Andy Murray became the first British man to win a Grand Slam men’s singles title in 76 years after defeating Serbia’s Novak Djokovic in five gruelling sets in the US Open final.After losing four Grand Slam finals, the Scotsman at last won a major title by battling it out in blustery conditions at Arthur Ashe Stadium 7-6, 7-5, 2-6, 3-6, 6-2, here at Flushing Meadows on Monday.It looked as if Murray had the measure of the windy conditions as he took the first two sets before Djokovic came back roaring to take the next two.The Briton quickly regained his equanimity in the deciding set and jumped into a 3-0 lead pulling on his reserve stamina by breaking the Serb’s serve twice. Then and there the Serb’s fight was over and the Briton raced to take the set and the match.Djokovic thus failed to become the first to defend the title at the US Open since the five straight wins by Federer (2004-2008), reports Xinhua.The last British male champion to win a Grand Slam title was Fred Perry, who claimed the US Open in 1936.Murray, 25, had an extra day’s rest than his opponent as Djokovic’s semifinal against David Ferrer was postponed to Sunday.The Serb had to play two matches in two days and that gave Murray the edge over the defending champion, especially in the fifth set.The defeat cost Djokovic heavy. Had he won he would have collected $2.9 million payout instead of the $1.45 million runner-up cheque as he would have pocketed $1 million bonus for leading the US Open series.Murray earned $1.9 million, bringing his career prize money to more than $23 million.Djokovic, 25, was the 2-5 favourite at the Las Vegas Hotel’s Super Book, translating to a 71 percent probability of a sixth major title. A successful $100 dollars bet on underdog Murray yielded a 210-dollar profit.The win also broke a stranglehold on major titles by Roger Federer, Rafael Nadal and Djokovic, who combined to win 29 of the previous 30. Juan Martin Del Potro’s 2009 US Open victory was the lone exception.Murray’s breakthrough came in his 28th Grand Slam event and after losing four finals. He lost the 2011 Australian Open final to Djokovic and was beaten by Federer in three others — at the 2008 U.S. Open, in Australia in 2010 and this year at Wimbledon.There were four service breaks in the first eight games of the opening set as the players tried to adjust to the swirling 26 kph wind.Playing tentatively instead of going for winners, the two men exchanged 54 strokes on one point in the sixth game of the 87-minute set. The tie-breaker lasted 24 minutes.After Murray won the first-set tie-breaker on his sixth set point, he took a 4-0 lead in the second set by breaking Djokovic’s serve twice.Djokovic stormed back to win five of the next six games, only to have Murray break his serve again in the 12th game to win the set.Djokovic rallied to clinch the next two sets to stay alive and revive hopes of defending the title. But Murray repeated what he did in the second set by breaking the Serb’s first two service games, establishing a 3-0 lead.Though Djokovic broke one back in the fourth game, but could not hold off the sliding and was broken for the ninth time in the match in the seventh game to lose.With the win, Murray, who took the gold medal at the London Games in July, also became the first man to win both a gold medal and the US Open title since tennis returned to the Olympics in 1988.Murray called the three-set Olympic gold medal-winning victory against Federer “the biggest win of my life.”Now Murray has a Grand Slam as well, moving past Nadal to become the ATP World Tour’s third-ranked player.advertisement
Katti Batti actors Imran Khan and Kangana Ranaut bonded over tattoos while filming the Nikhil Advani directorial. When Kangana and Imran were to meet for the first time, the perfect ice-breaker moment ensued. They started talking to each other about tattoos.WATCH: Imran, Kangana and heartbreaks in Katti Batti trailerKangana flaunts her Bijli tattoo in the poster of Katti Batti Kangana is also seen flashing a ‘Bijli’ tattoo in the trailers and her love for tattoos gave birth to the thought of Payal (character played by Kangana in the film) sporting a tattoo throughout the film. Also, while the make-up artist would take an hour to draw Kangana’s tattoo, the same time was used up by Imran’s make-up expert to hide his permanent inking.RELATED: Do you know how Salman convinced Kangana for Katti Batti? “It was ironical that we both used to spend around one hour everyday before the shoot. She trying to get her tattoos done and me trying to hide my tattoos,” Imran said in an interview to IANS.The film will see Imran Khan and Kangana Ranaut pairing up for the first time on the silver screen. The film’s trailer promises to be an unusual contemporary love story. Katti Batti, produced by UTV Motion Pictures, is set to release on September 18.
Roger Federer, who suffered a first round exit at the Stuttgart grass court tournament, has admitted he was ‘not shocked’ by his defeat to Tommy Haas.39-year-old Haas defeated Federer, who was playing his first match after three months, 2-6, 7-6 (10/8), 6-4 in the opening round of the tournament on Wednesday.Haas survived 23 aces to deny Federer his 1,100th match win by claiming the 569th victory of his career.It was his sixth win of the season and the first time he had won consecutive matches since 2014, when he reached the Rome quarter-finals.”I’m not so shocked to have lost. I knew I could lose against Tommy,” Sport24 quoted Federer as saying after the match.”He was so good at the end and if I am happy for anybody, then it’s for Tommy,” he added.Federer, who claimed the Australian Open for his 18th major in January, suffered his second defeat of 2017 on Wednesday.Meanwhile, Haas, a former world number two but now down at 302, said he was shocked after the win.”It’s always special to play a close friend like Roger on grass, always lots of emotion,” the German said.”I saved a match point in the second set so was able to play more freely after that. I even shocked myself,” he added.Haas became the lowest-ranked player to beat the 18-time Grand Slam champion since number 407 Bjorn Phau at Washington in 1999.Haas will next face compatriot Mischa Zverev, who defeated qualifier and fellow German Yannick Hanfmann 7-6 (7/1), 6-2 in 83 minutes.advertisement
ATHENS, Greece (AP) — Olympiakos clinched a record 44th Greek league title with a round to spare, and its 19th in the last 21 seasons, after thrashing Giannena 5-0 Sunday.Marko Marin, Manuel da Costa and Alberto de la Bella scored for the hosts within eight minutes of each other midway through the first half to give the defending champion a comfortable lead. De la Bella added his second goal in the 71st minute before Alejandro Dominguez converted a penalty 10 minutes later.Second-placed PAOK stayed within six points of Olympiakos by beating host Platanias 3-1 and Panathinaikos, in third, edged Atromitos 1-0.AEK beat Levadiakos 2-0, and Panionios lost 1-0 at Kerkyra.PAOK, Panathinaikos, AEK and Panionios face playoffs for a second spot in Champions League qualifiers.TweetPinShare0 Shares
