#Leana K.

[yopigeonflyerjo]

Aemond Targaryen SFW alphabet

Will be corrected

Aemond x reader

A= affection (how affectionate are they?(How do they show affection?)

Security, there is anything. In this world that scares him more than the thought of losing you. If you ever go for a night walk, he just spawns there and either walk with you or take you to the chambers. He keeps his eye on you. Aemond as someone raised by someone not ready for motherhood Alicent (we stan raging lesbian girlboss) and Viserys who was never there for him, he is really touch starved. In private he just can’t keep his hands off his hands. In public he may hold your hand but nothing more. But his gaze says everything.

A= best friend (what would they be like as a best friend?)

Protective bro energy, he would be first to throw hands if someone disrespected you. If not literally, he would make the life of this person a real hell. He loves it when you are near when he trains with Cole. It happened at least a few times a week. You read a book until it finishes, then two of you go for a walk.

C= cuddles (do they like to cuddle? (How would they cuddle?)

He LOVES to cuddle. Especially in bed, he lies down on your stomach or chest. Don’t even try to move. In public he is not this touchy. He holds you near, but don’t show more affection than that.

D= domestic (do they want to settle down? (How are they around the house?)

A happy life with you, a castle as far from the king’s landing as possible is his dream life. But as long as his family is in danger, he can’t leave. You understand and support him, for now that are only plans.

E= ending (if they had to break up with their s/o, how would they do it?)

He wouldn’t let it be. There is not a single chance that you would leave him. If that somehow happened, be ready for this blond mf yandere mood.

F= fiancé (how would they feel about a commitment? (How quickly would they like to get married?)

As fast as he is, he is, he is sure that you also love him. For him, marriage doesn’t really matter that much, but he knows how important it is for you and your reputation. Also, he sees it as final confirmation that you love him and will never betray him.

G= gentle (how gentle are they, both physically and emotionally?)

H= hugs (do they like hugs? How often do they do it? (What are their hugs like?)

Warm, in private most of them lead to something more. He loves it when you kiss his neck during hugging. For the first time you hugged him after Leana's funeral. That's one of his happiest memories. Let's be honest, he needs a hug.

I= jealousy (how jealous do they get? (What do they do when they're jealous?)

REALLY EASILY, even if it's just a random drunk guy flirting with you, he wouldn’t let that slide. If it were Aegon, he would just threaten him. Random guy immediately stabbed or became a Vhagar snack (leave this elder woman out of this), if that's one of his nephews is ready for war. There is no one as insecure as Aemond, especially after losing an eye. He has never forgiven these bastards (after writing that I realized how adequate that was) how they never paid for that.

K= kisses (what are their kisses like? Where do they like to kiss their partner? (Where do they like to be kissed?)

Most of them are short but full of emotions. The good ones are long and passionate. He treats them like a promise that you two will meet again.

L= little ones (how are they around children?)

Not bad, sometimes he plays with Haelana children. He ignores them as long as they are not his nephews,

N= nights (how are nights spent with them?)

He is peaceful, but he is a very light sleeper. Your softest move can wake him up, especially that since you two sleep together, he holds you tight. He doesn’t sleep much, most of the times he goes to bed late and wakes up early.

O= open (when would they start revealing things about themselves?)

He wasn’t really sure that it ever happened until your wedding night. There wasn't a bedding ceremony, you two just go to the chambers and talk all night long. At first, he did not show it, but the ceremony touched him. You are really his.

P= patience (how easily angered are they?)

He is patient (we will bring this back in nsfw one), this man waits so long for his revenge.

Q= quizzes (how much would they remember about their partner?)

He is a good observer (gods, it has so much meme potential), and he sees and notes little things about you in his mind. What food you like, what don’t, which one aunt you avoid, who is your favorite cousin.

S= security (how protective are they? (Would they like to be protected?)

As I said, very protective. He is your truly guard dog (dragon).

T=try (how much effort would they put into dates, anniversaries, gifts, everyday tasks?)

He is not into expensive gifts, he gives you some stunning dresses or Dimond jewelry, but he doesn’t really treat it as a real gift. He likes something with meaning. Like your childhood toy that he has kept for years or a necklace with your favorite flower inside.

U= ugly (what would be some bad habits of theirs?)

He can be cruel and brutal if he thinks someone deserves it. He seems not to really notice the line between good and evil. Even if he does, sometimes he just doesn’t care.

V= vanity (how concerned are they with their looks?)

He is not really concerned, he is insecure. Showing you his eye was a really big deal. He did it at the wedding night, and it was really stressful for him. Aemond was sure you would run away, but when you stayed,ed, he was the happiest man in Westeros at this moment.

W= whole (would they feel incomplete without you?)

He would feel tearful. You are not only his lover but also his friend. You were his support and the only person that always cared.

X - xtra (a random headcanon for them.)

He had a crush on two people beside you, Healena and Daemon (you can’t elaborate)

You try to kill yourself after a battle above the gods' eyes

He is never quite sure about Vhagar, he doesn't quite trust her. As much as a rider should trust a dragon.

First, he really has problems with riding her Vhagar Viserys never really loved Viserys again after losing his eye. He could never forgive his father that he cared more about Rhaenyra at general

So after Viserys' words „Rhaenyra, my only child", he didn’t feel anything.

