DOJ proposes overhaul of Florida’s program for disabled children

TALLAHASSEE --
In a new and even harsher indictment of Florida’s treatment of severely disabled children, federal civil rights lawyers have issued a comprehensive blueprint for overhauling the state’s system of care for frail youngsters.

The 17-page “settlement proposal” by the U.S. Justice Department demands the state stop slicing in-home nursing services for frail youngsters, stop ignoring the requests of family doctors who treat disabled children and stop sending hundreds of children to geriatric nursing homes — where they often spend their childhoods isolated from families and peers.

On the same day The Miami Herald obtained the “confidential” settlement proposal, the heads of three state agencies held a news conference in Tallahassee to defend the housing of hundreds of disabled children in nursing homes and to tout a newly minted program that matches medically complex children with specialized caseworkers.

“I can tell you that what I found was way better than I even thought I would find,” Agency for Health Care Administration Secretary Liz Dudek said Thursday, a day after she toured two nursing homes in Miami Gardens and Plantation. “I have to wonder what the DOJ was looking at when they went through there and I would invite any of you to go to any of those facilities, because I certainly did not see what they were seeing.”

The Miami Herald asked to join several Department of Children & Families administrators, including Secretary David Wilkins, on a tour of the most-troubled nursing home last month — but was rebuffed.

The home, Golden Glades Nursing and Rehabilitation in Miami Gardens, is where two severely disabled children died in recent years — one of them, 14-year-old Marie Freyre, perished after caregivers failed to give her life-saving anti-seizure drugs.

Federal regulators fined the home $300,000 for the girl’s death.

“We were quite pleased with what was going on there,” Dudek said of Golden Glades and the two other homes she visited Wednesday. “One place had clouds in the sky and they had personalized activities; their rooms were very much personalized. Children had buddies who were there. They went out to school in all the cases where they could or were in in-home school,” Dudek said of the six homes in the state that house youngsters.

Dudek and the other agency heads called the news conference to offer details of a new program — announced last month — that offers “enhanced care” coordinators, or caseworkers, for every medically fragile child whose care is paid for by Medicaid, the joint state and federal insurance program for the needy.

The Enhanced Care Coordination program will enlist at least 28 nurse care managers throughout the state to work with families of disabled children and the nursing homes where they are being treated.

“The program is designed to help empower parents, to help them and to educate them and to help them personalize the experience that they have,” Dudek said, adding that the coordinators will be able to help some children return home from institutions.

Dudek extended an olive branch to the Justice Department, saying AHCA’s intent was “to work with the federal government.”

But she also said the state was eager to convince the DOJ that Florida is breaking no laws by housing so many children in institutions.

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Baby Bones Found Scattered in Ancient Italian Village

SEATTLE — The death of an infant may not have been an occasion for mourning in ancient Italy, according to archaeologists who have found baby bones scattered on the floor of a workshop dating to the seventh century B.C.

The grisly finds consist of bone fragments uncovered over years of excavation at Poggio Civitate, a settlement about 15 miles (25 kilometers) from the city of Siena in what is now Tuscany. The settlement dates back to at least the late eighth century B.C. Archaeologists excavating the site have found evidence of a lavish residential structure as well as an open-air pavilion that stretches an amazing 170 feet (52 meters) long. Residents used this pavilion was as a workshop, manufacturing goods such as terracotta roof tiles.

In 1983, scientists uncovered a cache of bones on the workshop floor, consisting mostly of pig, goat and sheep remains. But among the bony debris was a more sobering find: two arm bones from an infant (or infants) who died right around birth.

In 2009, another baby bone surfaced at the workshop, this one a portion of the pelvis of a newborn. [See Images of the Infant Bones]

The bones “were either simply left on the floor of the workshop or ended up in an area with a concentration of discarded, butchered animals,” said Anthony Tuck, an archaeologist at the University of Massachusetts, Amherst, who presented an analysis of the bones Friday (Jan. 4) at the annual meeting of the Archaeological Institute of America.

Abandoned bones

The discovery of the discarded infant bones in an area used for work could suggest that the people who labored in the workshop had little social status, Tuck said. They may have been slaves or servants whose lost infants would garner little sympathy from the community at large.

