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RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION
1 NAME OF THE Mr. KURUDIMATHADA JAYARAJ. I
CANDIDATE AND YEAR M.sc. NURSING
ADDRESS RAJEEV COLLEGE OF NURSING
SHANKAR MUTT ROAD
RAJEEV COLLEGE OF NURSING
2 NAME OF THE SHANKAR MUTT ROAD
3 COURSE OF STUDY AND MASTER IN NURSING
SUBJECT PSYCHIATRIC NURSING
4 DATE OF ADMISSION TO 28.05.2007
5.1 TITLE OF THE STUDY ASSESS THE LEVEL OF DEPRESSION
SEEN AMONG THE CLIENTS
DIAGNOSED WITH TYPE- II
DIABETES MELLITUS AT SELECTED
HOSPITALS IN HASSAN.
5.2 STATEMENT OF THE
PROBLEM A DESCRIPTIVE STUDY TO ASSESS
THE LEVEL OF DEPRESSION SEEN
AMONG THE CLIENTS DIAGNOSED
WITH TYPE- II DIABETES MELLITUS
AT SELECTED HOSPITALS IN
6.0 BRIEF RESUME OF THE INTENDED WORK
A high incidence of depression is found among all patients hospitalized for
medical illnesses, although its intensity and frequency is higher in more severely ill
patients. Certain medical disorders are often associated with depression, especially
diabetes mellitus, cancer, stroke, epilepsy, multiple sclerosis, Parkinson’s disease and
cardiac disease. Thus depression is common accompaniment of many major medical
Type 2 diabetes is a metabolic disorder characterized by the relative deficiency of
insulin production and a decrease in insulin action. Onset is usually insidious and family
history is common. Amenable to treatment with diet, exercise, oral anti-diabetic
medications and insulin.2
A recent meta analysis has shown that among the patient with diabetes, the
prevalence of major depression and significant depressive symptoms were found
approximately 11% and 31% respectively.3
A significant association was found between depression and diabetic
complications such as diabetic retinopathy, neuropathy, nephropathy, macro vascular
complications and sexual dysfunctions.4
Several hypotheses have been raised to explain the association between diabetes
and depression that mainly focus on the effects of severity complications, and poor
glycemic control resulting from type 2 diabetes on the development of depression.5
Among patients with type 1 and type 2 diabetes depressive symptoms were
associated with greater diabetic symptoms reporting poorer physical functioning and less
adherence to exercise and diet.6
The goal of this descriptive study to assess the level of depression among sample
of clients with type 2 diabetes mellitus using Beck Depression Inventory. (Beck, 1967).
6.2 NEED FOR THE STUDY:
The world health organization has predicted that India will account for
some 79 millions out of the world’s 360 millions diabetes population by the year 2030.7
Patients with depression had significantly lower adherence to oral hypoglycemic agents
compared with patients without depression. Adherence to oral hypoglycemic agent
(OHAS) is important for adequate glycemic control and prevention of future
complications in patients with type 2 diabetes.8
Higher depressive symptoms among type 2 diabetes patients were associated with
poor self-care behaviors significantly with poor participation in education programs and
Depression is associated with a decrease in metabolic control, a reduction in quality of
life, and an increase in health care expenditures. In turn poor metabolic control may
exacerbate depression and diminish response to antidepressant regimens.10
The interaction of diabetes and depression was found to be synergistic, predicting
greater mortality, greater incidence of both macro and micro vascular complications and
greater incidence of disability in activities of daily living.11
Depression is common among diabetic mellitus but this is largely unrecognized
and thus often untreated. Health care personal especially nurses should assess the level of
depression among clients diagnosed with type 2 diabetes mellitus to assure accurate
diagnosis, effective treatment and responsive follow-up. Keeping all these in mind this
study was undertaken in selected hospitals at Hassan
6.3. STATEMENT OF THE PROBLEM: -
A DESCRIPTIVE STUDY TO ASSESS THE LEVEL OF DEPRESSION
SEEN AMONG THE CLIENTS DIAGNOSED WITH TYPE- II DIABETES
MELLITUS AT SELECTED HOSPITALS IN HASSAN.
6.4 OBJECTIVES OF THE STUDY:
1. To assess the level of depression seen among the subjects diagnosed with type II
2. To study the socio demographic characteristics of study subjects.
3. To find out the association between the level of depression and selected socio-
demo graphic variables.
There will be a statistically significant relationship between the level of
depression and selected socio-demographics variables such as age, occupation, income,
1. Diabetic conditions require life long changes. It leads to depression.
2. Diabetic clients may develop associated systemic illnesses related to heart, liver
and kidney. Fear about associated illness makes them depressive.
3. Diabetic clients require regular follow up of their blood sugar costing them in
turns of money, time, and energy .This may lead to depression.
6.7 OPERATIONAL DEFINITIONS
1. Level of depression: is defined on the basis of scores obtained on the Beck’s
Depression Inventory. (Beck, 1967)
2. Selected hospitals: Refers to general hospitals giving both medical and surgical
treatment to clients diagnosed with type 2 diabetes mellitus.
3. Diabetes Mellitus: is defined for the purpose of present study, that those clients
diagnosed by treating physician as suffering from type 2 diabetes mellitus.
6.8. CRITERIA FOR SELECTION OF SAMPLES
I. Inclusion Criteria
1. Those clients with type 2 diabetes mellitus between the age group of 40 and 60
2. Both male and female clients diagnosed with type diabetes mellitus.
3. Those clients having diabetic mellitus for the last one year.
II. Exclusion Criteria
1. Those clients who are with diabetes coma.
2. Those clients who give the history of recent episodes of significant loss. (Ex:
death of loved one, accident etc.)
3. Those clients who have family history of psychiatric illnesses.
1. The Study is limited only to clients diagnosed with type 2 diabetes mellitus.
2. Prescribed data collection is only 6 weeks.
3. The sample size is limited to 100 clients.
4. Study design is limited to survey
6.10. SIGNIFICANCE OF THE STUDY.
The study Signifies that assesses the level of depression among sample of clients
with type 2 diabetes mellitus.
6.11. CONCEPTUAL FRAMEWORK.
The conceptual framework is based on modified Wetson’s Human Caring –
Orlando’s theory of nursing process.
6.12. REVIEW OF LITERATURE:
Literature review is standard requisition of scientific research. It means reading
and writing the pertinent information of the attempt in research topic. It also support and
explained why the proposed topic is taken for research and avoid unnecessary duplication
explore the feasibility and illuminate the way of new researcher.
A study conducted on the prevalence of co morbid depression among adults
with diabetes in southern Iraq. Cross sectional case control study. Center for
Epidemiologic Studies Depression Scale (CES-D) was used to scan depressive
symptoms. The total numbers of diabetic were 103 and control were 103. Results suggest
that diabetics patients depression scores 44.5 while the control was 33.4+/-6 both
diabetics & control scores more than 16, which is lower threshold for diagnosis of
depression if these figures applied, almost all population will have depression according
A study conducted on depressive symptoms in subjects with diagnosed and
undiagnosed type 2 diabetes. Longitudinal study among inhabitants of a residential area
of a large city in the Netherlands. 4747 subjects were classified into four mutually
exclusive categories, normal fasting plasma glucose (F.P.G), impaired FPG,
undiagnosised diabetes mellitus type 2 and diagnosed diabetes mellitus type2. Presence
of depressive symptoms were measured with the depression subscale of the symptom
check list (SCl-90). Results suggest that diagnosed diabetes mellitus type 2 was
associated with an increased risk of depressive symptoms, normal, impaired fasting
plasma glucose and undiagnosed. Diabetes mellitus type 2 were not associated with
depressive symptoms. Researcher suggest that depressive symptoms might be a
consequence of the burden of diabetes.13
A study conducted on prevalence of depression and diabetes, in Bangladesh.
Depressive symptoms were assessed in 184 newly diagnosed diabetic subjects and in 768
randomly selected individuals without diabetes. The Montgomery and Aasberg
depression kating scale was used to assess depressive symptoms. Results suggests that
29% of male and 30.5% of female participants with diabetes and 6.0% of male and 14.6%
of female subjects without diabetes had depressive symptoms. Researcher concluded that
depression is particularly common in those with diabetes.14
A study carried out on depression and diabetes in Iranian patients. The Condition
of depression and relationship to diabetes was assessed among in 375 individuals, 206
people with diabetes and in 169 without diabetes. Beck Depression Inventory was used
to access depression. Results suggested that major depression was present among 71.8%
of this sample with diabetes and depression was more prevalent among with women
with diabetes than men. Researchers concluded that diabetes appears to increase the risk
of developing depression.15
A study conducted on correlates of elevated depressive symptoms among rural
African Americans adults with type 2 diabetes. It is cross sectional observational study,
Centre for Epidemiologic Studies – Depression Scale was used to assess depressive
symptoms. The results of the study shown that elevated depressive symptoms were
present in 30% of the samples, both health related psychosocial stressors contribute to the
depressive symptoms among rural African Americans adults with type to diabetes. 16
A study conducted on correlates of depression in type to diabetic elderly
patients. The study utilized a descriptive – correlations design, subject consisted of 156
diabetic patients aged 65 years from diabetic out patients clinics at three hospitals in
kaohsiung. This study applied the personnel resources questionnaires 2000 (PQR200),
Taiwan Geriatric Depression Scale (TGDS) and from demographic data. The results of
the study shown that the mean index score for depression level was 26, indicating that
study subjects had a low level of depression, Social support and regular exercise were
significantly and negatively correlated with depression, social support and diabetic
complications were significant correlates of depression.17
A study conducted on independent factors associated with major depressive
disorders in national sample of individuals with diabetes in south carolia. Data on 1810,
individuals with diabetes from the 1999 national health interview survey (NHS) were
analyzed. The composite international diagnostic interview (ICDI) short form (ICDI-SF)
was used to identify individual with major depressive disorder. Multiple logistic
regression was used to determine whether independent factors were associated with
major depressive disorders. Results suggested that independent factors associated with
major depressive disorders were, age<64 years, female sex, at-least high school
education, Lower income, perceived worsening of health status and smoking. Researcher
concluded that independent factors play an important role in the etiology of depression
among individuals with diabetes.18
7. MATERIALS AND METHODS OF STUDY
7.1 SOURCE OF DATA COLLECTION
The data will be collected from type II diabetes mellitus clients in selected
hospitals at Hassan.
7.2 RESEARCH DESIGN
Descriptive survey , correlation in nature.
7.3 METHODS OF DATA COLLECTION
Structured interview method, data will be collected by using close-ended
7.4 SAMPLING PROCEDURE.
1. Population: All the clients with type 2 diabetes mellitus,
2. Sample: Patients those who fulfill the inclusion and exclusion criteria
and receiving treatment in selected hospitals at Hassan.
3. Sample Size: Sample comprises of 100 clients diagnosed with Type 2
4. Sampling techniques: Random sampling using lottery methods
5. Setting : The study will be conducted in selected hospitals. Hassan.
10% of the population is planned for pilot study.
8.1 Independent Variable; Socio demographics variable
8.2 Dependent Variable; Diabetes mellitus type 2, depression
9. PLAN FOR DATA ANALYSIS
The plan for data analysis includes descriptive
Data will be coded and entered in to the computer descriptive statistical
Frequency in percentage (%) parametric statistical like mean, standard deviation
and analysis of variant and nonparametric test like T, (chi-sqare test) will be used.
10. ETHICAL CONSIDERATION
1. Does the study require any intervention to be conducted on clients ?
2. Has ethical clearance being obtained from your institution?
3. Has consent taken from hospital authorities?
4. Has consent taken from study subjects?
11. LIST OF REFERENCES
1. Gail W, Stnart, Michele T. Laraia. Principles and practice of Psychiatric Nursing 8th
ed. New Delhi: Elsevier: 2005. p. 332.
2. Brunner and suddarth’s. Text book of medical surgical Nursing, 9th ed.Philadelphia
3. Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. Prevelance of comorbad
depression in adults with diabetes. Diabetes care. 2004. June : 24(6):1068 – 78.
Available PMID:11375373 Pumed – indexed for MEDILE.
4. De groat M, Anderson R, Freedland KR, Clouse RE, Lastman PJ. Association of
Depression and Diabetes Complication: a meta analysis, Psychosommed. 2001Jul- Aug:
63(4): 619: 30. Available PMID 11485116 Pumed – indexed for MEDLINE.
5 Gavard JA, Lustman PJ, Clouse RE. Prevalence of depression in adults with diabetics.
Diabetic care. 2005 Jun : 24 (8) : 116-79. Available PMID : 11386486 pubmed – indexed
6. Ciechanowksi PS, Katon WJ, Ruso JE. The relationship of depressive symptoms to
symptoms reporting, self care and glucose control in diabetes. Gen.Hosp. psychiatry.
2003 Jul-Aug: 25(4): 246-52. Available PMID:12850656 Pubmed – indexed for
7. Park K. Park Text book of Preventive and social medicine 18th ed. Jabbalpur:
Banarasidas Bhamot: 2005 p-399.
8. Kalseker ID, Madhavan SS, Amonkar MM. Depression in patients with type 2 diabetes
impact on adherence to oral hypoglycemic agents. Ann Pharmacother.2006 Apr: 40 (4) :
605 -11. Available PMID : 16551768 Pumed – indexed for MEDLINE.
9. Park. H, Hong Y. Lee. H, Hae, sung Y. Indiduals with type 2 diabetes and depressive
symptoms exhibited lower adherence with selfcare. J.clin , epidemiol . 2004Sep: 57 (9):
978-84. Available PMID: 15504641 Pubmed- index far MEDLINE.
10. Lust man PJ, Clouse RE. Depresion in disbetic patients: The relationship between
mood and glycemic control. J Diabetes complications. 2005 Mar-Apr: 19(2): 113-22.
Available PMID: 15745842 Pumed – indexed for MEDLINE.
11. BLACK SA, Markides KS. Ray LA. Depression and Prediets increased incidence of
adverse health out comes in alder maxican americans with Type 2 Diabetes.Diabetic
care. 2003 Oct: 26 (10): 2952-3. Avialables PMID: 14514586 Pubmed – indexed for
12. Abbas Ali Mansour, Mansour attia Jabir. The Prevalence of co morbid depression
among adults with diabetes in Southern Iraq. Pak Journal med Sic. Apr 2007. Vol.23,
13. Knol MJ, Heerdink ER, Egberts AC, Geerlings MI, Gurter KI. Depressive symptoms
in subjects with diagnosed and undiagnosed type 2 diabetes. physchosom med. 2007 May
: 69(4): 297-9. Available PMID: 17470664 Pubmed- indexed for MEDLINE
14. Asghar S, Hussain A, Alism, khan AK,. Magnession A, Prevalance of depresson and
diabetes: a population based study from rural Bangaldesh Diabedmed. 2007 Aug : 24 (8):
872-7. Available PMID: 17403122 Pubmed – for MEDLINE.
15. Khasmeh ME, Baradaran HR. Depression and diabetes in Iranian patients: a
comparative study. Int J psychiatry med. 2007:37 (1); 81-6. Available PMID : Pubmed
indexed for MEDLINE.
16. Kogan SM, Brodly GH, Crawley C. Correlates of elevated depressive symptoms
among rural African American adults with type 2 diabetes. Ethn Dis. 2007 oct:
17(1):106-12. Available PMID: 17274218 Pubmed – indexed for MEDLINE.
17. Bai.Y.L., Chious C.P, Chang Y. Correlates of depression in type 2 diabetic elderly
patients : A Correlation study. Int J Nurs Stud. 2006 Nov.14. Available PMID : 17112523
Pubmed indexed for MEDLINE.
18. Egede LE, Zhong, D. Independent factors associated with major depressive disorders
in national sample of individuals with diabetes. Diabetic Care 2003 Jan : 26(1): 104-11.
Available PMID : 12502665 PMID Pubmed indexed for MEDLINE.
12 Signature of the candidate
13 Remarks of the guide
14 Name and designation
14.3 Head of the department
15 Remarks of the principal


