len Armed Violence and Floods Aggravate Humanitarian Crisis in Chad By www.ipsnews.net Published On :: Tue, 05 Nov 2024 09:54:30 +0000 Chad is currently in the midst of a dire humanitarian crisis due to persisting armed conflict, mass displacement, widespread hunger, natural disasters, and an overall lack of essential services. Due to security challenges from the Boko Haram militant group, millions of Chadians have faced decreased mobility as well as human rights violations including imprisonment, beatings, […] Full Article Africa Aid Armed Conflicts Climate Change Crime & Justice Education Environment Headlines Human Rights Humanitarian Emergencies Migration & Refugees TerraViva United Nations IPS UN Bureau IPS UN Bureau Report
len Nicosia gold shop owner under arrest for stolen jewellery By cyprus-mail.com Published On :: 2024-11-13T08:48:43+02:00 Police on Wednesday are investigating the theft of a large number of gold items after a search at a Nicosia gold shop. The owner of the property, aged 78, has been arrested and taken into custody for questioning. According to the police, the search happened as part of an ongoing investigation into a spate of […] Full Article Crime arrest gold jewellery theft Nicosia
len 8th Greater Mekong Subregion Summit, Plenary Session - Masatsugu Asakawa By www.adb.org Published On :: 2024-11-07 Remarks by Masatsugu Asakawa, President, Asian Development Bank, at the 8th Greater Mekong Subregion Summit, Plenary Session, 7 November 2024 Full Article
len Denver police sergeant arrested for domestic violence assault By www.denverpost.com Published On :: Wed, 13 Nov 2024 00:16:40 +0000 Denver police sergeant Stephanie Neblock was arrested on suspicion of domestic violence assault in Douglas County, the Denver Police Department said in a press release. Full Article Crime and Public Safety Latest Headlines News crime domestic violence Douglas County police
len Governance, Competitiveness, and Growth: The Challenges for Bangladesh By www.adb.org Published On :: Different governance dimensions in Bangladesh are significantly and positively related to its economic development, however, the quality of governance has remained low. Full Article Publications/Papers and Briefs
len Infrastructure Challenges in South Asia: The Role of Public-Private Partnerships By www.adb.org Published On :: South Asian private sector participation in infrastructure development is examined, and recommendations are made for future development. Full Article Publications/Papers and Briefs
len Economic Challenges of Post-Tsunami Reconstruction in Sri Lanka By www.adb.org Published On :: Sri Lanka's post-tsunami reconstruction experience provides lessons for future major disasters, particularly for realistic needs assessment. Full Article Publications/Papers and Briefs
len 5970b msd manual by agilent By english.al-akhbar.com Published On :: 5970b msd manual by agilent Full Article
len Strengthening Country Systems for Prevention and Response to Gender-Based Violence By www.adb.org Published On :: 2024-10-30 The proposed project will support the Royal Government of Cambodia in its commitment to reduce Gender-based Violence (GBV) line with Sustainable Development Goal (SDG) 5 on gender equality, specifically to eliminate all forms of violence against all women and girls in the public and private spheres, through proven and novel approaches across the continuum of prevention, mitigation, and response. Full Article
len Asialink Promoting Small and Medium-Sized Enterprise Financing through Secured Vehicle Lending Project By www.adb.org Published On :: 2024-11-07 Full Article
len The Nexus of Peer-to-Peer Lending and Monetary Policy Transmission: Evidence from the People’s Republic of China By www.adb.org Published On :: 2024-11-05 This paper examines how booms and busts in peer-to-peer (P2P) lending in the People’s Republic of China (PRC) affect monetary policy transmission to inflation and output. Full Article
len How clues in honey can help fight our biggest biodiversity challenges By www.newscientist.com Published On :: Mon, 05 Aug 2024 17:00:00 +0100 There are secrets aplenty in a pot of honey – from information about bees' "micro-bee-ota" to DNA from the environment – that can help us fight food fraud and even monitor shifts in climate Full Article
len Quantum theory is challenging long-standing ideas about entropy By www.newscientist.com Published On :: Tue, 15 Oct 2024 23:15:49 +0100 A mathematical study finds that three definitions of what it means for entropy to increase, which have previously been considered equivalent, can produce different results in the quantum realm Full Article
