Artificial Intelligence (AI) has evolved significantly in recent years, with breakthroughs in various algorithms and techniques driving its rapid growth. Explanation-Based Learning (EBL) stands out as a profound concept in AI, bridging the gap between logic, automated reasoning, and machine learning. In this blog post, we will delve into the intricacies of EBL, explore its foundations in logic and automated reasoning, and discuss its applications and potential in the field of AI.
- Logic and Automated Reasoning in AI
Logic has always been at the core of AI research. It provides a formal framework for representing and reasoning about knowledge, enabling machines to make intelligent decisions. Automated reasoning, a subfield of AI, focuses on developing algorithms and systems that can automatically derive conclusions from logical statements.
A key component of logic-based AI is the use of formal languages, such as predicate logic and first-order logic, to represent knowledge and inference rules. These languages allow AI systems to express complex relationships and rules that govern a particular domain.
- Machine Learning and Explanation-Based Learning
While logic and automated reasoning are powerful tools for knowledge representation and reasoning, they can be limited when dealing with uncertain or complex real-world data. This is where machine learning comes into play. Machine learning techniques, particularly deep learning, excel in handling large datasets and extracting patterns from them.
Explanation-Based Learning (EBL) is an approach that combines the strengths of logic and machine learning. It seeks to enhance the learning process by leveraging logical reasoning to explain and generalize from specific instances. EBL starts with an initial example and uses logical inference to generate a general rule or explanation that can be applied to similar situations.
- The Mechanics of Explanation-Based Learning
Let’s break down the key steps in EBL:
a. Observation: EBL begins with an observation or specific instance that needs to be learned.
b. Explanation Generation: The system uses logical reasoning to generate an explanation for the observed instance. This explanation is often represented as a rule or logical formula.
c. Generalization: The generated explanation is generalized to apply to a broader range of instances. This involves identifying common patterns and variables that can be abstracted.
d. Application: The learned rule or explanation is applied to new instances to make predictions or decisions.
- Applications of Explanation-Based Learning
Explanation-Based Learning has found applications in various domains:
a. Medical Diagnosis: EBL can assist medical professionals by learning from historical patient cases and generating diagnostic rules based on logical reasoning and data.
b. Natural Language Processing: EBL can improve the understanding and generation of natural language by learning grammatical rules and linguistic patterns.
c. Robotics: In robotics, EBL can help robots learn from their interactions with the environment and adapt their behavior based on logical reasoning and past experiences.
d. Expert Systems: EBL can be used to build expert systems that mimic human expertise in domains such as finance, engineering, and law.
- Challenges and Future Directions
While Explanation-Based Learning offers significant advantages, it also faces challenges, such as handling incomplete or noisy data, scaling to large datasets, and ensuring the interpretability of learned rules.
Future research in EBL may focus on:
a. Hybrid Approaches: Combining EBL with other machine learning techniques to address the limitations of both.
b. Scalability: Developing efficient algorithms that can handle big data and complex domains.
c. Interpretable Models: Ensuring that learned explanations are interpretable and understandable by humans.
Explanation-Based Learning represents a promising frontier in AI, where logic, automated reasoning, and machine learning converge to create intelligent systems that can learn, reason, and make decisions in complex environments. As AI continues to advance, EBL holds the potential to bridge the gap between symbolic reasoning and data-driven learning, opening up new avenues for solving complex problems in various domains. It is an exciting field to watch as it shapes the future of AI research and applications.
Let’s continue to delve deeper into the world of Explanation-Based Learning (EBL) and its implications in the context of AI algorithms and techniques, logic, and automated reasoning.
6. Bridging Symbolic AI and Machine Learning
Explanation-Based Learning serves as a bridge between symbolic AI and machine learning. Symbolic AI, rooted in logic and formal reasoning, is excellent at representing and manipulating knowledge explicitly. However, it struggles when handling ambiguity and uncertainty in real-world data. On the other hand, machine learning excels at pattern recognition and can handle vast amounts of data but often lacks interpretability and can struggle with generalization to novel situations.
EBL strikes a balance by integrating logical reasoning with machine learning. It allows AI systems to learn from examples while retaining the transparency and explanatory power of symbolic AI. This synthesis is particularly valuable in applications where understanding why a decision was made is crucial, such as medical diagnoses or legal decisions.
7. Knowledge Transfer and Transfer Learning
One of the strengths of Explanation-Based Learning is its ability to facilitate knowledge transfer. When an AI system learns a rule or explanation for a particular task, it can often apply similar principles to related tasks, even in different domains. This transfer of knowledge is essential for reducing the data requirements of machine learning models and accelerating learning in new contexts.
For example, if an AI system learns a set of diagnostic rules for one medical condition, it can adapt and apply similar rules to diagnose other related conditions. This not only saves time and resources but also enhances the system’s overall knowledge base.
8. Addressing Challenges: Noise, Scalability, and Interpretability
While EBL holds immense promise, it is not without challenges:
a. Noise in Data: Real-world data is often noisy and contains errors. EBL systems must be robust enough to filter out irrelevant information and focus on the most reliable aspects of the data.
b. Scalability: As datasets grow larger and domains become more complex, EBL algorithms must scale efficiently. This includes developing methods for incremental learning and rule refinement.
c. Interpretability: Maintaining the interpretability of learned rules and explanations is critical, especially in applications where human understanding and trust are paramount. Ensuring that the learned knowledge can be comprehended and validated by domain experts is a crucial aspect of EBL research.
9. EBL and the Future of AI
Explanation-Based Learning is poised to play a pivotal role in shaping the future of AI. As AI systems become more integrated into our daily lives, the ability to explain their decisions and actions becomes increasingly important, both from an ethical and practical standpoint.
a. Ethical AI: EBL offers a pathway to more ethical AI by providing transparency and accountability. It enables AI systems to justify their decisions, making it easier to detect biases, errors, or unethical behavior.
b. Human-AI Collaboration: EBL can enhance human-AI collaboration. As AI systems become more adept at explaining their reasoning, humans can work alongside AI as partners, leveraging the strengths of each.
c. Autonomous Systems: In autonomous systems such as self-driving cars and drones, EBL can help AI agents learn from their experiences and adapt to dynamic environments, making them safer and more efficient.
Explanation-Based Learning represents a groundbreaking approach that unifies the strengths of logic, automated reasoning, and machine learning. By fostering transparency, generalization, and knowledge transfer, EBL opens doors to applications previously deemed challenging for AI. As research in EBL continues to advance, we can anticipate AI systems that are not only powerful and intelligent but also trustworthy, interpretable, and capable of learning and adapting in complex real-world scenarios. The future of AI holds immense promise, thanks in no small part to the innovations and insights emerging from the realm of Explanation-Based Learning.
Let’s continue our exploration of Explanation-Based Learning (EBL) and its profound implications for AI, delving even deeper into its potential, current developments, and future directions.
11. Current Developments in EBL
In recent years, there have been significant developments in EBL that have pushed the boundaries of what AI systems can achieve:
a. Deep Explanation Models: Incorporating neural networks into EBL has led to the development of deep explanation models. These models combine the expressive power of deep learning with the interpretability of logical rules. They are being used in various applications, such as natural language understanding, image recognition, and recommendation systems.
b. Cross-Domain Transfer Learning: EBL has shown promise in cross-domain transfer learning. AI systems can leverage knowledge learned in one domain to accelerate learning in a different, but related, domain. This is particularly valuable in scenarios where labeled data is scarce.
c. Reinforcement Learning with Explanations: In reinforcement learning, where agents learn to make sequential decisions, EBL can enhance the training process by providing explanations for optimal decisions. This makes reinforcement learning more efficient and interpretable.
12. Ethical Considerations and Fairness
As AI systems become increasingly integrated into society, ethical considerations are paramount. EBL can be instrumental in addressing ethical concerns:
a. Bias Detection and Mitigation: EBL can help identify biases in training data and learned rules. By providing explanations for AI decisions, it becomes easier to detect and rectify biased or unfair behavior.
b. Accountability and Transparency: EBL ensures that AI systems are accountable for their actions. In situations where AI makes critical decisions, such as in autonomous vehicles or healthcare, being able to explain why a particular choice was made is crucial for transparency and trust.
c. Ethical Rules Integration: AI systems can be trained to adhere to ethical rules and principles. EBL can play a role in encoding ethical guidelines into the learning process, helping AI make ethical decisions.
13. Challenges and Ongoing Research
The journey of EBL is not without hurdles. Researchers continue to work on overcoming these challenges:
a. Handling Uncertainty: EBL is traditionally based on classical logic, which assumes determinism. Adapting EBL to handle uncertainty and probabilistic reasoning is an ongoing area of research.
b. Real-time Learning: In dynamic environments, AI systems need to adapt quickly. Developing real-time EBL algorithms that can learn and reason on the fly is a complex task.
c. Integration with Hybrid Models: Combining EBL with other AI techniques, such as reinforcement learning, deep learning, and Bayesian models, remains a challenge but is essential for creating versatile AI systems.
14. Future Directions and Possibilities
Looking ahead, EBL holds vast potential in reshaping AI and its applications:
a. Personalized Education: EBL can revolutionize education by tailoring learning experiences to individual students. It can adapt to their unique learning styles, strengths, and weaknesses, providing personalized explanations and guidance.
b. Scientific Discovery: EBL can assist scientists in analyzing complex data, generating hypotheses, and discovering new patterns in various domains, from genomics to climate modeling.
c. Autonomous Exploration: In robotics and space exploration, EBL can enable autonomous agents to learn and adapt to unknown environments, making missions safer and more productive.
Explanation-Based Learning is at the forefront of AI research, providing a pathway to more intelligent, ethical, and interpretable AI systems. By combining logic, automated reasoning, and machine learning, EBL transcends the limitations of each approach individually. As it continues to evolve, we can expect AI systems that not only excel in their domains but also uphold ethical standards, adapt to novel challenges, and collaborate seamlessly with humans. The journey of EBL is a testament to the ever-expanding horizons of AI, and its influence will undoubtedly shape the AI landscape for years to come.