He really loves his mother. After years, Aemond noticed how lost and helpless she is

The only person that really worries him is Daemon.

Z= zzz (what is a sleep habit of theirs?)

He always kisses you before and after sleep.

Sometimes he goes for late night flights on Vhagar.

He is always happy when you join

#house of the dragon #aemond one eye #aemond fic #aemond imagine #aemond x y/n #aemond x reader #a song of ice and fire #fanfic #sfw #game of thones #aemond the kinslayer #daemon x rhaenyra #deamon x rhaenyra

[englishmansdcc]

BIOSPHERE review - Honk if you love Biosphere starring Sterling K. Brown & Mark Duplass

Coming out on July 7th is @IFCFilms' #Biopshere starring @SterlingKBrown & @MarkDuplass and directed/co-written by @MelEslyn. Here's Leana Ahmed's thoughts about the film that she says will elicit some great debates. #MovieReviews

Director: Mel EslynStarring: Sterling K. Brown, and Mark DuplassMovie Length: 1 hour 47 minutes The title of this review refers to a recent film by the star of this one. Sterling K. Brown recently starred in a movie entitled, Honk for Jesus. Save Your Soul. The versatile actor has many projects on the horizon. His next major role is in Biosphere, co-starring Mark Duplass.  Biosphere is the next…

View On WordPress

[subtlesolitude-tailoredtaste]

Art21 proudly presents an artist segment, featuring Theaster Gates, from the "Chicago" episode in the ninth season of the "Art in the Twenty-First Century" series.

"Chicago " premiered in September 2016 on PBS. Watch now on PBS and the PBS Video app: https://www.pbs.org/video/art-21-chic...

Theaster Gates first encountered creativity in the music of Black churches on his journey to becoming an urban planner, potter, and artist. Gates creates sculptures out of clay, tar, and renovated buildings, transforming the raw material of the South Side into radically reimagined vessels of opportunity for the community.

Establishing a virtuous circle between fine art and social progress, Gates strips dilapidated buildings of their components, transforming those elements into sculptures that act as bonds or investments, the proceeds of which are used to finance the rehabilitation of entire city blocks. Many of the artist’s works evoke his African-American identity and the broader struggle for civil rights, from sculptures incorporating fire hoses, to events organized around soul food, and choral performances by the experimental musical ensemble Black Monks of Mississippi, led by Gates himself.

Learn more about the artists at:

https://art21.org/artist/theaster-gates/

CREDITS | Executive Producer: Eve Moros Ortega. Host: Claire Danes. Director: Stanley Nelson. Producer & Production Manager: Nick Ravich. Editor: Aljernon Tunsil. Art21 Executive Director: Tina Kukielski. Curator: Wesley Miller. Associate Producer: Ian Forster. Structure Consultant: Véronique Bernard. Director of Photography: Keith Walker. Additional Photography: Don Argott, Brian Ashby, Steve Delahoyde, Jeremy Dulac, Damon Hennessey, Sam Henriques, Ben Kolak, Christoph Lerch, Stephan Mazurek, Andrew Miller, Christopher Morrison, Leslie Morrison, Murat Ötünç, Logan Siegel, Stephen Smith, & Jamin Townsley. Assistant Camera: Kyle Adcock, Joe Buhnerkempe, Alex Klein, Ian McAvoy, Sean Prange, & Liz Sung. Sound: Sean Demers, Alex Inglizian, Hayden Jackson, İlkin Kitapçı, Joe Leo, Matt Mayer, John Murphy, Richard K. Pooler, & Grant Tye. Production Assistant: Hamid Bendaas, Emmanuel Camacho, Chad Fisher, Elliot Rosen, Stanley Sievers, Chris Thurston, & Steven Walsh.

Title/Motion Design: Afternoon Inc. Composer: Joel Pickard. Online Editor: Don Wyllie. Re-Recording Mix: Tony Pipitone. Sound Edit: Neil Cedar & Jay Fisher. Artwork Animation: Anita H.M. Yu. Assistant Editor: Maria Habib, Leana Siochi, Christina Stiles, & Bahron Thomas.

Host Introduction | Creative Consultant: Tucker Gates. Director of Photography: Pete Konczal. Second Camera: Jon Cooper. Key Grip: Chris Wiesehahn. Gaffer: Jesse Newton. First Assistant Camera: Sara Boardman & Shane Duckworth. Sound: James Tate. Set Dresser: Jess Coles. Hair: Peter Butler. Makeup: Matin. Production Assistant: Agatha Lewandowski & Melanie McLean. Editor: Ilya Chaiken.

Artworks Courtesy of: Nick Cave; Theaster Gates; Barbara Kasten; Chris Ware; BAM Hamm Archives; Bortolami Gallery; Cranbrook Art Museum; Margaret Jenkins Dance Company; The New Yorker magazine and Condé Nast; James Prinz Photography; Jack Shainman Gallery; Sara Linnie Slocum; Chris Strong Photography; & White Cube. Acquired Photography: Sara Pooley; The Art Channel/Bobbin Productions; & University Art Museum, California State University Long Beach.