len Stunning image of erupting volcano reminds us of Earth’s violent past By www.newscientist.com Published On :: Wed, 19 Jul 2023 19:00:00 +0100 This photo of Tungurahua, a volcano exploding in the Ecuadorian night, comes from an illustrated book to accompany a TV series about Earth’s deep history Full Article
len How can I help a friend who is relentlessly negative about life? By www.newscientist.com Published On :: Wed, 06 Nov 2024 18:00:00 +0000 From just listening to reframing the situation, there are a few ways you can help someone with a negative outlook, says advice columnist David Robson Full Article
len Genome of Neanderthal fossil reveals lost tribe cut off for millennia By www.newscientist.com Published On :: Wed, 11 Sep 2024 17:00:40 +0100 Analysis of DNA from a Neanderthal fossil found in a French cave indicates that it belonged to a group that was isolated for more than 50,000 years Full Article
len Pollen, Fruits, Veggies Help Trigger Oral Allergy Syndrome By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Pollen, Fruits, Veggies Help Trigger Oral Allergy SyndromeCategory: Health NewsCreated: 8/30/2007 12:00:00 AMLast Editorial Review: 8/30/2007 12:00:00 AM Full Article
len Low-Cal Diets Kept Monkeys Healthier, But Didn't Lengthen Lives By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Low-Cal Diets Kept Monkeys Healthier, But Didn't Lengthen LivesCategory: Health NewsCreated: 8/29/2012 4:05:00 PMLast Editorial Review: 8/30/2012 12:00:00 AM Full Article
len ALS Ice Bucket Challenge Blows Up Social Media By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: ALS Ice Bucket Challenge Blows Up Social MediaCategory: Health NewsCreated: 8/23/2014 11:01:00 AMLast Editorial Review: 8/25/2014 12:00:00 AM Full Article
len Patients Hope Ice Bucket Challenge Keeps Flowing By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Patients Hope Ice Bucket Challenge Keeps FlowingCategory: Health NewsCreated: 8/26/2014 11:00:00 AMLast Editorial Review: 8/26/2014 12:00:00 AM Full Article
len Men Who Feel Less Masculine May Be More Violent, Study Finds By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Men Who Feel Less Masculine May Be More Violent, Study FindsCategory: Health NewsCreated: 8/25/2015 12:00:00 AMLast Editorial Review: 8/25/2015 12:00:00 AM Full Article
len TV Ratings for Parents Let Violence, Drinking Slip Through By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: TV Ratings for Parents Let Violence, Drinking Slip ThroughCategory: Health NewsCreated: 8/22/2016 12:00:00 AMLast Editorial Review: 8/22/2016 12:00:00 AM Full Article
len For Seniors, 'Silent Strokes' Are Common Post-Surgery Threat: Study By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: For Seniors, 'Silent Strokes' Are Common Post-Surgery Threat: StudyCategory: Health NewsCreated: 8/26/2019 12:00:00 AMLast Editorial Review: 8/27/2019 12:00:00 AM Full Article
len Staying Optimistic Might Lengthen Your Life, Study Shows By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Staying Optimistic Might Lengthen Your Life, Study ShowsCategory: Health NewsCreated: 8/26/2019 12:00:00 AMLast Editorial Review: 8/27/2019 12:00:00 AM Full Article
len For NFL Players, Career Length, Role Affect Future Health Risks: Study By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: For NFL Players, Career Length, Role Affect Future Health Risks: StudyCategory: Health NewsCreated: 8/30/2019 12:00:00 AMLast Editorial Review: 8/30/2019 12:00:00 AM Full Article
len Scientists Challenge Key Survival Stat Cited by U.S. Officials in Plasma Approval By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Scientists Challenge Key Survival Stat Cited by U.S. Officials in Plasma ApprovalCategory: Health NewsCreated: 8/25/2020 12:00:00 AMLast Editorial Review: 8/25/2020 12:00:00 AM Full Article
len A Mentally Challenging Job Could Help Ward Off Dementia By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: A Mentally Challenging Job Could Help Ward Off DementiaCategory: Health NewsCreated: 8/23/2021 12:00:00 AMLast Editorial Review: 8/23/2021 12:00:00 AM Full Article
len What Are Symptoms of a Silent Migraine? By www.medicinenet.com Published On :: Fri, 17 Jun 2022 00:00:00 PDT Title: What Are Symptoms of a Silent Migraine?Category: Diseases and ConditionsCreated: 6/17/2022 12:00:00 AMLast Editorial Review: 6/17/2022 12:00:00 AM Full Article
len Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects By err.ersjournals.com Published On :: 2024-10-30T01:30:15-07:00 Bronchiectasis is a chronic lung condition which is characterised by recurrent chest infections, chronic sputum production and cough, and limited exercise tolerance. While bronchiectasis may be caused by various aetiologies, these features are shared by most patients with bronchiectasis regardless of the cause. This review consolidates the existing evidence on patient-managed interventions for adults with bronchiectasis, while also outlining areas for future research. Airway clearance techniques and hyperosmolar agents are key components of the bronchiectasis management and consistently recommended for clinical implementation. Questions around their prescription, such as optimal sequence of delivery, are still to be answered. Pulmonary rehabilitation and exercise are also recommended for patients with bronchiectasis. Relatively strong evidence underpins this recommendation during a clinically stable stage of the disease, although the role of pulmonary rehabilitation following an exacerbation is still unclear. Additionally, self-management programmes feature prominently in bronchiectasis treatment, yet the lack of consensus regarding their definition and outcomes presents hurdles to establishing a cohesive evidence base. Moreover, cough, a cardinal symptom of bronchiectasis, warrants closer examination. Although managing cough in bronchiectasis may initially appear risky, further research is necessary to ascertain whether strategies employed in other respiratory conditions can be safely and effectively adapted to bronchiectasis, particularly through identifying patient responder populations and criteria where cough may not enhance airway clearance efficacy and its control is needed. Overall, there is a growing recognition of the importance of patient-managed interventions in the bronchiectasis management. Efforts to improve research methodologies and increase research funding are needed to further advance our understanding of these interventions, and their role in optimising patient care and outcomes. Full Article
len The Challenge of Implementing Race-Neutral PFT Reference Equations By rc.rcjournal.com Published On :: 2024-10-25T05:44:13-07:00 Full Article
len Effect of Fasting Prior to Extubation on Prevalence of Empty Stomach in Enterally Fed and Mechanically Ventilated Patients By rc.rcjournal.com Published On :: 2024-10-25T05:44:12-07:00 BACKGROUND:Practice on fasting prior to extubation in critically ill patients is variable. Efficacy of fasting in reducing gastric volume has not been well established. The primary objective of this study was to assess the effect of 4 h of fasting on prevalence of empty stomach using gastric ultrasonography in critically ill subjects who are fasted for extubation. The secondary objectives were to evaluate the change in gastric volumes during 4 h of fasting and to determine factors associated with empty stomach after fasting.METHODS:This was a single-center, prospective, observational study on adult ICU subjects who were enterally fed for at least 6 h continuously and mechanically ventilated. Gastric ultrasound was performed immediately prior to commencement of fasting, after 4 h of fasting, and after nasogastric (NG) aspiration after 4 h of fasting. An empty stomach was defined as a gastric volume ≤ 1.5 mL/kg.RESULTS:Forty subjects were recruited, and 38 (95%) had images suitable for analysis. The prevalence of empty stomach increased after 4 h of fasting (25 [65.8%] vs 31 [81.6%], P = .041) and after 4 h of fasting with NG aspiration (25 [65.8%] vs 34 [89.5%], P = .008). There was a significant difference in median (interquartile range) gastric volume per body weight between before fasting and 4 h after fasting (1.0 [0.5–1.8] mL/kg vs 0.4 [0.2–1.0] mL/kg, P < .001). No patient factors were associated with higher prevalence of empty stomach after 4 h of fasting.CONCLUSIONS:Most mechanically ventilated subjects had empty stomachs prior to fasting for extubation. Fasting for 4 h further increased the prevalence of empty stomach at extubation to > 80%. Full Article
