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Craig M. Lilly, M.D. March 18, 2014DOI: 10. Share:ArticleThe importance of early detection and treatment for reducing the mortality associated with sepsis has been a tenet of medical training since the middle ages, when it was noted that “. . . the physicians say it happens in hectic fever, that in the beginning of the malady it is easy to cure but difficult to detect, but in the course of time, not having been either detected or treated in the beginning, it becomes easy to detect but difficult to cure.”1,2 The critical role of the clinician in the early recognition of sepsis continues to this day to be fundamental to our efforts to improve the rate of survival.3 Identification of the combination of signs and symptoms that make up the systemic inflammatory response syndrome (SIRS)4 in the context of an infection allows the astute clinician to recognize the malady. Early recognition of sepsis was incorporated into the trial design, prompts, and protocols of the Protocolized Care for Early Septic Shock (ProCESS) trial, the results of which are now reported in the Journal.5 For all the groups in the trial, the goal was early recognition of sepsis, as specified in the Surviving Sepsis Campaign guidelines,3 and the design called for early treatment with antimicrobial agents6 and conservative transfusion thresholds; in addition, the patients received low tidal-volume ventilation and had moderate glycemic control. Indeed, septic shock was recognized early in a majority of the patients; 76% of the patients received antimicrobial agents by the time they underwent randomization, which occurred a mean of approximately 3 hours after patients' arrival in the emergency department. The rate of intravenous antimicrobial administration 6 hours after randomization was approximately 97%, a finding that suggests that notification that septic shock is present encourages the administration of antibiotics. A study that attributed increased mortality to delays in the administration of appropriate antibiotics6 suggested that early administration of antibiotics increased survival in all groups of the trial. Indeed, in the ProCESS trial, the early or facilitated recognition of septic shock, administration of intravenous antibiotics, and other best practices were associated with rates of survival that were higher than projected and higher than predicted on the basis of scores on the Acute Physiology and Chronic Health Evaluation (APACHE) II,7 and a thoughtful design allowed the sample size of the trial to be recalculated to preserve the power of the study to test the primary outcome. One important contribution of the ProCESS trial is the evidence it provides regarding the ongoing role of early recognition of and antibiotic treatment for sepsis in improving survival. The ProCESS trial also provides transformative insights about the treatments for septic shock that bring generalizable benefits when septic shock is recognized in the first hours after arrival in the emergency department. The use of central hemodynamic and oxygen-saturation monitoring in the protocol-based early goal-directed therapy (EGDT) group did not result in better outcomes than those that were achieved with clinical assessment of the adequacy of circulation. The finding that adjusting therapies to surrogate physiological targets measured with invasive catheters was not required to reduce mortality is consistent with the results of a study that showed that serial measurement of blood lactate levels was noninferior to catheter-derived measurements8 and of analyses that have not found benefits of the use of pulmonary-artery catheters.9 State legislation and clinical guidelines, including those endorsed by the National Quality Forum, should be updated to remove the requirement for central hemodynamic monitoring and to focus on less costly, lower-risk, and equally effective alternatives. The association of the implementation of the multifaceted EGDT intervention with significantly lower mortality in an earlier study10 launched the EGDT era of sepsis management. This milestone study encouraged coordinated efforts3 to improve the outcomes in patients with this common11 and life-threatening condition. These efforts translated into the earlier identification of septic shock and into an increased number of patients receiving earlier administration of a larger volume of resuscitation fluid. The ProCESS trial allows refinement of the EGDT approach to fluid administration by defining lower boundaries that are associated with equivalent outcomes and setting limits that are needed to avoid the twin problems of renal failure from too little fluid and pulmonary dysfunction from fluid overload. Another interesting and seemingly paradoxical finding is that patients in whom sepsis was managed without a protocol had an outcome as good as those in patients in whom the sepsis was managed with the use of a protocol. If one assumes that the treatments for septic shock, as well as the timing of the treatments, that would be administered in all emergency departments, regardless of size or available resources, would be equivalent to those used in the no-protocol (usual-care) group of the ProCESS trial (which included strategies for early recognition of sepsis), one could come to the dubious conclusion that protocols and decision prompts do not have a role in the treatment of septic shock. I prefer to think differently. I believe that the prompting, serum lactate screening and assessment of SIRS criteria, and reporting of activities that were parts of the study by Rivers et al. and the ProCESS trial can be applied in clinical practice to ensure early diagnosis and treatment for all patients with septic shock. The ProCESS trial identifies early recognition of sepsis, early administration of antibiotics, early adequate volume resuscitation, and clinical assessment of the adequacy of circulation as the elements we should focus on to save lives. The publication of the ProCESS trial launches the era of early recognition and treatment in the management of sepsis. Disclosure forms provided by the author are available with the full text of this article at NEJM.org. This article was published on March 18, 2014, at NEJM.org. From the Division of Pulmonary, Allergy and Critical Care Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester. 