The health information exchange has evolved from hunter and gatherer to cultivator

first_img Claudia Williams By Claudia Williams Oct. 31, 2019 Reprints Democrats ‘continue to have concerns’ about FDA program to streamline regulation of medical software “Data is the new oil,” British data scientist Clive Humby once said. “It’s valuable, but if unrefined it cannot really be used.”I thought about that line recently when I met with the chief medical officer of a large health system. “I don’t want more data,” she told me, “we are already drowning in it.”Across the nation, we are making progress in exchanging health data. But if it isn’t refined and turned into insight, it does no one any good. That’s why health information exchanges (HIEs) — platforms that help coordinate care by allowing data sharing among various provider organizations and health plans — are stepping into a new, important role focused on bridging the gap between data overload and a data-driven, learning health care system.advertisement During the federal government’s third Interoperability Forum in Washington, D.C., this summer, I convened a group of experts at the intersection of health care and technology, including Deven McGraw, chief regulatory officer at Ciitizen, and Josh Mandel, chief architect at Microsoft Healthcare. We focused our conversation on the role of health information exchanges in a world where access to data is less of an issue and data overload, analysis, and insight delivery are becoming the primary concerns.What emerged from this discussion was how the role of the health information exchange has shifted from a “hunter and gatherer” approach — finding and moving data from one place to another — to a “cultivator” approach focused on curating and analyzing data and delivering insights where and when they are most needed.advertisement linkedin.com/in/claudiawilliamshealthdata/ @claudiawilliams Please enter a valid email address. New functions for the health information exchangeWhen I co-authored a 2012 article on health information exchange with several of my colleagues in the Office of the National Coordinator for Health Information Technology, the biggest hurdle the health care industry faced was simply sharing patient records across disparate health technology systems. We needed a common way to do this so each organization wasn’t creating its own approach to sharing data. Related: Leave this field empty if you’re human: To a large extent, the problem of exchanging data in common and predictable ways is now on the way to being solved. Today, millions of records are shared across national and regional networks. In addition, new API standards are bringing health care data sharing into the modern age.The urgent issue for health care today is managing and making sense of the sheer volume of data — whether it is from electronic health records or from more nuanced social determinants data like access to safe housing and healthy food — and then delivering insights directly to those who need it. The role of data steward is increasingly the job for health information exchanges. Here are a few examples that illustrate how this important role is evolving:Flagging actionable insights for care teams. HIEs identify patterns and problems that clinicians and public health officials might not readily see in volumes of data or that aren’t evident in just the small, limited slice of data held by one organization.Cincinnati’s Health Collaborative, for example, tells physicians how much radiation an individual has been exposed to before they order imaging studies to help prevent the harmful effects of excessive radiation. CRISP, a health information network serving Maryland and the District of Columbia, notifies public health and care teams when individuals experience overdoses so they can reach out in this critical moment and offer needed support.The delivery of timely, data-driven insights to care teams enables smarter, real-time care that is grounded in doing what is right for specific patients at particular moments in time.Integrating diverse data. Health information networks can pull in data from diverse sources, integrate it, and then synthesize it into usable information. This allows providers to more effectively scan their patient populations and identify individuals who need extra support or care. Two health information exchanges, Manifest MedEx, the California nonprofit I lead, and New York’s Healthix, for example, aggregate and integrate insurance claims and clinical data for more than 40 million patients combined. This integration brings new insights to clinicians and population health teams, such as predicting whether a patient is at risk of a hospital stay or hospital readmission or identifying which prescribed drugs were picked up by patients. RODGER BOSCH/AFP via Getty Images About the Author Reprints First OpinionThe health information exchange has evolved from hunter and gatherer to cultivator Newsletters Sign up for STAT Health Tech Your weekly guide to how tech is transforming health care and life sciences. Reducing the quality reporting burden. Quality reporting — the hard work that health care organizations must do to show how their care stacks up to national and state-specific guidelines — is an essential component of health care improvement, but it brings complexities and burdens for health plans and providers alike. For plans, the annual ritual of “chart chasing” — sending teams of nurses out to provider organizations to review patient charts — to report on and improve quality scores is a pain point for everyone involved.To address this problem, the Indiana Health Information Exchange and other HIEs are taking on the burden of collecting patient records needed for quality reporting to reduce the operational burden for both health plans and providers. In addition, the Massachusetts eHealth Collaborative is helping physicians in 34 states extract clinical data from their electronic health records and then track and report quality measures derived from this information.Using policy to accelerate interoperability. Health information exchanges play key roles in shaping policies at the national and state level, and also educate partners on today’s and tomorrow’s expectations for data sharing and patient privacy. As an example, the New York eHealth Collaborative develops state policies to align the investments and priorities of multiple health information networks across the state. On a national level, Manifest MedEx recently teamed up with technology leaders and other health information networks to advocate for health information sharing provisions in proposed regulations from the Centers for Medicare and Medicaid Services, including the requirement that hospitals alert community providers when patients are seen in the hospital.According to a survey by the Strategic Health Information Exchange Collaborative, 92% of the U.S. population is served by HIEs. These networks have evolved and are now leading the charge in curating and making sense of vast reams of data and delivering insights to those on the front lines of patient care. Serving as a foundational backbone of health care improvement, health information networks are helping our health care system transition from reactive to proactive and from redundant and wasteful to smart and cost-effective.Claudia Williams is the CEO of Manifest MedEx and a former senior adviser for health innovation and technology at the White House, where she helped launch President Obama’s Precision Medicine Initiative. Tags Health ITlast_img read more

