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Medical Research Council, UK Research and Innovation Exciting opportunity to join MRC’s newly established Industry Partnerships team as a cialis with viagra together business engagement manager. The Industry Partnerships team is within the Strategy and Planning directorate of MRC and is responsible for engaging with the commercial sector and working across cialis with viagra together the breadth of MRC’s funding activities to identify opportunities to create and build partnerships and novel initiatives that foster interdisciplinary working to maximise innovation and impact.As a business development manager, you will report to the Associate Director of Industry Partnerships and support MRC’s strategic engagement with businesses and other stakeholders in the innovation ecosystem. We are seeking motivated and focused individuals who have an understanding of Life Sciences and an interest in working with universities, research organisations and businesses in a UK and International context.Key ResponsibilitiesSupport the planning, development and establishment of business engagement activities designed to increase MRC’s profile, partnerships and strategic relationshipsOversee and if required assist the delivery and monitoring of business engagement initiativesDevelop and maintain relationships with commercial stakeholders within a scientific portfolioDevelop an understanding of the commercial opportunities and needs within a scientific portfolioKeep senior staff advised on important commercial developments and other relevant matters connected with their scientific portfolioBuild relationships with business engagement teams across UKRI to supporting sharing of information and identification of cross-UKRI opportunities for business engagementBuild relationships with MRC research community, supporting them in achieving their aims for commercial engagementAct as a key knowledge holder and advisor in relation to intellectual property and subsidy control.About youHold a degree in a relevant scientific discipline and/or have equivalent, relevant professional experience in clinical, academic or commercial settingHave at least 12 months business development/engagement experience from working in relevant commercial, academic or non-profit rolesStrong interpersonal and communication skills (verbal, presentational and written) with a proven ability to build credibility with relevant stakeholders across a range of areasAdditional informationThe role will be based in either MRC’s Swindon or London office, with home working options also available.

Successful applicants may be required to work in different office or remotely and be willing to occasionally undertake UK & cialis with viagra together. International travel, including overnight stays.BenefitsUKRI recognises and value employees as individuals and aim to provide a pay and rewards package that motivates cialis with viagra together staff to perform to the best of their ability. The reward package includes a flexible working scheme, a Career Average Revalued Earnings pension scheme, 30 days annual leave allowance as well as other benefits.How to ApplyApplicants should provide an up to date CV and a cover letter outlining their suitability for the role.

Applicants who are unable to apply online should contact us by telephone on +44 (0)1793 867000.The closing date for applications is 8th August 2021.Medical Research Council, UK Research and Innovation Full time/Part time London or Swindon £39,748 (plus London Allowance of £5128.88 if applicable)Exciting opportunity to join MRC’s newly established Industry Partnerships team as a business engagement cialis with viagra together manager. The Industry Partnerships team is within the Strategy and Planning directorate of MRC and is responsible for engaging with the commercial sector and working across the breadth of MRC’s funding activities to cialis with viagra together identify opportunities to create and build partnerships and novel initiatives that foster interdisciplinary working to maximise innovation and impact.As a business development manager, you will report to the Associate Director of Industry Partnerships and support MRC’s strategic engagement with businesses and other stakeholders in the innovation ecosystem. We are seeking motivated and focused individuals who have an understanding of Life Sciences and an interest in working with universities, research organisations and businesses in a UK and International context.Key ResponsibilitiesSupport the planning, development and establishment of business engagement activities designed to increase MRC’s profile, partnerships and strategic relationshipsOversee and if required assist the delivery and monitoring of business engagement initiativesDevelop and maintain relationships with commercial stakeholders within a scientific portfolioDevelop an understanding of the commercial opportunities and needs within a scientific portfolioKeep senior staff advised on important commercial developments and other relevant matters connected with their scientific portfolioBuild relationships with business engagement teams across UKRI to supporting sharing of information and identification of cross-UKRI opportunities for business engagementBuild relationships with MRC research community, supporting them in achieving their aims for commercial engagementAct as a key knowledge holder and advisor in relation to intellectual property and subsidy control.About youHold a degree in a relevant scientific discipline and/or have equivalent, relevant professional experience in clinical, academic or commercial settingHave at least 12 months business development/engagement experience from working in relevant commercial, academic or non-profit rolesStrong interpersonal and communication skills (verbal, presentational and written) with a proven ability to build credibility with relevant stakeholders across a range of areasFamiliar with research and innovation landscape in UK, including the role of knowledge-exchange, business engagement and translation/commercialisation approaches.Experience in market research and analysis and awareness of intellectual property management in collaborative projects/partnerships environmentAble to work independently and proactively but also as part of teams where there may be multiple expectations and drivers.Additional informationThe role will be based in either MRC’s Swindon or London office, with home working options also available.

Successful applicants may be required to work in different office or remotely and be willing to occasionally undertake cialis with viagra together UK &. International travel, including overnight stays.BenefitsUKRI recognises and value employees as individuals and aim to provide a pay and rewards package that motivates staff to perform to cialis with viagra together the best of their ability. The reward package includes a flexible working scheme, a Career Average Revalued Earnings pension scheme, 30 days annual leave allowance as well as other benefits.The closing date for applications is 8th August 2021..

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Haiti is still rebuilding from the massive where can you buy viagra over the counter earthquake that struck 11 years ago, official statement as well as dealing with the fallout of its president’s assassination in July. So the island nation was ill-prepared for the magnitude 7.2 earthquake that hit its western region on August 14. At the time of publication, the official death toll hovers around 2,000, although for the first few critical days after the quake, media reports listed a death toll in the hundreds where can you buy viagra over the counter. But the true number of deaths is probably at least five to 50 times that number, according to a scientific model from the U.S.

Geological Survey. Its tool, known as Prompt Assessment of Global Earthquakes for Response (PAGER), automatically combines information about an earthquake with demographic and other data from the where can you buy viagra over the counter affected region to model the likely scale of the disaster, including deaths and economic impact. PAGER, which was launched in 2007, does not predict the exact number of fatalities. Rather it estimates the probability that the number lies within a certain range.

For the recent earthquake in Haiti, PAGER gives a 35 percent chance that between 10,000 and 100,000 people have died and a 32 percent chance that the death toll will top where can you buy viagra over the counter 100,000. This earthquake was probably less deadly than the one that hit Haiti in 2010, for which PAGER correctly predicted more than 100,000 deaths. The tool also estimates a 66 percent chance that the cost of damage for this year’s quake lies between $100 million and $10 billion. For comparison, the 2010 earthquake cost between $7 billion and $14 where can you buy viagra over the counter billion.

Having an accurate estimate of deaths and damage early on could greatly influence the scale of the response. News organizations tend to report the official death count, which is the number where can you buy viagra over the counter of bodies found so far. In a country such as Haiti, which has poor infrastructure and limited access to remote regions, determining the real toll this way could take months. This creates a problem for international responders, humanitarian aid organizations and other nations, all of who need to assess the extent of the damage and determine an appropriate response.

Scientific American spoke with David Wald, a seismologist at the USGS where can you buy viagra over the counter who helped develop PAGER and other earthquake modeling tools. [An edited transcript of the interview follows.] Why are Haiti’s official fatality numbers so much lower than PAGER’s?. There are a lot of things that you don’t see that the models predict. What you’re not seeing is all the small towns and villages and remote buildings, some of them on these hillsides that may be affected not only by shaking but by landslides where can you buy viagra over the counter.

It’ll be a long time before those areas are all reached, especially because access and civil infrastructure and governance are all challenged. So those [fatality] numbers will tend to grow over time, as we always expect. We can say, very definitively, that there where can you buy viagra over the counter are going to be problems with the roads because of landslides—because the roads cross the steep terrain where there was strong shaking. What data are used by PAGER to model fatalities?.

Getting the exact number of fatalities is unachievable. There are where can you buy viagra over the counter just too many uncertainties and too many unknowns. But to create a prediction, there are three ingredients. The shaking, the population exposed to each shaking level and how vulnerable that population is, based on the buildings [people] where can you buy viagra over the counter are in.

We know that for larger earthquakes, the pattern of shaking can be extremely complicated, so we try to capture that as best we can through a tool called ShakeMap. If you had thousands of stations, you would know the shaking everywhere, and it would be a really well-constrained map. In California, where can you buy viagra over the counter you have hundreds of stations. If you go to Haiti, where there are not very many seismic stations, there is additional uncertainty.

It’s always going to be more uncertain until we help equip Haiti with more instruments. The second ingredient is the population exposed to where can you buy viagra over the counter these different shaking levels. You can just take a population grid and calculate the population exposed for all of the different shaking intensity levels. The final question is the impact of that.

In China where can you buy viagra over the counter or Haiti, you have very vulnerable buildings. For the same shaking level, you can get many times more fatalities than you would in, say, California or New Zealand or Japan, where you have better building codes. In the case of Haiti, there’s a high population, strong shaking and very vulnerable buildings. And that leads you to the conclusion that there’s going to be what we call a red alert on PAGER, where we where can you buy viagra over the counter have probably 1,000 fatalities or higher.

Why is there so much uncertainty?. You don’t have many instruments where can you buy viagra over the counter. Haiti has a seismic network where it can locate earthquakes. But we can’t use those instruments for the ShakeMap.

They have to be special instruments called strong where can you buy viagra over the counter motion instruments. There are probably six or seven in Haiti, and we only have the data from two of them. An additional source of uncertainty in our calculations is trying to figure out [the location and shape of] the fault. It also has dependencies on the data and how good the data are where can you buy viagra over the counter and how complicated the earthquake was.

In this case, it’s a pretty complicated, challenging fault to determine. Sometimes those things take months to really iron out. But we always do our best to do it within the first where can you buy viagra over the counter few hours and days. For the modeling, a big problem is.

We don’t even know how many people died in 2010. The estimates where can you buy viagra over the counter range from 100,000 to 320,000. Most countries have very good reporting, and if the number of fatalities is three, four or five, you can assume it’s pretty damn accurate. But once you get where can you buy viagra over the counter into these really big losses, such as in Haiti, the truth is uncertain.

We can never be exact in this business, but we can be useful. And for Haiti, it was in the red alert, no matter what, so it was an international type of response. How does PAGER record where can you buy viagra over the counter an earthquake when it strikes?. First of all, the National Earthquake Information Center [determines] the magnitude and epicenter.

It operates 24/7, so that information gets sent out and triggers ShakeMap, which will generate a map of the shaking with the seismic data that are available. As soon as the ShakeMap is made, where can you buy viagra over the counter PAGER runs. It takes the shaking, and it overlays population. And with the model for that country, it estimates fatalities.

It also sends that ShakeMap around the world to where can you buy viagra over the counter systems that estimate shaking and damage. Most earthquakes are in the green zone because they’ll be in the ocean or a low population area. Even magnitude 8.0s are often in the subduction zones [collisions between tectonic plates in which one sinks beneath the other] offshore and don’t affect anything. One of the most important things about PAGER where can you buy viagra over the counter is to say that nothing happened as opposed to that something happened.

If it’s an orange or red alert like this was for Haiti, however, it will page us, and we can watch the model get generated. We will where can you buy viagra over the counter review the results before sending those out. We sit on it for maybe 10 or 20 minutes while we look at the other information that’s coming in, such as better magnitudes and better locations, and we’re confident that that’s a good starting place. News reports use the official numbers, which are probably far lower than the actual numbers.

Does that mean people will pay less attention where can you buy viagra over the counter to the disaster?. With the media, there have been a number of cases where an earthquake will happen at night, and nobody will be paying attention. Then it’ll be another news cycle, with Afghanistan and erectile dysfunction treatment and so many other things, so the media are paying attention to those. We’re saying, “It’s going to be worse than the where can you buy viagra over the counter initial reports.

It’s going to be much worse.” We may be overestimating the total losses, based on some of these uncertainties. It’s a challenge for the media to work with uncertain numbers. And it’s a challenge for the agencies and the financial where can you buy viagra over the counter institutions and urban search-and-rescue teams. But we’re pushing them in the direction of “it’s worse than we’ve seen so far.” Different PAGER users have different timelines.

Urban search and rescue should begin within hours, so you go with these uncertain numbers. Whether to send $1 billion where can you buy viagra over the counter worth of aid can wait a little bit longer. Over days, things tend to stabilize, and you reach the answer that’s a little bit more constrained than the initial estimates. So you can take the model as an uncertain estimate, along with what’s happened on the ground, and weigh those appropriately.A drought worsened by climate change has caused hydropower supplies in California to reach their second-lowest level since 2001, leading electricity prices in the state to soar 150% in three months' where can you buy viagra over the counter time.

