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Friday 09 Dec 2022 @ 11:20
Department for Digital, Culture, Media and Sport
Minister Paul Scully's speech at the GambleAware annual conference
Gambling Minister recently (07 December 2022) spoke ahead of the forthcoming publication of the Gambling Act Review.
Good morning everyone.
I would like to start by thanking GambleAware for the invitation to speak today.
I am very pleased to be a part of your 10th conference and to talk about our collective efforts to protect people from gambling harms.
I also want to talk about our Gambling Act Review, which as you know is a priority for the Department. Making sure we have the right protections in place is an essential part of that Review.
I am aware that you've seen a few different faces in the role of gambling minister in the last six months. I am very pleased to have been appointed as Minister for Tech and the Digital Economy, including the lead for government on gambling.
It is a challenging brief, but one that I have enjoyed getting stuck into and I look forward to the very important work that we will be doing.
I think it is vital to get out and meet people who are directly involved in the issues that government is considering.
In my first weeks, I have made it a priority to meet a very broad range of people, including clinicians, parliamentary groups, charities, the gambling industry and people with personal experience of gambling harm.
They have given me extremely valuable insights, including on how serious and lasting the effects of gambling harm can be. Thank you to those who are with us here today.
Now, you'll all be aware that our Gambling Act Review is a wide ranging look at the evidence on gambling and our regulatory framework. The commitment we made was to make sure it is fit for the digital age.
DCMS leads on all aspects of gambling policy and regulation, and we look at it through a variety of lenses.
Harms, and addiction or problem gambling as a health issue, are essential considerations. Given the theme of the conference, they are what I will mostly speak about today.
But we also have to make sure regulation is fair and proportionate, and works for the large number of people who gamble without experiencing harm.
These aren't incompatible aims - if gambling is to be a pastime that people can enjoy, it must not be dangerous or exploitative.
We are in a good position in this country, in that most gambling is done in the licensed sector, where operators have to comply with Gambling Commission rules to keep their licence. We want that to remain the position.
And within that licensed sector, we have to be continually alert to make sure we have the right protections and safety nets, and that they are working as they should.
The gambling landscape today is very different to 2005.
People can access the full range of products, from bingo to casino, whenever and wherever they are. So it is vital these protections are able to respond quickly.
People who start experiencing difficulties must be spotted early, before lasting damage is done, and they must be helped. We need to get that right.
And DCMS works closely with the Department of Health and Social Care, which of course is the lead in government for health and for public health.
Be assured, I'm very aware that there are a number of people who are in the grip of an addiction or serious gambling problem.
The last Health Survey for England found that 246,000 people were considered problem gamblers, with a further 1.6 million at risk of suffering harm.
For people in the worst situations, their lives can be ruined - with bankruptcy, losing a home, relationship and family breakdown and even suicide.
Our review of the Gambling Act will take action to help prevent these harms, with targeted, proportionate and effective reform.
As I'm sure you'll agree though, gambling harms cannot be tackled by working in isolation.
The theme of today's conference - "Taking action to tackle gambling harms as a public health issue" - requires collaboration, communication and consistency at different levels to ensure the right protections are in place.
It's an opportunity to share perspectives and experiences with others, and to collaborate in the prevention of gambling harms.
The causes of gambling related harm are complex to unpick and address.
Individual circumstances, environmental and other health factors play a role, but our approach also needs to look at the products and the practices.
We also need to make sure anyone who is experiencing gambling-related harm can access the right support whenever and wherever they might need it.
As you all know, we've been carrying out the most thorough review of gambling law since the 2005 Act. We want to publish it as soon as we can, but also we need to make sure we get it right.
But it is absolutely right that gambling policy and regulation to make gambling safer and to prevent harm has not waited for the Review.
There has been a lot of action to tighten protections in the last few years.
The Gambling Commission has banned gambling on credit cards, to help stop a person gambling with money they don't have which could cause serious harm to them and their loved ones.
It has made online slots games safer by design, bringing in further protections on a product which is associated with higher levels of harmful gambling.
It has strengthened rules on how operators must identify harm and interact with customers.
And it has tightened restrictions on the provision of VIP schemes after seeing too many instances of irresponsible practices from operators.
This has led to a significant reduction in the number of VIPs but we and the Commission will continue to monitor this nonetheless.
We have also seen a step change in the Commission's enforcement activity.
In the past year alone we've seen a number of operators pay out over £45 million because of regulatory failures - two of the largest operators alone have paid £26m.
By comparison, in the whole of the 2016/17 financial year, the Commission took action against 3 operators who paid £1.7m due to regulatory failures.
The Review is an opportunity to build on these changes, and do more to make sure we have the right protections for the digital age.
To tackle gambling harms effectively we must understand the problem and tailor our solutions.
And we need to take both wide-ranging action, and targeted and proportionate action, where and when each is appropriate.
That's why gambling legislation and Gambling Commission rules operate at many different levels, like a classic public health approach.
They put in place a wide range of protections for the population as a whole - like specific controls on addictive products and how businesses can operate. There are also specific rules for particular groups, like children.
We recognise that, like alcohol, gambling carries an inherent risk, and it is right that most forms are restricted to adults.
And for people suffering harm, who have greater needs, the rules require targeted interventions and particular support.
This includes not just operators stepping in to prevent harm, but providing self-exclusion schemes and funding which goes towards treatment services.
Communicating the risks of gambling has been identified as an essential public health intervention.
I commend GambleAware for the work they continue to do to raise awareness of risks and the support available.
We're also looking at this in the Review, analysing what is most effective when it comes to communicating the potential harms of gambling.
I am aware of the changes introduced in Australia which mandate specific taglines in advertising.
We are considering these developments and others very closely and want a solution that works for our own country.
But having a greater public awareness of the potential harms and equally the sources of support is so important.
Closer to home, the Advertising Standards Authority rules to prevent gambling adverts having inappropriate appeal to children have now come into force.
I know these were in response to landmark research commissioned by GambleAware and is a textbook example of what collaboration in tackling gambling harms can deliver.
Secondly, I'm very aware that individual circumstances can vary widely and change in time.
It is right that there is a wide range of requirements on operators to detect where individuals are vulnerable and take active steps to protect them.
Of course, we all know about cases where checks and interventions have been happening too late or at the wrong levels.
Making sure we have the right rules is a key consideration of the Review and part of our vision for the sector in the digital age.
Finally, though our intention is always to prevent harm, it is also essential to provide the right treatment for those who do need it.
I'm very aware of the invaluable role that GambleAware plays in treatment provision, commissioning the majority of specialist support for people experiencing problems with gambling.
The commitment to establish up to 15 specialist NHS clinics by 23/24 is also progressing well.
I understand that seven are now open in London, Leeds, Sunderland, Manchester, Southampton, Stoke-on-Trent and Telford, with a further gambling and gaming addiction clinic for young people in London.
I had a great meeting with Henrietta and Matt of the London and Leeds clinics just yesterday.
I fully support the work of GambleAware and GamCare to help integrate your services with those of the NHS, including in primary care settings.
A coherent and robust treatment pathway will ensure that there is no wrong door when it comes to accessing support or treatment for gambling harms.
We want anyone in the country experiencing gambling-related harm to have access to support and treatment whenever and wherever they need it.
And as we publish our white paper, we want to continue to work with all of you in the room and to draw on your expertise.
The Gambling Act review is an opportunity to put the right framework in place to meet the challenges and seize the opportunities which have come with the changes since the 2005 Gambling Act was passed.
I would like to thank GambleAware and many of you in the audience for your responses to our call for evidence, and for being so active in your engagement with the department.
I also want to thank all of you working in the sector for your ongoing efforts.
We're determined to make sure that the Review gets the right protections in place.
We are committed to the Review and I am aware that delays to the white paper have been difficult.
I am pleased to confirm that we are keen to publish it in the coming weeks.
But I want to make clear that the white paper is not the end of our discussions on these matters.
I look forward to further conversations about how we will bring its measures into effect.
Channel website: https://www.gov.uk/government/organisations/department-for-culture-media-sport
Original article link: https://www.gov.uk/government/speeches/minister-paul-scullys-speech-at-the-gambleaware-annual-conference
Ancient Egyptian limestone relief of female musicians at risk of leaving UK
Export bar placed on the relief to allow time for a UK institution to acquire the work
Coronation weekend celebrations that will bring communities together announced
Millions of people across the country and the Commonwealth are invited to celebrate the Coronation of His Majesty The King and Her Majesty The Queen Consort over a weekend of special events.
Ancient Egyptian sculpture at risk of leaving UK
An export bar has been placed on the statue to allow time for a UK institution to acquire the work
Barclays Eagle Labs chosen to help turbocharge next generation of UK tech stars
Government funding package awarded to organisation to boost regional growth of tech start-ups and scale-ups
Major broadband rollout for Cornwall with £36 million awarded to Wildanet to connect thousands of rural premises
Thousands of people in rural Cornwall will get access to lightning-fast broadband after local supplier Wildanet was awarded £36 million from the government to roll out new connections.
Birmingham 2022 contributes £870 million to UK economy
A new study reveals the Birmingham 2022 Commonwealth Games contributed at least £870 million to the UK economy.
UK-wide funding confirmed to 2025 for the multi-sport grassroots facilities programme
The Government yesterday confirmed the allocation of a £230 million uplift to England, Scotland, Wales and Northern Ireland for investment in football facilities across the UK.
Millions of homeowners and tenants to get better access to faster broadband
Almost all new homes in England must be built with gigabit broadband connections during construction
Channel 4 to remain publicly owned with reforms to boost its sustainability and commercial freedom
DCMS Secretary of State Michelle Donelan has concluded her business case review and announced that Channel 4 will not be sold


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At HightecH we spend the time necessary on a new home inspection to determine if the home meets the Residential Construction Performance Guide (Click to download).
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Generally new home inspections to see if the home meets the standards of the industry cost about the same as pre-purchase home inspections. Further review of contract, advertising, and plan documents will cost more due to the extra time involved, however this extra investigation can be usefull in disputed cases. We always give all of the conditions in your new home thoughtful reflection, and we report honestly and fairly on what we see.