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An FDA program to ensure decades-old drugs finally get approved is costing billions in price hikes

first_img By Ed Silverman Feb. 26, 2020 Reprints [email protected] @Pharmalot Tags drug pricinggovernment agenciesSTAT+ Log In | Learn More What’s included? An FDA program to ensure decades-old drugs finally get approved is costing billions in price hikes What is it? STAT+ is STAT’s premium subscription service for in-depth biotech, pharma, policy, and life science coverage and analysis. Our award-winning team covers news on Wall Street, policy developments in Washington, early science breakthroughs and clinical trial results, and health care disruption in Silicon Valley and beyond. Back in 2006, the FDA launched an effort to force drug companies to win regulatory approval for medicines already on the market that actually were never approved. Numerous treatments had been available for years on a grandfathered basis because they predated stricter requirements.But while the FDA program, called the Unapproved Drugs Initiative, succeeded in ensuring many older medicines are now safe and effective, it has come at a cost. Some companies decided to stop selling their drugs, leaving others with a monopoly that allowed them to charge sky-high prices. And a new analysis claims four such examples may be adding a combined $20.3 billion to U.S. health care spending.center_img Jacquelyn Martin/AP Daily reporting and analysis The most comprehensive industry coverage from a powerhouse team of reporters Subscriber-only newsletters Daily newsletters to brief you on the most important industry news of the day STAT+ Conversations Weekly opportunities to engage with our reporters and leading industry experts in live video conversations Exclusive industry events Premium access to subscriber-only networking events around the country The best reporters in the industry The most trusted and well-connected newsroom in the health care industry And much more Exclusive interviews with industry leaders, profiles, and premium tools, like our CRISPR Trackr. Pharmalot GET STARTED Pharmalot Columnist, Senior Writer Ed covers the pharmaceutical industry. Ed Silverman About the Author Reprints Unlock this article — plus daily coverage and analysis of the pharma industry — by subscribing to STAT+. First 30 days free. GET STARTEDlast_img read more

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Outstanding ACT Pharmacists honoured

