Study finds live operators are key to disease hotline success

first_imgJan 8, 2008 (CIDRAP News) – A RAND Corporation study of how well local health departments handle telephone reports of urgent disease cases found that the best performers had a live person answering calls at all hours.The goal of researchers, who published their findings in the early online February edition of the American Journal of Public Health, was to determine what factors help health departments meet the US Centers for Disease Control and Prevention’s (CDC) standard for responding to urgent case reports. At the time of the study, the CDC said callers with such reports should be linked to a trained public health professional within 30 minutes.Telephone-based disease surveillance systems (TBDS) at local health departments serve as the first line of defense for identifying public health threats such as foodborne illnesses, and they play a critical role in the event of a bioterrorist or chemical attack or an outbreak of pandemic influenza.The researchers randomly selected health departments to represent various regions of the country and population sizes, though they excluded very small health departments. Of 124 health departments contacted to participate in the study, 74 agreed.Before the researchers made several test calls to the local TBDS systems, they obtained consent from health department directors and asked them not to share details about the project with staff members. The investigators also recorded details about each department’s TBDS system and asked each director to predict how well his or her system would perform. Calls were made both during and after business hours.When making the calls, the researchers recorded information about who answered the call (a person or an automated system), whether the call was immediately transferred to a public health professional or if a callback number was requested, and how long it took to reach a public health professional such as a nurse, epidemiologist, or physician.Health departments were rated as excellent if all calls were connected to a public health professional in 30 minutes or less, the CDC guideline. The department was rated fair if the response time for one or more calls was more than 30 minutes but less than 240, and poor if the response time was longer than 240 minutes or there was no response.Researchers found that 31% of the health departments met the CDC guideline and that reaching a live person on the initial call was the strongest predictor of optimal performance, both for business-hours and after-hours calls. The use of automated systems after hours was linked to poor performance. The average time it took to connect with a public health professional was 63 minutes.David J. Dausey, lead author of the report and an associate policy researcher at RAND Corp., said in a Jan 2 RAND press release that the results shows that local health departments can achieve consistent and timely responses to urgent case reports. “The fact that many departments were unable to respond in a consistent and timely way also demonstrates that there is room for continued improvement,” he said.After wrapping up the sample calls, the investigators interviewed officials at five of the top-performing health departments to determine other factors that contribute to good TBDS system performance. Practice, performance measurement, department leadership, and clear performance expectations were all reported to play a role.When the investigators compared department performance predictions with the study results, they found that 47% of directors overestimated how well their TBDS system would perform, 24% predicted the results accurately, and 13% underestimated how well their system would do.”The poor correlation between health department director expectations of performance and actual performance highlights the need for objective measurement,” the authors concluded.Many health departments believe the CDC’s standard is unrealistic, the authors acknowledged. However, they wrote that even if the standard were raised to 60 minutes, a significant number of health departments in the study would have performed below expectations.Dausey said in the press release that the CDC has shortened its guideline for reaching a trained public health professional by phone to 15 minutes.”These are complex systems, and there are a number of places where the system can break down,” he said, adding that other factors likely to help departments meet federal guidelines include ensuring that telephone operators receive proper training and having formal protocols in place for responding to calls.Dausey DJ, Chandra A, Schaefer AG, et al. Measuring the performance of telephone-based disease surveillance systems in local health departments. Am J Pub Health 2008 Feb;98(2)(early online publication) [Abstract]See also:Jan 2 RAND Corporation press releaselast_img read more

