crisis

Physicists are grappling with their own reproducibility crisis

A contentious meeting of physicists highlighted concerns, failures and possible fixes for a crisis in condensed matter physics




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Is the climate change food crisis even worse than we imagined?

Extreme weather and a growing population is driving a food security crisis. What can we do to break the vicious cycle of carbon emissions, climate change and soaring food costs – or is it already too late?




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Judge Orders Johnson & Johnson to Pay $572 Million Over Opioid Drug Crisis

Title: Judge Orders Johnson & Johnson to Pay $572 Million Over Opioid Drug Crisis
Category: Health News
Created: 8/27/2019 12:00:00 AM
Last Editorial Review: 8/27/2019 12:00:00 AM




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3 Big Pharmacy Chains Must Pay $650 Million to Ohio Counties for Role in Opioid Crisis

Title: 3 Big Pharmacy Chains Must Pay $650 Million to Ohio Counties for Role in Opioid Crisis
Category: Health News
Created: 8/18/2022 12:00:00 AM
Last Editorial Review: 8/18/2022 12:00:00 AM




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Too Few Psychiatric Beds: Psychiatrists' Group Takes Aim at Ongoing Crisis

Title: Too Few Psychiatric Beds: Psychiatrists' Group Takes Aim at Ongoing Crisis
Category: Health News
Created: 8/17/2022 12:00:00 AM
Last Editorial Review: 8/18/2022 12:00:00 AM




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COVID Crisis Has Stalled Fight Against HIV/AIDS

Title: COVID Crisis Has Stalled Fight Against HIV/AIDS
Category: Health News
Created: 7/28/2022 12:00:00 AM
Last Editorial Review: 7/29/2022 12:00:00 AM




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A cellular identity crisis? Plasticity changes during aging and rejuvenation [Reviews]

Cellular plasticity in adult multicellular organisms is a protective mechanism that allows certain tissues to regenerate in response to injury. Considering that aging involves exposure to repeated injuries over a lifetime, it is conceivable that cell identity itself is more malleable—and potentially erroneous—with age. In this review, we summarize and critically discuss the available evidence that cells undergo age-related shifts in identity, with an emphasis on those that contribute to age-associated pathologies, including neurodegeneration and cancer. Specifically, we focus on reported instances of programs associated with dedifferentiation, biased differentiation, acquisition of features from alternative lineages, and entry into a preneoplastic state. As some of the most promising approaches to rejuvenate cells reportedly also elicit transient changes to cell identity, we further discuss whether cell state change and rejuvenation can be uncoupled to yield more tractable therapeutic strategies.





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South Sudan civil war causes Africa’s worst refugee crisis

Watch Video | Listen to the Audio

The United Nations says South Sudan’s four-year-old civil war has left half of the nation’s population — 6 million people — in need of humanitarian aid. The conflict began when South Sudan’s army split between factions loyal to President Salva Kiir and former Vice President Riek Machar. The two men mobilized their respective tribes, the Dinka and the Nuer. The war has caused what is now one of the world’s worst refugee crises.

SIMONA FOLTYN: Civil war is emptying huge swaths of South Sudan. The violence has uprooted four million people, including two million who’ve fled to neighboring countries. In the last year, more than a million South Sudanese have poured into northern Uganda alone, crossing makeshift bridges like this one to flee fighting, hunger, and brutal attacks on civilians.

SEME LUPAI, REFUGEE: They started fighting very, very severely. So that made us to escape with our properties to this side.

SIMONA FOLTYN: When Seme Lupai’s family went to one of the refugee camps, initially, he stayed behind to look after the family’s most precious commodity — their cattle. He hid for a year to escape the violence. The refugees carry whatever they can salvage — mattresses, pots, clothes, notebooks — remnants of once peaceful lives turned upside down. At checkpoints, Ugandan soldiers search their belongings for weapons, before the refugees proceed to reception centers. After entering Uganda, the refugees sign in at small waystations. For many, it’s the first night spent in safety after walking for days to escape fighting. Levi Arike fled with his wife and four children.

LEVI ARIKE, REFUGEE: When the gunshots started, we laid under a tree with the whole family, because there was nowhere else to hide. We waited for the fighting to stop, and then we got up and started walking to Uganda.