Realme launched the Realme 3 not so long. The Realme 3 debuted just three months ago and it looks like the smartphone already has its successor ready aka the Realme 4. A YouTube channel that goes by the name “Angry Agrawalji” has posted a video of Realme 4’s retail box over the weekend. Like all other Realme retail box this one too shows the “Realme 4” printed on top of the box and by the looks of it the retail box appears to be very authentic. However, considering it’s a leak take all information with a pinch of salt. Additionally, a Twitter user who goes by the user name “@gaurav75677859” leaked a render of the alleged Realme 4.First the YouTube video. Sadly, the retail box doesn’t reveal a lot about the Realme 4 — for instance its specifications and features. As noted earlier the retail box revealed just the name of the smartphone. The box has the “Realme 4” printed on top of it. The leak of the retail box hints at the imminent launch of the Realme 4. It is worth noting that for now there is no information on the Realme 4 from the company’s side.In another leak the render of the alleged Realme 4 leaked. The render showed the Realme 4 from the back side and revealed the design details of the phone. The render revealed that the Realme 4 will sport the company’s popular diamond-cut design with dual cameras engraved on it. Right below the camera setup sits a LED flash. The render also reveals that the Realme 4 will have a rear-mounted fingerprint sensor. In the render, the alleged Realme 4 appears in blue colour.advertisementRealme numeric series have always targeted the budget segment and the upcoming Realme 4 will be no exception. Considering Realme 4 details have started surfacing online we expect the smartphone to go official very soon, possibly in a few months from now. Meanwhile, Realme is also gearing up to launch the Realme X in India. The company has confirmed that the Realme X will go official in India in the second half of this year. In India, we believe the Realme X will compete with Redmi K20. Both the phones are expected to come with Snapdragon 730 processor in the country.ALSO READ | iPhone XR 2 case renders leak, reveal new camera and design detailsALSO READ | Flipkart Mobiles Bonanza sale begins today: Here are top smartphone discount offers you can’t missALSO READ | World Cup TV Dhamaka sale: Xiaomi Mi LED smart TV 32-inch, 43-inch, and 55-inch sell with discount
The Quietest and Loneliest Roads in America Editors’ Recommendations An Introduction to the Fine Sport of Bouldering Live Out Your Westworld Dreams at Casteel Creek Retreat The Best Campgrounds Near Major U.S. Cities Sound of Lapland Captures the Pristine Beauty of Finland on a Mixtape “Combining the experimental edge of Radiohead and the dusty roots-rock of Tom Petty, the five-piece make music that sounds tailor-made for arena-sized, prog-rock festivals and grassy, pastoral stages alike.” – Consequence of Sound“…an exciting build from what we heard on Quiet Light.” – Paste MagazineEmerging fully-formed from the desolate heart of Central Florida, Roadkill Ghost Choir make unsettling, powerful American rock, Tom Petty by way of Radiohead and Cormac McCarthy. Set against Kiffy Meyer’s ghostly steel pedal, singer and main songwriter Andrew Shepard triumphantly conjures an allegorical American landscape of drifters, specters, and violent saints. Andrew’s brothers Maxx (drums) and Zach (bass) Shepard round out the rhythm section, and Stephen Garza handles lead guitar. The band released their debut EP Quiet Light in 2013 in the midst of a touring run that saw them opening for Band of Horses and 2013 festival slots at New York’s Governor’s Ball, Austin City Limits, and Shaky Knees in Atlanta, GA. In January 2014 the band was invited to perform on the David Letterman Show, where they performed standout track “Beggar’s Guild.” The band’s full-length debut, In Tongues, recorded in Athens, Ga., and in its home studio in Deland, Fla., with producer Doug Boehm, is out August 19. The band will be touring supporting the new album, including stops at Bonnaroo and Lollapalooza.Purchase Roadkill Ghost Choir’s In Tongues on Amazon or iTunes.
Alabama company recalls 6,800 tractor-trailer hitches after Ohio crash that killed 2 men by Tom Krisher, The Associated Press Posted Sep 10, 2015 8:27 am MDT Last Updated Sep 10, 2015 at 9:00 am MDT AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to RedditRedditShare to 電子郵件Email DETROIT – An Alabama company that made a tractor-trailer hitch involved in a deadly Ohio crash last year is bowing to government pressure and will recall 6,800 hitches.Fontaine Fifth Wheel of Trussville, Alabama, agreed to the recall in August, according to documents posted Thursday by the National Highway Traffic Safety Administration.The safety agency began investigating the hitches in June, 17 months after a 12-ton semi-trailer came loose from its tractor and plowed into oncoming traffic near Cincinnati. Two men driving pickup trucks were killed in the crash on U.S. 50.Fontaine says in documents filed with the agency that the hitch locking mechanisms can be damaged over time by truck operators who don’t follow proper coupling and maintenance procedures.Fontaine will replace the defective hitches with a different model.
A spokesman for Kensington Palace declined to comment.The Prince was attending the reception as the guest of honour, and also presented Duke of Edinburgh Gold Awards to young people who had achieved them.In 2008, when Castro decided to stand down as president, Mr Gonsalves paid tribute to him by saying: “Cuba has made tremendous progress in the fields of agriculture, education and health … living standards.”In the United Nations Human Development Index it is ranked in the top 50.” Fidel Castro was a defining figure of the 20th century Show more When he closed the twice-a-decade congress of the Cuban Communist Party in April, he called on his countrymen to maintain socialist ideals in the face of closer ties with the US.Foreign Secretary Boris Johnson said: “Fidel Castro’s death marks the end of an era for Cuba and the start of a new one for Cuba’s people.”Mr Castro’s last appearance in public was at a gala to mark his birthday, which celebrated key moments in his life including repelling the US-backed attempt to invade in the Bay of Pigs in 1961. Prince Harry observed a moment’s silence for Fidel Castro as he attended a drinks reception in the Caribbean island of St Vincent.The Prince was put in the potentially awkward position on Saturday night by the Governor General of St Vincent, Sir Frederick Ballantyne, who is the Queen’s representative in the Commonwealth realm.Sir Frederick asked guests at the reception, jointly hosted by himself and the country’s Prime Minister, to observe a moment’s silence on the day the Communist dictator died aged 90.Ralph Gonsalves, the Prime Minister of St Vincent and the Grenadines, said: “Castro was a good friend of the island.”He said Castro had invested in St Vincent, which had been a trading partner of Cuba for decades. In his address, Cuban President Raul Castro said his brother died at 10.29pm on Friday and would be cremated on Saturday before a period of national mourning is observed.He ended the announcement by shouting the revolutionary slogan: “Toward victory, always!”The news was followed by jubilant scenes in Miami’s Little Havana, home to thousands of Cuban emigres who fled in the decades after Castro’s forces toppled dictator Fulgencio Batista in 1959. Mr Castro stepped aside 10 years ago after suffering a severe gastrointestinal illness, and before his 90th birthday in August he told supporters he expected to die soon.He led a guerrilla coup in 1959 to overthrow the regime of the US-backed Batista, and remained hostile to Washington throughout his life.As US President Barack Obama moved to heal relations with Havana, Mr Castro responded: “We don’t need the empire to give us anything.” Show more It was a defining moment in the Cold War, which reached its peak a year later when the world came to the brink of nuclear war during the Cuban Missile Crisis.Mr Castro survived numerous assassination attempts by US spies, including a plot to kill him with an exploding cigar.But he clung on to power, enduring decades under a crippling US trade embargo.As its greatest ally, the Soviet Union, collapsed, Cuba remained a pariah Communist state at the cost of becoming one of the world’s poorest nations. Show more Want the best of The Telegraph direct to your email and WhatsApp? Sign up to our free twice-daily Front Page newsletter and new audio briefings.
Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)RelatedMass firing of sugar workers: AFC supports move, says sugar is ‘terminally ill’- RamjattanDecember 8, 2017In “latest news”AFC is an abject and abysmal failure in APNU-controlled Govt – NandlallSeptember 13, 2016In “latest news”AFC awaiting NEC meeting to decide on Nagamootoo’s fate as PMJanuary 23, 2019In “latest news” Below is an opinion piece done by Attorney-at-Law, Member of Parliament and former Attorney General, Mohabir Anil Nandlall:Prior to the General Elections in 2015, and under tremendous pressure from certain elements within the AFC to join the APNU coalition, Khemraj Ramjattan, its leader, predicted that were the AFC to join that coalition it would become “dead meat”. Ramjattan was correct.Led by a power hungry Moses Nagamootoo, who wanted to taste executive power one last time before he dies and Raphael Trotman, who secretly formed a political pact with Mr. David Granger, years before in Nassau, Bahamas, Ramjattan was out maneuvered and the AFC and APNU solemnized their political matrimony on Valentine’s Day, February 14, 2015, with the signing of the Cummingsburg Accord.An exuberant Nagamootoo promised the APNU that he would deliver 10% of the PPP’s constituency. Perhaps he did, I am not sure. What I am sure about is that in the succeeding 3 years, there is not a single decision or initiative for which he can take ownership that inured to the benefit to that segment of the electorate. To the contrary, one can identify innumerable examples to demonstrate that he led them blindfolded to the political slaughterhouse.From the moment the Cabinet was appointed, the miniaturization of Nagamootoo begun. He was denied a ministerial portfolio, including that of agriculture, which he was promised and which was given to an absolutely political unknown within the AFC. Under the Cummingsburg Accord, Nagamootoo was to Chair Cabinet. At the first meeting of Cabinet, the President made it absolutely clear that he will not cede that constitutional power to Nagamootoo. It was a political descent since.Even in the National Assembly, though he carries the portfolio “Leader of Government Business”, he bears no responsibility for any identified sector. Minister Joseph Harmon speaks for the Office of the President, and Chief Whip Amna Ally is the defacto “Leader of Government Business” in the House. His responsibilities is confined to seeking leave of the House to proceed beyond 10:00pm, when it is necessary and to indicate the date for the next sitting of the House – a date which is supplied to him by Amna Ally.Responsibilities for the Chronicle Newspapers and The Department of Public Information (DPI), two appreciably small departments within the executive governmental structure and which were assigned to Kwame McKoy in the PPP/C Administration, constitute the full extent of his ministerial portfolio. This moved veteran and respected Guyanese-born Caribbean journalist, Rickey Singh, to remark in an article in the Chronicle Newspapers that Nagamootoo enjoys the most miniaturized portfolio of a Prime Minister in the Anglophone Caribbean since independence. Singh was unceremoniously banished from the Chronicle after that article.His political sterility is best illustrated by the fact that he has been unable to assist the beleaguered sugar workers and embattled rice farmers, two sectors that were political battle fields in which he spent most of his life, in any manner whatsoever, as the Government of which he is the Prime Minister, unleashed a centrally orchestrated and concentrated onslaught against them for the past 3 years.His leader and political colleague, Khemraj Ramjattan, has fared no better. From the inception, the Ministry that he was given was first degutted of an appreciable compendium of functional responsibilities, which was hitherto part of the Ministry but were assigned to the PNC’s Winston Felix and physically migrated away from that Ministry to the Ministry of the Presidency. It is obvious that even with this limited portfolio Ramjattan does not have real handle over the Ministry. The President makes the more important decisions in this Ministry.Recall, Minister Ramjattan indicated in a letter to Commissioner Seelall Persaud that he (Ramjattan) was instructed by the President to send him (Seelall) on “Administrative Leave”. One would recall also Ramjattan’s plea of ignorance when former Chancellor Cecil Kennard was dismissed as Chairman of the Police Complaint’s Authority. Mr. Ramjattan was out of the country when Minister Felix, acting for him, sent Assistant Superintendent Mootie Dookie on “Administrative Leave”. Upon his return, though Mr. Ramjattan publicly expressed disagreement with Mr. Felix’s decision, he was powerless to change it. Minister Ramjattan played absolutely no role, whatsoever, in relation to two Commission of Inquires (COIs) done in respect of the Police Force.Mr. David Ramnarine is widely regarded as a supporter of the AFC and someone who enjoys the emphatic support of Mr. Ramjattan, yet Mr. Ramjattan was unable to stop, not only his non-appointment as Commissioner of Police, but also his humiliating removal from the top hierarchy of the Force. Only recently, Minister Ramjattan personally promised a retired Justice of Appeal that he would be appointed Chairman of the Police Complaint’s Authority. A few weeks later, a retired High Court Judge was appointed to that position and sworn in by the President. Ramjattan was not even seen at the swearing-in ceremony.The other political heavy weight in the AFC, Raphael Trotman, was stripped of his portfolio as Minister with responsibility for the very important oil and gas sector. The remaining portfolio, in relation to natural resources, is currently being shared with the controversial Simona Broomes, who seem to wield power over the mining sector. Indeed, one hardly ever hears from, or sees Trotman featuring in the press, in recent times.Although constricted, the above analysis demonstrates how powerless the AFC is in the Coalition Government, of which they are the second largest partner. Even at the level of the City Council of Georgetown, their Deputy Mayor, Sherrod Duncan, was booted out of the Council and his named successor was not even allowed to be nominated for the Mayorship.This demonstrable political impotence has led to a massive hemorrhaging of the AFC’s members and supporters. Recognizing this, the APNU has cruelly thrown it to the wolves by demanding that they contest the Local Government Elections on their own. APNU knowns that they would be devoured and that the AFC will be put to rest as an electoral force at these elections.If the population considers them rubberstamps now, just wait and see to what they will be reduced in the Coalition Government, post their electoral death at the 2018 Local Government Elections.
Terratec has launched a new rig to join its raise boring product line. The machine, called the Universal Boxhole Boring Machine – UB1000, is designed to boxhole sections up to 1.06 m in diameter and 100 m long; while it can also ream conventional raises nominally at 1.8 m diameter by 200 m deep. The design and production of the machine were entirely carried out in the company’s facilities in Tasmania, Australia. With this new Universal Borer, Terratec expects to cover the gap in the market in terms of safety, efficiency and fully automated box-holing machinery, for which the demand has increased significantly over the past few years in the mines in Australia and worldwide..” The machine brings into the maket innovative solutions to allow the safe and efficient execution of slots in the mines with a fully automated raise drill”, said the company. Terratec will be discussing this and other solutions in-depth at the forthcoming IM Rapid Development conference in Sydney on 15th and 16th August – see http://corporate.im-mining.com/imevents/Rapid-Development-2013.aspThe major features include the derrick assembly, including the gearbox complete with floating drive box (chuck), is suitable for a 10 in diameter by 48 in long drill string. The gearbox is designed so it can be positioned with the drive box pointing up for box-holes, or down for conventional raising. The machine is supplied complete with a gearbox turning cradle suitable to quickly and easily index from box hole mode to raise-bore mode in less than one shift. The integrated torque column/thrust cylinders provide balanced thrust and clear access from all sides. The rig is able to operate at up to a 45 degree dip, either side of centre-line, in a “cross-drift” orientation, with no requirement to turn the rig first, or any modifications to change from left hand to right hand dip.Powered overhead worktable doors with an integrated powered wrenching system ensure no man access is required at height. The machine also has an extendable muck chute for boxholing, with a door to allow 1.06 m diameter drill string components past. It also has integrated “stinger” cylinders and adjustable “spears” to help control vibration. An all-purpose ground-loading rod handler is included in the machine, which handles all drilling consumables, including the reamer and non-rotating stabilisers. The sled-mounted crane/conveyor with integrated operator station removes the muck to a skip bin location beyond the pipe loading area, and allows easy positioning of the reamer, non-rotating stabilisers etc around the drill.Drill rod feed cassettes are supplied and each holds ten rods. The cassettes are mechanised to feed one rod at a time to the rod handler, or accept one rod at a time from the pipe loader when removing rods from the machine. The feed cassette is powered from the hydraulic power unit. The hydraulic power unit and electrical cabinet are mounted on twin stackable sleds, with fire suppression fitted to both sleds. Full pressure and return filtration for each pump. It has a stainless steel operator control console complete with radio remote for selected functions; and ceramic-coated thrust cylinder rods for corrosion resistance. Transportation is via a radio-remote controlled transporter/erector crawler complete with 104 kW diesel motor and hydraulic system plus fire suppression system.
