Showing posts with label University. Show all posts
Showing posts with label University. Show all posts

Monday, 28 October 2013

Department of primary care health sciences, University of Oxford: winner, service delivery innovation award

EMU Daniel Lasserson, senior clinical researcher, and Maggie Webb, unit manager, in the emergency multidisciplinary unit.

An emergency unit designed exclusively for old and frail patients is keeping them out of acute hospital and helping to prevent bed-blocking.

The emergency multidisciplinary unit (EMU) established at Abingdon community hospital in Oxfordshire is hoped to become the national model for the future of emergency care for older people.

Patients can be referred to the EMU, which is seen as an alternative to an acute hospital A&E, by either their own GP, a community nurse or ambulance paramedic.

The unit, which is open seven days a week from 8am-8pm on weekdays and 10am-4pm on weekends, is not available for patients who have suffered a stroke or a heart attack, who would still be taken to the local acute hospital's A&E. The majority of the 5,500 patients it has seen arrive with chest or bladder infection or heart failure. The average patient age is 89.

Staffed by elderly care physicians, GPs, nurses, healthcare assistants, therapists and social workers, the unit can quickly assess a patient. It has point of care blood testing with rapid results and X-ray facilities so the unit can guarantee speedy diagnosis.

The EMU has five hospital beds available for patients who may need to be kept in for a maximum 72 hours. A "hospital at home" nursing team is also available to provide support to patients who are sent home to recover.

"I would say that the EMU is more than just a casualty for older frail patients – it's more intensive because we aim to provide care for the episode at the time or for a number of days," says Dr Daniel Lasserson, a GP and senior clinical researcher at the department of primary care health sciences, University of Oxford, who helped design this new model of care.

Lasserson adds: "Its aims to deliver an acute care pathway for frail older patients that does not rely on bed-based care, yet can still provide appropriate medical, nursing and therapist treatments within an individually tailored care plan as close to the patient's home as possible.

"It was designed to challenge the existing urgent care pathway of admission to an acute hospital with its associated harms of unfamiliar and physically challenging environment and loss of independence."

The EMU, he says, addresses the dilemmas of how to best care for a growing elderly population with complex needs and multiple chronic conditions and to provide an alternative to "office hours" general practice or acute hospital bed-based care.

According to the EMU audit, 65% of patients who are assessed by the unit are able to stay in their own home – only 17% of patients need acute hospital care.

Lasserson says this new way of working, known as "interface medicine", is challenging the traditional medical training and care. Oxford has created an Interface Medicines Fellowship and is in discussions with Health Education England about how it can be developed nationally.

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National blood service, Oxford University hospitals NHS trust: technology innovation award runner-up

bedside blood track system Oxford University hospitals NHS trust uses handheld computers at the bedside to scan the identity barcode on a patient's wrist band.

Introducing an identity barcode on a patient's wrist band, using handheld computers at the bedside, electronically controlling the temperature of blood fridges and tracking stock have improved patient safety Oxford University hospitals NHS trust's national blood trust and saved £528,000.

The trust wanted to reorganise its bedside and laboratory transfusion service in order to reduce the number of deaths from "wrong transfusion" – the second most frequent cause of death from transfusion reported to the UK's serious hazards transfusions scheme. In the past 15 years, errors in the UK transfusion service were responsible for 27 deaths and 120 cases of major morbidity.

Oxford hoped that by using technology it would also reduce the amount of time staff spent checking blood, reduce blood wastage and the inappropriate use of supplies, as well as speed up the supply of blood in emergencies.

Consultant haematologist professor Michael Murphy says: "For many members of the public or patients to think a process that is so important is relying on bits of paper and people looking at long numbers, is just unbelievable."

Today transfusion patients are identified by a barcode on their wrist band, which is scanned by a nurse at the bedside using a handheld computer. The nurse also scans his or her own barcode before following the transfusion process written on the computer screen.

There is now a complete electronic audit trail of blood supplies after the blood bank IT system was linked to others in the trust, which has led to significant improvements in blood sample collection, the collection of supplies from fridges and the transfusion-related admin.

