YOUNGSTOWN, Ohio — Complications arose one game into Jimmy Garoppolo’s strive for a perfect comeback.Oh, his rebuilt knee is fine, aside from minor swelling he blamed more so on the 49ers’ flights than Sunday’s actual game in Tampa.In that season debut, more passes than normal veered off target. He acknowledged so Wednesday and didn’t sound rattled by an imperfect return to NFL quarterbacking.“Those are physical mistakes,” Garoppolo said. “There’s nothing mental about it. Little things. …
The new paediatric endoscopic surgicaltraining centre at the Red Cross WarMemorial Children’s Hospital in Cape Townwill train surgeons in adult and paediatricendoscopic surgery, general surgery andcomplementary specialties. (Image: Bongani Nkosi) MEDIA CONTACTS • Lungi Linda Red Cross War Memorial Children’s Hospital +27 21 686 7860 RELATED ARTICLES • R13m boost for HIV clinic in SA • SA’s transfusion training centre • New ward opened for Smile Week • Soweto to get a second state hospitalNosimilo Ramela The first paediatric endoscopic surgical training centre in sub-Saharan Africa was recently opened at the Red Cross War Memorial Children’s Hospital in Cape Town. The facility will train surgeons in adult and paediatric endoscopic surgery, general surgery and complementary specialties.The state-of-the-art centre cost R13.8-million (US$2-million) to build and equip with the necessary technology. The Children’s Hospital Trust managed to raise these funds through donations in just 18 months. It was officially launched on 22 June 2011.The centre, which has nine stations, will focus on developing and improving endoscopic surgery skills for surgeons in South Africa and the rest of the African continent.Previously, African paediatric specialists and surgeons needing paediatric endoscopic surgical training had to travel to Europe or the US, as there were no centres in sub-Saharan Africa.“These skills cannot always be safely acquired in a live surgery setting on patients, and this centre will give training surgeons an opportunity to refine their surgical skills and give experienced surgeons an opportunity to transfer their knowledge and skills to other hospitals,” said Louise Driver, CEO of the Children’s Hospital Trust.She said the centre would also offer hands-on training courses at various levels in specialties such as anaesthetics, ear nose and throat, neurosurgery and urology.Endoscopic surgery is a minimally invasive procedure involving a long, rigid tube with a camera and light attached, otherwise known as an endoscope. The device is inserted into the body through a small incision and the surgeon views the image displayed on a monitor. The surgeon also makes other small incisions to insert instruments to do the necessary surgical procedure.Prof Alastair Millar from the Children’s Hospital said the benefits of having minimally invasive surgery are that patients experience less operative pain and infection risk, a shorter hospital stay and faster recovery with less scarring.“Increasingly, minimal access surgery is becoming the gold standard and conventional large incision surgery will soon be regarded as obsolete. A training centre such as this allows our surgeons of the future to be at the forefront of current surgical practice,” said Millar.Leading the waySpeaking at the opening of the centre, Western Cape Minister of Health Theuns Botha thanked the donors who made it possible to build the hi-tech training facility.“The training centre certainly offers the Red Cross War Memorial Children’s Hospital further growth opportunities and expansion into the continent. This underscores the Western Cape’s leading role on this continent with regard to training and skills transfer.”He said the hospital has become a national resource and has an international reputation as a centre for excellence in its ability to deliver paediatric and surgical services equivalent to those found in developed countries.Dr Lungi Linda, hospital CEO, said the institution prides itself in being the first for any new developments in the field of paediatrics, be it the cutting-edge technology or highly specialised procedures or operations.“What underpins these outstanding achievements for the hospital are the skills, knowledge and expertise within the hospital and the good healthy partnerships with the private sector. Thank you to our donors who are always willing to give for the benefit of sick children.”
