The decision to shelve detailed advice from the nation's top disease control experts for reopening communities during the coronavirus pandemic came from the highest levels of the White House, according to internal government emails obtained by The Associated Press.

Municipalities across the province are re-evaluating their financial situations as COVID-19 continues to keep municipal facilities closed and has put other revenue streams on hold. 

Just in time for Easter, the story of a blind state leader who is giving up his office to join the Jesuits.

Bank for International Settlements BIS Working Papers by David Cook and Nikhil Patel

Central Bank of Chile Working Papers by Tomás Gómez, Alejandro Jara and David Moreno

Central Bank of Chile Working Papers by Gee Hee Hong, Matthew Klepacz, Ernesto Pasten and Raphael Schoenle

The only fiscal thing to fear is deficit fear itself.

SOLIDWORKS 2020 continues our mission of delivering powerful Simulation Capabilities with enhancements that provide increased power, more realistic simulations, and more efficient workflows. When running simulation on Weldment Structures, beam elements are typically used since they are fast to setup

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Pursuant to Clearing Advisory 20-152 that was published on April 8th, the clearing house will switch the options pricing and valuation model to Bachelier to accommodate negative prices in the underlying futures and allow for listing of option contracts with negative strikes for the set of products specified in the link below. The switch will be effective for the margin cycle run at the end of trading tomorrow April 22, 2020 and will remain in place until further notice.

Click here for the full text of the advisory

20-170

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One major goal of integrative and comparative biology is to understand and explain the interaction between the performance and behavior of animals in their natural environment. The Caviomorph, Octodon degu, is a native rodent species from Chile, and represents a unique model to study physiological and behavioral traits, including cognitive and sensory abilities. Degus live in colonies and have a well-structured social organization, with a mostly diurnal–crepuscular circadian activity pattern. More notable is the fact that in captivity, they reproduce and live between 5 and 7 yr and show hallmarks of neurodegenerative diseases (including Alzheimer's disease), diabetes, and cancer.

CNA Staff, May 7, 2020 / 07:00 am (CNA).- The sainthood causes of St. John Paul II’s parents were formally opened in Poland Thursday.

A ceremony launching the causes of Karol and Emilia Wojtyła took place at the Basilica of the Presentation of the Blessed Virgin Mary in Wadowice, John Paul II’s birthplace, May 7. 

At the ceremony, the Archdiocese of Kraków officially formed the tribunals that will seek evidence that the Polish pope’s parents lived lives of heroic virtue, enjoy a reputation for holiness and are regarded as intercessors. 

After the tribunals’ first session, Kraków Archbishop Marek Jędraszewski presided at a Mass, which was broadcast via livestream amid Poland’s coronavirus lockdown. 

Cardinal Stanisław Dziwisz, who served as Pope John Paul II’s personal secretary, attended the ceremony.

He said: “I want to testify here, at this point, in the presence of the archbishop and the assembled priests, that as a long-standing secretary of Cardinal Karol Wojtyła and Pope John Paul II, I heard from him many times that he had holy parents.”

Fr. Paweł Rytel-Andrianik, spokesman for the Polish bishops’ conference, told CNA: “The processes of beatification of Karol and Emilia Wojtyła ... testify above all to the appreciation of the family and its great role in shaping the holy and great man -- the Polish Pope.” 

“The Wojtyłas were able to create such an atmosphere at home and form children in such a way that they became outstanding people.” 

“Therefore, there is great joy of starting the beatification processes and great gratitude to God for the life of Emilia and Karol Wojtyła and for the fact that we will be able to get to know them more and more. They will become a model and example for many families who want to be holy.”

Postulator Fr. Sławomir Oder, who also oversaw the cause of John Paul II, told Vatican News that the ceremony was an occasion for rejoicing in Poland. 

He said: “In fact, looking at this event, I am reminded of the words that John Paul II pronounced during the Mass of canonization of St. Kinga, known as Cunegonda, celebrated in Poland in Stary Sącz, when he said that saints are born of saints, are nurtured by the saints, draw life from the saints and their call to holiness.” 

“And in that context he spoke precisely of the family as the privileged place where holiness finds its roots, the first sources where it can mature throughout life.”

