Tuesday, June 19, 2018

Achieving the Interoperability Promise of 21st Century Cures

Over the past decade, hospitals and physician offices have made tremendous gains in shifting their record-keeping from paper to computerized systems. This transition to electronic health records (EHRs) has engendered frustration among clinicians who expected computers to make their care more efficient, and among their patients who expected timely access to their information and seamlessly coordinated care.
To address these challenges, a bipartisan majority of Congress passed the 21st Century Cures Act of 2016 (Cures Act).

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Tuesday, June 5, 2018

Creamy Spinach and Red Pepper Chicken by The Pioneer Woman

I had the darnedest time figuring out what to call this recipe. I thought of “Creamed Spinach-Stuffed Chicken” but didn’t really like that I had to have a hyphen in the title. I thought of “Creamed Spinach Chicken” but that only told part of the story since there are also roasted red peppers and tomatoes in the sauce. I thought of “Red Pepper and Spinach Stuffed Chicken” but that totally denies the beautiful creaminess of this delightful dish. I thought of switching around the structure and doing “Chicken Breasts Stuffed with Creamed Spinach and Red Peppers” but that was way too literal. I do so much better when I can just keep a recipe title simple—like “Cauliflower Pizza” (not “Roasted Cauliflower Crust Pizza with Manchego, Fried Oregano and a Balsamic Rosemary Reduction. Though dang, that sounds good.)

Anyway, I did my best with the title. But just know that it bugs me!

And anyway…the title doesn’t matter one bit. This is a lovely creamy chicken recipe that may be a tad indulgent on the creamy side of things…but that’s also pretty low on carbs (relatively speaking.)

Dive in! The water’s just fine.

 
Start with some butter and olive oil in an iron skillet (or heck, any skillet) over medium-high heat.

 
 
Add diced onion and sliced garlic. Or, if you prefer, sliced onion and diced garlic. Or, if you are feeling rebellious, chopped onion and minced garlic.

Just some combination of onions and garlic would be peachy.

I talk too much.

 
 
Stir them around and get them started cooking…

 
 
Then add about a cup of sliced roasted red peppers. Now, I usually have jars of roasted red peppers in my pantry that are not sliced. In that case, I do something that may surprise you.

I slice them myself.

Always innovating here, always innovating!

 
 
Stir and cook everything together for 2 to 3 minutes.

 
 
Then throw in more spinach than you think makes sense, because it will shrink and wilt like there’s no tomorrow. (I actually added more than this before it was all said and done!)

 
 
Stir the spinach a bit, then add a bunch of diced fresh tomatoes (reserving a little of the tomatoes for garnish at the end.) Lower the heat to medium at this point.

(By the way, you could also add artichokes, mushrooms, lots of other yummy things to this sauce!)

 
 
Season this delightful mixture with plenty of salt and pepper…

 
 
Then, when the spinach has wilted, add some heavy cream…

 
 
And grated Parmesan. Tasty vittles!

 
 
Stir and let the cream thicken a bit…

 
 
Then grab a little softened cream cheese…

 
 
And add it in in chunks. Stir until it’s all melted…

 
 
Then remove about a cup of the mixture to a separate bowl and let it cool. Turn off the heat under the creamed spinach and set it aside.

 
 
Time to cut pouches in chicken breasts if you haven’t already! These are boneless, skinless breasts and I used a little paring knife to cut the pouch. If possible, you want the opening to be a little smaller than the area you cut inside. So once the knife is in there, just carefully move it from one side to the next…

 
 
Until you have a little pocket!

 
 
Lightly sprinkle the inside of the pouch with salt and pepper, then fill the pouch with the slightly cooled creamed spinach mixture.

 
 
Use toothpicks to securely close the pouch (if it’s too full to close, you’ll need to remove a little bit of filling. Don’t ask me how I know this.)

 
 
Keep going until you have all the chicken breasts stuffed and secured! Preheat the oven to 400 degrees.

 
 
In another skillet over medium-high heat, melt some butter with olive oil. Add the chicken breasts top/smooth side down (because I just think they look prettier when you cook the top side first)…

 
 
Brown them on the first side for 4 minutes, moving them around to ensure even browning. Turn them over…

 
 
Then place the skillet in the oven for 8 to 10 minutes, or until the chicken is fully cooked through and the filling is hot.

 
 
They smell so good!

 
 
Warm up the creamed spinach mixture (and this would be a great time to check the seasonings; you want it to be adequately seasoned!) and place a generous amount on a plate.

