text: Enlarge this graphic Katherine Streeter for NPR Katherine Streeter for NPRDr. Mark Sklansky, a self-described germaphobe, can not prevent considering regarding how rapidly microbes can spread. "If I am at a computer system terminal or employing a cellphone or opening a door, I'm sure my arms are now contaminated, and that i require for being very careful and i will need to wash my hands," suggests Sklansky, a profe sor of pediatrics on the David Geffen University of drugs at UCLA. Not all wellne s employees are so watchful, irrespective of demanding handwashing policies in just about all health care facilities. A 2010 study posted in the journal Infection Handle & Medical center Epidemiology shows that only about 40 percent of doctors and other overall health care providers comply with hand hygiene rules in hospitals. Hospital-acquired infections are a serious and potentially life-threatening problem. On any given day, 1 in 25 healthcare facility patients suffers from at least one an infection acquired while they are inside the clinic, according to the Centers for Disease Management and Prevention. And studies show the fingers of health and fitne s care personnel are often to blame.Enlarge this imageMark Sklansky, a pediatric cardiologist and self-described germaphobe, tested a new method for limiting the unfold of germs: a handshake-free zone. He tested it in two UCLA neonatal intensive care units.Anna Gorman/Kaiser Well being Newshide captiontoggle captionAnna Gorman/Kaiser Overall health NewsMark Sklansky, a pediatric cardiologist and self-described germaphobe, tested a new method for limiting the spread of germs: a handshake-free zone. He tested it in two UCLA neonatal intensive care units.Anna Gorman/Kaiser Health NewsSo Sklansky decided to test a new method for limiting the distribute of germs and reducing the transmi sion of disease inside the hospital: a handshake-free zone. "We are trying to do everything to minimize hospital-acquired an infection except for the most obvious and easiest thing to do, in my opinion, which is to cease shaking arms," he says. Sklansky doesn't believe this is a substitute for handwashing, but he does think reducing handshakes could help cut down on the spread of an infection. He first proposed the idea in a 2014 editorial revealed during the Journal of the American Medical A sociation. His proposal launched a lively debate about the po sible risks of the time-honored greeting. Laurent Duvernay-Tardif Jersey Then in 2015, Sklansky decided to try out the idea with a six-month experiment. He picked a place where patients are especially vulnerable the neonatal intensive care unit at two of UCLA's hospitals, one in Westwood and one in Santa Monica. Infections among infants can cause them pain, prolong their stay inside the NICU, require more medications and even put their lives at risk. Staff and families during the units were told the reasons for dropping the handshake. And signs were posted designating the new handshake-free zones. The signs feature two fingers gripping each other inside a circle with a blue line through it and the words: "To help reduce the spread of germs, our NICU is now a handshake-free zone. Please nd other ways to greet each other." Enlarge this imageInstead of a handshake https://www.chiefsglintshop.com/Patrick-Mahomes-Ii-Jersey , non-contact greetings like a bow, a wave, or a smile are encouraged.Courtesy of UCLA Health/Kaiser Wellne s Newshide captiontoggle captionCourtesy of UCLA Health/Kaiser Health and fitne s NewsInstead of a handshake, non-contact greetings like a bow, a wave, or a smile are encouraged.Courtesy of UCLA Health/Kaiser Overall health NewsOther greetings include options like a fist bump, a bow or a wave. Handshakes weren't banned outright, but it was recommended that a smile or another non-contact form of salutation like a Namaste gesture might be better. "We aren't like a military operation," says Sklansky. "We are just trying to limit the use of handshakes." In a survey of staff and family members about the experience, Sklansky and his colleagues found that establishing handshake-free zones does reduce the frequency of handshakes. And most wellbeing care workers support the idea. The findings were published in the American Journal of Infection Manage. The survey didn't determine whether avoiding handshakes actually reduced the rate of infections, but Sklansky hopes to answer that question in a future analyze. The formal experiment is now over, but the signs within the NICUs remain. And doctors and nurses still discourage handshakes. It's is an effective way to decrease the distribute of germs, says Maureen Shawn Kennedy, editor-in-chief of the American Journal of Nursing. "There are just so many reasons to avoid handshakes, even when people are washing their palms," Kennedy claims. "Just because someone is walking around in a white coat […] doesn't mean they don't have bacteria on their palms." Overall health care providers do clean their arms frequently, she suggests, but often they don't do it for long enough or use the right technique. And bacteria live on computers, phones, health-related charts and uniforms throughout hospitals, she notes. Although there is no data to prove that reducing handshakes limits medical center infections, one examine showed that bumping fists was more hygienic than shaking palms. However, some infectious disease specialists believe overall health care workers don't need to cease shaking hands. They just require to scrub better. "The problem isn't the handshake: It's the hand-shaker," claims Herbert L. Fred, a Houston physician and a