Yet some of the biggest beneficiaries of the price surge, according to a credit ratings agency report yesterday, are fossil fuel-fired power producers whose emissions only exacerbate global warming. California's predicament — in which emissions-free hydropower is replaced by planet-warming power from natural gas plants — underscores the need to rapidly decarbonize the electric grid, according to sustainability experts. "That way, if we do have challenges where can you buy viagra over the counter with generation from one renewables sector, we'll be able to make up for it with renewables from another," said Kristen Averyt, a research professor at the University of Nevada, Las Vegas, who's focused on climate resilience efforts. In May, monthly power prices in California were under $30 per megawatt-hour, Moody's Investors Service said in the report.

By July, they'd topped $80 per MWh — their highest level since at least 2016. "High power prices are credit where can you buy viagra over the counter positive for non-hydro-dependent power generators that sell into the California power market," the report said. Moody's highlighted three power producers set to profit from the state's drought-driven decline in hydropower. Calpine Corp., Vistra Corp.

And Generation Bridge where can you buy viagra over the counter LLC. Houston-based Calpine has 35 power plants in California with a generation capacity of 6,425 megawatts, according to company data. Of that generating capacity, 88% is powered by fossil fuels. Vistra, another Texas company, is even more dependent on fossil fuels where can you buy viagra over the counter.

The Carbon Tracker Initiative, a clean energy think tank, estimates that 90% of its fleetwide power capacity is from natural gas and coal plants. Generation Bridge, meanwhile, is where can you buy viagra over the counter a holding company composed entirely of gas- and oil-fired peaking plants, according to a Moody's report from earlier this month. In California, Generation Bridge has two gas-fired peakers that can produce 773 MW when power demand in the state is at its highest. The holding company is owned by a fund of ArcLight Capital Partners LLC, a Boston-based private equity firm.

Sourcing power from those companies may help California keep on the lights in the short term, where can you buy viagra over the counter but it's harmful to the nation's long-term climate goals, Averyt said. "The last thing we want to be doing right now is increase our emissions," she said. Calpine, Vistra and ArcLight did not respond to requests for comment. Hydropower historically has provided about 15% of California's where can you buy viagra over the counter electricity.

But a decadeslong drought has caused production from the sector to plummet. Earlier this month, low water levels at the Oroville Dam forced the state to shut down the Edward Hyatt Power Plant, one of its largest hydro facilities (Greenwire, Aug. 6). Reprinted from E&E News with permission from POLITICO, LLC.

Copyright 2021. E&E News provides essential news for energy and environment professionals.Chinese astronomers hope to establish a major observatory program on the roof of the world, the Tibetan Plateau, with new research arguing for pristine observing conditions nestled in the uplands. The analysis focuses on a study site near Lenghu Town in Qinghai Province at an altitude of more than 2.5 miles (4.2 kilometers) and some 1,900 miles (3,000 km) west of Beijing. In the paper, the scientists argue that three years of monitoring shows conditions on par with those at some of the most renowned scientific outposts on Earth.

Moreover, making use of the site would fill a gap in scientists' existing global network of high-altitude, high-caliber observatory complexes, allowing for more reliable monitoring of phenomena that change rapidly, like supernovas. Right now, top-tier observatories cluster in the Western Hemisphere — think Maunakea in Hawaii, Cerro Paranal in Chile and La Palma in the Canary Islands. "Finding a good site in China, spatially on the Tibetan Plateau, is essential to the development of astronomy and planetary science in China," co-author Fei He, an optics specialist at the Institute of Geology and Geophysics of the Chinese Academy of Sciences in Beijing, told Space.com in an email. The initiative tracks with China's heavy focus on building new science and technology facilities around the world, Dean Cheng, an expert on Chinese military and space activities at the Heritage Foundation, a conservative public policy think tank based in Washington, D.C., told Space.com.

"Astronomy is a high priority," Cheng said. "Both inside and outside China, they are busily improving their space surveillance capabilities, space observation capabilities, but also their scientific capabilities as we've seen with their missions to Mars and the moon." The site analyzed in the new research is located on the Tibetan Plateau but not in Tibet proper, which China invaded in 1959 and where tensions continue to run high. Qinghai Province is next door, but about a quarter of its population are Tibetan, according to China's government press agency Xinhua. And while the research was only submitted this February, observatories are already in the works at the site, according to Xinhua.

The news bureau announced in April 2020 that a Chinese university and the regional government had agreed to terms for the construction of the Wide Field Survey Telescope (WFST), a 2.5-meter optical telescope at the time scheduled to begin work in 2022. Before focusing on the site near Lenghu Town, the scientists behind the new research set up equipment at three additional locations during early stages of the research, between 2016 and 2018. But Lenghu Town was a particularly appealing site, He wrote, and somewhat connected to the urbanized coast on the other side of the country. Plus, local government officials invited the team in to conduct the analysis.

"Lenghu has been known to have unusually clear sky to the community, and at the same time, Lenghu area has a spectacular landscape similar to Mars, therefore the local government wanted to develop tourist industry specialized in astronomy and planetary science," He wrote. So He and his colleagues took to trekking out to the site, which is located on Saishiteng Mountain at an altitude of about 13,800 feet (4,200 meters), about 200 feet (60 m) higher than the Keck Observatory in Hawaii. The site's elevation is key. Earth's atmosphere causes blurring in astronomical observations and the higher a telescope's site is, the less atmosphere instruments must see through.

Other factors also appeal to the team from the new analysis. The sky is relatively dark, and Lenghu officials have already created regulations to keep background light low. According to 30 years' worth of weather records studied by the team, the site sees just 0.71 inches (18 millimeters) of precipitation a year and 3,500 hours of sunshine. And the team's analysis of factors like air stability, turbulence and water vapor, are also promising, according to the researchers.

Of course, the elevation and remoteness that fosters such dark skies are also logistical challenges. "Before the road reached the summit of Saishiteng Mountain, the necessary building materials and tools were carried to the site by a helicopter and the scientific devices were manually carried up to the mountain," He wrote. One team member saw wolves and thick snow was a regular challenge. That's not likely to foil plans to build observatories.

Currently, China is quite focused on construction on the Tibetan Plateau, and particularly in Tibet itself, which in addition to its own restiveness is a key strategic region given China's tensions with nuclear-armed India, Cheng noted. "They're on top of the world at the top of the Himalayas," he said. "The Chinese are building massive infrastructure — roads, railways, air bases, military bases, camps — and moving in a lot of military equipment." Between trips up the mountain, team members talked with local residents of Lenghu Town. While the authors noted that local officials were enthusiastic about the prospect of welcoming astronomy to the site, it's not clear whether residents agree.

He said that about 3,000 people live in the town, which is located about 50 miles (80 km) away from the analyzed site. "What we usually talked about is how the development of astronomy and planetary science at Lenghu could make their lives better," He wrote of conversations with residents. "Scientific development will attract more tourists here and promote the development of local tourism, so they can make more money," He wrote. "During the night, when walking on the street, we also introduce the stars and planets to them and what kind of tourism can be developed.

At the same time, we also talked about the protection of the dark sky which is essential to the development of the observatory, and they were happy to make sacrifices for it." Some of those sacrifices are already in action. "If the local population were to grow with economic development, then control of light pollution could be lost," the authors wrote in the paper. But Lenghu leaders knew that going in and passed strict dark-sky protections in 2017 to avoid that threat — part of what has made the site so appealing for the researchers, they wrote. And the result is stunning.

"When you are on the summit of the mountain, you can see the fantastic Mars-like landscape of the Qaidam Basin during the day, and the magnificent and beautiful starry sky during the night," He wrote. "It was very memorable." The research is described in a paper published Wednesday (Aug. 18) in the journal Nature. Copyright 2021 Space.com, a Future company.

All rights reserved. This material may not be published, broadcast, rewritten or redistributed.There have been over four million deaths resulting from erectile dysfunction treatment worldwide, including over 34 million cases and more than 610,000 deaths in the United States alone. Worse, we do not appear to be near the end of the viagra. Recent increases in hospitalizations and deaths from erectile dysfunction treatment have occurred, mainly in people who are either fully unvaccinated or partially vaccinated.

Making this all the more tragic is its preventability. We know that treatments are still effective against the Delta variant, which is now the predominant strain in the United States of the erectile dysfunction viagra that causes erectile dysfunction treatment. We are aware that people who are unvaccinated have different reasons and concerns for their decision. Some have medical conditions, for example, that preclude getting immunized.

Others come from underserved communities and wish to be vaccinated but have limited access. At the same time, we also know that health misinformation and conspiracy theories about erectile dysfunction treatment are rampant. They do real damage and endanger public health. They have been linked to a decreased likelihood of following public health advice, such as wearing masks, and can influence health decisions, such as intent to get erectile dysfunction treatments.

Many damaging myths about erectile dysfunction treatment have circulated on social media. For example. In this vein, health misinformation can fuel treatment hesitancy, which the World Health Organization has listed as one of the top 10 threats to global health. That threat becomes very clear and very immediate in the context of erectile dysfunction treatment.

With vaccination programs underway, treatment hesitancy could threaten the goal of herd immunity, which is key to ending the viagra. Organizations including the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) are concerned enough about treatment hesitancy to specifically address it through funding and advocacy, and the World Health Organization has dubbed the extent of misinformation online an “infodemic.” There is a very real need to ensure that reliable, evidence-based information is as available, plentiful and accessible as misinformation, and that it travels as quickly online. And that is precisely the reason that the #ScienceUpFirst initiative was born. To provide, support and boost accurate scientific information online to help people make informed health decisions.

CHAMPIONING EVIDENCE-BASED PUBLIC HEALTH The #ScienceUpFirst project began when public health scholar Timothy Caulfield and Senator Stanley Kutcher of Nova Scotia recruited a Canadian coalition of scientists, communicators and health experts to empower people to work together against misinformation about erectile dysfunction treatment and erectile dysfunction treatments. The #ScienceUpFirst team is independently represented from an array of Canadian universities and organizations. Operationally, the project is supported by the Canadian Association of Science Centers, erectile dysfunction treatment Resources Canada and the Health Law Institute at the University of Alberta. The bilingual campaign uses the online hashtags #ScienceUpFirst and #LaScienceDAbord across social media platforms, including Twitter, Instagram, Facebook and TikTok.

In essence, #ScienceUpFirst uses social media to promote and amplify the best available science-based content in an effort to debunk misinformation. The initial goal of the campaign is to follow evidence-based guidelines to target misinformation and conspiracy theories specifically related to erectile dysfunction treatment and erectile dysfunction treatments. Eventually, the framework will be applied beyond the erectile dysfunction treatment viagra to address other types of health- and science-related misinformation—for example, climate change and mental health. At the social media level, the campaign does two things.

It seeks out, evaluates and boosts existing, evidence-based content, with the intention of engaging people to help to share and amplify that content on social media. Importantly, this involves efforts to adapt content and ensure that it reflects and speaks to diverse sociodemographic populations.It takes information from community partners, followers and other official sources of data to determine the most relevant and timely content that is needed. It then creates scientifically accurate and easily digestible content in a visually appealing way and this content is vetted before it is posted on the campaign’s social media platforms. DEBUNKING MISINFORMATION WORKS Addressing misinformation is definitely worth the effort.

Research shows that debunking works and can be effective if it is done correctly. This means using evidence-based tactics when crafting a message to counter misinformation. These include but are not limited to. Providing the science, using clear and shareable content, referencing trustworthy sources, noting the scientific consensus and its evolution, incorporating narrative and story, leading with facts, being nice and authentic and highlighting gaps in logic and rhetorical devices.

HOW TO PARTICIPATE The #ScienceUpFirst movement is not passive, but is an ongoing, interactive project designed to engage and inform the public. There are three ways people can help amplify evidence-based information and debunk misinformation with #ScienceUpFirst. Follow @ScienceUpFirst on Twitter, Instagram, Facebook and Tik Tok, and engage with and share content using the hashtag #ScienceUpFirst or #LaScienceDAbord.Tag @ScienceUpFirst in erectile dysfunction treatment science-based posts and misinformation posts on all social media channels.Visit www.ScienceUpFirst.com to find curated, shareable erectile dysfunction treatment content and resources from some of our community partners. The project launched at the end of January, and has since garnered over 40,000 posts by over 30,000 people with a combined following of 260 million social media accounts.

