(NewsUSA) - Motorcycle Safety Foundation Celebrates 50th Anniversary and 10 Million Enrolled

IRVINE, Calif., July 6, 2023 — Millions of motorcycle and scooter riders nationwide and across the U.S. military worldwide got their start through the Motorcycle Safety Foundation, which is celebrating 50 years of rider education and training. MSF, the internationally recognized developer of comprehensive, researched-based rider education curricula, is also celebrating 10 million students enrolled and is honoring its network of coaches across America.

In 1973, the Motorcycle Safety Foundation was established with BSA, Harley-Davidson, Honda, Kawasaki, Suzuki, and Yamaha as founding members. Today, supporters of MSF also include BMW Motorrad, Indian Motorcycle, KTM North America, and Triumph Motorcycles.

“We are deeply indebted to the sponsors and supporters of the Motorcycle Safety Foundation — especially those that convened years ago to establish this organization and invest in developing science- and research-based curriculum,” said Erik Pritchard, president and CEO of MSF. “Every rider on the road has benefited from this visionary commitment.”

“Since its founding, MSF has developed curricula for riders of all levels seeking to learn and improve their skills whether they are riding on- or off-road. And as the times, technologies, and trends change, MSF remains committed to providing the best-in-class curricula so that every rider — beginner to experienced, street, dirt, and adventure — can find the type of training that helps them ride their best.”

Training sites across the country are helping to celebrate MSF’s 50th by hosting MSF RIDE Day events, which offer MOTO Intro experiences for people looking to get their first taste of riding, and SKILLS Check sessions for current riders to assess their skills.

“For people curious about motorcycling but are not sure they are ready to commit to a class, the MOTO Intro is a great way to try it out,” Pritchard said. “Motorcycles, helmets, and one-on-one coaching is provided to participants. The entire experience takes about 30 minutes, and the coach will help the rider progress at their own pace.”

“SKILLS Check is a fun way for experienced riders to see how well they can do in one of the MSF’s more advanced drills on their own motorcycles,” Pritchard continued. “And it introduces them to the additional training that is available to help them sharpen their skills.” MOTO Intro and SKILLS Check participants can also sign up for relevant classes after the event.

The heart of the Motorcycle Safety Foundation is the team of 10,000 RiderCoaches, DirtBike School Coaches, site administrators, program managers, and others in the MSF training community whose hard work has helped millions of people realize their dream of riding.

“Our success over the last 50 years is only possible because of our training community’s dedication to teaching generations of riders,” said Robert Gladden, vice president of operations for MSF.

MSF is also sharing 50 stories from 50 riders as a way to help celebrate this milestone year. These pieces — by teachers, mothers, fathers, RiderCoaches, journalists, entertainers, and more — can be found on the Motorcycle Safety Foundation website under “Stories,” and on Instagram @msf__usa. Riders and RiderCoaches are encouraged to share their own stories using #MSF50YearsOfSafety when posting to social media.

(NewsUSA) - Artificial intelligence (AI) is transforming our societies and economies in almost unimaginable ways, according to experts at the Special Competitive Studies Project (SCSP), a bipartisan nonprofit organization. Today’s AI powers personalized, precision medicine; gene therapy; vaccine discovery; drug design; and cancer screening. AI also is revolutionizing crop management, reducing waste, and supporting the development of alternative energy sources.

However, on a global scale, smart regulation is needed to make the most of AI.

The European Union has developed a proposal to regulate AI (the AI Act), but it falls short on security issues, SCSP team say. Meanwhile, the Chinese Communist Party has made clear their intent to control emerging technology.

The United States and the EU must come together rather than drift apart on AI, and the EU’s AI Act is likely to hinder innovation with a strategy of “regulate first and work out the details later.”

The SCSP analysts outline how the U.S. and EU might move forward with AI management to preserve global leadership in this essential area.

Promote innovation with responsible regulation. Technology has become the organizing principle of the contest for global order. Most of the democratic world agrees at least on basics of what AI should and should not be allowed to do, according to the SCSP. Democratic partners won’t agree on all the details of a plan for regulation, but these minor differences need not prevent cooperation on larger issues of strategic alignments and economic ties. A balance is needed between regulation and innovation, the SCSP experts explain. AI systems must be built and used safely, responsibly, and ethically.

