent red-hot years, the region's performance would still be considered robust by most measures," Beacon economists stated in their quarterly report.
Santa Clara County's jobs will grow 2.5 percent in 2017, a bit slower than the 3.3 percent growth rate for jobs during 2016 but stronger growth than for California, according to the Beacon quarterly forecast.
The East Bay job market is expected to grow by roughly 2 percent in 2017, down from 2.7 percent growth in 2016, Beacon estimated.
"Following heated gains last year, job growth in the East Bay has cooled," Beacon said in its report.
The San Francisco-San Mateo region will add jobs at a 1.2 percent growth rate in 2017, which would be half of the 2.4 percent pace in 2016, the Beacon report said.
One huge uncertainty looming over California, however, is the impact of any large deportation or exodus of illegal immigrants under a Trump administration.
"California is fertile ground for this deportation policy," the Anderson Forecast stated. Some studies estimate that about 24 percent of the nation's undocumented immigrants reside in California, the economists said in their report.
Farms employ about 2.3 percent of California's workforce.
But studies have shown that farmers in Arizona, Alabama and Georgia weren't able to harvest all of their crops when officials clamped down on illegal immigrants in those states.
"It is estimated that half the farm workers in California are undocumented," the Anderson Forecast stated. "If these numbers are even close, there will be a crisis in the Central Valley," in the event of large deportations.
Trump economic policies that feature tax cuts and infrastructure spending are likely to stimulate the nation's economy, according to David Shulman, a senior economist with the Anderson Forecast.
But that prescription for fiscal stimulus also could unleash larger deficits — coming on the heels of loose monetary policy by a Federal Reserve whose chairwoman, Janet Yellen, was appointed by President Barack Obama.
"We will switch from reckless monetary policy under the Fed to reckless fiscal policy under Donald Trump," Shulman said in an interview.
Currently, the nation's economy is close to full employment. That could improve even more as a result of Trump's economic policies, Shulman said.
"The Trump policies will keep the U.S. at full employment for at least two years," he said.


It's been 10 months since salvage teams rolled the 114.000 t vessel, Costa Concordia, off the rocks in one of the most complex shipwreck recovery efforts ever undertaken.
The recovery involved attaching sponsoons filled with water to each side of the vessel. After draining water from the sponsoons and meanwhile pumping compressed air into the sponsoons, the ship began to float. Conquest was responsible for placing the sponsoons using a crane. TWD was requested by Conquest to give a structural verification on the crane boom design, which needed support during transit.
Please visit our Salvage page to learn more about how TWD can assist in your next Salvage project.
TWD Naval department is proud to have contributed to today's successful salvage of the second section of the sunken freighter MV Flinterstar. The operation was executed by Scaldis with the Rambiz heavy lift vessel. Last Thursday the Rambiz managed to lift the second wreck section mostly above water level and transported it into the port of Zeebrugge.


text:
Q: Angular ui bootstrap $uibModalInstance breaks down unit tests By using the $uibModal service to open a modal window, we need to inject the $uibModalInstance in the modal controller to close or dismiss the modal window, this injection break down my unit tests.
script.js
angular.module('demo', ['ui.bootstrap'])
  .controller('MainController', MainCtrl)
  .controller('UIModalController', UIModalCtrl);

/** @ngInject */
function MainCtrl($log, $uibModal) {
  var vm = this;
  vm.openModal = function() {
    $log.log('Opening Modal..');
    $uibModal.open({
      templateUrl: 'modal.html',
      controller: 'UIModalController',
      controllerAs: 'modal'
    });
 };
}

/** @ngInject */
function UIModalCtrl($log, $uibModalInstance) {
 var vm = this;
  vm.ok = function() {
    $log.log('Ok clicked');
    $uibModalInstance.close();
  };
}

modal.html

Hi there!

  Some content goes here

  <button class='btn btn-primary' ng-click='modal.ok()'>Ok</button>

index.spec.js
describe('MainContrller', function() {
  var vm;

  beforeEach(module('demo'));

  beforeEach(inject(function(_$controller_) {
    vm = _$controller_('UIModalController', {});
  }));

  it('should define a ok function', function() {
    expect(vm.ok).toBeDefined();
    expect(angular.isFunction(vm.ok)).toBeTruthy();
  });

  it('should close the modal window if Ok button is pressed', inject(function($uibModalInstance) {
    spyOn($uibModalInstance, 'close').and.callThrough();
    vm.ok();
    expect($uibModalInstance.close).toHaveBeenCalled();
  }));
});

Here's a plunker to illustrate the issue: http://plnkr.co/edit/w4D2c25aa45OSXn3ZsJb?p=preview
Note: The problem I'm facing is not to close the modal (cause it works), the problem is that my unit tests work before $uibModalInstance is injected.
The error thrown is:
Error: [$injector:unpr] Unknown provider: $uibModalInstanceProvider <- $uibModalInstance

Any suggestions are welcome, thanks for reading.

redpajama_set_name: RedPajamaStackExchange


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Micronuclei assay: A potential biomonitoring protocol in occupational exposure studies.
As micronuclei (MN) derive from chromosomal fragments and whole chromosomes lagging behind in anaphase, the MN assay can be used to show both clastogenic and aneugenic effects. This particularly concerns the use of MN as a biomarker ofgenotoxic exposure and effects, where differences in MN frequencies between exposed subjects and referents are expected to be small. The present paper reviews the use of the MN assay in biomonitoring of occupational exposure studies.
Research Centre and Post Graduate Studies in Botany, The Madura College, Affiliated to Madurai Kamaraj University, Madurai 625011, India.
Previous Document: [Molecular psychogenetics of deviant aggressive behavior in humans].
Next Document: Oxidative stress-resistance assay for screening yeast strains overproducing heterologous proteins.


