Gretchen Barretto’s daughter Dominique graduates magna cum laude from California college LeBron James’ start to his first season with the Los Angeles Lakers has been without a doubt a circus. Carpio hits red carpet treatment for China Coast Guard PLAY LIST 02:14Carpio hits red carpet treatment for China Coast Guard02:56NCRPO pledges to donate P3.5 million to victims of Taal eruption00:56Heavy rain brings some relief in Australia02:37Calm moments allow Taal folks some respite03:23Negosyo sa Tagaytay City, bagsak sa pag-aalboroto ng Bulkang Taal01:13Christian Standhardinger wins PBA Best Player award Gov’t to employ 6,000 displaced by Taal The Lakers own a 3-5 record and are the 11th seed in the Western Conference but the King is someone who can find, and create, motivation on a whim.James on Thursday posted an edited photo, originally uploaded by Slam, ff him and Laker legend Kobe Bryant sharing the floor with a cryptic caption.“Man, imagine if we had, it wouldn’t even be…never mind,” said James in the post that has so far reached 2,193,883 likes as of writing time.For the longest time, James and Bryant were largely considered rivals when the two took the floor for their respective teams.Bryant earlier teased about the possibility of teaming with LeBron, telling talkshow host Jimmy Kimmell that he will consider going back to the Lakers if the team went 0-5.ADVERTISEMENT Japeth Aguilar embraces role, gets rewarded with Finals MVP plum Don’t miss out on the latest news and information. Lights inside SMX hall flicker as Duterte rants vs Ayala, Pangilinan anew The Lakers finally grabbed their first win last October 25 after beating the Suns, but James was still left with a lot to figure out after they bowed to Minnesota, 124-120.“You probably don’t want to be around when my patience runs out,” the four-time MVP was quoted by Spectrum SportsNet (h/t Bob Garcia of Sports Out West) as saying. “I’m serious.”The Lakers have since bounced back from that loss and narrowly beat Dallas 114-113.Sports Related Videospowered by AdSparcRead Next Nadine Lustre’s phone stolen in Brazil Allen Durham still determined to help Meralco win 1st PBA title View comments Lights inside SMX hall flicker as Duterte rants vs Ayala, Pangilinan anew MOST READ ADVERTISEMENT Will you be the first P16 Billion Powerball jackpot winner from the Philippines? Tim Cone, Ginebra set their sights on elusive All-Filipino crown Curry’s big night carries Warriors to sixth straight win LATEST STORIES
Dear Editor,The public health system has been plagued with a plethora of problems, ranging from shortages of drugs and medical supplies to prolonged waiting time for patients at outpatient and even emergency departments. Very often, patients’ frustration, disappointment and anger are usually directed at the doctors and nursing staff, many of whom are not responsible for the mismanagement that occurs on a daily basis.The doctors themselves are frustrated with the system, and have made known their concerns about drug shortages, equipment failure, and inadequate and untimely laboratory results — all of which have a severe impact on clinical management of patients.At some departments in the GPHC, it is the norm for doctors to work 96 hours per week. This happens when doctors work “on call” every three days. In extreme instances, some departments require doctors to work from Saturday morning at 8 am to Monday at 4 pm, a total of 56 hours continuously, in addition to the average work week.It should be noted that GPHC is regarded as the best staffed public hospital; one can only imagine how many more hours doctors at the regional and district hospitals across Guyana have to work.Many of the doctors believe they would be able to provide a better quality of service if the public health system adopts the European Standards of Work for Physicians in Guyana.Inadequate accommodationWhen physicians are “on call,” they are required to be physically present in the hospital compound. This is to ensure that, if needed, they would be immediately available. The public hospitals would usually designate an area wherein these “on call” doctors can be found, if needed. The basic requirements are a secure room, with toilet and bath, a cot, table and chair. These basic requirements are not met by most of the institutions, forcing doctors to sleep on the corridors or in their cars.At the GPHC, for example, both male and female doctors are required to share the same room, with few beds and limited toilet facilities being available.Salaries and allowancesMany Government Medical Officers are unhappy with their remuneration, especially the younger doctors. A first-year GMO at GPHC receives a salary of $181,808. A second year GMO at GPHC gets a salary of $218,169. A third-year GMO at GPHC gets a salary of $261,802. Many of these doctors have complained that these salaries are wholly inadequate, especially with the increased cost of living.The allowances that a doctor receives