The Basilica of the Presentation, where the Wojtyłas' cause was opened, is where St. John Paul II was baptised on June 20, 1920. The church is located across the street from the Wojtyła family home, which is now a museum, in Wadowice.

Karol Wojtyła, an army officer, and Emilia, a school teacher, were married in Kraków in 1906. They had three children. The first, Edmund, was born that year. He became a doctor but caught scarlet fever from a patient and died in 1932. Their second child, Olga, died shortly after birth in 1916. Their youngest, Karol junior, was born in 1920, after Emilia refused a doctor’s advice to have an abortion because of her frail health. 

Emilia worked as a part-time seamstress after her third child’s birth. She died on April 13, 1929, shortly before Karol junior’s ninth birthday, of myocarditis and renal failure, according to her death certificate.

Karol senior, who was born on July 18, 1879, was a non-commissioned officer of the Austro-Hungarian army and a captain of the Polish army. He died on Feb. 18, 1941, in Kraków amid the Nazi occupation of Poland.

The future pope, who was 20 at the time and working at a stone quarry, returned from work to find his father’s body. He spent the night praying beside the body and afterwards began to pursue his vocation to the priesthood. 

Youth suicide is a national and global public health crisis. Pediatricians can use primary and secondary prevention strategies to intervene with youth before or after the onset of suicidal behaviors. Universal suicide risk screening programs can be used to identify youth in medical settings who may otherwise pass through the health care setting with undetected suicide risk. Pediatricians are uniquely positioned to help foster resilience in their young patients and equip families of at-risk youth with safety plans and lethal means safety counseling. Pediatricians on the frontlines of this critical public health crisis require education and training in detecting suicide risk, managing those who screen positive, and connecting their patients to much needed mental health interventions and treatments. Evidence-based suicide risk screening and assessment tools, paired with interventions, are feasible and potentially life-saving in the medical setting.

OM Ireland's biggest outreach of the year teaches participants to commit their ways to Him and trust Him to act.

Thirteen participants from all over the world spent a week getting to know and supporting the refugee work in Linz. Six share about their experiences.

The expected consolidation in the aviation market has also arrived in Berlin. At the same time, the worldwide spread of the coronavirus is having an impact on the Berlin airports.

North Korean leader Kim Jong Un did not undergo surgery or any other medical procedure, a South Korean official has said amid continued speculation about his health.

Dear Editor,In response to the 1980s drug crisis there was a meeting of the minds of people knowledgeable about substance abuse. Richmond Fellowship Jamaica-Patricia House emerged as one of the possible answers where a multiplicity of answers were needed.

"Every time we communicate, there is potential to inform and inspire others for mission. Shall we not then covenant to ‘tell the truth, the whole truth and nothing but the truth’?" asks Greg Kernaghan.

Celtic Connections

SCOTLAND’S Economy Secretary has penned a letter to the UK Government venting her frustration at being given “insufficient time” to consider workplace safety proposals.

Suicide rates increased by 76 percent for 15- to 19-year-olds between 2007 and 2017 and nearly tripled for 10- 14-year-olds, the Centers for Disease Control and Prevention.

Every year about this time, I write a series of articles about suicide and bullying prevention, and this year will be no different. I can always count on advocates and education companies from all over the world to send me information about what's new in the field. Out of all the companies and produ

A group of prominent researchers on English-learners is forcefully challenging the findings of a recent working paper that posits that 3rd grade retention was a benefit to struggling English-learners in Florida.

José Viana led the office of English-language acquisition since April 2017. The Education Department has not announced a successor.

The current system for accrediting schools of education isn't working, argue two former senior U.S. Department of Education officials. They think school districts and philanthropists can help.

The professionalism of physicians can have an impact on patient care and satisfaction and physician career success and is increasingly emphasized in residency training programs.

This study was an examination of the perspectives of families of pediatric patients and of pediatrics residents on the attributes of professionalism in physicians. Important overlaps were found between the attributes of professionalism prioritized by patient families and resident physicians. (Read the full article)

Many patient and family demographic characteristics are well-known risk factors for nonurgent emergency-department use. No previous study has examined the primary care physician perspective on parental decisions regarding specific nonurgent emergency-department visits by children.