SIMONA FOLTYN: Uganda now shoulders most of the burden of Africa’s biggest refugee crisis, managing a constellation of camps which require food, water, healthcare, and policing. At Imvepi Camp, now home to more than 120,000 South Sudanese, new arrivals receive vaccinations, hot meals, and basic items such as soap and plastic tarps to build a house. The government also gives each refugee family a small plot of land, about a twentieth of an acre, where they can build a tent shelter and grow crops to eat or sell. But the land often proves too rocky for farming.

SIMONA FOLTYN, IMVEPI REFUGEE CAMP, NORTHERN UGANDA: After completing the registration process, the new arrivals will receive their plot, to start a new life as refugees in Uganda. While they are safe here, there are many challenges ahead, not least processing the trauma of what they experienced back home.

This woman, who we’ll call “Agnes,” agreed to tell us about her harrowing experience. She says four government soldiers from President Salva Kiir’s Dinka tribe stopped her as she was fleeing South Sudan and raped her right in front of her family.

AGNES (translated to English): When they started raping me, they told me not to raise alarm, otherwise they would shoot me. Still when I’m sleeping, I’m dreaming of the Dinka, that they are coming to rape me again.

SIMONA FOLTYN: How often do you have those dreams?

AGNES: Daily, every time I lie down, those dreams come.

SIMONA FOLTYN: A recent Human Rights Watch report on South Sudan found “…a clear pattern of government forces unlawfully targeting civilians for killings, rapes, torture…and destruction of property..” The victims are from ethnic groups suspected to support the rebels.

AGNES: They are doing it, because they know very well that those soldiers are our brothers. So they do it to punish them..

SIMONA FOLTYN: Although the rebels, known as the Sudan People’s Liberation Army In Opposition, purport to protect local communities, there are also reports of their fighters assaulting civilians near the Ugandan border. Josephine Yanya told us she didn’t feel safe in the presence of either side’s soldiers. Her family and neighbors fled their village after government soldiers killed her uncle.

They hid in the mountains only to find themselves under attack again, this time by opposition fighters from the Nuer tribe loyal to former vice president Riek Machar. Yanya says ethnic Nuer soldiers from the SPLA-IO rebel group raped a member of her group and stole her father’s’ cattle.

JOSEPHINE YANYA (translated to English): Before we were thinking that the rebels would protect us, but if they are lacking food, they just come and take things by force.

SIMONA FOLTYN: With nowhere left to hide, Yanya fled to Uganda with her son.
But instead of finding a place to rebuild their lives, they are in limbo. And aid groups don’t have enough food to distribute.

JOSEPHINE YANYA (translated to English):We are getting small food rations. I know it won’t be enough even for one month.

SIMONA FOLTYN: According to the United Nations, the international community has given less than a-third of the $1.4 billion dollars needed for the refugee response in South Sudan’s neighboring countries. These refugees foresee more hardship and have no idea when they might return home.

JOSEPHINE YANYA (translated to English): I’m always praying for peace in South Sudan, and until then, I’ll just stay here.

The post South Sudan civil war causes Africa’s worst refugee crisis appeared first on PBS NewsHour.




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Record obesity rates and a dental crisis: Survey lays bare state of nation's health

What does 2023's Scottish Health Survey tell us about Scotland's population - from smoking rates to obesity, and alcohol consumption?




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Stranded ISS astronauts reveal the US space programme is not in crisis

The failure of Boeing's Starliner capsule has left two astronauts stuck in space for months – but also proved how private spaceflight can go right




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The Cost-of-Living Crisis Explains Everything

The Biden administration passed $3 trillion of legislation aimed at revitalizing the American economy and fostering green, equitable, "middle-out" growth.




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Indian capital plans drone flights to combat smog crisis

New Delhi (AFP) Nov 8, 2024
India's capital unveiled plans Friday to fly special drones to clear pollution from its smog-choked skies - a plan derided by experts as another "band-aid" solution to a public health crisis. New Delhi and the surrounding metropolitan area, home to more than 30 million people, consistently tops world rankings for air pollution in winter. The smog is blamed for thousands of premature de




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Startups Launch Life-Saving Tech for the Opioid Crisis



Tech startups are stepping up to meet the needs of 60 million people worldwide who use opioids, representing about 1 percent of the world’s adult population. In the United States, deaths involving synthetic opioids have risen 1,040 percent from 2013 to 2019. The COVID-19 pandemic and continued prevalence of fentanyl have since worsened the toll, with an estimated 81,083 fatal overdoses in 2023 alone.

