Are you pushing my buttons? ?????????????????????Chelan and East Wenatchee Home Inspections
Do you know what the heaviest moving object in your home is, besides the car? No it is not Uncle Ernie. It is your garage door. Garage doors can weigh several hundred pounds.
In addition to being a very heavy mechanical objects they are often highly neglected in the home. Most manufacturers require a monthly check up and maintenance. We know that is not going to happen by the normal homeowner but we should think about doing periodic checks and maintenance.
Here we have a little helper from a recent home inspection. She is demonstrating why we want the garage door control button to be five (5) feet off the ground to prevent children from playing with the garage door. Are you pushing my buttons my little helper?
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The operator also needs to be in sight of the door and away from all moving parts of the door.
It is estimated that each year about 20,000 people are injured by automatic garage doors and their openers. With children being a large number of those injured.
Year ??CPSC Report of Garage Door Related Injures 2010 ??20,809 2009 ??20,382 2008 ??20,017 2007 ??19,943 2006 ??18,781 ??CPSC Numbers are generated on a sampling of designated hospitals. ? 2005 ??19,228 ??Real figures could be higher, or lower. ? 2004 ??19,767 ??The categories tallied include automatic garage door and garage door openers. 2003 ??20,005 2002 ??19,370 2001 ??20,421 2000 ??19,608
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?If you think it's expensive to hire a professional to do the job, wait until you hire an amateur.?
Red Adair
NCW Home Inspections, LLC ?is a Licensed Washington State Home Inspection service located in Wenatchee Washington serving Chelan County, Douglas County, Kittitas County, Okanogan County and Grant County Washington and the cities of Wenatchee, Leavenworth, Cashmere, Oroville, Cle Elum, East Wenatchee, Quincy and many more? ?
Your Wenatchee and Chelan Professional Real Estate, Home and Structural Pest Inspection Services. www.ncwhomeinspections.com ????????? ????????????????????????????????????509-670-9572
Ramped up responsible investment into agriculture could help tackle poverty and hunger across the world, according to the UN Food and Agriculture Organisation (FAO).
It says that around 870 million people globally ? primarily in developing countries ? currently have insufficient access to food, and that investment strategies that put farmers at their heart should be lauded by governments.
?Agricultural investment has long shown itself to be one of the most effective and sustainable means for reducing hunger and poverty?, said Jos? Graziano da Silva, director-general of the FAO. ?We need to invest more. And, equally as imortant, we need to invest better.?
Experts propose overhaul of ethics oversight of researchPublic release date: 23-Jan-2013 [ | E-mail | Share ]
Contact: Susan Gilbert gilberts@thehastingscenter.org 845-424-4040 x244 The Hastings Center
Hastings Center Special Report aims to 'provoke a national conversation'
The longstanding ethical framework for protecting human volunteers in medical research needs to be replaced because it is outdated and can impede efforts to improve health care quality, assert leaders in bioethics, medicine, and health policy in two companion articles in a Hastings Center Report special report, "Ethical Oversight of Learning Health Care Systems." One of the authors calling for a new approach is the main architect of the current ethical framework.
Seven commentaries in the publication, written by leaders with national responsibility for ethical oversight of medical research and efforts to improve health care quality, find areas of agreement and offer critiques.
In an accompanying editorial, co-guest editors Mildred Z. Solomon, President of The Hastings Center and Ann C. Bonham, Chief Scientific Officer at the American Association of Medical Colleges, wrote that by inviting these commentaries, they aimed to "provoke a national conversation." According to Solomon, "The challenge is to design oversight that adequately protects patients without impeding the kinds of data collection activities we need to improve health care quality, reduce disparities, and bring down our rate of medical errors." (See video of Dr. Solomon on the importance of this debate.)
For nearly four decades, protection of human participants in medical research has been based on the premise that there is a clear line between medical research and medical treatment. But, the two feature articles argue, that distinction has become blurred now that health care systems across the country are beginning to collect data from patients when they come in for treatment or follow-up. The Institute of Medicine has recommended that health care organizations do this kind of research, calling on them to become "learning health care systems."
