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what viagra does. This role has become even more important during the COVID-19 pandemic. As patients navigate our new reality, they are looking to us to determine what is safe, how to protect their families, and the future what does viagra do of their health care. As more Texans lose their jobs, their health insurance, or even their homes, it is crucial that Texas receives the resources it needs to uphold our social safety net.

The U.S. Census helps determine funding for those resources, and that is why it is of what does viagra do the upmost importance that each and every Texan, no matter address, immigration status, or age, respond to the 2020 U.S. Census. The deadline has been cut what does viagra do short one month and now closes Sept.

30.COVID-19 has only increased the importance of completing the census to help our local communities and economies recover. The novel coronavirus has inflicted unprecedented strain on patients and exacerbated inequality as more people are out of work and are many in need of help with food, health care, housing, and more. Schools also have been stretched what does viagra do thin, with teachers scrambling to teach students online. Yet, the amount of federal funding Texas has available today to help weather this emergency was driven in part by the census responses made a decade ago.

Getting an accurate count in 2020 will help Texans prepare for the decade to follow, the first few years of which most certainly will be spent rebuilding from the pandemic’s fallout. Therefore, it is vital that what does viagra do all Texans be counted.The federal dollars Texas receives generally depends on our population. A George Washington University study recently found that even a 1% undercount can lead to a $300 million loss in funding.Take Medicaid, for example. Federal funds pay for 60% of the state’s program, which provides health coverage for two out of five Texas children, one in three individuals with disabilities, and 53% of all what does viagra do births.

The complicated formula used to calculate the federal portion of this funding depends on accurate census data. If Texas’ population is undercounted, Texans may appear better off financially than they really are, resulting in Texas getting fewer federal Medicaid dollars. If that happens, lawmakers will have to what does viagra do make up the difference, with cuts in services, program eligibility, or physician and provider payments, any of which are potentially detrimental.The census data also is key to funding other aspects of a community’s social safety net:Health careThe Children’s Health Insurance Program (CHIP) provides low-cost health insurance to children whose parents make too much to qualify for Medicaid, but not enough to afford quality coverage. Like Medicaid, how much money the federal government reimburses the state for the program depends in part on the census.Maternal and child health programs that promote public health and help ensure children are vaccinated relies on data from the census.

Texas also uses this federal funding to study and respond to maternal mortality what does viagra do and perinatal depression.Food and housing As unemployment rises and families struggle financially, many live with uncertainty as to where they will find their next meal. Already, one in seven Texans experiences food insecurity, and 20% of Texas children experience hunger. Food insecurity is rising in Texas as the pandemic continues. The Central Texas what does viagra do Food Bank saw a 206% rise in clients in March.

Funding for the Supplemental Nutrition Assistance Program and school lunch programs are both determined by the census. Funding for local housing programs also is calculated via the census. An accurate count will what does viagra do help ensure that people who lose their homes during this economic crisis have better hope of finding shelter while our communities recover. Homelessness is closely connected with declines in overall physical and mental health.Childcare and educationAs we navigate the new reality brought on by coronavirus, more parents are taking on roles as breadwinner, parent, teacher, and caretaker.

This stress highlights what does viagra do the desperate need for affordable childcare. The census determines funding for programs like Head Start that provide comprehensive early childhood education to low-income families. The good news is you still have time to complete the census. Visit 2020census.gov to take it what does viagra do.

It takes less than five minutes to complete. Then talk to your family, neighbors, and colleagues about doing the what does viagra do same. If you are wondering who counts, the answer is everyone, whether it’s a newborn baby, child in foster care, undocumented immigrant, or an individual experiencing homelessness.Completing the census is one of the best things that you can do for the health of your community, especially during the pandemic. Thank you for helping Texas heal and for supporting these essential safety net programs.(L to R).

UTHSA medical students Swetha Maddipudi, Brittany Hansen, what does viagra do Charles Wang, Carson Cortino, faculty advisor Kaparaboyna Kumar, MD, Ryan Wealther, Sidney Akabogu, Irma Ruiz, and Frank Jung pose with the TMA Be Wise Immunize banner. Photo courtesy by Ryan WealtherRyan WealtherMedical Student, UT Health San Antonio Long School of MedicineStudent Member, Texas Medical AssociationEditor’s Note. August is National Immunization Awareness Month. This article is part of a Me&My Doctor series highlighting and promoting the use of vaccinations.“Can the flu shot give you what does viagra do the flu?.

€â€œIs it dangerous for pregnant women to get a flu shot?. €â€œCan vaccines what does viagra do cause autism?. €These were questions women at Alpha Home, a residential substance abuse rehabilitation center in San Antonio, asked my fellow medical students and me during a flu vaccine discussion. It is easy to see why these questions were asked, as vaccine misinformation is common today.UTHSA medical student Frank Jing (left) gets a vaccine fromKaparaboyna Kumar, MD, (right).Photo courtesy of Ryan Wealther“No” is the answer to all the questions.

These were exactly the types of myths we set out to dispel at our vaccination drive.UT Health San Antonio Long School of Medicine medical students (under the supervision of Kaparaboyna Ashok Kumar, MD, faculty advisor for the Texas Medical Association Medical Student Section at UT Health San Antonio) hosted the vaccine drive at Alpha Home with the support of TMA’s Be Wise – Immunize℠ program, a public health initiative that aims to increase vaccinations and vaccine awareness through shot clinics and what does viagra do education. Our program consisted of a vaccination drive and an interactive, educational presentation that addressed influenza, common flu shot questions, and general vaccine myths. The Alpha Home residents could ask us questions during the program.We were interested to see if our educational program could answer Alpha Home residents’ questions about what does viagra do vaccinations and allay their hesitations about getting a flu vaccination. To gauge this, we created a brief survey.(Before I discuss the results of the survey, I should define vaccine hesitancy.

Vaccine hesitancy is a concept defined by the World Health Organization. It relates to when patients do not vaccinate despite what does viagra do having access to vaccines. Vaccine hesitancy is a problem because it prevents individuals from receiving their vaccinations. That makes them more susceptible to getting sick from vaccine-preventable diseases.)We surveyed the residents’ opinions about vaccinations before and after our educational program.