across the public health system vary. The doctors at GPHC would get a monthly housing allowance of $20,000, but most of them complain that they are unable to rent a house in or around Georgetown for this sum of money. They also receive a meal allowance of $500 per call, which is far less than what an actual meal would cost. If a doctor decides to buy a real meal while “on call”, s/he would often end up spending more than $1000.Doctors are given a $3000-per-month cell phone allowance, to be used when on call to get in contact with their registrars or consultants. Most young doctors complain that this sum is inadequate, and they are seeking an increase in this allowance.Doctors are required to work ‘’on call” — that is, for extended periods after their regular 8-hour shift — during the work week, from 4 pm to 8 am Monday to Friday, and on weekends from 8 am to 8 pm Saturday, Sunday and holidays. For each on-call session, the doctor is paid $2500 as an “On Call” allowance, which the PPP/C Government had agreed would not be taxed. The APNU/AFC has now imposed a tax on this “On Call” allowance.Many doctors in the public health sector are contending that the Granger Administration is rewarding party loyalty over medical competence and meritocracy. Many young doctors are complaining that scholarships for further training have not been properly advertised, panels are not balanced, and results are often skewed. They feel efforts must be made to have an open and transparent system wherein persons are promoted based on their assessed competence, or sent for postgraduate training based on merit.Our medical doctors deserve better. They should earn better salaries and allowances, have reduced working hours to improve patient outcomes, experience better working conditions in the hospitals, and be subjected to a fair and equitable system that would allow for promotion based on merit, rather than a party card.As the Government prepares to lay the next budget in Parliament, I hope the many concerns that doctors and other medical staff have raised about their remuneration and conditions of work would be considered.Sincerely,Dr Frank Anthony, MP
After weeks of thrilling football action, the semifinal fixtures have been set for the Beterverwagting (BV)/Triumph 8th of May Movement Emancipation Cohesion Football League. Beterverwagting, Mahaica, Mahaicony and Tucville are scheduled to battle to determine who will compete for the grand prize of $350,000.The knockout round concluded at the BV ground with Tucville, Mahaicony and Mahaica registering wins.In the first encounter, Tucville redeemed themselves after they shockingly lost to BV in the previous round. Coming up against Plaisance, the matchup seemed like it would remain locked at nil all, but Tucville secured a breakthrough in the second half. Shemroy Hayles, Joshua Braithwaite and Wayne Barker were Tucville’s scorers collecting one apiece. Despite a lone goal from Plaisance, the matchup was already Tucville’s own.Soon after, Mahaicony took to the field to face off with the St. John Basco Orphanage team. Mahaicony was up by one early on in the matchup, thanks to Rivaldo James’s striking. Long after the second half had started, St. John’s striker Brian Fredericks took the score to one all, but their campaign was crushed by Jason Wrong, who was the hero for Mahaicony in the final minutes.With one more match to go for the night, the semis were already decided, but the encounter still proved to be a thriller for the large crowd. The home team, BV, were paired with Mahaica in what can be considered a great game to close off the round robin stage. In another matchup that seemed to be deadlocked, both teams showcased impressive defensive tactics to restrict the other from scoring. In the second half, Mahaica’s Omari Walcott found the formula for his team, connecting the ball with the back of the net.The match-up went on in similar fashion to the first half, with neither side being able to score.When the semifinals are staged, table topers Tucville will face off with third place Mahaicony, while second place finishers Mahaica take on the home team BV. The four teams will be playing for a chance to win the first place prize of $350,000, second place $250,000 and third place $150,000.
Divock Origi 1 Liverpool manager Brendan Rodgers has admitted Divock Origi cannot join the club in January.With the club’s currently forward line woes, the club’s fans had hoped the promising Belgian starlet could cut short his loan with Lille to give them a timely boost.But, due to agreement made when the two sides reached a deal for his permanent transfer in last summer, Rodgers has revealed the 19-year-old will remain in France until next July.He said: “[Divock] Origi was a young player we signed last summer, and we had an agreement he had to stay at Lille until the summer.“That was one of the main reasons we were able to sign him. As far as I’m concerned that’s still the case with him.”