In particular, the articles challenge the prevailing view that participating in medical research is inherently riskier and provides less benefit than receiving medical care. They point out that more than half of medical treatments lack evidence of effectiveness, putting patients at risk of harm. On the other hand, some kinds of clinical research are no riskier than clinical care and are potentially more beneficial; an example is comparative effectiveness research to find out which of two or more widely used interventions for a particular condition works best for which patients.
"Relying on this faulty research-practice distinction as the criterion that triggers ethical oversight has resulted in two major problems," the authors write. First, it has led to "delays, confusion, and frustrations in the regulatory environment" when institutional review boards, which are responsible for the ethical oversight of research with human subjects, have difficulty distinguishing between research and clinical practice. Second, it has "resulted in a morally questionable public policy in which many patients are either underprotected from clinical practice risks (when exposed to interventions of unproven effectiveness or to risks of medical error) or overprotected from learning activities that are of low risk . . . and that stand to contribute to improving health care safety, effectiveness, and value."
The authors call for a new ethical framework that "is commensurate with the risk and burden in both realms." Their second article outlines such a framework for determining the type and level of oversight needed for a learning health care system. The basic structure consists of seven obligations: 1) to respect the rights and dignity of patients; 2) to respect the clinical judgment of clinicians; 3) to provide optimal care to each patient; 4) to avoid imposing nonclinical risks and burdens on patients; 5) to reduce health inequalities among populations; 6) to conduct responsible activities that foster learning from clinical care and clinical information; and 7) to contribute to the common purpose of improving the quality and value of clinical care and the health system. The first six obligations would be the responsibility of researchers, clinicians, health care systems administrators, payers, and purchasers. The seventh obligation would be borne by patients.
Authors of the feature articles are Nancy E. Kass, deputy director for public health in the Johns Hopkins Berman Institute of Bioethics; Ruth R. Faden, director of the Johns Hopkins Berman Institute of Bioethics; Steven N. Goodman, associate dean for clinical and translational research at the Stanford University School of Medicine; Peter Pronovost, director of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins; Sean Tunis, founder, president, and chief executive officer of the Center for Medical Technology Policy in Baltimore; and Tom L. Beauchamp, a professor of philosophy at Georgetown University and a senior research scholar at the Kennedy Institute of Ethics. Beauchamp was a chief architect of the Belmont Report, which established the existing research ethics framework in the United States.
The commentaries on the articles find common cause with the need to update clinical oversight for learning health care systems, but offer important critiques of the proposed framework. In particular, some hold that the research-treatment distinction is still useful and are concerned that the obligation for patients to participate in quality improvement efforts would exempt too many studies from voluntary informed consent and IRB protections.
###
The commentaries are written by Emily Largent, a PhD candidate in Harvard University's health policy program; Franklin Miller, who works in the department of bioethics at the National Institutes of Health; Steven Joffe, a pediatric hematologist/oncologist at the Dana-Farber Cancer Institute, Children's Hospital Boston and Harvard Medical School; Jerry Menikoff, director of the Office for Human Research Protections; Christine Grady, chief of the Department of Bioethics at the National Institutes of Health Clinical Center; David Wendler, head of the Unit on Vulnerable Populations in the Department of Bioethics at the National Institutes of Health Clinical Center; Joe Selby, executive director of the Patient- Centered Outcomes Research Institute; Harlan Krumholz, director of the Robert Wood Johnson Clinical Scholars Program at Yale University School of Medicine; Tom Puglisi, chief officer and director of the Office of Research Oversight in the Department of Veterans Affairs; and Joel Kupersmith, chief research and development officer of the Veterans' Health Administration.
Reporters wishing to interview Mildred Solomon, President, The Hastings Center, please contact:
Susan Gilbert, Public Affairs and Communications Manager
The Hastings Center
845-424-4040 x244
gilberts@thehastingscenter.org
[ | E-mail | Share ]
?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
Experts propose overhaul of ethics oversight of researchPublic release date: 23-Jan-2013 [ | E-mail | Share ]
Contact: Susan Gilbert gilberts@thehastingscenter.org 845-424-4040 x244 The Hastings Center
Hastings Center Special Report aims to 'provoke a national conversation'
The longstanding ethical framework for protecting human volunteers in medical research needs to be replaced because it is outdated and can impede efforts to improve health care quality, assert leaders in bioethics, medicine, and health policy in two companion articles in a Hastings Center Report special report, "Ethical Oversight of Learning Health Care Systems." One of the authors calling for a new approach is the main architect of the current ethical framework.
