The flooding is some of the worst that Spain has seen in decades. Satellite images released by the European Space Agency capture the scale of the devastation Other images, which Business Insider geolocated and compared with images from Google Street View show how the rainfall badly affected certain places in and around Valencia This image from the US Landsat-8 satellite shows the landscape around Valencia on October 8 it's about 28 miles from the city of Alzira Before-and-after satellite images captured by Maxar Technologies show widespread destruction across the Valencia Province Depicted here is a highway that was damaged by floodwaters As of Thursday, about 300 people remained cut off from rescue due to damaged roads, EFE — Spain's state news agency — reported. The Sedaví area of Valencia is almost unrecognizable in these images from before and after the flash floods The floodwaters flipped cars on their sides, inundated highways Some were forced to flee to their rooftops to await rescue where at least 62 people were killed by the floods Sudden, catastrophic rain events are becoming more of a problem worldwide as global temperatures rise largely because warmer air holds more moisture The number of people unaccounted for remains unclear As the planet heats up for decades to come droughts and rain events will likely become more and more extreme That's one of many reasons scientists have been calling for companies and industries to drastically cut their carbon emissions research suggests there will be more floods like this in the future Access all of the club's multimedia content Un estadio referente y reconocido internacionalmente por sus instalaciones modernidad y capacidad para acoger eventos durante los 365 días del año Make your reservation to visit every corner of the amazing RCDE Stadium and discover all the history of RCD Espanyol de Barcelona Feel the pre-match excitement with exclusive pitchside access to watch the players’ warm-up up close witness the starting eleven step onto the field from the tunnel And get to meet and greet the stars after the match In Víctor Cea's debut as Espanyol B manager the home side barely created any scoring chances but they took the lead after nine minutes of play with their first chance of the match and shortly afterwards Mingo had the opportunity to get the equaliser it seemed that the score was going to be 1-0 going into the interval but Justin Smith levelled for Espanyol B scored with a shot from distance The home goalkeeper denied Carvalho a goal in the 54th minute but ten minutes later he could do nothing about Jurado's effort from outside the area as Los Pericos went in front for the first time The match entered its last quarter of an hour with Espanyol controlling play well They even threatened to score a third goal and had a numerical advantage when Michel was sent off on 78 minutes A second win in a row was a positive result for RCD Espanyol B Everything about the game on your mobile phone © 2025 Official Website of RCD Espanyol de Barcelona S.A.D CD Atlético Baleares claimed all three points at Estadio Balear after defeating UD Alzira (3-0) in Matchday 29 of the Segunda RFEF (Group III) The blue-and-whites delivered a perfect first half and a lively Moha were decisive all over the pitch After several clear chances in the first 30 minutes Florin Andone opened the scoring thanks to a great assist from Moha on the right wing It was the number 7 himself who netted the second with a brilliant solo effort the visitors pushed forward and had two good chances but failed to find the net Moha and Tovar were close to scoring a third Florin Andone beat the keeper to a loose ball and tapped it in for the final goal Atlético Baleares are now 11 games unbeaten The team travels to Barcelona next to face fourth-placed Espanyol in a key match in the promotion race We didn’t allow them to feel comfortable and we had a sense of control and were able to create a lot.” At times during the match we moved the ball very well.” “Keita and Andone showed their quality They delivered with the ball and helped us a lot.” there were moments where we allowed them to break we had a lot of scoring opportunities.” There’s still room for improvement.” Δdocument.getElementById( "ak_js_1" ).setAttribute( "value" The road to Primera RFEF begins! CD Atlético Baleares beats Ibiza (2-0) and finishes the league in second place The victory against Mallorca B (0-3) keeps ATB in the fight for second place ahead of the final matchday Atlético Baleares snatch a point in stoppage time at Sa Plana (2-2) Atlético Baleares draw against Ilicitano (1-1) and sit third Atlético Baleares beat Espanyol B and secure three vital points (0-1) The opening ceremony of the new Vaersa light packaging plant designed and built by Stadler in Alzira – a benchmark in the Spanish waste management sector – took place on the 3rd of July in the presence of the leading local government representatives with environmental responsibilities Salomé Pradas Regional Secretary of Environment and Territory and Jorge Blanco Director General of Quality and Environmental Education Also in attendance were representatives of top management from Vaersa José Alberto Comos President of the V4 Ribera-Valdigna Consortium and Alfons Dominguez opened the proceedings by recalling the beginnings