len Prevalence of Dental Caries and Utilization of Dental Services among WIC-participating Children: A scoping review By jdh.adha.org Published On :: 2024-10-15T09:18:41-07:00 Purpose Low-income children experience disproportionately high rates of dental caries and challenges in accessing dental care compared to their higher-income peers. The purpose of this scoping review was to examine the prevalence of dental caries and dental service utilization among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) enrolled children.Methods The literature search and review were conducted between September 2023 and February 2024. The review followed the PRISMA-ScR reporting guidelines and included three databases: PubMed, CINAHL, and Dentistry & Oral Sciences Source. The study focused on children aged one to five participating in WIC within the United States (US) and aimed to determine the prevalence of dental service utilization and dental caries in the targeted population.Results This review includes twelve articles that are quantitative observational studies conducted from February 2001 to February 2023. Most of the studies were conducted in WIC programs in the Southern and Midwest regions of the US. Dental caries rates decreased by 61.8% from 2004 to 2016, with the highest prevalence in 2004, and the lowest prevalence in 2016. Dental service utilization among WIC children increased by 56.9% from 1992 to 2020.Conclusion There has been an increase in dental service utilization among WIC-enrolled children, with an overall decrease in dental caries over the last two decades. However, the prevalence of dental caries remains disproportionately high for children enrolled in WIC when compared to non-participants. To develop effective dental interventions for children enrolled in WIC, it is fundamental to identify the unique determinants of dental caries in this population. Full Article
len The antivirulent Staphylococcal sRNA SprC regulates CzrB efflux pump to adapt its response to zinc toxicity [ARTICLE] By rnajournal.cshlp.org Published On :: 2024-10-16T07:18:13-07:00 Bacterial regulatory RNAs (sRNAs) are important players to control gene expression. In Staphylococcus aureus, SprC is an antivirulent trans-acting sRNA known to base-pair with the major autolysin atl mRNA, preventing its translation. Using MS2-affinity purification coupled with RNA sequencing, we looked for its sRNA-RNA interactome and identified 14 novel mRNA targets. In vitro biochemical investigations revealed that SprC binds two of them, czrB and deoD, and uses a single accessible region to regulate its targets, including Atl translation. Unlike Atl regulation, the characterization of the SprC-czrB interaction pinpointed a destabilization of the czrAB cotranscript, leading to a decrease of the mRNA level that impaired CzrB zinc efflux pump expression. On a physiological standpoint, we showed that SprC expression is detrimental to combat against zinc toxicity. In addition, phagocyctosis assays revealed a significant, but moderate, increase of czrB mRNA levels in a sprC-deleted mutant, indicating a functional link between SprC and czrB upon internalization in macrophages, and suggesting a role in resistance to both oxidative and zinc bursts. Altogether, our data uncover a novel pathway in which SprC is implicated, highlighting the multiple strategies used by S. aureus to balance virulence using an RNA regulator. Full Article
len Delays in Cardiovascular Emergency Responses in Africa: Health System Failures or Cultural Challenges? By ghspjournal.org Published On :: 2024-10-29T12:28:39-07:00 Full Article
len Evaluating the Abuse Potential of Lenabasum, a Selective Cannabinoid Receptor 2 Agonist [Special Section: Cannabinoid Signaling in Human Health and Disease] By jpet.aspetjournals.org Published On :: 2024-10-18T07:04:15-07:00 Endocannabinoids, which are present throughout the central nervous system (CNS), can activate cannabinoid receptors 1 and 2 (CB1 and CB2). CB1 and CB2 agonists exhibit broad anti-inflammatory properties, suggesting their potential to treat inflammatory diseases. However, careful evaluation of abuse potential is necessary. This study evaluated the abuse potential of lenabasum, a selective CB2 receptor agonist in participants (n = 56) endorsing recreational cannabis use. Three doses of lenabasum (20, 60, and 120 mg) were compared with placebo and nabilone (3 and 6 mg). The primary endpoint was the peak effect (Emax) on a bipolar Drug Liking visual analog scale (VAS). Secondary VAS and pharmacokinetic (PK) endpoints and adverse events were assessed. Lenabasum was safe and well tolerated. Compared with placebo, a 20-mg dose of lenabasum did not increase ratings of Drug Liking and had no distinguishable effect on other VAS endpoints. Dose-dependent increases in ratings of Drug Liking were observed with 60 and 120 mg lenabasum. Drug Liking and all other VAS outcomes were greatest for nabilone 3 mg and 6 mg, a medication currently approved by the US Food and Drug Administration (FDA). At a target therapeutic dose (20 