Innovations include biometric monitoring systems that help doctors determine proper medication dosages, nerve stimulators that relieve withdrawal symptoms, wearable and ingestible systems that watch for signs of an overdose, and autonomous drug delivery systems that could prevent overdose deaths.

Helping Patients Get the Dosage They Need

For decades, opioid blockers and other medications that suppress cravings have been the primary treatment tool for opioid addiction. However, despite its clinical dominance, this approach remains underutilized. In the United States, only about 22 percent of the 2.5 million adults with opioid use disorder receive medication-assisted therapy such as methadone, Suboxone, and similar drugs.

Determining patients’ ideal dosage during the early stages of treatment is crucial for keeping them in recovery programs. The shift from heroin to potent synthetic opioids, like fentanyl, has complicated this process, as the typical recommended medication doses can be too low for those with a high fentanyl tolerance.

A North Carolina-based startup is developing a predictive algorithm to help clinicians tailor these protocols and track real-time progress with biometric data. OpiAID, which is currently working with 1,000 patients across three clinical sites, recently launched a research pilot with virtual treatment provider Bicycle Health. Patients taking Suboxone will wear a Samsung Galaxy Watch6 to measure their heart rate, body movements, and skin temperature. OpiAID CEO David Reeser says clinicians can derive unique stress indications from this data, particularly during withdrawal. (He declined to share specifics on how the algorithm works.)

“Identifying stress biometrically plays a role in how resilient someone will be,” Reeser adds. “For instance, poor heart rate variability during sleep could indicate that a patient may be more susceptible that day. In the presence of measurable amounts of withdrawal, the potential for relapse on illicit medications may be more likely.”

Nerve Stimulators Provide Opioid Withdrawal Relief

While OpiAID’s software solution relies on monitoring patients, electrical nerve stimulation devices take direct action. These behind-the-ear wearables distribute electrodes at nerve endings around the ear and send electrical pulses to block pain signals and relieve withdrawal symptoms like anxiety and nausea.

The U.S. Food and Drug Administration (FDA) has cleared several nerve stimulator devices, such as DyAnsys’ Drug Relief, which periodically administers low-level electrical pulses to the ear’s cranial nerves. Others include Spark Biomedical’s Sparrow system and NET Recovery’s NETNeuro device.

Masimo’s behind-the-ear Bridge device costs US $595 for treatment providers.Masimo

Similarly, Masimo’s Bridge relieves withdrawal symptoms by stimulating the brain and spinal cord via electrodes. The device is intended to help patients initiating, transitioning into, or tapering off medication-assisted treatment. In a clinical trial, Bridge reduced symptom severity by 85 percent in the first hour and 97 percent by the fifth day. A Masimo spokesperson said the company’s typical customers are treatment providers and correctional facilities, though it’s also seeing interest from emergency room physicians.

Devices Monitor Blood Oxygen to Prevent Overdose Deaths

In 2023, the FDA cleared Masimo’s Opioid Halo device to monitor blood oxygen levels and alert emergency contacts if it detects opioid-induced respiratory depression, the leading cause of overdose deaths. The product includes a pulse oximeter cable and disposable sensors connected to a mobile app.

Opioid Halo utilizes Masimo’s signal extraction technology, first developed in the 1990s, which improves upon conventional oxygen monitoring techniques by filtering out artifacts caused by blood movement. Masimo employs four signal-processing engines to distinguish the true signal from noise that can lead to false alarms; for example, they distinguish between arterial blood and low-oxygen venous blood.

Masimo’s Opioid Halo system is available over-the-counter without a prescription. Masimo

Opioid Halo is available over-the-counter for US $250. A spokesperson says sales have continued to show promise as more healthcare providers recommend it to high-risk patients.

An Ingestible Sensor to Watch Over Patients

Last year, in a first-in-human clinical study, doctors used an ingestible sensor to monitor vital signs from patients’ stomachs. Researchers analyzed the breathing patterns and heart rates of 10 sleep study patients at West Virginia University. Some participants had episodes of central sleep apnea, which can be a proxy for opioid-induced respiratory depression. The capsule transmitted this data wirelessly to external equipment linked to the cloud.