Minister for State for Gaeltacht Affairs Dinny McGinley has officially launched the annual Oireachtas Festival at the Mount Errigal hotel in Letterkenny today.Now in its 115th year, the Oireachtas is a Mecca for lovers and performers of the traditional arts including sean-nós dancing, singing and storytelling.This year, record numbers of children are entering the sean-nós dancing competition as nearly fifty under twelve’s will battle it out on the big stage. The festival will attract crowds of up to 10,000 to the Donegal town over the weekend. Speaking at the launch, the Minister welcomed the Oireachtas festival back to Letterkenny and reassured the hundreds gathered that every attempt will be made to ring fence funding for the Irish language in the coming budget.“The Irish language sector is currently being restructured and I know that this is a challenge for all organisations involved” he said. “Our primary objective is to safeguard the investment that is currently being made in the Irish language so that festivals and organisations like the Oireachtas can continue to thrive in the years to come.”All major organizations in the Irish Language sector will hold board meetings and seminars during the weekend including Foras na Gaeilge, Údarás na Gaeltachta and Conradh na Gaeilge. Donegal County Council and Letterkenny Town Council have contributed to the funding of the Oireachtas this year.One of the highlights of the weekend is the ‘Steip’ sean-nós dancing competition which will be broadcast live on TG4. Other highlights include the Corn Uí Riada sean-nós singing competition which will be broadcast live on RTÉ Raidió na Gaeltachta. It is held in memory of Sean Ó Riada and champions and challengers will sing their hearts out to win the prestigious title. Otv, the dedicated online Oireachtas festival channel, will broadcast footage from the various events and competitions live around the world. “Regardless of economic, political or financial strains, the Oireachtas still remains the most popular Irish language gathering for both contestants and spectators” says Liam Ó Maolaodha, Director of Oireachtas na Gaeilge.“It has survived for over a hundred years, through world wars, times of boom and bust and brings together the best of Irish language culture and its people” he said.Several Irish language CD, DVD, App and book launches will also take place at the Oireachtas. For those without the competitive streak, there are plenty of musical highlights such as ‘Cabaret Craiceáilte’, hosted by RTÉ Raidió na Gaeltachta’s Rónán Mac Aodha Bhuí, which this year features acts including Kíla, Daithí Ó Drónaí and the Dirty 9s. MINISTER McGINLEY LAUNCHES OIREACHTAS FESTIVAL AS THOUSANDS ARRIVE IN LETTERKENNY was last modified: November 1st, 2012 by BrendaShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:MINISTER McGINLEY LAUNCHES OIREACHTAS FESTIVAL AS THOUSANDS ARRIVE IN LETTERKENNY
FEATURES: A Donegal woman has made an emotive plea in which she has asked people to treat those who are deaf with dignity. In a candid interview with Ireland Today, Carolann Grant wants to make people aware of the stigma sometimes associated with being deaf. Carolann posted the following poem on Facebook, which is outlined below.Being deaf doesn’t mean that I’m stupid or that I’m slow.“Being deaf means I can’t hear, I thought you’d know.Being deaf doesn’t mean I ignore you, when I don’t turn around. Being deaf means I can’t hear you, for I’m deaf profound.Being deaf doesn’t mean, I can’t achieve things,That hearing people can do with an ease.Being deaf deals with the stigma it brings.My ears don’t work well, but I’ve got no disease.”The reason Carolann posted the above post on her Facebook is because she is very aware and feels very passionately about Deaf Awareness Week – which took place earlier this month. DONEGAL WOMAN PLEADS WITH PEOPLE TO TREAT THOSE WHO ARE DEAF WITH DIGNITY was last modified: June 3rd, 2016 by Mark ForkerShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)Tags:Carolann GrantDeafDignityFeatureshealthnews
Tags: Hamis Diego KiizaMoses Basenaproline fcSunraise FCtopUganda Cranesvipers sc Kiiza spent the second half of last season at Vipers SC. (PHOTOS/Courtesy)KAMPALA – Proline FC have completed the signing of former Uganda Cranes striker Hamis Diego Kiiza.Kiiza has joined the Lugogo based side on a one-year-deal until the end of the 2019/20 season.He has been training with Shafick Bisaso’s side ever since his short term deal with Vipers SC expired at the back end of last season.Kiiza joined Vipers in January but failed to impress hance his contract was terminated.He has impressed Bisaso with a string of good perfomances including scoring four times in Proline’s last build-up game.To Proline, Kiiza brings much needed experience to a young squad which earned promotion back to the top tier last season.He has previously featured for sides in Ethiopia, South Africa, Sudan, Kenya and on the national team The Cranes.He is a former StarTimes Uganda Premier league top scorer with URA FC, one of the three clubs he has played for in Uganda. The others are Nalubaale and Vipers SC.Kiiza becomes Proline’s sixth signing after Andrew Okiringi, Bernard Muwanga, Shatif Magoola, Yusuf Mukisa and Sula Sekamwa.Proline will take on Vipers in their first game in the Pilsner Super 8 on Wednesday.In other transfer news, tactician Moses Basena has joined Rwandese side Sunrise FC on a one year deal.Basena was unveiled on Monday afternoon at the Rwandese Premier League side.He has been out of employment since he was fired by SC Villa at the start of last season.Basena was in charge of SC Villa for three months, last season.He has also previously coached the National team on an interim basis after replacing Micho in 2017.Comments