Aloha from Big Bear Lake, CA. We crossed Highway 18 this morning and, serendipitously, caught a ride into town within seconds. A forewarning about this post: blogging today from my phone, so formatting may get a bit wonky.
We last checked in from the adorable mountain hamlet of Idyllwild, where we connected with our good friends Brad and Alice for a few days of hiking and companionship. They made it all the way from Somerville, MA just to spend time with little old us – we were honored.
Walking out of town, we immediately started ascending. Up the main drag. Up the Devil's Slide access trail. Up, up the PCT. Still up farther all the way to the top of Mt. San Jacinto, the second tallest peak in Southern California at 10,834 feet. Quite the wake up for our friends (and us), but worth it for the sublime view of the desert floor 9000 feet below. To the west, we watched clouds gather lazily below.
After a few minutes of reveling at the summit, we quickly descended to try to find a campsite before dusk. Our ultimate digs weren't the most comfortable, but the sunset was unreal: The next morning we loaded up on water for a 20-mile waterless stretch down the (admittedly) mind-numbing Fuller Ridge. Mirroring the climb up Jacinto we descended interminable switchbacks all day long, forfeiting 9000 feet of hard-earned elevation. Brad and Alice remained in good spirits, even as blisters and soreness set in, and managed not to obliterate me after I insisted we tack on five laborious miles through beach sand at the end of the day. We must have looked like lost puppies as we zig-zagged our way around wind farms and beneath highway overpasses.
With unseasonable desert rain in the forecast, we huddled with about thirty other hikers that night at the home of Ziggy and the Bear, trail angels who live outside of Cabazon. From puppies to sardines for an authentic thru-hiker experience.
The next morning we opted to "zero" in Palm Springs to escape the thunderstorms. I'm not sure if it ever did open up, but Veggie was captured by a stomach bug that would have made hiking ill-advised anyways. We were grateful to be in the company of friends, experiencing the comfortable ghost-town that is a Palm Springs golf resort in the off-season.
We parted ways the next morning with Brad and Alice, who would round off their vacation at Joshua Tree and elsewhere. I'd just read the lines in On the Road about the bittersweet feeling you get when you drive away from someone and they get smaller and smaller in your mirror. Both couples were off for new adventures, but I immediately missed our time together.
The next three days were a battle for Lara, who was still weak and having trouble keeping food down. We crawled through eight miles one day, and made 13 the next. Gotta say, that girl has resolve. Whenever I thought we might bail, she rallied and kept moving. By yesterday afternoon she was crushing again, up steep inclines and along the ridges for a 24-miler. Today at lunch she destroyed plate after plate of Thai food. I'm the luckiest. End of story.
One final story worth mentioning: a raccoon stole our food bag right out from beneath our tent vestibule while we camped at the luxurious Whitewater Preserve. Dragged it clear across the campground while we slept. Fortunately nothing was lost/eaten, so I can laugh now, with admiration, at the image of two stealthy paws nabbing our loot without making a sound. Hats off to you, sir/madam!
With more than 10% of the trail under our belts, we're still seeking our rhythm. Hopefully we'll find it on the way to Wrightwood, but, in the meantime, loving the surprises!


01738 is the area code for the Perth area in the Perth and Kinross region. The 1738 region includes places like: Scone, Bridge of Earn, Forgandenny and Luncarty, among others.
The majority of numbers utilizing the 01738 area code are regular Perth landlines, however it should be noted that this might be misleading. Many businesses don't provide a service that is connected or requires a physical address, but if they have a phone number, they have an area code.


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Screening Tix $12.50 adv/$16.50 door - Free Discussion Panels - $5 Matinees - Daily Screenings - Free Parties. Screenings at Cinema Village (22 E12th St). Industry Networking Opening Night Party, Feb 14 8PM-11PM. Gala Red Carpet + Award Ceremony + After-Party, Feb 23 8PM-2AM.
Winter Film Awards is dedicated to showcasing the amazing diversity of voices in indie film and our 2019 lineup is 50% directed by women and 53% by or about people of color.