HIV/AIDS: FDA Panel Votes in Favor of Barring Gay Donors
A ban on blood donations from gay men will likely remain, the Atlanta Journal-Constitution reports. An FDA-convened panel of scientists voted 7-6 yesterday in favor of keeping the ban, saying there was insufficient evidence on the AIDS risk to the nation's blood supply. Because of a low blood supply, the FDA asked the scientific advisers if the policy should change to permit men who had not had sex with another man in the past five years to donate blood. While the vote is non- binding, the Journal-Constitution reports that the FDA typically follows the advice of its scientific panels. The FDA estimated the change would have allowed about 62,300 men who have sex with men to donate blood, raising the possibility that 1.7 units of HIV-infected blood could enter the blood supply. Scientists report that nationally, the risk of receiving HIV-positive blood is about one in 675,000 units. Dr. Jeffrey Lennox, of the Emory University School of Medicine said protecting the blood supply and receiving enough donations is a "delicate balancing act," adding, "Short as we are on blood, we want to include as many people as we can safely include, but at the same time we need to make sure that we satisfy the recipient of the blood that we've done everything that we can to ensure the safety of the blood."
The American Red Cross has supported the decision, saying that the organization "cannot change its procedures in a way that would result in increased numbers of infectious donations." The American Association of Blood Banks, however, supported the proposed change because the screening process would prevent new infections. "The longest window we know to detect the virus is a year. The science is there," AABB Chief Executive Karen Lipton said. Opponents of the ban claim that testing for HIV has become more precise, allowing for detection in as little as 11 days, and argue that while rates of infection among gay men have dropped, heterosexuals now comprise half of all new HIV cases. Peter Velasco, of the National Minority AIDS Council said, "We feel to exclude gay men not only discriminates but also creates a false sense of security." Lennox added, "If you want maximum safety of blood supply, you'd want people who are not IV drug users and who are not promiscuous. To me those criteria would not rule out many gay men" (Staples, Atlanta Journal- Constitution, 9/15).


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News / Events / Press Release
Hexaware reports stellar quarter
03 Nov, 2015
Mumbai – November 3, 2015: Hexaware Technologies Limited, a leading global provider of IT, BPO and Consulting services has just reported robust performance for the third quarter of the calendar year ended September 30, 2015.
Click here to read more…

domain: news


text:
On Air Now
Early Breakfast with Lucy Coward 4am - 6am
10 January 2022, 11:20 | Updated: 10 January 2022, 12:59
An Australian professor has found evidence that one of the most famous composers to ever live, claimed credit for some of his older sister’s compositions.
Born in 1756, Wolfgang Amadeus Mozart was the youngest of seven children in the Mozart household, five of whom died during infancy.
Maria, nicknamed Nannerl, has been described by modern scholars similarly to her brother, as a child prodigy, and from early in her childhood, she was achieving top billing in concerts performing on the harpsichord and fortepiano.
There is also evidence that Nannerl wrote her own compositions, but none have survived. Or at least that was the consensus until retired Australian professor, Martin Jarvis, suggested that three out of five of Mozart’s violin concertos could have actually been composed by Nannerl.
Professor Jarvis has been forensically studying original Mozart manuscripts since 2007 while working as professor and lecturer of music at Charles Darwin University, Australia.
He specifically focused on Mozart’s five violin concertos, a favourite among string players, and began to notice something odd about three of the works.
The professor told ABC News, “Of the five violin concertos, three of them were composed by a person called Wolfgang Amadeus Mozart, and two of them – in a different handwriting – were composed apparently by Amadeus Wolfgang Mozart.
“We know that [Nannerl] composed because even in some of [his] letters, Mozart compliments her on her music”, and, “We know that various composers, including Bach, copied other people’s music and then put their name on it.”
Ezi - Mozart Violin Concerto No.3
Nannerl toured with her younger brother Mozart when they were children, and even embarked on an 18-month concert tour in London starting when she was just 13, with her and her brother billed as “wunderkinder”. She was even billed first, and contemporaneous reviews praised her performances.
However, this all stopped when she turned 18, as performing as a child was one thing in the 18th century, but performing as a woman could have dire consequences on a person’s reputation.
Growing up, many biographers place Nannerl as an idol in the young Mozart’s life. In Maynard Soloman’s Mozart: A Life, he writes: “At three, Mozart was inspired to study music by observing his father’s instruction of [Nannerl]; he wanted to be like her.”
Their close relationship would continue throughout childhood, and Soloman also notes that Mozart would occasionally write entries into Nannerl’s diary, but refer to himself in the third person.
However, sources differ on whether the two siblings remained close during adulthood, with Soloman suggesting that Wolfgang and Nannerl drifted apart completely in later life, and correspondence with each other stopped completely three years before Mozart’s premature death at the age of 35.
Nannerl sent at least one composition to both her father and her brother as an adult, and Mozart wrote back praising the composition and encouraging her to write more.
Professor Jarvis therefore argues that it is also possible, as opposed to simply taking credit for his sister’s work, that Nannerl had chosen to have her work published at the time under her brother’s name due to her gender.
Jarvis suggests, “She may well have pushed herself out of the picture because of the value of the manuscripts if they were thought to be by her brother”.
This is not the first time the Australian professor has questioned the originality of a composer’s work. In 2011, Jarvis also suggested that Bach plagiarised his second wife’s work, the singer, Anna Magdalena Bach.
We may well never know for sure if Nannerl’s compositions survive through Mozart’s body of work, or if her original compositions will remain unfound, but it is clear that Nannerl had exceptional talent when it came to musical prowess.
Her father once described her as “one of the most skilful players in Europe”, and whether or not her skill lives on in Mozart’s compositions, her memory should be celebrated for the great musician she was.

