IOM Panel Examines The Promise And Reality Of Telemedicine

first_imgInstitute of Medicine experts find that the continued integration of telemedicine into the health care system will face challenges in the years ahead. CQ HealthBeat: The Promise Of Telemedicine Runs Into Reality, IOM Panelists SayAn estimated 10 million patients in the United States are served by telemedicine each year, but expanding its reach further and making it an integral part of the health care system will remain a challenge without changes in reimbursement policies and state licensing, panelists said at an Institute of Medicine workshop Wednesday. Yet plenty of ideas abound, such as using relatively inexpensive personal devices like tablets or cell phones for increased remote monitoring of patients’ chronic conditions, or teledentristy for conducting dental examinations, or even telesurgery using robots directed by a surgeon at a remote console (Norman, 8/8).Meanwhile, in Kansas — Kansas Health Institute News: HIE Board Delays Decision On Turning Authority, Costs Over To StateAfter nearly four hours of discussion today, the board responsible for regulating digital health information exchange in Kansas postponed its vote on a proposal to dissolve and turn its regulatory authority over to a state agency. Instead, members of the Kansas Health Information Exchange board decided to form a committee to develop a list of the dissolution proposal’s pros and cons and return with a recommendation for the board to consider at its Sept. 12 meeting. The proposal to fold KHIE’s functions into the Kansas Department of Health and Environment would eliminate more than half of KHIE’s $400,000 projected annual costs and transfer the rest to taxpayers (Cauthon, 8/8). IOM Panel Examines The Promise And Reality Of Telemedicine This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.last_img read more

Read More »

Presidential Campaign Keeps Focus On Medicare

first_imgPresidential Campaign Keeps Focus On Medicare GOP presidential hopeful Mitt Romney and his running-mate pick Paul Ryan are taking their Medicare message to New Hampshire today. Meanwhile, President Obama blasts the Republican ticket on its Medicare plan. The Associated Press/Washington Post: Romney And Ryan To Hold Town Hall Meeting With NH Voters To Explain Medicare PlansMitt Romney and Paul Ryan are ready to face New Hampshire voters and answer their questions, especially about the Republican plan for Medicare that has left some seniors skittish. Romney and Ryan on Monday will try to explain to voters — particularly seniors, who reliably cast ballots — that their proposal to offer a private alternative to Medicare would not affect anyone over age 55. Some 14 percent of New Hampshire residents are over the age of 65, and this state, which holds the nation’s first presidential primary, is known for its voters’ sharp questioning of candidates during such town hall-style events (8/20).The Hill: Romney Campaign Keeping Debate Over Medicare On Center StageIt’s supposed to be the Democrats’ signature issue, but Medicare has risen to the forefront of this year’s presidential race largely because Mitt Romney’s campaign has put it there. On the Sunday political shows, surrogates for the GOP presidential hopeful amplified their attacks on President Obama’s Medicare plans, saying the Democrats’ reforms will gut the popular seniors program leaving it up to Republicans to save it. That twist on the usual Washington refrain – Democrats for decades have accused Republicans of wanting to dismantle Medicare – combined with the aggressive nature of the GOP’s messaging campaign, all but ensure that the issue will remain in the headlines in the run up to election day (Lillis and Muñoz, 8/19).The Hill: Romney Camp: Obama Cuts Forcing Some Seniors Out Of MedicareTop Romney adviser Eric Fehrnstrom on Sunday defended the campaign’s claims that President Obama “raided” billions from Medicare to fund his healthcare reforms and argued that some seniors were being forced to look elsewhere for coverage because of the cuts. “In order the pay for ‘ObamaCare,’ he raided the Medicare piggy bank, took $700 billion out of the Medicare program and shifted it to ObamaCare [and] that’s wrong,” Fehrnstrom said on CNN’s “State of the Union” (Muñoz, 8/19).The Wall Street Journal: Ryan Makes Case For Medicare OverhaulThe Romney-Ryan Medicare plan isn’t just political rhetoric, Paul Ryan said Saturday. It is a promise to his mother. “I want to introduce you to my mom, Betty. She’s why I’m here,” Mr. Ryan told the senior-dominated crowd that filled the town square of this sprawling retirement community. At the end of a week that saw both presidential campaigns argue that their opponents would gut Medicare, the Republican vice-presidential candidate came to this GOP stronghold to make a personal pitch for his vision for the health-care program for the elderly and disabled (Nelson, 8/18).Los Angeles Times: Paul Ryan Warns Florida Seniors Of Medicare RationingDiving deeper into the Medicare fight, Republican vice presidential candidate Paul D. Ryan warned seniors Saturday that a key cost-control measure in President Obama’s healthcare law would lead to rationing of their medical care (West, 8/18).National Journal: Paul Ryan Makes An Emotional Pitch For Medicare Plan In FloridaIn front of thousands of Florida seniors, Republican vice presidential hopeful Paul Ryan made a highly emotional appeal for his Medicare reforms and slammed a 15-member board charged with slowing the cost growth of the popular entitlement program. Ryan had some help from his mother, 78-year-old Betty Douglas, a part-time Florida resident who appeared on stage with him as he began his speech and was the center of the argument he made that Republicans are trying to keep Medicare solvent for future generations (Kaplan, 8/18).Reuters: Ryan Puts Personal Spin On Medicare DebateRepublican vice presidential candidate Paul Ryan on Saturday put a personal spin on the debate over Medicare, bringing his 78-year-old mother on stage at a speech to seniors in Florida where he vowed to safeguard the health insurance program for the elderly. Under attack by Democrats for his budget cost-cutting plan that proposes a major transformation in how Medicare works, Ryan has gone on the offensive, charging that President Barack Obama would take billions from Medicare to pay for his 2010 health care reform law (Selyukh, 8/18).The New York Times: Both Campaigns Seize Role Of Medicare Defender Mr. Ryan, who has proposed a controversial voucher program for Medicare, accused Mr. Obama of being the bigger threat because of savings wrung from the growth of spending in the program contained in the president’s health care overhaul of 2010. … President Obama, campaigning in New Hampshire on Saturday, dismissed the Romney campaign’s tactics on Medicare, saying that it was Mr. Romney and Mr. Ryan who threatened the program. “Now you think they’d avoid talking about Medicare, considering both of them have proposed to voucherize the Medicare system,” Mr. Obama said. “They want seniors to get a voucher to buy their own insurance, which would force seniors to pay an additional $6,400 for their health care.” (Gabriel and Cooper, 8/18). The Washington Post: Obama Slams Romney, Ryan On Tax Rates, Medicare In Stops In New Hampshire Obama said that rather than focus on their economic plans, Romney and Ryan have tried to change the subject, concentrating instead on Medicare. … “But I guess they figure the best defense is to try to go on offense,” Obama said, adding that the Romney-Ryan plan undoes the Medicare guarantee. “So here is the bottom line: My plan saves money in Medicare by cracking down on fraud and waste and insurance company subsidies. And their plan makes seniors pay more so they can give another tax cut to millionaires and billionaires” (Henderson, 8/18). Los Angeles Times: Obama Tees Off On Ryan’s Tax And Medicare ProposalsPresident Obama took aim at Rep. Paul D. Ryan’s tax proposals Saturday, slamming the Republican vice presidential candidate for a 2010 budget plan that he said would have eliminated almost all federal taxes for wealthy investors like his running mate, Mitt Romney. In a campaign marked by growing vitriol, Obama also accused his opponents of being dishonest in the debate over Medicare, the government health plan for seniors and the disabled (Parsons, 8/18). This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.last_img read more