Seven commentaries in the publication, written by leaders with national responsibility for ethical oversight of medical research and efforts to improve health care quality, find areas of agreement and offer critiques.
In an accompanying editorial, co-guest editors Mildred Z. Solomon, President of The Hastings Center and Ann C. Bonham, Chief Scientific Officer at the American Association of Medical Colleges, wrote that by inviting these commentaries, they aimed to "provoke a national conversation." According to Solomon, "The challenge is to design oversight that adequately protects patients without impeding the kinds of data collection activities we need to improve health care quality, reduce disparities, and bring down our rate of medical errors." (See video of Dr. Solomon on the importance of this debate.)
For nearly four decades, protection of human participants in medical research has been based on the premise that there is a clear line between medical research and medical treatment. But, the two feature articles argue, that distinction has become blurred now that health care systems across the country are beginning to collect data from patients when they come in for treatment or follow-up. The Institute of Medicine has recommended that health care organizations do this kind of research, calling on them to become "learning health care systems."
In particular, the articles challenge the prevailing view that participating in medical research is inherently riskier and provides less benefit than receiving medical care. They point out that more than half of medical treatments lack evidence of effectiveness, putting patients at risk of harm. On the other hand, some kinds of clinical research are no riskier than clinical care and are potentially more beneficial; an example is comparative effectiveness research to find out which of two or more widely used interventions for a particular condition works best for which patients.
"Relying on this faulty research-practice distinction as the criterion that triggers ethical oversight has resulted in two major problems," the authors write. First, it has led to "delays, confusion, and frustrations in the regulatory environment" when institutional review boards, which are responsible for the ethical oversight of research with human subjects, have difficulty distinguishing between research and clinical practice. Second, it has "resulted in a morally questionable public policy in which many patients are either underprotected from clinical practice risks (when exposed to interventions of unproven effectiveness or to risks of medical error) or overprotected from learning activities that are of low risk . . . and that stand to contribute to improving health care safety, effectiveness, and value."
The authors call for a new ethical framework that "is commensurate with the risk and burden in both realms." Their second article outlines such a framework for determining the type and level of oversight needed for a learning health care system. The basic structure consists of seven obligations: 1) to respect the rights and dignity of patients; 2) to respect the clinical judgment of clinicians; 3) to provide optimal care to each patient; 4) to avoid imposing nonclinical risks and burdens on patients; 5) to reduce health inequalities among populations; 6) to conduct responsible activities that foster learning from clinical care and clinical information; and 7) to contribute to the common purpose of improving the quality and value of clinical care and the health system. The first six obligations would be the responsibility of researchers, clinicians, health care systems administrators, payers, and purchasers. The seventh obligation would be borne by patients.
Authors of the feature articles are Nancy E. Kass, deputy director for public health in the Johns Hopkins Berman Institute of Bioethics; Ruth R. Faden, director of the Johns Hopkins Berman Institute of Bioethics; Steven N. Goodman, associate dean for clinical and translational research at the Stanford University School of Medicine; Peter Pronovost, director of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins; Sean Tunis, founder, president, and chief executive officer of the Center for Medical Technology Policy in Baltimore; and Tom L. Beauchamp, a professor of philosophy at Georgetown University and a senior research scholar at the Kennedy Institute of Ethics. Beauchamp was a chief architect of the Belmont Report, which established the existing research ethics framework in the United States.
The commentaries on the articles find common cause with the need to update clinical oversight for learning health care systems, but offer important critiques of the proposed framework. In particular, some hold that the research-treatment distinction is still useful and are concerned that the obligation for patients to participate in quality improvement efforts would exempt too many studies from voluntary informed consent and IRB protections.