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Prevalence of Pseudomonas aeruginosa and Acinetobacter spp producing metallo-β-lactamase in a tertiary care hospital
Kalidas Rit1, Bipasa Chakraborty1, Rupali Dey1, Parthasarathi Chakrabarty1, Amrita Naha1, Rajdeep Saha2
1 Department of Microbiology, Institute of Post-Graduate Medical Education and Research, Kolkata, India
2 Department of Microbiology, National Medical College, Kolkata, India
Kalidas Rit
70B T. C. Mukherjee Street, P.O. Rishra, Dist. Hooghly, West Bengal - 712 248
Background: Hospital acquired infection (HAI) due to multidrug resistant pathogens are increasing day by day. Among which MBL producing Pseudomonas aeruginosa and Acinetobacter spp contribute a major portion of HAI.
Aims: The objective is to determine the antibiotic susceptibility pattern of P. aeruginosa and Acinetobacter spp. showing imipenem resistance and prevalence of MBL producing strains among them in a tertiary care hospital.
Materials and Methods: Over a period of 5 months in a tertiary care hospital, 60 Pseudomonas aeruginosa and 50 Acinetobacter spp. were isolated. These were tested phenotypically for detection of metallo-β-lactamase (MBL) production, by imipenem-ethylenediaminetetraacetic acid (EDTA) combined disc method and by four fold or more reduction of minimum inhibitory concentration (MIC) against imipenem with EDTA.
Result and Conclusion: The prevalence of MBL producing Pseudomonas aeruginosa was found to be 41% and Acinetobacter spp. 22%. Antibiotic susceptibility tests revealed multidrug resistance for most antibiotics but 100% sensitivity for colistin. A big proportion of these positive strains were isolated from patients with multiple risk factors like prolonged hospital stay, indwelling urinary catheter, continuous mechanical ventilation, prolonged antimicrobial therapy, intravenous lines. The overall mortality rate among them was as high as 21%.
Keywords: Acinetobacter spp, Imipenem - ethylenediaminetetraacetic acid, combined disc method, Metallo-β-lactamase, minimum inhibitory concentration, Psuedomonas aeruginosa
Rit K, Chakraborty B, Dey R, Chakrabarty P, Naha A, Saha R. Prevalence of Pseudomonas aeruginosa and Acinetobacter spp producing metallo-β-lactamase in a tertiary care hospital. J NTR Univ Health Sci 2013;2:18-21
Rit K, Chakraborty B, Dey R, Chakrabarty P, Naha A, Saha R. Prevalence of Pseudomonas aeruginosa and Acinetobacter spp producing metallo-β-lactamase in a tertiary care hospital. J NTR Univ Health Sci [serial online] 2013 [cited 2022 Jan 16];2:18-21. Available from: https://www.jdrntruhs.org/text.asp?2013/2/1/18/108507
The most common cause of bacterial resistance to beta-lactam antibiotics is the production of beta-lactamases. Among these, metallo-β-lactamases (MBLs) are zinc-dependent enzymes that have been gaining increasing attention because of their ability to hydrolyze nearly all known beta-lactams and of the lack of useful inhibitors.
MBL producing non-fermenters, Pseudomonas aeruginosa and Acinetobacter spp. are important cause of nosocomial infections. The appearance of MBL and their spread among bacterial pathogens is a matter of concern with regard to the future of antimicrobial therapy. The present study was undertaken to determine the incidence of MBL producing P. aeruginosa and Acinetobacter spp. in a tertiary care hospital and to determine their antibiotic susceptibility pattern.
MBLs are enzymes belonging to Amblers Class B that can hydrolyze a wide variety of beta-lactam antibiotics including penicillins, cephalosporins, and carbapenems, and requires divalent cation, usually zinc, as a cofactor for enzyme activity. [1] The first plasmid-mediated MBL was reported in Japan in 1991. They are usually produced by Enterobacteriaceae family and non-fermenters particularly Acinetobacter spp. and Pseudomonas spp. [2],[3],[4] The rapid dissemination of these highly resistant metallo-β-lactamase [3] producing isolates need an effective phenotypic method for their proper identification. Hence, phenotypic detection of P. aeruginosa and Acinetobacter spp. producing MBL was done to study the prevalence of these MBL-producing strains in our tertiary care centre.
The study was conducted over a period of five months from February 1, 2011 to June 2011. From different clinical samples randomly selected like blood, urine, pus, and bronchial aspirates, a total non-duplicative, 60 isolates of P. aeruginosa and 50 isolates of Acinetobacter spp. were included in this study. The isolates were identified by conventional methods. Antimicrobial susceptibility of all isolates was performed by disc diffusion method according to the Clinical and Laboratory Standards Institute (CLSI) guidelines. [5],[6] Antibiotics tested for non-fermenters by the disc diffusion method were piperacillin(100 ug), piperacillin/tazobactum (100 ug/10ug), ceftazidime (30 ug), cefepime (30 ug), cefoperazone (30 ug), ceftriaxone (30 ug), ampicillin and clavulanic acid (20 ug/10 ug), ofloxacin (30 ug), amikacin (30 ug), levofloxacin (5 ug), ciprofloxacin (5 ug), colistin (10 ug), chloramphenicol (30 ug), polymixin-B (50 Units), [HiMedia Laboratories Mumbai, India], imipenem (10 ug) [BD diagnostics Pvt. Ltd, Gurgaon]. Minimum inhibitory concentration (MIC) of each bacterial isolate against imipenem was determined by agar dilution method according to CLSI guidelines. MBL production was detected in imipenem resistant isolates by imipenem-EDTA combined disc method [Figure 1] and reduction of MIC value by four fold or more after addition of EDTA powder (750 μg) to imipenem.[4],[5],[6],[7],[8] The MIC range of imipenem tested was 0.125 ug/ml - 1024 ug/ml. The pure form of the drug was obtained from Ranbaxy Laboratories, Mumbai. Pseudomonas aeruginosa ATCC 27853 was used as control.
Figure 1: Comparison of inhibition zone diameters produced by disks with imipenem and imipenem plus 750 μg of EDTA by MBL producers
Case files of these 110 patients were also reviewed for assessment of five common risk factors and followed until discharge or demise for detection of overall mortality rate.
Thirty Pseudomonas aeruginosa out of 60 and 15 Acinetobacter spp. out of 50 were resistant to imipenem. Among the imipenem resistant isolates 25 P. aeruginosa and 11 Acinetobacter spp. were found to be MBL producers [Figure 2] by both MIC assay and imipenem-EDTA combined disc method. All the MBL producing isolates of P. aeruginosa and Acinetobacter spp. were multidrug resistant with sensitivity pattern different from that of the MBL non-producers, [Table 1] but for only colistin, all isolates were found to be 100% susceptible. Out of five risk factors assessed three were found to be significantly (P < 0.05) associated with MBL production like hospital stay for more than 8 days, indwelling urinary catheter, continuous mechanical ventilation for more than 48 hours, but intravenous line or prolonged antimicrobial therapy within 30 days of positive culture were not significantly associated. The overall mortality in MBL positive patients was found to be 21% and incidence of MBL was more in male patients (63%).
Figure 2: Comparison of the number of MBL producing P aeruginosa and Acinetobacter spp. (n = 25 + 11) among the isolates showing imipenem resistance (n = 30 + 15), out of total number of P aeruginosa and Acinetobacter spp (n = 60 + 50) isolated
Table 1: Antibiotic sensitivity (%) of P. aeruginosa MBL positive (N = 25), MBL negative (N = 5) and Acinetobacter spp. MBL positive (N = 11), MBL negative (N = 4) isolates showing imipenem resistance
Discussion and Conclusion
This study shows that the prevalence rate of MBL producing Pseudomonas aeruginosa is 41% and Acinetobacter spp. is 22% when isolated from clinical samples in our hospital, which is well-corroborated with similar studies conducted in Indian subcontinent. [9],[10] These MBL producing isolates were multidrug resistant except for colistin (100% sensitivity) and for polymyxin-B (>90% sensitivity), hence, cautious use of these antibiotics is recommended. [11] Also, some important risk factors were studied for association with MBL producing bacterial infections. [9] It was found that prolonged hospital stay for more than 8 days is a significant risk factor for these infections (P < 0.0001). Other parameters studied and found significant were patients with indwelling urinary catheter at time of positive culture (P-0.0007), and on continuous mechanical ventilation for more than 48 hours (P-0.0115). But intravenous line for more than 5 days or any antimicrobial therapy either received or receiving within 30 days of positive culture were not found to be significantly associated with development of MBL infection. Hence, modification of some of these risk factors if possible may have some value in controlling spread of MBL producing organism.
As MBL will hydrolyze virtually all classes of beta-lactam rings, their continued spread will be a clinical catastrophe. So, it is very essential to identify MBL producers and to determine their prevalence rate to assess their clinical burden for a specified area. Though MIC detection is the gold standard, this study shows that imipenem - ethylenediaminetetraacetic acid (EDTA) combined disc method is comparable with the MIC detection (both methods showed same results) and at the same time this combined disc method is simple, reliable, less cumbersome, and cheap.
In general, MBL-producing bacteria have a common multidrug-resistant phenotype that not only includes carbapenems, but also fourth generation cephalosporins, aminoglycosides, and fluoroquinolones. So appropriate therapeutic protocols with judicious use of carbapenems and a regular screening and monitoring system should be established and implemented to prevent wider spread of this worrisome resistance determinant.
We acknowledge Dr. Prasanta K Maiti, Professor and Head of the Dept, Department of Microbiology, Institute of Post-Graduate Medical Education and Research. 244 AJC Bose Road. Kolkata - 700 020 for encouraging and supporting in this research work. E-mail: [email protected]
1. Bush K, Jacoby GA, Medeiros AA. A functional classification scheme for beta-lactamases and its correlation with molecular structure. Antimicrob Agents Chemother 1995;39:1211-33.
2. Manoharan A, Chatterjee S, Mathai D, SARI Study Group. Detection and characterization of metallo beta lactamases producing Pseudomonas aeruginosa. Indian J Med Microbiol 2010;28:241-4.
3. Walsh TR, Toleman MA, Poirel L, Nordmann P. Metallo-beta-lactamases: The quiet before the storm? Clin Microbiol Rev 2005;18:306-25.
4. Yong D, Lee K, Yum JH, Shin HB, Rossolini GM, Chong Y. Imipenem-EDTA disk method for differentiation of metallo-beta-lactamase-producing clinical isolates of Pseudomonas spp. and Acinetobacter spp. J Clin Microbiol 2002;40:3798- 801.
5. Wikler MA, Cockerill FR, Craig WA, Low DE, Sheehan DJ, Tenover FC, et al. Clinical Laboratory Standards Institute. Performance Standards for Antimicrobial Disk Susceptibility Tests. 9 th ed. vol. 26., 2006. p. M2-A9.
6. Bauer AW, Kirby WM, Sherris JC, Turek M. Antibiotic susceptibility testing by a standardized single disk method. Am J Clin Path 1966;45:493-6.
7. Hemalatha V, Sekar U, Kamat V. Detection of metallo betalactamase producing Pseudomonas aeruginosa in hospitalized patients. Indian J Med Res 2005;122:148-52.
8. Lee K, Chong Y, Shin HB, Kim YA, Yong D, Yum JH. Modified Hodge and EDTA disk synergy tests to screen metallo-beta-lactamase producing strains of Pseudomonas and Acinetobacter species. Clin Microbiol Infect 2001;7:88-91.
9. Shanthi M, Sekar U. Multi-drug resistant Pseudomonas aeruginosa and Acinetobacter baumanii infections among hospitalized patients: Risk factors and outcomes. J Assoc Physicians India 2009;57:636, 638-40, 645.
10. Jayakumar S, Appalaraju B. Prevalence of multi and pan drug resistant Pseudomonas aeruginosa with respect to ESBL and MBL in a tertiary care hospital. Indian J Pathol Microbiol 2007;50:922-5.
11. Deshmukh DG, Damle AS, Bajaj JK, Bhakre JB, Patwardhan NS. Mettalo-beta-lactamase-producing clinical isolates from patients of a tertiary care hospital. J Lab Physicians 2011;3:93-7.
1 Study on Metallo-Beta Lactamase Producing Pseudomonas Species in Clinical Isolates of a Tertiary Care Hospital of Western Odisha
Shuvankar Mukherjee,Suchitra Mishra,Shreekant Tiwari
Journal of Evolution of Medical and Dental Sciences. 2020; 9(19): 1533
2 Antibiotic resistance profile and detection of metallo – beta lactamase in pseudomonas aeruginosa Isolates from clinical specimens in A tertiary care hospital
BRINDHA .V,TASNEEM BANU,KALYANI .M,BHUVANESHWARI .G
International Journal of pharma and Bio Science. 2017; 8(1)
Rit K
Chakraborty B
Dey R
Chakrabarty P
Naha A
Saha R
Acinetobacter spp
Imipenem - ethylenediaminetetraacetic acid
combined disc method
Metallo-%26#946;-lactamase
minimum inhibitory concentration
Psuedomonas aeruginosa
Discussion and C...

