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At the start informative post of field work season, ecologist Jory Brinkerhoff usually advises his crew to watch get kamagra prescription online out for summertime fevers. If you develop a fever at that time of year, he tells them, it’s probably not the flu, but a tick-borne illness.But this year, Brinkerhoff, who studies human risk for flea- and tick-transmitted diseases at the University of Richmond, didn’t know exactly what to tell his field crew. A fever in the middle of summer 2020 could mean get kamagra prescription online a tick-borne illness.

Or, it could mean COVID-19.With the novel SARS-CoV-2 virus still spreading across the country, some experts worry about the overlap between COVID-19 and Lyme disease, which is caused by a bacterium carried by black-legged ticks. While it’s too soon to know exactly how the pandemic will affect Lyme disease rates this year, experts like Brinkerhoff wonder if more people spending time outside beating the quarantine blues could lead to more people being exposed get kamagra prescription online to disease-carrying ticks. Some overlapping symptoms might also lead to delayed diagnosis and treatment of Lyme, he notes.

At the same time, weather patterns in some parts of the country may actually lead to fewer Lyme disease cases this year. No matter the broader get kamagra prescription online trends, there are things anyone getting outside can do to protect themselves from ticks. Lyme Disease on the MoveOver the last few decades, Lyme disease has been on the rise in the United States.

There are many overlapping reasons for this, says get kamagra prescription online Brinkerhoff. Awareness has gone up since the 1970s, when Lyme was first described in the U.S. Landscape changes like cutting forests and building suburbs near wooded areas has put humans in closer contact with ticks and tick-carrying animals.

Deer populations have exploded in the last 100 get kamagra prescription online years, he notes. And climate change is likely allowing ticks to spread to and thrive in new parts of the continent. This year, people have flocked to get kamagra prescription online the great outdoors to escape their home quarantines and engage in socially-distant fun.

It’s possible that more people trying to get outside could mean more people exposed to ticks and, therefore, Lyme disease, says Brinkerhoff, who wrote an article in The Conversation on the issue earlier this year. Animals have been behaving differently during the pandemic as well, especially during the early days of lockdown, and it’s unclear if that could also have an effect on Lyme disease rates, he says.In some parts of the country, however, Lyme may be less of a concern this summer than it normally is. Maine is usually a Lyme hotspot in early summer, get kamagra prescription online but unusually hot and dry weather this year may be keeping ticks close to the ground and away from human contact, says Robert P.

Smith Jr., an infectious disease physician and director of the division of infectious diseases at Maine Medical Center. While it’s too early to tell, Lyme disease rates in Maine could actually go down this summer as a result, he says.Overlapping SymptomsWith everyone rightfully concerned about COVID-19, Lyme disease likely isn’t at the forefront of get kamagra prescription online someone’s mind if they develop a fever. Plus, about two-thirds of people with Lyme disease don’t remember being bitten by a tick, says Smith.

Many who develop Lyme disease are bitten by poppy seed-sized immature ticks that can stay on the body unnoticed for two or three days before dropping off, he says.There is some overlap between COVID-19 and Lyme disease symptoms that could cause confusion. In both cases, people usually develop get kamagra prescription online a fever and muscle aches, says Smith. He has heard secondhand about a few cases in Maine in which patients with these symptoms were first tested for COVID-19 and were later found to have Lyme disease.However, there are some crucial differences between the two illnesses, Smith says.

The majority of get kamagra prescription online people with symptomatic COVID-19 will have a cough or shortness of breath, whereas Lyme disease generally has no respiratory component, says Smith. COVID-19 patients also have a higher risk for gastrointestinal issues, and Lyme patients do not. While not all people with Lyme disease develop a rash, 70 to 80 percent do, Smith notes.

Rashes are not get kamagra prescription online common symptoms for COVID-19 infections. Receiving an accurate diagnosis and relatively quick treatment can greatly reduce the severity of a Lyme disease infection. €œIt doesn’t get kamagra prescription online have to be immediate.

If you think you might have Lyme disease, you need to get diagnosed with a week or so,” says Smith. €œThat’s usually very early in the disease and you can expect an excellent response to antibiotic treatment.” Delaying treatment by a couple of weeks can lead to more serious complications, including nerve-related symptoms, Lyme meningitis, facial muscle weakness (Bell’s palsy), Lyme arthritis and other conditions, he says. While antibiotics are still effective at this stage, it tends to take longer to fully recover.Fortunately, for anyone concerned about safe outdoor excursions here and now, there get kamagra prescription online are several practical steps you can take to avoid ticks.

Use insect repellant and wear protective layers. Stick to the path instead of straying into dense underbrush, says Smith get kamagra prescription online. When you return from an adventure, put your clothes in the washer and check yourself for ticks.

And if you do start to feel feverish a few days later, call your doctor and be sure to mention you’ve been spending time outside..

At the start of field work season, ecologist kamagra soft chewable Jory Brinkerhoff usually advises his crew to watch out for summertime fevers. If you develop a fever at that time of year, he tells them, it’s probably not the flu, but a tick-borne illness.But this year, Brinkerhoff, who studies human risk for flea- and tick-transmitted diseases at the University of Richmond, didn’t know exactly what to tell his field crew. A fever in the middle of summer 2020 could mean kamagra soft chewable a tick-borne illness.

Or, it could mean COVID-19.With the novel SARS-CoV-2 virus still spreading across the country, some experts worry about the overlap between COVID-19 and Lyme disease, which is caused by a bacterium carried by black-legged ticks. While it’s too soon to know exactly how the pandemic will affect Lyme disease rates this year, experts like kamagra soft chewable Brinkerhoff wonder if more people spending time outside beating the quarantine blues could lead to more people being exposed to disease-carrying ticks. Some overlapping symptoms might also lead to delayed diagnosis and treatment of Lyme, he notes.

At the same time, weather patterns in some parts of the country may actually lead to fewer Lyme disease cases this year. No matter the broader trends, there kamagra soft chewable are things anyone getting outside can do to protect themselves from ticks. Lyme Disease on the MoveOver the last few decades, Lyme disease has been on the rise in the United States.

There are kamagra soft chewable many overlapping reasons for this, says Brinkerhoff. Awareness has gone up since the 1970s, when Lyme was first described in the U.S. Landscape changes like cutting forests and building suburbs near wooded areas has put humans in closer contact with ticks and tick-carrying animals.

Deer populations kamagra soft chewable have exploded in the last 100 years, he notes. And climate change is likely allowing ticks to spread to and thrive in new parts of the continent. This year, people have flocked to the great outdoors to escape their home quarantines and engage in socially-distant kamagra soft chewable fun.

It’s possible that more people trying to get outside could mean more people exposed to ticks and, therefore, Lyme disease, says Brinkerhoff, who wrote an article in The Conversation on the issue earlier this year. Animals have been behaving differently during the pandemic as well, especially during the early days of lockdown, and it’s unclear if that could also have an effect on Lyme disease rates, he says.In some parts of the country, however, Lyme may be less of a concern this summer than it normally is. Maine is usually a Lyme hotspot in early summer, but unusually kamagra soft chewable hot and dry weather this year may be keeping ticks close to the ground and away from human contact, says Robert P.

Smith Jr., an infectious disease physician and director of the division of infectious diseases at Maine Medical Center. While it’s too early to tell, Lyme disease rates in Maine could actually go down this summer as a result, he says.Overlapping SymptomsWith everyone rightfully concerned about COVID-19, Lyme disease likely isn’t at the forefront of someone’s mind if kamagra soft chewable they develop a fever. Plus, about two-thirds of people with Lyme disease don’t remember being bitten by a tick, says Smith.

Many who develop Lyme disease are bitten by poppy seed-sized immature ticks that can stay on the body unnoticed for two or three days before dropping off, he says.There is some overlap between COVID-19 and Lyme disease symptoms that could cause confusion. In both cases, people usually kamagra soft chewable develop a fever and muscle aches, says Smith. He has heard secondhand about a few cases in Maine in which patients with these symptoms were first tested for COVID-19 and were later found to have Lyme disease.However, there are some crucial differences between the two illnesses, Smith says.

The majority kamagra soft chewable of people with symptomatic COVID-19 will have a cough or shortness of breath, whereas Lyme disease generally has no respiratory component, says Smith. COVID-19 patients also have a higher risk for gastrointestinal issues, and Lyme patients do not. While not all people with Lyme disease develop a rash, 70 to 80 percent do, Smith notes.

Rashes are not common symptoms for COVID-19 kamagra soft chewable infections. Receiving an accurate diagnosis and relatively quick treatment can greatly reduce the severity of a Lyme disease infection. €œIt doesn’t have to kamagra soft chewable be immediate.

If you think you might have Lyme disease, you need to get diagnosed with a week or so,” says Smith. €œThat’s usually very early in the disease and you can expect an excellent response to antibiotic treatment.” Delaying treatment by a couple of weeks can lead to more serious complications, including nerve-related symptoms, Lyme meningitis, facial muscle weakness (Bell’s palsy), Lyme arthritis and other conditions, he says. While antibiotics are kamagra soft chewable still effective at this stage, it tends to take longer to fully recover.Fortunately, for anyone concerned about safe outdoor excursions here and now, there are several practical steps you can take to avoid ticks.

Use insect repellant and wear protective layers. Stick to the path instead of straying into dense underbrush, says kamagra soft chewable Smith. When you return from an adventure, put your clothes in the washer and check yourself for ticks.

And if you do start to feel feverish a few days later, call your doctor and be sure to mention you’ve been spending time outside..

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The past week has seen an explosion of media commentary about https://www.cityreal.lv/kamagra-gel-packs/ whether children in the UK should go back to school can u buy kamagra over the counter. Since ‘lockdown’ (23 can u buy kamagra over the counter March 2020) began schools have been open to vulnerable children and young people, and to the children of ‘key workers’. Right from the start there have been differing opinions about the necessity or wisdom of closing schools.

Viner et al1 produced a rapid systematic review that concludes that school closures have less impact on infection rate and mortality than can u buy kamagra over the counter other social distancing measures. Many countries have closed their schools for less time than the UK and have already started to reopen with several protective measures in place.2Concerns about the long-term economic, social and mental impact of lockdown led to the generation of plans to ‘get back to business’. This was conveyed to the population of the UK on 10 May by can u buy kamagra over the counter the UK prime minister, Boris Johnson.

He announced a range of measures to gradually reduce the level of lockdown. This is in keeping with modelling undertaken by various groups, including a preprint (not peer-reviewed) modelling exercise by Zhang et al.3Mr Johnson announced that there would be a phased return (in England) of some children to can u buy kamagra over the counter school from 1 June. There are no national guidelines as it is recognised that school have differences that require a flexible approach, but there are a broad set of principles relating to social distancing and hygiene.Government ministers and teachers’ unions have opposing views on the safety of reopening schools.

In a joint statement nine unions representing teachers stated that they thought 1 June was too early to be safe.4 They recognise that the opening of schools is a vital part of restarting the UK economy, but they have concerns about the safety and welfare of children and others.Meanwhile, the education secretary, Gavin Williamson, spoke at a press conference can u buy kamagra over the counter on 16 May stating that scientific evidence backed their decision. Interestingly, much of his statement was not about the scientific evidence but setting out an emotive argument that school was essential for safe and happy children.There is a consequence to this, the longer that schools are closed the more that children miss out. Teachers know that there are children out there that have not spoken or played with another can u buy kamagra over the counter child their own age for the last two months.

