Friday, March 29, 2013

New Teaching and Learning Resources | Centre for Teaching ...

What?s New in the Teaching and Learning Resources Portal?

Teaching and Learning Resources Portal ScreenshotThe Teaching and Learning Resources Portal on the UBC Wiki hosts a collection of resources and articles on a diverse range of teaching and learning topics, strategies, issues, and tools.

The following new bibliographies/resources have been recently added to the portal:

You can submit a bibliography request around teaching and learning topics by filling out a request form.

For more information contact: Shaya Golparian, Ph.D., CTLT Resource Room Coordinator, at ctlt.resourceroom@exchange.ubc.ca.

iPeer Building Block ? Integrating iPeer with Connect

iPeer imageBack in January, a new version of iPeer was released, and alongside it, an iPeer building block was developed to integrate iPeer with the Connect learning management system (Blackboard Learn). iPeer is an open source web application that allows instructors to develop and deliver rubric-based peer evaluations, review and release student comments, build progress report forms online, and analyze evaluation results. The iPeer building block allows users to create iPeer courses within Connect. Users can synchronize class lists, and push and pull groups to and from iPeer and Connect. It also allows the instructor to add an iPeer grade into the Connect Grade Center.

iPeer was originally developed in the UBC Faculty of Applied Science, and is currently being developed, hosted, and maintained by the Centre for Teaching, Learning and Technology (CTLT). Each term, approximately 70-80 UBC instructors use iPeer in their course. It is used by the Faculty of Applied Science, Faculty of Arts, Faculty of Education, Sauder School of Business, and UBC Okanagan. Since it is an open source application, others outside of UBC have been using it as well.

For more information about iPeer, email ipeer.support@ubc.ca or visit the Student Peer Review section of the e-learning website. You can learn more about the iPeer building block by visiting the documentation page, which was released in February.


This article was published in the March 2013 CTLT Newsletter, Dialogues. Below is a list of the articles included in the issue:

Find out more information about the CTLT Newsletter, Dialogues.

Source: http://ctlt.ubc.ca/2013/03/28/new-teaching-and-learning-resources-2/

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Restoring Standards With Teachers Who Offer More Than Their ...

The movie "Freedom Writers" clearly depicted the story of a teacher that every parent would definitely want for his or her child. Erin Gruwell, the protagonist, is a freshman and sophomore English teacher at Woodrow Wilson Classical High School who didn't give up on her students when everybody - including the school administrators, other members of the faculty, and even their families - had already given up on them. Erin Gruwell didn't tire in promoting strong values to help her students learn their real value not only as learners but also as members of society. Her methods of teaching were considered unorthodox but she excitedly explored a vast range of teaching principles to make sure that her students fully understood the lessons she was teaching and their applications in life.

But not all teachers are like Erin Gruwell. These days, school teaching jobs are often merely income opportunities - which they are - and rarely can one find teachers today who are completely passionate about what they do that they are willing to offer their services beyond the classroom for no additional pay. Teachers don't get paid extra for staying with their students who need to linger in school because of home issues, nor are they compensated for all their extra efforts in being the responsible authority figures students can turn to in times of trouble.

In a special essay written about teachers, a student described her favourite teacher as her source of comfort, inspiration, number-one encourager and an angel sent from above. The student shared how much she enjoyed going to school and learning new things but mainly she focused on the other contributions of the teacher beyond the lessons in class. This only proves that a teacher's vast knowledge about the subject she teaches is truly not all there is to the profession.

Parents send their children to school so they would have an edge in life and realise their fullest potential with the guidance of good role models. Hence, it's really sad to hear news about teachers (with stellar academic credentials) behaving poorly, even getting their students involved in their messed-up lives, not standing up for what is right, and really altering the important values that are the very foundation of morality.

With all the distractions that children nowadays deal with, and all the threats to their safety, the need for fully effective teachers (who are not only intelligent and possessed of great teaching skills but are also morally strong) is greater than ever. But such teachers are rare species in today's schools -- hence, the growing number of home-schoolers. It's high time that schools elevate their standards in selecting teaching professionals; make sure that teachers are not only smart but could really serve as good role models to the children. This is the only way to move forward in this challenging world, the only way to restore the faith of parents in the system.

School teaching jobs from SanzaTeaching.com can help institutions and parents gain confidence in their students and children. With this, kids can attain knowledge that can help them create a better and more productive future. To find out more, click here.

Source: http://articles.submityourarticle.com/restoring-standards-with-teachers-who-offer-more-than-their-knowledge-for-their-school-teaching-jobs-322713

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U.S. sends stealth bombers to S. Korea

SEOUL, South Korea (AP) ? The U.S military says two nuclear-capable B-2 bombers have completed a training mission in South Korea amid threats from North Korea that include nuclear strikes on Washington and Seoul.

The statement Thursday by U.S. Forces Korea is an unusual confirmation. It follows an earlier U.S. announcement that nuclear-capable B-52 bombers participated in ongoing U.S.-South Korean military drills.

The U.S. says the B-2 stealth bombers flew from a U.S. air base and dropped munitions on a South Korean island range before returning home.

The announcement will likely draw a strong response from Pyongyang. North Korea sees the military drills as part of a U.S. plot to invade and becomes particularly upset about U.S. nuclear activities in the region.

Washington and Seoul say they the annual drills are routine and defensive.

Source: http://news.yahoo.com/us-sends-nuclear-capable-b-2-bombers-skorea-112309292.html

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Jenelle Evans: Gary Head is a D-ck, Used My Car to Pick Up B--ches

Source: http://www.thehollywoodgossip.com/2013/03/jenelle-evans-gary-head-is-a-d-ck-used-my-car-to-pick-up-b-ches/

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Interserve bridges the gap between sustainability and finance ...

Ask sustainability executives, on condition of anonymity, what the biggest obstacle to green progress is in their business and you almost invariably get the same answer: the finance director. It is a trend that risks putting Interserve Group's Tim Haywood in a somewhat difficult position, given he is both group finance director and head of sustainability at the construction and property services firm.

However, for Haywood, who last week officially launched an ambitious new strategy that promises to halve greenhouse gas emissions across the 50,000-strong global company, the perceived conflict between the two disciplines is entirely avoidable -- in fact, it has left him more than a little frustrated.

"I must admit I am a bit fed up with the way the finance director is seen as the person who knows the cost of everything and the value of nothing, just as I am fed up with the perception the sustainability executive is the reverse, knowing the value of everything and the cost of nothing," he says, reflecting on 18 months serving as both finance and sustainability director. "That is nonsense -- sustainability has a very strong business case."

The challenge, as Haywood acknowledges, is making that business case explicit, and it is this necessity that has informed the innovative management framework that underpins the company's new sustainability strategy. "The first thing I wanted to do was bring some financial director measurement to the sustainability sphere, so we have developed this concept of looking at four 'capitals,'" he explains. "Financial capital, natural capital, social capital and knowledge capital."