sociate editor of the Texas Heart Institute Journal. In a 2015 editorial he urged doctors to ensure their palms are clean before touching patients. After all, he wrote, "If we ban the handshake, we might as well ban the physical examination. Both practices can distribute germs," if you don't wash your fingers properly. Handshake-free zones are not the solution for hospital-acquired infections, according to Didier Pittet, director of an infection control on the University Medical center of Geneva. They simply "reflect the lack of capacity in infection prevention and command," he wrote in an e-mail. Sklansky agrees that hospitals require to improve compliance with hand hygiene. He says handshake-free zones aren't designed to replace hand washing but to complement it. "I actually think handshake-free zones will bring attention to the arms as vectors for disease and help improve compliance with hand hygiene," he claims. Neonatologist Joanna Parga, who was part of UCLA's handshake-free survey, states she liked the idea when she first heard about it, but wasn't convinced it would work. Shaking palms is "so ingrained in our culture," she says. And it is how many doctors connect with patients. Enlarge this imageNew mom Brittney Scott said she'd never heard of a handshake-free zone and wasn't sure about the idea. "But once you really understand the meaning behind it, it's great," she said.Anna Gorman/Kaiser Wellne s Newshide captiontoggle captionAnna Gorman/Kaiser Wellne s NewsNew mom Brittney Scott said she'd never heard of a handshake-free zone and wasn't sure about the idea. "But once you really understand the meaning behind it, it's great," she said.Anna Gorman/Kaiser Wellbeing NewsAfter trying several alternatives to shaking fingers, including bowing, making eye contact and touching people on the shoulder, Parga now believes some of these other options are more intimate than a handshake. And they open up a conversation about safety, she claims. On a recent afternoon, as Parga walks through the Westwood NICU, she introduces herself to a mother holding her infant son. "Hi. I'm Dr. Parga," she states. "Are you Mom? I'm not gonna shake your hand." Parga explains she's just trying to help prevent infection within the NICU. Not shaking hands can feel uncomfortable Damien Wilson Jersey , states Meena Garg, a neonatologist and healthcare director of the Westwood NICU. Patients often extend their hands in greeting, so sometimes "you feel like you are being rude," she suggests. But Garg supports the handshake-free zone, because it is an easy and inexpensive way to reduce infections. "I am the clinical director, so I have to look at costs," she says. "This doesn't cost anything, but it may be just as important as anything else we do." As part of the UCLA survey, Sklansky and his colleagues asked staff and parents what they thought of the new handshake-free zones. The majority of health and fitne s care employees support the idea, especially clinical faculty students and nurses. Male doctors are the most resistant, partly because they aren't convinced stopping handshaking is nece sary to prevent infections. Families, however, are universally supportive of the handshake-free zones, Sklansky found. On one recent day, Brittney Scott stands beside the crib of her 2-week-old son, Samuel, as he sleeps. He's within the NICU because of intestinal problems. Scott had never heard of a handshake-free zone, and instinctively offered her hand to a doctor when she first arrived. She was "a little taken aback at first" when the doctor declined to take her hand. "But once you really understand the meaning behind it, it's great," Scott says. Scott knows Samuel is at risk of an infection, so avoiding germs is critical. She now prefers a smile to a handshake. "A smile goes a long way in here," she claims. "There's a lot of ups and downs […] being a parent to a NICU baby."


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Advent Daily Prayer Challenge – Day 5.
Read Luke 5. Commentary – Luke chapter 5 if full of random stories. But they aren't so random after all. They are stories of Jesus bringing Good News to the poor and the outcast. They are stories that put Jesus in conflict with those who would keep the poor and outcast as they are. They are stories of those in charge wanting to maintain the status quo and their positions and rank. But Jesus has other plans. He has the Kingdom of God to unveil. And Good News to be shared with those who are not heard, who are oppressed, who are held captive.
Let us pray. God of Good News, you come to us and upset the status quo. You upset our established orders and ways. You bring healing. You offer abundance. You call unlikely people. In other words, you overturn systems designed to keep people down. Thank you.
Today I pray for all those who try to keep the poor in poverty, the sick from health, the outcast as outsider. There are people who push and defend policies and systems to maintain the status quo. Too often these folks don't see the poor, the sick, or the outcast as real people. Too often, they are just abstract ideas. Soften their hearts to know that there are people who are hurting because of these policies and systems. Open them to knowing that to follow you means to implement policies and systems that pull the poor out of poverty, that bring wellness to the sick, and that bring the outcast in. And work within me also so that I do not spend my time judging these maintainers of the status quo. Instead, guide me in ways that I might offer a voice to those in positions of power on behalf of those whose voice is ignored and silenced. Amen.