domain: artistic


text:
New research about screen exposure in children is important to be aware of but difficult to digest.
According to neuroimaging studies, excess screen time damages kids’ brains at the physical level. An article published in Psychology Today details the findings while psychiatrist Victoria L. Dunckley offers her professional insight. Dr. Dunckley is the author of Reset Your Child’s Brain, a how-to book for parents seeking help dealing with the consequences of screen time. While she may be biased on the subject, the research she summarizes in her Psychology Today article is worth a read.
Limiting children’s time in front of a screen not only maintains brain health but allows for more time outside. For further reading on this topic, check out our collection of more research and relatable articles on screen time.

domain: psychology


R. Kelly has lost a civil lawsuit brought against him by a woman who claims that the singer sexually assaulted them while they were underage in the 1990s, as The Chicago Tribune reports. Kelly was reportedly served a court summons but never appeared in court. This led a Cook County judge to issue a default judgment in the case yesterday, April 23. According to records viewed by Pitchfork, the plaintiff is suing Kelly for $50,000 and a new court date of May 8 has been set to determine next steps in the suit.
According to the Tribune, the woman who filed this civil lawsuit agains Kelly is the same victim who was identified as H.W. in the criminal charges brought against Kelly in February 2019. According to those charges, the victim stated she was sexually involved with Kelly between May 26, 1998 and May 25, 1999, when she was under the age of 17 and Kelly was more than five years older than her. Pitchfork has reached out to Kelly’s legal representatives for further comment.