View comments Kent Salado stood at the forefront of Arellano’s charge as the Chiefs continued their late assault at a Final Four berth with a 95-65 whipping of also-ran St. Benilde last Thursday in NCAA Season 93 at Filoil Flying V Centre in San Juan.Salado scattered 16 points and dished out 11 assists as the Chiefs rolled to their sixth win in 15 games, pulling level with Emilio Aguinaldo College at sixth spot.FEATURED STORIESSPORTSWATCH: Drones light up sky in final leg of SEA Games torch runSPORTSSEA Games: Philippines picks up 1st win in men’s water poloSPORTSMalditas save PH from shutoutIt was the biggest win of the season yet for the Chiefs who, for most of the season, have been a shadow of the team that reached the Final Four the past three years.“It’s a very important (win) and I can’t exaggerate it because actually all our remaining games are important,” said Arellano coach Jerry Codiñera. “If we were able to do this in the first round, I think we would have a better chance. But nonetheless, this win gives us hope.” The Chiefs shot 50 percent from the field as five other players posted double digit outputs, including Zach Nicholls and Lervin Flores, who chipped in 13 points and 12 points, respectively.“We expected this performance from Kent (Salado) because he’s really matured,” said Codiñera, whose team took an early double-digit lead and never looked back. “We had a good start and the support group also responded.”The win gave the Chiefs a lifeline in the race for the two remaining Final Four spots. As it stands, Jose Rizal holds pole position with a 9-7 record with Letran (8-7) and San Sebastian (7-7) also in the running.While Codiñera knows their fate is no longer in their hands, the Arellano coach is hopeful the other teams slip.“We just have to win our remaining games and hope for the best,” he said. “If we end up with nine (wins), we might finish third especially with the win over the other rule. I think we have a good chance with the quotient system.”ADVERTISEMENT Brace for potentially devastating typhoon approaching PH – NDRRMC LATEST STORIES Don’t count the Arellano Chiefs out just yet.ADVERTISEMENT Fire hits houses in Mandaluyong City Read Next Don’t miss out on the latest news and information. Typhoon Kammuri accelerates, gains strength en route to PH Import invasion: Top-notch reinforcements add spice to Grand Prix tournament LOOK: Loisa Andalio, Ronnie Alonte unwind in Amanpulo for 3rd anniversary Fire hits houses in Mandaluyong City BSP sees higher prices in November, but expects stronger peso, low rice costs to put up fight Frontrow holds fun run to raise funds for young cancer patients Nonong Araneta re-elected as PFF president MOST READ Trending Articles PLAY LIST 00:50Trending Articles00:50Trending Articles00:58Trump blames media, Democrats for impeachment during Kentucky rally01:37Protesters burn down Iran consulate in Najaf01:47Panelo casts doubts on Robredo’s drug war ‘discoveries’01:29Police teams find crossbows, bows in HK university01:35Panelo suggests discounted SEA Games tickets for students02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Games Later, Mapua notched its second straight win at the expense of Perpetual Help, 76-71.Andoy Estrella picked up 22 points including nine in the final period while Christian Buñag added 16 points as the Cardinals improved to 3-12. The Blazers dropped to last place with a 3-13 card.
college spun staff picks week 7Week six of the college football season produced a few big upsets, like Washington over USC and Texas over Oklahoma, along with a few almost-upsets, like Michigan State vs. Rutgers, TCU vs. Kansas State and Florida State vs. Miami (FL). Week seven is shaping up to be the most interesting of the season thus far, however.This week, we’ve got UCLA vs. Stanford, Michigan vs. Michigan State, Alabama vs. Texas A&M, Florida vs. LSU and USC vs. Notre Dame. Currently, Matt Hladik and Dustin Tackett hold a slim lead over the field in our weekly competition. Here are our picks for this weekend’s games:Who do you have?
Retired anesthetist Dr. Glenn Gibson believes he was an early trendsetter in slipping on brightly coloured cloth caps before heading into the operating room.So he was a bit disappointed when some hospitals started to ban the cloth protective headwear, which allow doctors to show a little personality.“I like cloth OR caps. I got tired of wearing the plain green ones, so about 25 years ago I started making my own … with ridiculous colours and designs that nobody would buy,” said Gibson, who estimates he had about four dozen at one point.A recent edition of the Journal of the American College of Surgeons suggests that freshly laundered cloth operating room hats are better at controlling microbial shed than the disposal shower-cap style “bouffant” hats that many hospitals have been forcing staff to wear in the name of infection control.For many, the publication was cause for celebration.Some operating room staff have long complained that the disposable bouffant caps are hot, make it hard to hear people, and reduce the little bit of personality available in a place where all staff wear the same scrubs.Many also grumbled that the evidence that resulted in banning cloth hats was weak and that disposable bouffant caps create a lot of garbage.