While opinions about shots improved with each survey what does viagra do question, we saw the most significant attitude change reflected in answers to the questions “I am concerned that vaccinations might not be safe,” and “How likely are you to receive a flu shot today?. € We had informed the residents and improved their understanding and acceptance of immunizations.Post-survey results show more residents at the Alpha Home shifted to more positive attitudes about vaccines, after learning more about their effectiveness by trusted members of the medical community. Graph by Ryan WealtherWhy is this what does viagra do important?. First, our findings confirm what we already knew.

Education by a trusted member of the medical community can effect change. In fact, it what does viagra do is widely known that physician recommendation of vaccination is one of the most critical factors affecting whether patients receive an influenza vaccination. Perhaps some added proof to this is that a few of the Alpha Home residents were calling me “Dr. Truth” by the end of the evening.Second, our findings add what does viagra do to our understanding of adult vaccine hesitancy.

This is significant because most of what we know about vaccine hesitancy is limited to parental attitudes toward their children’s vaccinations. Some parents question shots for their children, and many of the most deadly diseases we vaccinate against are given in childhood, including polio, tetanus, measles, and whooping cough shots. However, adults need some vaccinations as what does viagra do well, like the yearly influenza vaccine. After taking part in the UTHSA educational program, more residents at the Alpha Home shared more willingness to receive the flu vaccine.

Graph by Ryan WealtherAnother reason improving attitudes is important is that receiving a flu shot is even more timely during the COVID-19 pandemic because it decreases illnesses and conserves health care resources. Thousands of people each year what does viagra do are hospitalized from the flu, and with hospitals filling up with coronavirus patients, we could avoid adding dangerously ill flu patients to the mix. Lastly, these findings are important because once a COVID-19 vaccination becomes available, more people might be willing to receive it if their overall attitude toward immunizations is positive. Though the COVID-19 vaccine is still in development, it is not immune what does viagra do to vaccine hesitancy.

Recent polls have indicated up to one-third of Americans would not receive a COVID-19 vaccine even if it were accessible and affordable. Work is already being done to try to raise awareness and acceptance. In addition, misinformation about the COVID vaccine is circulating what does viagra do widely. (Someone recently asked me if the COVID vaccine will implant a microchip in people, and I have seen the same myth circulating on social media.

It will not.) This myth, however, illustrates the need for health care professionals to answer patients’ questions and to assuage their concerns.Vaccines work best when many people in a community receive them, and vaccine hesitancy can diminish vaccination rates, leaving people who can't get certain vaccines susceptible what does viagra do to these vaccine-preventable diseases. For example, babies under 6 months of age should not receive a flu shot, so high community vaccination rates protect these babies from getting sick with the flu. Our educational program at Alpha Home is just one example of how health care professionals can increase awareness and acceptance of shots. As the COVID-19 pandemic progresses, we need to ensure children and adults receive their vaccinations as recommended by their physician and the what does viagra do Centers for Disease Control and Prevention.

I encourage readers who have questions about the vaccinations they or their child may need to talk with their physician. As health care professionals, we’re more than happy to answer your questions..

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€œAs results start to become clear, we will then have that kind of a situation where we’ll have more certainty about what's going on and how that will impact vaccination policy,” says Saad Omer, epidemiologist and director of the Yale Institute for Global Health. In other words, it's only after the first vaccine (or vaccines) receive approval that heath officials and policymakers can nail down logistics of how to get people vaccinated. Plus, no matter how good the initial vaccine options are, it may take additional how do i get viagra options to help nationwide vaccination campaigns run smoother and faster.What Later Options Could OfferFor starters, slower-to-market vaccines could have higher efficacy rates.

Again, it’s still not clear if this will be the case. And if this scenario does pan out, how do i get viagra it doesn’t mean that the first vaccine will be ineffective. The FDA has set an expectation that any COVID-19 vaccine would block the disease or reduce illness severity in at least 50 percent of people who get it.

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Aging immune systems can struggle to develop strong how do i get viagra responses to vaccines, and seniors might need modified formulas to up the odds that they will be protected from getting ill. For a COVID-19 vaccine, whether or not older people would need a different vaccine is still unknown, Omer emphasizes — there hasn’t been enough data yet from the various vaccines in development to determine whether they convey equal odds of immunity across all age groups. But the possibility means there could be room for formulas that work better for that portion of the population.

Enhanced options for the elderly already exist for how do i get viagra some viruses. A seasonal flu vaccine approved only for people over 65 has four times the virus-like component, for example. Manufacturers can how do i get viagra also add molecules called adjuvants as a way to improve likelihood of vaccination success.

€œAdjuvants can stimulate an immune system to function as if it were younger,” says Schaffner. Already, labs are researching adjuvants that, when added to a vaccine, kick off the best immune response possible, regardless of age.Several leading COVID-19 vaccine candidates might also require people to get two doses. People receive several injections for a single preventative how do i get viagra treatment all the time.

The HPV vaccine, for example, requires two or three shots depending on your age. But as vaccination efforts roll out, single-dose options are easier on the supply chain — that’s one syringe per person, not two — and how do i get viagra let people arrange time for a medical visit just once.There’s also the question of how different COVID-19 vaccines might reach people. A couple frontrunners in development need to be kept at super cold temperatures — we’re talking -4 degrees Fahrenheit for the Moderna candidate and -94 F for the two vaccines from a BioNTech and Pfizer collaboration.

Medical centers are used to keeping vaccines cold. But current CDC recommendations for optimal freezer temperatures only go as low as how do i get viagra -58 F, which means many clinics likely aren't set up to store these vaccines.Manufacturers and shipping companies are working hard to assemble enough deep freezers for distribution needs, which should be doable for the entire U.S. €œIt’s not a rocket science-level technology,” Omer says.

€œIt’s expensive, but it can be done.” An extreme cold requirement could become a larger issue in nations with a less-developed power infrastructure, so in those places, a less-deep-freeze-dependent vaccine could eliminate major barriers to vaccination programs.Of course, one of the largest challenges to vaccinating people against COVID-19 is each individual’s willingness to participate how do i get viagra. And right now, the federal education plan on the pandemic and COVID-19 vaccines specifically amounts to the CDC website, says Omer. €œWe don't have a national vaccine communication strategy,” he says, “and that blows my mind.” Without a concerted education effort, it could be challenging to convince people to go get their injection — let alone remind them if they’ll need to go back for a second..

