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Supervised consumption services for acute care hospital patients [Practice]




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Activity of Plazomicin Tested against Enterobacterales Isolates Collected from U.S. Hospitals in 2016-2017: Effect of Different Breakpoint Criteria on Susceptibility Rates among Aminoglycosides [Susceptibility]

Plazomicin was active against 97.0% of 8,783 Enterobacterales isolates collected in the United States (2016 and 2017), and only 6 isolates carried 16S rRNA methyltransferases conferring resistance to virtually all aminoglycosides. Plazomicin (89.2% to 95.9% susceptible) displayed greater activity than amikacin (72.5% to 78.6%), gentamicin (30.4% to 45.9%), and tobramycin (7.8% to 22.4%) against carbapenem-resistant and extensively drug-resistant isolates. The discrepancies among the susceptibility rates for these agents was greater when applying breakpoints generated using the same stringent contemporary methods applied to determine plazomicin breakpoints.




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Early Bactericidal Activity Trial of Nitazoxanide for Pulmonary Tuberculosis [Clinical Therapeutics]

This study was conducted in treatment-naive adults with drug-susceptible pulmonary tuberculosis in Port-au-Prince, Haiti, to assess the safety, bactericidal activity, and pharmacokinetics of nitazoxanide (NTZ). This was a prospective phase II clinical trial in 30 adults with pulmonary tuberculosis. Twenty participants received 1 g of NTZ orally twice daily for 14 days. A control group of 10 participants received standard therapy over 14 days. The primary outcome was the change in time to culture positivity (TTP) in an automated liquid culture system. The most common adverse events seen in the NTZ group were gastrointestinal complaints and headache. The mean change in TTP in sputum over 14 days in the NTZ group was 3.2 h ± 22.6 h and was not statistically significant (P = 0.56). The mean change in TTP in the standard therapy group was significantly increased, at 134 h ± 45.2 h (P < 0.0001). The mean NTZ MIC for Mycobacterium tuberculosis isolates was 12.3 μg/ml; the mean NTZ maximum concentration (Cmax) in plasma was 10.2 μg/ml. Negligible NTZ levels were measured in sputum. At the doses used, NTZ did not show bactericidal activity against M. tuberculosis. Plasma concentrations of NTZ were below the MIC, and its negligible accumulation in pulmonary sites may explain the lack of bactericidal activity. (This study has been registered at ClinicalTrials.gov under identifier NCT02684240.)




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Assessing Cancer Treatment Information Using Medicare and Hospital Discharge Data among Women with Non-Hodgkin Lymphoma in a Los Angeles County Case-Control Study

Background:

We assessed the ability to supplement existing epidemiologic/etiologic studies with data on treatment and clinical outcomes by linking to publicly available cancer registry and administrative databases.

Methods:

Medical records were retrieved and abstracted for cases enrolled in a Los Angeles County case–control study of non-Hodgkin lymphoma (NHL). Cases were linked to the Los Angeles County cancer registry (CSP), the California state hospitalization discharge database (OSHPD), and the SEER-Medicare database. We assessed sensitivity, specificity, and positive predictive value (PPV) of cancer treatment in linked databases, compared with medical record abstraction.

Results:

We successfully retrieved medical records for 918 of 1,004 participating NHL cases and abstracted treatment for 698. We linked 59% of cases (96% of cases >65 years old) to SEER-Medicare and 96% to OSHPD. Chemotherapy was the most common treatment and best captured, with the highest sensitivity in SEER-Medicare (80%) and CSP (74%); combining all three data sources together increased sensitivity (92%), at reduced specificity (56%). Sensitivity for radiotherapy was moderate: 77% with aggregated data. Sensitivity of BMT was low in the CSP (42%), but high for the administrative databases, especially OSHPD (98%). Sensitivity for surgery reached 83% when considering all three datasets in aggregate, but PPV was 60%. In general, sensitivity and PPV for chronic lymphocytic leukemia/small lymphocytic lymphoma were low.