Invest in resources.  Democracies must marshal the resources and diplomatic will to collectively build the digital apps, software, and platforms that support everyday governance, commerce, and life, which means government-supported investment in global digital ecosystem projects. The transatlantic alliance should spend more time on cultivating our rich ecosystems of universities, companies, and innovators, rather than belaboring the risks of innovation.

Upgrade alliances. From a diplomatic standpoint, democracies need a new alliance framework with investment in our collective comparative advantages for technologies, not only AI, but also 5G and chip technology. In addition, democracies must build strategic partnerships to keep control of the digital infrastructure of the future and align on maintaining standards based on technical, not political, criteria.

Key questions for the successful future of AI include how to unlock data for the good of society while upholding our values, how to encourage AI researchers to solve our big societal problems, and how to get more young people excited about studying to become AI engineers, according to SCSP.

“We need to shift our mindsets toward an optimistic view of AI and look forward to harnessing its benefits, rather than automatically hitting the regulation button,” the SCSP experts emphasize.

Visit scsp.ai for more information. 

(NewsUSA) - Cash flow is the lifeblood of any business, no matter the industry or company size. However, as economic headwinds and supply chain woes challenge the bottom line for both Main Street and Wall Street businesses alike, owners are facing significant financial frictions hindering business growth. Unfortunately, small and mid-sized businesses (SMBs) are especially constrained financially, as many SMBs in America remain underbanked or unbanked while inflationary pressures continue to mount and impede profitability.

In fact, 25% of owners report inflation is their single most important problem in operating their business, according to a study by the National Federation of Independent Business (NFIB). Further challenging SMBs cash flow, the NFIB also notes, in the last six months, 57% of owners reported capital outlays such as purchasing new equipment and vehicles, updating fixtures and furniture, and expanding facilities, among other expenditures. In turn, SMBs are increasingly relying on price hikes to improve company financial performance, with 62% of retail and 54% of wholesale operators reporting higher rates.

Strategic pricing is only a piece of the puzzle, though, when it comes to enhancing profitability, according to Carmit Glik, CEO and founding member of Ship4wd, a leading global digital freight forwarding solution platform. Glik encourages SMBs to consider looking across the supply chain for opportunities to improve cash flow.

“While some issues continue to linger, global supply chains have experienced a significant shift toward the positive, particularly for businesses who proactively deploy measures to capitalize on the current climate,” said Glik. “The combination of stabilized freight rates, emerging technologies, new financing solutions, diversified supplier options, and investments by companies working collaboratively to create a more resilient and sustainable supply chain, creates a robust opportunity for small and mid-sized businesses to strengthen their cash flow management—a challenge often considered the glass ceiling for growth to many SMBs.”

Glik shares three practical tips SMBs can implement to improve cash flow, take advantage of supply chains, and empower them to scale in today’s marketplace.

Leverage Technology and Explore New Financing Avenues
SMBs should proactively explore technology and various financing options to meet their capital needs. Credit lines, bank loans, or digital payments can be complemented with digitized services and alternative financing methods such as crowdfunding. Leveraging financial technology solutions can provide faster access to capital and streamline the financing process. Evaluating the costs, terms, and suitability of different financing options can help SMBs make informed decisions that align with their business objectives.

Control Inventory and Manage Supplier Relationships
Optimizing inventory management is essential for improving cash flow. SMBs should analyze demand patterns, implement just-in-time inventory practices, and negotiate favorable terms with suppliers, such as extended payment periods or bulk purchase discounts. Strengthening supplier relationships can lead to more flexible payment arrangements, ensuring a steady supply of goods without compromising cash flow. Adopting inventory management systems can enhance visibility, reduce carrying costs, and prevent overstocking or stockouts, further improving financial efficiency and efficacy.

Diversify Revenue StreamsandBuild Strong Customer Relationships
Diversifying shipping partners and revenue streams by exploring new markets, expanding product or service offerings, or partnering with complementary businesses can mitigate the risk of over-reliance on a single income source. Diversification creates opportunities for increased sales and revenue, improving cash flow stability and resilience. Fostering strong customer relationships is key to enhancing cash flow. SMBs can focus on providing exceptional customer service, personalized experiences, and loyalty programs to cultivate customer loyalty and encourage repeat business.