Health professionals and scientists have an ethical responsibility to promote and practice evidence-based patient care and public health. Part of that mission includes calling out and correcting misinformation online via science communication on social media. While the #ScienceUpFirst campaign is a Canadian initiative, health misinformation and propaganda knows no borders, especially on social media. We welcome and encourage everyone in the United States and worldwide to join us.

This is an opinion and analysis article. The views expressed by the author or authors are not necessarily those of Scientific American. A modified version of this article was originally published in The Conversation.Elementary, middle and high schools in the U.S. Are opening this month, allowing students to fully attend in person as the country struggles to get back to normal.

But open schools have put many parents in an agonizing position. Pediatric hospitalizations for erectile dysfunction treatment have reached all-time highs in some regions, several governors have banned public school mask mandates, and no treatments are yet available for children under age 12. And all eyes are on how the march of the Delta variant across the country might affect child safety and disrupt back-to-school plans. To chart a course through these uncertainties, Scientific American asked experts in childhood infectious disease and in epidemiology what a good scenario for returning to school looks like.

Physicians and scientists also offered strategies for what parents can do when their choices are limited and difficult. Here is what the experts said. With masks, low-risk in-person schooling is possible. Dean Blumberg, chief of pediatric infectious diseases at the University of California, Davis, Children’s Hospital, says that even before treatments were available, masking mandates in schools worked quite well.

During the 2020-2021 school year (before Delta was circulating widely), where school mask mandates were in place, viral transmission was limited. A report on North Carolina schools earlier this year identified only 363 cases of in-school transmission among more than one million students and staff at 100 school districts and 14 charter schools where masking was the norm. What is key is that “children can follow the masking guidance,” Blumberg says, noting that evidence suggests that more than 90 percent of school children do so. In-person schooling is important, says Sara Bode, medical director of school health services at Nationwide Children’s Hospital in Columbus, Ohio, and incoming chair of the American Academy of Pediatrics’ Council on School Health Executive Committee.

Virtual classes might lower chances of viral exposure. But there are other risks associated with remote learning, she says, and they include “significant academic losses, along with social and emotional struggles.” Bode agrees with Blumberg that the evidence supports the idea that children can adhere to masking and that the practice strongly reduced s in the pre-Delta era. To work properly, Bode says, a mask should cover the nose mouth and bottom of the chin with no gaping. And it is important for the covering to be comfortable for a child.

€œThe mask that they’re wearing consistently is the best choice of mask,” she says. Schools that do not require masks put students at greater health risk. Schools without mask mandates subject children not only to a higher risk of viral transmission but also to the experience of seesawing between virtual and in-person classes as outbreaks lead to school closures, followed by reopenings. Some districts are weakening mandates and turning them into vaguer recommendations.

Bode says such moves are “taking away a safety measure that we know worked, and that’s a recipe to definitely go back to all-virtual learning, back and forth, and that is detrimental to [children’s] mental health.” Masks are expected to work against Delta, but experts are watching the variant closely. The Delta variant has a higher rate of infectiousness than other versions of the erectile dysfunction, and some studies have found that patients infected with it were more likely to be hospitalized than patients infected with previous variants. Just how these features will affect mitigation measures for children is still not known, says Katelyn Jetelina, an assistant professor of epidemiology at the University of Texas Health Science Center at Houston. €œBut I am pretty confident that if public health mitigation measures aren’t implemented, we will see substantial spread in schools,” she says.

€œThis isn’t close to being done for kids.” Vaccinations and ventilation are extremely important. Schools “need to double down on mitigation efforts in the face of Delta,” Blumberg says. That means making sure that “everybody who is eligible to be vaccinated is vaccinated,” including students age 12 and older and adults who work at the facilities. €œThe most powerful tool we have now is vaccination, and those students 12 and up who can be should be vaccinated,” says Georges Benjamin, executive director of the American Public Health Association.

Unfortunately, even students who are eligible are not being vaccinated at very high rates, Jetelina notes. For students under age 12, “we’ll be lucky to have treatments in arms by December,” she says. Low uptake among eligible students can compound risk for the younger ones. And a mix of vaccinated and unvaccinated students is yet another reason schools should have blanket mask mandates.

Implementing policies across all ages “is just cleaner,” Jetelina says. Another key safety measure is ventilation and air fiation. Benjamin says that in the past year, federal money was distributed to some older public schools to update their airflow systems. That is important, Jetelina says, and good ventilation, including from open doors and windows, is “highly effective in reducing spread.” The U.S.

Centers for Disease Control and Prevention advises that HVAC (heating, ventilation and air conditioning) systems should be set to bring in as much outdoor air as possible and should have highly effective filters. Physical space among students is not as important as these other factors, experts say, based on evidence suggesting that with masking in place, there is no difference in transmission between three and six feet of distancing among them. Adults can set an example by masking up, too. Because it is currently difficult to monitor everyone’s treatment status in the U.S., masking across all ages in schools is the best way to ensure reduced disease spread, Bode says.

€œWe are not at a place that we can confidently say that no one has to mask” even in treatment-eligible student populations, she says. Another reason to employ universal masking regardless of treatment status is to normalize mask wearing for younger children. Role models are important, Blumberg says. €œIt’s nice if authority figures or teachers are masking, too” he says.

Parents may need to take the lead, responding to local conditions and politics. Local factors will affect the risk-benefit balance for a child attending school. Jetelina says that two metrics require attention at the county level. The daily number of erectile dysfunction treatment cases per 100,000 people and the local percentage of tests that are positive for the novel erectile dysfunction.

When these figures start to climb, the risk climbs, too. Parents can consult with local public health agencies—many of which maintain Web sites with this information—to determine what the numbers mean for risks in local schools. To make matters more difficult, some states are opposing masks and other disease-control measures. In Texas, for example, Governor Greg Abbott—who himself recently tested positive for erectile dysfunction treatment—has banned public schools from establishing mask or treatment mandates.

In Florida, Governor Ron DeSantis has done the same. In both states, disease case counts and positive erectile dysfunction treatment test results are skyrocketing in several places. Experts chafe at these obstacles. €œSchool districts should be allowed to decide for themselves whether they’re going to have that policy” of requiring masks, based on local conditions that are determined by county public health departments, Blumberg says.

Benjamin agrees. When asked about the Texas Education Agency’s recently publicized policy that administrators do not need to notify parents about a erectile dysfunction treatment case in their school, he says that “inhibiting the ability of a school to share that information with parents is not good medical practice or good public health practice.” When parents are unable to find out about health conditions at a school, Benjamin says, that is yet another reason to ensure their children wear a mask. Adults can work to prevent bullying over masks. Without clear health standards such as mask mandates, Benjamin says, there can be a “toxic environment where you have bullying and stigmatization because a child is wearing a mask.

We scar these children for life when we put them in these kinds of terrible situations.” Adults must make efforts to keep this type of activity and toxicity low. €œTeachers are going to have to be sensitive to the needs of those children,” Benjamin says. Jetelina says that parents may have to take on the extra burden of advocating for safety measures to their local and state leaders. Where mandates are lacking, concerned adults may need to implement volunteer testing or work with the school to frame mask wearing as a positive choice.

€œEven though they can’t mandate it, [schools] can strongly recommend it,” she says. Missing masks can make inequality in education worse. Bode is concerned that when outbreaks shut schools because of poor safety measures, the closures will exacerbate educational disparities between poorer and wealthier communities. A stark example is from the first year of the viagra, when many public school districts in large cities did not return to in-person learning as rapidly as some of their private school counterparts.

€œCommunity support for putting safety measures in place is important to ensure that every public school district offers kids the same opportunities,” Bode says. Where mask mandates don’t exist, parents have to turn to “grassroots community pressure,” she adds. And where parents lack the time and resources for such efforts, disparity gaps with wealthier communities may widen. Still, without the widespread use of measures such as mask mandates and vaccination requirements, she says, the path to the end of the viagra will remain elusive.

Blumberg agrees. €œWe’ve got all these tools in the toolbox to control this viagra,” he says, “and it makes no sense to start throwing away tools when you need them most.”.

Haiti is still rebuilding from the massive earthquake that cialis with viagra together struck 11 years ago, as well as dealing with the fallout of its president’s image source assassination in July. So the island nation was ill-prepared for the magnitude 7.2 earthquake that hit its western region on August 14. At the time of publication, the official death toll hovers around 2,000, although for the cialis with viagra together first few critical days after the quake, media reports listed a death toll in the hundreds. But the true number of deaths is probably at least five to 50 times that number, according to a scientific model from the U.S. Geological Survey.

Its tool, known as Prompt Assessment of Global Earthquakes for Response (PAGER), automatically combines information about an earthquake cialis with viagra together with demographic and other data from the affected region to model the likely scale of the disaster, including deaths and economic impact. PAGER, which was launched in 2007, does not predict the exact number of fatalities. Rather it estimates the probability that the number lies within a certain range. For the recent earthquake in Haiti, PAGER gives a 35 percent chance that between 10,000 and 100,000 people have died and a 32 percent chance that the cialis with viagra together death toll will top 100,000. This earthquake was probably less deadly than the one that hit Haiti in 2010, for which PAGER correctly predicted more than 100,000 deaths.

The tool also estimates a 66 percent chance that the cost of damage for this year’s quake lies between $100 million and $10 billion. For comparison, the 2010 earthquake cialis with viagra together cost between $7 billion and $14 billion. Having an accurate estimate of deaths and damage early on could greatly influence the scale of the response. News organizations tend to report the official death cialis with viagra together count, which is the number of bodies found so far. In a country such as Haiti, which has poor infrastructure and limited access to remote regions, determining the real toll this way could take months.

This creates a problem for international responders, humanitarian aid organizations and other nations, all of who need to assess the extent of the damage and determine an appropriate response. Scientific American spoke with David Wald, a cialis with viagra together seismologist at the USGS who helped develop PAGER and other earthquake modeling tools. [An edited transcript of the interview follows.] Why are Haiti’s official fatality numbers so much lower than PAGER’s?. There are a lot of things that you don’t see that the models predict. What you’re not seeing is all the small towns and villages and remote buildings, some of them on these cialis with viagra together hillsides that may be affected not only by shaking but by landslides.

It’ll be a long time before those areas are all reached, especially because access and civil infrastructure and governance are all challenged. So those [fatality] numbers will tend to grow over time, as we always expect. We can say, very definitively, cialis with viagra together that there are going to be problems with the roads because of landslides—because the roads cross the steep terrain where there was strong shaking. What data are used by PAGER to model fatalities?. Getting the exact number of fatalities is unachievable.

There are just too many uncertainties and too many unknowns cialis with viagra together. But to create a prediction, there are three ingredients. The shaking, the population exposed to each shaking level and how vulnerable that population is, based on the cialis with viagra together buildings [people] are in. We know that for larger earthquakes, the pattern of shaking can be extremely complicated, so we try to capture that as best we can through a tool called ShakeMap. If you had thousands of stations, you would know the shaking everywhere, and it would be a really well-constrained map.

In California, you have hundreds of cialis with viagra together stations. If you go to Haiti, where there are not very many seismic stations, there is additional uncertainty. It’s always going to be more uncertain until we help equip Haiti with more instruments. The second cialis with viagra together ingredient is the population exposed to these different shaking levels. You can just take a population grid and calculate the population exposed for all of the different shaking intensity levels.

The final question is the impact of that. In China or Haiti, you cialis with viagra together have very vulnerable buildings. For the same shaking level, you can get many times more fatalities than you would in, say, California or New Zealand or Japan, where you have better building codes. In the case of Haiti, there’s a high population, strong shaking and very vulnerable buildings. And that leads you to cialis with viagra together the conclusion that there’s going to be what we call a red alert on PAGER, where we have probably 1,000 fatalities or higher.

Why is there so much uncertainty?. You don’t have cialis with viagra together many instruments. Haiti has a seismic network where it can locate earthquakes. But we can’t use those instruments for the ShakeMap. They have cialis with viagra together to be special instruments called strong motion instruments.