There was success for one Donegal student last week when Christopher Kehoe was awarded a Medallion of Excellence for his skill category of welding at the WorldSkills Kazan 2019 competition. He’s pictured above here with the WorldSkills Ireland expert in welding, and Donegal ETB staff member, Cathal Mc Gee who trained Christopher for twelve weeks in our Letterkenny Training Centre.Christopher, who is originally from Wexford, was up against 38 competitors in his category and we couldn’t be more proud of Christopher and Cathal. It was the 45th WorldSkills competition which saw 1,354 competitors from 63 countries and regions competing in 56 skill areas – with Ireland ranked tenth in the world for skills.Seventeen young Irish craftspeople and apprentices flew out to compete in the major competition.Delight for Donegal student at WorldSkills championships in Russia was last modified: August 30th, 2019 by Shaun KeenanShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)
I did have the one element necessary to all early creativity: naivete, that fabulous quality that keeps you from knowing just how unsuited you are for what you are about to do.–Steve Martin (Born Standing Up)A few weeks ago I shared my presentation on the eleven attributes that all successful people share and the ten sales skills all successful business-to-business salespeople possess.The success attributes are self-discipline, optimism, competitiveness, initiative, determination, resourcefulness, caring, empathy and emotional intelligence, communication, influence, and passion.The sales skills are closing, prospecting, storytelling, differentiating, diagnosing, negotiating, business acumen, change management, leadership, and owning outcomes.One of the people looking at the list asked a great question, and one I have been asked a few times before. He looked at the list of success attributes and said: “Where is experience?” I told him that experience isn’t a prerequisite for success. He was incredulous.Successful people aren’t constrained by a belief that they need experience to succeed. They set their sites on some goal, some outcome, then they take action and move towards those goals. Because they don’t believe that experience is a necessary component of success, it isn’t. They go and succeed and make progress long before they gain experience.But even though success in sales doesn’t require experience, it does make up a big part of the business acumen and situational knowledge that gives the salesperson the ability to create value for their clients. It is important that a salesperson gain experience over time.Too many sales managers and sales leaders place far too much weight on experience. But it isn’t the best indicator of future success. There are countless sales managers that have hired poorly by looking first to experience. The success attributes listed above are better indicators.Business acumen can be gained through education. Situational knowledge can eventually be gained by experience. But the foundational attributes are more important, more difficult to identify, and much more difficult to train, improve, or develop—even though it can be done.You can succeed now. You can succeed long before you have what others would believe is the necessary experience. No experience is required. Essential Reading! Get my 2nd book: The Lost Art of Closing “In The Lost Art of Closing, Anthony proves that the final commitment can actually be one of the easiest parts of the sales process—if you’ve set it up properly with other commitments that have to happen long before the close. The key is to lead customers through a series of necessary steps designed to prevent a purchase stall.” Buy Now
DefinitionSpinal fusion is surgery to permanentlyjoin together two or more bones in the spine so there is no movement between them. These bones are called vertebrae.Alternative NamesVertebral interbody fusion; Posterior spinal fusion; Arthrodesis; Anterior spinal fusion; Spine surgery – spinal fusionDescriptionYou will be asleep and feel no pain (general anesthesia).The doctor will make a surgical cut (incision)to view the spine. This may be done:On your back or neck over the spine. You will be lying face down. Muscles and tissue will be separated to expose the spine.On one side of your belly, if you are having surgery on your lower back. The surgeon will use tools called retractors to gently separate, hold the soft tissues and blood vessels apart, and have room to work.With a cut on the front of the neck, toward the side.Other surgery, such as a diskectomy, laminectomy, or a foraminotomy, is almost always done first.The surgeon will use a graft (such as