The International Tin Association reports that researchers at the University of Texas at Austin, US have demonstrated that a simple manufacturing route can be used to produce a tin-aluminium alloy that may be cheaper and double the charge capacity of today’s copper-graphite anodes for lithium-ion batteries.Some 50-70% tin is added to aluminium blocks in the casting process, creating an alloy that can then be mechanically rolled using conventional processes to make a foil. In the process, the tin particles are reduced to nanometer size, trapped inside the aluminium, stabilising them during charging cycles. The resulting material is one quarter as thick and half the weight of typical anodes.This two-step process is much simpler than the current technology for coating copper electrodes with graphite and doesn’t involve the typical complexities and scalability issues of nanomaterial development. It is also more energy efficient because there is less dilution of the energy capacity usually resulting from the extra weight of a copper backing foil.This new type of anode material has been named an Interdigitated Eutectic Alloy (IdEA) anode.“It is exciting to have developed an inexpensive, scalable process for making electrode nanomaterials,” said team leader Arumugam Manthiram, “Our results show that the material succeeds very well on the performance metrics needed to make a commercially viable advance in lithium-ion batteries.”At the same time the Association reports on liquid tin applications for concentrated solar power plants. A team at Georgia Institute of Technology, US has published advances in its development of liquid tin for use as a heat transfer agent in concentrated solar power (CSP) plants. CSP uses large-scale arrays of reflectors of different kinds to concentrate heat from sunlight onto a heat transfer system, for example in a tower, containing a fluid that can be circulated through a heat turbine to generate electricity.Tin can operate at higher temperatures than current systems based on molten salts or other fluids, increasing sunlight heat conversion efficiency to around 60%. Switching to tin from molten salts could decrease CSP costs by 30%. Together with partners from other US universities, the Georgia Institute team recently demonstrated suitable containment materials that don’t corrode and developed a ceramic pump that can be used to circulate the tin at up to 1,400°C.The ITRI view: “CSP costs are economically competitive with fossil fuels in sun-rich regions such as Africa, Australia, South America and the Middle East and some reports suggest that the technology could account for around 10% of global energy supply by 2050.”
The European Handball Federation made decision in case of Serbian player Nemanja Obradovic. The 26-years old left back signed contract with Orlen Wisla Plock, but his former team RK Metalurg Skopje put new deal on hold, with explanation that player has a valid contract until 2018.RK Metalurg demanded transfer fee for Obradovic 50.000 EUR, but it was clear that Poles aren’t ready to pay it.At the end, EHF Commission decided that Obradovic is free to sign for a new team. ← Previous Story TSV Hannover Burgdorf at the TOP – Flensburg lose in Leipzig! Next Story → BOMB: Zarko Markovic to RK PPD Zagreb!
MINSTER OF STATE Jimmy Deenihan has announced today that he has sanctioned an additional capital grant of €85,000 for Taibhdhearc na Gaillimhe, the national Irish languages theatre.The grant was sanctioned to assist the theatre in clearing the costs associated with its renovation work in recent years. In 2007, the theatre suffered extensive smoke damage in a fire and had to close for a period of renovation and refurbishment.This grant announced today means the total sum provided by the Department of Arts, Heritage and the Gaeltacht for the project to date is €400,000.Commenting on the announcement, Deenihan said the theatre “has been, and still is, contributing to the preservation and development of the Irish language arts since its establishment in 1928″.Read: Gardaí examine practices after complaint about use of Irish language>Poll: Should we do more to promote the Irish language?>
Rumors are swirling that Apple won’t launch the iPhone 5 until September this year, which gives Google some time to figure out how the heck they’re going to pull the two strands of Android back together, now that their mobile operating system has split into tablet and smartphone specific flavors. In the meantime, device manufacturers looking to upgrade their flagship phones need to stick with Gingerbread, and that’s just what HTC has done with their new flagship, the Sensation.Running Android 2.3.3 Gingerbread and driven by a dual-core Qualcomm MSM 8260 1.2GHz processor, the Sensation boasts a 4.3-inch SLCD touchscreen packing a 960 x 540 resolution: not quite Retina, but still vibrant and attractive. Connectivity is HSPA/WCDMA for cellular, 802.11b/g/n for WiFi and 3.0 for Bluetooth, while other specs include an 8 megapixel camera capable of 1080p video recording with stereo sound and HDMI out through the microUSB port with an adapter.AdChoices广告Design-wise, the Sensation is attractive, if unimpressive. Measuring in at just 11.33mm thick and weighing just 148 grams, the Sensation boasts a unibody aluminum design, as well as screen durability afforded by the always trustworthy Gorilla Glass. Other odds and ends include GPS/AGPS, a dual-LED flash on the back and the usual gyro, G-sensor, digital compass, proximity sensor and ambient light sensor.HTC’s been loading its smartphones with HTC Watch, the company’s movie and TV show rental system, and the Sensation is no exception. It’ll ship with over 600 titles available at launch: trailers of these films will be watchable over 3G, while the full movie will have to be streamed from WiFi. Once purchased, these films are stored in a cloud locker, which can be accessed from up to five HTC devices… but, lamely, not a PC.HTC’s also overhauled their Sense UI to take into account some of the lessons they learned building the HTC Flyer.The Sensation will be sold through T-Mobile USA as a 4G phone sometime in May or June. Pricing remains unannounced.More at SlashGear
Superbactéries : des goélands porteurs de souches résistantes aux antibiotiquesPortugal – Un chercheur portugais a publié mardi 21 septembre, dans le journal en ligne Proteome Science, son étude sur des bactéries ultra-résistantes aux antibiotiques infestant des goélands. Les oiseaux pourraient propager ces souches bactériennes inquiétantes.Elles résistent même à la Vancomycine, l’un des antibiotiques les plus puissants actuellement utilisé. Ces bactéries, des entérocoques, sont présentes dans 10% des échantillons d’excréments de goéland pontique (Larus cachinnans) analysés par le Dr Gilberto Igrejas, de l’université de Tras-os-Montes et Alto Douro (Portugal). Il a utilisé une nouvelle technique, dite protéornique (étude de l’ensemble des protéines d’une cellule ou d’une bactérie), afin de déceler un maximum de protéines jouant un rôle – encore indéterminé – dans la résistance aux médicaments.À lire aussiLes goélands, ces dangereux prédateurs qui sèment la panique en Grande-BretagneCette étude est une avancée dans l’identification de nouveaux biomarqueurs de l’immunité bactérienne aux antibiotiques, et pourrait donner des pistes pour le développement de nouveaux agents antimicrobiens. Les bactéries étudiées ici sont généralement peu malsaines pour l’homme, mais pourraient transmettre génétiquement leur capacité de résistance à d’autres germes, dangereux ceux-là, tels les staphylocoques.Les goélands, répandus près des installations humaines où ils se nourrissent de déchets, pourraient jouer un rôle épidémiologique comme réservoirs et vecteurs de souches microbiennes résistantes. Le 26 septembre 2010 à 12:21 • Emmanuel Perrin