Measuring the performance of the first "capital" is easy since tracking the financial metrics of a project or department is something every business does, but the three new "capitals" present more of a challenge. Interserve is working with the Robertsbridge Group's Tony Juniper, who also authored the recent book, "What Has Nature Ever Done for Us," to develop a means of accounting for the environmental impacts the company has. It is an approach that Haywood admits is likely to draw on the pioneering work undertaken by sportswear company Puma, which last year published the world's first Environmental Profit and Loss sheet that committed to putting a financial value on the company's impact on the natural world. However, the plan to develop two new metrics for the company's social capital and knowledge capital will require an entirely new approach for measuring the largely intangible value of the company's interaction with the communities it is part of and the training and talent development it offers staff and stakeholders.

Next page: Measuring the four capitals

Source: http://www.greenbiz.com/blog/2013/03/28/interserve-bridges-gap-sustainability-finance

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Thursday, March 28, 2013

Stocks lower as Italy adds to European fears

Stocks recovered most of their earlier losses to close narrowly mixed Wednesday, with the S&P 500 finishing slightly below its closing high, as ongoing economic and political concerns over Europe kept a lid on gains.

(Read More: It's Back! Dark Clouds From Europe Stall US Bull Run)

The Dow Jones Industrial Average shaved most of its early losses. JPMorgan led the blue-chip laggards, while Intel gained. The Dow was down as much as 120 points earlier before recovering.

The S&P 500 and the Nasdaq erased most of their losses to close narrowly mixed. The S&P has zigzagged between gains and losses for the last seven sessions.

The CBOE Volatility Index (VIX), widely considered the best gauge of fear in the market, traded near.

Major averages ended near their best ever levels on Tuesday, with the Dow posting a new high and S&P 500 finishing less than 2 points from its closing peak.

(Read More:Bulls Revved Up to Take Out Next Stocks Milestone)

Among key S&P sectors, telecoms were lower, while health care rose.

On the economic front, pending home sales slid 0.4 percent in February, according to the National Association of Realtors. Economists polled by Reuters expected a 0.2 percent decline, compared with a 4.5 percent rise in the prior month.

(Read More: Housing Headwinds Still Exist: Shiller)

In Europe, political deadlock continued in Italy as the country's main leadership candidate Pier Luigi's Bersani reportedly said that only an "insane person" would want to govern the nation now, adding that Italy is "in a mess and faces a difficult year ahead."

Bersani made the remark after the anti-establishment "Five Star Movement" party headed by comedian Beppe Grillo again refused to form a coalition government with Bersani, thwarting his latest attempts to form a governing alliance.

(Read More: Hey Euro Zone, You Overrate Yourself: Moody's)

A political stalemate since its inconclusive elections in late February has spiked concerns over how the country will handle its growing debt problems. Italy paid more to borrow over five years than it has since October at its latest auction, indicating worries over its financial situation.

The euro extended its losses below $1.28 against the U.S. greenback, its lowest level since late November.

Elsewhere in Europe, Cyprus is finalizing financial control measures to prevent a run on its banks, which have been shut for a week since the country agreed to a conditional 10 billion euro ($12.8 billion) bailout from international lenders. Cypriots have been lining up to withdraw cash from ATMs, with limits at 100 euros a day for some banks.

"Banks will open on Thursday ... We will look at the best way to limit the possibility of large sums of money leaving, and not imposing punitive conditions on the economy, businesses and individuals," Cypriot Finance Minister Michael Sarris said in an interview on Cypriot television.

"Cyprus is a reason to remind investors that Europe is a source of risk, but I'm not sure Cyprus itself is going to be enough [for a market pullback from the recent run-up]," said Thomas Lee, chief U.S. equity strategist at JPMorgan. "The big picture still points to a major secular bull market being underway, with at least another four years left, led by durable goods."

Trading is likely to be thin ahead of the three-day Easter weekend. U.S. markets will be closed Friday for Good Friday.

Comcast edged higher after the Supreme Court ruled in favor of the cable company in an antitrust case over how much the company charged subscribers. (Comcast is the parent company of NBCUniversal.)

Wal-Mart declined after the world's largest retailer said that probes into alleged foreign bribery at its stores are likely to result in a financial loss. Separately, the company said it would start using stores to get Internet orders to shoppers faster, amid growing competition from online rivals such as Amazon.com.

Boeing edged lower as its 787 Dreamliners face a temporary ban on some of the transocean flights, which would be a costly new challenge for the company.

Cliffs Natural Resources plunged to lead the S&P 500 laggards after Morgan Stanley downgraded the iron ore and metallurgical coal producer to "underweight" from "equal-weight." Rivals Alpha Natural Resources and Peabody Energy also traded lower.

Mattress Firm soared more than 10 percent after the mattress maker provided solid guidance for fiscal 2013. In addition, Raymond James upgraded the company to "outperform" from "market perform." Other mattress companies bounced higher, including Tempur-Pedic and Select Comfort.

Weekly mortgage applications rebounded last week as interest rates pulled back for the first time in three weeks, according to the Mortgage Bankers Association.

Paychex and Red Hat are among notable companies scheduled to report earnings after the closing bell.

Earlier, Boston Fed President Eric Rosengren supported the central bank's asset purchase program, saying it is having the desired impact of speeding up the pace of the recovery and should be continued through the end of the year. Meanwhile, Cleveland Fed President Sandra Pianalto said the Federal Reserve should consider tapering off the pace of its bond-buying stimulus plan if the U.S. economy continues to show signs of improvement.

And Minneapolis Fed President Narayana Kocherlakota said the Fed should ease monetary policy further to bring the unemployment rate down at a faster rate. Kocherlakota expects the jobless rate to be close to 7 percent by the end of 2014, and forecasts growth around 2.5 percent this year and 3 percent next year.

Treasury prices held their gains after the government auctioned $35 billion in 5-year notes at a high yield of 0.760 percent. The bid-to-cover ratio, an indicator of demand, was 2.73.

(Read More: Global 'Triple-A Ratings Club' Shrinks 60 Percent)

?By CNBC's JeeYeon Park (Follow JeeYeon on Twitter: @JeeYeonParkCNBC)

? 2013 CNBC LLC. All Rights Reserved

Source: http://feeds.nbcnews.com/c/35002/f/653351/s/2a0d6875/l/0L0Snbcnews0N0Cbusiness0Cstocks0Elower0Eitaly0Eadds0Eeuropean0Efears0E2B910A4578/story01.htm

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You want to see this flying armbar (Video)

The flying arm bar is one of those submissions that happens so quickly, that you need to look twice to realize what happened. Skip to the 1:10 mark in this video and you'll see Oliver Fontaine pull it off at the Lyon Fighting Championship in France. And you have to feel for his opponent, Sofian Benchohra, who never saw the arm bar coming. With a record of 4-7-1, he hasn't won a fight since October of 2010.

Thanks, MMA Fighting.