Read More »

Viewpoints The DEAs Role In The Opioid Epidemic What About Patient Zero

first_img An annual report from the Centers for Disease Control and Prevention put St. Louis at the top spot in the nation last year for spreading two pernicious, sexually transmitted diseases — diseases that should be easily preventable if the city promoted better sex education, more disease testing and increased public awareness about the importance of condoms. (10/30) The Washington Post: Is The DEA Partly To Blame For The Opioid Epidemic? Destructive and persistent, the epidemic of opioid addiction is also deeply ironic: Unlike previous drug scourges in U.S. history, this one spread via perfectly legal channels. Millions of people were introduced to addictive pain-killing medications by doctors’ prescriptions, filled at pharmacies, ultimately supplied by pharmaceutical manufacturers. All of this went on in one of the most heavily regulated sectors of the U.S. economy — health care — which is supervised by a veritable army of officials working for dozens of agencies, state and federal. (10/30) The New York Times: The Ethics Of Hunting Down ‘Patient Zero’ A couple of weeks ago, the big insurance company Anthem decided that it wouldn’t pay for Exondys 51, a drug that already had been approved by the Food and Drug Administration to treat Duchenne muscular dystrophy. Anthem’s decision was controversial, because two other insurers had said they’d cover the treatment for their patients. But it was less controversial than it could have been for two reasons: The drug costs $300,000 a year, and the evidence that it works is almost laughably thin. To put it another way, Anthem’s decision undoubtedly infuriated advocates for DMD patients, but it may well have been the right call. (Michael Hiltzik, 10/28) The alleged “Patient Zero” of the American AIDS epidemic — a French Canadian flight attendant named Gaétan Dugas, who died of AIDS in 1984 — was exonerated last week. Genetic sequencing of blood samples stored since the 1970s showed that the strain infecting him had circulated among gay men in New York for several years before he arrived here in 1974. Therefore, although he had hundreds of sexual partners in several cities, he did not introduce the virus to North America; he was a victim before he was a vector. (Donald G. McNeil, 10/29) The Courier-Post: Is It A Sinus Infection Or A Cold? It’s that time of year when many people experience cold and sinus infections. Telling them part determines how each illnesses is treated. Each year, about 31 million people experience sinus infections, usually caused by bacteria growing in the sinuses, the bony cavities found behind the nose, eyes, brows, and cheekbones. Typically, a cold or allergy attack causes mucous membranes in the sinuses to swell and block the tiny openings into the sinuses, which interferes with their ability to drain. (Nathan Deckard, 10/28) Columbus Dispatch: Emergency Medicine: Patient’s Heart Trouble Points To Greater Worry Kansans in the mental health community are coming together to preserve our state’s mental health safety net in the face of a $30 million budget shortfall. Many Kansans — more than 126,000 — live with a serious mental illness. As policymakers, advocates and providers work to maintain core services and contain costs, it is important to consider a strategy for those with mental illness to live longer, healthier lives: helping them quit smoking. (Kimber Richter, 10/30) If a patient came to my clinic and asked if it’s OK to smoke marijuana, I would explain why it’s a poor decision for their health. However, on Nov. 8, I will vote yes on Question 4 to legalize recreational marijuana in Massachusetts. This is because I have seen a much more frightening public health crisis up close: the devastating effects of mass incarceration for drug offenses. Rising prison populations constitute a major threat to public health and I believe the costs of incarceration for patients and communities simply outweigh the dangers of marijuana. (Akshar Rambachan, 10/28) Modern Healthcare: Some Hospital Systems Pioneer Transparent Pricing, But Industrywide Progress Is Slow There are so many times that we have to count on indirect methods to build evidence to make a diagnosis. For example, we count on an elevated white blood cell count to suggest infection or shadows on a chest X-ray to gauge the size of the cardiac silhouette. But we cannot differentiate between heart enlargement and fluid around the heart, and we read electrical impulses on an EKG and recognize a pattern that is suggestive of one diagnosis or another. This all changed with the addition of ultrasound. (Diane Gorgas, 10/30) This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.center_img Presidents George W. Bush and Obama have warned that keeping nuclear missiles on hair-trigger alert is reckless. There have been multiple near-misses and near-launches — cases where confusion or computer glitches forced leaders to make decisions in just a few sweaty, terrifying minutes about whether to Release the Kraken. And yet, in a failure of imagination and leadership, nothing has been done. Control of this God-like power will soon be transferred to a new president. But do we really want to trust anyone with this situation? (Matt Bivens, 10/28) There are a small but growing number of health systems around the country that are thinking “more like retailers” and establishing clear pricing strategies to compete for consumers who face rising out-of-pocket costs under high-deductible health plans, according to a new report from the PwC Health Research Institute. … Some policymakers believe new laws and regulations are needed to prod healthcare providers to move more rapidly on price transparency. If more consumers were demanding upfront price information to facilitate comparison shopping, that might do the trick. But so far, to the bewilderment of many experts, they are not. (Harris Meyer, 10/27) Stat: It’s Time For Primary Care Providers To Embrace Treating Addiction Kansas City Star: Myths About Quitting Smoking Harm Kansans With Mental Illness Miami Herald: “Patient Zero” Didn’t Exist, But AIDS Is Still An Epidemic WBUR: I Advise My Patients Against Marijuana, But Here’s Why I’ll Vote To Legalize It  Thanks to some scientific sleuthing, that rap has been laid to rest. Patient Zero never existed. In fact, Dugas’ “zero” designation in popular culture was a solecism propagated in no small part by the author Randy Shilts in “And the Band Played On,” his book about the AIDS crisis. In fact, Dugas had been assigned the letter O, not a number, by a scientist at the Centers for Disease Control and Prevention (CDC). The letter denoted that Dugas was from “outside Southern California,” nothing more. (Mary Sanchez, 10/30) Many primary care practitioners have been avoiding the battle against opioid addiction and opioid overdoses. But they shouldn’t. Embedded in their communities, primary care doctors and nurses are perfectly positioned to treat addiction and champion care for those struggling with the use of opioid pills or heroin. Our expertise is in getting to know our patients and providing longitudinal care for those with chronic conditions like heart disease and diabetes — and addiction. (Julian A. Mitton, 10/28) Viewpoints: The DEA’s Role In The Opioid Epidemic; What About ‘Patient Zero’? A selection of opinions and editorials from around the country. St. Louis Post-Dispatch: The Statistics Don’t Lie. St. Louisans Need To Have The Condom Conversation. WBUR/CommonHealth: Doctors’ Group: Neither Candidate Should Have Finger On Hair-Trigger Nukes Los Angeles Times: To Appease A Patient Lobby, Did The FDA Approve A $300,000 Drug That Doesn’t Work? last_img read more