Special Thanks: The Art21 Board of Trustees; 900/910 Lake Shore Drive Condominium Association; Michael Aglion; Ellen Hartwell Alderman; Adam Baumgold Gallery; Naomi Beckwith; Biba Bell; Stefania Bortolami; Kate Bowen; Pat Casteel; Chicago Embassy Church; Coachman Antique Mall; Maria J. Coltharp; John Corbett; Department of Theatre & Dance, Wayne State University; Detroit School of Arts; Christina Faist; Bob Faust; Martina Feurstein; Julie Fracker; William Gill; Graham Foundation; Jen Grygiel; Sarah Herda; Jennon Bell Hoffmann; Sheree Hovsepian; Institute of Contemporary Art at the University of Pennsylvania; Istanbul Biennial; Nicola Jeffs; Jenette Kahn; Jill Katz; Alex Klein; Kunsthaus Bregenz; Jon Lowe; Sheila Lynch; Mana Contemporary Chicago; Christine Messineo; Laura Mott; Deborah Payne; Bishop Ed Peecher; Lisa Pooler; Rebuild Foundation; Diana Salier; Tim Samuelson; Amy Schachman; Zeynep Seyhun; Keith Shapiro; Alexandra Small; Jacqueline Stewart; Hamza Walker; Clara Ware; Marnie Ware; & Steve Wylie.

Additional Art21 Staff: Maggie Albert; Lindsey Davis; Joe Fusaro; Jessica Hamlin; Jonathan Munar; Bruno Nouril; Pauline Noyes; Kerri Schlottman; & Diane Vivona.

Public Relations: Cultural Counsel. Station Relations: De Shields Associates, Inc. Legal Counsel: Albert Gottesman.

Dedicated To: Susan Sollins, Art21 Founder.

Major support for Season 8 is provided by National Endowment for the Arts, PBS, Lambent Foundation, Agnes Gund, The Andy Warhol Foundation for the Visual Arts, and The Anna-Maria and Stephen Kellen Foundation.

©2016 Art21, Inc.

#Youtube #theaster gates

[damian-schreave]

The Selected as previous OC characters?

((not me having been in only one oc before this but,,,,i’ll give it a go *clown emoji here*))

Hadley: Reggie (im not saying its because they’re both orphans, but,,,,)

Lyna: Tavi (lower caste, more reserved/quiet, but also fun to interact with)

Robin: Ava (something about their anger at the world feels the same to me idk)

Adria: Itzel (mildly chaotic and from a southern province)

Marcie: Idalia (something about the way marcie told damian to pull over the car on the first date did it for me)

Soraya: Brooke (i don’t have a great explanation, but the vibes are there for me)

Savy: Jen (it’s the lawyering for me)

Sienna: Missy (too sweet for their own good in a good way)

Rosie: Evalin (sweet woman in stem with perfectionist tendencies)

MJ: Leana (sweet, but also lowkey entered the selection for a career related goal, but l o w k e y)

Astra: Clemence (chaotic twos into wine tbh)

[peach-salinger]

✧･*ﾟscottish female names

→ link to my scottish male name masterlist → link to my scottish surnames masterlist

under the cut are a mixture of 260 traditional, modern and uncommon scottish female names. this masterlist was created for all in one breath rp, but feel free to link on your own sites! names are listed in alphabetical order. as always, it's a good idea to google pronunciations (some of them might surprise you!). my favourites are in bold, just because. please like♡ or reblog if you found this useful.

A

adaira, adamina, agnes, aila, aileen, ailith, ailsa, ainsley, alana, alba, albe, alexina, alison, alpina, alycie, amelia, amie, andrina, annag, annella, annis, annabel, aoife, arabella, aria, athdara, artis, ava

B

beatrice, bessie, bethia, betsie, betty, blair, bonnie, bonnibelle, bridget, bridie, broca, brodie

C

cadha, cairstine, cait, caitlin, calene, camden, cameron, campbell, caoimhe, caroline, catriona, ceana, cecily, chrissa, christal, clementine, coira, colina, cora, cullodina, cumina

D

dallas, daracha, davida, davina, davonna, deidre, devorgilla, dolina, donella, dorcas, dorothy

E

ealasaid, eara, earie, edina, edme, effemy, egidia, eglantine, eilidh, eirica, eithne, elsbeth, elspeth, elyne, enya, eriska, erskina, erwina, etta, eufemie, euna, euphemia, evanna, evina, eve, evelyn, evir

F

fallon, fearchara, fenella, ferelith, fia, fiona, finnia, finola, firtha, flora, florrie, forba, forveleth, frances, freya, fyfa

G

gaira, gavenia, gavina, ginnifer, gislaine, glenda, glynnis, gordana, gormelia, greer, griselda, grizel, gunna, gwendolyn, gwyneth

H, I, J, K

hazel, heather, hesther, hextilda, idelle, ilissa, inghean, innis, iona, isla, isobel, jaime, jamesina, janetta, jemima, jesanie, kellina, kelsey, keltie, kenna, kennedy, kinley, kirstine, kyla

L

lainie, laire, lara, larena, leana, leane, letitia, lileas, lilias, linsey, lioslaith, logan, lorna, lucretia