1Machiavelli N. Il principe. S.l. [nach Ebert vielleicht Genf]; 1550. 2Idem. The prince. Ann Arbor, MI: Borders Classics, 2006. 3Vassalos A, Rooney K. Surviving sepsis guidelines 2012. CrossRef | Web of Science | Medline4Levy MM, Fink MP, Marshall JC, et al. 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference. CrossRef | Web of Science | Medline5The ProCESS Investigators. A randomized trial of protocol-based care for early septic shock. N Engl J Med. DOI: 10.1056/NEJMoa1401602. 6Kumar A, Roberts D, Wood KE, et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. CrossRef | Web of Science | Medline7Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. CrossRef | Web of Science | Medline8Jones AE, Shapiro NI, Trzeciak S, Arnold RC, Claremont HA, Kline JA. Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. CrossRef | Web of Science | Medline9Rajaram SS, Desai NK, Kalra A, et al. Pulmonary artery catheters for adult patients in intensive care. Medline10Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. Free Full Text | Web of Science | Medline11Angus DC, Linde-Zwirble WT, Lidicker J, Clermont G, Carcillo J, Pinsky MR. Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care. March 13, 2014 | A.J. Singer and D.A. March 13, 2014 | E.P. Park and B.C. March 13, 2014 | T.K. Nicoli and A. Copyright © 2014 Massachusetts Medical Society. All rights reserved. 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(SitNews) - Tuesday the Alaska State Senate passed historic legislation to create the framework for the State to take an equity share in the Alaska Liquefied Natural Gas (LNG) project. Senate Bill 138 sets a roadmap forward for building a large- diameter gasline, which would create a world-scale infrastructure investment supplying domestic gas to Alaskans and exporting Alaska gas to Asian-Pacific markets. Governor Sean Parnell praised the Senate today for passing his legislation to advance a large-diameter Alaska natural gas pipeline project. “I applaud the Senate for voting today to advance the Alaska LNG Project and ensure Alaska’s gas is maximized for Alaskans’ benefit,” Governor Parnell said. “Our legislation paves the way for Alaskans to become owners in the project and ensures an open, public process going forward. I look forward to working with the House in the coming weeks to pass our legislation on Alaska’s terms and in Alaskans’ interests. Senate Bill 138 is the enabling legislation that allows the Administration to negotiate ?rm contracts with the parties to the Heads of Agreement (HOA) and the Memorandum of Understanding (MOU) reached in January 2014 between the State, the Alaska Gasline Development Corporation (AGDC), ConocoPhillips, BP, ExxonMobil, and TransCanada, which stated all parties are in alignment. The agreements represent the first step on the path to full, legally binding contracts and set out roles and responsibilities of the parties before finalized contracts are drawn up. Currently, the project consists of three related mega-projects including a gas treatment plant on the North Slope, an 800-mile large-diameter pipeline from the North Slope to Nikiski, and an LNG export facility at Nikiski. Another major component calls for at least ?ve off-take points for gas consumption within the state. “The Senate took into account three principles as it considered this legislation: Should we participate? If so, at what percentage? And lastly, what will be the process to advance Alaska’s LNG project?” said Senator Anna Fairclough (R-East Anchorage/Eagle River). “We’ve waited for decades to see this legacy project come to life. I believe now, after the work done on this bill, we are looking at the right gas at the right time. We have found a way to bring affordable energy to Alaskans while fortifying the State’s treasury and economy for generations to come. It’s time to act and that’s exactly what the Senate did today. “Alaska is resource- rich and natural gas is abundant. This is the fourth plan in recent years to bring that gas to the homes of Alaskans,” said Senate Resources Chair Cathy Giessel (R-Anchorage Hillside/Turnagain Arm/N. Kenai). “SB 138 allows us to develop the project engineering and construction plans, while the fiscal details are also scrutinized. The Legislature will continue to carefully evaluate this project and the State’s potential investment, looking forward to a future of opportunity. The Senate made several improvements to Senate Bill 138. One of the most significant changes increases the production tax on gas from 10.5% to 13%. The intent is to set the State’s equity share in a North Slope natural gas pipeline project at 25%, when combining the gas tax with the royalty percentages due to the state. “Business as usual has prevailed in our effort to get gas from the North Slope. But business as usual has gotten us no gas,” said Senator Pete Kelly, (R-Fairbanks). “That’s why I like the approach of SB138 - it’s different from anything we’ve done and I think it will work. The Senate also added a provision which puts AGDC in charge of the Alaska LNG project instead of a subsidiary. The language enables AGDC to enter into contracts relating to the LNG project, but only after consulting with Commissioners from the Department of Natural Resources (DNR) and the Department of Revenue (DOR). It also requires AGDC’s board to appoint a program director to manage the Alaska LNG Project so it doesn’t interfere with the State’s commitment to maintain progress on the Alaska Stand Alone Gas Pipeline (ASAP) project, which passed the Legislature last year with the goal of delivering affordable gas to Alaskans through an in-state small-diameter gasline. As part