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The Baby Bible was first published in 2006, written by new mum Sarah Toulmin as a way of sharing the stories she so loved with her own little ones. Her ultra simple retellings of 20 favourite stories, from creation to the resurrection, are filled with a sense of wonder, expressing God's love for creation. Combining with Kristina Stephenson's heartwarming illustrations, this delightful little Bible offers lots to look at and point to on the page, to create the perfect focus for parent and child when sharing this delightful book together. The Baby Bible is now available in a small format gift edition, presented with gilt edges and a ribbon marker, (shrinkwrapped with a display band for protection until purchase); a perfect starter Bible to share with a much-loved child.
LION CHILDREN'S PUBLISHING PLC
|Antall sider||160||Dimensjoner||13,8cm x 17cm x 2,3cm|
|Vekt||431 gram||Leverandør||Bertram Trading Ltd|
|Illustratør||Kristina Stephenson||Emner og form||Bibles & bible stories (Children's / Teenage)|

domain: library


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Tell us about yourself and how many books you have written.
I’ve completed two books and am working on my third.
What is the name of your latest book and what inspired it?
Dear Heart is my first published book. Music is an important element in the book and the title solidified for me when I listened to the song by The Ray Charles Singers.
Do you have any unusual writing habits?
Generally, I write between 10 PM and 3 AM, and fortify myself with lots of coffee.
What authors, or books have influenced you?
I like John Grisham, Stephen King, Harold Robbins, Rex Stout and Donald Hamilton. But I think I was most influenced by the Trixie Belden mystery series when I was a girl.
What are you working on now?
A screenplay for Dear Heart and a third novel entitled Interoffice Romance.
What is your best method or website when it comes to promoting your books?
I’m still finding that out.
Do you have any advice for new authors?
Never give up.
What is the best advice you have ever heard?
Don’t stop your writing session at the end of a paragraph or chapter. Stop in the middle of a sentence. It will be easier to pick up where you left off when you return because you won’t have to agonize over what comes next.
What are you reading now?
I’m rereading The Adventurers by Harold Robbins.
What’s next for you as a writer?
Mastering the art of writing a screenplay.
If you were going to be stranded on a desert island and allowed to take 3 or 4 books with you what books would you bring?
Salem’s Lot and The Stand by Stephen King. The Adventurers by Harold Robbins, The Firm and A Time to Kill by John Grisham.
Linda Lingle’s Social Media Links

domain: literature


text:
Gee, it's fun learning to play!
(Semi-Private & Group Classes)
Piano Steel Pan Guitar Bass Guitar Drums Saxophone
Preschoolers learn music (Ages 3-5)
What's Available for
What's Available for
G-Clef Music Academy After-School Music Program
After-school Music Academy (ages 8 to 16)
to Begin Your Child's Musical Adventure
The After-School Academy is in full swing and ready to impart music education to young minds. The Academy is open to children, ages 8 to 16, and it is being held throughout the school year, Tuesdays and Wednesdays, from 3:30pm to 5:00pm at G-Clef on the second floor of the LaBorde Plaza Building (at Mandela Circle). The After-School Academy specifically offers a weekly learning environment for small groups on the piano, guitar, and drums; and includes interpretive dance. This specialized attention provides a more effective way of enhancing each child’s personal discipline and self-confidence.
G-Clef Music Academy provides students with a rich and varied music education experience. Private instruction is offered in piano, voice, violin, percussion/drums, guitar, and bass guitar to students of all ages--from toddlers to seniors. The length options of the Private Music Lessons are 30, 45 and 60 minutes. G-Clef believes music is a family affair. We can teach the whole family how to play.
The GCMA student has the benefit of outstanding individual instruction, as well as the opportunity to perform in ensembles. The continuously progressive and competitive curriculum includes classical and contemporary repertoire. As a standard, music theory is the basis for learning. Students culminate their learning experience with recitals and community performances. Some students are encouraged to join G-Clef's youth band and chamber ensemble(s). It is a fun and valuable opportunity to solidify what was learned by playing in a group.
Private Music Lesson for Children and Adults
LaBorde Plaza, 2nd Floor
(across from Wendy's in
Mandela's Circle on St. Thomas, USVI)
FALL & SPRING
Semester Class Location
Piano, Guitar and Band Instructor
Brass & Woodwinds Instructor
Other Exciting Music Programs
G-Clef Music Academy holds its Summer Music Camp at LaBorde Plaza, 2nd Floor
across from Wendy's in Mandela's Circle on the island of St. Thomas, U.S. Virgin Islands. Children ages 5 to 13 learn a variety of instruments during G-Clef Music Academy's six-week summer music camp. Eight music disciplines along with theory are taught during the summer, including piano, guitar violin, cello, woodwinds, brass, and steel pans/drums. Students learn to play solo and with several ensembles.
Each music discipline is supported with music theory, providing students the opportunity and advantage to learn to read music and enjoy playing their instruments.
Kandis R. Gumbs
Steel Pan, Percussion
Youth Band Conductor
and Choir Instructor
Request Information and Application
Website designed by G-Clef Music Academy © 2014
PLAY FREE MUSIC GAMES
on the piano)
(helps you to hear
and compare melodies)
(Learn the staff spaces)
When playing music games on any iOS or Android devices, it is recommended to use a browser like Puffin. Another browser option with Flash Player for Android devices is FlashFox and for iPads is VirtualFirefox.
You can also install any of these browsers through your App Store on your Smart Device.