There are probably six or seven in Haiti, and we only have the data from two of them. An additional source of uncertainty in our calculations is trying to figure out [the location and shape of] the fault. It also has dependencies on the data and how good the data are and how complicated cialis with viagra together the earthquake was. In this case, it’s a pretty complicated, challenging fault to determine. Sometimes those things take months to really iron out.

But we always do our best to do it within the first few hours and days cialis with viagra together. For the modeling, a big problem is. We don’t even know how many people died in 2010. The estimates range from 100,000 to cialis with viagra together 320,000. Most countries have very good reporting, and if the number of fatalities is three, four or five, you can assume it’s pretty damn accurate.

But once you get into these really big losses, cialis with viagra together such as in Haiti, the truth is uncertain. We can never be exact in this business, but we can be useful. And for Haiti, it was in the red alert, no matter what, so it was an international type of response. How does cialis with viagra together PAGER record an earthquake when it strikes?. First of all, the National Earthquake Information Center [determines] the magnitude and epicenter.

It operates 24/7, so that information gets sent out and triggers ShakeMap, which will generate a map of the shaking with the seismic data that are available. As soon as the ShakeMap is made, PAGER runs cialis with viagra together. It takes the shaking, and it overlays population. And with the model for that country, it estimates fatalities. It also sends that ShakeMap around the world to systems that estimate cialis with viagra together shaking and damage.

Most earthquakes are in the green zone because they’ll be in the ocean or a low population area. Even magnitude 8.0s are often in the subduction zones [collisions between tectonic plates in which one sinks beneath the other] offshore and don’t affect anything. One of the most important things about PAGER is to say that nothing happened as opposed to that something happened cialis with viagra together. If it’s an orange or red alert like this was for Haiti, however, it will page us, and we can watch the model get generated. We will cialis with viagra together review the results before sending those out.

We sit on it for maybe 10 or 20 minutes while we look at the other information that’s coming in, such as better magnitudes and better locations, and we’re confident that that’s a good starting place. News reports use the official numbers, which are probably far lower than the actual numbers. Does that mean people will pay less attention to cialis with viagra together the disaster?. With the media, there have been a number of cases where an earthquake will happen at night, and nobody will be paying attention. Then it’ll be another news cycle, with Afghanistan and erectile dysfunction treatment and so many other things, so the media are paying attention to those.

We’re saying, “It’s cialis with viagra together going to be worse than the initial reports. It’s going to be much worse.” We may be overestimating the total losses, based on some of these uncertainties. It’s a challenge for the media to work with uncertain numbers. And it’s a cialis with viagra together challenge for the agencies and the financial institutions and urban search-and-rescue teams. But we’re pushing them in the direction of “it’s worse than we’ve seen so far.” Different PAGER users have different timelines.

Urban search and rescue should begin within hours, so you go with these uncertain numbers. Whether to send $1 billion worth of aid cialis with viagra together can wait a little bit longer. Over days, things tend to stabilize, and you reach the answer that’s a little bit more constrained than the initial estimates. So you cialis with viagra together can take the model as an uncertain estimate, along with what’s happened on the ground, and weigh those appropriately.A drought worsened by climate change has caused hydropower supplies in California to reach their second-lowest level since 2001, leading electricity prices in the state to soar 150% in three months' time. Yet some of the biggest beneficiaries of the price surge, according to a credit ratings agency report yesterday, are fossil fuel-fired power producers whose emissions only exacerbate global warming.

California's predicament — in which emissions-free hydropower is replaced by planet-warming power from natural gas plants — underscores the need to rapidly decarbonize the electric grid, according to sustainability experts. "That way, if we do have challenges with generation from one renewables sector, we'll be able to make up for cialis with viagra together it with renewables from another," said Kristen Averyt, a research professor at the University of Nevada, Las Vegas, who's focused on climate resilience efforts. In May, monthly power prices in California were under $30 per megawatt-hour, Moody's Investors Service said in the report. By July, they'd topped $80 per MWh — their highest level since at least 2016. "High power prices are credit positive for non-hydro-dependent power generators that sell into the California power cialis with viagra together market," the report said.

Moody's highlighted three power producers set to profit from the state's drought-driven decline in hydropower. Calpine Corp., Vistra Corp. And Generation cialis with viagra together Bridge LLC. Houston-based Calpine has 35 power plants in California with a generation capacity of 6,425 megawatts, according to company data. Of that generating capacity, 88% is powered by fossil fuels.

Vistra, another Texas company, is even more dependent on fossil fuels cialis with viagra together. The Carbon Tracker Initiative, a clean energy think tank, estimates that 90% of its fleetwide power capacity is from natural gas and coal plants. Generation Bridge, meanwhile, is a holding company composed entirely of gas- and oil-fired peaking cialis with viagra together plants, according to a Moody's report from earlier this month. In California, Generation Bridge has two gas-fired peakers that can produce 773 MW when power demand in the state is at its highest. The holding company is owned by a fund of ArcLight Capital Partners LLC, a Boston-based private equity firm.

Sourcing power from those companies may help California keep on the lights in cialis with viagra together the short term, but it's harmful to the nation's long-term climate goals, Averyt said. "The last thing we want to be doing right now is increase our emissions," she said. Calpine, Vistra and ArcLight did not respond to requests for comment. Hydropower historically cialis with viagra together has provided about 15% of California's electricity. But a decadeslong drought has caused production from the sector to plummet.

Earlier this month, low water levels at the Oroville Dam forced the state to shut down the Edward Hyatt Power Plant, one of its largest hydro facilities (Greenwire, Aug. 6). Reprinted from E&E News with permission from POLITICO, LLC. Copyright 2021. E&E News provides essential news for energy and environment professionals.Chinese astronomers hope to establish a major observatory program on the roof of the world, the Tibetan Plateau, with new research arguing for pristine observing conditions nestled in the uplands.

The analysis focuses on a study site near Lenghu Town in Qinghai Province at an altitude of more than 2.5 miles (4.2 kilometers) and some 1,900 miles (3,000 km) west of Beijing. In the paper, the scientists argue that three years of monitoring shows conditions on par with those at some of the most renowned scientific outposts on Earth. Moreover, making use of the site would fill a gap in scientists' existing global network of high-altitude, high-caliber observatory complexes, allowing for more reliable monitoring of phenomena that change rapidly, like supernovas. Right now, top-tier observatories cluster in the Western Hemisphere — think Maunakea in Hawaii, Cerro Paranal in Chile and La Palma in the Canary Islands. "Finding a good site in China, spatially on the Tibetan Plateau, is essential to the development of astronomy and planetary science in China," co-author Fei He, an optics specialist at the Institute of Geology and Geophysics of the Chinese Academy of Sciences in Beijing, told Space.com in an email.

The initiative tracks with China's heavy focus on building new science and technology facilities around the world, Dean Cheng, an expert on Chinese military and space activities at the Heritage Foundation, a conservative public policy think tank based in Washington, D.C., told Space.com. "Astronomy is a high priority," Cheng said. "Both inside and outside China, they are busily improving their space surveillance capabilities, space observation capabilities, but also their scientific capabilities as we've seen with their missions to Mars and the moon." The site analyzed in the new research is located on the Tibetan Plateau but not in Tibet proper, which China invaded in 1959 and where tensions continue to run high. Qinghai Province is next door, but about a quarter of its population are Tibetan, according to China's government press agency Xinhua. And while the research was only submitted this February, observatories are already in the works at the site, according to Xinhua.

The news bureau announced in April 2020 that a Chinese university and the regional government had agreed to terms for the construction of the Wide Field Survey Telescope (WFST), a 2.5-meter optical telescope at the time scheduled to begin work in 2022. Before focusing on the site near Lenghu Town, the scientists behind the new research set up equipment at three additional locations during early stages of the research, between 2016 and 2018. But Lenghu Town was a particularly appealing site, He wrote, and somewhat connected to the urbanized coast on the other side of the country. Plus, local government officials invited the team in to conduct the analysis. "Lenghu has been known to have unusually clear sky to the community, and at the same time, Lenghu area has a spectacular landscape similar to Mars, therefore the local government wanted to develop tourist industry specialized in astronomy and planetary science," He wrote.

So He and his colleagues took to trekking out to the site, which is located on Saishiteng Mountain at an altitude of about 13,800 feet (4,200 meters), about 200 feet (60 m) higher than the Keck Observatory in Hawaii. The site's elevation is key. Earth's atmosphere causes blurring in astronomical observations and the higher a telescope's site is, the less atmosphere instruments must see through. Other factors also appeal to the team from the new analysis. The sky is relatively dark, and Lenghu officials have already created regulations to keep background light low.

According to 30 years' worth of weather records studied by the team, the site sees just 0.71 inches (18 millimeters) of precipitation a year and 3,500 hours of sunshine. And the team's analysis of factors like air stability, turbulence and water vapor, are also promising, according to the researchers. Of course, the elevation and remoteness that fosters such dark skies are also logistical challenges. "Before the road reached the summit of Saishiteng Mountain, the necessary building materials and tools were carried to the site by a helicopter and the scientific devices were manually carried up to the mountain," He wrote. One team member saw wolves and thick snow was a regular challenge.

That's not likely to foil plans to build observatories. Currently, China is quite focused on construction on the Tibetan Plateau, and particularly in Tibet itself, which in addition to its own restiveness is a key strategic region given China's tensions with nuclear-armed India, Cheng noted. "They're on top of the world at the top of the Himalayas," he said. "The Chinese are building massive infrastructure — roads, railways, air bases, military bases, camps — and moving in a lot of military equipment." Between trips up the mountain, team members talked with local residents of Lenghu Town. While the authors noted that local officials were enthusiastic about the prospect of welcoming astronomy to the site, it's not clear whether residents agree.

He said that about 3,000 people live in the town, which is located about 50 miles (80 km) away from the analyzed site. "What we usually talked about is how the development of astronomy and planetary science at Lenghu could make their lives better," He wrote of conversations with residents. "Scientific development will attract more tourists here and promote the development of local tourism, so they can make more money," He wrote. "During the night, when walking on the street, we also introduce the stars and planets to them and what kind of tourism can be developed. At the same time, we also talked about the protection of the dark sky which is essential to the development of the observatory, and they were happy to make sacrifices for it." Some of those sacrifices are already in action.

"If the local population were to grow with economic development, then control of light pollution could be lost," the authors wrote in the paper. But Lenghu leaders knew that going in and passed strict dark-sky protections in 2017 to avoid that threat — part of what has made the site so appealing for the researchers, they wrote. And the result is stunning. "When you are on the summit of the mountain, you can see the fantastic Mars-like landscape of the Qaidam Basin during the day, and the magnificent and beautiful starry sky during the night," He wrote. "It was very memorable." The research is described in a paper published Wednesday (Aug.

18) in the journal Nature. Copyright 2021 Space.com, a Future company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.There have been over four million deaths resulting from erectile dysfunction treatment worldwide, including over 34 million cases and more than 610,000 deaths in the United States alone. Worse, we do not appear to be near the end of the viagra.

Recent increases in hospitalizations and deaths from erectile dysfunction treatment have occurred, mainly in people who are either fully unvaccinated or partially vaccinated. Making this all the more tragic is its preventability. We know that treatments are still effective against the Delta variant, which is now the predominant strain in the United States of the erectile dysfunction viagra that causes erectile dysfunction treatment. We are aware that people who are unvaccinated have different reasons and concerns for their decision. Some have medical conditions, for example, that preclude getting immunized.

Others come from underserved communities and wish to be vaccinated but have limited access. At the same time, we also know that health misinformation and conspiracy theories about erectile dysfunction treatment are rampant. They do real damage and endanger public health. They have been linked to a decreased likelihood of following public health advice, such as wearing masks, and can influence health decisions, such as intent to get erectile dysfunction treatments. Many damaging myths about erectile dysfunction treatment have circulated on social media.

For example. In this vein, health misinformation can fuel treatment hesitancy, which the World Health Organization has listed as one of the top 10 threats to global health. That threat becomes very clear and very immediate in the context of erectile dysfunction treatment. With vaccination programs underway, treatment hesitancy could threaten the goal of herd immunity, which is key to ending the viagra. Organizations including the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) are concerned enough about treatment hesitancy to specifically address it through funding and advocacy, and the World Health Organization has dubbed the extent of misinformation online an “infodemic.” There is a very real need to ensure that reliable, evidence-based information is as available, plentiful and accessible as misinformation, and that it travels as quickly online.