Source: http://sports.yahoo.com/blogs/mma-cagewriter/want-see-flying-armbar-video-151956671--mma.html

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Myer, David Jones among top 20 Australian online retailers | Crikey

A decade after shutting down its original digital strategy, David Jones has come back with a vengeance. The retailer, along with department store rival Myer, has spent tens of millions of dollars in buffing up its online presence. Woolworths and Wesfarmers have started giving regular updates on online sales in their financial updates. Chains like Speciality Retail and Country Road are reporting sales increases, or actual revenue figures from digital sources

Even though Harvey Norman boss Gerry Harvey still decries the use of the internet, Harvey Norman is turning over several million dollars a year in online sales. That?s not forgetting pure play online retailers like electronics retailer Kogan, Shoes of Prey, or Appliances Online. These companies, like StyleTread, are not only making a huge stamp on the retail consumer space, but they?re demonstrating retail is able to attract serious venture capital money.

As Telsyte senior research manager Sam Yip says, it?s been a ?very big year of change?. ?There have been players early in the space that have dropped out, and a lot of bricks-and-mortar retailers are doing more.?We?re not hearing any more Gerry Harvey stories; everyone acknowledges that this is the channel to be operating in,? he said.

The debate over the GST threshold has largely disappeared, although the industry at large is still hopeful of some government relief. At the very least, most have accepted a 10% change in price isn?t going to help much of anyone. The smarter retailers are simply getting on with the job.

If there?s any evidence the online retail revolution is taking hold, look no further than Australia Post?s reaction. It is investing more money in parcel lockers and out-of-hours delivery services to cater for the huge number of parcels being delivered. So much so, the majority of its revenue is now being made from these types of parcel deliveries. Experts believe online retail in Australia has tipped over the top of the hill, so to speak. The hard work is being done already. Now, Yip argues, the next challenge is to transition that success to platforms like mobile.

The other big challenge here is around delivery. ?In the past year we?ve seen horror stories of where logistics have gone wrong, with people getting wrong orders all the time,? Yip said. ?There?s a need to really refine that back-end logistics functionality.?

We?ve created a list based on a mixture of different metrics, including traffic data from Experian, revenue, and any sort of noteworthy achievement. Local divisions of global companies, such as Apple and Amazon, are excluded, along with auction sites such as eBay and Gumtree So in no particular order ?

1. Kogan

If not the most popular, Kogan is one of the best-known homegrown online retailers in Australia. Mostly thanks to founder and CEO Ruslan Kogan?s insistence on putting himself and his business in the news through quirky???and sometimes weird???comments and campaigns. More recently the?Internet Explorer tax?got a mention in several international news outlets.?It?s difficult not to be impressed by Kogan?s reach. After shipping a single container of televisions five years ago, Kogan has transformed into a $250 million business with more on the way.?Spars with Gerry Harvey aside, Kogan has maintained a solid footing, with Ruslan saying he?s ?happy to be everybody?s first choice for a second television?. With a view to growing into a billion-dollar business, and expansion into services like mobile, Kogan will be around for a while yet.

2. Milan Direct

The other half of Ruslan Kogan?s online empire, Milan Direct, was initially an odd proposition. Selling furniture online back in 2007 wasn?t done very much in Australia, if at all. But Dean Ramler and Kogan have managed to turn the business into a $12 million powerhouse.?The company?s success has spawned some eager competitors. But with growth of 100% last year and international expansion ahead, Milan Direct seems set to hold on to its strong market position for a while.

3. Catch of the Day

Perhaps the largest online retail success story in Australia, Catch of the Day continues to grow from strength to strength. After starting as an eBay business, Gabby and Hezi Leibovich have managed to transform the company into a $350 million powerhouse, complete with funding from one James Packer.?Part of the success of the Catch Group can be attributed to its savvy expansion plans. Rather than start a business for every category, the team has been able to pick up start-ups and nurture success from there. After expanding into grocery and wine, it seems natural the business could continue to thrive???and all signs are pointing to an eventual float.

4. Booktopia

Given books are one of the cheapest things to buy from offshore retailers, it?s surprising any local online store has managed to create a thriving business. But Tony Nash at Booktopia has been able to do just that, on track to turn over $28 million in 2012-13.?There isn?t much complicated strategy here. A focus on clean design, good customer service management and an ever-present need to reduce shipping times has kept Booktopia at the top.

5. JB Hi-Fi

One of the larger businesses in Australia to actually understand how online retailing works; JB Hi-Fi is making a good name for itself online. With more than $37 million in digital revenue in the first half of the year alone, at 2% of total sales, the company is proving itself as a good example for dedicated bricks-and-mortar stores heading online.?In fact, JB Hi-Fi perhaps encapsulates what retailers need to be doing online. With the ability to check stock, ?click and collect? and some pretty fast customer service, chief executive Terry Smart seems to be doing a good job in transforming the iconic business into a powerhouse online.

6. Officeworks

Office supplies are a boring topic, but Officeworks has at least managed to make the buying process as easy as it can. After all, office supplies are something you should be able to buy online instead of heading to a store.?The company won?t confirm how much revenue the business makes online, although reports indicate it could be anywhere up to $150 million, equivalent to 13-14% of revenue. That?s an astonishing figure for an office supplies store, but it does make sense???the company understands how people shop online. ?Just like JB Hi-Fi, Officeworks shows it understands how to not only get people browsing on a site, but makes sure it knows how to capture their money.

7. Specialty Fashion

Although the retail and fashion industries obviously haven?t been having the best time, Speciality Fashion has been working on its digital presence???and it?s doing very well.?The company, which operates the Millers, Katies and Crossroads brands, recorded $11.3 million in online revenue during the first half of the year, representing 3.6% of total value. It isn?t the biggest online retailer around, but the fact the company has been so successful with its digital push???and is willing to disclose just how much money it makes online???is a good step in the right direction.

8. Big W

While the company doesn?t divulge how much of its revenue is made online, the popularity of Big W?s site indicates it could be making quite a lot of cash. In any case, Woolworths is giving DealsDirect a run for its money with the Big W online store, which doesn?t have many frills but is focused on simplicity of use and cheaper prices.

9. BrandsExclusive

BrandsExclusive has been at the forefront of the private shopping club scene in Australia. The business, which has mostly focused on fashion, quickly found a loyal user base and has been growing ever since.?Perhaps the company?s biggest success has been its ability to leverage demand for private shopping networks into cash. Even last year APN News & Media announced a massive $36 million stake.?The business was aiming to turn over $70 million last year.

10. The Iconic

The Iconic certainly isn?t divulging much with regard to revenue, but it seems outrageous to leave the company off a list detailing the most important online retailers in Australia.?The business has made a huge splash in Australia with its bright marketing tactics, but it?s also gained a reputation for securing not only one $25 million funding round, but a second earlier this year.?The Iconic certainly has enough money to make a dent on the online retail market. It remains to be seen whether that success will continue.

*For the full list read the rest of this article at SmartCompany

Source: http://www.crikey.com.au/2013/03/28/whos-cashing-in-online-the-top-20-australian-retailers/

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?Working Hard Is a Skill You Have to Nurture?

“Working Hard Is a Skill You Have to Nurture”Getting comfortable is unavoidable if there's any sort of routine in your life. As such, it's easy to become content or lazy, and as web craftsman Chris Shiflett points out, it takes a conscious effort to keep that from happening.

That's not to say that there's nothing wrong with being efficient?if you ever discover an easier way to do something, by all means do it! It's more about approaching all of your work with the same level of vigor and effort, so when you really need to work hard, you'll be more than up for the task at hand.