Krka National Park: HRK 80 million for the arrangement of the middle and upper reaches of the Krka

first_imgThe Ministry of Regional Development and European Union Funds, the Central Agency for Financing and Contracting and the Public Institution “Krka National Park” signed a grant agreement for projects financed from the European Structural and Investment Funds in the financial period 2014-2020. for the project “Unknown Krka: hidden treasures of the upper and middle reaches of the river Krka”.The total value of the project is HRK 80.057.649, of which the Ministry of Regional Development and European Union Funds will provide HRK 66.200.193 in grants, and the difference will be provided by the Krka National Park Public Institution.This is a project with reference number KK.06.1.2.01.0003 applied for the Call for Proposals Promoting the sustainable use of natural heritage in national parks and nature parks, number KK.06.1.2.01 within the Operational Program “Competitiveness and Cohesion 2014-2020”. “The middle and upper reaches of the Krka are extremely rich in natural phenomena, cultural and historical heritage. on the other hand, they achieved spatial and temporal dispersion of visitors and relieved Skradinski buk, the most visited waterfall on the river Krka. ” point out from the Krka National Park and that the project “Unknown Krka: hidden treasures of the upper and middle course of the Krka River” will further valorize the just mentioned area of ​​the Krka National Park.The aim of the project is to activate the untapped visitor and economic potential of the northern part of the Krka National Park by building infrastructure and capacity of key stakeholders, development of new educational visitor products and services to achieve better spatial and temporal distribution of visitors and overall social, economic and environmental well-being.The Eco Campus of Pula, an emerging research-scientific and educational-reception center, has a unique character in the county, which will undoubtedly be a generator of development of the upstream part of the Krka National Park and the areas that gravitate to it. JU “NP Krka” has invested 8 million kuna of its own funds in the Eco Campus Puljane for the arrangement of the archeological collection, construction works on the adaptation of the building in which the dining room and Internet center and wastewater treatment plant will be arranged. Additionally, a conference hall and an apartment for accommodating guests have been arranged and equipped.With its own funds, with the co-financing of the Fund for Environmental Protection and Energy Efficiency, the institution also provided construction work on the adaptation of the laboratory of natural scientists, schools in nature, parking and fence in the amount of 6,3 million kuna.last_img read more

MDL Supports Subsea 7 Umbilical Installation Campaign in GoM

first_imgFlex-lay equipment specialist Maritime Developments Limited (MDL) has completed a deepwater project in the Gulf of Mexico for Subsea 7.The project work scope included handling and installation of a deepwater umbilical using the MDL RDS-400-02, supported by the company’s offshore personnel.The reel drive system is part of an MDL flex-lay spread, which has a permanent base in Delmar Systems’ Port Fourchon facility, including a 650-tonne ringer crane, as part of the recently announced partnership between the two companies.Tom O’Malley, project manager at Subsea 7, said: “From start to finish MDL delivered a high-quality solution for the umbilical installation campaign. The service personnel operated safely and were responsive to any client requests offshore.“We continue to be impressed with the technology and innovation that MDL brings to the industry and look forward to seeing what’s next.”Mark Williamson, president MDL Americas, said: “This project gave MDL the ability to showcase just how portable our equipment is, how flexible our approach is to customer service, and the various ways this combination can add value to any offshore project.”This MDL maiden project in the Gulf will soon be followed by another deepwater flexible installation in the basin, using the MDL TTS-4/310 Series Tensioner, a 110-tonne 4-track system.last_img read more