M

mabel, marcail, marcella, machara, mackenzie, maggie, mai, maira, maisie, malie, malvina, malmuira, marion, marietta, marjory, marsaili, martha, matilda, meribeth, merrilees, mhairi, mildred, minnie, mina, minda, minette, mirren, moibeal, moira, molmoria, morag, morven, muire, murren, myna, mysie

N, O, P, R

nairna, nathaira, nessa, nessia, nichola, norrie, ogilvy, oona, orabilia, orla, osla, owena, paisley, rhiannon, rhona, rhonda, rinalda, robena, ronnette, rossalyn, rose, rowena

S

senga, seonag, sheena, sileas, sima, siobhan, skena, skye, sloan, sorcha, struana, sulwen

T, U, V, W

taffy, tatha, tara, tavia, taye, teagan, teva, tira, torberta, torra, tosia, treva, una, vaila, vanora, vida, vika, violet, wilma, winifred, wynda, wynfreda

#names #masterlist #female names masterlist #name masterlist #rph #rp help #scottish names #scottish female names #scottish girl names #girl names #girl names masterlist #female names #roleplay #roleplay help #scotland #roleplay guide #rp guides #roleplay guides #mine #my stuff

[dandelionseedoutlier]

The hidden value of personal relationships for supporting educational change

Guest Author: Amy Cassata

Photo by: Jerry Cargill

It’s been nearly two months since our nation was first directed to work from home and exercise social distancing to decrease the spread of Covid-19.  Yet, while we have put physical distance between each another, the way we relate on a personal level is transforming. Ironically, in times of physical separation, the moment is ripe for nurturing one factor that research has shown drives change – personal relationships.

A recent Canadian public opinion survey suggests that many colleagues are indeed feeling closer to one another: 52% of respondents reported improved relationships with coworkers during the Covid-19 pandemic. Increased social interaction is also happening outside the workplace. Over the past month, numerous stories have documented rekindled connections among distant friends, extended family reunions, and strengthened connections between neighbors taking place now because people have the time and crave human connection.

We know from research that trusted human relationships provide tangible value to educational change efforts, particularly when it comes to diffusing new practices and enhancing learning and improvement [1, 2, 3]. For teachers, in particular, trusted relationships with colleagues can:

facilitate the development shared goals and understandings;

promote a sense of safety with experimentation without judgment;

provide opportunities for learning through exchange of information and expertise;

increase the likelihood that innovations will be spread beyond single classrooms; and

motivate individual action, even when it’s difficult.

The development and maintenance of close personal relationships is one of three basic psychological needs. Research has shown that environments that foster belongingness and connection with others can support individual engagement in and perceived value of activities, and in turn, promote sustained motivation in them [4]. Social encouragement makes trying new things psychologically safe, desirable to attempt, and achievable - especially if everyone is explicitly learning together and reaching for a common goal  [5, 6].

When it comes to change efforts, relationship factors are just as important as individual teacher characteristics and more technical aspects of reform. As educators are being asked to radically change how they plan, teach, assess, and work together in response to the Covid-19 pandemic, strong social supports are important now more than ever. However, with all their positive benefits, these collaborative behaviors aren’t typically measured or monitored, let alone rewarded, in educational settings [7].

Many working in education research may wonder where we might focus our energies as the nature of our work shifts. How can we best meet the needs of educators as they take extraordinary steps to ensure students receive continuity in academic and socio-emotional support? Our field may adjust in part by connecting on a personal level with our education partners and collaborators and encouraging our partners to do the same.  As time goes on, we might explore ways to work together to systematically study relationship changes so that we can better understand and capture their effects on teaching, learning, and instructional change.

Trusted relationships among colleagues don’t happen overnight – they require time, intentional effort, and ongoing interactions [8]. With “normal life” months away, the conditions are optimal to cultivate such interactions. While the future is uncertain, this historic period of social distancing will eventually be part of the past. When that time comes, and we inevitably slip back into our busy routines, we should not let ourselves forget the value of human connection to furthering our goal of educational improvement. Maybe, if we’re lucky, we will even see some unintended positive consequences from this very unusual social experiment.

In what ways have your professional and personal relationships changed during the Covid-19 pandemic?  Share your story with us at [email protected].

Citations:

[1] Spillane, J.P. & Thompson, C.L. (1997). Reconstructing conceptions of local capacity: The local education agency’s capacity for ambitious instructional reform. Educational Evaluation and Policy Analysis, 19(2), 185-203. [2] Seashore Louis, K. & Lee, M. (2016). Teachers’ capacity for organizational learning: the effects of school culture and context. School effectiveness and school improvement, 27(4), 534-556. [3] Bryk, A. S., Sebring, P. B., Allensworth, E., Easton, J. Q., & Luppescu, S. (2010). Organizing schools for improvement: Lessons from Chicago. Chicago, IL: University of Chicago Press. [4] Ryan, R.M. & Deci, E.L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68-78. [5] Hargreaves, A. & Fullan, M. (2012). Professional capital: Transforming teaching in every school. New York: Teachers College Press. [6] Bandura, A. (1986). Social foundation of thought and action. Englewood Cliffs, NJ: Prentice- Hall. [7] Quintero, E. (2016). The hidden power of our social worlds. In Daly et al. (Eds.), The social side of education reform (pp. iv-v). Albert Shanker Institute. [8] Leana, C.R. & Pil, F.K. (2016). A new focus on social capital in school reform efforts. In Daly et al. (Eds.), The social side of education reform (pp. 4-6). Albert Shanker Institute.

