U.S. President Biden’s Remarks Before Signing Executive Actions on Tackling Climate Change, Creating Jobs The White HouseState Dining Room1:37 P.M. EST THE PRESIDENT: Good afternoon, everybody. I know the press has just had a long session with — with the team here about what I’m going to be talking about today and this afternoon.And let me just start by saying, I can’t tell you how much I appreciate the three people standing next to me here for what they’ve agreed to do to help, particularly my best buddy, John Kerry. Asking a former Secretary of State to come back and do this has been a — I know it was a big ask on the part of myself. I was going to — I was going to blame Kamala for it as well, but for both of us.THE VICE PRESIDENT: Why not? (Laughs.)THE PRESIDENT: And — but John has been deeply involved; the Secretary has been deeply involved in climate issues as a senator and one of the leaders, legislatively, as well. And I don’t think anybody knows more about the issue and the damage that’s been done by some of the executive orders of the previous administration.And Gina — you run everything, Gina. Thank you very much.Let me get to it. Today is “Climate Day” at the White House and — which means that today is “Jobs Day” at the White House. We’re talking about American innovation, American products, American labor. And we’re talking about the health of our families and cleaner water, cleaner air, and cleaner communities. We’re talking about national security and America leading the world in a clean energy future.It’s a future of enormous hope and opportunity. It’s about coming to the moment to deal with this maximum threat that we — that’s now facing us — climate change — with a greater sense of urgency. In my view, we’ve already waited too long to deal with this climate crisis and we can’t wait any longer. We see it with our own eyes, we feel it, we know it in our bones, and it’s time to act.And I might note, parenthetically: If you notice, the attitude of the American people toward greater impetus on focusing on climate change and doing something about it has increased across the board — Democrat, Republican, independent.It’s — that’s why I’m signing today an executive order to supercharge our administration ambitious plan to confront the existential threat of climate change. And it is an existential threat.Last year, wildfires burned more than 5,000 acres in the West — as no one knows better than the Vice President, a former Senator from California — an area roughly the size of the entire state of New Jersey. More intense and powerful hurricanes and tropical storms pummeled states across the Gulf Coast and along the East Coast — I can testify to that, from Delaware. Historic floods, severe droughts have ravaged the Midwest. More Americans see and feel the devastation in big cities, small towns, coastlines, and in farmlands, in red states and blue states. And the Defense Department reported that climate change is a direct threat to more than two thirds of the military’s operational critical installations. Two thirds. And so this could — we could — this could well be on the conservative side.And many climate and health calamities are colliding all at once. It’s not just the pandemic that keeps people inside; it’s poor air quality. Multiple studies have shown that air pollution is associated with an increased risk of death from COVID-19. And just like we need a unified national response to COVID-19, we desperately need a unified national response to the climate crisis because there is a climate crisis.We must keep — we must lead global response because neither challenge can be met, as Secretary Kerry has pointed out many times, by the United States alone. We know what to do, we’ve just got to do it.When we think of climate change, we think of it — this is a case where conscious and convenience cross paths, where dealing with this existential threat to the planet and increasing our economic growth and prosperity are one in the same. When I think of climate change, I think of — and the answers to it — I think of jobs.A key plank of our Build Back Better Recovery Plan is building a modern, resilient climate infrastructure and clean energy future that will create millions of good-paying union jobs — not 7, 8, 10, 12 dollars an hour, but prevailing wage and benefits.You know, we can put millions of Americans to work modernizing our water systems, transportation, our energy infrastructure to withstand the impacts of extreme climate. We’ve already reached a point where we’re going to have to live with what it is now. That’s going to require a lot of work all by itself, without it getting any worse.When we think of renewable energy, we see American manufacturing, American workers racing to lead the global market. We see farmers making American agriculture first in the world to achieve net-zero emissions and gaining new sources of income in the process.And I want to parenthetically thank the Secretary of Agriculture for helping to put together that program during the campaign.We see small business and master electricians designing, installing, and innovating energy-conserving technologies and building homes and buildings. And we’re going to reduce electric consumption and save hundreds of thousands of dollars a year in energy costs in the process.And when the previous administration reversed the Obama-Biden vehicle standard and picked Big Oil companies over American workers, the Biden-Harris administration will not only bring those standards back, we’ll set new, ambitious ones that our workers are ready to meet.We see these workers building new buildings, installing 500,000 new electric vehicle charging stations across the country as we modernize our highway systems to adapt to the changes that have already taken place. We see American consumers switching to electric vehicles through rebates and incentives, and the residents of our cities and townsbreathing cleaner air, and