EPL: Salah, Mane sink Sheffield as Liverpool go 13 points clear

first_imgRelatedPosts Lampard: I still have confidence in Tomori Mane double eases Liverpool to win over 10-man Chelsea EPL: Chelsea, Liverpool in cagey duel Mohamed Salah and Sadio Mane were on target as Liverpool kicked off 2020 in dominant fashion with a 2-0 win over Sheffield United at Anfield. The league leaders were aiming to make it 12 months unbeaten in the Premier League after a phenomenal start to the season in which they had won 18 of their 19 games so far. Jurgen Klopp made one change from the side that beat Wolves on Sunday, bringing in Naby Keita back into the fold for Adam Lallana. However, the Guinean picked up an injury in the warm-up and James Milner was drafted in just before kick-off. But that late change didn’t seem to have any effect on the Reds as they raced into an early lead. Virgil van Dijk’s long ball over the top should have been dealt with by George Baldock but he slipped at the crucial moment – and that allowed Andy Robertson to square to Salah, who tucked home inside four minutes of play. It was the Egyptian’s 14th goal of the season and his first since grabbing a brace against Watford to get 2020 off to a perfect start. The visitors almost hit back immediately when John Lundstram fired just wide on the volley, before David McGoldrick’s long range strike stung the hands of goalkeeper Alisson Becker. Dean Henderson was then forced into action to deny Salah a second, superbly tipping over the bar after an incredible pass from Trent Alexander-Arnold. The Blades did have the ball in the net only to see the offside correctly raised against Lundstram, who had finished in some style. But that was as close as the visitors came in the first half as Liverpool dominated possession and threw bodies forward at will. The only difference in the second half was the frequency in which Liverpool neared the Sheffield United goal as Roberto Firmino, in the style of Philippe Coutinho, curled just wide from 25 yards out. Shortly after Salah struck the woodwork in bizarre fashion, the league leaders found the second goal to give them some breathing room. Sadio Mane drilled the ball into the feet of Salah and after a slight delay, the Egyptian’s through pass was exquisite. After the Senegalese’s first attempt was saved, he tapped home the rebound to double the lead. Sheffield United boss Chris Wilder sent on two strikers in Oli McBurnie and Billy Sharp but it made little impact as the home side threatened to add a third through Firmino and then Mane again, but Henderson was in fine form to limit the damage to just two goals. Liverpool were rarely troubled after that as they sealed an 18th straight win at home in the Premier League to extend their lead to 13 points at the top. They are now just 12 games away from matching Arsenal’s 49-game unbeaten record in 2004. Maybe, just maybe, Klopp’s side are next in line to be crowned the “Invincibles”.Tags: Jurgen KloppLiverpoolMadio SaneMohamad SalahSheffield Unitedlast_img read more

Football News UEFA Champions League 2018-19: When and where to watch Group Stage draw; All you need to know

first_img For all the Latest Sports News News, Football News News, Download News Nation Android and iOS Mobile Apps. New Delhi: The group stage draw for the 2018/19 UEFA Champions League ceremony is set to begin at 12 pm ET (09:30pm IST) on Thursday (August 30). The ceremony is scheduled to take place at the Grimaldi Forum in Monaco. The 32-team draw has been divided into four pots from which eight groups of four team each will be derived.The first round of group matches is scheduled to take place on September 18 and 19 with top two from each group qualifying for the knockouts. The draw will be officially be streamed live on UEFA’s official website.ALSO READ: Eng vs Ind 4th Test Preview: Virat Kohli and co eye series equaliserThe final will be played at the Estadio Wanda Metropolitano in Madrid on June 1.Earlier in the 2017/18 Champions League final, Spanish giants Real Madrid defeated Liverpool 3-1 in Kiev to lift their third consecutive UCL.The first pot consists of defending UEFA Champions League winner, defending Europa League winner and six winners of top six leagues in UEFA’s coefficient ranking.ALSO READ: Asian Games 2018 Day 12, LIVEThe top eight teams are Real Madrid (UCL), Atletico Madrid (UEL), Barcelona (La Liga), Manchester City (Premier League), Bayern Munich (Bundesliga), Paris Saint-Germain (Ligue 1), Juventus (Serie A) and Lokomotiv Moscow (Russian Premier League).No teams from the same league can be drawn together, like Manchester City cannot be drawn alongside Liverpool or Manchester United. last_img read more

