rbi

The world’s longest wind turbine blade rolled off the assembly line last week

Last week, LM Wind Power said it had successfully manufactured the world’s first wind turbine blade to surpass 100 meters in length.




rbi

GE expanding Turkish wind turbine blade factory; hiring 300 workers

This week LM Wind Power, a subsidiary of GE Renewable Energy, announced its plan to recruit 300 additional employees at its wind turbine blade manufacturing site in Bergama, Turkey.




rbi

Siemens Gamesa to supply 43 wind turbines to Canadian project

With more than 3,000 MW installed in Canada, Siemens Gamesa Renewable Energy is the market leader by cumulative installed capacity




rbi

Tower sections of GE’s 12-MW offshore wind turbine shipped to prototype site

GE Renewable Energy announced the shipment of the four tower sections that will be part of GE’s Haliade-X 12 MW prototype to be installed later this summer in Maasvlakte-Rotterdam (NL). The four segments at tower manufacturer GRI’s site in Seville, will be arriving in the Netherlands before the end of the month.




rbi

Foreign firms look to make India a global wind turbine export hub

Global wind turbine makers are expanding manufacturing capacity in India to boost exports from the South Asian nation even as the country’s domestic industry faces headwinds.




rbi

Fifth GE wind turbine collapse leaves worker injured

A utility worker at the Delta 6 wind park in Brazil has been injured following yet another collapse of a General Electric (GE) turbine, bringing the total number of turbines to have failed in the America’s to five in 2019.

 




rbi

RBI: Know Your Customer Norms - Letter Issued by UIDAI

The Reserve Bank of India on Sept. 28, 2011, issued a statement recognizing a letter issued by Unique Identification Authority of India containing details of name, address and Aadhaar number, as an officially valid document as contained in Rule 2[1][d] of the PML Rules, 2005.




rbi

RBI: Anti-Money Laundering, Combating of Financing of Terrorism Standards

The Reserve Bank of India on Sept. 22, 2011, issued a letter to financial institutions regarding anti-money laundering and the combating of financing of terrorism standards.




rbi

RBI: Security Issues and Risk Mitigation Measures Related to Card-Present Transactions

The Reserve Bank of India on Sept. 22, 2011 issued a notification on security issues and risk mitigation measures related to card-present transactions.




rbi

RBI: Know Your Customer Norms - Letter Issued by UIDAI

The Reserve Bank of India on Sept. 28, 2011, issued a statement recognizing a letter issued by Unique Identification Authority of India containing details of name, address and Aadhaar number, as an officially valid document as contained in Rule 2[1][d] of the PML Rules, 2005.




rbi

RBI: Anti-Money Laundering, Combating of Financing of Terrorism Standards

The Reserve Bank of India on Sept. 22, 2011, issued a letter to financial institutions regarding anti-money laundering and the combating of financing of terrorism standards.




rbi

RBI: Security Issues and Risk Mitigation Measures Related to Card-Present Transactions

The Reserve Bank of India on Sept. 22, 2011 issued a notification on security issues and risk mitigation measures related to card-present transactions.




rbi

RBI: Know Your Customer Norms - Letter Issued by UIDAI

The Reserve Bank of India on Sept. 28, 2011, issued a statement recognizing a letter issued by Unique Identification Authority of India containing details of name, address and Aadhaar number, as an officially valid document as contained in Rule 2[1][d] of the PML Rules, 2005.




rbi

RBI: Security Issues and Risk Mitigation Measures Related to Card-Present Transactions

The Reserve Bank of India on Sept. 22, 2011 issued a notification on security issues and risk mitigation measures related to card-present transactions.




rbi

RBI: Security Issues and Risk Mitigation Measures Related to Card-Present Transactions

The Reserve Bank of India on Sept. 22, 2011 issued a notification on security issues and risk mitigation measures related to card-present transactions.




rbi

RBI: Transaction Limit Update to Mobile Banking Circular

The Reserve Bank of India has updated its mobile banking circular, dated Dec. 24, 2009, removing the 50,000 Rupees per customer, per day limit.