Paperwork has been cut by 52 minutes per patient and the bedside transfusion process now requires one nurse instead of two. The initiative is recognised as an exemplar NHS evidence, quality, innovation, prevention and productivity project. The Oxford team wrote a national specification for the electronic transfusion service for the former National Patient Safety Agency.

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University College London hospital: workforce innovation runner-up

Healthcare Innovation Awards UCH University College London Hospital's training programme helped staff identify weaknesses in their clinic’s processes.

A leading London teaching hospital is giving staff the power to decide how outpatient clinics are run, which is transforming services, reducing waiting times and improving the patient experience.

University College London hospital sees more than 800,000 people in outpatient clinics every year.

But it realised it had to improve the system after a questionnaire revealed 47% of outpatients ranked the service they received as "not at all" or "fairly" well organised, and 59% complained that they had to wait at least 30 minutes before they were seen in a clinic.

The trust's quality, efficiency and productivity team designed a 24-week staff training programme which, with the support of service improvement coaches, aimed to help clinic staff identify where there were weaknesses in their clinic's processes and procedures and to come up with solutions to solve the problems.

So far the team has worked with 31 different multi-disciplinary staff teams and 300 outpatient clinics.

The results are impressive. The endocrinology clinic has halved waiting times to 45 minutes by staggering patient arrival times and realigning clinic templates. The musculoskeletal clinic has cut its waiting list from 15 weeks to seven by pooling its booking queues system.

The introduction of a 24-hour telephone advice line in maternity has reduced clinic waiting times, taken the pressure off labour wards and improved the experience of patients.

Louise Molloy, productive programme manager, says: "In essence, this programme gives teams the permission to focus on and improve their services.

"It allows them to take all those things that they see are not working and bring them together with the right staff, and working with a professional coach, to develop a programme of work to solve those problems."

At least 80% of outpatient clinics are scheduled to go through the process by 2015.

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Monday, 9 September 2013

University General Health Services: A More Bullish Update

In this article I would like to provide an update to my previous article on University General Health Services (UGHS.OB). In the first article I suggested that issues in getting audited and filing a 10-K/Q with the SEC were troubling. While I still believe that these issues are pertinent, I would like to provide an update to my first article.

Overview

This is the business model as described by the company.

A diversified, integrated, multi-specialty health care provider that delivers concierge physician and patient oriented services providing timely and innovative health solutions that are competitive, efficient and adaptive in today's health care delivery environment. The UGHS business model anticipates the acquisition of acute care "host" hospitals and the development and operation of regional health networks within a defined radius of each host hospital that can provide services under the Company's acute care licenses. Such regional health networks and ancillary services will reflect a vertically integrated, diversified system, which will include provider-based "Hospital Outpatient Departments" (HOPDs) of the host hospitals and may consist of Ambulatory Surgical Centers, Free-Standing Emergency Rooms, Free-Standing Procedure Facilities, Diagnostic Imaging Treatment Facilities, HBOT/Wound Care Centers, and/or other ancillary service provider."

UGHS went public in 2011 by a reverse merger. On March 10, 2011 UGH Partnerships was acquired by SeaBridge Freight Corp., which was a Nevada corporation. At the same time SeaBridge changed its name to University General Health Systems, Inc. The newly named UGHS immediately divested itself of the freight transport service between Port Manatee in Tampa, Florida and Brownsville, Texas.

UGHS has not filed a 2012 annual report (10-K) and has not filed 10-Qs for the first and second quarter this year. UGHS has had problems getting an audit after switching auditors and has since returned to its original auditor. The information from UGHS we have currently is this presentation from the company website posted this June. The next slides are from this presentation.


(Click to enlarge)

The occupancy rates are well above the industry average and the unique and profitable business model has higher margin than more traditional models as well as lower operating costs.

Ecosystem


(Click to enlarge)

The ecosystem provided by the three separate business segments. The hospital segment, the senior living segment, and the support services segment.

Red Flags Remain

I still have concerns about this company, and due to the limited amount of publicly available information is a concern. Obviously the company needs the auditors blessing before it can file 10-K and 10-Q. Still, the company has made some moves recently that should be concerning. UGHS has paid NBT Equities Research to promote the stock. Granted there have been no hard mailers, but you can see the sponsored research here. Here is the disclaimer from the research article.


