U.S. Surgeon General Jerome Adams made a plea in April for more Americans to be prepared to administer naloxone, an opioid antidote, in case they or people close to them suffer an overdose.”The call to action is to recognize if you’re at risk,” Adams told NPR’s Rachel Martin. “And if you or a loved one are at risk, keep within reach, know how to use naloxone.”Nearly every state has made it easier for people to get naloxone by allowing pharmacists to dispense the drug without an individual prescription. Public health officials are able to write what are called standing orders, essentially prescriptions that cover everyone in their jurisdiction.Some states require training in how to use naloxone, typically given as a nasal spray called Narcan or with an EpiPen-like automatic injection, in order for someone to pick up naloxone. But the medicine is simple to use either way.After the surgeon general called for more people to be prepared with naloxone, we decided to ask Americans about their knowledge about the opioid antidote’s availability, attitudes toward using it and experience with the medicine in the latest NPR-IBM Watson Health Health Poll. The survey queried more than 3,000 households nationwide in May.We wondered how many people know about naloxone and the fact that someone doesn’t have to be a medical professional to administer it. Fifty-nine percent of respondents said they were aware of the antidote and that it could be given by laypeople; 41 percent said they weren’t.We then asked people who knew about naloxone if they would need a prescription to get it. The answers were pretty evenly divided among three options: yes, no and not sure/no response.”Why, with all the attention we’ve had in the media, why don’t more Americans know about naloxone?” asks Dr. Anil Jain, vice president and chief health information officer for IBM Watson Health. “When people did know, why did people think they needed a prescription?” While the survey doesn’t get at the causes, Jain says, the findings underscore the need for greater public awareness.Baltimore Health Commissioner Dr. Leana Wen says the lack of knowledge among Americans at large isn’t all that surprising. “Policy alone is necessary but not sufficient,” she says. “People still don’t know to go to the pharmacy to get access to naloxone, especially individuals at the highest risk.”To change that, she says, “you have to have continued education and the delivery of services” where people need them.In Baltimore, the health department maps where overdoses are happening and sends outreach workers to the areas. But money is an issue, even at a negotiated cost of $75 per naloxone kit, Wen says. There isn’t enough naloxone to go around. “Every week we take stock of how many naloxone kits we have for the rest of fiscal year,” she says. “Who’s at most risk? Those are who we give the naloxone to.”The NPR-IBM Watson Health Poll asked people if they would be willing to use Narcan, the nasal spray form of naloxone, to help a person who had overdosed. Fifty-eight percent said they would and 29 percent said no. Thirteen precent weren’t sure or didn’t respond. Only 47 percent of people 65 and older said they would be willing to do it.When asked about the auto-injector option, 68 percent of respondents said they would be willing to administer naloxone that way and 22 percent of people said they wouldn’t be.Finally, we asked whether people had obtained naloxone, and 10 percent said they or someone in their household had. Among those people, 81 percent said the naloxone had been used, but the sample size for this question was small, making interpretation difficult.The nationwide poll has an overall margin of error of plus or minus 1.8 percentage points. You can find the questions and full results here. Copyright 2018 NPR. To see more, visit http://www.npr.org/.
A disabled campaigner who is battling to protect the rights of wheelchair-users to travel on buses has won permission for his appeal to be heard by the Supreme Court.Doug Paulley (pictured) has been told by the court that it will hear his discrimination case – which is backed by the Equality and Human Rights Commission (EHRC) – against transport company First Bus.Paulley, from Wetherby, took the case against First Bus following an incident in February 2012.He had been planning to travel to Leeds, but was prevented from entering the bus because the driver refused to insist that a mother with a pushchair should move from the wheelchair space.He told Disability News Service that he was “relieved” and “really glad” about the Supreme Court’s decision, although it is unlikely to be heard until the latter part of 2016 at the earliest.He said: “It would have been a travesty if they had not [agreed to hear the appeal], given the huge support from lots of disabled people and that [the appeal] is being bank-rolled by the EHRC.”Paulley said the case wouldn’t have got so far “without so many disabled people sticking their necks out and campaigning around it and making it such a public issue”.And he said the case going to the Supreme Court would “certainly make a lot of people think and talk about it”.He said he now rarely used buses because of the effect the “extra layer of stress” caused by the incident – and the uncertainty he now feels when he uses a bus – had had on his mental health problems.Disabled campaigners were left “appalled” in December when three court of appeal judges found in favour of First Bus, and against Paulley.That judgement over-turned a county court ruling that wheelchair-users should have priority in the use of dedicated wheelchair spaces over parents with pushchairs, and that the “first come, first served” policy of First Bus breached the Equality Act.Instead, the court of appeal said that a bus driver needs only to request – and not demand – that a buggy-user vacates the space if it is needed by a wheelchair-user.A First Bus spokesman said today (Thursday): “The court of appeal decision in 2014 gave our customers, drivers and the wider industry much-needed clarification around the priority use of the wheelchair space on board buses.