Sansa adorns her mother’s colors and wears the crown of Winterfell as a crowd dubs her the Queen of the North. Arya sets sail to the west of Westeros in a Direwolf-branded ship. Jon is greeted by Tormund Giantsbane at the wall and, putting to rest one of the darkest storylines in TV history, is reunited with Ghost. This is not a drill: Jon is here to murder his Queen and pat his wolf — and he’s all out of Queens to murder.The only ending that matters. HBO The first scene of Game of Thrones saw brothers of the Night’s Watch venturing north of the wall, where they were murdered by White Walkers. The last ever shot of Game of Thrones was Jon, along with a squad of wildlings, riding north of Castle Black into those same woods.Were you satisfied by the conclusion? If not, don’t fret. George RR Martin should have the final books completed in the next two or three… decades. Game of Thrones season 8 finale: Our watch has ended Most heartbreaking Game of Thrones deaths 6:00 Sansa asks where Jon is. Grey Worm says Jon must pay for his crimes, and he’s pretty keen to execute Tyrion as well. What happens to Jon and Tyrion is up to the King or Queen, they decide, but there is no King or Queen. Welp, all of Westeros’ lords are here, so Tyrion asks why they don’t just talk among themselves and pick a ruler? The supremely mediocre Edmure stands and starts listing his credentials, but his niece Sansa tells him to sit down. Sansa is great, and in a just world would be the one to hop, hop, hop onto the throne. Samwell suggests the people of Westeros vote, but he’s quickly laughed out of the discussion. What unites people? Tyrion poses that question to the bunch. Yeah, armies, gold and flags are cool, but have you tried stories? As he soliloquizes about tales and common folk or whatever, the camera pans around the group. You can bet whoever it stops on will be the new Lord of the Seven Kingdoms. (I had my fingers crossed for Sansa who, as mentioned, is great.)Who has a better story, Tyrion asks, than Bran Stark?A new era. HBO Bran was pushed out of the top story of a tower and lived. He was paralyzed, but learned to fly. He went beyond the wall and became the Three Eyed Raven. Now, he knows all the stories of man. He’s perfect.Tyrion asks Bran to consider it. “Why do you think I came all this way?” Bran says with all the warmth and excitement we’ve come to love him for. The Lords and Ladies all vote for Bran Stark — except for Sansa. She loves him, but the North will remain an independent Kingdom, she proclaims. No Stark knees will be bent today. Bran agrees, making his first act as ruler one of naked nepotism. It’s agreed. Bran Stark is now Brandon the Broken, Lord of the Six Kingdoms and Protector of the Realm. I watched this episode with five people and it was around this time that I heard all of their hearts breaking in quick succession. It was a symphony of cardiovascular failure. I don’t imagine this will go over well with the “remake this season” crowd, but hey, we’ve had worse Kings. Bran can have no children, and so his Rule cannot be passed down. Tyrion tells Grey Worm that this is the wheel-breaker that their Queen would have wanted. Bran’s second order of business is to make Tyrion his Hand. Tyrion says he doesn’t deserve it, that he’s not as wise as he thought he was. (Nice to hear him admit this, because he sure has been a chump this whole season.) Bran says Tyrion doesn’t want to be Hand, but he doesn’t want to be King, so it’s a perfect combination. Grey Worm is furious and demands justice.”He just got it,” Bran decrees. “He’s made many terrible mistakes. He’s going to spend the rest of his life fixing them.” Enlarge ImageKing Stark. Helen Sloan/HBO A Dream of SpringAfter the scene in which Bran the Broken is anointed, Tyrion, now the Hand, goes to see Jon, now the prisoner. I couldn’t help but think their dialogue was directed at the audience as much as it was to progress the story. Jon learns that he’s being sent to The Wall to take the black. In the absence of Wildlings and White Walkers, the Night’s Watch is now a home for “bastards and broken men.” The Unsullied wanted him dead, while Arya and Sansa wanted him to walk free.”No one is very happy, which means it’s a good compromise I suppose,” Tyrion says. This line reminded me of Inglorious Basterds, which ends with Quentin Tarantino, through Brad Pitt’s character, telling the audience: “This might be my masterpiece.” The next exchange between Tyrion and Jon struck me as showrunners D.B Weiss and David Benioff talking directly to their audience, elements of which have become hostile to them..Jon: “Was it right? What I did?”Tyrion: “What we did.”Jon: “It didn’t feel right.”Tyrion: “Ask me in 10 years.” From here the remainder of the episode was like an extended credits scene where we got to see the characters’ happily-ever-after moments.The new Small Council. HBO Jon says his farewells to the Starks. He tells Sansa that the people of Winterfell could have no better ruler than Ned Stark’s daughter. He tells Arya to visit him at the Wall. She says she won’t — because she’s sailing “west of Westeros,” where the Known World ends. Jon apologizes to Bran for not being there for him in his time of need. “You were exactly where you were supposed to be,” Bran says. Classic Bran.We then see Ser Brienne reading The Book of Brothers, in which the deeds of the great Kingsguard knights are recorded. Jaime was thoroughly owned by Joffrey back in season 4 for his sparse entry in the book, but Ser Brienne sees to it that Jaime’s deeds were known. She records his exploits over the years, and ends it with: “Died protecting his Queen.”Next up is a small council meeting, headed by Tyrion. It starts with Grand Maester Samwell presenting Tyrion with a tome, a written history of The Great War and The Last War. The name of this tome? A Song of Fire and Ice. Bronn, who just two episodes ago had threatened Tyrion with death, is now Master of Coin. Ser Davos is Master of Ships. They, along with Ser Brienne and Ser Podrick, talk about rebuilding the city and quarrel over whether they should prioritize ships or brothels. Maybe we don’t deserve peace after all.The show closes as we follow the Stark kids to their new adventures. Originally published May 19. See all the Game of Thrones season 8 photos Now playing: Watch this: 6:42 Enlarge ImageWatch the Throne.Sunday’s Game of Thrones finale, arguably the biggest moment in episodic TV this century, is over. After eight years, eight seasons and several dozens of hours, the epic-fantasy drama is behind us.Season 8 has been controversial, and is perhaps encapsulated best by last week’s episode, The Bells. It ended many of Game of Thrones’ longest running and most important plots, including the deaths of Cersei and Jaime Lannister as well as Daenerys Targaryen’s descent into Mad Queendom. But it also sparked a backlash, which led to more than a million fans signing a petition to have the season remade. So not only does the finale have to end one of TV’s most historic shows, it also has to jiu-jitsu bitter fans into feeling satisfied. OK, let’s do this. For the final time, you