After all, inspiration is for amateurs.

Working Hard | swissmiss

Photo by Greg Epperson(Shutterstock).

Source: http://feeds.gawker.com/~r/lifehacker/full/~3/6l_IMiJt5Qc/working-hard-is-a-skill-you-have-to-nurture

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Mariah Carey Turns 43! See Her Changing Looks

See how the American Idol judge has evolved -- from a curly-haired pop star to a Grammy-winning mom of twins.

Source: http://www.ivillage.com/mariah-carey-photos-every-age/1-b-514420?dst=iv%3AiVillage%3Amariah-carey-photos-every-age-514420

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Thursday, March 14, 2013

Nantucket Real Estate ? Blog Archive ? Nantucket Property ...

A?vacant lot on 76.3 acres at 243 Polpis Road sold to the Nantucket Islands Land Bank of Nantucket, Mass. from the Nantucket Conservation Foundation, Inc. of Nantucket, Mass. for $7,000,000. The property?s assessed value is unavailable. The Land Bank exemption is A.

?

A house on .18 of an acre at 12 Gardner St. sold to Ronald Winters and Ellen Winters of Nantucket, Mass. from Charles H. Duponte, Trustee of the Charles H. Duponte Revocable Trust ? 2006, of Mattapoisett, Mass. for $1,985,000. The property is assessed at $1,305,900. The Land Bank fee is $39,700.

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A house on .12 of an acre at 7 Beaver St. sold to Nicholas C. Pappas and Kathryn B. Pappas of Bethesda, Md. from M. Tessa Hooper of Berwyn, Pa. for $1,275,000. The property is assessed at $1,166,800. The Land Bank fee is $25,500.

A vacant lot on .29 of an acre at 17 Nanahumacke Lane sold to Richard J. Terres and Robin Terres of Hingham, Mass. from Jeffrey Kaschuluk and Peter J. Ogren, Trustees of Nanahumacke Preserve Nominee Trust of Nantucket, Mass. for $1,195,000. The property is assessed at $683,500. The Land Bank fee is $23,900.

?A house on .99 of an acre at 16 Swift Rock Road sold to Robert King Blair of Washington, D.C. from Richard O. Feodoroff and Margaret M. Feodoroff of North Easton, Mass. for $830,000. The property is assessed at $1,141,700. The Land Bank fee is $16,600.

A house on .11 of an acre at 52 Goldfinch Drive sold to Laura Suzanne Fletcher of Nantucket, Mass. from Helen Mendes, Executrix of the Last Will and Testament of Elsie Orgill of East Hampton, N.Y. for $742,500. The property is assessed at $743,000. The Land Bank fee is $6,850 and the exemption is M.

A house on .83 of an acre at 1 Arkansas Ave. sold to Robert H. McLeish and Marie J. George of Manchester, Vt. from Lindsay R. Perry, Jr., Trustee of Five K Realty Trust, of Nantucket, Mass. for $465,000. The Land Bank fee is $9,300.

?A house on .97 of an acre at 32 Somerset Lane sold to Nantucket Island Ventures, LLC of Nantucket, Mass. from Nantucket Bank, a division of Sovereign Bank, NA of Nantucket, Mass. for $459,000. The property is assessed at $691,300. The Land Bank fee is $9,180.

A house on .23 of an acre at 9 Appleton Road sold to James F. Mondani of Nantucket, Mass. from Marcia A. Strickland of Nantucket, Mass. for $398,000. The property is assessed at $450,800. The Land Bank fee is $7,960.

?A house on 1.4 acres at 11 Gray Ave. sold to RM & W 2011 Family Trust of Boston, Mass. from 11 Gray Avenue Nominee Trust of Nantucket, Mass. for $329,000. The property is assessed at $569,700. The Land Bank fee is $6,580.

Source: http://www.nantucketrealestate.com/NantucketRealEstate/?p=6646

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Wednesday, March 13, 2013

New York City's Chief Digital Officer Rachel Haot On Bringing Innovation Into Government [TCTV]

Screen Shot 2013-03-12 at 12.39.02 PMCity governments here in the United States aren’t typically known as early adopters of the latest in technology and innovation — that means that New York City’s first-ever Chief Digital Officer Rachel Haot has a pretty big job on her hands. So it was great to have the opportunity to talk to Haot about her job and her latest projects while she was in Austin, Texas this past week for South By Southwest Interactive. She told us she’s focused on encouraging tech adoption and development not only within NYC’s government and public services, but also in the city in general, with initiatives such as Made In NY aimed at supporting NYC’s tech industry and startup ecosystem. Watch the video embedded above to hear Haot talk about how cities large and small should focus more on digital technology, what Made In NY means, making the leap from the startup world into the public sector, and more.

Source: http://feedproxy.google.com/~r/Techcrunch/~3/sUSSk5ZoLNI/

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Catholics overjoyed at 1st Latin American pope

Paola La Rocca celebrates after hearing on the speakers at the Metropolitan Cathedral that Buenos Aires' Archbishop Jorge Bergoglio was chosen as Pope in Buenos Aires, Argentina, Wednesday, March 13, 2013. Bergoglio is the first pope ever from the Americas and the first from outside Europe in more than a millennium. (AP Photo/Victor R. Caivano)

Paola La Rocca celebrates after hearing on the speakers at the Metropolitan Cathedral that Buenos Aires' Archbishop Jorge Bergoglio was chosen as Pope in Buenos Aires, Argentina, Wednesday, March 13, 2013. Bergoglio is the first pope ever from the Americas and the first from outside Europe in more than a millennium. (AP Photo/Victor R. Caivano)

FILE - In this Aug. 7, 2009 file photo, Argentina's Cardinal Jorge Bergoglio gives a Mass outside the San Cayetano church where an Argentine flag hangs behind in Buenos Aires, Argentina. On Wednesday, March 13, 2013, Bergoglio was elected pope, the first ever from the Americas and the first from outside Europe in more than a millennium. He chose the name Pope Francis. (AP Photo/Natacha Pisarenko)

Women react after hearing on the speakers at the Metropolitan Cathedral that Buenos Aires' Archbishop Jorge Bergoglio was chosen as Pope in Buenos Aires, Argentina, Wednesday, March 13, 2013. Bergoglio is the first pope ever from the Americas and the first from outside Europe in more than a millennium. (AP Photo/Victor R. Caivano)

FILE - In this Feb. 14, 2013, the Archbishop of Buenos Aires, Cardinal Jorge Bergoglio, leads a Mass at the Metropolitan Cathedral in Buenos Aires, Argentina. On Wednesday, March 13, 2013, Bergoglio was elected pope, the first ever from the Americas and the first from outside Europe in more than a millennium. He chose the name Pope Francis. (AP Photo/Natacha Pisarenko, File)

A woman holds up a rosary at the Metropolitan Cathedral in Buenos Aires, Argentina, Wednesday, March 13, 2013. Buenos Aires' Archbishop and Cardinal Jorge Bergoglio was named pope on Wednesday, making him the first pope ever from the Americas and the first from outside Europe in more than a millennium. (AP Photo/Victor R. Caivano)

(AP) ? Tears and cheers erupted across Latin American on Wednesday as an Argentine cardinal became the first pope from the hemisphere, and many expressed hope that he help bring the church closer to the poverty-wracked region that is home to more Catholics than any other.