rbi

RBI: Mobile Banking Security Lab Launches

The Institute for Development and Research in Banking Technology has launched the Mobile Banking Security Lab to explore solutions to the evolving challenges in the area of mobile banking and security.




rbi

RBI: Information Security Framework Released

The Institute for Development and Research in Banking Technology has prepared an information security framework to help banks in benchmarking their systems and enhancing information security.




rbi

RBI: Know Your Customer Norms - Letter Issued by UIDAI

The Reserve Bank of India on Sept. 28, 2011, issued a statement recognizing a letter issued by Unique Identification Authority of India containing details of name, address and Aadhaar number, as an officially valid document as contained in Rule 2[1][d] of the PML Rules, 2005.




rbi

RBI: Security Issues and Risk Mitigation Measures Related to Card-Present Transactions

The Reserve Bank of India on Sept. 22, 2011 issued a notification on security issues and risk mitigation measures related to card-present transactions.




rbi

Grandpa Corbin’s Salt Cod Fishcakes

When I was a boy growing up in the Bronx, I would often stay at my Aunt Gloria and Uncle Mike’s apartment when I got home from school until my mom got home from work. They lived on the ground floor of the same apartment building that my family lived in. My Grandpa Corbin lived with them. It was a wonderful neighborhood of many different nationalities and many wonderful cooking smells! Sometimes when turning the corner to our block, I would be greeted by the unmistakable aroma of Grandpa’s Codfish Cakes! Once, being the little chubby piggy kid that I was I ate the last two Codfish cakes from the day before. Aunt Gloria quickly scooted me outside to play, but I could hear Grandpa yell “Who ate the last codfish cakes!!” After he cooled off – Grandpa had a temper – I apologized, but I could tell he was still pretty angry. Not long after, I turned the corner to the smell of Codfish Cakes! There sat Grandpa with a glint in his eye. “I made these codfish cakes the way I really like them! It might keep you from eating them all!” He handed me one with a smile on his face. I took a bite and thought my head might explode! But I think that started my love of hot foods! I finished and asked for another through the tears. He laughed and handed me another – this one wasn’t quite so hot – I do think the first one was specially made just for me. Over the years I tried to duplicate Grandpa’s Cod Fishcakes – without any success – thinking it was an English recipe. It wasn’t until I found out that Grandpa Corbin was born in Barbados and I found a recipe from there that tasted almost like I remembered. With some adjustments over the years, I think I finally have it! -- posted by Billy R.




rbi

Can’t Litigate? Let’s Arbitrate

Hong Kong Courts are closed as a result of the COVID-19 pandemic and the backlog of litigation continues to grow. Does arbitration have the answers? The COVID-19 pandemic has led to the closure of the Hong Kong courts. They closed after the Chinese ...




rbi

East-West Center Board Elects Richard Turbin as New Chairman

Honolulu Attorney Turbin chosen to head EWC’s Board of Governors;
Peter Ho and Ronald Moon appointed to board by Gov. Ige

HONOLULU (Feb 2, 2016) – Members of the East-West Center’s Board of Governors have elected Honolulu attorney Richard Turbin to serve as the board’s new chairman. At a meeting today, the board named Turbin, a member of the board since 2011, to succeed R. Brian Tsujimura, who had served his maximum term as chairman. Tsujimura will remain on the board as co-vice chair, along with re-appointed Vice Chair Margaret Carpenter, and as chair of the Development Committee.




rbi

East-West Center Board Re-Appoints Richard Turbin as Chairman

Former US Assistant Secretary of State Kurt Campbell and
Punahou School President James Scott Chosen as Vice Chairs

HONOLULU (Oct. 17, 2017) –Members of the East-West Center’s Board of Governors have re-appointed Honolulu attorney Richard Turbin as the board’s Chairman for another one-year term. Turbin, a member of the board since 2011, has served as its Chairman since February 2016. At a meeting on Oct. 6, the board also selected former US Assistant Secretary of State for East Asia and Pacific Kurt Campbell and Punahou School President James Scott as Vice-Chairs.