“The cloth cap ban did generate some debate, some of which centred on evidence-based medicine (or lack of it) and some of which was likely vanity driven,” said cloth cap fan Dr. Lesley Barron, a general surgeon in Georgetown, Ont.Some have argued that personalized caps — featuring cartoons, favourite team logos, or festive scenes —can also improve patient care by decreasing pre-operative anxiety.“You can chat about your hat while (the patients) are going off to sleep,” said Barron.But Molly Blake, president of Infection Prevention and Control Canada, is not quite as enthusiastic. She highlighted the main caveat of the study: that reusable cloth caps need to be regularly washed.“The safe and appropriate management of scrubs is already challenging … you may have seen health-care workers wearing scrubs — and cloth skull caps — travelling throughout hospitals and then wearing the same into the ORs,” Blake said, adding that the cleaning methods discussed in the study were not “normal practice” in her experience.Blake also suggested the findings of the study should be replicated in an experiment with a bigger sample size before endorsing cloth caps.But not all hospitals banned cloth hats in the first place.“To be honest, we did not give a great deal of consideration to banning cloth hats because we felt the evidence wasn’t strong enough to support it,” said Jason Hann, director of surgical and critical care services at the Children’s Hospital of Eastern Ontario.“Of course, we have conditions that must be met in order to ensure patient safety, but this has not been a problem.”While an individual hospital’s infection control policy might be explicit, the fashion rules about operating room headwear are often more subtle: some feel there are gendered norms and silent expectations.“The culture is definitely (cloth) skull caps for boys, bouffants for women,” said Barron.Though confessing that she finds cloth caps “ugly,” Barron does admit that they give more room for hair, prevent overheating, and are less likely to create “OR head” — a condition similar to “bed head”. While women with short hair often wear cloth caps in the operating room, in doing so, they risk gender misidentification.Family doctor and anesthetist Dr. Annie Lu owns several cloth caps with Asian-styled dragon prints, but said, “when I wear them, I get mistaken for a guy by patients sometimes. There seems to be some notion of gender based on the style or design of the cap.”And though a medical student might be eager to show off a little personality, tradition dictates otherwise.“It would seem pretentious of a med student to already have custom cloth hats,” warned Dr. Kyle Sue, a family doctor in Arviat, Nunavut. Some surgeons believe that medical students should only wear cloth hats after they have matched to a surgical specialty for their residency.Most operating room staff who do wear cloth hats get them from a co-worker who makes them.After volunteering in a hospital in the Volta region of Ghana, Montreal nurse Julia Garland decided to start fundraising with handmade cloth hats and has raised over $10,000 to date, enough to fund three separate yearlong scholarships for Ghanaian nurses.Beyond the print design, there are other ways the hats can be customized: built-in sweatbands can be added, a little extra room for those with ponytails, and reversible fabrics for the indecisive.Gibson is glad he managed to avoid a cloth cap ban during his career.“I would have been sad, as I felt the crazy designs on my hats were very helpful with children,” he said.“I was up to a total of 48 different hats. Every morning it was a tough decision which one to wear, depending on whether the patients were adults or children.”— Dr. Sarah Giles is a family/emergency room doctor and a fellow in global journalism at the Munk School of Global Affairs at the University of Toronto.
VANCOUVER, B.C. — Here are some key dates in the history of the Trans Mountain pipeline and Kinder Morgan Canada’s efforts to expand its capacity:October 1953: The Trans Mountain pipeline begins shipping oil with an initial capacity of 150,000 barrels per day. The project features four pump stations along its 1,150-kilometre route and a marine dock that connects loading facilities on the east side of Edmonton with ocean tankers in Burnaby, B.C.1957: Pipeline capacity is expanded via the construction of a 160-kilometre pipeline loop. The Westridge Marine Terminal is built and commissioned in Burnaby, B.C. Jan. 12, 2016: Alberta Premier Rachel Notley says in a written submission to the NEB that the Trans Mountain pipeline expansion is in the best interests of both Alberta and Canada.Jan. 27, 2016: The federal Liberal government says pipeline projects such as the Trans Mountain expansion will now be assessed in part on the greenhouse gas emissions produced in the extraction and processing of the oil they carry. Proponents will also be required to improve consultations with First Nations.May 17, 2016: Ottawa appoints a three-member panel to conduct an environmental review of the Trans Mountain expansion project.May 29, 2016: The NEB recommends