To help small and mid-sized businesses improve cash flow, Ship4wd launched a first-of-its-kind offering including instant $10,000 credit lines (subject to eligibility) that afford SMBs greater opportunity to compete and thrive; ‘Buy Now, Pay Later’ 90-day post-delivery payment terms that turn the tide on an antiquated prepayment model; and fully digitized online payment options for its customers to access the majority of banks across the U.S. and Canada and leverage all major credit cards to complete their transactions.

“We recognized the industry and our customers needed a change as SMBs continue to navigate financial burdens that can limit their long-term sustainability and growth,” said Glik. “Ship4wd’s mission is to ease the burden of global shipping so business owners can focus on growing their businesses. Our new financing solutions enable them to do just that, and whether financial or operationally, the tide is turning in favor of business owners when it comes to international shipping.”

The effective management of cash flow and financing is crucial for the success of SMBs. SMBs can optimize their financial operations, ensuring a healthy cash flow and access to necessary capital that will secure a solid foundation for success.

(NewsUSA) - Summer is peak season for music festivals and concerts, and fans are road tripping from coast to coast to experience their favorite artists live. But costs can add up quick.  

Country breakout sensation Mackenzie Carpenter and Chicago-based pop-punk group Action/Adventure share five tips for fans traveling to summer festivals on a budget:

1. Make a Budget: Before heading out for your music adventure, it helps to make a budget prioritizing what matters most – every dollar counts! To help save on costs, Carpenter and Action/Adventure opt for the My6 Music Package, which offers artists and their crews 10% off stays and access to 50 discounts on music-related services from video streaming and sound equipment, gas, snacks and more, available through Oct. 31. Fans can also receive 6% off stays through the free My6 program, plus hundreds of additional discounts.
    
2. Identify Affordable Lodging: After a music-filled day, it’s important to have a clean, comfortable and affordable place to rest and recover. Carpenter chooses economy lodging brands Motel 6 and Studio 6 as her go-to lodging options, as they have 1,400 locations across the U.S. and Canada.
    
3. Bring Your Own Snacks: Food and drinks are expensive inside concert grounds, so packing your own can help save your wallet. Carpenter chooses to bring a reusable water bottle to reduce costs on one-time use water bottles inside the festival, and Action/Adventure members suggest bringing a cooler to keep food cold. Check out the festival's policies on outside food and drinks to ensure compliance!
    
4. Seek Out Ticket Promotions: Keep an eye out for discounted tickets through official channels or reputable ticket resale platforms. Taking advantage of these promotions can allow for more to be spent inside the venue, and Action/Adventure even suggests looking into volunteer opportunities that provide access to the concert.
    
5. Use Public Transportation or Carpool: When available, Action/Adventure opts for public transportation to get to and from the venue, as it's usually cheaper than driving. If driving is necessary, consider carpooling or using rideshare services with friends to split costs.

For additional information on the My6 Music program and how to become a free My6 Member, visit www.motel6.com to start saving today!

(NewsUSA) - Climbing to the top as a financial advisor can be a challenge. Your ticket to long-term peak performance begins with earning the prestigious CERTIFIED FINANCIAL PLANNER^™ certification, the standard for competent and ethical financial planning.

More and more consumers understand the importance of working with a financial planner they can trust. Earning CFP^® certification sets you apart, providing a sure-footed path to enhanced visibility and leading to increased income and greater market share.

If you’re already in the financial planning profession, earning CERTIFIED FINANCIAL PLANNER^™ certification is a proven investment in your future, offering new opportunities. For example, do you want to:

• Widen your client base?
• Evolve with your existing client base?
• Broaden your menu of services?
• Deepen your commitment to financial planning?
• Build on your other qualifications?

Whatever your objective, earning CFP^® certification sets you up for a rewarding payoff on your investment. And since you’re already a financial services professional, you may qualify for the accelerated path to CFP^® certification, bypassing most of the required education coursework, saving you both time and money.

Get Certified, Go Further

As part of their certification, CFP^® professionals demonstrate their expertise and commit to high standards to earn the respect of their colleagues and the trust of their clients. Here are some of the advantages of earning your CFP^® certification:

• Competitive Edge: 83% of CFP^® professionals say they have a competitive edge over other financial advisors.
• Trust: 90% of consumers are more confident working with an advisor who has a financial planning designation.
• Success: 86% of CFP^® professionals say that certification has had a positive impact on their career satisfaction.
• High Pay: Earning a CFP^® certification can increase your income by 12%, with experienced advisors earning on average $192,000 a year.