#education #improvingeducation #covid19

[whatever-souls-are-made-of]

ASOIAF Female Names: K-M

K:

Kella Kezmya Kiera Kinvara Kyra

L:

Larra Laena Leana/Lyanna Lelia Lemore Leona Leonella Leonette Leslyn Leyla Lia Liane/Lyanne Lily Lollys Loreza Lorra Lucinda Lyarra Lynara Lynesse Lynora Lyra Lysara Lysa/Lyssa Lythene

M:

Maege Maegelle Malora Margaery Margaret Margot Mariah Marianne/Merianne Maris Marissa Mariya Marla Marna Marsella Mary Meera Megga Melantha Melara/Mellara Melesa/Melessa/Melissa Melisandre Mellario Mellei Meredyth Meria Meris Mezzara Mina Minisa Mira Mirri Missandei Mordane Morra Morya Mya Mylenda Myranda Myrcella Myria Myriame Myrielle

#name index #a song of ice and fire #game of thrones #female names

[whatwouldbeenough]

Preston Max Allen is proud to pay tribute to Musical Theatre Factory with a legacy concert of his Ovation Award Winning musical, WE ARE THE TIGERS this Sunday, August 26 at 7pm at Joe's Pub.

In this original pop/rock musical, a new school year means a new beginning for the Tigers, the worst-ranked high school cheerleading team in the state. But when an innocent team-building sleepover becomes a mysterious murder scene, the Tigers will need more than just team spirit to survive the night - and each other.

Initially developed with Musical Theatre Factory, WE ARE THE TIGERS features book, music, and lyrics by Preston Max Allen (Agent 355, The Rage: Carrie 2, an Unauthorized Musical Parody), direction by Michael Bello (Summer), and music direction by Patrick Sulken (Pretty Woman). The concert will feature performances by Broadway's Adam Kaplan (A Bronx Tale, Newsies), Storm Lever (Summer), Lauren Nicole Chapman(Frozen), Jenny Rose Baker (Fiddler on the Roof), Chelsea Williams (Mamma Mia!), and Kaitlyn Frank (Newsies). Rounding out the cast will be Ari Afsar (Hamilton), Ashley Lynette Brown, Leana Rae Concepcion (Comfort Women), Paige Daigle, Julie Ann Earls(Puffs), Melissa Rose Hirsch (The Mad Ones), Rachel King, Danny Kornfeld (Rent), Anna Leigh Marr, Gabriela Milo, Rachel Newman, Marissa O'Donnell (Shrek the Musical), Emily Olcott, Celeste Rose (Unexpected Joy), Thea K. Lammers, Caroline Lellouche, Charlotte Mary Wen, and Remy Zaken (Spring Awakening).

#Ari Afsar #Lauren Nicole Chapman #Adam Kaplan #SO #WHO IS GOING TO THIS TO GET ME AN AUDIO #I WILL PAY FOR SOMEONE'S TICKET

[techmaqofficial]

For School Outbreaks, It’s When, Not If

For School Outbreaks, It’s When, Not If

[ad_1]

The coronavirus is unpredictable, but one thing seems certain in this back-to-school season: Outbreaks will appear in many K-12 schools as they reopen.

“It’s not a question of if, but when outbreaks will occur,” said Dr. Leana Wen, an emergency physician and the former health commissioner of Baltimore.

“We have to be realistic,” said Dr. Benjamin Linas, an associate professor of…

View On WordPress

[wingedglittergarden]

Tại sao số ca nhiễm COVID-19 ở Mỹ tăng khủng?

  Các thành viên của Lực lượng đặc nhiệm chung JTF2, gồm cả Vệ binh quốc gia Mỹ, đến tham gia công tác khử trùng tại New Rochelle, New York ngày 23.3 – Ảnh: Reuters

Còn số ca tử vong đã lên tới hơn 580 ca. Toàn bộ 50 bang của Mỹ đã có ca nhiễm và Mỹ hiện là quốc gia có số ca nhiễm nhiều thứ 3 thế giới, chỉ sau Trung Quốc và Ý.

Đông dân khiến dịch lan nhanh

Những diễn biến trên cho thấy có điều gì đó bất thường đã xảy ra ở Mỹ, dù nước này nằm cách tâm dịch Vũ Hán của Trung Quốc khoảng nửa vòng Trái đất. 

Các quan chức y tế Mỹ đánh giá tình trạng thiếu các biện pháp mạnh tay và việc nhiều người dân phớt lờ các chỉ đạo về “duy trì khoảng cách xã hội” thời gian qua có thể đã khiến số ca nhiễm ở Mỹ tăng mạnh, gây áp lực cho hệ thống y tế quốc gia.

Trong khi đó, báo New York Times dẫn lời chuyên gia chỉ ra “kẻ thù” lớn khiến dịch lây lan nhanh ở một số thành phố của Mỹ chính là mật độ dân số cao. 

Chẳng hạn New York đông đúc hơn bất kỳ thành phố nào khác ở Mỹ, với khoảng 28.000 dân/2,5km2, còn San Francisco đứng kế tiếp với khoảng 17.000 dân/2,5km2. 