of the Alzira site with a manual sorting plant back in 2000 She highlighted the progress achieved through Stadler’s automation of the process and emphasized that the plant will ensure the correct recovery of light packaging from now on Alzira Light Packaging Sorting Plant Manager took over with a presentation of the new plant A video of the construction project and the sorting line in operation closed the event Vaersa is a public enterprise reporting to the Department of Agriculture and Climate Emergency of the Generalitat Valenciana (government of the Valencian Autonomous Community) It provides services related to environmental management It began managing the light packaging sorting infrastructure for the Valencian Community in 2000 coinciding with the implementation of separate waste collection The facilities include the light packaging plant in Alzira Vaersa decided to invest in upgrading and expanding the capacity of the Alzira plant to address the increasing volumes of light packaging waste and to improve the quality of the output for recycling it issued a call for tenders to award the project under the Public Sector Contracts Law The tender criteria included designing the sorting line to prioritise maximising recovery facilitate operation and ease of movement within the facility and enhance operating efficiency through the placement of every piece of equipment and their implementation Ergonomics and safety of plant personnel in all aspects of operation from sorting tasks and quality control to cleaning operation and maintenance were key for the project The tender criteria also required to include an analysis of preventive and corrective maintenance and measures to ensure the processing line’s modularity and flexibility Stadler presented a highly detailed preliminary project which was the highest rated by the contracting committee Noelia Almiñana Lledó explains: “The Alzira Packaging Sorting Plant was the oldest of the Vaersa Plants and therefore the least automated Our foremost and greatest challenge was to implement an automated processing line that would double the existing plant’s capacity in the same space Stadler designed a compact process line that fits the available space incorporating the most modern sorting technology without compromising its operation The new plant increases the facility’s capacity from 3 t/h to 8 t/h making it one of the largest sorting plants in Spain by capacity Installation in the same building as its predecessor introduced significant space constraints which Stadler’s design successfully addressed: “One of the main challenges was that we were replacing an existing plant,” explains Ismael Avilés Ortega “This required a meticulously studied design to fit within the existing building making the preparatory work of our engineers crucial.” Stadler’s design for the new plant automates the sorting process with two sorting cabins two Stadler STT2000 ballistic separators that separate the flexible and 3D materials and eddy current separators that sort metals into ferrous and non-ferrous and optical sorters that recover recycling materials the recovered materials are baled and sent for recycling The new plant design also enhances the efficiency of the sorting process and improves the quality of the output fractions supporting Vaersa’s commitment to advancing towards a circular economy Stadler’s design stands out for the flexibility and modularity of the processing line This means that Vaersa can rely on uninterrupted operation: “Bypass systems have been designed to ensure continuous treatment in the event of critical equipment shutdowns,” comments Jose David Castillo Cáceres “We also appreciate the standardization of mechanical and electrical equipment and components which helps optimize the management of spare parts.” Stadler’s solution future-proofs the Alzira sorting plant Its flexibility allows for further expansion in the plant’s capacity to absorb the expected increase in incoming waste resulting from growing public awareness and commitment to separation at source it addresses possible changes in the incoming waste due to “its ability to adapt to potential changes in the characteristics and composition of the input materials Stadler has allocated space reserves that will allow for the future installation of new equipment for possible process adaptations,” explains Jose David Castillo Cáceres this first UK staging of Verdi’s 1845 opera on colonialism and compassion is consistently dramatic with superb singing which is receiving its first professional UK staging in a new production by Elijah Moshinsky It failed to enter the regular repertory in the years following its 1845 Naples premiere reportedly stating he thought it “really ugly” His judgment was accepted at face value by many and the score went unheard for more than a century Based on a play by Voltaire it’s set in Peru shortly after the Spanish invasion and the clash between colonialists and colonised is played out in microcosm between the Spanish governor Gusmano and the Inca leader Zamoro both in love with the captive princess Alzira the opera anticipates Don Carlos in its examination of the intersection between private agendas and public power though the assassination that triggers the denouement also strongly reminds us of Un Ballo in Maschera Verdi’s