(Click to enlarge)

Update

In my first article on of the biggest red flags for me was the quote in the OTC Journal article in which Larry Isen, the author of OTC Journal, claimed that he had spoken with the CEO.

"I've interviewed the CEO, and he assured me all their filings would be brought up to date by the Q2 deadline. This means the company has to file its 2012 annual 10k, Q1'13 March quarterly numbers, and Q2'13 June quarterly numbers- all by August 15th."

When I saw that no filings came on the Q2 deadline, this raised a red flag for me. I have since spoken with several people at the company, and they do not believe the quote to be accurate. As such, part of the basis for my argument against UGHS is now invalid, I believe.

The company released a market update for the second quarter today by this press release. It announced certain preliminary information regarding the quarter ended June 30, 2013. The company reported that Average Daily Census ("ADC") levels at its flagship hospital in Houston increased by approximately 20%, when compared with the prior-year quarter, while occupancy rates continued to improve at University General Hospital - Dallas, which was acquired in December 14, 2012. Surgical volumes at University General Hospital in Houston rose approximately 28% relative to the second quarter of 2012, while the Dallas hospital reported approximately 53% increase in surgical volumes relative to the month of December 2012.

"We are very pleased to announce that ADC levels and surgery volumes at our flagship Houston hospital have continued to post consistent growth, year-over-year and quarter-over-quarter, for ten consecutive quarters," stated Hassan Chahadeh, M.D., Chairman and Chief Executive Officer of University General Health System, Inc. "We would expect this to be evident in our financial performance for the second quarter and first half of 2013."

UGHS also said that they are planning to file with the SEC as soon as possible. Given that I cannot verify if the quote regarding Q2 filing in the OTC Journal is accurate, it no longer plays into my short thesis and therefore I have changed my view. While I still have concerns about the 10-Q/K filings, I would no longer recommend a short.

Disclosure: I have no positions in any stocks mentioned, and no plans to initiate any positions within the next 72 hours. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article. (More...)


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Monday, 2 September 2013

University General Health Services: A More Bullish Update

In this article I would like to provide an update to my previous article on University General Health Services (UGHS.OB). In the first article I suggested that issues in getting audited and filing a 10-K/Q with the SEC were troubling. While I still believe that these issues are pertinent, I would like to provide an update to my first article.

Overview

This is the business model as described by the company.

A diversified, integrated, multi-specialty health care provider that delivers concierge physician and patient oriented services providing timely and innovative health solutions that are competitive, efficient and adaptive in today's health care delivery environment. The UGHS business model anticipates the acquisition of acute care "host" hospitals and the development and operation of regional health networks within a defined radius of each host hospital that can provide services under the Company's acute care licenses. Such regional health networks and ancillary services will reflect a vertically integrated, diversified system, which will include provider-based "Hospital Outpatient Departments" (HOPDs) of the host hospitals and may consist of Ambulatory Surgical Centers, Free-Standing Emergency Rooms, Free-Standing Procedure Facilities, Diagnostic Imaging Treatment Facilities, HBOT/Wound Care Centers, and/or other ancillary service provider."

UGHS went public in 2011 by a reverse merger. On March 10, 2011 UGH Partnerships was acquired by SeaBridge Freight Corp., which was a Nevada corporation. At the same time SeaBridge changed its name to University General Health Systems, Inc. The newly named UGHS immediately divested itself of the freight transport service between Port Manatee in Tampa, Florida and Brownsville, Texas.

UGHS has not filed a 2012 annual report (10-K) and has not filed 10-Qs for the first and second quarter this year. UGHS has had problems getting an audit after switching auditors and has since returned to its original auditor. The information from UGHS we have currently is this presentation from the company website posted this June. The next slides are from this presentation.


(Click to enlarge)

The occupancy rates are well above the industry average and the unique and profitable business model has higher margin than more traditional models as well as lower operating costs.

Ecosystem


(Click to enlarge)

The ecosystem provided by the three separate business segments. The hospital segment, the senior living segment, and the support services segment.