text:
86-year-old academician of the Chinese Academy of Sciences,
a famous stratigraphic paleontologist,
Professor Yin of China University of Geosciences (Wuhan) Hongfu
A video of vaccinating the new crown vaccine became popular on the Internet
Academician Yin Hongfu said
Recently he learned from reports
60 years old The above population can be vaccinated.
Come to make an appointment and vaccinate
The nurse explained the vaccination instructions for him
He carefully read the informed consent form
After signing and measuring blood pressure
Academician Yin Hongfu and nurse
We sang the song "Miao Miao" together
"Let’s get a vaccine together, Miao Miao Miao Miao Miao together"
Netizen: The old man is so cute!
Can older people get vaccinated?
Is there a nucleic acid test after vaccination?
The latest response is here ↓
The official website of the National Health Commission released the "New Coronavirus Vaccination Questions and Answers (Updated on March 31, 2021)" on April 1, using 34 The issue fully responds to public concerns.
△Screenshot of the National Health Commission website
National Health Commission: People aged 60 and above are included New crown vaccination population
Among them, it is clear that at this stage, the target population of my country's new crown virus vaccine is 18 years old and above. People aged 60 and above are those at high risk of severe illness and death after being infected with the new coronavirus. The vaccine will have a certain protective effect on people aged 60 and above, and vaccination is recommended. In addition, people with impaired immune function are also those at high risk of severe illness and death after being infected with the new coronavirus. According to the safety characteristics of previous vaccines, inactivated vaccines and recombinant subunit vaccines are recommended; for adenovirus vector vaccines, it is recommended to fully inform individuals Vaccination after weighing the benefits outweigh the risks.
Questions and Answers on New Coronavirus Vaccination (Updated on March 31, 2021)
1. Is it necessary to inoculate the new coronavirus vaccine?
It is necessary. On the one hand, the vast majority of people in my country do not have immunity against the new coronavirus and are susceptible to the new coronavirus. After the infection occurs, some people will develop critical illness and even cause death. After vaccination, on the one hand, the vast majority of people can gain immunity, thereby effectively reducing the risk of illness, severe illness and death; on the other hand, through orderly vaccination of the new coronavirus vaccine, an immune barrier can be gradually established in the population and blocked The epidemic of new coronary pneumonia will restore the normal operation of my country's social economy and residents' lives as soon as possible.
2. How does the new coronavirus vaccine work in the human body?
After vaccination, the human body will produce protective antibodies, and some vaccines will also enable the human body to produce cellular immunity and form a corresponding immune memory. In this way, the human body has immunity against diseases. Once the new coronavirus invades the human body, the antibodies produced by the vaccine and the cytokines released by cellular immunity can recognize, neutralize or kill the virus, and immune memory also quickly mobilizes the immune system to function, preventing the virus from continuing to multiply in the body, thereby To achieve the purpose of disease prevention.
Three. At present, how many new coronavirus vaccines are approved for conditional marketing or emergency use in my country?
The new coronavirus vaccines from 5 manufacturers in my country have been approved for conditional marketing or emergency use. Among them, three inactivated vaccines and one adenovirus vector vaccine were conditionally approved for marketing; in addition, one recombinant new coronavirus vaccine (CHO cell) was approved for emergency use.
4. What are the approved manufacturers of new coronavirus vaccines?
The three new coronavirus inactivated vaccine products that have been conditionally approved for marketing were developed by Sinopharm, China Bio-Beijing Biological Products Research Institute.Research Institute Co., Ltd. (Beijing Institute), Wuhan Institute of Biological Products Co., Ltd. (Wuhan Institute) and Beijing Kexing Zhongwei Biotechnology Co., Ltd. (Kexing Zhongwei).
The adenovirus vector vaccines with conditional approval for listing are produced by Cansino Biotech Co., Ltd. (Cansino).
The recombinant subunit vaccine approved for emergency use is produced by Anhui Zhifeilongkema Biopharmaceutical Co., Ltd. (Zhifeilongkema).
5. How does the new coronavirus vaccine carry out the full traceability work?
The Vaccine Management Law requires the country to implement a full electronic traceability system for vaccines. After a vaccine is on the market, there should be accurate and standardized records in all aspects of production, transportation, storage, transportation, and use. The information recorded throughout the traceability includes vaccine varieties, vaccine manufacturers, dosage forms, specifications, batch numbers, expiration dates, and vaccination case information. Wait. Through the information technology of vaccination, all localities enter the above-mentioned information into the system in time to realize the electronic traceability of the whole process of vaccine circulation and use.
VI. At this stage, who is the target of the new coronavirus vaccine?
The vaccination target of the new coronavirus vaccine in my country is people 18 years old and above.
Seven. At present, how many doses of the new coronavirus vaccine approved for use in my country are required? How long is the interval?
Currently, two doses of inactivated new coronavirus vaccine are required; the interval between the first dose and the second dose should be 3 weeks or more, and the second dose should be completed as soon as possible within 8 weeks after the first dose. .
Adenovirus vector vaccine requires 1 dose.
Recombinant subunit vaccine requires 3 doses; the interval between the first dose and the second dose, and the interval between the second and third doses is recommended to be 4 weeks or more. The second dose should be completed within 8 weeks after the first dose, and the third dose should be completed within 6 months after the first dose.
8. Where can the new coronavirus vaccine go?
The vaccinations of the new coronavirus vaccine are all carried out in the vaccination unit approved by the local health administration department. Normally, the vaccination unit is located in the health service center, township health center or general hospital in the jurisdiction. If the vaccination involves some departments or enterprises where the key objects are concentrated, the local area will also set up some temporary vaccination units according to the situation.
The health administrative department or disease prevention and control agency of the jurisdiction will also announce the vaccination units that can be vaccinated against the new crown virus as required, including the location and service hours. Please pay attention to the relevant information release platform.
9. What are the contraindications for vaccination?
The contraindications of vaccination refer to situations in which vaccination should not be taken. According to the "New Coronavirus Vaccination Technical Guidelines (First Edition)", the usual contraindications for vaccination include: 1. Those who are allergic to the active ingredients of the vaccine, any inactive ingredients, substances used in the production process, or the same kind of vaccination before People who have allergies during the vaccine; 2. People who have had severe allergic reactions to the vaccine in the past (such as acute allergic reactions, angioedema, dyspnea, etc.); 3. People who suffer from uncontrolled epilepsy and other severe neurological diseases (such as transverse Myelitis, Guillain-Barre syndrome, demyelinating disease, etc.); 4. Patients with fever, or suffering from acute diseases, or acute attacks of chronic diseases, or patients with uncontrolled severe chronic diseases; 5. Pregnant women. Some contraindications, such as fever, are temporary. When the condition that caused the contraindication no longer exists, the vaccine can be vaccinated at a later time.
10. How to discover and grasp the contraindications of vaccination?
During the implementation of the operation, if a severe allergic reaction occurs during the first dose of the vaccine, and it cannot be ruled out that it is caused by the vaccine, the second dose is not recommended. To understand the ingredients of the vaccine, people who have been allergic to the ingredients of the vaccine should not be vaccinated.
When vaccinating, the recipient should truthfully report the health status, disease history, allergy history, etc. to the vaccination doctor; the vaccination doctor will ask about the recipient’s health status and previous allergies history.
11. Can the new coronavirus vaccines from different manufacturers be used instead of vaccination?
According to the "New Coronavirus Vaccination Technical Guidelines (First Edition)", at this stage, it is recommended to use the same company's new coronavirus inactivated vaccine to complete the entire vaccination process. In case of special circumstances such as the inability to continue supply of vaccines, the recipients are vaccinated in different places, and the entire vaccination process cannot be completed with the new coronavirus inactivated vaccine of the same company, inactivated vaccines produced by other companies can be used to complete the vaccination.
12. Where and how to inoculate the new coronavirus vaccine?
The 5 new coronavirus vaccination sites that have been approved so far are all on the deltoid muscle of the upper arm, and the route of vaccination is intramuscular injection.
13. What should I pay attention to during the new coronavirus vaccination process?
During the vaccination process, the recipient should pay attention to and cooperate with the following matters:
Before vaccination, you should understand the new crown disease, new crown virus vaccine related knowledge and vaccination process in advance.
When vaccinating, you need to bring relevant documents (identity card, passport, etc.), and perform personal protection according to local prevention and control requirements, cooperate with on-site vaccination staff to inquire, and truthfully provide your health status and vaccination contraindications And other information.
After vaccination, stay for 30 minutes; keep the skin of the vaccination area clean and avoid scratching the vaccination site with your hands; if there is a suspected adverse reaction, report to the vaccination unit and seek medical attention when necessary.
14. Why do I have to stay for half an hour after vaccination?
After vaccination, a very small number of people may experience acute allergic reactions and syncope. Severe life-threatening acute allergic reactions usually occur within 30 minutes after vaccination. If an acute allergic reaction occurs, timely treatment measures can be taken at the scene. Syncope also mostly occurs within half an hour after vaccination. If you leave the observation site immediately after vaccination, it may cause accidental injury to the recipient due to syncope. Therefore, the recipient needs to stay in the designated area of the vaccination unit for half an hour after vaccination.
15. Why is there a certain interval between doses of the new coronavirus inactivated vaccine?
Generally, inactivated vaccines require multiple vaccination to achieve a better immune effect. According to clinical trial data, the first dose of inactivated new crown vaccine can stimulate the body to produce part of the immune response, and after the second dose, it can produce a better immune effect. The interval between doses is generally required to determine the minimum interval between doses based on the results of clinical trials. If the two doses of vaccination cannot be completed within the time required by the program interval, replanting should be done as soon as possible.
16. How can people who have not completed the entire immunization program undergo replanting? Need to start again?
For vaccines whose full immunization is a two- or three-dose program, and those who have not been vaccinated, it is recommended to replant the unfinished dose as soon as possible, and there is no need to restart vaccination according to the immunization program.
17. Do subjects whose vaccination interval between two doses of the new coronavirus inactivated vaccine is less than 3 weeks need to be replanted?
For those who have completed 2 doses of inactivated new coronavirus vaccination within 14 days, one dose of inactivated vaccine should be supplemented as soon as possible three weeks after the second dose of vaccination. For those who have completed 2 doses of inactivated new coronavirus vaccination within 14-21 days, there is no need to replant.
18. Is it necessary to boost immunization after the entire inactivated vaccine against the new coronavirus is inoculated at this stage?
Boost immunization is not recommended at this stage.
19. After vaccination with the new coronavirus inactivated vaccine, if you want to vaccinate other technical routes, is this approach scientific?
Currently, vaccination with the new coronavirus inactivated vaccine needs to be completed in accordance with a two-dose immunization program. After the completion of 2 doses of inactivated vaccines, whether booster immunization is necessary, and whether other technical routes can be used for booster immunization, remains to be further studied.
20. It was suggested that HPV vaccine and new coronavirus vaccine should not be vaccinated at the same time. How long should the interval be?
The new coronavirus vaccine is a new vaccine. In order to facilitate the identification or differentiation of suspected vaccine adverse reactions, it is not recommended to vaccinate the new coronavirus vaccine with other vaccines (including HPV vaccine) at the same time. However, it does not mean that other vaccines cannot be vaccinated after receiving the new coronavirus vaccine. It is only recommended that the new coronavirus vaccine and other vaccines should be vaccinated more than two weeks apart. It must be noted that when the rabies vaccine, tetanus vaccine, and immunoglobulin are urgently vaccinated due to animal injuries, trauma, etc., the interval between vaccination with the new coronavirus vaccine may not be considered.
21. Can women of childbearing age and breastfeeding be vaccinated against the new coronavirus?
If you get pregnant after vaccination or get the vaccine without knowing your pregnancy, based on the understanding of the safety of the vaccine, it is not recommended to take special medical measures (such as termination of pregnancy) just because of the new coronavirus vaccine. It is recommended to do a good check and follow-up during pregnancy For women who have a pregnancy plan, there is no need to delay the pregnancy plan just because of the new coronavirus vaccine.
Although there is no clinical research data on the impact of new coronavirus vaccine on breastfeeding infants and young children of breastfeeding women, based on the understanding of the safety of the vaccine, it is recommended that breastfeeding women who are at high risk of new coronavirus infection ( Such as medical staff, etc.) vaccination. Considering the importance of breastfeeding to the nutrition and health of infants and young children, referring to internationally accepted practices, breastfeeding women are advised to continue breastfeeding after being vaccinated against the new coronavirus.
Can people aged 22, 60 and above be vaccinated against the new coronavirus?
People aged 60 and above are those at high risk of severe illness and death after being infected with the new coronavirus. At present, the number of phase III clinical trials of the 4 new coronavirus vaccines with conditional approval for marketing is limited in this population. Recombinant subunit vaccinesPhase III trials are still in progress, and there is no data on the protective efficacy of the vaccine in this population. However, the above-mentioned vaccine phase I/II clinical research data show that this population has good vaccination safety. Compared with the 18-59 year-old population, the neutralizing antibody titer after vaccination is slightly lower, but the positive conversion rate of the neutralizing antibody is similar, suggesting that the vaccine It will also have a certain protective effect on people over 60 years old, and vaccination is recommended.
23. Can people under the age of 18 be vaccinated against the new coronavirus at this stage?
Currently, the existing vaccines have not yet obtained clinical trial data for this population, and it is not recommended for people under 18 years of age to be vaccinated.
Twenty-four. Can people with chronic diseases be vaccinated against the new coronavirus?
The chronically ill people are those who are severely ill and at high risk of death after being infected with the new coronavirus. People with stable health conditions and well-controlled chronic diseases are not considered contraindications for new coronavirus vaccination and are recommended to be vaccinated.
25. Can people with impaired immune function be vaccinated against the new coronavirus?
People with impaired immune function are those at high risk of severe illness and death after being infected with the new coronavirus. There is currently no data on the safety and effectiveness of the new coronavirus vaccine for the population (such as patients with malignant tumors, nephrotic syndrome, and AIDS) and people infected with human immunodeficiency virus (HIV). The immune response and protective effect of this group of people after vaccination may be reduced. For inactivated vaccines and recombinant subunit vaccines, it is recommended to vaccinate based on the safety characteristics of previous vaccines of the same type; for adenovirus vector vaccines, although the vector virus used is replication defective, there is no safety data for the use of the same type of vaccine in the past. It is recommended that after being fully informed, the individual weighs the benefits outweigh the risks and vaccinates.
Twenty-six. Do I still need to be vaccinated against the new crown virus if I have been infected with the new crown virus?
Existing research data shows that there are rare cases of re-infection within 6 months after the new coronavirus infection. People who have been infected with the new crown pneumonia virus (patients or asymptomatic infections) can receive one dose after 6 months on the basis of full notification.
Twenty-seven. How long does it take to produce antibodies against the new coronavirus after being vaccinated with the inactivated vaccine against the new coronavirus?
According to previous clinical trials of inactivated new coronavirus vaccine, about two weeks after the second dose of inactivated vaccine, the vaccinated population can have a better immune effect.
28. Is it necessary to detect antibodies before and after vaccination?
There is no need to carry out new coronavirus nucleic acid and antibody testing before vaccination; it is also not recommended to routinely test antibodies as a basis for immunization success after vaccination.
Twenty-nine. Do I still need a nucleic acid test after inoculation with the new coronavirus vaccine? Can the vaccination certificate replace the nucleic acid test report?
After being vaccinated with the new coronavirus vaccine, a very small number of recipients still have a positive nucleic acid test or disease due to protection failure due to the following reasons: 1. After the entire vaccination process, some individuals did not receive effective protection due to immune failure. After this part of the population is exposed to the new coronavirus, they may be infected with the new coronavirus and be positive for nucleic acid or get sick. 2. It takes some time after vaccination to produce a protective effect. If you are infected with the new coronavirus during this period, you may be positive for nucleic acid or get sick. 3. Patients in the incubation period of the disease or asymptomatic infections, even if they are vaccinated, may still be infected with nucleic acid positive or have disease.
The above-mentioned people may become infected. When nucleic acid screening is required for the prevention and control of the new crown virus, the new crown virus vaccination certificate cannot replace the nucleic acid test report, and the relevant departments must also cooperate with the relevant departments to carry out nucleic acid tests.
30. After the new coronavirus has mutated, does vaccination with the new coronavirus still work?
Judging from the global monitoring of the mutation of the new coronavirus, there is currently no evidence that the virus mutation will invalidate the existing new coronavirus vaccine. Viruses are one of the simplest organisms, and their proliferation depends on living cells. In the process of multiplication, the virus will mutate. The World Health Organization, national research institutions, and vaccine manufacturers are all paying close attention to the mutation of the new coronavirus and are also carrying out relevant research, which will provide early warning and scientific analysis basis for subsequent vaccine development and application.
Thirty-one. What is the suspected abnormal response to vaccination? What situations are included?
Suspected abnormal vaccination reaction (AEFI in English) refers to a reaction or event suspected to be related to vaccination after vaccination, also known as a suspected adverse vaccine reaction. Including the following situations: adverse reactions of vaccines, reactions related to vaccine quality problems, reactions related to vaccination errors, psychogenic reactions, and coupling disorders (coupling reactions).
Thirty-two. What are the common adverse reactions of new coronavirus vaccination?
From the results of previous clinical trials of the new coronavirus vaccine and the information collected during emergency use, my country's new coronavirusThe occurrence of common adverse reactions of poisonous vaccines is basically similar to that of other vaccines that have been widely used. Common adverse reactions mainly include redness, swelling, induration, and pain at the site of inoculation, as well as clinical manifestations such as fever, fatigue, nausea, headache, and muscle aches. Follow-up related departments will continue to strengthen the real-time monitoring and evaluation of adverse reactions.
33. What are the differences between general and abnormal vaccination reactions?
Both general and abnormal reactions are vaccine adverse reactions, which are caused by the characteristics of the vaccine itself and are not related to the purpose of vaccination or accidental reactions, and are related to individual differences in the recipient. There are differences between the two in the following aspects: 1. Frequency and severity: General reactions account for the vast majority of adverse reactions. They are transient, mild body reactions and usually do not require treatment; abnormal reactions mainly refer to the cause of adverse reactions. Reactions related to damage to the organs or functions of these individuals are rare and often require treatment. 2. Clinical manifestations: general reactions generally manifest as local reactions such as redness, swelling, induration, and pain at the inoculation site, and systemic reactions such as fever, fatigue, and headache; abnormal reactions often manifest as acute severe allergic reactions. 3. Do you need to report: Most mild general reactions do not need to be reported; all suspected severe abnormal reactions need to be reported. 4. Investigation and diagnosis: General reactions usually do not require investigation and diagnosis; suspected serious abnormal reactions need to be investigated and diagnosed by the investigation and diagnosis expert group organized by the disease control agency. If there is objection to the investigation and diagnosis conclusions, the municipal or provincial medicine can be used The appraisal expert group will be organized for appraisal.
Thirty-four. After the vaccination starts, will our prevention and control measures be adjusted?
For individuals, the protective effect of vaccination is not 100%, and it takes a certain amount of time to produce protective antibodies; for groups, without the formation of an immune barrier, the new coronavirus is still easy spread. Therefore, to prevent the rebound of the new crown pneumonia epidemic, some prevention and control measures must be adhered to at this stage, including protective measures such as wearing masks, maintaining social distancing, washing hands frequently, and ventilation. The prevention and control measures of the new crown epidemic for the population will be adjusted in due course as the population coverage of the new crown vaccine increases and the epidemic situation of diseases at home and abroad changes.
Source: Hebei Provincial People’s Procuratorate