rbi

Shipping - London Arbitration 9/13

Synopsis Pursuant to a contract of sale (the “Contract”) the respondent seller (the “Seller”) agreed to build and sell to the claimant buyer (the “Buyer”) a 9,400 dwt chemical tanker, the Delivery Date (as defined...




rbi

Serbia Protests EU Site's Reference To Inventor Tesla As 'Croatian'

The Serbian government has protested to the European Union after one of the bloc's educational websites described inventor and electricity trailblazer Nikola Tesla as a "famous Croatian."




rbi

Shipping: the Privy Council’s interpretation of permissive language in arbitration clauses

Anzen Limited & Another v Hermes One Limited In the case of Anzen Limited v Hermes One Limited [2016] UKPC 1, the Privy Council considered the use of permissive language in an arbitration clause.  Specifically, the Council considered what o...




rbi

Serbia protests EU description of Tesla as famous Croat

BELGRADE, Serbia (AP) — Serbia has protested to the European Union after one of its publications described inventor and electricity pioneer Nikola Tesla as a Croat. Foreign Minister Ivica Dacic said on Saturday he has sent the protest note to Brussels after the EU’s...




rbi

Is Judgement Always Forbidden?

In the lead-up to the Truth Matters conference in October, we will be focusing our attention on the sufficiency, authority, and clarity of Scripture. Of our previous blog series, none better embodies that emphasis than Frequently Abused Verses. The following entry from that series originally appeared on September 16, 2015. -ed.

Love, don’t judge.

For many people in the church, that simple slogan has become the kneejerk defense in the face of criticism and confrontation. At some point, believers decided that careful discernment and agapē love are diametrically opposed; that judgment is always a threat to our unity in Christ. And with no regard for the quality or content of the exhortation, too many Christians speedily deploy Matthew 7:1 as an all-purpose, get-out-of-jail-free card: “Do not judge so that you will not be judged.”

Writing thirty years ago in his commentary on Matthew’s gospel, John MacArthur explained how that verse is routinely misapplied as a shield against confrontation and conflict in the church.

This passage has erroneously been used to suggest that believers should never evaluate or criticize anyone for anything. Our day hates absolutes, especially theological and moral absolutes, and such simplistic interpretation provides a convenient escape from confrontation. Members of modern society, including many professing Christians, tend to resist dogmatism and strong convictions about right and wrong. Many people prefer to speak of all-inclusive love, compromise, ecumenism, and unity. To the modern religious person those are the only “doctrines” worth defending, and they are the doctrines to which every conflicting doctrine must be sacrificed. [1] John MacArthur, The MacArthur New Testament Commentary: Matthew 1-7 (Chicago, IL: Moody Press, 1985), 430.

In the intervening decades, the church’s appetite for criticism, conflict, and confrontation has only further diminished. And in that same time, the misunderstanding and misapplication of this verse and others like it (cf. Luke 6:37; John 3:17) has taken root in the church, skewing its perspective on discipline and judgment, and insulating its people from rebuke and exhortation.

In fact, many in the church today behave as if confrontation and discerning judgment are forbidden. Any confrontation—whether it’s a question of personal holiness or doctrinal disagreement—is seen as prideful overstepping and an attack on the unity of God’s people. As John MacArthur explains,

In many circles, including some evangelical circles, those who hold to strong convictions and who speak up and confront society and the church are branded as violators of this command not to judge, and are seen as troublemakers or, at best, as controversial. [2] The MacArthur New Testament Commentary: Matthew 1-7, 431.

But Matthew 7:1 has nothing to do with avoiding conflict in favor of unity, or ignoring doctrinal or moral error in the name of love. As with many of the abused verses we’ll examine in this series, a simple look at the context makes the original intent of Christ’s words abundantly clear.

The seventh chapter of Matthew’s gospel represents the end of Christ’s Sermon on the Mount—His most extensive teaching on living as a citizen of the kingdom of God. Woven throughout that sermon is an exposé of the hypocrisy of the religious leaders of His day. Jesus upends the system of works-righteousness they had inflicted on God-fearing people throughout Israel.