Red Flags Remain

I still have concerns about this company, and due to the limited amount of publicly available information is a concern. Obviously the company needs the auditors blessing before it can file 10-K and 10-Q. Still, the company has made some moves recently that should be concerning. UGHS has paid NBT Equities Research to promote the stock. Granted there have been no hard mailers, but you can see the sponsored research here. Here is the disclaimer from the research article.


(Click to enlarge)

Update

In my first article on of the biggest red flags for me was the quote in the OTC Journal article in which Larry Isen, the author of OTC Journal, claimed that he had spoken with the CEO.

"I've interviewed the CEO, and he assured me all their filings would be brought up to date by the Q2 deadline. This means the company has to file its 2012 annual 10k, Q1'13 March quarterly numbers, and Q2'13 June quarterly numbers- all by August 15th."

When I saw that no filings came on the Q2 deadline, this raised a red flag for me. I have since spoken with several people at the company, and they do not believe the quote to be accurate. As such, part of the basis for my argument against UGHS is now invalid, I believe.

The company released a market update for the second quarter today by this press release. It announced certain preliminary information regarding the quarter ended June 30, 2013. The company reported that Average Daily Census ("ADC") levels at its flagship hospital in Houston increased by approximately 20%, when compared with the prior-year quarter, while occupancy rates continued to improve at University General Hospital - Dallas, which was acquired in December 14, 2012. Surgical volumes at University General Hospital in Houston rose approximately 28% relative to the second quarter of 2012, while the Dallas hospital reported approximately 53% increase in surgical volumes relative to the month of December 2012.

"We are very pleased to announce that ADC levels and surgery volumes at our flagship Houston hospital have continued to post consistent growth, year-over-year and quarter-over-quarter, for ten consecutive quarters," stated Hassan Chahadeh, M.D., Chairman and Chief Executive Officer of University General Health System, Inc. "We would expect this to be evident in our financial performance for the second quarter and first half of 2013."

UGHS also said that they are planning to file with the SEC as soon as possible. Given that I cannot verify if the quote regarding Q2 filing in the OTC Journal is accurate, it no longer plays into my short thesis and therefore I have changed my view. While I still have concerns about the 10-Q/K filings, I would no longer recommend a short.

Disclosure: I have no positions in any stocks mentioned, and no plans to initiate any positions within the next 72 hours. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article. (More...)


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Wednesday, 28 August 2013

University General Health Services: A Good Short

University General Health Systems (UGHS.OB) is a regional multi-specialty health care provider that is based in Houston. While I believe that the UGHS business model once showed promise, issues have plagued the company. UGHS is currently trading at $.56/share and has a market cap of $185 million. At these levels, I don't believe that the market has priced in the issues facing UGHS properly, leaving it overvalued.

Business Model

The UGHS business model is as follows:

"A diversified, integrated, multi-specialty health care provider that delivers concierge physician and patient oriented services providing timely and innovative health solutions that are competitive, efficient and adaptive in today's health care delivery environment. The UGHS business model anticipates the acquisition of acute care "host" hospitals and the development and operation of regional health networks within a defined radius of each host hospital that can provide services under the Company's acute care licenses. Such regional health networks and ancillary services will reflect a vertically integrated, diversified system, which will include provider-based "Hospital Outpatient Departments" (HOPDs) of the host hospitals and may consist of Ambulatory Surgical Centers, Free-Standing Emergency Rooms, Free-Standing Procedure Facilities, Diagnostic Imaging Treatment Facilities, HBOT/Wound Care Centers, and/or other ancillary service provider."

UGHS operates through three separate business segments; the Hospital segment, the Senior Living segment, and the Support Services segment. UGHS seeks to acquire smaller (50-150 beds) acute care hospitals. These hospitals have lower capital costs, lower operating costs, and higher margins. While these are positives, the negatives that I will highlight below far outweigh the positives.

In an article on the website OTCJournal.com, the author suggests that he has had contact with the CEO and that the audited numbers are close to coming out.