And that is precisely the reason that the #ScienceUpFirst initiative was born. To provide, support and boost accurate scientific information online to help people make informed health decisions. CHAMPIONING EVIDENCE-BASED PUBLIC HEALTH The #ScienceUpFirst project began when public health scholar Timothy Caulfield and Senator Stanley Kutcher of Nova Scotia recruited a Canadian coalition of scientists, communicators and health experts to empower people to work together against misinformation about erectile dysfunction treatment and erectile dysfunction treatments. The #ScienceUpFirst team is independently represented from an array of Canadian universities and organizations. Operationally, the project is supported by the Canadian Association of Science Centers, erectile dysfunction treatment Resources Canada and the Health Law Institute at the University of Alberta.

The bilingual campaign uses the online hashtags #ScienceUpFirst and #LaScienceDAbord across social media platforms, including Twitter, Instagram, Facebook and TikTok. In essence, #ScienceUpFirst uses social media to promote and amplify the best available science-based content in an effort to debunk misinformation. The initial goal of the campaign is to follow evidence-based guidelines to target misinformation and conspiracy theories specifically related to erectile dysfunction treatment and erectile dysfunction treatments. Eventually, the framework will be applied beyond the erectile dysfunction treatment viagra to address other types of health- and science-related misinformation—for example, climate change and mental health. At the social media level, the campaign does two things.

It seeks out, evaluates and boosts existing, evidence-based content, with the intention of engaging people to help to share and amplify that content on social media. Importantly, this involves efforts to adapt content and ensure that it reflects and speaks to diverse sociodemographic populations.It takes information from community partners, followers and other official sources of data to determine the most relevant and timely content that is needed. It then creates scientifically accurate and easily digestible content in a visually appealing way and this content is vetted before it is posted on the campaign’s social media platforms. DEBUNKING MISINFORMATION WORKS Addressing misinformation is definitely worth the effort. Research shows that debunking works and can be effective if it is done correctly.

This means using evidence-based tactics when crafting a message to counter misinformation. These include but are not limited to. Providing the science, using clear and shareable content, referencing trustworthy sources, noting the scientific consensus and its evolution, incorporating narrative and story, leading with facts, being nice and authentic and highlighting gaps in logic and rhetorical devices. HOW TO PARTICIPATE The #ScienceUpFirst movement is not passive, but is an ongoing, interactive project designed to engage and inform the public. There are three ways people can help amplify evidence-based information and debunk misinformation with #ScienceUpFirst.

Follow @ScienceUpFirst on Twitter, Instagram, Facebook and Tik Tok, and engage with and share content using the hashtag #ScienceUpFirst or #LaScienceDAbord.Tag @ScienceUpFirst in erectile dysfunction treatment science-based posts and misinformation posts on all social media channels.Visit www.ScienceUpFirst.com to find curated, shareable erectile dysfunction treatment content and resources from some of our community partners. The project launched at the end of January, and has since garnered over 40,000 posts by over 30,000 people with a combined following of 260 million social media accounts. Health professionals and scientists have an ethical responsibility to promote and practice evidence-based patient care and public health. Part of that mission includes calling out and correcting misinformation online via science communication on social media. While the #ScienceUpFirst campaign is a Canadian initiative, health misinformation and propaganda knows no borders, especially on social media.

We welcome and encourage everyone in the United States and worldwide to join us. This is an opinion and analysis article. The views expressed by the author or authors are not necessarily those of Scientific American. A modified version of this article was originally published in The Conversation.Elementary, middle and high schools in the U.S. Are opening this month, allowing students to fully attend in person as the country struggles to get back to normal.

But open schools have put many parents in an agonizing position. Pediatric hospitalizations for erectile dysfunction treatment have reached all-time highs in some regions, several governors have banned public school mask mandates, and no treatments are yet available for children under age 12. And all eyes are on how the march of the Delta variant across the country might affect child safety and disrupt back-to-school plans. To chart a course through these uncertainties, Scientific American asked experts in childhood infectious disease and in epidemiology what a good scenario for returning to school looks like. Physicians and scientists also offered strategies for what parents can do when their choices are limited and difficult.

Here is what the experts said. With masks, low-risk in-person schooling is possible. Dean Blumberg, chief of pediatric infectious diseases at the University of California, Davis, Children’s Hospital, says that even before treatments were available, masking mandates in schools worked quite well. During the 2020-2021 school year (before Delta was circulating widely), where school mask mandates were in place, viral transmission was limited. A report on North Carolina schools earlier this year identified only 363 cases of in-school transmission among more than one million students and staff at 100 school districts and 14 charter schools where masking was the norm.

What is key is that “children can follow the masking guidance,” Blumberg says, noting that evidence suggests that more than 90 percent of school children do so. In-person schooling is important, says Sara Bode, medical director of school health services at Nationwide Children’s Hospital in Columbus, Ohio, and incoming chair of the American Academy of Pediatrics’ Council on School Health Executive Committee. Virtual classes might lower chances of viral exposure. But there are other risks associated with remote learning, she says, and they include “significant academic losses, along with social and emotional struggles.” Bode agrees with Blumberg that the evidence supports the idea that children can adhere to masking and that the practice strongly reduced s in the pre-Delta era. To work properly, Bode says, a mask should cover the nose mouth and bottom of the chin with no gaping.

And it is important for the covering to be comfortable for a child. €œThe mask that they’re wearing consistently is the best choice of mask,” she says. Schools that do not require masks put students at greater health risk. Schools without mask mandates subject children not only to a higher risk of viral transmission but also to the experience of seesawing between virtual and in-person classes as outbreaks lead to school closures, followed by reopenings. Some districts are weakening mandates and turning them into vaguer recommendations.

Bode says such moves are “taking away a safety measure that we know worked, and that’s a recipe to definitely go back to all-virtual learning, back and forth, and that is detrimental to [children’s] mental health.” Masks are expected to work against Delta, but experts are watching the variant closely. The Delta variant has a higher rate of infectiousness than other versions of the erectile dysfunction, and some studies have found that patients infected with it were more likely to be hospitalized than patients infected with previous variants. Just how these features will affect mitigation measures for children is still not known, says Katelyn Jetelina, an assistant professor of epidemiology at the University of Texas Health Science Center at Houston. €œBut I am pretty confident that if public health mitigation measures aren’t implemented, we will see substantial spread in schools,” she says. €œThis isn’t close to being done for kids.” Vaccinations and ventilation are extremely important.

Schools “need to double down on mitigation efforts in the face of Delta,” Blumberg says. That means making sure that “everybody who is eligible to be vaccinated is vaccinated,” including students age 12 and older and adults who work at the facilities. €œThe most powerful tool we have now is vaccination, and those students 12 and up who can be should be vaccinated,” says Georges Benjamin, executive director of the American Public Health Association. Unfortunately, even students who are eligible are not being vaccinated at very high rates, Jetelina notes. For students under age 12, “we’ll be lucky to have treatments in arms by December,” she says.

Low uptake among eligible students can compound risk for the younger ones. And a mix of vaccinated and unvaccinated students is yet another reason schools should have blanket mask mandates. Implementing policies across all ages “is just cleaner,” Jetelina says. Another key safety measure is ventilation and air fiation. Benjamin says that in the past year, federal money was distributed to some older public schools to update their airflow systems.

That is important, Jetelina says, and good ventilation, including from open doors and windows, is “highly effective in reducing spread.” The U.S. Centers for Disease Control and Prevention advises that HVAC (heating, ventilation and air conditioning) systems should be set to bring in as much outdoor air as possible and should have highly effective filters. Physical space among students is not as important as these other factors, experts say, based on evidence suggesting that with masking in place, there is no difference in transmission between three and six feet of distancing among them. Adults can set an example by masking up, too. Because it is currently difficult to monitor everyone’s treatment status in the U.S., masking across all ages in schools is the best way to ensure reduced disease spread, Bode says.

€œWe are not at a place that we can confidently say that no one has to mask” even in treatment-eligible student populations, she says. Another reason to employ universal masking regardless of treatment status is to normalize mask wearing for younger children. Role models are important, Blumberg says. €œIt’s nice if authority figures or teachers are masking, too” he says. Parents may need to take the lead, responding to local conditions and politics.

Local factors will affect the risk-benefit balance for a child attending school. Jetelina says that two metrics require attention at the county level. The daily number of erectile dysfunction treatment cases per 100,000 people and the local percentage of tests that are positive for the novel erectile dysfunction. When these figures start to climb, the risk climbs, too. Parents can consult with local public health agencies—many of which maintain Web sites with this information—to determine what the numbers mean for risks in local schools.

To make matters more difficult, some states are opposing masks and other disease-control measures. In Texas, for example, Governor Greg Abbott—who himself recently tested positive for erectile dysfunction treatment—has banned public schools from establishing mask or treatment mandates. In Florida, Governor Ron DeSantis has done the same. In both states, disease case counts and positive erectile dysfunction treatment test results are skyrocketing in several places. Experts chafe at these obstacles.

€œSchool districts should be allowed to decide for themselves whether they’re going to have that policy” of requiring masks, based on local conditions that are determined by county public health departments, Blumberg says. Benjamin agrees. When asked about the Texas Education Agency’s recently publicized policy that administrators do not need to notify parents about a erectile dysfunction treatment case in their school, he says that “inhibiting the ability of a school to share that information with parents is not good medical practice or good public health practice.” When parents are unable to find out about health conditions at a school, Benjamin says, that is yet another reason to ensure their children wear a mask. Adults can work to prevent bullying over masks. Without clear health standards such as mask mandates, Benjamin says, there can be a “toxic environment where you have bullying and stigmatization because a child is wearing a mask.

We scar these children for life when we put them in these kinds of terrible situations.” Adults must make efforts to keep this type of activity and toxicity low. €œTeachers are going to have to be sensitive to the needs of those children,” Benjamin says. Jetelina says that parents may have to take on the extra burden of advocating for safety measures to their local and state leaders. Where mandates are lacking, concerned adults may need to implement volunteer testing or work with the school to frame mask wearing as a positive choice. €œEven though they can’t mandate it, [schools] can strongly recommend it,” she says.

Missing masks can make inequality in education worse. Bode is concerned that when outbreaks shut schools because of poor safety measures, the closures will exacerbate educational disparities between poorer and wealthier communities. A stark example is from the first year of the viagra, when many public school districts in large cities did not return to in-person learning as rapidly as some of their private school counterparts. €œCommunity support for putting safety measures in place is important to ensure that every public school district offers kids the same opportunities,” Bode says. Where mask mandates don’t exist, parents have to turn to “grassroots community pressure,” she adds.

And where parents lack the time and resources for such efforts, disparity gaps with wealthier communities may widen. Still, without the widespread use of measures such as mask mandates and vaccination requirements, she says, the path to the end of the viagra will remain elusive. Blumberg agrees. €œWe’ve got all these tools in the toolbox to control this viagra,” he says, “and it makes no sense to start throwing away tools when you need them most.”.

What may interact with Viagra?

Do not take Viagra with any of the following:

• cisapride
• methscopolamine nitrate
• nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
• nitroprusside
• other sildenafil products (Revatio)

Viagra may also interact with the following:

• certain drugs for high blood pressure
• certain drugs for the treatment of HIV or AIDS
• certain drugs used for fungal or yeast s, like fluconazole, itraconazole, ketoconazole, and voriconazole
• cimetidine
• erythromycin
• rifampin

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Cialis or viagra

California Healthline senior correspondent Anna Maria Barry-Jester discussed how public health leaders in cialis or viagra Santa Cruz have faced a year of threats on KGO 810’s “The Chip Franklin Show” on Monday. Related Topics Contact Us Submit a Story TipTherapists and other behavioral health care providers cut hours, reduced staffs and turned away patients during the viagra as more Americans experienced depression symptoms and drug overdoses, according to a new report from the Government Accountability Office. The report on patient access to behavioral health care during the erectile dysfunction treatment crisis also casts doubt on whether insurers are abiding by federal law requiring parity in insurance coverage, which forbids health plans from passing along more of the bill for mental health care to patients than they would for medical or surgical care.