###
The commentaries are written by Emily Largent, a PhD candidate in Harvard University's health policy program; Franklin Miller, who works in the department of bioethics at the National Institutes of Health; Steven Joffe, a pediatric hematologist/oncologist at the Dana-Farber Cancer Institute, Children's Hospital Boston and Harvard Medical School; Jerry Menikoff, director of the Office for Human Research Protections; Christine Grady, chief of the Department of Bioethics at the National Institutes of Health Clinical Center; David Wendler, head of the Unit on Vulnerable Populations in the Department of Bioethics at the National Institutes of Health Clinical Center; Joe Selby, executive director of the Patient- Centered Outcomes Research Institute; Harlan Krumholz, director of the Robert Wood Johnson Clinical Scholars Program at Yale University School of Medicine; Tom Puglisi, chief officer and director of the Office of Research Oversight in the Department of Veterans Affairs; and Joel Kupersmith, chief research and development officer of the Veterans' Health Administration.
Reporters wishing to interview Mildred Solomon, President, The Hastings Center, please contact:
Susan Gilbert, Public Affairs and Communications Manager
The Hastings Center
845-424-4040 x244
gilberts@thehastingscenter.org
[ | E-mail | Share ]
?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
ALBUQUERQUE, N.M. (AP) ? The New Mexico teenager accused of gunning down five family members over the weekend ambushed his father as he returned home from an overnight shift at a rescue mission, then reloaded his rifles and planned to go to a Wal-Mart and randomly shoot people, authorities said Tuesday.
Instead, 15-year-old Nehemiah Griego texted a picture of his dead mother to his 12-year-old girlfriend, then spent much of Saturday with the girl and her family, authorities said. That evening, he went to the church where Griego's father had been a pastor, and Griego eventually confessed to killing his parents and three younger siblings.
"The motive, as articulated by the suspect, was purely that he was frustrated with his mother," Bernalillo County Sheriff Dan Houston said. "He did not give any further explanation."
Houston said Griego had planned the shootings for at least a week, but it's unclear if he ever actually went to a Wal-Mart or why he changed his mind about continuing the attack, which occurred the same day thousands of gun advocates gathered peacefully at state capitals around the country to rally against stricter limits on firearms. The "Guns Across America" events were being held just after President Barack Obama unveiled a sweeping package of federal gun-control proposals.
Griego told detectives he also contemplated killing his girlfriend's parents, Houston said.
The sheriff said he didn't know if Griego's contact with his girlfriend avoided further bloodshed. But he said she apparently knew what had happened, and officials are investigating whether she should be charged with failing to report the crime.
"We know Nehemiah had been contemplating this for some time," Houston told reporters at a Tuesday news conference. Griego apparently had told others of his plans, but whom and when was still under investigation, Houston said.
The teen waived his right to arraignment in adult court Tuesday on charges of murder and child abuse resulting in death and a judge ordered him held without bond. He was arrested Saturday at his family's home in a rural area southwest of Albuquerque.
The sheriff's office identified the victims as Greg Griego, 51, his wife, Sarah Griego, 40, and three of their children: a 9-year-old boy, Zephania Griego, and daughters Jael Griego, 5, and Angelina Griego, 2. All appeared to have gunshot wounds to the head.
According to Houston and charging documents, it all began early Saturday at the family's home, when Nehemiah Griego ? angry and annoyed with his mother ? acted on what he described to investigators as homicidal and suicidal thoughts.
Houston said the teen shot his mother while she slept at about 1 a.m. with a .22 caliber rifle the parents kept in a closet. He said he killed his siblings after they woke up and became upset, then grabbed a military-style assault rifle his parents owned and waited in the downstairs bathroom to ambush his father as he returned from work at a rescue mission around 5 a.m.
Griego told authorities he then reloaded the two guns and put them in the family van.
Houston said he didn't know if Griego actually went to a Wal-Mart, but officers found the two rifles, as well as at least a dozen rounds for the .22 and a handful of rounds for the .223 caliber assault rifle in the van.
Griego spent most of Saturday with his girlfriend and her family, Houston said. At about 8 p.m., Griego went to Calvary church and told church members that his family was dead. Church officials called 911 and took Griego to his home.
Griego initially told arriving officers he had come home Saturday morning after spending time at a friend's house to discover his family dead, court documents say. The teen later confessed to shooting his mother because he "had anger issues" and was annoyed with her, the documents say.
The teen had no history of mental illness and drugs and alcohol did not appear to play a factor, Houston said. He did note, however, that the teen liked violent video games, including "Modern Warfare" and "Grand Theft Auto." He did not say whether he believed the games were a factor.