Cars honked their horns on the streets of Argentina's capital and television announcers screamed with elation at the news that the cardinal they knew as Jorge Mario Bergoglio had become Pope Francis.

"It's incredible!" said Martha Ruiz, 60, as she wept.

She said she had been in many meetings with the cardinal and described him as "a man who transmits great serenity."

"It's a huge gift for all of Latin America. We waited 20 centuries. It was worth the wait," said Jose Antonio Cruz, a Franciscan friar at the church of St. Francis of Assisi in the colonial Old San Juan district in Puerto Rico.

"Everyone from Canada down to Patagonia is going to feel blessed," he said after exchanging high-fives with church secretary Antonia Veloz.

Bergoglio's former spokesman, Guillermo Marco, told Argentina's TN television station that the new 76-year-old pope ? who is also the first from the Jesuit order ? "has enormous pastoral experience" with a humble bearing.

"You can count the occasions when he used a car with a chauffeur," Marco said. "His choices of life as cardinal have been to have a normal, common life."

The new pope was known for taking the subway and mingling with the poor of Buenos Aires while archbishop.

That common touch was evident in the new pope's first words to the crowd.

"I couldn't believe what I was seeing, when he started saying, 'Good afternoon,' just like someone saying hello to a friend," said Bishop Eugenio Lira, secretary-general of the Mexican Conference of Bishops. "He will certainly be the pope who is closest to the people of Latin America. He knows the problems of Latin America very well."

Soledad Loaeza, a political science professor at the Colegio de Mexico who studies the church, said he was a logical choice. "First, Latin America is the most important region in the world for the church," but one where evangelical churches have been making inroads. "So it may also be an attempt to stop the decline in the number of Catholics."

For church leaders seeking growth, instead of the aging, declining congregations in Europe or the United States, "there are only two regions," Loaeza said: Africa and Latin America.

Nearly half of the world's Roman Catholics live in the Americas, north and south, or the Caribbean.

In Cuba, parish priest Gregorio Alvarez said he believes Pope Francis' background could lead the church to focus more on the ills afflicting humanity, and less on internal issues.

"One hopes that the church will be closer to the problems of humankind and not only the problems of the church," Alvarez said at the Jesus of Miramar Church in a leafy western suburb of Havana, where bells pealed following the announcement.

"Being Latin American gives him an advantage. He understands the problems of poverty, of violence, of manipulation of the masses," Alvarez said. "All that gives him experience for the job. ... He's one of the family."

Even Argentine President Cristina Fernandez, a sometimes antagonist who once compared Bergoglio's stands on abortion and gay rights to "medieval times and the Inquisition," offered congratulations.

"It's our desire that you have ... a fruitful pastoral work, developing such great responsibilities in terms of justice, equality, fraternity and peace for humankind," she wrote in an open letter.

Latin America has some of the world's sharpest divides between rich and poor and Marvin Cruz, a Catholic at the Parish of the Miraculous in the Honduran capital of Tegucigalpa, said the pope's "main challenge will be the fight against economic inequality."

"His training as a Jesuit will allow him to take it head on," Cruz said.

He also noted the erosion of church membership in the face of Protestant denominations and secularism. "I hope he calls those who have left and those without faith to the bosom of the church," he said.

Monsignor Jose Cummings at the Cathedral of San Juan noted that the new pope "has presented himself as a simple and humble man," and specifically mentioned the word charity in his first remarks.

"He's going to pay particular attention to the people and the people are the church," Cummings said.

The bishop at the head of Venezuela's church, the Rev. Diego Padron, remarked, "All of Latin America is dropping to its knees to pray, to thank God for this extraordinary gift that he has given us."

"I am convinced this pope will make extraordinary changes, beginning with his gestures today," Padron said, referring to Francis' bowing to the crowd at St. Peter's Square, "asking for a prayer, showing great humility and at the same time displaying a great change."

For some of the poor, the choice has already brought benefits. Juan Carlos Alarcon, a 58-year-old street vendor, came to the Buenos Aires cathedral with a load of Argentine flags to sell.

"I have to take advantage of this historic moment to feed my family," he said.

But there was a tinge of regret for some who had been hoping for a Brazilian pope.

Bruno Scherer, the brother of Brazilian Cardinal Odilo Scherer, sat by himself in a square behind the main Catholic church in the Scherer family's hometown of Toledo in southern Brazil.

"I think Odilo must be happy. He must have the feeling that he was left off the hook," Bruno Scherer told The Associated Press.

"I think that because of his age ? he's still quite young ? he wouldn't want to lose his liberty. He wants to keep traveling, taking photos, and doing his thing. ... Well, let's at least think that."

___

Contributors to this report include Mark Stevenson in Mexico City; Jenny Barchfield in Toledo, Brazil; Fabiola Sanchez in Caracas, Venezuela; Danica Coto in San Juan, Puerto Rico, and Anne-Marie Garcia in Havana, and Luis Henao in Santiago, Chile.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/cae69a7523db45408eeb2b3a98c0c9c5/Article_2013-03-13-Pope-Latin%20America/id-5b25384db1394551b59a147a3ef83250

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Tuesday, March 12, 2013

Niacin therapy shows no benefits, has some harmful effects

Mar. 9, 2013 ? A highly anticipated study evaluating a combination of the vitamin niacin with the anti-flushing agent laropiprant finds the therapy provides no benefit to and may even be harmful for patients with vascular disease, according to research presented today at the American College of Cardiology's 62nd Annual Scientific Session. Detailed trial data is presented here for the first time.

Heart Protection Study 2-Treatment of HDL to Reduce the Incidence of Vascular Events (HPS2-THRIVE) is the largest-ever study of niacin, commonly used to raise high-density lipoprotein (HDL) or "good" cholesterol and lower low-density lipoprotein (LDL) or "bad" cholesterol. The four-year study tested a combination of extended-release (ER) niacin with laropiprant in patients at risk for cardiovascular problems such as heart disease and stroke. The 25,673 patients in the study were randomized to receive ER niacin/laropiprant 2g/40mg or a placebo, and all received commonly prescribed LDL cholesterol-lowering medication simvastatin (with or without ezetimibe). The study did not meet the primary endpoint of reducing the chances of a major vascular event, defined as the composite of non-fatal heart attack or heart-related death, stroke, or need for angioplasty or bypass surgery. Patients receiving ER niacin/laropiprant had a similar number of major vascular events as patients receiving placebo (13.2 vs. 13.7 percent, p=0.29).

The study also found unexpected and significant excesses of bleeding (2.5 vs. 1.9 percent) and infections (8.0 vs. 6.6 percent) among the ER niacin/laropiprant patients. In addition, significantly higher numbers of patients receiving the study drug suffered serious known side effects including new onset diabetes (9.1 vs. 7.3 percent), diabetic complications (11.1 vs. 7.5 percent), gastrointestinal problems such as indigestion and diarrhea (4.8 vs. 3.8 percent), and skin issues including itching and rashes (0.7 vs. 0.4 percent).