However, a third find complicates the picture. In 1971, archaeologists found an arm bone from another newborn or near-term fetus pushed up against the wall of the lavish residence along with other bones and debris. It seems as if someone swept the debris up against the wall, not differentiating between baby bones and garbage, Tuck said. [8 Grisly Archaeological Discoveries]

There’s no way to know whose infant came to rest up against the wall of a wealthy person’s home, said Tuck, who plans to submit the findings to the journal Etruscan Studies. Perhaps the infant belonged to a desperate servant, or perhaps to a member of the family. If so, it may be that even high-status families didn’t consider babies worth mourning when they died in infancy.

The possibility can sound horrifying to modern ears, Tuck said.

“This kind of new data makes people a bit uncomfortable,” he told LiveScience. “People have a tendency to romanticize the past, especially in a place like Tuscany. When we have direct evidence for this kind of behavior, it can be a little tricky to present.”

Death in infancy

Nevertheless, Tuck said, there is reason to think that people have not always given infants the same community status as adults or older children. However, baby bones tend not to preserve well, which makes it difficult to know how ancient Italians in Tuscany treated their deceased infants.

Very few signs of infant burial appear in central Italian cemeteries from this time period, though, Tuck said. The handful of coffins containing baby bones that have been found are loaded with ornaments and jewelry, suggesting that only families of great wealth could have given a lost baby an adult-style funeral.

Even in modern times, societies have sometimes seen babies as belonging to a different category than adults, Tuck said. In areas of extreme poverty and stress that have high infant mortality, the death of a newborn may not trigger many outward displays of mourning, he said.

And many cultures have naming traditions that only recognize the baby’s identity significantly after birth. For example, in traditional Jewish culture, a baby boy’s name isn’t revealed outside the family until the bris, or the ritual of circumcision eight days after birth. According to superstition, naming the baby before then would attract the attention of the Angel of Death.

The Maasai people of Africa give their newborns temporary names until a ceremony as late as age 3, in which the child receives a new name and has his or her head shaved to symbolize a fresh start in life.

On the other hand, not all ancient cultures differentiate between the burials of babies and adults. Stone Age infant graves found in Austria in 2006 date back to 27,000 years ago and contain the same beads and pigments as adult gravesites.

The people who lived in Poggio Civitate more than 2,000 years ago have left little evidence of how they viewed infants, but Tuck and his colleagues expect more finds to emerge as the researchers continue to dig in the Tuscany hills. More evidence that high- and low-class babies were buried differently would suggest that the civilization had a rigid hierarchy, they said.

Images of more than 25,000 objects recovered from the site can be found at Open Context, an open-source research database developed by the Alexandra Archive Institute.

Follow Stephanie Pappas on Twitter @sipappas or LiveScience @livescience. We’re also on Facebook & Google+.

Copyright 2013 LiveScience, a TechMediaNetwork company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
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They Dated Golden Globes Edition Part 2

Remember them?

Angelina Jolie, Matt Damon and Jake Gyllenhaal have a tendency to mix it up as far as dates go at the Golden Globes. With the 70th annual ceremony almost upon us, we're looking back at these celebs and their various plus-ones as they arrived to the star-studded event over the years.

Related: They Dated?! Golden Globes Edition - Part 1

Jolie has had the privilege of walking the Golden Globes red carpet multiple times in her career, often on the arm of a different gorgeous gentleman. The beauty's very first adult appearance was in 1999, with then-hubby Johnny Lee Miller. Just three years later, Jolie walked the carpet with new husband Billy Bob Thorton. In 2009, the actress debuted her latest beau, Brad Pitt.

Damon is now happily married to wife Luciana Barroso, but back in 2000 the Good Will Hunting star proudly held the hand of then-girlfriend Winona Ryder. A decade or so prior, his date arrived with her Square One co-star Rob Lowe.

Related: Pick the Winners With ET's Golden Globes Ballot!

Gyllenhaal has dated two award show beauties, Kristen Dunst and Reese Witherspoon. In 2003, the actor escorted Dunst to the ceremony and just three years later, Gyllenhaal would bring Witherspoon as his plus-one.

Click the video for more, and tune in to the Golden Globes on January 13 at 8 ET/5 PT on NBC.