approval of the pipeline, subject to 157 conditions, concluding that it is in the public interest. Jan. 14, 1985: Trans Mountain’s biggest spill occurs at a tank farm in the Edmonton area. Nearly 10,000 barrels of oil are released.2006 – 2008: The Anchor Loop project adds 160 kilometres of new pipeline through Jasper National Park and Mount Robson Provincial Park between Hinton, Alta., and Hargreaves, B.C. The extension includes 13 new pump stations and modifications to existing stations, increasing capacity from 260,000 bpd to 300,000 bpd.Feb. 21, 2012: Kinder Morgan says it wants to expand the Trans Mountain pipeline after receiving support from oil shippers and will begin public consultations.Dec. 16, 2013: An application is made to the National Energy Board (NEB) to expand the Trans Mountain pipeline. Construction is proposed to begin in 2017, with the aim of having oil flow through the expansion by December 2019.November 2014: More than 100 people are arrested after they camp out in a conservation area on Burnaby Mountain, east of Vancouver, to block crews from conducting drilling and survey work related to the pipeline expansion. Most of the charges are later dropped.August 2015: The NEB postpones public hearings after striking from the record economic evidence prepared by a Kinder Morgan consultant who was to begin working for the regulator. Nov. 29, 2016: Prime Minister Justin Trudeau sanctions the Trans Mountain expansion, part of a sweeping announcement that also saw approval of Enbridge’s Line 3 pipeline replacement but the end of its Northern Gateway project.Jan. 11, 2017: B.C. Premier Christy Clark announces her support for the project, saying Kinder Morgan has met five government conditions including a revenue-sharing agreement worth up to $1 billion.May 15, 2017: The Federal Court of Appeal grants Notley’s government intervener status in a lawsuit filed by municipalities and First Nations against the project.May 25, 2017: Kinder Morgan makes its final investment decision to proceed with the development, now estimated to cost $7.4 billion, subject to the successful public offering of Kinder Morgan Canada.May 29, 2017: The B.C. NDP and Greens agree to form a coalition to topple the Liberal party, which won a minority government in an election earlier in the month. The parties agree to “immediately employ every tool available” to stop the project.May 30, 2017: Kinder Morgan Canada debuts on the Toronto Stock Exchange after a $1.75-billion public offering.June 29, 2017: The B.C. Liberals lose a no-confidence vote, clearing the way for NDP Leader John Horgan to become premier.Aug. 10, 2017: The B.C. NDP government hires former judge Thomas Berger to provide legal advice as it seeks intervener status in the legal challenges against the project filed by municipalities and First Nations.Oct. 26, 2017: Kinder Morgan Canada asks NEB to allow work to begin despite a failure to obtain municipal permits from the City of Burnaby.Dec. 7, 2017: NEB allows Kinder Morgan Canada to bypass Burnaby bylaws.Jan. 17, 2018: Kinder Morgan Canada warns the Trans Mountain expansion project could be a year behind schedule.Jan. 18, 2018: NEB establishes a process to resolve permitting issues between Kinder Morgan Canada and provincial and municipal authorities.Jan. 30, 2018: B.C. government moves to restrict any increase in diluted bitumen shipments until it conducts more spill response studies, a move that increases the uncertainty for Trans Mountain.March 9, 2018: B.C. Supreme Court grants interim injunction aimed at preventing anti-pipeline activists from protesting construction at two terminals in Burnaby.March 15, 2018: B.C. Supreme Court grants indefinite injunction preventing protesters from coming within five metres of two work sites for the project.March 23, 2018: Green Party Leader Elizabeth May and New Democrat MP Kennedy Stewart arrested at a protest against the pipeline expansion; Federal Court of Appeal dismisses a B.C. government bid challenging a NEB ruling that allows Kinder Morgan Canada to bypass local bylaws.March 27, 2018: City of Burnaby, B.C., says it will file an appeal to the Supreme Court in connection with the Federal Court of Appeal ruling.April 8, 2018: Kinder Morgan Canada suspends non-essential spending on the Trans Mountain expansion project and sets a May 31 deadline to reach agreements with stakeholders.
FORT ST. JOHN, B.C. – The North Peace Regional Airport welcomed a special visitor on Thursday, September 5, to Fort St. John.As part of an expedition celebrating the 100th anniversary of the Royal Air Force, a newly restored British Silver Spitfire fighter plane from the Second World War landed in Fort St. John.The Mk IX Spitfire is being flown by British Pilots and is en route to Alaska after having left Britain five weeks ago. As of Friday, the Spitfire is 6,450 miles into its 27,000-mile four-month expedition of flying around the world.According to expedition organizers, the Spitfire is a British single-seat fighter aircraft that was built in 1943 and was used by the Royal Air Force and many other Allied countries before, during and after World War II.To follow the Spitfire’s expedition, you can visit silverspitfire.com.