In the rush of the drugs like viagra COVID-19 what does viagra do vaccine “race,” it’s easy to forget one important detail. There might be several winners. It’s too early to tell which or how many candidates will make it to market, which means some of the administrative protocols or what does viagra do requirements are unknown, too. €œAs results start to become clear, we will then have that kind of a situation where we’ll have more certainty about what's going on and how that will impact vaccination policy,” says Saad Omer, epidemiologist and director of the Yale Institute for Global Health.

In other words, it's only after the first vaccine (or vaccines) receive approval that heath officials and policymakers can nail down logistics of how to get people vaccinated. Plus, no matter how good the initial vaccine options are, it may take additional options to help nationwide vaccination campaigns run smoother and faster.What Later Options Could OfferFor starters, what does viagra do slower-to-market vaccines could have higher efficacy rates. Again, it’s still not clear if this will be the case. And if this what does viagra do scenario does pan out, it doesn’t mean that the first vaccine will be ineffective.

The FDA has set an expectation that any COVID-19 vaccine would block the disease or reduce illness severity in at least 50 percent of people who get it. Maybe the first option available will blow past the minimum expectation, Omer says. But if it doesn’t, then there’s still value in pursuing vaccines that are more likely to what does viagra do convey immunity to their recipients. There’s also a future scenario in which the first vaccine works well in younger people, but drops in efficacy for the elderly, says William Schaffner, an infectious disease specialist at Vanderbilt University Medical Center.

Aging immune systems can struggle to develop strong responses what does viagra do to vaccines, and seniors might need modified formulas to up the odds that they will be protected from getting ill. For a COVID-19 vaccine, whether or not older people would need a different vaccine is still unknown, Omer emphasizes — there hasn’t been enough data yet from the various vaccines in development to determine whether they convey equal odds of immunity across all age groups. But the possibility means there could be room for formulas that work better for that portion of the population. Enhanced options https://www.cityreal.lv/buy-viagra-online/ for what does viagra do the elderly already exist for some viruses.

A seasonal flu vaccine approved only for people over 65 has four times the virus-like component, for example. Manufacturers can also add molecules called adjuvants as a what does viagra do way to improve likelihood of vaccination success. €œAdjuvants can stimulate an immune system to function as if it were younger,” says Schaffner. Already, labs are researching adjuvants that, when added to a vaccine, kick off the best immune response possible, regardless of age.Several leading COVID-19 vaccine candidates might also require people to get two doses.

People receive what does viagra do several injections for a single preventative treatment all the time. The HPV vaccine, for example, requires two or three shots depending on your age. But as vaccination efforts roll out, single-dose options are easier on what does viagra do the supply chain — that’s one syringe per person, not two — and let people arrange time for a medical visit just once.There’s also the question of how different COVID-19 vaccines might reach people. A couple frontrunners in development need to be kept at super cold temperatures — we’re talking -4 degrees Fahrenheit for the Moderna candidate and -94 F for the two vaccines from a BioNTech and Pfizer collaboration.

Medical centers are used to keeping vaccines cold. But current CDC recommendations for optimal freezer temperatures only go as low as -58 F, which means many clinics likely aren't set up to store these vaccines.Manufacturers and shipping companies are working hard to assemble enough deep freezers for distribution needs, which should be what does viagra do doable for the entire U.S. €œIt’s not a rocket science-level technology,” Omer says. €œIt’s expensive, but it can be done.” An extreme cold requirement could become a larger issue in nations with a less-developed power infrastructure, so in those places, a what does viagra do less-deep-freeze-dependent vaccine could eliminate major barriers to vaccination programs.Of course, one of the largest challenges to vaccinating people against COVID-19 is each individual’s willingness to participate.

And right now, the federal education plan on the pandemic and COVID-19 vaccines specifically amounts to the CDC website, says Omer. €œWe don't have a national vaccine communication strategy,” he says, “and that blows my mind.” Without a concerted education effort, it could be challenging to convince people to go get their injection — let alone remind them if they’ll need to go back for a second..

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3 article. UCSF Pulmonary Rehabilitation and Sleep Disorders Center 4. Division of Pulmonary and Critical Care Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, San Francisco, CA, USA, , Email. [email protected]Publication date:01 July 2020More about this publication?. The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research.

The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on lung health world-wide. To share scientific research of immediate concern as rapidly as possible, The Union is fast-tracking the publication of certain articles from the IJTLD and publishing them on The Union website, prior to their publication in the Journal. Read fast-track articles.Certain IJTLD articles are also selected for translation into French, Spanish, Chinese or Russian. These are get more available on the Union website.Editorial BoardInformation for AuthorsSubscribe to this TitleInternational Journal of Tuberculosis and Lung DiseasePublic Health ActionIngenta Connect is not responsible for the content or availability of external websitesNo AbstractNo Reference information available - sign in for access. No Supplementary Data.No Article MediaNo MetricsDocument Type.

Research ArticleAffiliations:1. Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil 2. Center for Infectious Disease Epidemiology and Surveillance, National Institute of Public Health and the Environment, Bilthoven, The Netherlands, , Email. [email protected]Publication date:01 July 2020More about this publication?. The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research.

The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on lung health world-wide. To share scientific research of immediate concern as rapidly as possible, The Union is fast-tracking the publication of certain articles from the IJTLD and publishing them on The Union website, prior to their publication in the Journal.

No AbstractNo does generic viagra work Reference information available - sign what does viagra do in for access. No Supplementary Data.No Article MediaNo MetricsDocument Type. Research ArticleAffiliations:1. Department of Rehabilitation, University of Zimbabwe College of what does viagra do Health Sciences, Harare, Zimbabwe 2. 3.

UCSF Pulmonary Rehabilitation and Sleep Disorders Center 4. Division of Pulmonary and Critical Care Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, San Francisco, what does viagra do CA, USA, , Email. [email protected]Publication date:01 July 2020More about this publication?. The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on lung health world-wide.

To share scientific research of immediate concern as rapidly as possible, The Union is fast-tracking the publication of certain articles from what does viagra do the IJTLD and publishing them on The Union website, prior to their publication in the Journal. Read fast-track articles.Certain IJTLD articles are also selected for translation into French, Spanish, Chinese or Russian. These are available on the Union website.Editorial BoardInformation for AuthorsSubscribe to this TitleInternational Journal of Tuberculosis and Lung DiseasePublic Health ActionIngenta Connect is not responsible for the content or availability of external websitesNo AbstractNo Reference information available - sign in for access. No Supplementary what does viagra do Data.No Article MediaNo MetricsDocument Type. Research ArticleAffiliations:1.

Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil 2. Center for Infectious Disease Epidemiology and Surveillance, National Institute of Public Health and the Environment, Bilthoven, The Netherlands, , Email.

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Also, people who have not exercised in some time should generally consult a physician before tackling a new exercise routine.Judy Londa, a 55-year-old does viagra help with pe Brooklynite who had been traveling by subway to teach art in a Manhattan public school earlier this year, developed symptoms of Covid-19 two days before in-person schooling was abruptly canceled https://www.cityreal.lv/real-viagra/ mid-March.Ms. Londa said she was very ill for two weeks with “intense chest tightness that felt like a car was parked on it and barely able to walk from one room to another.” But she stayed out of the hospital, using FaceTime to consult regularly with her doctor, an infectious disease specialist.By May she felt well enough to stroll around the neighborhood, gradually increasing the distance she walked. She expected a full recovery. But now, more than six months after she fell ill, walking up even a short hill can exhaust her, and she wonders if she will ever again feel like the athletic, energetic, healthy woman she was before the novel coronavirus turned her life into a roller coaster of recurring illness despite no evidence of an active infection.“I will feel better for about five days and able to walk a mile does viagra help with pe or more and do yoga, then I’m flattened again for another five days,” Ms. Londa told me.

€œOn-and-off like a switch, the same symptoms keep repeating — a feeling like cement is pushing on my chest, chills, cough, sore throat, dry mouth, tingling in my arm, an irregular heartbeat. I’m about to fall asleep, then suddenly start does viagra help with pe gasping for air like I’m drowning, and I have to get up and walk. It’s really, really depressing.”Covid-19 also has left her with health problems she never had before. Pre-diabetes, high cholesterol, high blood pressure and premature ventricular contractions — a heart flutter caused by extra beats in one of the heart’s pumping chambers. Checking with Covid-19 survivors on Facebook, does viagra help with pe she found that others shared her lingering, recurring symptoms.

Ms. Londa has been fairly well the past 10 days, but to conserve energy she has been teaching remotely. #styln-briefing-block { does viagra help with pe font-family. Nyt-franklin,helvetica,arial,sans-serif. Background-color.

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The Coronavirus Outbreak 1h ago ‘A regional Covid storm,’ one governor says as cases spike up in less populous states. 2h ago Little is known about immunity in a patient like Trump, scientists warn. 3h ago Fauci takes issue with Trump’s end-of-year vaccine claims. See more updates More live coverage.

Markets At the start of the pandemic, doctors were necessarily focused on combating the acute effects of Covid-19 and saving lives, but research is now underway to assess its long-term effects and find ways to prevent and treat lasting symptoms. There is increasing concern that the pandemic will result in “a significant surge of people battling lasting illnesses and disabilities,” the journal Nature reported.In a commentary in The Lancet in September, an international team of infectious disease specialists conceded that “we do not know what to tell our patients when they are asking about the course and prognosis of their ongoing complaints.” Among the many unknowns they cited. €œDoes acute Covid-19 cause diabetes?. Or other metabolic disorders?.

Will patients develop interstitial lung disease?. €They wondered, too, “which symptoms might be explained by the anxiety caused by a new disease and by the isolation, and which symptoms are secondary to a complicated form of Covid-19.” At present, the unknowns about long-term consequences of this potentially devastating viral infection far outnumber the knowns.One fact already known. A person need not have had severe disease to experience symptoms that persist for months and, time will tell, possibly for years. Even some people who had mild Covid infections continue to experience symptoms long after recovering from the acute illness.The range of reported symptoms is vast.

They include unusual fatigue from physical or mental activity, brain fog, temperature irregularities, rashes, memory problems and insomnia. It’s as if the body’s immune response to the coronavirus has thrown the nervous system out of whack, according to Dr. Dayna McCarthy, rehabilitation specialist at the Mount Sinai Center for Post-Covid Care.The lasting effects among those who survived another serious coronavirus disease, SARS, are not very encouraging. As the Mayo Clinic reported, “Many people who have recovered from SARS have gone on to develop chronic fatigue syndrome, a complex disorder characterized by extreme fatigue that worsens with physical or mental activity, but doesn’t improve with rest.

The same may be true for people who have had Covid-19.”The Covid-19 virus can damage the lungs, heart and brain, increasing the risk of persistent health problems.

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Start Preamble pills like viagra Food and Drug Administration, Health and Human https://www.cityreal.lv/generic-viagra-no-prescription/ Services (HHS). Notice. The Food and Drug Administration (FDA) is announcing the issuance of four Emergency Use Authorizations (EUAs) (the Authorizations) for drugs for use during pills like viagra the COVID-19 pandemic. FDA issued four Authorizations under the Federal Food, Drug, and Cosmetic Act (FD&C Act), as requested by the Department of Health and Human Services (HHS) Biomedical Advanced Research and Development Authority (BARDA), Fresenius Medical Care, Gilead Sciences, Inc., and Fresenius Kabi USA, LLC. The Authorizations contain, among other things, conditions on the emergency use of the authorized drugs.

The Authorizations follow the February 4, 2020, determination by the Secretary of HHS that there is a public health emergency that has a significant potential to affect national security or the pills like viagra health and security of U.S. Citizens living abroad and that involves a novel (new) coronavirus. The virus is now named SARS-CoV-2, which causes the illness COVID-19. On the basis of such determination, the Secretary of HHS declared pills like viagra on March 27, 2020, that circumstances exist justifying the authorization of emergency use of drugs and biological products during the COVID-19 pandemic, pursuant to the FD&C Act, subject to the terms of any authorization issued under that section. FDA is also announcing the subsequent revocation of the Authorization issued to BARDA for oral formulations of chloroquine phosphate and hydroxychloroquine sulfate.

FDA revoked this authorization on June 15, 2020. The Authorizations, and the revocation, which include an explanation of pills like viagra the reasons for issuance or revocation, are reprinted in this document. The Authorization for BARDA was effective as of March 28, 2020, and the revocation of this Authorization is effective as of June 15, 2020. The Authorization for Fresenius Medical Care is effective as of April 30, 2020. The Authorization for Gilead pills like viagra Sciences, Inc.