domain: artistic


text:
- Exit I-90 (NY Thruway) at Canandaigua exit (#44).
- You will be on NY-332 South which you continue to follow for 9.6 miles into Canandaigua.
- Travel down Main Street, with many beautiful old houses and charming storefronts.
- At a large intersection with several traffic lights (cross street is NY 5/US 20/Eastern Blvd.) continue straight through the intersection, then bear left as it turns into Lakeshore Drive.
- This winds past the NY Wine & Culinary Center and along the nicely developed lakefront.
- After 1.3 miles of Lakeshore Drive, at a traffic light, turn right onto NY-364 S/E Lake Rd.
- This follows along the east shore of Canandaigua Lake.
- After 3.7 miles, turn left up County Road 1.
- Stay on CR 1 for 3.5 miles over the hills and down into Rushville.
- Continue through Rushville. The road becomes NY-247 S.
- After 4.0 miles, you will descend into Potter, where the road becomes NY-364 E.
- Follow this for 8.9 mi over more hills into Penn Yan.
- At the bottom of the hill, there is a traffic light (cross street: Liberty).
- Go straight through and make the next right at the flashing light. This is Main Street.
- Less than 1/2 mile down Main Street, La Belle Vie will be on the right (just before the next flashing light).
Essentially, this Scenic Route cuts a diagonal from Canandaigua, by the lake and across the hills, southeast to Penn Yan
(while the simple route squares the corner straight east on I-90 to Geneva then due south to Penn Yan).
We never get tired of driving the twisty roads by the lakes, through the farmland, hills, and vineyards. This is our preferred northwest passage.

domain: geography


text:
Flowers are not the only signs of spring — count in fruits and vegetables for colorful eating.
The American Dietetic Assoc. say colorful foods — such as blueberries, strawberries, avocados and carrots — not only have fiber and nutrients, but they may promote cardiovascular health.
“I like to say to my clients, ‘Eat the rainbow,’ ” said Suzanne Forsberg, a dietitian with the St. John Weight Management Institute. “These are what we call power foods. The colors in fruits, vegetables, beans and, don’t forget, spices each have different properties, which help fight diseases such as cardiovascular disease, cancer and diabetes.”
Forsberg said the American Heart Association recommends eating fruits and vegetables rather than taking supplements.
“That makes sense because there are so many other properties in fruits and vegetables, like fiber, that can also help with cardiovascular disease and diabetes.”
Fruits and vegetables also contain vitamins, such as B6 and folate, that help lower homocysteine levels in the blood, she said.
“Elevated homocysteine levels may increase your risk for arteriosclerosis and have been linked with cardiovascular disease.”
Red Tomatoes contain lycopene along with many other nutrients and phytochemicals. “It is the combination of goodies in a tomato that make it an A+ for health. People used to fear tomatoes and thought they were poisonous. Never refrigerate a tomato, it will ruin the taste.”
Red kidney beans not only contain fiber but have a high ORAC, or oxygen radical absorption capacity. “ORAC is measured by the NIH (National Institute of Health), which measures the antioxidant power of foods, or the ability to remove free radicals from the system. They damage our vessels and can lead to cancers, cardiovascular diseases and other problems.”
All colors of berries are low on the glycemic scale and high in antioxidants and fiber. “Fiber helps to control blood sugar, and also removes cholesterol from the body, and has been called nature’s broom.”
Apples contain soluble and insoluble fiber.
Orange “Oranges are citrus fruits, which prevent scurvy, once a problem on long sea voyages and has resurfaced recently. They also contain vitamin C, and we all know the link between immunity and vitamin C and wound healing.”
Orange carrots and yellow squash contain lutein found in the orange and yellow pigment. “Lutein is necessary for good vision, but also may help prevent or slow down atherosclerosis, the thickening of arteries, which is a risk factor for cardiovascular disease.”
Green “Spinach contains neoxanthin and kaempferol, which are ‘Kryptonite’ to cancer cells.”
Avocado is rich in potassium, fiber and B vitamins. “One cup of pureed avocado contains approximately 1,378 milligrams of potassium, along with monounsaturated fat which is known to lower LDL, the bad cholesterol,” she said. “The problem is, the avocado is highly caloric. One small avocado is around 350 calories.”

domain: news


text:
Protected By Insecurities
Poem By Lawrence S. Pertillar
No one blessed with life to live,
Can expect it done...
Without facing the fear,
Of some kind of rejection.
To accept but should not let,
Steps to move forward...
Left kept protected by insecurities.
To perceive them to be,
A mission another has to attack...
With their own blemishes and flaws.
Seeking and prepared to defend them.
Before they've been noticed or seen.


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Few of our readers will know much about Lt. Robert Maynard, born in Kent, England, circa 1684, and the lieutenant in the Royal Navy who engaged Blackbeard in battle. He was an officer of His Majesty's man-of-war Pearl stationed in Hampton, Virginia. In November, 1718, Maynard was sent to North Carolina by Alexander Spotswood, Governor of the Colony of Virginia, to capture Blackbeard in an effort to curtail piracy along the Atlantic seaboard, and to divert attention from his own troubled relationship with the Virginia Council. Spotswood gave Maynard command of two sloops, Ranger and Jane. Details of Maynard's final battle with Blackbeard have been well documented and are available in books, magazines, and on-line articles.
|Captain Robert Maynard|
At the conclusion of the bloody naval engagement Blackbeard was beheaded. His head was hung from the bowsprit of Maynard's sloop and taken back to Virginia. Upon returning to his home port Maynard impaled the head on a stake near the mouth of the Hampton River. In 1739 Maynard was promoted to commander, and in 1740 to captain.
Robert Maynard retired to Great Mongeham in Kent, southeast England, near the port of Deal on the English Channel. He died in 1751, and is buried in the parish churchyard, on the outskirts of Deal. Parts of the church, St Martin's, date to the 13th century. On a monument on the northeast buttress of the church tower are these words: "To the Memory of Capt. Robert MAYNARD a faithfull & experience’d Commander of the Royal Navy; who, after he had distinguish’d himself by many brave and gallant Actions in the Service of his King and Country retired to this Place where he died 1 Jan. 1750-51 aged 67."
Maynard's victory over Blackbeard is still celebrated in England. The crew of the current HMS Ranger, a patrol and training vessel of the British Royal Navy, commemorate Blackbeard's defeat annually as close as possible to November 22 at the Sussex University Royal Naval Unit Blackbeard Night Dinner.
This month's Ocracoke Newsletter is about Old Christmas in Rodanthe. You can read it here: https://www.villagecraftsmen.com/old-christmas-rodanthe/.


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The user has the right at any time to terminate the contract for his use of SkillDisplay with immediate effect. The termination takes place by deleting one's own user account.
Business Angels may terminate the contract at any time for good cause without notice. An important reason lies in each not only insignificant breach of duty of the user, especially in a breach of these terms and conditions. Legal termination rights remain unaffected.
The contract ends automatically when Business Angels discontinues the SkillDisplay platform.
In the event that Business Angels sells SkillDisplay or parts of it to a third party, the User will release Business Angels from its contractual obligations. In this case, the user agrees to a transfer of the contractual obligations to the third party.
10 Salavatory clause
Should individual provisions of this agreement be ineffective or impracticable or become ineffective or unenforceable after conclusion of the contract, the validity of the contract remains unaffected. The invalid or unenforceable provision shall be replaced by the effective and enforceable provision whose effects come closest to the objective pursued by the contracting parties with the ineffective or unenforceable provision. The above provisions shall apply mutatis mutandis in the event that the contract proves to be incomplete.
11 Jurisdiction, choice of law, place of performance
All legal disputes arising from this contract shall be governed by Austrian law.
Domestic jurisdiction is agreed. For the resolution of all disputes arising from this contract, the competent court at the headquarters of SkillDisplay has exclusive local jurisdiction.
Place of fulfillment is the seat of Business Angels (Vienna).

