The Network published a video in which the German company Rheinmetall introduced a new version of the main battle tank British army Challenger 2. War machine is radically different from the version of competition from BAE Systems and involves replacing the turret, guns and engine.

Due to the fact that the troops of great Britain in the foreseeable future are not going to abandon the tank the Challenger 2, they announced the project, which involves works on its modernization. It was called Life Extension Programme. It was attended by two companies: the local branch of BAE Systems and the German company Rheinmetall. The first has already presented its own version of the combat vehicle in the fall of 2018 and called it Black Night. In this modification, there have been few changes that have affected the fire control system and means of communication. The tower and building, and power plant. The weapon retained the basic elements, but have to get a new one.

In Rheinmetall chose an entirely different path, completely redrawing the tower and equipping it with the latest equipment. It has a place and modern fire control instruments, and other weapons. In addition, the developers refused from the regular L30A1 rifled gun, and chose instead smoothbore gun caliber 120 mm, which is more familiar to the current tanks. Also not excluded is the replacement engine for a more powerful.Earlier it was reported that this year, all located in the Arctic, the Russian troops will have to adopt a reactive T-80 adapted for use in the far North.

Read this article:

In Rheinmetall unveiled its modified version of the British MBT Challenger 2 - The Times Hub

Australia has suspended its extradition treaty with Hong Kong, and offered visa holders from the territory a five-year extension with a pathway to permanent residency, in response to China's imposition of a national security law.

The 10,000 Hong Kong citizens in the country on student or temporary work visas are likely to benefit from the move.

"There will be citizens of Hong Kong who may be looking to move elsewhere, to start a new life somewhere else, to take their skills, their businesses," said Prime Minister Scott Morrison.

He also made a pitch for international financial services, consulting and media businesses with regional headquarters in Hong Kong to relocate to Australia.

"If there are businesses that wish to relocate to Australia, creating jobs, bringing investment, creating opportunities for Australia then we will be very proactive in seeking to encourage that," he said.

Acting Immigration Minister Alan Tudge said he expected the numbers of Hongkongers who would come to Australia under the new arrangements would be "in the hundreds or low thousands".

The new security law drawn up by Beijing makes secessionist, subversive, or "terrorist" activities illegal in Hong Kong - as well as foreign intervention in the city's internal affairs - with those found guilty facing punishments of up to life in prison.

Critics fear the law will be used to target protesters and opposition politicians seen as disloyal to Beijing.

Mr Morrison said: "Our government, together with other governments around the world, have been very consistent in expressing our concerns about the imposition of the national security law on Hong Kong.

"That national security law constitutes a fundamental change of circumstances in respect to our extradition agreement with Hong Kong."

Australia has also updated its travel advice for Hong Kong, where around 100,000 Australians live and work, to say they "may be at increased risk of detention on vaguely defined national security grounds".

The action follows similar moves by the UK, which has offered a path to citizenship for nearly three million people in Hong Kong who were eligible for British National Overseas status ahead of the handover back to China in 1997.

Canada has suspended its extradition treaty with Hong Kong and is looking at other options including migration.

New Zealand said on Thursday it was also reviewing its relationship with the territory including extradition arrangements, controls on exports and travel advice.

Relations between Beijing and Canberra have soured since Australia called for an international inquiry into the source and spread of the new coronavirus, which first emerged in the Chinese city of Wuhan.

China has since banned Australian beef imports and imposed tariffs on Australian barley, and urged Chinese tourists and students to avoid Australia.

Though China remains Australia's largest trading partner, the latest announcements are likely to aggravate tensions between the two countries.

See original here:

Australia suspends Hong Kong extradition treaty and offers visa extensions - Sky News

A CONTROVERSIAL plan to build an extension already rejected by the council and a government inspector will now be allowed to go ahead bringing an end to an 18-month saga.

Worcester City Councils planning committee and the governments planning inspector both rejected an application for a side and rear extension to the existing five-bed HMO in Bozward Street over parking and congestion fears.

The plan for the extension returned after developer Bob Panesar successfully gained a 'lawful development certificate' from the council in January for the proposed work and submitted another planning application in May.

Councillor Jo Hodges said councillors were in a difficult position having already refused the plan but then the council had given Mr Panesar a lawful development certificate which said the work could go ahead, meaning the committee had little option but to approve the plan.

She said it felt like councillors were deciding on something that had already been approved and allowing it would make life a bit more comfortable for the people living in the house.

Cllr Pat Agar said it went "against the grain" for her to approve the plan and she was only saying yes on pragmatic grounds.

"I'll have to vote yes for it, I don't like it, but there you are," she told councillors at a city council planning committee meeting last Thursday (July 9).

The plan was rejected by councillors in February 2019 after it was called in by Cllr Richard Udall, who represents St Johns, over the impact it would have on neighbours and parking in the street.

Mr Panesar appealed to the governments planning inspectorate to reverse the decision but it was thrown out after an inspector said it would make parking worse.

Cllr Udall said again at the planning meeting last Thursday that neighbours were concerned by the plan but he feared he was talking about a retrospective planning application as he believed most of the work had already been carried out.

Continue reading here:

Rejected twice but controversial extension will now go ahead ending 18-month saga - Droitwich Advertiser

According to Stratistics MRC, the Global Food Emulsifiers Market is accounted for $2.55 Billion in 2017 and is expected to reach $4.48 Billion by 2026 growing at a CAGR of 6.4% from 2017 to 2026. Some of the factors such as growing consumption of convenience foods and premium products, rising beverage industry and high demand for specialty food ingredients in various applications will boost the market growth. However, growing health concerns and Complex US regulatory environment may hinder the market growth.

Emulsifiers used in food are also known as emulgents. Emulsifiers or colloids are extensively used as additives during processing of victuals. These products have a broad application spectrum ranging from bakery to meat processing. The food emulsifier is a substance that stabilizes food emulsion by increasing its kinetic stability. Food emulsifiers are either synthetic or natural food additives, which assist the stabilization and formation of emulsions by reducing surface tension at the oil-water interface.

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Amongst Application, Bakery Products segment registered considerable market share during the forecast period due to growing demand for innovative gluten-free baked products. In bread making, they are used for dough conditioning and shelf life extension. By geography, North America dominated the market owing to presence of many international chocolate brands and growing demand for and dairy & frozen desserts and convenience foods among the consumers.

Some of the key players in Food Emulsifiers include Dupont, Cargill Inc.,Corbion , Ingredion Incorporated, Kerry Group Plc,Archer Daniels Midland Company , Lonza Group Ltd.,Danisco A/S, Riken Vitamin Co., Ltd., BASF SE, Palsgaard A/S, Solvay S.A. , Adani Wilmar Ltd.,Stepan Company and Lubrizol Corporation

Types Covered: Mono- & Di-Glycerides and their Derivatives Sorbitan Esters Lecithin Polyglycerol Esters Stearoyl Lactylates Polyhydric Emulsifiers Anionic Emulsifiers Other Types

Functions Covered: Protein Interaction Crystal Modification Lubrication and Processing Aids Starch Complexing Emulsification Oil Structuring Aeration and Stabilization

Sources Covered: Animal Source Plant Source Synthetic

Applications Covered: Dairy & Frozen Desserts Bakery Products Confectionery Products Meat, Poultry, and Seafood Convenience Foods Beverage Oil and Fat Margarine & spreads Infant Formula Sauces & Dressings Food & Nutrition Other Applications