Conclusions:

Chemotherapy was accurately captured by all data sources. Hospitalization data yielded the highest performance values for BMTs. Performance measures for radiotherapy and surgery were moderate.

Impact:

Various administrative databases can supplement epidemiologic studies, depending on treatment type and NHL subtype of interest.




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Sensitive Determination of Infectious Titer of Recombinant Adeno-Associated Viruses (rAAVs) Using TCID50 End-Point Dilution and Quantitative Polymerase Chain Reaction (qPCR)

Adeno-associated virus (AAV) recombinants are currently the vector of choice for many gene therapy applications. As experimental therapies progress to clinical trials, the need to characterize recombinant adeno-associated viruses (rAAVs) accurately and reproducibly increases. Accurate determination of rAAV infectious titer is important for determining the activity of each vector lot and for ensuring lot-to-lot consistency. The following protocol developed in our laboratory uses a 96-well TCID50 format and quantitative polymerase chain reaction (qPCR) detection for the determination of rAAV infectious titer.




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Titration of Recombinant Adeno-Associated Virus (rAAV) Genome Copy Number Using Real-Time Quantitative Polymerase Chain Reaction (qPCR)

This protocol is used to determine the concentration of DNase-resistant vector genomes (i.e., packaged in the capsid) in purified recombinant adeno-associated virus (rAAV) preparations. The protocol begins with treatment of the vector stock with DNase I to eliminate unencapsidated AAV DNA or contaminating plasmid DNA. This is followed by a heat treatment to heat-inactivate DNase I, to disrupt the viral capsid, and to release the packaged vector genomes for quantification by real-time polymerase chain reaction (PCR) using a set of standards (linearized plasmid used for vector production) containing known copy numbers. To accomplish high-throughput titration, the primer and probe sets used in real-time PCR are usually designed to target common elements present in most rAAV genomes, such as promoters and poly(A) signals. This strategy significantly reduces the number of PCRs, controls, and turnaround time. Several important controls should be included in the assay as follows: The first two controls should have a known copy number of the rAAV genome plasmid treated or not treated with DNase I. This control tests the effectiveness of DNase treatment. To control for potential cross-contamination between samples during the preparation process, a blank control containing nuclease-free water only should be processed and tested in parallel. A validation vector sample with a known titer should be included in every assay to monitor interassay variability. Finally, for the PCR run, a no-template control (NTC) is included to indicate cross-contamination during PCR setup.




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Assessment of Apparent Internal Carotid Tandem Occlusion on High-Resolution Vessel Wall Imaging: Comparison with Digital Subtraction Angiography [EXTRACRANIAL VASCULAR]

BACKGROUND AND PURPOSE:

Not all tandem occlusions diagnosed on traditional vascular imaging modalities, such as MRA, represent actual complete ICA occlusion. This study aimed to explore the utility of high-resolution vessel wall imaging in identifying true ICA tandem occlusions and screening patients for their suitability for endovascular recanalization.

MATERIALS AND METHODS:

Patients with no signal in the ICA on MRA were retrospectively reviewed. Two neuroradiologists independently reviewed their high-resolution vessel wall images to assess whether there were true tandem occlusions and categorized all cases into intracranial ICA occlusion, extracranial ICA occlusion, tandem occlusion, or near-occlusion. DSA classified patient images into the same 4 categories, which were used as the comparison with high-resolution vessel wall imaging. The suitability for recanalization of occluded vessels was evaluated on high-resolution vessel wall imaging compared with DSA.

RESULTS:

Forty-five patients with no ICA signal on MRA who had available high-resolution vessel wall imaging and DSA images were included. Among the 34 patients (34/45, 75.6%) with tandem occlusions on DSA, 18 cases also showed tandem occlusions on high-resolution vessel wall imaging. The remaining 16 patients, intracranial ICA, extracranial ICA occlusions and near-occlusions were found in 2, 6, and 8 patients, respectively, on the basis of high-resolution vessel wall imaging. A total of 20 cases (20/45, 44.4%) were considered suitable for recanalization on the basis of both DSA and high-resolution vessel wall imaging. Among the 25 patients deemed unsuitable for recanalization by DSA, 11 were deemed suitable for recanalization by high-resolution vessel wall imaging.