domain: law


text:
Paper that examines whether there are any changes the Scottish Government can make, in the short-term, to improve the way the government-funded nursery provision works as well as feed into the wider debate on childcare.
Guidance that is supplementary to, and should be read in conjunction with the Scottish Government 'National guidance for child protection in Scotland 2010'. The guidance outlines key definitions and concepts, specifically a definition of what constitutes child abuse and neglect and harm/significant harm.
The Bill for this Act of the Scottish Parliament was passed by the Parliament on 19th February 2014 and received Royal Assent on 27th March 2014.
Report which identifies that as many as 40 per cent of children lack secure bonds, and there is particular concern for the 15 per cent who actively resist their parent. It recommends more support for good parenting and attachment by health visitors and children’s centres, with evidence-based interventions for those identified as higher risk.
The aim of this research was to use data from the Growing Up in Scotland study to explore the characteristics, circumstances and experiences of first-time mothers in Scotland aged under 20 at the time of the child‟s birth and examine how they compare with those of older mothers in two age groups – those aged 20 to 24 and those aged 25 or older.
Strategy that is built on the views of children and young people, parents and carers, the play sector and others involved in their wellbeing. Together with the action plan it seeks to improve the play experiences of all children and young people, including those with disabilities or from disadvantaged backgrounds.
Small scale, largely qualitative review of the community childminding schemes offered through the auspices of the Scottish Childminding Association (SCMA) that was commissioned to consider the benefits of these services for children, families and society.
Community childminding in Dumfries and Galloway and in Aberdeen is briefly reviewed but, at the suggestion of SCMA, it also focused on community childminding in two particular cases – Scottish Borders Supported Childminding Scheme and Edinburgh Working for Families Scheme.
Report that demonstrates the impact of both Fife and Stirling Community Childminding Services that are funded by the Scottish Government's Early Years Action Fund, administered by Inspiring Scotland.
Report that outlines the 10 key messages and issues that the parents who took part in these conversations raised about using and accessing childcare.
Briefing on the Triple P – Positive Parenting Program, which is one of a series of briefing papers produced by NHS Health Scotland on parenting programmes currently used in Scotland. These are intended as a source of information for the early years workforce, providing an overview of the programme and supporting evidence. This workforce includes those working in local authority, health and voluntary sectors and those commissioning services.

domain: politics


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‡20% off Kits with code KITS20. Offer cannot be used other with other discounts or promotions. Offer is not applicable on sale items on or subscriptions. Limited to one use per customer. Earn 25% off new subscription orders. Earn double rewards points on your first subscription order for a limited time. Free US ground shipping on subscription orders totaling $35 or more. Limited time offer.
*These statements have not been evaluated by the Food and Drug Administration. Products are not intended to diagnose, treat, cure, or prevent any disease. The information provided does not constitute medical advice and should not take the place of consulting a physician. This information does not and should not replace treatment from a medical professional. If you need medical advice or assistance, you should consult a physician.

domain: health


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Determined to defy death and deportation, encouraged by the euphoria of a better life upon crossing the Atlantic ocean and pushed by hunger, war and bad governance that have failed to secure their lives and provide them jobs; millions of Africans are still crossing dangerous waters at the cost of their life to enter Europe.
In the process, thousands drown, get arrested, tortured and deported. The International Federation of Red Cross and Red Crescent Societies says about 890 people “have drowned attempting to cross the Mediterranean” in just ten days interval.
The Secretary General of the organization Mr Elhadj As Sy described it as “a period of grief and shame. Grief for the mothers, fathers and sons who have died. Shame as this is happening within sight of Europe”, adding that “The Mediterranean is transforming into a watery graveyard.
“In May alone, the number of people who were reported missing or have drowned at sea reached a staggering 1,086. People are risking their lives every day,” he said.
But despite these treatments, there has been a significant increase in the number of migrants crossing the Mediterranean waters to European nations in search of a better life.
These Africans are forced to leave their home countries because of many but complex reasons. First being that, African leaders have failed to do their responsibilities. An estimated $148 billion dollars is looted from government coffers in Africa every year by corrupt government officials. These monies are stashed in Europe through anonymous companies that conceal their identities as recently discovered in the Panama papers, a leaked document of the Panamanian law firm, Mossack Fonsecca that reveals how influential business and political leaders evade tax.
The monies if properly invested in Africa could provide jobs to the teeming unemployed youths in the continent, which would drastically cut the number of youths struggling through illegal and dangerous ways to enter Europe.
African countries ravaged by war and famine have also fueled the influx of illegal immigrants into Europe. The recent wars in countries like Libya, Central Africa Republic, Mali, South Sudan and the persistent famine in Somalia and Ethiopia have forced hundreds of thousands to flee their homes in search of safe havens.
Libya has been “a magnet” for these migrants, but since the fall of Muammar Gaddafi, the Arab state has not remained the same.
Migrants pay up to $1,370 to get into dangerous boats to Malta, and the Italian island of Lampedusa. An estimated 27, 000 crossed to Italy in 2014, ten times the number in 2013 and since then, the number has been on the rise.
The “intolerant” European countries have also contributed to the growing number of immigrants. For instance, while African leaders are looting government coffers, the loots are kept in European banks, further impoverishing the continent and making it vulnerable to all kinds of abuses and bad leadership.
Europe is consistently adjusting its anti-immigrants laws; only Germany seems tolerant. But the measures are making things worse; they have killed more immigrants rather than discourage them from embarking on the risky journeys.
Mr Elhadj As Sy who warned of the consequences of such measures urged European countries to “provide safe routes for people seeking sanctuary and refuge”, arguing that “solutions to this crisis must respect our shared humanity”. But whether EU will subscribe to such calls is still unclear at the moment, as more sanctions that have failed to curtail the influx of migrants over the years will continue to emerge in the coming years.