"We are disappointed that these results did not show benefits for our patients," said Jane Armitage, FFPH, FRCP, professor at the University of Oxford and the lead author of the HPS2-THRIVE study. "Still, finding out a drug is not helping people is just as important as finding that it has benefits -- the net result is that people are healthier. Niacin has been used for many years in the belief that it would help patients and prevent heart attacks and stroke, but we now know that its adverse side effects outweigh the benefits when used with current treatments."

A high level of LDL cholesterol is a known risk factor for heart disease and stroke. Standard treatment for at-risk patients includes dietary and lifestyle changes, as well as commonly prescribed medications such as statins, cholesterol absorption inhibitors and resins. Still, heart disease and stroke continue to cause death and disability even in patients receiving these medications, notes Dr. Armitage, and there was hope that the addition of niacin to standard therapy would improve patient outcomes.

Niacin is a type of B-vitamin, but the therapeutic doses used to control cholesterol are about 100 times higher than the amount recommended as part of daily intake. Laropiprant was added to reduce the facial flushing caused by niacin. While there was some speculation that the trial's results may have been due to unexpected side effects of laropiprant, Dr. Armitage believes this is unlikely, as the lack of benefit on heart attacks and strokes is consistent with the recent AIM-HIGH study, which did not use laropiprant, and many of the side effects are known to be due to niacin.

In 2011, AIM-HIGH was halted early when researchers determined a lack of effect for niacin in reducing cardiovascular events. Some experts in the field dismissed AIM-HIGH's findings because of its smaller size and perceived lack of ability to demonstrate definitive outcomes. Dr. Armitage notes that the size and scope of HPS2-THRIVE make its findings about niacin's outcomes and side effects reliable.

Patients taking niacin preparations to prevent heart disease should consider talking with their health care providers to determine whether the therapy is appropriate to continue.

ER niacin/laropiprant has been approved in 70 countries and was being sold in 40. The Food and Drug Administration was awaiting results from HPS2-THRIVE to license the drug in the U.S. In response to preliminary findings, the drug manufacturer Merck announced in December 2012 that it no longer planned to take the drug before the FDA for approval and in January suspended ER niacin/laropiprant from markets worldwide.

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Source: http://feeds.sciencedaily.com/~r/sciencedaily/top_news/~3/g0Rco0r7cNQ/130311101827.htm

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Capriles, Maduro at each other's throats in Venezuela election race

By Andrew Cawthorne and Mario Naranjo

CARACAS (Reuters) - Presidential candidates Nicolas Maduro and Henrique Capriles have begun Venezuela's election race with scathing personal attacks even as mourners still file past Hugo Chavez's coffin.

Maduro, who was sworn in as acting president after Chavez died of cancer last week, is seen as favorite to win the April 14 election, bolstered by an oil-financed state apparatus and a wave of public sympathy over Chavez's death.

"I am not Chavez, but I am his son," Maduro told thousands of cheering, red-clad supporters as he formally presented his candidacy to the election board on Monday.

"I am you, a worker. You and I are Chavez, workers and soldiers of the fatherland," the former bus driver and union activist added after the crowd's emotions were whipped up by recordings of Chavez singing the national anthem.

Thumbing his nose at detractors who scoff at his qualifications, Maduro arrived driving a white bus, waving to supporters. His rally congested downtown, and Capriles sent aides to present his papers rather than going personally.

Chavez made clear before his fourth and last cancer operation in December that he wanted Maduro, his vice president and former foreign minister, to be his Socialist Party's candidate to succeed him if he died.

Maduro has vowed to continue the radical policies of Chavez's 14-year rule in the South American OPEC nation, including the popular use of vast oil revenues for social programs. But Capriles is promising a tough fight.

"Nicolas, it is you who are the problem ... you are the voice of lies," Capriles told reporters on Monday, accusing him of minimizing Chavez's medical condition while he prepared his candidacy.

"Death should never be used, particularly not for election campaign ends," added Capriles, who would struggle to govern if elected because the national assembly, courts and other major institutions are dominated by Chavez supporters.

At stake in the election is not only the future of Chavez's leftist "revolution," but the continuation of Venezuelan oil subsidies and other aid crucial to the economies of left-wing allies around Latin America, from Cuba to Bolivia.

Venezuela boasts the world's largest oil reserves.

Government officials said Capriles was playing with fire, offending Chavez's family and risking legal action by criticizing the handling of his illness and death.

"You can see the disgusting face of the fascist that he is," a visibly furious Maduro said, alleging that the opposition was hoping to stir up violence.

SLURS

Capriles, a descendant of Polish Jews on his mother's side, was a victim of racist and homophobic slurs from Chavez supporters last year. Maduro appeared to allude to his rival's sexuality during Monday's rally.

"I do have a wife, you know? I do like women!" he told the crowd with his wife Cilia Flores at his side, who has served as attorney general but is stepping down to join her husband's campaign.

Though single, Capriles has had various high-profile girlfriends in the past. He scoffs at the personal insults, saying they illustrate the government's aggressive mindset.

"I want to send a message of ... rejection about Nicolas' homophobic declarations," Capriles said. "It is not the first time. His is a message of exclusion."

Shaken by Chavez's death and now immersed in an ugly election campaign, Venezuelans saw some semblance of normality return on Monday as most schools and shops reopened after being closed for most of last week.

Chavez's many local detractors are keeping a low profile.

But they say his memory is being burnished to forget less savory parts of his rule like the bullying of opponents and stifling of private businesses with nationalizations.

The official mourning period for Chavez ends on Tuesday. However, the government extended a temporary ban on alcohol and carrying firearms through March 16.

Several million have paid their respects at his coffin at a military academy in a dramatic outpouring of grief.

Though criticized by many for his authoritarian tendencies and handling of the economy, Chavez was loved by millions, especially the poor, because of his own humble background, plain language and attacks on global "imperialists" and the domestic "elite," as well as his welfare policies in Venezuela's slums.

In death, he is earning a near-religious status among supporters, perhaps akin to that of Argentina's former populist ruler Juan Peron and his deeply loved wife Eva Peron.

State television has been playing speeches and appearances by Chavez over and over, next to a banner saying "Chavez lives forever."

OPPOSITION'S UPHILL STRUGGLE

Though there are hopes for a post-Chavez rapprochement between ideological foes Venezuela and the United States, a diplomatic spat worsened on Monday when Washington expelled two Venezuelan diplomats in a tit-for-tat retaliation.

Two U.S. military attaches were ordered out last week, on the day of Chavez's death, for allegedly conspiring with locals against the government.

Venezuela's only opposition TV channel, Globovision, said on Monday it had accepted a buyout offer because of financial troubles and frequent tangles with the government.

A local businessman is buying the channel and it was not immediately clear if its editorial line would change. The sale will close after the election.

Capriles, a 40-year-old centrist governor who describes himself as a "progressive" and an admirer of Brazil's political model, ran in the last presidential election in October, taking 44 percent of the votes, but was unable to prevent Chavez's re-election.