fewer kids living with asthma and dying from it.And not only that, the federal government owns and maintains an enormous fleet of vehicles, as you all know. With today’s executive order, combined with the Buy American executive order I signed on Monday, we’re going to harnessthe purchasing power of the federal government to buy clean,zero-emission vehicles that are made and sourced by union workers right here in America.With everything I just mentioned, this will mean one million new jobs in the American automobile industry. One million. And we’ll do another thing: We’ll take steps towards my goal of achieving 100 percent carbon-pollution-free electric sector by 2035. Transforming the American electric sector to produce power without carbon pollution will be a tremendous spur to job creation and economic competitiveness in the 21st century, not to mention the benefits to our health and to our environment.Already, 84 percent of all new electric capacityplanned to come onto the electric grid this is year is clean energy. Clean energy. Why? Because it’s affordable;because it’s clean; because, in many cases, it’s cheaper. And it’s the way we’re keeping up — they’re keeping up. We’re going to need scientists, the national labs, land-grant universities, historical black colleges and universities to innovate the technologies needed to generate, store, and transmit clean electric — clean electricity across distances, and battery technology, and a whole range of other things.We need engineers to design them and workers to manufacture them. We need iron workers and welders to install them. Technologies they invent, design, and build will ultimately become cheaper than any other kind of energy, helping us dramatically expand our economy and create more jobs with a cleaner, cleaner environment. And we’ll become the world’s largest exporter of those technologies, creating even more jobs.You know, we are also — we’re going to build 1.5 millionnew energy-efficient homes and public housing units that are going to benefit communities three times over: one, by alleviating the affordable housing crisis; two, by increasing energy efficiency; and, three, by reducing the racial wealth gaplinked to home ownership.We’re also going to create more than a quarter million jobs to do things like plug the millions of abandoned oil and gas wells that pose an ongoing threat to the health and safety of our communities. They’re abandoned wells that are open now, and we’re going to put people to work. They’re not going to lose jobs in these areas; they’re going to create jobs. They’re going to get prevailing wage to cap those over a million wells. These aren’t pie-in-the-sky dreams. These are concrete,actionable solutions, and we know how to do this.The Obama-Biden administration reduced the auto industry — rescued the auto industry and helped them retool. We need solar energy cost-competitive with traditional energy, weatherizing more — we made them cost-competitive, weatherizing more than a million homes.The Recovery Act of our administration — the last admin- — our admin- — the Democratic administration made record clean energy investments: $90 billion. The President asked me to make sure how that money was spent, on everything from smart grid systems to clean energy manufacturing.Now, the Biden-Harris administration is going to do it again and go beyond. The executive order I’ll be signing establishes a White House Office of Domestic Climate Policy. And it’ll be led by one of America’s most distinguished climate leaders, former EPA Director Gina McCarthy. As the head of the new office and my National Climate Advisor, Gina will chair a National Climate Task Force, made up of many members of our Cabinet, to deliver a whole-of-government approach to the climate crisis.This is not — it’s not time for small measures; we need to be bold. So, let me be clear: That includes helping revitalizethe economies of coal, oil, and gas, and power plant communities. We have to start by creating new, good-paying jobs, capping those abandoned wells, reclaiming mines, turning old brownfield sites into new hubs of economic growth, creating new, good-paying jobs in those communities where those workers live because they helped build this country.We’re never going to forget the men and women who dug the coal and built the nation. We’re going to do right by themand make sure they have opportunities to keep building the nation and their own communities and getting paid well for it.While the whole-of-government approach is necessary, though, it’s not sufficient. We’re going to work with mayors and governors and tribal leaders and business leaders who are stepping up, and the young people organizing and leading the way. My message to those young people is: You have the full capacity and power of the federal government. Your government is going to work with you.Now, today’s executive order also directs the Secretary of the Interior to stop issuing new oil and gas leases on public lands and offsh- — and offshore waters, wherever possible. We’re going to review and reset the oil and gas leasing program.Like the previous administration, we’ll start to properly manage — unlike it, we’re going to start to properly manage lands and waterways in ways that allow us to protect, preserve them — the full value that they provide for us for future generations.Let me be clear, and I know this always comes up: We’re not going to ban fracking. We’ll protect jobs and grow jobs, including through stronger standards, like controls from methane leaks and union workers in — willing to install the changes.Unlike previous administrations, I don’t think the federal government should give handouts to big oil to the tune of $40 billion in fossil fuel subsidies. And I’m going to be going to the Congress asking them to eliminate those subsidies.We’re going to take money and invest it in clean energy jobs in America — millions of jobs in wind, solar, and