Former Trojan football players shine in NFL playoffs

first_imgCasey, Adoree’ Jackson and the Titans will travel to Kansas City to take on 2018 NFL MVP quarterback Patrick Mahomes and the Chiefs Sunday. Green ended the regular season leading the Seahawks with four sacks — more than elite teammates like Jadeveon Clowney and Ezekiel “Ziggy” Ansah. On the NFC side, defensive lineman Rasheem Green and the Seattle Seahawks gave Green Bay Packers quarterback Aaron Rodgers a battle until the final moments of their matchup at Lambeau Field Sunday. After a solid performance against a banged-up Philadelphia Eagles team in the Wild Card round — where Green picked up two tackles and a sack en route to a 17-9 win — Seattle fell to the Packers 28-23, in large part due to a controversial first down ruling on Green Bay’s final possession. Tennessee Titans cornerback Adoree’ Jackson is one of two former Trojans still in the playoffs, the second being teammate defensive lineman Jurrell Casey. (Daily Trojan file photo) On the losing side of the Seahawks-Eagles matchup, former Trojan wide receiver Deontay Burnett played sparingly but logged a 5-yard reception on his only target. A standout Trojan, Burnett was signed late in the season to help replenish the Eagles’ depleted receiving corps — including injured Trojan alumnus Nelson Agholor — and made several key plays down the stretch as they locked up the NFC East title. Facing the tall task of stopping the Baltimore Ravens’ presumptive league MVP Lamar Jackson and the highest scoring offense in the NFL, Adoree Jackson and Casey marched into Baltimore with a hot Tennessee Titans squad fresh off a win over the New England Patriots in Foxborough. As of this past weekend’s action, only two remain in the chase for the Lombardi Trophy: defensive tackle Jurrell Casey and cornerback Adoree’ Jackson, both members of the Tennessee Titans. Against New England, Casey helped to keep quarterback Tom Brady uncomfortable while Adoree’ Jackson had the task of manning up against former Arizona State alumnus and standout receiver N’Keal Harry. Formerly a threat to the Trojans, Harry was kept in check by Adoree’ Jackson, as he logged just two catches for 27 yards on seven targets while Adoree’ Jackson picked up two deflections. Lastly, the Minnesota Vikings fell to the San Francisco 49ers in Santa Clara 27-10 despite great contributions from defensive end Everson Griffen throughout their postseason run. In a massive overtime upset victory against the Super Bowl contending New Orleans Saints, Griffen racked up 1.5 sacks and three quarterback hits for Minnesota. Throughout the regular season, Griffen finished in the top 20 in the NFC in sacks and only ranked behind Danielle Hunter for the top spot on the Vikings. Adoree’ Jackson was brilliant once again against the Ravens, compiling three deflections against speedy receiver Marquise “Hollywood” Brown and a host of talented tight ends. Still, Casey served as the real game changer, logging two sacks, two tackles for a loss and picking up an important strip sack of Lamar Jackson that set up a touchdown to put the game firmly out of reach. Among the 40 active USC graduates now in the NFL, according to ESPN, 14 managed to make it to the playoffs representing eight different teams. But on Saturday, Griffen was held in check by a powerful 49ers offensive line and will have to regroup and prepare for the 2020 season. With the draft coming in late April and plenty of talented Trojans such as receiver Michael Pittman Jr., defensive lineman Christian Rector and offensive tackle Austin Jackson set to turn professional, the list of Trojan playoff performers is only bound to grow.last_img read more