Poker professional Scotty Nguyen, known as Prince of Poker, is one of the best all round tournament poker players. He has won five WSOP bracelets.
Thuan "Scotty" Nguyen was born in Viet Nam and came to America after being sponsored by a family in Orange County in California. In Viet Nam he had dreamed of being in Las Vegas and he soon started playing poker in back room games. After being expelled from school he went to Vegas. He took a job of cleaning tables at the now Harrah's Casino. It was here that he got the nickname Scotty. He moved on to be a poker dealer and eventually started playing the game. Whenever he needed money he would go back to dealing and build a bankroll.
Nguyen has an enviable live poker tournament record. He won the first of his five WSOP bracelets in 1997. That year Stu Unger won the Main Event and featured on a poker magazine cover. Nguyen vowed that would one day win the Main Event and feature on the cover. Nguyen accomplished that feat the very next year. He went on to win two WSOP bracelets in 2001 and the fifth one in the $50,000 H.O.R.S.E. event in 2008. He is the only poker professional to win both the most coveted WSOP events, the Main Event and the $50,000 H.O.R.S.E. All five of Nguyen's bracelets were won in different poker games. This is the reason he is known as the best all round poker player. Nguyen has fared well in the WPT as well. Though he reached the final table many times his first win came in January 2006 at the Gold Strike World Poker Open. He is the only poker player to make a final table in all WPT seasons. Nguyen has also excelled in several standalone poker tournaments as well. Nguyen's total live tournament earnings are about $10.2 million. He has had 32 first place finishes and 190 cashes.
Nguyen focuses almost entirely on live poker tournaments. He is not known to be an online poker player. He does not even enjoy playing cash games because he feels that it is difficult to maintain a friendly environment there. Nguyen has participated in the Ultimate Blackjack Tour playing Elimination Blackjack.
Nguyen is a very passionate poker player and both his major WSOP wins will be enshrined in poker folklore. In the 1998 WSOP Main Event he was playing heads up with Kevin McBride. Nguyen went all in and said, "You call, gonna be all over, baby!" McBride called and lost. Ten years later the 2008 WSOP H.O.R.S.E. Event showed Nguyen in poor light, even though he won. The telecast of the event showed him drinking, swearing and berating other poker players. His fans were so put off by this that Nguyen had to formally apologize to them. Nguyen believes that it is the fans that make the poker professionals the larger than life figures they are and he goes out of his way to accommodate them.
Nguyen now lives in Las Vegas with his wife. He is a practicing Buddhist and when not playing poker he loves to cook and work in his garden.


Hair Tattoos! They're fancy, sleek and shiny!
Designs come in silver and gold. Each pack has two sheets of designs of temporary metallic hair and body tattoos, so you can use one for shimmery holiday hair and the other for New Year's.
To apply them, hold the tattoo design-side-down against your hair, just like you would apply a temporary tattoo on your skin. Also, hair tattoo's show up better on straight hair since the smooth surface prevents them from becoming distorted. Then, dab the tattoo with a damp cotton ball and then peel off the paper. Stunning flash tattoos for your hair! To remove them, wash your hair.
You can use them to embellish a braid or just add an accent to your everyday hair.


text:
package com.yassirh.digitalocean.model;

import java.util.List;

public class Domain {

	private String name;
	private int ttl;
	private String zoneFile;
	private List<Record> records;

	public String getName() {
		return name;
	}
	public void setName(String name) {
		this.name = name;
	}
	public int getTtl() {
		return ttl;
	}
	public void setTtl(int ttl) {
		this.ttl = ttl;
	}
	public String getLiveZoneFile() {
		return zoneFile;
	}
	public void setLiveZoneFile(String liveZoneFile) {
		this.zoneFile = liveZoneFile;
	}
	public List<Record> getRecords() {
		return records;
	}
	public void setRecords(List<Record> records) {
		this.records = records;
	}

	@Override
	public boolean equals(Object o) {
		if (o == this)
	        return true;
	    if (o == null)
	        return false;
	    if (o instanceof Domain){
	        Domain other = (Domain)o;
	        return other.getName().equals(this.name);
	    }
	    else
	        return false;
	}
}