During Christ’s life and ministry, the Jewish faith had been reduced to a heavy-handed list of dos and don’ts. The religious elite had obliterated God’s original intent in giving His law to His people, replacing it with a burdensome system of works righteousness. And they held the entire nation to their corrupt, man-made standard.

In his commentary, John MacArthur explains how the focus of Christ’s Sermon on the Mount makes it clear that the Lord was not prohibiting judgment, but promoting discernment.

If this greatest sermon by our Lord teaches anything, it teaches that His followers are to be discerning and perceptive in what they believe and in what they do, that they must make every effort to judge between truth and falsehood, between the internal and the external, between reality and sham, between true righteousness and false righteousness—in short, between God’s way and all other ways. [3] The MacArthur New Testament Commentary: Matthew 1-7, 431.

With that in mind, the prohibition against judgment takes on completely different nuance. Christ was condemning a very specific kind of self-righteous judgment—the kind we see on display in His parable about the Pharisee and the tax collector.

And He also told this parable to some people who trusted in themselves that they were righteous, and viewed others with contempt: “Two men went up into the temple to pray, one a Pharisee and the other a tax collector. The Pharisee stood and was praying this to himself: ‘God, I thank You that I am not like other people: swindlers, unjust, adulterers, or even like this tax collector. I fast twice a week; I pay tithes of all that I get.’ But the tax collector, standing some distance away, was even unwilling to lift up his eyes to heaven, but was beating his breast, saying, ‘God, be merciful to me, the sinner!’ I tell you, this man went to his house justified rather than the other; for everyone who exalts himself will be humbled, but he who humbles himself will be exalted.” (Luke 18:9-14)

Like many professing believers today, the Pharisees put on a good show of public holiness, and loved looking down on anyone who didn’t. As John explains,

Jesus here is talking about the self-righteous, egotistical judgment and unmerciful condemnation of others practiced by the scribes and Pharisees. Their primary concern was not to help others from sin to holiness, but to condemn them to eternal judgment because of actions and attitudes that did not square with their own worldly, self-made traditions. [4] The MacArthur New Testament Commentary: Matthew 1-7, 432.

Jesus’ words in Matthew 7:1 were a reminder to the religious elite that they were not the final judges—that they too would stand before God, and that they would not want to be held to their own rigorous, self-righteous standard (Matthew 7:2). Believers today need to heed that warning as well, and avoid the same kind of hypocritical hubris regarding our own holiness, and how it corresponds to other believers’.

We also need to consider how to biblically discern, confront, and rebuke when necessary. Fortunately for us, Christ addressed that very issue in His subsequent statements.

Why do you look at the speck that is in your brother’s eye, but do not notice the log that is in your own eye? Or how can you say to your brother, “Let me take the speck out of your eye,” and behold, the log is in your own eye? You hypocrite, first take the log out of your own eye, and then you will see clearly to take the speck out of your brother’s eye. (Matthew 7:3-5)

Confrontation and criticism are not forbidden in the church, but they must be undergirded with humility and purity. We need to humbly submit to the Lord, shining the light of His Word into the dark corners of our own hearts instead of arrogantly pointing it in someone else’s face. It’s only when we’ve dealt faithfully and biblically with our own sin that we can help a brother see his own. And as John explains, even in the midst of confrontation, we need to maintain a spirit of humility.

All confrontation of sin in others must be done out of meekness, not pride. We cannot play the role of judge—passing sentence as if we were God. We cannot play the role of superior—as if we were exempt from the same standards we demand of others. We must not play the hypocrite—blaming others while we excuse ourselves. [5] The MacArthur New Testament Commentary: Matthew 1-7, 437.

We do a great disservice to the Body of Christ when we confront and judge one another in arrogance and self-righteousness. But, as John MacArthur writes, we also do damage to the church if we fail to exercise godly judgment and discernment when it’s warranted.