Read More »

Deutsche Bank slashes 18000 jobs exits equities business in most radical revamp

first_img Facebook 7 Comments Featured Stories Twitter More Bloomberg News Sponsored By: July 8, 20197:13 AM EDT Filed under News FP Street What you need to know about passing the family cottage to the next generation Deutsche Bank AG twin tower headquarters in the financial district of Frankfurt, Germany. Deutsche Bank AG’s radical overhaul that will see the lender exit its equities business, post a 2.8 billion-euro (US$3.1 billion) second-quarter loss and cut the workforce by a fifth to reverse a slide in profitability.Alex Kraus/Bloomberg Steven Arons and Nicholas Comfort Email Deutsche Bank slashes 18,000 jobs, exits equities business in most radical revamp in decades Restructuring broader than expected, but analysts say the newly announced targets will be tough to achieve ← Previous Next → advertisement “Today we have announced the most fundamental transformation of Deutsche Bank in decades,” Sewing said in a statement on Sunday. “We are tackling what is necessary to unleash our true potential.”The scale of the revamp underscores the failure of Sewing and his recent predecessors to solve the fundamental problem: costs were too high and revenue too low. After government-brokered merger talks with Commerzbank AG collapsed in April, the CEO had few alternatives to bolster market confidence. His plan was approved by the board at a meeting Sunday. Banks worldwide spend US$1 trillion on digital, but few benefit, study finds Desjardins says rogue employee caused data breach for 2.9 million members of Canada’s biggest credit union Bank of Montreal surpasses its U.S. growth target in only six months Some of the financial targets set out in the plan look overly optimistic and the goal of achieving a return on tangible equity of 8 per cent by 2022 looks “highly improbable,” Citigroup analysts including Andrew Coombs, Nicholas Herman wrote in a note to investors.Non-Core UnitAbout 74 billion euros of risk-weighted assets will become part of a new non-core unit and the lender’s capital buffer will be reduced as part of the plan. With the stock price down by half in the past two years, selling new shares wasn’t an option and the bank said it does not plan a capital increase to pay for the overhaul.Instead, Sewing is tapping into the bank’s capital cushion to fund what he’s billed as the bank’s biggest restructuring in decades —which means he needs to be strategic with the scarce financial resources he can generate. It will be the first time since at least 1993 that Deutsche Bank won’t distribute a dividend.DeparturesThe bank said retail chief Frank Strauss and Chief Regulatory Officer Sylvie Matherat, both board members, will leave this month. The departure of investment bank head Garth Ritchie was announced on Friday.Other executives will be on the rise. Stefan Hoops was named to oversee the new “corporate bank” unit that will combine the transaction bank and the lender’s corporate-clients unit. Three management board members where appointed: Christiana Riley is taking over responsibilities for the Americas, Bernd Leukert, formerly of SAP AG, will join Sept. 1 and be responsible for data and innovation. Stefan Simon will become chief administrative officer and oversee regulatory and legal affairs.The investment bank is the focus of the overhaul. The unit, which accounts for roughly half of Deutsche Bank’s revenue and which was the cause of its decline, will be broken in two.Deutsche Bank’s plan to downsize its investment bank, revamp management and cut costs while investing in controls and technology could open the most promising path yet to boosting profitability, according our early analysis, after years of piecemeal changes that failed to deliver. Execution will be critical, with added details sought July 8.Deutsche Bank is accelerating its shift away from institutional trading clients, like hedge funds and asset managers, and will instead focus on servicing big companies, offering them cash management, trade finance and hedging.The change is designed to accelerate the shift away from acting as the first port of call for institutional clients such as asset managers and hedge funds toward selling cash management, trade finance and hedging products to corporate clients. The new division, headed by Hoops, will be at the heart of the lender’s future business model.“We remain committed to our global network and will help companies to grow and provide private and institutional clients with the best solutions and advice for their respective needs – in Germany, Europe and around the globe,” Sewing said on Sunday. Bloomberg.com Recommended For You’We were experiencing headwinds’ — Canopy Growth stock heads south on poor sales ramp-upDefining the future of Canadian competitiveness: How partnerships between industry and educational institutions can help lead the way forwardTrans Mountain construction work can go ahead as National Energy Board re-validates permitsDavid Rosenberg: Deflation is still the No. 1 threat to global economic stability — and central banks know itBank of Canada drops mortgage stress test rate for first time since 2016 Reddit Comment Share this storyDeutsche Bank slashes 18,000 jobs, exits equities business in most radical revamp in decades Tumblr Pinterest Google+ LinkedIn Deutsche Bank AG unveiled a radical overhaul that will see the lender exit its equities business, post a 2.8 billion-euro (US$3.1 billion) second-quarter loss and cut the workforce by a fifth to reverse a slide in profitability.Chief Executive Officer Christian Sewing will shelve the dividend this year and next and take restructuring charges of 7.4 billion euros through 2022 to pay for an overhaul that shrinks the German lender’s once-mighty investment bank along with its global footprint and key fixed-income business.Deutsche Bank shares were down 0.7 per cent in Frankfurt trading as of 12:35 p.m. after climbing as much as 4.4 per cent earlier. The lender’s riskiest bonds also reversed earlier gains, with perpetual notes down about 0.5 euro cents to around 90 cents on the dollar and notes callable in 2022 down 0.4 cents. Analysts said that while the restructuring was broader than expected, the newly announced targets will be tough to achieve.A man holds bags and suit carriers as he leaves the offices of Deutsche Bank AG in London, U.K., on Monday, July 8. Deutsche Bank announced a sweeping turnaround plan that will cut the workforce by a fifth. Jason Alden/Bloomberg Join the conversation →last_img read more

Read More »

Canada Goose to open new factory in Quebec as profit beats expectations

first_img Join the conversation → Canada Goose to open new factory in Quebec as profit beats expectations 650 new jobs by the end of 2020 Facebook The Canadian Press advertisement February 14, 20197:18 AM ESTLast UpdatedFebruary 14, 20197:28 AM EST Filed under News Retail & Marketing Recommended For YouWall Street hits record high on rate cut optimismU.S. appeals court judges spar with Trump lawyer over bid to block House subpoenaU.S. oil drillers cut rigs for second week in a row -Baker HughesBoeing 737 MAX to remain off United Airlines’ schedule until Nov. 3U.S. oil drillers cut rigs for second week in a row -Baker Hughes Reddit ← Previous Next → More 1 Commentscenter_img Sponsored By: Featured Stories What you need to know about passing the family cottage to the next generation Twitter Employees work on Canada Goose jackets at the factory in Toronto. The parka maker is opening a new factory in Quebec.Canadian Press Comment Email Share this storyCanada Goose to open new factory in Quebec as profit beats expectations Tumblr Pinterest Google+ LinkedIn MONTREAL — Canada Goose Holdings Inc. says it will open a new factory in Quebec, its second in the province.The production facility will be located in Montreal and is expected to employ more than 100 people by the end of March, and grow to 650 new positions at full capacity by the end of 2020.The announcement came as the luxury parka maker reported a profit of $103.4 million or 93 cents per diluted share for the quarter ended Dec. 31, up from a profit of $63 million or 56 cents per diluted share in the same quarter a year earlier.Revenue in what was the company’s third quarter totalled $399.3 million, up from $265.9 million.Analysts on average had expected a profit of 81 cents per share for the quarter, according to Thomson Reuters Eikon.Canada Goose also raised its guidance for revenue and profit for its 2019 financial year.It now expects revenue growth in the mid-to-high 30s on a percentage basis, compared with earlier expectations for at least 30 per cent.Annual growth in adjusted net income per diluted share is also now expected to grow in the mid-to-high 40s on a percentage basis, compared with earlier expectations for at least 40 per cent. last_img read more