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Sciatica Pain Treatment and Rehabilitation on Long Island
Chiropractor for Sciatica
Sciatica Treatment Near Smithtown, NY
If you’re struggling with sciatica, it’s time to take the first step towards recovery. Our chiropractic clinic near Smithtown, NY, is ready to support you through your healing journey. With our unique approach to sciatica treatment, experienced team, and commitment to your health, we’re confident we can help you get back in the game, stronger and more resilient than ever.
Don’t let sciatica control your life. Contact us today to schedule your appointment and discover how we can help you achieve lasting relief from sciatica pain. As your local chiropractor for sciatica, we’re here to provide the expert care you deserve, right here in Smithtown, NY.
Request an Appointment Today
Sciatica, a condition that can turn everyday activities into a painful ordeal, affects countless individuals worldwide. Characterized by a sharp, sometimes unbearable pain that travels from the lower back down to the legs, sciatica is more than just a simple back issue—it's a complex problem that requires a nuanced approach to treatment. This is where chiropractic care comes into play as an effective sciatica treatment option, offering hope for those suffering from this debilitating condition.
- Lower back pain
- Pain in the buttocks or leg that worsens when sitting
- Hip pain
- Burning or tingling sensation down the leg
- Weakness, numbness, or difficulty moving the leg or foot
- A sharp pain that may make it difficult to stand up or walk
- Pain that radiates down one side of the body, from the lower back into the leg
- Occasionally, pain in the toes or foot
Common Causes of Sciatica
At its core, sciatica is the symptom of an underlying issue affecting the sciatic nerve, the longest nerve in the body. From herniated discs to piriformis syndrome, the causes of sciatica are as varied as they are complex. Understanding the root causes of sciatica is crucial for effective sciatica treatment and relief.
A herniated disc is a leading cause of sciatica, where the disc's protrusion presses against the sciatic nerve, causing pain that extends from the lower back to the leg.
Piriformis syndrome, involving spasms in the buttock's piriformis muscle that irritate the sciatic nerve, and injuries or lifestyle factors leading to muscle imbalances and poor posture, are additional contributors to sciatica.
Spinal stenosis, the narrowing of spinal spaces, also compresses parts of the nerve, intensifying sciatica symptoms.
Sciatica During Pregnancy
Sciatica is also prevalent during pregnancy. The combination of hormonal changes, weight gain, and the baby's position can place additional pressure on the sciatic nerve. Hormones released during pregnancy, such as relaxin, which loosens ligaments in preparation for childbirth, can alter pelvic structure and exacerbate sciatic pain. The increased weight and altered posture during pregnancy further stress the spine and sciatic nerve, leading to discomfort.
Identifying the specific cause of sciatica, including the factors related to pregnancy, is crucial for crafting an effective sciatica treatment approach. Chiropractic care, through spinal adjustments, manual therapy, and tailored exercises, addresses the root causes and symptoms of sciatica, offering a comprehensive path to relief for sufferers, including expectant mothers.
Treatment for Sciatica
Spinal Adjustments: The Foundation of Chiropractic Care
Manual Therapy: Soothing Muscle Tension
In addition to adjustments, chiropractors utilize manual therapy techniques to address muscle tension and spasms contributing to sciatica. Techniques such as massage and myofascial release target tight muscles, particularly in the lower back and buttocks, providing immediate relief and enhancing the overall treatment efficacy.
Tailored Exercise Programs: Strengthening and Stretching
Your in-office sciatica treatment will be accompanied by an at-home exercise program so that you can not only find immediate relief but also prevent the reoccurrence of sciatica in the future. Simple exercises will help you strengthen the muscles supporting the spine, improve flexibility, and prevent future episodes of sciatica. Specific stretches help to loosen up tight muscles in your lower back, hips, and buttocks – areas that can directly impact your sciatic nerve. This combination of strength and flexibility reduces the likelihood of future sciatica flare-ups.
Taking Your First Step to Treat Sciatica Today
If sciatica is impacting your life and you are located in the Smithtown NY area, reach out to our chiropractic and sports medicine office today.
Our chiropractic office is dedicated to providing top-tier sciatica treatment, leveraging our unique approach to alleviate your pain and restore your mobility. As local chiropractors specializing in sciatica, we understand the impact this condition can have on your life, and we're here to help. With our expertise in spinal health and commitment to non-invasive treatments our experienced chiropractors in Smithtown, NY, are well-versed in a variety of techniques to provide relief from sciatica pain. By addressing both the symptoms and underlying causes of sciatica, chiropractic care can help you reclaim your life from pain.Make an Appointment
What To Expect
What to Expect During a Visit to a Chiropractor for Joint Pain
First Consultation and Evaluation
During your first consultation, we will ask you plenty of questions to get to the bottom of your sciatica pain complaints. After finding the culprits, we will target the issues with our soft tissue arsenal and teach you how to wake up the underused structures via our YouTube channel or App exercises. These are to be done daily so the reprogramming can take place faster. You will feel the changes within the first week
Frequency of Appointments
When someone is acute - meaning in a lot of pain - they can be seen multiple times in a week. More typically we schedule patients once per week initially. When we start gaining traction with their issues we start weaning them off from care. We have always said that the less you need us, the better the job we’re doing.
Duration Of Treatment
Your 30 or 60-minute appointment will be with the Doctor the entire time. We rarely leave your side so you will get a comprehensive sciatica treatment and experience relief.

domain: medical


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Designer | May Bar Levav
This new reality that is forced on us dictates our days, changes our behaviors and sets us new challenges. It is precisely now, when we are closed and isolated between the walls of our own houses, together with the entire humankind, that the nature is celebrating.
The ecological crisis and especially the air pollution that accompanies us for decades are now in a significant decline since the outbreak of covid-19 pandemic. On the negative side, an extremely high consumption of disposable products that are being used for dealing with the pandemic causes an enormous amount of polluting garbage. Nonetheless, the common masks that are being used nowadays and are supposed to prevent from contagious particles to move through air are actually made of plastic materials and are manufactured in ways that increase air pollution, isn’t that absurd?
Just until recently, wearing masks and face covers were prevalent only with doctors and certain cultures in the world as for a religious characteristic or a practical medic solution. Nowadays, each and every one of us is obligated to wear a mask in order to fight the pandemic. My hope is that masks will still be used after the pandemic crisis ends as protection from air pollution will still be needed.
In my final project I am working for neutralizing the inconvenient experience of wearing a mask and by that I aspire to transform moving around in the cities into a possible, safe and fashionable experience. I believe that wearing masks and hiding our faces forces us to find new ways of interpersonal communication in order to empower our values and stories. Therefore in my designs, along with textile and knitting techniques, each and every mask will portray one of the many key stories in the era of air pollution increase. Anyone who wears one of these masks will take a part in my own struggle in making the world a better place to breathe in.
In the developing of the products, I put the most effort in using natural materials that are manufactured in sustainable productions and that are healthy to facial skin in a way that fits to all skin kinds. Combined with textile will be three dimensional objects that will be used as a "home" in which a filter is inserted and removed in a way that assures multiple uses in the product. Different kinds of filters can be used for different levels of protection.
I cooperated with LANACO, a company based in New Zealand which supplied filters made of natural sheep wool that stands with the world standard for air pollution protection.

domain: design


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Column | Jul 13, 2014 | 3:07 PM
A collection of news and information related to Steppenwolf Theatre published by this site and its partners.
Top Steppenwolf Theatre Articles see all
Displaying items 1-5
Story | Jul 11, 2014 | 2:30 PM"The Qualms," the new play by Pulitzer winner Bruce Norris ("Clybourne Park"), has locked in a New York run at Off Broadway's Playwrights Horizons just ahead of the opening night of the show's world premiere run in Chicago.
Story | Jul 11, 2014 | 10:07 AM
Pulitzer Prize and Tony Award-winning playwright Bruce Norris' new comedy "The Qualms," which opens on Sunday night at Steppenwolf Theatre Company, will play Playwrights Horizons in New York in 2015, a representative for the off-Broadway theater said on...
Story | Jul 10, 2014 | 9:37 AM
Story | Jul 2, 2014 | 4:32 PM
We went to see "This Is Our Youth" at the Steppenwolf Theater Company last night. It stars Michael Cera, Tavi Gevinson and Kieran Culkin, and I wondered, despite Chris Jones' positive review, whether we weren't in for a bit of...

domain: entertainment


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Patients with depression display cytokine levels in serum and cerebrospinal fluid similar to patients with diffuse neurological symptoms without a defined diagnosis
Authors Hestad KA, Engedal K, Whist JE, Aukrust P, Farup PG, Mollnes TE, Ueland T
Received 6 December 2015
Accepted for publication 22 January 2016
Published 13 April 2016 Volume 2016:12 Pages 817—822
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 4
Editor who approved publication: Dr Roger Pinder
Knut A Hestad,1–3 Knut Engedal,4 Jon Elling Whist,1 Pål Aukrust,5–9 Per G Farup,1,10 Tom Eirik Mollnes,9,11–13 Thor Ueland5,7,9
1Department of Research, Innlandet Hospital Trust, Brumunddal, 2Department of Psychology, Faculty of Social Sciences and Technology Management, Norwegian University of Science and Technology (NTNU), Trondheim, 3Department of Public Health, Hedmark University College, Elverum, 4Norwegian Centre for Aging and Health, Vestfold Health Trust, Tønsberg, 5Research Institute of Internal Medicine, 6Section of Clinical Immunology and Infectious Diseases, 7Institute of Clinical Medicine, Oslo University Hospital Rikshospitalet, 8K.G. Jebsen IRC, University of Oslo, Oslo, 9K.G. Jebsen TREC, University of Tromsø, Tromsø, 10Unit for Applied Clinical Research, Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, 11Centre of Molecular Inflammation Research, Norwegian University of Science and Technology (NTNU), Trondheim, 12Department of Immunology, Oslo University Hospital Rikshospitalet, Oslo, 13Research Laboratory, Nordland Hospital, Bodø, Norway
Introduction: Several reports indicate that inflammation may play a role in depression and demonstrate enhanced systemic levels of inflammatory mediators. We hypothesized that 44 patients with a diagnosis of depression would present with a specific and different serum and cerebrospinal fluid (CSF) cytokine profile compared to 21 patients with diffuse neurological symptoms, of whom 15 had fatigue as a major symptom, but no change in emotional state.
Methods: The diagnoses of the patients with depression were according to the International Classification of Diseases, tenth edition (F32–34 spectra). Cytokine profiles in serum and CSF were determined by multiplex analysis, including 27 cytokines, chemokines, and growth factors.
Results: No differences could be found between the two groups studied regarding cytokine levels in serum or CSF except for serum interleukin (IL)-1 receptor antagonist that was lower in the depression group. There were only four high correlations (>0.4) between serum and CSF levels of the cytokines, reflecting independent synthesis and turnover in these two compartments. In the control group, fatigue was associated with increased IL-1 receptor antagonist, IL-10, granulocyte-colony stimulating factor, and interferon-γ (all P<0.01).
Conclusion: Patients with depression had a similar cytokine profile as nondepressive patients, both systemically and in CSF. Fatigue was associated with higher levels of some inflammatory markers in the control group. It is possible that the presence of fatigue in a large proportion of patients and controls could contribute to the lack of difference in cytokine levels between these two groups.
Keywords: depression, cytokines, chemokines, inflammation, fatigue, serum, CSF, multiplex analysis
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]