Ở những không gian nhỏ bé như vậy, virus dễ lây lan thông qua các chuyến tàu điện ngầm đông nghẹt, những tòa chung cư, các khu vui chơi… Một số nhà nghiên cứu còn nhận thấy có sự tương đồng giữa New York và Vũ Hán xét về mật độ dân số.

4 vấn đề gây cản trở

Liên quan tới nhà chức trách Mỹ, theo Hãng tin AP, các quan chức y tế liên bang và giới quan sát đã chỉ ra 4 vấn đề chính gây cản trở phản ứng quốc gia với dịch COVID-19, gồm: quyết định lúc đầu của Mỹ về việc không dùng cách xét nghiệm được Tổ chức Y tế thế giới (WHO) thông qua, những thiếu sót trong cách xét nghiệm phức tạp hơn được Trung tâm Kiểm soát và phòng ngừa dịch bệnh Mỹ (CDC) phát triển, chỉ đạo của Chính phủ Mỹ hạn chế số người được xét nghiệm và sự trì hoãn trong việc phối hợp với khu vực tư nhân để tăng năng lực xét nghiệm.

Cùng với những thông điệp kiểu “nói giảm nói tránh” về mối đe dọa của COVID-19 từ Nhà Trắng, nhà chức trách Mỹ đã tạo ra một phản ứng chậm chạp, bỏ lỡ cơ hội để làm giảm sự lây lan của dịch. 

“Đã có thật nhiều cơ hội để chúng ta không phải rơi vào cảnh như bây giờ” – ông Ashish K. Jha, giám đốc Viện Y tế toàn cầu tại Đại học Harvard, đánh giá.

Diễn tiến phụ thuộc hành động của mỗi người

Gi��� đây cứ 3 người Mỹ thì có 1 người phải ở lại trong nhà để ngăn lây lan dịch, khi nhà chức trách Mỹ bắt đầu đẩy mạnh các biện pháp chống dịch. Thống đốc của ít nhất 16 bang đã ban lệnh yêu cầu người dân ở lại trong nhà.

“Tình hình tệ hơn trong tuần này và sẽ tệ hơn nữa trong tuần tới. Diễn biến xấu ra sao sẽ tùy thuộc những hành động mà mỗi người chúng ta thực hiện hôm nay” – Đài CNN ngày 24.3 dẫn lời bác sĩ Leana Wen, giáo sư tại Đại học George Washington, nhận định.

Theo Tuổi trẻ

Nguồn:https://ift.tt/3bf7fO1

Bài viết Tại sao số ca nhiễm COVID-19 ở Mỹ tăng khủng? đã xuất hiện đầu tiên vào ngày Tin tức 24h.

from WordPress https://ift.tt/2VhSlkl via IFTTT

#tinmoi.vip #tin tức hàng ngày

[briesidonielarsons]

loo k leana is fmy favoreite character evar nd she wold neva l ik eosme bitch ass pasty whi te boay lyke mon-el, OK

#me.txt

[touchedbyinsanity13]

k so who tops

um this is hypothetical but

definitely not LeAna

#this is how i die #anon #asks

[rssspockuhura]

Más allá de la razón

Warning: Some M/M works might show up here because the Spock/Uhura tag is used in ref to S/U as a side pairing, past pairing, etc. Solution. Read at your own risk.

Author: Leana Bodt Star Trek: 2009 Spanish, Rated: K Romance/Drama Characters: [Spock, J. Kirk] Chapters: 1, Words: 2,655, Reviews: 0, Rated: K, Complete

Si bien Jim podía arrepentirse de muchas cosas, salvar a Spock no era una de ellas. Aunque eso le haya costado la Enterprise. via FanFiction.Net: Star Trek: 2009, Last Updated https://www.fanfiction.net/s/12661989/1/M%C3%A1s-all%C3%A1-de-la-raz%C3%B3n Remember to check out the Spuhura fanworks community on livejournal. Follow rssspockuhura for Spock/Uhura fanworks from around the web.

#spock #uhura #spuhura #spyota #nutrek #stxi #stxii #stid #star trek #star trek into darkness #star t

[newstfionline]

As opioid overdoses exact a higher price, communities ponder who should be saved

By Tim Craig and Nicole Lewis, Washington Post, July 15, 2017

MIDDLETOWN, Ohio--The coroner here in the outer suburbs of Cincinnati gets the call almost every day.

Man “slumped over the dining room table.” Woman “found in the garage.” Man “found face down on the kitchen floor of his sister’s residence.” Man “on his bedroom floor--there was a syringe beneath the body.” Coroner Lisa K. Mannix chronicles them all in autopsy reports.

With 96 fatal overdoses in just the first four months of this year, Mannix said the opioid epidemic ravaging western Ohio and scores of other communities along the Appalachian Mountains and the rivers that flow from it continues to worsen. Hospitals are overwhelmed with overdoses, small-town morgues are running out space for the bodies, and local officials from Kentucky to Maine are struggling to pay for attempting to revive, rehabilitate or bury the victims.

As their budgets strain, communities have begun questioning how much money and effort they should be spending to deal with overdoses, especially in cases involving people who have taken near-fatal overdoses multiple times. State and local officials say it might be time for “tough love”: pushing soaring medical costs onto drug abusers or even limiting how many times first responders can save an individual’s life.