CONCLUSIONS:

High-resolution vessel wall imaging could allow identification of true ICA tandem occlusion in patients with an absence of signal on MRA. Findings on high-resolution vessel wall imaging can be used to screen more suitable candidates for recanalization therapy.




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Discrimination between Glioblastoma and Solitary Brain Metastasis: Comparison of Inflow-Based Vascular-Space-Occupancy and Dynamic Susceptibility Contrast MR Imaging [FUNCTIONAL]

BACKGROUND AND PURPOSE:

Accurate differentiation between glioblastoma and solitary brain metastasis is of vital importance clinically. This study aimed to investigate the potential value of the inflow-based vascular-space-occupancy MR imaging technique, which has no need for an exogenous contrast agent, in differentiating glioblastoma and solitary brain metastasis and to compare it with DSC MR imaging.

MATERIALS AND METHODS:

Twenty patients with glioblastoma and 22 patients with solitary brain metastasis underwent inflow-based vascular-space-occupancy and DSC MR imaging with a 3T clinical scanner. Two neuroradiologists independently measured the maximum inflow-based vascular-space-occupancy–derived arteriolar CBV and DSC-derived CBV values in intratumoral regions and peritumoral T2-hyperintense regions, which were normalized to the contralateral white matter (relative arteriolar CBV and relative CBV, inflow-based vascular-space-occupancy relative arteriolar CBV, and DSC-relative CBV). The intraclass correlation coefficient, Student t test, or Mann-Whitney U test and receiver operating characteristic analysis were performed.

RESULTS:

All parameters of both regions had good or excellent interobserver reliability (0.74~0.89). In peritumoral T2-hyperintese regions, DSC-relative CBV (P < .001), inflow-based vascular-space-occupancy arteriolar CBV (P = .001), and relative arteriolar CBV (P = .005) were significantly higher in glioblastoma than in solitary brain metastasis, with areas under the curve of 0.94, 0.83, and 0.72 for discrimination, respectively. In the intratumoral region, both inflow-based vascular-space-occupancy arteriolar CBV and relative arteriolar CBV were significantly higher in glioblastoma than in solitary brain metastasis (both P < .001), with areas under the curve of 0.91 and 0.90, respectively. Intratumoral DSC-relative CBV showed no significant difference (P = .616) between the 2 groups.

CONCLUSIONS:

Inflow-based vascular-space-occupancy has the potential to discriminate glioblastoma from solitary brain metastasis, especially in the intratumoral region.




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Central Metropolitan

Gia Lâm Central Metropolitan là dự án nhà phố thương mại được đầu tư bởi Công Ty Xây Dựng Cổ Phần Đầu Tư Và Phát Triển Xây Dựng 1 Hà Nội tại thị trấn Trâu Quỳ, huyện Gia Lâm, Hà Nội.




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House for sale at 651 Minh Khai, Lac Trung, 55m2x 4 floors, suitable for office, wide entrance

House for sale in lane 651 Minh Khai, Vinh Tuy, Hai Ba Trung, near Times City - The most beautiful alley in Hai Ba Trung district, asphalt 2 cars avoid each other comfortably. Because of the need to convert, my family needed to sell a house on the alley 651 Minh Khai, 55m2, 4 flo...




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Cho thuê văn phòng, căn hộ chung cư Vinhomes D'capitale Trần Duy Hưng Cầu Giấy rẻ nhất 0968868588

Chúng tôi chuyên cho thuê văn phòng, căn hộ chung cư tại dự án Vinhomes D'Capitale, 119 Trần Duy Hưng, Cầu Giấy (đối diện Big C Trần Duy Hưng).Số lượng hơn 500 căn hộ chính chủ và chủ đầu tư.Cam kết giá tốt nhất, căn hộ đẹp nhất, thủ tục nhanh gọn nhất.Cam kết hỗ trợ khách hàng c...