 
 
Add one of the pieces of chicken…

 
 
Then use a spoon to retrieve some of the juices/drippings from the chicken pan and drizzle those over the chicken. The combination of the drippings and the creamed spinach is just splendid!

 
 
Sprinkle on those reserved diced tomatoes…

 
 
Then chiffonade some basil…

 
 
And sprinkle it over.

 
 
End with some Parmesan shavings. Divine!

 
 
Mmmmm. Super good. Look at that filling.

 
 
Oh, and here’s a little tip: You can pack up individual portions for a make-ahead dinner!

Enjoy this, friends.

 



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Monday, June 4, 2018

May 2018 Real Estate Board of Greater Vancouver Statistics Package with Charts & Graphs

Reduced demand is allowing housing supply to accumulate

Home buyer demand continues to decline across the Metro Vancouver* housing market.

The Real Estate Board of Greater Vancouver (REBGV) reports that residential property sales in the region totalled 2,833 in May 2018, a 35.1 per cent decrease from the 4,364 sales recorded in May 2017, and a 9.8 per cent increase compared to April 2018 when 2,579 homes sold.

Last month’s sales were 19.3 per cent below the 10-year May sales average.

Vancouver May Housing Market

“With fewer homes selling today compared to recent years, the number of homes available for sale is rising,” Phil Moore, REBGV president said. “The selection of homes for sale in Metro Vancouver has risen to the highest levels we’ve seen in the last two years, yet supply is still below our long-term historical averages.”

There were 6,375 detached, attached and apartment properties newly listed for sale on the Multiple Listing Service® (MLS®) in Metro Vancouver in May 2018. This represents a 5.5 per cent increase compared to the 6,044 homes listed in May 2017 and a 9.5 per cent increase compared to April 2018 when 5,820 homes were listed.

The total number of properties currently listed for sale on the MLS® system in Metro Vancouver is 11,292, a 38.2 per cent increase compared to May 2017 (8,168) and a 15 per cent increase compared to April 2018 (9,822).

The total number of listings available today is 17.2 per cent below the 10-year May average.

For all property types, the sales-to-active listings ratio for May 2018 is 25.1 per cent. By property type, the ratio is 14.7 per cent for detached homes, 30.8 per cent for townhomes, and 41.7 per cent for condominiums.

Generally, analysts say that downward pressure on home prices occurs when the ratio dips below the 12 per cent mark for a sustained period, while home prices often experience upward pressure when it surpasses 20 per cent over several months.

“For home sellers to be successful in today’s market, it’s important to price your property competitively given the shifting dynamics we’re experiencing,” Moore said. “It’s also important to work with your local Realtor to better understand these changing conditions.”

The MLS® Home Price Index composite benchmark price for all residential properties in Metro Vancouver is currently $1,094,000. This is an 11.5 per cent increase over May 2017 and a 0.2 per cent increase compared to April 2018.

Sales of detached properties in May 2018 reached 926, a 40.2 per cent decrease from the 1,548 detached sales recorded in May 2017. The benchmark price for detached properties is $1,608,000. This is a 2.4 per cent increase from May 2017 and a 0.1 per cent increase compared to April 2018.

Sales of apartment properties reached 1,431 in May 2018, a 29.3 per cent decrease from the 2,025 sales in May 2017. The benchmark price of an apartment property is $701,700. This is a 20.2 per cent increase from May 2017 and a 0.1 per cent increase compared to April 2018.

Attached property sales in May 2018 totalled 476, a 39.8 per cent decrease from the 791 sales in May 2017. The benchmark price of an attached unit is $859,500. This represents a 16 per cent increase from May 2017 and a 0.6 per cent increase compared to April 2018.

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Friday, June 1, 2018

5 cycling masks to fight against air pollution – are they any good?

Anti-pollution cycling masks are a fairly common sight in London.

It’s perfectly understandable –  air pollution is a well-documented issue here, causing respiratory problems and preventable deaths.

A sizeable 9,500 people die in the capital every year because of long-term exposure to polluted air, according to Kings College London.

But as with any bit of kit, it can be confusing if you’re buying a cycling mask for the first time.

Here are the basic need-to-knows about anti-pollution masks as well as a look at some of the biggest names on the market right now.

How do anti-pollution cycling masks work?

The mask fits over the lower part of your face to catch pollutant particles.