mg), lenabasum did not elicit subjective ratings of Drug Liking. However, supratherapeutic doses of lenabasum (60 and 120 mg) did elicit subjective ratings of Drug Liking compared with placebo. Although both doses of lenabasum were associated with lower ratings of Drug Liking compared with 3 mg and 6 mg nabilone, lenabasum does have abuse potential and should be used cautiously in clinical settings. SIGNIFICANCE STATEMENT This work provides evidence that in people with a history of recreational cannabis use, lenabasum was safe and well tolerated, although it did demonstrate abuse potential. This work supports further development of lenabasum for potential therapeutic indications. Full Article
len The Intoxication Equivalency of 11-Hydroxy-{Delta}9-Tetrahydrocannabinol Relative to {Delta}9-Tetrahydrocannabinol [Special Section: Cannabinoid Signaling in Human Health and Disease] By jpet.aspetjournals.org Published On :: 2024-10-18T07:04:15-07:00 9-Tetrahydrocannabinol (THC) is a psychoactive phytocannabinoid found in the Cannabis sativa plant. THC is primarily metabolized into 11-hydroxy-9-tetrahydrocannabinol (11-OH-THC) and 11-nor-9-carboxy-9-tetrahydrocannabinol (COOH-THC), which may themselves be psychoactive. There is very little research-based evidence concerning the pharmacokinetics and pharmacodynamics of 11-OH-THC as an individual compound. Male C57BL/6 mice were treated with THC or 11-OH-THC via intraperitoneal injection, tail vein intravenous injection, or oral gavage, and whole-blood compound levels were measured to determine pharmacokinetic parameters [Cmax, time to Cmax (Tmax), elimination half-life, area under the curve, apparent volume of distribution, systemic clearance, terminal rate constant, and absolute bioavailability] while also monitoring changes in catalepsy, body temperature, and nociception. 11-OH-THC achieved a Tmax at 30 minutes for all routes of administration. The maximum concentration at 30 minutes was not different between intravenous and intraperitoneal routes, but the oral gavage Cmax was significantly lower. THC had a 10-minute time to the maximum concentration, which was the first blood collection time point, for intravenous and intraperitoneal and 60 minutes for oral gavage, with a lower Cmax for intraperitoneal and oral gavage compared with intravenous. When accounting for circulating compound levels and ED50 responses, these data suggest that 11-OH-THC was 153% as active as THC in the tail-flick test of nociception and 78% as active as THC for catalepsy. Therefore, 11-OH-THC displayed equal or greater activity than the parent compound THC, even when accounting for pharmacokinetic differences. Thus, the THC metabolite 11-OH-THC likely plays a critical role in the bioactivity of cannabis; understanding its activity when administered directly will aid in the interpretation of future animal and human studies. SIGNIFICANCE STATEMENT This study establishes that the primary metabolite of THC, 11-OH-THC, displays equal or greater activity than THC in a mouse model of cannabinoid activity when directly administered and even when accounting for route of administration, sex, pharmacokinetic, and pharmacodynamic differences. These data provide critical insight into the bioactivity of THC metabolites that will inform the interpretation of future in vivo cannabinoid research and represent a model for how THC consumption and metabolism may affect cannabis use in humans. Full Article
len Prevalence of Rathke Cleft and Other Incidental Pituitary Gland Findings on Contrast-Enhanced 3D Fat-Saturated T1 MPRAGE at 7T MRI [CLINICAL PRACTICE] By www.ajnr.org Published On :: 2024-11-07T15:14:12-08:00 BACKGROUND AND PURPOSE: A cleftlike nonenhancing hypointensity was observed repeatedly in the pituitary gland at the adenohypophysis/neurohypophysis border on contrast-enhanced 3D fat-saturated T1-MPRAGE using clinical 7T MRI. Our primary goal was to assess the prevalence of this finding. The secondary goals were to evaluate the frequency of other incidental pituitary lesions, MRI artifacts, and their effect on pituitary imaging on the contrast-enhanced 3D fat-saturated T1 MPRAGE at 7T. MATERIALS AND METHODS: One hundred patients who underwent 7T neuroimaging between October 27, 2021, and August 10, 2023, were included. Each case was evaluated for cleftlike pituitary hypointensity, pituitary masses, and artifacts on contrast-enhanced 3D fat-saturated T1 MPRAGE. Follow-up examinations were evaluated if present. The average prevalence for each finding was calculated, as were descriptive statistics