There is also danger, however, even for the truly humble and repentant believer. The first danger . . . is of concluding that we have no right to oppose wrong doctrine or wrong practices in the church, lest we fall into judgmental self-righteousness. We will then not be willing to confront a sinning brother as the Lord clearly calls us to do. The second danger is closely related to the first. If we are afraid to confront falsehood and sin in the church, we will be inclined to become undiscriminating and undiscerning. The church, and our own lives, will become more and more in danger of corruption. Realizing the impact of sin in the assembly (1 Peter 4:15), Peter made a powerful call for a confrontive, critical church when he said, “For it is time for judgment to begin with the household of God” (1 Peter 4:17). Believers must be discerning and make proper judgment when it is required. [6] The MacArthur New Testament Commentary: Matthew 1-7, 437.

Discernment does not have to lead to division. If we faithfully follow the pattern Christ gave us, we will be able to confront one another out of love and humility, not arrogance and self-righteousness. And we’ll be able to humbly accept the input of others without rushing to defensive arguments and judgmental retaliation.




rbi

Did God Forbid Us to Critique or Criticize Church Leaders?

In the lead-up to the Truth Matters conference in October, we will be focusing our attention on the sufficiency, authority, and clarity of Scripture. Of our previous blog series, none better embodies that emphasis than Frequently Abused Verses. The following entry from that series originally appeared on April 10, 2017. -ed.

False teaching thrives in environments where it is unlikely to be questioned. Charlatans and heretics prey on uncritical minds, and work tirelessly to protect and preserve that gullibility. Their success depends on dismantling every challenge to their authority and accuracy.

John MacArthur describes why that problem is rampant in the modern church:

In a time like this of tolerance, listen, false teaching will always cry intolerance; it will always say you’re being divisive, you’re being unloving, you’re being ungracious, because it can only survive when it doesn’t get scrutinized. And so it cries against any intolerance. It cries against any examination, any scrutiny.

In recent decades, some of the most notorious charismatic church leaders have been doing just that. They continually warn their critics to back off or face the imminent danger of divine judgment. Claiming God’s stamp of approval, they wield Psalm 105:15 like a loaded gun: “Touch not [the Lord’s] anointed” (KJV).

And lest you think such a description to be hyperbole, the following clip from Benny Hinn is a spectacular example. 

Hinn’s handling of Psalm 105:15, as well as the story of Saul and David, is hopelessly wrong on too many levels to address in one blog post.

For example we could discuss how Hinn utterly fails to understand Judas’s role in God’s sovereign plan for the crucifixion, while woefully underestimating the deity of Christ. We could invalidate Hinn’s warnings against criticism by pointing out the time Paul rebuked Peter—or when Hinn has publicly rebuked Joel Osteen, among others. Then there’s the problem of Hinn basing his threats upon the extra-biblical revelation of another false teacher (Kenneth Copeland).

 What does it mean to “touch”?

But there is one simple, glaring error that explains all the other problems and exposes Hinn as the incompetent and unqualified Bible teacher that he is. When David says, “I will not stretch out my hand against [Saul], for he is the Lord’s anointed” (1 Samuel 24:10), he is explaining why he didn’t kill Saul, not why he didn’t criticize Saul. In fact, David was openly critical of Saul on numerous occasions. Moreover, 1 Samuel 24:10 is part of a larger discourse where David rebukes Saul face-to-face over his murderous scheming: “I have not sinned against you, though you are lying in wait for my life to take it. May the Lord judge between you and me, and may the Lord avenge me on you; but my hand shall not be against you” (1 Samuel 24:11–13). Even if Benny Hinn was “the Lord’s anointed”—he’s not—none of his critics are attempting to “touch” him in the sense described in 1 Samuel 24:10 (or Psalm 105:15; or 1 Chronicles 16:22).

Who are the anointed?

There is another fatal flaw in Hinn’s interpretation. He—and all those who follow this teaching—assume that only certain persons are “anointed.” They claim that pastors and self-appointed prophets and apostles have a unique anointing from God that immunizes them from criticism. But such a concept is foreign to Scripture. In short, the Bible teaches that all believers have an anointing from God.