domain: medical


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FDA warns of rare but serious skin reactions with acetaminophen
from Pharmacy Practice News
From Aug. 7:
Acetaminophen carries the risk for rare but serious and potentially fatal skin reactions, the FDA warned Aug. 1. The risk is present both in prescription and over-the-counter products containing the pain reliever and fever reducer, whether it is the single active ingredient or is combined with other medications.
7701 Las Colinas Blvd., Ste. 800, Irving, TX 75063


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Disclaimer: The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official position of Boiling Waters PH.
I chose to cry, to breakdown, and to accept the fact that it is over.
I chose myself and decide not to talk to you.
I thought I was supposed to be mature and to handle the situation like an adult and started to stay civil
While you are busy reading this article, try mo rin makinig sa episode namin:
I stopped and realised I still like you…
I took a step back– cried and begged you to give it another chance and went back to step three.
When you told me it’s really over I had no choice but to take another step forward
Fourth step and a half
I created a new life hoping it would help me get over you
I gave myself a chance to meet other people, to put myself out there and explore
I got my heart broken… again but I just brushed if off and moved on as it didn’t hurt like it did with you
I tried to focus on myself, took this step towards my longtime goal. This time I tried to always choose myself.
While I was in the process on achieving my goals, I stumble whenever I felt confused.
You were usually there for me, to help me, but this time it’s different… because I have to learn to live life without you.
I felt lonely.
I cried and I lost sleep thinking about you.
About how happy you are without me while I still feel miserable and broken.
I took another step back.
I tried to find out if you are still there for me but it doesn’t feel the same because you’ve already replaced me.
Then I took another step forward
Ninth step and a half
I prayed to God to let me understand that there is a reason why this happened to me. That I should understand there is someone else for me. Even if I want to take another step back, I stayed at nine.
I was happy to accomplish a lot of things in my “new” life, but I realised that this is a life without you. I end up asking if I really am happy — but even if I don’t know yet, I stayed at ten.
I chose to keep moving forward.
Even if it hurts more than ever…
I still tried to take even a single baby step, just so I can move farther from you.
I counted my blessings.
I knew I was always blessed with people who love me unconditionally. I was blessed with a life, a lot of people can only dream and can only hope for.
I am thankful and I am grateful, every day.
But God knows that it is okay not to be okay, that it is okay to breakdown, and to take a step back…
Even if it takes you back to step one.

domain: literature


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The Kardashian-Jenner clan will soon be returning to a screen near you.
Their new reality series, “The Kardashians,” will be available to stream on Hulu soon, with the network announcing Monday the series will premiere on April 14. Despite the family’s many ups and downs, it seems they are all returning to continue to give fans inside looks at their personal and professional lives.
On New Year’s Eve, the official “The Kardashians” page on Instagram uploaded a 15-second clip of the family wishing everyone a happy new year, including Kylie Jenner who at the time was pregnant with her second child with Travis Scott. She gave birth, reportedly to a baby boy, on Feb. 2.
On Monday, a new official teaser trailer was released. The short clip showed each sister up-close, posing in a glass box to Nina Simone’s “Feeling Good.”
“All the walls will be shattered,” the tag line said, before it showed Kris Jenner and all her daughters walking toward the camera together.
The family shocked its fans when they revealed in 2020 that their long-running hit E! series “Keeping Up With the Kardashians” was ending after 20 seasons. The show had become one of the most popular reality television shows since it first aired in 2007.
In December 2020, Hulu announced it signed a multiyear deal with the Kardashians for the family to create exclusive content for the streaming service. At the time, the company announced the show’s expected debut to be late 2021.
READ MORE HERE:

domain: celebrity


The Israel Defense Forces announced Monday it was adopting stricter restrictions on troops and military installations and was preparing to roll out more as it fears the COVID-19 outbreak will worsen.
The restrictions will keep troops who travel abroad away from their units for two weeks, clamp down on who can visit bases, bar parents from enlistment centers, and significantly curb the scope of ceremonies in a bid to keep the the virus at bay.
IDF Spokesperson Hidai Zilberman said the coronavirus has not yet caused a major disruption to the IDF’s activities, though there are concerns that it may do so in the future.
According to Zilberman, while individual soldiers are being affected by the quarantine orders, their units are able to continue as normal.
“These shutdowns aren’t affecting the IDF’s fitness in a way that needs to worry anybody,” he said.
As part of the military’s new limitations, any soldier returning from a trip abroad — regardless of the country — will be barred from their unit for two weeks. “They don’t need to be in quarantine, but they can’t come to the IDF,” Zilberman said.
The military was also setting up an internal hospitalization unit for soldiers who contract the disease, he said.
At this stage, this facility will be designed to hold at most several dozen soldiers, Zilberman said.
In total, some 2,100 soldiers are currently in quarantine, most of them due to personal trips abroad, including a battalion commander. This marks a noticeable jump from the military’s previous statistic, which Zilberman said was a result of additional countries being added to the list of those requiring isolation. Another 300 soldiers have completed their required two-week isolation and returned to their units. One soldier has so far been diagnosed with the disease.
In the longer term, the IDF was preparing for the possibility that the coronavirus may become a full-blown national outbreak, in which case military bases would be used as field hospitals, Zilberman said.
In such a situation, IDF troops would also likely be called on to assist the Israel Police enforce quarantines on cities and towns with high incidences of the disease, he said.
In addition, the military was preparing to be called upon to assist the country’s health care system and to provide food and other necessities to Israelis if needed.
In terms of more immediate concerns, the head of the IDF Ground Forces was preparing to alter the military’s training schedule in light of the virus, particularly for reserve units, Zilberman said.
The spokesperson said the IDF would change its protocols for allowing civilian contractors and visitors onto army bases, requiring them to first fill out a screening questionnaire. A panel of questions will also be presented to troops entering headquarters and other sensitive offices.
Beginning later this month, the military will bar relatives and friends from accompanying their loved ones to enlistment centers when they join the military.
Ceremonies and conferences have also been limited as much as possible, and civilians will not be allowed to attend them. “Any unnecessary event will be canceled,” the military said.
In light of blowback to this proposal, Zilberman said the military planned to livestream the events on the internet so that family members could at least watch them.
Separately, a lockdown of the Palestinian city of Bethlehem, which saw a large outbreak of the virus last week, will remain in place until further notice, Defense Minister Naftali Bennett’s office said in a statement.
According to the spokesperson, as of Monday afternoon, the IDF intended to reopen the crossings between Israel and the West Bank and Gaza Strip on Wednesday, which were closed beginning Sunday for this week’s Purim holiday.
The military announced it was closing Israel’s rarely used but still technically active border crossings with Lebanon and Syria until further notice.
On Sunday, the IDF Home Front Command held an exercise simulating how the spread of the virus will affect Israel’s health care system.
Zilberman said the military planned to conduct additional simulations and war games in the coming days.
Last week, Zilberman said the military’s ultimate goal was to “ensure the fitness of the IDF and prevent damage to it.”
He said the military was prepared to take whatever steps were necessary to ensure the functioning of the IDF, prevent the spread of the disease within it and assist in the national response.
“If a soldier had the virus and was in contact with his company and we have to [quarantine] the company, that’s what we’ll do,” he said.
All international exercises — both ones the IDF is participating in abroad and those being hosted in Israel — have been canceled.
The military also put in place a blanket ban on foreign travel for all troops — conscripts and career soldiers alike — though some exceptions may be made under specific circumstances.
IDF Deputy Chief of Staff Eyal Zamir was tasked with leading the military’s response to the virus, alongside the Operations Directorate, which is responsible for the IDF’s international relations; the Medical Corps; and the Home Front Command, which works closely with civilian emergency response services.
After emerging in China late last year, the virus has now infected over 100,000 people worldwide and killed over 3,400, most of them in China and Iran, though cases have been reported in countries and territories around the globe. Several dozen people in Israel have been diagnosed with the disease, and tens of thousands have been quarantined.
Times of Israel staff contributed to this report.