Regions Covered: North Americao USo Canadao Mexico Europeo Germanyo UKo Italyo Franceo Spaino Rest of Europe Asia Pacifico Japano Chinao Indiao Australiao New Zealando South Koreao Rest of Asia Pacific South Americao Argentinao Brazilo Chileo Rest of South America Middle East & Africao Saudi Arabiao UAEo Qataro South Africao Rest of Middle East & Africa

What our report offers: Market share assessments for the regional and country level segments Market share analysis of the top industry players Strategic recommendations for the new entrants Market forecasts for a minimum of 9 years of all the mentioned segments, sub segments and the regional markets Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations) Strategic recommendations in key business segments based on the market estimations Competitive landscaping mapping the key common trends Company profiling with detailed strategies, financials, and recent developments Supply chain trends mapping the latest technological advancements

Free Customization Offerings:All the customers of this report will be entitled to receive one of the following free customization options: Company Profilingo Comprehensive profiling of additional market players (up to 3)o SWOT Analysis of key players (up to 3) Regional Segmentationo Market estimations, Forecasts and CAGR of any prominent country as per the clients interest (Note: Depends of feasibility check) Competitive Benchmarkingo Benchmarking of key players based on product portfolio, geographical presence, and strategic alliances

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Food Emulsifiers Market to Surge at a Robust Pace in Terms of Revenue over 2017-2026 - Apsters News

With the travel industry experiencing huge pressure, manufacturers of commercial aircraft also have seen their business shrinking significantly. While around the globe we are seeing countries and states reopening, the travel industry still is under pressure as the recovery is likely going to take years. Among my readers, that has sparked a renewed interest in defense. That is why we launched the Defense Contracts Monitor which we expand along the way as it forms the basis of our expansion toward covering defense and is accessible to subscribers of The Aerospace Forum.

Source: Debrief

In this report, I will have a look at the defense contracts Boeing received during the month of June. If you want to read the May report, you can find it here.

Figure 1: Boeing Defense, Space & Security contracts (Source: AeroAnalysis)

In June, Boeing received nearly $600 million in contracts, but the funds obligated was slightly higher. This might sound weird, but it does happen in some instances that no amount of money changes hands upon contract award and when the contract is modified (for instance due to an extension), the cash from a previous award is being handed over as well. So, that's how Boeing ended up with 101% of funds received during the month.

Nearly 80% of the contract awards was for the AH-64 Apache as Morocco became the 17th country to order the attack helicopter of which Boeing has now delivered 2,500. The contract covers the procurement of 24 AH-64E Apache helicopters as well as Longbow trainers, a simulator to train crews and rehearse missions. Apart from that contract, Boeing received some contracts for the P-8A to perform certification and test flight activities, training devices for the F-15 for Saudi Arabia, upgrades to the Super Hornet and Growler and a contract for the B61-12 Life Extension Program. Unsurprisingly, Morocco accounted for the bulk of the funds during the month: Almost 75%.

Month over month, we saw a decline of $5.6B driven by lower P-8A and Harpoon sales. It's a sharp month-over-month drop, but nothing truly concerning. Year-over-year there's a decline as well as Boeing last year received a $6.5B contract for a five-year extension for the Joint Direct Attack Munition (JDAM), which turns "free fall bombs" into precision-guided munition.

So, we are seeing contract declines but I'm not too worried about that. Overall, we are seeing that some key programs continue receiving contracts providing Boeing with some useful cash at the moment. When Boeing received some big contracts in previous months, we saw some readers claiming that Boeing was being granted contracts by the US government to infuse the company with cash. That's not completely true, as 70% of the contracts granted during the year came from foreign military sales.

Where the difference is made progress payments and from what I can see more funds obliged at the time of contract award. Progress payments have been increased and that provides the biggest boost as the company now receives 90% of the costs it makes on defense contracts instead of the usual 80%.

During the month of June, Boeing received almost $600 million in defense and services contracts marking a month-over-month as well as a year-over-year decline. Noteworthy is that while year-to-date contracts awards fell >$40B to $7.3B, obligated funds have been in line with last year. We don't quite know how much of those obligated funds Boeing keeps and how much is distributed among suppliers, but for Boeing having these funds come in is important given the state of the commercial aircraft industry. Just like last month, the order inflow wasn't carried by the United States to infuse Boeing with cash.

Important to realize is that just like with the commercial aircraft business, defense and associated services have contract time frames spanning multiple years and generally revenues also will be recognized over that time frame. So, the contract awards we are seeing now do not translate directly into revenues nor do they actually offset the declines at Boeing Commercial Airplanes contrary to what many believe.

The Aerospace Forum is the most subscribed-to service focusing on investments in the aerospace sphere, but we also share our holdings and trades outside of the aerospace industry. As a member, you will receive high-grade analysis to gain better understanding of the industry and make more rewarding investment decisions.

Disclosure: I am/we are long BA, EADSF. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article.

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Boeing Apache Leads The Way - Seeking Alpha

A new intelligence report Blueberry Extract Market has been recently added to Adroit Market Research collection of top-line market research reports. Global Blueberry Extract Market report is a meticulous all-inclusive analysis of the market that offers access to direct first-hand insights on the growth trail of market in near term and long term. On the basis of factual information sourced from authentic industry experts and extensive primary industry research, the report offers insights on the historic growth pattern of Blueberry Extract Market and current market scenario. It then provides short- and long-term market growth projections.

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Some of the prominent manufacturers of Blueberry Extract are Nutragreen Biotechnology Co. Ltd., Carruba, Inc., Futureceuticals, Bio Botanica, Inc., Life Extension, Mazza Innovation Ltd., Swanson and other regional players.

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Blueberry Extract Market Table of Contents

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Blueberry Extract Market Forecasted To Surpass The Value Of US$ XX Mn/Bn By 2017 2025 - Cole of Duty

These days, I cant make out where one activity ends and the next begins. There are mornings when I am stuck between a sink of unwashed dishes, an article that requires editing on the double and a homework submission that is not even mine to finish. I feel like Ive fallen headlong into one long, unbroken activity with neither beginning nor end.

In the initial days of this new mode of existence, my brain very presciently read the hashtag #WFH as #WTF. Now, of course, Ive become an expert at asking friends and acquaintances if they, too, are working from home or simply, WFH.Only, its not very clear to me, and it seems to those I am enquiring after, what this now commonplace term really signifies.

If we turn to the media, we have to be mostly content with advice on the right daily routines or the right furniture to achieve that perfect #WFH life. Online clothes retailers, Ive realised lately, are one step ahead. There are now whole #WFH lines that you can order to wear to that all-important, ten-thousandth Zoom call.

Then, there is a glut of material warning us about the mental health impact of #WFH during these lockdowns and after. Although some of it has the merit of being well-intentioned, its largely uninspiring stuff. Youll sooner find me outdoors in a crowded market area than browsing the internet for tips on how to maintain my mental wellness at this time. I suspect that many like me are unconvinced about mental health being just another internet keyword that can be maxed with listicles about what to do and what to avoid. All the same, it is becoming clearer that all of us need to process what has been happening over the past few months.

As lockdown has progressed into unlock, I sense that there are many more people who are feeling cut-off from themselves. Older people, for whom the act of going to the neighbourhood shop was never just that, want a breather. Every new extension of local containment measures seems to sap their spirits a little more. Children of all ages, but especially those for whom hanging out with friends is the most crucial aspect of their lives at this stage, are unable to understand why things cant get back to normal. Those who are constantly on, whether working or doing something else, find themselves hostage to mind-numbing information loops that cant be turned off.