When discussing specific instances when families in their practices sought nonurgent care for children in the emergency department, physicians believed that parents acted appropriately. Neither parents nor primary care physicians saw nonurgent emergency-department visits as a significant enough problem to warrant change. (Read the full article)

Three-fourths of US preschool-age children are in child care; many are not achieving recommended levels of physical activity. Daily physical activity is essential for motor and socioemotional development and for the prevention of obesity. Little is known about physical-activity barriers in child care.

Injury and school-readiness concerns may inhibit children’s physical activity in child care. Fixed playground equipment that meets licensing codes is unchallenging and uninteresting to children. Centers may cut time and space for gross motor play to address concerns about school readiness. (Read the full article)

Over the past decade, drug oversight committees and professional organizations have debated the evidence regarding cardiac screening to identify undiagnosed disorders associated with sudden cardiac death in youth with attention-deficit/hyperactivity disorder before beginning treatment with stimulants.

How practicing pediatricians have responded to this controversy is not known. We present results from a national sample of pediatricians regarding current attitudes, barriers, and practices for cardiac screening in youth with attention-deficit/hyperactivity disorder before prescribing stimulants. (Read the full article)

Few studies have examined the reliability of clinical findings in pediatric appendicitis. Clinical prediction rules are most useful if the included variables are reliable across practice settings and practitioners.

Among children who present with possible appendicitis, the interrater reliability varied considerably for patient history and physical examination variables. Those variables with the highest degree of reliability may be best suited for inclusion in appendicitis clinical prediction rules. (Read the full article)

There is a perception among clinicians that methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and/or meningitis result in a greater burden of disease than invasive infections attributed to methicillin-susceptible Staphylococcus aureus (MSSA) among very low birth weight (VLBW) infants.

VLBW infants with MRSA and MSSA bacteremia and/or meningitis have equivalent morbidity and mortality. These findings suggest that allocation of resources for prevention and treatment of both MRSA and MSSA infections among VLBW infants should be comparable. (Read the full article)

Early administration of oral corticosteroids is essential for children presenting to emergency departments with moderate to severe acute asthma exacerbations, because subsequent admission need is directly related to time to receipt of systemic steroids, yet delays to administration remain long.

A medical directive allowing nurse initiation of oral corticosteroids before physician assessment was associated with improved quality and efficiency of care provided in the pediatric emergency department by ensuring implementation of evidence-based practice. (Read the full article)

Emergency contraception is a safe and effective method of pregnancy prevention after unprotected intercourse.

Pharmacies commonly communicate misinformation, both to adolescents and to physicians, concerning who is able to access emergency contraception and through what means. (Read the full article)

Complementary and alternative medicine (CAM) use for pediatric asthma is increasing. It is well known that effective asthma management depends on patient adherence to treatment. The authors of previous cross-sectional studies have linked CAM use with decreased adherence to conventional asthma treatment regimens.

This longitudinal data set was unique, allowing us to focus on patients who initiated CAM and to follow subsequent asthma medication adherence. We found that CAM use was not associated with adherence, suggesting that patients may practice CAM alongside conventional therapies. (Read the full article)

Although all residents progressively assume responsibility for clinical skills under the teaching and supervision of attending physicians, senior residents also assume responsibility for teaching and supervising. This leads to a dynamic negotiation of responsibilities, particularly on clinical work rounds.

A better understanding of how attending physicians and senior residents negotiate shared responsibilities for teaching and supervising, and the context in which this negotiation occurs, may clarify assumptions and set expectations for resident training. (Read the full article)

Estimates of youth participation in strangulation activity, commonly referred to as the "choking game," range from 5% to 11%. Previous studies have documented correlations between youth choking game participation and health risks such as substance use and mental health issues.

Among Oregon eighth-graders surveyed, >6% had ever participated in the choking game. Participation was linked to poor nutrition and gambling among females, exposure to violence among males, and sexual activity and substance use among both genders. (Read the full article)

More than one-tenth pediatric patients use complementary and alternative medicines (CAM) for their medial conditions in the United States. Traditional Chinese medicine (TCM) is the most commonly used CAM in East Asia but large-scale epidemiologic studies are lacking.

