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Pediatric Advance Directives: Parents' Knowledge, Experience, and Preferences

As the number of chronically ill children grows in the United States, end-of-life discussions and advance directives (AD) will become increasingly important. Although pediatric palliative care is gaining interest, little is known about parental preferences regarding ADs for chronically ill children.

Knowledge about ADs is limited among caregivers of children who have chronic illness. However, interest in creating ADs is high, suggesting an unmet need and opportunity for health care providers to improve the care of children who have chronic illness. (Read the full article)




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Massachusetts Health Reform and Access for Children With Special Health Care Needs

Massachusetts implemented a major health reform in 2006 to reduce uninsurance, improve access to care, and increase financial protection for its citizens, but little is known about its effect on privately and publicly insured children with special health care needs.

Massachusetts health reform improved access to specialists for privately insured children with special health care needs but did not reduce uninsurance, increase access to primary care, or improve financial protection. National reform may produce similarly modest outcomes for these children. (Read the full article)




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Neonatal Vitamin K Refusal and Nonimmunization

Vitamin K prophylaxis at birth is an effective intervention for preventing vitamin K deficiency bleeding.

Refusal of vitamin K is not common, but those who refuse are more likely to have a birth attended by a midwife, and deliver at home or in a birth center. They are also less likely to immunize their child. (Read the full article)




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Geographic Clusters in Underimmunization and Vaccine Refusal

Parent refusal and delay of childhood vaccines has increased in recent years and is believed to cluster in communities. Such clustering could pose public health risks and barriers to achieving quality benchmarks for immunization coverage.

We found that underimmunization and vaccine refusal cluster geographically. Spatial scan analysis may be a useful tool to identify locations where clinicians may face challenges to achieving benchmarks for immunization coverage and that deserve special focus for interventions. (Read the full article)




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Characteristics of Physicians Who Dismiss Families for Refusing Vaccines

The American Academy of Pediatrics discourages providers from dismissing families who refuse vaccines for their children, yet some providers continue to do so.

We show that ~1 in 5 pediatricians dismiss families who refuse vaccines, and there is significant regional variation in the practice. Dismissing families for refusing vaccines was also associated with stricter state nonmedical exemption policies. (Read the full article)




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SB 13-26 Regulatory Reform (Scotland) Bill - Stage 1

16 May 2013The Regulatory Reform (Scotland) Bill was introduced in the Scottish Parliament on 27 March 2013. This briefing provides background information on existing regulatory regimes, and the introduction of the Bill.




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SB 13-67 The Procurement Reform (Scotland) Bill

24 October 2013The Procurement Reform (Scotland) Bill aims to establish a national legislative framework for public procurement in Scotland. This Briefing sets out the background to the Bill and summarises its main provisions.




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SB 14-03 Regulatory Reform (Scotland) Bill: Stage 3

13 January 2013This briefing provides a summary of the parliamentary scrutiny of the Regulatory Reform (Scotland) Bill prior to Stage 3 proceedings which are scheduled to take place on 16 January 2014.




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SB 14-31 Procurement (Reform) (Scotland) Bill – Parliamentary consideration prior to Stage 3

8 May 2014This briefing summarises Stage 1 and Stage 2 consideration of the Procurement (Reform) (Scotland) Bill, introduced in the Parliament on 3rd October 2013.




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Burundian Refugees in Tanzania: The Key Factor to the Burundi Peace Process




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Refugees and Displaced Persons in Burundi – Defusing the Land Time-Bomb




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Refugees and Internally Displaced in Burundi: The Urgent Need for a Consensus on Their Repatriation and Reintegration




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Security Sector Reform in the Congo




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Fields of Bitterness (I): Land Reform in Burundi

Unless the government revives land governance reform in Burundi, long-term peacebuilding efforts will remain compromised.




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The Infantile Hemangioma Referral Score: A Validated Tool for Physicians

OBJECTIVES:

Infantile hemangiomas (IHs) are common; some cases require timely referral and treatment to prevent complications. We developed and validated a reliable instrument for timely and adequate referral of patients with IH to experts by nonexpert primary physicians.