“The court’s judgment endorsed our current policy, which is to ask other passengers in the strongest polite terms to make way for wheelchair-users.“We note Mr Paulley has been given permission to appeal the court of appeal decision. We will continue to make the case that our current policy both complies with the law and remains the most practical solution for all concerned.”The importance of Paulley’s case was highlighted this week when it was mentioned several times in the first evidence session of a committee set up by the House of Lords to examine the impact of the Equality Act 2010 on disabled people.The Conservative peer Lord Northbrook was one of those who mentioned the Paulley case, when he questioned whether the law on service-providers’ duties to make reasonable adjustments for disabled people was “sufficiently precise”.Meanwhile, on the same day that the Supreme Court announced its decision, campaigners revealed that another transport company, National Express, had scrapped its own “first come, first served” policy on its buses, and replaced it with a wheelchair priority policy.The move followed a question asked by disabled athlete Susan Cook at the company’s annual general meeting (AGM) on 6 May, after which she had secured a meeting with two of the company’s top executives.Cook was supported by the user-led, campaigning charity Transport for All, and ShareAction, which helps people attend company meetings and raise issues with directors.Cook said: “It was great to use my power as a shareholder to secure a meeting with the company and persuade them to change their policy.“I’m glad National Express saw sense on this issue and I’m looking forward to going to more AGMs to raise disability rights issues in future.”Lianna Etkind, campaigns and outreach coordinator at Transport for All, said: “Being able to use public transport is an essential part of a full and active life, getting to work, having access to healthcare and education, or a social life, with freedom and independence.“We’re pleased National Express listened to reason and have decided to change their policy on wheelchair priority. It was great to work with Susan and ShareAction to bring about this change.”National Express has already announced plans to introduce a “turn up and go” service on its c2c train services in Essex from September, so disabled people needing assistance will be able to arrive at stations and have staff help them, without needing to book in advance.National Express will be the first private train company to offer this service in the UK and has also pledged to be the first train operator to make a route completely accessible.
Picture by DPAC Disabled activists were locked inside the Department for Work and Pensions’ headquarters by security guards as they delivered thousands of copies of a newspaper that feature “deliberately misleading” DWP adverts which “whitewash” the truth about universal credit.Protesters from Disabled People Against Cuts (DPAC) were unable to leave Caxton House in Westminster for several minutes yesterday (Wednesday) when security guards locked the building’s front doors behind them after they entered the main lobby.They had entered the building to deliver a letter to work and pensions secretary Amber Rudd, in which they asked her to explain why she had spent hundreds of thousands of pounds on an advertising campaign in the free Metro newspaper that features “one-sided adverts whitewashing the disastrous Universal Credit policy”.They also delivered about 10 boxes of copies of yesterday’s Metro (pictured), which features the latest Department for Work and Pensions (DWP) advertising feature on universal credit (UC), and which activists had removed from distribution points at train stations and on buses across the capital.Soon after their arrival, DWP security guards locked the front entrance and threatened to call the police, even though the action had been peaceful and focused only on delivering the newspapers and the letter to Rudd.The doors were eventually unlocked several minutes later after one of the activists had a panic attack.The letter to Rudd was finally accepted, and although DWP initially refused to accept the boxes of newspapers, they were later taken inside after being left outside the department’s front entrance.In the letter, DPAC and allies from Kilburn Unemployed Workers Group asked Rudd “why, when Universal Credit is causing so much suffering and distress, your department chose to throw money at this shameless exercise”.They added: “We hope that the enclosed materials will provide food for thought as you prepare your response to claimants staring into empty cupboards trying to work out how they can feed themselves and their children, and all those who are wondering why the taxes we pay for collective provision of services are being used in such an inappropriate attempt to rewrite the story of this disastrous policy.”Paula Peters, a member of DPAC’s national steering group, who took part in the action, said: “They are discrediting people’s real testimonies of going through universal credit.