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Washington -- Senate Commerce Committee chairman John
McCain (R-Ariz.) is planning an Oct. 1 vote on a bill allowing direct-broadcast satellite
companies to beam local-TV signals, Senate sources said.
McCain's measure, along with a Senate Judiciary
Committee bill, would phase in relaxed must-carry rules. McCain's legislation --
following changes made by Senate staff after negotiations with the cable industry and
others -- would not require full must-carry by DBS in a market until 2002.
Yet the Federal Communications Commission would have 180
days after enactment to file a report with Congress, saying whether some form of
must-carry would be feasible and in the public interest prior to 2002.
A McCain aide said last week that the new must-carry
provision -- which also deleted references to A/B switches as being possible must-carry
alternatives for DBS, but not for cable -- had assuaged the concerns of the cable
"We've satisfied cable's concern, although
cable will say that full must-carry is preferable," a McCain aide said.
National Cable Television Association president Decker
Anstrom released a statement last Friday indicating some measure of support for
"We strongly prefer full, immediate must-carry. But we
can agree to a comprehensive solution of satellite-related issues, so long as there is a
date certain for full must-carry and this legislation maintains its competitive
focus," Anstrom said.
Anstrom's statement was significant because the NCTA
has always insisted upon must-carry parity between cable and DBS as a condition for
supporting McCain's bill.
A cable-industry source said the NCTA will withdraw all
support for the bill if cable opponents use it to add rate-reregulation provisions or to
change program-access rules to cover non-vertically integrated programmers.
A broadcasting source questioned whether the cable industry
was backing the McCain bill (S. 2494), saying that the version understood by broadcasters
was that cable lobbyists told McCain's people that they "would be willing to
think seriously about supporting the bill" if broadcasters were also backing it.
And that's the problem right now for McCain: A split
broadcasting lobby could cripple his chances of ramming the measure through the Senate and
fusing it with a similar bill that Rep. Billy Tauzin (R-La.) is hoping to advance if he
can find any legislative daylight over the next week or so.
"We want to have legislative language ready to attach
to any appropriations bill or to any other broadcasting-related bill," Tauzin
spokesman Ken Johnson said.
Tauzin's bill would delay full must-carry for three
years, or until a DBS service reached 15 percent penetration -- whichever came first.
Prior to full must-carry, the bill would mandate carriage of five local signals, one of
which has to be a public broadcaster.
An NCTA source said Anstrom has not extended any support
for Tauzin's bill, which Johnson said was in "draft-discussion-only" form.
McCain's planned vote, which has not been formally
announced, was something of a surprise because he decided to hold the vote only hours
after the bill's first and only public hearing.
Senate Judiciary Committee chairman Orrin Hatch (R-Utah)
has companion legislation (S.1720) that would, among other things, grant copyright
licenses to DBS companies wishing to provide local-TV signals to home-dish owners who
reside in the same market. A Hatch aide said a committee vote was possible this week.
McCain is trying to pass the bill in the waning days of
this Congress, which is scheduled to adjourn Oct. 9. However, a Senate source said last
week that the target adjournment date could slip to the following Friday, Oct. 16.
Senate Majority Leader Trent Lott (R-Miss.) "is behind
us if we can get all of the parties together," a McCain aide said.
Last Friday, the National Association of Broadcasters sent
a letter to McCain, expressing eight reservations about his bill. In addition to the
must-carry issue, broadcasters said they had a problem with the financial implications of
a provision that said that TV stations had to pay to deliver quality signals to satellite
carriers' uplink facilities.
"We are going to continue to represent our
stations' best interests, whether it is a popular position or not," said Jim
May, the NAB's executive vice president of government relations, in a interview.
A McCain aide said broadcasters were "raising
straw-dog arguments" to frustrate passage of the bill.
"It's pretty obvious at this point that they are
just running out the clock," the aide added.
Broadcasting sources said only two of the "Big
Four" networks -- ABC and Fox -- were for McCain's bill, and their support was
being pledged over the objections of their own affiliates and the affiliates of the
networks that aren't backing the bill.
A broadcast-network source said the affiliates were being
"shortsighted" for objecting strenuously to McCain's must-carry approach
and for refusing to see any benefit in DBS' fully competing with cable through the
integrating of local-TV signals into their services.
The source said a local-DBS bill was desirable because such
a service would serve as a bulwark against satellite importation of distant-network
signals, which is a real headache for the affiliates.
McCain's bill, the network source added, would also
counter attempts by the FCC to redefine broadcasters' local markets in such a way as
to ensure that dish-owners can continue to receive distant-network signals, which would
erode the audience size of local network stations.
But the network source said McCain's bill would likely
not pass this year because it is "too late, too complicated." And the
bill's demise will likely generate ill will between broadcasters and McCain, who, the
network source said, is angrier at the affiliates than at the networks at this juncture.
The Association of Local Television Stations (ALTV), which
represents new TV networks and independent stations, told McCain in its Sept. 18 letter
that his bill was alarming because it would allow DBS companies like EchoStar
Communications Corp. to be selective in offering local-TV signals.
"This would come at a particularly bad time for
emerging networks like UPN [United Paramount Network], [The] WB [Television Network] and
Pax TV," ALTV president James Hedlund wrote. "Favored stations on the satellite
system will enjoy competitive benefits lost to stations not carried by the satellite
Like cable, ALTV supports mandatory carriage of all
local-TV signals in a market if a DBS carrier elects to offer even one, in order to ensure
that affiliates of CBS, NBC, Fox and ABC do not gain at the expense of their broadcast


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Final testing of the all-new Colorado Chevrolet diesel-powered midsize pickup is wrapping up as production nears for markets including the Middle East, South America, Africa, and Asia.
Read This Article
RelayRides, a San Francisco based startup, has just gotten a lot of help.
Consider it more evolution than revolution for GM's biggest trucks you can drive without a commercial license.
Rearview cameras are becoming commonplace in vehicles built today, especially since there's a lot more sheetmetal and a lot less window than there used to be.


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Think that lung disease only happens to cigarette smokers? Think again. The U.S. Department of Labor estimates that more than 16,000 people die from job-related lung disease each year. Most types of these occupational lung disease are preventable by enforcing simple
control measures to help reduce both exposure and the risk. Below are the top 10 fields that can be risky for your lung health:
Bartending and Waitressing Secondhand smoke has long been linked to lung cancer, and one's going to wear a respirator while serving martinis. The biggest threat would be in cities where smoking hasn't been banned in public places.
Housekeeping and Cleaning These cleaners contain "reactive chemicals," meaning that they react with dirt and also with your lung tissues. Some release volatile organic compounds, which can contribute to chronic respiratory problems and allergic reactions.
Health Care Doctors, nurses, and other people who work in hospitals, medical offices, or nursing homes are at increased risk for lung diseases such as tuberculosis, influenza, and severe acute respiratory syndrome (SARS). Health care workers should always keep up with immunizations, including the flu vaccine, that the CDC recommends for health care workers.
Hair Styling Certain hair-coloring agents can produce occupational asthma. Some salon hair-straightening products contain formaldehyde, a known human carcinogen. It's also a strong eye, nose, throat, and lung irritant.
Manufacturing Factory workers risk getting asthma or making their existing asthma worse (i.e. work exacerbated asthma), which affects as many as 25% of adult asthmatics. These workers are at risk of everything from inhaled metals in
foundries to silica or fine sand, which can lead to scary lung diseases like silicosis (scarring of the lung) or increased risk of lung cancer. One lung disorder known as "popcorn lung" (bronchiolitis obliterans) was discovered in plant workers exposed to some of the flavoring chemicals used to make microwave popcorn.
Construction The risk that comes with demolishing old buildings or remodeling for a living is asbestos, which is used as insulation around pipes or in floor tiles. Even minimal exposure to these microscopic fibers has been linked to a variety of problems: a form of cancer known as mesothelioma; an increased risk of small cell lung cancer; and asbestosis (scarring of the lung).
Farming Hypersensitivity pneumonitis is a rare but serious problem caused by repeated exposures to mold-contaminated grain or hay. The lung's air sacs become inflamed and may develop scar tissue. Grain stored in metal bins can sometimes get moldy, and breathing this dust can lead to fevers, chills, and a flu-like illness called "organic dust toxic syndrome." Symptoms include a cough and chest tightness.
Auto Body Spray Painting People who work in auto body shops are often exposed to chemicals known as isocyanates. Immediate effects include eye and throat irritation, choking, shortness of breath, tightness of chest, dizziness, abdominal pain, nausea, vomiting, headache and dermatitis. Continued exposure can lead to isocyanates sensitivity, where extremely low exposures to isocyanates can trigger an asthma like response, or a severe allergic reaction.
Firefighting It's not only the fire that can kill ya. Burning materials like plastics and chemicals can significantly increase to chances of lung disease and other problems, which why many rely on "self-contained breathing apparatus" (SCBAs).
Coal mining Underground miners are at risk for everything from bronchitis to pneumoconiosis, or "black lung." This is a chronic condition caused by inhaling coal dust that becomes embedded in the lungs, causing them to harden and make breathing very difficult. This can cause progressive massive fibrosis and can kill people.
Summer is just around the corner, and everyone wants to have a killer body. But, losing weight is one of those things that can be tough for us mere mortals. We don’t have an army of personal trainers. We like to eat all the things that are ‘bad’ for us. It’s time to put fitness into perspective. If you want to lose weight and look fabulous this summer, there are some brilliant ways that you can do this. Read more
Elle Macpherson not only beautiful but also an inspiring woman with a passion for wellness. She has launched her new bio-live super healthy drink, The Super Elixir, which is designed to improve the nutrition at a cellular level. Read more
Gemma Macpherson is a certified personal trainer, Elite1 Fit Gear ambassador, and NPC Figure Competitor. She has a fitness centre named Lean Kiwi Fitness where she helps her clients achieve their health and fitness goals. She was born in New Zealand, and moved to US with her husband to turn her passion into her career. Gemma has always wanted to become a personal trainer when they first moved to America, but it wasn't the right time for her as she had a lot going on. Check out for her photos below: Read more