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Oscar’s sad snubs

John Podhoretz

The Oscar nominations are in, and the message is clear: Make a movie in which Americans act heroically against Islamic enemies of the United States, and you lose.

Even if your film is careful not to wave the flag and offers a deeply ambiguous portrait of US foreign policy, you get the thumbs-down.

There are two astonishing omissions from the nominees for best director — astonishing because the movies they directed were nominated for Best Picture, and because each film is universally considered a directorial tour de force.

The first is Kathryn Bigelow. As the only woman director ever to win an Academy Award (for “The Hurt Locker” three years ago), she was a shoo-in for “Zero Dark Thirty” — until yesterday morning, when her name was missing from the list of nominees.

Dan Steinberg/Invision/AP

Bigleow: “Zero Dark Thirty” director not nominated because film wasn’t sufficiently anti-waterboarding.

The second is Ben Affleck, whose third film as director, “Argo,” was reviewed favorably by 96 percent of the critics tallied by the Web site Rotten Tomatoes — making it the best-reviewed of Oscar’s nine Best Picture nominees.

Nonetheless, it was the screenwriters who got recognized by Oscar voters and not Bigelow and Affleck, who come closer to being the authors of these movies than most directors do.

Note that both Affleck and Bigelow received Directors Guild of America nominations, and split directing prizes offered by the National Board of Review.

Something deliberate was going on here. What?

Bigelow’s sin in the eyes of Oscar voters is more obvious.

“Zero Dark Thirty” has come under criticism because it features scenes in which an American interrogator uses so-called “harsh techniques” like waterboarding against an al Qaeda operative. The operative isn’t punished for his actions, nor are those actions questioned by his colleagues — so journalists who have spent a decade attacking the War on Terror for its cruel depradations have expressed disgust at Bigelow’s handling of what they view as torture.

Naomi Wolf, fresh from writing a book about her vagina, compared Bigelow to the Nazi propagandist Leni Riefenstahl.

And The New Yorker’s Jane Mayer likened Bigelow to an apologist for slavery: “In her hands, the hunt for bin Laden is essentially a police procedural, devoid of moral context. If she were making a film about slavery in antebellum America, it seems, the story would focus on whether the cotton crops were successful.”

It’s absurd to claim that “Zero Dark Thirty” fails to portray these techniques uncritically. Throughout the film, they cast a pall over the selfless conduct of Americans trying to hunt down Osama bin Laden. But Bigelow doesn’t draw a moral equivalence between the US efforts and the mass slaughter of 9/11, and that is what has offended her critics — and surely contributed to the denial of her nomination.

Don’t take my word for it; take the word of the entertainment journalist Tom Junod of Esquire, not known as a conservative. “Bigelow snub is political punishment,” he tweeted yesterday, calling it the “academy’s way of holding its nose while embracing ‘Zero Dark,’ and so of having it both ways.”

And Affleck? His film about the Iranian hostage crisis of 1978-1979 begins with a prologue blaming successive US governments for the political conditions inside Iran that led to the anti-American depradations of the Ayatollah’s handmaidens.

But the rest of the film centers on the amazingly clever and all-true efforts by CIA agent Tony Mendez to sneak into Iran and transfer six hidden US diplomats out of the Canadian embassy before the Iranians figure out they’re there.

Affleck may not have been specifically targeted for disrespect, the way Bigelow was, but it’s impossible not to take note of his rejection by the Academy in light of the commonality in subject matter — America vs. Islamism in the greater Middle East — shared by “Argo” and “Zero Dark Thirty.”

Nor can one ignore the fact that their heroes — and they are heroes, without question — work for the evil, hated, monstrous CIA, the organization that has served up more villainy in more terrible movies than any other over the past 40 years.

So, yesterday’s lesson for ambitious filmmakers is:

If you know what’s good for you, attack the CIA, don’t praise it or seek to understand it. And don’t show the United States triumphing over Islamists.

— Sincerely, the Motion Picture Academy of Arts and Sciences

Jpodhoretz@gmail.com

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Miami doctors, Walgreens join race for ACOs

With Walgreens joining insurers and hospitals in a race to reshape healthcare delivery in the country, a group of 75 doctors has become the first federally approved accountable care organization in Miami-Dade, Medicare officials announced Thursday.