for age and sex. RESULTS: A cleftlike hypointensity was present in 66% of 7T MRIs. There were no significant differences between the "cleftlike present" and "cleftlike absent" groups regarding sex (P = .39) and age (P = .32). The cleftlike hypointensity was demonstrated on follow-up MRIs in 3/3 patients with 7T, 1/12 with 3T, and 1/5 with 1.5T. A mass was found in 22%, while 75% had no mass and 3% were indeterminate. A mass was found in 18 (27%) of the cleftlike present and 4 (13%) of the cleftlike absent groups. The most common mass types were Rathke cleft cyst in 7 (31.8%) patients, "Rathke cleft cyst versus entrapped CSF" in 6 (27.3%), and microadenoma in 6 (22.2%) in the cleftlike present group. There were no significant differences in the mass types between the cleftlike present and cleftlike absent groups (P = .23). Susceptibility and/or motion artifacts were frequent using contrast-enhanced 3D fat-saturated T1 MPRAGE (54%). Artifact-free scans were significantly more frequent in the cleftlike present group (P = .03). CONCLUSIONS: A cleftlike nonenhancing hypointensity was frequently seen on the contrast-enhanced 3D fat-saturated T1 MPRAGE images at 7T MRI, which most likely represents a normal embryologic Rathke cleft remnant and cannot be seen in lower-field-strength MRIs. Susceptibility and motion artifacts are common in the sella. They may affect image quality, and the artifacts at 7T may lead to an underestimation of the prevalence of the Rathke cleft and other incidental findings. Full Article
len Can’t prescribe, can’t dispense: the challenge of medicine shortages By bjgp.org Published On :: 2024-10-31T16:05:26-07:00 Full Article
len Challenging the status quo: deprescribing antihypertensive medication in older adults in primary care By bjgp.org Published On :: 2024-10-31T16:05:26-07:00 Full Article
len Deep End Kawasaki/Yokohama: A New Challenge for GPs in Deprived Areas in Japan [Innovations in Primary Care] By www.annfammed.org Published On :: 2024-09-23T14:00:14-07:00 Full Article
len Challenges in Receiving Care for Long COVID: A Qualitative Interview Study Among Primary Care Patients About Expectations and Experiences [Original Research] By www.annfammed.org Published On :: 2024-09-23T14:00:14-07:00 BACKGROUND For many patients with post–COVID-19 condition (long COVID), primary care is the first point of interaction with the health care system. In principle, primary care is well situated to manage long COVID. Beyond expressions of disempowerment, however, the patient’s perspective regarding the quality of long COVID care is lacking. Therefore, this study aimed to analyze the expectations and experiences of primary care patients seeking treatment for long COVID. METHODS A phenomenological approach guided this analysis. Using purposive sampling, we conducted semistructured interviews with English-speaking, adult primary care patients describing symptoms of long COVID. We deidentified and transcribed the recorded interviews. Transcripts were analyzed using inductive qualitative content analysis. RESULTS This article reports results from 19 interviews (53% female, mean age = 54 years). Patients expected their primary care practitioners (PCPs) to be knowledgeable about long COVID, attentive to their individual condition, and to engage in collaborative processes for treatment. Patients described 2 areas of experiences. First, interactions with clinicians were perceived as positive when clinicians were honest and validating, and negative when patients felt dismissed or discouraged. Second, patients described challenges navigating the fragmented US health care system when coordinating care, treatment and testing, and payment. CONCLUSION Primary care patients’ experiences seeking care for long COVID are incongruent with their expectations. Patients must overcome barriers at each level of the health care system and are frustrated by the constant challenges. PCPs and other health care professionals might increase congruence with expectations and experiences through listening, validating, and advocating for patients with long COVID. Annals Early Access article Full Article
len Deepfakes and gender based violence By rabble.ca Published On :: Tue, 07 Nov 2023 18:39:49 +0000 Deepfakes can be close to indistinguishable from authentic video, and are now being used to perpetrate gender based abuse. The post Deepfakes and gender based violence appeared first on rabble.ca. Full Article Feminism Human Rights Deepfakes gender based violence Woman Abuse Prevention Month