For many, it may seem to crush their aliveness. Ive caught myself feeling something close to total indifference towards all and everythingon more than one occasion these past few weeks.

With no clear end to the epidemic in sight, it is becoming apparent that the work of tending to our deeper emotional needs is something that each of us must undertake in earnest. I am not speaking here of people who might need help to manage existing mental health conditions or even emerging ones. These need to be looked at by doctors and professionals in the field.

For many, there is the work of asking what it means to be really home and safe. To reflect upon what we mean when we speak of a home. While there is the physical structure and a place where we can shelter in place, what we are also talking about is a refuge. A sense of emotional security that was hopefully built up while being brought up by people who cared for us. Despite the widespread prevalence of the infection and the fear that we, or our loved ones, could be affected, are we able to locate an anchoring place, a home, from where we can operate on a day-to-day basis?

It seems to me this is what really #WorkFromHome means right now. This task of locating our homes and working from there is as important as, say, attending the next Hangout meeting or catching an upcoming deadline. As for me, Ive found that I can cut through my lack of interest by doing what I love best -- writing in my journal.

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Are we doing our real #WFH lives right? - Deccan Herald

Running the richest cricket board amid a global pandemic has been one of the toughest challenges in BCCI president Sourav Ganguly's life as an administrator but the former India captain is no stranger to dealing with ups and downs in life which is why he has accepted the current situation and working around the problem to make sure that Indian cricket doesn't suffer.

Ganguly was appointed the president of the Board of Control for Cricket in India (BCCI) in October last year and his tenure will end in September this year. But so far, 4 months out of his 8-month tenure have been hit by the coronavirus crisis.

Whether he will get an extension or not still remains uncertain. Rumours are also doing the rounds about Ganguly looking to run for the president's post in the International Cricket Council.

Talking about his tenure so far in the BCCI, president Sourav Ganguly said he has accepted the situation and doing his best to keep everything on track for Indian cricket amid the Covid-19 pandemic.

"This is unreal. For 4 months we havent been to the officie in Mumbai. This is my 7th or 8th month as BCCI president out of which 4 months have been taken away by Covid.

"So we have been working on video conferencing but thats what it is. I cant change it. I have to accept it and try and do the best I can in this situation.

"I dont know whether we will get an extension or not. If we dont, we dont, I move on to something else. At the moment, the last 8 months as BCCI president, 4 months I have been sitting at home," Ganguly said on the latest episode of India Today Inspiration.

International cricket finally resumed after 117 days with England hosting the West Indies in a 3-match Test series. Other sports like football, tennis and Formula One restarted before that. With things slowly resuming, Ganguly sees light at the end of the tunnel with sport coming back elsewhere.

"I can see light (at the end of the tunnel). All of us want to see light, because we want to get out this and see normal lives back where we can hug each other, shake hands with other without being scared, sit next to each other without being scared. Sports has started, football has started, tennis has started which is good because life cant wait.

"Having said that, the fear is a bit more than what more than what it was in March and April. The numbers are a bit more than what it was in March-April, especially in India.

"This is a unique country, so from that point of view, as much I am optimistic, my optimism comes with a little bit of fear. I go to the office to work. I am scared. Fifty percent of the people I work with have been told to work from home. I still have 3 or 4 people who are working who are still scared. I am exposed, my people are exposed.

"My brother works, my brother runs all our factories. He is the most exposed. All of us are exposed. The problem is there is not one person who is not exposed and knows how not to get exposed," Ganguly said.

Read more from the original source:

Trying to do the best I can in this situation: Sourav Ganguly on difficulties running BCCI amid Covid-19 crisis - India Today

Global Black Cumin Seed Oil Market analysis 2015-2027, is a research report that has been compiled by studying and understanding all the factors that impact the market in a positive as well as negative manner. Some of the prime factors taken into consideration are: various rudiments driving the market, future opportunities, restraints, regional analysis, various types & applications, Covid-19 impact analysis and key market players of the Black Cumin Seed Oil market. nicolas.shaw@cognitivemarketresearch.com or call us on +1-312-376-8303.

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Global Black Cumin Seed Oil Market: Product analysis: Food Grade, Cosmetic Grade

Global Black Cumin Seed Oil Market: Application analysis: Soap, Health Food, Personal Care Products (Massage Oils Skin Care Products)

Major Market Players with an in-depth analysis: Henry Lamotte OILS GmbH, FLAVEX Naturextrakte GmbH, Henry Lamotte Oils GmbH, Kerfoot Group, Earthoil Plantations, Life Extension, Nuverus, Omega Pharma, BioPraep

The research is presented in such a way that it consists of all the graphical representations, pie charts and various other diagrammatic representations of all the factors that are used for the research. Black Cumin Seed Oil market research report also provides information on how the industry is anticipated to provide a highly competitive analysis globally, revenues generated by the industry and increased competitiveness and expansions among various market players/companies.

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Global Black Cumin Seed Oil Market Growth is Projected to Grow at Sluggish Rate by 2027 Post COVID 19 Pandemic Henry Lamotte OILS GmbH, FLAVEX...

Global Infusion Extension Lines Market presents insights into the present and upcoming industry trends, enabling the readers to identify the products and services, hence driving the enlargement and effectiveness. The research report provides a comprehensive breakdown of all the major factors impacting the market on a global and regional scale, including drivers, constraints, intimidation, challenges, opportunities, and industry-specific trends. Further, the report cites global certainties and endorsements along with downstream and upstream analysis of leading players.

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Major Players:

RontisFresenius KabiSarstedtBicakcilarVygon (UK)Bionic Medizintechnik

Global Infusion Extension Lines Market research reports enlargement rates and the market value based on market dynamics, growth factors. Complete knowledge is based on the newest innovation in business, opportunities, and trends. In addition to SWOT examination by key suppliers, the report contains an all-inclusive market analysis and major players landscape.

The regional segmentation covers:

Segmentation by Type:

Spiral-LineSmall Bore Connection TubingOther

Segmentation by Application:

HospitalClinic

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Report Objectives

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Table of Content:

The Global Infusion Extension Lines Market

Chapter 1: Infusion Extension Lines Market Overview, Drivers, Restraints and Opportunities

Chapter 2: Infusion Extension Lines Market Competition by Manufacturers

Chapter 3: Infusion Extension Lines Production by Regions

Chapter 4: Production, By Types, Market share by Types

Chapter 5: Consumption, By Applications

Chapter 6: Comprehensive profiling and analysis of Manufacturers

Chapter 7: Manufacturing cost analysis

Chapter 8: Industrial Chain, Sourcing Strategy and Downstream Buyers

Chapter 9: Marketing Strategy Analysis, Distributors/Traders

Chapter 10: Infusion Extension Lines Market Effect Factors Analysis

Chapter 11: Infusion Extension Lines Market Forecast

Chapter 12: Conclusion of Infusion Extension Lines Market

The Report has Tables and Figures Browse The Report Description and TOC @ https://www.globalmarketers.biz/report/life-sciences/2015-2027-global-infusion-extension-lines-industry-market-research-report,-segment-by-player,-type,-application,-marketing-channel,-and-region/147205#table_of_contents

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COVID-19 Impact on Infusion Extension Lines Market 2020: Global Industry Trends, Growth Opportunities, SWOT Analysis by Top Key Players and Forecast...

I grew up around dead bodies. In fact, some of my earliest childhood memories are of dead bodies in caskets, and I mean dozens of corpses not the occasional family friend or relative. The reason I saw so many dead people was because my father was a funeral director for thirty-five years in Midwest America.