are now watching the throne. (For the final time until the prequel, that is.) Here’s your official warning: The full recap below features spoilers. The Dragon and the LionThe roughly 90-minute episode was split into two parts. The climax of part one was the death of Daenerys Targaryen at the hands of Jon Snow. Episode 6, titled The Iron Throne, started with Tyrion and Jon walking through a destroyed King’s Landing, the streets of which were decorated by burned and bloodied bodies. They’re not stoked by what they see. They split up, with Tyrion venturing into the Red Keep dungeons, where he finds Cersei and Jaime. He crumbles with grief over the bodies of his siblings, who were killed by a different type of crumbling.Jaime and Cersei died with surprisingly little ceremony last week, but Tyrion’s weeping gave their endings a little extra gravitas. Jon chances upon Grey Worm and his squad of Unsullied executing Lannister soldiers. The war is won, Jon says, and there’s no reason to kill these men. Grey Worm, who now wears a permanent scowl and is extremely hateable, says he’s acting on the orders of the Queen. The two get into a testosterone-fueled confrontation before Jon decides he needs to speak to Daenerys.Before either Tyrion or Jon can make their way to Daenerys, who’s fresh off her descent into villainy, she gives a victory speech to her forces by the steps of the Keep. Jon and Tyrion stand behind her. Somebody please cue the ominous music.Enlarge ImageSweet… victory? HBO “War is not over until we liberate the world,” she announces in eastern tongue, “from Winterfell to Dorne.” That last line is Jon’s first clue that there’s something not quite right about this new Dany. She proceeds to make Grey Worm her Master of War. I cannot stress how punchable Grey Worm has become. The crowd of Unsullied and Dothraki cheer. Tyrion approaches Daenerys, and she accuses him of freeing Jaime.”I freed my brother and you slaughtered a city,” he replies. He takes off his Hand of the King badge and throws it to the ground. You may recall the first “take off my badge and throw it away” move was pulled by Ned Stark in season 1, protesting King Robert’s demand that an innocent Daenerys, then in Essos with no army nor dragons, be killed. Daenerys, who used her army and dragon to pillage the city, demands he be taken away. Circles man, it’s all about the circles. TV and Movies Jon walks over to the Red Keep to see Daenerys. Drogon is standing guard. Drogon eyes down Jon, but decides he’s cool. Daenerys, in a scene almost identical to her Qarth vision in season 2, surveys the Red Keep. She grabs hold of one of the Iron Throne’s swords. Jon approaches.Jon pleads with her to pardon Tyrion. She says she can’t. “We can’t hide behind small mercies,” she says. This is a different Dany from last episode; she’s assured of her actions, but not in a crazy way. Jon says they’re trying to build a world of mercy. Trust me, Daenerys reckons, she knows what is good. They embrace. She tells him they’ll break the wheel together.”You are my queen, now and forever,” he whispers solemnly. They kiss — and Jon stabs her. With a dagger. To her heart. Which she needed to live. This was actually a deeply affecting scene. Though she refused to free Tyrion, Daenerys showed off her warmer side as she tried to bask in victory alongside Jon. This made her petrified rictus of betrayal all the more poignant. Jon, crying, lays her down. Our last vision of Daenerys is the grieving look she gives her most trusted ally. Daenerys’ death roused more than my feeble emotions, as it also awoke Drogon. He flies into the Keep, surveys the scene and gets his dragonbreath ready. Jon prepares for his second death, but Drogon doesn’t burn him. Instead he melts the Iron Throne. Drogon picks Daenerys up with his claws and flees.Game over. Enlarge ImageDrogon breaks the wheel. HBO Brandon the BrokenThe second part of the episode was essentially epilogue, and takes place weeks after Daenerys’ death. It begins with Grey Worm leading Tyrion to King’s Landing’s Dragonpit, where Jon and Co. brought the White Walker to Cersei in season 7. There we see a gathering of Westeros’ great lords: Bran, Arya and Sansa Stark are all there. Samwell Tarly is there. Robin Arryn and Yohn Royce of the Vale are there. Ser Davos Seaworth and Ser Brienne too.We even reunite with Ser Edmure Tully, (Catelyn Stark’s brother) who was taken hostage and used as a Lannister pawn after his infamously crimson wedding ceremony back season 3. All the faces you know and love. Burning questions we still have about Game of Thrones 42 Photos Lots more on the GoT finale Where did every character end up? Twitter reacts to *that* death in episode 6 Season 8 finale left plastic water bottles in shot What did Brienne really write about Jaime? Some ideas Now playing: Watch this: Jon goes to see him. (This is an insular, linear episode, with one scene following the story of the previous one, which is strange for Game of Thrones.) Jon, who is now absolutely incapable of reading a person, is still on Team Daenerys. Her best friend and her dragon both got killed, he says. How could she not be a little fiery?”You love her,” Tyrion says. “I love her too… not as successfully as you.” I guess that explains that scene in season 7 when Tyrion looks on with tremendous thirst as Jon enters Daenerys’ cabin. (That’s not a gross euphemism, they were on a ship!) 187 Photos “Love is the death of duty,” Jon says, a callback to his great-great uncle, Maester Aemon, who said that to him in season 1 after Jon’s not father, Ned Stark, was executed. “Sometimes duty is the death of love,” Tyrion retorts. “You are the shield who guards the realms of man.”Tyrion is asking Jon to kill Daenerys, but Jon won’t have it. Tyrion asks what Daenerys will do to Jon, the rightful heir to the throne, and his sisters, who know he’s the rightful heir. Sansa will never bend the knee, he warns. “She doesn’t get to choose,” Jon says. “No, but you do,” Tyrion exclaims, “and you have to choose now.”People love talking smack about Game of Thrones, but this was an A+ scene. HBO, if you end up remaking the season, please leave this scene in. Game of Thrones 22 Share your voice Comments 57 Photos Tags Game of Thrones stars, from season 1 through today
Map of MaguraTwo, including a teenage boy, reportedly committed suicide in Muhammadpur and sadar upazilas on Monday night, reports UNB.The deceased are Mistaul Islam, 14, son of Manik Ali of Belnagar village in Sadar upazila and Kamrul Islam, 50, son of Habibur Rahman of Jashpur village in Muhammadpur upazila.Sirajul Islam, officer-in-charge (OC) of Magura police station, said Mistaul, a student of class-IX of Magura Government Boys High School, took his life by hanging himself at his house.Earlier, the victim was blamed for stealing a mobile phone of one his classmates, said the OC adding that primarily, they anticipated that Mistaul might have committed suicide as he could not tolerate theft allegation.Police recovered his body and sent it to Sadar hospital morgue for an autopsy.A case of unnatural death was filed with the police station, said the OC.In another incident, Kamrul committed suicide by taking poison on Monday night after returning home from the capital three days ago, said Rabiul Islam, officer-in-charge of Muhammadpur police station.His body was sent to Magura Sadar Hospital morgue for an autopsy, he said.A case of unnatural death was filed with the police station, said the OC.