redpajama_set_name: RedPajamaCommonCrawl


What is type A influenza?
Influenza — also known as the flu — is a contagious viral infection that attacks your respiratory system.
Influenza viruses that infect humans can be classified into three main groups: A, B, and C. Types A influenza infection can be serious and cause widespread outbreaks and disease.
Common symptoms of type A infection can be confused with other conditions. While in some milder cases the flu can resolve on its own without significant symptoms, severe cases of type A influenza can be life-threatening.
Sometimes, influenza A symptoms may resolve on their own. However, if symptoms persist for more than a week without improvement, schedule a visit with your doctor. In rare cases, the flu can be deadly.
Types A and B influenza are the more common forms of this infection, routinely causing seasonal outbreaks. Type C influenza usually only causes mild respiratory infections.
Type B influenza can be as type A influenza but is less common throughout the flu season compared to type A.
Humans are the natural host for type B infection. Type B viruses mutate much slower than type A infections and are categorized by strains, but not subtypes. The B virus strains take longer for their genetic makeup to change than influenza A. This drastically reduces the risk of a widespread pandemic due to type B influenza.
Type A influenza can be dangerous and is known to cause outbreaks and increase your risk of disease. Unlike a type B infection, type A viruses are categorized by subtypes and strains. Influenza A mutates faster than influenza B, but both viruses are always changing, creating new strains from one flu season to the next. Past flu vaccinations will not prevent infection from a new strain.
Wild birds are the natural hosts for a type A virus, also called avian flu and bird flu. This infection can also spread to other animals and humans. This, combined with the ability of type A influenza to mutate faster than type B, can cause pandemics.
Before treating your condition, your doctor will need to check for the influenza virus. The most commonly used test is the rapid influenza diagnostics test. In this procedure, your doctor swabs your nose or throat. The test will detect virus antigens within 30 minutes or less.
Results aren't always accurate, and your doctor may have to make a diagnosis based on your symptoms or other flu tests.
In some cases, influenza A symptoms can clear on their own with ample rest and fluid intake. In other cases, your doctor may prescribe antiviral medication to fight the infection.
These medications, known as neuraminidase inhibitors, reduce the ability of the influenza virus to spread from cell to cell, slowing down the infection process.
Though effective, these medications can cause side effects such as nausea and vomiting. If you begin to experience any of these symptoms or if your condition worsens, stop using the prescription and visit your doctor immediately.
A new medication called baloxavir marboxil (Xofluza), created by a Japanese pharmaceutical company, was approved in October 2018 by the U.S. Food and Drug Administration (FDA). This antiviral drug helps stop the influenza virus from replicating.
Over-the-counter medication therapy can also ease flu symptoms. Be sure to stay hydrated to loosen mucus in your chest and strengthen your immune system.
If you have the flu, you're contagious from at least a day before you begin to experience symptoms up through five days after your symptoms begin.
In more severe cases, you could be contagious for even longer after you begin experiencing symptoms. This number can fluctuate if your immune system is weak or undeveloped, specifically in cases of children or older adults.
The best way to prevent the flu is through annual vaccinations. Each flu shot protects against different influenza viruses within that year's flu season.
Type A influenza is a contagious viral infection that can cause life-threatening complications if left untreated. While some cases of this infection can improve without prescribed medication, a visit to your doctor is recommended.
Don't self-diagnose your condition. The flu can resemble the common cold, but may trigger worsening symptoms. If you think you've contracted influenza, schedule a visit with your doctor to discuss treatment.


The Undecideables long awaited return to debate such things as the new Fantastic Four trailer, the return of Arrow and the Flash, Axis, Godhead, Secret Wars and oh so much more!
This entry was posted in Comic Podcasts, Undecideables and tagged anime, arrow, Batman, comedy, Comics, DC, fantastic, Flash, manga, Marvel, Oddcast, Syfy by Undecideables. Bookmark the permalink.


Mehendi has evolved from its cultural aspect to a fashion statement that results in a some beautiful profile and accessory shots for the bride. So its time to pay a little more attention to what goes into your Mehendi designs. It is advisable to do an online search and get some reference images regarding the design and style of Mehendi you want done beforehand. From Arabic to bail and floral, the variations are never ending, but being prepared never hurt anyone. If you are the bride who doesn't like how henna smells or do not want to be overburdened, don't fret there are a range of minimalist delicate designs to chose from that would look equally gorgeous.This is your once in a lifetime chance to sit back and be pampered with some henna love, so don't let it go to waste.