National Women’s League Matchday 7: Lions tamed, Nothing supreme, Undefeated

first_imgNorthern ZoneThe unpredictability of results from the North continued in Week 7. The biggest shock of Matchday 7 had to be Pearl Pia’s loss to struggling Ashtown Ladies by a lone goal at home. The win drew a sigh of relief for one of the oldest clubs in the history of the Women’s league as they try to avoid the drop.Encounters between Ampem Darkoa and Kumasi Sports Academy have always been cagey and this installment match lived up to its billing. The two teams had to share the spoils. Ampem Darkoa were without the services of lethal forward, Ophelia Amponsah. More importantly, for the first time since season four, Ampem Darkoa failed to top the Northern Zone table in the first round.(Image credit: NB Sports/ Ekow 3D Sports)Visiting Fabulous Ladies deepened the wounds of Supreme Ladies by clinching a lone goal victory on the road. For the home side, their performance has been anything but Supreme on the pitch. It was a third consecutive defeat for Supreme and the team has picked just a point in seven games.Assistant coach of Supreme Ladies, Peter Boakye said after the match:“The team played very well against Fabulous. We have a very youthful team with some in school. Hence, the challenge in fusing the team. In the second round, we will introduce some experienced players and everyone will see the fortunes of Supreme Ladies turn around.”In another match in the zone, Prison Ladies drew blank with Northern Ladies in a very tough game. Although they dropped points, Prison Ladies are five points clear of 2nd placed team, Ampem Darkoa and remain the only undefeated team in the North.The writer can be reached on Twitter on @akosuaamoo. Southern Zone“At long last, the battle has ended! And thus, Ghana, your beloved country is free forever!”As the nation gears up for its 63rd Independence celebration, the famous words of Dr Kwame Nkrumah re-echoes and there is one team in the South that had an ‘at long last’ moment.Finally, after six failed attempts, Immigration picked up their first win of the season in a battle against Sea Lions in Elmina. Gifty Appiah announced her return to the league in style, after an injury lay off with the solitary goal that tamed the lions.Hasaacas continued their winning ways after they went past Halifax Ladies in a 2-1 win at Tema but for the first time since match day 2, the team conceded a goal. The absence of the two stalwarts at the back, Linda Eshun and Janet Egyir – who were on national duty for Black Queens, was quite evident. The ‘Doo’ Ladies wrapped up the first round on top of the Southern Zone table.In Ajumako, Soccer Intellectuals beat Ladystrikers 2-0 to end the first round in second place. Soccer Intellectuals defender, Linda Amoako, won the Woman of the Match award for a second consecutive time.The game between Samaria Ladies and Police had to be rescheduled as a result of the security team having 6 players on national duty. Freelance sports journalist, Akosua Addai Amoo, recaps the story of Week 7 of the National Women’s League with a special focus on Sea Lions’ loss to Immigration Ladies, Supreme Ladies’ rather underwhelming performances and how Prison Ladies have barred their goals from opponents. FORMATThere are 16 teams in the National Women’s league. The teams are divided into two zones: the Southern Zone and the Northern Zone. There will be 14 rounds of matches played in the respective zones. There will be a play-off between the champions of the two zones to determine the winner of the league. GHANA WOMEN’S PREMIER LEAGUE MATCH WEEK SEVEN – FULL RESULTSNorthern ZonePrisons Ladies 0- 0 Northern LadiesSupreme Ladies 0-1 FabulousKumasi Sports Academy 1-1 Ampem Darkoa LadiesPearl Pia Ladies 0-1 Ashtown Ladies Southern ZoneSamaria Ladies -Police Ladies (postponed)Soccer Intellectual 2-0 LadystrikersHalifax Ladies 1-2 Hasaacas LadiesSea Lions Ladies 0-1 Immigrations Ladieslast_img read more

Hamza Mohammed wants RTU back in the top

first_imgFormer Real Tamale United midfielder Hamza Mohammed wants to bring the team back to the top flight following their absence some time now. Hamza who once captained the Black Satellites has been with the technical team of RTU as assistant coach since returning from Australia where he is studying. The northern region based side did well in last season’s Division One League and Hamza wants to build on that to see the team stage a strong comeback to the premier league.“Is been very difficult for the club in the last three seasons or so because we had some little challenge with our sponsor- WIENCO that is why we find ourselves in the division one,” he told Joy Sports“Not playing in the top flight for some time now is very bad for our great club especially if you are in indigene and a former player, so that is why we have all decided to come back to help the club stage a strong come back to the premier league.”– Follow Joy Sports on Twitter: @Joy997FM. Our hashtag is #JoySportslast_img read more

Mybet.Africa offers bonus for Kotoko-Coton Sports match

first_imgMybet.africa is offering a Ghc5 refund on all Kotoko winner bet should Kotoko draw or lose against Coton Sports of Cameroon on Sunday.Kumasi Asante Kotoko hosts Coton Sport of Cameroon in the second leg of their CAF Confederation Cup match at the Baba Yara Sports Stadium on Sunday.And with a 3-2 away advantage heading into the second leg, Kumasi Asante Kotoko has been highly tipped to carry the day with Mybet.Africa being the first bookmaker with the odds on Sunday’s crucial encounter.The offer by Mybet.Africa is opened till 6am of Saturday, January 19, 2019.Kotoko, Ghana’s sole representative in this year’s continental football competition first accounted for Kariobangi Sharks of Kenya by beating them 2-1 at the Baba Yara Sports Stadium after managing a goalless draw against the Kenyans in their own backyard thus moving to the next stage of the competition to play Coton Sports.—last_img read more