Greg Griego was a gang member-turned pastor who had once served at Calvary, one of Albuquerque's largest Christian churches. He had an extensive arrest record from his gang days, but was best known throughout the law enforcement community for his work as a voluntary chaplain.
A records check by the Children, Youth and Families Department indicated no problems with the Griego family and that Nehemiah Griego had never been in trouble with the law.
Sheriff's Deputy Aaron Williamson confirmed there was no history of any emergency calls to the home in the recent past.
"This is beyond any human reasoning or understanding," Houston said.
"It's horrific. What other words do you use? This is certainly the first time that I have been into a crime scene with this much destruction at one home."
In addition to the two rifles, there were two 12-gauge pistol-grip shotguns in the home, Houston said. Griego's father taught him to use guns, and they shot together on a regular basis, Houston said.
The home had a security-style sign outside saying "Home Protected by Smith & Wesson."
Algerian firemen prepare to unload a refrigerated truck with bodies killed during the hostage taking at a gas plant at the morgue in Ain Amenas, Algeria, Monday, Jan. 21, 2013. At least 81 people have been reported dead, including 32 Islamist militants, after a bloody, four-day hostage situation at Algeria's remote Ain Amenas natural gas plant. Nearly two dozen foreign workers remained unaccounted for late Sunday. (AP Photo/Anis Belghoul)
Algerian firemen prepare to unload a refrigerated truck with bodies killed during the hostage taking at a gas plant at the morgue in Ain Amenas, Algeria, Monday, Jan. 21, 2013. At least 81 people have been reported dead, including 32 Islamist militants, after a bloody, four-day hostage situation at Algeria's remote Ain Amenas natural gas plant. Nearly two dozen foreign workers remained unaccounted for late Sunday. (AP Photo/Anis Belghoul)
Former President Bill Clinton, left, greets Defense Secretary Leon Panetta, center, during a luncheon after the ceremonial swearing-in of President Barack Obama on Capitol Hill in Washington, Monday, Jan. 21, 2013. Others are House Majority Whip Rep. Kevin McCarthy, R-Calif., back left, and State Secretary Hillary Rodham Clinton. (AP Photo/Manuel Balce Ceneta)
WASHINGTON (AP) ? Three U.S. citizens were killed in last week's hostage standoff at a natural gas complex in Algeria, while seven Americans made it out safely, Obama administration officials said Monday.
The State Department confirmed that gas workers Victor Lynn Lovelady and Gordon Lee Rowan were killed at the Ain Amenas field in the Sahara. U.S. officials identified Texas resident Frederick Buttaccio as the first death last week.
"I'm glad we were able to get some rescued, but we did lose three Americans," Defense Secretary Leon Panetta said as he was leaving the Capitol, where he attended President Barack Obama's second inauguration. "That just tells us that al-Qaida is committed to creating terror wherever they are and we've got to fight back."
A U.S. official had told The Associated Press earlier Monday that the FBI had recovered Lovelady's and Rowan's bodies and notified their families. The official had no details on how the Americans died, and their hometowns were not released.
Militants who attacked Ain Amenas had offered to release Lovelady and Rowan in exchange for the freedom of two prominent terror suspects jailed in the United States: Omar Abdel Rahman, a blind sheik convicted of plotting to blow up New York City landmarks and considered the spiritual leader of the 1993 World Trade Center bombing, and Aafia Siddiqui, a Pakistani scientist convicted of shooting at two U.S. soldiers in Afghanistan.
The Obama administration rejected the offer outright.
State Department spokeswoman Victoria Nuland said the U.S. was still working with Algeria's government to gain a fuller understanding of the attack and to enhance their counterterrorism cooperation in future.
"We extend our deepest condolences to their families and friends," she said in a statement. "The blame for this tragedy rests with the terrorists who carried it out, and the United States condemns their actions in the strongest possible terms."
Last week's desert siege began Wednesday when Mali-based, al-Qaida-linked militants attempted to hijack two buses at the plant, were repelled, and then seized the gas refinery. They said the attack was retaliation for France's recent military intervention against Islamist rebels in neighboring Mali, but the captured militants told Algerian officials it took two months to plan.