Super Wheel and Tyre is a general tyre and exhaust fitment center situated in Shop No. 3 Signet Terrace. This store was opened in 2007 and has since then built a reputation for competitive pricing and excellent service. You can expect to find tyres, batteries, shocks, exhausts and magwheels in this store. Super Wheel and Tyre stock leading tyre brands such as Continental, Dunlop, Yokohama, Michelin, Goodyear, Pirelli and Velocity. Super Wheel and Tyre has advanced equipment such as 3D wheel alignment machines, high speed wheel balancing machines and nitrogen gas to give your tyres the added performance. This ensures that high class service and work can be expected on all vehicles that visit this store. Super Wheel and Tyre is now partners with Continental. You can now visit ContiPartner for excellent deals and Super Wheel and Tyre for monthly specials.
ContiPartner is passionate about providing you with great value, world class tyres, and exceptional customer service. Our in-depth tyre knowledge, high-level training and technical expertise ensure you get the best advice on the right tyres for your car, your SUV, or your 4×4.


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Picturing the Performance: UM-Flint Students, Alumni and Faculty featured in Flint Mural Plays
Building a Stronger Community Through Leadership
El Ballet Folklórico— Community Mariachi Band to Travel Abroad in order to Gain Experience and Knowledge for UM-Flint
By UM-Flint News On August 16, 2021 10:22 am
Although the music program has gone through a few changes recently, nothing stops the passion of its ensembles.
Alphonse Buclay, a recent graduate with a major in music education and a minor in psychology, is a member of the community-based mariachi band El Ballet Folklórico Estudiantil. Buclay and 10 other members of the group will study at La Escuela de Mariachi Ollín Yolitzli en Garibaldi in Mexico City in order to learn more about the culturally significant music. This mariachi school has allowed the group to develop professionally in association with the UM-Flint music program and in their Mexico City campus.
El Ballet Folklórico Estudiantil gives students the opportunity to learn traditional mariachi techniques, including guitar and folkloric dance, right here in Flint. The group has had a partnership with the music program since 2014 when Assistant Professor of Music Brian Di Blassio, helped them scout for talent to form the group. Many of its members are current UM-Flint students or alumni. "I wouldn't have met [El Ballet Folklórico Estudiantil] without UM-Flint," said Buclay.
With the opportunity to travel to Mexico, the group will bring back their new grasp of mariachi music and dance to campus and develop curriculum for schools in Flint that don't offer music programs.
"Our main goal is to help the Flint community. But in order to do that, we also need to enrich the college students here who are going to become future music educators," Buclay says.
Along with being a part of the mariachi band, Alphonse has also become a well-rounded music educator. He was a part of the wind symphony and flute ensemble in the program, "and the classes I took at UM-Flint really pushed me to not only address the classical side of music, but also look at the more diverse side of things."
With this knowledge, Alphonse has realized his dream of becoming a music educator. He is a long-term substitute teaching job in the Davison School district, "fulfilling the responsibilities of directing Hahn Intermediate School's 5th and 6th-grade band classes."
Along with the collaborative community effort of the mariachi group, the music program offers many opportunities to get involved with music on campus. There are many different ensembles including a brass quintet, the orchestra, a jazz ensemble, and a jazz combo, along with the wind symphony and flute ensemble. The best part – you don't need to be a music major to join any ensemble!
"It doesn't matter if your only experience is high school experience. We'll find you a spot, we'll find you parts to play, and we'll make you feel as comfortable as possible," Buclay says.
With an array of options, anyone can find their place, and the program encourages anyone to "make music!" You can find a list of the music program's performance ensembles here, and information on the program itself on the UM-Flint website.


Hey, I am building an affiliate marketing website with external links in the products. So I don't need the whole cart section in the website but still, need the woo commerce plugin for products.
How can I hide/delete this? Actually, I think if I will know a way to customize the header of the kuteshop it will be perfect.


This section describes how to change the API Portal UI texts from the default English to another language.
UI strings are stored in language-specific resources files. To add these resource files for a new language, you must install the language.
Click Extensions > Language(s), and select Install Language	.
Find and select the language you want to install, then click Install.
After the installation is finished, click Extensions > Language(s).
To change the installed language as the default language of your API Portal, on the Installed - Site page, find the language you want and click the star button.
Administrator page. You can also select any of the installed languages when you log in to JAI.
API Portal UI strings are not included in the installed language resource files, so you must add the required strings for the new language.
The UI strings are stored in initialization (.ini) files. Each language has its own .ini file that control the UI text shown in the portal. By default, the API Portal UI strings are included only in the English .ini file (en-GB.com_apiportal.ini). To change the language shown in the portal, you must have a translation of the English .ini file for that language.
Because the .ini files are text files, you can use professional translation services to get the file translated. Alternatively, you can manually translate the UI strings yourself.
You can send the file en-GB.com_apiportal.ini file for translation to a professional translation service, and include the translated file to the resources for your new language.
Before you send the file to translation, it is recommended to rename the file to en-GB.com_apiportal.ini.txt. Remove the .txt extension from the translated file.
Go to resource file directory of the language you installed (for example, /opt/axway/apiportal/htdoc/language/fr-FR/).
Copy the translated .ini file to the directory.
Ensure that the language code in the file name of the translated .ini file matches the language code of the installed language and the extension is .ini (for example, fr-FR.com_apiportal.ini). Rename the file, if needed.
Go to your API Portal, refresh the page, and verify that the UI texts have changed to your new language.
Go to resource file directory of the language you installed (for example, /opt/axway/apiportal/htdoc/language/fr-FR/), and paste the copied file there.
Rename the copied .ini file to match the language code of the installed language (for example, fr-FR.com_apiportal.ini).
Open both the English .ini file and the copied .ini file.
In the English .ini file, find a UI text you want to change (such as the text Connect with a community of developers at the bottom of the API Portal sign in page), and copy the UI string ID (COM_APIPORTAL_HOME_CONNECT).
In the copied .ini file, find the same UI string, and change the value of the string so that the string is now translated in you new language.
Repeat the last two steps for all the UI strings on all your portal pages that you want to change to the new language, then save the file.
Some texts on the Sign In page are controlled by text overrides, and you have to change them separately in the .override file.
Go to the language override directory /opt/axway/apiportal/htdoc/language/overrides/.
Paste the file in the same directory, and rename it to match your new language (for example, fr-FR.override).
Open the renamed file, find the UI string with the value Login Name, and change the value of the string so that the string is now translated in you new language (for example, Identifiant).
Find the UI string with the value Password, and change the value of the string to translated it (for example, Mot de passe).
Save the file, and go to your API Portal.
Go to the API Portal sign in page, refresh the page, and verify that the UI texts have changed to your new language.


Heraldic black onyx wolf ring rampant sculpted with plain shoulders gold plated (5 Microns 18K Gold) sterling silver.
The ring stone oval cut is 22 x 18 mm (7/8 x 11/16 inch). This is one of our medium sized heraldic Regnas signet rings.


Does anyone know hoe to install a plugin for a wordpress blog?
I have a few plugins i want to install, but can figure out how to do it. Can i only install a plugin if the blog is hosted on my own domain, or can i install it if my blog is on the wordpress domain..? if so.. how?
How to rename a wordpress theme? → ← Best gallery for wordpress websites?


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Thank you to the many who made the PLG Kids Book Swap a success! The diverse donation of books met the needs of many young readers who excitedly picked through the selection.
Literacy skills are essential in acquiring knowledge, and the development of these skills is an ongoing progress. With the goal of maintaining excitement and interest in reading, we ask you to save the date for Sunday, April 30th from 11am to 2pm. We'll be hosting our next book swap event at the Kiddie Science Lab!
In winter, animals prepare for the cold, long nights and the short, chilly days. Humans prepare too, as winter brings many festivities, some of which are based around science. The resources below are categorized by approximate age groups. We recommend you review the resources ahead of time to determine if it is appropriate for your child/group.
Winter's coming and its time for hibernating. Just like children, the animals try to put it off just a little while longer.
This simple book explains what animals do in winter through simple text and great pictures.
This rhyming book invites young readers to use their senses to explore the winter season.
Explore what happens on a farm during winter.
Using poetic text, this books explores the questions that many young scientists have about winter.
The beginning of winter is marked by the solstice, the shortest day of the year.
Although some animals migrate for the winter, some remain. Ever wonder what they do in the winter?
Explore what different animals do in the winter. Although some animals migrate, some remain.
Walking through the snow in the woods, what do you see? Explore your own community in winter and compare to what you see in the book.
A couple of snowflakes don't seem like a big deal, but what happens when it accumulates?
Brrr! It's cold outside! Learn how animals have adapted to survive freezing cold temperatures.
Explore the science behind snowflakes and learn how to conduct your own snow experiment.
This book explore the shortest day of the year and how people have recognized it through history.
Your young scientist will be able to explore facts about winter and create crafts related to the topic.
We know what bears and birds do during winter, but what about insects?