first_imgOutstanding ACT Pharmacists honoured Pharmaceutical Society of AustraliaThree outstanding pharmacists have been honored at the inaugural ACT Excellence Awards hosted by the Pharmaceutical Society of Australia (PSA) at Pharmacy House on Wednesday night.Brad Butt was awarded Pharmacist of the year with Mandy Wang claiming Early Career Pharmacist of the year and Erin Cooper Intern Pharmacist of the year.PSA ACT Branch President Renae Beardmore congratulated all three winners who have played a key role in serving the ACT community during a difficult year.“This year more than ever we need to celebrate pharmacists on the frontline who have continued to provide essential medicines and health care to patients during bushfires and COVID-19,” she said.“Brad is the epitome of what a community pharmacist should be and has led by example, building a strong community-focused ethic within his pharmacy providing exceptional and innovative personalised customer medication management services.“His establishment of a service model of men’s health displays many of the qualities consistent with PSA’s Pharmacists in 2023 vision and his professionalism is further exemplified by his desire to deliver more health services to his community.“Brad’s unique and innovative fee for service model is delivering a significant area of need for men with urological conditions.”Ms Beardmore also paid tribute to Mandy Wang who as an early career pharmacist has shown tremendous leadership as well as a desire to innovate the pharmacist’s role.“Over the last twelve months Mandy’s accomplishments, like many ACT pharmacists were framed by bushfire smoke, the threat of bushfire requiring the need for evacuations of her pharmacy and COVID-19.“During the height of the COVID-19 pandemic, Mandy reached out to special communities she identified as having little or no access to healthcare via PBS or usual Government care.“As part of the 2020 influenza NIP program, Mandy personally vaccinated 618 patients and has displayed an incredible amount of commitment, professionalism and care for her patients and the community.”Ms Beardmore also congratulated Erin Cooper who was presented with the Intern Pharmacist of the Year Award.“Erin consistently exceeds the expectations of her role in pharmacy, implementing various professional services, supporting other pharmacists, and above all, making our community healthier every step of the way.“Erin’s peers would describe her as a collaborative and kind pharmacists and was the NAPSA President during the early stages of COVID-19, personally contributing to the creation of tools and support for members.“I would also like to take this opportunity to thank all ACT pharmacists for their dedication and professionalism in what has been a difficult year for so many people.” /Public Release. This material comes from the originating organization and may be of a point-in-time nature, edited for clarity, style and length. Why?Well, unlike many news organisations, we have no sponsors, no corporate or ideological interests. We don’t put up a paywall – we believe in free access to information of public interest. Media ownership in Australia is one of the most concentrated in the world (Learn more). Since the trend of consolidation is and has historically been upward, fewer and fewer individuals or organizations control increasing shares of the mass media in our country. According to independent assessment, about 98% of the media sector is held by three conglomerates. This tendency is not only totally unacceptable, but also to a degree frightening). Learn more hereWe endeavour to provide the community with real-time access to true unfiltered news firsthand from primary sources. It is a bumpy road with all sorties of difficulties. We can only achieve this goal together. Our website is open to any citizen journalists and organizations who want to contribute, publish high-quality insights or send media releases to improve public access to impartial information. You and we have the right to know, learn, read, hear what and how we deem appropriate.Your support is greatly appreciated. All donations are kept completely private and confidential.Thank you in advance!Tags:Act, Australia, Award, building, bushfires, career, community, community health, covid-19, Government, health services, healthcare, influenza, pharmacy, President, Societylast_img read more

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Town and Country Planning Direction 2021

first_imgTown and Country Planning Direction 2021 The Town and Country Planning (Consultation) (England) Direction 2021 PDF, 192KB, 6 pages /Public Release. This material comes from the originating organization and may be of a point-in-time nature, edited for clarity, style and length. View in full here. Why?Well, unlike many news organisations, we have no sponsors, no corporate or ideological interests. We don’t put up a paywall – we believe in free access to information of public interest. Media ownership in Australia is one of the most concentrated in the world (Learn more). Since the trend of consolidation is and has historically been upward, fewer and fewer individuals or organizations control increasing shares of the mass media in our country. According to independent assessment, about 98% of the media sector is held by three conglomerates. This tendency is not only totally unacceptable, but also to a degree frightening). Learn more hereWe endeavour to provide the community with real-time access to true unfiltered news firsthand from primary sources. It is a bumpy road with all sorties of difficulties. We can only achieve this goal together. Our website is open to any citizen journalists and organizations who want to contribute, publish high-quality insights or send media releases to improve public access to impartial information. You and we have the right to know, learn, read, hear what and how we deem appropriate.Your support is greatly appreciated. All donations are kept completely private and confidential.Thank you in advance!Tags:Government, planning, UK, UK Governmentlast_img read more