Fast-forward now through some strange twists of fate, and I am currently the Director of the Centre for Death and Society at the University of Bath, the worlds only interdisciplinary research centre focused on death, dying, and the dead body. Human mortality looms so large in my upbringing and academic career that my younger sister, Julie, is on the record calling me the Overlord of Death.

As a result of these labours, I published a book called Technologies of the Human Corpse in which I cover the history and meaning we living humans assign to dead bodies by using different kinds of technologies: embalming, photography, rail transport, science museums, detention camps, radical life extension, the list goes on.

I have spent many years trying to understand what the bodies of the dead can teach us about the living, and here are some of the lessons I have learnt.

Read more about death:

When you see a dead body, you see causation. Some set of events or actions caused that dead body to be in front of you. Dead bodies do not just happen and require either an internal or external force (sometimes both!) to appear. Place a dead body in any situation and that situation automatically becomes far more serious.

One of the great 17th Century human inventions was the autopsy (literally seeing for oneself ), which stressed peering into the dead body to understand causes of death. The autopsys historical success is also one of the reasons we 21st Century humans find it so distressing when a cause of death cannot be determined.

How is an indeterminate cause of death possible, many people ask, with all our advanced bio-medical technology? And it is on this very ship 1,000 different CSI television programmes sailed

TV shows might not be the best example of medical autopsies Getty Images

But set aside the impossible forensics portrayed on popular television programmes for one minute, since we are living in a historical moment dominated by very real dead bodies with clearly defined causation.

Dead bodies from COVID-19. Dead bodies from police violence. Dead bodies from lack of access to necessary medical care. Dead bodies from interconnected social inequality that accelerates death, which leads me to lesson number two.

Human corpses invisibly surround we the living on a daily basis, so much so that under normal conditions approximately 1,700 people die each day across the UK.

But there are moments when disease and political protest suddenly make these dead bodies far more visible. The current visibility of dead bodies due to COVID-19 and the global protests around George Floyds death in Minneapolis are examples when human corpses become a catalyst for action.

Whether it is the over 550,000 COVID-19 deaths from across the globe or the singular dead body of one black man in Minneapolis these human corpses create new political meanings when answering some fundamental questions: why is this person dead and what political dynamics led to the death?

The death of George Floyd while in the custody of Minneapolis police sparked protests across world including this one in London Dan Kitwood/Getty Images

In many ways we have seen aspects of the current COVID-19 dead body politics before. In chapter 3 of my book I focus on HIV/AIDS corpses and the postmortem political changes produced by that pandemic.

So, for example, a key question during the height of the AIDS epidemic was whether or not it was safe to touch the body of a person killed by the HIV virus. It was safe, but it took many years for that answer to arrive.

Historical examples of dead body politics and race also abound. George Floyds death is part of a much broader US context captured in the book Without Sanctuary: Lynching Photography in America (2000) that documents how white Americans collected photographs of lynched black people and turned those images into collectible postcards. I highly recommend this book to any white person wondering why so many black communities feel such rage and anger about their dead.

Read more about race science:

I describe lesson three as part of a National Death Infrastructure into which dead bodies are absorbed by any nations very local but also quite global system for managing human corpses.

Any National Death Infrastructure includes systems such as local cemeteries and city morgues alongside international air transfer companies handling postmortem repatriations. It is when those systems overload that we begin to see the dead bodies and cannot stop seeing them since there are simply too many corpses to store. The dead bodies must be moved somewhere.

The recent COVID-19 experiences in many cities, New York and London in particular, demonstrate how pandemics can produce mass fatality events that quickly overload the everyday death infrastructure and create the need for rapid adaptation. In these moments of emergent adaptation, we begin to see how quickly the dead really do impact the world of the living.

But many of us do eventually look away and forget about the dead bodies. In the not-to-distant-future, I have a feeling that the dead bodies created by COVID-19 will be forgotten about, especially by the people who did not lose someone close to them.

Here is a quick test how many people have died from AIDS? The answer is 38 million and counting. That is an enormous number of largely invisible dead bodies.

Virological determinism is the concept I use to describe the current US and UK response to the COVID-19 pandemic, that is, we humans blame the virus for creating all the COVID-19 dead bodies as opposed to recognising human failures (and here I mean government leaders as much as anything) at mitigating the contagion.

This is similar to the way we use technological determinism to explain human problems by saying, the computer did it! as opposed to accepting responsibility for our own actions.

COVID-19 created a whole new linguistic dynamic for 2020s human catastrophes blame the virus. Name a problem and the coronavirus caused it. And while this is correct in some instances, the virological determinist rationalisation only goes so far with dead bodies.

Read more about dying:

The sudden surge in COVID-19 dead bodies that overloaded National Death Infrastructures everywhere meant hiding the bodies was not possible. Most countries face a real dilemma right now with care homes since the number of dead cannot be easily glossed over.

Governments may try (and some will surely succeed) but here is a key rule: one dead body makes any given situation a tragedy. Twenty-thousand dead bodies make the same situation a mass fatality catastrophe.

Any government that attempts to hide these dead bodies, and here hiding can also mean not acknowledging, faces an immediate problem all attempts at obfuscating the dead will only make their loved ones and advocates work even harder to name the deceased.

There is a parallel here, too, with the George Floyd case. The video recording of his death resonated so deeply because it showed his death in clear-cut terms that meant nothing was going to hide his dead body from public view.

Finally.

I opened these five-lessons with my younger sister Julie calling me the Overlord of Death. Julie died on 29 July 2018 from brain cancer and I wrote at length about her death in the preface to my book. She died in Italy (where she lived), and took her final turn while I boarded a Milan-bound plane at Bristol Airport.

When I arrived at the hospice where she died I immediately asked to see my sister and was taken to her body. I spent a long time talking with Julie about how much everyone loved her and how much everyone would miss her.

I also suddenly found myself next to a dead body, similar in so many ways to my youth, but this time it was my sister. And sitting next to her dead body taught me what loss truly felt like, since I couldnt just call my sister on the phone and tell her what was happening.

She was dead but that experience with her in the hospice meant that Julie would forevermore remain an active presence in my everyday life. And she is.

Technologies of the Human Corpse by John Troyer is out now (20, MIT Press).

See original here:

Death is part of life, and there is a lot we can learn from it - BBC Focus Magazine

Jul 11, 2020

One of the perks of having trees nearby is that social-distancing rules dont apply you can hug as many as you like without risk of contracting Covid-19. Another benefit, of course, is shade. When the heats on and you need to lie low for a while, its great if some of your friends are shady characters. Especially if theyre tall, mature types with solid builds. Yeah, trees are cool.

Air temperature is up to 10 degrees cooler in the shade of a large deciduous tree. Photo: pxfuel

When the thermometer spikes, any shade is welcome. If youre lucky enough to have large trees where you live, not only can you get a break from the sun, but the air temperature will be cooler as much as ten degrees compared to out in the open. Its an awesome, natural, and free kind of air conditioning.

Deciduous shade trees on the south and west sides of a house can cut air conditioning costs by 30-50 percent in summer and let sunlight through in winter. Photo: National Park Service

On those blistering summer days when you think its too hot to work outside, youre not alone trees share your outlook. Photosynthesis, that amazing process which turns carbon dioxide and sunlight into sugar (thereby keeping the trees alive) and oxygen (thereby helping keep us alive), does not work well above 85 degrees. All that solar energy going to waste! Incidentally, leaves can get too hot in full sun even when the air temperature is moderate, much like the way an asphalt parking lot gets scorching in the sun.

