A 22-year Apple veteran explains why Silicon Valley’s ‘fast fail’ approach won’t work in health

With most tech products, if you're unhappy you can just throw it in a drawer and chalk it up to being an early adopter. But health tech products connect users to their own mortality, argues former Apple manager of health projects Robin Goldstein.
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All the Times Fast Food Brands Clapped Back at Their Haters on Twitter

Oooh, burn!

In recent years, Twitter has become a major marketing tool for all brands, but it’s also become a great way for fast food joints to clap back at their haters (and their competition).

While Wendy’s quickly gained a reputation for having the sassiest Twitter on the block, especially because of their ongoing feud with McDonald’s over fresh versus frozen beef, other brands took notice and began dishing out their own snarky tweets in response to customer questions, celebrity news, or other brands’ promotions.

Read on for some of the best zingers from the fast food giants.

Taco Bell

While Taco Bell doesn’t typically engage in social media fights, the brand has had a few standout moments from their own Twitter account, including their correction of a grammar error in one of White Castle’s tweets to Chrissy Teigen. The taco joint also fired back at Old Spice when the deodorant company accused the fast food chain of false advertising.

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DiGiorno

Frozen pizza company DiGiorno also joined in on the fun, inciting a pizza war with Papa John’s. The frozen pizza chain mocked Papa John’s slogan “Better Ingredients. Better Pizza.” when they tweeted a declining graph meant to represent Papa John’s sales above a tweet that read, “Better Pizza. Better Sales.” The company also briefly changed their bio to the new slogan to spite Papa John’s.

RELATED: Of Course Chrissy Teigen’s Birth Announcement Turned Into a Twitter Feud About Pizza

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Burger King

Aside from their epic promposal to Wendy’s on a marquee sign outside of one of their restaurants, Burger King has also thrown shade at the company on social media. First, the chain used social media to promote their spicy chicken nuggets, a menu item that Wendy’s had previously discontinued, leaving the Twitter-verse in an outrage. The brand found people’s old tweets asking where Wendy’s spicy nuggets went and used them as advertising for their own spicy nugget addition to their menu.

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Then, Burger King promoted a 5 for $ 4 deal just days after Wendy’s announced their 4 for $ 4 deal. Even though they didn’t mention the square-burger chain in their tweet directly, Twitter users were quick to notice the shade in their tweet which read, “Because 5 is better than 4.”

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However, Wendy’s never goes down without a fight, so when a Twitter user, who has since switched their account to private, asked what Wendy’s had in response to the deal, they responded with two simple words: “edible food.”

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RELATED: The Best Chain Restaurant Twitter Reactions to IHOP Changing Its Name to ‘IHOb’

Wendy’s

Of course, Wendy’s has the longest history of roasting people on Twitter, including their iconic tweet suggesting that asking to be directed to the nearest McDonald’s is essentially the same as asking to be directed to a garbage can.

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The company also recently called out pro-golfer Tiger Woods when he flubbed his first hole at the 2018 U.S. Open, scoring an unimpressive triple bogey. “Tiger, next time you’re going to get a triple…” the brand tweeted beneath a photo of their triple cheeseburger.

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Scroll through to see some of our other favorite clap-back tweets from Wendy’s.

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Want the ultimate dish on the latest celebrity food news, plus exclusive recipes, videos and more? Click here to subscribe to the People Food newsletter. 

The fast food Twitter beef is alive and well, so we suggest you refrain from tweeting at these accounts unless you’re prepared to get roasted.


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Don’t be surprised by fast food’s bait-and-switch

Dear John: I am 67 years old — a dinosaur in the computer age. I’m on a fixed income and angry. I’m especially angry at the fast-food industry because of how they promote their products in colorful advertising, but serve you something that is not even close to their ads. I call it bait and…
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Idris Elba to Turn Villainous in ‘Fast and Furious’ Spin-off; Here’s Everything We Know

Idris Elba to Turn Villainous in 'Fast and Furious' Spin-off; Here's Everything We Know

Update: In recent years, we've become accustomed to seeing Idris Elba in heroic roles, as in Thor: Ragnarok (above). So it's somewhat surprising to hear that he will portray a villain in the first spin-off from the Fast and Furious series, per Variety.