They know there are children from difficult or very unhappy homes for whom school is the happiest moment in their week, and it’s also the safest place for them to be. The poorest children will be the ones who fall can u buy kamagra over the counter further behind if we keep school gates closed. This phased return is in line with what other European countries are doing.There ensued an at times ill-tempered can u buy kamagra over the counter debate and a flurry of tweets and news articles identifying problems in enacting the government plan and the illogical nature of Williamson’s statement.

The Institute for Fiscal Studies has produced a briefing note on children’s experiences of learning during lockdown.5 This is being widely cited as a rationale for reopening schools because children from vulnerable backgrounds are disproportionately affected by not being able to attend school. This has caused concern about the attainment gap, but as Quinn6 points out fewer children from disadvantaged backgrounds are likely to return to school than those from more affluent backgrounds.Government ministers and spokespeople reiterated that scientific evidence and observation of other European countries where schools had can u buy kamagra over the counter reopened demonstrated their decision was the correct one. However, there were no links provided to the scientific evidence and unions were quick to seize on this (eg, NASUWT7).The chief scientific advisor to the Department for Education, Osama Rahman, made a statement in a parliamentary science and technology committee meeting on 13 May that:There is a low degree of confidence in evidence that [children] might transmit it less.Carol Monaghan, the Scottish National Party education spokesperson, replied:We’re putting together hundreds of potential vectors that can then go on and transmit.

Is that can u buy kamagra over the counter correct?. Osama Rahman responded:Possibly, depending on school sizes.His final statement contains layers of complexity but can be interpreted simply as ‘we don’t know’. This provoked can u buy kamagra over the counter a great deal of disquiet.

Rahman had already stated that the Scientific Advisory Group for Emergencies (SAGE) was collecting and considering evidence that was new and emerging, and that confidence was low in the evidence relating to transmission because there was very little evidence.8 However, this normal scientific caution in the evidence base was not discussed, and therefore it was assumed that low or moderate confidence in the evidence means a high-risk strategy is being mooted.There appear to be two major concerns about lifting the lockdown for children. First is the risk to children of can u buy kamagra over the counter developing coronavirus disease. The second is the risk to others of children transmitting coronavirus disease, either while being symptomatic or asymptomatic.

Here are some of the available evidence.Morbidity and mortality in children from coronavirus diseaseChildren appear to be less likely to acquire coronavirus disease in various nations.9–11 can u buy kamagra over the counter Barton et al12 found that children account for 1.9% of confirmed cases (data collected from government websites and publications). Of these 8113 paediatric cases, 14% required hospital admission. The admission rate to critical care was 2.2% of confirmed cases (7.2% of admitted can u buy kamagra over the counter children).

Death was can u buy kamagra over the counter reported in 15 cases (0.18%). This adds to other evidence suggesting that children are at a relatively low risk from the virus, with other estimates coming in at around 0.01%.13 14 This is likely to be because they appear to have a stronger immune response to the virus.15There are concerns that children who have been infected with the virus can develop a postviral inflammatory reaction (Kawasaki disease) and this can be severe,16 but the research evidence for this is not well developed yet.Transmission by childrenChildren can be asymptomatic and test positive for COVID-19, and in the absence of effective community testing it will be impossible to know if they are carrying the virus. Children also can have normal or abnormal signs (eg, chest imaging) when they have tested positive.17 In short, it is difficult to determine without much more extensive testing if a child can transmit the infection.Arav et al18 found that the contact route was much more important than the airborne route, which they concluded can u buy kamagra over the counter had a negligible contribution.

They suggest protective measures would therefore be good hand hygiene, careful cleaning and avoiding physical contact.Given that there are quite low numbers of symptomatic cases and an unknown quantity of asymptomatic cases, it is very difficult to determine whether children are a significant vector for the disease. Studies cited by the Royal College of Paediatrics and Child Health that explored family clusters of infection suggest that the child was unlikely to be the index case.The riskThis evidence suggests that there is a can u buy kamagra over the counter case for reopening schools to limited numbers of pupils—the risk to pupils and the adults they come into contact with seems to be small, and the potential gains for children may outweigh them. There is a big proviso with this however, and that is that the overall incidence of COVID-19 has fallen below specified threshold.

This is quite a contentious issue and depends on us meeting the five key tests for easing lockdown.Making sure the National Health Service can cope.A sustained and consistent fall in the daily death rate.Rate of infection decreasing to manageable levels.Ensuring that personal protective equipment supply can meet demand.Being confident that any adjustments would not risk a second peak.These conditions are open to interpretation, and there appears to be a lack of trust by the public and by can u buy kamagra over the counter professionals from education and health in the information that the government and their scientific advisors are sharing. An example of this is a group of scientists who have come together to challenge the government about their decision-making.19 The concern about whether the evidence and advice that we are given are biased in any way has also been increased by concerns that a government advisor (Dominic Cummings) has attended what were supposed to be politically independent meetings of the SAGE.Scientific evidence continues to emerge, but weighing up the risks and benefits is not easy. Decisions about whether to reopen schools are taken on a national level can u buy kamagra over the counter with a distance from personal concerns and fears.

Individuals who are making decisions often rely on media translations of the evidence, and there is a level of mistrust in politicians and the media.20 Individuals are often irrational in their risk perception and management (eg, continuing to smoke or drink alcohol despite strong scientific evidence about the risk).21 22Overall, we are information-poor and opinion-rich. It is a difficult can u buy kamagra over the counter path to navigate. The debate about whether the benefits outweigh the risks of returning to school reminds me of the post-Wakefield Measles Mumps and Rubella vaccination situation.

Parents were being asked to believe that MMR was a safe vaccine in the face of a massive and emotive campaign that promoted can u buy kamagra over the counter the ‘risk’ of having the vaccine above all else. This situation is even more complex than that as we have increased can u buy kamagra over the counter access to opinion and difficulty in understanding if or how much that information is biased. It is no wonder that decision-making is difficult.

It is likely that evidence will continue to emerge can u buy kamagra over the counter and gradually the choice will become easier to make. For now, however, we can understand the difficulties that parents, teachers and councils face.IntroductionWhenever developing training competencies, tools to support clinical practice or a response to a professional issue, seeking the opinion of experts is a common approach. By working to identify a consensus position, researchers can report findings on a specific question (or set of questions) that are can u buy kamagra over the counter based on the knowledge and experience of experts in their field.However, there are challenges to this approach.

For example, what should be done when consensus cannot be reached?. How can experts be engaged in a way that allows them to consider objectively the views of others can u buy kamagra over the counter and—where appropriate—change their own opinions in response?. One approach that attempts to provide a clear method for gathering expert opinion is the Delphi technique.The Delphi technique was first developed in the 1950s by Norman Dalkey and Olaf Helmer in an attempt to gain reliable expert consensus.

Specifically, they developed an approach—named after the Ancient Greek Oracle of Delphi, who could predict the future—which promoted anonymity and avoided direct confrontation between experts, so that the methods employed “…appear to be more conducive to independent thought on the part of can u buy kamagra over the counter the experts and to aid them in the gradual formation of a considered opinion”.1 Though the original Delphi study was linked to the defence industry, the technique has spread to other research areas, including nursing.2Characteristics of Delphi studiesAs with all research methods, the Delphi technique has evolved since it was first reported on in the 1960s. However, many of the fundamental characteristics of the approach still remain from Dalkey and Helmer’s original outline. First, the overarching approach is can u buy kamagra over the counter based on a series of ‘rounds’, where a set of experts are asked their opinions on a particular issue.

The questions for each round are based in part of the findings of the previous one, allowing the study to evolve over time in response to earlier findings.Second, participants are able to see the results of previous rounds—including their own responses—allowing them to reflect on the views of others and reposition their own opinions accordingly.2 This also gives them the opportunity to consider and feedback on what they perceive to be the strengths and weaknesses of other’s responses. Finally, the findings of can u buy kamagra over the counter each round are always shared with the broader group anonymously. This avoids any bias that might result from participants being concerned about their own views being viewed can u buy kamagra over the counter negatively or from their own opinions being biased by personal factors.

This framework of expert opinion rounds, with each round built on previous findings and each allowing for responses to be reconsidered by participants, is designed to allow the development of a consensus view that answers the research question.Within this broad approach, there can be variation in areas such as how many rounds there are, how the questions are delivered and responses collected, and how ‘consensus’ is judged. For example, a study of human factors that can u buy kamagra over the counter contributed to nursing errors used only two rounds. The first took the form of an online survey asking 25 experts to list all the ‘human’ causes of nursing errors that they could.

Analysis of responses resulted in a list of 28 potential reasons—this list was sent back to the same group of experts for can u buy kamagra over the counter the second round, asking them to score each one for importance. Analysis of this scoring then allowed for consensus conclusions on the top 10 human factors that contributed to nursing errors (with fatigue, heavy workload and communication problems the top three).3In another example, nurse practitioners (NPs) were recruited to participate in a Delphi study to achieve consensus related to NP advance care planning competencies. In round 1, draft competencies were developed from the findings of can u buy kamagra over the counter a survey of NP beliefs, knowledge and level of implementation of advance care planning.

Round 2 included engagement with 29 NPs who evaluated the draft competencies and their components. Revisions were made based on the original feedback, and a third round was conducted where 15 of the original NP participants confirmed their consensus with the final can u buy kamagra over the counter document. The final document includes four competencies, each with several elements.

Clinical Practice, Consultation and Communication, Advocacy and Therapeutic Management.4Strengths and weaknesses of Delphi studiesThe Delphi technique offers a flexible approach to gathering the views of experts on an area can u buy kamagra over the counter of interest. The ability for participants to reconsider their views in light of the contribution of others allows for an element of reflection that is missing from studies based on single interviews or focus groups. The anonymity among the expert groups that underpins Delphi studies promotes honesty among participants and reduces the risk of the ‘halo effect’ where views from dominant or high-profile members of the group are given extra can u buy kamagra over the counter credence.5However, Delphi studies can—by their very nature—be complex and time consuming.

The need for can u buy kamagra over the counter participants to complete multiple rounds can lead to high drop-out rates which impacts on validity of the study. The ability of participants to amend or alter their views at each round is also something of a double-edged sword. It provides those taking part with the opportunity to reflect and reconsider their position in response to additional information, which is an important part can u buy kamagra over the counter of nursing practice.

Conversely though, there is a danger that this flexibility introduces bias, with participants altering their response to comply with what they view to be the majority view (sometime called the ‘bandwagon effect’).5Delphi studies can be criticised due to a lack of clarity on what is meant by ‘consensus’. Even with can u buy kamagra over the counter the level of flexibility and reflexivity present in Delphi studies, it is still unlikely that a group of experts will demonstrate 100% agreement on issues. However, because consensus is a requirement of a Delphi study, there does need to be a judgement on when this point is reached.

This is where there is inconsistency across studies and authors, with the suggested level of consensus ranging from 51% to 100%.2 In addition, it has been identified that in some can u buy kamagra over the counter areas, consensus is not predefined as part of the study method. For example, a review of Delphi studies in nurse education found that fewer than half of the papers appraised included a predefined level at which consensus was judged to have been achieved.6 In addition, the identification of an objective level consensus is only possible when gathering quantifiable data—the judgement on consensus being reached in some qualitative Delphi studies will always be rather more subjective on the part of the researcher, and therefore potentially open to bias.By their nature, Delphi studies often rely purely on expert opinion to generate findings. A further limitation is therefore related to the quality can u buy kamagra over the counter of evidence, with expert opinion viewed as providing a poor basis for making judgements on healthcare interventions.7 This does not mean that the findings of Delphi studies are intrinsically unreliable or invalid.