contemporaries castigated the score for its brevity though nowadays it’s the work’s compactness that most impresses There’s not a wasted note as Verdi hurtles through his material at exhilarating speed The big confrontations have considerable force and a tremendous sextet forms the first-act climax however: the music for Zamoro’s followers rarely rises above exoticist convention and neither libretto nor score give us quite enough psychological preparation for Gusmano’s eventual decision to reject the brutal colonialist code by which he has lived But the piece doesn’t deserve the opprobrium heaped on it over the years Strands of religious imagery run through it Russell Craig’s sets suggest a despoiled Eden ravaged by the human violence that ceaselessly erupts within it Having agreed to marry Gusmano in order to save Zamoro’s life Kate Ladner’s Alzira looks like a saint or martyr as she goes to her wedding is as much a demand for spiritual compassion as for political reconciliation The outstanding performances come from Cleverton and Yun The latter has an easy ring at the top of his voice and a restless dramatic energy really convinces both as the stiff-backed dictator of the opening scenes and the man of conscience at the close powerfully conveys Alzira’s conflicted emotions In the smaller but crucial role of Alvaro (the father of Gusmano) Graeme Danby took time to settle on opening night The choral singing is consistently strong and Barlow conducts the Northern Chamber Orchestra with grace and panache At Buxton Opera House, until 20 July. 19 Apr 2025 18:00:00 GMT?.css-1txiau5-AnswerContainer{color:var(--GlobalColorScheme-Text-secondaryText2);}CE Europa won 4–0 over Alzira on Sat This is 32 of the Segunda Federacion - Group 3 Predicted lineups are available for the match a few days in advance while the actual lineup will be available about an hour ahead of the match The current head to head record for the teams are CE Europa 0 win(s) Have scored 1 goals in their last 5 matches Haven't scored in their last 3 matches Who won between CE Europa and Alzira on Sat 19 Apr 2025 18:00:00 GMT?CE Europa won 4–0 over Alzira on Sat 19 Apr 2025 18:00:00 GMT.InsightsHave scored 6 goals in their last 5 matches CE Europa is playing home against Alzira on Sat This website is using a security service to protect itself from online attacks The action you just performed triggered the security solution There are several actions that could trigger this block including submitting a certain word or phrase You can email the site owner to let them know you were blocked Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page Alzira Maldonado Protsishin (M.A.S.ARCH ’14) never wavered in pursuit of her dreams—and In 2021 Alzira Maldonado Protsishin (M.A.S ARCH ’14) won the American Institute of Architects Chicago (AIA Chicago) Dubin Family Young Architect Award—a title that might suggest a seamless ascent to notoriety But Maldonado Protsishin is someone who knows what it is to fight for a dream—to rise as a minority woman in a male-dominated field Maldonado Protsishin is the daughter of two structural engineers and she split her time between both of their houses growing up sometimes tagging along on their work projects to have that recognition [through the AIA Chicago award] in a different country and after all of the effort that it took Maldonado Protsishin stayed true to the dreams for her career with the support of her family “I finished high school with the help of my parents,” she says “I wouldn’t be anywhere close to where I am [otherwise]—it’s because they helped me a lot and then after that I got to study and do my homework for school as well I don’t think I would change a thing about it.” This story was featured in the fall-winter 2022 issue of Illinois Tech Magazine. You can read the full story on the Illinois Tech Magazine website.  Contact Us Please enable JS and disable any ad blocker 2025 Outlook: Global M&A Industry Trends The s+b digital issue: Be a better decider Public-private partnerships (PPPs) have tackled a range of healthcare system needs—from construction of facilities to provision of medical equipment or supplies “Innovation roll out” explores the experience of the Valencia Community of Spain as it developed and expanded the PPP model to address the health needs of its population The rich history of the original Alzira hospital opening has been well documented over the last 15 years The purpose of this report is to explore the Valencia community’s subsequent experience in replicating expanding and adjusting the original model across five health departments the Valencia Community has radically transformed the way in which public healthcare is provided The public-private integrated partnership (PPIP) model has allowed it to achieve a significant return on its health investment for nearly 20% of its population while increasing access to high quality medical care expanding and upgrading health infrastructure and encouraging innovative practices for improving healthcare management PPIPs must be designed around the unique needs of the populations to be served as well as the strengths and capabilities of the public and private sector players This success can be furthered through active private sector involvement and strong public sector leadership coming together to