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Room with fully furnished and clean for rent, suitable for short/long term, office-159/9 Bach Dang

Studio room http://www.mkhome.vn at 159/9 Bach Dang Street, Ward 2, Tan Binh District is cool, full of light. 3 minutes from the airport by motorbike The house is kept clean. Quiet space, suitable for IT staff, foreign teachers, flight attendants, pilots, long-term business trav...




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The Navita

Tọa lạc tại phường Tam Bình, quận Thủ Đức, TP.HCM, The Navita nằm trong Khu phức hợp Lan Phương Garden rộng 8,4 ha, gồm 8 cao ốc, các TTTM và một số nền đất.




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River view apartment, located right in the heart of Saigon, Suitable for foreigners - Picity Hight

PiCity High Park Thanh Xuan - District 12 - Apartments worth living.- Price from only 1.5 billion / unit too attractive to invest or settle down.- The golden position is only 20 minutes from Tan Son Nhat airport.- Separate pink book, MB Bank loan support 70% for 20 years.- 4 star...




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Mini apartment with an area of 30m2, 1.2 billion price, 5 star facilities, riverside habitat-Jamona

Smart 1-to-2 investment opportunity with TTC Land's Smartel Jamona Heights.Just working at the office of the company - just staying.Diverse area of 30m2 - 79m2.OCB bank borrows 50%.Payment in 18 months.There are 650 million still can invest in real estate in the center.50 year sa...




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Digital storytelling: Selling properties with ease in a hyper-connected world

Three marketing experts share their unconventional means of capturing the attention of potential homeowners of today.




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6 guiding parameters to upgrade your workplace environment in the digital economy

Prof. Jason Pomeroy talks about the rise of the digital economy and its impact on the workplace.




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Capital Place

Capital Place là dự án văn phòng hạng A của chủ đầu tư CapitaLand tại trung tâm thủ đô Hà Nội.




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Leasing townhouse with 2 frontages, 1 ground floor, 2 floors, near crossroads; suitable for office

+ townhouse with 2 frontages, 1 ground floor, 2 floors, near crossroads; convenient traffic and parking + Crowded residential area, surrounded by many offices, schools, apartments, mini supermarkets, cafes ... + Convenient for trading in cafes, mini supermarkets, transaction offi...




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Landed house vs Condominium – Which one is suitable for you?

Many people have headaches considering landed house or condominium (condo) for their accommodation choice. By analyzing the pros and cons of each of these types, the infographic below will help you make the right choice.




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Land of 2.65 ha on DT744 street for sales. Suitable for warehouse. Contact: 0398122456

Land of 2.65 ha (265x100m) on DT744 street, Dau Tieng District, Binh Duong. It's only about 300m to Thanh An Ward Industrial park. Convenient location, flat surface, suitable for building warehouse, factory. Price: 200 million/horizontal meter For more discussion kindly contact: ...




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Vita Riverside

Vita Riverside là khu đô thị phức hợp thương mại - dịch vụ do Công ty Tuấn Điền Phúc làm chủ đầu tư với quy mô 3.6ha. Dự án toạ lạc tại trung tâm phát triển của TX. Tân Uyên, tỉnh Bình Dương, đối diện Khu Công Nghiệp VSIP 2.




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Podcast 37: How to Pivot to Digital Education – With Ashish Rangnekar

WELCOME TO EPISODE 37 OF THE TALENTED LEARNING SHOW! Learn how trade associations and training companies are now pivoting to total digital education due to […]

The post Podcast 37: How to Pivot to Digital Education – With Ashish Rangnekar appeared first on e-Learning Feeds.