01 मार्च 2019	आंतर महाविद्यालयीन क्रीडा व आंतर विद्यापीठ स्पर्धेतील खेळाडूस अतिरीक्त गुण देण्याबाबत..
27 फेब्रुवारी 2019	Fee Reimbursement after completion of SWAYAM/NPTEL/MOOC Online Courses.
03 एप्रिल 2019	संचालक विद्यार्थी विकास नाव आणि ईमेल बदल बाबत.
Have you got any problems about gmail sign in ? Here is the some free advices about troubles and problems gmail login. Latest news from Gmail, step by step explanation of Gmail.com account's problems.


Ricki was found by our back door on a Friday morning. Frightened and unsure of what was going on, she was taken into the home of a volunteer. After a few months, she was brought back to the shelter to live with the rest of her Cat Guardians family.
After taking Ricki to specialty vet, she was diagnosed with lameness in her front left paw, possibly an old soft tissue or ligament injury. There are no current medical concerns except for possible arthritis when she gets older – however this is common in most cats. Most of the time when she's running and scaling the cat tree, we don't think she even notices that she is different from any of the other cats.


Anyone ever compost a skunk?
If you are doing a hot pile that you intend to turn over every few days, I'd be prepared for at least a week of intense skunkyness. I've composted a lot of animals and the first few turns of the pile are a little rough on the nostrils no matter what kind of critter it is. Rapid decomposition in a hot moist environment is pretty smelly business, but if the pile stays hot, it'll be over in about a week. Stay upwind and be considerate of the neighbors. Or you could let the vultures carry it off.
A skunk was killed near my house and it took about 3 days for the crows and eagles to find it. It was kind of fun to watch a trio of bald eagles (mom, dad and a youngster) working the carcass over an afternoon. Once they were done, the smell pretty much went away, except for whatever was smeared on the grass. It still kinda smells when the wind blows right.
I've composted quite a few critters over the years. I wouldn't turn the heap - I'd just bury it in the middle, make sure it's very well covered, and maybe empty the pee bucket over it occasionally to keep it moist and ensure plenty of nitrogen for sawdust. I guess it depends how soon you need to use the finished compost, but mine is a humanure heap and I'm quite happy to leave it for a year or so until I'm certain everything is decomposed. At the very least, with something like a skunk I'd like to leave it undisturbed for a month or two before risking exposing it to the open air.
Thanks for the responses. I think I'll just let the plentiful scavengers do their thing since the pile is pretty close to the house and I'll need it some what soon. None the less, that is good information from both takes of composting (hot and no-turn).
baking soda, hydrogen peroxide, and cheap dish soap or liquid soap.
1/4 cup baking soda, one quart 3% peroxide, a teaspoon of soap. Use a glass pitcher, put the baking soda in the pitcher and about 1/4 the peroxide and stir to get it dissolved some. Add the rest of the peroxide and stir a few times, add soap and stir a few more times. If you are washing a dog this will do a 40-50 pound keeshond or up to about a 90 pound short hair dog. Pre wet the dog, pour this on slowly and work in, avoid getting in eyes, ears, or face. Rinse dog off after working it in good. Works much better than the tomato juice (trust me, learned this with a keeshond who could tree young raccoons and more, and would run out the doggie door to do Doppler ARF then suddenly silence and peeling the brick off the house waves would roll.) The kees would still smell a bit but you could stand to be near them for the next few days as the rest wore off. Tomato was what we called 'doggie cocktail' and they smelled of skunk and tomato. And made your eyes water for days.
We mowed, raked and baled a skunk once when I was at home on farm yet. Dad somehow managed to mow the live skunk. He got to clean things up. He forgot where it was and raked it into the windrow. Then he forgot again and baled it. And things jammed. He got to clean the baler, as he did it.
He got the tomato juice bath and mom buried his clothes. I have tried it since and other than the peroxide might bleach your clothes and lighten your hair a little the magic juice will take the odor out of the clothes.
Rather than try to drag the skunk into your compost, what about hauling some sawdust and active compost-pile stuff over to the skunk and dumping them over it? It would surely cover the smell if it's a couple of feet deep. And then you could just leave it for 6 months or a year, and I'm sure when you dig it over it will all be decomposted and no longer skunky.
I've read a lot of murder mysteries and watched a lot of crime dramas on television and they often use lime to mask the smell of decay. I like the idea of letting the scavengers have it. Sometimes it takes a much deeper hole than two feet to cover the smell of decomposition. That's why graves are six feet deep.


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You are here: Home > Tourism & History > Ogdensburg History
Ogdensburg History
The part-time City Historian is responsible for maintaining an up-to-date chronicle of Ogdensburg's history. The Historian's budget includes acquisition costs for various publications used by the City Historian and publication expenses for articles and pamphlets written by the City Historian.
You can contact the City Historian via Email or call the City Clerk's Office at 315-393-3540.
City Historians Goals
The City of Ogdensburg, New York, is located in northern St. Lawrence County along the southern shore of the beautiful St. Lawrence River, directly across from the Canadian towns of Prescott and Brockville, Ontario. The Ogdensburg-Prescott International Bridge conveniently connects the two countries. The City encompasses an area of approximately 8.18 square miles and has a diverse population of 12,364 according to the 2000 Census.
With more than six miles of shoreline along the mighty St. Lawrence River and close proximity to major Canadian and American commercial markets and thriving business enterprises, Ogdensburg blends a unique complementary mix of rural charm and urban amenities.
Historic Ogdensburg Brochure
City Historian Links
Ogdensburg History on Twitter
Ogdensburg History on Facebook
Ogdensburg History Blog
Ogdensburg History on Pinterest
Other Historical Links
Make History Accessible with QR Codes
Senator Preston King and Congressman John Fine
Marion Sanger Frank, Women's Suffragist
Collin Burnham House, 324 Caroline Street
Ogdensburg and the 1918 Influenza Pandemic
Knap House, 412 Caroline Street
James House, 16 Caroline Street


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    'get_manager', 'add_endpoint', 'Session', 'SessionManager',
    'SessionIsClosed', 'SessionIsAcquired',
    'STATE_NEW', 'STATE_OPEN', 'STATE_CLOSING', 'STATE_CLOSED',
    'MSG_OPEN', 'MSG_MESSAGE', 'MSG_CLOSE', 'MSG_CLOSED',)

from sockjs.session import Session
from sockjs.session import SessionManager
from sockjs.exceptions import SessionIsClosed
from sockjs.exceptions import SessionIsAcquired

from sockjs.protocol import STATE_NEW
from sockjs.protocol import STATE_OPEN
from sockjs.protocol import STATE_CLOSING
from sockjs.protocol import STATE_CLOSED

from sockjs.protocol import MSG_OPEN
from sockjs.protocol import MSG_MESSAGE
from sockjs.protocol import MSG_CLOSE
from sockjs.protocol import MSG_CLOSED

from sockjs.route import get_manager, add_endpoint

redpajama_set_name: RedPajamaGithub


According to a Milford Daily News report, the legislation of marijuana in the state of Massachusetts has led to more pets consuming the drug and ending up in the emergency room.
"We started seeing it a lot when it was first legalized and even more now," said Dr. Kiko Bracker, a veterinarian at MSPCA-Angell, a humane organization with medical offices in Boston, Waltham and Westford. "Now, several cases a week will come in," added Bracker.
According to Bracker, before the drug was legalized recreationally in 2016, there was stigma around it and some pet owners were unwilling to admit their pet had consumed it.
Massachusetts isn't the only state to see this jump in consumption of marijuana by pets. The American Society for the Prevention of Cruelty to Animals recently reported marijuana-related emergency calls in 2018 grew to 1,800 compared to 208 a decade earlier. The Pet Poison Helpline based in Minnesota also said that marijuana cases increased 448 percent over the last six years.