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Laparoscopic Right Hemicolectomy
Preoperatively, patients undergo an appropriate medical evaluation. Imaging studies including CT scan, barium studies, and colonoscopy are undertaken for preoperative planning to assess the location of disease, review any associated complications, and identify any synchronous lesions. Preoperative marking of polyps by endoscopic tattooing using India ink is necessary to ensure intraoperative identification of the lesion and to avoid the need for intraoperative colonoscopy. In patients with recurrent Crohn’s disease or history of multiple laparotmoies, imaging studies are particularly important in providing “roadmaps” to define extent of previous resections, length of remaining bowel, and degree of previous mobilization of flexures. Preoperative mechanical and antibiotic bowel preparation consists of 45 cc sodium phosphate solution (Fleets phosphosoda; C.B. Fleet Co., Inc., Lynchburg, VA) PO at 4 pm and at 9 pm, each followed by 3–8 oz glasses of water, and 1 gm neomycin with 500 mg metronidazole at 7∶00 and 11∶00 pm.
KeywordsMesenteric Defect Cecal Volvulus Ileocolic Anastomosis Sodium Phosphate Solution Middle Colic Vessel
Unable to display preview. Download preview PDF.
- Cera C, Wexner SD. Diverticulitis. In Advanced Therapy of Minimally Invasive Surgery. New York, B.C., Decker (in press).Google Scholar
- Wexner SD Guest, Ed) Laparoscopy for benign disease. Seminars in Laparoscopic Surgery. New York, Westminster Publications 2003.Google Scholar
- Wexner SD (Guest, Ed). Laparoscopy for malignant disease. Seminars in Laparoscopic Surgery. New York, Westminster Publications 2004.Google Scholar


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The government has asked an independent consultant to undertake vulnerability assessment of the impact of cyanide that spilled from the plant site of Ahafo Mine of Newmont Ghana Gold Limited at Kenyasi in Asutifi District, into to River Yaakye and its tributaries at Kwabuokrom, last year.
The consultant, who will begin work on Monday July 5, this year, is expected to complete the assessment in three weeks.
Ms. Sherry Ayittey, Minister of Environment, Science and Technology, disclosed this at Kenyasi number two, after she visited the affected areas and held a meeting with management of Newmont Ghana, on Tuesday.
She was accompanied by the Deputy Minister of Environment, Science and Technology Dr. Omane Boama and Directors at the Ministry and the EPA.
Ms. Ayittey said that recommendations of the consultant would enable government to determine modalities for determining the needs of the people directly affected by the spillage.
She explained that the consultant would work especially on how the spillage had affected the people to enable the authorities address their needs and those of traditional rulers and the district assembly.
Ms. Ayittey said that recommendations of the consultant would be made available to the Kenyasi Number One, Kenyasi Number Two and Ntotroso Traditional Councils and the district assemblies for study and suggestions towards addressing their needs.
She appealed to the chiefs and people of the affected communities to channel their grievances through the appropriate quarters for redress instead of resorting to unnecessary agitations.
Ms. Ayittey said that government would review the mining law and had set up a committee working on some aspects of the law especially in the areas of crop and land compensation, payment of royalties and resettlements.
She asked the traditional councils to delegate people to attend the committee sittings to enable them to put across their concerns and suggestions for the review of the mining law.
Ms. Ayittey expressed concern about the activities of illegal miners (galamsey) and appealed to the traditional councils to help bring the situation under control.
Ms. Ayittey advised mining companies to obtain valid and requisite permits or be prepared to face the full rigours of the law.
Odeneho Dadeako Ababio, Omanhene of Kenyasi Number Two, expressed regret that the management of the company in the area was peddling falsehood that they had constructed palaces for the three traditional councils.
“If we are undertaking our palace projects and you give us some financial support it does not mean you have constructed the project for us. It behoves the company to even construct a modern palace for each of the chiefs considering our relationship with the mining company”.
Odeneho Ababio said that the traditional councils had prevented agitations by the youth in the affected areas against Newmont
Nana Osei Kofi Abiri, Omanhene of Kenyasi Number One expressed worry that almost all the farmlands in the area had been destroyed due to activities of the company.
He said majority of farmers in the area had become poor due to mining activities and appealed to the Ministry to ensure that the company found alternative means of livelihood for the victims.
Barima Wereko Ampem, Chief of Ntotoroso, appealed to government to ensure that communities that were directly affected by the spillage benefited much from the compensation.
He expressed worry that the chunk of the amount was going into government chest to the detriment of the affected people.
Dr. Boama told Ghana News Agency that government would not disburse physical cash to the people but intended to use the amount to undertake development projects and provide basic health needs.
“If we realize that the people need to be resettled or need boreholes and other amenities we would use the money for such purposes”, he said.
Cyanide from the plant site of the Ahafo Mine spilled into River Yaakye and its tributaries, the only source of drinking water for the people of Kwabuokrom and its environs On October 9, 2009.
Consequently, government formed a committee to negotiate with the company and the latter paid GH¢7 million as compensation based on a regulation in the Environmental Protection Agency (EPA) Act.
Since then there has been agitations from the people in the community directly affected by the spillage as well as the Kenyasi number one and Kenyasi number two and Ntotroso traditional councils asking government to ensure that they had their fair share of the compensation.


US Naval Institute news service brings us a report of another unconventional attack by remote controlled boats, this time on a commercial tanker. We have seen this type of attack before, but apparently this was “at least the sixth time Houthis used remote-controlled boats to attack shipping and oil assets in the Red Sea, according to a tally of Saudi and Gulf region news reports.”
This report is buried in a report about a drone attack on Russian bases in Syria, but there are some interesting details.
The post reports an examination of a captured remote controlled boat,
The 30-foot long patrol boat, originally manufactured by the UAE-based company Al Fattan Ship Industry, was one of at least 60 donated by the UAE Coast Guard to the Yemeni Navy before the civil war kicked off in 2015.
The boat’s control unit was connected to a remotely operated video camera and a Garmin GPS antenna, suggesting the operator was able to stream live footage of the boat’s progress during the attack, and was fitted with a Soviet-manufactured P-15 Termit anti-ship missile and shaped explosive charge.
The P-15 Termit is another designation for the Styx, an early Soviet anti-ship missile. It is 5.8 m (19 ft) long and weighs 2,580 kg (5,690 lb).
In countering the sUAV attack, the Russians used both hard and soft kill. The Pantsir-S reportedly use to shoot down seven of the drones is a short range, combined gun and missile, anti-air system. Six more were brought down by electronic counter-measures.
According to the report, Putin said, “These aerial vehicles were disguised – I would like to stress that – as homemade. But it is obvious that some high-tech equipment was used,” Perhaps Putin is not aware, or simply refuses to acknowledge, how sophisticated hobby drone auto-pilots have become. All you need is Google Earth for targeting and you can set in way-points and altitudes and have it fly to any point within the range of the aircraft.