work toward a clear and common set of social and health objectives This study of the five Valencia Community PPIPs highlights four main factors for public-private collaboration: Although cost effectiveness research is ongoing the Valencia PPIP model has achieved positive economic results while providing high quality healthcare services It has also demonstrated how the private sector can be leveraged to strengthen public service delivery This is the third in a series of publications on PPPs jointly authored by the UCSF Global Health Group and PwC This series aims to document and raise awareness of innovative PPP models in health globally and to disseminate lessons learned to inform current and future healthcare partnerships A market landscape study of the current and planned healthcare public-private partnerships in Latin America The Five Year Forward View makes a strong case for overcoming the traditional divide between primary which is increasingly acting as a barrier to the personalised and coordinated healthcare that patients need it puts forward a number of new models of care that could help local health communities dissolve these traditional boundaries and move towards a more integrated patient-centred and sustainable delivery of care.  it also recognises that we needn’t reinvent the wheel Some of these new models aren’t in fact new but have been evolving in one form or another in other countries with the report reminding us that NHS leaders have much to gain from looking at international experiences and good practice This includes the accountable care organisation model which has been developed not only in the USA but also much closer to us and which is based on the integration between primary and secondary care providers.  This model of vertical integration is also known as the Alzira model from the name of the Spanish town in the Region of Valencia where it was first piloted more than ten years ago before being extended to other parts of Spain a provider receives a fixed annual sum per local inhabitant (capitation) from the regional government for the duration of the contract acute and specialist health services to the local population Its success relies on a highly integrated clinical and business model stretching between and across primary and secondary care Right along the patient pathway incentives for the different providers in the system are aligned to ensure that work is carried out in the most appropriate Other important ingredients for the success of this model have been the use of a unified IT system across all services with a shared patient record between GPs and specialists and a rigorous management culture requiring compliance with a set of procedures and guidelines It also uses incentives for staff to ensure compliance who are free to go elsewhere for care costing the provider money also drive the model to focus on its quality and customer service.  The NHS European Office was a pioneer in identifying this model as one of potential interest for NHS leaders to look at and get inspiration from we organised a study visit to Alzira for leaders to understand why and how the model was implemented the difficulties and challenges it presented and the results achieved in reducing costs and improving patient care.  When comparing the Alzira model with other healthcare providers in the region The findings of this visit are outlined in the report we produced after the visit. The Search for Low-Cost Integrated Healthcare – the Alzira Model reviews the model in detail describing its different implementation phases the Alzira model has attracted considerable interest in England It has been referred to in different policy debates and more recently featured in the Five Year Forward View as one of the models for the NHS to look at to help inform our thinking around a whole-system integration approach While it is clear that each healthcare system is organised differently and that what works in one country cannot simply or easily be imported by another it is nevertheless the right time now to reflect on our report on the Alzira model and to think whether this approach is the right one for your institution and Elisabetta Zanon is director of the NHS European Office. Follow the organisation on Twitter @NHSConfed_EU 2012 at 8:36 pm ET.css-79elbk{position:relative;}Alzira (Lopes) Bettencourt Bettencourt with whom she shared 58 years of marriage died at her home with her family at her side on Thursday daughter of the late Alberto and Alzira (Andrade) Lopes following her mother’s death her family moved to Gauveia Portugal and returned to Peabody 12 years later residing in the city for the rest of her life Bettencourt was a loving mother who devoted her life to creating a home for her family She enjoyed attending and supporting her children and grandchildren in their sports activities In the past few years she was so proud of her great-grandchildren whom she adored Bettencourt was a well known member of the Portuguese community in Peabody Peabody Pop Warner and Peabody High School Football Boosters Bettencourt is survived by her eight children and their spouses: Manuel Bettencourt and John and Jenni Bettencourt of Stoneham; four sisters: Lucinda Almeida and Carmelita Marques both of Peabody Ascencao Marques and Doriett Pacienca both of Portugal Jim and