It does mean that researchers should consider whether their research question is one that can be answered through expert consensus or whether other approaches (such as a systematic review of research evidence) are more appropriate.ConclusionThe Delphi technique is a well-established approach to answering a research question through the identification of a consensus view across subject experts. It allows for reflection among participants, who are able to nuance and reconsider their opinion based on the can u buy kamagra over the counter anonymised opinions of others. However, researchers must take steps to enhance robustness of the studies.

It is important to try and can u buy kamagra over the counter prevent participants from simply resorting to agreeing with the majority view. Studies must also predefine what is meant by ‘consensus’ and how it will be established.With careful and clear design though, Delphi studies can make a valuable contribution to the nursing evidence base by tapping into the profession’s most precious resource—the knowledge and expertise of its practitioners..

The past https://www.cityreal.lv/kamagra-usa-legal/ week has seen an explosion of media commentary about whether children in the UK should kamagra soft chewable go back to school. Since ‘lockdown’ (23 March 2020) began schools have been open to vulnerable children and young people, and to the children of ‘key kamagra soft chewable workers’. Right from the start there have been differing opinions about the necessity or wisdom of closing schools.

Viner et al1 produced a rapid systematic review that concludes that school closures have less impact on infection rate and mortality than other social kamagra soft chewable distancing measures. Many countries have closed their schools for less time than the UK and have already started to reopen with several protective measures in place.2Concerns about the long-term economic, social and mental impact of lockdown led to the generation of plans to ‘get back to business’. This was conveyed to the population of the UK on 10 May by the UK kamagra soft chewable prime minister, Boris Johnson.

He announced a range of measures to gradually reduce the level of lockdown. This is in keeping with modelling undertaken by various groups, including a preprint (not peer-reviewed) modelling exercise by Zhang et al.3Mr Johnson announced that kamagra soft chewable there would be a phased return (in England) of some children to school from 1 June. There are no national guidelines as it is recognised that school have differences that require a flexible approach, but there are a broad set of principles relating to social distancing and hygiene.Government ministers and teachers’ unions have opposing views on the safety of reopening schools.

In a joint statement nine unions representing teachers stated that they thought 1 June was too early to be safe.4 They recognise that the opening kamagra soft chewable of schools is a vital part of restarting the UK economy, but they have concerns about the safety and welfare of children and others.Meanwhile, the education secretary, Gavin Williamson, spoke at a press conference on 16 May stating that scientific evidence backed their decision. Interestingly, much of his statement was not about the scientific evidence but setting out an emotive argument that school was essential for safe and happy children.There is a consequence to this, the longer that schools are closed the more that children miss out. Teachers know that there are children out there that have not spoken or played kamagra soft chewable with another child their own age for the last two months.

They know there are children from difficult or very unhappy homes for whom school is the happiest moment in their week, and it’s also the safest place for them to be. The poorest children will be the ones who fall further behind if we keep kamagra soft chewable school gates closed. This phased return is in line with what other European countries are doing.There ensued an at times ill-tempered debate kamagra soft chewable and a flurry of tweets and news articles identifying problems in enacting the government plan and the illogical nature of Williamson’s statement.

The Institute for Fiscal Studies has produced a briefing note on children’s experiences of learning during lockdown.5 This is being widely cited as a rationale for reopening schools because children from vulnerable backgrounds are disproportionately affected by not being able to attend school. This has kamagra soft chewable caused concern about the attainment gap, but as Quinn6 points out fewer children from disadvantaged backgrounds are likely to return to school than those from more affluent backgrounds.Government ministers and spokespeople reiterated that scientific evidence and observation of other European countries where schools had reopened demonstrated their decision was the correct one. However, there were no links provided to the scientific evidence and unions were quick to seize on this (eg, NASUWT7).The chief scientific advisor to the Department for Education, Osama Rahman, made a statement in a parliamentary science and technology committee meeting on 13 May that:There is a low degree of confidence in evidence that [children] might transmit it less.Carol Monaghan, the Scottish National Party education spokesperson, replied:We’re putting together hundreds of potential vectors that can then go on and transmit.

Is that kamagra soft chewable correct?. Osama Rahman responded:Possibly, depending on school sizes.His final statement contains layers of complexity but can be interpreted simply as ‘we don’t know’. This provoked a kamagra soft chewable great deal of disquiet.

Rahman had already stated that the Scientific Advisory Group for Emergencies (SAGE) was collecting and considering evidence that was new and emerging, and that confidence was low in the evidence relating to transmission because there was very little evidence.8 However, this normal scientific caution in the evidence base was not discussed, and therefore it was assumed that low or moderate confidence in the evidence means a high-risk strategy is being mooted.There appear to be two major concerns about lifting the lockdown for children. First is the risk to kamagra soft chewable children of developing coronavirus disease. The second is the risk to others of children transmitting coronavirus disease, either while being symptomatic or asymptomatic.

Here are some of the available evidence.Morbidity and mortality in children from coronavirus diseaseChildren appear to be less likely to acquire coronavirus disease in kamagra soft chewable various nations.9–11 Barton et al12 found that children account for 1.9% of confirmed cases (data collected from government websites and publications). Of these 8113 paediatric cases, 14% required hospital admission. The admission rate to critical care was 2.2% of kamagra soft chewable confirmed cases (7.2% of admitted children).

Death was kamagra soft chewable reported in 15 cases (0.18%). This adds to other evidence suggesting that children are at a relatively low risk from the virus, with other estimates coming in at around 0.01%.13 14 This is likely to be because they appear to have a stronger immune response to the virus.15There are concerns that children who have been infected with the virus can develop a postviral inflammatory reaction (Kawasaki disease) and this can be severe,16 but the research evidence for this is not well developed yet.Transmission by childrenChildren can be asymptomatic and test positive for COVID-19, and in the absence of effective community testing it will be impossible to know if they are carrying the virus. Children also can have normal or abnormal signs (eg, chest imaging) when they kamagra soft chewable have tested positive.17 In short, it is difficult to determine without much more extensive testing if a child can transmit the infection.Arav et al18 found that the contact route was much more important than the airborne route, which they concluded had a negligible contribution.

They suggest protective measures would therefore be good hand hygiene, careful cleaning and avoiding physical contact.Given that there are quite low numbers of symptomatic cases and an unknown quantity of asymptomatic cases, it is very difficult to determine whether children are a significant vector for the disease. Studies cited by the Royal College of Paediatrics and Child Health that explored family clusters of infection suggest that the child was unlikely to be the index case.The riskThis evidence suggests that there is kamagra soft chewable a case for reopening schools to limited numbers of pupils—the risk to pupils and the adults they come into contact with seems to be small, and the potential gains for children may outweigh them. There is a big proviso with this however, and that is that the overall incidence of COVID-19 has fallen below specified threshold.

This is quite a contentious issue and depends on us meeting the five key tests for easing lockdown.Making kamagra soft chewable sure the National Health Service can cope.A sustained and consistent fall in the daily death rate.Rate of infection decreasing to manageable levels.Ensuring that personal protective equipment supply can meet demand.Being confident that any adjustments would not risk a second peak.These conditions are open to interpretation, and there appears to be a lack of trust by the public and by professionals from education and health in the information that the government and their scientific advisors are sharing. An example of this is a group of scientists who have come together to challenge the government about their decision-making.19 The concern about whether the evidence and advice that we are given are biased in any way has also been increased by concerns that a government advisor (Dominic Cummings) has attended what were supposed to be politically independent meetings of the SAGE.Scientific evidence continues to emerge, but weighing up the risks and benefits is not easy. Decisions about whether to kamagra soft chewable reopen schools are taken on a national level with a distance from personal concerns and fears.

Individuals who are making decisions often rely on media translations of the evidence, and there is a level of mistrust in politicians and the media.20 Individuals are often irrational in their risk perception and management (eg, continuing to smoke or drink alcohol despite strong scientific evidence about the risk).21 22Overall, we are information-poor and opinion-rich. It is kamagra soft chewable a difficult path to navigate. The debate about whether the benefits outweigh the risks of returning to school reminds me of the post-Wakefield Measles Mumps and Rubella vaccination situation.

Parents were being kamagra soft chewable asked to believe that MMR was a safe vaccine in the face of a massive and emotive campaign that promoted the ‘risk’ of having the vaccine above all else. This situation is even more complex kamagra soft chewable than that as we have increased access to opinion and difficulty in understanding if or how much that information is biased. It is no wonder that decision-making is difficult.

It is likely that evidence will continue to emerge and gradually the choice will kamagra soft chewable become easier to make. For now, however, we can understand the difficulties that parents, teachers and councils face.IntroductionWhenever developing training competencies, tools to support clinical practice or a response to a professional issue, seeking the opinion of experts is a common approach. By working to identify a consensus position, researchers can report findings on a specific question (or set of questions) that are based on the knowledge and experience of experts in their field.However, kamagra soft chewable there are challenges to this approach.

For example, what should be done when consensus cannot be reached?. How can experts be engaged in a way that allows them to consider objectively the views of others and—where appropriate—change kamagra soft chewable their own opinions in response?. One approach that attempts to provide a clear method for gathering expert opinion is the Delphi technique.The Delphi technique was first developed in the 1950s by Norman Dalkey and Olaf Helmer in an attempt to gain reliable expert consensus.

Specifically, they developed an approach—named after the Ancient Greek Oracle of Delphi, who could predict the future—which promoted anonymity and avoided direct confrontation between experts, so that the methods employed “…appear to be more conducive to independent thought on the part of the experts and to aid them in kamagra soft chewable the gradual formation of a considered opinion”.1 Though the original Delphi study was linked to the defence industry, the technique has spread to other research areas, including nursing.2Characteristics of Delphi studiesAs with all research methods, the Delphi technique has evolved since it was first reported on in the 1960s. However, many of the fundamental characteristics of the approach still remain from Dalkey and Helmer’s original outline. First, the overarching approach is based on a series of ‘rounds’, where a set of experts are asked kamagra soft chewable their opinions on a particular issue.

The questions for each round are based in part of the findings of the previous one, allowing the study to evolve over time in response to earlier findings.Second, participants are able to see the results of previous rounds—including their own responses—allowing them to reflect on the views of others and reposition their own opinions accordingly.2 This also gives them the opportunity to consider and feedback on what they perceive to be the strengths and weaknesses of other’s responses. Finally, the findings kamagra soft chewable of each round are always shared with the broader group anonymously. This avoids any bias that might result from participants being concerned about their kamagra soft chewable own views being viewed negatively or from their own opinions being biased by personal factors.

This framework of expert opinion rounds, with each round built on previous findings and each allowing for responses to be reconsidered by participants, is designed to allow the development of a consensus view that answers the research question.Within this broad approach, there can be variation in areas such as how many rounds there are, how the questions are delivered and responses collected, and how ‘consensus’ is judged. For example, a study of human factors that contributed to nursing errors used only two kamagra soft chewable rounds. The first took the form of an online survey asking 25 experts to list all the ‘human’ causes of nursing errors that they could.

Analysis of responses resulted in a list of 28 potential reasons—this list was sent back to the same group of experts for the kamagra soft chewable second round, asking them to score each one for importance. Analysis of this scoring then allowed for consensus conclusions on the top 10 human factors that contributed to nursing errors (with fatigue, heavy workload and communication problems the top three).3In another example, nurse practitioners (NPs) were recruited to participate in a Delphi study to achieve consensus related to NP advance care planning competencies. In round 1, draft competencies were developed from the findings of a survey of NP beliefs, knowledge and level of implementation kamagra soft chewable of advance care planning.