Elba came to attention as an elegant drug kingpin on HBO's The Wire and since then has impressed in a wide variety of roles. He played a villainous role in Star Trek: Beyond not too long ago, which actually seemed atypical at this…

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Vanessa Kirby Joins ‘Fast and Furious’ Spin-off ‘Hobbs and Shaw’; Here’s Everything We Know

Vanessa Kirby Joins 'Fast and Furious' Spin-off 'Hobbs and Shaw'; Here's Everything We Know

If you loved the antagonistic chemistry between Dwayne Johnson and Jason Statham in The Fate of the Furious, you're in luck, because there's a spin-off in the works focused on their rivalry. And if you loved Vanessa Kirby as Princess Margaret on the Netflix series The Crown (above), you're also in luck, because she's just joined the cast of the spin-off.  

Yeah, the Fast and Furious movies and The Crown are very different kinds of entertainment, but there's…

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Can Vaping Help Smokers Quit? Not So Fast, Study Says

(AP Photo/Frank Franklin II, File)

It’s a big question for smokers and policymakers alike: Do electronic cigarettes help people quit? In a large study of company wellness programs, e-cigarettes worked no better than traditional stop-smoking tools, and the only thing that really helped was paying folks to kick the habit.

Critics of the study say it doesn’t close the case on these popular vaping products. It didn’t rigorously test effectiveness, just compared e-cigarettes to other methods among 6,000 smokers who were offered help to quit. That’s still valuable information because it’s what happens in daily life.

Providing e-cigarettes “did not improve the number of people who quit compared to essentially doing nothing,” said Dr. Scott Halpern of the University of Pennsylvania. “The very best way to help them quit is to offer them money.”

He led the study, published Wednesday by the New England Journal of Medicine. It was sponsored by the Vitality Group, which runs company wellness programs. The makers of NJOY e-cigarettes provided them but had no role in the research.

Separately in the journal, another study reports that lung cancer rates are now higher for white and Hispanic women under 50 than for men that age, a reversal of a longtime trend that can’t be explained by smoking patterns alone.

VAPING TO QUIT SMOKING

E-cigarettes are battery-powered devices that vaporize nicotine. They’ve been sold in the U.S. since 2007 and contain less toxic substances than traditional cigarettes. The Food and Drug Administration is mulling how to regulate them, and earlier this year, a national panel of experts said vaping may help folks reduce smoking but that more research is needed.

The new study differed from usual studies of smokers wanting to quit: It automatically enrolled smokers in 54 company wellness programs and asked those who didn’t want to join to opt out. Only 125 did, but the vast majority of the rest didn’t actively participate yet their results were tracked as part of the study.

They were put into five groups: usual care, which was information on benefits of quitting and motivational text messages; free quit-smoking aids such as nicotine patches and medicines like Chantix or Zyban plus e-cigarettes if those failed; free e-cigarettes without any requirement to try other methods first; free quit-smoking aids and a $ 600 reward if people were abstinent six months later; and free cessation tools plus $ 600 placed in an account at the start of the study that they’d lose if they didn’t quit.

The results: Only 0.1 percent in the usual care group succeeded; rates ranged from 0.5 percent to nearly 3 percent for the rest. The groups offered cash did best; rates among the other groups did not differ much from each other.

Success rates were higher — from 0.7 percent to nearly 13 percent — among 1,200 smokers who actively participated.

COST

Average costs were less than a dollar per participant in the usual care group and around $ 100 for those given redeemable cash accounts. But when looked at per successful quitter, the cash programs cost less than e-cigarettes or traditional methods.

