Tuesday, 29 December 2015

School of Medicine, Partners Launch Hancock County Healthcare Access Initiative

MACON – Mercer University School of Medicine, Navicent Health, Putnam General Hospital, Georgia Partnership for TeleHealth, Community Healthcare Systems Inc. and around a dozen other organizations recently launched the Hancock County Healthcare Access Initiative in the rural county in east central Georgia.

The initiative, which has received support from officials such as Georgia Gov. Nathan Deal and State Sen. David Lucas, serves as the pilot study for a groundbreaking project involving telehealth, which is the delivery of health-related services and information through telecommunications technologies.

"This initiative will provide a great opportunity for Hancock County as far as economic development, but it will also be the start of a program that we can implement across rural Georgia where health care is desperately needed," said Sen. Lucas, who represents Georgia's 26th District, which includes Hancock, Washington, Wilkinson and Twiggs counties as well as portions of Bibb, Jones and Houston counties.

"Telehealth is going to be a vital part of any sustainable rural health initiative," added Jean Sumner, M.D., associate dean for rural health in Mercer's School of Medicine. "Mercer is delighted to be able to lead this effort along with our partner organizations."

The Hancock County Healthcare Access Initiative is set in an area severely lacking health infrastructure. Hancock has no full-time primary care physician, and residents often seek help 25 or more miles away at one of the area's hospital emergency rooms. Some 68 percent of the calls to 911 are not emergencies, but they often tie up the county's sole ambulance service.

"Georgia Partnership for TeleHealth is excited to see this telemedicine initiative come to life in Hancock County. This program will become a model for the nation as other states struggle with the problem of getting health care to areas where access is often difficult. As care becomes more patient-centered, it only makes sense to provide healthcare access where the patient is – in the home," said Sherrie Williams, executive director of Georgia Partnership for TeleHealth.

Earlier this month, Excelsior Ambulance Service in Hancock County first employed a telehealth unit – including a high-resolution camera, stethoscope, EKG machine, basic lab equipment and a tablet computer – while responding to a call. Emergency medical technicians are trained to use these units to allow doctors working at partner hospitals to remotely examine and treat a patient and decide if he or she needs to be transported to one of these hospitals.

For the Hancock County initiative, EMTs who are trained in the use of the equipment as well as physical examination skills use the telehealth units to communicate with physicians at Putnam General and Navicent Health, who provide the patient consults.

"Emergency Department physicians and board leadership at Putnam General Hospital are behind the Hancock County Healthcare Access Initiative 100 percent," said Alan Horton, FACHE, administrator at Putnam General Hospital. "Putnam General is committed to improving access to care in rural Georgia. If our physicians can examine and recommend treatment for patients remotely, then potentially life-saving emergency personnel can remain in Hancock County to be more readily available to respond to emergency situations."

The project's partners believe telehealth offers a better way to save lives, time and money. They include Mercer, Navicent, Putnam General, Georgia Partnership for TeleHealth, Community Health Care Systems, Stratus Healthcare, the Hancock County Board of Commissioners, Sparta city leaders, the Georgia State Office of Rural Health, Department of Community Health, Department of Public Health, Emergency Management and Prevention, Verizon, AT&T, Roche Diagnostics and more. The Department of Public Health in Mercer's College of Health Professions plans to help publish the costs, outcomes and satisfaction of the project. Additionally, on Sept. 6, Grady EMS will succeed Excelsior as Hancock County's ambulance provider.

"I am proud that Hancock County was selected for this pilot project," said Hancock County Commission Chair Sistie Hudson. "Our county's healthcare needs will be greatly enhanced through telehealth technology, as non-emergency calls can be handled without unnecessary trips to our neighboring hospitals. It is a win-win for everyone."

The goal of the Hancock County Healthcare Access Initiative is twofold – first, to build the primary health infrastructure in Hancock County, and second, to develop a telehealth-based business model that's sustainable.

Eventually, the approach may be replicated statewide. Subsequent phases that are planned for the project include elective home visits, post-hospital visits to make sure patients understand their discharge instructions and medications, and elective visits paid by credit card or cash for anyone who doesn't know a physician or doesn't want to make a trip to the doctor.

"Community Health Care Systems has been able to utilize this system to treat homebound patients by having an EMT present the patient to the provider in the Sparta office. Using the peripheral devices, the provider was able to conduct a face-to-face visit with the patient that provided the same information that would have been received if the patient had been in the office," said Carla Belcher, CEO of Community Health Care Systems Inc.