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Maruti Vitara Brezza से भी महंगा है Vespa का यह स्कूटर, अब 2 लाख रुपये हुआ सस्ता

Piaggio India कंपनी ने Vespa 946 Emporio Armani नाम का एक स्कूटर लॉन्च किया था। इस स्कूटर को दुनिया के जानेमाने डिजाइनर Emporio Armani ने डिजाइन किया था।




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Sophie Marschner turns real-world data into a digital topography in Monolith

Generative visuals and eerie sound design based on height maps of glaciers, canyons and estuaries. London-based motion graphic designer Sophie Marschner transforms real-world data into a delicate digital topography in Monolith. By using the height maps of various large-scale landmarks, including glaciers, canyons and estuaries, Marschner maps the outside world into a more intimate, digital […]

The post Sophie Marschner turns real-world data into a digital topography in Monolith appeared first on FACT Magazine.




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Local unemployment numbers close to historic levels, hospitality sector hit hard

As anticipated due to the COVID-19 pandemic, Windsor’s unemployment rate closed in on historic levels in April as it reached 12.9 per cent of the labour force, according to the latest numbers released Friday by Statistics Canada. There were 21,800 people in the Windsor area recorded as being unemployed in the latest StatsCan survey. But […]




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US military face recognition system could work from 1 kilometre away

The US Special Operations Command is developing a portable face-recognition system designed to identify people 1 kilometre away. It could also be used by law enforcement




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Coronavirus: Hospital ward staffed entirely by robots opens in China

A temporary coronavirus hospital ward in China is being staffed entirely by robots. Around 200 patients with mild symptoms will be fed and treated by machines, while medical staff issue commands from outside




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The Queen’s Coronavirus Message to Britain: ‘Never Give Up, Never Despair’

via YouTube

The Queen gave a 75th anniversary VE Day speech Friday night that doubled as a rallying cry against coronavirus. “Never give up, never despair, that was the message of VE Day,” she told the British people.

Second World War heroes would “recognize and admire,” the sacrifices the British were making today in the fight against coronavirus, the Queen added. It was her second major coronavirus-themed speech to the nation.

“It may seem hard that we cannot mark this special anniversary as we would wish. Instead we remember from our homes and our doorsteps. But our streets are not empty,” the Queen said, “They are filled with the love and the care that we have for each other.”

Read more at The Daily Beast.



  • Arts and Culture

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Experimental U.S. Coronavirus Drug Will Be Trialled In 5 Australian Hospitals

Five Australian hospitals are set to receive the experimental coronavirus drug, remdesivir. Sydney's St Vincent hospital has been confirmed as one location, according to a report from The Guardian. More »
    




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Gravitational wave mystery could be a sign of a new kind of black hole

A neutron star has produced gravitational waves after colliding with an unknown object – it could be the smallest black hole or biggest neutron star ever found




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A NASA telescope has found its first habitable Earth-sized planet

The TESS space telescope has found its first Earth-sized planet with conditions that might be right for life, orbiting a small star 100 light years away




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Blue Ocean Robotics Acquires Beam Telepresence Robot From Suitable Technologies

Beam now belongs to a Danish robot venture factory




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Zipline Deploys Medical Delivery Drones with U.S. Military

A military exercise in Australia demonstrates how small drones can airdrop critical medical supplies to soldiers in combat




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RPGCast – Episode 342: “It’s Not Available Digitally”

Final Fantasy XI announces its plans for its golden years. Fossil Fighters still exists. Then Phil either recommends or doesn’t recommend Avernum. I’m still not...




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Could hotel service robots help the hospitality industry after COVID-19?

A new research study, investigating how service robots in hotels could help redefine leadership and boost the hospitality industry, has taken on new significance in the light of the seismic impact of the Covid-19 outbreak on tourism and hospitality.




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'Terrible twos' not inevitable: With engaged parenting, happy babies can become happy toddlers

Parents should not feel pressured to make their young children undertake structured learning or achieve specific tasks, particularly during lockdown. A new study of children under the age of two has found that parents who take a more flexible approach to their child's learning can - for children who were easy babies - minimize behavioral problems during toddlerhood.