“I have been outside jobcentres and have spoken to claimants who have been driven to prostitution, destitution and homelessness by universal credit.”She added: “We will continue to expose their lies and total fabrications and we have to get the truth out there with thorough research and with people’s personal testimonies.”Yesterday’s action, including the hire of a van to deliver the newspapers, was paid for through a crowdfunding effort launched by Sheffield DPAC, which is set to pay for further such actions.As DPAC was delivering its copies of the Metro to DWP in London, disabled activists and allies in other parts of the country, including Sheffield and Bristol, posted photographs of copies of the Metro being removed from their distribution points, as part of the ongoing #DumpMetroDWPLies campaign.A spokesperson for Sheffield DPAC – which has played a significant role in the national campaign – said anger about the Metro adverts was growing, and she thanked those who had donated to the fund.She said the Metro adverts were “propaganda” and “a deliberate attempt to manipulate public perception” of universal credit.She said: “I implore people, whether they are claimants or not, to support the #DumpMetroDWPLies campaign against the DWP advertorials.“People have to be aware that once the government have done targeting us that they will move on to someone else.“We need to act, we need to stand up, we need to stop this, and we absolutely must do it together.”Meanwhile, the Advertising Standards Authority (ASA) has confirmed that it is investigating the way the DWP advertising features have been published by the Metro.Disability News Service (DNS) confirmed last month that DWP breached Civil Service guidelines when it decided to launch the nine-week series of “unethical and misleading” Metro advertorials without including a government logo.And this week DNS passed a screen shot to ASA showing the home page of the Metro’s website, which featured several UC adverts designed to look like a newspaper investigation and which disguise their DWP origin.None of the adverts on the website mentioned they were designed and paid for by DWP, which appears to be a breach of ASA rules.Leaked DWP documents have revealed that the adverts were always designed to be misleading and not to “look or feel like DWP or UC”.An ASA spokesperson said: “We’re currently assessing a number of complaints relating to these ads, including complaints that challenge whether the ads are obviously identifiable as marketing communications.“We will establish whether there are grounds for further action in due course.”Meanwhile, the Disability Benefits Consortium of charities has written to ASA to complain about the “deliberately misleading” advertising features.The letter dismantles several of the claims made in the adverts, including the claim that it is a “myth” that “Universal Credit doesn’t work”, telling ASA: “These statements omit the thousands of claimants universal credit does not ‘work for’ but instead has driven them into debt, rent arrears, foodbanks, and homelessness.”A DWP spokesperson told DNS: “Our position is that all our advertising is factual and designed to increase understanding of Universal Credit.“We consulted the Advertising Standards Authority prior to launching the partnership and have reflected their advice.“We’ve not got anything further to add.”On the DPAC action at Caxton House, she said: “You can understand that we’re in a government building, so a group of non-staff members quickly entering the building with large parcels is an obvious security concern.“Security dealt with the incident quickly and the activists were able to leave the parcels outside the front door, without the need for further action.”She had already declined to comment when asked what DWP planned to do with the thousands of Metros delivered to Rudd. A note from the editor:Please consider making a voluntary financial contribution to support the work of DNS and allow it to continue producing independent, carefully-researched news stories that focus on the lives and rights of disabled people and their user-led organisations. Please do not contribute if you cannot afford to do so, and please note that DNS is not a charity. It is run and owned by disabled journalist John Pring and has been from its launch in April 2009. Thank you for anything you can do to support the work of DNS…
cannabis, biotech and entrepreneurship reporter Add to Queue 3 min read Image credit: HighGradeRoots | Getty Images New Report: US Cannabis Market Could Hit $22.7B by 2023 Green Entrepreneur provides how-to guides, ideas and expert insights for entrepreneurs looking to start and grow a cannabis business. Get 1 Year of Green Entrepreneur for $19.99 A new report projects the cannabis market in the United States will reach $22.7 billion in sales by 2023. The estimates in the Brightfield Group report imply a compound annual growth rate (CAGR) of 20 percent over the next four years.The recreational market is expected to lead the charge, at least in 2019, delivering 33 percent growth, driven by a variety of factors including the stabilization of the market in California and new adult-use markets coming online. The Brightfield Group, a predictive market intelligence services provider for the CBD and cannabis industry, last year predicted the hemp-derived CBD market would hit sales of $22 billion by 2022.Related: Report: CBD Market To Hit $22 Billion By 2022New states, new leaders.Brightfield Group’s estimates assume the number of active adult-use states (meaning those currently selling products, versus those with laws in place but no real sales) will surge from seven in 2019 to 16 by 2023. The number of active medical markets is also anticipated to rise from 28 to 35. The report explains that as more states move to legalize adult-use cannabis through ballot initiatives, momentum for legalization should increase as well.