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This website is archived for historical purposes and is no longer being maintained or updated.
This program is no longer funded. Learn more about current programs.
The following journal articles describe the research and success of local level changes brought about by communities participating in CDC's Healthy Communities Program:
Health Promotion Practice (Society for Public Health Education journal)
April 2009 special supplement – Fostering Healthy Communities: Lessons Learned from CDC's Premier Community-Based Interventions
Cultivating Healthy Communities: The CDC Perspective
Given the scope of chronic diseases in the U.S. population, community-based solutions are essential to effectively preventing chronic disease and to maintaining the best possible health among persons living with chronic illnesses. CDC finds at least four key ingredients that are essential to success in preventing chronic diseases and achieving health equity: 1) investing in communities, 2) providing a venue for communities to learn about effective strategies, particularly those related to policy, systems, and environmental changes, 3) mobilizing networks for change, and 4) providing communities with tools to assist them as they mobilize to achieve health equity and prevent chronic diseases.
Targeting the Taqueria: Implementing Healthy Food Options at Mexican American Restaurants (Steps to a Healthier Salinas, California)
Salinas Steps developed a taqueria intervention addressing obesity and diabetes among Mexican Americans. The initial response to the intervention has shown positive changes, which include the taqueria owners promoting available healthy menu items and modifying other menu offerings to reduce fats and increase fruit and vegetable availability. This, in turn, has led to a transition of the owners' perceptions of themselves as gatekeepers for a healthy community.
Rock on Cafe: Achieving Sustainable Systems Changes in School Lunch Programs (Steps to a Healthier New York)
Because roughly one third of a child's dietary intake occurs during school hours and because both health and academic outcomes have been linked to children's nutrition, school nutrition policies and programs have been identified as a key area for intervention. This article describes the components, processes, and initial successes of a grassroots effort and innovative project to improve the nutritional quality of the School Lunch Program through a sustainable systems intervention and policy change across a regional area of upstate New York.
Strategies for Implementing Health Promotion Programs in Multiple American Indian Communities (Steps to a Healthier Anishinaabe, Michigan)
American Indians experience significant health disparities compared to the general U.S. population. Steps to a Healthier Anishinaabe adopted a unique framework to implement health promotion intervention activities in multiple American Indian communities in Michigan by enabling each community to tailor interventions to their specific culture and health priorities. This article describes the community-based framework and argues that multisite, community-tailored health promotion programs are a promising approach to reducing health disparities in minority populations.
Evaluating Mobilization Strategies With Neighborhood and Faith Organizations to Reduce
Risk for Health Disparities (REACH: Kansas City, Missouri)
The Kansas City–Chronic Disease Coalition aimed to engage neighborhoods and faith organization in changing conditions to reduce risk for cardiovascular disease and diabetes. Using a time series design replicated with each of these two sectors, the effects of a microgrant strategy and a resource distribution strategy on the coalition's facilitation of community change were examined. Results indicate that both strategies increased the implementation of community change by neighborhood and faith organizations, with higher rates of change for the microgrant strategy.
Effective Strategies for Integrating Immunization Promotion Into Community Programs (REACH: New York City)
Most immunization coalitions have originated with health care providers, potentially excluding families without medical homes. This study focused on a community-based approach to providing timely vaccinations. A coalition of 23 organizations developed an immunization program in a low-income community in New York City. Nearly 1,000 community health workers incorporated immunization promotion into social service and educational programs. Immunization rate improvements maintained for a 5-year period, suggesting this approach to be sustainable.
From Making Pamphlets to Making Policies: Results From a Collaborative Training to Increase Knowledge, Motivation, and Self-Efficacy for Achieving Public Health Policy and Systems Change (Steps to a Healthier Washington)
Steps to a Healthier Washington implemented training to improve public health practice and create greater organizational and staff capacity for promoting effective policy and systems changes, including reducing disparities. The training is grounded in behavior change and adult learning theories. A comprehensive post-training evaluation found long-term improvements in self efficacy, reported changes in work, and attribution of those changes to the training. Organizations working to refocus public health work on policy and systems change should consider providing skills-based policy training to their staff.
A Community Response to the Food Environment (Pioneering Healthier Communities: West Michigan)
In 2005, Pioneering Healthier Communities created the Activate West Michigan coalition. One of its earliest objectives was to increase fruit and vegetable consumption for people who lived in low-income, African American, and Latino communities in urban Grand Rapids. Because the existing food environment created barriers to this objective, the coalition created community and schoolyard gardens and farmers' markets. By 2008, the Activate West Michigan coalition had begun to improve the food environment by establishing nine community and schoolyard gardens and five farmers' markets.
A Pebble in the Pond: The Ripple Effect of an Obesity Prevention Intervention Targeting the Child Care Environment (Steps to a Healthier Arizona)
This article describes the success of a program aimed at preventing childhood obesity and diabetes. Partners in Yuma County worked with child care providers to implement organizational best practices which promote positive nutrition and physical activity behaviors in young children. As a result of this project, the number of child care centers in Yuma County implementing best practices increased. Additionally a ripple effect has reached beyond the individual child care setting, into broader local and state early childhood development systems.
MMWR (CDC journal) – November 21, 2008 and September 24, 2010 issues
Prevalence of Selected Risk Behaviors and Chronic Diseases and Conditions—Steps Communities, United States, 2006–2007
Using a modified Behavioral Risk Factor Surveillance System (BRFSS) survey in 2006 and 2007, Steps communities, funded by CDC's Healthy Communities Program, collected data related to the three diseases and outcomes (obesity, diabetes, and asthma), and the three related risk factors (physical inactivity, poor nutrition, and tobacco use and exposure). Healthy People 2010 goals were used as a benchmark to determine the communities' progress. Communities analyzed the data to identify, prioritize, and develop community-specific activity to implement policy, systems, and environmental changes.
Youth Risk Behavior Surveillance — Selected Steps Communities, United States, 2007
In 2007, public school students in grades 9-12 were surveyed in 26 Steps communities using a modified Youth Risk Behavior Surveillance System (YRBSS) questionnaire that measured tobacco use, dietary behaviors, and physical activity and monitors the prevalence of obesity and asthma. According to the survey, a substantial proportion of high school students engage in behaviors that place them at risk for chronic disease. Step communities will use this data to help focus existing programs on activities that have shown the greatest promise of results.
Preventing Chronic Disease (CDC journal)
April 2009 issue—Public-Private Partnerships
Public-Private Partnerships and Public Health Practice in the 21st Century: Looking Back at the Experience of the Steps Program
Public-private partnerships play an important role in initiating, supporting, and sustaining activities to improve the health of communities. Steps communities have benefited in multiple ways from public-private partnerships. In addition to providing funds to Steps communities, private-sector partners have promoted Steps activities, shared their expertise and resources, participated on leadership teams and in community coalitions, assisted with the implementation of Steps activities, and brought to Steps communities an audience that they might otherwise not have had access to.
A Comprehensive Worksite Wellness Program in Austin, Texas: Partnership Between Steps to a Healthier Austin and Capital Metropolitan Transportation Authority
In 2003, Health & Lifestyles was hired to help promote healthier lifestyles, increase employee morale, and combat rising health care costs and absenteeism rates at Capital Metropolitan Transportation Authority (Capital Metro), Austin, Texas' local transit authority. Participants in the wellness program reported improvements in physical activity, healthy food consumption, weight loss, and blood pressure. Since the implementation of the wellness program, Capital Metro—which employs more than 1,200 people—has seen a reduction in costs associated with employee health care and absenteeism.
Engaging Employers to Develop Healthy Workplaces: The WorkWell Initiative of Steps to a Healthier Washington in Thurston County
The WorkWell initiative focuses on recognizing and supporting local employers who make a commitment to address workforce health issues by implementing programs within their organizations to help adults reach Healthy People 2010 objectives. Twenty-six employers with approximately 4,700 employees were recognized with WorkWell Healthy Workplace designations for implementing changes that included encouraging stairwell use, providing low- or no-cost healthy meals for employees, and providing healthy foods at meetings.
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1600 Clifton Road Atlanta, GA 30329-4027 USA
800-CDC-INFO (800-232-4636), TTY: 888-232-6348
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Mindfulness is the intentional act of staying in the moment and being present with what you are doing. When practicing mindfulness the individual is required and encouraged to stay rooted in the present and share whatever it is they are feeling, seeing, and hearing right now rather than focusing on past or future concerns. By practicing mindfulness we allow ourselves to feel in the present moment and embrace the current feeling we are feeling without judgment. Mindfulness can help the individual to cope with their feelings, reduce stress by focusing on what they can control, and let go of the negative.
A practical and easy way to start practicing mindfulness is to light a candle, turn down the lights and look at the flame. Take note of how you are feeling, your breathing and your thoughts. Start with 5 minutes per day, and slowly build the time you spend practicing mindfulness.
Exercise is a fantastic way to lower stress levels in general, but to take it to the next level bring your exercise routine out into nature. Head outside for your next workout, whether it is a run through the city, a hike up a mountain, or just getting outside for a walk. Time spent outside doing exercise is said to help reduce stress by 20% along with improving memory and attention span for those who exercise outside regularly.
We are surrounded by technology these days and while it can help simplify communication and business, it can also be detrimental to our health. By constantly being connected to a computer or a device we can get super stressed. The constant ding of a text or the buzz of an email can and will greatly increase stress levels. On a daily basis it is imperative to unplug from technology. Turn off your computer, phone, and TV, and just allow your brain to recharge. This will help reduce stress and anxiety.
Here at Eight Hour Studio, we like to turn off our mobile phone, tablet, computer and TV one hour before bed. We also turn down the lights and start to get our bodies ready for sleep. Even having this one hour being disconnected from technology has a noticeable positive impact on stress levels.
Expressing our feelings is a great way to help day to day stressors. Journaling is a great way to get those feelings out of our brains and onto a sheet of a paper. The physical act of writing your emotions down on a sheet of paper will reduce stress, anxiety, and the likelihood of depression. Trying coupling this with a gratitude diary. After getting your feelings and to do lists down on paper, also note down at least one thing a day you are grateful for.
All of your thoughts and emotions have a chemical reaction in your brain and therefore impacting our physical health. Creating some positive affirmations for yourself when you start to feel overwhelmed, stressed, or negative can help you reduce stress and stay positive. When you begin to have negativity and stress take over in your life, start reciting (to yourself) your positive affirmation. This will help keep your stress level down and your positivity up. Here is an example of an affirmation: "I am a good person with a strong support system." Saying an affirmation like this will help you feel reconnected with the world and take action to improve your life.


