Tornadoes and storms hit East, winds bring fire risk in West

first_imgABC News(NEW YORK) — There have been 11 reported tornadoes in the last 36 hours in five states from Texas to Tennessee with the latest damage pictures coming in from Memphis area where two tornadoes were reported Monday morning. This same storm system will move east Tuesday and the East Coast should expect storms with damaging winds later on. The biggest threat for damaging winds will be from southern Virginia to North Carolina, including Norfolk, Raleigh-Durham, Fayetteville and just north of Wilmington and Charlotte. There is also a small chance for isolated tornadoes.Elsewhere, seven fires are currently burning in California and there were a couple of new fires that ignited Monday in southern California around Los Angeles and San Bernardino. The Palisades brushfire in L.A. had caused a local evacuation but, since Monday, it has been lifted and the fire is 10% contained. The Little Mountain Fire continues to burn Tuesday morning. It is currently 19 acres big with three homes damaged and 40 more threatened. On Tuesday, the big story will be the heat in southern California with highs in the mid 90’s in L.A. and near 90 in San Diego.There is a wind advisory just north of Los Angeles as well where winds could gust Tuesday morning up to 50 mph. But the big wind event is coming later this week starting on Wednesday in northern California around the San Francisco Bay area and moving into southern California for Thursday and Friday. A Fire Weather Watch has already been issued for northern and southern California ahead of the offshore wind event. The National Weather Service is warning that the wind coming up from southern California could rival the Saddle Ridge fire conditions from Oct. 10 to 11.Copyright © 2019, ABC Audio. All rights reserved.last_img read more

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Study: Doctor burnout costs health care system $4.6 billion a year

first_img Shorter shifts lead to better-rested doctors Burnout among doctors is costing the U.S. health-care system an estimated $4.6 billion a year in billings because of reduced hours, physician turnover, and expenses associated with finding and hiring replacements, according to a first-time analysis of the overall economic impact of the problem.That figure, calculated by an international team of researchers led by Harvard Business School visiting scholar Joel Goh, is likely an underestimate, researchers said, because it doesn’t include the costs of burnout’s potentially significant downstream effects, such as increased medical errors, patient dissatisfaction, increased malpractice lawsuits, and the impact on other staff who must pick up the slack.“What’s interesting is the magnitude of the effect, which is substantial,” said Goh, senior author of a paper published recently in the Annals of Internal Medicine. “It draws our attention to the fact that this is a problem worth looking at.”Physician burnout has long been recognized as a significant problem. According to a survey of nearly 7,000 doctors published in 2015, 54 percent reported at least one of three symptoms of burnout: emotional exhaustion, feelings of cynicism and detachment from work, and a sense of low personal accomplishment.That rate is roughly double that of the general population. Burnout among doctors has been associated with higher rates of medical errors, worse clinical outcomes for patients, increased absenteeism, and a rise in doctors wanting to reduce their work hours or leave the field entirely.Goh became interested in the subject through his prior work on job stress. He said that in the past burnout among America’s doctors has largely been examined through an ethical, instead of an economic, lens. The new numbers, he said, show that it’s not just a problem affecting physicians’ happiness but one that has enough impact on the bottom line that it probably makes financial sense to invest in addressing it.“Our study was not an intervention study,” Goh said, “but these numbers suggest [addressing the problem] is probably a good idea.”The analysis was conducted by a team from HBS, the National University of Singapore, where Goh is an assistant professor, Stanford University, the American Medical Association, Atrius Health in Boston, the Mayo Clinic, and the University of North Carolina Physicians Network. Beginning in 2017, researchers first constructed a mathematical model and then fed it data from existing studies to come up with their economic analysis.The $4.6 billion annual estimate is the midpoint in a range of $2.6 billion to $6.3 billion nationwide. The researchers conducted a similar analysis to find the cost of burnout per physician and found costs of about $7,600 per doctor, with a range of $3,700 to $11,000.“To me, the punch line is that this stuff matters,” Goh said. “There’s been a growing awareness of physician burnout … But as a health care executive, when you’re trying to make a decision you want all the evidence, all the data, in front of you. And if you’re trying to quantify the dollars and cents, addressing this may be worthwhile even from a business point of view.” Related Spare the medical resident and spoil nothing Capping hours at 80 per week does not seem to hurt quality of care provided by doctors-in-training The Daily Gazette Sign up for daily emails to get the latest Harvard news. Calculator shows hidden costs of fatigued workforce Sleep deficiency in the U.S. estimated at 70 percent, with $410 billion price tag Senior resident physicians who don’t work extended hours get 8 percent more sleep last_img read more