redpajama_set_name: RedPajamaGithub


Physical Data: bp -78.5 °C (sub); critical temp 31.06 °C; vapor pressure 6300 kPa at 25 °C; mp -56.6 °C (at 5.2 atm); density: solid: 1.56 g cm-3 (at -79 °C); liquid: 1.101 g cm-3 (at -37 °C); gas: 1.977 g L-1 (at 0 °C).
Solubility: 75.9 mL/100 mL in H2O at 20 °C and 101.3 kPa; 31 mL/100 mL in EtOH at 15 °C.
Form Supplied in: solid pellets ( dry ice ); compressed gas or liquid. Drying: pass gas through conc H2SO4 or a column of anhydrous calcium sulfate.
Handling, Storage, and Precautions: colorless, odorless gas which is dangerous to respiration at high concentrations; TLV = 5000 ppm.
Carbon dioxide inserts readily into metal-carbon bonds with two possible outcomes (eq 4).5 By far the most familiar and common pathway is the formation of a new carbon-carbon bond leading to a carboxylic acid, as in the very familiar reactions6 of Grignard reagents and organolithium compounds (eqs 5 and 6),7,8 although care must be taken to use low temperatures and an excess of CO2 in order to avoid further reaction of the product with additional reagent.
Carboxylation of Ketone Enolates and Other Carbanions.
Yields are only poor to fair in most cases, probably because of the competing formation of enol carbonates27 which decompose to the parent ketone on workup and/or the instability of the b-keto acid products. The successful trapping of enolates from Li/NH3 reduction of enones (eq 17)26,28 and n-butylthiomethylene ketones (eq 18)29 has been reported.
Preparation of Dialkyl Carbonates, Urethanes, and Ureas.
N,N�-Carbonyldiimidazole; Diethyl Carbonate; Methyl Magnesium Carbonate; Methyl Chloroformate; Methyl Cyanoformate.
1. Organic and Bio-organic Chemistry of Carbon Dioxide; Inoue, S.; Yamazaki, S., Eds.; Halstead: New York, 1982.
2. Lindsey, A. S.; Jesky, H. CRV 1957, 57, 583.
3. Behr, A. Carbon Dioxide Activation by Metal Complexes; VCH: Weinheim, 1988.
4. Nierenstein, M.; Clibbens, D. A. OSC 1943, 2, 557.
5. Ref. 3, pp 25-67.
6. Kharasch, M. S.; Reinmuth, O. Grignard Reactions of Nonmetallic Substances; Prentice Hall: New York, 1954, pp 913-947.
8. Pearson, D. E.; Cowan, D. OSC 1973, 5, 890.
9. Kolomnikov, I. S.; Stepovska, G.; Tyrlik, S.; Vol'pin, M. E. JGU 1974, 1710.
10. Santi, R.; Marchi, M. JOM 1979, 182, 117.
11. Inoue, S.; Yokoo, Y. JOM 1972, 39, 11.
12. Normant, J. F.; Cahiez, G.; Chuit, C.; Villieras, J. JOM 1973, 54, C53.
13. (a) Beak, P.; Snieckus, V. ACR 1982, 15, 306. (b) Beak, P.; Meyers, A. I. ACR 1986, 19, 356.
14. Gschwend, H. W.; Rodriguez, H. R. OR 1979, 26, 1.
15. Snieckus, V. CRV 1990, 90, 879.
16. Trost, B. M.; Rivers, G. T.; Gold, J. M. JOC 1980, 45, 1835.
17. Loewenthal, H. J. E.; Schatzmiller, S. JCS(P1) 1976, 944.
18. Narasimhan, N. S.; Mali, R. S. Top. Curr. Chem. 1987, 138, 63.
19. Mori, H.; Yamamoto, H.; Kwan, T. CPB 1972, 20, 2440.
20. Corey, E. J.; Chen, R. H. K. JOC 1973, 38, 4086.
21. Tirpak, R. E.; Olsen, R. S.; Rathke, W. JOC 1985, 50, 4877.
22. Haruki, E.; Arakawa, M.; Matsumura, N.; Otsuji, Y.; Imoto, E. CL 1974, 427.
23. Stiles, M. JACS 1959, 81, 2598.
24. (a) Matsumura, N.; Sakaguchi, Y.; Ohba, T.; Inoue, H. CC 1980, 326. (b) Tsuda, T.; Chujo, Y.; Hayasaki, T.; Saegusa, T. CC 1979, 797. (c) Matsumura, N.; Ohba, T.; Inoue, H. BCJ 1982, 55, 3949. (d) Sakurai, H.; Shirahata, A.; Hosomi, A. TL 1980, 21,	1967. (e) Matsumura, N.; Asai, N.; Yoneda, S. CC 1983, 1487.
25. (a) Cardwell, H. M. E.; Cornforth, J. W.; Duff, S. R.; Holtermann, H.; Robinson, R. JCS 1953, 361. (b) Wenkert, E.; Jackson, B. G. JACS 1959, 81, 5601.
26. (a) Stork, G.; Rosen, P.; Goldman, N.; Coombs, R. V.; Tsuji, J. JACS 1965, 87, 275. (b) Caine, D OR 1976, 23, 1.
27. Caine, D. In Carbon-Carbon Bond Formation; Augustine, R. L., Ed.; Dekker: New York, 1979; Vol. 1, p 258, footnote 69.
28. (a) Spencer, T. A.; Weaver, T. D.; Villarica, R. M.; Friary, R. J.; Posler, J.; Schwartz, M. A. JOC 1968, 33, 712. (b) Spencer, T. A.; Friary, R. J.; Schmiegel, W. W.; Simeone, J. F.; Watt, D. S. JOC 1968, 33, 719. (c) Sharpless, K. B.; Snyder, T. E.; Spencer, T. A.; Maheshwari, K. K.; Guhn, G.; Clayton, R. B. JACS 1968, 90, 6874. (d) Czarny, M. R.; Maheshwari, K. K.; Nelson, J. A.; Spencer, T. A. JOC 1975, 40, 2079. (e) Afonso, A. JOC 1970, 35, 1949.
29. Coates, R. M.; Soweby, R. L. JACS 1971, 93, 1027.
30. Reiffers, S.; Wynberg, H.; Strating, J. TL 1971, 3001.
31. Corey, E. J.; Seebach, D. AG(E) 1965, 4, 1077.
32. (a) Walborsky, H. M.; Niznik, G. E. JACS 1969, 91, 7778. (b) Walborsky, H. M.; Morrison, W. H.; Niznik, G. E. JACS 1970, 92, 6675.
33. Bestmann, H. J.; Denzel, Th.; Salbaum, H. TL 1974, 1275.
34. Hoffman, W. A. JOC 1982, 47, 5209.
35. (a) Matsuda, H.; Ninagawa, A.; Nomura, R. CL 1979, 1261. (b) Ratzenhofer, M.; Kisch, H. AG(E) 1980, 19, 317.
36. Trost, B. M.; Angle, S. R. JACS 1985, 107, 6123.
37. (a) Cardillo, G.; Orena, M.; Porzi, G.; Sandri, S. CC 1981, 465. (b) Bartlett, P. A.; Meadows, J. D.; Brown, E. G.; Morimoto, A.; Jernstedt, K. K. JOC 1982, 47, 4013.
38. Tsuda, T.; Washita, H.; Watanabe, K.; Miwa, M.; Saegusa, T. CC 1978, 815.
39. Ogura, H.; Takeda, K.; Tokue, R.; Kobayashi, T. S 1978, 394.