subset: commoncrawl


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AC Milan are in negotiations to sign Chelsea midfielder Tiemoue Bakayoko on an initial loan deal with a €35-million option to buy, according to The Guardian's Fabrizio Romano.
The Rossoneri are reportedly offering €3 million up front to secure Bakayoko for at least the 2020-21 season.
The 25-year-old excelled while on loan at Milan during the 2018-19 campaign, but the club declined to make the move permanent. Bakayoko was reprimanded for swearing at then-manager Gennaro Gattuso during a Serie A match and for showing up late to training.
He spent the past season at AS Monaco, where Bakayoko first shot to prominence with Leonardo Jardim's title-winning side in 2016-17. Bakayoko made 20 starts in Ligue 1 before the coronavirus pandemic forced the season to be abandoned.
A defensive midfielder with superb dribbling ability, Bakayoko could offer Milan some much-needed depth. Stefano Pioli is currently looking for players to replace Lucas Biglia and Giacomo Bonaventura, whose contracts expired at the end of the campaign.


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I KNEW there was a prophetic meaning behind ISIS desecration of the Prophet Jonah's tomb. Now that I know, you have to hear this!
My friend Rick Joyner wrote his best selling book series "Final Quest" and "The Call" where he had visionary encounters or dreams involving some very powerful prophetic words for the church in a coming Last Days battle. One of the KEY encounters involved JONAH! From "The Call" (pages 45-56)
Excerpts from vision/dream interaction with Jonah:
Jonah spoke about His walk with God: "I was a Prophet, and I knew Him, yet tried to run from His presence. I came to understand the great burning and responsibility that comes from being close to Him. In His presence all wood, hay and stubble is consumed. The closer that you get to Him the more deadly hidden sin can be."
He challenged Rick to be more serious about his quest: "Will you seek Him?" Rick assured him that he did desire God's presence. "I know that many of my motives for wanting to be with Him are selfish, but being with Him helps to set me free from that kind of selfishness…I will come to Him."
"Will you?" Jonah continued. "Until now you have been more foolish than I was. You can come boldly to His throne of Grace at any time for any need, but rarely do you come. Yearning for His presence is not enough. You must come to Him. You are always as close to Him as YOU want to be."
"Like me, the church has run to Tarshish, desiring to trade with the world even more than sitting before His glorious throne.. At the same time, the sword of God's judgments are hanging over the earth."
"I slept through the storm that I was in while running from the Lord. The church is also sleeping….soon the leaders of the world will cast you overboard. Just as the men in that ship had to do with me. They will not let you keep going in the way you are headed. This is the grace of God to you. He will discipline you with a great beast that comes out of the sea. You must learn to run to the Lord at such times. It will swallow you for a time but you will be vomited out of it. THEN you will preach His message."
Rick asked, "Is there no other way?"
"Yes, there is another way," Jonah replied, "although this has come and is coming.
1. Some are already in the belly of the beast.
2. Some are about to be cast overboard.
3. Some are still sleeping.
But almost all have been on the ship going in the wrong way, seeking to trade with the world."
"Is this beast you are referring to the same as Revelation 13? I asked."
"It is the same," he said. "But know that those who are overcome of the first beast will be vomited out before the next beast comes. The one that arises out of the earth." (Lance: In Rev 13:1 the first beast rises out of the sea, the second from the earth in Rev 13:11.)
"The church is running from the presence of the Lord. It is running to activity in place of seeking His presence. You may call your activity ministry, but it is actually running from the presence of the Lord. The church is running to Tarshish so that it can trade with the world and seek treasures of the sea."
"The sin of wanting to trade with the world has entangled the church, just as I was entangled in the belly of the beast with weeds wrapped around my head. The weeds, the cares of the world, have wrapped around the mind of the church. It took me three days to turn to the Lord because I was so entangled…He can untangle any mess."
Lance: I just stumbled on this stuff a few days ago. Not sure what the "trading with the world" is exactly. Or the meaning of the beasts in the book of Revelation, though I have my suspicions. BUT as I reread Rick's books the Spirit of the Lord was strong upon me.
I now believe ISIS is a tentacle from the beast arising in the Middle East…out of the sea of populist uprisings. When we withdrew our presence we not only failed to lay a foundation for Iraq's future, we left a house momentarily swept clean but not occupied.
The vacuum we left is now filled with a danger seven times more deadly than the first problem we meant to solve. And America is so spiritually and morally at war within itself it has created huge gaps in its own protection that I fear only a fully awakened church can occupy in the spirit.
The question is…are we asleep on the boat?
Are we Jonah?