carbon capture. In fact, today’s actions are going to help us increase renewable energy production from offshore wind and meet our obligation to be good stewards of our public lands.It establishes a new, modern-day Civilian Climate Corps — that I called for when I was campaigning — to heal our public lands and make us less vulnerable to wildfires and floods.Look, this executive order I’m signing today also makes it official that climate change will be at the center of our national security and foreign policy.As Secretary Kerry — as our Special Presidential Envoy for Climate — with him, the world knows how serious I am about one of America’s — by appointing one of America’s most distinguished statesmen and one of my closest friends, speaking for America on one of the most pressing threats of our time. John was instrumental in negotiating the Paris Climate Agreement that we started to — that we rejoined — this administration rejoined on day one, as I promised.And today’s executive order will help strengthen that commitment by working with other nations to support the most vulnerable to the impact of climate change and to increase our collective resilience. That includes a summit of world leaders that I’ll convene to address this climate crisis on Earth Day, this year.In order to establish a new effort to integrate the security implications of climate change as part of our national security and risk assessment and analysis will also be included.With this executive order, environmental justice will be at the center of all we do addressing the disproportionate health and environmental and economic impacts on communities of color — so-called “fenceline communities” — especially those communities — brown, black, Native American, poor whites. It’s hard — the hard-hit areas like Cancer Alley in Louisia- — Cancer Alley in Louisiana, or the Route 9 corridor in the state of Delaware.That’s why we’re going to work to make sure that they receive 40 percent of the benefits of key federal investments in clean energy, clean water, and wastewater infrastructure. Lifting up these communities makes us all stronger as a nation and increases the health of everybody.Finally, as with our fight against COVID-19, we will listen to the science and protect the integrity of our federal response to the climate crisis.Earlier this month, I nominated Dr. Eric Lander, a brilliant scientist who is here today, to be the Director of the Office of Science and Technology. I also nominated another brilliant scientist, Dr. Frances Arnold and Dr. Maria Zuber, to co-chair the President’s Council of Advisors on Science and Technology — so-called “PCAST” — that President Eisenhower started six weeks after the launch of Sputnik.It’s a team of America’s top scientists charged with asking the most American of questions: “What next? What’s the next big breakthrough?” And then helping us make the impossible possible.Today, I’m signing a presidential memorandum making it clear that we will protect our world-class scientists from political interference and ensure they can think, research, and speak freely and directly to me, the Vice President, and the American people.To summarize, this executive order — it’s about jobs — good-paying union jobs. It’s about workers building our economy back better than before. It’s a whole-of-government approach to put climate change at the center of our domestic, national security, and foreign policy. It’s advancing conservation; revitalizing communities and cities and in the fa– on the farmlands; and securing environmental justice.Our plans are ambitious, but we are America. We’re bold. We are unwavering in the pursuit of jobs and innovation, science and discovery. We can do this, we must do this, and we will do this.I’m now going to sign the executive order to meet the climate crisis with American jobs and American ingenuity. And I want to thank you all. I’m going to go over and sign that now.The first order I’m signing is tackling the climate crisis at home and abroad.(The executive order is signed.)This next one: Restoring trust in government through science and integrity and evidence-based policy making.(The executive order is signed).One more here. And this last one is the President’s Council of Advisors on Science and Technology established.(The executive order is signed).I thank you all for your time. /Public Release. 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FT Report: Derry City 2 St Pats 2 Government heavily criticised over false dawns on Mica Redress AudioHomepage BannerNews Loganair’s new Derry – Liverpool air service takes off from CODA Twitter Google+ Facebook Previous article‘Serious sewerage problems’ in south Inishowen estatesNext articleOver two thousand properties without power in Glenties News Highland WhatsApp News, Sport and Obituaries on Monday May 24th Important message for people attending LUH’s INR clinic Twitter RELATED ARTICLESMORE FROM AUTHOR It’s emerged that some homeowners affected by mica in Donegal have resorted to carrying out repair works themselves because they’re fed up waiting on the redress scheme. Despite indications that the Government may announce more details on the scheme later this week, the local authority has stated that it would still be months before applications are even processed.The Council says their hands are effectively tied until the rollout is initiated at national level.Cllr Liam Blaney says homes affected in Limerick went down the pyrite redress route with work already underway and without homeowners having to contribute the controversial 10%.He believes that in hindsight, that would have been a better way forward:Audio Playerhttp://www.highlandradio.com/wp-content/uploads/2020/01/blanedfgdfgdfymicawed.mp300:0000:0000:00Use Up/Down Arrow keys to increase or decrease volume. DL Debate – 24/05/21 WhatsApp Pinterest By News Highland – January 29, 2020 Google+ Facebook Arranmore progress and potential flagged as population grows Pinterest