Fiduciary Duty

Not all financial planners act as a fiduciary, but CFP^® professionals do. When providing financial advice, CFP^® professionals commit to always acting in their client’s best interests. With CFP^® certification, your clients will know that you are practicing loyalty and care in your work, and placing their interests above your own.

The Marketing Edge

CFP^® certification is an important branding signal for consumers. One survey found “consumers had higher brand awareness of the CFP^® mark” than the ChFC, CFA, CLU and PFS designations. That can lead to lower marketing costs and increased revenue growth for CFP^® professionals. Adding the CFP^® mark to your other credentials can grow your business prospects while enhancing your career opportunities.

CFP^® certification helps you build trusted relationships with clients and helps your firm grow by providing the knowledge and marketing edge needed for peak performance and sustained success. It’s the competitive edge you’ve been looking for. Get started today!

(NewsUSA) - Today’s retirement experience can be unpredictable, and resilience and flexibility are the keys to not just surviving, but thriving.

The right strategies and guidance can help retirees and pre-retirees weather the curveballs—and sometimes the cannonballs--of personal and financial life.

Two-thirds of retirees report feeling confident in their ability to handle the unexpected, based on a survey from financial services firm Edward Jones in collaboration with Age Wave, the leading organization on issues relating to aging. However, retirees and pre-retirees want to know the full range of options when it comes to financial planning, especially in the wake of challenges large and small.

In a new report, “Resilient Choices: Trade-Offs, Adjustments and Course Corrections to Thrive in Retirement,” Edward Jones and Age Wave suggest “course corrections” in four areas to thrive in retirement. These corrections line up with what the financial experts at Edward Jones call “the four pillars of retirement”: health, family, purpose, and finances.

“Today’s pre- and current retirees know they will face challenges but are willing to make adjustments, trade-offs and course corrections to improve their quality of life and sense of well-being as retirement continues to last longer than ever,” said Lena Haas, Head of Wealth Management Advice and Solutions at Edward Jones. “We are encouraged to see that Americans understand they need to have a flexible plan and feel confident in their ability to handle the unexpected, particularly if they can learn from the experiences of others.”

Here are a few course corrections Edward Jones experts suggest across their four pillars:

Health: Maintain good health habits, such as eating well, exercising regularly, and engaging in stimulating mental activities. These can improve health, extend life, and increase feelings of well-being in retirement.

Family: Spend more quality time with those you love and avoid toxic relationships; spending time with family can be fulfilling, but know where to set emotional and financial boundaries.

Purpose: Enrich your life in a way that works for you, by exploring familiar paths, trying new things, expanding social circles, and reinventing yourself with new goals and dreams.

Finance: The right financial guidance can help you make the most of retirement; seek experts with a holistic approach that includes all possible tools beyond the basics of increasing savings and reducing debt.

Visit edwardjones.com/newretirement for more information about navigating the retirement journey.

(NewsUSA) - When scuba diving instructor Jim Elliott first started teaching individuals with physical disabilities in 1997, he intuitively realized that diving also had therapeutic benefits for individuals with autism, down syndrome and other cognitive and learning impairments.

Twenty-six years later, team members of Diveheart, the non-profit founded by Elliott in 2001, were invited to address physicians from the Mayo Clinic on the subject of adaptive scuba and scuba therapy. At a conference in Cozumel, Mexico, Elliott and Diveheart Executive Director Tinamarie Hernandez spoke to physicians from a range of medical specialties including hyperbaric medicine, neurology, and sports medicine. The Mayo group was so impressed with the Diveheart presentation that they invited Elliott and Hernandez to return for a 2024 conference.  

Even better, physicians from the Mayo Clinic proposed a collaboration between their researchers and the Diveheart team on scuba therapy research using enriched air and one hundred percent oxygen at safe depths while measuring the benefits different gas mixtures and hyperbaric pressure.

In the Mayo presentation, the Diveheart team also suggested measuring the benefits of various medication levels in tandem with different levels of oxygen underwater in a zero-gravity environment.

“If we know what a certain medication does at the surface or one atmosphere of pressure, researchers can begin looking into what the same medication will do under the influence of increased pressure and various percentages of oxygen enriched air,” Elliott explains.