While attacking Maduro's handling of the crisis over Chavez's cancer, Capriles will try to turn the focus of the month-long election campaign to the many day-to-day problems afflicting Venezuelans, from electricity cuts to crime and an inflation rate that is among the world's highest.

Maduro, 50, who echoes Chavez's anti-imperialist rhetoric, is sure to make his former boss the centerpiece of his campaign while casting himself as the only heir.

On Monday, though, he did promise a new anti-crime drive, and to deepen Chavez's social programs, known as "missions," in the slums. He also sought to blame sky high crime levels, which worsened dramatically during Chavez's years in power, on Venezuela's wealthy, saying they had ignored festering social problems and turned their back on the poor.

Two opinion polls before Chavez's death gave Maduro a lead of more than 10 percentage points.

"This is going to be a really tough campaign for us, we know," said an aide at Capriles' office in Caracas.

"It's hard to get everyone enthused and pumped again. We've only got a month, and we're fighting Chavez's ghost, not Maduro. But believe me, we'll give it our best."

(Additional reporting by Simon Gardner, Terry Wade, Ana Isabel Martinez, Marianna Parraga and Mario Naranjo; Editing by Kieran Murray, Daniel Wallis, Sandra Maler, Lisa Shumaker and Paul Simao)

Source: http://news.yahoo.com/capriles-maduro-others-throats-venezuela-election-race-014539754.html

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Simple SEO Tips For a Small Business - best seo tips,web hosting ...

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Source: http://zubair141.blogspot.com/2013/03/simple-seo-tips-for-small-business_10.html

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Asia markets edge higher on back of Dow gain

BANGKOK (AP) ? Asian stock markets edged up Tuesday, ignoring Europe's doldrums and taking cues from another sizzling day on Wall Street.

Japan's Nikkei spurted upward yet again as the yen's recent softness against the dollar boded well for export-reliant companies. It was also boosted by expectations of action by the Bank of Japan to shore up the country's stalling economy once a new bank chief is installed. The index gained 0.4 percent to 12,391.84.

Hong Kong's Hang Seng rose 0.6 percent to 23,227.69, even though the latest Chinese industrial production and retail sales figures stoked concerns that the country's economic recovery may have stalled. In addition, higher-than-expected inflation of 3.2 percent in February raised questions about the government's ability to do more to shore up the world's second-largest economy.

Australia's S&P/ASX fell 0.1 percent to 5,140.20, weighed down by losses in resource shares. South Korea's Kospi shed 0.2 percent to 1,999.16.

European stock markets fell Monday as investors waited to see if Italy can forge a government following inconclusive elections two weeks ago. A downgrade of the country's credit rating from Fitch on Friday also added to the prevailing caution.

"It's been a tepid start to the week after weekend Chinese economic data came in on the weaker side of expectations, while investors absorb the latest Italian downgrade, as well as a surprise dive in manufacturing and industrial output in the French economy," Michael Hewson, senior analyst at CMC Markets, said in an email commentary.

The Dow Jones industrial average posted its seventh straight day of gains on Monday. The streak began March 1 and last Tuesday the blue chip index blew past its all-time high.

Boeing surged 2 percent after an executive reportedly said he's confident the aircraft maker has figured out a fix for the battery problems that have grounded the 787 Dreamliner.

The Dow rose 0.3 percent to 14,447. The Standard & Poor's 500 index edged up 0.3 percent to close at 1,556. The Nasdaq added 0.3 percent to 3,252.87.

Benchmark crude for April delivery was up 13 cents to $92.19 per barrel in electronic trading on the New York Mercantile Exchange. The contract rose 11 cents to end at $92.06 a barrel on the Nymex on Monday.

In currencies, the euro slipped to $1.3035 from $1.3038 in New York on Monday. The dollar rose to 96.58 yen from 96.27 yen.

___

Follow Pamela Sampson on Twitter at http://twitter.com/pamelasampson

Source: http://news.yahoo.com/asia-markets-edge-higher-back-dow-gain-031537304--finance.html

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Monday, March 11, 2013

Angioplasty at hospitals without on-site cardiac surgery safe, effective

Angioplasty at hospitals without on-site cardiac surgery safe, effective [ Back to EurekAlert! ] Public release date: 11-Mar-2013
[ | E-mail | Share Share ]

Contact: Beth Casteel
bcasteel@acc.org
240-328-4549
American College of Cardiology

Study suggests on-site surgery services unnecessary for patient safety in non-emergency angioplasty

SAN FRANCISCO (March 11, 2013) Non-emergency angioplasty performed at hospitals without on-site cardiac surgery capability is no less safe and effective than angioplasty performed at hospitals with cardiac surgery services, according to research presented today at the American College of Cardiology's 62nd Annual Scientific Session.

Emergency surgery has become an increasingly rare event following percutaneous coronary intervention (PCI) or angioplastya non-surgical procedure used to open narrow or blocked coronary arteries and restore blood flow to the heart. This study adds to the growing body of evidence supporting favorable outcomes for patients undergoing elective or non-emergency angioplasty at hospitals without cardiac surgery on-site. Researchers say there are several reasons why expansion of non-emergency PCI to hospitals without cardiac surgery programs may be viewed favorably.

"Among them are patient choice and patient and physician convenience afforded by providing the ability to remain in a local and familiar community. In addition, the added volume of PCI procedures at these hospitals could help to provide resources to support active primary PCI programs," said Alice Jacobs, MD, professor of medicine at Boston University School of Medicine, and the study's lead investigator. "However, controversy continues to exist surrounding this expansion of services to treat patients in non-emergency settings, where timely access to angioplasty is less important to cardiovascular outcomes and the risk to benefit ratio may differ from the emergency setting."

Dr. Jacobs and her team conducted a prospective, randomized trial comparing the safety and effectiveness of non-emergency angioplasty at 10 hospitals in Massachusetts without on-site cardiac surgery services and seven hospitals with on-site cardiac surgery services. A total of 3,691 patients were randomly assigned in a 3:1 ratio to undergo angioplasty: 2,774 at hospitals without on-site cardiac surgery and 917 at hospitals with surgical backup. The mean age of study subjects was 64 years, 32 percent were women, 32 percent had diabetes and 61 percent presented with an acute coronary syndrome.

Rates of major adverse cardiac events, including death, heart attack, repeat angioplasty and stroke, were assessed at 30 days and 12 months post-angioplasty. Rates at 30 days were 9.5 percent for sites without on-site cardiac surgery compared to 9.4 percent for those with surgical services. Outcomes did not differ significantly between the non-surgical and surgical groups for all-cause mortality, heart attack, repeat angioplasty or stroke. At the 12-month follow up, major adverse cardiac events rates were 17.3 percent for sites without on-site surgery compared to 17.8 percent for sites with surgical services available, and rates of mortality, heart attack, repeat angioplasty and stroke did not differ between groups.