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Roland Allnach has been writing since his early teens, first as a hobby, but as the years passed, more as a serious creative pursuit. He is an avid reader, with his main interests residing in history, mythology, and literary classics, along with some fantasy and science fiction in his earlier years. Although his college years were focused on a technical education, he always fostered his interest in literature, and has sought to fill every gap on his bookshelves.
By nature a do-it-yourself type of personality, his creative inclinations started with art and evolved to the written word. The process of creativity is a source of fascination for him, and the notion of bringing something to being that would not exist without personal effort and commitment serves not only as inspiration but as fulfillment as well. So whether it is writing, woodwork, or landscaping, his hands and mind are not often at rest.
Over the years he accumulated a dust laden catalog of his written works, with his reading audience limited to family and friends. After deciding to approach his writing as a profession, and not a hobby, the first glimmers of success came along. Since making the decision to move forward, he has secured publication for a number of short stories, has received a nomination for inclusion in the Pushcart Anthology, built his own website, and in November 2010 realized publication for an anthology of three novellas, titled Remnant, from All Things That Matter Press. Remnant has gone on to favorable critical review and placed as Finalist/Sci-fi, 2011 National Indie Excellence Awards; Bronze Medalist, Sci-Fi, 2012 Readers Favorite Book of the Year Awards; and Award Winner-Finalist, Sci-Fi, 2012 USA Book News Best Book Awards. Roland’s second publication, Oddities & Entities, also from All Things That Matter Press, followed in March 2012. It, too, has received favorable critical review, and is the recipient of four awards: Bronze Medalist, Horror, and Finalist, Paranormal, 2012 Readers Favorite Book of the Year Awards; Award Winner-Finalist, Fiction/Horror and Fiction/Anthologies, 2012 USA Book News Best Book Awards.
His writing can best be described as depicting strange people involved in perhaps stranger situations. He is not devoted to any one genre of writing. Instead, he prefers to let his stories follow their own path. Classification can follow after the fact, but if one is looking for labels, one would find his stories in several categories. Sometimes speculative, other times supernatural, at times horror, with journeys into mainstream fiction, and even some humor- or perhaps the bizarre. Despite the category, he aims to depict characters as real on the page as they are in his head, with prose of literary quality. His literary inspirations are as eclectic as his written works- from Poe to Kate Chopin, from Homer to Tolkien, from Flaubert to William Gibson, from Shakespeare to Tolstoy, as long as a piece is true to itself, he is willing to go along for the ride. He hopes to bring the same to his own fiction.
Can you tell us a bit about yourself?
Well, there’s the obvious inclination I have toward writing stories, but that’s just one facet of a greater creative impulse that guides me through life. I’ve always been interested in building things, whether it was construction toys, plastic models, or later, when I moved toward landscaping, recreational carpentry, and assembling my own computers. When I’m not busy putting something together (or taking it apart), I’m a relatively normal person. My joy in life is the time I spend with my family, and when I’m not with them, I’m off to my ‘day job’ at a hospital laboratory. Twenty years of shift work has allowed me the opportunity to see a different side of life.
Where did you grow up?
I grew up in the quiet little town of Kings Park, New York. It provided for an interesting childhood. There was a vast tract of land for an old state mental hospital, which was in operation right through my teenage years. There were other expanses of woods, great for riding dirt bikes, and the town is near the water. I’m sure these factors have helped foster some of my creativity, because there was a lot to explore, and a lot to enjoy.
When did you begin writing?
I was sixteen when I wrote my first short story. It came about from the creativity curiosity brewing within me whenever I read something, not as a critique of what I was reading, but more so as a meditation to how the story could have followed different paths. At the time, my friends and I were hip deep in role playing games, so I had some experience with plotting while writing various ‘adventures’ for our characters. Even at that young age, with one very rough story under my belt, I felt writing allowed my imagination an outlet without parallel. Since then, writing has developed to the point where I feel compelled to write. As much as I love to write, I also know I need to write, so I can vent the voices and characters in my head.
Do you write during the day, at night or whenever you can sneak a few moments?
Give the ridiculous time pressure of life between my family, work, sleep (what’s that?), and my writing pursuits, I take what opportunities I can get. Given a preference, I prefer to write either early in the morning, while everyone is still asleep, or later at night, in the darkness of my bedroom. As long as I have my headphones, though, I can write just about anywhere. For most of my stories and books I can clearly remember where I was during the writing process, which holds a nice symbolism for me, because those memories serve as bookmarks in my life.
What is this book about?
Oddities & Entities is an anthology of six stories bridging the paranormal, supernatural, and horror genres, with a bit of dark humor for good measure. The six stories follow a thematic arc exploring life and realities beyond the everyday world, as encapsulated by both the title and the quote on the back cover of the book, “There’s more to this world than flesh and bone.”
What inspired you to write it?
A few years ago I wrote, and saw through to publication, one of the stories in the book, a piece by the title of “Shift/Change”. This story is the source for the quote on the back of the book, and that idea that there’s more to the world than flesh and bone opened a number of creative doors in my head. I’ve always been interested in the functional process of things, something that goes back to my childhood when I would take apart my toys to see how they worked. Over the years that curiosity for systems evolved to more elusive, more philosophical considerations, until “Shift/Change” left me wondering, from an author’s perspective, about the system of life itself. I started to ask myself about the unknowns surrounding our existence, and translated them into the stories of ‘Oddities & Entities’ by placing those questions in the context of characters who have things beyond the norm intersecting their lives.
Who is your biggest supporter?
Without hesitation, my biggest supporters are my family. I know that might sound a little cliché, but for those who don’t write it can be hard to understand the endless hours the pursuit of publication can consume. If my wife and sons didn’t understand that commitment, and if they - along with my extended family and friends - didn’t encourage me to pursue my dreams as an author, I’m not sure I’d be where I am now.
Who is your favorite author?
I draw my literary inspiration from a number of different sources. I love to read classical literature, history, and mythology, which covers quite a bit of territory. I feel I’ve been schooled in the musicality of language by Homer and Shakespeare, while I’ve learned about narrative structure from Kafka and others. I would be remiss if I didn’t mention Kate Chopin and Flaubert, who bring what I think is a total package of characterization, beautiful prose, and narrative force. All that said, if I had to pick one author, it would be Tolstoy, because no one brings characters to life in the way his stories do, and the art of characterization is one of my joys when it comes to writing. I always say Tolstoy could write ten pages about someone tying their shoes, and it would still be fascinating.
Do you have an agent or are you looking for one?
Currently, I’m interested in representation. My experience working with publicists confirmed a lurking suspicion I’ve held, which is that industry professionals can open doors that normally would be very hard to access on my own. As happy as I am at this point in my writing career, I’m looking to take things to the next level with the opportunities professional representation could offer.
Was the road to publication smooth sailing or a bumpy ride?
In years past, I used to have this silly notion of going right for the jugular by getting an agent, getting a contract, and going off to the races. Reality, of course, is quite a different thing. When I decided to seriously pursue publication, I developed a plan, which consisted of building my author’s resume with short story publication credits, and then use that experience and credibility to move into book publication. So far, it’s worked out pretty well, and I’m very happy with the publication credentials, accolades, and awards that form my accomplishments as an author.
If you knew then, what you know now, is there anything you would have done differently?
Particularly with my first book, I came into the publishing world like a babe in the woods. I held the very ignorant belief that any book, given the number of books sold every year, would have some kind of built in sales figure. I quickly came to realize that figure was zero, unless some serious promotional efforts were made. That understanding, and the research and market education that goes with it, are things I wish I had under my belt before my books saw the light of the world. Had I known those things then, I think I could have better coordinated my efforts to promote my writing.
Where can readers purchase a copy of your book?
Both of my books, Oddities & Entities, and Remnant, are published by All Things That Matter Press and are available right at the publisher’s website. They’re also available through the traditional mega-channels of Amazon and Barnes & Noble, both in print and Kindle/Nook. I also have a feature on my website for autographed print copies.
Do you have a website and/or blog where readers can find out more?
I have both a blog and a website. I use my blog, rafictionzone.blogspot.com, as well as my Facebook page, for more temporal updates. I also post little essays on varying topics to my blog. The center of my online world, though, is my website, rolandallnach.com. I keep all my published short fiction there, as well as reviews, interviews, and excerpts for my books. My favorite part of the site consists of the creative backgrounds behind all my published works, where I discuss how the respective pieces were written. I’m very respectful of the time a reader invests in a book, so one of the goals of my site is to provide readers with as much of my material as possible so they can make a confident decision to try one of my books.
Do you have a video trailer to promote your book? If yes, where can readers find it?
Indeed I do. It’s in a number of places, including Facebook, my blog, and YouTube, but the easiest place to give it a view is at my website, rolandallnach.com.
What is the best investment you have made in promoting your book?
At present I’m running through a virtual book tour, which provided me the opportunity for this interview. I’ve also worked with a publicist to develop exposure leads. So far, all of this looks very promising, and provide a simple moral to the story - at a certain point, there’s no substitute for getting professional help.
What is one piece of advice you would like to share with aspiring authors everywhere?
In a word, it would be persistence. I’ve come to the conclusion that the dynamics of the publishing marketplace consume the vast majority of aspiring authors strictly by the rigors required to gain sufficient exposure for one’s written work. Considering the sheer number of titles published every year, any author has to be prepared to invest a great deal of time and effort to establish his or her presence in the literary landscape. That won’t happen by sitting back, it only happens through persistent effort.
What is up next for you?
For my next project I’m once again looking to do something a little different. With my first book, Remnant, I wrote in the science fiction and speculative genres, and with Oddities & Entities I bridged the horror, supernatural, and horror genres. So, for book number three I want to push my narrative borders, with the intent to display the range of my writing in both style and genre. To reach that end, half of the book will consist of my previously published short fiction, in one handy volume, while the second half of the book will consist of unpublished works. After much deliberation, I plan on going with the simple title of Prism, as it seems the most proper title to represent the divergent scope of the book’s material.
Is there anything you would like to add?
Only to express my thanks for the opportunity to chat, and to once again invite readers who are interested in a strange, unique literary journey to take a gander at Oddities & Entities. Happy reading!
Visit this book's tour page at: http://www.pumpupyourbook.com/2013/01/15/pump-up-your-book-presents-oddities-entities-virtual-book-publicity-tour/