text:
Macy Blackman
Bing Nathan
Ken "Snakebite" Jacobs
Larry Vann
Alfonzo Moret
Larry Vann has made an impressive mark on the Bay Area music scene over the years with his authentic, piercing, all-encompassing musical technique.
One listen to his compelling, penetrating and intoxicating grooves clearly demonstrates why he has been in such huge demand for sessions and tours with the likes of Elvin Bishop and Merl Saunders.
His top-notch drumming and percussion have garnered him popular and critical success throughout the United States and Europe, and Vann has also wowed critics and crowds alike with his sultry singing voice, buoyed by his melodic, inventive songwriting.
A professional performer since age 15, Vann draws from a deep well of musical influence, including gospel, blues, funk, jazz and soul. These various genres have collectively shared his unique sound, his groove "brand," which is in full display in his performances and music recordings.
Vann's resume reads like a "Who's Who" list, having toured and recorded with those musicians listed above, as well as The Whispers, Martha Reeves, The Marvalettes, Charles Brown, Buffy Saint-Marie, Randy Crawford, and many more. His work with the popular San Francisco Bay Area Blues Group, Ron Thompson and the Resistors contributed to the band earning two Bay Area Music Awards (BAMMY). His world tours with jazz pianist, Brian Auger, and blues harp legend, Charlie Musselwhite, round out a phenomenal career of music-making.
Vann's honors include The Blues Society's West Coast Hall of Fame, "Blues Drummer of the Year" award and The Jazz Institute's "Man of the Year" award. He has also had the honor of serving as a Governor on the Governing Board of the San Francisco chapter of The Recording Academy® (GRAMMY).


text:
Kevin Arthur Moore (born 29 July 1990) is a sprinter competing internationally for Malta. He initially represented Australia before switching allegiance to Malta, the country of birth of his late father, where Kevin also lived for the first six years of his life. He competed in the 400 metres at the 2013 World Championships without advancing from the first round.

In June 2016, he tested positive for three illegal substances and was banned from competition for four years. His sanction lasted from 11 June 2016 until 24 September 2020.

He is of Greek Cypriot Australian descent, through his mother.

International competitions

1Representing Asia-Pacific

Personal bests
Outdoor
100 metres – 10.49 (0.0 m/s, Zürich 2014)
200 metres – 21.03 (-0.4 m/s, Zürich 2014)
400 metres – 46.13 (Sydney 2010)

References

External links

1990 births
Living people
Maltese male sprinters
Australian male sprinters
Athletes (track and field) at the 2010 Commonwealth Games
Athletes (track and field) at the 2014 Commonwealth Games
Commonwealth Games competitors for Malta
Maltese people of Australian descent
Maltese people of Greek Cypriot descent
People of Greek Cypriot descent
Australian people of Maltese descent
Australian people of Greek Cypriot descent
Commonwealth Games medallists in athletics
Commonwealth Games gold medallists for Australia
Doping cases in athletics
Maltese sportspeople in doping cases
Medallists at the 2010 Commonwealth Games

