New Delhi: The BJP on Friday demanded that UPA chairperson Sonia Gandhi and Congress president Rahul Gandhi apologise to the nation over their leader Sam Pitroda’s reported remarks about the 1984 anti-Sikh riots.Union minister and BJP leader Prakash Javadekar said Pitroda has made a very “irresponsible” statement about the riots. “Congress leaders Sonia Gandhi and Rahul Gandhi must apologise for Sam Pitroda’s irresponsible statement that the ‘1984 Sikh genocide happened, so what’,” he told reporters.Javadekar said that Rahul Gandhi’s guide and Rajiv Gandhi’s colleague Pitroda had made “a very condemnable” remark in public discourse.”He said the 1984 genocide where 3,000 Sikhs were killed.’Hua to hua. Hua to kya hua. It happens, so what.”Today, he has made an even a more dangerous statement. He says that I can acknowledge the pain of Sikh community, but it is not relevant today,” he said.He also claimed that Pitroda said Rajiv Gandhi and Rahul Gandhi would never target a group of people. “Then how he can explain Rajiv’s justification of 1984 Sikh genocide by saying ‘when a big tree falls, Earth tremors’. If this is not a justification then what it is,” he asked.Javadekar said the issue is relevant today because it is an unresolved saga of atrocities. “And if atrocities against Sikhs and their genocide is not relevant, then tomorrow Pitroda will say partition of the country is also not relevant, ethnic cleansing of Kashmiri Pandits is also not relevant.””He will say the communal politics by Rajiv Gandhi on Shah Bano issue is also not relevant,” the Union minister claimed, adding that it was relevant, because these issues were being faced by the nation.Javadekar said that these issues were relevant but the Congress would become irrelevant.”Today, Punjab Chief Minister Amarinder Singh has also said that for the Sikh genocide, Arjun Singh, HKL Bhagat, Lalit Maken and Sajjan Kumar and one minister were all responsible,” Javadekar claimed.”And, here is Sam Pitroda who says that Rajiv and Rahul never target any group, and their associates do, their colleagues do, their followers do. Are they not responsible? Therefore, we demand that Sonia Gandhi and Rahul Gandhi must apologise for the comments by Pitroda which have hurt the people of the country,” he said. 1984 anti-sikh riotBJPcongressPrakash Javadekar First Published: May 10, 2019, 3:10 PM IST
Reviewed by Kate Anderton, B.Sc. (Editor)Jun 27 2019An emergency department is sometimes the first place a person thinks to go for health care. The emergency department is an essential care setting, treating over 145 million annual visits in the United States across a wide range of patient populations, from children to adults.”Keith Kocher, M.D., MPH, an assistant professor of emergency medicine at Michigan Medicine It’s for this very reason that Michele Nypaver, M.D., a professor of emergency medicine and pediatrics at Michigan Medicine and University of Michigan C.S. Mott Children’s Hospital, says the emergency department setting represents the ideal venue to implement practice improvement efforts to ensure high-quality care, informed by the best available evidence.Kocher and Nypaver are the program directors of the Michigan Emergency Department Improvement Collaborative (MEDIC), a physician-led statewide quality network connecting a diverse set of unaffiliated emergency departments with the goal of improving quality and reducing low-value emergency care throughout Michigan.The collaborative is funded by Blue Cross Blue Shield of Michigan and Blue Care Network through the Value Partnerships program.In a new study, published in Annals of Emergency Medicine, Kocher, Nypaver and a team of emergency physician MEDIC clinical champions from hospitals and health systems across Michigan use data from MEDIC to highlight opportunities to safely reduce overtesting in emergency departments.”Health care is changing,” says Kocher, a member of the U-M Institute for Healthcare Policy and Innovation. “Government, insurance companies, advocacy groups and patients are all more interested than ever in demonstrating the value of care delivered.”He adds, “This requires a better understanding of the outcomes we get for the tests and treatment we perform.”Overimaging costsMEDIC warehouses a clinical registry that contains data on more than 1 million emergency department visits from 16 diverse emergency departments. It also includes data on performance across four quality measures for each department.In the study, the research team examined data from the clinical registry, specifically looking at amounts of performed imaging. Estimates of excess imaging were calculated based on the Achievable Benchmark of Care method for determining quality improvement targets across a population.Related StoriesGuidelines to help children develop healthy habits early in lifeBordeaux University Hospital uses 3D printing to improve kidney tumor removal surgeryNew network for children and youth with special health care needs seeks to improve systems of careIn 2017 alone across the collaborative, the team found substantial variation in amounts of performed imaging and the potential to avoid 1,519 head CT scans for minor head injury, 3,308 chest X-rays for children with asthma, bronchiolitis or croup, and 4,254 CT scans for suspected pulmonary embolism.”This translates to about $3.8 million annually in avoidable spending on low-value care if these MEDIC sites were to collectively improve to the benchmark standard,” Kocher says.”We show that there is the opportunity to avoid low-value imaging tests in the emergency department and, in turn, create significant health care savings.”Kocher, Nypaver and team hope these study results show the benefit and power a collaborative can have for fellow physicians.”Useful insight into how we continuously improve the quality of care we deliver only comes from getting meaningful, credible data into the hands of those who can best act on it — and oftentimes that means clinicians,” Nypaver says.”MEDIC is a tool that allows emergency physicians to get actionable feedback on how they are performing on their patients in their own emergency departments, with the collaborative helping us to learn from each other to keep improving.”Future implications for paymentsKocher and Nypaver note that measurement standards for patient care are increasingly tied to reimbursement, termed “pay for performance.””Unfortunately these measures are often initiated and implemented without the direct input of the physicians they impact,” Kocher says.”It is critical that emergency physicians bridge this gap and participate in shaping how and in what form the quality of our care is measured and how it will positively impact our patients, or it will likely be determined for us by those outside of our specialty.”He says MEDIC’s learning collaborative approach provides an important model for large-scale clinical practice change demonstrating the benefits of partnerships among physicians, hospitals and payers.Nypaver adds, “MEDIC will continue to identify challenges in emergency medicine where strong evidence exists to define best practice, where opportunity exists to improve patient outcomes and where emergency physicians are best positioned to intervene.” Source:Michigan Medicine – University of MichiganJournal reference:Kocher, K.E. et al. (2019) Baseline Performance of Real-World Clinical Practice Within a Statewide Emergency Medicine Quality Network: The Michigan Emergency Department Improvement Collaborative (MEDIC). Annals of Emergency Medicine. doi.org/10.1016/j.annemergmed.2019.04.033.
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On Tuesday, Samaraweera had visited India in January on his first foreign trip soon after assuming charge during which he held talks with External Affairs Minister Sushma Swaraj. including political reconciliation process and the sticky fishermen issue.” a ministry official said. say senior officials in the civil aviation ministry.in) Related News The Indian Railway Catering and Tourism Corporation will install five high-capacity servers, had introduced e-ticketing in 2002 through its digital platform. hoardings and even paid for petrol in campaign vehicles,” he said and alleged the party exploited him. “Too much blood has flown down Kabul river.
everyone in the region and the rest of the world to come together. But in the present case, Amit Shah.