Read More »

WatchFP Live Everything you need to know about Federal Budget 2019

first_img Facebook Join us live for breaking commentary on Federal Budget 2019 — what it means for small business, innovation and your wallet.Live stream starts at approximately 4 p.m. Financial Post Staff Email 9 Comments Twitter Reddit March 19, 20194:09 PM EDT Filed under News Economy More Share this storyFP Live: Everything you need to know about Federal Budget 2019 Tumblr Pinterest Google+ LinkedIn FP Live: Everything you need to know about Federal Budget 2019 Join us live now for breaking commentary on the federal budget — what it means for small business, innovation and your wallet Comment Join the conversation →last_img read more

Read More »

Cummins Reveals PowerDrive PlugIn Hybrid System

Cummins Reveals New Lithium-Ion Battery Lineup Cummins Acquires Electric Powertrain Supplier Efficient Drivetrains Author Liberty Access TechnologiesPosted on September 20, 2018Categories Electric Vehicle News Cummins introduces Hybrid PowerDrive at IAA.Right after acquiring Efficient Drivetrains, Cummins is moving forward with its intentions of electrification, presenting its new PowerDrive 6000 for plug-in hybrid trucks at the IAA in Germany.Cummins PowerDrive was developed for both configurations of plug-in hybrids – series (better at low-speed applications) and parallel (better at highway speeds). The example demonstration vehicle Class 6 (33,000 lbs / 15,000 kg) Kenworth T370 truck – equipped with PowerDrive 6000 and Cummins B6.7 diesel – offers up to 50 miles (80 km) of range, which is kind of an interesting proposition. It’s even better when you can use power export capability to power tools in the area, without running the engine.Latests Cummins actions According to the press release, there is potential to lower truck emissions by 80% and fuel costs by 40-80% depending on applications.Cummins is ready to offer battery and powertrain systems for all-electric and plug-in hybrid vehicles with AC and DC fast charging (level of 100 kW)..embed-container { position: relative; padding-bottom: 56.25%; height: 0; overflow: hidden; max-width: 100%; } .embed-container iframe, .embed-container object, .embed-container embed { position: absolute; top: 0; left: 0; width: 100%; height: 100%; }.embed-container { position: relative; padding-bottom: 56.25%; height: 0; overflow: hidden; max-width: 100%; } .embed-container iframe, .embed-container object, .embed-container embed { position: absolute; top: 0; left: 0; width: 100%; height: 100%; }Press blast:Cummins Debuts its Unique and Versatile Hybrid PowerDrive at IAA Commercial Vehicles ShowThe advanced suite of plug-in hybrid electric powertrain solutions further expands Cummins’ broad portfolioCummins Inc. (NYSE: CMI) unveiled the PowerDrive, an advanced suite of plug-in hybrid electric powertrain solutions spanning light, medium and heavy-duty applications, at the 2018 IAA Commercial Vehicle Show. This further expands Cummins’ broad portfolio of low emissions and fuel-efficient power solutions that includes clean diesel, near-zero natural gas, and fully electric to help each customer’s distinct needs.This unique hybrid system is centre stage at the Cummins booth in an electric hybrid utility truck, a Kenworth T370. As the most versatile hybrid system on the market today, the Cummins PowerDrive offers both parallel and series capabilities. The PowerDrive replaces the conventional transmission and switches in real time between two hybrid and two pure electric modes, optimizing the powertrain for the best fuel economics in any driving situation. The vehicle is also configured with exportable grid quality electric power to recharge vehicles and a recovery crane operating on either electric or engine power take-off.The Cummins PowerDrive system has travelled more than six million miles in a fleet setting in the United States and China, and work is underway to introduce it to the European market in the near future. Its flexible architecture means the PowerDrive system can be combined with various sizes of diesel or natural gas engines and battery pack outputs.“With a 100-year-long track record of powering our customers’ success, Cummins demonstrates once again that we are transforming the future of transportation by offering our customers the broadest and most cutting-edge power portfolio backed by our expansive service capabilities,” said Julie Furber, Cummins Executive Director of Electrified Power.“The Cummins PowerDrive is intelligent, versatile and compact, providing our on-highway customers the flexibility needed to meet the demands of their diverse jobs and markets. Cummins is ready to offer the new PowerDrive suite through our OEM partners. We look forward to discussing how the PowerDrive’s compact packaging envelope and weight saving benefits will enable OEMs to produce PHEV (plug-in hybrid electric vehicles) vehicles for diverse needs without compromising performance or range.”Cummins PowerDriveThe flexible hybrid architecture seamlessly shifts between pure electric for environmentally sensitive areas with a 50-mile (80 km) range and hybrid for jobs requiring more than 300 miles (480 km). It operates as a hybrid in either series or parallel configuration modes. Series is better suited to low road speeds such as urban driving (stop/start conditions), while parallel is ideal for higher road speeds on the highway. In a series hybrid, the electric motor is the only means of providing power  to the wheels. The motor receives electric power from either the battery pack or from the engine-generator. In a parallel hybrid, the engine and electric motor combine to provide the power that drives the wheels. The third mode of electric plus comes online when higher energy is required when the system senses gradient climbing or acceleration for overtaking.The future of transportation demands low emissions without comprising fuel economy or drivability, and the PowerDrive is designed to meet these needs. A US Class 6 truck powered by the PowerDrive with a 50-mile (80 km) electric range, realizes reduced emissions by up to 80 percent compared to conventional vehicles. Similarly, fuel costs are reduced by between 40 to 80 percent depending on the drive cycle.Electric Hybrid Utility Truck ProfileThe Cummins PowerDrive 6000 is paired with a Cummins B6.7 in the Kenworth T370, a US Class 6 truck. The vehicle’s gross weight is 33,000 lbs (15 mt gvw). The service vehicle was commissioned by Cummins to support EV and PHEV vehicle field tests and pilot routes. It showcases three vehicle charging stations (1: 100 kW fast charge and 2: 6.6 kW standard chargers) with direct charging cables from the truck to the PHEV or EV vehicle requiring charging. Source: Electric Vehicle News Cummins Acquires Brammo To Gain Access To Energy Storage Technology read more

Read More »