redpajama_set_name: RedPajamaWikipedia


text:
EU Surprises Itself by Agreeing to Pharma Rules
Applied Clinical Trials, Applied Clinical Trials-02-01-2004,
Columns | View from Brussels
Find out what the new EU framework entails; a think tank finds that too much health care energy is going into medicine.
They made it! Despite everything you may have read about the European Union being unable to agree on anythingfrom a new constitution to how to keep budgetary deficits in checkthe 15 current EU member states managed to agree just before the year-end on its new regulatory framework for pharmaceuticals. After more than two years debate, consensus was reached in late December on the major points of divergence among the key players. The result is that the new rules will come into effect about the same time that the 15-member EU enlarges to become a 25-member EU, with 10 new countries from the former Soviet bloc and the Mediterranean.
The new rules are extensive in their scope, so they will have many indirect effects on the clinical trials community. They also contain some specific changes that relate directly to clinical trials.
Comprehensive impact
First, the big picture. The likely principal consequence will be a more efficient authorization system for innovative medicines. The role of scientific advice in the authorization process will be strengthened, and in the European Agency for the Evaluation of Medicinal Products (EMEA), increased flexibility will come from the creation of different specialized groups and the possibility of using experts from outside the EU.
Erkki Liikanen, the European Commissioner responsible for the pharmaceutical industry, greeted the vote as an important day for European patients and the European pharmaceutical industry. He said it will ensure a high level of protection for public health, while improving access to medicines and boosting the competitiveness of the European pharmaceutical industry.
The basic principles of the existing system are retained, with the co-existence of two regulatory procedures, one centralized and one decentralized, based on mutual recognition. The changes will open the centralized procedure to new types of medicines: it will become mandatory for medicines to treat AIDS, cancer, diabetes, neurodegenerative disorders, and orphan diseases, and after four years this will be further extended to cover medicines for autoimmune and viral diseases. A general review clause could also allow for further extension to other conditions.
The new rules will also introduce a new fast-track authorization procedure for products of significant therapeutic interest. In addition, there is the possibility of a conditional one-year authorization where there is an important expected health benefit for the patients concerned, and a pan-EU compassionate use provision for products before authorization.
The fast-track registration procedure for these products of significant therapeutic interest is a mirror of the similar accelerated process in the United States. It will reduce review time by at least two months30 days faster than the U.S. system for priority review, claimed Liikanen.
The conditional marketing authorization will allow for a one-year authorization to be granted, provided that there is an important expected health benefit for the patients concerned, and provided the company agrees to carry out additional monitoring and clinical studies, which will be reviewed at the end of the year. The new provisions for compassionate use will allow the supply of medicines for compassionate reasons to a group of patients with a chronically or seriously debilitating disease or whose disease is considered to be life-threatening, and who cannot be treated satisfactorily by an authorized medicinal product. The medicinal product concerned must either be the subject of an application for a marketing authorization...or must be undergoing clinical trials.
According to Commissioner Liikanen, this will help to ensure that patients are not discriminated against on the basis, in particular, of the location of the clinical trials performed by a particular company. He said it will allow patients successfully treated in a clinical trial to continue treatment during authorization assessment.The changes should also improve the transparency of procedures and decision-making. More access will be provided to the results of the EUs decision-making process on pharmaceuticals.
And there will be some tighter monitoring of medicines on the market, in response to widespread criticisms of failings in the European system. Just before the final vote on the package of proposals, the influential European consumers association, BEUC, issued a statement claiming: Throughout Europe, only around 1025% of adverse reactions experienced by patients are reported to the relevant authorities. The system of reporting by health professionals is not working as it should. It is essential to allow patients to report directly about the side effects they experienced.
During the first five market years of a new medicine, side effects must be closely monitored, it went on. Often we do not know enough about the safety of a medicine until it has been exposed on a longer term to a much wider range of people than is possible through clinical trials. The surveillance of side effects will become even more important with new fast track procedures.
European citizens are being unnecessarily exposed to medicines that may not always be safe for them, said Jim Murray, BEUC Director, adding: It is in everybodys interest that medicines are closely monitored. The actual experience of patients is the first and essential step to a more effective monitoring system that facilitates swift action where necessary and better information sharing. Direct reporting of side effects would allow patients and doctors to make better choices.
Additional protection will be provided to data generated in support of marketing authorization applications. Protection of data submitted by companies for the approval of medicines will be harmonized so that it will not be possible to market generic copies of a product anywhere in the EU until 10 years have elapsed from its first EU authorization. This can be extended by an additional year if a further innovative indication for the medicine is authorized. One year of data exclusivity will also be granted on the studies that allowed the switch of medicinal products from prescription only to nonprescription status.
But there will be more vigorous competition from copy products, since the new rules will allow the generic pharmaceutical industry to start testing their products in Europe two years before the end of the data exclusivity period for the reference product.There will also be clearer rules for copyingwith new definitions of generic medicines and of biosimilars, as copies of biological products have been termed. Even the U.S.-based Biotechnology Industry Organization took the unprecedented step of issuing a comment on this aspect of the agreement.
President Carl B. Feldbaum said of the new rules requiring tests for biosimilars: The EU recognizes that biosimilars are different from existing biological therapies in terms of their raw materials and manufacturing processes and that even slight differences can significantly alter a biological therapys safety and effectiveness. Therefore, the EU will require companies that produce biosimilars to conduct appropriate tests. BIO supports the EU in its decision to require extensive tests for biosimilar medicines. Biological therapies are vastly different and more complex than conventional chemical drugs. As the EU correctly concluded, even slight changes in the therapies themselves or the processes used to create them can create significant differences in their safety and effectiveness. Without adequate clinical tests, patients cannot be assured that their biological therapies are safe and effective.
Clinical trials-specific
Greater focus on the quality of testing and trials will direct more attention to the conduct of clinical trials. The starting point for this initiative is agreement on the need to provide for the ethical requirements of the EU Clinical Trials Directive1 to apply to all medicines authorized in the EU.
So, the European Commission and the EMEA will be given additional responsibilities for checking on how industry and trial centers behave. They are to be given the task of coordinating the execution of the various supervisory responsibilities vested in the Member States, and in particular with the tasks of providing information on medicinal products and of checking the observance of good manufacturing, laboratory, and clinical practices.
The new rules will also lead to increased attention to the conduct of clinical trials outside the EU.
In particular, the new rules say,
with respect to clinical trials conducted outside the EU on medicinal products destined to be authorised within the EU, at the time of the evaluation of the application for authorisation, it should be verified that these trials were conducted in accordance with the principles of good clinical practice and the ethical requirements equivalent to the provisions of the directive.
Initial reactions
After vigorous debates in Europe over two years, which had increasingly focused on the question of intellectual property protection in a battle between the research-based and generic sectors of the pharmaceutical industry, the EU members agreement was met with an outbreak of unaccustomed consensus among most of the European lobby groups.
The principal associations representing the European biotechnology and innovative pharmaceutical industry were critical of concessions made to the copy industry, saying the signal given to research was not encouraging. But the criticism was mutedand Commissioner Liikanen said he was happy at their moderate reactions.
European producers of generic medicines endorsed the new rules. The European Generic Medicines Association said whilst there could be delays in patient access to affordable healthcare caused by increased periods of data exclusivity, the law will nonetheless create the foundation for a more efficient regulatory system for the authorisation of all medicines in the European Union.
It was among patient organizations and health insurance corporations that the most criticism emerged: they spoke of a sell-out to big pharmatheir term for the lobby of the international pharmaceutical industry. The European Medicines Forum, a coalition of health activists and patient groups, lamented what it claimed was the inadequacy of compassionate use provisions, the failure to give patients a bigger role in pharmacovigilance, and the huge costs that would result from allowing more intellectual property protection to big pharma. They were particularly hostile to the outrageous prolongation of clinical data protection.
An alternative voice
Meanwhile, at the same time the EU was agreeing its new pharmaceutical rules, an influential health-sector think tank in one of the most influential EU member states was expressing radically alternative views on the future of pharmaceutical research.
The UK Kings Fund put out a provocative report2 which claimed that research in the United Kingdomone of the European beacons of hope for the pharmaceutical industry-was badly focused and did not serve the interests of citizens. The current agreement between the U.K. government and the U.K. pharmaceutical industry is focused on the wrong areas, says the report: by concentrating on researching new medicines, it neglects some other research areas that may be potentially beneficial for promoting peoples health, such as alternative therapies. Research designed to protect and promote health currently attracts far fewer resources than research focused on the search for new pharmaceuticals.
In addition, the arrangement does not fully take the needs of some major groups, including children and older people, into account. The strategic objective should be shifted towards achieving better health for the U.K. population, the report says. A reshaping of the framework...is needed if users of the health care system are to get a better deal. It needs to be widened to include citizens and service users more effectively in decision-making, and to undertake research into areas of potential health benefit other than new forms of drugs treatment.
Among the Kings Funds proposed remedies: the roles of the private sector, public sector, the scientific and clinical professions and health service users need to be reworked; the benefits of expanding the public role needs examining in the areas of basic research, precompetitive research, neglected therapeutic areas, care delivery, and clinical research and trials in areas that attract no commercial funding; and the regulatory role should be modified to ensure openness, absence of bias, high scientific standards, and the promotion of trials that promise the greatest health gains.
It is a curious coincidence that just as the EU is agreeing on a new regulatory framework to promote a research-based pharmaceutical industry, influential figures in one of the most research-oriented EU member states should be arguing so forcefully for a diametrically opposed approach.
1. Directive 2001/20/EC of 4 April 2001 of the European Parliament and of the Council on the approximation of the laws, regulations and administrative provisions of the Member States relating to the implementation of good clinical practice in the conduct of clinical trials on medicinal products for human use.
2. Getting the right medicines?, Kings Fund, London, 2003.
View from BrusselsEMABlogsApplied Clinical Trials-02-01-2004
Cutting to the Chase on European "Safety Assessing Member States" in Clinical Trials
Asian Biotech Clinical Trial Demand Moves to the West