“It’s not that I don’t want to treat overdose victims, it’s that the city cannot afford to treat overdose victims,” said Middletown Council Member Daniel Picard, noting this industrial town in northern Butler County might have to raise taxes in response to the crisis.

The debate comes as demand for opioid antidote medication surges, creating new challenges for police and emergency crews already emotionally drained as they watch their communities--and, in some cases, families--torn apart by opioid addiction. Often, the only thing separating whether an overdose victim goes to the hospital instead of the morgue is a dose of naloxone, also known by the brand name Narcan, a medication that can reverse the effects of opioid overdoses.

Two doses of an injectable form of naloxone, Evzio, cost $4,500, up from $690 in 2014. The price of other forms of the drug, including the nasally administered Narcan, typically range from $70 to $150 per dose, officials say.

Compounding the costs, the potency of the newest batches of opioids often means first responders must administer multiple doses of naloxone to revive patients. Health officials say powerful additives to the illicit market--such as fentanyl and carfentanil, an elephant tranquilizer--are to blame.

Even if saved, an opioid user often is back on drugs within days, if not hours, officials say. Here in Ohio, first responders say it’s not uncommon for overdose victims to have previously been revived with naloxone at least a half-dozen times.

Some officials and residents are starting to ask how a community can bear to try to help those who do not appear to want to help themselves.

The debate has shades of the divisive policy debates about drug treatment and tough jail sentences during urban America’s crack epidemic in the late 1980s and 1990s. But in the suburban and rural communities that largely escaped that epidemic, the debate this time is far more intimate, as residents’ traditional views about law and order--and how to spend limited resources--are being tested by a growing number of addicts.

“You got half the population, probably more, who have been affected by this, and they understand and get it, that this is a disease,” said Scott Gehring, head of Butler County’s Community Health Alliance. “And then you have the other side, and it’s very easy for them to say these people are just a burden.”

In Maine, Gov. Paul LePage (R) has pushed to make overdose survivors pay for their Narcan. LePage also vetoed a bill to expand access to the medicine, but the legislature voted to override him.

In towns across Ohio, similar debates are emerging as legislators ponder both the fiscal and emotional costs of an opioid epidemic that killed nearly 4,000 people in the state in the past year, according to the Ohio’s Health Department. Though figures for 2017 are preliminary, many Ohio officials anticipate this year’s toll will be even higher.

Larry Mulligan Jr., mayor of Middletown, said the city has spent $100,000 on Narcan in the first six months of the year, a tenfold increase from what the town spent during all of last year. Paramedics in Middletown have responded to nearly 600 overdose calls in 2017, already eclipsing the 2016 total, according to city officials.

Picard, the council member, has proposed a controversial three-strikes policy in which first responders wouldn’t administer Narcan to repeated overdose victims. In 2016, Ohio EMS units administered at least 19,570 doses of Naloxone, according to state records covering the first nine months of the year.

“First responders are reaching a new level of frustration responding to multiple calls, for repeated victims, and they just don’t feel like they are making progress,” Mulligan said. “We can’t just keep reviving people. We have to address solutions.”

In Maryland, concerns about funding also have forced the Baltimore Department of Health to ration its dwindling naloxone supplies, providing kits to areas where the need is greatest.

With the help of an algorithm, Leana Wen, Baltimore’s health commissioner, makes decisions about where to supply naloxone kits, prioritizing needle exchanges because addicts who inject drugs are at a high risk of overdosing.

More funding is starting to trickle in from Maryland and charitable groups, but Wen cautions that current funding models are not sustainable because of the scope of the epidemic.

“If this was any other illness, we would never accept rationing of an antidote,” she said.

Congress last year approved a bill to provide $1.1 billion to help address the opioid crisis, and local officials hope that even more federal funding is coming. Several pharmaceutical companies who manufacture naloxone are providing the drugs free or at a discount to first responders and state health departments.

In Kentucky, officials pay for naloxone with a mix of federal funding and settlement money from a tobacco lawsuit. Officials say they have enough naloxone to go around, for now.

“I wouldn’t say we are doing great, but we are treading water--we are holding our own,” said Van Ingram, executive director for Kentucky’s Office of Drug Control Policy, a state that saw 1,404 overdose deaths last year.

The cost of naloxone often isn’t the only issue in dealing with overdoses. In recent weeks, Butler County Sheriff Richard K. Jones has drawn national attention for vowing that his deputies will never carry Narcan because he doesn’t want them playing the role of paramedic.

But Jones--a conservative firebrand who recently advocated that the U.S. military bomb drug cartels in Mexico--says his views also symbolize the community’s transition from frustration to desperation.

People in the nation’s heartland, Jones said, are fed up with “enabling these people” amid a surge in drug-related foster care cases, property crimes and emergency room visits.

“I’ve had three babies born in my jail in 18 months, and the last one was born in the toilet,” said Jones, noting that the female population in the Butler County jail more than doubled in recent years because of drug-related offenses. “The judges, to save the babies, sentence the mothers to jail. But when the women get here, they induce labor so they can get back out and do more heroin.”