Steven Leavitt; 11 great-grandchildren; a sister-in-law both of Peabody; her devoted caretaker and loyal family friend Bobby Mello of Peabody and Maria Coito and also her brothers-in-law Maria Lopes and Irene Lopes predeceased her Peabody followed by a Mass of Christian Burial at 11 a.m Relatives and friends are respectfully invited Memorial contributions may be made in Mrs. Bettencourt’s name to Hospice of the North Shore (www.hns.org), 75 Sylvan St., Suite B-102, Danvers, MA 01923. Burial is in St. Mary’s Cemetery, Salem. Visit www.ccbfuneral.com for directions Get more local news delivered straight to your inbox. Sign up for free Patch newsletters and alerts. A photo of Leonard Antoine Horta Devolder and his family in Brazil Congressman-elect George Santos’ emotional narrative of having Jewish grandparents who fled Europe during World War II appears to be untrue like much of the rest of his campaign biography according to genealogy websites reviewed by the Forward Santos, a Long Island Republican, has said that his father was Catholic and his mother was Jewish, and that both faiths “are mine.” The very first line of the “About George” page on his campaign website states: “George’s grandparents fled Jewish persecution in Ukraine Fatima’s own Facebook page which has photos of her with Santos and tags his page has no mentions of the words “Jew” or “Jewish,” nor the terms Yom Kippur Shabbat or Israel in English or Portuguese But four of the seven pages she “liked” were for Catholic groups and another was for a Brazilian priest and singer She regularly shared posts with Catholic themes and images of Jesus including one eight months before her death from a Brazilian Christian group that says in Portuguese: “The cross of Christ for some is a symbol of defeat for us it is a symbol of salvation.” Another adapts a quote from Genesis A chorus of constituents and government watchdogs have called for Santos to step aside or for Congress to refuse to seat him in January since a blockbuster New York Times investigation on Monday reporting that much of his storybook biography appears to have been made up The Times said that neither Baruch College which Santos said he was graduated from in 2010 Even the animal rescue group he said he founded does not appear to exist A lawyer for Santos dismissed the report as a “shotgun blast of attacks” and “defamatory allegations.” He then repeated a common misattribution to Winston Churchill of a line that originated in an 1845 essay by Victor Hugo: “You have enemies It means that you’ve stood up for something Santos’ campaign did not respond to the Forward’s email inquiries on Tuesday regarding the false statements about his grandparents’ birthplaces and backgrounds the Jewish Telegraphic Agency reported that Santos did not return emails sent to multiple addresses or messages sent through a number of social media platforms and that his sister and lawyer also did not reply to email messages said the RJC “is aware of the claims being made against Congressman-elect George Santos and we have reached out to his office directly to ascertain whether they are true the Congressman-elect owes the public an explanation made history in November as the first openly gay Republican to win a House seat as a non-incumbent which spans much of Nassau County and some of Queens “That he would actually lie about the Holocaust to try to promote himself it’s not offensive — it’s sick and obscene,” Zimmerman said Wednesday after revelations about Santos’ heritage were published “It’s one of the most vile things you can do to actually use one of the world’s greatest tragedies the House Ethics Committee and other forces will intervene to keep Santos from serving in Congress but he declined to say whether he himself would run again if there were a special election to fill the seat “It was an honor to address fellow members of the Jewish community in #NY03.” In an interview with Jewish Insider Santos described himself as a non-observant Jew and said his four visits to Israel were “the most exciting experiences” of his life He talked about spending Shabbat and going to synagogue with Persian Jews in Great Neck and said he would treat all constituents fairly regardless of their backgrounds “Whether my mother’s Jewish background beliefs “I want to represent everyone else that practices every other religion to make sure everybody feels like they have a partner in me.” But it appears Santos is not Jewish — and lied about his family fleeing persecution during the war Neither of his maternal grandparents appear in Brazilian immigration cards in the 1930s or 1940s or in the databases of Yad Vashem or the U.S Yet Santos has repeatedly and publicly proclaimed to be descended from survivors, responding to a critic on Twitter back in 2020: “You pulled the Nazi card on the grandson of Holocaust refugees.” Santos may be named after him: His full name is George Anthony Devolder Santos A second family tree on the French genealogy website Geneanet corroborates Paulo’s parentage and birthplace This tree includes several photographs of Leonard the engineer and the group shot at the top of this article who researched the family’s lineage in archives in Antwerp confirmed by email that the family does not have Ukrainian or Jewish roots Correction: This article previously misspelled