Round 2 included engagement with 29 NPs who evaluated the draft competencies and their components. Revisions were made based on the original feedback, and kamagra soft chewable a third round was conducted where 15 of the original NP participants confirmed their consensus with the final document. The final document includes four competencies, each with several elements.

Clinical Practice, Consultation and Communication, Advocacy and Therapeutic Management.4Strengths and weaknesses of Delphi studiesThe Delphi technique kamagra soft chewable offers a flexible approach to gathering the views of experts on an area of interest. The ability for participants to reconsider their views in light of the contribution of others allows for an element of reflection that is missing from studies based on single interviews or focus groups. The anonymity among the expert groups that underpins Delphi studies promotes honesty among kamagra soft chewable participants and reduces the risk of the ‘halo effect’ where views from dominant or high-profile members of the group are given extra credence.5However, Delphi studies can—by their very nature—be complex and time consuming.

The need for participants to complete multiple rounds kamagra soft chewable can lead to high drop-out rates which impacts on validity of the study. The ability of participants to amend or alter their views at each round is also something of a double-edged sword. It provides those taking part with the opportunity to kamagra soft chewable reflect and reconsider their position in response to additional information, which is an important part of nursing practice.

Conversely though, there is a danger that this flexibility introduces bias, with participants altering their response to comply with what they view to be the majority view (sometime called the ‘bandwagon effect’).5Delphi studies can be criticised due to a lack of clarity on what is meant by ‘consensus’. Even with the level of flexibility and reflexivity present kamagra soft chewable in Delphi studies, it is still unlikely that a group of experts will demonstrate 100% agreement on issues. However, because consensus is a requirement of a Delphi study, there does need to be a judgement on when this point is reached.

This is where there is inconsistency across studies and authors, with the suggested level of consensus ranging from 51% to 100%.2 In addition, it has been identified that in some areas, consensus is not predefined as part of the study method kamagra soft chewable. For example, a review of Delphi studies in nurse education found that fewer than half of the papers appraised included a predefined level at which consensus was judged to have been achieved.6 In addition, the identification of an objective level consensus is only possible when gathering quantifiable data—the judgement on consensus being reached in some qualitative Delphi studies will always be rather more subjective on the part of the researcher, and therefore potentially open to bias.By their nature, Delphi studies often rely purely on expert opinion to generate findings. A further limitation is therefore related to the quality of kamagra soft chewable evidence, with expert opinion viewed as providing a poor basis for making judgements on healthcare interventions.7 This does not mean that the findings of Delphi studies are intrinsically unreliable or invalid.

It does mean that researchers should consider whether their research question is one that can be answered through expert consensus or whether other approaches (such as a systematic review of research evidence) are more appropriate.ConclusionThe Delphi technique is a well-established approach to answering a research question through the identification of a consensus view across subject experts. It allows for reflection kamagra soft chewable among participants, who are able to nuance and reconsider their opinion based on the anonymised opinions of others. However, researchers must take steps to enhance robustness of the studies.

It is important to try and kamagra soft chewable prevent participants from simply resorting to agreeing with the majority view. Studies must also predefine what is meant by ‘consensus’ and how it will be established.With careful and clear design though, Delphi studies can make a valuable contribution to the nursing evidence base by tapping into the profession’s most precious resource—the knowledge and expertise of its practitioners..

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Shutterstock Ohio Attorney General Dave Yost announced Thursday that one of the hospitals involved in a study can you buy kamagra online that identifies whether genetics discount kamagra review plays a role in opioid addiction had reached a milestone enrollment number. Yost’s Scientific Committee on Opioid Prevention and Education began work on the study last year with the recruitment of patients at the University of Cincinnati Medical Center (UCMC) and The Ohio State University Wexner Medical Center (OSUWMC). Yost said that UCMC can you buy kamagra online had reached an initial milestone of 100 patients enrolled in the study. Both medical centers began enrolling patients this summer. €œAn awful lot of the people who got addicted to opioids didn’t get that way on their own,” said Yost.

€œThey weren’t trying to use opioids as a can you buy kamagra online party drug. They went to their doctor and were given a prescription following a surgery or injury.”The study’s leaders discussed the project and its processes in a 13-minute online presentation. Drs. Jon Sprague and Carolina Freiermuth said their buy cheap kamagra initial observations show a high participation rate among emergency room patients randomly can you buy kamagra online approached and asked to participate. €œPeople truly want to help prevent others from going down the pathway of opioid addiction,” said Sprague.Yost said SCOPE’s genetic research team will enroll up to 1,500 participants over the next year before analyzing participants’ genetic and environmental data.

Patients recruited from emergency departments answer survey questions can you buy kamagra online about their environment and then submit DNA via a cheek swab. Researchers will be looking for the presence of 180 genetic markers suspected to be associate with opioid addiction. Genetic samples of those with opioid addiction will then be compared to those without opioid addiction to determine if there are genetic markers associated with opioid use disorder. €œWhy is it that two people can take the same drug in the same dosage and can you buy kamagra online only one becomes addicted?. € said Yost.

€œWe think genetics will help us understand why, and we want to get that powerful information into the hands of physicians to help stop opioid addiction before it starts,” he added..

Shutterstock kamagra nz Ohio Attorney General Dave Yost announced Thursday that one of the hospitals involved in a study that identifies whether genetics plays a role in opioid addiction kamagra soft chewable had reached a milestone enrollment number. Yost’s Scientific Committee on Opioid Prevention and Education began work on the study last year with the recruitment of patients at the University of Cincinnati Medical Center (UCMC) and The Ohio State University Wexner Medical Center (OSUWMC). Yost said that UCMC had reached an initial milestone of 100 kamagra soft chewable patients enrolled in the study. Both medical centers began enrolling patients this summer. €œAn awful lot of the people who got addicted to opioids didn’t get that way on their own,” said Yost.

€œThey weren’t trying to use opioids as a kamagra soft chewable party drug. They went to their doctor and were given a prescription following a surgery or injury.”The study’s leaders discussed the project and its processes in a 13-minute online presentation. Drs. Jon Sprague and Carolina Freiermuth said kamagra soft chewable their initial observations show a high participation rate among emergency room patients randomly approached and asked to participate. €œPeople truly want to help prevent others from going down the pathway of opioid addiction,” said Sprague.Yost said SCOPE’s genetic research team will enroll up to 1,500 participants over the next year before analyzing participants’ genetic and environmental data.

Patients recruited from emergency departments answer survey questions kamagra soft chewable about their environment and then submit DNA via a cheek swab. Researchers will be looking for the presence of 180 genetic markers suspected to be associate with opioid addiction. Genetic samples of those with opioid addiction will then be compared to those without opioid addiction to determine if there are genetic markers associated with opioid use disorder. €œWhy is it that two people can take kamagra soft chewable the same drug in the same dosage and only one becomes addicted?. € said Yost.

€œWe think genetics will help us understand why, and we want to get that powerful information into the hands of physicians to help stop opioid addiction before it starts,” he added..

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According to the Hearing Review, people with hearing loss wait an average kamagra tabletten of seven years to get help ajanta kamagra 100 chewable. That's a lot of missed punch lines, important details in business meetings, sweet sentiments from a loved one, cheerful bird songs and laughter from grandkids. In fact, your hearing aids will likely improve not just your ability to communicate but also your health. That's because hearing aids are linked to a reduced risk of cognitive decline and other ajanta kamagra 100 chewable health benefits. But hearing aids are a major purchase, so it's important to make sure you're prepared with these 10 tips.

10 things we recommend before buying hearing aids A thorough hearing exam is a key step. 1. Hearing test The first thing you need is a thorough hearing test and evaluation from a qualified hearing healthcare professional. Our consumer-reviewed directory can help you find a provider near you. Hearing tests are easy and painless.

Most insurance companies cover the cost of hearing tests, too. 2. Priority list for your hearing needs Your hearing healthcare professional will do far more than just test your hearing on your first visit. You will also have a discussion about your lifestyle. Is listening to your favorite TV shows a big priority for you or would you rather prioritize being able to understand coworkers better?.

Maybe you wish to stream music wirelessly through your hearing aids while taking walks or have easier one-on-one conversations at home. Whatever your priorities, communicate them clearly to your hearing care provider so they can more easily determine which products are right for you. 3. Financial plan Unfortunately, hearing aids are not covered by Medicare or most third-party payers. While many people are working to change this, hearing aids remain a major out-of-pocket expense.

Help is available through financing programs, Vocational Rehabilitation if you are still working, grants and charitable organizations. Do your homework so you can make a plan to pay for your hearing aids and stay within your budget. Your hearing care provider should give you several options that will work for your hearing and your wallet. 4. Medical clearance If your hearing test indicates you may have a medical problem contributing to your hearing loss, make sure you see a physician to get a thorough work-up before pursuing hearing aids.

5. Realistic expectations Many hearing healthcare professionals think one of the most important factors in the success of their hearing aid patients is understanding that while today's hearing aids are amazing in their technological capabilities, they still cannot reproduce natural hearing. In excessively noisy environments, even normal hearing people have difficulty hearing every word clearly, and you may also experience some challenges even with the best hearing aids. Also, it takes time to get used to hearing aids. You may even find you hate your hearing aids at first, but eventually you'll find them invaluable.

6. An open mind If you have preconceived notions about your hearing loss or what hearing aids are right for you, be ready to have those ideas challenged. Hearing aids have come a long way, technologically speaking, over the past decades, and you may be surprised to find the vast array of features and attractive styles that are available now. Your hearing loss severity or type may mean only certain devices will work for you. Trust the process and the advice of your hearing care professional.

Don't just assume you'll want the tiniest or cheapest option. 7. Motivation to hear better Your hearing healthcare professional will go to great lengths to make sure you succeed with your new hearing aids, but you'll get better results if you put some effort into the process. Being engaged, providing valuable feedback about your experiences and keeping your follow-up appointments will help your provider make the right kinds of adjustments to your hearing aids so you get the most benefit. 8.

Positive attitude As with most things in life, you will get the most from your hearing aids and your hearing healthcare provider if you stay positive. Having a good attitude and a sense of humor can help you get through most any challenge your hearing loss presents. 9. Support system Many new hearing aid wearers have been encouraged to take the leap by a family member or loved one who has become frustrated with longstanding hearing loss. Before you start the process, discuss your decision with family, friends and even coworkers.

Advocating for yourself with them and asking for their support during your journey to better hearing will make you even more successful. 10. Last but not least, the right hearing care professional Buying hearing aids isn't like buying a typical consumer good. These are highly sophisticated medical devices that require the expertise of a professional with experience in counseling and fitting. A good working relationship is key, so be sure you feel comfortable with your provider and have a good rapport.

Look for an office that keeps hours that are convenient for you so you can make your follow-up appointments easily..

That's great! kamagra soft chewable https://www.cityreal.lv/kamagra-tablets/. According to the Hearing Review, people with hearing loss wait an average of seven years to get help. That's a lot of missed punch lines, important details in business meetings, sweet sentiments from a loved one, cheerful bird songs and laughter from grandkids. In fact, kamagra soft chewable your hearing aids will likely improve not just your ability to communicate but also your health.

That's because hearing aids are linked to a reduced risk of cognitive decline and other health benefits. But hearing aids are a major purchase, so it's important to make sure you're prepared with these 10 tips. 10 things we recommend kamagra soft chewable before buying hearing aids A thorough hearing exam is a key step. 1.

Hearing test The first thing you need is a thorough hearing test and evaluation from a qualified hearing healthcare professional. Our consumer-reviewed directory can kamagra soft chewable help you find a provider near you. Hearing tests are easy and painless. Most insurance companies cover the cost of hearing tests, too.