Watch SloMo Video Of Tesla Model 3 Crash Test Plus Bolt Comparison

Author Liberty Access TechnologiesPosted on October 10, 2018Categories Electric Vehicle News This is one of the most detailed videos you’ll find when it comes to the recent Tesla Model 3 crash tests by the NHTSA.Not long ago, the National Highway Traffic Safety Administration revealed that the Tesla Model 3 earned a perfect five-star crash test rating. This doesn’t just mean that the small electric sedan received five stars overall, but instead that it got five out of five stars in every single test. This is surely not unprecedented, as many other cars receive such a rating, but it’s exactly as CEO Elon Musk expected.Tesla Model 3 Crash Test Coverage: Source: Electric Vehicle News Not long after the initial announcement, Tesla shared that the Model 3 is actually the safest car ever tested, followed by the Model S and Model X. Since this follow-up announcement, there have been some mixed reports. We’ll have more details on surrounding our take on that later today, so stay tuned. In the meantime, check out the video and share your insight with us in the comment section below.Video Description via DPCcars on YouTube:There’s one area where the Tesla shines: crash safety tests conducted by the National Highway Traffic Safety Administration. And the Tesla Model 3 is no exception.The rear-wheel-drive version of the Tesla Model 3 earned an all-around five-star safety rating from NHTSA, the highest possible issued by the agency. These tests cover frontal, side and rollover crashes. The Model 3 received five stars in each category, as well as sub categories such as side barrier and pole crashes.Without a motor in the hood, there’s more room for a forward crumple zone. Tesla vehicles also tend to be resistant to rollovers because the battery pack is located at the bottom of the vehicle, giving it a low center of gravity. The risk of a rollover in a Tesla Model 3 is 6.6 percent, according to NHTSA.Bonus video below shows how the Model 3 fared as compared to the Chevy Bolt:.embed-container { position: relative; padding-bottom: 56.25%; height: 0; overflow: hidden; max-width: 100%; } .embed-container iframe, .embed-container object, .embed-container embed { position: absolute; top: 0; left: 0; width: 100%; height: 100%; }Video description:2018 Tesla Model 3Overall Front Star Rating 5 starCombines Driver and Passenger star ratings into a single frontal rating. The frontal barrier test simulates a head-on collision between two similar vehicles, each moving at 35 mph.Overall Side Star Rating 5 starCombines Side Barrier and Side Pole Star Ratings into a single side rating.Combined Side Barrier and Pole RatingsCombines the Side Barrier Driver and the Side Pole Star Ratings into a Front Seat rating. The Rear Seat rating is derived from the Side Barrier Rear Passenger rating.Front Seat 5 starRear Seat 5 starSide Barrier 5 starThe Side Barrier test simulates an intersection collision between a standing vehicle and moving barrier at 38.5 mph.Driver 5 starRear Passenger 5 starRollover Star Rating 5 starThe Rollover Resistance test measures the risk of rollover in a single-vehicle, loss-of-control scenario.2018 Chevrolet Bolt EVOverall Front Star Rating 4 starCombines Driver and Passenger star ratings into a single frontal rating. The frontal barrier test simulates a head-on collision between two similar vehicles, each moving at 35 mph.Overall Side Star Rating 5 starCombines Side Barrier and Side Pole Star Ratings into a single side rating.Combined Side Barrier and Pole RatingsCombines the Side Barrier Driver and the Side Pole Star Ratings into a Front Seat rating. The Rear Seat rating is derived from the Side Barrier Rear Passenger rating.Front Seat 5 starRear Seat 4 starSide Barrier 5 starThe Side Barrier test simulates an intersection collision between a standing vehicle and moving barrier at 38.5 mph.Driver 5 starRear Passenger 4 starOverall Side Pole Star Rating 5 starThe Side Pole Barrier test simulates a crash into a fixed object like a tree or utility pole.Rollover Star Rating 5 starThe Rollover Resistance test measures the risk of rollover in a single-vehicle, loss-of-control scenario. NHTSA On Tesla Model 3: Lowest Probability Of Injury Of Any Tested Vehicle Tesla Model 3 Gets 5-Star Safety Rating From NHTSA Watch These NHTSA Tesla Model 3 Crash Test Videos read more

Read More »

Consumer Reports Tests Teslas Navigate On Autopilot

first_imgTesla Navigate On Autopilot requires improvement to be better than drivers.Consumer Reports tested the latest Tesla Navigate On Autopilot feature near its Auto Test Center in Colchester, Connecticut and is impressed with its findings.However, the ability to do route-based lane changes or speed-based lane changes on the highway (as well as take an exit off the highway) was called more like a glimpse of future self-driving cars than a ready product (it’s a beta release).The Navigate On Autopilot brings not only a promise but also a new set of problems and some concerning limitations.See Also Watch Tesla Model 3 Navigate On Autopilot: New UI Images + Videos Consumer Reports noted:After speed-based lane change, the car stays in the left lane (what we saw from the beginning in many videos posted by users), which without driver intervention will turn Teslas into “the world’s worst left-lane hog”. It should be an easy fix for the next update we believe.The next problem is that sometimes the car would like to change lanes despite there being a faster-moving vehicle coming up alongside, that would be cut off. According to the article, Tesla intends to release an update that will use three rear-facing cameras to detect fast-approaching objects “better than the average driver.” But, as we understand, better than average is not necessarily as good as a good driver (time will tell).Test drivers noticed also that the Navigate On Autopilot works best in situations with minimal traffic and struggles in heavy traffic.“As the system currently stands, CR’s testers found it lagged behind their own skills while driving in heavy traffic. “Overall it works best in easy situations with minimal traffic,” Fisher says. “But as the traffic builds, it clearly displays the limitations of today’s technology.” Watch Tesla’s Demo Video For Navigate On Autopilot Tesla Increases Price Of Autopilot For After-Delivery Purchases Source: Electric Vehicle Newscenter_img Source: Consumer Reports Author Liberty Access TechnologiesPosted on November 6, 2018Categories Electric Vehicle News The last concern is highway exits when you drive behind a slower vehicle. CR experienced a situation when Navigate On Autopilot decided to overtake the truck, taking the left lane not far ahead of the exit, and because there was heavy traffic, later the Tesla needed to slow down. Normally, the driver would stay behind the truck and wait a while to take the exit smoothly and safely. Foresight is missing.“The system also had issues navigating interchanges: Not far before exiting a congested highway, the system recommended that the driver change lanes to pass a slower-moving truck instead of waiting to exit as most drivers would choose. But traffic was too heavy for the Tesla to complete the pass. Autopilot slowed the car considerably so it could drop back behind the truck and into the exit lane—which slowed traffic in the process.”“Tesla told us that its feature relies on many factors, including “the speed of the cars in your lane, the speed of the cars in the adjacent lane, the density of the cars in the adjacent lane, and the amount of time the car has to complete the lane change before the next route transition.” In certain “unlikely” situations, it might even slow the car to a complete stop, the Tesla spokesperson said.”“It was able to execute the exit, but it wasn’t pretty,” Fisher says. “It didn’t have the foresight to say, ‘With all this traffic, passing so close to the exit is not a smart thing.” In other words, technically we are probably still at least a couple updates before autonomous driving could be possible in the base case scenario – on the highway and in good weather.last_img read more

Read More »

