Normally, buying four new yard debris trucks isn’t cause for celebration at Waste Connections Inc.Normally, those trucks don’t run without a drop of diesel fuel. But the latest additions are something different — the vehicles rolled out locally last month are fueled by the county’s first compressed natural gas fueling station.Waste Connections officials and local leaders dedicated one of the new trucks Thursday at the company’s hauling facility in the Five Corners area off Northeast 94th Avenue. As the specially equipped truck started up next to the fueling station, the gathering took note of one benefit some residents may have noticed already during their morning pick-up.“They’re quieter,” said Chris Thomas, Waste Connections’ district manager. “They’re noticeably quieter.”The company has a nationwide system of compressed natural gas infrastructure, but the program had never reached Clark County until now. The new station draws from an existing gas line in the ground, then sends the gas through an on-site compressor. The fuel is then pumped into the trucks, usually through a slower overnight fueling process.The trucks look slightly different than the rest of the fleet. The fuel tank is positioned on top of the vehicle, each able to power the truck with the equivalent of 75 gallons of diesel fuel. The cheaper cost of natural gas is one of the key factors contributing to the technology’s popularity, said Tim Hurst, a regional sales manager with manufacturer Labrie Enviroquip Group.Just a few years ago, compressed natural gas trucks accounted for about 5 to 10 percent of Labrie’s business, Hurst said. Now it’s closer to 25 percent.
Go back to the e-newsletterAbercrombie & Kent has expanded its Wings Over the World portfolio with two new regional journeys that combine luxury small-group travel with the comfort and convenience of privately chartered flights. Guests explore the enduring influence of the Moors on architecture and cuisine on Wings Over Spain & Morocco, or fly between the finest safari destinations on Wings Over East Africa, while enjoying breathtaking aerial views of the Maasai Mara, Ngorongoro Crater and Serengeti.Each Wings Over the World journey features privately chartered flights between each destination for the reward of visiting remote sites with less time spent getting there. Hassle-free flight departures and arrivals, often at separate terminals for faster security and immigration procedures, avoid connections and long layovers due to commercial aviation schedules.Private flights give guests more time to relax in five-star accommodations and explore alongside an A&K resident tour director, who has lived for decades in the destination. The small group size makes exclusive insider access possible, from private museum openings to visits with local people in their homes.Abercrombie & Kent’s newly expanded Wings Over the World portfolio for 2018 includes six journeys that explore East Africa, Spain & Morocco, China, India, Australia and the Mediterranean, with additional departures in 2019.NEW: Wings Over Spain & MoroccoEnjoy an early morning visit to the Alhambra, a UNESCO World Heritage Site. Overnight in the Sahara in style at A&K’s Exclusive Desert Tented Camp amid the Erg Chebbi dunes. Discover medieval Meknes and awe-inspiring Volubilis. Visit Jardin Majorelle in Marrakech, a garden restored by design legend Yves Saint Laurent, then stop at the newly opened museum. Privately enter Seville’s monumental Royal Alcazar Palace on an after-hours visit, followed by a tapas dinner. Roam the medieval streets of Córdoba’s Jewish Quarter, visiting an ancient synagogue. Limited to just 13 guests; 12 days from $27,995 (8-19 October 2018; 25 March – 5 April 2019).NEW: Wings Over East Africa Discover the astounding diversity of Africa’s wildlife, from the celebrated Big Five to species unique to northern Kenya. Fly between the finest safari destinations in a privately chartered Cessna Grand Caravan, reclining in a fully rotating, contoured leather seat. Panoramic wraparound windows offer expansive aerial views. Experience the finest boutique camps and luxury safari lodges. Limited to just 16 guests; 12 days from $29,995 (12-23 September 2018).Luxuries that name a world of differenceThe authentic taste of local cuisine is one of the highlights of any journey. A&K provides a balanced mix of planned small group meals — including celebratory welcome and farewell dinners — with mealtimes left unscheduled. Guests are invited to enjoy local restaurants, including a Chef’s Table experience featuring a culinary demonstration, as well as à la carte dinner at leisure.New for 2018 is Breakfast in Bed. Twice during each journey guests may opt for continental breakfast served in the comfort of their hotel room.Every Wings Over the World journey includes locally inspired moments crafted by A&K’s experts such as neighborhood visits by horse-drawn carriage or rickshaw on Ride Like a Local; a Scenic Sundowner cocktail in an unforgettable location; Traveller’s Valet®, complimentary mid-journey laundry service; and Travelling Bell Boy® service to transfer luggage from one hotel to the next. Private arrival and departure transfers are always included, regardless of arrival and departure dates, as well as most gratuities.Go back to the e-newsletterAfrica, Tanzania
Source:https://www.ucsf.edu/news/2018/07/411081/breast-cancer-follow-imaging-varies-widely-study-finds Jul 13 2018Follow-up imaging for women with non-metastatic breast cancer varies widely across the country, according to a new study led by researchers at UC San Francisco. Some patients go without the annual mammograms that experts recommend, while others with the same cancer diagnosis receive full-body scans that expose them to significant amounts of radiation and are not recommended by experts.Researchers said they could find no patterns in the data to explain the variation in care, but they suspected that it reflected differences in the common practices adopted by particular hospitals or physician groups. Full-body scans are expensive, costing between $2,000 and $8,000, and can be burdensome for patients who have high-deductible insurance policies that expose them to annual healthcare costs of $6,000 to $8,000 a year.Related StoriesCancer killing capability of lesser-known immune cells identifiedStudy: Nearly a quarter of low-risk thyroid cancer patients receive more treatment than necessaryUsing machine learning algorithm to accurately diagnose breast cancer”With skyrocketing medical costs, patients are having to take greater and greater responsibility for out-of-pocket expenses,” said UCSF’s Benjamin Franc, MD, MS, MBA, a professor in theThey found that 70.8 percent of women received at least one dedicated breast image, either a mammogram or a breast MRI, both of which are recommended for these patients. But 31.7 percent had at least one high-cost imaging procedure, and 12.5 percent had at least one PET, neither of which are recommended without a specific clinical symptom.About half of the lowest-risk patients — those who received only surgery — received the recommended mammography within 18 months of their initial treatment. And between 64 and 70 percent of patients who had received a mastectomy and radiation, and were presumably higher risk, received some sort of breast imaging, either mammography or breast MRI. But, depending on where they lived, between 18 and 46 percent of patients received high-cost tomographic imaging within 18 months of their surgeries.”Age and therapy make sense as predictors of breast imaging, but it doesn’t make sense that where you live makes a difference in whether you were likely to get a follow-up mammogram or high-cost imaging,” Franc said. “What’s actionable here is that we have these guidelines, but doctors aren’t following them.”