of the Senate’s lengthy discussions on SB138, members of both the Resources and Finance Committees also investigated thoroughly whether TransCanada was the right partner to help finance the mega-project. “The answer to that question is yes,” said Senator Fairclough. “Deals like these hinge on the concept of ‘Risk and Reward’ and we need to make sure Alaskans receive the maximum possible benefit from our natural resources. That also means we do not put Alaskans in a place where we finance ourselves into massive debt,” said Senator Fairclough. “Right now, if the State ‘goes it alone’, we could possibly max out our credit rating. At that point, the State would start losing its ability to borrow. That’s not something we want to see. TransCanada’s participation would allow the State to retain 25-percent of the gas share for only 18-percent of the costs upfront. The Senate’s discussions on SB138 also examined the topic of what kind of compensation municipalities and boroughs would receive for the impact on their communities. That’s why the Senate added a provision directing the Governor to establish an advisory board on municipal involvement in a North Slope natural gas project. “The benefits available to all Alaskans due to the provisions of SB 138 are undeniable, from jobs to lower-cost energy, as well as rural energy project funding and LNG export revenue,” explained Senator Peter Micciche (R-Soldotna). “Also considered was a municipality’s right to tax jurisdictional infrastructure and potential construction and operational impacts. Therefore, the bill includes an Interim Advisory Board in Section 58 that ensures municipalities an active voice in local taxation and community impact discussions. “The last elected job I held prior to serving in the Senate was Soldotna’s Mayor,” continued Micciche. “I understand both the benefits and impacts of such projects in our cities. Therefore, the Senate worked as a team to identify an avenue that keeps municipalities represented in an effort to answer concerns we heard from affected municipal leaders along the route of the project from the North Slope to the Nikiski terminus. In order to help rural Alaskans, Senator Lyman Hoffman (D-Bethel), inserted language into SB138 to ensure the gasline helps lower energy costs for all Alaskans, regardless of whether they get the natural gas directly. The new Alaska Affordable Energy fund will be used to develop energy infrastructure in areas that do not have direct access to a North Slope gas pipeline. The fund will receive ten percent of all revenue received from the State’s royalty gas transported in the Alaska LNG project, after paying the Alaska Permanent Fund its share of that royalty. SB138 also directs the Alaska Energy Authority to develop a plan extending energy infrastructure to parts of the state without direct access to a North Slope natural gas pipeline. “This bill does two things Alaskans have been waiting for-the first is to monetize Alaska’s abundant natural gas resources and the second is to have affordable energy for all Alaskans,” said Senator Hoffman. “With the amendment passed last week in the Senate Finance Committee and the passage of the bill today the Senate has taken a giant step to make both a reality. Senate Democrats offered 16 amendments to defend Alaska sovereignty, protect property tax payers and potential Alaska gas consumers. SB138 also includes a section introduced by Senator Lesil McGuire (R-Anchorage) known as ‘Pick.Click.Invest’ which would direct the DOR to work with the Securities and Exchange Commission (SEC) to create the best way for Alaskans to use their PFDs to invest in the gasline. The Senate Finance Committee later added a provision to require that the DOR’s plan for Alaska ownership must include ownership opportunities for municipalities and for Native corporations. “I believe this will get Alaskans reinvigorated about our robust oil and gas industry by allowing them the opportunity to have an equity share in the project, or, in other words, own a piece of the pipe,” said Senator McGuire. “This amendment would essentially allow Alaskans to buy stock in the pipeline and earn interest on their investment. Construction of the pipeline is expected to add anywhere from 9,000 to 15,000 jobs to Alaska’s work force. In order to make sure Alaskans are the ones ready to fill these high paying positions, Senator Click Bishop (R-Fairbanks) added language to the bill to expand the existing oil and gas producer education tax credit to include contributions to nonprofit regional training centers recognized by the Department of Labor and Workforce Development, and for vocational education, equipment and facilities. “We learned an important lesson from the construction of TAPS,” said Senator Click Bishop (R-Fairbanks). “And that was if we want to hire Alaskans, we have to train them for the jobs. We have worked hard over the past decade to create training programs to get that done. Last, but not least, SB138 starts a gated approach to building the gasline which offers off-ramps if the State, or any of the other parties in the agreement, want to end their participation after the preliminary front end engineering design (Pre-FEED), or front end engineering design (FEED) phases, but before the final investment decision (FID). “It took the Alaska State Legislature in 1973 to prevent Alaskans from owning a portion of the Trans-Alaska Pipeline,” said Senator Fairclough. “Today, the Senate voted to not repeat history and took the next step in a long process to a provide energy relief to Alaskans and economic opportunities for our children. Senator Bert Stedman (R-Sitka) voted against the Governor’s proposed Liquefied Natural Gas Pipeline Project. Stedman represents District Q which includes Ketchikan, Sitka, Wrangell, Haines, Metlakatla, Craig, Klawock, Hoonah, Kake, Thorne Bay, Angoon, Saxman, Hydaburg, Coffman Cove , Naukati, Hollis, Klukwan, Hyder, Pelican, Kasaan, Port Alexander, Port Protection, Edna Bay, Whale Pass, Elfin Cove, Point