2 kamagra soft chewable. Priority list for your hearing needs Your hearing healthcare professional will do far more than just test your hearing on your first visit. You will also have a discussion about your lifestyle. Is listening to your favorite TV shows a big priority for you or would you rather prioritize being able kamagra soft chewable to understand coworkers better?.

Maybe you wish to stream music wirelessly through your hearing aids while taking walks or have easier one-on-one conversations at home. Whatever your priorities, communicate them clearly to your hearing care provider so they can more easily determine which products are right for you. 3. Financial plan Unfortunately, hearing aids are not covered by Medicare or most third-party payers.

While many people are working to change this, hearing aids remain a major out-of-pocket expense. Help is available through financing programs, Vocational Rehabilitation if you are still working, grants and charitable organizations. Do your homework so you can make a plan to pay for your hearing aids and stay within your budget. Your hearing care provider should give you several options that will work for your hearing and your wallet.

4. Medical clearance If your hearing test indicates you may have a medical problem contributing to your hearing loss, make sure you see a physician to get a thorough work-up before pursuing hearing aids. 5. Realistic expectations Many hearing healthcare professionals think one of the most important factors in the success of their hearing aid patients is understanding that while today's hearing aids are amazing in their technological capabilities, they still cannot reproduce natural hearing.

In excessively noisy environments, even normal hearing people have difficulty hearing every word clearly, and you may also experience some challenges even with the best hearing aids. Also, it takes time to get used to hearing aids. You may even find you hate your hearing aids at first, but eventually you'll find them invaluable. 6.

An open mind If you have preconceived notions about your hearing loss or what hearing aids are right for you, be ready to have those ideas challenged. Hearing aids have come a long way, technologically speaking, over the past decades, and you may be surprised to find the vast array of features and attractive styles that are available now. Your hearing loss severity or type may mean only certain devices will work for you. Trust the process and the advice of your hearing care professional.

Don't just assume you'll want the tiniest or cheapest option. 7. Motivation to hear better Your hearing healthcare professional will go to great lengths to make sure you succeed with your new hearing aids, but you'll get better results if you put some effort into the process. Being engaged, providing valuable feedback about your experiences and keeping your follow-up appointments will help your provider make the right kinds of adjustments to your hearing aids so you get the most benefit.

8. Positive attitude As with most things in life, you will get the most from your hearing aids and your hearing healthcare provider if you stay positive. Having a good attitude and a sense of humor can help you get through most any challenge your hearing loss presents. 9.

Support system Many new hearing aid wearers have been encouraged to take the leap by a family member or loved one who has become frustrated with longstanding hearing loss. Before you start the process, discuss your decision with family, friends and even coworkers. Advocating for yourself with them and asking for their support during your journey to better hearing will make you even more successful. 10.

Last but not least, the right hearing care professional Buying hearing aids isn't like buying a typical consumer good. These are highly sophisticated medical devices that require the expertise of a professional with experience in counseling and fitting. A good working relationship is key, so be sure you feel comfortable with your provider and have a good rapport.

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€œDespite a new wave which began on 25 kamagra i alkohol July which Viet Nam is now also in the process of bringing under effective control, it is globally recognized that Viet Nam demonstrated one of the world’s most successful responses to the COVID-19 pandemic between January and April 16. After that date, no cases of local transmission were recorded for 99 consecutive days.There were less than 400 cases of infection across the country during that period, most of them imported, and zero deaths, a remarkable accomplishment considering the country’s population of 96 million people and the fact that it shares a 1,450 km land border with China.Long-term planning pays offKamal Malhotra is the UN Resident Coordinator in Viet Nam. , by UN Viet Nam/Nguyen Duc HieuViet Nam’s success has drawn international attention because of its early, proactive, response, led by the government, and involving the whole political system, and all aspects of kamagra i alkohol the society. With the support of theWorld Health Organization (WHO) and other partners, Viet Nam had already put a long-term plan in place, to enable it to cope with public health emergencies, building on its experience dealing with previous disease outbreaks, such as SARS, which it also handled remarkably well.Viet Nam’s successful management of the COVID-19 outbreak so far can, therefore, be at least partly put down to the its investment during “peacetime”.

The country has now demonstrated that preparedness to deal with infectious disease is a key ingredient for protecting people and securing public health in times of pandemics such as COVID-19.As early as January 2020, Viet Nam conducted its first risk assessment, immediately after the identification kamagra i alkohol of a cluster of cases of “severe pneumonia with unknown etiology” in Wuhan, China. From the time that the first two COVID-19 cases were confirmed in Viet Nam in the second half of January 2020, the government started to put precautionary measures into effect by strengthening entry-screening measures and extending the Tết (Lunar New Year) holiday for schools. © UNICEFTeachers and students were able to return to school in Lao Cai, Viet Nam, in May.By 13 February 2020, the number of cases had climbed to 16 with limited local transmission detected in a village near the capital city, Hanoi. As this had the potential to cause a further spread of the kamagra i alkohol virus in Viet Nam, the country implemented a targeted three-week village-wide quarantine, affecting 11,000 people.

There were then no further local cases for three weeks.But Viet Nam had simultaneously developed its broader quarantine and isolation policy to control COVID-19. As the next wave began in early March, through an imported case from the UK, kamagra i alkohol the government knew that it was crucial to contain virus transmission as fast as possible, in order also to safeguard its economy.Viet Nam therefore closed its borders and suspended international flights from mainland China in February, extending this to UK, Europe, the US and then the rest of the world progressively in March, whilst requiring all travelers entering the country, including its nationals, to undergo 14-day mandatory quarantine on arrival.This helped the authorities keep track of imported cases of COVID-19 and prevent further local transmission which could have then led to wider community transmission. Both the military and local governments were mobilized to provide testing, meals and amenity services to all quarantine facilities which remained free during this period.No lockdown requiredWhile there was never a nationwide lockdown, some restrictive physical distancing measures were implemented throughout the country. On 1 April 2020, the Prime Minister issued a nationwide two week physical distancing directive, which was kamagra i alkohol extended by a week in major cities and hotspots.

People were advised to stay at home, non-essential businesses were requested to close, and public transportation was limited.Such measures were so successful that, by early May, following two weeks without a locally confirmed case, schools and businesses resumed their operations and people could return to regular routines. Green One UN House, the home of most UN agencies in Viet Nam, remained open throughout this period, with the Resident Coordinator, WHO Representative and approximately 200 UN staff and consultants physically in the office throughout this period, to provide vital support to the Government and people of Viet Nam.Notably, the Vietnamese public had been exceptionally compliant with government directives and advice, partly as a result of trust built up thanks to real time, transparent communication from the Ministry of Health, supported by the WHO and other UN agencies. Innovative methods were used to keep the public informed and kamagra i alkohol safe. For instance, regular text updates were sent by the Ministry of Health, on preventive measures and COVID-19’s symptoms.

A COVID-19 song was released, with lyrics raising public awareness of kamagra i alkohol the disease, which later went viral on social media with a dance challenge on Tik Tok initiated by Quang Dang, a local celebrity.. UN Viet Nam/Nguyen Duc HieuYoung people in Viet Nam take part in International Youth Day 2020 festivities in June. Protecting the vulnerableStill, challenges remain to ensure that the people across the country, especially the hardest hit people, from small and medium-sized enterprises (SMEs) and poor and vulnerable groups, are well served by kamagra i alkohol an adequately resourced and effectively implemented social protection package. The UN in Viet Nam is keen to help the government support clean technology-based SMEs, with the cooperation of international financial institutions, which will need to do things differently from the past and embrace a new, more inclusive and sustainable, perspective on growth.Challenges remainAs I write, Viet Nam stands at a critical point with respect to COVID-19.

On 25 July, 99 days after being COVID-free in terms of local transmission, a new case was confirmed in Da Nang, a well-known tourist destination. Hundreds of thousands of people flocked to the city and surrounding region over the summer.The government is once again demonstrating its kamagra i alkohol serious commitment to containing local virus transmission. While there have been a few hundred new local transmission cases and 24 deaths, all centered in a major hospital in Danang (sadly, all the deaths were of people with multiple pre-conditions) aggressive contact tracing, proactive case management, extensive quarantining measures and comprehensive public communication activities are taking place.I am confident that the country will be successful in its efforts to once again successfully contain the virus, once more over the next few weeks.”The Review Committee will advise whether any amendments to the International Health Regulations (IHR) are necessary to ensure it is as effective as possible, WHO Director General Tedros Adhanom Ghebreyesus told journalists. He said the COVID-19 pandemic has been “an acid kamagra i alkohol test” for many countries, organizations and the treaty.

“Even before the pandemic, I have spoken about how emergencies such as the Ebola outbreak in eastern DRC (the Democratic Republic of the Congo) have demonstrated that some elements of the IHR may need review, including the binary nature of the mechanism for declaring a public health emergency of international concern,” said Mr. Tedros. Interaction with kamagra i alkohol pandemic panel The IHR Review Committee will hold its first meeting on 8 and 9 September. The committee will also interact with two other entities, exchanging information and sharing findings.

They are the Independent Panel for Pandemic Preparedness and Response, established last month to evaluate global response to the COVID-19 pandemic, and the Independent Oversight Advisory Committee for the kamagra i alkohol WHO Health Emergencies Programme. It is expected that the committee will present a progress report to the World Health Assembly, WHO’s decision-making body, at its resumed session in November. The Assembly comprises delegations from WHO’s 194 member States kamagra i alkohol who meet annually in May. A truncated virtual session was held this year due to the pandemic.

The committee will present its full report to the Assembly in 2021. Committed to ending COVID-19 The IHR was first adopted in 1969 and is legally-binding on 196 countries, including all kamagra i alkohol WHO Member States. It was last revised in 2005. The treaty outlines rights and obligations for countries, including the requirement to report public health kamagra i alkohol events, as well as the criteria to determine whether or not a particular event constitutes a “public health emergency of international concern”.

Mr. Tedros underscored WHO’s commitment to kamagra i alkohol ending the pandemic, “and to working with all countries to learn from it, and to ensure that together we build the healthier, safer, fairer world that we want.” Invest in mental health WHO is also shining light on the pandemic’s impact on mental health at a time when services have suffered disruptions. For example, Mr. Tedros said lack of social interaction has affected many people, while others have experienced anxiety and fear.

Meanwhile, some mental health facilities have been closed and converted to COVID-19 kamagra i alkohol treatment facilities. Globally, close to one billion people are living with a mental disorder. In low- and middle-income countries, more than kamagra i alkohol three-quarters of people with mental, neurological and substance use disorders do not receive treatment. World Mental Health Day is observed annually on 10 October, and WHO and partners are calling for a massive scale-up in investments.

The UN kamagra i alkohol agency also will host its first-ever global online advocacy event on mental health where experts, musicians and sports figures will discuss action to improve mental health, in addition to sharing their stories. Global fight against polio continues The milestone eradication of wild poliovirus in Africa does not mean the disease has been defeated globally, Mr. Tedros reminded journalists. WHO announced on Tuesday that the continent has been declared free of the virus, which can cause paralysis, after no cases were reported for four years “We still have a lot of work to do to eradicate polio from the last two countries where it exists kamagra i alkohol.

Afghanistan and Pakistan,” he said. Mr. Tedros also congratulated Togo, which on Wednesday celebrated the end of sleeping sickness as a public health problem. The disease, officially known as human African Trypanosomiasis, is spread by tsetse flies and is fatal without treatment..