The Chris Robinson Brotherhood has announced the second leg to an extensive fall tour schedule, with stops ranging from East Coast to West! The band previously announced a fall tour throughout September into early October, and the new dates kick off in the beginning of November and range through the middle of December.Additionally, the band has confirmed that they will be hitting the studio in early 2016 to record a brand new album. The group has been performing new tunes throughout their recent tour appearances, so expect a heavy-hitting album to drop next year.The new leg of the fall tour includes stops in Asheville, Atlanta, Brooklyn, Washington DC, Los Angeles, San Francisco and more. Check out the full tour dates below, with new shows in bold!Chris Robinson Fall Tour ScheduleAugust 29 – Nederland, CO – NedFestSeptember 11 – Arrington, VA – LOCKN’ Festival *September 12 – Charlotte, NC – The Chop ShopSeptember 13 – Nag’s Head – Kelly’sSeptember 16 – New York, NY – Central Park SummerStage *September 18 – Buffalo, NY – The Town BallroomSeptember 19 & 20 – Cleveland, OH – Beachland Ballroom & TavernSeptember 22 – Louisville, KY – Mercury BallroomSeptember 24 – Cincinnati, OH – 20th Century TheaterSeptember 25 – Geneva, NY – Smith Opera HouseSeptember 26 – Wappingers Falls, NY – Speed of Sound FestivalSeptember 27 – Millvale, PA – Mr. Smalls TheatreSeptember 29 – Pontiac, MI – Crofoot BallroomOctober 1 – St. Louis, MO – Old Rock HouseOctober 2 – Chicago, IL – Thalia HallOctober 3 – Madison, WI – Majestic TheatreOctober 4 – Milwaukee, WI – Turner Hall BallroomOctober 6 – Nashville, TN – 3rd & LindsleyOctober 8 – Birmingham, AL – Iron CityOctober 9 – Jackson, MS – Duling HallOctober 10 – New Orleans, LA – Tipitina’sOctober 13 – Baton Rouge, LA – Varsity TheatreOctober 15 – Houston, TX – Warehouse Live **October 16 – Austin, TX – Scoot Inn **October 17 – Dallas, TX – Gas Monkey Bar ’N’ GrillNovember 3 – Asheville, NC – The Orange PeelNovember 5 – Atlanta, GA – The Variety PlayhouseNovember 6 – Charleston, SC – The Music FarmNovember 7 & 8 – Raleigh, NC – Lincoln TheatreNovember 17 – Washington, DC – 9:30 ClubNovember 19, 20 & 21 – Brooklyn, NY – Brooklyn BowlNovember 22 – Philadelphia, PA – Theatre of the Living ArtsDecember 3 – Napa, CA – City WineryDecember 4 – Sacramento, CA – Harlow’sDecember 5 – Crystal Bay, NV – Crystal Bay Club Crown RoomDecember 6 – Santa Cruz, CA – Coconut GroveDecember 9 – Los Angeles, CA – El Rey TheatreDecember 10 – Santa Barbara, CA – Lobero TheatreDecember 11 & 12 – San Francisco, CA – The Fillmore* w/ Phil Lesh & Friends ** w/ Leftover Salmon
Ë™In our first month, we found three people who needed acute interventions right away,Ã“ he says. Ë™Our physician says that if we hadn_t seen them that day, they would have been [later] hospitalized for one to two weeks, likely in intensive care.Ã“ He says these health-care workers don_t need to be paramedics. Ë™In fact, they wouldn_t even need to be [from] EMS; but I_d like to use the volunteer EMTs we have, if we can expand their training and get some reimbursement,Ã“ he adds. Ë™This model has the potential to break down the old EMS paradigm, which could lead to a new reimbursement paradigm.Ã“”ž Nova Scotia_s program began as a pilot in 1999 and has proven so successful that it has become a fixture on the islands, inspiring the creation of similar programs in remote areas of Canada. During this phase, which lasted 18 months, Cain says, Ë™The paramedics did a lot of preventative things, and watched for signs and symptoms of something pending.Ã“ Wingrove aims to create a community paramedicine bachelor_s degree by adding the Nova Scotia models to the Minnesota Community Health Worker college certificate program. Ë™We want these workers to have a broad background in EMS, public health and mental health. Then we can start spreading this degree program across the country. Our goal is to have everyone doing the same thing so that we can create a Ã‚research bed_ on the effectiveness of community paramedics,Ã“ he says. Ë™A county in Nebraska has a recently retired deputy sheriff with a PhD in mental health. He has been the first responder to every mental-health call in that county, so he knows just what EMS people need to know to handle a mental-health event.Ã“ Wingrove is trying to find $25,000 in federal money for the deputy sheriff to develop this segment of the University of Nebraska curriculum. For the past eight years, paramedics on Long and Brier Islands have provided primary health-care and prevention services to some 1,200 residents (plus summertime visitors), both in a clinic and during home visits. (See Ë™A note on Canada_s Ã‚Paramedics,_Ã“ above, for an explanation on the country_s provider levels.) The community paramedicine program has also captured the attention and imagination of rural health leaders in the U.S., some of whom are developing a pilot program and a community paramedicine curriculum that can be used to train U.S. EMS providers to provide primary care and prevention services. One patient Ë™who wasn_t comfortable crossing the iceÃ“ to visit a doctor during the winter had an acute episode of hypertension, Rawson says. Paramedics doing a home check recognized that the patient_s blood pressure was dangerously high and contacted the physician; the doctor changed medications and the paramedics continued to provide daily monitoring. Ë™That patient is now doing well,Ã“ he reports. Michael McKeage, EHS vice president of clinical operations, noted that, Ë™Not all paramedics will be able to do this; community health takes different skills that they_ll need to learn. And the approach to the patient in the non-emergency situation is unique, so paramedics need to be sensitive to that environment.