“Major shifts in socio-political support for legalization have spurred momentum as progressive proposals have been put forth in states like Illinois, and other midwestern states, such as Ohio, open to medicinal usage.”According to the research firm, West Coast states which currently dominate the market in terms of sales, will soon lose their preeminence to East Coast and Midwestern states. Only California will remain a leader, followed by New York and Massachusetts, which will command 10 percent of the total market share each, Brightfield Group expects. The firm also envisions Midwestern states such as Illinois and Michigan will deliver stronger sales numbers than states with more established adult-use programs, like Colorado and Nevada.”Some of the country’s largest states have been bitten by the cannabis bug,” said Bethany Gomez, director of research for Brightfield Group. “With states like Michigan, Illinois, New York and New Jersey expected to open recreational markets over the next five years, the landscape of the cannabis market will shift entirely from West to East. The first movers of four or five years ago — Colorado, Oregon, Washington — are slowing to single-digit growth rates, while these more populous markets will rapidly take their place.”Related: A University in Michigan Is Offering a Bachelor Degree for Marijuana EntrepreneursWhile sentiment toward the medical uses of cannabis changes nationwide, driving policy change as well, a convoluted picture on the federal level calls for more clarity in standardized legislation. This would provide “needed consistency, helping states model and craft legislation to fit their constituents and markets with proven models and in-market clarity.”Beyond the evolution of the market size and distribution of the pie, Brightfield Group’s report looks into the positive effects of the Farm Bill, as well as the potential passage of the STATES Act and the SAFE Banking Act on the future of the cannabis industry. They also predict a move toward market standardization, an explosion of multi-state operators, ongoing corporate consolidation and continued expansion of the CBD market. Subscribe Now Next Article Javier Hasse –shares Brought to you by Benzinga May 22, 2019 cannabis industry Legal marijuana will no longer be an exclusively West Coast phenomena as East Coast and Midwestern states legalize huge new markets. VIP Contributor
MomentFeed Reports “Customer Brand Loyalty is on Life Support” Business Wire5 days agoJuly 18, 2019 brand marketing mixJim D’ArcangeloMarketing Technology NewsMobile Brand SearchMomentFeedNews Previous ArticleFreshworks Named in Gartner’s 2019 Magic Quadrant for Sales Force AutomationNext ArticleOtter.ai Integrates With Dropbox to Collaborate, Manage, and Search Video and Audio Files Only 18 Percent of Consumers Search on Mobile for Brand NamesMomentFeed, a leader in software that connects global and national brands with consumers who use mobile when they are ready to buy locally, published a report that reinforces the value of local-mobile in the brand marketing mix.Only 18 percent of consumers search on mobile for brand names. Proximity, convenience, relevance, and quality are more important than ever.Although major brands are spending upwards of $70B in TV advertising and digital marketing spend is at 44 percent of budgets and on the upswing, location marketing strategy is often forgotten, especially by the largest of consumer brands. This can be deadly for companies that rely heavily on local stores and venues for the vast majority of sales.A new report called “The Rapid Death of Mobile Brand Search” highlights the facts and trends behind local-mobile search.Marketing Technology News: Fastbase New 3.0 Extension to Google Analytics Boosts Lead Generation to a New High Level for B2B companiesFor example, 82 percent of consumers search their phones for a product type (e.g., “nitro brew near me” rather than a specific branded coffee shop) and will often make choices based on Google ranking and proximity first.“I’ve met with many senior marketing executives who assume that because they’ve invested in search marketing and digital that they’ll automatically show up in mobile searches,” says Jim D’Arcangelo, MomentFeed CMO. “But to show up consistently in the ‘Google 3-Pack’ (top three listings), brands need to be hyper-focused on and savvy about their location marketing and review management and their impact on SEO. We’ve seen huge sales boosts among retailers and restaurants who focus on location marketing in addition to brand-building.”Marketing Technology News: Tapad and AdsWizz Partner to Enable Digital Identity Resolution Across Audio Ad CampaignsAdds Greg Sterling, VP of Strategy, Local Search Association, “Brands that aren’t devoting significant attention and resources to local and mobile marketing are not only falling behind competitors, they’re potentially losing revenue”Marketing Technology News: Icertis Cements Undisputed CLM Market Leadership with $115 Million Round