The GAO’s findings are “the tip of the iceberg” in how Americans with mental, emotional and substance use disorders are treated differently than those with physical conditions, said JoAnn Volk, a research professor at cialis or viagra Georgetown University’s Center on Health Insurance Reforms who studies mental health coverage. The GAO report, shared before publication exclusively with KHN, paints a picture of an already strained behavioral health system struggling after the viagra struck to meet the treatment needs of millions of Americans with conditions like alcohol use disorder and post-traumatic stress disorder. Up to 4 in 10 adults on average reported anxiety or depression symptoms during the viagra, the report showed, compared with about 1 in 10 adults in early 2019.

During the first seven months of the viagra, there were 36% more emergency room visits for drug overdoses, and 26% more visits for suicide attempts, compared cialis or viagra with the same period in 2019. EMAIL SIGN-Up Subscribe to California Healthline's free Daily Edition. As the need grew, already spotty access to treatment dwindled, the GAO found. A survey of members of the National Council for Behavioral Health, an organization that represents treatment providers, showed 27% reported they laid off employees during the viagra.

35% reduced hours cialis or viagra. And 45% said they closed programs. Worker shortages have long been an obstacle to accessing behavioral health services, which experts attribute in large part to problems with how providers are paid.

Last fall the federal government estimated that more than one-third of Americans live in an cialis or viagra area without enough providers available. Provider groups interviewed by GAO investigators acknowledged staff shortages and some delays in getting patients into treatment. They noted that the viagra forced them to cut outpatient services and limit inpatient options.

They also told the researchers that payment issues are a cialis or viagra significant problem that predated the viagra. In particular, the GAO said, most groups cited problems getting reimbursed by Medicaid more often than any other payer. Sen.

Ron Wyden (D-Ore.), who chairs the Senate Finance Committee, requested the report from GAO after hearing complaints that constituents’ insurance claims for cialis or viagra behavioral health care were being denied. In an interview, Wyden said he plans to embark on a “long-running project” as chairman to make care “easier to find, more affordable, with fewer people falling between the cracks.” Spurred by how the viagra has intensified the system’s existing problems, Wyden identified four “essential” targets for lawmakers. Denied claims and other billing issues.

The workforce cialis or viagra shortage. Racial inequality. And the effectiveness of existing federal law requiring coverage parity.

For Wyden, cialis or viagra the issue is personal. The senator’s late brother had schizophrenia. €œPart of this is making sure that vulnerable Americans know that somebody is on their side,” he said.

State and federal officials rely heavily on people’s complaints about cialis or viagra delayed or denied insurance claims to alert them to potential violations of federal law. The report cited state officials who said they “routinely” uncover violations, yet they lack the data to understand how widespread the problems may be. Congress passed legislation in December that requires that health plans provide government officials with internal analyses of their coverage for mental and physical health services upon request.

Part of the problem is that people often do not complain when their insurer refuses to pay for cialis or viagra treatment, said Volk, who has been working with state officials on the issue. She advised that anyone who is denied a claim for behavioral care should appeal it to their insurer and report it to their state’s insurance or labor department. Another obstacle.

Shame and cialis or viagra fear are often associated with being treated for a mental health disorder, as well as a belief among some patients that inequitable treatment is just the way the system works. €œSomething goes wrong, and they just expect that’s the way it’s supposed to be,” Volk said. The GAO report noted other ways the viagra limited access to care, including how public health guidelines encouraging physical distancing had forced some treatment facilities to cut the number of beds available.

On a positive note, the GAO also reported widespread approval for telehealth among stakeholders like state officials, providers and insurers, who told cialis or viagra government investigators that the increased payments and use of virtual appointments had made it easier for patients to access care. This story was produced by KHN (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation).

California Healthline senior correspondent Anna Maria Barry-Jester discussed how public health leaders in Santa cialis with viagra together Cruz have faced a year of threats on KGO 810’s “The Chip Franklin Show” on Monday. Related Topics Contact Us Submit a Story TipTherapists and other behavioral health care providers cut hours, reduced staffs and turned away patients during the viagra as more Americans experienced depression symptoms and drug overdoses, according to a new report from the Government Accountability Office. The report on patient access to behavioral health care during the erectile dysfunction treatment crisis also casts doubt on whether insurers are abiding by federal law requiring parity in insurance coverage, which forbids health plans from passing along more of the bill for mental health care to patients than they would for medical or surgical care. The GAO’s findings are “the tip of the iceberg” in how Americans with mental, emotional and cialis with viagra together substance use disorders are treated differently than those with physical conditions, said JoAnn Volk, a research professor at Georgetown University’s Center on Health Insurance Reforms who studies mental health coverage.

The GAO report, shared before publication exclusively with KHN, paints a picture of an already strained behavioral health system struggling after the viagra struck to meet the treatment needs of millions of Americans with conditions like alcohol use disorder and post-traumatic stress disorder. Up to 4 in 10 adults on average reported anxiety or depression symptoms during the viagra, the report showed, compared with about 1 in 10 adults in early 2019. During the first seven months of the viagra, there were cialis with viagra together 36% more emergency room visits for drug overdoses, and 26% more visits for suicide attempts, compared with the same period in 2019. EMAIL SIGN-Up Subscribe to California Healthline's free Daily Edition. As the need grew, already spotty access to treatment dwindled, the GAO found.

A survey of members of the National Council for Behavioral Health, an organization that represents treatment providers, showed 27% reported they laid off employees during the viagra. 35% reduced cialis with viagra together hours. And 45% said they closed programs. Worker shortages have long been an obstacle to accessing behavioral health services, which experts attribute in large part to problems with how providers are paid.

Last fall the federal government cialis with viagra together estimated that more than one-third of Americans live in an area without enough providers available. Provider groups interviewed by GAO investigators acknowledged staff shortages and some delays in getting patients into treatment. They noted that the viagra forced them to cut outpatient services and limit inpatient options. They also told the researchers that payment issues are a significant problem that predated the viagra cialis with viagra together.

In particular, the GAO said, most groups cited problems getting reimbursed by Medicaid more often than any other payer. Sen. Ron Wyden cialis with viagra together (D-Ore.), who chairs the Senate Finance Committee, requested the report from GAO after hearing complaints that constituents’ insurance claims for behavioral health care were being denied. In an interview, Wyden said he plans to embark on a “long-running project” as chairman to make care “easier to find, more affordable, with fewer people falling between the cracks.” Spurred by how the viagra has intensified the system’s existing problems, Wyden identified four “essential” targets for lawmakers.

Denied claims and other billing issues. The workforce shortage cialis with viagra together. Racial inequality. And the effectiveness of existing federal law requiring coverage parity.

For Wyden, cialis with viagra together the issue is personal. The senator’s late brother had schizophrenia. €œPart of this is making sure that vulnerable Americans know that somebody is on their side,” he said. State and cialis with viagra together federal officials rely heavily on people’s complaints about delayed or denied insurance claims to alert them to potential violations of federal law.

The report cited state officials who said they “routinely” uncover violations, yet they lack the data to understand how widespread the problems may be. Congress passed legislation in December that requires that health plans provide government officials with internal analyses of their coverage for mental and physical health services upon request. Part of the problem is that people often do not complain when their cialis with viagra together insurer refuses to pay for treatment, said Volk, who has been working with state officials on the issue. She advised that anyone who is denied a claim for behavioral care should appeal it to their insurer and report it to their state’s insurance or labor department.

Another obstacle. Shame and fear are often associated with being treated for a mental health disorder, as well as a belief among some cialis with viagra together patients that inequitable treatment is just the way the system works. €œSomething goes wrong, and they just expect that’s the way it’s supposed to be,” Volk said. The GAO report noted other ways the viagra limited access to care, including how public health guidelines encouraging physical distancing had forced some treatment facilities to cut the number of beds available.

On a positive cialis with viagra together note, the GAO also reported widespread approval for telehealth among stakeholders like state officials, providers and insurers, who told government investigators that the increased payments and use of virtual appointments had made it easier for patients to access care. This story was produced by KHN (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation).

Online viagra cost

Trauma is more prevalent online viagra cost that most people realize. According to the U.S Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration’s website, two-thirds of people have experienced at least one traumatic event by age 16. In 2015, online viagra cost for every 1,000 children, 9.2 experienced some sort of child abuse or neglect.

Their research suggests that 54 percent of U.S. Families have been affected by some type of disaster. Many people have multiple or online viagra cost repeated trauma.

The more intense and frequent a trauma is, the more likely it is to have an impact on people. Trauma has both short-term and long-term effects. In children this might be fear of being separated from online viagra cost a caregiver, excessive crying or screaming, weight loss and nightmares.

In older children it could be poor concentration, feelings of guilt or shame, anxiety, depression, difficulty sleeping, eating disorders, self-harming behavior, sexual acting out or use of drugs or alcohol, among other things. These behaviors and difficulties can persist into adulthood, and may lead to difficulties getting or keeping a job, disruption in relationships or criminal behavior. When these behaviors occur in people online viagra cost they likely indicate some sort of traumatic past.

This is because the trauma changes the way the brain functions. These struggles will sometimes lead people to seek mental health services, but sometimes people suffer without recognizing that the problems may be connected to a past traumatic event, or that they online viagra cost can change. As traumatized children grow into adults they are often perceived as being the problem themselves, instead of being seen as the victim of a trauma.

When friends, family, professionals and society view the person as the problem it creates a lack of compassion and ignores the healing that could occur if the trauma were recognized. When one views those with online viagra cost difficult behavior as a victim of their past, they will approach them with more empathy and compassion. This is the essence of being trauma informed.

Trauma-informed care has been a topic of discussion for several years within the human service world. According to Trauma-Informed Care Implementation Resource Center, trauma-informed online viagra cost care shifts the focus from “What’s wrong with you?. € to “What happened to you?.

€ There has been a push to bring this concept outside the therapy office and into broader health care settings. This perspective, however, online viagra cost can be useful beyond the realm of health care. When individuals become trauma informed, they can approach all interactions differently and with more empathy and compassion.

Some people, however, resist this idea online viagra cost. They seem to believe that recognizing past trauma and approaching people with compassion means not holding them accountable for their behavior, and letting them “get away” with bad behavior. Handing out punishment for bad behavior while ignoring the emotional reality of the person will not fully address the problem.

It may temporarily reduce the behavior, but it will likely get worse later online viagra cost. Compassion within trauma-informed living is recognizing the past trauma as the source of the pain that leads to difficult behavior. In the process of acknowledging the trauma and validating the emotions a door is opened to healing and learning new ways of coping.

This can be done while still online viagra cost holding them accountable to the consequences of the behavior. Living as a trauma-informed human means recognizing that another’s bad behavior or grumpy attitude is likely coming from a place of past trauma, and having compassion and kindness for the person, even while acknowledging that consequences happen. It is through the compassion and kindness that the healing happens.

While many peoplefind healing from trauma through therapy or counseling, healing happens withinall compassionate interactions online viagra cost. Therefore, every person has the power to be aforce of healing in the lives of those around them, when they recognize there’sa good chance that a person’s difficult behavior is likely the result of pasttrauma, and treat them with compassion. For those who need more intense treatment for mental health conditions, MidMichigan Health provides an intensive outpatient program called Psychiatric Partial Hospitalization Program at MidMichigan Medical online viagra cost Center – Gratiot.

Those interested in more information about the PHP program may call (989) 466-3253. Those interested in more information on MidMichigan’s comprehensive behavioral health programs may visit www.midmichigan.org/mentalhealth.Olympic athletes train to be thebest in the world at their respective sports. They are determined, talented,capable, and display a level of grit and determination qualifying them online viagra cost for thehighest stage of competition.

They spend years working toward a few simpleultimate goals. Giving their best performance, honoring their country and leavingthe court, mat, field or track with a medal in their hand. When gymnast Simone Biles recentlywithdrew from the online viagra cost Olympic Games, it came to many as a surprise.

What may havecome as even more of a surprise to some is the reason she withdrew. Her mentalhealth. This latest example of thecourage of an athlete to stand up and let the world know that mental health ishealth has brought incredible awareness to online viagra cost the importance of mental health inall people, even Olympians.

If you’re an athlete, or if youhave kids who play sports, you might be worried and wondering what you can doto address potential mental health struggles related to sports. Consider thesesuggestions when it online viagra cost comes to sports and mental health. Talk, talk, talk.

Ifyou find yourself experiencing stress, anxiety or depression related to asport, consider finding a qualified counselor/therapist to discuss these issues.If you’ve got a child who plays sports, keep an open dialogue with them. Haveregular, open online viagra cost and honest conversations about how they’re feeling, both mentallyand physically. Watch for warning signs.