Dodgers have no immediate plans to reopen Arizona facility

first_img Fire danger is on Dave Roberts’ mind as Dodgers head to San Francisco Dodgers’ Max Muncy trying to work his way out of slow start “Some are,” Friedman said. “We just have a lot of restrictions and are kind of erring on the side of caution. A number of our guys have opted against coming, but we do have a number of guys coming, staggering times and allowing guys to come in and throw off the mound or hit in the cage.”Though some have had to get creative – Friedman joked about left-hander David Price building a pitcher’s mound in his backyard – Friedman said the majority of the Dodgers’ pitchers have been able to continue throwing off a mound on a regular basis during quarantine.“I think the group that I am really most concerned about is our starting pitchers, from a baseball-preparedness standpoint,” he said. “Our relievers and our position players can run and do things in a way that I think we can get them prepared for spring training and then prepared for an Opening Day. It’s the starters who are a little bit more front and center in terms of wrapping your arms around where they’re at now and building that up. We’ve got guys spread out all over the country. I know Mark (Prior, Dodgers pitching coach) and Connor (McGuiness, assistant pitching coach) have been in close communication with them and making sure they’re in a good spot– or in as good a spot as they can be.”MLB has begun negotiating with the players’ union over a plan to play a 2020 season. A proposal was sent to the union last week that included numerous physical changes to the way dugouts and clubhouses are set up. Friedman said the Dodgers have not begun to put any of those into place.“Not yet,” Friedman said. “I know the document that went out last week is the first draft and it’s going to change. Once we get a final document, obviously we’ll kick into gear to make sure our clubhouse can facilitate the new protocol and that our players are aware and our coaches and staff and that everyone is on the same page.” How Dodgers pitcher Ross Stripling topped the baseball podcast empire Dodgers hit seven home runs, sweep Colorado Rockies On Monday, California Gov. Gavin Newsom said it is possible that the state could host live sporting events (without fans) as early as June if positive trends regarding the coronavirus continue. Friedman warned against making too much of anyone’s predictions about the future with so much about the return of live sports events still unknown.Related Articlescenter_img Cody Bellinger homer gives Dodgers their first walkoff win of season Florida and Arizona – homes to all 30 MLB spring training complexes – have been among the most aggressive states in reopening businesses and easing restrictions prompted by the coronavirus pandemic.In Florida, the Miami Marlins have reportedly taken advantage of this by reopening their training facility in Jupiter, Florida, as of Tuesday, allowing players on their 40-man roster to resume workouts with some restrictions.Dodgers president of baseball operations Andrew Friedman said he wasn’t sure anything would change in the short term at the team’s Camelback Ranch complex even with Arizona easing restrictions.Several Dodgers have stayed in the Phoenix area since the abrupt suspension of spring training in mid-March and have been able to use the Camelback Ranch facilities for individual workouts. Hitters like Cody Bellinger and Kiké Hernandez have worked with hitting coach Brant Brown at CBR and another facility in what Friedman called “one-off” training sessions. Pitchers including Julio Urias have used the mounds at CBR for throwing sessions. MLB’s 67-page first-draft proposal is expected to undergo changes as the two sides discuss the plan. The players’ union reportedly held a conference call with players from all 30 teams Monday to discuss the proposal.“We’ve been asked almost daily about different politicians’ take on any given day,” Friedman said. “Our approach has remained the same – that things are seemingly changing day to day and it’s difficult to look too far out. But anything that is positive and pointing towards us being able to play games at Dodger Stadium is a good thing.” Newsroom GuidelinesNews TipsContact UsReport an Errorlast_img read more