This Capitol Hill news roundup includes reports about new health law budget numbers, and about how the GOP — if it gained control of the Senate — would focus on health care cost control rather than coverage expansion. Also in the news, Sen. Charles Grassley, R-Iowa, is proceeding with his questions about nonprofit hospitals and charity care. Finally, an ethics panel inquiry regarding a Nevada lawmaker moves forward. Kaiser Health News: Capsules: CBO To Release New Budget Numbers For Health Law Week Of July 23The Congressional Budget Office will release its estimate of the federal budgetary impact of the Supreme Court health law ruling the week of July 23, according to a blog post by CBO Director Doug Elmendorf (Werber Serafini, 7/9).Modern Healthcare: GOP Would Push Cost Control Instead Of Wider Coverage, Lawmaker SaysSen. Orrin Hatch (R-Utah), ranking member on the Finance Committee, said if Republicans gain control of the chamber next year, their efforts to replace the health care overhaul will focus on cost control, instead of coverage expansions. Hatch is in position to lead the committee with primary jurisdiction over federal health policy if Republicans retake the Senate, which Republicans would do if they net only four Democratic-held seats (Daly, 7/9).CQ HealthBeat: Grassley Turning Up Heat On Nonprofit Hospitals To Deliver Charity CareSen. Charles E. Grassley is closing in on his goal of making nonprofit hospitals demonstrate what they do to deserve tax-exempt status, after years of butting heads with the American Hospital Association over whether the facilities should be required to deliver more free or discounted care to low-income Americans. Rules now being written by the IRS require nonprofits to be more specific about what community benefits they provide and to ensure that low-income patients know whether or not they are eligible for free or discounted care. The rules are a watered-down version of what Grassley, R-Iowa, really wants: a requirement that nonprofits deliver charity care equal to a set percentage of their revenue. But delivering more charity care is among the ways of complying with the rules, although not the only way, and nonprofit hospitals will no longer be able to be vague about what community benefits they provide (Reichard, 7/9).The New York Times: Panel Seated In Ethics Inquiry Into Nevada Lawmaker[Democratic Rep. Shelley] Berkley has been accused of wrongly intervening with Medicare officials in 2008 after they threatened to close a troubled kidney transplant center in Las Vegas where her husband’s kidney-care practice served as consulting physicians (Lipton, 7/9). New CBO Numbers On Health Law Expected Soon, A GOP-Led Senate Would Focus On Cost Control This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
Data will also be presented on potential risk factors for repeated or persistent hyperkalemia (Poster # SuMDP65). Source:https://www.astrazeneca.com/media-centre/press-releases/2018/the-landmark-declare-timi-58-cardiovascular-outcomes-trial-of-farxiga-in-patients-with-type-2-diabetes-to-be-featured-at-aha-01112018.html Whether clinical characteristics predicting bleeding and ischemic risk identify subgroups of patients who may derive benefit from long-term treatment with BRILINTA, with a lower risk of major bleeding (Poster #Sa2100) The effects of long-term use of BRILINTA in patients who have had a heart attack and who did not receive a coronary stent vs. those who did receive a coronary stent placement (Oral Presentation #102) The use of high-sensitivity cardiac troponin to identify patients who are at a higher-risk of major CV events (Oral Presentation #100) Reviewed by Alina Shrourou, B.Sc. (Editor)Nov 1 2018AstraZeneca will present 20 abstracts including a late-breaking oral presentation on the full results from the Phase III cardiovascular (CV) outcomes trial (CVOT) DECLARE (Dapagliflozin Effect on Cardiovascular Events)-TIMI 58, the broadest SGLT2 inhibitor CVOT conducted to date, as well as new research from the Company’s Cardiovascular, Renal & Metabolism (CVMD) therapy area at the American Heart Association (AHA) Scientific Sessions, November 10-12, 2018, in Chicago, Illinois, USA.New evidence will build on broad clinical research from AstraZeneca that aims to help redefine the management of CVMD diseases and address the need for a more proactive and holistic approach to patient care. Presentations will include findings from some of the largest trials in broad patient populations with FARXIGA (dapagliflozin) in type 2 diabetes (T2D), BRILINTA (ticagrelor) in patients with a history of heart attack, and in hyperkalemia.Danilo Verge, Vice President, Cardiovascular, Renal & Metabolism, Global Medical Affairs, said: “An estimated 20 million people each year die from cardiovascular, renal and metabolic diseases, yet shared risk factors are frequently not diagnosed or addressed holistically. Our data at AHA reflect an integrated approach to managing the needs of patients living with type 2 diabetes and risk of cardiovascular or renal disease, and those with a history of cardiovascular disease at acute and long-term risk of recurrence. We stand firmly behind our mission to provide new solutions earlier in disease management to these patients at risk for multiple complications.”DECLARE-TIMI 