Celero’s Rescue-Rx capsule would reside in a user’s stomach for one week.Benjamin Pless/Celero Systems

“To our knowledge, this is the first time anyone has demonstrated the ability to accurately monitor human cardiac and respiratory signals from an ingestible device,” says Benjamin Pless, one of the study’s co-authors. “This was done using very low-power circuitry including a radio, microprocessor, and accelerometer along with software for distinguishing various physiological signals.”

Pless and colleagues from MIT and Harvard Medical School started Celero Systems to commercialize a modified version of that capsule, one that will also release an opioid antagonist after detecting respiratory depression. Pless, Celero’s CEO, says the team has successfully demonstrated the delivery of nalmefene, an opioid antagonist similar to Narcan, to rapidly reverse overdoses.

Celero’s next step is integrating the vitals-monitoring feature for human trials. The company’s final device, Rescue-Rx, is intended to stay in the stomach for one week before passing naturally. Pless says Rescue-Rx’s ingestible format will make the therapy cheaper and more accessible than wearable autoinjectors or implants.

Celero’s capsule can detect vital signs from within the stomach. www.youtube.com

Autonomous Delivery of Overdose Medication

Rescue-Rx isn’t the only autonomous drug-delivery project under development. A recent IEEE Transactions on Biomedical Circuits and Systems paper introduced a wrist-worn near-infrared spectroscopy sensor to detect low blood oxygen levels related to an overdose.

Purdue University biomedical engineering professor Hugh Lee and graduate student Juan Mesa, who both co-authored the study, say that while additional human experiments are necessary, the findings represent a valuable tool in counteracting the epidemic. “Our wearable device consistently detected low-oxygenation events, triggered alarms, and activated the circuitry designed to release the antidote through the implantable capsule,” they wrote in an email.

Lee and Purdue colleagues founded Rescue Biomedical to commercialize the A2D2 system, which includes a wristband and an implanted naloxone capsule that releases the drug if oxygen levels drop below 90 percent. Next, the team will evaluate the closed-loop system in mice.

This story was updated on 27 August 2024 to correct the name of Masimo’s Opioid Halo device.



  • Blood oxygen monitoring
  • Electrical nerve stimulation
  • Opioid addiction treatment
  • Opioids
  • Biometrics

crisis

Pain Management in Crisis: Why Hospitals Are Limiting Pain Medications and What This Means for Patients

Hospitals across the U.S. have significantly restricted the use of pain medications containing narcotics. This shift comes amid […]

The post Pain Management in Crisis: Why Hospitals Are Limiting Pain Medications and What This Means for Patients appeared first on World of DTC Marketing.




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China unveils first diagnosis guidelines to battle escalating obesity crisis

HONG KONG — China's National Health Commission (NHC) published its first set of guidelines to standardise the diagnosis and treatment of obesity, with more than half of China's adults already overweight and obese, and the rate expected to keep rising.  The guidelines, made public on October 17, come as China experiences an upward morbidity trend of its overweight and obese population. The rate of overweight or obese people could reach 65.3 per cent by 2030, the NHC said.   "Obesity has become a major public health issue in China, ranking as the sixth leading risk factor for death and disability in the country," the guidelines said. China is facing a twin challenge that feeds its weight problem: In a modernising economy underpinned by technological innovation, more jobs have become static or desk-bound, while a prolonged slowdown in growth is forcing people to adopt cheaper, unhealthy diets.




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McDonald's E. coli crisis reveals why vegetable contamination is harder problem than tainted beef

NEW YORK – Moves by major US fast-food chains to temporarily scrub fresh onions off their menus on Oct 24, after the vegetable was named as the likely source of an E. coli outbreak at McDonald’s, laid bare the recurring nightmare for restaurants: Produce is a bigger problem for restaurants to keep free of contamination than beef. Onions are likely the culprit in the McDonald’s E. coli outbreak across the Midwest and some Western states that has sickened 49 people and killed one, the US Department of Agriculture said late on Oct 23. The company pulled the Quarter Pounder off its menu at one-fifth of its 14,000 US restaurants. In past years, beef patties dominated the dockets of food-borne-illness lawyers, before US federal health regulators cracked down on beef contamination after an E. coli outbreak linked to Jack in the Box burgers hospitalised more than 170 people across states and killed four. As a result, beef-related outbreaks became much rarer, experts say.