Looking ahead, Diveheart hopes to facilitate similar research projects at a unique deep warm water therapy pool and aquatic facility that they seek to build in the greater Chicago area. Diveheart has secured two patents on pool’s design.

Diveheart aims to leverage decades of scuba therapy research with the practical adaptive scuba experiences it has helped develop since 2001 and partner with university medical centers to create a facility that will draw researchers, scientists, therapists, physicians, and others from around the world. Visit diveheart.org for more information and to follow their progress.

(NewsUSA) - He has been praised by some of the top thriller writers in the business. His work has been compared to that of John le Carré and Brad Thor.

“My mission,” says author William Maz, “is to use fiction writing to ask some of the larger questions that interest people everywhere: how does the world function, what is the best way to spend our lives, why do people and countries do what they do, and, the ultimate question, is there something more than this life?”

Maz takes all those objectives to the pages, first in his debut hit THE BUCHAREST DOSSIER, in which CIA agent Bill Hefflin must stay one step ahead of assassins, find his lost love, track down billions hidden in the offshore accounts of Romania’s tyrant, and unravel the secret surrounding a KGB mole.

The book, which has won numerous awards including the Chanticleer International Book Awards 2020 Grand Prize Winner in Global Thrillers, 2022 National Indie Excellence Award Winner for Thrillers and the 2022 American Fiction Award Winner for Mystery/Suspense, already has been optioned for a major motion picture by Cody Gifford (son of Kathy Lee and Frank Gifford) of Gifford Media Group.

Now, Bill Hefflin is back in Bucharest—immersed in a cauldron of spies and crooked politicians in his exciting follow-up spy thriller THE BUCHAREST LEGACY: The Rise of the Oligarchs (Oceanview Publishing).

The CIA is rocked to its core when a KGB defector divulges that there is a KGB mole inside the Agency. They learn that the mole’s handler is a KGB agent known as Boris. CIA analyst Hefflin recognizes that name—Boris is the code name of Hefflin’s longtime KGB asset. If the defector is correct, Hefflin realizes Boris must be a triple agent, and his supposed mole has been passing false intel to Hefflin and the CIA. What’s more, this makes Hefflin the prime suspect as the KGB mole inside the Agency.

Hefflin is given a chance to prove his innocence by returning to his city of birth, Bucharest, Romania, to find Boris and track down the identity of the mole. It’s been three years since the bloody revolution, and what he finds is hordes of spies, corrupt politicians, and a country controlled by the underground and the new oligarchs, all of whom want to find Boris. But Hefflin has a secret that no one else knows—Boris has been dead for over a year.

Author William Maz has received high praise from some of the industry’s masters.

“The Bucharest Legacy is a story of duplicity piled onto duplicity that will keep you guessing right to the end,” says Steve Berry, New York Times best-selling author.

 “The Bucharest Dossier is an accomplished debut—a love story inside an espionage thriller inside a historical record, with all three elements working together to maximum effect. Very impressive and very recommended,” says Lee Child, New York Times best-selling author.

New York Times bestselling author F. Paul Wilson calls The Bucharest Dossier “compulsively readable . . . a wrenching, action-packed story of love lost and regained.”

To learn more about William Maz and his work, visit www.williammaz.com. To purchase THE BUCHAREST LEGACY, go to https://bit.ly/3m3xZf7.

(Tom Siciliano) - The U.S. economy isn't perfect, but unemployment remains at record lows, inflation is cooling, consumer spending remains strong, and wages are rising steadily, not rapidly.

While the media likes to report on the usual indicators, there's one statistic that's not reported enough – live events. Events like trade shows, concerts, sporting contests, weddings and business seminars are major factors driving the economy. The Deloitte Insights report this month noted "households continue to increase spending on pent-up demand for services such as entertainment and travel."

Statistics bear this out. To note:

· Theme park attendance in North America in 2023 was up 32% at the largest attractions annual report released by the Themed Entertainment Association.

· The Consumer Electronics Show 2023 in January in Las Vegas, a bellweather for the industry, reported 115,000+ attendees, 15% more than projected. 

· Live Nation posted a monster quarter in Q1 of 2023, with a record $3.1 billion in revenue — up 73% from the same period last year — and a record 19.5 million fans attending its events. Their concerts have sold almost 90 million tickets this year, more than 20% ahead of last year.