In his first epistle, the apostle John explained what it means to be anointed as a New Testament believer. After warning his readers about antichrists who were coming to deceive them, John reminded them of their security because of Christ’s anointing:

These things I have written to you concerning those who are trying to deceive you. As for you, the anointing which you received from Him abides in you, and you have no need for anyone to teach you; but as His anointing teaches you about all things, and is true and is not a lie, and just as it has taught you, you abide in Him. (1 John 2:26–27)

The anointing John refers to is the indwelling of the Holy Spirit—a reality for all true Christians. John MacArthur explains the context and meaning of “anointing” as it appears in 1 John:

The false teachers who threatened John’s readers employed the terms for knowledge and anointing to describe their religious experience. They arrogantly saw themselves as possessing an elevated and esoteric form of divine knowledge, and as the recipients of a special, secret, transcendent anointing. That led them to believe they were privy to truth that the uninitiated lacked. John’s response, which was both a rebuttal to the antichrists and a reassurance to the believers, was to assert that, in reality, all true Christians have an anointing from the Holy One.

Because believers have received that anointing, they have the true understanding of God that comes exclusively through Jesus Christ (2 Corinthians 4:6), “in whom are hidden all the treasures of wisdom and knowledge” (Colossians 2:3). They do not need any secret, special, or transcendent understanding or esoteric insight. Anointing (chrisma) literally means “ointment” or “oil” (cf. Hebrews 1:9). In this text it refers figuratively to the Holy Spirit (cf. 2 Corinthians 1:21–22), who has taken up residency in believers at the behest of Jesus Christ, the Holy One (cf. Luke 4:34; Acts 3:14), and reveals through Scripture all they need to know (John 14:26; 16:13; 1 Corinthians 2:9–10). [1] John MacArthur, The MacArthur New Testament Commentary: 1–3 John (Chicago, IL: Moody Press, 2007), 102.

The anointing we have as believers reveals the truth and therefore exposes the lies of false teachers. How ironic that the “anointing” Benny Hinn evokes to extort and manipulate churchgoers is actually our warning system to expose the self-serving deception of wolves like him.   




rbi

Enforced Disappearances, Arbitrary Detentions, Hate Speech & Attacks on Civilians – ICC Report on Libya

The International Criminal Court (ICC) on Tuesday highlighted crimes against humanity and grave mismanagement of the law in Libya during a release of their latest report on the North African nation.  Fatou Bensouda, Chief Prosecutor of the ICC, said enforced disappearances, arbitrary detentions, hate speech, and severe maltreatment of detainees remains a massive concern in […]

The post Enforced Disappearances, Arbitrary Detentions, Hate Speech & Attacks on Civilians – ICC Report on Libya appeared first on Inter Press Service.




rbi

Microchip Expands Silicon Carbide (SiC) Family of Power Electronics to Provide System Level Improvements in Efficiency, Size and Reliability

Microchip Expands Silicon Carbide (SiC) Family of Power Electronics to Provide System Level Improvements in Efficiency, Size and Reliability




rbi

Realtors welcome RBI move to improve liquidity into system

NEW DELHI: Real estate developers and property consultants today welcomed the RBI decision to cut statutory liquidity ratio (SLR), saying this would enable banks to lend more to industry, including cash-starved realty sector. However, developers demanded easing of interest rates to boost housing sales. RBI today decided to keep the key policy rate unchanged but slashed statutory liquidity ratio (SLR) by 0.5 per cent to unlock about Rs 40,000 crore into the system. “The RBI’s move to cut SLR by 50 basis points to 22 per cent will give banks more headroom to lend and thereby spur lending in future. However, the much anticipated cut in rates would have been […]



  • Real Estate Developers
  • Real Estate India

rbi

Nobel prize in physics for discovery of exoplanet orbiting a star

The Nobel prize in physics has been jointly awarded to  James Peebles, Michel Mayor and Didier Queloz for their contributions to our understanding of the evolution of the universe and Earth’s place in the cosmos.