In comparing TCM and non-TCM users among children in Taiwan, children’s age and parental TCM use were strongly associated with TCM use. Additionally, dyspepsia and allergic rhinitis were positively related to increasing TCM use. (Read the full article)

Known rates of nonsuicidal self-injury, hurting oneself without the intent to die, are between ~7% and 24% in samples of early adolescents and older adolescents, yet research has not reported rates for youth younger than 11 years old.

Children as young as 7 years old report engaging in nonsuicidal self-injury. There is a grade by gender interaction for nonsuicidal self-injury, such that ninth-grade girls report the greatest rates of engagement and do so by cutting themselves. (Read the full article)

Providers who speak Spanish, regardless of their proficiency level, may use Spanish for clinical care without seeking professional interpretation. Failure to use professional interpretation increases the risk for miscommunication and can lead to patient harm.

Providing residents with objective feedback on Spanish language proficiency decreased willingness to use Spanish in straightforward clinical scenarios. Language proficiency testing, coupled with institutional policies requiring professional interpretation, may improve care for patients with limited English proficiency. (Read the full article)

Vitamin D is essential for bone health and for cardiovascular and immune function. In critically ill adults, vitamin D deficiency is common and associated with sepsis and with higher critical illness severity. The influence on pediatric critical illness is unclear.

We found a high prevalence of vitamin D deficiency in critically ill children, which was associated with higher critical illness severity. Vitamin D deficiency was less common in younger patients, in non-Hispanic white patients, in patients admitted over the summer, and in children taking supplemental vitamin D, with increasing amounts being more protective. (Read the full article)

Childhood obesity occurs in 20% of children before they enter kindergarten. Treatment is difficult, making prevention desirable, but little is known about effective methods using anticipatory guidance to prevent obesity in pediatric primary care.

This study provides a comparison of 2 approaches versus usual care using anticipatory guidance to improve infant feeding during the first year of life, and demonstrates positive specific feeding behavior differences at 1 year in the intervention groups. (Read the full article)

Skills learned in standardized courses are estimated to last only a few months. Neonatal Resuscitation Program certification is mandatory for all pediatric residents and is valid for 2 years. Exact timing of when proficiency is lost is unknown.

Neonatal Resuscitation Program skills deteriorate immediately after certification, whereas knowledge is better retained. Significant skill deficits were seen at baseline raising concerns regarding the efficacy of the current course structure. Discrepancies in knowledge and skill retention may impact caregiver performance. (Read the full article)

Sending and receiving sexually explicit picture and text messages via cell phone (ie, "sexting") among adolescents is publicized as a societal and public health concern, yet it is unknown whether sexting is associated with physical sexual activity or sexual risk behavior.

This study is the first to examine sexting among a probability sample of adolescents and found that sexting is associated with sexual activity, sexual risk behavior, and knowing other person(s) who have sent a sext. (Read the full article)

Implementing expanded vaccination recommendations has challenged primary care providers, who administer the majority of vaccines in the United States. School-located vaccination has been proposed as a means of increasing vaccination rates while reducing the burden on primary care providers.

This study assesses physicians’ support for their patients’ receipt of vaccines in school. Additionally, it compares physicians’ support for adolescent versus influenza vaccination and compares support by insurance status of their patient. (Read the full article)

Understanding human disease genomics requires large population-based studies. There is lack of standardization, as well as social and ethical concerns surrounding the consent process for pediatric participation in a biorepository.

The study identifies specific barriers to pediatric participation in biorepositories relative to adults, and proposes strategies to improve ethical and responsible participation of pediatric-aged patients in large-scale genomics and biorepository-driven research without significantly increasing research burden for affected families. (Read the full article)

Pediatric specialists are increasingly involved in prenatal care, particularly for congenital fetal conditions. Questions remain about pediatricians’ role in the management of maternal conditions that may affect postnatal health, and the attitudes of obstetric and pediatric specialists around such care.

Obstetric and pediatric specialists’ attitudes differ substantially regarding pediatricians’ role in providing consultation for maternal conditions that may affect a child’s health postnatally, and regarding whether court authorization may be appropriate when a woman refuses certain treatment recommendations. (Read the full article)