Ã“ Misner noted that the community paramedics also work closely with medical first responders from the islands_ three fire departments, participating in monthly first responder training programs that provide lectures followed by skills stations on topics chosen by the first responders. Anyone involved with EMS in the U.S. for at least a decade no doubt remembers the push in the mid ’90s to create Ë™expanded-scope EMS.Ã“ Although that effort sputtered and appeared to have died, the concept of using EMS personnel as Ë™community paramedicsÃ“ to provide primary care services when not responding to emergency calls lives on in Canada — and is about to make a comeback in the U.S.”ž When asked what the difference was between these community paramedic programs and the ill-fated, expanded-scope programs (e.g., in Red River, N.M.) a decade ago, Wingrove says, Ë™I consider this more expanded role than expanded scope. Expanded scope leaves you with the impression that EMS is expanding paramedics into the next level of health care, say into the nursing or physician level, but this is simply expanding the paramedic_s role into public health.Ã“ Gary Wingrove, director of government affairs for the Mayo Clinic_s ambulance service in Minnesota, and Dennis Berens, director of the Nebraska Office of Rural Health, have joined forces to develop a Ë™community healthcare specialistÃ“ curriculum and conduct a pilot program to show how EMS personnel can fill health-care gaps in rural and frontier areas of the country. To accomplish those goals, they recently developed the Community Healthcare and Emergency Cooperative, a consortium of rural health, EMS and academic organizations in Minnesota and Nebraska. They also secured federal grant funding through their states to get this program under way. Ë™Most of our population is elderly, and the [home-care] nurse was overwhelmed by the acuity and amount of need out here,Ã“ Rawson says. Ë™Many people were falling through the cracks. So we asked what we could do to help her, and she identified the patients who don_t need a lot of care but need to be seen. Nova Scotia_s EHS also recently gave permission for rural health leaders in the U.S. to use and modify the Canadian curriculum. Cain says Dalhousie University in Halifax, Nova Scotia, has been studying the Long and Brier Islands program and is preparing to submit a paper for publication. An unpublished report on that study found that the Long and Brier project significantly reduced hospitalizations, visits to physician offices and emergency departments, and residents_ travel times and costs. Four other Nova Scotia jurisdictions are interested in adopting the program. Residents of the islands — who are two hours, 20 minutes, and two ferry rides (in good weather) from the nearest hospital in Digby — had asked provincial health officials to station a physician on the islands, which was not feasible. Instead, the province and island residents launched a multiphase pilot project using paramedics (who are stationed on the islands 24/7) to provide many primary care services. According to Misner, community paramedics have also developed collaborative relationships with local home-health services, including Victorian Order of Nurses, a non-profit organization that provides community-based health services for 10 provinces and three territories in Canada. The third phase brought a nurse practitioner (NP) to the islands through a collaborative practice agreement with a physician in Digby. Adding the NP allowed the paramedics (after further training) to perform wound care, blood draws and other types of primary care under the supervision of the NP in both the clinic and the field. They learned to assess patients with congestive heart failure and diabetes, assist with medication compliance, administer antibiotics, assess urine specimens, change dressings, and remove sutures and staples. Rawson reports that between November and July 9, BFNEMS paramedics provided 1,000 home visits, lasting almost 495″ž”ž hours, in addition to handling their usual emergency-call volume (approximately 300 calls a year). Community paramedics do an average of six daily home visits, checking on the same three patients every day and sometimes visiting as many as nine. Wingrove is a founder of the International Roundtable on Community Paramedicine (IRCP), which has a mission to Ë™promote the international exchange of information and experience related to the provision of flexible and reliable health-care services to residents of rural and remote areas using novel health-care delivery models.Ã“ In 2006, IRCP held a three-day meeting in Nova Scotia, and another in Rochester, Minn. It will hold its third-annual meeting in Australia this month and expects participants from Australia, Canada, Scotland, the U.S. and England. In between those meetings, IRCP has been holding monthly conference calls involving 30Ã50 people involved or interested in community paramedicine. Ë™Every day, we have crews going out doing everything from taking vital signs, doing blood-glucose monitoring, insulin injections, medication compliance and providing an overall view of the community and elder citizens_ health status,Ã“ he says. He notes that all those skills are within the paramedics_ scope of practice — except for insulin injections, for which the paramedics received a half day of training. Ë™We had to bunker down and treat them in their homes,Ã“ Rawson says. Ë™They did 12-leads and faxed them to the doctor, who changed their medications. We also have limitations on the prehospital administration of nitro, so we were able to modify that [rule] and allow the paramedics to give more. He notes that in the six months before the community paramedic program started, BFNEMS had transported one elderly couple six times, although none of those transports resulted in a hospital admission. Ë™Since this program started, we visit them daily to check up on them and haven_t transported them once,Ã“ he says. Ë™[The program_s first phase] had paramedics providing [some primary] care to the community, but only within the scope of things they could do in the back of an ambulance,Ã“ says Marilyn Pike, former senior director of Emergency Health Services (EHS), Nova Scotia_s EMS system. Ë™But we realized this wasn_t going to be enough. We held many meetings with [residents] to explain what paramedics could do. They expected the paramedics to do everything, including surgery and [obstetrical services], and it took a while to explain that paramedics couldn_t do that,Ã“ she says. According to Rawson, BFNEMS is now planning to greatly expand treatments this fall to include sterile wound care, suturing and immunizations. The agency also plans to teach the paramedics to do phlebotomies because Ë™it makes no sense to travel three hours for a 10-second prick, [and] many people who should have routine blood work don_t get it.