Jaguar Now Sells Over 2000 IPACE Per Month

first_img Jaguar I-Pace Sales Skyrocket In U.S., But What’s A Stable Monthly Rate? Do we see another S-curve?Jaguar moves forward with production and deliveries of its most important model – the I-PACE, exceeding 2,000 units in November – just as we expected.The official numbers are 2,195 for the month (almost a thousand more than in October) and 4,663 so far this year.In November, I-PACE accounted for 14.7% of total Jaguar sales! The I-PACE is currently at about half of the two best-selling Jaguar models (E-PACE and F-PACE), which exceeded 4,000 last month.More about Jaguar I-PACE Jaguar I-PACE sales – November 2018 Author Liberty Access TechnologiesPosted on December 7, 2018Categories Electric Vehicle News 2019 Jaguar I-PACE: A Very Rare Extended Test Drive Source: Electric Vehicle News Jaguar I-PACE Shines In Netherlands With Over 600 Saleslast_img read more

Read More »

2019 Chevy Bolt Struts Its Stuff Impresses In Abu Dhabi

first_img Watch As Chevy Bolt EV Is Stripped Down For Cost Analysis Research Chevy Bolt Winter Fast Charging: Cold Versus Warm Battery: Video As The News Wheel reports:This year’s EVRT kicked off on Jan. 17 in Masdar City in Abu Dhabi and wrapped up Jan. 24 in Dubai. Stops along the way included Sheikh Zayed Abu Dhabi Grand Mosque, the Wadi Shab in Oman, and the Muscat eMobility Forum and Festival.Apparently, the Chevy Bolt encountered no problems and was very well received by the public. Therefore, that’s a win for Chevrolet.General Motors CommentsMolly Peck, chief marketing officer, General Motors Middle East, stated:“The Bolt EV’s real-world abilities were proven at last year’s EVRT Middle East; however, this time around it has displayed its capabilities on a road that’s demanding on any vehicle, let alone an EV. And I am proud to say that the Bolt EV finished with flying colors.”“As Chevrolet, we’re excited to take on any challenge and were delighted for the addition for EVRT for 2019. Breaking down consumer anxiety is key to driving EV adoption, so we are proud to once again support the road trip, which is exerting major effort in the Middle East’s future mobility revolution.”The route for this year’s event included the ascent up Jebel Jais in Ras Al-Khaimah, which climbs 1.2 miles above sea level. Apparently, in this area of the trip, the Bolt’s 266 lb-ft of torque was required. On the way down, the car’s strong regenerative braking was appreciated too. Therefore, acceleration and braking are equally important.As The News Wheel states:Perhaps most impressively, the Bolt’s Regen on Demand recouped around 58 miles’ worth of charge on the descent alone, helping maximize its already impressive range abilities. Regen on Demand converts kinetic energy into storable battery energy by holding a paddle on the steering wheel when decelerating.The Bolt is relatively new to Dubai, with deliveries beginning there is August 2018. Furthermore, the Bolt is considered the only affordable, long-range electric car available in the region. As a result, it is among the highest rated EVs in the Middle East. Hence, it’s a strong seller there too.Source: The News Wheel Tesla Model 3 Vs Chevy Bolt From An Owner’s Perspective Tested and proven in the heat of Abu Dhabi.The efficiency and performance capabilities of the 2019 Chevy Bolt were put to the test this month at the 2019 Electric Vehicle Road Trip.More Chevy Bolt News Source: Electric Vehicle News Author Liberty Access TechnologiesPosted on January 28, 2019Categories Electric Vehicle Newslast_img read more

Read More »

BMW Exec Discusses iNext Electric SUV Electric Cars

first_img BMW iNEXT Prototype Tested On Snow In Sweden New BMW i3s 120 Ah Winter Video Shows Socket In Hatch Electric BMW i4 Spied For First Time: Looks Ready To Roll For BMW, the safer, more conservative approach to electrification is the path the Bavarian carmaker is takingPieter Nota is not your usual automotive industry exec. After all, he joined BMW only a year ago as head of sales at the Bavarian carmaker. Furthermore, he doesn’t come from an automotive background at all. Nota cames from the consumer industry. However, with 30 years of experience at consumer giants Unilever, Beiersdorf and Philips, he comes with ample experience, but also, a sober view at the automotive industry. While he’s got his hands full battling the likes of Mercedes-Benz and Audi in the premium sector, Nota is also under attack from the likes of Tesla. After all, the electrification, alongside ever tighter emission rules, is coming at the automotive industry at an increased pace. And for the most part, BMW is somewhat lagging along.More about BMW i vehicles Author Liberty Access TechnologiesPosted on February 6, 2019Categories Electric Vehicle News Source: Electric Vehicle News While the interview given by Nota to AutoNews touches bases on several other items, one of the most interesting parts of the interview touches on the electrification process going on at the Bavarian carmaker. And According to the BMW head of sales,  electrification shows very different adoption levels across various markets. Even in Europe, the process is happening faster in areas like Norway, while others, like Italy for example, are slow to adopt the battery powered vehicle altogether. Even in Germany, large differences between some cities are present, prompting BMW to take a more cautious route towards electrification. And this is especially true as it remains rather difficult to forecast the penetration levels for EVs, prompting the Bavarian carmaker to take a more flexible strategy towards electrification.“Electrification shows very different levels of adoption across different regions and even within regions. It is very successful in Norway and less so in countries such as Italy. In Germany, for example, we also see big differences between cities, mainly due to infrastructure. It remains very difficult to forecast the penetration of electric vehicles, which is why flexibility is one of the pillars of our strategy.”Even though BMW already has several rather interesting electrified models available on sale right now, they aren’t able to convince anyone that the Bavarian carmaker is taking a more dedicated approach towards full battery-powered vehicles. Surely, the BMW iX3 and the BMW iNext will help, but overall, it seems way too little. And Note discusses just that, explaining the long-term strategic planning that is making the company take a safer, more cautious route towards electrification – unlike some other companies.Overall, the interview gives us a number of pretty detailed responses about several rather interesting matters. For example, Nota discusses the route manufacturers are forced to take in order to satisfy the ever stricter emission regulations, no matter what the cost may be. He also gives some depth towards the BMW iNEXT, explaining how it is designed to capture early adopters and drive them to the brand. Furthermore, it is revealed how the BMW iNEXT, in terms of size, will be just like the X5. And in turn, that means that BMW is going after the newly released Audi e-tron, but also, the Mercedes-Benz EQC with this vehicle.BMW iNEXT undergoes winter trial testsHowever, to some, the most interesting tidbits are revealed when the conversation steers towards the BMW M and BMW i subbrands. After all, ‘M underlines the sporty aspect of the brand while i emphasizes the innovative aspect, which is something that will continue in the future.’ Whether that means we’ll see a fully battery powered BMW M3 anytime soon, is anybody’s guess. Nevertheless, we feel that some hybridization of the most performance oriented models from the Bavarian carmaker’s range, will surely happen in the forthcoming years. If not earlier.Overall, this is one of the most interesting & detailed interviews lately. It gives us a broad range of subjects, but overall, paints a pretty good picture in what direction is the Bavarian carmaker headed as far as their upcoming EV models, but also, the overall strategy planning is headed. While we don’t get clear-cut answers to some questions, BMW is seemingly taking the safe approach which will allow them to build and sell both ICE (Internal Combustion Engine) and battery-powered vehicles for years to come. Whether that’s a good strategy, we’ll have to wait and see. Meanwhile, take a look at the interview right here.last_img read more