South Florida ACO and the drugstore chain were on a list of 106 groups receiving approval to offer integrated care that is intended to improve quality and lower healthcare costs, with the providers sharing in any savings.

The concept, part of the Affordable Care Act, has sparked a race among major healthcare providers throughout the country. Many hospitals are hiring doctors and other groups are organizing networks that are expected to create a major shift in the nation’s healthcare system.

Many healthcare experts believe growing numbers of doctors will soon work for large entities. Jorge Acevedo-Crespo, a Miami pulmonologist, said he brought together the South Florida ACO to avoid that trend.

“I think it’s best for doctors to control healthcare — not hospitals, not insurance companies,” Acevedo-Crespo said Thursday.

One reason commonly given by Medicare for setting up ACOs is that many patients discharged from hospitals are quickly readmitted because they do not take required medications or have follow-up visits with their doctors.

Walgreens, the national drugstore chain, believes it can help fix those kinds of problems, starting with the three ACOs it has set up, including one in the Tampa area.

Jeffrey Kang, the physician who is running the Walgreens ACO effort, said one example of how coordinated care can work is a Walgreens pilot program in which pharmacists checked to see that patients were taking the proper meds after being released from hospitals. That program reduced readmissions by 40 percent, Kang said.

“Walgreens is a very natural partner” for physicians, Kang said. In Tampa, it is working with Diagnostic Clinics, which employs doctors. Many of the chain’s stores already contain Take Care clinics, which employ nurse practitioners to treat minor ailments.

“Walgreens provides 365-day-a-year, convenient, accessible, face-to-face health offering for the public,” Kang said. “We’re now the largest provider of vaccinations in the country. And we’re second in hypertension and diabetes screening.”

Walgreens is heavily promoting its virtues as it enters a competition that is growing increasingly intense. Fifteen other Florida entities were granted ACOs Thursday — most of them in the Tampa-Orlando-Jacksonville area.

Florida Blue has already set up informal ACOs, with Holy Cross doctors in Fort Lauderdale and with Baptist Health South Florida and a group of oncologists in Miami-Dade. But the state’s largest health insurer has not yet sought official federal approval, which carries with it a complex series of requirements.

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Dems at odds over future Florida Democratic Party chair

Democratic National Committee Chairwoman Debbie Wasserman Schultz has the ear and the loyalty of President Barack Obama, and loads of influence among Democrats in Washington and across the country. Democratic activists in her home state of Florida, however, are poised to deliver an embarrassing snub to Wasserman Schultz later this month with the heated race to lead the state Democratic Party.

The congresswoman from Weston recruited longtime friend Allison Tant of Tallahassee to run for chair of the state party, and in recent weeks has aggressively lobbied elected officials and party activists to get behind her anointed choice.

But it looks increasingly likely that those activists may ignore the entreaties by Wasserman Schultz and Sen. Bill Nelson and instead elect Tampa activist Alan Clendenin to succeed outgoing party chairman Rod Smith.

"They’re in absolute denial that they’ve lost," Hillsborough Democratic Chairman Chris Mitchell said of Tant and her supporters. "Now they’re scrambling, and Debbie’s trying to save face. ... She wants to have complete control of the (state party) and what they do, and Allison Tant gives her complete control. Debbie knows she can’t control Alan and she can control Allison."

Democratic state committee members from Palm Beach, Broward and Miami-Dade counties on Monday night held a non-binding vote on the race for party chairman and unanimously backed Clendenin over Tant. The way the party weighs votes in such party elections, the votes from those three Democratic strongholds could all but ensure Clendenin is the next state party chairman.

Clendenin, 53, said Wasserman Schultz urged him to drop out of the race to pave the way for Tant, but he refused.

His endorsements include U.S. Rep. Kathy Castor and former gubernatorial nominee Alex Sink — both fellow Hillsborough county residents — and the state party’s black and Hispanic caucuses.

"The bottom line is we’re all Democrats and like with all elections, we will unify when we’re done,’’ Clendenin, a retired air traffic controller who would be Florida’s first openly gay state party chairman, said when asked if he could work with the DNC chairwoman if he wins.

"I’ve been counting votes for a long time for a lot of years. The vote count we have is one that puts Allison in a very strong position," said Wasserman Schultz. "The vote is on Jan. 26 and that’s the one that matters."