Hopefully youre drinking plenty of water in the summer heat. It might surprise you that trees can run short of water, especially in hot, dry seasons like 2016, 2018, and this year. While we tend to think tree roots dive deep in search of a cool drink, 90% of tree roots are in the top 10 inches of soil, and 98% are in the top 18 inches.

While many shady characters dont take well to a soaking, your tree will appreciate a thorough weekly drench. Forget the lawn it can fend for itself. Please remember your trees, and water them thoroughly if it hasnt rained in more than a week.

I wish you all a healthy, well-hydrated summer, and lots of hugs with your shady associates.

Paul Hetzler is a Certified Arborist and a former Cornell Cooperative Extension educator.

Go here to see the original:

Keeping on the shady side of life - North Country Public Radio

ST. PETERSBURG, Russia (PRWEB) June 18, 2020

The Vitaspace project was founded by the famous Russian entrepreneur Andrey Fomenko in 2018. Its goal is to join forces to radically prolong life and find a way (medicine or technology) that will help to preserve youth, restore health, and significantly postpone the aging period. This project was supported by various scientists from all over the world, doctors, and all people who care.

The other day, Vitaspace members published a petition at http://www.change.org calling for the acception of their Declaration on Radical Life Extension to ensure that all people and nations respect its foundations and promote its initiatives. The founders of Vitaspace have also sent an official letter to the UN to consider and support this document.

The Declaration on Radical Extension of Life consists of two parts: the first - Human Rights - proclaims the right to a long, healthy life as the most important value to be respected and protected; the second - Activities - is a practical strategy to overcome the challenges to a long, active life.

As Vitaspace citizens believe, radical prolongation of life and youth is a real opportunity, not an unattainable goal. In their opinion, people and governments of all countries should unite in the fight against the two worst enemies of humanity - aging and death.

Vitaspace is looking forward to the support of all interested people in the distribution of the Declaration, as well as the participation of the UN in the implementation of its ideas.

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The UN is going to consider the Vitaspace Declaration on Radical Life Extension - PR Web

MARQUETTE COUNTY, Mich. (WLUC) - Beginning Monday, July 13, the KMQT WSR-88D Radar operated by NOAAs National Weather Service near Marquette, will be down for approximately two weeks for an important upgrade.

Technicians will refurbish and replace the pedestal, one of the most critical components of the radar, which is necessary for antenna rotation and positioning to capture data in all directions. The components are extremely heavy and will require the radome to be removed by crane and replaced when the work is completed.

The radar and pedestal were designed to last 25 years, and this radar has exceeded its life-span. This activity is necessary to keep the radar functioning for another 20 years or more.

The pedestal refurbishment is the third major project of the NEXRAD Service Life Extension Program, a series of upgrades that will keep our nations radars viable into the 2030s. NOAAs National Weather Service, the United States Air Force, and the Federal Aviation Administration are investing $135 million in the eight year program. The first project was the installation of the new signal processor and the second project was the refurbishment of the transmitter. The fourth project will be the refurbishment of the equipment shelters. The Service Life Extension Program will be complete in 2023.

During the downtime, adjacent radars will be available, including: Green Bay (KGRB), Duluth (KDLH), and Gaylord (KAPX). For direct access to any of these surrounding radar sites, visit https://radar.weather.gov/

The KMQT WSR-88D is part of a network of 159 operational radars. The Radar Operations Center in Norman, Oklahoma, provides lifecycle management and support for all WSR-88Ds.

The National Weather Service near Marquette, Michigan can be found on the web at weather.gov/mqt or on social media, NWSMarquette on Facebook or NWSMarquette on Twitter.

Original post:

National Weather Service announces radar outage during major upgrade in July - UpperMichigansSource.com

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Zinc is an essential micronutrient thats needed for numerous functions in your body. Its also important for a strong immune system and helps keep your skin, eyes, and heart healthy (1, 2, 3, 4).

While there are many food sources of zinc, including meat and shellfish, some people may be at a higher risk of not getting enough zinc in their diets (5).

For example, those with inadequate access to food, pregnant or breastfeeding women, vegetarians and vegans, people with gastrointestinal disorders, and individuals taking certain medications like diuretics and anticonvulsants may benefit from a zinc supplement (5, 6, 7).

The zinc supplements in this review are all manufactured by reputable companies that follow Good Manufacturing Processes (GMP), use high quality ingredients, and test for purity and quality.

Here are the 10 best zinc supplements to help you meet your nutritional needs.

Price: $

Thorne Research is a supplement company that has its own dedicated scientists, labs, and research facilities for nutrition supplements.

All of their products are made in a lab that meets regulations and standards set by NSF International and the Therapeutic Goods Administration (TGA), which is a regulatory body in Australia thats responsible for assessing the safety of supplements.

Furthermore, their products are NSF Certified for Sport. This means that the products are tested to ensure the absence of more than 200 substances banned by many major athletic organizations.

Thorne Researchs Zinc Picolinate is one of the best zinc supplements on the market due to the companys high quality standards, purity of ingredients, and form of zinc used.

Older research suggests that zinc picolinate may be one of the easiest forms of zinc for your body to digest and absorb (8).

One tablet of this supplement provides 30 mg of zinc picolinate. For best results take one tablet per day, or as recommended by your healthcare provider.

Shop for Thorne Researchs Zinc Picolinate online.

Price: $

Chelated zinc is a type of zinc supplement that uses a chelating agent to help your body absorb zinc more easily.

While there are several chelated zinc supplements on the market, one of the best options is NOW Foods Zinc Glycinate softgels.

Each softgel contains 30 mg of zinc glycinate a form of zinc that human and animal studies suggest may be better absorbed than other types of zinc. (9, 10).

All NOW Foods supplements are certified by Underwriters Laboratories and follow GMP to ensure the quality and accuracy of their products. Additionally, these supplements tend to be more affordable than many other high quality brands.

Shop for NOW Foods Zinc Glycinate Softgels online.

Natures Way produces high quality supplements that are more affordable than many other brands on the market.

All of their supplements are manufactured in facilities that NSF has certified as meeting GMP requirements, which include a set of guidelines to ensure accuracy, quality, and purity of products.

In addition, their products are non-GMO, organic, and TRU-ID certified. TRU-ID certification is a relatively new independent testing program that uses DNA to verify the authenticity of ingredients in supplements.

For zinc products, Natures Way offers zinc chelate capsules and zinc lozenges, both of which are budget-friendly.

Price: $

These zinc chelate capsules are gluten-free and provide 30 mg per capsule.

For best results, adults and adolescents over the age of 14 should take one capsule daily with food, or as recommended by your healthcare provider.

Shop for Natures Way Zinc Chelate Tablets online.

200

Price: $

For those interested in lozenges, each of Natures Ways Zinc Lozenges provides 23 mg of zinc, as well as 100 mg of vitamin C and 20 mg of Echinacea purpurea.

Although the label suggests that adults can take up to 6 lozenges per day, this would push your daily zinc intake way over the suggested 40-mg tolerable upper intake level (UL) set for zinc (11).

Taking too much zinc can have adverse effects on your health and may interfere with the absorption of other nutrients. Its important that you check with your healthcare provider before taking high dose zinc supplements to ensure safety.

Shop for Natures Way Zinc Lozenges online.

Price: $$

While its not always obvious, some supplements can contain animal-derived ingredients, making the product unsuitable for vegans.