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The Cuban Missile Crisis at 60: Six Timeless Lessons for Arms Control

As the best documented major crisis in history, in substantial part because Kennedy secretly taped the deliberations in which he and his closest advisers were weighing choices they knew could lead to a catastrophic war, the Cuban missile crisis has become the canonical case study in nuclear statecraft. Over the decades since, key lessons from the crisis have been adapted and applied by the successors of Kennedy and Khrushchev to inform fateful choices.




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Ukraine and the Cuban Missile Crisis: What Would JFK Do?

Kennedy’s statecraft in the missile crisis provides a rich source of clues that can help illuminate the challenge the United States now faces, and the choices President Joe Biden is making.




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Kyrgyzstan in Crisis: A Geopolitical Juncture

Kyrgyzstan is currently at a critical geopolitical juncture in which it is forced to
confront its longstanding ties with Russia against a backdrop of internal and external
pressures towards autocracy. Once celebrated as the ‘island of democracy’ in Central
Asia, the small nation faces significant challenges in light of internal authoritarian
tendencies and external pressure following Russia’s full-scale invasion of Ukraine in
February 2022. This report, therefore, examines the role of Kyrgyzstan within the
global democracy versus autocracy debate that has intensified in the past two years
and assesses President Japarov’s neutrality with regards to Russia’s invasion and
Bishkek’s shifting allegiances.

This report relies on a qualitative methodology that builds on field research conducted
in Kyrgyzstan in August 2023. As such, this report incorporates interviews with
Kyrgyz civil society organizations and other stakeholders working on issues
including, but not limited to, democratization, corruption, human rights, media, and
the rule of law. The report presents an in-depth analysis of the Russian influence with
regards to the Kyrgyz political system, civil society, and strategic relationship with
Moscow, underpinned by the historical context of Kyrgyz-Russian relations.





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Stella Artois Joins Forces with Water.org and Co-Founders Matt Damon and Gary White to Call on Consumers to Leave a Mark and Help End the Global Water Crisis - Stella Artois partners with Water.org

Stella Artois joins forces with Water.org and Co-Founders Matt Damon and Gary White to call on consumers to leave a mark and help end the global water crisis.




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Age Of Crisis

Lotta heavy lifting




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A Minor Diplomatic Crisis

I'm gonna be at Gencon this August! I'll have some books and stuff and will be doing sketches and complimenting your pet photos. SEE YOU THERE???




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How pen and paper comes to the rescue in an IT crisis

Firms are advised to practise operating with pens and paper in case of a computer meltdown.




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'Crisis for referees & fuel for toxic fan conspiracies'

David Coote's alleged video on Liverpool and former manager Jurgen Klopp fuels conspiracy theorists who question referees' integrity, says Phil McNulty.




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Bangladesh Grapples With Dengue Crisis as Death Toll Surpasses 900

The number of reported dengue fever cases in Bangladesh this year has reached 187,725, with the death toll exceeding 900 individuals, according to data from the health department.




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Dengue Crisis Deepens in Bengal as Cases Surpass 50,000 Threshold

The medlinkdengue/medlink outbreak in West Bengal has escalated significantly, surpassing 50,000 reported cases. While the health department hasn't




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Smart tech to play vital role in addressing plastic pollution crisis – new study

A new study by the UN Environment Programme (UNEP) and the International Water Management Institute (IWMI) offers a number of technological solutions aimed at tackling one of the world’s most pressing issues. 

The post Smart tech to play vital role in addressing plastic pollution crisis – new study first appeared on International Water Management Institute (IWMI).




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Iron Deficiency Crisis: Majority of Irish Pregnant Women at Risk

In Ireland, four out of five pregnant women are iron deficient by their third trimester. Researchers found that over 80% of women experience iron deficiency




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India's Growing Orthopedic Crisis Drives Demand for Advanced Devices

India is facing a growing burden of orthopedic disorders, fueled by an aging population, rising medlinkobesity rates/medlink, and a high number of road accidents.




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'Every Beat Counts' Report on India's Cardiac Crisis

One of the reputed hospital groups of the CK Birla Hospitals, the BM Birla Heart Hospital has recently released a first of its kind report on the medlinkheart




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Preventable Blindness Crisis: Over 85% of Cases in India

India, a nation known for its resilience and progress, is burdened by a preventable blindness crisis. Over 85% of its blind citizens could have seen the light if early measures had been taken.