rbi

Don't Miss: Sci-fi suburbia, star woman and London Games Festival

This week, watch a sci-fi film set in an infinitely recursive suburbia, read about the woman who cracked star chemistry and catch great new games




rbi

It's about time-TTPM's Silver on Mattel's new Barbies

Toy industry expert Jim Silver, CEO of TTPM talks about Mattel's new Barbies which will come in petite, tall and curvy and how they will impact falling barbie sales. Bobbi Rebell reports.




rbi

Curbing School Bus Pollution Might Reduce Absences

Title: Curbing School Bus Pollution Might Reduce Absences
Category: Health News
Created: 4/29/2015 12:00:00 AM
Last Editorial Review: 4/30/2015 12:00:00 AM




rbi

Teens Willing to 'Cash In' on Curbing Cellphone Use While Driving

Title: Teens Willing to 'Cash In' on Curbing Cellphone Use While Driving
Category: Health News
Created: 5/2/2018 12:00:00 AM
Last Editorial Review: 5/2/2018 12:00:00 AM




rbi

How Is the Infraorbital Nerve Block Performed?

Title: How Is the Infraorbital Nerve Block Performed?
Category: Procedures and Tests
Created: 4/21/2020 12:00:00 AM
Last Editorial Review: 4/21/2020 12:00:00 AM




rbi

Re: Abnormally Low Hemoglobin A1c as Harbinger of Hemoglobinopathy




rbi

Pathogenesis and Management of Indirect Hyperbilirubinemia in Preterm Neonates Less Than 35 Weeks: Moving Toward a Standardized Approach

Premature infants have a higher incidence of indirect hyperbilirubinemia than term infants. Management of neonatal indirect hyperbilirubinemia in late preterm and term neonates has been well addressed by recognized, consensus-based guidelines. However, the extension of these guidelines to the preterm population has been an area of uncertainty because of limited evidence. This leads to variation in clinical practice and lack of recognition of the spectrum of bilirubin-induced neurologic dysfunction (BIND) in this population. Preterm infants are metabolically immature and at higher risk for BIND at lower bilirubin levels than their term counterparts. Early use of phototherapy to eliminate BIND and minimize the need for exchange transfusion is the goal of treatment in premature neonates. Although considered relatively safe, phototherapy does have side effects, and some NICUs tend to overuse phototherapy. In this review, we describe the epidemiology and pathophysiology of BIND in preterm neonates, and discuss our approach to standardized management of indirect hyperbilirubinemia in the vulnerable preterm population. The proposed treatment charts suggest early use of phototherapy in preterm neonates with the aim of reducing exposure to high irradiance levels, minimizing the need for exchange transfusions, and preventing BIND. The charts are pragmatic and have additional curves for stopping phototherapy and escalating its intensity. Having a standardized approach would support future research and quality improvement initiatives that examine dose and duration of phototherapy exposure with relation to outcomes.




rbi

Coaching Intensity, Adherence to Essential Birth Practices, and Health Outcomes in the BetterBirth Trial in Uttar Pradesh, India

ABSTRACTBackground:Coaching can improve the quality of care in primary-level birth facilities and promote birth attendant adherence to essential birth practices (EBPs) that reduce maternal and perinatal mortality. The intensity of coaching needed to promote and sustain behavior change is unknown. We investigated the relationship between coaching intensity, EBP adherence, and maternal and perinatal health outcomes using data from the BetterBirth Trial, which assessed the impact of a complex, coaching-based implementation of the World Health Organization's Safe Childbirth Checklist in Uttar Pradesh, India.Methods:For each birth, we defined multiple coaching intensity metrics, including coaching frequency (coaching visits per month), cumulative coaching (total coaching visits accrued during the intervention), and scheduling adherence (coaching delivered as scheduled). We considered coaching delivered at both facility and birth attendant levels. We assessed the association between coaching intensity and birth attendant adherence to 18 EBPs and with maternal and perinatal health outcomes using regression models.Results:Coaching frequency was associated with modestly increased EBP adherence. Delivering 6 coaching visits per month to facilities was associated with adherence to 1.3 additional EBPs (95% confidence interval [CI]=0.6, 1.9). High-frequency coaching delivered with high coverage among birth attendants was associated with greater improvements: providing 70% of birth attendants at a facility with at least 1 visit per month was associated with adherence to 2.0 additional EBPs (95% CI=1.0, 2.9). Neither cumulative coaching nor scheduling adherence was associated with EBP adherence. Coaching was generally not associated with health outcomes, possibly due to the small magnitude of association between coaching and EBP adherence.Conclusions:Frequent coaching may promote behavior change, especially if delivered with high coverage among birth attendants. However, the effects of coaching were modest and did not persist over time, suggesting that future coaching-based interventions should explore providing frequent coaching for longer periods.