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Westport Truck Accident Lawyer
Any accident on the road can be a difficult experience, but few accidents are as devastating and impactful as those that involving collisions with commercial trucks. Truck accidents can leave drivers, passengers, and pedestrians with life-changing injuries, and although nothing can reverse such an accident, determined legal counsel may be able to help those harmed seek due compensation.
Regardless of the sustained injury, the duty to demonstrate how a driver's actions directly contributed to an accident falls to the harmed plaintiff. Consequently, many choose to retain a Westport truck accident lawyer to help pursue at-fault truckers and their companies for compensation. A qualified personal injury attorney could work to protect your rights by collecting evidence, negotiating in settlement talks, and presenting claims at trial if necessary.
Pursuing an At-Fault Trucker for Damages Following an Accident
The State of Connecticut does not recognize the concept of a no-fault accident, and as a result, at least one party must be held responsible for injuries and losses stemming from an accident. However, it is the responsibility of injured victims of each accident to prove that the alleged defendant was at-fault.
Most plaintiffs attempt to demonstrate fault by showing that a defendant truck driver acted in a legally negligent way. Legal negligence occurs when someone possesses a duty to protect those around them but fails to uphold this duty, resulting in injury to someone else.
When dealing with truck accidents, every driver holds a duty to protect those they encounter on the road, including other drivers, passengers, cyclists, and pedestrians. However, drivers may fail in this duty by, among many other possible actions:
Failing to yield
Ignoring traffic signals
Negligently switching lanes
Determining negligence may be difficult in certain cases, especially if there is not clear documentation of a trucker's illegal maneuvers. However, a Westport truck accident attorney could assist with gathering evidence such as witness testimony in order to demonstrate truck driver negligence.
Compensable Losses in an Accident
Truck accidents could have an effect on every aspect of a plaintiff's life, from physical and financial to psychological and emotional damages. Depending on the circumstances of a crash, injuries may range from cuts and fractured bones to severe spinal cord injuries or a concussion. Any physical injury could serve as grounds for a claim, and a dedicated truck accident lawyer in Westport could help collect evidence of treatment and seek compensation for the associated medical costs.
However, physical harm is rarely the only loss endured by an injured person. Plaintiffs in Westport truck accident cases can also demand payment for harm such as wages lost due to missed work, the emotional anguish associated with recovering, and a significant change in their quality of life. While these damages rarely have a clear economic value, experienced attorneys may be able to help plaintiffs properly value their claims and fight for appropriate compensation for their losses.
Regardless of the level of injury sustained, Westport plaintiffs and their lawyers have a limited time to pursue a case related to a truck accident. According to Connecticut Code §52-577, all cases alleging personal injury must be filed within three years of the date of injury. Failure to meet this deadline could result in the court dismissing the case.
Talk to a Westport Truck Accident Attorney
The aftermath of a collision with a tractor-trailer, construction vehicle, or any other large truck can be devastating. Even if the people in the smaller car are fortunate enough to be able to walk away with their lives, they may suffer severe injuries that can take weeks or months to heal.
At-fault truckers and their parent companies may be responsible to compensate any person injured by their own negligent actions. This can include paying for medical bills, lost earnings, and emotional trauma.
A Westport truck accident lawyer could help injured individuals pursue their claims by working to gather key evidence of negligence, taking the lead in settlement negotiations, and taking the case to court if it is necessary to get you the payments that you deserve. Contact an attorney today to schedule a consultation.
Westport Personal Injury Lawyer
Westport Bicycle Accident Lawyer
Westport Car Accident Lawyer
Westport Pedestrian Accident Lawyer


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Australia's Pacific security hub to set up in Canberra
Tuesday, 9 July 2019, 12:44 pm
Australia will establish its planned Pacific security hub in Canberra, while it looks at a possible permanent location in the region.
Australia's Parliament buildings, in Canberra. Photo: Thennicke / Wikimedia Commons
The future of the Pacific Fusion Centre will be discussed today in the capital.
Last week, Australia's ambassador to North Pacific states, George Fraser, held talks on the Pacific Fusion Centre in Palau.
There, Palauan officials told Mr Fraser they hoped the information-sharing centre would be set up in Palau or the North Pacific.
But in an interview, Mr Fraser said it would be temporarily put in Canberra and staffed by about 10 analysts, most of whom will be from the Pacific.
The Fusion Centre is due to be established in the middle of the year and Mr Fraser said it would share open source information with governments and local law enforcement.
"There is absolutely no obligation on governments to share any of their own information," Mr Fraser added.
He said a reference group was meeting in Canberra on Tuesday and Wednesday to discuss the hub's governance, which would be broadly based on the values of the Pacific Islands Forum.
Australia was treating the North Pacific with more "emphasis" as part of its Pacific Step Up policy, Mr Fraser said.
Hard News: Synthetics: We need to stop calling it ... 10 Jul | Russell Brown
Speaker: School donations: a small step towards a ... 11:02 AM | Gareth Shute


Our services include a variety of repairs common and not so common in the field. Over the last 18years we have had the opportunity to work on a wide variety of projects.This has allowed us to gear our Service Trucks accordingly to meet the customers' needs and expectations, no matter what that might be. In addition we have the availability to source or cross source most parts. Since a majority of equipment repair is performed in the field, our emphasis is on a strong mobile service, but should the need arise shop services are available.
Material handling onsite repairs including installing, repairing and maintaining man doors, impact doors and fork lift curtains.
Install, repair and maintaining all brand loading dock scissor lifts and dock levelers. Even unrecognizable lifts are no match.
Custom cutting and removal of equipment using either mobile Plasma, Oxygen / Acetylene gas cutting or mechanical wheel.
Hydraulic hose fabrication – We have over $5,000 worth of fittings alone at all times.
Electric motor and control repairs and fabrication including remote pendant fabrication and replacements.
Dock bumper and dock curtain installs, modifications and repairs.
Fork lift truck repairs and maintenance including Dry and wet PMs.
Guard rail and baluster repairs, hand railings and security cage installation.
Dock leveler and scissor lift floor replacement, hinge replacement and guard rail repairs.
If you are planning on moving to a new facility, let us quote moving your dock equipment for you.
© 2013 Sylvia Engineering. All rights reserved.


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One of the most common concerns of new mothers is how to lose baby weight. There are so many weight loss products on the market, so how do you choose a program that will help you to stay motivated to get into shape whilst you are busily looking after your new baby? One of the things research clearly demonstrates is that self esteem is impacted significantly when you become a new mum. That's why it's critical when trying to lose baby weight, that you consider a program that also incorporates building self esteem. This is where the Refresh Your Life program is unique and revolutionary. The program is designed to gradually rebuild your confidence, self esteem and motivation as you reintroduce being active and healthy in new motherhood.
Feeling overwhelmed, exhausted and focussed primarily on your baby, it's not easy to find the motivation to lose baby weight. Emotionally eating to cope is also very common in motherhood, but left unchecked, emotional eating leads to further weight gain and motivation loss. Thus, making it even harder to lose baby weight.
Refresh Your Life comprises a 4 week weight loss course with an easy to follow healthy diet and inbuilt self esteem and happiness boosters to increase feel-good feelings right from Day 1 of the weight loss program. These feel-good feelings create a positive association with healthy living and actually result in a reduced desire for unhealthy eating.
Most other weight loss programs on the market achieve results (which often only last for a short period of time) through pain or punishment. For instance, strict diets require you to deprive yourself of tasty food, or eliminate whole food groups and boot camps demand you experience a tremendous amount of pain or discomfort (e.g. though high intensity, long endurance or over-strenuous work-outs) to achieve fitness and weight loss. Even when these programs work, they lead you to associate eating healthy and regular exercise with pain – they create a very negative association.
Research has shown that the brain works by wanting to make us feel good. That's the problem, with these negative associations – you can sustain them for a short time, but it's really hard to do so over a long period of time, because no-one wants to subject themselves to painful experiences over and over again.
Refresh Your Life provides a framework for you to eat healthy foods and gradually increase your physical activity in a way that associates feeling good with healthy behaviours.
As you are eating better and slowly increasing your physical activity, you are guided with weight loss tips that build your self esteem and self confidence, thus creating a positive association between eating well exercising and feeling good.
People report feeling happier, having more energy, looking and feeling healthier, losing weight and toning up. Plus, Refresh Your Life is so easy to follow and includes over 20 delicious low-fat recipes to continue healthy habits for a lifetime.
In addition to losing weight, you will see improvements in your overall health, increases in your energy levels, reduced stress and have a brighter overall appearance. It's simple and easy to follow with step-by-step guides along the way and is designed to help you develop and sustain new healthy habits you can maintain for life.
This weight loss motivation program fills in the gaps of weight loss many programs because it tackles the underlying reasons you lose motivation to continue weight loss programs. It guides you to gradually incorporate healthy living into your current lifestyles so it's not a shock to the system, can be maintained over time and feels easy to move from onestep to the next. It also has inbuilt happiness and stress relief tools to associate healthy living with feeling great – thus increasing motivation even further.
Do you realise that the food you eat can cause you to feel tired, irritable, unmotivated and depressed? Our Best Weight Loss Program includes foods that actually increase energy, clear thinking and happiness.
There is a clear link between weight gain and depression and low self esteem. Our Best Weight Loss Program targets these negative emotions to increase your motivation and create a healthy and happier life.
Are you sick of starting a weight loss program, only to lose motivation too soon afterwards? Our Best Weight Loss Program makes activity easy, sustainable and motivating by gradually building your fitness and overall self confidence.
There is a link between stress and weight gain. Our Best Weight Loss Program tackles this by including daily stress busting activities and giving you an additional BONUS FREE Meditation and Sleep Aid CD to increase your overall positivity throughout the day.