Is effective as of May 1, 2020. The Authorization for Fresenius Kabi USA, LLC is effective as of May 8, 2020. Submit written requests for single copies of the EUAs to the Office of Counterterrorism and Emerging Threats, pills like viagra Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4338, Silver Spring, MD 20993-0002.

Send one self-addressed adhesive label to assist that office in processing pills like viagra your request or include a Fax number to which the Authorizations may be sent. See the SUPPLEMENTARY INFORMATION section for electronic access to the Authorizations. Start Further Info Michael Mair, Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm pills like viagra. 4332, Silver Spring, MD 20993-0002, 301-796-8510 (this is not a toll free number).

End Further Info End Preamble Start Supplemental Information I. Background Section 564 pills like viagra of the FD&C Act (21 U.S.C. 360bbb-3) allows FDA to strengthen the public health protections against biological, chemical, nuclear, and radiological agents. Among other things, section 564 of the FD&C Act allows FDA to authorize the use of an unapproved medical product pills like viagra or an unapproved use of an approved medical product in certain situations. With this EUA authority, FDA can help ensure that medical countermeasures may be used in emergencies to diagnose, treat, or prevent serious or life-threatening diseases or conditions caused by biological, chemical, nuclear, or radiological agents when there are no adequate, approved, and available alternatives.

II. Criteria for pills like viagra EUA Authorization Section 564(b)(1) of the FD&C Act provides that, before an EUA may be issued, the Secretary of HHS must declare that circumstances exist justifying the authorization based on one of the following grounds. (1) A determination by the Secretary of Homeland Security that there is a domestic emergency, or a significant potential for a domestic emergency, involving a heightened risk of attack with a biological, chemical, radiological, or nuclear agent or agents. (2) a determination by the Secretary of Defense that there is a military emergency, or a significant potential for a military emergency, involving a heightened risk to U.S. Military forces, including personnel operating under the pills like viagra authority of title 10 or title 50, United States Code, of attack with (i) a biological, chemical, radiological, or nuclear agent or agents.

Or (ii) an agent or agents that may cause, or are otherwise associated with, an imminently life-threatening and specific risk to U.S. Military forces; [] (3) a determination by the Secretary of HHS that there is a public health emergency, or a significant potential for a public health emergency, that affects, or has a significant potential to affect, national security or the health and security of U.S. Citizens living abroad, and that involves a biological, chemical, radiological, or nuclear agent or agents, or a disease or pills like viagra condition that may be attributable to such agent or agents. Or (4) the identification of a material threat by the Secretary of Homeland Security pursuant to section 319F-2 of the Public Health Service (PHS) Act (42 U.S.C. 247d-6b) sufficient to affect national security or the health and security of U.S.

Citizens living abroad pills like viagra. Once the Secretary of HHS has declared that circumstances exist justifying an authorization under section 564 of the FD&C Act, FDA may authorize the emergency use of a drug, device, or biological product if the Agency concludes that the statutory criteria are satisfied. Under section 564(h)(1) of the FD&C Act, FDA is required to publish in the Federal Register a notice of each authorization, and each termination or revocation of an authorization, and an explanation of the reasons for the action. Section 564 of the FD&C Act permits FDA to authorize the introduction into interstate commerce of Start Printed Page 56232a drug, device, or biological product intended for use when the Secretary of HHS has declared that circumstances pills like viagra exist justifying the authorization of emergency use. Products appropriate for emergency use may include products and uses that are not approved, cleared, or licensed under sections 505, 510(k), 512, or 515 of the FD&C Act (21 U.S.C.

355, 360(k), 360b, and 360e) or section 351 of the PHS Act (42 U.S.C. 262), or conditionally approved under section 571 of the FD&C Act pills like viagra (21 U.S.C. 360ccc). FDA may issue an EUA only if, after consultation with the HHS Assistant Secretary for Preparedness and Response, the Director of the National Institutes of Health, and the Director of the Centers for Disease Control and Prevention (to the extent feasible and appropriate given the applicable circumstances), FDA [] concludes. (1) That an agent referred to in a declaration of emergency or threat can cause a serious or pills like viagra life-threatening disease or condition.

(2) that, based on the totality of scientific evidence available to FDA, including data from adequate and well-controlled clinical trials, if available, it is reasonable to believe that. (A) The product may be effective in diagnosing, pills like viagra treating, or preventing (i) such disease or condition. Or (ii) a serious or life-threatening disease visit here or condition caused by a product authorized under section 564, approved or cleared under the FD&C Act, or licensed under section 351 of the PHS Act, for diagnosing, treating, or preventing such a disease or condition caused by such an agent. And (B) the known and potential benefits of the product, when used to diagnose, prevent, or treat such disease or condition, outweigh the known and potential risks of the product, taking into consideration the material threat posed by the agent or agents identified in a declaration under section 564(b)(1)(D) of the FD&C Act, if applicable. (3) that there is no adequate, approved, and available alternative to the product for diagnosing, preventing, pills like viagra or treating such disease or condition.

(4) in the case of a determination described in section 564(b)(1)(B)(ii), that the request for emergency use is made by the Secretary of Defense. And (5) that such other criteria as may be prescribed by regulation are satisfied. No other criteria for issuance have been prescribed by regulation under pills like viagra section 564(c)(4) of the FD&C Act. III. The Authorizations The Authorizations follow the February 4, 2020, determination by the Secretary of HHS that there is a public health emergency that has a significant potential to affect national security or the health and security of U.S.

Citizens living abroad pills like viagra and that involves a novel (new) coronavirus. The virus is now named SARS-CoV-2, which causes the illness COVID-19. Notice of the Secretary's determination was provided in the Federal Register on February 7, 2020 (85 FR 7316). On the basis of such determination, the Secretary of HHS declared on March 27, 2020, that circumstances exist justifying pills like viagra the authorization of emergency use of drugs and biological products during the COVID-19 pandemic, pursuant to section 564 of the FD&C Act, subject to the terms of any authorization issued under that section. Notice of the Secretary's declaration was provided in the Federal Register on April 1, 2020 (85 FR 18250).