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The hidden crisis of disaster displacement and host community struggles in rural areas of Pakistan

While disaster-induced migration tends to be short-term, slow-onset climate-induced migration may be more permanent and on a larger scale.

The post The hidden crisis of disaster displacement and host community struggles in rural areas of Pakistan first appeared on International Water Management Institute (IWMI).




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Tackling Global Gambling Harms: A Public Health Crisis

Stronger global regulatory measures are required to reduce commercial gambling's influence on global health and well-being. It is estimated that b80





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Reproductive Crisis: Sperm Counts Decline Globally

The first meta-analysis to demonstrate declining sperm counts among men from South and Central America, Asia, and Africa has been published in the journal iHuman Reproduction Update/i.




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World AIDS Day 2023 Emphasizes Community Leadership's Power to End HIV Crisis

Today, December 1 marks World AIDS Day, dedicated to raising awareness and showing support for individuals living with medlinkHIV/AIDS/medlink while




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Tripura's HIV Crisis :Experts Warn of Epidemic

Despite the Government of Tripura's recent clarification on misleading reports about HIV cases, health experts warned on Wednesday that the situation might be more severe than it appears.




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The Sleep Crisis in Childcare: A Call for Consistent Regulations

Numerous licensed childcare centers throughout Canada might not be providing children with sufficient, healthy sleep due to inconsistent sleep regulations (!--ref1--).




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Prime Minister Narendra Modi Says Yoga Remains A Ray Of Hope Amid COVID Crisis

On the International Yoga Day 2021, Prime Minister Narendra Modi said people's enthusiasm for Yoga Day has not diminished and Yoga remained a ray of hope amid the crisis.




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WHO and Doctors Condemn Israel for Gaza Hospital Crisis

The healthcare system in Gaza is described as being in a dire state, nearing collapse, according to the medical community, which strongly condemns the




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The Visible Toll: Affordability Crisis in Health

Visibly malnourished poor reveal their lack of access to better health, just as the obese indicate the "cost" of their health, with healthcare expenses for obesity in India projected to reach (Dollor) 8.




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NITI Aayog's Blueprint for Swift Public Health Crisis Response

NITI Aayog has released a report outlining an action plan for quick and effective responses to public health crises and pandemics. The blueprint focuses




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Delhi-NCR Grapples With Hazardous Air Pollution Crisis; CAQM Implements These Initiatives [Details]

Delhi-NCR is grappling with severe air pollution, with an average AQI of 383. The Commission for Air Quality Management has implemented initiatives like the Graded Response Action Plan to combat pollution.




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Steve Case and Clara Sieg on how the COVID-19 crisis differs from the dot-com bust

Steve Case and Clara Sieg of Revolution recently spoke on TechCrunch’s new series, Extra Crunch Live. Throughout the hour-long chat, we touched on numerous subjects, including how diverse founders can take advantage during this downturn and how remote work may lead to growth outside Silicon Valley. The two have a unique vantage point, with Steve […]

© 2024 TechCrunch. All rights reserved. For personal use only.




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Zynga CEO on its blockchain gaming division and navigating the advertising crisis

Beating the street and its own guidance, Zynga reported record third-quarter revenue of $705 million, up 40% from the same period last year and reaching its largest mobile audience ever of 183 million monthly active users, up 120% year over year. Despite warning in the second quarter of a material impact from Apple’s privacy policy […]

© 2024 TechCrunch. All rights reserved. For personal use only.




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U.S. to Deploy Troops to European Allies Amid Russia-Ukraine Crisis

The Pentagon announced on Wednesday a plan to deploy more than 3,000 troops to Europe in the first major movement of U.S. forces in Russia’s military standoff with Ukraine. Photo: Andrew Harnik/Associated Press




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As Home Prices Rise, the Foreclosure Crisis Continues to Recede

The Mortgage Bankers Association, which represents mortgage lenders, on Thursday said that the foreclosure starts rate was merely 0.4% in the second quarter, 0.05 percentage point lower than the first quarter and on par with the rate seen during the housing boom.




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Could Autonomous Trucks Help Solve the Supply Chain Crisis?

As driverless vehicle companies Aurora and Embark are making their stock-market debut this month, WSJ’s George Downs spoke with the CEOs about why they’re focusing on autonomous trucks and whether that could spell a solution for the U.S. truck-driver shortage.