Read More »

After its 261 electric bike Xiaomi is back with new 50 mile

first_imgSource: Charge Forward Xiaomi is better known for its wide range of electronics products, including everything from smartphones to vacuum cleaners. After getting its feet wet last year with the company’s first pint-sized electric bike, Xiaomi is back with a bigger and better model for 2019. more…Subscribe to Electrek on YouTube for exclusive videos and the podcast.https://www.youtube.com/watch?v=xVp0Cr2Pg4gThe post After its $261 electric bike, Xiaomi is back with new 50 mile e-bike for $375 appeared first on Electrek.last_img read more

Read More »

Teslas battery research group files new patent that could help prevent cell

first_imgSource: Charge Forward Tesla’s battery research group in Canada has filed a new patent application for a way to analyze an electrolyte in a lithium cell, which could help prevent cell failure. more…Subscribe to Electrek on YouTube for exclusive videos and subscribe to the podcast.https://www.youtube.com/watch?v=V1zk7Eb8r-s&list=PL_Qf0A10763mA7Byw9ncZqxjke6Gjz0MtThe post Tesla’s battery research group files new patent that could help prevent cell failure appeared first on Electrek.last_img read more

Read More »

Swiss Occupational Pension Plan Turns Out to be a Ponzi Scheme

first_img The Black Hole of Debt » Categories: Pension Crisis Tags: Pension Crisis, Switzerland In Berne, Switzerland, there has been a redistribution in occupational pensions which has revealed that it too is not a funded pensions plan as people previously assumed. For at least twelve years, pension fund monies have flowed from the employed to the pensioners. The amount has reached a tremendous scale with funds in the order of more than 90 billion francs being redistributed during these years. This is the result of data collected by PPC Metrics, the pension advisor for the SonntagsZeitung.The AHV pension scheme is heavily redistributed in the pay-as-you-go system, but the occupational pension schemes should have been fully funded. With low-interest rates, the presumed fully funded occupational pension plan is now also operating as a Ponzi scheme. The prospect of future payments has been called into question.center_img « Will Social Security Exist in 2021? last_img read more

Read More »

Google and Facebook Settle Suits Brought Washington AGNight of 1000 Stars Celebrates

first_imgOlympia, WA-Attorney General Bob Ferguson today announced that Google will pay $217,000 and Facebook will pay $238,000 over allegations the companies failed to maintain legally required information for Washington state political advertising placed on their online platforms since 2013.On June 4, Ferguson filed two campaign finance lawsuits in King County Superior Court asserting Google and Facebook failed to maintain information for political advertising required by Washington state campaign finance laws. These requirements have been in place since 1972, when Washington voters approved the original initiative on campaign finance transparency.Washington state campaign finance laws require political advertisers to maintain information about those who purchase advertising and make that information available to the public. According to the lawsuits, Google and Facebook did not obtain, maintain, or provide any of the legally required information associated with Washington state campaigns.“Whether you are a small-town newspaper or a large corporation, Washington’s political advertising disclosure laws apply to everyone,” Ferguson said.According to documents filed with the state Public Disclosure Commission, in the last decade, Washington candidates and political committees reported about $5.1 million in payments to Facebook and $1.5 million to Google related to advertising.Washington state law provides the public the right to visit a commercial advertiser during normal business hours and see who is paying for the political advertising they run, and how much the campaign committee is spending.Facebook and Google did not provide this access. For example, Eli Sanders, the associate editor of The Stranger, hand-delivered a letter to both companies’ Seattle offices requesting information on 2017 municipal election political advertising. Neither company provided him any of the legally required information.Under the two judgments signed by the court today, Facebook and Google are legally required to pay the state as follows:Google: $200,000 and an additional $17,000 in attorney’s costs and fees to the state.Facebook: $200,000 and an additional $38,500 in attorney’s costs and fees to the stateFerguson’s recoveries in these two cases will go into the state Public Disclosure Transparency Account as required by law. The transparency account was created as part of campaign finance legislation in the 2018 legislative session.In response to Ferguson’s lawsuit, Google stopped taking purchases of political ads in Washington state and local elections. Any political advertiser, including Google and Facebook, who does not provide the legally required information is subject to complaints and regulations through the Public Disclosure Commission.Senior Assistant Attorney General Linda Dalton and Assistant Attorney General Todd Sipe handled the cases.A summary of Attorney General’s Office campaign finance case resolutions is available here.last_img read more

Read More »

Elderspeak Babytalk Directed at Older Adults

first_imgby, Karen Austin, ChangingAging ContributorTweet7Share207ShareEmail214 Shares[Editor’s Note: Originally posted at The Generation Above Me]Neighborhood Centers Neighborhood CentersAbout a year after I started volunteering at a skilled nursing home, I observed a set of new teenaged volunteers who came to help with a craft at the monthly meeting of the Red Hat Society.  I heard several of the volunteers speak slowly and loudly, using a sing-song voice.  In response, I saw many of the residents roll their eyes.Unfortunately, I had flashbacks to when I also first started as a volunteer.   I altered my speech inappropriately as well, hoping to be supportive but coming off as patronizing instead.I have since learned to identify the features of elderspeak.  More importantly, I’ve learned to change my attitude.   At its core, elderspeak communicates a condescending attitude.  And from that attitude the person’s language might demonstrate the following features of elderspeak: Speaking slowly Speaking loudlyUsing a sing-song voiceInflecting statements to sound like a questionUsing the pronouns “we,” “us,” and “our” in place of “you.”: “How are we doing today?”Using pet names such as “sweetheart,” “dearie,” or “honey”Shortening sentencesSimplifying syntax (sentence structure)Simplifying vocabularyRepeating statements or questionsAnswering questions for the older adult: “You would like your lunch now, wouldn’t you?”In other ways talking for the older adult: “You are having a good time on the patio today, I see. And you have your pink sweater on, which you love. Right?”Asking people questions that assume role loss, idleness and powerlessness such as “Who did you used to be?” “What did you used to do?”Even though this list describes various ways in which people sometimes alter their speech when talking to older adults, a couple of misperceptions generate the communication problem:Elderspeak assumes that the older adult is dependent, frail, weak, incompetent, childlike, etc.Elderspeak assumes that the speaker has greater control, power, value, wisdom, knowledge, etc than the older adult listening.Elderspeak assumes that all older adults equally suffer from memory problems, hearing problems, energy problems, etc.Public health experts have found that when older adults are exposed to the patronizing language of elderspeak, their performance on tasks decreases and their rates of depression increase.  Other studies show that even people with moderate to severe dementia can tell when people are talking down to them, and it decreases their level of co-operation.I have witnessed this myself.   One of the residents, who was a retired nurse struggling with dementia, was trying to care for another resident.  The activity director and two certified  nurse assistants tried to redirect her away from her neighbor’s apartment.   The employees were using dulcet tones with her, and she quickly replied: “Don’t you get all sweet on me. I won’t be treated this way!”   People of all levels of cognition preserve the ability to read tone.Managing nurses might consider providing training on how to transform elderspeak into more effective acts of communication. As the percentage of older adults increases in the US, the need for communicating effectively will be more apparent in many fields, not just health care. 2000 US Census data shows that Americans aged 65+ outnumber the combined populations of London, Moscow, and New York.About a year before I started my gerontology program, I had the privilege to meet a friend’s nonagenarian mother who had traveled to Wichita from western Kansas.  I unwisely raised my voice and spoke slowly to her: “HOW. ARE. YOU. TODAY?”  She shot back a very energetic, rapid-fire reply, putting me in my place. Since that day, I assume that older adults have full hearing and full cognition when I first address them.   If their reply indicates otherwise, then I make moderate adjustments, but I still address them as independent, empowered individuals.Have you caught yourself using elderspeak?  Has anyone ever talked down to you before?  How is this problem parallel for second language speakers or those managing a disability?  Can you think of any other features of elderspeak? Related PostsMore on ElderspeakElderspeak BigotryMonkhouse MondayTweet7Share207ShareEmail214 SharesTags: Ageism elderspeaklast_img read more