€œDespite a new wave which began on 25 July which Viet Nam is now also in the process of bringing under effective control, it kamagra soft chewable is globally recognized that Viet Nam demonstrated one of the world’s most successful responses to the COVID-19 pandemic between January and April 16. After that date, no cases of local transmission were recorded for 99 consecutive days.There were less than 400 cases of infection across the country during that period, most of them imported, and zero deaths, a remarkable accomplishment considering the country’s population of 96 million people and the fact that it shares a 1,450 km land border with China.Long-term planning pays offKamal Malhotra is the UN Resident Coordinator in Viet Nam. , by UN Viet Nam/Nguyen Duc HieuViet Nam’s success has drawn international attention because of its kamagra soft chewable early, proactive, response, led by the government, and involving the whole political system, and all aspects of the society.

With the support of theWorld Health Organization (WHO) and other partners, Viet Nam had already put a long-term plan in place, to enable it to cope with public health emergencies, building on its experience dealing with previous disease outbreaks, such as SARS, which it also handled remarkably well.Viet Nam’s successful management of the COVID-19 outbreak so far can, therefore, be at least partly put down to the its investment during “peacetime”. The country has now demonstrated that preparedness to deal with kamagra soft chewable infectious disease is a key ingredient for protecting people and securing public health in times of pandemics such as COVID-19.As early as January 2020, Viet Nam conducted its first risk assessment, immediately after the identification of a cluster of cases of “severe pneumonia with unknown etiology” in Wuhan, China. From the time that the first two COVID-19 cases were confirmed in Viet Nam in the second half of January 2020, the government started to put precautionary measures into effect by strengthening entry-screening measures and extending the Tết (Lunar New Year) holiday for schools.

© UNICEFTeachers and students were able to return to school in Lao Cai, Viet Nam, in May.By 13 February 2020, the number of cases had climbed to 16 with limited local transmission detected in a village near the capital city, Hanoi. As this had the kamagra soft chewable potential to cause a further spread of the virus in Viet Nam, the country implemented a targeted three-week village-wide quarantine, affecting 11,000 people. There were then no further local cases for three weeks.But Viet Nam had simultaneously developed its broader quarantine and isolation policy to control COVID-19.

As the next wave began in early March, through an imported case from the UK, the government knew kamagra soft chewable that it was crucial to contain virus transmission as fast as possible, in order also to safeguard its economy.Viet Nam therefore closed its borders and suspended international flights from mainland China in February, extending this to UK, Europe, the US and then the rest of the world progressively in March, whilst requiring all travelers entering the country, including its nationals, to undergo 14-day mandatory quarantine on arrival.This helped the authorities keep track of imported cases of COVID-19 and prevent further local transmission which could have then led to wider community transmission. Both the military and local governments were mobilized to provide testing, meals and amenity services to all quarantine facilities which remained free during this period.No lockdown requiredWhile there was never a nationwide lockdown, some restrictive physical distancing measures were implemented throughout the country. On 1 April 2020, the kamagra soft chewable Prime Minister issued a nationwide two week physical distancing directive, which was extended by a week in major cities and hotspots.

People were advised to stay at home, non-essential businesses were requested to close, and public transportation was limited.Such measures were so successful that, by early May, following two weeks without a locally confirmed case, schools and businesses resumed their operations and people could return to regular routines. Green One UN House, the home of most UN agencies in Viet Nam, remained open throughout this period, with the Resident Coordinator, WHO Representative and approximately 200 UN staff and consultants physically in the office throughout this period, to provide vital support to the Government and people of Viet Nam.Notably, the Vietnamese public had been exceptionally compliant with government directives and advice, partly as a result of trust built up thanks to real time, transparent communication from the Ministry of Health, supported by the WHO and other UN agencies. Innovative methods were used to keep the public informed kamagra soft chewable and safe.

For instance, regular text updates were sent by the Ministry of Health, on preventive measures and COVID-19’s symptoms. A COVID-19 song was released, with lyrics raising public awareness of the disease, which later kamagra soft chewable went viral on social media with a dance challenge on Tik Tok initiated by Quang Dang, a local celebrity.. UN Viet Nam/Nguyen Duc HieuYoung people in Viet Nam take part in International Youth Day 2020 festivities in June.

Protecting the vulnerableStill, challenges remain to ensure that the people across the country, especially the hardest kamagra soft chewable hit people, from small and medium-sized enterprises (SMEs) and poor and vulnerable groups, are well served by an adequately resourced and effectively implemented social protection package. The UN in Viet Nam is keen to help the government support clean technology-based SMEs, with the cooperation of international financial institutions, which will need to do things differently from the past and embrace a new, more inclusive and sustainable, perspective on growth.Challenges remainAs I write, Viet Nam stands at a critical point with respect to COVID-19. On 25 July, 99 days after being COVID-free in terms of local transmission, a new case was confirmed in Da Nang, a well-known tourist destination.

Hundreds of thousands of people flocked to the city and surrounding region kamagra soft chewable over the summer.The government is once again demonstrating its serious commitment to containing local virus transmission. While there have been a few hundred new local transmission cases and 24 deaths, all centered in a major hospital in Danang (sadly, all the deaths were of people with multiple pre-conditions) aggressive contact tracing, proactive case management, extensive quarantining measures and comprehensive public communication activities are taking place.I am confident that the country will be successful in its efforts to once again successfully contain the virus, once more over the next few weeks.”The Review Committee will advise whether any amendments to the International Health Regulations (IHR) are necessary to ensure it is as effective as possible, WHO Director General Tedros Adhanom Ghebreyesus told journalists. He said the COVID-19 pandemic has been “an acid test” for many countries, organizations and kamagra soft chewable the treaty.

“Even before the pandemic, I have spoken about how emergencies such as the Ebola outbreak in eastern DRC (the Democratic Republic of the Congo) have demonstrated that some elements of the IHR may need review, including the binary nature of the mechanism for declaring a public health emergency of international concern,” said Mr. Tedros. Interaction with pandemic panel The IHR Review Committee will hold its first meeting on 8 kamagra soft chewable and 9 September.

The committee will also interact with two other entities, exchanging information and sharing findings. They are the Independent Panel for Pandemic Preparedness and Response, established last month to evaluate global response to the COVID-19 pandemic, and the Independent Oversight Advisory Committee for the WHO kamagra soft chewable Health Emergencies Programme. It is expected that the committee will present a progress report to the World Health Assembly, WHO’s decision-making body, at its resumed session in November.

The Assembly comprises delegations from WHO’s 194 member States who kamagra soft chewable meet annually in May. A truncated virtual session was held this year due to the pandemic. The committee will present its full report to the Assembly in 2021.

Committed to ending COVID-19 The IHR was first adopted kamagra soft chewable in 1969 and is legally-binding on 196 countries, including all WHO Member States. It was last revised in 2005. The treaty outlines rights and obligations for countries, including kamagra soft chewable the requirement to report public health events, as well as the criteria to determine whether or not a particular event constitutes a “public health emergency of international concern”.

Mr. Tedros underscored WHO’s commitment to ending the pandemic, “and to working with all countries to learn from it, and to ensure that together we build the healthier, safer, fairer world that we want.” Invest in mental health WHO is also shining light on the kamagra soft chewable pandemic’s impact on mental health at a time when services have suffered disruptions. For example, Mr.

Tedros said lack of social interaction has affected many people, while others have experienced anxiety and fear. Meanwhile, some mental health facilities have been closed and converted to COVID-19 treatment kamagra soft chewable facilities. Globally, close to one billion people are living with a mental disorder.

In low- and middle-income countries, more than three-quarters of people with mental, kamagra soft chewable neurological and substance use disorders do not receive treatment. World Mental Health Day is observed annually on 10 October, and WHO and partners are calling for a massive scale-up in investments. The UN agency also will host its first-ever global online advocacy event on mental health where experts, musicians and sports figures will discuss action kamagra soft chewable to improve mental health, in addition to sharing their stories.

Global fight against polio continues The milestone eradication of wild poliovirus in Africa does not mean the disease has been defeated globally, Mr. Tedros reminded journalists. WHO announced on Tuesday that the continent has been declared free of the virus, which can cause kamagra soft chewable paralysis, after no cases were reported for four years “We still have a lot of work to do to eradicate polio from the last two countries where it exists.

Afghanistan and Pakistan,” he said. Mr. Tedros also congratulated Togo, which on Wednesday celebrated the end of sleeping sickness as a public health problem.

The disease, officially known as human African Trypanosomiasis, is spread by tsetse flies and is fatal without treatment..

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SALT LAKE CITY, kamagra oral jelly forum Sept. 09, 2020 (GLOBE NEWSWIRE) -- Health Catalyst, Inc. ("Health Catalyst", kamagra oral jelly forum Nasdaq. HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today announced that Patrick Nelli, Chief Financial Officer, and Adam Brown, Senior Vice President, Investor Relations, will participate in the 2020 Cantor Global Virtual Healthcare Conference on Tuesday, September 15, 2020, which will include a fireside chat presentation at 1:20 p.m.

ET. A live audio webcast and replay of this presentation will be available at https://ir.healthcatalyst.com/investor-relations.About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.Health Catalyst Investor Relations Contact:Adam BrownSenior Vice President, Investor Relations+1 (855)-309-6800ir@healthcatalyst.comHealth Catalyst Media Contact:Kristen BerryVice President, Public Relations+1 (617) 234-4123+1 (774) 573-0455 (m)kberry@we-worldwide.com Source.

Health Catalyst, Inc.SALT LAKE CITY, Sept. 8, 2020 /PRNewswire/ -- Health Catalyst, Inc. ("Health Catalyst," Nasdaq. HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today announced that it has completed its seventh annual and first ever virtual Healthcare Analytics Summit (HAS), with record registration of more than 3,500 attendees.

Keynotes included Dr. Amy Abernethy, Principal Deputy Commissioner and Acting CIO of the U.S. Food and Drug Administration, Michael Dowling, CEO of Northwell Health, Vice Admiral Raquel Bono, MD, and many others. Other business updates include:The Vitalware, LLC ("VitalWare"), transaction has closed, and integration is underway of the Yakima, Washington-based provider of revenue workflow optimization and analytics SaaS technology solutions for health organizations.

This is another example of Health Catalyst's ability to scale software on top of its cloud-based Data Operating System (DOS™). DOS will further enhance the analytics insights made available by Vitalware's technology by combining charge and revenue data with claims, cost, and quality data. Vitalware's flagship offering is a Best in KLAS chargemaster management solution that delivers results for the complex regulatory and compliance functions needed by all healthcare provider systems. "As announced on August 11, 2020, we entered into an acquisition agreement to acquire Vitalware and expected to close the acquisition in Q3 or Q4 of 2020.

We are pleased to announce that we closed the acquisition on September 1, 2020. We are thrilled to formalize the combination of our solutions for the benefit of our customers and the industry," said CEO Dan Burton. On its upcoming Q3 2020 earnings call, Health Catalyst will share the impact of Vitalware on its Q3 2020 financial performance, which will not be significant given the timing of the acquisition, as well as update its full year 2020 guidance to include the impact of Vitalware. Health Catalyst Co-Founder Steve Barlow has returned from his three-year full-time volunteer mission for the Church of Jesus Christ of Latter-Day Saints, having served as Mission President of the Ecuador Quito Mission.

He has rejoined Health Catalyst's companywide Leadership Team as a Senior Vice President, responsible for some of the company's largest customer relationships. Dan Burton said, "We couldn't be more excited about Steve's return to Health Catalyst. His energy, dedication and commitment to transforming healthcare launched our journey and will continue to make us better and stronger. Steve is leading and overseeing all aspects of our partnerships with some of our largest and longest-standing customers.