Dame Maggie Smith and other actors from Warner Bros.’ Harry Potter films will be giving voice to characters in the new “Harry Potter: Hogwarts Mystery” role-playing game, which is officially slated to launch April 25.In the game, players create a personalized student avatar to experience life as a student at the famed Hogwarts School of Witchcraft and Wizardry. It’s set in the 1980s, before Harry Potter’s birth.Smith, who played Prof. McGonagall in WB’s big-screen adaptations of J.K. Rowling’s best-selling books, said, “If I could attend Hogwarts as a student, I would be most excited to attend the potions class taught by Severus because it is the most exotic.”In addition to Smith, actors from the Harry Potter films providing voiceovers for Jam City’s “Harry Potter: Hogwarts Mystery” are: Michael Gambon (Prof. Dumbledore), Warwick Davis (Prof. Flitwick), Sally Mortemore (Madam Irma Pince), Gemma Jones (Madam Pomfrey) and Zoe Wanamaker (Madam Hooch). Popular on Variety ×Actors Reveal Their Favorite Disney PrincessesSeveral actors, like Daisy Ridley, Awkwafina, Jeff Goldblum and Gina Rodriguez, reveal their favorite Disney princesses. Rapunzel, Mulan, Ariel,Tiana, Sleeping Beauty and Jasmine all got some love from the Disney stars.More VideosVolume 0%Press shift question mark to access a list of keyboard shortcutsKeyboard Shortcutsplay/pauseincrease volumedecrease volumeseek forwardsseek backwardstoggle captionstoggle fullscreenmute/unmuteseek to %SPACE↑↓→←cfm0-9Next UpJennifer Lopez Shares How She Became a Mogul04:350.5x1x1.25×1.5x2xLive00:0002:1502:15 The free-to-play mobile game is developed by L.A. games studio Jam City in partnership with Portkey Games, Warner Bros. Interactive Entertainment’s game label dedicated to Rowling’s Wizarding World.“Harry Potter: Hogwarts Mystery” players join one of the four Hogwarts Houses before progressing through their years at Hogwarts, participating in magical classes and activities such as Potions and Transfiguration. As players improve their skills, they unlock new locations, spells and other magical abilities — and their decisions affect their character’s story arc and how other characters interact with them.The game will be available for mobile devices via Apple’s App Store, Google Play, and the Amazon Appstore. More info is available on HarryPotterHogwartsMystery.com as well as on the game’s Facebook and Twitter accounts.Separately, WB’s Portkey Games also will be publishing the forthcoming “Harry Potter: Wizards Unite” augmented-reality game being developed by Niantic Labs (the company behind “Pokemon Go”).
Due to the proximity of the esophagus to the heart and cardiac vessels, TEE gives clinicians an excellent view into cardiac functioning, thus TEE has become an essential imaging tool for a variety of specialists including cardiac surgeons, anesthesiologists, cardiac interventionists and clinical cardiologists. It provides accurate information for a large range of diagnoses, especially for many catheter-based cardiac interventions. News | Cardiovascular Ultrasound | August 05, 2019 Digital Health Devices Used at Point of Care May Improve Diagnostic Certainty A West Virginia-based rural medical outreach event showcased the use of point-of-care technology in an ambulatory… read more News | Pediatric Imaging | August 14, 2019 Ultrasound Guidance Improves First-attempt Success in IV Access in Children August 14, 2019 – Children’s veins read more News | Ultrasound Women’s Health | July 11, 2019 FDA Clears Koios DS Breast 2.0 AI-based Software Koios Medical announced its second 510(k) clearance from the U.S. Food and Drug Administration (FDA). FacebookTwitterLinkedInPrint分享 Feature | October 24, 2013 ASE Issues Guidelines on Transesophageal Echocardiography Since the previous guideline’s publication, transesophageal probes and systems capable of producing real-time 3-D images have been developed and have achieved wide use. In addition, Hahn noted that “although the original guideline was widely adopted, it had limitations as it did not include some views that are needed to adequately examine some common cardiac disorders. Thus, the new document redefines a ‘Comprehensive TEE Examination’ and names an expanded set of 28 TEE views.” 360 Photos | Ultrasound Imaging | July 08, 2019 360 Degree View of an Echocardiography Exam on the SC2000 System This is a 360 degree view of a live cardiac echo demonstration for the Siemens Healthineers Acuson SC2000… read more The delineation of these views is intended to facilitate and provide consistency in training, reporting, archiving and quality assurance in the multiplane TEE examination. Other major changes in the new document include an extensive review of 3-D TEE protocols and a guide for TEE performed to address specific diagnostic questions. 360 Photos | Ultrasound Imaging | July 11, 2019 360 Degree View of a Smartphone Performing a Cardiac Ultrasound Exam This 360 degree photo shows a basic, point-of-care cardiac echocardiogram being performed using a smartphone turned i read more “The use of TEE has changed and the technology expanded so much over the past ten years, including the addition of three-dimensional TEE; it was imperative that we review and update our recommendations to reflect this extensive transformation in clinical practice,” said Rebecca Hahn, M.D, Fellow, American Society of Echocardiography (ASE), cardiologist, Columbia University and chair of the writing group for the new guideline. Technology | Interventional Radiology | August 16, 2019 Profound Medical Receives U.S. FDA 510(k) Clearance for Tulsa-Pro Profound Medical Corp. announced it has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) to… read more October 24, 2013 — Medical experts released “Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists.” This represents the first such update since the original transesophageal echocardiography (TEE) guidelines were published in 1999. Since that time, significant advancements in technology have expanded the use of TEE in clinical practice; this document reviews its updated clinical relevance in the operating room, intensive care unit, interventional lab and outpatient settings. read more News | Ultrasound Imaging | July 26, 2019 Intelligent Ultrasound Group Collaborating With the National Imaging Academy Wales Artificial intelligence (AI)-based ultrasound software and simulation company Intelligent Ultrasound Group plc (AIM:… read more 360 Photos | Ultrasound Imaging | July 09, 2019 360 Degree View of a Mitral Valve Ultrasound Exam on a Vivid E95 System A view of a mitral valve on a GE Healthcare Vivid E95 … read more News | Ultrasound Imaging | July 31, 2019 Studies Confirm Clinical Value of ShearWave Elastography for Liver Fibrosis Evaluation SuperSonic Imagine announced the publication of the results of its prospective multicentric clinical study conducted in… read more News | Cardiovascular Ultrasound | August 07, 2019 Contrast Use in First Transthoracic Echocardiogram for Heart Failure Reduces Repeat Testing Heart failure is the fourth most common cause for all admission to U.S. hospitals, and it is the most common reason for… read more The ScanTrainer transvaginal simulator is one example of Intelligent Ultrasound’s simulation technologies. In conjunction with the guideline document, ASE also released a poster based on the guideline recommendations. The poster acts as a quick reference guide in everyday practice. Related Content For more information: www.onlinejase.com, www.asecho.org
Feature | November 06, 2014 | Raissa Rocha One Size Doesn’t Fit All For women with dense breasts, more individualized screening may reduce the impact of later-stage detection and risk of malpractice suits for delayed diagnosis IBM collected a dataset of 52,936 images from 13,234 women who underwent at least one mammogram between 2013 and 2017, and who had health records for at least one year prior to the mammogram. The algorithm was trained on 9,611 mammograms. Image courtesy of Radiology. News | Ultrasound Women’s Health | July 11, 2019 FDA Clears Koios DS Breast 2.0 AI-based Software Koios Medical announced its second 510(k) clearance from the U.S. Food and Drug Administration (FDA). Image courtesy of GE Healthcare Feature | Artificial Intelligence | July 19, 2019 | Michal Chorev AI Models Predict Breast Cancer With Radiologist-level Accuracy Breast cancer is the global leading cause of cancer-related deaths in women, and the most commonly diagnosed cancer… read more Related Content Technology | Breast Biopsy Systems | July 24, 2019 Fujifilm Releases Tomosynthesis Biopsy Option for Aspire Cristalle Mammography System Fujifilm Medical Systems U.S.A. Inc. recently expanded its breast imaging solutions with the launch of its… read more Technology | Artificial Intelligence | July 18, 2019 Paragon Biosciences Launches Qlarity Imaging to Advance FDA-cleared AI Breast Cancer Diagnosis System Paragon Biosciences LLC announced the launch of its seventh portfolio company, Qlarity Imaging LLC, which was founded… read more 12PreviousNext News | Breast Imaging | August 02, 2019 Volpara to Distribute Screenpoint Medical’s Transpara AI Solution Volpara