Tant, a top Obama fundraiser and former lobbyist who had been little known outside of Tallahassee, noted that the Monday night South Florida vote was non-binding and that she is rapidly gaining support as she meets more and more people across the state.

"It’s very close and it will be a robust primary," said Tant, 51, who on Wednesday announced endorsements from most Democrats in the Florida congressional delegation (U.S. Reps. Frederica Wilson and Joe Garcia of Miami-Dade; Alcee Hastings of Broward; Lois Frankel, Ted Deutch and Patrick Murphy of Palm Beach; Alan Grayson of Orange County; and Corrine Brown of Duval County) as well as seven local party officials.

Clendenin’s supporters tout his vision for shaking up the party and mobilizing and organizing the grassroots, while Tant’s supporters often stress her strong fundraising skills.

"It makes sense that the people who are ultimately elected by party activists are strongly supporting Allison Tant because we know what it takes to win election," Wasserman Schultz said. "Without having someone at the helm who can raise the resources, we are not going to be competitive in 2014

Wasserman Schultz’s close involvement in the race has led to speculation she wants a strong ally leading the state party should she run for governor or U.S. Senate, but the DNC leader dismissed that talk.

"This is nothing more than I am leader of the party nationally and I care about my state, and I really care about making sure that we can defeat Rick Scott," she said.

Clendenin said the choice boils down to whether Democrats want a leader to tweak the party (Tant) or make significant changes (Clendenin). Tant, he said, could be "part of an incredible team to change the trajectory of the state of Florida. I want to work with Allison to be part of a team. I believe Allison would be willing to do that, but Debbie is unwilling to give her the latitude to do that."

Florida Democrats have not had as competitive and heated an election for state party chairman in at least two decades. On blogs and through emails, advocates for both candidates have attacked the rival candidate.

Tant critics have cast her as a puppet of party elites and a status quo candidate. They have pointed to a handful of donations she has made to Republican legislative candidates (Tant said they mainly went to candidates who would advocate for disabled children and that she gave to far more Democrats), and that her husband, former Democratic attorney general candidate Barry Richard, represented the Bush-Cheney campaign in the 2000 recount.

Clendenin critics say he is out of his league when it comes to the most critical element of a party’s success — raising money. Tant raised at least $340,000 for Obama in the last election from Leon County alone.

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‘Liquipod’ takes smartphone waterproofing on the road

Amid a sea of Ultra-HD TVs, smart washing machines and various other gadgets, waterproofing expert Liquipel took to CES 2013 to make two announcements. The firm, which adds an interior and exterior waterproof nanocoating to cell phones, revealed a new and improved waterproofing material that is even more effective than its first-generation solution. Liquipel also unveiled its new “Liquipod,” a portable machine that can waterproof gadgets anywhere in the world while device owners wait, according to TechCrunch. Previously, Liquipel required customers to ship their handsets to the company’s offices for treatment.

[More from BGR: iPhone 5 now available with unlimited service, no contract on Walmart’s $ 45 Straight Talk plan]

This article was originally published on BGR.com

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Forgotten Couples of Golden Globes Past

From Angelina Jolie with her then-hubbies Jonny Lee Miller/ Billy Bob Thorton to Jim Carrey with his lady love Renée Zellweger, ET looks back at the star couples of Globes past!

Related: They Dated?! Golden Globes Edition

Also Thursday, a sneak peek at PSY's super-sized Super Bowl commercial. Plus, the stars of 2 Broke Girls take you inside the show's sexy pajama party.

Check your local listings.

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Unidentified 9/11 remains will be safe: city

The remains of unidentified victims of 9/11 to be interred at the World Trade Center memorial site will be safe from flooding and other disasters, city attorneys argued today in state appellate court in Manhattan.

“There’s no evidence in the record that there is a problem with flooding,” argued Ellen Ravitch, of the city’s Law Department.

But a group of families disagree saying flooding during Hurricane Sandy proved the site isn’t safe from storms.

The group had sued the city under the Freedom of Information Law for the release of a master list of all registered family members so they can poll them about whether they’d like to see the unidentified remains buried in a capsule under the memorial, as is planned now, or in above-ground memorial.