Steve's extraordinary experience and capability enable him to be a critical partner and leader in enabling these customers' continued improvement and success." "My experience over the past three years in Ecuador reinforced for me how fortunate I am to be in a country with high-quality healthcare," said Barlow. "It has been invigorating to return to Health Catalyst and witness the incredible growth and expansion that has occurred over the past few years. We are better positioned than ever before to achieve our mission of being the catalyst for massive, measurable, data-informed healthcare improvement. I am grateful to be reunited with our longstanding team members and customers, and I'm thrilled to get to know and work alongside our new customers and teammates in this critical work." Effective October 1, 2020, Chief Technology Officer Dale Sanders will be transitioning to a Senior Advisor role with Health Catalyst, and the company is pleased to announce that one of Dale's longtime protégés and colleagues, Bryan Hinton, will serve as Health Catalyst's next Chief Technology Officer.

Hinton joined Health Catalyst in 2012 and currently serves as the Senior Vice President and General Manager of the DOS Platform Business. He will continue to lead this business in addition to assuming the responsibilities of CTO. He has been instrumental in the development and integration of DOS and has been working directly with Dale and other technology leaders at Health Catalyst for many years. His experience prior to joining Health Catalyst includes four years with the .NET Development Center of Excellence at The Church of Jesus Christ of Latter-Day Saints, where he established the architectural guidance of all .NET projects.

Previously, at Intel, he was responsible for the development and implementation of Intel's factory data warehouse product installed at Intel global factories. Hinton graduated from Brigham Young University with a BS in Computer Science. "Dale has been central to Health Catalyst's growth and success and we are grateful to him for his many years of service to our company and to the broader healthcare industry," said Dan Burton, CEO of Health Catalyst. "Thanks to Dale's vision, passion, innovative thinking and broad-based industry experience and perspective, Health Catalyst has grown from a handful of clients to a large number of organizations relying on us as their digital transformation partner, helping the healthcare ecosystem to constantly learn and improve.

Dale's technology leadership was critical to the company's overall maturation, and I am convinced that we could not have grown and scaled as we have without Dale's foundational leadership and contributions. We are grateful to continue our association with Dale in the months and years ahead in his next role as a Senior Advisor to the company." Burton added, "We are thrilled to see Bryan Hinton take on this added role after having demonstrated his technology leadership prowess during the course of his tenure at Health Catalyst and having been mentored by Dale for many years. Bryan is well-prepared and ready for this additional responsibility, and we extend our congratulations to him." "I feel like a parent saying goodbye to my kids at their college graduation," said Dale Sanders. "Many of the concepts we first developed and applied over 20 years ago at Intermountain and then later refined during my tenure as CIO at Northwestern had a big influence on our technology and products at Health Catalyst.

The vision of the Data Operating System and its application ecosystem originated in the real-world healthcare operations and research trenches of Northwestern. At Health Catalyst, I had the wonderful opportunity to lead the teams who made that vision a reality for the benefit of the entire industry. None of it would have been possible without Bryan Hinton leading the DOS team and Eric Just and Dan Unger leading the application development teams. We've been working side-by-side for many years to make the vision real.

Bryan is the consummate modern CTO from outside of healthcare that healthcare needs. I've always described Eric as having a manufacturing engineer's mindset with a healthcare data and software engineer's skills, with Dan Unger leveraging his deep domain expertise in financial transformation to oversee the development of meaningful applications and solutions so relevant for CFOs. I'm honored and thrilled to step aside and turn the future over to their very capable hands. Under their leadership, the best is yet to come for Health Catalyst's technology." About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations, and is committed to being the catalyst for massive, measurable, data-informed healthcare improvement.

Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.Health Catalyst Media Contact:Kristen BerrySenior Vice President, Public Relations+1 (617) 234-4123HealthCatalyst@we-worldwide.com View original content to download multimedia:http://www.prnewswire.com/news-releases/health-catalyst-completes-hosting-of-the-largest-ever-healthcare-analytics-summit-and-announces-the-close-of-the-vitalware-acquisition-301125125.htmlSOURCE Health Catalyst.

SALT LAKE kamagra soft chewable CITY, Sept. 09, 2020 (GLOBE NEWSWIRE) -- Health Catalyst, Inc. ("Health Catalyst", kamagra soft chewable Nasdaq. HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today announced that Patrick Nelli, Chief Financial Officer, and Adam Brown, Senior Vice President, Investor Relations, will participate in the 2020 Cantor Global Virtual Healthcare Conference on Tuesday, September 15, 2020, which will include a fireside chat presentation at 1:20 p.m. ET.

A live audio webcast and replay of this presentation will be available at https://ir.healthcatalyst.com/investor-relations.About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.Health Catalyst Investor Relations Contact:Adam BrownSenior Vice President, Investor Relations+1 (855)-309-6800ir@healthcatalyst.comHealth Catalyst Media Contact:Kristen BerryVice President, Public Relations+1 (617) 234-4123+1 (774) 573-0455 (m)kberry@we-worldwide.com Source. Health Catalyst, Inc.SALT LAKE CITY, Sept. 8, 2020 /PRNewswire/ -- Health Catalyst, Inc.

("Health Catalyst," Nasdaq. HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today announced that it has completed its seventh annual and first ever virtual Healthcare Analytics Summit (HAS), with record registration of more than 3,500 attendees. Keynotes included Dr. Amy Abernethy, Principal Deputy Commissioner and Acting CIO of the U.S. Food and Drug Administration, Michael Dowling, CEO of Northwell Health, Vice Admiral Raquel Bono, MD, and many others.

Other business updates include:The Vitalware, LLC ("VitalWare"), transaction has closed, and integration is underway of the Yakima, Washington-based provider of revenue workflow optimization and analytics SaaS technology solutions for health organizations. This is another example of Health Catalyst's ability to scale software on top of its cloud-based Data Operating System (DOS™). DOS will further enhance the analytics insights made available by Vitalware's technology by combining charge and revenue data with claims, cost, and quality data. Vitalware's flagship offering is a Best in KLAS chargemaster management solution that delivers results for the complex regulatory and compliance functions needed by all healthcare provider systems. "As announced on August 11, 2020, we entered into an acquisition agreement to acquire Vitalware and expected to close the acquisition in Q3 or Q4 of 2020.

We are pleased to announce that we closed the acquisition on September 1, 2020. We are thrilled to formalize the combination of our solutions for the benefit of our customers and the industry," said CEO Dan Burton. On its upcoming Q3 2020 earnings call, Health Catalyst will share the impact of Vitalware on its Q3 2020 financial performance, which will not be significant given the timing of the acquisition, as well as update its full year 2020 guidance to include the impact of Vitalware. Health Catalyst Co-Founder Steve Barlow has returned from his three-year full-time volunteer mission for the Church of Jesus Christ of Latter-Day Saints, having served as Mission President of the Ecuador Quito Mission. He has rejoined Health Catalyst's companywide Leadership Team as a Senior Vice President, responsible for some of the company's largest customer relationships.

Dan Burton said, "We couldn't be more excited about Steve's return to Health Catalyst. His energy, dedication and commitment to transforming healthcare launched our journey and will continue to make us better and stronger. Steve is leading and overseeing all aspects of our partnerships with some of our largest and longest-standing customers. Steve's extraordinary experience and capability enable him to be a critical partner and leader in enabling these customers' continued improvement and success." "My experience over the past three years in Ecuador reinforced for me how fortunate I am to be in a country with high-quality healthcare," said Barlow. "It has been invigorating to return to Health Catalyst and witness the incredible growth and expansion that has occurred over the past few years.

We are better positioned than ever before to achieve our mission of being the catalyst for massive, measurable, data-informed healthcare improvement. I am grateful to be reunited with our longstanding team members and customers, and I'm thrilled to get to know and work alongside our new customers and teammates in this critical work." Effective October 1, 2020, Chief Technology Officer Dale Sanders will be transitioning to a Senior Advisor role with Health Catalyst, and the company is pleased to announce that one of Dale's longtime protégés and colleagues, Bryan Hinton, will serve as Health Catalyst's next Chief Technology Officer. Hinton joined Health Catalyst in 2012 and currently serves as the Senior Vice President and General Manager of the DOS Platform Business. He will continue to lead this business in addition to assuming the responsibilities of CTO. He has been instrumental in the development and integration of DOS and has been working directly with Dale and other technology leaders at Health Catalyst for many years.

His experience prior to joining Health Catalyst includes four years with the .NET Development Center of Excellence at The Church of Jesus Christ of Latter-Day Saints, where he established the architectural guidance of all .NET projects. Previously, at Intel, he was responsible for the development and implementation of Intel's factory data warehouse product installed at Intel global factories. Hinton graduated from Brigham Young University with a BS in Computer Science. "Dale has been central to Health Catalyst's growth and success and we are grateful to him for his many years of service to our company and to the broader healthcare industry," said Dan Burton, CEO of Health Catalyst. "Thanks to Dale's vision, passion, innovative thinking and broad-based industry experience and perspective, Health Catalyst has grown from a handful of clients to a large number of organizations relying on us as their digital transformation partner, helping the healthcare ecosystem to constantly learn and improve.

Dale's technology leadership was critical to the company's overall maturation, and I am convinced that we could not have grown and scaled as we have without Dale's foundational leadership and contributions. We are grateful to continue our association with Dale in the months and years ahead in his next role as a Senior Advisor to the company." Burton added, "We are thrilled to see Bryan Hinton take on this added role after having demonstrated his technology leadership prowess during the course of his tenure at Health Catalyst and having been mentored by Dale for many years. Bryan is well-prepared and ready for this additional responsibility, and we extend our congratulations to him." "I feel like a parent saying goodbye to my kids at their college graduation," said Dale Sanders. "Many of the concepts we first developed and applied over 20 years ago at Intermountain and then later refined during my tenure as CIO at Northwestern had a big influence on our technology and products at Health Catalyst. The vision of the Data Operating System and its application ecosystem originated in the real-world healthcare operations and research trenches of Northwestern.

At Health Catalyst, I had the wonderful opportunity to lead the teams who made that vision a reality for the benefit of the entire industry. None of it would have been possible without Bryan Hinton leading the DOS team and Eric Just and Dan Unger leading the application development teams. We've been working side-by-side for many years to make the vision real. Bryan is the consummate modern CTO from outside of healthcare that healthcare needs. I've always described Eric as having a manufacturing engineer's mindset with a healthcare data and software engineer's skills, with Dan Unger leveraging his deep domain expertise in financial transformation to oversee the development of meaningful applications and solutions so relevant for CFOs.

I'm honored and thrilled to step aside and turn the future over to their very capable hands. Under their leadership, the best is yet to come for Health Catalyst's technology." About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations, and is committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.Health Catalyst Media Contact:Kristen BerrySenior Vice President, Public Relations+1 (617) 234-4123HealthCatalyst@we-worldwide.com View original content to download multimedia:http://www.prnewswire.com/news-releases/health-catalyst-completes-hosting-of-the-largest-ever-healthcare-analytics-summit-and-announces-the-close-of-the-vitalware-acquisition-301125125.htmlSOURCE Health Catalyst.

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Shutterstock Bicameral legislation introduced Oct buy kamagra 100mg online. 9 would expand access to Harm Reduction Centers throughout New Jersey.Harm Reduction Centers provide sterile syringes and supplies to drug users. They also provide screening for HIV and buy kamagra 100mg online other sexually transmitted infections.

Screening Hepatitis C. Treatment and pre- and post-exposure prophylaxis services. Naloxone and buy kamagra 100mg online overdose prevention education.