Baker, & Meyers Chuck. In explanation of his vote agaomst SB 138, Senator Stedman said in a prepared statement, "My vote against SB 138 was not a vote against a natural gas pipeline." Stedman said his objection comes from the fact that the state’s interests as a sovereign are not in alignment with the inclusion of TransCanada owning the state’s share of the pipeline and gas treatment plant. Stedman said, "There are many troubling risks to the state from this megaproject including: low gas prices due to a potential oversupply from competing international projects under development; the state’s lack of expertise and ability to market its share of the gas received in lieu of royalties and taxes; and handing over the state’s ownership share of the pipeline and gas treatment plant to TransCanada. The last point is what gives me the most indigestion. Make no mistake; the producing companies (ExxonMobil, BP, and ConocoPhillips) and not the state are in control of moving this pipeline project forward said Stedman. "TransCanada is a pipeline company but who actually builds this pipeline will be decided by ExxonMobil with concurrence from BP and ConocoPhillips. TransCanada is simply acting as our lender to cover the upfront project costs at a guaranteed rate of return through construction. The deal looks like this: TransCanada will hold an ownership interest in the gas treatment plant and the pipeline equal to the state’s estimated 25% share of the gas; the state would have a one-time option to buy back up to a 40% of its ownership interest from TransCanada so long as TransCanada’s share doesn’t fall below 14% leaving the state with only an 11% ownership interest. Furthermore, regardless of whether the state exercises its option to buy an ownership interest from TransCanada, we are obligated to pay TransCanada’s development costs plus an interest rate of 7.1% if the project is not sanctioned. "The state entered into an agreement like this with TransCanada once before when the legislature passed the Alaska Gasline Inducement Act (AGIA) in 2007," stated Stedman. "That law guaranteed the state would reimburse TransCanada up to $500 million for costs incurred related to the development of a large diameter gas pipeline through Canada. Today, most legislators would agree that tying ourselves to TransCanada through AGIA was a mistake. I’m concerned that we didn’t learn our lesson and we’re making the same mistake again but instead of a $500 million mistake, this could turn out to be a multi-billion dollar mistake. Stedman said, " I’m uncomfortable supporting this proposed commercial arrangement that doesn’t align the state’s interests with ExxonMobil, BP and ConocoPhillips. These companies will see to it that this project is profitable for them or they won’t proceed. Similarly, TransCanada is guaranteed to make a handsome profit. Unfortunately it looks to me like the state of Alaska as a sovereign and the owner of the oil and gas resource is assuming the most exposure and risk. Making a bad situation worse, reduced revenue from oil taxes will result in year after year deficit spending to balance our budget, depleting our savings accounts around the same time pipeline construction will begin. Stedman said, "One of our own legislative consultants hired by the Legislative Budget and Audit Committee warned, “In its totality, however, the proposal will result in a radical departure from the State’s historical position and role as a Sovereign, as a Royalty Owner, as a Taxation Authority and as a Regulator which raises a number of issues and presents substantial risks. A sole source, non-competitive bid resulting in a multi-generational contract with TransCanada is not in the state’s best interest said Stedman. "In my opinion, the Legislature should put SB 138 on the shelf and work on it over the interim. We have the time and the obligation to do it right. Senate Bill 138 now moves to the House. http://www.legis.state.ak.us/basis/get_bill. http://lba.akleg. mayer_tsafos_alaska_lng_key_issues_march_18_%202014. http://lba.akleg. rick_harper_legislative_report_lbac_request_march_17_2014. www.akleg. alaskasenatedems. www.gov.state.ak. www.akleg. E-mail your news & photos to editor@sitnews. Articles & photographs that appear in SitNews may be protected by copyright and may not be reprinted without written permission from and payment of any required fees to the proper sources. 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Centennial High football coach announces resignationCONCORD, N.H. — A doctor and two nurses who treated victims of last year's Boston Marathon bombings will discuss what it was like in the emergency room that day.Three people died and 260 were injured last April 15 when two homemade bombs exploded near the finish line on Boylston Street.Dr. Aaron Remenschneider and two registered nurses, Deb Trocchi and Maureen Martinez, were on duty at Massachusetts Eye and Ear Infirmary and helped treat the wounded. They'll talk about their experiences at 6:30 Wednesday evening on the campus of New Hampshire Technical Institute in Concord.Mass Eye and Ear also provided continuing care for people who had shrapnel injuries to their eyes and concussive ear injuries. Copyright 2014 The_Associated_Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed. 