Most big companies offer stop-smoking programs and half of them offer financial incentives, study leaders said. It costs companies $ 3,000 to 6,000 more per year to employ a smoker versus a non-smoker.

WHAT OTHERS SAY

“E-cigarettes are substantially less harmful than burned or lit cigarettes, but that doesn’t mean they’re helpful for cessation” and they’re not regulated for that, said Cliff Douglas, the American Cancer Society’s tobacco policy expert.

Gregory Conley, who heads the American Vaping Association, said the type used in this study is obsolete, and all of the methods proved “pathetic” because smokers were automatically enrolled and may not have wanted to quit. “You’re just thrusting the product on people,” he said.

Dr. Nancy Rigotti, director of the tobacco research and treatment center at Massachusetts General Hospital who was on the expert panel, said it was a well-done study that gives “a little discouraging and surprising” results. The value of traditional methods is well established, so counseling and support might have been inadequate in this study, she said.

Others were critical of the study’s methods. David Abrams, a former tobacco researcher at the National Institutes of Health and now at New York University, said researchers don’t know how many in each group actually used the quit-smoking tools.

“You can’t conclude that the treatments didn’t work if nobody used them,” said Abrams, who called e-cigarettes “the best thing that’s come along in 10 years to help people quit.”

A smoker took a different view.

“For me personally, it was useless,” said Georges Touaichi, a 22-year-old San Diego hotel worker who tried e-cigarettes but went back to smoking after a day or two.

An FDA spokesman said the agency was pondering the results, but that this is not the type of study needed to evaluate safety and effectiveness of e-cigarettes for smoking cessation.

LUNG CANCER RATES

For the other study in the journal, researchers used U.S. cancer registries and federal health statistics to track new lung cancer cases by gender and race over various time periods. Rates historically have been higher in men but that trend reversed among whites and Hispanics born since the mid-1960s.

For example, among people ages 45 to 49 and diagnosed from 1995 to 1999, rates in women were 26 percent lower than for men. But in a more recent time period, 2010 to 2014, women had an 8 percent higher incidence rate than men, said one study leader, the American Cancer Society’s Ahmedin Jemal.

Women are catching up to men in smoking rates — 14 percent smoke versus 17 percent of men — but that’s not enough to explain the switch, he said. Women also smoke fewer cigarettes than men.

One theory is that certain types of lung cancer are more common in women and the risk of them declines more slowly after someone quits, and women have lagged behind men in cessation rates, said Caitlin Murphy of the Simmons Cancer Center at UT Southwestern in Dallas.

“Maybe women are getting diagnosed more often through CT screening,” which also would boost their rates compared to men, said Murphy, who had no role in the work.

For smokers who are 50, “if they quit now they can gain about six years of life,” Jemal said. “They have this opportunity to avoid not only lung cancer but also other causes of smoking-related deaths.”

___

AP writer Julie Watson in San Diego contributed to this report.

___

The Associated Press Health & Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

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Dwayne Johnson Updates on the ‘Fast and the Furious’ Spin-Off, ‘Black Adam,’ ‘Doc Savage’ and ‘Jumanji 3’

Dwayne Johnson Updates on the 'Fast and the Furious' Spin-Off, 'Black Adam,' 'Doc Savage' and 'Jumanji 3'

Dwayne Johnson has a new movie out this weekend — the video game adaptation Rampage — but while promoting that release he's also been talking about future projects. Find updates on four of his biggest forthcoming projects below.

 

David Leitch to direct the Fast and the Furious spin-off:

One of the most anticipated movies in Johnson's future is the spin-off to the Fast and the Furious series focused on his and Jason…

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This could get ‘very ugly, very fast’ for Boeing, says one market expert

With so much political uncertainty surrounding trade policy, Boeing's pain could grow.
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Good Girls’ Retta and Mae Whitman on Their Show’s Unexpected Timeliness and Becoming Fast Friends on Set

Good Girls, Retta, Mae Whitman, Christina HendricksGood Girls is finally here and its stars couldn’t be more relieved.
The NBC dramedy, which debuted two weeks ago in the plum post-The Voice timeslot on Mondays, has pulled in solid…

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5 Fast Facts About Hot Model Imaan Hammam

Imaan Hammam

Source: Victor VIRGILE/Gamma-Rapho / Getty

21-year-old Imaan Hammam is a very well-known and accomplished young woman. Now, the model’s fanbase continues to grow as she covered Vogue Arabia with the Iman for the publication’s First Anniversary Collector’s Issue.