I've interviewed the CEO, and he assured me all their filings would be brought up to date by the Q2 deadline. This means the company has to file its 2012 annual 10k, Q1'13 March quarterly numbers, and Q2'13 June quarterly numbers- all by August 15th. The stock appears to me to behaving as if the audited numbers are close to coming out, and the market will know the company is back on track. This stock could go considerably higher- likely a reverse split would occur followed by an immediate up-listing. It's quietly creeping higher, and as you know- my theme is to get you in before the breakout. I believe the numbers will show a company delivering about $200 million in annual revenues and world class profits.

The submission deadline for filing a 10-Q on time was August 9th, and the deadline for late filing was August 14th.

(click to enlarge)

UGHS has missed the SEC filing deadline, which has been a common occurrence for this company as of late.

Unable To Get An Audit

UGHS has late filing with the SEC because of the struggles UGHS has had with auditing. From a Notification of Late Filing filed with the SEC on August 16th. Here is what the management had to say.

"The Company has not yet completed its financial statements for the year ended December 31, 2012 due to an ongoing audit and review of the accounting treatment of certain non-operating items related to 2012 acquisitions and federal income tax calculations. The Company requires additional time to complete the Form 10-K for the fiscal year ended December 31, 2012 and the Form 10-Q for the quarter ended June 30, 2013. The Company anticipates filing its Form 10-K and Form 10-Q as soon as practicable."

Because of the inability to get an audit, UGHS has not filed a current 10-K or 10-Q since November 15th of last year. In that 10-Q which was for the third quarter of 2012, UGHS restate numbers.

(click to enlarge)

To be fair, the issue did not drastically affect the company. Here is what was changed.

The correction of the errors decreased originally reported assets by $0.3 million and mezzanine equity by $0.6 million, and increased originally reported shareholders' equity by $0.3 million at September 30, 2012. In addition, other expense increased by $0.3 million, direct investor expense increased by $0.9 million, derivative expense decreased by $0.6 million, and net income attributable to the Company decreased by $0.6 million for the three months ended September 30, 2012. For the nine months ended September 30, 2012, other expense increased by $0.4 million, direct investor expense increased by $5.5 million, derivative expense decreased by $1.7 million and net income attributable to the Company decreased by $4.2 million. Basic and diluted earnings per share remained unchanged at $0.01 for both the three and nine months ended September 30, 2012

Because of that the only real information that we have gotten from the company is this presentation, which unfortunately provides no real insight into the current state of the company. It is simply a glossy overview of the business potential. The lack of auditing is a serious concern. A press release published on April 16th, UGHS highlighted the reasons for the delay in getting a 10-K out.

University General stated that the delay if filing the Form 10-K was associated with an earlier change in auditors; completion of the accounting treatment of certain non-operating items related to 2012 acquisitions, including the acquisition of University General Hospital - Dallas in December 2012; the calculation of derivative liabilities associated with the Company's Series C preferred stock; and federal income tax calculations. The Company requires additional time to complete the Form 10-K and to announce fourth quarter and full year 2012 financial and operating results.

In a similar report from the OTC Journal, the author states that the company has faced delays because the previous auditor was unable to understand the business and UGHS has since returned to its previous auditor.

"Chronicles the difficulty they've had getting their audit for 2012 done. It was due several months ago. They changed auditors, only to discover the new auditor was incapable of understanding their business, and changed back to their original auditor. Hence, the delay and temporary lack of interest in the stock."

Some of the issues have arisen from the companies acquisitions. One acquisition I would like to focus on is the acquisition of the South Hampton Community Hospital in December of 2012. According to a press release the hospital, which will be re-branded as University General Hospital-Dallas in 2013, was purchased for $30 million and will also receive a $1 million cash infusion. The hospital, however, was the only hospital in North Texas to receive an "F" rating from the Leapfrog Group.

Will It Get An "E" It Already Has A "F"?

A big red flag for me is the "Yield" sign on the OTC Markets website.

(click to enlarge)

According to OTC Markets, these are some of the potential reasons for having a yield sign (Which signifies limited information) next to a companies name.

Limited Information

Designed for companies with financial reporting problems, economic distress, or in bankruptcy to make the limited information they have publicly available. The Limited Information category also includes companies that may not be troubled, but are unwilling to provide disclosure pursuant to OTC Pink Basic Disclosure Guidelines.