Ã“ In the second phase, the paramedics began providing such services as flu shots, blood pressure and glucose checks, and home assessments (to detect fall hazards and other dangers). This required EHS to develop new policies, procedures and protocols. The biggest challenge to BFNEMS came on a winter day when two patients with ischemic cardiac disease called in distress within five minutes. Bad weather prevented anyone from leaving the island via snowmobile or air ambulance, leaving a single paramedic crew to handle both cardiac emergencies.”žChristian”žIsland has three ambulances –“žfrontline, backup and first-responder units — so the two-person, on-duty BFNEMS paramedic crew split up and paired with first responders to go to both patients at once. Beginning on June 1, paramedic service became available during the daytime, and in November, those paramedics began providing community care on Christian Island similar to that provided on Long and Brier Islands. The program Ë™borrowedÃ“ Nova Scotia_s community paramedic curriculum, BFNEMS Manager Douglas Rawson says, and modified it to fit Christian Island residents_ needs. For example, BFNEMS added a module on insulin injections, which Nova Scotia community paramedics weren_t doing. In late 2006, Beausoleil First Nation EMS on Lake Huron_s Christian Island started a program modeled on Nova Scotia_s. (Ë™First NationsÃ“ is the term Canadians use to refer to Ë™Native Americans.Ã“) Christian Island, which is a 25-minute ferry ride from mainland Ontario (or 15 minutes over the ice via snowmobile when the lake is frozen), has roughly 650 year-round residents and about 2,000 more in the summer. Prior to June 1, 2006, a clinic staffed by a community nurse and a home-care nurse, along with a physician who visited once a week, provided the only health care, and volunteer first responders transported emergency patients to an ambulance service on the mainland. The Dalhousie study concluded that the Long and Brier project Ë™has clearly demonstrated the effect of this innovative model on increasing accessibility to a full range of comprehensive primary health-care services along with a high level of resident acceptance and satisfaction with the model of care and the positive impact of the model of care or residents_ health and reductions in health-care costs.Ã“ Ë™We have a great staff, which has taken a lot of initiative,Ã“ he adds. Ë™Although home visits were foreign to EMS, they say they like going out and visiting people in their homes.Ã“ Ë™We need a new model that can serve as the front end of public health, primary care, emergency service, mental health and maybe even dental care,Ã“ Berens says. Ë™We_re looking at using the EMS model and infrastructure, especially in the Great Plains states, where most of our EMTs are volunteers. We_d like to create some jobs for those EMTs while better caring for the health-care needs of our citizens. In Ontario However, community paramedic proponents insist they_re talking about Ë™expanded roles,Ã“ not Ë™expanded scope,Ã“ for EMS providers — a subtle but important difference. Ë™Expanded scope implies that you_re expanding the paramedics_ skills and services, and others in medicine start saying, Ã‚Hey, that_s what we do,_Ã“ says Nova Scotia_s former Provincial EMS Medical Director”žEd Cain, MD, a leader in the movement that created Nova Scotia_s community paramedicine program. Ë™With expanded-role [EMS], we_re emphasizing that different professionals can do these various competencies, but in these settings, there are no other health-care professionals available to do them.Ã“ In Nova Scotia In an unpublished report on the project, former coordinator of the Long and Brier Island Community Paramedicine Project Debbee Misner, RN, BScn, said, Ë™The project_s focus dramatically altered the traditional work of the paramedics. Accustomed to quickly responding to emergency calls within a specified period of time, paramedics were now being called upon to, among other things, share a cup of tea with island residents as part of a falls prevention assessment where [they] assessed both residents and their environment for fall hazards.Ã“ Cain says, Ë™They also created an Ã‚adopt-a-patient_ program. They visit a shut-in on a regular basis and may be the only contact that person has.Ã“ An abandoned clinic in Freeport where a physician had formerly practiced was renovated to serve as headquarters for the Long and Brier Islands project. The paramedics began holding clinics there, as well as visiting patients in their homes between emergency calls. It would take half a day for a visiting nurse or home-care person from the mainland to visit a patient on the islands, Cain says Ë™so paramedics do home visits.Ã“ In the”žU.S. This model certainly seems promising for filling the widening health-care gaps in remote parts of the U.S. However, finding the revenues to fund such programs could prove daunting until far-sighted policy makers agree to pay for paramedic treatment separate from transport.Mannie Garza is news director of JEMS and editor of the management newsletter EMS Insider. She has a BA in journalism and has been writing about EMS for nearly 20 years.