"Working with the EMT, the patient had a complete assessment without leaving the home. We believe this type of intervention can greatly enhance our access to patients that are homebound or have other transportation barriers that prevent them from being able to come in for a traditional office visit."

About the Mercer University School of Medicine (Macon, Savannah and Columbus)

Mercer University's School of Medicine was established in 1982 to educate physicians and health professionals to meet the primary care and health care needs of rural and medically underserved areas of Georgia. Today, more than 60 percent of graduates currently practice in the state of Georgia, and of those, more than 80 percent are practicing in rural or medically underserved areas of Georgia. Mercer medical students benefit from a problem-based medical education program that provides early patient care experiences. Such an academic environment fosters the early development of clinical problem-solving and instills in each student an awareness of the place of the basic medical sciences in medical practice. The School opened a full four-year campus in Savannah in 2008 at Memorial University Medical Center. In 2012, the School began offering clinical education for third- and fourth-year medical students in Columbus. Following their second year, students participate in core clinical clerkships at the School's primary teaching hospitals: Medical Center, Navicent Health in Macon; Memorial University Medical Center in Savannah; and The Medical Center and St. Francis Hospital in Columbus. The School also offers master's degrees in family therapy, preclinical sciences and biomedical sciences and a Ph.D. and Psy.D. in clinical medical psychology.

General Information

The General Division of the Hancock County Common Pleas Court is a trial court of general jurisdiction that was created by the Ohio Constitution and established in Article IV, Section 1. It is charged with providing prompt and fair resolution of litigation in civil, criminal and domestic cases in the Findlay/Hancock County community.

As outlined in the Ohio Constitution, Article IV, Section 4, the General Division of the Hancock County Common Pleas Court has jurisdiction over all felony criminal cases and civil cases of a serious nature. Civil cases arise from a broad spectrum of issues, including but not limited to, negligence actions, appeals of decisions of administrative agencies, contract or labor disputes, foreclosure actions, declaratory judgment actions and actions for injunctive relief.

The Hancock County Common Pleas Court also has a Domestic Relations Division. This division of the Court has jurisdiction over divorce, dissolution, alimony, child support, annulment and custody in family disputes.

John Hancock

John Hancock (January 23, 1737 [O.S. January 12, 1736] – October 8, 1793) was an American merchant, smuggler, statesman, and prominent Patriot of the American Revolution. He served as president of the Second Continental Congress and was the first and third Governor of the Commonwealth of Massachusetts. He is remembered for his large and stylish signature on the United States Declaration of Independence, so much so that the term "John Hancock" has become, in the United States, a synonym for a signature.[2]

Before the American Revolution, Hancock was one of the wealthiest men in the Thirteen Colonies, having inherited a profitable mercantile business from his uncle, himself a prominent smuggler.[3] Hancock began his political career in Boston as a protégé of Samuel Adams, an influential local politician, though the two men later became estranged. As tensions between colonists and Great Britain increased in the 1760s, Hancock used his wealth to support the colonial cause. He became very popular in Massachusetts, especially after British officials seized his sloop Liberty in 1768 and charged him with smuggling. Although the charges against Hancock were eventually dropped, as Professor Peter Andreas, author of Smuggler Nation: How Illicit Trade Made America explains, "It is perhaps appropriate that the first signer of the Declaration of Independence was Boston's most well known merchant-smuggler, John Hancock."[4]

Hancock was one of Boston's leaders during the crisis that led to the outbreak of the American Revolutionary War in 1775. He served more than two years in the Continental Congress in Philadelphia, and as president of Congress, was the first to sign the Declaration of Independence. Hancock returned to Massachusetts and was elected governor of the Commonwealth, serving in that role for most of his remaining years. He used his influence to ensure that Massachusetts ratified the United States Constitution in 1788.

 was born on January 23, 1737; according to the Julian calendar then in use, the date was January 12, 1736.[5] He was born in Braintree, Massachusetts, in a part of town that eventually became the separate city of Quincy.[6] He was the son of the Reverend John Hancock of Braintree and Mary Hawke Thaxter (widow of Samuel Thaxter Junior), who was from nearby Hingham. As a child, Hancock became a casual acquaintance of young John Adams, whom the Reverend Hancock had baptized in 1735.[7][8] The Hancocks lived a comfortable life, and owned one slave to help with household work.[7]