A random sample of 376 study subjects was selected to monitor clinical practice patterns between hospitals with and without cardiac surgery on-site. There were no significant differences between the two treatment groups with respect to procedure success rates, completeness of angioplasty or the proportion of lesions classified as meeting ACCF/AHA/SCAI PCI guidelines Class I or II recommendations for anatomic indications to perform PCI.

"While we did not directly compare all PCI procedures at hospitals with and without cardiac surgery, our results suggest that performance of angioplasty in hospitals without cardiac surgery but with the appropriate experience, established angioplasty programs and the required hospital and operator volume, is an acceptable option for patients presenting to these hospitals for care," Dr. Jacobs said.

###

This study was funded by the participating hospitals without on-site cardiac surgery service.

The ACC's Annual Scientific Session brings together cardiologists and cardiovascular specialists from around the world each year to share the newest discoveries in treatment and prevention. Follow @ACCMediaCenter and #ACC13 for the latest news from the meeting.

The American College of Cardiology is a nonprofit medical society comprised of 43,000 physicians, surgeons, nurses, physician assistants, pharmacists and practice managers. The College is dedicated to transforming cardiovascular care, improving heart health and advancing quality improvement, patient-centered care, payment innovation and professionalism. The ACC also leads the formulation of important cardiovascular health policy, standards and guidelines. It bestows credentials upon cardiovascular specialists, provides professional education, supports and disseminates cardiovascular research, and operates national registries to measure and promote quality care. For more information, visit cardiosource.org.

This study will be simultaneously published online in the New England Journal of Medicine at the time of presentation.

Dr. Jacobs will be available to the media on Monday, March 11, at 9:40 a.m., in Moscone Center, South, Room 300.

Dr. Jacobs will present the study "A Randomized Trial to Compare Percutaneous Coronary Intervention between Massachusetts Hospitals With Cardiac Surgery On-Site and Community Hospitals Without Cardiac Surgery On-Site" on Monday, March 11, at 8:18 a.m., in Moscone Center, South, Esplanade Ballroom.

Media Contacts

Beth Casteel
240-328-4549
bcasteel@acc.org

Dana Korsen
301-744-9636
acc@ecius.net

ACC.13 News Room
415-978-3511


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Angioplasty at hospitals without on-site cardiac surgery safe, effective [ Back to EurekAlert! ] Public release date: 11-Mar-2013
[ | E-mail | Share Share ]

Contact: Beth Casteel
bcasteel@acc.org
240-328-4549
American College of Cardiology

Study suggests on-site surgery services unnecessary for patient safety in non-emergency angioplasty

SAN FRANCISCO (March 11, 2013) Non-emergency angioplasty performed at hospitals without on-site cardiac surgery capability is no less safe and effective than angioplasty performed at hospitals with cardiac surgery services, according to research presented today at the American College of Cardiology's 62nd Annual Scientific Session.

Emergency surgery has become an increasingly rare event following percutaneous coronary intervention (PCI) or angioplastya non-surgical procedure used to open narrow or blocked coronary arteries and restore blood flow to the heart. This study adds to the growing body of evidence supporting favorable outcomes for patients undergoing elective or non-emergency angioplasty at hospitals without cardiac surgery on-site. Researchers say there are several reasons why expansion of non-emergency PCI to hospitals without cardiac surgery programs may be viewed favorably.

"Among them are patient choice and patient and physician convenience afforded by providing the ability to remain in a local and familiar community. In addition, the added volume of PCI procedures at these hospitals could help to provide resources to support active primary PCI programs," said Alice Jacobs, MD, professor of medicine at Boston University School of Medicine, and the study's lead investigator. "However, controversy continues to exist surrounding this expansion of services to treat patients in non-emergency settings, where timely access to angioplasty is less important to cardiovascular outcomes and the risk to benefit ratio may differ from the emergency setting."

Dr. Jacobs and her team conducted a prospective, randomized trial comparing the safety and effectiveness of non-emergency angioplasty at 10 hospitals in Massachusetts without on-site cardiac surgery services and seven hospitals with on-site cardiac surgery services. A total of 3,691 patients were randomly assigned in a 3:1 ratio to undergo angioplasty: 2,774 at hospitals without on-site cardiac surgery and 917 at hospitals with surgical backup. The mean age of study subjects was 64 years, 32 percent were women, 32 percent had diabetes and 61 percent presented with an acute coronary syndrome.

Rates of major adverse cardiac events, including death, heart attack, repeat angioplasty and stroke, were assessed at 30 days and 12 months post-angioplasty. Rates at 30 days were 9.5 percent for sites without on-site cardiac surgery compared to 9.4 percent for those with surgical services. Outcomes did not differ significantly between the non-surgical and surgical groups for all-cause mortality, heart attack, repeat angioplasty or stroke. At the 12-month follow up, major adverse cardiac events rates were 17.3 percent for sites without on-site surgery compared to 17.8 percent for sites with surgical services available, and rates of mortality, heart attack, repeat angioplasty and stroke did not differ between groups.

A random sample of 376 study subjects was selected to monitor clinical practice patterns between hospitals with and without cardiac surgery on-site. There were no significant differences between the two treatment groups with respect to procedure success rates, completeness of angioplasty or the proportion of lesions classified as meeting ACCF/AHA/SCAI PCI guidelines Class I or II recommendations for anatomic indications to perform PCI.

"While we did not directly compare all PCI procedures at hospitals with and without cardiac surgery, our results suggest that performance of angioplasty in hospitals without cardiac surgery but with the appropriate experience, established angioplasty programs and the required hospital and operator volume, is an acceptable option for patients presenting to these hospitals for care," Dr. Jacobs said.

###

This study was funded by the participating hospitals without on-site cardiac surgery service.

The ACC's Annual Scientific Session brings together cardiologists and cardiovascular specialists from around the world each year to share the newest discoveries in treatment and prevention. Follow @ACCMediaCenter and #ACC13 for the latest news from the meeting.

The American College of Cardiology is a nonprofit medical society comprised of 43,000 physicians, surgeons, nurses, physician assistants, pharmacists and practice managers. The College is dedicated to transforming cardiovascular care, improving heart health and advancing quality improvement, patient-centered care, payment innovation and professionalism. The ACC also leads the formulation of important cardiovascular health policy, standards and guidelines. It bestows credentials upon cardiovascular specialists, provides professional education, supports and disseminates cardiovascular research, and operates national registries to measure and promote quality care. For more information, visit cardiosource.org.

This study will be simultaneously published online in the New England Journal of Medicine at the time of presentation.

Dr. Jacobs will be available to the media on Monday, March 11, at 9:40 a.m., in Moscone Center, South, Room 300.

Dr. Jacobs will present the study "A Randomized Trial to Compare Percutaneous Coronary Intervention between Massachusetts Hospitals With Cardiac Surgery On-Site and Community Hospitals Without Cardiac Surgery On-Site" on Monday, March 11, at 8:18 a.m., in Moscone Center, South, Esplanade Ballroom.

Media Contacts

Beth Casteel
240-328-4549
bcasteel@acc.org

Dana Korsen
301-744-9636
acc@ecius.net

ACC.13 News Room
415-978-3511


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


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Source: http://www.eurekalert.org/pub_releases/2013-03/acoc-aah031113.php

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