Ask Ryan Blaney about this weekend’s Monster Energy NASCAR Cup Series race at Atlanta Motor Speedway and the Team Penske driver gives a noticeable pause as contemplates the uncertainty he faces heading into the second race of the season.Blaney’s pause is understandable with the Folds of Honor QuikTrip 500 the first race featuring the 2019 aerodynamic rules package that was designed to slow the cars down by reducing horsepower with the intent to create additional passing opportunities on intermediate-sized speedways. Precisely the kind of track the 1.54-mile Atlanta is. And with this package not used in the season-opening Daytona 500, this weekend represents the first time many drivers, including Blaney, will get to experience the rules package in either race or test conditions.“I am trying not to anticipate much just because I haven’t driven the new package,” Blaney told NASCAR.com. “I try not to think about it too much. I just want to go out because you don’t know what to expect yet.“We’ll just have to see how [the package] drives and how it races. I’m very curious.”RELATED: Full Atlanta schedule | Atlanta 101 | Who’s favored to win at Atlanta?Although Blaney didn’t take part in a test over the offseason, Penske teammates Brad Keselowski and defending Cup champion Joey Logano each participated in different tests where they got a feel for the new rules package. Keselowski tested at Las Vegas Motor Speedway, while Logano tested at Auto Club Speedway. Keselowski posted the fastest single-lap speed (of the non-wheel force cars, 178.436 mph) in one of the three sessions at Las Vegas, site of next week’s NASCAR tripleheader weekend that includes races for all three national series.Not only did Blaney solicit feedback from both his teammates, he also watched the stream of the Las Vegas test to form his own opinion. From his conversations with Keselowski and Logano, as well as his own observations, Blaney believes drivers will have to balance pursuing speed with getting their car to handle properly.“It’s a pretty interesting game of how far do you want to trim your car out for overall speed versus handling,” Blaney said. “There were some cars that handled really well but maybe were a little bit slower at the beginning of a run. But, there were cars that were really fast at getting a run [on other cars] because the cars were trimmed-out but as the tires went away they became a handful to hang onto.“It’s going to be neat to see how teams go about finding a middle ground. It’s just not something we’ve dealt with before in the Cup Series.”PODCAST: Are you a Blaney fan? Check out ‘Glass Case of Emotion’Figuring out the quirks of the rules package is not the only unknown Blaney is dealing with this weekend, Atlanta is also just the second race for the new Ford Mustang. And since there is little correlation between 2.5-mile Daytona International Speedway and the high-speed Atlanta oval with an abrasive surface that greatly increases tire wear there wasn’t much Ford and its teams learned during Daytona Speedweeks that can be applied to Atlanta.Ford’s switch to a different model style comes a season after the manufacturer dominated on the track. In addition to Logano capturing the Cup title, Ford drivers combined to win 19 of 36 races and their collective performance delivered Ford its first manufacturer championship since 2002.Nonetheless, the expectation within the Ford camp is that even with a new car and the inevitable growing pains that come with it, their drivers will be able to replicate their many successes from a year ago.“It’s hard to improve on last year, we won a lot of races, but we’re always trying to be better,” Blaney said. “I love the look of them at Daytona; I thought they were really fast at Daytona. And you hope that carryovers to every other racetrack.”
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Share UWF Improves GSC Record to 6-3 with Win Over West Alabama, 8-6 March 23, 2008Box Score LIVINGSTON, Ala. – The Argonauts continued GSC play Saturday afternoon in Livingston, Alabama and were able to clinch an 8-6 victory over West Alabama. Starting pitcher Jillian LaFrance earned the win, improving to 9-4 with five strikeouts on the day. Third basemen Nicky VanCamp led the Argos at the plate, going three-for-five on the game. Julie Carroll was right behind her with two hits out of three at bats. The Argos combined for 13 hits in the win, with just one defensive error.West Alabama was first to score a run in the second inning off an RBI single by right fielder Mary Wright. The Argos, however, quickly came back to take the lead in the top of the third inning. Stephany Aguiliar led off with a walk and advanced to third on a sacrifice by Melissa Chastang. Heather Bell reached on a fielder’s choice that scored Aguiliar and then advanced to second on a wild pitch. Whitney Gay also reached on a fielder’s choice that advanced Bell to third. Pinch runner Amie McMillion stole second to put two runners in scoring position for Caurie Miller who answered the call with an RBI single to score Bell. McMillion was thrown out at third and Miller reached second on the throw. With Franny Bell pinch running for Miller, VanCamp reached on an error by the third basemen that allowed F. Bell to reach third. LaFrance took the opportunity to pick up an RBI off a single that scored F. Bell before the inning ended.With a 3-1 lead, West Florida continued producing runs in the fourth inning. Julie Carroll led off with a single, but was thrown out at second on Aguiliar’s fielder’s choice. Aguiliar advanced on a Chastang groundout, and then scored on a single from Heather Bell. Bell advanced when Gay reached on an error and again on a walk drawn by Miller that loaded the bases. VanCamp singled to left field to add another RBI to her books on Bell’s score.West Alabama added three runs to the board in the fifth inning, one being a solo homerun from Laura Bagwell. West Florida’s VanCamp answered with a two run homerun, her seventh of the year, over the centerfield fence that scored Gay who was on with a single. Then in the seventh, the Argos added one more run after Chastang led off the inning with a single. Heather Bell advanced Chastang with a sacrifice bunt, and Gay stepped up with an RBI double to make the score 8-4. West Alabama threatened in the seventh, adding two runs off a homerun from Mary Wright but the Argos relief pitcher Emily Burge held on to clinch the save.The Argos continued GSC play against West Alabama immediately following the first game of the doubleheader. Print Friendly Version