Having concluded that the criteria for issuance of the Authorizations under section 564(c) of the FD&C Act are met, FDA has issued four authorizations for the emergency use of drugs during the COVID-19 pandemic. On March 28, 2020, FDA issued an EUA to BARDA for oral formulations pills like viagra of chloroquine phosphate and hydroxychloroquine sulfate, subject to the terms of the Authorization. On April 30, 2020, FDA issued an EUA to Fresenius Medical Care for multiFiltrate PRO System and multiBic/multiPlus Solutions, subject to the terms of the Authorization. On May 1, 2020, FDA issued an EUA to Gilead Sciences, Inc. For remdesivir, subject to the pills like viagra terms of the Authorization.

On May 8, 2020, FDA issued an EUA to Fresenius Kabi USA, LLC for Fresenius Propoven 2% Emulsion, subject to the terms of the Authorization. The Authorizations in their entirety (not including the authorized versions of the fact sheets and other written materials) follow, below section VI Electronic Access, and provide an explanation of the reasons for issuance, as required by section 564(h)(1) of the FD&C Act. IV. EUA Criteria for Issuance No Longer Met Under section 564(g)(2) of the FD&C Act, the Secretary of HHS may revoke an EUA if, among other things, the criteria for issuance are no longer met. On June 15, 2020, FDA revoked the EUA for BARDA for oral formulations of chloroquine phosphate and hydroxychloroquine sulfate because the criteria for issuance were no longer met.

Under section 564(c)(2) of the FD&C Act, an EUA may be issued only if FDA concludes that, based on the totality of scientific evidence available to the Secretary, including data from adequate and well-controlled clinical trials, if available, it is reasonable to believe that. (1) The product may be effective in diagnosing, treating, or preventing such disease or condition and (2) the known and potential benefits of the product, when used to diagnose, prevent, or treat such disease or condition, outweigh the known and potential risks of the product. Based on a review of new information and a reevaluation of information available at the time the EUA was issued, FDA now concludes it is no longer reasonable to believe that (1) oral formulations of chloroquine phosphate and hydroxychloroquine sulfate may be effective in treating COVID-19 for the uses authorized in the EUA, or (2) the known and potential benefits of these products outweigh their known and potential risks for those uses. Accordingly, FDA revokes the EUA for emergency use of chloroquine phosphate and hydroxychloroquine sulfate to treat COVID-19, pursuant to section 564(g)(2) of the FD&C Act. V.

The Revocation Having concluded that the criteria for revocation of the Authorization under section 564(g) of the FD&C Act are met, FDA has revoked the EUA for BARDA's oral formulations of chloroquine phosphate and hydroxychloroquine sulfate. The revocation in its entirety follows, below section VI. Electronic Access, and provides an explanation of the reasons for revocation, as required by section 564(h)(1) of the FD&C Act. VI. Electronic Access An electronic version of this document and the full text of the Authorizations and revocation are available on the internet at https://www.fda.gov/​emergency-preparedness-and-response/​mcm-legal-regulatory-and-policy-framework/​emergency-use-authorization.

Start Printed Page 56233 Start Printed Page 56234 Start Printed Page 56235 Start Printed Page 56236 Start Printed Page 56237 Start Printed Page 56238 Start Printed Page 56239 Start Printed Page 56240 Start Printed Page 56241 Start Printed Page 56242 Start Printed Page 56243 Start Printed Page 56244 Start Printed Page 56245 Start Printed Page 56246 Start Printed Page 56247 Start Printed Page 56248 Start Printed Page 56249 Start Printed Page 56250 Start Printed Page 56251 Start Printed Page 56252 Start Printed Page 56253 Start Printed Page 56254 Start Printed Page 56255 Start Printed Page 56256 Start Printed Page 56257 Start Printed Page 56258 Start Printed Page 56259 Start Printed Page 56260 Start Printed Page 56261 Start Printed Page 56262 Start Printed Page 56263 Start Printed Page 56264 Start Signature Dated. September 3, 2020. Lowell J. Schiller, Principal Associate Commissioner for Policy. End Signature End Supplemental Information BILLING CODE 4164-01-P[FR Doc.

2020-20041 Filed 9-10-20. 8:45 am]BILLING CODE 4164-01-CAlmost one-third of households report difficulty paying their energy bills or adequately heating and cooling their homes. And more than 20 percent—roughly 25 million households—report reducing or forgoing necessities such as food and medicine to pay an energy bill. African-American families and rural households are more likely than other groups to spend a high percentage of household income on energy. It’s time for states and communities to put policies in place that will improve energy affordability and access and advance energy equity.On the Pine Ridge Indian Reservation in remote South Dakota, where many tribal residents live without electricity in their homes, community members are tackling this problem head on.

Pine Ridge received its first transmission line in 2018, but the cost of installing lines and meters has been prohibitive for many households, given that more than half the reservation lives below the poverty line. In the late 1990s, community member and entrepreneur Henry Red Cloud partnered with the Colorado nonprofit Trees, Water &. People, which had foundation funding to install portable solar heating systems in Pine Ridge at no cost to homeowners. As of November 2019, 500 homes had Red Cloud’s off-grid solar furnaces and they have reduced their heating costs by up to 30 percent.In the face of COVID-19, municipalities, corporations and community organizations have stepped up to address inequities in utility services—from free internet access for K-12 and college students, to bans on water and energy shut offs for people unable to pay their bills. Yet many of these protections are set to expire on arbitrary dates even though the need for them will surely continue.

While the imperative to make access to utility services more equitable became more urgent during the pandemic, the real challenge is making them affordable and accessible over the long term. As the nation begins building toward an equitable and lasting recovery, we must ensure everyone’s basic needs for water, energy, and Internet are met, and that investments in infrastructure are advanced with an equity frame. Returning to the way things were is not acceptable.To build healthier communities, we must advance equitable public infrastructure. Learn more about the connection between public infrastructure and health equity..

Start Preamble Food https://www.cityreal.lv/viagra-cost/ and Drug what does viagra do Administration, Health and Human Services (HHS). Notice. The Food and Drug Administration (FDA) is announcing the issuance of what does viagra do four Emergency Use Authorizations (EUAs) (the Authorizations) for drugs for use during the COVID-19 pandemic. FDA issued four Authorizations under the Federal Food, Drug, and Cosmetic Act (FD&C Act), as requested by the Department of Health and Human Services (HHS) Biomedical Advanced Research and Development Authority (BARDA), Fresenius Medical Care, Gilead Sciences, Inc., and Fresenius Kabi USA, LLC.