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Athena Wireless Communications, Inc. Athena Wireless Communications, Inc. today announced a major price reduction across their backhaul product line, comprising the Phoenix™, 80 GHz backhaul link and their A060-Mini™ 60 GHz backhaul link. Athena Wireless Communications, Inc. today announced a major price reduction across their backhaul product line, comprising the Phoenix™, 80 GHz backhaul link and their A060-Mini™ 60 GHz backhaul link. The Phoenix™ initially listed at $19,999, and is now priced at $6,995 per link, a 65% decrease. Pricing was also dropped on the A060-Mini™ 60GHz backhaul link by 62.5%, from $15,999 to $5,995 per link. Each of these units enable very fast, simple deployment, practically zero footprint and 1000 Mbps throughput coming and going. AES encryption can be added to each link for just $500. "We've been working hard to streamline our manufacturing and other internal processes," said Eduardo Tinoco, CEO of Athena Wireless. “Our efforts have paid off in the shape of dramatic cost reductions which we are now able to pass on to our end clients. “Both the Phoenix™ and the A060-Mini™ can transmit data at 1000 Mbps (full-duplex) and include an in-band management interface allowing it to be managed remotely over the Ethernet LAN. Its unique design deviates from industry tradition with the combination small-form-factor and square structure. The A060-Mini™ operates in the unlicensed 60 GHz spectrum with a range of nearly 1 km in most weather conditions, while the Phoenix™ uses the 71-76 GHz and 81-86 GHz FCC licensed spectrums, with a range of up to 3.5 km. Visit Athena Wireless at the International Wireless Communications Expo in Las Vegas, March 26-27 to learn more about the Phoenix™, A060 Mini™ and Pixie™ LTE small cell systems. We are in Booth 9083. For more information or to place your order, call us now at +1.623.242.7224 ex. 310. About Athena Wireless Communications, Inc. Athena Wireless Communications uses advanced technologies to provide high-speed digital data communication solutions. The company designs and manufactures SiGe-based millimeter-band wireless Gigabit backhaul links and SoC-based LTE small cells for wireless telecommunication operators, governments and private enterprises around the globe. Founded in 2009, Athena Wireless Communications is privately held and is located in Surprise, Arizona. For more information please visit http://www.athenawave.com. +1.623.242.7224 ex. Athena Wireless Communications Inc. PRWeb Home News Center We're here to help. Create Account ©Copyright 1997-, Vocus PRW Holdings, LLC. Vocus, PRWeb, and Publicity Wire are trademarks or registered trademarks of Vocus, Inc. or Vocus PRW Holdings, LLC. 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Facebook Timeline options My profileLog outCNETReviewsOppo debuts world's first 5.5-inch Quad ... Oppo debuts world's first 5. Packed with plenty of pixels, the Find 7 is also the first Oppo LTE handset powered by a Qualcomm Snapdragon 801 quad-core processor. Allen Wu, Oppo's vice president domestic (China) division, takes the stage to introduce the new handset. (Credit: Aloysius Low/CNET) BEIJING, China -- Priced at a reasonable $599, Oppo's latest Find 7 has just made its debut in China, and is the first to sport a 5.5-inch Quad HD display. QHD, not to be confused with qHD (960x540-pixels), has a resolution of 2,560x1440-pixels, which is more than four times as many pixels as you'll find on 720p TVs. If you're interested in the numbers, that's 538 pixels per inch (PPI), and you'll never have to worry about fuzzy fonts anymore. Apart from a super-sharp screen, the Find 7 comes packing a quad-core Qualcomm Snapdragon 801 processor clocked at 2.5GHz, 3GB RAM and 32GB of onboard storage. Other specs include a 3,000mAh battery, a 13-megapixel camera with dual-LED flash. The Find 7 will support a wide range of LTE bands and should work in most countries as well as in China, Mexico and the U.S. The smartphone runs a custom firmware called ColorOS, that's based on Android 4.3 (Jelly Bean). The specs alone of the Find 7 are likely overkill for the average user, so Oppo will be offering a full-HD version (1,920x1,080-pixels) but it has less storage (16GB), a slightly slower quad-core processor (2.3GHz) and a 2,800mAh battery instead. Also announced at the event was a fitness band called O Band, which tracks your sleep patterns as well. The Find 7 and Find 7a will be available globally in mid-April and will retail for $599 and $499 respectively. Aloysius Low is a Senior Writer at CNET Asia and covers all things mobile. A former World of Warcraft addict, he now dabbles in social media to stave off the withdrawal symptoms. As a lover of all things furry, he's also the unfortunate slave/minion of two adorable cats. Evleaks releases the specs for Google's smartwatch, Amazon's set-top box might be a dongle and HTC's Sense 6.0 UI is leaked out. Roku Streaming Stick vs. Roku's new Streaming Stick is clearly aiming to take on Google's Chromecast, but both streamers have their strengths and weaknesses. Here's how they compare so far. Check it out © CBS Interactive Inc. All rights reserved. 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GM logo (Wikipedia)Somebody at GM in the early part of this century had the kind of idea their corporate forebears had perfected in the generations before. Pretending no one would ever find out about bad stuff. And that always works well. General Motors Co Chief Executive Mary Barra said on Tuesday that she did not learn details about defective GM cars linked to 12 deaths until January 31, just two weeks after she took over as CEO and nearly 13 years after GM engineers first documented problems. The automaker last month recalled more than 1.6 million cars from 2003 to 2007 to replace faulty ignition switches that could cause the engine to shut down and turn off the airbags. The first death linked to the defect occurred in Maryland in July 2005. I’m sure the always successful legal defense of “whoops” will play out really well with those future juries. You must be logged in to post a comment. Need an account? Register here or log in via your social media account. By: Amy B. 