Butler County’s chief prosecutor, Michael T. Gmoser, gets angry when he hears about community opposition to naloxone.

He worries that such views are undercutting southwestern Ohio’s reputation for decency and civility.

“What the hell business do we have saying, ‘You don’t get Narcan to treat your sickness; we are going to let you die’?” Gmoser said, pounding his fist on his desk. “I don’t care how many times that sick person comes back asking for another shot of Narcan.”

The sheriff’s stance also puts him at odds with the broader law-enforcement community. According to the Bureau of Justice Assistance, 38 states have implemented naloxone programs for police officers.

“It’s not just the opioid users themselves that we are protecting,” said Keith Cain, the sheriff in Daviess County, Ky., and the chairman of bureau’s Drug Enforcement Committee. “What about the child who gets into mommy’s or daddy’s stash?”

Instead of rebelling against Narcan, drug policy advocates say local officials should focus on getting more users into treatment. Not far from Butler County, in Miami County near Dayton, officials are doing just that.

County paramedics and police now respond to between 50 and 100 overdose calls per month. But in the city of Troy, the county seat and home to 25,000 residents, a paramedic, a police officer and a social worker hit the streets every Wednesday to follow-up with those who they’ve previously saved.

After approaching a woman slumped over a picnic table in a city park last week, the social worker spoke with Kelly Bruner, 30, about her options. Bruner agreed to be transported to a rehabilitation center.

Bruner said in an interview she has overdosed on heroin 13 times in the past year, and she has been revived with Narcan 10 times. Bruner said she and her friends have now started doing “CPR on each other,” after hearing of Picard’s three-strikes proposal in nearby Middletown.

“As long we know you have a pulse and a heartbeat, we aren’t going to call the cops, because no one wants to use that Narcan,” Bruner said. “Because if we can only get Narcan three times, that means there are only two more left before we die.”

#opioid epidemic #overdose victims #Narcan #Ohio

[nathancashion]

Transparency in Medicine

As I'm launching into practice, I've been going through my notes on things I need to do after I'm licensed. Some of the tasks include:

Apply for Disability Insurance

Sign up for WellPDX (a local marketing site for alternative healthcare providers)

Work on insurance panel applications (no thanks!)

Another task was "Sign up for Who's My Doctor." I figured it was another marketing site, or something like HealthGrades.com where patients rate the doctor.

I checked it out, and was surprised that it's something quite different. Who's My Doctor is now a petition called Total Transparency in Medicine. It stems from a project by Dr. Leana Wen to encourage doctors to disclose important information to their patients. (Watch her TED Talk above.)

This includes information such as whether they receive payments from pharmaceutical companies, their opinions on women's rights in regards to their health, whether they plan to do everything in their power to delay death, or whether they respect a patient's decision to die peacefully.

This information is not readily shared by many doctors. In fact, as you'll hear in the TED Radio Hour segment below, many doctors vehemently disagreed with her petition and even desired her physical harm for what she was proposing.

I've long had concerns with conflict of interest in medicine. It was a small factor directing me to chiropractic - this common complaint that medical doctors are in the pockets of the pharmaceutical companies, that they get treated to expensive dinners and luxurious weekend getaways for prioritizing a particular drug, or even prescribing it when not medically necessary.

The great secret is that chiropractors are just as subject to conflict of interest – perhaps to a lesser degree, or at least slightly lower earning potintial.

Take herbal supplements, for example. Many chiropractors sell nutritional supplements in their office - often at standard retail mark-up of 50%. That means half of the price you pay, goes into the pockets of the business. Supplements are a a $40-100 billion dollar industry in the U.S., and this says nothing of the rehab tools, cervical pillows, kinesiology tape, etc.

Research suggests chiropractors are just as subject to over-prescribing these products whether they earn a profit or not. 1

A great example of this is Dr. Dan Murphy's anti-aging protocol, which I wrote about in 2014. Dr. Murphy is a consultant for NutriWest and teaches seminars on a variety of topics. He's engaging, quick-witted, almost certainly has an eidetic memory, and speaks so quickly and convincingly you barely have an opportunity to critically evaluate what he's saying.

In a continuing education seminar I attended, he recommended a list of supplements for brain health and anti-aging. I took the liberty of calculating the monthly cost of these 10 supplements and was astonished at the result.

$523.33 per month

And that is just for one person.

My Policy

To address these personal concerns and minimize conflict of interest with recommending supplements, I've looked for tools to separate profit from recommendations.

FullScript (formerly HealthWave) is a great tool for prescribing and recommending supplements to patients without dealing with the hassle of inventory. I can choose the price-point - any where from at cost (0% profit, but 30% discount to the patient) to MSRP (30% profit, no discount). I can also include dose recommendation, educational information in the form of attached info sheets or links to research and videos.

I also currently provide K-Tape for free. Once my practice gets busier I will likely adopt the model of having patients pay retail or wholesale cost for a roll and then include the application of tape in my treatment cost.

Your Thoughts

I know many colleagues disagree, though I am interested in hearing their thoughts. Even more, I'd be curious to hear what patients think of their doctors providing products, supplements, rehab tools, etc. in their clinic. Does it worry you that your doctor may have a conflict of interest in their treatment?

#conflict #product #chiropractor #clinic #supplement #brain #anti-aging #health