“Mom my dream came true,” she wrote on Instagram alongside the beautiful and iconic cover. “Iman and Imaan!”

So, who is she? For those who don’t know much about her, we gathered 5 fast facts below.

Instagram Photo

1. Imaan was born in Amsterdam to an Egyptian father and Moroccan mother.

Instagram Photo

2. Imaan is a favorite of Anna Wintour’s and in fact, she has covered American Vogue, Vogue Japan, Vogue UK, and more so many times it’s kind of hard to keep count.

Instagram Photo

3. She surfs.

4. She has a little sister, whose name is Aicha Hammam.

Instagram Photo

5. Perhaps our fave fast fact: she’s a total naturalista. More pics on the flip.

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The Need for Speed: Fast Stroke Treatment Saves Lives

For Kaiser Permanente member Bob Wilms, it was a November Sunday morning like many others: The 69-year-old had played 18 holes of golf and then went home to watch the 49ers game at his home in Cupertino, California.

But when he woke up from a brief nap during the game, he experienced double vision and one side of his face was numb.

His wife, Vickie, immediately drove him to the Kaiser Permanente Santa Clara Medical Center Emergency Department. After being evaluated by neurologist via video conferencing, Wilms was diagnosed as having a stroke and received a shot of alteplase (also known as intravenous r-tPA), the only medication approved by the U.S. Food and Drug Administration to treat acute ischemic stroke. This all happened 22 minutes after Wilms arrived at the hospital.

“Within minutes of getting the infusion, everything started to come back,” said Wilms, a retired college admissions officer. “It literally resolved the whole thing.”

‘Get With the Guidelines’ award

Kaiser Permanente stroke patients receive this clot-busting medication more than twice as fast as the national average. Recently, all of Kaiser Permanente’s eligible 37 medical centers — in Northern California, Southern California, Oregon and Hawaii — were recipients of a 2017 “Get With the Guidelines” award given by the American Heart Association and the American Stroke Association. The honor, which analyzes nearly 3,000 hospitals in the U.S., is awarded to hospitals that demonstrate high commitment to following guidelines shown to improve patient outcomes, including quick diagnosis and treatment.

Wilms’ fast recovery is attributed to Kaiser Permanente’s adoption of an integrated, neatly choreographed telemedicine program, which begins when paramedics or other medical staff provide advance notification that a stroke patient may be on the way. Emergency department staff then align their efforts:

  • Pharmacy staff prepare clot-busting medications early so they’re ready to go when the patient needs them.
  • An on-call, specially trained stroke neurologist uses videoconferencing to examine the patient with a telestroke cart, which includes a video camera and link to test results and the patient’s electronic medical record.
  • A radiologist quickly reads neuroimaging studies.
  • The stroke alert team reviews a checklist to ensure r-tPA can be administered safely.
Patient receiving remote telestroke care.

Patient receiving remote telestroke care.

“When a stroke happens, minutes matter,” said Mai Nguyen-Huynh, MD, MAS, vascular neurologist and research scientist with the Kaiser Permanente Division of Research. “Faster treatment with r-tPA, which dissolves the stroke-causing clot and restores blood flow to the brain, is strongly associated with better functional outcomes for stroke patients.”

The AHA and ASA guidelines recommend “door-to-needle” times of 60 minutes or less for r-tPA. Studies show that less than 30 percent of acute ischemic stroke patients in the United States are currently being treated within this window. In Northern California’s 21 hospitals, door-to-needle times for r-tPA averaged just 34 minutes within nine months of implementing the telestroke protocol.