rbi

Perspectives of specialists and family physicians in interprofessional teams in caring for patients with multimorbidity: a qualitative study

Background:

Patients with multimorbidity often require services across different health care settings, yet team processes among settings are rarely implemented. We explored perceptions of specialists and family physicians collaborating in a telemedicine interprofessional consultation for patients with multimorbidity to better understand the value of bringing physicians together across the boundaries of health care settings.

Methods:

This was a descriptive qualitative, interview-based study. Physicians who had previously participated in the Telemedicine Interprofessional Model of Practice for Aging and Complex Treatments (Telemedicine IMPACT Plus [TIP] Program) were invited to participate and asked to describe their experience of being a member of the program. Interviews were conducted from March to May 2016. We conducted an iterative and interpretive process using both individual and team analysis to identify themes.

Results:

There were 15 participants, 9 specialists and 6 family physicians. Three themes emerged in the analysis: creating new perspectives on care for patients with multimorbidity by sharing knowledge, skills and attitudes; the shift from a consultant model to an interprofessional team model (allowing a window into the community, extending discussions beyond the medical model and focusing on the patient’s health in context); and opportunities for learners, including learning about interprofessional collaboration and gaining exposure to a real-world model for caring for people with multimorbidity in outpatient settings.

Interpretation:

Family physicians and specialists participating in a TIP Program believed the program improved their knowledge and skills, while also serving as an effective care delivery strategy. The findings also support that learners require more exposure to nontraditional consultant models in order to care for patients with multimorbidity effectively.




rbi

Wind-powered turbines could clean pollutants from our air

A self-powered device that generates electricity from the wind can also absorb and break down harmful nitric oxide and nitrogen dioxide from the air




rbi

Solar Orbiter will give us our best views of the sun’s top and bottom

The Solar Orbiter spacecraft, set to launch on 7 February, will give us our first clear views of the sun’s poles and help unravel the mystery of the solar wind




rbi

The orbit of a star near our galaxy’s black hole proves Einstein right

A star that swoops close to the Milky Way’s supermassive black hole has a strange, looping orbit that proves Einstein was right about the gravity of black holes




rbi

पूर्व RBI गवर्नर रघुराम राजन ने सरकार को एक सीमा तक मुद्रीकरण का दिया सुझाव

भारतीय रिजर्व बैंक (RBI) के पूर्व गवर्नर रघुराम राजन ने मौजूदा 'असाधारण परिस्थितियों' में आर्थिक सेहत को बचाने के लिए सरकार को एक सीमा तक मुद्रीकरण (मोनेटाइजेशन) का सुझाव दिया है।




rbi

To Silence Wind Turbines and Airplanes, Engineers Are Studying Owl Wings

No one knows exactly how the nocturnal hunters manage their whisper-soft flight, yet it's inspiring the design of quieter airplanes, fans and wind turbines




rbi

'Blanket' use of Do Not Resuscitate notices in care homes forbidden after outrage

Matt Hancock introduces new measures as ministers accused of abandoning OAPs Follow our live coronavirus updates HERE Coronavirus: the symptoms




rbi

International Space Station crew lands safely in Kazakhstan after more than 200 days in orbit

The crew of three returned to a planet troubled by the coronavirus pandemic Coronavirus: the symptoms Read our LIVE updates on the coronavirus here