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$1 Million in Innovative Seed Grant Program awards announced

first_imgCategories:Education & OutreachEnvironmentLaw & PoliticsScience & TechnologyNews Headlines Published: April 29, 2016 CU-Boulder’s Innovative Seed Grant program is awarding $1 million through 23 grants that take investigators in creative and sometimes high-risk, high-reward directions, like a new project exploring the relationship between climate change and political instability in the Middle East.The awards, announced by the CU-Boulder Offices of the Provost and the Vice Chancellor for Research, are funding 23 grants of up to $50,000 each, including $250,000 for six grants supporting work directly connected to the CU-Boulder Grand Challenge. The program aims to stimulate new and exciting areas of research and creative work on the CU-Boulder campus, as demonstrated by a small sampling of the 2016 Innovative Seed Grant Program winners:Climate change and political instability in the Middle East: A recurring historical pattern?Generation of Novel Electronically Reconfigurable NanomaterialsConnecting Everyday Experience and Cognitive Development: The Case of Less-Structured Time and Children’s Self-directed Executive FunctionSmart Morphing Electronics for Soft Robots and Biomedical ApplicationsImproving Access to Agricultural Knowledge Through Mobile Phones: Exploring the Potential for Technology Adoption in Africa.The selected projects represent an investment in the future research, scholarly, or artistic vitality of the university and demonstrate promise for expansion of the project goals in the future. Projects come from disciplines across the university, including those involving interdisciplinary work that will foster collaborative interaction among CU faculty, as well as disciplines not traditionally connected to sponsored research.This year’s Innovative Seed Grant Program also provides a new and unique opportunity for faculty to become part of the campus Grand Challenge supporting Our Space. Our Future. and take the Challenge into new and exciting directions. Funding is being provided for projects that branch out and strengthen ongoing Grand Challenge work and contribute to ensuring that research at CU-Boulder creates global impact.For more information on this program and other funding opportunities, visit the website of the Office of the Vice Chancellor for Research. center_img Share Share via TwitterShare via FacebookShare via LinkedInShare via E-maillast_img read more

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California’s $2 billion plan to reopen schools faces critics

first_imgHomeNewsCalifornia’s $2 billion plan to reopen schools faces critics Jan. 09, 2021 at 5:00 amNewsCalifornia’s $2 billion plan to reopen schools faces criticsAssociated Press5 months agoNewsschool reopeningStudents at PS1: Pluralistic Elementary School play a game of mathematical hot potato. The quality of education was one reason Santa Monica made a list of the 100 best cities in which to live. (File photo) Jocelyn Gecker, Associated PressMost of California’s 6 million public school students have not seen the inside of a classroom in 10 months. Gov. Gavin Newsom is hoping his $2 billion plan to resume in-person classes will get schools to reopen quickly.Newsom’s “Safe Schools For All” plan, officially introduced Friday as part of his 2021 budget, has already faced strong objections from teachers and many of the state’s largest school districts. Critics say the plan’s funding is not sufficient to ensure safety in California classrooms, as COVID-19 case rates and deaths skyrocket, and it risks deepening the inequities that the pandemic has already laid bare.His plan for schools to start in-person learning by spring allocates $2 billion for coronavirus testing, personal protective equipment and increased classroom ventilation that would allow classrooms to reopen safely. It still needs approval from the state Legislature to take effect.The plan includes a one-time payment of at least $450 per student for school districts that offer in-person instruction. It proposes a phased approach that prioritizes the state’s youngest students and those with special needs, who have struggled the most during months of distance learning. Schools that serve low-income families, English learners and foster children could qualify for additional funding.California was the first in the country to issue a statewide shutdown order in mid-March, and most of the more than 1,000 school districts have not resumed in-person classes since then.Newsom said his recommendation was driven by increasing evidence that there are lower risks and increased benefits from in-person instruction, particularly for the youngest students. It comes amid increased pressure from parents and politicians to reopen campuses.To qualify, school districts must submit a COVID-19 safety plan by Feb. 1, with approval from local health authorities, and commit to regular testing, all students and teachers wearing masks and for officials to put their phased-in approach in writing. Schools would reopen classrooms by mid-February for students in transitional kindergarten through second grade and children who are homeless, in foster care and without access to computing devices or high-speed internet. Schools would resume in-person classes for third through sixth graders by mid-March.But it says schools will only qualify to reopen in counties where the seven-day average coronavirus case rate is at or below 28 per 100,000 residents. That means students in the most highly populated and hard-hit counties, such as Los Angeles, Fresno and elsewhere, may have to wait longer to return to in-person learning than students in other areas with lower infection rates.Earlier this week, the superintendents of seven large California school districts wrote a joint letter to Newsom that voiced support for the additional funding but said the plan “does not address the disproportionate impact the virus is having on low-income communities of color,” particularly in the urban school districts that serve nearly a quarter of California’s 6 million students.The seven superintendents — representing the state’s four biggest districts of Los Angeles, San Diego, Fresno and Long Beach as well as Sacramento, Oakland and San Francisco — wrote that Newsom’s plan was not helpful enough for their urban districts that serve a large percentage of students from poorer neighborhoods hard hit by the virus. They called for more defined rules around PPE and vaccinations.While it calls for a “safe school environment” that includes masks, social distancing, and better ventilation, it leaves the details of creating that safe environment up to the state’s 1,000 districts which would create “a patchwork of safety standards.”“It also reverses a decade-long commitment to equity-based funding,” the superintendents wrote, saying that the plan is likely to wind up funneling money into wealthier districts and exacerbate inequities.Public education accounts for roughly 40% of all state general fund spending. The amount of money school districts receive fluctuates annually based on a complicated formula outlined in the state Constitution that is based on revenues, per capita personal income and school attendance.Tags :Newsschool reopeningshare on Facebookshare on Twitteradd a commentLA, Congress take divergent paths after COVID test warningEssential Interviews: Bus Driver Nicole Honaker-HwangYou Might Also LikeFeaturedNewsBobadilla rejects Santa Monica City Manager positionMatthew Hall5 hours agoNewsCouncil picks new City ManagerBrennon Dixson16 hours agoFeaturedNewsProtesting parents and Snapchat remain in disagreement over child protection policiesClara Harter16 hours agoFeaturedNewsDowntown grocery to become mixed use developmenteditor16 hours agoNewsBruised but unbowed, meme stock investors are back for moreAssociated Press16 hours agoNewsWedding boom is on in the US as vendors scramble to keep upAssociated Press16 hours agolast_img read more