The Authorizations contain, among other things, conditions on the emergency use of the authorized drugs. The Authorizations follow the February 4, 2020, determination by the Secretary of HHS that there is a public health emergency that what does viagra do has a significant potential to affect national security or the health and security of U.S. Citizens living abroad and that involves a novel (new) coronavirus. The virus is now named SARS-CoV-2, which causes the illness COVID-19.

On the basis of such determination, the Secretary of HHS what does viagra do declared on March 27, 2020, that circumstances exist justifying the authorization of emergency use of drugs and biological products during the COVID-19 pandemic, pursuant to the FD&C Act, subject to the terms of any authorization issued under that section. FDA is also announcing the subsequent revocation of the Authorization issued to BARDA for oral formulations of chloroquine phosphate and hydroxychloroquine sulfate. FDA revoked this authorization on June 15, 2020. The Authorizations, and the revocation, what does viagra do which include an explanation of the reasons for issuance or revocation, are reprinted in this document.

The Authorization for BARDA was effective as of March 28, 2020, and the revocation of this Authorization is effective as of June 15, 2020. The Authorization for Fresenius Medical Care is effective as of April 30, 2020. The Authorization for what does viagra do Gilead Sciences, Inc. Is effective as of May 1, 2020.

The Authorization for Fresenius Kabi USA, LLC is effective as of May 8, 2020. Submit written requests for single copies what does viagra do of the EUAs to the Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4338, Silver Spring, MD 20993-0002.

Send one self-addressed adhesive label to assist that office in processing your request or include a Fax number to which the Authorizations may be what does viagra do sent. See the SUPPLEMENTARY INFORMATION section for electronic access to the Authorizations. Start Further Info Michael Mair, Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm what does viagra do.

4332, Silver Spring, MD 20993-0002, 301-796-8510 (this is not a toll free number). End Further Info End Preamble Start Supplemental Information I. Background Section what does viagra do 564 of the FD&C Act (21 U.S.C. 360bbb-3) allows FDA to strengthen the public health protections against biological, chemical, nuclear, and radiological agents.

Among other things, section 564 of the FD&C Act allows FDA to authorize the use of an unapproved medical product or an unapproved use of an approved medical product in certain situations what does viagra do. With this EUA authority, FDA can help ensure that medical countermeasures may be used in emergencies to diagnose, treat, or prevent serious or life-threatening diseases or conditions caused by biological, chemical, nuclear, or radiological agents when there are no adequate, approved, and available alternatives. II. Criteria for EUA what does viagra do Authorization Section 564(b)(1) of the FD&C Act provides that, before an EUA may be issued, the Secretary of HHS must declare that circumstances exist justifying the authorization based on one of the following grounds.

(1) A determination by the Secretary of Homeland Security that there is a domestic emergency, or a significant potential for a domestic emergency, involving a heightened risk of attack with a biological, chemical, radiological, or nuclear agent or agents. (2) a determination by the Secretary of Defense that there is a military emergency, or a significant potential for a military emergency, involving a heightened risk to U.S. Military forces, what does viagra do including personnel operating under the authority of title 10 or title 50, United States Code, of attack with (i) a biological, chemical, radiological, or nuclear agent or agents. Or (ii) an agent or agents that may cause, or are otherwise associated with, an imminently life-threatening and specific risk to U.S.

Military forces; [] (3) a determination by the Secretary of HHS that there is a public health emergency, or a significant potential for a public health emergency, that affects, or has a significant potential to affect, national security or the health and security of U.S. Citizens living abroad, and that involves a biological, chemical, radiological, or nuclear agent or agents, or a disease or what does viagra do condition that may be attributable to such agent or agents. Or (4) the identification of a material threat by the Secretary of Homeland Security pursuant to section 319F-2 of the Public Health Service (PHS) Act (42 U.S.C. 247d-6b) sufficient to affect national security or the health and security of U.S.

Citizens living what does viagra do abroad. Once the Secretary of HHS has declared that circumstances exist justifying an authorization under section 564 of the FD&C Act, FDA may authorize the emergency use of a drug, device, or biological product if the Agency concludes that the statutory criteria are satisfied. Under section 564(h)(1) of the FD&C Act, FDA is required to publish in the Federal Register a notice of each authorization, and each termination or revocation of an authorization, and an explanation of the reasons for the action. Section 564 of the FD&C Act permits FDA to authorize the introduction into interstate commerce of Start Printed what does viagra do Page 56232a drug, device, or biological product intended for use when the Secretary of HHS has declared that circumstances exist justifying the authorization of emergency use.

Products appropriate for emergency use may include products and uses that are not approved, cleared, or licensed under sections 505, 510(k), 512, or 515 of the FD&C Act (21 U.S.C. 355, 360(k), 360b, and 360e) or section 351 of the PHS Act (42 U.S.C. 262), or conditionally approved what does viagra do under section 571 of the FD&C Act (21 U.S.C. 360ccc).

FDA may issue an EUA only if, after consultation with the HHS Assistant Secretary for Preparedness and Response, the Director of the National Institutes of Health, and the Director of the Centers for Disease Control and Prevention (to the extent feasible and appropriate given the applicable circumstances), FDA [] concludes. (1) That an agent referred to in a what does viagra do declaration of emergency or threat can cause a serious or life-threatening disease or condition. (2) that, based on the totality of scientific evidence available to FDA, including data from adequate and well-controlled clinical trials, if available, it is reasonable to believe that. (A) The product may be effective in diagnosing, treating, or what does viagra do preventing (i) such disease or condition.

Or (ii) a serious or life-threatening disease or condition caused by a product authorized under section 564, approved or cleared under the FD&C Act, generic viagra cost or licensed under section 351 of the PHS Act, for diagnosing, treating, or preventing such a disease or condition caused by such an agent. And (B) the known and potential benefits of the product, when used to diagnose, prevent, or treat such disease or condition, outweigh the known and potential risks of the product, taking into consideration the material threat posed by the agent or agents identified in a declaration under section 564(b)(1)(D) of the FD&C Act, if applicable. (3) that there is no adequate, approved, and available alternative to the product what does viagra do for diagnosing, preventing, or treating such disease or condition. (4) in the case of a determination described in section 564(b)(1)(B)(ii), that the request for emergency use is made by the Secretary of Defense.