The city, however, has refused citing privacy concerns, even though it did provide the list to the 9/11 Memorial, a privately-run non-profit.

The five-judge appellate panel said it would announce it’s decision at a later date.

Family members said if others knew where the remains will be located they would also object.

“This is going to flood again. There will be human remains floating all over Lower Manhattan. I was down there after Sept. 11 picking up body parts, and I’m afraid that’s going to happen again,” said retired FDNY Deputy Chief Jim Riches, who lost his son, Jimmy, also a firefighter, on 9/11.

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Florida company provides electrical power for the world

More than 4,000 miles from its home base in Doral, Energy International is helping keep the lights on and the power grid humming in Gibraltar, the British territory on the southern tip of the Iberian Peninsula.

Energy International, a global provider of power plants and energy solutions, sent a temporary plant that will provide power for at least the next two years while a more permanent fix is sought for the territory’s erratic and aging electrical system.

The Doral company was founded 14 years ago as MCA Power Systems and its initial goal was to pursue energy contracts in Latin America. It began in 2000 with a name change and in recent years its focus has become global.

“The world needs energy,’’ said Brett Hall, EI’s vice president of finance.

While the 2007-2008 recession curtailed the growth of worldwide energy demand, the U.S. Energy Information Agency has projected that global demand for electricity will increase by 2.3 percent annually from 2008 to 2035.

The potential is especially strong in developing nations. The International Energy Agency estimated that in 2009, 21 percent of the world’s population — 1.4 billion people — didn’t have access to electricity. In sub-Saharan Africa, the percentage of people without power rises to 69 percent.

Energy International has expanded sales from Latin America and the Caribbean to Europe, Africa and the Middle East, boosting revenue from $100 million annually in 2009 to more than $300 million today, Hall said. This year, EI is anticipating revenue of $350 million to $375 million.

In the next seven years the company, which is privately owned by American shareholders and affiliated with Gecolsa — the Caterpillar dealership in Colombia — hopes revenue will top $1 billion, he said.

Even though Energy International is based in the United States, it does little work domestically. Its sweet spot is emerging economies and projects that require an investment on its part of $100 million or less.

“Our focus is to do whatever makes the most economic sense for a particular market,’’ said Hall.

“We’re not going to be building a nuclear power plant,’’ he said. But EI will accommodate its solutions to local fuel supplies whether it’s biofuel, natural gas or heavy fuels that are more prevalent.

When it comes to the type of temporary power solution needed by Gibraltar, which had been plagued by a string of power outages at its archaic electrical facilities, EI can have a temporary plant up and running in 30 to 40 days, supplying the engineering, rental turbines and other equipment and doing the installation.

“We were able to support Gibraltar’s power needs on short notice,’’ said Andres Molano, EI’s vice president of sales. “Some of their equipment required major maintenance and they needed to stop their plants.’’

EI, one of the world’s largest suppliers of interim energy solutions, signed a $12 million contract with the government of Gibraltar in November and the plant was operational by Dec. 21. The agreement includes an option for a three-year extension.

The equipment now in use in Gibraltar is considered part of EI’s fleet and will move on to other energy emergencies when its service in the territory famed for the Rock of Gibraltar is complete.

But when it comes to its permanent power plants, EI will build a facility for a client looking to generate its own power or construct a plant, run it and sell power directly to the final user.

“We can do all the work ourselves. We have all the skills in house — finance, design, operations, maintenance, building and the equipment,’’ said Hall.

Energy International moved into the Middle East last year, completing projects in Oman and Yemen and establishing a subsidiary in Dubai to pursue business in Africa and the Middle East, said Molano.

“Africa is new to us, but we believe there are opportunities there,’’ he said.

The company also is looking for continued growth in Latin America, especially in Colombia, which is now attracting foreign investors who previously had been spooked by violence.

Remote areas of the Amazon where temporary power solutions are needed also represent opportunity for the company.

“EI is very fortunate to be in a position in which we have more excellent opportunities than capital.’’ said Hall, so this year it will be concentrating on raising equity to finance growth.

“One of our biggest challenges in 2013,’’ Hall said, “will be to find investors or joint venture partners to provide capital that will enable EI to perform these projects so our aggressive revenue growth targets can be achieved.’’

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