METHODS:

In this multicenter, cross-sectional, observational study, we used a 3-stage process: (1) development of the Infantile Hemangioma Referral Score (IHReS) tool by IH experts who selected a representative set of 42 IH cases comprising images and a short clinical history, (2) definition of the gold standard for the 42 cases by a second independent committee of IH experts, and (3) IHReS validation by nonexpert primary physicians using the 42 gold standard cases.

RESULTS:

A total of 60 primary physicians from 7 different countries evaluated the 42 gold standard cases (without reference to the IHReS tool); 45 primary physicians evaluated these cases using the IHReS questionnaire, and 44 completed retesting using the instrument. IHReS had a sensitivity of 96.9% (95% confidence interval 96.1%–97.8%) and a specificity of 55.0% (95% confidence interval 51.0%–59.0%). The positive predictive value and negative predictive value were 40.5% and 98.3%, respectively. Validation by experts and primary physicians revealed substantial agreement for interrater reliability and intrarater repeatability.

CONCLUSIONS:

IHReS, a 2-part algorithm with a total of 12 questions, is an easy-to-use tool for primary physicians for the purpose of facilitating correct and timely referral of patients with IH. IHReS may help practitioners in their decision to refer patients to expert centers.




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'A Hero to Many Children': Teachers Reflect on Kobe Bryant's Legacy in Class

Many teachers scrapped their lesson plans on Monday and gave their students space to talk about Kobe Bryant.




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Nontraditional Pets Policy--Reaffirmed With Reference & Data Updates




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Polio Policy: Reaffirmed With Reference and Data Updates




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Apple Refreshes iPod Touch With Better Camera, Chip

Apple quietly revealed new iPods today with new colors and better specs.




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The Best Refurbished Desktop Deals

Whether you want a customizable full-size tower or a mini PC, there's something for nearly every budget. Here are the best refurbished desktop deals for January 2020.




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Firefox 72 to Block 'Fingerprinters' by Default

Fingerprinters collect information about the device you're accessing the internet on and attempt to build up a profile of the device.




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Inaugural fellows reflect on experiences

The College of Earth and Mineral Sciences’ Graduate Fellows for Science Advocacy and Diversity (EMS-GFSAD) program is wrapping up its inaugural year and has already had an impact in promoting a diverse and inclusive scientific community.




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Microsoft Closes Ebook Store, Will Refund All Purchases

The books category has disappeared from the Microsoft Store and you'll no longer be able to access purchased or rented ebooks from July. Expect a full refund, though.




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First Look: Apple's Pro Display XDR, Reference-Quality Imagery at a Palatable Price?

Apple's new $4,999 Pro Display XDR monitor (and its $1,000 stand) may sound mighty expensive on the surface. It has the potential to upend a whole industry, however—it's made to compete with panels five to ten times the price. We have one in-house, and here are our first impressions.




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Students' Mobile Device Use and Frustrations Reflected in Survey

Students report that schools' filters, firewalls, and blockage of social media sites are obstacles to their use of educational technology.




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1 in 4 Americans Would Refuse COVID-19 Vaccine from Government

Source: www.thegatewaypundit.com - Friday, May 08, 2020
One in Four Americans would refuse a COVID-19 vaccine according to a new ABC News/Ipsos poll. The news comes as Americans trust in the medical community continues to plunge thanks to overblown predictions on the extent of the coronavirus pandemic, fake news reporting and the continued attacks on hydroxychloroquine treatments that are showing great success. HUGE UPDATE: Dr. Fauci and Dr. Birx Used Imperial College Model — NOW CONFIRMED AS A COMPLETE FRAUD — To Persuade President Trump to Lock Down Entire US Economy! After losing your business and livelihood due to faulty models and predictions why would you trust the government with a COVID-19 vaccine? Via ABC Action News : Americans, by a large 30-point margin, are resistant to re-opening the country now, believing the risk to human life of opening the country outweighs the economic toll of remaining under restrictive lockdowns — a concern that starkly divides along partisan lines, according to a new ABC News/Ipsos released Friday. In the new poll, conducted by Ipsos in partnership with ABC News using Ipsos’ Knowledge Panel, nearly two-thirds of Americans said they more closely align with the view that opening the county now is not advantageous since it will result in a higher death toll, while slightly more than one-third agree with the belief that an immediate reopening is beneficial to minimize the negative impact on the economy. But those attitudes show deep partisan divisio