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A. MEMBERSHIP. The Lectures Committee shall consist of the following members:
1. Four faculty members, one appointed by each divisional executive committee for a four-year term.
2. One academic staff member.
3. One student.
4. One academic dean, appointed by the provost.
The chair shall be appointed by the University Committee from among the faculty members.
1. Considers requests for lectures of general interest that are not primarily supplementary to or extensions of programs of instruction provided by colleges, schools, or departments. Application for lectures within the jurisdiction of the committee may be made by departments or other groups of faculty members.
2. Recommends annually to the chancellor a budget for its activities.
3. Exercises such control over the announcement of lectures as it deems necessary and desirable.


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2020-06-23, M7.4, Oaxaca, Mexico
At 15:29:05 (Universal Time) on the 23rd of June 2020, an earthquake of magnitude 7.4 struck in the Oaxaca region of Mexico. More detail can be found on the INSN website.
Last Updated: 23rd June 2020 by David Craig
At 15:29:05 (Universal Time) on the 23rd of June 2020, an earthquake of magnitude 7.4 struck in the Oaxaca region of Mexico. More detail can be found on the INSN website.
Posted: 27th January 2020 by martin
On the 26th January 2020 at 22:27:19 GMT a M0.9 earthquake occurred offshore Co. Antrim, Northern Ireland. For further details please see this post on the INSN homepage.
Posted: 20th December 2019 by James Grannell
On the 20th of December 2019 at 09:53:43 UTC, a M1.4 earthquake occurred in the Irish Sea. More detail is available from the Irish National Seismic Network.
Posted: 19th December 2019 by James Grannell
On the 18th of December 2019 at 20:22:14 local time, a M1.6 earthquake occurred offshore Antrim, Northern Ireland. More detail is available from the Irish National Seismic Network.
On the 15th of December 2019 at 21:19:52 local time, a M2.5 earthquake occurred in the Irish Sea. More detail is available from the Irish Nation Seismic Network (INSN).
At 02:54:11.3 UTC on November 26th, 2019 a magnitude M6.4 earthquake struck a region to the North-West of Tirana in Albania. More information is available in the Irish National Seismic Network (INSN) website
On September 24, 2019 at 16:01 local time a magnitude 5.6 earthquake occurred close to New Mirpir in Pakistan-administered Kashmir. More details can be found on the INSN website.
Last Updated: 20th June 2019 by martin
A magnitude 1.9 earthquake occurred on the 18th June 2019 at 20:53:12 local time in the Irish Sea off Holyhead, Wales. For more details please see this post on the INSN homepage.
Last Updated: 26th May 2019 by David Craig
On the 26-05-2019 at 2.41am local time (07:41:14 UTC) an M8.0 earthquake occurred in Northern Peru, 75km SSE of Lagunas. More information can be found on the Irish National Seismic Network INSN website.
Last Updated: 14th February 2020 by Niamh Breathnach
Seismic monitoring of stress changes inside the Earth promises to improve forecasts of the "slow" and possibly also of the "fast," destructive earthquakes. An international team including Dr Sergei Lebedev of the Geophysics Section, the Dublin Institute for… Read More
David Stalling's 'Palace of Ships', created as part of the Aerial/Sparks Galway2020 project. See more on the project, which is taking place on Inis Oírr until 27 September here…aerialsparks.org @louisemanifold1 @MarineInst @DStallingSound #Galway2020 #AerialSparks Retweeted by DIAS Geophysics
Date: 01 December 1943 Paper: The Irish Press Headline: Two Papers by Dr. Schroedinger Synopsis: 1943 was a busy year for Schroedinger. Not only did he deliver the "What is Life?" Lectures in @tcddublin in February in November he delivered two papers in the @RIAdawson (1/2) Retweeted by DIAS Geophysics
Ready for Culture Night today evening. @DIASDunsink @DIAS_Dublin @RCPCA1 @Fingalcoco @opwireland @petertgallagher @jm_astro @cm_jackman @drsophiemurray Retweeted by DIAS Geophysics
Looking forward to our Culture Night talks this evening! We still have some places available so if you're interested in attending, please register on Eventbrite @DIAS_Dublin @CultureNight #DIASdiscovers eventbrite.ie/e/earthquakes-…
CatchmentCARE project partners @GeolSurvIE are delighted to break ground at their #groundwater monitoring stations near Fintown. We will measure how the water table changes over the year. Understanding it helps protect and care for water for local people and wildlife in the area. Retweeted by DIAS Geophysics