After Hancock's father died in 1744, John was sent to live with his uncle and aunt, Thomas Hancock and Lydia (Henchman) Hancock. Thomas Hancock was the proprietor of a firm known as the House of Hancock, which imported manufactured goods from Britain and exported rum, whale oil, and fish.[9] Thomas Hancock's highly successful business made him one of Boston's richest and best-known residents.[10][11] He and Lydia, along with several servants and slaves, lived in Hancock Manor on Beacon Hill. The couple, who did not have any children of their own, became the dominant influence on John's life.[12]

After graduating from the Boston Latin School in 1750, Hancock enrolled in Harvard College and received a bachelor's degree in 1754.[13][14] Upon graduation, he began to work for his uncle, just as the French and Indian War (1754–1763) had begun. Thomas Hancock had close relations with the royal governors of Massachusetts and secured profitable government contracts during the war.[15] John Hancock learned much about his uncle's business during these years and was trained for eventual partnership in the firm. Hancock worked hard, but he also enjoyed playing the role of a wealthy aristocrat and developed a fondness for expensive clothes.[16][17]

From 1760 to 1761, Hancock lived in England while building relationships with customers and suppliers. Upon returning to Boston, Hancock gradually took over the House of Hancock as his uncle's health failed, becoming a full partner in January 1763.[18][19][20] He became a member of the Masonic Lodge of St. Andrew in October 1762, which connected him with many of Boston's most influential citizens.[21] When Thomas Hancock died in August 1764, John inherited the business, Hancock Manor, two or three household slaves, and thousands of acres of land, becoming one of the wealthiest men in the colonies.[22][23] The household slaves continued to work for John and his aunt, but were eventually freed through the terms of Thomas Hancock's will; there is no evidence that John Hancock ever bought or sold slaves.[24]

Boa Hancock

La emperatriz pirata Boa Hancock (海賊 女帝 ボア・ハンコック Kaizoku Jotei Boa Hankokku?) es un personaje ficticio del anime y manga One Piece.

Es la única mujer Shichibukai y fue mencionada por primera vez durante los eventos posteriores a la derrota de Gecko Moria en Thriller Bark. Ella es la Princesa Serpiente (蛇姫 Hebihime?) de Amazon Lily y gobierna sobre la isla junto a sus dos hermanas menores, las gorgonas Boa Marigold y Boa Sandersonia.
Apariencia

Hancock es una mujer de una belleza irresistible. Comparada con la apariencia anormal de sus hermanas, Hancock es delgada, alta y atractiva. Su cabello es largo y negro y sus ojos son grandes, azules y con largas pestañas. Cuando fue presentada usaba una reveladora blusa y una extensa falda que dejaba ver una de sus piernas. Actualmente usa un vestido largo de color claro con un pesado abrigo. De cualquier forma que vista, usa siempre un par de pendientes con forma de serpiente y zapatos de tacón alto; su atuendo se adorna con un emblema de las piratas Kuja. Su belleza es legendaria alrededor del mundo y se dice que las únicas que la superan son las sirenas, aunqueMargaret asegura que Hancock es la mujer más bella del mundo. De la misma manera que los demás Shichibukai (exceptuando a Barbanegra), ella tiene un tema animal: LaBoa.

En su espalda tiene tatuado lo que se creía eran los ojos de la Gorgona que petrificarían a cualquiera que los viera, sin embargo es una fachada. Lo que realmente se encuentra en su espalda es la marca de los Nobles Mundiales, quienes la tenían como esclava. Para Hancock, esto representa una vergüenza tal que mataría a cualquiera que le vea esa marca para preservar el secreto.
Personalidad

Hancock es una mujer extremadamente compleja. A primera vista, ella parece ser egoísta, pomposa y arrogante, y está acostumbrada a salirse con la suya en cualquier cosa. También es cruel y despiadada, justificado sus acciones poco admirables con su pretexto de su belleza y piensa que por ser hermosa, todo el mundo la perdonará. Hancock ha probado ser una buena mentirosa, excelente fabricando historias, y su confianza la lleva a nunca considerar las consecuencias de sus actos.