Some commonly used ingredients that arent vegan-friendly include digestive enzymes like lipase, caprylic acid from milk, gelatin, and magnesium stearate, which is often pork-derived.

Garden of Life is a whole-foods-based supplement brand with products that are certified organic and non-GMO verified.

Their Vitamin Code Raw Zinc is a good option for vegans, as its third-party tested to ensure the product is vegan, as well as gluten-free.

In addition to providing 30 mg of plant-based zinc, each serving also contains vitamin C, a raw organic fruit and vegetable blend, and live probiotics and enzymes to support healthy digestion.

Its recommended that adults take one serving of 2 capsules per day with or without meals. For those who have difficulty swallowing pills, the capsules can also be opened to pour the contents into a glass of water or other beverage.

Shop for Garden of Life Vitamin Code Raw Zinc online.

For those who have difficulty swallowing pills, liquid forms of zinc may be better tolerated.

Price: $$$

Metagenics is a supplement company devoted to transparency and quality. Each ingredient and supplement batch is tested for quality, and you can even access a detailed testing report for the specific supplement youre looking to buy.

As part of their quality assurance, all Metagenics supplements are USP-verified and meet NSF and Therapeutic Goods Administration (TGA) safety and quality regulations.

Their Zinc Drink liquid supplement contains only water and 15 mg of zinc sulfate per serving, making it free of any additives and preservatives.

For best results, take 1 teaspoon (5 mL) per day of the Zinc Drink between meals. While you can take the supplement on its own, it can also be mixed into a glass of water.

Shop for Metagenics Zinc Drink online.

Price: $$$

Peak Performance supplements are made in the United States and developed for busy athletes and professionals.

In addition to being free of major allergens, including soy, dairy, wheat, egg, shellfish, and peanuts, Peak Performances Raw Ionic Liquid Zinc is also vegan-friendly.

By running zinc through a high pressure, low heat process, the zinc particles in this liquid supplement are very small in size, which may make it easier for your body to absorb.

One full dropper provides 15 mg of zinc sulfate a form of zinc that has been shown to help prevent zinc deficiency, reduce symptoms of severe acne, and possibly help slow the progression of age-related macular degeneration (AMD) (6, 12).

All Peak Performance supplements undergo third-party testing for quality and accuracy. Theyre also manufactured following Food and Drug Administration (FDA), GMP, and NSF regulations and standards.

Adults should take one full dropper (1 mL) once a day on an empty stomach, or use as directed by your healthcare provider.

Shop for Peak Performance Raw Ionic Liquid Zinc online.

Price: $$

Zinc lozenges are small tablets that are meant to dissolve slowly in your mouth. Theyre typically taken for short periods to help reduce the symptoms and duration of the common cold.

In fact, one review found that consuming a dose of 8092 mg of zinc from zinc lozenges per day helped reduce the duration of the common cold by up to 33% (13).

Life Extension has been making high quality supplements for over 40 years.

In addition to being manufactured in an NSF-registered GMP facility, each product has a certificate of analysis thats available for consumers to confirm the quality and accuracy of a specific product.

Life Extensions Enhanced Zinc Lozenges contain 18.75 mg of zinc acetate a form of zinc that has been shown to shorten the duration of colds by up to 40% (13).

Adults can take 1 lozenge every 2 hours up to 8 times a day. However, its not recommended to consume these lozenges for more than 3 days in a row. Also, note that taking this supplement 8 times per day will greatly exceed the daily UL of 40 mg.

Shop for Life Extension Enhanced Zinc Lozenges online.

Price: $$

If youre looking for an organic zinc supplement, NutriGolds Zinc Gold is one of the best options out there.

Each capsule contains 15 mg of whole-foods-based zinc thats derived from an organic sprouted blend, which the supplement claims may be gentler on your stomach.

Additionally, NutritGolds supplements are certified organic by SCS Global Services, an official partner of the United States Department of Agriculture (USDA) that sets sustainability, quality, and organic standards.

Each product is also third-party tested, as well as non-GMO and vegan certified.

Adults should take 1 capsule daily, or as directed by your healthcare provider.

Shop for NutriGold Zinc Gold online.

Price: $

If youre looking for a gluten-free zinc supplement, Pure Encapsulations is one of your best options.

The products are not only made in a facility thats NSF-registered GMP but also certified gluten-free by the Gluten-Free Certification Organization (GFCO). Plus, they contain zinc picolinate to optimize digestion and absorption.

For optimal results, its recommended to take one 30-mg zinc picolinate capsule daily with food.

Shop for Pure Encapsulations Zinc online.

When choosing a zinc supplement, its important to consider the type of zinc, dosage, and supplement form.

There are several types of zinc supplements. Some, such as zinc picolinate, may be better absorbed, while zinc acetate may be more effective at shortening the duration of the common cold (8, 13).

As for dosage, the recommended daily dosage for adults is typically 1530 mg of elemental zinc per day. Elemental zinc is generally the amount listed on the label of your supplement (5, 6).

Due to potential side effects of excess zinc, its best not to exceed 40 mg per day unless under medical supervision (11).

Taking too much zinc can cause adverse side effects, such as decreased immune function, low copper levels, and reduced HDL (good) cholesterol levels.

Regarding the form, zinc supplements are available as capsules, lozenges, and liquids. For those who are unable or prefer not to swallow pills, liquid forms are likely a better option.

Before buying any supplement, its important to research high quality, trustworthy brands to ensure both safety and accuracy.

Look for supplements that are produced by reputable manufactures and free of large amounts of added ingredients like fillers, additives, and preservatives.

A good way to ensure the quality of a product is to look for ones that have been certified by a third-party company, such as NSF International or Underwriters Labs.

Zinc is an essential nutrient that you need to get enough of in your diet. However, as not everyone is able to meet their need through foods alone, supplements can help reduce the risk of a zinc deficiency.

Of course, not all supplements are created equal. Its important to look for high quality products that have been tested to ensure quality and accuracy.

If youre concerned about your zinc intake, its worth speaking with your healthcare provider to see if a zinc supplement is a good option, as well as to determine an optimal dose.

More:

The 10 Best Zinc Supplements of 2020 - Healthline

Kareem Hunt considers himself blessed that the Cleveland Browns have given him another opportunity after the former Pro Bowl running back waspulled over in Januarywith an open vodka container and marijuana. Hunt admitted during the traffic stop that it hurt watching the continued success of his former team, the Kansas City Chiefs, who went onto win the Super Bowl at the end of the 2019 season.

Hunt, who signed with the Browns shortly after was released by the Chiefs after a video surfaced of Hunt's domestic incident in February of 2018, expressed his desire to stay with the Browns on a long-term basis during a video meeting with reporters on Monday. In March, the Browns placed a second-round tender on Hunt, who amassed 464 all-purpose yards and three touchdowns in eight games with the Browns in 2019.

"I'd definitely like to be a part of something like this," Hunt said, via Mary Kay Cabot of Cleveland.com. "Everybody is here that I care about. I know everybody in the whole town. I would not mind playing for the Browns for a long time."

Hunt, who grew up less than 20 minutes away from Cleveland, has been working closely this offseason with fellow Browns running back Nick Chubb, who earned Pro Bowl honors last season after rushing for 1,494 yards and eight touchdowns. The duo of Chubb and Hunt in the backfield was one of the things Kyle Stefanski raved about shortly after becoming Cleveland's new head coach back in January.