58: a landmark CVOT evaluating CV risk in patients with T2DClinical trial results showing the safety and efficacy of FARXIGA vs. placebo on primary CV and secondary renal efficacy outcomes in adults with T2D who have multiple CV risk factors or established CV disease, will be presented in a late-breaking oral presentation (Late Breaking Abstract #19485). DECLARE-TIMI 58 evaluated the CV outcomes of FARXIGA vs. placebo over a period of up to five years, across 33 countries and in more than 17,000 adults with T2D with multiple CV risk factors or established CV disease.Related StoriesMetformin use linked to lower risk of dementia in African Americans with type 2 diabetesNew biomaterial could encapsulate and protect implanted insulin-producing cellsObese patients with Type 1 diabetes could safely receive robotic pancreas transplantIn September 2018, AstraZeneca announced that FARXIGA met its primary safety endpoint of non-inferiority for major adverse cardiovascular events (MACE) and achieved a statistically-significant reduction in the composite endpoint of hospitalization for heart failure (hHF) or CV death, one of the two primary efficacy endpoints. Additionally, fewer MACE events were observed with FARXIGA for the other primary efficacy endpoint, however, this did not reach statistical significance. Clinical trial results presented at AHA Scientific Sessions 2018 will include additional details on the primary CV safety and efficacy, as well as secondary renal efficacy outcomes from DECLARE-TIMI 58. FARXIGA is not indicated to reduce the risk of CV events, hHF or renal outcomes.Three new sub-analyses from the PEGASUS-TIMI 54 trial will also be presented. The trial compared BRILINTA (90mg or 60mg twice daily) plus aspirin vs. aspirin alone in 21,162 patients with prior (1 to 3 years) heart attack. The sub-analyses evaluate:
Reviewed by James Ives, M.Psych. (Editor)Jun 24 2019Micronutrient deficiencies, including vitamins B12 and D, as well as folate, iron, zinc and copper, are common in adults at the time of diagnosis with celiac disease. These deficiencies should be addressed at that time, according to a study by Mayo Clinic researchers.The retrospective study of 309 adults newly diagnosed with celiac disease at Mayo Clinic from 2000 to 2014 also found that low body weight and weight loss, which are commonly associated with celiac disease, were less common. Weight loss was seen in only 25.2% of patients, and the average body mass index was categorized as overweight. The study will appear in the July issue of Mayo Clinic Proceedings. Related StoriesTAU’s new Translational Medical Research Center acquires MILabs’ VECTor PET/SPECT/CTSwimming pools could be breeding grounds for diarrhea-causing germsOlympus Europe and Cytosurge join hands to accelerate drug development, single cell researchCeliac disease is an immune reaction to consuming gluten, a protein found in wheat, barley and rye. Eating gluten triggers an immune response in the small intestine that over time damages the intestine’s lining and prevents it from absorbing some nutrients, leading to diarrhea, fatigue, anemia, weight loss and other complications.Based on recent data, the prevalence of celiac disease in the U.S. is 1 in 141 people, and its prevalence has increased over the past 50 years.”Our study suggests that the presentation of celiac disease has changed from the classic weight loss, anemia and diarrhea, with increasing numbers of patients diagnosed with nonclassical symptoms,” says Dr. Bledsoe, the study’s primary author. “Micronutrient deficiencies remain common in adults, however, and should be assessed.” Assessment should include vitamin D, iron, folic acid, vitamin B12, zinc and copper.Zinc deficiency was observed most frequently at diagnosis, the study says, with 59.4% of patients having a deficiency. Other deficiencies included iron, vitamin D, copper, vitamin B12 and folate.The nutritional deficiencies have potential health ramifications, though in this retrospective study the clinical implications remain unknown. “Further studies are needed to better define the implications of the deficiencies, optimal replacement strategies and follow-up,” says Dr. Bledsoe. Source:Mayo Clinic It was somewhat surprising to see the frequency of micronutrient deficiencies in this group of newly diagnosed patients, given that they were presenting fewer symptoms of malabsorption.”Adam Bledsoe, M.D., a gastroenterology fellow at Mayo Clinic’s Rochester campus
The accused have been asked not to enter Ranni taluk, where the Lord Ayyappa temple is located, for two months. BJP leader K. Surendran was taken into preventive custody after he attempted to enter Sabarimala through a check-post at Nilackal on November 17, 2018. – C. Suresh Kumar COMMENT November 21, 2018 SHARE A court here granted conditional bail to 72 people, including BJP general secretary K Surendran, who were arrested in connection with the Sabarimala temple row. Surendran along with two others had been arrested on November 18 from Nilackal as he tried to proceed to the Lord Ayyappa Temple despite being advised by police personnel against visiting Sabarimala due to law and order issues. The 69 others were arrested after they held a “nama japam” (chanting Lord Ayyappa mantras) inside the shrine complex late on Sunday, defying prohibitory orders. When their case was presented before the Munsif court here, the 72 people were granted bail with strict conditions. The accused have been