Como todo Shichibukai, Hancock no toma en cuenta demasiado al Gobierno Mundial. La mayor razón de su disgusto hacia el gobierno viene del vínculo que éste tiene con los Nobles Mundiales, a quienes odia. No se lo pensó dos veces al intentar matar a sus autoproclamados aliados de la Marina. Ella también parece no importarle en gran parte la tribu Kuja, como le comenta a la Anciana Nyon que no le importaba si la isla fuera destruida o no, ya que todos la perdonarían de todos modos porque ella es hermosa.

Sin embargo, se revela que la razón de las mentiras de Hancock y su actitud hacia la vida reside en el horrible pasado que tuvo como esclava de los Nobles mundiales. Hancock no desea mostrar debilidad de nuevo hacia nadie, y retiene un gran miedo a relacionarse con cualquiera excepto sus hermanas. Esto causó que su madre putativa Nyon temiese que Hancock se hubiera vuelto tan fría como el hielo, y no fue sino hasta que Hancock le confiesa a Luffy todo y muestra emociones por primera vez desde hacía mucho tiempo, rompiendo en llanto mientras relataba su oscuro y doloroso pasado. De hecho, en el fondo, Hancock es una mujer bastante sensible y vulnerable que tiene miedo y preocupación por cómo la gente (especialmente las otras Kuja) podrían reaccionar a la verdad del pasado vergonzoso que ella y sus hermanas para comparten. Se podría decir que es una tsundere, ya que en apariencia es agresiva y egoísta, pero con determinadas personas (como sus hermanas y Monkey D. Luffy) se muestra amable, dulce y cariñosa.

Esa parte de ella fue mostrada luego de muchos años a Monkey D. Luffy y que desde entonces se hizo amiga (incluso se enamoró) de Luffy, incluso aceptando aventurarse a la tierra de su sufrimiento, de sus días de esclava, a petición de su hermano. Hancock también ha demostrado ser muy astuta y mañosa, cuando la situación lo exige. Esto fue particularmente evidente cuando ayuda a Luffy a discretamente romper las defensas exteriores de Impel Down, así como manipular al director de la gran prisión, Magellan, a sus caprichos antes de transmitir un mensaje secreto al hermano de Luffy, Ace , a quien Luffy intentaba rescatar. Otro ejemplo se ve cuando ella también le desliza a Luffy la llave de las esposas de Ace y cuando persigue a Luffy como un pretexto para traerlo a la justicia en virtud de su posición de ser un Shichibukai.

Debido a su belleza y fuerza, que está acostumbrada a ver hombres y mujeres, jóvenes y viejos por igual, enamorarse inmediatamente de ella. Como resultado, la gente le perdona cuando actúa lindamente apologética o les recuerda de su belleza. Sin embargo, cuando Luffy llegó y muestra una inmunidad completa a sus encantos, inicialmente consideró que no podía soportar la existencia de alguien completamente invulnerable a sus poderes, y colapsará dramáticamente siempre que sea insultada.

Este sentimiento se ha erosionado, sin embargo, ya que ama a Luffy a pesar de su inmunidad hacia ella. Incluso después de dos años, Hancock sigue enamorada de Luffy tanto como antes a pesar de que este último rechaza abiertamente su propuesta de matrimonio.

Ella parece tener una aversión hacia los animales pequeños, que se ha convertido en una especie de chiste, en el que pregunta con enojo quién dejó al animal en frente de donde ella está caminando antes de patearle, no importa lo lindo que sea. Una Amazona Kuja responsablemente se disculpa, mientras que los ofendidos animales le gruñen, y Hancock le aconseja ser más cuidadosa en el futuro.

Su rasgo más extraño visto hasta ahora es que cuando ella mira hacia abajo a la gente, ella se inclina hacia atrás de manera que se enfrenta al techo (o al cielo) por encima de ella, aparentemente mirando hacia abajo en la gente tanto que está mirando hacia arriba.

Toda su arrogancia parece desvanecerse cuando Luffy está en su mente. Cada vez que está en su presencia, ella rápidamente se vuelve tímida, apenas capaz de verle a los ojos y destellando sobre cada acción que toma. Incluso cuando no está cerca, solo pensar en él hace que se ruborize y verdaderamente sonría de una manera que las otras Kuja han dicho que es inusual en ella.