@EOS_NUIG @iCRAGcentre @dias_geophysics @uccBEES @TCDOnTheRocks @UCD_Earth_Sci twitter.com/BritGeoSurvey/… Retweeted by DIAS Geophysics
'Boring' is the new interesting, just ask the molluscs! #UKgeoenergyobs https://t.co/g6osp5hPOj— British Geological Survey (@BritGeoSurvey) September 17, 2020
@dias_geophysics have developed something special for @galway2020 in collaboration with composer David Stalling. It is an audio-visual composition "Palace of Ships," based on sounds, images and seismic data from DIAS' @SEA_SEIS Expeditions. More: dias.ie/2020/09/14/dia… Retweeted by DIAS Geophysics
On the @EGU_GMPV #EGUblogs this week they are exploring the experiences of #LGBTQIA+ researchers in Earth Sciences, across Europe and the world. Read more: egu.eu/1IN0UI/ Retweeted by DIAS Geophysics
Beautiful little sketch by @ScienceMagazine showing the variety of sources that contribute to the signals that we record on seismometers - not just earthquakes. Nice independent perspective of our recent COVID seismic noise paper, too: science.sciencemag.org/content/369/65… Retweeted by DIAS Geophysics
Tune in to "The Organ of Consciousness" @ArsElectronica at 5pm Irish time this evening (6pm UTC+2) to talk about the intersection of art, science and the world with Chris Bean of @DIAS_Dublin and others #DIASdiscovers ars.electronica.art/keplersgardens…
Chris will be collaborating with artist @SioMcDonald as part of the STUDIOPIA residency siobhanmcdonald.com
If you missed our guest speaker Professor Dame Jocelyn Bell Burnell on @PatKennyNT this morning you can listen to the podcast here: newstalk.com/shows/pat-kenn… There are some tickets left for this evenings lecture: eventbrite.ie/e/the-last-and… Retweeted by DIAS Geophysics
Looking forward to the premier of David Stalling's audio-visual composition tomorrow on Inis Oírr: galway2020.ie/en/news/galway… - a collaboration with @DIAS_Dublin scientists under Aerial/Sparks at @galway2020. @scienceirel @GeolSurvIE @Education_Ire @iCRAGcentre @dias_geophysics Retweeted by DIAS Geophysics
Behind lava & pyroclastic flows, what's going on inside volcanoes? @seis_matters explains how geoscientists use seismic data to scan volcanic plumbing systems youtu.be/jYuA_2SEokI Get more geoscience content all week from the pros at #BlackInGeoscienceWeek @BlkinGeoscience Retweeted by DIAS Geophysics
In collaboration with @DIAS_Dublin seismologists, David Stalling created music and visual art using sonification and visualization of the seismic data from Ireland Array onshore and SEA-SEIS offshore Ireland. @scienceirel @GeolSurvIE @Education_Ire @iCRAGcentre @dias_geophysics Retweeted by DIAS Geophysics
We are at Ars Electronica Festival 2020! Our video: ars.electronica.art/keplersgardens… - composer David Stalling, seismologist Sergei Lebedev, sounds of seismic data and stunning SEA-SEIS expedition imagery. @DIAS_Dublin @scienceirel @GeolSurvIE @Education_Ire @iCRAGcentre @dias_geophysics Retweeted by DIAS Geophysics
ONLINE THIS WEEK! Professor Dame Jocelyn Bell Burnell will guide us through The last and Next 100 Years of Astronomy! Tickets: eventbrite.ie/e/the-last-and… @RIAdawson @I_LOFAR @ArmaghPlanet @blackrockcastle @Dr_Niamh_Shaw @ucdscience @TCD_physics @SpaceNorah @mathsweek @scienceirel twitter.com/IrishTimes/sta… Retweeted by DIAS Geophysics
This week, we are focusing on #BlackinGeoscienceWeek 🌍 In our editorial, @TheDroneLady, @HendrattaAli and @C_Poku93 tell us about the motivation behind the event and what they hope it will achieve, and we suggest ways you can support @BlkinGeoscience! geoscienceforthefuture.com/blackingeoscie… Retweeted by DIAS Geophysics
The first ever Black in Geoscience Week will be taking place from Sunday 6th September–Saturday 12th Sept. Most activities will take place on social media We'll be adding to this document throughout the week, so keep checking back. docs.google.com/document/d/1hH… Retweeted by DIAS Geophysics
If you are interested in learning more about Haleh's work, she will be discussing groundwater as a geohazard in an open talk on Culture Night: eventbrite.ie/e/earthquakes-…


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Personalised Ride the Wave Short
or make 4 interest-free payments of $9.63 AUD fortnightly with More info
Introducing the Ride The Wave Short, made in our classic gymnastics cut from our signature printed stretch fabric that covers in all the right places. Wear with the matching Ride the Wave Cropped Singlet to twin-set in style. Personalise your name, nickname or team name so you and your girl-gang can train in #SPgirl style!