bone) to hold (or fuse) the bones together permanently. There are several ways of fusing vertebrae together:Strips of bone graft materialmay be placed over the back part of the spine.Bone graft material may be placed between the vertebrae.Special cages may be placed between the vertebrae. These cages are packed with bone graft material.The surgeon may get the graft from different places:From another part of your body (usually around your pelvic bone). This is called an autograft. Your surgeon will make a small cut over your hip and remove some bone from the back of the rim of the pelvis.From a bone bank. This is called an allograft.A synthetic bone substitute can also be used.The vertebrae may also fixed together with rods, screws, plates, or cages. They are used to keep the vertebrae from moving until the bone grafts are fully healed.advertisementSurgery can take 3to 4 hours.Why the Procedure Is PerformedSpinal fusion is most often done along with other surgical procedures of the spine. It maybe done:With other surgical procedures for spinal stenosis, such as foraminotomy or laminectomyAfter diskectomy in the neckSpinal fusion may be done if you have:Injury or fractures to the bones in the spineWeak or unstable spine caused by infections or tumorsSpondylolisthesis, a condition in which one vertebrae slips forward on top of anotherAbnormal curvatures, such as those from scoliosis or kyphosisArthritis in the spine, such as spinal stenosis.You and your doctor can decide when you need to have surgery.RisksRisks of any surgery are:Blood clots in the legs that may travel to the lungsBreathing problemsInfection, including in the lungs (pneumonia), bladder, or kidneyBlood lossHeart attack or stroke during surgeryReactions to medicationsRisks of spine surgery are:Infection in the wound or vertebral bonesDamage to a spinal nerve, causing weakness, pain, loss of sensation, problems with your bowels or bladderThe vertebrae above and below the fusion are more likely to wear away, leading to more problems laterBefore the ProcedureTell your doctor or nurse what medicines you are taking. Theseinclude medicines, herbs, and supplements you bought without a prescription.During the days before the surgery:If you are a smoker, you need to stop. Patients who have spinal fusion and continue to smoke may not heal as well. Ask your doctor or nursefor help.Two weeks before surgery, your doctor or nurse may ask you to stop taking medicines that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), and other drugs like these.If you have diabetes, heart disease, or other medical problems, your surgeon will ask you to see your regular doctor.Talk with your doctor if you have been drinking a lot of alcohol.Ask your doctor which medicines you should still take on the day of the surgery.Let your surgeon know about any cold, flu, fever, herpes breakout, or other illnesses you may have.On the day of the surgery:You will likely be asked not to drink or eat anything for 6to 12 hours before the procedure.Take the medicines your doctor told you to take with a small sip of water.Arrive at the hospital on time.After the ProcedureYou will stay in the hospital for 3to 4 days after surgery.You will receive pain medicines in the hospital. You may take pain medicine by mouth or have a shot or an intravenous line(IV). You may have a pump that allows you to control how much pain medicine you get.advertisementYou will be taught how to move properly and how to sit, stand, and walk. You will be told to use a “log-rolling” technique when getting out of bed. This means that you move your entire body at once, without twisting your spine.You may not be able to eat for 2to 3 days. You will be given nutrients through an IV. When you leave the hospital, you may need to wear a back brace or cast.Your healthcare team will tell you how to take care of yourself at home after spine surgery. Follow instructions on how to take care of your back at home.Outlook (Prognosis)If you had chronic back pain before surgery, you willlikely still have some pain afterward. Spinal fusion is unlikely to take away all your pain and other symptoms.Itis hard for a surgeon to predict which patients will improve and how much relief surgery will provide, even when using MRI scans or other tests.Losing weight and getting exercise increases your chances of feeling better.Future spine problems are possible after spine surgery. After spinal fusion, the area that was fused together can no longer move. Therefore, the spinal column above and below the fusion are more likely to be stressed when the spine moves, and may have problems later on.ReferencesDaubs MD, Norvell DC, McGuire R, et al. Fusion versus nonoperative care for chronic low back pain: do psychological factors affect outcomes? Spine. 2011;36:S96-109.Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical versus nonoperative treatment for lumbar spinal stenosis four-year results of the Spine Patient Outcomes Research Trial. Spine. 2010;35(14):1329-38.Wood GW III. Arthrodesis of the spine In: Canale ST, Beaty JH, eds. Campbell’s Operative Orthopaedics. Philadelphia, Pa: Elsevier Mosby; 2012:chap 39.Review Date:4/16/2013Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.