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Welcome! Register|Sign-inSearch Jump to a Magazine .NET AJAX APACHE CLOUD COMPUTING CMS COLDFUSION CRM ECLIPSE FLEX HP IPHONE JAVA LINUX OPEN SOURCE OPEN WEB ORACLE PERL PHP POWERBUILDER PYTHON RED HAT RUBY SAP SEARCH SILVERLIGHT SOA SYMBIAN VIDEO VIRTUALIZATION WEB 2. By Marketwired . PALO ALTO, CA -- (Marketwired) -- 03/18/14 -- The Anita Borg Institute, a non-profit organization dedicated to connecting, inspiring and guiding women in computing and organizations that view technology innovation as a strategic imperative, today announced that Bank of America is this year's winner of the Top Company for Women in Computing ABIE Award. The Anita Borg Institute will present Bank of America with the 2014 Top Company for Women in Computing ABIE Award at its 9th Annual Women of Vision Awards Banquet, on May 8th in Santa Clara, California. Each year, the Anita Borg Institute recognizes a leading company for its measureable achievements in the recruitment, retention and advancement of women technologists at all levels within the organization. The winner is widely recognized as a pioneer in building a diverse team to achieve greater technology innovation. Previous Top Company winners include Intel, American Express, and IBM. Bank of America was recognized for exceptional representation of women technologists in both its management and team of technical experts. The bank has the highest percentage of women among its technical experts of any company ever considered by The Anita Borg Institute for a Top Company Award. In addition, Bank of America successfully retains the vast majority of its female technologists, with only 3% voluntary turnover annually. "We are doing a lot of work across Bank of America, and on our technology team in particular, to increase the representation of women in leadership roles," said Cathy Bessant, Bank of America's Global Technology & Operations executive. "This is a journey for us. While we have certainly made progress, we will continue to identify root causes that hold women back, and attack them with vigor. At Bank of America, we're developing women to be great technologists and great leaders. Bank of America's accomplishments in recruiting, retaining and advancing women in computing are the outcome of an array of supportive programs including Women in Technology & Operations (WIT&O), an advocacy group within Global Technology & Operations with a mission to attract, develop and retain talented women in technology and operations at the bank, and the Employee Resource group LEAD (Leadership, Education, Advocacy and Development) for Women, which is dedicated to promoting professional women's development at the company. "We are delighted to honor Bank of America for setting a new bar and breaking previous records, and for working diligently to ensure greater diversity throughout their organization," said Telle Whitney, president and CEO of the Anita Borg Institute. "They have designed and executed successful programs and initiatives to support real diversity, and are a model organization that others can turn to for knowledge and inspiration. This year's group of participants was the largest ever since the first Top Company for Women in Computing Award was given in 2011. Other participants included (in alphabetical order) American Express, BNY Mellon, CA Technologies, Dell, eBay Inc., EMC, Facebook, Goldman Sachs, Google, HP, Intuit, Microsoft, NetApp, NeuStar, PARC: a Xerox Company, Rackspace, Salesforce. "We were extremely impressed with the sheer number and quality of companies that participated this year. They, too, are all companies that understand that innovation drives success, and diversity drives innovation," added Whitney. Last month, ABI announced the Women of Vision Individual Awards for three exceptional women technologists in the categories of Innovation, Leadership and Social Impact. Those honored were Dr. Tal Rabin, manager and research staff member of the Cryptography Research Group at IBM's T.J. Watson Research Center, for Innovation; Dr. Maria Klawe, president of Harvey Mudd College, for Leadership; and Ms. Kathrin Winkler, chief sustainability officer and senior vice president of EMC Corporation, for Social Impact. The Women of Vision Individual Award winners will receive their awards along with Bank of America at the May 8th Awards Banquet, which also will feature a keynote address from Hilary Mason, data scientist in residence at Accel Partners. Penny Herscher, president and CEO of FirstRain, will act as emcee for the Awards Banquet. Sponsors for the 2014 Women of Vision Awards Banquet include: Dinner Host - Lockheed Martin; Gold Sponsor - NetApp; Silver Sponsors - Cisco, HP, Symantec, and Thomson Reuters; and Bronze Sponsors - Bank of America and LinkedIn. For more information about the Women of Vision Awards Banquet, please visit www.women-of-vision.org. The Anita Borg Institute (ABI) connects, inspires, and guides women in computing and organizations that view technology innovation as a strategic imperative. Founded in 1997 by computer scientist Anita Borg, our reach extends to more than 53 countries. We believe technology innovation powers the global economy, and that women are crucial to building technology the world needs. As a social enterprise, we recognize women making positive contributions, and advise organizations on how to improve performance by building more inclusive teams. ABI partners include: Cisco, Google, HP, Microsoft, Thomson Reuters, Amazon, CA Technologies, Dell, eBay, Facebook, First Republic Bank, IBM, Intel, Intuit, Juniper Networks, Lockheed Martin, National Science Foundation, National Security Agency, NetApp, SAP, Symantec, Wilson Sonsini Goodrich & Rosati, Broadcom, EMC, Neustar, Raytheon, Salesforce.com, VentureLoop, Xerox and Yahoo! The Anita Borg Institute is a not-for-profit 501(c) 3 charitable organization. For more information, visit www.anitaborg. Follow the Anita Borg Institute on Twitter at @anitaborg.org and become a fan at www.facebook.com/anitaborginstitute. Add to Digg Bookmark with del.icio. Copyright © 2014 SYS-CON Media, Inc. — All Rights Reserved. Syndicated stories and blog feeds, all rights reserved by the author. RelatedPrint Email FeedbackAdd ThisBlog This More Stories By Marketwired . Copyright © 2009 Marketwired. All rights reserved. All the news releases provided by Marketwired are copyrighted. Any forms of copying other than an individual user's personal reference without express written permission is prohibited. Further