Source: OTC Markets

Given that UGHS has not filed a 10-Q or 10-K in so long, it is at risk of having an "E" put on to the end of its ticker. On the OTC Market, an "E" as the last letter of the ticker signifies that the company is delinquent in filings. From the OTCBB FAQ section:

What does a fifth character "E" indicate for an OTCBB security?

The fifth character "E" on an OTCBB trading symbol indicates that FINRA does not have information which demonstrates that the issuer of the security is compliant with the filing requirements of Rule 6530, either because the issuer is delinquent in the required filings, has filed an incomplete filing, or, for non-EDGAR filers, such as banks filing with the Office of the Comptroller of the Currency and certain insurance companies where FINRA has not been provided a copy of the most recent filing. The purpose of appending an "E" to the security symbol is to alert all interested parties that the security will be removed from the OTCBB unless evidence of compliance is provided prior to the end of the applicable grace period (30 days for EDGAR filers, 60 days for non-EDGAR filers). Anyone possessing evidence of compliance with Rule 6530 may provide that information by contacting the OTCBB Issuer Filings Department

The OTJ Journal report suggested that it was possible that this would happen to UGHS:

Here's what might happen. At some point, the stock might get the dreaded "e" at the end of their symbol, signifying the company has gone past its reasonably allotted time to file its 10-K. That would happen around the end of the month. The stock would then trade under the symbol "UGHSE".

While I can't say with certainty whether or not this will happen, but it is possible. According to FINRA Rule 6530, which covers eligible OTC securities, companies that have failed to file an annual or quarterly report three times in a two-year period are not eligible to be quoted on the OTC market. The rule says.

Notwithstanding the foregoing paragraphs, a member shall not be permitted to quote a security if:

(A) while quoted on the OTCBB, the issuer of the security has failed to file a complete required annual or quarterly report by the due date for such report (including, if applicable, any extensions permitted by SEA Rule 12b-25) three times in the prior two-year period.

The last time that UGHS filed a quarterly report was for the third quarter last year. It filed a 10-Q on May 30th of this year, however, that was the report that restated the 2012 third quarter numbers. UGHS has failed to file an annual report for 2012, and has failed to file quarterly reports for Q4 2012, Q1 2013, and Q2 2013. While I don't believe it will be delisted, I think that there is a real possibility that quotes will be suspended due to lack of filings.

Why Is The Stock Up During All Of This?

One would think that given the lack of SEC filings and lack of information coming from the company, the stock would be down this year. UGHS is actually up 46% this year.

(click to enlarge)

So why is the stock up? UGHS has paid research firms to cover the stock. I hesitate to call this company a pump and dump, as it is not a typical pump; it has assets, a real (as much as I could verify) business. However, I believe that when the company could not get audited numbers to file with the SEC, it turned to stock promotion to keep the share price up. While the reasons are conjecture, the fact is that UGHS has paid firms to publish "research" about it. NBT Equities Research, which was involved with the Polar Petroleum promotion (halted by the SEC). NBT Equities Research has published several articles about UGHS, which you can view here. As always, check the disclaimer:

(click to enlarge)

You can see it right there: "NBT Equities Research has been compensated $50,000 for sponsored equity research and market awareness advertising by University General Health Services." Whatever the reason for the promotion, it is clear to me that it has inflated the price artificially.

Shorting OTC Stocks

While I believe that UGHS is a real company and is in a solid industry, until UGHS can a) get audited numbers and b) file those numbers with the SEC, the downside risk far outweighs the upside. It is always risky shorting OTC stocks, but shares are currently available to short through Interactive Brokers and firms that clear through them such as PlaceTrade.

Summary

My main concern is that it releases positive audited numbers and the stock rises. If it does not release these numbers soon, however, the stock could risk becoming unquoted. As per SEC requirements:

To be listed initially, a company must meet minimum financial and non-financial standards. Among other things, the standards cover total market value, stock price, and the number of publicly traded shares and shareholders a firm has. After a company's stock starts trading on an exchange, it usually is subject to other, less stringent requirements; if it fails to meet those, the stock can be delisted. As with listing requirements, the standards for delisting shares are not uniform; each exchange has its own requirements. You can find the initial and continued listing requirements on the websites of the New York Stock Exchange and the Nasdaq Stock Market. Neither the OTC Markets Group(f/k/a Pink Sheets) nor the OTC Bulletin Board has listing standards, although the SEC requires companies to be current in their filings before their stock can be quoted on the OTCBB.