· Major League Baseball attendance is up more than 4 percent compared to 2022. More than 70 percent of teams are enjoying an attendance increase. With school out, attendance numbers should rise even more for the summer.

· The events industry will grow to $1,552.9 billion by 2028, according to Allied Market Research, with a projected CAGR growth of 11.2% over the next seven years.

It's no secret that humans are social animals, and after being trapped during the pandemic, the urge to congregate and socialize has returned. But it's more than that. The experience, socially and technologically, has improved tremendously. More than just gourmet food, massive screens, superfast WiFi and more comfortable seating at football games like SoFi Stadium (a client of ours), fans are becoming more engaged.

As Forbes recently noted, "Fans' devices give them access to real-time information about player performance, allow them to share updates from the games on social media and give them a chance to connect with other fans ... At the World Cup, fans were able to leverage augmented reality to see real-time statistics for players on the field."

At the recent U.S. Open at the Los Angeles Country Club, opulent indoor and outdoor seating areas and structures, along with luxe food service and premium seating, made the experience feel more like a luxury hotel or resort rather than a crowded, sun-baked golf tournament with obstructed viewing.  

As the CEO of California's largest event rental company with more than 1,000 employees creating and servicing more than 12,000 annual events, we've seen these trends coming for years. Event customization, sociable areas, technology, connectivity and creativity are still evolving and improving.

Surveys from trade groups show that today's consumers are more interested in an experience than a material item. People are looking to have a lifestyle where they are able to enjoy company with others and having fun with people they know and love after being trapped during the pandemic. Many in the live events industry believe trends of more live event attendance along with more customizable experiences will continue for years to come.

With the advent of 3-D printing for event structures, AR, VR and other technologies, some of these stadium experiences are filtering down to smaller events like birthday parties, weddings, anniversaries and reunions. It's hard to measure the impact of innovation and enjoyment, but if these industry trends continue, the live events business will remain strong for years to come.

Tom Siciliano is the CEO of Town & Country Event Rentals and Signature Party Rentals based in Southern California.

(Diane Mulligan) - Lung cancer is the deadliest of all major cancers, with Small Cell Lung Cancer (SCLC) patients having a significantly lower survival rate than non-small cell lung cancer patients (NSCLC).

In 2012, the National Cancer Institute identified SCLC as a top priority. More targeted and personalized treatments are expected to be released soon. There are also many clinical trials focusing on SCLC. The new research is leading to new treatments and new hope, which can't come quickly enough for SCLC patients.

SCLC is different from NSCLC, which is the most common form of lung cancer. It is the most aggressive form of lung cancer and the one most closely associated with smokers. The SCLC tumors morph as they try to survive. They change their form, trying to hide from the current treatment.

Lung cancer researchers are now focused on treatments that target specific tumors.

Dr. Triparna Sen, Associate Professor at Icahn School of Medicine at Mt. Sinai Health System says, “Do we have targets? Yes, we do have targets. Do they look promising? Yes, they do look promising. It will not be one size fits all.”

Most SCLC patients are treated with chemotherapy, but there have been recent advances in using immunotherapy along with chemotherapy. Patients who have finished their initial treatment now have new options and should talk to their doctor about new treatments being researched in clinical trials. In most of these trials, one set of patients receives the latest approved treatment while the other set receives the treatment being researched.

According to Lung Cancer Foundation of America Founder Kim Norris, “These clinical trials are where patients are getting the gold standard of care. They may be receiving the treatments of tomorrow, today.”

It was only last year when the first SCLC treatment breakthrough was announced. Then researchers identified a subset of SCLC patients who appear to respond to drugs that are already proven cancer fighters; the proteins in the tumors of these patients make them more receptive to targeted therapies.

The Lung Cancer Foundation of America provides initial funding to young investigators who are studying all types of lung cancer. The group was organized after the co-founder, Kim Norris, realized that although it was the deadliest of all the major cancers, lung cancer received the least amount of federal funding in relation to other major cancers.

Norris says, “It’s that funding that allows the best and brightest young investigators to choose to study lung cancer.”

To find out the latest on lung cancer research and how you can help, you can go to lcfamerica.org.

Above image: Dr. Triparna Sen, Associate Professor at Icahn School of Medicine at Mt. Sinai Health System