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White Refine Sugar
- Company Name:Janalamelph Co Ltd
- Membership:Free Member
- Registration Date:2012. 03.14
- Country/Region:Cameroon
- City:north west
- Contact:janalamelph
- Related Keywords:White Refine Sugar
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Tuesday, April 10, 2012
The Sandminer's Monument
I visited the sandminer's monument in Port Washington yesterday. The Port Washington sandpits were the source of 90 percent of the sand used to make the concrete that built New York City! For years I watched the machinery when it was in operation, and then when it all shut down, I spent a couple of days wandering around the old buildings and the ruins of the sand washing tower, but because it was so decrepit, I didn't dare go inside and climb around in it. How unlike me. Anyhow, now they have a monument to the men who worked here, and they included this original piece of conveyor belt left in its tunnel. I had to climb over a fence to get to this, but I wanted to photograph the real thing.
Posted by Ken Spencer at 10:22 PM
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Top answers from doctors based on your search:
what are the safe days
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Dr. Deepa Agarwal m.d. answered
36 years experience Pediatrics
Sexual intercourse.: Theoritically 1st week of a new cycle is considered infertile period but it is a bad idea to have unprotected sex . You could sill get pregnant depend ... Read More
A 25-year-old female asked:
The 1st day of my last period was 11 oct.on 4th and 5th of Nov,my husband and I had sex.There was only penetration but not completely only 1 cm.My husband even said that he didn't ejaculate.Can this cause pregnancy?what are the safe days of sex?
Dr. Charles Whiting answered
26 years experience Obstetrics and Gynecology
Pregnancy possible: Pregnancy is possible in this scenario even without ejaculation. Best wishes!
A 25-year-old female asked:
The first day of my last period was 11,oct.What are the safe days in my mentrual cycle where I can have intercourse and not be pregnant? length of my menstrual cycle is 28 to 32 days
Birth control: There is never really a safe time to have intercourse without condoms and birth control if you don't want to be pregnant. The pullout method has aroun ... Read More
A 47-year-old member asked:
If you really don't: Want to become pregnant - recommend use of protection every time your have sexual intercourse.
A 36-year-old female asked:
The bottom line is: That if you don't want to become pregnant that protection should be used through out all phases of your menstrual cycle. Of course, unprotected sex p ... Read More
1 thank
A 49-year-old member asked:
Dr. Michael Sparacino answered
36 years experience Family Medicine
Probably: If refrigerated, probably.
A 54-year-old member asked:
One can have sex: When they choose but to be safe from pregnancy and sexually transmitted diseases - use a condom every time.
1 thank
A 46-year-old member asked:
If you are asking: About pregnancy - it is best to use protection every time you have sex if you are not ready to be pregnant.
A 37-year-old member asked:
Dr. Alan Ali answered
31 years experience Psychiatry
Fasting: If no medical contraindications, on no medications, & u r doing that for religious reasons (ramadan month), then it is ok to fast for the month from s ... Read More
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US 5 submarines that could destroy world in 30 minutes
Washington: National Interest's top-five list of the world's deadliest submarines includes a Russian strategic Borei-class vessel which carries up to 16 intercontinental ballistic missiles with a range of up to 8,000 kilometres.
The US magazine National Interest has revealed five nuclear-powered submarines that it believes "could destroy the world in 30 minutes" and that proved to be "the most deadly weapons mankind has ever devised".
The US-made Ohio-class submarine, armed with 24 Trident II ballistic missiles, ranks first in The National Interest's top-five list.
Each Trident II missile can carry twelve W88 475 kiloton thermonuclear warheads, which "have the capability to be used as first strike weapons", according to the news outlet, which specifically refers to the Ohio-class submarine's "formidable capabilities".
National Interest asserts that even a single such vessel "could reduce as many as 288 city-sized targets into radioactive ash in less than 30 minutes", ending human civilisation "in less time than it takes to order a pizza".
Right now, nine Ohio-class ballistic missile submarines are deployed in the Pacific and five more are on mission in the Atlantic.
These submarines are being built to replace the Ohio-class vehicles with their "ageing design", National Interest reports, adding that the new subs are "slightly larger than the Ohio-class" but only have 16 Trident II missiles on board.
Most of the new vessels' "massive size is taken up by a new life-of-the-boat reactor and permanent magnet motor drive, which while extremely quiet, is also enormous", the magazine notes.
The first such submarine, which can be seen as "an advanced derivative" of the Virginia-class vehicle, is expected to enter service in 2031.
The Russian Navy's Project 955 Borei-class ballistic missile submarine ranks third in the deadliest sub list.
These vessels are equipped with sixteen RSM-56 Bulava submarine-launched ballistic missiles with a rage of 8,000 kilometres (about 4,970 miles).
The missiles' nuclear warheads are specifically designed to evade enemy air defence systems, National Interest recalls, touting the Borei-class submarines as "the quietest Russian ballistic missile submarines built to date".