And resources for critical services such as HIV care.In addition, they provide connections to housing, counseling, support groups, and essential health services such as medication for opioid-use disorder, substance use disorder treatment, and prenatal care.New Jersey made its state syringe-access program permanent in 2016, but there are few centers statewide.The bill would remove regulations that often prevent the establishment of Harm Reduction Centers.“The current battle against COVID makes Harm Reduction expansion even more urgent, as we are facing the pandemic on top of the existing overdose crisis, rising Hepatitis C infections, and the ongoing HIV Epidemic,” Axel Torres Marrero, Hyacinth AIDS Foundation Senior Director of Public Policy and Legal Services, said. Sen. Joseph Vitale (D-Middlesex) and Assemblywoman Valerie Vainieri Huttle (D-Bergen) introduced the bill.

According to studies, drug users with access to Harm Reduction Centers are five times more likely to stop chaotic- substance use and 50 percent less likely to acquire Hepatitis C or HIV.Shutterstock In his weekly radio address, Arkansas Gov. Asa Hutchinson recently highlighted ways the state is addressing and slowing drug addiction rates.“We are seeking to raise awareness and prevent new victims from falling prey to addiction, and we want to ensure access to treatment for those who have,” Hutchinson said. €œWe want to reinforce our commitment to holding those who contribute to this epidemic accountable.

This is a tough topic to talk about, but we must if we are to slow this epidemic.”The number of overdose deaths in the state dropped 17 percent from 2019, making Arkansas’ rate of reduction second-best in the United States.Hutchinson proclaimed the week of Oct. 23 National Red Ribbon Week, Oct. 24 as Drug Take Back Day and Oct.

28 as Chasing the Dragon. Opioid Awareness Day in Arkansas.Arkansas Drug Director Kirk Lane will oversee Drug Take Back Day. Over the past decade, more than 200 tons of unused and out-of-date medicines were collected for disposal.

Chasing the Dragon. Opioid Awareness Day in Arkansas is a project led by the FBI’s Little Rock field office that coordinates the viewing of Chasing the Dragon, a frank DEA-FBI documentary about drug use, in schools.The state received a $21 million federal grant in September to expand substance-abuse-treatment programs.Shutterstock Michigan Attorney General Dana Nessel announced Oct. 7 that she has joined a coalition of attorneys general who is asking the creative community to take action to eliminate tobacco imagery from streamed movies and programs as an effort to protect young viewers.

The coalition, formed last year, sent a letter to five Hollywood creative guilds as part of an effort to reduce youth exposure to tobacco, urging them to limit tobacco imagery in their video content. The attorneys general said that gaining the assistance and support would help stop the normalization and glamorization of tobacco use. €œThe statistics across our nation and right here in Michigan very clearly demonstrate that youth vaping is not something we can turn a blind eye to.

Across counties in Michigan last year, our state witnessed between a 30 percent and 118 percent increase in e-cigarette use among high school students. This increase is substantial and alarming and will require all hands on deck to change it,” said Nessel. €œMy colleagues and I encourage the creative guilds to join this very important dialogue to ensure our youth across this nation are protected from the influences of tobacco use.” In letters sent to the Directors Guild of America, Producers Guild of America, Screenwriters Guild of America, Screen Actors Guild-American Federation of Television and Radio Artists, and International Alliance of Theatrical Stage Employees, the attorneys general asked the guilds to use their influence to depict tobacco imagery more responsibly and encourage streaming companies to adopt a practice that steers young viewers away from tobacco imagery content.

To only recommend and promote tobacco-free titles to children and families. To mitigate the impact of watching tobacco imagery by running anti-tobacco spots and displaying tobacco-use warnings. And to offer parental controls so that families are empowered to choose tobacco-free content.Shutterstock In a new settlement, the largest generic opioid manufacturer in the United States will pay $1.6 billion into a trust that will go towards abating the opioid crisis, attorneys general from several states said on Friday.

Under the agreement, Mallinckrodt (MNK) will pay $450 million into the trust upon emerging from bankruptcy and then pay $200 million annually for the first and second year out of bankruptcy. For five years after that, the company will pay $150 million annually. Additionally, MNK agreed that its opioid business will be subject to stringent injunctive relief that will prevent marketing and ensure systems are in place to prevent drug misuse.

€œThis agreement is a significant step toward helping those victimized by one of the worst man-made epidemics in our state’s history,” said Texas Attorney General Ken Paxton. €œMy office has been aggressively working to hold opioid manufacturers accountable for their deceptive marketing of highly-addictive pain pills, which spurred an epidemic and left victims and families with unimaginable consequences. My office will continue to do everything it can to protect Texans and help our state heal from this crisis.”The agreement covers lawsuits brought against the company by 50 states attorneys general and other local subdivisions.

€œThis is a significant development in our efforts to provide relief to Hoosiers who have been hurt by the unprecedented opioid crisis,” Indiana Attorney General Curtis Hill said. €œOpioid misuse and addiction continues to afflict the people of Indiana, and we will continue to do everything in our power to mitigate the effects of this urgent and tragic public health emergency.”It was not immediately clear how much money each state would receive, how the money would be distributed, or how the trust will be administered. The new settlement improved a previous deal in February by moving $150 million from the last payment to the first.

Since the February settlement, MNK has declared bankruptcy due to other legal issues and the impact of COVID-19. As a result, the February agreement had to be renegotiated. €œThe enhancements to this already strong, global agreement will ensure more money flows to states more quickly to stop the death and destruction brought on by the national opioid crisis.

€¦ By holding Mallinckrodt accountable for its role in exacerbating the opioid crisis, we move closer to our goal of ending this epidemic and bringing relief to the Florida communities affected,” Florida’s Attorney General Ashley Moody said..

Shutterstock Bicameral legislation introduced kamagra soft chewable Oct. 9 would expand access to Harm Reduction Centers throughout New Jersey.Harm Reduction Centers provide sterile syringes and supplies to drug users. They also provide screening for HIV and other kamagra soft chewable sexually transmitted infections. Screening Hepatitis C. Treatment and pre- and post-exposure prophylaxis services.

Naloxone and overdose kamagra soft chewable prevention education. And resources for critical services such as HIV care.In addition, they provide connections to housing, counseling, support groups, and essential health services such as medication for opioid-use disorder, substance use disorder treatment, and prenatal care.New Jersey made its state syringe-access program permanent in 2016, but there are few centers statewide.The bill would remove regulations that often prevent the establishment of Harm Reduction Centers.“The current battle against COVID makes Harm Reduction expansion even more urgent, as we are facing the pandemic on top of the existing overdose crisis, rising Hepatitis C infections, and the ongoing HIV Epidemic,” Axel Torres Marrero, Hyacinth AIDS Foundation Senior Director of Public Policy and Legal Services, said. Sen. Joseph Vitale (D-Middlesex) and Assemblywoman Valerie Vainieri Huttle (D-Bergen) introduced the bill. According to studies, drug users with access to Harm Reduction Centers are five times more likely to stop chaotic- substance use and 50 percent less likely to acquire Hepatitis C or HIV.Shutterstock In his weekly radio address, Arkansas Gov.

Asa Hutchinson recently highlighted ways the state is addressing and slowing drug addiction rates.“We are seeking to raise awareness and prevent new victims from falling prey to addiction, and we want to ensure access to treatment for those who have,” Hutchinson said. €œWe want to reinforce our commitment to holding those who contribute to this epidemic accountable. This is a tough topic to talk about, but we must if we are to slow this epidemic.”The number of overdose deaths in the state dropped 17 percent from 2019, making Arkansas’ rate of reduction second-best in the United States.Hutchinson proclaimed the week of Oct. 23 National Red Ribbon Week, Oct. 24 as Drug Take Back Day and Oct.

28 as Chasing the Dragon. Opioid Awareness Day in Arkansas.Arkansas Drug Director Kirk Lane will oversee Drug Take Back Day. Over the past decade, more than 200 tons of unused and out-of-date medicines were collected for disposal. Chasing the Dragon. Opioid Awareness Day in Arkansas is a project led by the FBI’s Little Rock field office that coordinates the viewing of Chasing the Dragon, a frank DEA-FBI documentary about drug use, in schools.The state received a $21 million federal grant in September to expand substance-abuse-treatment programs.Shutterstock Michigan Attorney General Dana Nessel announced Oct.

7 that she has joined a coalition of attorneys general who is asking the creative community to take action to eliminate tobacco imagery from streamed movies and programs as an effort to protect young viewers. The coalition, formed last year, sent a letter to five Hollywood creative guilds as part of an effort to reduce youth exposure to tobacco, urging them to limit tobacco imagery in their video content. The attorneys general said that gaining the assistance and support would help stop the normalization and glamorization of tobacco use. €œThe statistics across our nation and right here in Michigan very clearly demonstrate that youth vaping is not something we can turn a blind eye to. Across counties in Michigan last year, our state witnessed between a 30 percent and 118 percent increase in e-cigarette use among high school students.

This increase is substantial and alarming and will require all hands on deck to change it,” said Nessel. €œMy colleagues and I encourage the creative guilds to join this very important dialogue to ensure our youth across this nation are protected from the influences of tobacco use.” In letters sent to the Directors Guild of America, Producers Guild of America, Screenwriters Guild of America, Screen Actors Guild-American Federation of Television and Radio Artists, and International Alliance of Theatrical Stage Employees, the attorneys general asked the guilds to use their influence to depict tobacco imagery more responsibly and encourage streaming companies to adopt a practice that steers young viewers away from tobacco imagery content. To only recommend and promote tobacco-free titles to children and families. To mitigate the impact of watching tobacco imagery by running anti-tobacco spots and displaying tobacco-use warnings. And to offer parental controls so that families are empowered to choose tobacco-free content.Shutterstock In a new settlement, the largest generic opioid manufacturer in the United States will pay $1.6 billion into a trust that will go towards abating the opioid crisis, attorneys general from several states said on Friday.

Under the agreement, Mallinckrodt (MNK) will pay $450 million into the trust upon emerging from bankruptcy and then pay $200 million annually for the first and second year out of bankruptcy. For five years after that, the company will pay $150 million annually. Additionally, MNK agreed that its opioid business will be subject to stringent injunctive relief that will prevent marketing and ensure systems are in place to prevent drug misuse. €œThis agreement is a significant step toward helping those victimized by one of the worst man-made epidemics in our state’s history,” said Texas Attorney General Ken Paxton. €œMy office has been aggressively working to hold opioid manufacturers accountable for their deceptive marketing of highly-addictive pain pills, which spurred an epidemic and left victims and families with unimaginable consequences.

My office will continue to do everything it can to protect Texans and help our state heal from this crisis.”The agreement covers lawsuits brought against the company by 50 states attorneys general and other local subdivisions. €œThis is a significant development in our efforts to provide relief to Hoosiers who have been hurt by the unprecedented opioid crisis,” Indiana Attorney General Curtis Hill said. €œOpioid misuse and addiction continues to afflict the people of Indiana, and we will continue to do everything in our power to mitigate the effects of this urgent and tragic public health emergency.”It was not immediately clear how much money each state would receive, how the money would be distributed, or how the trust will be administered. The new settlement improved a previous deal in February by moving $150 million from the last payment to the first. Since the February settlement, MNK has declared bankruptcy due to other legal issues and the impact of COVID-19.

As a result, the February agreement had to be renegotiated. €œThe enhancements to this already strong, global agreement will ensure more money flows to states more quickly to stop the death and destruction brought on by the national opioid crisis. €¦ By holding Mallinckrodt accountable for its role in exacerbating the opioid crisis, we move closer to our goal of ending this epidemic and bringing relief to the Florida communities affected,” Florida’s Attorney General Ashley Moody said..


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