A pesar de la presunción que ella muestra a sus enemigos y la fachada que pone a su pueblo, ella muestra verdadera preocupación por la gente cercana a ella. Esto fue visto cuando voló en un ataque de rabia y pateó a Smoker lejos de Luffy después de que él había tratado de matarlo. Haciendo caso omiso de las posibles consecuencias de sus acciones, ella abierta y públicamente declara a Luffy como su amado, escogiendo su amor por encima de su título y el tratado de su pueblo. En su furia, ella no demostró nada de su habitual calmada arrogancia. Esto se ve de nuevo, en menor medida, cuando ella grita a Aokiji por apuñalar a Luffy con un sable de hielo. Su ira es suficiente para hacer que incluso Jinbe se encoja de miedo, aunque ligeramente y de manera cómica.

Boa Hancock

"Pirate Empress" Boa Hancock is the only female member of the Shichibukai. She is also the "Snake Princess" of Amazon Lily[3] and rules over the Kuja tribe with her two younger Gorgon sisters, Boa Sandersonia and Boa Marigold.[3] She is the main antagonist of the Amazon Lily Arc.

She was first mentioned by the Risky Brothers at the end of the Thriller Bark Arc when comparing her legendary beauty to the beauty of mermaids.[8] She is considered by many to be the most beautiful woman in the world. While she currently remains employed within the Shichibukai, her love for Monkey D. Luffy has caused her to turn against the World Government on a number of occasions, thus putting her status as a Shichibukai in jeopardy.

Compared to the abnormal and huge appearance of her sisters, Hancock has a well proportioned figure. She is a very tall, slender woman with long black hair past her waist with locks of hair that frame her face down to her chin, large breasts, a high forehead, and light brown (dark blue in the anime) eyes that have long, voluminous lashes. Like most of the females in the series, she has a narrow waist.

Her three measurements are (according to Sanji and series creator Oda in supplemental material): B111-W61-H91 (B 43.7" - W 24.02" - H 35.83"), making her breasts a J-cup in Japan, and bigger than Nami's or Robin's breasts.[4]

Her attire changes frequently. When first introduced, she wore a revealing red blouse that showed much of her chest and a loose sarong that exposed her long, slender legs with the green symbol of the Kuja adorned on it, along with a white cape sporting epaulettes more commonly found on the jackets of high-ranking Marines, and red high heel pumps. She then wore a qipao with a hooded cloak which she used it to cover Luffy until they arrived at Impel Down and then took it off during the battle against Whitebeard. During the Whitebeard War, she wore a purple dress with Kuja designs on it and purple high heel pumps. Upon her return to Amazon Lily, she reverted to her original outfit (with the exception of her cape). In all her outfits, she has worn a pair of golden earrings that resemble snakes and high-heeled shoes; her attire is also adorned with the emblem of the Kuja, with an exception of when Hancock fell ill due to her Love Sickness, during which she wore a red blouse. After the timeskip, her attire looks the same as when she was first introduced, except it is colored blue (although it remains red in the anime).

Her beauty is noted by many throughout the world: to one of theRisky Brothers, her beauty is second only to that of the mermaids,[8] while others like Marguerite and Hannyabal claim she is the most beautiful woman in the world. She is also almost always seen with Salome, her large Snake Weapon, which, despite the skull it wears, is usually smiling.

Despite Hancock normally looking either calmly beautiful or cute (in an attempt to "apologize" for her actions), when she is angered, she looks very intimidating, with her eyes bulging madly and her teeth bared, as seen when Smoker nearly killed Luffy.

Before Hancock fell in love with Luffy, and when she is not around Luffy, her eyes tend to look emotionless, but when she is around Luffy, her eyes show much more emotion, making her look like a girl in love.

Along with her sisters, on her back is the slave mark of the Celestial Dragon, something that she was so intent on keeping secret and was willing to petrify anyone (other than her sisters and Elder Nyon) who saw it. In order to make sure it was never seen, she and her sisters concocted a lie that what was really on the sisters' backs were pairs of Gorgon eyes which would petrify anyone who sets eyes on them. Hancock uses this "curse" as an excuse for her and her sisters' Devil Fruit abilities.

As a young child, she looked similar to how she does now, only her side-locks went past her shoulders and were worn in beads. During her escape from Mariejois, she wore rags and tied her hair in pigtails.[9]

In Volume 63, SBS Oda drew the Shichibukai as children. Hancock is shown wearing a small laced top with exotic swirl patterns leaving her mid-riff exposed. Her only other piece of clothing is a small loin cloth around her hips.

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