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Militants increasing attacks on Burkina Faso mines

Jihadists burst into the gold mine where Moussa Tambura worked in Burkina Faso, forbidding everyone from smoking and drinking. “They attacked the site, killed people and burned houses,” said Tambura, 29, clenching his fists. Jihadists linked to al-Qaida and the Islamic State organization have been overrunning gold mines like Tambura’s one by one as they try to gain control of Burkina Faso’s most lucrative industry.





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Britain to quarantine incoming travellers for 14-days -Times report




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Expansion debate rumbles on amid hush over Britain’s biggest airports

To campaigners’ dismay, the UK’s biggest hubs, Heathrow and Gatwick, are pushing on with plans to increase capacity

Christine Taylor has lived her entire life in the shadow of London’s Heathrow airport, her childhood bedroom affording a view of one of its two runways. She grew up in Sipson, a village that can trace its history back more than 1,000 years, but now sits immediately north of Britain’s busiest airline hub.

Now living a mile to the east in Harlington, Taylor, 62, is experiencing a rare moment of quiet, thanks to the dramatic reduction in air traffic caused by the coronavirus pandemic.

Continue reading...




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Washington Capitals investigating Brendan Leipsic's 'unacceptable and offensive comments'

Screenshots showing repugnant and insulting remarks — some misogynistic, some racist, others hinting at drug use and sexual conquests — from a private group chat between several hockey players, including ...




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Tijuana coronavirus death rate soars after hospital outbreaks

The number of deaths from the coronavirus in Mexico's best-known border city, Tijuana, has soared and the COVID-19 mortality rate is twice the national average, the health ministry says, after medical staff quickly fell ill as the outbreak rampaged through hospital wards.




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&#39;Bois Locker Room&#39;: Experts Say Youngsters Need Rehabilitative Measures, Not Just Punitive Action

A dialogue on sex, consent, ownership over bodies must be introduced from a young age so that it becomes part of a dominant narrative, say experts.





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New York City’s coronavirus outbreak is already overwhelming hospitals

New York City is the epicentre of the coronavirus outbreak in the US and hospitals are already struggling to treat everyone with covid-19, though the outbreak may not peak for three weeks




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People put on ventilators for covid-19 may need lengthy rehabilitation

Healthcare systems need to prepare for the extensive physiotherapy and mental rehabilitation that people put on ventilators for covid-19 will need as they recover




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The Helpers: Sask. venture capital firm helps seniors connect with loved ones

Just over 300 iPads, with fully paid data plans, will be going out to Saskatchewan Health Authority long term care homes to help residents stay in touch with their families.




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Pulisic forever grateful to Klopp as USMNT star recalls &#39;unreal&#39; moment training with Aubameyang & Mkhitaryan

The United States international, who is now on the books at Chelsea, was given his break at Borussia Dortmund by the current Liverpool manager





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Sunrisers Hyderabad and Delhi Capitals Join Roses Are Red Challenge on Twitter, Post Hilarious Replies (Watch Video)

The Roses are Red Challenge has caught the internet and has become a fad now as the netizens are coming up with a hilarious line which rhyme with roses are red. It is the netizens who have started this trend amid lockdown and most of them are making their own versions of their poems. Most of them tickle your funny bone with the one-liners which have caught the attention of the Internet users.





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No gym, no problem: Italian gymnast improvises

With Italy's gym clubs and training facilities having fallen silent because of the coronavirus pandemic, 28-year-old Italian gymnast Marco Lodadio, silver medallist in the 2019 men's world artistic gymnastics championships, turned his garden into a fitness studio.

Without the sophisticated facilities that high-performance athletes normally count on, Lodadio modified a structure for a swing to train on rings.

Lodadio, whose parents had a gym where he began training when he was nine, has been stuck in lockdown for almost two months and this week has finally gotten back to his usual rigourous training regime as Italy begins gradually lifting its strict restrictions.





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Giro d'Italia pays tribute to cycling fans