the name of Santos’ mother Her name is Fatima Alzira Caruso Horta Devolder Forward political reporter Jacob Kornbluh contributed to this story Andrew Silverstein is a New York-based freelance writer and the co-founder of Streetwise New York Tours he was named “Best Freelancer of the Year” by the American Jewish Press Association I’d like to ask you to please support the Forward American Jews need independent news they can trust At a time when other newsrooms are closing or cutting back the Forward has removed its paywall and invested additional resources to report on the ground from Israel and around the U.S rising antisemitism and polarized discourse This is a great time to support independent Jewish journalism you rely on See our full guidelines for more information, and this guide for detail about canonical URLs Copyright © 2025 The Forward Association, Inc. All rights reserved. Please use Chrome, Safari, Firefox, or Edge to view this site. Joe and Alzira Castelo started Castelo Real Estate almost at the same time they started a family together. It was 1978 and the Castelos were in their mid-twenties. Daughter Maryann was 2-years-old and son, Joseph, was on the way. For many years, Joe was the main driver of the business, while Alzira took time to raise the children. He continued to grow the business over the years, adding a construction company in 1979, an insurance business in 1981, and a mortgage company in 1994. Today, Joe still leads the operation, but The Castelo Group is a true family endeavor, with contributions from each family member and hopes that a third generation, Maryann's son, may officially begin pitching in soon. For the SCBB family issue, Joe reflected on his business and family experiences and how the two have intertwined. He and Alzira now have five grandchildren, between the ages of 2 and 13, and will celebrate their 40th wedding anniversary on Sept. 7. Here are excerpts from that conversation. Q: Who in your family works there and how many generations participate? My grandson will be 14 years old in October and he is already being given responsibility, a little bit here and there. Next year, when he'll be 14, he's going to start working here a little. Q: As a family member, are you able to keep your business and family lives separate and distinct? A: It's good that I can go and do my work and not worry about my finances because my wife is taking care of that"¦ The bad part of that is when we go home the business never leaves us. Sometimes we want to talk about other things and before you know it we're talking about the business. My wife doesn't get frustrated, but I get frustrated"¦ We never have a day that the work is not with us. Q: Does the business leadership mirror the family hierarchy? A: I started all this so it's easy for me to make decisions, right or wrong. You have to be able to make decisions quickly. It's not always easy because different generations do things a different way"¦ You have to ask, 'How can we resolve this?' There are always solutions. Most of the time when there are big decisions, we talk about it as a family. Q: Do you expect the next generation to lead the business? A: I don't think I'm ever going to retire to be honest with you. But we want to do other things. I tell my son, 'Look we have five areas, you could choose one and do a good job. You can't handle them all.' First of all, they don't need to work as hard as I did. Thank God"¦ I wouldn't want my kids to wear all these hats that I do. But they need to do something they can continue and that they can do a good job with. Q: What's the best part of working with family? A: I think it helps (working together). We don't always agree, but we have to be able to agree to disagree. It worked for us. My wife started the business with me and she knows what it's like to work so hard. Q: How do the family's values influence the decision-making process? A: The most important thing is that although I was working all these hours, my first priority was always my family. Either I was working, or I was with family. To be successful we have to pay attention to the values. I always tell people who work for me, 'If things are good at home, they are good at work and the reverse.' You need to stay very close to the kids. I give them responsibility and they feel good about it - instead of knocking them down. If they make a mistake, OK, next time do it a different way. We were elated when the United Nations Population Fund chose our video clip about Alzira to open the meeting of the International Working Group on Obstetric Fistula I produced the video for my secondary partner, Women in Law in Southern Africa. This NGO runs a program on sexual and reproductive rights, lobbying against child marriage and early pregnancy - a major factor in fistula, which affects some 100,000 Mozambican women. Read more about fistula here. Alzira needed six operations to reconstruct her bladder using the appendix The new bladder is directly connected to the abdominal wall to drain urine externally with a catheter – a technique seldom accepted in Africa but to which she has adapted well or My Baby in Shangaan - was composed and sung by Mozambican artist Chude Mondlane daughter of liberation hero Eduardo Mondlane Chude lives in New York but is visiting Mozambique Passionate about