Argonauts’ Patricia Gandolfo Earns GSC Defensive Nod Patricia Gandolfo (Photo by Ron Besser) BIRMINGHAM, Ala. – Senior Patricia Gandolfo (Porto Alegre, Brazil/Missouri State – West Plains CC) was tabbed as this week’s Gulf South Conference East Division Defensive Player of the Week. The accolade mark’s Gandolfo’s first of this season, her fourth career defensive nod. Gandolfo led the Argonaut defense en route to two GSC victories over the weekend. The senior had a total of nine blocks during that span, an impressive 1.8 average. She had at least four blocks in each match, and contributed fiver in a 3-0 win over Valdosta State. Gandolfo is currently ranked second in the GSC in blocks, and leads her team with 72 total so far. The senior will lead the Argo defense into tough in-region play this weekend, facing No. 14 Saint Leo, No. 9 Tampa, and Florida Southern over the course of two days. Print Friendly Version Share
DOHA, Qatar: Long Jump world record holder Mike Powell believes that Jamaica’s World Championships gold medallist Tajay Gayle has all the tools required to erase his 28-year-old world record. Gayle shocked the world when he upset Cuban Juan Miguel Echevarria to win gold in the men’s long jump final at the Doha 2019 World Championships with a massive 8.69m personal best. American Jeff Henderson, 8.39m, took the silver medal with the Cuban finishing third with a best of 8.34m. The Jamaican’s winning distance was the best mark registered since Dwight Phillips’ 8.74m in 2009 and makes him the 10th best jumper in history. Powell won World Championships gold medals at the 1993 championship in Stuttgart, Germany, and before that in 1991 in Tokyo, Japan, where he flew to 8.95m, a mark that has not been tested since. The 55-year-old American, who was in the stands at the Khalifa International Stadium to witness Gayle’s performance on September 28, was left impressed with both his range and his demonstration of mental fortitude to deliver his best performance on the biggest stage.“I was watching the jumps and when he jumped the 8.46m on his first attempt, I said ‘OK, that’s pretty good’. I then wanted to see what kind of response Echevarria was going to make,” Powell told The Gleaner. Signs of a champion “It’s how you see the signs of a champion. I was looking for him (Echevarria) to drop an 8.50m right then and there in response, but he was messing around. Gayle then went 8.69m and listen man, that’s a tall order for anyone to beat. I think only two people have come back from that, myself and Carl Lewis,” Powell stated in response to his epic battle with Lewis at the 1991 World Championships, where they registered the number-one and number-three ranked wind-legal jumps in history.“They are jumping very well. When I picture someone breaking my world record, it is somebody who is tall and fast and we have that in Tajay Gayle,” Powell stated. “As much as I like being the world record holder, it’s been almost 30 years, man. I wasn’t that good, somebody’s got to come do it.”The two-time Olympic silver medallist says he is expecting further improvements from the MVP jumper and is keen to see how he handles the added pressure going forward.“There have been people who have shown that they are capable of breaking the record, and now we have to add Gayle’s name to the list because as I always say, if you can jump 8.60m three or four times, you can go 8.90m, you can catch one, so we will have to see if he stays consistent, but I think he will get even better,” Powell shared before noting that he would like to see the 23-year-old doing the 100m to improve his speed, which he thinks is the only way he will achieve the world-record mark.“He’s still young. I spoke to his coach (Stephen Francis); they didn’t expect him to do this well already … Now the pressure is going to be on him now to perform consistently. Speed is the difference “The speed is what matters. That’s the difference with when I was jumping and the way they are jumping now – you have to be fast. I’m watching now and they are not running. There is only one way to go up there, you have to really go fast!” Powell exclaimed.With Gayle and Echevarria expected to continue their battle in the coming years, Powell is looking forward to great improvements in the event.“I am happy to see that the jumpers are performing at a high level, where people want to pay attention. wIt’s a big story now, now we got somebody else because both him (Gayle) and Echevarria are jumping well now, and hopefully, the other jumpers will step up as well,” Powell said.Powell is now working with high- school jumpers in the United States and says he will likely be coaching a number of Chinese jumpers in the near future as well.
Twins first baseman Justin Morneau says he wants to play in the Twins first exhibition game against Tampa Bay Saturday at 12:05 in Fort Myers, Florida. Hear the game on WJON. Morneau has been battling concussion symptoms and other injuries over the past 2 seasons but says he feels good after a week of spring training. Morneau hit a double and a homerun in batting practice against Francisco Liriano Tuesday.Morneau played in just 69 games for the Twins last season and hit .227 with 4 homeruns and 30 RBIs. About Connatix V56892 Visit Advertiser website GO TO PAGE Skip About Connatix V56892 Auto (360p) 1080p HD 1/1 360p 720p HD