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Referee appointed for the 2013 UEFA Champions League final

Italian referee Nicola Rizzoli to officiate at Wembley




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Referee appointed for UEFA Super Cup in Prague

047 - Swedish official Jonas Eriksson to handle FC Bayern München v Chelsea FC




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Referee Meler hopes U17 final just the start

"I know it is the beginning of a long path," said Halil Umut Meler ahead of refereeing the U17 EURO final in England.




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Essay in The American Scholar Is Skeptical on School Reform

Education professor Mike Rose has a thoughtful essay questioning some trends in education reform in the quarterly journal of the Phi Beta Kappa Society.




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Barack Obama Says Education Reform Isn't a 'Cure-All.' Is That a Flip-Flop?

A tweet from the former president about education's role in addressing inequality and lack of opportunities drew split reactions and a chance to review his record and where K-12 stands in the political sphere.




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Former player Martinčić proud to referee WU19 final

Ivana Martinčić, once a player in the Croatian women's top division, speaks about her pride at being selected to referee the 2018 Women's U19 EURO final.





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Fin24.com | Central banks must be careful not to get sucked into fiscal policy - Kganyago

The economic meltdown has seen the world's leading central bankers including the South African Reserve Bank come under pressure to bail out their respective economies in the form of interest rate cuts. They've been urged to fund governments, an idea that central bank governor, Lesetja Kganyago, says is tantamount to a client instructing their banker to do the same.




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Refugees accept Jesus as Saviour in Germany

OM team leader in Hamburg, where 400-500 refugees arrive daily, shares about meeting two young refugees who hunger to know the truth.




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Reaching out to refugees at TeenStreet

During TeenStreet 2016 a group of 29 people went to a refugee camp in Oldenburg, Germany to share the love of Christ.




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Woman Who Started Blaze That Killed Firefighters Sentenced to 30 Years In Prison

Guilty plea to murder in Dover killing; Change in state’s securities act leads to guilty plea to theft and identity theft Beatriz Fana-Ruiz, the woman who set fire to the home where she lived leading to the deaths of 3 Wilmington firefighters has been sentenced to 30 years in prison. Deputy Attorneys General Barzilai Axelrod […]




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Customer Complaint Leads to Refunds for Delmarva Power Customers

Spurred by a single complaint from a customer, Delmarva Power will soon issue refunds to thousands of customers impacted by a recently identified billing error.




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China To Reform Disease Prevention System In Wake Of COVID-19 Outbreak

China will reform its disease prevention and control system to address weaknesses exposed by the coronavirus outbreak, a senior health official said on Saturday.




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Governor Markell Orders Flags Lowered to Honor Fallen Firefighters

U.S. and Delaware flags have been ordered lowered to half-staff until the start of business on Monday, October 7, 2013, to honor firefighters who have died protecting Delawareans and in recognition of the National Fallen Firefighters Memorial Service.



  • Flag Status
  • Former Governor Jack Markell (2009-2017)
  • Office of Management and Budget
  • Office of the Governor

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Governor Markell Orders Flags Lowered for National Fallen Firefighters Memorial Weekend

In recognition of National Fallen Firefighters Memorial Weekend, Governor Markell has ordered the American and Delaware flags at state buildings and facilities to be lowered to half-staff.