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Asus CEO keeps open mind on HTC acquisition

first_img Joseph Waring joins Mobile World Live as the Asia editor for its new Asia channel. Before joining the GSMA, Joseph was group editor for Telecom Asia for more than ten years. In addition to writing features, news and blogs, he… Read more HomeDevicesNews Asus CEO keeps open mind on HTC acquisition Devices Previous ArticleVerizon opens war of words with T-Mobile US over Legere’s spectrum claimsNext ArticleTwitter CEO to step down as company deals with disappointing growth Joseph Waring Asus pushes compact design with latest flagship Realme pushes low-end 5G with Narzo Authorcenter_img Related Smartphone shipments to ride 5G wave AddThis Sharing ButtonsShare to LinkedInLinkedInLinkedInShare to TwitterTwitterTwitterShare to FacebookFacebookFacebookShare to MoreAddThisMore 12 JUN 2015 Taiwan’s Asus said today it has “not ruled out the possibility” of buying troubled smartphone maker HTC, which recently forecast a sharp loss for Q2, Reuters reported.Asus chairman Johnny Shih made the comment in response to a question raised at its annual general meeting.CFO David Chang told Reuters that while Shih mentioned the possibility internally, “the chances of an actual takeover are not big as Asus is a company that has depended on organic growth”.Last week HTC cut its Q2 revenue forecast, citing “slower demand for high-end Android devices and weaker than forecast sales in China”, and also trimmed its gross margin forecasts, primarily on product mix change and reduced scale.HTC shares dropped 20 per cent on Monday and Tuesday.Asus is looking to regain momentum in the second half of the year after a slow start to 2015. It shipped more than 1.5 million smartphones in May, enabling its handset business to start generating profits, DigiTimes said. The company expects shipments to reach 2 million devices this month.Asus was the third largest PC vendor last year. Tags acquisitionAsusHTCsmartphoneTaiwanlast_img read more