“Processes that used to happen sequentially during a stroke alert, one after another, are now happening at the same time, allowing us to quickly, safely and confidently provide evaluation and treatment with r-tPA to stroke patients who can benefit,” said Jeffrey Klingman, MD, chair of chiefs of neurology for Kaiser Permanente Northern California.

“When minutes count, Kaiser Permanente’s telestroke model delivers,” explains Navdeep Sangha, MD, who leads telestroke efforts in Southern California “If a patient with stroke symptoms arrives to the local emergency department, the care team can connect virtually to a trained neurologist in a couple of minutes. For our patients, our coordinated process provides precious time to receive potentially life-saving care for an ischemic stroke.”

‘Like watching an orchestra’

After being in the hospital for four days so the staff could closely monitor his recovery, Wilms and wife Vickie were given the all-clear to go home.

Wilms now plays golf every day and hikes as if “nothing ever happened.”

“Thanks to the folks at Kaiser Permanente, I’m still alive,” said Wilms.

Vickie also commented on her husband’s excellent care.

“Even though I was in shock, it was an incredible experience to watch. All the staff that assisted him were so synchronized and knew exactly what to do. It was like watching an orchestra. Everyone knew the steps to take to save my husband’s life.”

The post The Need for Speed: Fast Stroke Treatment Saves Lives appeared first on Kaiser Permanente Share.

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Is Netflix Really A Champion of Diversity? Not So Fast.

Many of the people defending Netflix against actor/comedian Mo’Nique’s call to boycott it over race- and gender-based pay inequities (with black female comedians getting the short end of the stick), are lauding the $ 100 billion company’s groundbreaking commitment to diverse programming. But is Netflix really a champion of diversity?

First, let me get this out of the way: Netflix should not get a pass on the issue of compensation and opportunities for black female comedians because of its $ 100 million deal with uber-producer/screenwriter Shonda Rhimes. Netflix is a $ 100 billion company; it spent $ 8.8 billion on content alone last year. Its multiyear-deal with Rhimes is a good start, but no more than that. (By the way, it’s been reported by the Wall Street Journal that Rhimes’ work for ABC has generated over $ 2 billion in revenue from advertising, rerun sales, and international licensing.)

We’re only tripping because black people have never seen that kind of money (a recurring theme in our culture after decades of exclusion and discrimination). But never forget, because one of us finally got it doesn’t mean it’s the first time a black person was qualified and deserving of the opportunity. Every “black first” is just a small down payment against generations of dreams (and billions of dollars) deferred and denied by the deliberate and systematic exclusion of black people from opportunities. Get back to me when $ 100 million production deals become as common for black people—and black women in particular—as they are for white males in the entertainment industry. Until then, the deal is an accomplishment for Rhimes, not for Netflix.

That said, Netflix absolutely deserves credit for its diverse programming, and the acting, directing, and other opportunities it creates for people of color in the industry. However, putting on more shows with diverse casts/producers/etc. is a great example of the easiest, quickest, and least permanent execution of diversity: on-air programming. It’s not a bad place to start, but alone, it is hardly representative of a true, long-term commitment to diversity.

Some call it window dressing; I call it banana-in-the-tailpipe diversity. (My boss and CEO Earl “Butch” Graves Jr. calls it “diversity as a diversion.”) Remember the launch of UPN (the network that introduced us to the Moesha spin-off, The Parkers, starring Mo’Nique)? The CW? The WB? The Cosby-driven revival of NBC? Media platforms, especially in television, always count on black people, the demo that watches more TV than anyone else, to establish and grow an audience. Besides, black people bring the cool factor, which brings those who want to be cool, too: primarily young, mainstream [white] viewers. Once that is achieved: poof! Black programming gone! Netflix, as a streaming service, is a departure from the old network TV model, so I hope it will be different this time. Not holding my breath, though.