It takes in oxygen and filters out the nasties in the air like formaldehyde, making your city cycle that bit cleaner.

What to consider when buying an anti-pollution mask

The most important factor is the seal – the mask has to snugly fit your face so that nothing passes through any gaps, cancelling out the benefits you get from the filters.

Those with facial hair may struggle as even a little stubble can affect the seal and effectiveness of the cycling mask.

If you have a pre-existing lung or respiratory condition you need to take extra care as masks can inhibit breathing, especially at high exertion.

Now, onto the filters. Go for a mask that has at least two breathing vents with sub-micron filters which pick up the most particles. Hepa-type filters catch the smallest particles, like pollen and dust caught in the air.

The size of particles ranges from 0.5 (sub-micron) to 10+ microns. Just for a bit of context, a micron is the equivalent to one tenth of a millimetre. Filters will generally be able to catch size 0.3 microns.

And of course, there’s your budget – not just for the mask, but the cost of replacing filters. For your mask, you’re looking at around £20-£30, while a pack of replacement filters will cost anywhere between £13 and £25, depending on the quantity and quality of filters.

The most popular anti-pollution cycling masks

Respro® City™ Mask (£29.99)

This mask is made from Neoprene to fit comfortably on your face and  keep out unpleasant fumes and smells.

It has two Techno insulation valves with sub-micron filters, which come in packs of two.

Colour-wise, you can choose from blue, red and black.

What the reviewers say: On the plus side, it is easy to maintain.

However, the mask moves around on your face, which causes rubbing. Some say that the strap puts too much pressure on the nose too.

Totobobo Super Cool mask (£25)

Totbobo cycling mask

See-through Totobobo masks can be shaped to fit different face, nose and chin contours.

The Super Cool is a bike specific model, but you can also get them in standard and children’s models.

It has sub-micron filters which come in three different strengths: 92%, 94% and 96%. The higher the protection level, the higher the cost.

This mask weighs 20 grams, and promises not to fog up your glasses. The fact that it’s transparent makes for a more reliable seal check as you can actually see what you’re doing.

The lifespan of the mask depends on how you care for it, but it can last over 100 uses.

What the reviewers say: On the more positive side, it’s conveniently pocket-sized and easy to clean.

But disgruntled customers say that it’s clammy, ill-fitting and uncomfortable around the nose.

Despite its transparency, the Totobobo mask doesn’t make a good seal against the face unless it’s completely clean-shaven.

Skysper Anti-Pollution Half Face Cycling Mask (£8.99)

Skysper cycling mask

Skysper is more about the swanky style. Its masks are also made of neoprene for comfort, and it comes in fun designs.

It weighs in at a relatively hefty 50g – two and a half times the Totobobo offering.

The mask is available in black, white, blue, red and orange with adjustable nose drag for extra comfort.

What the reviewers say: Skysper’s masks are not as versatile – they don’t fit an Asian face with a short nose, for example. Others said that it didn’t have great coverage and one person reported the filter falling out. Even with the mask intact, exhaled air takes a long time to escape.

Apparently the mask has a smell when you first get it, but if you put it in 20-degree water for 15 mins it’ll be fine.

Some say there are fog issues with cycling glasses when you’re static too.

Cambridge Mask Pro (£19-£24)

Cambridge Mask Co cycling mask

Dubbed the ‘British pollution solution’, the Cambridge Mask is made from carbon cloth originally used by the Ministry of Defence.

It protects against gas based pollution, such as smells, benzene and formaldehyde, particle pollution such as PM2.5, pollen or smoke and pathogens such as viruses and bacteria.

The masks come in five sizes, for both adults and children. It has some fun patterns too –  one includes pandas!

And those with an allergy will be glad to know that it’s latex-free.

What the reviewers say: Some reviews saying the mask is too small and the non-adjustable ear hooks make it difficult to seal.

Vogmask (£34.50)

Vogmask is a global brand famed for its funky designs.

They come in different sizes with a metal band in the nose. The tightness is not adjustable, and you  can only use the earloops to fit it on face.

What the reviewers say: It’s comfortable and easy to clean, but it’s not easy to breathe in –  one reviewer had to loosen it around the nose, defeating the purpose of the mask seal.

The filter mask is said to be too restrictive as well. If you have a hilly commute you may want to look elsewhere as the valves are reportedly too small for exercise.

Do you wear cycling masks or do you think they’re not worth the hassle? Let us know in the comments section below.

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