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According to the Justice Department. Merck has agreed to pay $950 million and has pled guilty to a criminal charge over the marketing and sales of the painkiller Vioxx.
The negotiated settlement, was the result of a series of fraud cases brought by government prosecutors against major pharmaceutical companies.
Experts estimate that 25 million Americans had taken the Vioxx drug, from 1999 when it was approved by the Food and Drug Administration, to recall in 2004, because evidence showed that it increased cardiovascular risk.
According to the Justice Department, Merck agreed to pay a $321 million criminal fine and plead guilty to one misdemeanor count of illegally introducing a drug into interstate commerce. The charge was brought because Merck’s promotion of Vioxx to treat rheumatoid arthritis before the FDA approved it for that purpose in 2002.
Merck also agreed to pay $426 million fine to the federal government and $202 million fine to state Medicaid agencies. Those payments will settle civil claims that its illegal marketing caused doctors to prescribe and bill the government for Vioxx.
Generally physicians are allowed to prescribe drugs for any purpose they see fit, (off label prescribing), but drug companies are prohibited from marketing them for any uses except those that the FDA has determined are safe and beneficial.
Merck, recalled Vioxx from the market in more than 80 countries in 2004 after a clinical trial showed it doubled the risk of heart attack, stroke and death.
In 2007, Merck agreed to pay $4.85 billion to settle 27,000 lawsuits by people who had claimed they or their relatives had suffered injury or death after taking the drug.
No person was held liable for Merck’s conduct. According to pharmaceutical experts, this bad corporate behaviour is just a cost of doing business until a pharmaceutical executive does a perp walk.
Now fast forward to 2011. We have been locked in a battle with Bayer, over its YAZ, Yasmin and Ocella oral contraceptive pills. Similar allegations are being levelled against Bayer for its over marketing and promotion for the all types of pre-menstrual tension, when it was only approved for the worst type, pre-menstrual dysphoric disorder.
It was never approved for that by the FDA. Bayer had to spend $20 million in a fine for false and misleading advertising and re-do its ads. Now many plaintiffs are alleging and medical studies are revealing that Bayer's drugs have a higher risk profile for venous thromboembolism. Bayer hotly contestes this allegation. The first of many bellwether trials are scheduled to take place in January 2012.
Shezad Malik is an Internal Medicine and Cardiology specialist, a Texas Medical Doctor (retired) and Defective Medical Device and Dangerous Drug Attorney. Dr. Shezad Malik Law Firm has offices based in Fort Worth and Dallas and represents people who have suffered catastrophic and serious personal injuries including wrongful death, caused by the negligence or recklessness of others.


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Slightly less than 34% of Alabama’s eligible population is vaccinated against COVID-19, according to the latest figures from the Centers for Disease Control. Meanwhile, Alabama has seen its 7-day case average surge by more than 500% and hospitalizations due to COVID-19 increase by more than 300%.
As of July 25th, Alabama has had 570,667 cases of coronavirus with 11,483 deaths. The state has added 13,892 cases in the lasts 14 days.
Here’s what you need to know about getting a COVID vaccine:
Who is eligible?
Anyone age 12 and older are eligible to receive a COVID-19 vaccine in Alabama. The two-dose Pfizer version is authorized for ages 12 and older. County health departments and some other locations are administering the two-dose Moderna vaccine, which is authorized for ages 18 and older. The one-dose Johnson & Johnson vaccine is authorized for people ages 18 and older.
Who is vaccinated in Alabama?
The highest percentage of vaccinated people in Alabama – 75% - are those age 75 and older, followed by people ages 65-74 at 73%. The lowest percentage among a completely eligible group is 25% of people ages 18-29. ADPH shows 5.3% of people ages 0-17 that that includes children younger than 12 who are not eligible.
More women are vaccinated than men (40% vs. 34%) while the percentage of Black Alabamians and white Alabamians is almost identical at 30.7% and 30.8%, respectively.
Where can you get a vaccine?
Vaccines are widely available at county health departments, retail pharmacies such as CVS, Walgreens, Walmart and Publix, and medical providers throughout the state. There is often no appointment needed but check ahead with your provider. You can go to ALCovidVaccine.gov to locate a vaccine near you.
To find vaccine info, you can also search vaccines.gov, text your Zip code to 438829 or call 1-800-232-0233.
COVID vaccine side effects
According to the Centers for Disease Control, common side effects of the COVID vaccine include pain, redness and swelling at the injection site along with tiredness, headache, muscle pain, chills, fever and nausea. Side effects typically go away in a few days.
None of the COVID-19 vaccines contain the live virus that causes COVID and cannot cause you to contract the virus, the CDC said.
Have questions about COVID?
Call 1-800-270-7268 or email email@example.com. Telephone calls are answered from 8 a.m. to 5 p.m., Monday through Friday.
The Delta variant is a coronavirus mutation that originally surfaced in India in December 2020 and quickly spread across the planet. The CDC said it now accounts for about 80% of all new cases in the U.S.
Health officials in Alabama recently said about 85% of COVID-19 samples recently sequenced at a state lab found the Delta variant.
The variant is up to 10-times more infectious than the previous Alpha strain of the virus. You can read more on what that means and how it can impact children, here.
Can you get Delta variant if you’re vaccinated?
Yes, but the cases are likely mild, according to experts. When a vaccinated person tests positive for COVID-19, they typically have no or very mild symptoms that rarely results in hospitalization or death. Vaccinated people experience symptoms more like those of a common cold, including cough, fever, or headache.
According to UC Davis, as of July 22, there were 65,000 breakthrough cases (people who are vaccinated but got COVID-19) among 160 million fully vaccinated people, roughly 0.04% of vaccinated people.