Thisis especially important if you have a child or adolescent in sports. Keep aneye out for things online viagra cost like mood, sleep, or behavior changes that seem concerning. Find balance.

It’sokay to admit that you need help or that you need to take a break frompracticing or competing. If you feel overwhelmed online viagra cost consider meditation, tryingnew things or giving your body a rest.Ask for help. Thereis no shame in seeking out help, whether it be with a therapist, psychiatristor other medical health professional.

Treating a online viagra cost mental illness is just asimportant as treating a physical one. Protecting and prioritizing youroverall health is essential for all levels of athletes. It’s not rare to havean athlete pull out of a race, game or event due to a physical injury.

Seeingan athlete withdraw for mental health reasons is much less common, however, itsrecognition online viagra cost is just as important. The hope going forward is that we assistathletes in all aspects of performance and recognize that mental health is health. Thomas Bills, M.D., is a psychiatrist with a special interestin sports psychiatry.

Dr. Bills is welcoming athletes to his office in theTowsley Building, located on the campus of MidMichigan Medical Center –Midland. Those who would like to make an appointment may call the office at(989) 839-3385..

Trauma is more prevalent that most http://www.ec-cath-surbourg.ac-strasbourg.fr/2020/03/30/alle-sind-zu-hause-par-agathe/ people cialis with viagra together realize. According to the U.S Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration’s website, two-thirds of people have experienced at least one traumatic event by age 16. In 2015, for every 1,000 children, 9.2 experienced some sort of child abuse or neglect cialis with viagra together.

Their research suggests that 54 percent of U.S. Families have been affected by some type of disaster. Many people cialis with viagra together have multiple or repeated trauma.

The more intense and frequent a trauma is, the more likely it is to have an impact on people. Trauma has both short-term and long-term effects. In children this might be fear of being separated from a cialis with viagra together caregiver, excessive crying or screaming, weight loss and nightmares.

In older children it could be poor concentration, feelings of guilt or shame, anxiety, depression, difficulty sleeping, eating disorders, self-harming behavior, sexual acting out or use of drugs or alcohol, among other things. These behaviors and difficulties can persist into adulthood, and may lead to difficulties getting or keeping a job, disruption in relationships or criminal behavior. When these behaviors occur in people cialis with viagra together they likely indicate some sort of traumatic past.

This is because the trauma changes the way the brain functions. These struggles will sometimes lead people to seek mental health services, but sometimes people suffer without recognizing that the problems cialis with viagra together may be connected to a past traumatic event, or that they can change. As traumatized children grow into adults they are often perceived as being the problem themselves, instead of being seen as the victim of a trauma.

When friends, family, professionals and society view the person as the problem it creates a lack of compassion and ignores the healing that could occur if the trauma were recognized. When one views those with difficult behavior as a victim of cialis with viagra together their past, they will approach them with more empathy and compassion. This is the essence of being trauma informed.

Trauma-informed care has been a topic of discussion for several years within the human service world. According to Trauma-Informed Care Implementation Resource Center, trauma-informed cialis with viagra together care shifts the focus from “What’s wrong with you?. € to “What happened to you?.

€ There has been a push to bring this concept outside the therapy office and into broader health care settings. This perspective, cialis with viagra together however, can be useful beyond the realm of health care. When individuals become trauma informed, they can approach all interactions differently and with more empathy and compassion.

Some people, however, resist this cialis with viagra together idea. They seem to believe that recognizing past trauma and approaching people with compassion means not holding them accountable for their behavior, and letting them “get away” with bad behavior. Handing out punishment for bad behavior while ignoring the emotional reality of the person will not fully address the problem.

It may temporarily reduce cialis with viagra together the behavior, but it will likely get worse later. Compassion within trauma-informed living is recognizing the past trauma as the source of the pain that leads to difficult behavior. In the process of acknowledging the trauma and validating the emotions a door is opened to healing and learning new ways of coping.

This can be cialis with viagra together done while still holding them accountable to the consequences of the behavior. Living as a trauma-informed human means recognizing that another’s bad behavior or grumpy attitude is likely coming from a place of past trauma, and having compassion and kindness for the person, even while acknowledging that consequences happen. It is through the compassion and kindness that the healing happens.

While many peoplefind healing from trauma through therapy or counseling, cialis with viagra together healing happens withinall compassionate interactions. Therefore, every person has the power to be aforce of healing in the lives of those around them, when they recognize there’sa good chance that a person’s difficult behavior is likely the result of pasttrauma, and treat them with compassion. For those who need more intense treatment for mental health cialis with viagra together conditions, MidMichigan Health provides an intensive outpatient program called Psychiatric Partial Hospitalization Program at MidMichigan Medical Center – Gratiot.

Those interested in more information about the PHP program may call (989) 466-3253. Those interested in more information on MidMichigan’s comprehensive behavioral health programs may visit www.midmichigan.org/mentalhealth.Olympic athletes train to be thebest in the world at their respective sports. They are determined, talented,capable, cialis with viagra together and display a level of grit and determination qualifying them for thehighest stage of competition.

They spend years working toward a few simpleultimate goals. Giving their best performance, honoring their country and leavingthe court, mat, field or track with a medal in their hand. When gymnast Simone Biles recentlywithdrew from the Olympic Games, it came cialis with viagra together to many as a surprise.

What may havecome as even more of a surprise to some is the reason she withdrew. Her mentalhealth. This latest cialis with viagra together example of thecourage of an athlete to stand up and let the world know that mental health ishealth has brought incredible awareness to the importance of mental health inall people, even Olympians.

If you’re an athlete, or if youhave kids who play sports, you might be worried and wondering what you can doto address potential mental health struggles related to sports. Consider thesesuggestions when it comes to cialis with viagra together sports and mental health. Talk, talk, talk.

Ifyou find yourself experiencing stress, anxiety or depression related to asport, consider finding a qualified counselor/therapist to discuss these issues.If you’ve got a child who plays sports, keep an open dialogue with them. Haveregular, open and cialis with viagra together honest conversations about how they’re feeling, both mentallyand physically. Watch for warning signs.

Thisis especially important if you have a child or adolescent in sports. Keep aneye out for things like mood, sleep, or behavior changes that cialis with viagra together seem concerning. Find balance.

It’sokay to admit that you need help or that you need to take a break frompracticing or competing. If you feel overwhelmed consider meditation, tryingnew things or giving your body a rest.Ask for cialis with viagra together help. Thereis no shame in seeking out help, whether it be with a therapist, psychiatristor other medical health professional.

Treating a mental illness is just asimportant as treating a physical cialis with viagra together one. Protecting and prioritizing youroverall health is essential for all levels of athletes. It’s not rare to havean athlete pull out of a race, game or event due to a physical injury.

Seeingan athlete withdraw for mental health reasons is much less common, however, cialis with viagra together itsrecognition is just as important. The hope going forward is that we assistathletes in all aspects of performance and recognize that mental health is health. Thomas Bills, M.D., is a psychiatrist with a special interestin sports psychiatry.

Dr. Bills is welcoming athletes to his office in theTowsley Building, located on the campus of MidMichigan Medical Center –Midland. Those who would like to make an appointment may call the office at(989) 839-3385..

How to reduce nasal congestion when taking viagra

From juggling motherhood with running KORA Organics, to maintaining a friendship with ex-husband Orlando Bloom and fiancée Katy Perry, here's how Miranda Kerr manages to Buy zithromax 500mg online harmoniously how to reduce nasal congestion when taking viagra balance it all. Miranda Kerr has been awake and in motion since 5.30am – juggling her three boys, how to reduce nasal congestion when taking viagra taking work calls and even posing for a photo shoot in the pool room at the end of her garden at home near the California coast. Just before settling in for her chat with Body+Soul, she squeezed in a quick breastfeed for her one-year-old son Myles. And thus, she admits, she’s worked up an appetite herself.A how to reduce nasal congestion when taking viagra banana will have to do the trick, the model and skincare-and-wellness mogul decides, surmising that she should most definitely eat a snack lest she keel over from exhaustion mid-sentence.Kerr may look like a woman who glides seamlessly through life but, as she soon reveals, a lot of planning goes on beneath the surface in order to ensure her business and family lives run smoothly.Like what you see?.

Sign up to our bodyandsoul.com.au newsletter for more stories like this.While how to reduce nasal congestion when taking viagra she and her husband, Snap Inc. CEO and billionaire Evan Spiegel, are now one of Los Angeles’ premier power couples – The Wall Street Journal recently described their union as “a marriage of mindfulness” – they present a new paradigm of success.In essence, they both work hard – she on her skincare range Kora Organics, he on his company and its flagship social media platform Snapchat, which he co-founded in 2011. But their days remain punctuated with healthy routines and behaviours aimed at providing balance and contentment.As Kerr tells Body+Soul, “[When I was] growing up, my mum was always busy and working a lot and that’s encouraged a great work ethic… but I also made how to reduce nasal congestion when taking viagra a promise to myself that I’d have more balance in my life because I knew how much it affected my mum not to be there. I was lucky my grandparents were, and that I spent a lot of time with them.”A viagra has disrupted everybody’s lives, but it’s enhanced them, too.

Kerr, for instance, points out the benefits that come from being able to work from home alongside her husband.While Spiegel has set up a home office, she works from the children’s playroom so that Flynn, 9 – her son with ex-husband Orlando Bloom – can do his schooling online from her usual workspace.The family, which also includes two-year-old son Hart, gathers for breakfast, at how to reduce nasal congestion when taking viagra which they all drink celery juice before getting on with their days.Then the former Victoria’s Secret model works on her skincare business, which she started in Australia in 2009 and launched internationally three years ago.Kerr spearheaded the “clean beauty” movement and is understandably proud that her award-winning products launch nationally in Myer stores this month.“Kora is, literally, my baby girl,” she says. €œWhen I launched the brand I was busy modelling and it was more like a hobby and passion, but when I took it international, I really had to step up my game and be involved every day.”She says Spiegel, who at 30 is seven years her junior, encouraged her to take more how to reduce nasal congestion when taking viagra risks. €œEvan started using my Noni Glow Face Oil every day and said, ‘Wow, this really works.’ I said to him, ‘What did you think... That I was just playing around? how to reduce nasal congestion when taking viagra.

€™ He said I had an incredible product so why wasn’t I investing more in it. He had confidence in me how to reduce nasal congestion when taking viagra and he was right about that.”She’s similarly supportive of his endeavours. €œHe’s such an intelligent man and I’ll how to reduce nasal congestion when taking viagra do whatever I can to support him because he’s built his business with such integrity and creativity.” As to whether they Snapchat each other, she laughingly admits they do. €œOh my god, all day, even when we’re in the same house!.

I’ll Snap him when I’m doing a photo shoot or looking after the kids, or breastfeeding.”While Kerr has a full-time nanny who lives in a guest-house on their property, she makes a point of sitting down to dinner with her sons before bathing them, reading stories and putting them to bed.Sometimes she has what she calls a “half and half” how to reduce nasal congestion when taking viagra dinner, eating a little with her sons, then more later with her husband. On the evening of our chat, the pair have a special dinner planned, one of a series of monthly meals cooked by a chef from Kerr’s favourite restaurant. €œEvan bought it as a gift for our anniversary,” she says.The fact they both embrace a healthy lifestyle gives a synchronicity to their home and working lives, says how to reduce nasal congestion when taking viagra Kerr, who’s a brand ambassador for infant probiotic brand Biostime. As she says, proper nutrition gives children a great start in life.With such an enviable life, Kerr stays focused on being grateful for all that she has, including her warm relationship with Bloom and his fiancée Katy Perry.“I have how to reduce nasal congestion when taking viagra this incredible family and we all have a lot of respect for each other.

We’re great friends and all enjoy each other’s company, although we haven’t seen each other much because of erectile dysfunction treatment and because they have a new baby. But I adore Katy, how to reduce nasal congestion when taking viagra and I’m so grateful that she and Orlando found each other. It all worked out in the end.”How Miranda Kerr lives her best life1. €œI put my phone on airplane mode at night and leave it how to reduce nasal congestion when taking viagra on until after the kids have eaten their breakfast.