It is impossible to know when or if the SEC or FINRA will act, but I believe that it is possible that UGHS will be halted. To profit from a short, however, it is not necessary for the SEC or FINRA to act. Most all stocks that are promoted eventually crash, and I suspect that UGHS will be no different. Usually in the case of promotions you have to go through a tangled web of promoters. In this case, however, it is clear that the company itself has paid NBT Equity Research to "generate awareness" for the company.

Disclosure: I am short UGHS.OB. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article. (More...)

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Wednesday, 14 August 2013

University of East Anglia research could contain infectious disease outbreaks

Main Category: Bird Flu / Avian Flu
Also Included In: Infectious Diseases / Bacteria / Viruses
Article Date: 14 Aug 2013 - 14:00 PDT Current ratings for:
University of East Anglia research could contain infectious disease outbreaks
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Researchers at the University of East Anglia (UEA) have identified a rapid response which could help halt infectious diseases such as bird flu, swine flu and SARS before they take hold.

Focusing on the avian flu virus strain H5N1, research published in the journal PLOS ONE identifies key stages in the poultry trade chain which lead to its transmission to other birds, animals and humans.

High risk times for the disease to spread include during transportation, slaughter, preparation and consumption. It is hoped that the findings and recommendations will help stop the spread of other infectious diseases.

The H5N1 avian flu strain has been responsible for the deaths of millions of poultry, as well as 375 confirmed human deaths. Areas of Southeast Asia have been hardest hit with more than 2,500 reported outbreaks among domestic poultry in Vietnam alone. The disease has also spread rapidly from Southeast Asia into Europe. However the way that the virus transmits from poultry to humans has been poorly understood.

The UEA research team adopted a system widely used in the food production industry, known as Hazard Analysis of Critical Control Points (HACCP), and investigated whether it could be used as a rapid response to emerging outbreaks.

They investigated Vietnam's poultry trade system and identified four key stages within the poultry trade chain which pose high risks for the transmission of HPAI viruses in human and poultry populations:

Contact within poultry flocks which act as viral 'mixing pots'. Examples include at markets which act as huge reservoirs for the virus, at bird vaccination centres, and at cock fighting contests.Transportation and sale of poultry and eggs.Purchase and slaughter of poultry from markets.Preparation of poultry for consumption - particularly in unhygienic conditions and when meat is raw or undercooked.Preventative measures outlined in the report include isolating and quarantining flocks, using protective equipment such as masks, gloves and sterile utensils when slaughtering and preparing carcases for consumption, and using social media to promote good hygiene standards.

The research was led by Dr Diana Bell and Dr Kelly Edmunds from UEA's school of Biological Sciences.

Dr Bell said: "Since 1980 an average of one new infectious disease emerges in humans every eight months - representing a substantial global threat to human health.

"Diseases which originate in birds and mammals such as SARS and bird flu represent 60 per cent of outbreaks. As well as representing a significant global health threat, they also create a burden to public health systems and the global economy.

"We identified poultry transportation, slaughter, preparation and consumption as critical control points in response to HPAI H5N1 outbreaks in Vietnam."

Dr Edmunds added: "We also showed that adopting the Hazard Analysis of Critical Control Points (HACCP) system, which is already used in the food production industry, could work very effectively as a precursor to more time-consuming quantitative data collection and biomedical testing."

The research was conducted as part of a three year interdisciplinary study of the impact of H5N1 on mechanisms of transmission, local livelihoods and food security. It was funded by the Economic and Social Research Council (ESRC) and the Natural Environment Research Council (NERC).

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our bird flu / avian flu section for the latest news on this subject.

PLOS ONE - 'Hazard Analysis of Critical Control Points Assessment as a Tool to Respond to Emerging Infectious Disease Outbreaks'

Kelly L. Edmunds, Paul R. Hunter, Roger Few and Diana J.Bell

University of East Anglia

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