len 'We had to come and help, to do what we can'- Valencia flood volunteers fear and hope By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 19:11:00 +0000 As parts of Spain are on alert for new flood warnings, Dominic Hinde meets the volunteers still involved in the aftermath and recovery following the initial disaster Full Article
len Stormy Daniels Says Trump Is Trying to Silence Her Again By www.thedailybeast.com Published On :: Thu, 17 Oct 2024 10:30:21 GMT Phillip Faraone/Getty ImagesIt appears Donald Trump is once again attempting to silence Stormy Daniels, despite his recent convictions in that category.MSNBC’s Rachel Maddow reports that Trump’s lawyers tried to “get another hush money deal” with the adult film star, to keep her from making any “public or private statements related to any alleged past interactions” with the former president. In exchange for her written agreement, Trump’s team reportedly offered to adjust the debt she owes Trump for the unsuccessful defamation case her lawyer brought against him in 2018.Daniels still needs to pay “hundreds of thousands of dollars” in legal fees, Maddow explained, and in hammering out the exact amount, Trump’s lawyers allegedly offered to “pretend” she owed their client “less than they actually believed” she did. Whereas they first estimated Daniels’ debt at $650,000, Maddow reported, they said they would settle her tab for $620,000, if she promised not to make any “defamatory or disparaging statements about him, his business, and/or any affiliates, or his suitability as a candidate for president.” They then adjusted the fee, asking $635,000 if she refused to sign a non-disclosure agreement. Daniels reportedly turned them down, paying $627,500 and declining to sign the NDA.Read more at The Daily Beast. Full Article Politics
len DayZ creator reveals a "Kerbal Space Program killer" with kittens and challenges license owners to sue him By www.rockpapershotgun.com Published On :: Thu, 31 Oct 2024 12:35:09 +0000 Stationeers and Icarus developers RocketWerkz are making a spiritual successor to beloved space sim Kerbal Space Program, which is currently titled "Kitten Space Agency" in a flagrant display of adherence to wholesome internet trends. It's based on an actual Kerbal Space Program 2 pitch the studio threw at Take-Two subsidiary Private Division back in the day. RocketWerkz CEO and original DayZ creator Dean Hall has hired several former KSP and KSP2 developers to work on the game, and is describing it on social media as a "KSP killer". Read more Full Article Private Division Indie MMORPG Third person Action Adventure Single Player Mod Xbox One PS4 Simulation Bohemia Interactive Kerbal Space Program 2 Dean "Rocket" Hall Multiplayer Competitive Multiplayer Cooperative PC First person DayZ RPG Shooter
len Offensively good-looking Sims challenger Inzoi hits early access in March 2025 By www.rockpapershotgun.com Published On :: Thu, 07 Nov 2024 17:05:24 +0000 Life simulation game Inzoi will launch on PC via Steam early access on 28th March 2025, publishers Krafton have announced. Billed as a potential Sims 4 usurper, and equipped with syrupy Unreal Engine 5 visuals, it was originally slated for launch this year. Read more Full Article Life Simulation inZOI Krafton PC
len Trump’s claim about predecessors, fallen troops disputed By www.pbs.org Published On :: Tue, 17 Oct 2017 12:53:14 +0000 File photo of President Donald Trump by Joshua Roberts/Reuters WASHINGTON — For U.S. presidents, meeting the families of military personnel killed in war is about as wrenching as the presidency gets. President Donald Trump’s suggestion Monday that his predecessors fell short in that duty brought a visceral reaction from those who witnessed those grieving encounters. “He’s a deranged animal,” Alyssa Mastromonaco, a former deputy chief of staff to President Barack Obama, tweeted about Trump. With an expletive, she called Trump’s statement in the Rose Garden a lie. Trump said in a news conference he had written letters to the families of four soldiers killed in an Oct. 4 ambush in Niger and planned to call them, crediting himself with taking extra steps in honoring the dead properly. “Most of them didn’t make calls,” he said of his predecessors. He said it’s possible that Obama “did sometimes” but “other presidents did not call.” The record is plain that presidents reached out to families of the dead and to the wounded, often with their presence as well as by letter and phone. The path to Walter Reed and other military hospitals, as well as to the Dover, Delaware, Air Force Base where the remains of