Sleep is important and it’s great to start the how to reduce nasal congestion when taking viagra mornings without thinking about work. I’ve also learnt to go to bed early and wake up early.”2. €œIt’s good to keep a schedule but be how to reduce nasal congestion when taking viagra flexible with it. I have a colour-coordinated diary with everything I need to do, from breastfeeding to calling my mum.

But I say to my team that we have to how to reduce nasal congestion when taking viagra be flexible like a willow tree, not rigid like an oak tree. Because in a storm, how to reduce nasal congestion when taking viagra the oak tree falls down. I’m a big believer in going with the flow. I like things mapped out but that embrace flexibility.”3.“I take an hour of just-me time in the morning to do yoga how to reduce nasal congestion when taking viagra or meditate.

Make sure you have a minimum of 20 minutes to yourself each day, whether it’s spent reading or how to reduce nasal congestion when taking viagra meditating or doing yoga. Focusing on filling up your cup makes you a better partner, parent and friend.”4. €œExercise is how to reduce nasal congestion when taking viagra super important. I’ve always liked yoga but nowadays I try to include exercise in the everyday, even if it’s just walking with the kids in a pram.

Or I put music on and dance with them how to reduce nasal congestion when taking viagra or jump on a trampoline. I get more out of exercise as I get older how to reduce nasal congestion when taking viagra. You need to book it in and not feel guilty about it.”5. €œEvery thought we think affects how to reduce nasal congestion when taking viagra our reality.

The way we talk to ourselves has an impact on us on a cellular level. The way how to reduce nasal congestion when taking viagra we self-talk matters. We can look outside and think, ‘It’s so gloomy, I can’t believe it’s raining again.’ Or we can say, ‘Oh, wow, we really need this rain.’ There’s always a positive and a negative, and if you can’t choose a more positive approach then at least be neutral about it.”Singer John Legend graced the Billboard Music Awards with a message for his wife Chrissy how to reduce nasal congestion when taking viagra Teigen, who suffered the loss of their third child, a baby named Jack, earlier this month.Singer John Legend left viewers speechless after delivering an emotional performance at the 2020 Billboard Music Awards, which he dedicated to his wife Chrissy Teigen who experienced pregnancy loss early this month. Legend sand a rendition of his song ‘Never Break’ from his latest album – his first performance since Teigen announced she lost their third child, Jack.“This is for Chrissy,” Legend said before beginning his performance Wednesday night.Like what you see?.

Sign up to our bodyandsoul.com.au newsletter for more stories like this.The song’s lyrics describe a strong relationship that will “never break” even through life’s toughest challenges.“I’m not how to reduce nasal congestion when taking viagra worried about us, and I’ve never been. We know how the story ends,” Legend sang.Chrissy has always been active on social media, but has taken silence since her last post detailing the miscarriage of her unborn son.The mother-of-two, daughter Luna and son Miles, posted a series of heartbreaking images of herself and husband John in hospital on October 1, writing:"We are shocked and in the kind of deep pain you only hear about, the kind of pain we’ve never felt before. We were never able to stop the bleeding and give our baby the fluids he needed, despite bags and bags of blood transfusions how to reduce nasal congestion when taking viagra. It just wasn’t enough...We never how to reduce nasal congestion when taking viagra decide on our babies’ names until the last possible moment after they’re born, just before we leave the hospital.

But we, for some reason, had started to call this little guy in my belly Jack. So he will how to reduce nasal congestion when taking viagra always be Jack to us. Jack worked so hard to be a part of our little family, and he will be, forever...She continued. €œTo our Jack how to reduce nasal congestion when taking viagra - I’m so sorry that the first few moments of your life were met with so many complications, that we couldn’t give you the home you needed to survive.

We will always love you.”Chrissy went on to thank everyone who has been sending thoughts, prayers and positive energy, saying:“We are so grateful for the life we have, for our wonderful how to reduce nasal congestion when taking viagra babies Luna and Miles, for all the amazing things we’ve been able to experience. But everyday can’t be full of sunshine. On this darkest of how to reduce nasal congestion when taking viagra days, we will grieve, we will cry our eyes out. But we will hug and love each other harder and get through it."Sending all our love to the family..

From juggling motherhood with running KORA Organics, to http://www.flacksfitness.co.uk/buy-zithromax-500mg-online/ maintaining a friendship with cialis with viagra together ex-husband Orlando Bloom and fiancée Katy Perry, here's how Miranda Kerr manages to harmoniously balance it all. Miranda Kerr has been awake and in cialis with viagra together motion since 5.30am – juggling her three boys, taking work calls and even posing for a photo shoot in the pool room at the end of her garden at home near the California coast. Just before settling in for her chat with Body+Soul, she squeezed in a quick breastfeed for her one-year-old son Myles. And thus, she admits, she’s worked up an appetite herself.A banana will have to do the trick, the model and skincare-and-wellness mogul decides, surmising that she should most definitely eat a snack lest she keel over from exhaustion mid-sentence.Kerr may look like a woman who glides seamlessly through life but, as she soon reveals, a lot of planning goes on beneath the surface in order to ensure her cialis with viagra together business and family lives run smoothly.Like what you see?. Sign up to our bodyandsoul.com.au newsletter for more stories cialis with viagra together like this.While she and her husband, Snap Inc.

CEO and billionaire Evan Spiegel, are now one of Los Angeles’ premier power couples – The Wall Street Journal recently described their union as “a marriage of mindfulness” – they present a new paradigm of success.In essence, they both work hard – she on her skincare range Kora Organics, he on his company and its flagship social media platform Snapchat, which he co-founded in 2011. But their days remain punctuated with healthy routines and behaviours aimed at providing balance and contentment.As Kerr tells Body+Soul, “[When I was] growing up, my mum was always busy and working a lot and that’s encouraged a great work ethic… but I also made a promise to myself that I’d have more balance in my life because I knew how much it affected cialis with viagra together my mum not to be there. I was lucky my grandparents were, and that I spent a lot of time with them.”A viagra has disrupted everybody’s lives, but it’s enhanced them, too. Kerr, for instance, points out the benefits that come from being able to work from home alongside her husband.While Spiegel has set up a home office, she works from the children’s playroom so that Flynn, 9 – her son with ex-husband Orlando Bloom – can do his schooling online from her usual workspace.The family, which also includes two-year-old son Hart, gathers for breakfast, at which they all drink celery juice before getting cialis with viagra together on with their days.Then the former Victoria’s Secret model works on her skincare business, which she started in Australia in 2009 and launched internationally three years ago.Kerr spearheaded the “clean beauty” movement and is understandably proud that her award-winning products launch nationally in Myer stores this month.“Kora is, literally, my baby girl,” she says. €œWhen I launched the brand I was busy modelling and it was more like a hobby and passion, but when I took it international, I really had to step up my cialis with viagra together game and be involved every day.”She says Spiegel, who at 30 is seven years her junior, encouraged her to take more risks.

€œEvan started using my Noni Glow Face Oil every day and said, ‘Wow, this really works.’ I said to him, ‘What did you think... That I was just playing cialis with viagra together around?. €™ He said I had an incredible product so why wasn’t I investing more in it. He had confidence in me and he was right about that.”She’s cialis with viagra together similarly supportive of his endeavours. €œHe’s such an intelligent man and I’ll do whatever I can to support him cialis with viagra together because he’s built his business with such integrity and creativity.” As to whether they Snapchat each other, she laughingly admits they do.

€œOh my god, all day, even when we’re in the same house!. I’ll Snap him when I’m doing a photo shoot or looking after the kids, or breastfeeding.”While Kerr has a full-time nanny who lives in a guest-house on their property, she makes a point of sitting down to dinner with her sons before bathing them, reading stories and cialis with viagra together putting them to bed.Sometimes she has what she calls a “half and half” dinner, eating a little with her sons, then more later with her husband. On the evening of our chat, the pair have a special dinner planned, one of a series of monthly meals cooked by a chef from Kerr’s favourite restaurant. €œEvan bought it as a gift for our anniversary,” she says.The fact they both embrace a healthy lifestyle gives a synchronicity to their home and working lives, says Kerr, who’s a brand ambassador for cialis with viagra together infant probiotic brand Biostime. As she says, proper nutrition gives children a great start in life.With such an enviable life, Kerr stays focused on being grateful for all cialis with viagra together that she has, including her warm relationship with Bloom and his fiancée Katy Perry.“I have this incredible family and we all have a lot of respect for each other.

We’re great friends and all enjoy each other’s company, although we haven’t seen each other much because of erectile dysfunction treatment and because they have a new baby. But I adore Katy, and I’m so grateful that she and cialis with viagra together Orlando found each other. It all worked out in the end.”How Miranda Kerr lives her best life1. €œI put my phone on airplane mode at night and leave it on until after the cialis with viagra together kids have eaten their breakfast. Sleep is cialis with viagra together important and it’s great to start the mornings without thinking about work.

I’ve also learnt to go to bed early and wake up early.”2. €œIt’s good to keep a schedule but be flexible with cialis with viagra together it. I have a colour-coordinated diary with everything I need to do, from breastfeeding to calling my mum. But I say to my team that we have to be flexible like a willow tree, not rigid like cialis with viagra together an oak tree. Because in a storm, the oak tree falls cialis with viagra together down.

I’m a big believer in going with the flow. I like things mapped out but that embrace flexibility.”3.“I take an hour of just-me time in the morning cialis with viagra together to do yoga or meditate. Make sure you have a minimum of 20 cialis with viagra together minutes to yourself each day, whether it’s spent reading or meditating or doing yoga. Focusing on filling up your cup makes you a better partner, parent and friend.”4. €œExercise is super cialis with viagra together important.

I’ve always liked yoga but nowadays I try to include exercise in the everyday, even if it’s just walking with the kids in a pram. Or I put music cialis with viagra together on and dance with them or jump on a trampoline. I get more cialis with viagra together out of exercise as I get older. You need to book it in and not feel guilty about it.”5. €œEvery thought we think cialis with viagra together affects our reality.

The way we talk to ourselves has an impact on us on a cellular level. The way we cialis with viagra together self-talk matters. We can look outside and think, ‘It’s so gloomy, I can’t believe it’s raining again.’ Or we can say, ‘Oh, wow, we really need this rain.’ There’s always a positive and a negative, and if you can’t choose a more positive approach then at least be neutral about it.”Singer John Legend graced the Billboard Music Awards with a message for his wife Chrissy Teigen, who suffered the loss of their third child, a baby named Jack, earlier this month.Singer John Legend left viewers speechless after delivering an emotional performance at the cialis with viagra together 2020 Billboard Music Awards, which he dedicated to his wife Chrissy Teigen who experienced pregnancy loss early this month. Legend sand a rendition of his song ‘Never Break’ from his latest album – his first performance since Teigen announced she lost their third child, Jack.“This is for Chrissy,” Legend said before beginning his performance Wednesday night.Like what you see?. Sign cialis with viagra together up to our bodyandsoul.com.au newsletter for more stories like this.The song’s lyrics describe a strong relationship that will “never break” even through life’s toughest challenges.“I’m not worried about us, and I’ve never been.

We know how the story ends,” Legend sang.Chrissy has always been active on social media, but has taken silence since her last post detailing the miscarriage of her unborn son.The mother-of-two, daughter Luna and son Miles, posted a series of heartbreaking images of herself and husband John in hospital on October 1, writing:"We are shocked and in the kind of deep pain you only hear about, the kind of pain we’ve never felt before. We were never able to stop the bleeding and give our baby the fluids he needed, despite bags and bags cialis with viagra together of blood transfusions. It just wasn’t enough...We never decide on our babies’ names cialis with viagra together until the last possible moment after they’re born, just before we leave the hospital. But we, for some reason, had started to call this little guy in my belly Jack. So he will always cialis with viagra together be Jack to us.

Jack worked so hard to be a part of our little family, and he will be, forever...She continued. €œTo our Jack - I’m so sorry that the first few moments of your life were met with so many complications, cialis with viagra together that we couldn’t give you the home you needed to survive. We will always love you.”Chrissy went on to cialis with viagra together thank everyone who has been sending thoughts, prayers and positive energy, saying:“We are so grateful for the life we have, for our wonderful babies Luna and Miles, for all the amazing things we’ve been able to experience. But everyday can’t be full of sunshine. On this cialis with viagra together darkest of days, we will grieve, we will cry our eyes out.

But we will hug and love each other harder and get through it."Sending all our love to the family..