  • Flag Status
  • Former Governor Jack Markell (2009-2017)
  • Office of Management and Budget
  • Office of the Governor

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Flags to be Lowered to Half-staff for Fallen Wilmington Firefighters

Governor Markell today ordered both the U.S. and State flags to be flown at half-staff in memory of fallen Wilmington firefighters Lt. Christopher Leach and Senior Firefighter Jerry Fickes. Both firefighters died this morning serving their community and fellow Delawareans valiantly, while battling a blaze in Wilmington. Flags are to remain at half-staff until further […]



  • Flag Status
  • Former Governor Jack Markell (2009-2017)
  • Office of Management and Budget
  • Office of the Governor

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Flags Lowered for National Fallen Firefighters Memorial Service

Everyday across Delaware, thousands of firefighters serve their communities and protect the public by responding to not only fires but almost any emergency situation. In honor of the men and women who have died while protecting Delawareans, in recognition of the National Fallen Firefighters Memorial Service (to be held on Sunday, October 9) and in […]



  • Flag Status
  • Former Governor Jack Markell (2009-2017)
  • Office of Management and Budget
  • Office of the Governor

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Flag Lowering for Fallen Wilmington Firefighter Ardythe Hope

Governor Markell today ordered both the U.S. and State flags to be flown at half-staff in memory of fallen Wilmington Senior Firefighter Ardythe Hope. Senior Firefighter Hope passed away from her injuries as a result of battling a blaze in Wilmington the morning of September 24. Flags are to remain at half-staff until further notice.



  • Flag Status
  • Former Governor Jack Markell (2009-2017)
  • Office of Management and Budget
  • Office of the Governor

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Flags to be lowered for National Fallen Firefighters Memorial Service

Everyday across Delaware, thousands of firefighters serve their communities and protect the public by responding to not only fires but almost any emergency situation. Sunday, October 6 has been recognized by Congress as the day US and State flags are to be flown at half-staff in recognition of the National Fallen Firefighters Memorial Service.



  • Flag Status
  • Office of Management and Budget
  • National Fallen Firefighters Memorial Service

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Delaware firefighters now headed to Coin Mountain Fire in Idaho’s Payette National Forest

A team of Delaware volunteer firefighters who have been battling a blaze in Utah for the past week are now headed to a new assignment in the Payette National Forest near McCall, Idaho. According to Delaware state forester Michael Valenti of Dover, who is traveling with the team, Delaware's crew will be traveling over 500 miles from Utah to Idaho on August 20, and then begin its first operational period on August 21.



  • Department of Agriculture
  • Forest Service
  • Delaware Forest Service
  • Delaware wildland firefighters

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Update: First State firefighters battle blaze in Idaho’s Payette National Forest

A crew of 19 wildland firefighters trained by the Delaware Forest Service are on the front lines of the Howard Fire in Idaho's Payette National Forest, a blaze ignited by lightning in the rugged terrain east of Riggins, Idaho.



  • Department of Agriculture
  • Forest Service
  • Delaware Department of Agriculture
  • Delaware Forest Service
  • Delaware wildfire crew
  • Delaware wildland firefighters
  • Idaho wildfires
  • National Fire Preparedness Level
  • National Interagency Fire Center

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Health Care Commission Seeks Applications from Delaware Health Care Providers for One-Time Mini-Grants Related to Payment Reform

NEW CASTLE (July 26, 2018) – As part of the State Innovation Model (SIM) initiative, the Delaware Health Care Commission is seeking applications from Delaware health care providers for one-time, value-based payment reform mini-grants to grow their capacity to integrate data, improve the coordination of patient care or increase their readiness to integrate into a […]




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Division of Substance Abuse and Mental Health Launches Referral Network for Addiction, Mental Health Treatment Services

NEW CASTLE (Oct. 2, 2018) – The Department of Health and Social Services’ Division of Substance Abuse and Mental Health (DSAMH) last week launched its online referral network – Delaware Treatment and Referral Network (DTRN) – allowing Delaware health care providers seeking substance use disorder treatment or mental health services for their patients to make […]




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Health Care Commission Awards First Value-Based Payment Reform Mini-Grant to a Christiana Care Behavioral Health Pilot

NEW CASTLE (Nov. 15, 2018) – As part of the State Innovation Model (SIM) initiative, the Delaware Health Care Commission has awarded the first value-based payment reform mini-grant to Christiana Care Health System to test a new reimbursement model that will also improve the coordination of patient care. Christiana Care Health System’s CareLink Behavioral Health […]