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Physical Activity after Bariatric Surgery
by Anthony Benjamin on Oct 12, 2022
Physical Activity after Bariatric Surgery
Congratulations on choosing bariatric or another weight loss surgery as a start to a healthier life! As you embark on your new journey, we’d like to share some tips to help you get active and safely exercise after bariatric surgery. Physical activity is recommended as part of a healthier lifestyle; understanding how to get the best results and stay on track is important to feeling your best.
“When Can I Start Exercising?”
This is one of the most common questions from patients, especially those who have started exercising to lose weight before surgery. The American Society for Metabolic and Bariatric Surgery encourages patients to start light exercise as soon as possible after surgery – that includes while still in the hospital.
Movement encourages healing; this makes recovery faster. Slow walks through the hospital hallways are encouraged to get your blood flowing and inspire regular bodily functions that are critical to feeling your best.
Don’t worry, it’s normal for walks to be uncomfortable at first, but hang in there – they will get easier each time. Ask loved ones to walk with you and inspire you to take extra steps each day. Walking with a partner is more fun and motivating.
Benefits of Exercise after Weight Loss Surgery
It’s no secret that structured exercise like 20 to 30 minutes a day of walking, bike riding, exercise class, or yoga mixed with regular daily activities like gardening, walking the dog, and playing with your kids, is extremely beneficial.
Sometimes after Bariatric or other weight loss surgery, it’s tough to get motivated. You feel as though the surgery should be enough to lose the excess weight and it can be uncomfortable at first. However, the benefits go far beyond just losing weight.
The most important thing is doing what you can and work to increase activity slowly and safely. Once you start moving more, you’ll feel better. And when you feel better, you’ll feel like moving more. It’s a win-win! You’ve probably heard it before, but increasing your fitness level will:
- Assist with losing weight and maintaining that loss
- Boost metabolism
- Build bone density
- Increase energy levels
- Promote better circulation
- Lower blood pressure
- Provide pain relief
- Heighten immunity
- Lubricate joints
- Improve mood
- Offer stress relief
- Encourage quality sleep
- Clearer mind and better focus
- Decrease risk of chronic diseases
- And so much more!
It’s important to note that you will want to check with your bariatric surgeon before starting and/or changing your physical activity routine.
Safe Exercise & Enjoyable Activities Post-Surgery
One of the best ways to get moving after bariatric surgery is to find activities that you enjoy. Do you love being outside? Taking regular walks in nature burns calories, builds strength, boosts Vitamin D from the sun’s rays (even on cloudy days), relieves stress, and releases feel-good hormones.
You may have to force yourself to exercise at first, but we find most patients grow to like it and some eventually love it; they look forward to their “me time” and enjoy the undeniable benefits it provides.
Some Exercise Options and Modifications:
Walking: if walking outside or on a treadmill is hard, walk in a pool. The addition of water is easier on joints and lessens sweating. Or, take short walks around your neighborhood until you can add distance, and eventually, walk those small hills to get your heart rate up.
Riding a bike: you can start by riding a recumbent bike (sitting back with feet out front) a few minutes a day, in the gym or at home, then graduate to a regular indoor or outdoor bike. Gradually increase your time, even if it’s a minute per day, and before you know it, you’ll be riding 20-30 minutes each time.
Dancing: those who enjoy dancing don’t feel as though it’s exercise. There are many choices from low-impact to high-energy dance-style classes available at your local gym (like Zumba) and plenty of YouTube videos, DVDs, and Apps that can be enjoyed in the comfort of your own home.
Exercise with friends: ask your friends what they like to do for activity and if they would be willing to share those things with you or maybe try something new with you. Plus, having an accountability partner for your new lifestyle before and after your bariatric surgery – especially when it comes to eating, activity, and emotional support – can help make your fitness plan and post-surgical health routine a success.
Make it fun! Whatever you decide to do for exercise and physical activity, have fun with it. Being active with loved ones or using it as “me time” means you’ll look forward to it, thereby sticking with it, and ultimately – loving it!
How to Create a Post-Surgery Exercise Strategy
Make an appointment! One way to be sure you fit exercise into your very busy life is to schedule it. It may take some trial and error to discover what time of day is best for you or what works with your work schedule, but nonetheless, planning will increase your odds of doing it and having it become routine.
One caveat to scheduling – you must treat your fitness time as an actual appointment that can’t be canceled unless there’s an emergency; just as you would a doctor’s appointment or a work meeting. Creating new habits takes discipline and repetitiveness. Our bodies like comfortable, familiar routines (change is hard!). But, by scheduling and following through with your activity, your body will adapt to your new behavior, come to enjoy it and, eventually, depend on it.
Start Slow. If creating a schedule sounds too strict or if you’ve never been physically active before, start slow. Plan five to ten minutes a day, two days a week at first, and then increase once you’re comfortable with that schedule.
Avoid this pitfall – starting too fast and overdoing it right from the start. You’ll end up hating it or being too sore and stop. The goal is to make physical activity a positive part of your day so you stick with it for a healthier, happier life.
A Guide to Conquer Barriers to Success
We know you’ve heard them before (and have probably used them) – those common excuses as to why you can’t exercise or find time for yourself.
- Not enough time in the day
- Too many after school activities
- I can’t afford a gym membership
- My job is too demanding
- Exercise is too hard or boring
Everyone is overwhelmingly busy these days. There’s a constant stream of stimulus – work, kids, family, medical issues to manage, taking care of the home, the pets, keeping up with social media, binge watching shows … can you see where a few of these can be done simultaneously?
How about walking the dog while you walk yourself? Ride bikes with the kids after school. Watch your favorite show while you walk on the treadmill or ride your indoor bike. Keep in mind that physical activity can even be done in ten-minute increments throughout the day.
Make a list of barriers and how to overcome them. If you make a list of barriers, you can see exactly what they are; then write next to those barriers what you plan to do to overcome them. This way, you create your own guide to becoming fit and it feels less like someone telling you what to do.
One solution for many barriers is to have fitness accessories at home, so in a pinch, you can sneak in 10-20 minutes here and there throughout your busy day.
How to Workout at Home
If you don’t have time or the extra funds for a gym membership, there are lots of ways to get an inexpensive, good workout at home.
Things to have on hand for your home fitness options:
- Yoga mat – makes floor work more comfortable and gives you a dedicated space for all types of yoga, stretching, and things like legs lifts, knee push-ups, sit ups, etc.
- Resistance bands – these are a must-have. If you research online, you’ll see hundreds of strength training and stretching activities for all levels.
- Soccer ball or weighted ball – adds resistance when doing squats, which work the inner thigh muscles and strengthen the knees.
- A Bosu ball – another great all-around fitness gadget. Take a look online at all you can do with a Bosu. Just standing on it works your core. If you can’t balance right away, that’s okay. Use one hand on the back of a chair or the wall to assist.
- Good athletic shoes – keeping your feet healthy no matter what activity you choose is imperative to feeling good.
- A few good DVDs, Apps, or YouTube videos to help guide you if you’re unsure what to do. Just be sure to start with workouts for beginners and work your way up.
- A pedometer or use one of the fitness apps – this helps you track your progress and celebrate the wins!
Consistency is the Key to Bariatric Success
In order to make your bariatric surgery a life-long success and get into a routine that your body responds to and loves, consistency is #1. Consistently eating the right foods, getting the proper rest, and getting your exercise will help you stay healthy for life.
As for physical activity and fitness, you can work up to quality and length of time, but doing something every day – even for a few minutes – is going to keep you heading in the right direction and make your weight loss and healthy lifestyle a success.
Remember, there are all sorts of last-minute crisis and responsibilities that will try to derail your fitness efforts. If you can get any amount of physical activity in, even 10 minutes, you will feel better about yourself. It’s better to do the bare minimum than to skip it – it’s hard to get back into your physical activity regimen once you are out of the habit.
Tracking Fitness Success
This may seem frivolous, but when you track your fitness level, you will see just how strong you are becoming and it will make you feel empowered. We all know how to track weight loss (inches, pounds, pictures, clothes, BMI) – but how do you track your fitness?
Keeping notes is the best way, as well as tracking your body mass index (divide your weight in pounds by your height in inches squared, then multiply by 703, or buy scales that tells you). A few things to note:
- Do you have more energy?
- Are you sleeping better?
- Do you feel less stressed?
- Are you breathing easier (less winded)?
- Have you changed the way you handle stressful situations?
- Do your clothes fit differently?
- Notice less pain and inflammation?
Start before surgery (if you’re reading this before) by writing down how you feel throughout the day, both mentally and physically. As you begin your physical activity plan, be sure to also write what activities you do each day. About once a month, go back over your notes and make a list of the changes you have noticed. Seeing the positive effects on paper makes it more “real” and encourages you to continue.
You Can Be Physically Active & Fit
We hope this guide to being physically active and getting exercise after bariatric surgery is helpful and answers some of your questions. Of course, you will have guidance from your bariatric team prior to and after your surgery, and your doctor, who knows you and your situation, will be a great help in recommending activities that are right for you.
Proper exercise, diet, and supplementation are based upon your individual medical history, laboratory studies, and current medication. We strongly recommend you follow the instructions of your bariatric surgery team.
Lastly, to ensure optimal overall success, we suggest taking the proper bariatric surgery vitamins and minerals, staying well hydrated, and following a healthy eating plan. To learn more about our easy-to-use vitamins and supplements that can enhance your efforts, see ProCare Health’s array of products and be sure to read our testimonials. If you have any questions, please feel free to contact our helpful team today.
You can do this! You can be physically fit and enjoy the journey and we wish you the best of health.


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The US Deputy Assistant Secretary of State for European and Eurasian Affairs Bridget Brink is on a visit to Azerbaijan, the US embassy in Baku informed on June 23.
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The visit will end June 24.
2016.06.23 / 14:54


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When you a stay at Bellagio Boutique Hotel in Rethymno, you'll be near the beach, just steps from Agios Frangiskos Church and Centre for Byzantine Art. Featured amenities include express check-in, dry cleaning/laundry services, and a 24-hour front desk. A roundtrip airport shuttle is available for a surcharge.
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