helping women with fistula Chude sat with Alzira in the centre of the auditorium at the the Franco-Mozambican Cultural centre people clapped to the rhythm; the song ended in a standing ovation Today, the Ministry of Health showed the video clip at a national meeting on maternal health to 60 chief nurses from all the provinces, and I was asked to present it. Several NGOs and the Ministry requested copies to distribute nationwide. See movie with English subtitles here. Part two of the film would be Laura living a normal life: smiling going to the market and to church in the colorful clothes we bought her that she did not want to use in the hospital She saved the green and brown capulana and blouse for the time when she would be dry and clean The chief nurse said Laura had left the hospital early because her mother had died Neither Beira nor the rural hospital had a phone nor contact information for her The director of Dondo Hospital sent a nurse to find her frail granny was located; she said Laura had died in July Silvia and I refused to believe it - just when Laura could start a new life Read story in Savana here. P  (202) 737-3700F  (202) 737-0530E  communications@icfj.org ©2025 International Center for Journalists The challenges facing the Spanish healthcare system mirror those currently concerning the English NHS: an ageing population, rising costs, and increasing demand. Such challenges have propelled managers, clinicians and policy-makers to look further afield for innovative models that deliver efficient and effective healthcare. The Alzira model, from the Valencia region of Spain, is a pioneering approach to the provision of healthcare through public-private partnership and was subject to an NHS Confederation study visit in March 2011, designed by leading UK and European policy experts. This paper reviews the model, in particular from the UK perspective. While many aspects of the model do look attractive, participants on the study visit felt there were some obstacles and issues to be taken into account when considering its replicability into the local NHS context. These obstacles are discussed later in the paper. It was clear that without the inclusion and clinical integration of primary care into the wider system, this model is unlikely to operate successfully. The importance of clinical integration, supported by incentives, information systems, clear goals and effective management, is key. However, would it be worth adapting some of its underpinning principles and applying them to the UK context? NHS Confederation (2011), The search for low-cost integrated healthcare: The Alzira model – from the region of Valencia. Join us on 11-12 June at Manchester Central, for the leading health and care conference delivered in partnership by NHS Confederation and NHS England. 11 June 2025 08:30 - 12 June 2025 16:45 GMT Information on the annual HOPE Exchange Programme and the value in participating, both as a host organisation and as an individual. In person conference in London for health and care leaders interested in system working This webinar, the last in our series, discusses the challenge and need to articulate the economic and social value generated by NHS trusts. When an Elginburg couple first found out their newborn baby had to have his left leg amputated, they were shocked. Six years later, all they are is proud. Six-year-old Carter Sly didn’t realize his left foot wasn’t going to “grow in” until he was four years old, after his parents, Larry and Alzira, finally told him. Carter was born with fibular hemimilia, a rare birth condition that left the calf bone in his right leg malformed, and partially missing. Larry and Alzira were informed of Carter’s condition following a routine ultrasound when Alzira was 18 weeks pregnant. “I think it was better to know before he was born than to find out all of a sudden, so I think that helped us,” Larry said. The couple was given several options — to proceed with amputation, have Carter wear a restrictive brace, or have him undergo leg-lengthening treatment with a cast and numerous surgeries. “We had seen his current doctor prior to his birth so we had already asked all the questions, and he just said there’s nothing we could do,” he added. After casting proved ineffective, the couple opted for amputation. The day after 13-month-old Carter underwent a Symes amputation to remove his foot below the ankle, The War Amps mailed him his very own teddy bear. Later on that year, Carter was fitted with his first prosthetic leg and was able to walk by the time he was 21 months old. During the same time, he attended his first annual Child Amputee (CHAMP) seminar, run by The War Amps. The War Amps is an organization dedicated to “amputees helping amputees,” according to their website, and help provide financial assistance to cover the cost of prosthetic limbs, counseling and support. CHAMP, which brings together kids and parents alike from across Ontario, offers counseling and support for child amputees who’ve experienced things like bullying and staring, while also giving kids tips in a “play and learn” session. It also offers sessions for parents on how to cope with their child’s needs, and gives them up-to-date information on artificial limbs and specialized recreational limbs and devices. This past summer’s CHAMP seminar