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What to do During a Chemical Spill
Various teaching, research and service activities at MSU require the use of chemicals or hazardous materials that are potentially harmful when spilled.
Immediate Emergency Actions:
If the spill poses an immediate hazard to life or health, or is an immediate fire hazard:
- Evacuate the immediate area and close the door behind you.
- Pull the nearest fire alarm to evacuate the building.
- Call 911 and inform the dispatcher what type of chemical was spilled, the amount spilled and the exact location of the spill or fire (building, room number, etc.). Be sure to give the dispatcher your name and location. Do not hang up until the dispatcher releases you; MSU Police will contact MSU Chemical Safety personnel to respond.
- After evacuating the building, occupants should gather, wait at a safe distance and follow the instructions given by emergency responders.
If the spill is small and does not pose a life safety or fire hazard:
- Contain the spilled chemical or hazardous material to prevent it from spreading or spilling further. Do not let chemical or hazardous material enter drains or run along pipes and walls, as it may spread to other rooms.
- Use appropriate personal protective equipment when working with or near chemicals or hazardous materials. Evacuate all personnel from the immediate area of the spill and warn occupants in adjacent rooms.
- Call 911 and tell the dispatcher what type of chemical(s) or hazardous material(s) was spilled, the amount spilled, and the exact location (building, room number, etc.) of the spill. Be sure to give the dispatcher your name and location. Do not hang up until the dispatcher releases you; MSU Police will contact MSU Chemical Safety personnel to respond.
- If injury occurs, give appropriate first aid. Alert the 911 dispatcher and emergency responders of injuries.
- If you have a copy of the appropriate Material Data Safety Sheet for the chemical or hazardous material involved, have it available for emergency responders.
- If qualified, initiate cleanup; otherwise, wait until Hazardous Material Management personnel arrive.
If the spill is outside a building:
- Take preventative measures to control the spread of the chemical.
- Take precautions to alert all others in the vicinity. Prevent anyone from coming into contact with the chemical or hazardous material.
- Call 911 and inform first responders of the situation.

domain: chemistry


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INTERVIEW: C Wired
Hi Charles, welcome back to VENTS! How have you been?
CW: Doing well. The band has been rehearsing and performing alot. All tuned up ready to rollJ
Can you talk to us more about your latest single “Baby Blue”?
CW: We recorded this at the same time we tracked the Omega EP. We didn’t release it under Omega because we were not happy with the vocals until this year. It was tracked at 4 studios, three in Nashville, and Red Dragon Studios WV. The same outstanding session guys who tracked Omega are on this track. Sol Philcox-Littlefield (guitars), Wil Houchens (keys) Justin Olander (acoustic guitar) Jerry Roe (drums), Addison Smith (guitar-producer), Amos Heller (bass). The final mixing and mastering was done by Rob Higgins at Red Records Recording Studio.
Did any event in particular inspire you to write this song?
CW: Baby Prime Became Baby Blue is inspired by a past relationship with a young woman I nicknamed Baby Prime. Everyone goes through down periods in life. During her down period, she was diagnosed with a “mental illness.” In the months following her diagnosis, I watched her take on this diagnosis and, ultimately, believe it. She changed from the vibrant person I knew her to be and became very blue.
Our reality is determined by our beliefs about ourselves held deeply in our subconscious mind. You can count on the world to tell you “the way it is.” But don’t buy it. Count on yourself and live your truth. You’re stronger than you know.
Any plans to release a video for the single?
CW: We have a lyric video out now, I think that will be all.
What role does Nashville play in your music? Did you actually move to Nashville because of this experience?
CW: I love Nashville! Everything you need is right there. It’s not just country music. Many rock acts that you would recognize record there as well. Best studios, engineers, writing and production talent. I moved C Wired and Red Dragon Music there this year.
Does the new single mean we can expect a new material?
CW: Freedom Glider a full 12 song LP will be out April-June next year. 90% of the material is tracked. Working on the post-production and vocals now. There will be a couple of duets that I think people will enjoy.
What else is happening next in C-Wired’s world?
CW: Learning to play and write on the piano. It is opening up my writing style in new ways. All of the previous songs were written on guitar. I kept hearing different music but was struggling to get it down on six strings. So, I am undertaking a crash course keyboardsJ
1.) We’re happy to be speaking today with award-winning Canadian music therapist, author and speaker …


text: The time has come! Check out the plans for the new Linda Vista Skatepark or, really everyones new local skatepark. I’m pretty sure this thing will be the biggest skatepark in California. Damn close if not. Insane offerings on all fronts! San Diego has received $4.5 million in state grants to build skateparks in Linda Vista and City Heights. So City Heights will be coming really soon as well! You can check out the full run-down here.


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Great Neck Tummy Tuck Surgeon
You’ve worked hard to lose weight and to enhance your muscle tone through exercise and dieting programs. But if you have gotten to your ideal weight but not your preferred shape, perhaps it is time for you to consider a tummy tuck. Our Great Neck patients decide this procedure when they are having trouble attaining a flat and toned tummy appearance.
Now that you've shed the weight, you certainly have worked hard to lose weight naturally and to improve your muscle tone through diet and exercise plans. However when you have reached your ideal weight but not your preferred shape, it might be time for you to consider a tummy tuck. Our Great Neck patients decide on this treatment when they are having trouble achieving a flat and toned tummy appearance.
Now that you've dropped the weight, you most likely dropped the skin as well. Is your skin dangle over your waistline and produces an unflattering look. And no matter crunches you are doing, you just cannot seem to get those ab muscles anywhere near a six-pack.
Without the assistance of a Great Neck plastic surgeon, you might be stranded. Unfortunately, there aren't any lotions that will firm up your skin, no amount of crunches will tighten loose abdominal muscles, and in many cases perhaps the most healthy diet will not be able to reduce certain excess fat along the stomach wall. Simply a tummy tuck in Great Neck from Dr. Schwartz may help you handle these trouble spots sufficiently.
Tummy Tuck - Tone Your Stomach Now
In Great Neck, having a tummy tuck is just about the most preferred plastic surgeries for women, and is becoming increasingly popular for men too. If you are a good candidate for a tummy tuck, additional surgeries like liposuction may also be ideal.
Many Great Neck women have abdominoplasty as a part of their Mommy Makeover, which can combine procedures such as breast augmentation, breast reduction, facial toning and more.
This is truly a major procedure, and many of our patients tell us they wish they scheduled surgery sooner. Picture yourself standing in front of a mirror in just your panties and viewing a stomach that lies smooth between your hips with no rolls or bulges over the elastic waistband of your trousers. You’ve done the work-outs, you have lost the weight, and also you owe it to yourself to chase your desired figure.
Reasons Why You Want Tummy Tuck
Growing old, weight fluctuations, and having a baby might change the body in ways that can be unmanageable. Frequently, the changes the body experiences can be difficult to enhance even with a intense dieting and exercise plan. Stretched out skin, unwanted fat, and weak stomach muscles can make the look of a protruding belly. Having dangling skin and a stomach that sticks out can be ugly and also uncomfortable for a person. Tummy Tuck surgery can be carried out to alter the influences caused by weight improvements, getting older, and being pregnant. By extracting unwanted fat and skin tissue together with tightening up the stomach muscles, a person can have a tight, smoother belly.
Tummy Tuck Expectations
At Cosmetic Plastic Surgery of Great Neck, we assist patients of all walks of life who feel self conscious or physically uncomfortable with sagging skin on the stomach. Our caring staff and trained surgeon always work with each and every patient to create a treatment plan that addresses your worries and provides the result you'll really like.
Call Cosmetic Plastic Surgery right now to schedule your tummy tuck procedure right here in Great Neck.


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The emergency department of Huntington Memorial Hospital acquired a brand new, state-of-the-art CT system to address the growing needs of high-volume trauma center, it was announced this week.
With the acquisition, medical professionals at the regional hospital will be able to image the entire brain or heart in a single gantry rotation, helping them diagnose and treat life-threatening conditions such as heart attack or stroke more effectively and successfully.
As the hospital is expanding its facilities and operations, the hospital purchased a Toshiba Aquilion ONE dynamic volume CT system to serve the hospitalâ€™s general radiology, cardiology, neurology and pediatric patients. It is considered the first dynamic volume CT system used in Southern California, the hospital said in a released statement.
â€œThe Aquilion ONEâ€™s uniquely comprehensive exam will reduce the diagnosis time for patients suffering from life-threatening conditions, like chest pain and stroke,â€ Dr. Christopher G. Hedley, medical director of radiology, said via a hospital announcement. â€œIts ability to show real-time organ function, image patients quickly and perform multiple tests will improve patient care by empowering us to make a more accurate diagnosis faster than ever before.â€
According to the hospital, the Aquilion One is the first-ever medical imaging system capable of creating a full virtual image of the brain or heart in a single gantry rotation. The image based upon that single rotation can be obtained in as little as 0.35 seconds and is the only system to show 4D dynamic movement, allowing medical professionals to see real-time images of a functioning brain or beating heart, the hospital stated.
â€œThe Aquilion ONE is designed to handle high-volume emergency settings, as well as the everyday radiology needs of hospitals,â€ Doug Ryan, senior director of Toshibaâ€™s CT Business Unit, said in a statement. â€œThe Aquilion ONEâ€™s ability to replace multiple tests, increase diagnostic confidence and reduce exam time while lowering radiation dose will improve workflow and patient care at Huntington Memorial Hospital, while helping to lower healthcare costs.â€
As the only full-service trauma center in the region, Huntington Memorialâ€™s emergency department handles about 60,000 patients per year. The acquisition of the CT system will assist the hospital in expanding its operations. Also, the machine is expected to be used to image non-emergency radiology, neurology, cardiology and pediatric patients.
Among the added benefits of Aquilion ONE include reduced multiple exposures to radiation, decreased exam time, and the ability to determine the exact location of a stroke within minutes, allowing medical professionals to prevent further brain damage. Previously technology generally took hours or days to discover similar information, according to the hospital. It will also help in quickly determining and treating heart c