That said, Black Enterprise measures diversity performance in four key ways:

1. Board Diversity. Netflix ain’t got none. It’s board, including the addition of a new director announced earlier this week, consists of seven men and three women—all of them white.
2. Senior Management/Executive Diversity. How many African Americans and other people of color are in the C-Suite, and in the decision-making power jobs that report into it? There are no Netflix executives on Black Enterprise’s latest list of “The Most Powerful Executives In Corporate America.”
3. Workforce Diversity. What is the representation of African Americans and people of color employed throughout the organization? (According to Netflix’s website, 4% of its employees are black.)
4. Supplier Diversity. How much money is a company spending with businesses owned by African Americans and other people of color, as a proportion of its total spending?

Suffice to say, you won’t find Netflix on the Black Enterprise “50 Best Companies for Diversity” list.

If a company is not serious about diversity in all four of these key areas—with the numbers to back it up—they’re just playing us, if not themselves. As I’ve already said, let’s hold off on giving Netflix an NAACP Image Award. (Better to give it to the actors, producers, writers, etc. and others actually working on its shows.)

It’s great, actually amazing, that Netflix is providing opportunities to African Americans and so many other people of color and diverse backgrounds (as they should, quite frankly—pay inequities notwithstanding). But that is not where the real money and decision-making power is. To paraphrase my CEO: “Don’t let diversity become a diversion.”

The post Is Netflix Really A Champion of Diversity? Not So Fast. appeared first on Black Enterprise.

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5 Super Slow and 5 Super Fast Recipes For Long Workdays

all day crockpot recipesIf one of your holiday gifts last year was a new pressure cooker or slow cooker (Instant Pot included), or if you just haven’t been getting enough mileage out of either or both of these kitchen appliances, we thought we’d round up some recipes for inspiration. Here are five all day crockpot recipes and five super fast Instant Pot recipes we’re interested in trying — slow for the long workdays, and fast when you want to make something quick (15 minutes or less) when you get home from work and can’t deal with another meal from Seamless or the freezer. Do you have a new pressure cooker or slow cooker that you’ve been trying out? What are your favorite sources of recipes (or recipes!) for them? Do you have any go-to fast or slow meals?

Psst: We’ve also talked about slow cooker recipes for working women, shared Instant Pot tips, and discussed the best cookware and kitchen appliances — and Kat’s shared some of her easy weeknight dinners in the past as well. 

Here are some workday-friendly recipes to try in your slow cooker or pressure cooker:

All Day Crockpot Recipes: Up to 10 Hours

These work really well for long workdays — a cooker with a timer can keep your meal warm for another 1–2 hours after it’s finished cooking.

  • A Year of Slow Cooking suggests meals with beans — even after hours of cooking, they won’t be dried out. Prep time: soak beans overnight (or 1–2 hours); cook time: 9 hours on low.
  • Recipes that Crock has a recipe for Italian pot roast. Prep time: 5 minutes; cook time: 8–10 hours on low).
  • Skinny Taste shares an easy recipe for jerk pork with Caribbean salsa. Prep time: marinate overnight; cook time: 9 hours on low.
  • The Skinny Fork shares a spaghetti squash Thai “noodle” bowl. Prep time: 1 minute to poke holes in squash, plus a few minutes to prep dressing and steam broccoli; cook time: 8–9 hours on low.
  • Cafe Johnsonia offers a vegan option for white bean stew. Prep time: 20 minutes; cook time: 8–10 hours on low.

Super Fast Instant Pot Recipes: 15 Minutes or Less

If you get home late or just don’t have much time to cook, try these quick and easy recipes.