A Labour motion to kerb school parking and traffic problems was voted down by councillors.
A proposal to enforce 20mph zones and a range of safety measures outside of Northamptonshire schools failed to win the support of Conservatives at County Hall - even though one member revealed a man had been knocked over in his ward.
The Labour group's motion was voted down at the full council on Thursday (September 21).
It asked the authority to enforce 20mph limits outside schools, to prevent parking on corners, to introduce dropped kerbs and limit double parking.
It also called on new schools to be planned away from main roads and completed with marked drop-off points for parents.
Proposing it, Councillor Mick Scrimshaw (Lab, Northall), said: "I don't see anything in that that can't be supported by Northamptonshire County Council, or anything the county council can help with.
"Parking and schools and dropping off in the morning can be atrocious. It genuinely is a disaster waiting to happen.
"We can't just wait for that to happen."
But Conservatives felt the motion was too broad to support.
Councillor Adam Brown (Con, Bugbrooke) revealed a "young man" was knocked down outside of Campion School in Bugbrooke on "Monday last". The collision left the man with a concussion.
But he said he could not support the broad motion, despite acknowledging that traffic outside of schools was a genuine problem.
"While I do agree with the diagnosis of the events, I do believe the prescription leaves much to be desired," he said.
"Many of the measures outlined in the motion are already being undertaken through our Safer Routes to School programme."
A total of 208 schools in the county have already been surveyed as part of the scheme, the Councillor added, including Campion School.
Councilor Matthew Golby (Con, Duston and St Crispin) the cabinet member for children and young families, said he could not support the Labour motion, even though he agreed with the principle of making travel to school safer.
"When I first read this motion I wanted to find a way of agreeing with it," he said.
"But when you break it down it covers all sorts of areas that are not our responsibility."