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Mobile money hits $1 billion per day landmark

first_img Chris Donkin HomeMWC18 Articles Mobile money hits $1 billion per day landmark Chris joined the Mobile World Live team in November 2016 having previously worked at a number of UK media outlets including Trinity Mirror, The Press Association and UK telecoms publication Mobile News. After spending 10 years in journalism, he moved… Read more Previous ArticleFeature: MWC18 Monday highlightsNext ArticleKeynote 5: The Foundations of the Digital Transformation – McAfee, CEO Christopher Young Author MWC18 Articles Tags Related Operators highlight mobile’s role in transforming lives Mobile money services generated $2.4 billion in direct revenue during 2017, as the industry processed $1 billion worth of transactions per day, the GSMA said.The Association’s annual State of the Industry Report on Mobile Money revealed there were more than 690 million registered accounts across 90 countries by the end of last year – a 25 per cent year-on-year increase in users.Whereas in its previous six annual reports the sector’s strongest growth had been noted in sub-Saharan Africa, South Asia led the charge for the first time in 2017 with 47 per cent year-on-year growth. The report revealed the region now accounts for around 34 per cent of the world’s registered accounts.The report uncovered several other growing trends including acceleration in bank-to-wallet interoperability and renewed efforts by companies and governments to expand the service to the most vulnerable members of their societies.GSMA director general Mats Granryd said mobile money provided a lifeline for troubled communities, with digital humanitarian cash transfers and affordable international remittances giving refugees safe and convenient ways to meet pressing needs.“We are also continuing to focus on narrowing the gender gap in access to financial services through programmes such as the Connected Women Commitment Initiative,” he added. AddThis Sharing ButtonsShare to LinkedInLinkedInLinkedInShare to TwitterTwitterTwitterShare to FacebookFacebookFacebookShare to MoreAddThisMore 27 FEB 2018 4G/5G to support bulk of connections by 2025 GSMAmobile moneylast_img read more

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Storm Denis: Forecasters warn to expect coastal flooding

first_img Storm Denis: Forecasters warn to expect coastal flooding WhatsApp Facebook By News Highland – February 14, 2020 Google+ DL Debate – 24/05/21 Pinterest Twitter Important message for people attending LUH’s INR clinic FT Report: Derry City 2 St Pats 2 WhatsApp Twittercenter_img Previous articleThe Score – Premier Division SpecialNext articleTimetable for Mica Redress roll out expected next week News Highland AudioHomepage BannerNews Google+ RELATED ARTICLESMORE FROM AUTHOR Facebook Loganair’s new Derry – Liverpool air service takes off from CODA News, Sport and Obituaries on Monday May 24th Forecasters are warning people to expect flooding this weekend when Storm Dennis arrives. Met Eireann will issue weather warnings later today, which will be in place from Saturday to Monday.It says flooding is likely and very strong winds may also cause disruption.Cathal Nolan, from Ireland’s Weather Channel, says coastal and midland areas will be worst hit:Audio Playerhttp://www.highlandradio.com/wp-content/uploads/2020/02/weagfhyghfghther7am.mp300:0000:0000:00Use Up/Down Arrow keys to increase or decrease volume. Arranmore progress and potential flagged as population grows Pinterestlast_img read more

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Roaming within the EU ends tonight

first_img 45 new social homes to be built in Dungloe Facebook Pinterest Facebook Donegal hoteliers enjoy morale boost as bookings increase WhatsApp Previous articleTilda Swinton Had A Hilariously Petty Response To George Clooney’s Baby NewsNext articleLetterkenny MD Mayor reflects on Varadkars affection for Donegal News Highland WhatsApp Twitter Mobile phone roaming charges within the European Union will end at midnight tonight.From tomorrow, EU citizens can make calls within the European Union for the price of a local call, marking the end of excessive roaming bills.However consumers are advised that when outside the country, data charges will vary between phone companies relative to individual contracts.Ruth Deasy is from the EU Commission office in Dublin…………Audio Playerhttp://www.highlandradio.com/wp-content/uploads/2017/06/07roaming.mp300:0000:0000:00Use Up/Down Arrow keys to increase or decrease volume. Twitter Homepage BannerNewscenter_img By News Highland – June 14, 2017 RELATED ARTICLESMORE FROM AUTHOR Google+ Roaming within the EU ends tonight Harps come back to win in Waterford Pinterest Consultation launched on proposal to limit HGV traffic in Clady Journey home will be easier – Paul Hegarty Google+ DL Debate – 24/05/21last_img read more

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