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- February 10, 2015
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Two Tamil Political prisoners who were arrested and charged for plotting to assassinate Mahindha Rajapakse, and had been detained in prison for the last 10 years have been released by the High Court in a context where the charges against them being not proved.
The TPPS, Aathithyan (son of former MP Kanagaratnam) and Kokulanath were accused of plotting to assassinate the then President Mahindha Rajapakse, then the Secretary to the Ministry of Defence, Gotabhaya Rajapakse, and then commander of the Army, Sarath Fonseka at the Independence Square during 2009, while the war was being fought.
The case against the suspects were filed in the High Court in 2011. Senior AAL, K.V.Thavarasqa was appearing continuously for the suspects.
When this case was taken up yesterday, AAL Thavarasa placed forward an argument that, to plot such a thing, at least two persons had to meet in person. But it had not been proved that the accused had met at any time.
Following this the judge dismissed the case for adequate evidence had been submitted to prove the charges and released both the suspects.


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Participation and Performance Trends in the Oldest 100-km Ultramarathon in the World
Medbase St. Gallen Am Vadianplatz, 9001 St. Gallen, Switzerland
Institute of Primary Care, University of Zurich, 8091 Zurich, Switzerland
Ultra Sports Science Foundation, 69310 Pierre-Bénite, France
Health Science Department, Universidad a Distancia de Madrid (UDIMA), 28400 Collado Villalba, Madrid, Spain
Exercise Physiology Laboratory, Nikaia 18450, Greece
Bouve College of Health Sciences, Northeastern University, Boston, MA 02115, USA
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(5), 1719; https://doi.org/10.3390/ijerph17051719
Received: 7 January 2020 / Revised: 3 March 2020 / Accepted: 4 March 2020 / Published: 6 March 2020
(This article belongs to the Special Issue Sports and Health)
Participation and performance trends in ultramarathon running have been investigated for large datasets and long period of times with an increase in participants and an improvement in performance. However, the analysis of ultramarathons across many decades is missing. We analyzed these trends for 96,036 athletes (88,286 men and 7750 women) from 67 countries competing between 1956 and 2019 in '100 km Lauf Biel' in Switzerland, the oldest 100-km ultramarathon in the world. More men than women participated in all years. The number of male participants reached a peak at around 1985 and a decline in participation occurred thereafter. Women started competing in 1962. Men were always faster than women and both women and men reduced their race times over years. After about 1985, both overall women and men and both female and male winners were not able to improve race times. For men, athletes from all age groups below the age of 49 years old reached a peak of participation in the 1980s, and showed a decrease since then. Regarding age groups, the decrease first started in age group 20–29 years, followed by 30–39, 40–49, 50–59, and 60–69 years. For athletes in age groups 70–79 and 80–89 years, no decrease occurred. For women, age group athletes in age groups 40–49, 50–59, and 60–69 years increased their participation, whereas age groups 20–29 and 30–39 peaked in the late 1980s and started to decrease or stabilize, respectively. Switzerland, Germany, and France were the countries with the highest numbers of participants throughout the history of the race. In men, race times increased after about 1990 for most nationalities; only runners from Germany seemed to stabilize their performance. In women, runners from Italy, France, and Austria improved their performance over the years. In summary, the analysis of the oldest 100-km ultramarathon in the world showed a decrease in participation and an impairment in performance in the last 60 years. These changes were due to a decrease in the number of male ultramarathoners in around the 1980s, where mainly the number of age group runners younger than 70 years decreased. View Full-Text
Keywords: ultra-endurance; sex; running; nationality; motivation; age group►▼ Show Figures
Figure 1
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
MDPI and ACS Style
Knechtle, B.; Scheer, V.; Nikolaidis, P.T.; Sousa, C.V. Participation and Performance Trends in the Oldest 100-km Ultramarathon in the World. Int. J. Environ. Res. Public Health 2020, 17, 1719.
AMA StyleShow more citation formats Show less citations formats
Knechtle B, Scheer V, Nikolaidis PT, Sousa CV. Participation and Performance Trends in the Oldest 100-km Ultramarathon in the World. International Journal of Environmental Research and Public Health. 2020; 17(5):1719.Chicago/Turabian Style
Knechtle, Beat; Scheer, Volker; Nikolaidis, Pantelis T.; Sousa, Caio V. 2020. "Participation and Performance Trends in the Oldest 100-km Ultramarathon in the World." Int. J. Environ. Res. Public Health 17, no. 5: 1719.
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Motive as to Why the Doctor May Prescribe You Marijuana
The use of marijuana is now legal is one the state where people are using it for medical use for it has more health benefit. You are allowed to take the marijuana drug when you have the prescription from the doctor and there are people who do not know the reason as to they prescribe the drug to them. There is the research that shows that the use of marijuana drug can help you treat some types of illness and disease; thus, it is okay to take the drug on prescription. Below are the reasons as to why the doctor will prescribe marijuana to you in your medication this includes.