Meet Rick - Lawson Construction Inc.
Rick started in construction in Colorado in 1974, doing commercial construction, and spent 2 years on a union job building a power plant for the federal government. He moved to San Diego in 1977, and for the next 12 years moved up the ranks, from carpenter to foreman. His first job was building the Jack in the Box in Rancho Bernardo.
Other projects followed, including commercial and government work; restaurants, gas stations, and notably the El Cajon Transportation Center and a 76,000 square foot project at the Del Mar Trade Pavilion at the fairgrounds. Another noteworthy project was the biggest gas station at the time in Chula Vista, on H Street east of the 805. The gas station included 12 islands.
One change of company followed, and in 1989 Rick's brother Mike moved down from Santa Barbara and started work with a custom home builder. Rick went to work for him and helped him run his projects. As the "brains of the company", Mike & Rick decided to go it alone, and in January of '89 Rick got his license and started Lawson Construction. Mike followed Rick as a partner in June of '89.
Their first project was a 1200 square foot addition in Poway that was right next to the middle school. Unbeknownst to them, every single parent dropping off a kid drove by their project. The result; a snowball of clients in the Poway area and a steady stream of repeat customers continuing to this day.
"We are on every single project.
We don't sit in an office.


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Maine is one of the most heavily forested states in the nation, containing over 17 million acres of natural beauty, hikes, and magnificent summer scenic drives. One of the drives is nicknamed "The Lakes and Leaves" and Iíve chosen it because itís especially stunning in fall foliage season.
The "Lakes and Leaves" route follows a 218-mile loop through central west Maine along the lower western shore of Moosehead Lake, and then runs parallel with the tree-lined banks of the Kennebec River. Itís best experienced over a few days rather than a one-day excursion trip, and lodging reservations are recommended during the popular fall foliage season.
In the first part of the tour youíll wind your way towards the town of Greenville on the southern tip of Moosehead Lake. Begin the tour in the town of Skowhegan by taking Route 150 to Route 151 in Athens. Follow Route 151 west to Newport where youíll pick up Route 7 to Dover-Foxcroft. Take Route 6 to Guilford, and then follow Route 6/15 north to Greenville.
At Greenville stop and relax for a bit. Greenville is a center for those seeking the pastimes of hunting, fishing, hiking and boating in the area. Itís also home to a number of attractions in the area. One such attraction is the 110-foot SS Katahdin, a popular steamship that cruises on Moosehead Lake during the summer and through fall foliage. It leaves from the center of Greenville. The views from the ship are dramatic and worth the extra scheduling preparation.
The Greenville area also boasts splendid hikes along the close-by Appalachian Trail, and is the preferred stop over town in the area if youíre intending to do any of the excursions over multiple days. Like most lodging in New England during the fall season… book early.
The scenic drive continues along Route 6/15 passing Big Squaw Mountain and Ski Area on the left, and winding along the Moosehead Lake shore to the village of Rockwood. Once at Rockwood youíll see across the water the imposing Mount Kineo with its sheer cliff face rising over 700 feet from the deepest point in Moosehead Lake.
Stay on Route 6/15 and head west to Jackman. This 30-mile portion of the scenic drive is all about Maine wilderness. Youíll find plenty of opportunities to stop and admire the fall foliage views in the hills and on scenic lookouts across the lakes and ponds along the road.
Just south of Jackman Route 6/15 will connect with Route 201, and youíll follow Route 201 south towards The Forks along the National Scenic Byway. Jackman is a canoeing center, famous for the 42-mile Moose River Bow Trip. The canoe trip takes two or more days and is a favorite of outdoor enthusiasts. Itís one of the few remaining wilderness canoe trips in the Northeast, and organized tours are run by local operators.
The scenic drive continues south on Route 201 to Bingham. This stretch of the road follows the Kennebec River through Caratunk, offering magnificent views of the river and surrounding hills, and is one of the best fall foliage sections on this tour. Stop on occasions and marvel at the way the river has carved out such wonderful scenery for us to admire. If youíve got a camera – use it!
Unlike other scenic drives in New England this oneís main attraction is the natural rugged beauty of the Maine wilderness, rather than villages and towns or other historic monuments. This is a drive to build an outdoor vacation around, but it also makes an ideal fall foliage weekend jaunt.