asked not to enter Ranni taluk, where the Lord Ayyappa temple is located, for two months and they have been directed to submit two personal sureties of Rs 20,000 each. The court also rejected the plea of the accused to permit them to visit the hill shrine during the two-month-long “mandala makaravillaku” pilgrim season. Since a non-bailable warrant is pending against him before the Kannur magistrate court, Surendran will have to seek bail in that case to come of jail. Restrictions have been imposed at the Lord Ayyappa temple following protests by devotees and activists of the BJP and the RSS over the state government’s decision to implement the September 28 Supreme Court order. The hill shrine was opened on November 16 evening for the over two-month-long pilgrimage season amid tension. sabarimala SHARE SHARE EMAIL COMMENTS Published on
SHARE SHARE EMAIL Rafale RELATED SHARE What does the CAG’s Rafale report say? ‘Not worth paper it’s printed on’ February 13, 2019 Published on NDA Rafale deal cheaper than UPA offer: CAG Congress President Rahul Gandhi along with Sonia Gandhi, Former Prime Minister Dr Manmohan Singh with party MP’s protesting at Parliament against Rafale deal controversy, in New Delhi on Wednesday. – Sandeep Saxena Rahul Gandhi Congress President Rahul Gandhi on Wednesday said the Comptroller and Auditor General (CAG) report on the Rafale jet fighter deal is “not worth the paper it is printed on” as it does not include the dissent note by the expert negotiating team.At a press conference called within hours after the federal auditor tabled the performance audit report on capital acquisition of the Indian Air Force in the Rajya Sabha, the Opposition Leader said while he does not agree with the findings of the report, its conclusion that the 36 Rafale jet deal by the BJP-led NDA government through an inter-governmental agreement (IGA) is 2.86 per cent cheaper than an earlier deal for 126 jets, “proves that the Prime Minister, the Defence Minister and the Finance Minister lied to Parliament when they said the price difference was between 9-20 per cent”.Fresh revelations Quoting fresh revelations in The Hindu on Wednesday, based on the notings by three domain experts who were part of the Indian Negotiating Team (INT), which pointed out that the new deal worked out by the BJP through the IGA was “not on better terms” than the deal being negotiated by the previous UPA government, Gandhi said the Centre’s twin rationale for negotiating a fresh deal has been “totally demolished”.Refuting rationale“They said that the new deal was worked out because it would be cheaper and bring the aircraft earlier. The note by the technical and financial experts in the negotiating team has totally demolished these two reasons. The only reason for the new deal is to give ₹30,000 crore to Anil Ambani,” the Congress chief alleged.Gandhi questioned why the note by three domain experts was not factored in by the CAG in India in its audit report.To another question on the CAG report, he said, “In my opinion, any audit of a deal that does not take into account the considered opinion of the technical and financial experts on the deal is not worth the paper it is written on.”Gandhi asserted that the fresh revelations in The Hindu have validated the accusation that there is a scam in the Rafale jet deal. “When the domain experts are putting their objections in writing, they are distancing themselves from the corruption in the deal. They will not be held liable if there is an enquiry into the deal,” said Gandhi.On SC orderTo a question about the government’s assertion that the Congress’s accusations about a scam in the Rafale deal have been refuted by the Supreme Court (SC) earlier, and by the CAG now, Gandhi said, “I want to ask — was this note by the domain experts presented to the SC? The facts were hidden.”The Congress President reiterated the demand for a Joint Parliamentary Committee enquiry into the deal. COMMENT COMMENTS
police spokesman in the state who confirmed the incident to DAILY POST in Asaba, He wanted students in India to have a wider global view and always gave priority to the identity of India" Modi said It is my privilege that I have got this opportunity to spend time on Rabindranath Tagore’s soil: PM Modi in Shantiniketan | #ModiHasinaMeet pictwittercom/GGk7sItSne — News18 (@CNNnews18) May 25 2018 Welcoming Hasina Modi said that it has hardly ever happened before that two prime ministers of different nations attended the convocation ceremony of a university He hailed the India-Bangladesh ties and said that the two nations can learn a lot from each other be it in the field of public policy or culture Bangladesh Bhavan is also an example of this and it is areflection of Tagore’s ideas he added Modi also congratulated the students whogottheir degrees at the convocation ceremony He said thatwhile the degree is important what the students learned at the universityis also equally significant Talking about new India the prime minister said that about 125 crore Indians have pledged to create a new India by 2022 He said that the Centre is trying to match the education requirements to fulfill the idea of a new India He further said that he wants the Visva-Bharatiuniversity to reach out to 100 villages and help them evolve Theprime minister arrived in his chopper at Panagarh in Bardhaman West district around 10 am on Friday and left for the convocation venue soon after He was greeted with a bouquet of flowers by Banerjee