  • Instant Pot shares a 1-minute pork chops and homemade applesauce recipe.
  • Health Starts in the Kitchen offers a 5-minute salmon and rice pilaf recipe.
  • A Fork’s Tale has a 15-minute orange chicken recipe that can be made while you steam broccoli and prepare rice.
  • The Sausagetarian offers a curried red lentil and sweet potato soup that is ready in about 10 minutes, including prep time.
  • Two Sleevers has a 10-minute recipe for chicken tikka masala. At the end, you remove the chicken and freeze half of the sauce for leftovers. (You’ll probably want to marinate the chicken for 1–2 hours ahead of time.)

Do you have a slow cooker and/or pressure cooker? What are your favorite all day crockpot recipes, or super fast Instant Pot recipes for when you’re short on time in the evenings?

The post 5 Super Slow and 5 Super Fast Recipes For Long Workdays appeared first on Corporette.com.

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Verizon and Qualcomm test a new LTE tech that will make next year’s phones crazy fast

Verizon 4G LTE speeds with Qualcomm Snapdragon 845

Verizon and Qualcomm have successfully completed a trial of a new LTE-Advanced technology, massive MIMO, that is going to give next year’s flagship Android phones a major speed boost. The test used equipment from Ericsson and a prototype phone running Qualcomm’s new Snapdragon 845 chip and X20 modem to demonstrate massive MIMO on a consumer-ready device for the first time.

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  1. The wireless headphones that beat Beats are under $ 50 for the first time
  2. This $ 38 wireless camera lets your smartphone see where no other phone can

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Verizon and Qualcomm test a new LTE tech that will make next year’s phones crazy fast originally appeared on BGR.com on Thu, 28 Dec 2017 at 23:10:31 EDT. Please see our terms for use of feeds.


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Kaiser Permanente Stroke Patients Receive Clot-Busting Medication More Than Twice as Fast as National Rates

OAKLAND, Calif. — Kaiser Permanente hospitals in Northern California are delivering clot-busting medication to new stroke patients more than twice as fast as the national average. This follows the regionwide adoption of an integrated telemedicine program, according to new research published Dec. 15 in the journal Stroke.

This is the among the first peer-reviewed, published studies to show how the successful implementation of standardized treatment protocols and telemedicine for acute ischemic stroke in a large, integrated system of hospitals can dramatically reduce the time it takes to start critical treatment.

“When a stroke happens, minutes matter,” said lead author Mai Nguyen-Huynh, MD, MAS, vascular neurologist and research scientist with the Kaiser Permanente Division of Research. “Faster treatment with intravenous r-tPA, which dissolves the stroke-causing clot and restores blood flow to the brain, is strongly associated with better functional outcomes for stroke patients.”

Intravenous r-tPA, also known as alteplase, is the only medication approved by the Food and Drug Administration to treat acute ischemic stroke.

American Heart Association and American Stroke Association guidelines recommend “door-to-needle” times of 60 minutes or less for intravenous r-tPA. Studies show that less than 30 percent of acute ischemic patients in the United States are currently being treated within this window. The new study in Stroke shows that across Kaiser Permanente’s 21 Northern California hospitals, 87 percent of stroke patients were treated in 60 minutes or less, 73 percent in 45 minutes or less, 41 percent in under 30 minutes and the average treatment time for intravenous r-tPA was 34 minutes.

With the Stroke EXPRESS program (EXpediting the PRocess of Evaluating and Stopping Stroke), all Kaiser Permanente emergency departments in Northern California were equipped with telestroke carts, which include a video camera and access to scans and tests results, enabling the stroke specialist to conduct a patient’s neurologic physical exam even when they are many miles away.

Telemedicine was integrated into a complete reorganization of how acute strokes are managed in Northern California, said co-author Jeffrey Klingman, MD, chair of chiefs of neurology for Kaiser Permanente Northern California.

“Processes that used to happen sequentially during a stroke alert, one after another, are now happening at the same time, allowing us to quickly, safely and confidently provide evaluation and treatment with intravenous r-tPA to stroke patients who can benefit,” he added.