Solutions and ScreenPoint Medical BV signed an agreement under which Volpara will sell ScreenPoint’s Transpara… read more Image courtesy of Imago Systems Technology | Mammography Reporting Software | July 25, 2019 Hologic Partners With MagView to Develop Unifi EQUIP Solution Hologic announced a partnership with mammography information solutions provider MagView to develop Unifi EQUIP, an… read more News | Mammography | August 14, 2019 Imago Systems Announces Collaboration With Mayo Clinic for Breast Imaging Image visualization company Imago Systems announced it has signed a know-how license with Mayo Clinic. The multi-year… read more News | Artificial Intelligence | August 13, 2019 Artificial Intelligence Could Yield More Accurate Breast Cancer Diagnoses University of California Los Angeles (UCLA) researchers have developed an artificial intelligence (AI) system that… read more News | Mammography Reporting Software | July 26, 2019 Ikonopedia Releases Automated Combined Reporting Package at AHRA Ikonopedia showcased its recently released Automated Combined Reporting package and its entire suite of structured… read more Image courtesy of Carestream Health News | PACS | August 09, 2019 Lake Medical Imaging Selects Infinitt for Multi-site RIS/PACS Infinitt North America will be implementing Infinitt RIS (radiology information system)/PACS (picture archiving and… read more Qlarity Imaging’s software is used to assist radiologists in the assessment and characterization of breast lesions. Imaging features are synthesized by an artificial intelligence algorithm into a single value, the QI score, which is analyzed relative to a database of reference abnormalities with known ground truth. Image courtesy of Business Wire. Image courtesy of GE HealthcareIn an era of increasingly personalized medicine, patients are expecting more tailored approaches to care from their physicians. Mammography, long the gold standard for routine breast cancer screening, is no longer enough for a majority of women who find themselves at higher risk for breast cancer due to breast density. The issue of density, which limits the benefits of mammography, has been making its way to the forefront of breast cancer discussion in recent years, and advocates are pressing many in the healthcare community to reconsider their routine annual screening programs in order to save more lives.Changing the Breast Screening LandscapeIn a presentation at the August 2014 annual meeting of the Association for Medical Imaging Management (AHRA), Bonnie Rush, RT(R)(M)(QM), president and founder of Breast Imaging Specialists, cited the need for better notification and improved early detection for women with dense breast tissue classified as greater than 50 percent.The American College of Radiology (ACR) estimates that about 40 percent of women in the United States have dense breasts. The ACR has suggested since 1992 that clinical reports contain language indicating the patient’s particular density along with a disclaimer that density can hide small masses on a mammogram, and that for the classification of extremely dense, the mammogram will miss some cancers. According to the latest edition of BI-RADS (Breast Imaging-Reporting and Data System), these groups correspond to categories C and D, respectively. Thus, mammography’s accuracy is inversely affected by density — as it increases, sensitivity decreases. Nineteen states have now passed their own versions of breast inform laws, with Missouri being the latest to sign a notification bill.1 More than 50 percent of women now live in states with notification laws. The tricky part with state-by-state notification laws, said Rush, is the varying language used. Many states use non-specific verbiage, such as “if you have,” or “you may have” dense breast tissue. Others differ in the directives on what to do with this information.Since breast density notification seems to be here to stay, according to Rush, the federal Breast Density and Mammography Reporting Act, introduced in Congress this past July,2 may eliminate future confusion. Standard language designated by the Secretary of Health and Human Services (HHS) will include: that an individual has dense breast tissue; the effect of breast density on masking the presence of cancer on mammography; that individuals with dense breasts should consult with their physicians about questions or concerns; and whether the patient would benefit from additional tests beyond mammography. The HHS will also be tasked to study improved screening options for women with dense tissue.The Need to Improve Early DetectionWith more than 50 percent of women now in notification states, Rush believes breast imaging organizations should consider stepping up their own game to avoid the potential of malpractice lawsuits brought on by parties who believe dense tissue does impact early detection. Citing a 2002 study by the Physicians Insurers Association of America, Rush disclosed that radiologists are sued more than any other specialty, including surgery and pathology. “The public already believes radiologists should be held accountable for failing to detect cancer early enough,” she said. As the issue of dense breasts and later-stage diagnosis becomes common knowledge, Rush warned that “lawyers will begin to use our own language against us.” “We sell screening mammography as early detection,” explained Rush. “The public thus believes even a short delay in breast cancer diagnosis is not excusable and can be detrimental.” Delays could cause increased injury to a patient, particularly in the form of more invasive procedures and treatments such as chemotherapy, radiation therapy and surgery. They also believe a doctor should not be excused for failing to find a cancer. “They do not understand that when we publicize early detection through mammography saves lives, it does not mean it can save all lives. Some cancers will kill no matter when they are found,” Rush explained. One of the most important steps healthcare providers can take in avoiding fallout from a delayed diagnosis is to inform these patients about both the benefits and limitations of mammography. For women with dense breasts, the consequences of being unable to detect early cancers can be devastating. Due to the decreased ability to “see” through the dense tissue, women with dense breasts are often diagnosed with advanced cancers that are found clinically in the interval between annual mammogram screenings. Such consequences can shake the public’s confidence in mammography as a necessary screening tool, and emphasizes the need to inform these women of its limitations. So if a standard mammogram is not enough, what should be the next step for a woman with dense breasts? “While there is no commonly agreed upon protocol, there are technologies that have proven effective in supplementing mammography in these women,” Rush said.The ACR has created a patient education brochure explaining why all women need a mammogram, but those with dense breasts may benefit by the addition of whole-breast ultrasound (WBUS) or magnetic resonance imaging (MRI). These modalities showed promise in the ACRIN 6666 study, finding invasive node-negative cancers at a significantly higher rate than mammography. At present, however, neither of these modalities is readily available for ancillary screening, considering that MRI is not covered for women with dense breasts and WBUS has spotty reimbursement at a low rate. The American Medical Association (AMA) has proposed a new CPT code slated for November, with a reimbursement rate for 2015 not yet identified at the time of this writing. How Do We Justify Supplementary Imaging?If insurance is to cover ancillary imaging, Rush indicated the need to standardize breast density assessment. While the ACR estimates 80 percent of women in the United States fall under one of the two middle BI-RADS categories (B and C), an international study showed only a 62 percent agreement by interpreters in scoring in these two categories. Discrepancies in scoring for all densities are also exacerbated with the use of differing technical factors and mammography units, emphasizing the need for objective scoring. The addition of breast density analytics software to the market is answering this need. Several vendors offer solutions with differing approaches to density calculations, removing the subjectivity and allowing a more reliable and reproducible result. “Very few practices are ready for the changes that will come from ancillary screening,” Rush said. But the risks and costs of supplementary screening far outweigh the consequences of having women diagnosed when their cancers are more advanced and thus less treatable. It is time for breast imaging providers to come together and devise appropriate screening solutions for women with dense tissue, since they are at increased risk for a delay in the diagnosis of breast cancer. References1. www.areyoudense.org/worxcms_published/news_page227.shtml, accessed Oct. 29, 2014.2. www.itnonline.com/article/federal-dense-breast-tissue-inform-bill-introduced-congress, accessed Oct. 29, 2014. FacebookTwitterLinkedInPrint分享 read more