Five Americans had been taken out of the country before Saturday's final assault by Algerian forces against the militants.
The U.S. official said the remaining two Americans survived the four-day crisis at an insecure oil rig at the facility. They were flown out to London on Saturday.
The State Department's Nuland confirmed that seven Americans made it out safely, but said she couldn't provide further details because of privacy considerations.
Algeria says 38 hostages of all nationalities and 29 militants died in the standoff. Five foreign workers remain unaccounted for.
Lovelady, 57, worked at Ain Amenas as a project manager for the Houston-based energy firm ENGlobal Corporation, said CEO William A. Coskey. Rowan's employer wasn't immediately known.
___
Associated Press writer Donna Cassata contributed to this report.
An individualist; an artist and human; who lived life on his own terms, Manjit Bawa was a one of the highly-skilled artists India has ever had. Born to a small Punjabi family, Manjit was determined right from the beginning to prove his zeal, and talent in the field of art.
Having studied at fine arts at School of Art, Delhi Polytechnic, New Delhi, he was trained under the great painters such as Somnath Hore, Rakesh Mehra, Dhanaraj Bhagat, and B.C. Sanyal; but it was Albani Sen under whose guidance did Manjit Bawa develop his artistic talent. Later on, he went on to continue his studies in London where he studied Silk-Screen Printing from the London School of Printing, Warden, Essex, UK; where he also worked as an expert silk screen printer.
A figurative artist right from the beginning of his career, his various experimentations and attempts with the brush was accepted on a large scale and won him success, fame and worldwide recognition.
His creations could easily be distinguished by their colours. He was one of the first painters to break down the monotony of the dominant grays and browns. It is symbolic to say that he played with colours like the ochre of sunflowers, the green of paddy fields, the red of the sun, the blue of the mountain sky. While he never worked on demand, but followed his heart and mind; he believed that by using minimum essentials he could extract the maximum effect of his work.
While he experimented for decades on different styles and techniques, some of his experimentation included Tantric art forms and Pahari miniature paintings. A central theme behind most of his paintings was his constant attempt at capturing Indian mythology and the Sufi school of Islam poetry in his paintings.
In fact, Manjit was a firm believer of the Sufi traditions and advocated to live in peace and harmony; which was very evident in his paintings. Even the most violent of his paintings showed some sense of peace and calmness.
He drew his earliest inspirations form the mythological stories of Mahabharata, Ramayana, and the Puranas; poetry of a Punjabi poet Waris Shah, folk traditions, legends of Krishna, and readings from the Guru Granth Sahib. His paintings always have reflected pristine innocence, peace and calmness; a reflection of his memories and beliefs.
In fact, mythological figures, flute, birds and animals were constant appearances in many of his acclaimed paintings like Krishna and the Bull, Ranjha, Govardhan, After 84, Heer, etc.
Many of his paintings reflected his uncontrolled sense of humour and challenged his viewers with a dark sense of humour. One such painting that indicated this was his painting portraying Lord Krishna devouring a banana. His paintings were meditative and reflective; layered with sensuality and eroticism. However, the sensuality in his paintings would never be loud and visceral. Sensuality was usually subtle and suggestive such as through the posture or glance. He never hesitated to use figures of Kali and Shiva in his canvases; as he deemed them to be the icons of the country.
He received numerous prizes for his artwork including the Sailoz Prize, New Delhi, the National Award, Lalit Kala Akademi, New Delhi All India Exhibition of Prints and Drawings, Chandigarh 1st Bharat Bhawan Biennale, Bhopal.
He participated in a significant amount of solo and group shows; inclusive of the Bose Pacia Modern One Man Show, Solos in Hong Kong and in London, in Berlin with Ravinder Reddy and in Spain, Washington DC, Singapore, San Sebastian apart from most of the major cities across India.
Having suffered from a prolonged illness, Manjit Bawa passed away in 2008 after suffering from a stroke.
While he made a mark for himself with his larger than life vibrant paintings that were filled with mythology, Sufi spirituality and nature; Manjit Bawa has left behind a legacy of artwork and a unique approach to handling colour and forms no other artist has ever left behind.
About the Author: Manjit Bawa is a known Indian painter whose paintings always reflect peace and harmony, his experiments with brush has won him success and recognition worldwide.
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