Each member of the stroke team is responsible for executing tasks in tandem, meticulously and quickly. Paramedics provide advance notification to the emergency department that a stroke patient is on the way. A “stroke alert” notifies a stroke neurologist, who meets the patient upon arrival, in person or via video, to coordinate the stroke alert. Pharmacists prepare clot-busting medication early so it is ready to be administered once a radiologist has read neuroimaging and confirmed that the patient is not having a hemorrhagic stroke and is thus a good candidate for intravenous r-tPA.

Stroke EXPRESS was rolled out in all Kaiser Permanente hospitals in Northern California from September 2015 to January 2016. The researchers compared Kaiser Permanente members treated with intravenous r-tPAin the nine months before implementation (337 patients) with those treated in the nine months afterward (557 patients).

All 21 Kaiser Permanente medical centers in Northern California and 15 additional hospitals across the Kaiser Permanente program have been recognized by the American Heart Association/American Stroke Association for the accomplishment in the Get With The Guidelines quality program.

About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 11.7 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/share.

The post Kaiser Permanente Stroke Patients Receive Clot-Busting Medication More Than Twice as Fast as National Rates appeared first on Kaiser Permanente Share.

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NEW PARENT ESSENTIAL UPDATE:

Plus-size retailer goes bankrupt after expanding too fast

Plus-size retailer Fashion to Figure has succumbed to bankruptcy, The Post has learned. After disclosing plans to shrink its chain after it fell behind on rent payments and other bills, as reported by The Post last month, the struggling mall-based retailer filed for Chapter 11 on Monday in Newark, NJ. “We rolled out mall stores…
Fashion | New York Post

SHOE DEAL UPDATE:

Vin Diesel Reveals Justin Lin as Director of ‘Fast and Furious’ Parts 9 and 10

Vin Diesel Reveals Justin Lin as Director of 'Fast and Furious' Parts 9 and 10

As was hinted way back in 2014, Justin Lin is returning to the Fast and Furious franchise for the final two installments. Well, we're not sure they'll be the last of the series, but parts 9 and 10 will indeed be helmed by Lin, the director who revived the property with the third, fourth, fifth and sixth movies.

Vin Diesel broke the news with a Facebook Live video post, not just confirming Lin's return but showing the filmmaker on set. Also making an appearance in the video is…

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Not So Fast! Nicki Minaj Will NOT Take the Witness Stand in Brother Jelani’s Child Rape Trial, His Legal Team Lied

Nicki Minaj will NOT be testifying as a witness in her brother Jelani’s child rape trial, despite what his legal team may have said.

via TMZ:

Sources close to Nicki tell TMZ … she won’t be involved in any way in Jelani Maraj‘s Long Island court case, where he stands accused of raping an 11-year-old girl — his stepdaughter at the time.

We’re told Minaj never planned to take the stand, and her bro’s legal team telling news outlets she was on their witness list was simply false. There were reports Nicki would testify the alleged victim’s mom tried to extort her for millions.

Jelani’s trial started last week, but the bottom line here is Nicki won’t be anywhere near the proceedings.

We reached out to Jelani’s attorney who told us, “I have no idea, we’ll see.”

It’s best for Nicki to stay as far away from this as she can.

The post Not So Fast! Nicki Minaj Will NOT Take the Witness Stand in Brother Jelani’s Child Rape Trial, His Legal Team Lied appeared first on B. Scott | lovebscott.com.

B. Scott | lovebscott.com

BEST DEAL UPDATE:

Dwayne Johnson Shares More ‘Fast and Furious’ Spin-off Plans

Dwayne Johnson Shares More 'Fast and Furious' Spin-off Plans

For all his success as a worldwide box office attraction, Dwayne Johnson has yet to lead his own movie franchise. That's all about to change.

Early in his career, Johnson appeared The Mummy Returns, which was a huge success, and then starred in the spin-off movie The Scorpion King, which was a more modest success. By the time he made his first appearance as Diplomatic Security Service agent Luke Hobbs, first in Fast Five (2011), he was an established star who gave the Fast and Furious…

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