"Those two guys are jumping off the tape," Stefanski told ESPN 850's Really Big Show. "I could not be more impressed by those two. Nick Chubb, man, wow the tape is so impressive. I can't wait to meet Nick Chubb the person because everyone is raving about him (Hunt) is such a talented player. He's from Ohio, so I know I'm going to get a chance to visit with him at some point."

Hunt, who rushed for a league-high 1,327 yards as a rookie back in 2017, is hoping to be part of a championship team in Cleveland after watching his former teammates in Kansas City hoist the Lombardi Trophy back in February. Hunt added that he has mostly maintained a low profile following January's traffic spot. He said he has also been doing things in the community as it relates to helping people who have suffered significant loss during the COVID-19 pandemic.

"I think we can do something special here," Hunt said of the Browns, who stumbled to a 6-10 last season after many analysts predicted them to compete for the AFC North division title. "I want to get that Super Bowl feeling and I believe we can do it here in my hometown. That would be bigger than anything, for me. That would [be to] bring a championship to Cleveland, especially I have been a fan my whole life. I've been with Cleveland my whole life."

See more here:

Former Pro Bowl running back Kareem Hunt is hoping to sign a long-term extension with the Browns - CBS Sports

Look, they even got that guy from Black Widow!Image: NetflixMorning SpoilersIf theres news about upcoming movies and television youre not supposed to know, youll find it in here.

Oscar Isaac casts doubts on whether or not hed return to the galaxy far, far away. David Koepp teases his still-alive Bride of Frankenstein remake. Warner Bros. is bringing The Halloween Tree to the big screen. Plus, get a look at Studio Ghiblis new CG movie, and Doom Patrol battles the terrifyingly disco Doctor Tyme. Spoilers now!

Deadline reports Warner Bros. is now developing a live-action film adaptation of Ray Bradburys The Halloween Tree with Will Dunn attached to write the screenplay. The original story concerns a group of trick-or-treaters who must rescue their friend, Pip, from The Land of the Dead with help from a mysterious man named Carapace Clavicle Moundshroud.

Appearing as a guest on The Boo! Crew podcast, David Koepp revealed his Bride of Frankenstein remake will deal with themes of life extension and bodily autonomy.

I just gave Universal a new draft about a month ago and they seem to really like it and theyre talking to directors. Its become the story of how are we extending our lives; can we create life, can we cheat death? It only gets more and more relevant over time. The big life extension work right now thats being out in Silicon Valley is overwhelming, impressive and scary, and I feel like a present day version of that is begging to be made.

The other thing is she is a woman who is not created but resurrected, and certain people feel ownership over her, and that almost too relevant today in the era of #metoo. What are her rights as a person, the person that exists, if you were dead? There are a lot of really interesting questions that are raised. Again, its horror effortlessly lending itself to metaphor.

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[Bloody-Disgusting]

In a recent Deadline panel with Paul Schrader, Oscar Isaac stated hed only return to the Star Wars franchise if he needed a new house or something.

If I need another house or something. Its not really what I set out to do. What I set out to do was to make handmade movies, and to work with people that inspire me. Paul [Schrader]s movies, the things that hes made, its in my DNA. Im not alone, obviously. [For] every actor of a certain generation, those are the films that made them who they are, so thats certainly my case. It feels like for me a personal turning point and that, as far as Im concerned, it has nothing to do with the finished product. Its the process of doing this.

/Film has new images from Studio Ghiblis first-ever fully-CG animated feature, Aya and the Witch. Head over there to see the rest.

Reality takes a holiday in the trailer for Parallax (not to be confused with the DC Comics villain), opening July 10 in select theaters.

In a recent interview with Deadline, the Duffer Brothers teased a couple of cool celebrity guest stars in the next season.

We have a couple of cool ones this year. Its a really fun way to meet one of your icons. You know, write a part for them and see if they want to do it.

[Deadline]

Nickelodeon has ordered a CG reboot of The Smurfs from Alvin and the Chipmunks writers Peter Saisselin and Amy Serafin with William Renaud (Caspers Scare School)attached to direct. [TV Line]

Speaking with Comic Book, Geoff Johns shared his thoughts on the yin and yang between Hourman and Doctor Mid-Nite.

If youre going to have Courtney actively recruiting... like Hourman and Doctor Mid-Nite kind of always felt like a yin and yang to me because you have one thats very physical and one thats very intellectual. And I always saw them as The Flash and Green Lantern of the JSA and even when Rick and Beth joined Infinity Inc., they did it in the same issue. They just felt, theyve always felt like they were this interesting pair that, to me, that they look cool together, they were very different, they approach things differently.

Rex was an extrovert and Charles McNider was an introvert. They had these great dynamics between these two and I love the characters for that. And I felt like when we were introducing them both, if Courtney was actively pursuing Rick, well, then wed have Beth, as shes trying to recruit one person, while somebody else is kind of recruiting herself, is getting involved herself.

The 100 gets a backdoor pilot for a prequel series with the synopsis for Anaconda airing July 8.

THE PAST Clarke (Eliza Taylor) confronts a new adversary. A surprising connection takes us back to the past and the nuclear apocalypse that destroyed the Earth. Bob Morley, Marie Avgeropoulos, Lindsey Morgan, Richard Harmon, Tasya Teles, Shannon Kook, JR Bourne, Shelby Flannery and Chuku Modu also star. Ed Fraiman directed the episode written by Jason Rothenberg (#713). Original airdate 7/8/2020.

[Spoiler TV]

KSiteTV has photos from the first two episodes of Doom Patrols second season, Fun Size Patrol and Tyme Patrol. Click on the relevant episode title for more.

The latest promo for the second season of The Twilight Zone includes brief glimpses of new footage.

Finally, a promo for this weeks season finale of Harley Quinn provides no new footage, instead, encouraging fans to catch up on DC Universe.

Banner art by Jim Cooke.

See the original post:

Updates from Stranger Things, Twilight Zone, and More - Gizmodo

FROM CARRIE C. KUBACKI, POSITIVE YOUTH DEVELOPMENT EXTENSION EDUCATOR, UW-MADISON DIVISION OF EXTENSION

The world continues to be a turbulent and stressful place. With ongoing challenges from COVID-19 and racial division, we may feel our daily lives are out of control. How can we manage the physical, mental and emotional impacts of all of these challenges for ourselves, our families and our communities? One opportunity we all have to face these stressful times is to build our resiliency.

Resiliency is the ability to bounce back from adversity, trauma and threats that we encounter throughout our lives. However, it is not only the ability to survive from these experiencesbut also to thrive. Researchers from Harvard University use the analogy of a balance scale or seesaw. When we are overwhelmed from stress and adversity, the scale will drop to the negative side. However, by increasing our positive experiences and coping skills, we can bring the scale (and our lives) back into balance, and possibly even tilt the scale up to thriving.

What is helpful to know about resiliency is that it can be increased at any age. All of us can learn how to build our coping skills to help strengthen our thoughts, behaviors and overall quality of life. Throughout this summer, UW-Madison Division of Extension will be offering tips and activities on how to strengthen different aspects of resiliency for ourselves and others around us to help build our own capacity for stronger communities. Visit langlade.extension.wisc.edu or Facebook: Langlade County Division of Extension regularly to see new resiliency opportunities in your area. For additional information about resiliency please visit: https://www.dhs.wisconsin.gov/resilient/index.htm or https://www.mindresilience.org/.