marked the 95th anniversary of The War Amps, something for which Carter and his family couldn’t be more grateful. “It gives him the chance to see that there’s other kids out there like him, so he doesn’t feel like he’s a cast-off,” Larry said. “He knows there are other kids out there, and he loves going.” CHAMP, which helps finance families to attend, also helps to accommodate parents who wish visit with each other as part of their Matching Mothers program. “You can phone them and ask them to match you up with someone with the same problem as Carter and they’ll pay for all the expenses to go visit and talk with them,” he said. A “die-hard” sports fan, Carter’s customized his own prosthetic foot after the Ottawa Senators logo. Carter never let the fact that his left foot would never grow in stop him. “He plays hardball at Kingston Thunder, he played ball hockey at the Kingston Minor Ball Hockey Association and he took skating lessons last winter and he’s going to go on the initiation program with Kingston minor hockey,” Larry said. “He does everything — I guess he’s just like every other six year old.” Subscribe now to read the latest news in your community. Create an account or sign in to keep reading. Create an account or sign in to continue with your reading experience. transmission or republication strictly prohibited This website uses cookies to personalize your content (including ads), and allows us to analyze our traffic. Read more about cookies here. By continuing to use our site, you agree to our Terms of Use and Privacy Policy Lotto Money is much more than its unimaginative title and its mundane byline: "A talk show host fights little man over lotto winnings" The play also highlights the absurdity of the human condition in a somewhat comical way was revealed against a backdrop of good acting fine directing and questionable set placement and choice of props on Friday's opening night The story is set in the home of talk show host and newspaper columnist Walter Nelson (Munair Zacca) and wife Alzira (Dorothy Cunningham) it stubbornly unfolds in vibrant dialogue and graphic reporting from the characters It begins with Alzira receiving a phone call from Samuel DeSuza (Peter Heslop) He wants to remind Walter of his promise to give him half of his lottery winnings But while the poorer and humble Samuel clings to the promise upon learning that his numbers actually played an arrogant middle-class Walter refuses to deliver on his promise soon turns to anguish when he realises that Samuel's name - not his - is written on the back of the ticket This leads to contracts being drawn and torn up more trips to Walter's house by the hapless Samuel and just as many more phone calls from three off stage characters: Samuel's wife The language of the adapted play was easy to follow its intrigue is not the fight between Walter and Samuel but that it exposes the fault line of bigotry and hypocrisy believes that his wants of a town house and yacht are more important than Samuel's need to feed his extended family of 10 delivers on his promises when he destroys the contract much to the chagrin of his wife and mother-in-law Staged at the Theatre Place in New Kingston the thought-provoking play directed by Pablo Hoilett saw performances from the experienced Munair Zacca The three actors played their roles with conviction and their choice of gestures and mannerisms for their characters were appropriate and the despair of the talk show host (Walter Nelson) quite well despite struggling with his lines at times Cunningham made a one-dimensional Alzira look interesting while Heslop's portrayal of the more challenging and comical salesman Samuel DeSuza was believable Hoilett's blocking for the most part was quite decent but there were a few grey areas that he may want to address Lotto Money is well worth seeing in spite of the opening night hiccup It is engaging and is appropriate for the entire family and guarantees much laughter View the discussion thread. Sign In Subscribe Now 2017 at the Trail Regional Hospital with his love of 56 years by his side John was predeceased by his parents and two brothers; he leaves behind his wife Alzira Silva; his eldest son John Silva (Cheryl John married his sweetheart in 1961 then shortly after travelled to Canada in search of greater opportunities for himself and his new bride.  John made Castlegar his home and quickly set about finding work so his new wife could join him Although John's early career started with CP Rail it was his 39 years working at the sawmill that allowed him and Alzira to raise a family and enjoy their life together John liked gardening and spending time in his yard always eager to trim a branch...sometimes too eager!  He enjoyed raising pigeons and making wine but what he loved most of all was spending time together with family and friends sharing laughs and stories over a few glasses of wine and Alzira's amazing food The family would like to thank the doctors nurses and support staff who looked after John while in hospital Castlegar Funeral Chapel for making arrangements and the many who offered their unconditional love and support Dialogue and debate are integral to a free society and we welcome and encourage you to share your views on the issues of the day. 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