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Sammy disappointed by contract snub but committed to Windies

first_imgBRIDGETOWN, Barbados (CMC):Twenty20 captain Darren Sammy has spoken of his disappointment at not being offered a retainer contract by the West Indies Cricket Board (WICB).The former Test captain was chopped from the 15-man list announced recently by the WICB for the period running from October 1 last year to September 30, 2016.”It’s the first time in the last seven or eight years that I’ve not been given a retainer by the WICB. It’s quite disappointing, but cricket has not been about Darren Sammy, it’s for the West Indian people,” Sammy was quoted as telling a Pakistan cricket website.”I am disappointed that I never received a contract from the WICB, but it’s not my decision. I’ve played the two limited-overs formats for West Indies on a regular basis and performed the role I was asked. It’s very disappointing, particularly as I am the Twenty20 captain, but life goes on.”Sammy has been a key figure in West Indies cricket over the last five years and played a significant role in leading the Caribbean side to the capture of the Twenty20 World Cup in Sri Lanka four years ago.He also captained the side in 30 of his 38 Tests before retiring two years ago after being sacked in favour of Denesh Ramdin.Sammy has continued to play the shorter formats, however, and was part of the one-day squad for the Cricket World Cup in Australia and New Zealand last February.The 32-year-old, who now campaigns extensively in the various domestic T20 leagues across the globe, said that he remained committed to representing West Indies in the shorter formats.”I guess they (WICB) are more focused on Test cricket, which I’ve retired from, but I’m fully committed to the one-day and Twenty20 format for West Indies if selected,” Sammy said.”Looking back, when I was growing up, I only dreamed of playing for West Indies, but now I can travel the world and play for so many different franchise teams.”He added: “I’ve had some fantastic times playing for West Indies. I enjoy playing for West Indies and it is still my number-one priority.last_img read more

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MLB Winter Meetings: Four questions for the Oakland A’s

first_imgThe Winter Meetings will kick off on Monday in San Diego, which means conversations between clubs, players and agents running over the phone can move face-to-face for the week.This also provides a peek into the Oakland A’s — and other teams’ of course — priorities heading into the offseason. This season, those priorities seem pretty straightforward. But here’s a list of questions heading into the meetings.Will Blake Treinen return? Will the A’s add more bullpen arms?It’s a possibility. The …last_img

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Watch: Illustra Introduces 2-Minute Wonders

first_imgBranching off from hour-long documentaries, Illustra Media started releasing quick, shareable video jewels.Visual appetites keep changing. As online media explodes, attention spans decrease. Many people have too many options to watch an hour-long documentary. Now, quick and short is “in.” Viewers will look at the length of a clip on social media to judge if it is worth their time; anything more than five minutes often gets passed over.This is unfortunate, because complex subjects take time to fully explore. Illustra Media’s Design of Life Collection, consisting of three hour-long nature films (Metamorphosis, Flight and Living Waters) broke through the monopoly on nature documentaries held by NOVA, National Geographic and the BBC, which always attributed life’s wonders to Darwinian chance. Design of Life is still watchable with great value, lifting spirits with superb visuals, powerful music and excellent information conveyed with compelling narration. DVDs can still be purchased from the distributor, Go2RPI.com. The producers, however, have been watching DVD sales plummet for all filmmakers in general. Blu-ray never really got off the ground.People need a sense of awe, and nature gives it in abundance.Facing these realities, Illustra has gone to a subscription service on its new website, The John 10:10 Project – launching from Jesus’ promise “that you might have life, and have it more abundantly.” It’s a great deal for consumers. Anyone can scroll through dozens of short films for free, arranged by category. Many of the videos are repurposed segments from their documentaries made over 22 years. In addition, they are releasing new short films on a near-monthly basis, drawing on both new footage as well as a vast library of material filmed over two decades, narrated with new scripts.One project Illustra is working on is called “Wonder-Full Life.” This will be a series of five- to eight-minute films in the tradition of the Design of Life trilogy—only shorter, to fit modern appetites. We shared one of them here: an eight-minute film exploring the implications of beauty in the world (see 26 September 2019 to watch Beauty, Darwin and Design).Another initiative is to make even shorter films about specific subjects, called “Two-Minute Wonders.” The first one is called “A Monarch’s Journey.” Watch it on the John1010Project.com website. It’s a real challenge to cut a nature film down to two minutes, but Illustra succeeds in communicating a lot of information within that time constraint without the viewer feeling it is hurried.The second episode just came out this week, titled “Living Machine” about hummingbirds. Illustra is making these films easy to share on social media, so we can embed it right here:The success of these initiatives will depend on subscribers, donors and benefactors. If you like this film and want to share it, click the paper-airplane icon in the upper right of any film to send it to friends and family on social media.These are great tools for pre-evangelism. Most people love nature and respect science. Let’s show them the science, then, in all of its intelligently-designed beauty. These winsome films made with high production standards are bound to inspire and get people thinking. If you follow up with a link to TheJohn1010Project.com, you can introduce them to more and more levels of intelligent design and evidences for Biblical truth. Subscribe to the page yourself, and support Illustra in whatever way you can.(Visited 250 times, 3 visits today)FacebookTwitterPinterestSave分享0last_img read more

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