fallen soldiers are often brought, is a familiar one to Obama, George W. Bush and others. Bush, even at the height of two wars, “wrote all the families of the fallen,” said Freddy Ford, spokesman for the ex-president. Ford said Bush also called or met “hundreds, if not thousands” of family members of the war dead. READ MORE: What Trump said about his drug czar pick, health care fixes Obama’s official photographer, Pete Souza, tweeted that he photographed Obama “meeting with hundreds of wounded soldiers, and family members of those killed in action.” Others recalled his frequent visits with Gold Star families, and travels to Walter Reed, Dover and other venues with families of the dead and with the wounded. Retired Gen. Martin E. Dempsey, the former chairman of the Joint Chiefs of Staff, confirmed these contacts, tweeting: “POTUS 43 & 44 and first ladies cared deeply, worked tirelessly for the serving, the fallen, and their families. Not politics. Sacred Trust.” Trump addressed the matter when asked why he had not spoken about the four soldiers killed in Niger. They died when militants thought to be affiliated with the Islamic State group ambushed them while they were patrolling in unarmored trucks with Nigerien troops. “I actually wrote letters individually to the soldiers we’re talking about, and they’re going to be going out either today or tomorrow,” he said, meaning he wrote to the families of the fallen soldiers. He did not explain why letters had not been sent yet, more than a week after the attack. “If you look at President Obama and other presidents, most of them didn’t make calls,” Trump said. Pressed on that statement later, he said of Obama: “I was told that he didn’t often, and a lot of presidents don’t. They write letters.” He went on: “President Obama, I think, probably did sometimes, and maybe sometimes he didn’t. I don’t know. That’s what I was told. … Some presidents didn’t do anything.” Press Secretary Sarah Huckabee Sanders said later that Trump “wasn’t criticizing predecessors, but stating a fact.” She argued that presidents didn’t always call families of those killed in battle: “Sometimes they call, sometimes they send a letter, other times they have the opportunity to meet family members in person.” She said anyone claiming a former president had called every family was “mistaken.” Bush’s commitment to writing to all military families of the dead and to reaching out by phone or meeting with many others came despite the enormity of the task. In the Iraq war alone, U.S. combat deaths were highest during his presidency, exceeding 800 each year from 2004 through 2007. The number fell to 313 in Bush’s last year in office as the insurgency faded. Bush once said he felt the appropriate way to show his respect was to meet family members in private. READ MORE: What the Bannon vs. McConnell fight means for Trump and the GOP Obama declared an end to combat operations in Iraq in August 2010 and the last U.S. troops were withdrawn in December 2011. As Obama wound down that war, he sent tens of thousands more troops into Afghanistan in 2009 and 2010, and the death count mounted. From a total of 155 Americans killed in Afghanistan in 2008, which was Bush’s last full year in office, the number jumped to 311 in 2009 and peaked the next year at 498. In all, more than 1,700 died in Afghanistan on Obama’s watch. Among other rituals honoring military families, the Obamas had a “Gold Star” Christmas tree in the White House decorated with hundreds of photos and notes from people who had lost loved ones in war. Gold Star families visited during the holidays, bringing ornaments. Trump visited Dover early in his presidency, going in February with his daughter Ivanka for the return of the remains of a U.S. Navy SEAL killed during a raid in Yemen, William “Ryan” Owens. Trump’s relations with Gold Star families have not always been smooth, dating from his belittlement of the parents of slain U.S. soldier Humayun Khan, who was Muslim. Trump was angered when the soldier’s father, Khizr Khan, was given a platform to criticize him at the Democratic National Convention. Owens’ grieving father said he didn’t want to talk with Trump at Dover. But the sailor’s widow, Carryn, attended Trump’s address to Congress and wept as he thanked her. ___ Associated Press writers Robert Burns and Jesse J. Holland contributed to this report. The post Trump’s claim about predecessors, fallen troops disputed appeared first on PBS NewsHour. Full Article Donald Trump Military Niger
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