Read More »

Bath geriatrician leads new UKwide trial into Parkinsons disease

first_imgMay 24 2018It will test whether a commonly prescribed dementia drug could prevent debilitating falls for people with the disease. Falls are a frequent complication of Parkinson’s, which affect around 60 percent of the 127,000-people diagnosed with the condition each year.With the degeneration of dopamine-producing nerve cells, people with Parkinson’s often have issues with unsteadiness when walking. As part of the condition, they also have lower levels of acetylcholine, a chemical which helps us to concentrate – making it extremely difficult to pay attention to walking. The combination of both often leads to patients suffering from injuries, broken bones and hospital admission.Related StoriesParkinson’s disease: Servier and Oncodesign announce research and drug development partnershipPeople with bipolar disorder more likely to later develop Parkinson’s diseaseStudy on REM sleep disorder patients provides key predictors of Parkinson’s diseaseThe new three-year trial is led by Dr Emily Henderson, a Geriatrician at the Royal United Hospital in Bath and an Honorary Senior Lecturer at the University of Bristol. It will recruit 600 patients across 26 UK hospitals to determine whether a drug, known as a cholinesterase inhibitor (ChEi) will help people with Parkinson’s.The trial follows on from earlier phase trials which showed that cholinesterase inhibitor treatment has potential to almost halve the number of falls and improves the regularity of walking, speed, and balance.Dr Henderson said: “As the population ages, the number of people living with Parkinson’s disease and the occurrence of complications will increase. There is an urgent need to identify treatments that reduce falls in Parkinson’s disease. This trial will provide definitive evidence as to the role of ChEi for falls. If successful, this treatment will improve the lives of people living with Parkinson’s now and has the potential to be tested in other groups of patients who are at high risk of falling. We are working hard to tackle one of the most disabling complications of Parkinson’s.”Trial patients will be randomly assigned a 12-month course of either a cholinesterase inhibitor via a patch or a placebo (dummy) treatment. However, neither the researchers nor the participants will know which group they are in. Patients will be asked to record any falls that they experience in diaries that they post back each month for a year. Source:http://www.bristol.ac.uk/news/2018/may/parkinsonstrial.htmllast_img read more

Read More »

FDA grants marketing authorization for use of two catheterbased devices in hemodialysis

first_imgJun 22 2018Today, the U.S. Food and Drug Administration permitted marketing of two catheter-based devices designed to create a connection to veins and arteries in patients with chronic kidney disease who need hemodialysis.Specifically, the FDA granted marketing authorization for the use of the Ellipsys Vascular Access System and the everlinQ endoAVF System to make what’s called an arteriovenous (AV) fistula for patients who need hemodialysis access.”Dialysis is a necessary and life-saving procedure for thousands of individuals. With today’s action, there will be additional, less-invasive vascular access options for patients who will require hemodialysis,” said Bram Zuckerman, M.D., director of the Division of Cardiovascular Devices in the FDA’s Center for Devices and Radiological Health.According to the National Institutes of Health, more than 661,000 Americans have kidney failure, of which approximately two-thirds are on hemodialysis. Hemodialysis utilizes a dialyzer, or artificial kidney, to filter a patient’s blood outside of their body. Before patients can start dialysis, however, they need to have an AV fistula created. An AV fistula is traditionally made by surgically joining an artery and a vein under the skin in the arm. After some time, the mature vein can then receive the two needles used for each hemodialysis session. Surgically created AV fistulas typically take several months to heal and for the vein to mature before being usable for hemodialysis.The devices granted marketing authorization today are designed to create AV fistulas percutaneously (through the skin). A catheter is inserted into a blood vessel in the arm and is guided to the site of the planned AV fistula. The devices then deliver energy to form a connection between an upper forearm artery and an adjacent vein. The Ellipsys Vascular Access System uses one catheter, the everlinQ endoAVF System uses two.For the Ellipsys Vascular Access System, the FDA reviewed data from a non-randomized, multi-center study of 103 patients. The Ellipsys Vascular Access System was used in a procedure to create an AV fistula in these patients, of which 92 patients (89.3 percent) met the criteria for a usable AV fistula within three months after the procedure. Almost all patients (96.1 percent) required an additional procedure (such as balloon angioplasty) in the first 12 months to maintain the fistula.Related StoriesNew system for precise navigation through the vascular systemEmpa researchers aim to fight unwanted biofilmsOne-fifth of U.S. surgeons still ‘overusing’ riskier method to create kidney dialysis access, study findsFor the everlinQ endoAVF System, the FDA reviewed data from a non-randomized, multi-center study of 60 patients, in addition to supporting data from three other studies and clinical use of the device outside the U.S. The everlinQ endoAVF System was used in a procedure to create an AV fistula in these patients. In the main study, 52 patients (86.7 percent) met the criteria for a usable AV fistula within three months after the procedure. Almost all patients (96.7 percent) required an additional procedure at the time the fistula was created, while 28.3 percent of patients required an additional procedure (such as balloon angioplasty) in the first 12 months to maintain the fistula.Both devices are contraindicated, or should not be used, for creation of anastomoses (connections) in vessels that are less than two millimeters in diameter or too far apart (for example, in the wrist or in the hand). For both devices, complications include blocking (occlusion) or collapse (stenosis) of the fistula, bruising and need for additional procedures.The Ellipsys Vascular Access System and everlinQ endoAVF System were reviewed through the De Novo premarket review pathway, a regulatory pathway for some low to moderate risk devices of a new type. This action also creates a new regulatory classification, which means that subsequent devices with the same intended use may go through the FDA’s 510(k) process, whereby devices can obtain marketing authorization by demonstrating substantial equivalence to a predicate device.The FDA granted marketing authorization of the Ellipsys Vascular Access System to Avenu Medical.The FDA granted marketing authorization of the everlinQ endoAVF System to TVA Medical, Inc. Source:https://www.fda.govlast_img read more

Read More »