The reduction of pain is one of the motives for a marijuana prescription. There are reasons that can make you to experience pain in your body when you have a disease such as cancer, to be free from such chronic pain the doctor will prescribe marijuana. You can have a severe disease like cancer that can make you have pain or suffer from regular and persistent headaches; thus, you can take the marijuana from the doctor prescription.
There is the motive of muscle spasms to use the marijuana drug. You need to use the marijuana to ease the muscle spasms condition, you need to use the marijuana from the doctor prescription although it will not treat.
There is the basis of treating nausea using the marijuana drug. You can experience nausea when you are suffering from a long term illness such as cancer where you have going through the chemotherapy for this will cause you to have nausea. You need to have the diagnosis for the doctor to prescribe the marijuana for at the time it can use by the patient and worsen the condition in some cases.
There is the basis of significant weight loss. There are people who are suffering from chronic illness like HIV; thus, they can use marijuana to help that have an appetite for is cures the loss of appetite.
There is the reason for easing the symptoms of Crohn's disease. The Crohn's disease has become a common disease that is prescribed as the inflammatory bowel disease; this condition is related to the immune system though it is not well defined.
There is the basis of treating seizure disorders. The children who have epilepsy can use this drug for it affects the children and marijuana will help to treat the seizure disorders. There are more health benefit of using the marijuana product and the doctor can prescribe due to the various reasons; thus, when you have any of the above condition you can take marijuana.


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One of my readers made some interesting observations about what meaningful use in a doctors office meant. It's interesting how different people can look at the term meaningful use.
Without getting into semantics, to me the words "meaingful use" means "a way to get government money."
Maybe I'm just a little too practical Seriously though, would we be talking about meaningful use of an EMR if it weren't for the government money? NO. We'd be talking about all the benefits of an EMR. The use of the EMR would just be a function of obtaining those benefits. I love how a bit of money can do all sorts of funky things.


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YouTube and Universal Music Group, the world's largest music company, said on Thursday that they had reached an agreement to create a new online hub for music videos called Vevo. The agreement, which also includes the licensing of Universal recordings for use in user generated videos on YouTube, is the latest of many efforts by YouTube, which is owned by Google, to place more professionally produced content in front of its huge audience, and in turn earn more money from advertising.
Google and Universal said that they would share revenue from advertising on both sites, but declined to discuss specific terms of the agreement. The companies said they expected Vevo to be ready later this year, and they said they were in negotiations with other major labels to join Vevo.
"Vevo will bring the most compelling premium music video content and services to the world's single largest online video audience," Doug Morris, chairman and chief executive of Universal, said in a press release. "We believe that at launch, Vevo will already have more traffic than any other music video site in the United States and in the world."
Music videos have been among the most popular content on YouTube, and music companies were among the first to license their content to YouTube in2006 and 2007. Music videos account for six of the top 10 most-viewed videos on the site, including its most popular, an Avril Lavigne clip that has been watched more than 118 million times.
But for all their success, they haven't produced the revenue that music companies, or YouTube, had hoped.
In an interview with reporters, Eric Schmidt, Google's chief executive, said he believed that the two sides have finally come up with a model that would address those concerns. He credited Mr. Morris with having come up with the idea for Vevo, and said that the conversations between the two executives began at the suggestion of Bono.
"The music industry has been struggling with how to structure these things online in the right way," Mr. Schmidt said. "This is a good model."
Mr. Morris said that over the last few years, Universal has gone from losing $70 million a year in the production of music videos for promotion, to earning roughly that amount now. He said Vevo would be the next step in monetizing music videos with technology from Google and YouTube and content from Universal. "It is going to be a powerful product," he said.
Mr. Morris said that Vevo will include other content from Universal, and over time, will offer fans the ability to purchase merchandise and concert tickets.
Some of the original licensing deals between labels and YouTube have expired recently, and negotiations over renewals have dragged on. Music companies have been seeking better terms for their contracts, which have included a small fee for every video watched and a share of advertising revenue.
In December, Warner Music removed its music videos from YouTube, saying it "simply cannot accept terms that fail to appropriately and fairly compensate recording artists, songwriters, label and publishers for the value they provide."
YouTube has also removed music clips from certain labels in some European countries, where it has faced similar disputes.


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JUBA, Aug. 23 (Xinhua) -- South Sudan's football team, the Bright Stars, on Friday departed to neighbouring Sudan to prepare for its first leg clash in the African qualification for the 2022 FIFA World Cup against Equatorial Guinea.
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