Visit link:

Riding the Waves of Life: How to Build Resiliency - Antigo Times News

Late February was the last time I saw Mr. Fields, a man in his sixties with debilitating nausea, bloating and regurgitation. (To protect his privacy, I have changed his name and other identifying details.) His symptoms made it difficult for him to eat, and he was losing weight visibly from one clinic visit to the next. His last upper endoscopy - a procedure to inspect the top of his gastrointestinal tract - was aborted because there was a pile of food sitting in his stomach, despite his having fasted since midnight the day before. We had discussed repeating the endoscopy after a prolonged liquid diet to determine what was holding up his digestion (a tumor, an ulcer, or a general sluggishness of the muscle) and to use this information to guide his treatment.

Then the pandemic hit, and priorities changed. On a Friday afternoon in mid-March, I was asked to cancel the bulk of the procedures I had scheduled for the following Monday. From higher up, we received instructions to review every patient's chart, to separate the emergent from the urgent from routine. Mr. Fields certainly wasn't the only one perched on a borderline - it's the nature of my gastroenterology practice, as it is for most diagnostic proceduralists, not to know what I'll find until I go looking. My colleagues and I turned to each other for guidance. How worried would you be about an 80-year-old with iron-deficiency anemia? How about a 40-year-old with rectal bleeding? A 20-year-old unable to swallow? There was no question that they merited procedures, but when? Could they stand to wait four weeks? Eight? Twelve?

What does "elective" mean, really? It's intuitive to think about illness as varying along a spectrum of urgency: On one end, a hangnail; on the other, a heart attack. The term also implies that treatment can also vary along a spectrum of need, from cosmetic surgery to cardiopulmonary resuscitation. Most of medicine sits in the middle, asking us to balance potential health benefits against potential costs, such as missed diagnoses, procedural complications or, more recently, a covid-19 infection after visiting a medical building.

While the country debates whether to prioritize reopening the economy or minimizing preventable deaths, we face our own complicated trade-offs within the practice of medicine. The pandemic logic of triage - a process, borrowed from wartime, of prioritizing sick individuals according to the severity of their prognosis - exerts novel pressure on a system not used to such resource scarcity. Individual clinicians are grappling with what is truly necessary and urgent.

During my first week back to work in the endoscopy suite last month, I had trouble convincing any of my originally scheduled patients to come in for their procedures.Their episodic abdominal pain, refractory heartburn, and unrelenting diarrhea had seemed pressing just a few months before, but now the threat of infection loomed larger. Alongside clinicians, patients make their own judgments about what constitutes essential health care - about how to value the reassurance of resolving old symptoms against the risk of getting sick with something new and even more uncertain.

The calculus quickly gets complicated. We have to weigh not only the patient's health but that of the physicians, nurses, technicians and custodians who keep a procedural space operational. Concerns about infection also ripple from patients and providers to all their family members who might be affected. The masks and gowns protecting one cohort of health care workers could always be set aside for a needier cohort later. And staff relieved of their nonessential duties in a procedural suite could theoretically be reassigned to other settings where they might be of greater service.

On the other side of the equation, there are certainly diseases that become more dangerous when left unattended. A few of my colleagues in other cities worry vocally about how many gastrointestinal malignancies they'll find once routine practice picks up again. Less vocally, they worry about the legal implications of not having made the diagnosis earlier, wondering if they'll be liable for not having pushed more procedures into hospital settings even as federal or professional society guidance and state executive orders limited elective procedures. The potential hazards of clinical lag time also hold true for other specialty areas - blurry vision can herald impending strokes, and unattended orthopedic injuries can settle into contractures. In the background is the unsettling awareness that interventions deemed essential in one state may be elective in the next, particularly for politically sensitive services like abortion.

The line dividing essential from elective care is always a subjective one, because risk-benefit calculations tend to shift over time. The past few months have occasioned especially dramatic fluidity, but larger-scale changes have also unfolded over the past several decades. In the 1960s, specialties began lobbying for new interventional environments like the ambulatory surgical center, while emergency rooms arose as distinct hospital spaces for managing acute concerns. Meanwhile, chronic disease prevalence and pharmaceutical incentives inspired increasing professional interest in the idea of risk states (like high cholesterol as a precondition for heart disease, or age and gender as preconditions for breast cancer), which in turn entrenched preventive maneuvers (from annual physicals to mammograms to a daily aspirin) as vital elements of routine care. The insurance industry overlaid these developments with thorny questions about medical necessity.

In a sense, it's been remarkable how successfully patients have avoided clinical settings in these first few months of the pandemic. Early anecdotal reporting noted surprising drops in hospital admissions for common medical emergencies like cardiovascular events, appendicitis and strangulated hernias, and international data have begun to confirm these trends. In the United States, emergency catheterization procedures for life-threatening heart attacks were down 38 percent in the early phase of covid-19, despite predictions that those events would be, if anything, more prevalent during a viral pandemic. Fewer cirrhosis patients are being admitted to Veterans Health Administration hospitals, according to a study recently published by my colleagues at the University of Pennsylvania, and those who are admitted have been, on average, measurably sicker than baseline.

Contemporary biomedicine certainly prioritizes procedures financially, but also emotionally and culturally. Objective observations gathered by diagnostic maneuvers like CT scans, tissue biopsies and cardiac catheterizations have become a linchpin of clinical certainty. They are vital to a confident diagnosis and treatment plan and, when edged with the promise of life extension, serve as a kind of salve for the threat of mortality. These assumptions are so foundational to modern medicine that it can be shocking to question their validity.

Well before covid-19, the writer Barbara Ehrenreich detailed her decision to turn away from screening tests like colonoscopies, contending that they delude us into approaching death as a problem to be solved while at the same time invading the body to the point of violation: "if mammography seems like a refined sort of sadism," she notes, "colonoscopies mimic an actual sexual assault." It's a provocative argument, easier to accept in the abstract than when I recall patients with cancers I've found on years-overdue colonoscopies. Our infrastructure of high-tech diagnostic intervention can seem particularly bloated in the context of a pandemic, but patients and clinicians alike are often deeply and justifiably invested in it.

Ultimately, clean distinctions between essential vs. elective care are rhetorically convenient but clinically reductive. Sacrifices are entailed on both sides, and the messy work of negotiating the pros and cons will persist as the pandemic recedes. The same might be said for all-or-nothing debates pitting human life against a solvent economy - a compelling thought exercise, but less relevant in practical terms. Accumulating job losses are leaving more and more people uninsured, for example, forcing them to continue deferring elective medical care once it picks up again. Progressive dreams of radical reform notwithstanding, the medical and financial priorities of our healthcare system are deeply enmeshed, and for now, grappling with either means grappling with both.

Every day provides new data, and with it another opportunity to reweigh our priorities. In Philadelphia, where I work, our projected peak was at the end of April, and the first surge of covid-19 cases appears to have crested. Stocks of personal protective equipment are no longer dangerously depleted, and opportunities exist for systematic testing. These developments will afford us more space to evaluate those uninfected patients with separate, slow-burning complaints.

I recently re-connected with Mr. Fields; I hope he doesn't hold this interruption of his care against me. I'm ready to pick up where we left off, but covid-19 has made it harder to pretend that medicine operates in a vacuum. I marvel at the confidence of our pre-pandemic therapeutic encounters, which so often left implicit all the indelicate questions of financial incentives, workers' well-being, and the capacity of medicine to harm as well as to heal. Once the crisis lifts, it's hard to imagine returning to such thoughtless certainty.

Ahuja is an assistant professor of clinical medicine in the division of gastroenterology and hepatology at the University of Pennsylvania.

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The line between 'elective' and 'essential' is often hazy - Bryan-College Station Eagle

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