distribution of these materials is strictly forbidden, including but not limited to, posting, emailing, faxing, archiving in a public database, redistributing via a computer network or in a printed form. 10 « ex bonnes pratiques » a abandonner et... 10 bonnes resolutions pour 2014. Unveiling the java.lang. Profiles for WebSphere Application Server 6. Last Exclusive JDJ Interview With "IBM's" John A. Your Guide to Portal Clustering in WebSphere Portal Server 5. yourfanat wrote: I am using another tool for Oracle developers - dbForge Studio for Oracle. This IDE has lots of usefull features, among them: oracle designer, code competion and formatter, query builder, debugger, profiler, erxport/import, reports and many others. The latest version supports Oracle 12C. More information here. Oct. Day 4 Keynote | Clouds, Devices, and Demos! What Developers Need. Fear & Loathing in the Enterprise Cloud (with apologies to Hunter S. New Cloud. New Rules. Cloudy With a Chance of... 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Leveraging WebDAV-Accessible Directories with Mac OS X Server & ColdFusion MX 7.0. Come to New York and get yourself up to date with the Big Data revolution! As advanced data storage, access and analytics technologies aimed at handling high-volume and/or fast moving data all move center stage, aided by the Cloud Computing boom, Cloud Expo is the single most effective event for you to learn how to use you own enterprise data – processed in the Cloud – most effectively to drive value for your business. There is little doubt that Big Data solutions will have an increasing role in the Enterprise IT mainstream over time. Get a jump on that rapidly evolving trend at Big Data Expo, which we are introducing in November at Cloud Expo New York. "Cloud" has become synonymous with "computing" and "software" in two short years. Cloud Expo is the new PC Expo, Comdex, and InternetWorld of our decade. By 2012, more than 50,000 delegates per year will participate in Cloud Expo worldwide. 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You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Fortis It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. FortisBC Inc. Kelowna, BC – July 4, 2007 – FortisBC Inc. ("FortisBC" or the "Company"), an indirect wholly owned subsidiary of Fortis Inc. (TSX:FTS), announced today the closing of its $105 million debenture issue. The issue consists of 5.90% senior unsecured debentures (the "Debentures") due July 4, 2047. The underwriting syndicate for the issue was led by Scotia Capital Inc., and includes CIBC World Markets Inc. and National Bank Financial Inc. FortisBC plans to use the net proceeds of the issue to repay certain existing indebtedness under its credit facilities, which was incurred primarily to fund capital expenditures. The balance of the proceeds is planned to be used for future capital expenditures and other general corporate purposes. The Debentures have been rated BBB (high), stable trend, by DBRS Limited and Baa2, Stable Outlook, by Moody's Investors Service. The Debentures will bear interest at a rate of 5.90% per annum, payable semi-annually in arrears in equal instalments on January 4 and July 4 of each year, commencing on January 4, 2008. The Debentures will mature on July 4, 2047. The Debentures have not been and will not be registered under the US Securities Act of 1933, as amended, and may not be offered or sold in the United States to any person absent registration or an applicable exemption from registration requirements. This news release shall not constitute an offer to sell or the solicitation of an offer to buy the Debentures in the United States, nor shall there be any offer, solicitation, or sale of the Debentures in any state in which such offer, solicitation, or sale would be unlawful. FortisBC is an integrated electric utility based in Kelowna, British Columbia and operating in the southern interior of British Columbia. The Company serves approximately 152,000 customers directly and indirectly. The utility has four regulated hydroelectric generating plants with a combined capacity of 235 megawatts and approximately 6,750 kilometers of transmission and distribution power lines. FortisBC employs over 570 people in British Columbia and is an indirect wholly owned subsidiary of Fortis Inc., the largest investor-owned distribution utility in Canada, which serves almost 2,000,000 gas and electric customers and has approximately $10 billion of assets. The Common Shares, First Preference Shares, Series C, First Preference Shares, Series E and First Preference Shares, Series F of Fortis are traded on the Toronto Stock Exchange under the symbols FTS, FTS.PR.C, FTS.PR.E and FTS.PR.F, respectively. Fortis Inc. information can be accessed at www.fortisinc.com or www.sedar.com. FortisBC may include forward-looking statements in this release which reflect management's expectations regarding the Company's future growth, results of operations, performance, business prospects and opportunities. Wherever possible, words such as "anticipate", "believe", "expects", "intend" and similar expressions have been used to identify the forward-looking statements. These statements reflect management's current beliefs and are based on information currently available to the Company's management. By their very nature, forward-looking statements are based on underlying factors or assumptions which are subject to inherent risks and uncertainties surrounding future expectations generally. Such risk factors or assumptions include, but are not limited to, general economic, market and business conditions, regulatory developments, weather and competition. FortisBC cautions readers that a number of factors could cause actual results, performance or achievements to differ materially from the results discussed or implied in the forward-looking statements. These factors should be considered carefully and undue reliance should not be placed on the forward-looking statements. For additional information with