The Sorento's cabin design and specification is fundamentally fine, but shows evidence of Kia cutting corners when it comes to final execution.
The car is an effective seven-seater. It doesn't need the Land Cruiser's electrically powered third row of seats, because one tug on a single strap is all that's required to pull them into place. We'd certainly recommend paying the extra for the added functionality that the third row brings. These are occasional seats, but comfortable ones too for the children who will invariably occupy them. There's even a little space (270 litres) behind for small bags or some shopping. And you can fold them away just as easily and do the same to the reclining middle row of seats to create a convincingly spacious and conspicuously well shaped load area, capable of holding up to 1900 litres of gear. So far so good.
In the front, the driving position is respectable for all bar tall drivers, who may find the steering wheel too far away despite its standard reach adjustment. Meanwhile, those sitting behind said tall driver will find knee room limited, though this is mitigated somewhat by the ample space for your feet under the seat.
Where the Sorento's cabin falls short is in the finish. All the plastics on the dashboard are hard, of a quality you wouldn't find in a Volkswagen Golf costing less than half as much. The interlocking dials are smart enough, but the supplementary display in the middle of the dash has ugly orange graphics, while the minor switches are sensibly sited but again of a quality you'd raise an eyebrow at in a car costing 10 grand less than this.
However good the product may be, the reputation Kia is trying to overcome is that of a manufacturer of cheap and often not so cheerful cars, so it's perhaps not the best strategy to ensure that the first things its customers see and touch upon entering the Sorento are materials that fit the historical stereotype all too comfortably.


I have a computer with a USB keyboard and mouse. When I boot the computer I can access the BIOS settings and change them using the USB keyboard, but as soon as windows loads the keyboard quits working. Obviously it's impossible to tell if any of my other USB hardware works before windows loads.
All other ports work fine, which, combined with the fact that they keyboard works in the BIOS setup screen, precludes the possibility that the motherboard is the problem.
I have reformatted the hard drive and reinstalled Windows to no avail, and the CD that came with the motherboard contains no special USB drivers of any kind. The BIOS Setup menu contains absolutely NO options regarding USB settings that I can see.
Device manager shows no USB hubs or controllers in the USB section.
As soon as Windows has loaded, any lights that WERE on that indicated that these devices were working go off.
In addition, I can't think of any particular event that could have caused this problem. I got a message of some kind regarding a virus so I ran a virus scan which turned up nothing. It seems that my USB ports were working, then they weren't.
This problem is even moreperplexing when you consider how many people have the opposite problem: their USB devices don't work UNTIL Windows loads.
Perplexing that nothing shows up in BIOS settings.
Have you tried clearing the CMOS?
What about selecting "default" CMOS settings?
The only other idea that makes any sense is that Windows is installing the wrong drivers for the chip-set and USB controller.
Windows default driver set has always been more Intel friendly than AMD and VIA friendly.
Perhaps if you can get into safe mode, you can somehow set things up to install the proper chip-set drivers.
Your BIOS and as such motherboard is OK, the problem is with windows, which window u are using?
Wowee, Working fine! been having the same problem for a few months and was getting really irratated!
I'm having the same problem. When I boot my machine I have an Interlink Versapoint wireless RF keyboard/mouse I'm using. Within the BIOS this works great (My mobo is a Asus P7H55-M PRO with Intel H55 Chipset). Then Windows 7 starts up and the fun begins. The keyboard does not work on boot. I can get it to work by opening the device manager (using separate mouse of course), right clicking on any device, and selecting 'Scan for hardware changes'. I'm not sure why Windows doesn't do this automatically on boot. Then when I restart the machine, I'm back to square one again. Has anyone figured out how to fix this?


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Caragh O Shea appointed President of Network Ireland Limerick
Caragh O Shea appointed President of Network Ireland Limerick, the forum for women in business. She was presented with the chain of office by outgoing president Petrina Hayes, in the Savoy Hotel above.
Caragh O Shea pictured above in the Savoy Hotel Limerick
The Limerick branch of Network Ireland, an organisation supporting the professional and personal development of women, has elected Caragh O Shea as President for 2021. Caragh is the founder of COSEvents.ie and currently project manager for Rugby Travel Ireland. She was presented with the chain of office by outgoing president Petrina Hayes. Emma Wilson, Azpiral, has been confirmed as Vice President of Network Ireland Limerick for the year.
Speaking about her appointment, Ms. O'Shea said, "It is a great honour for me to have been elected as President. I'm looking forward to continuing our efforts in supporting our members and providing opportunities for everyone to connect, learn, and share ideas. After such a challenging year it's important, now more than ever, to stay connected or to reconnect. During 2020 we brought all our events online and managed to reach a wider audience than we normally would. We still have a journey ahead before things return to the new norm, so we will continue to support our members virtually until such time as we can meet face to face again."
As President of the Network Ireland Limerick, Caragh O Shea will be responsible for fostering the aims and objectives of Network Ireland, representing the Limerick branch at National Executive meetings and overseeing the smooth running of events locally.
"For 2021 I'm looking forward to lining up some great speakers and putting extra virtual events in the calendar. I would like to invite new members who have recently moved to Limerick to return home and work remotely to connect with us and realise the benefits of extending their network of contacts," she continued.
Ms. O'Shea has chosen Cliona's Foundation as Network Limerick's charity partner for 2021. Certain events throughout the year will have a fundraising element and all monies raised will be sent directly to the charity.
Membership of Network Ireland Limerick is made up of a very diverse group of women from across the Mid-West, from budding entrepreneurs, SME owners, professionals, and leaders in large organisations to non profits, charities, arts, and the public sector.
For more stories on Network Ireland Limerick go HERE
For further information go HERE
About Network Ireland:
Network Ireland is a progressive, dynamic organisation supporting the professional and personal development of women. Their membership is made up of a very diverse group of women, from budding entrepreneurs, SME owners, professionals, and leaders in indigenous and multinational organisations to non profits, charities, arts, and the public sector. They have a strong voice and are interested in promoting diversity and equality, entrepreneurship and leadership development; collaborating with like-minded people and organisations.
Established in 1983, Network Ireland has 1,200 members, with fifteen very dynamic branches across Ireland. Through their branch network they organise in excess of 200 events annually for like-minded people to come together to collaborate, share ideas, knowledge and support – most of which are free to members. They also run a number of flagship national events, including International Women's Day Celebration and their Annual Conference and Business Awards. If you would like to join the growing group of tenacious, dynamic, ambitious women in business click HERE to find your nearest branch.
About Caragh O'Shea:
Owner of COSevents.ie and currently Project Manager with Rugby Travel Ireland, Caragh is a Computer Systems graduate from University of Limerick who enjoys networking and the business world.
After experiencing 5 years of running the Limerick branch with Enterprise Rent-A-Car, she got the bug to run her own company. Through COS Events, she has organised various events including the Live 95 Helping Limerick Children campaign raising over €95,000 for three charities, Liverpool Legends Family Fun Day with Aisling Annacotty and many more.
She joined Network Ireland Limerick as a Committee Member in 2018 to expand her Network and learn from similar women in business while providing her event skills to Network Limerick.
Related Topics:Network Ireland Limerick
Limerick New Year Babies put a smile on everyone's faces!


One of the main questions that arose with Hulu's announcement of its premium service, Hulu Plus, was whether or not the $10 per month subscription fee would provide for a commercial free viewing experience. It does not. The monthly fee basically gives subscribers access to entire back catalogs of shows from participating networks.
Speaking with Om Malik, Hulu CEO Jason Kilar remarked that his company would be willing to explore an even higher-priced premium plan that axed commercials, assuming there's enough demand for it.
His argument is basically that there are several models for traditional TV—free over the air major networks supported by ads, premium channels like HBO supported by subscription fees, and cable networks that are supported both by subscription fees and ads. So it appears that Hulu Plus is going the route of cable networks, albeit with shows normally found on major networks.
While $10 per month for Hulu Plus seems like a decent enough deal, it'd seem even sweeter if it meant being able to watch the shows without ads. And in case you hadn't noticed, you can't just skip over Hulu ads by moving the video player's progress bar—you're stuck watching them, like it or not.
Assuming there's a demand for commercial-free viewing, it'll be interesting to see how much people are willing to pay. My initial feeling is that Hulu would price it at $20 per month if it's feeling a bit adventurous, or $25 per month if it's feeling downright crazy. Pricing it at $15 per month would probably win over the greatest amount of converts from the $10 per month plan, but it seems odd that Hulu would offer plans priced that closely together.