upon his arrival Governor Keshari Nath Tripathi and senior leaders of West Bengal BJP unit were also present at the helipad to welcome theprime minister Both Modi and Hasina signed the visitors’ book at the university before taking to the dais at the convocation venue Earlier in the day the university witnessed unruly scenes as youths were seen protesting outside the convocation venue over the paucity of water an official said The youths alleged that some students fell sick as there were inadequate arrangements for water and other facilities at the venue The university authorities however said that the protesters were outsiders and had nothing to do with the university "Some of the protesters were identified and asked to leave the venue The problem has been taken care of" said a university official Modi and Hasina are expected to hold informal talks later The issue of Rohingya crisis and Teesta Water Dispute is likelyto comeup in their discussion With inputs from agencies Manchester City:Manchester City manager Pep Guardiola has said his team would not concede defeat in the Premier League title race if they were in the same position as Manchester United United manager Jose Mourinho conceded the title to runaway leaders City for the first time on Friday with the 20-times champions running second 15 points behind City with 13 games left File image of Manchester City boss Pep Guardiola Reuters Asked ahead of City’s trip to seventh-placed Burnley on Saturday if he would give up in Mourinho’s position Guardiola said: "No I don’t think so That is not going to happen "We have shown even in our two defeats this season that we will try until the very end We play every game to give sense to what we are doing I know the 15-point distance is quite big at the moment It’s the same gap from six games ago "In football and in sport anything can happen You are good today but tomorrow you are bad The most important thing we have done is tofocus In my experience until everything is done you have to be prepared for anything to happen" City have endured a hectic season having progressed to the Champions League last 16 the FA Cup fifth round and the League Cup final apart from dominating the league and Guardiola said he would rest his players following the Burnley game "After the game against Burnley until next Wednesday the players will be resting" Guardiola added "The players can do whatever they want they can travel or whatever If they want to go and find some sunshine or stay here in Manchester they can do what they like They are free" he has come to the Visva-Bharati University as a chancellor” said Matthew Read from the BBCS @mattgutmanABC reports https://tco/7lxveDiaZ3 pictwittercom/ZSL9vS6kIE Good Morning America (@GMA) October 22 2018 “The migrants are ordinary people from Central America Theyre joining the caravans because the migration routes through Mexico are perilous for them and highly expensive” says Elizabeth Oglesby an associate professor of Latin American studies at the University of Arizona who has studied Central America and human rights issues “The more that the border has become militarized between the US and Mexico the more perilous and the more expensive the journey has become for Central Americans So thats why we see people coming together in the caravans” She says the caravan which is larger than many of its annual predecessors has grown because of how word spread on social media and because of worsening conditions in Honduras where the murder rate is among the highest in the world and where the government has cracked down on political protesters following last year’s disputed presidential election Oglesby says just a fraction of migrants who begin the trek make it to a US point of entry each year as many turn back or peel off if they can find work or safety in Mexico instead While no specific group has said it’s responsible for organizing the current caravan Pueblo Sin Fronteras founded in 2010 has led asylum-seeking migrants through Central America for more than 15 years most recently in April another caravan that drew ire from Trump The group aims to “provide shelter and safety to migrants and refugees in transit accompany them in their journey and together demand respect for our human rights” Some Pueblo Sin Fronteras leaders and organizers are involved in the current caravan Trump has lashed out at the caravan as an example of illegal immigration threatening to deploy US military force to “close our Southern border” and stop what he has described as a crisis But illegal border crossings have been declining overall for more than a decade though the number of border apprehensions fluctuates month-to-month And under US law it is legal to petition for asylum at the border though the process may be lengthy and ultimately unsuccessful “These migrant caravans are not a border crisis” Oglesby says “People are doing this openly and visibly and they plan to show up at the US port of entry and petition for political asylum and that is exactly how our laws are supposed to function The crisis comes about when US border officials discourage people from political asylum leave them on the bridges or threaten them that if they go forward with a political asylum claim they might lose their children” Write to Katie Reilly at KatieReilly@timecom he should do it regardless of whoever is involved as long as there is an established case against an individual “So I begin 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