respect to certain of these risks or factors, reference should be made to FortisBC's continuous disclosure materials filed from time to time with Canadian Securities Regulatory Authorities. FortisBC disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. FortisBC Inc. Fax: (866) 853-3084Featured LinksUnable to display this Web Part. To troubleshoot the problem, open this Web page in a Microsoft SharePoint Foundation-compatible HTML editor such as Microsoft SharePoint Designer. If the problem persists, contact your Web server administrator. Documents View PDFAbout FortisFortis Inc. is the largest investor-owned gas and electric distribution utility in Canada. Its regulated utilities account for 90 per cent of total assets and serve more than 2.4 million customers across Canada and in New York State and the Caribbean. Fortis owns non-regulated hydroelectric generation assets in Canada, Belize and Upstate New York. The Corporation's non-utility investment is comprised of hotels and commercial real estate in Canada. St. St. T: 709.737. F: 709.737. W: www.fortisinc. E: investorrelations@fortisinc.com Legal Notice Privacy Policy FortisBC-Inc-Closes-$105-Million-Debenture-Issue FortisBC Inc. 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Tanzania: Subsistence Farmers 'In Abject... Tanzania: Presidential Aspirant Must Poll... Tanzania: Cargo Handling to Speed Up The country's food quality is still unsatisfactory and needs more control on the part of consumer protection entities, Angop learned Tuesday in Luanda This was said by the head of the Water and Food Testing Laboratory of the Angola Methodist University, Fernando Dias. Fernando Dias was speaking to Angop about food quality in Angola, saying the improvement of the quality of food in the country requires a huge financial investment as the source of the foodstuffs often poses many health hazard. The official also mentioned the food manufactured and sold on streets without a minimum of hygiene. "Currently, a large part of the meals eaten by Angolans is purchased from the informal market or from streets. This food has no nutrients whatsoever with many bacteria, because the exposition to dust and sun," he stressed. Fernando Dias spoke of the importance of testing laboratories in the process of improving the diet, mentioning the inauguration soon of the Water and Food Testing Laboratory of the Angola Methodist University. The official said that once in place, the laboratory that will add to the six existing in the country, will help Angolans with a notion of food and beverage health. Recently, the ministries of Finance and Commerce approved a new table of prices for micro-biological and physical and chemical tests of all foodstuffs in the country. Angolan minister of Fisheries Victoria de Barros Neto is expected Thursday in northern Bengo province to lay the first … see more » Copyright © 2014 Angola Press Agency. All rights reserved. Distributed by AllAfrica Global Media (allAfrica.com). To contact the copyright holder directly for corrections — or for permission to republish or make other authorized use of this material, click here. 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Future of Wealth reviews have been flooding the Internet and MarketersBlueprint.com reveals the truth about Anik Singal’s latest offering, a personal development course. Future of Wealth is a program with the angle on the psychology of wealth for small business owners and entrepreneurs. This has caught the attention of MarketersBlueprint.com’s Stan Stevenson, prompting an investigative review. “Our Future of Wealth review shows it is a training and exercise course that’s based on the psychology of becoming financially independent. Provided digitally, the program provides a very scientific approach to mental training,” reports Stevenson. “Whatever your personal situation, having the right mindset has a profound affect on your success. Everything in the program is provided in small, bite-sized chunks that are easy to fit in when you have 10 minutes or so to spare. Future of Wealth includes The Science Behind The Theory that is all about changing one’s mindset to become more positive and productive, Mind Holes that prevent people from reaching their financial goals, Focusing The Mind, Discover Your Key Assets, Combine The Law Of Focus With The Law Of Attraction, Mental Exercises created by Anik himself, and 10 Minute Evening Sessions in the form of an audio/video that people can listen to every night before going to sleep. “The crux of the program is about creating the right mindset, and making your brain your greatest asset. Provided in an easy to follow format, you neither need a PhD in science to be able to understand it nor do you need to sacrifice hours of your day to complete the course,” says Stevenson. “Very scientific, this extremely well presented personal development course is based on an understanding how the human mind works, and how this can affect everything around you. It is not only fascinating, but one of the most life changing and positive things you can ever do. “Targeting entrepreneurs and small business owners, Future of Wealth definitely hits the spot for this target market. However, this personal development course is a powerful tool for literally anyone. While this is undoubtedly a course targeted on the financial side of things, it certainly won’t hurt when it comes to other areas of your life as well. Once you begin to change your way of thinking, the improvements and results begin to come in fast. There’s no need to wait weeks or months before you see changes made. In a nutshell, Anik Singal has a wonderful way of presenting the training that is based on proven science, which is explained in a ‘non-scientific’ manner throughout. Those wishing to purchase Future of Wealth, or for more information, click here. To access a comprehensive Future of Wealth review, visit http://marketersblueprint.com/future-of-wealth-review. MarketersBlueprint. 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