And (5) that such other criteria as may be prescribed by regulation are satisfied. No other criteria for what does viagra do issuance have been prescribed by regulation under section 564(c)(4) of the FD&C Act. III. The Authorizations The Authorizations follow the February 4, 2020, determination by the Secretary of HHS that there is a public health emergency that has a significant potential to affect national security or the health and security of U.S.

Citizens living abroad and that involves a novel what does viagra do (new) coronavirus. The virus is now named SARS-CoV-2, which causes the illness COVID-19. Notice of the Secretary's determination was provided in the Federal Register on February 7, 2020 (85 FR 7316). On the basis what does viagra do of such determination, the Secretary of HHS declared on March 27, 2020, that circumstances exist justifying the authorization of emergency use of drugs and biological products during the COVID-19 pandemic, pursuant to section 564 of the FD&C Act, subject to the terms of any authorization issued under that section.

Notice of the Secretary's declaration was provided in the Federal Register on April 1, 2020 (85 FR 18250). Having concluded that the criteria for issuance of the Authorizations under section 564(c) of the FD&C Act are met, FDA has issued four authorizations for the emergency use of drugs during the COVID-19 pandemic. On March 28, 2020, FDA issued an EUA to BARDA for oral formulations of chloroquine phosphate and hydroxychloroquine sulfate, subject what does viagra do to the terms of the Authorization. On April 30, 2020, FDA issued an EUA to Fresenius Medical Care for multiFiltrate PRO System and multiBic/multiPlus Solutions, subject to the terms of the Authorization.

On May 1, 2020, FDA issued an EUA to Gilead Sciences, Inc. For remdesivir, subject to the terms of the Authorization what does viagra do. On May 8, 2020, FDA issued an EUA to Fresenius Kabi USA, LLC for Fresenius Propoven 2% Emulsion, subject to the terms of the Authorization. The Authorizations in their entirety (not including the authorized versions of the fact sheets and other written materials) follow, below section VI Electronic Access, and provide an explanation of the reasons for issuance, as required by section 564(h)(1) of the FD&C Act.

IV. EUA Criteria for Issuance No Longer Met Under section 564(g)(2) of the FD&C Act, the Secretary of HHS may revoke an EUA if, among other things, the criteria for issuance are no longer met. On June 15, 2020, FDA revoked the EUA for BARDA for oral formulations of chloroquine phosphate and hydroxychloroquine sulfate because the criteria for issuance were no longer met. Under section 564(c)(2) of the FD&C Act, an EUA may be issued only if FDA concludes that, based on the totality of scientific evidence available to the Secretary, including data from adequate and well-controlled clinical trials, if available, it is reasonable to believe that.

(1) The product may be effective in diagnosing, treating, or preventing such disease or condition and (2) the known and potential benefits of the product, when used to diagnose, prevent, or treat such disease or condition, outweigh the known and potential risks of the product. Based on a review of new information and a reevaluation of information available at the time the EUA was issued, FDA now concludes it is no longer reasonable to believe that (1) oral formulations of chloroquine phosphate and hydroxychloroquine sulfate may be effective in treating COVID-19 for the uses authorized in the EUA, or (2) the known and potential benefits of these products outweigh their known and potential risks for those uses. Accordingly, FDA revokes the EUA for emergency use of chloroquine phosphate and hydroxychloroquine sulfate to treat COVID-19, pursuant to section 564(g)(2) of the FD&C Act. V.

The Revocation Having concluded that the criteria for revocation of the Authorization under section 564(g) of the FD&C Act are met, FDA has revoked the EUA for BARDA's oral formulations of chloroquine phosphate and hydroxychloroquine sulfate. The revocation in its entirety follows, below section VI. Electronic Access, and provides an explanation of the reasons for revocation, as required by section 564(h)(1) of the FD&C Act. VI.

Electronic Access An electronic version of this document and the full text of the Authorizations and revocation are available on the internet at https://www.fda.gov/​emergency-preparedness-and-response/​mcm-legal-regulatory-and-policy-framework/​emergency-use-authorization. Start Printed Page 56233 Start Printed Page 56234 Start Printed Page 56235 Start Printed Page 56236 Start Printed Page 56237 Start Printed Page 56238 Start Printed Page 56239 Start Printed Page 56240 Start Printed Page 56241 Start Printed Page 56242 Start Printed Page 56243 Start Printed Page 56244 Start Printed Page 56245 Start Printed Page 56246 Start Printed Page 56247 Start Printed Page 56248 Start Printed Page 56249 Start Printed Page 56250 Start Printed Page 56251 Start Printed Page 56252 Start Printed Page 56253 Start Printed Page 56254 Start Printed Page 56255 Start Printed Page 56256 Start Printed Page 56257 Start Printed Page 56258 Start Printed Page 56259 Start Printed Page 56260 Start Printed Page 56261 Start Printed Page 56262 Start Printed Page 56263 Start Printed Page 56264 Start Signature Dated. September 3, 2020. Lowell J.

Schiller, Principal Associate Commissioner for Policy. End Signature End Supplemental Information BILLING CODE 4164-01-P[FR Doc. 2020-20041 Filed 9-10-20. 8:45 am]BILLING CODE 4164-01-CAlmost one-third of households report difficulty paying their energy bills or adequately heating and cooling their homes.

And more than 20 percent—roughly 25 million households—report reducing or forgoing necessities such as food and medicine to pay an energy bill. African-American families and rural households are more likely than other groups to spend a high percentage of household income on energy. It’s time for states and communities to put policies in place that will improve energy affordability and access and advance energy equity.On the Pine Ridge Indian Reservation in remote South Dakota, where many tribal residents live without electricity in their homes, community members are tackling this problem head on. Pine Ridge received its first transmission line in 2018, but the cost of installing lines and meters has been prohibitive for many households, given that more than half the reservation lives below the poverty line.

In the late 1990s, community member and entrepreneur Henry Red Cloud partnered with the Colorado nonprofit Trees, Water &. People, which had foundation funding to install portable solar heating systems in Pine Ridge at no cost to homeowners. As of November 2019, 500 homes had Red Cloud’s off-grid solar furnaces and they have reduced their heating costs by up to 30 percent.In the face of COVID-19, municipalities, corporations and community organizations have stepped up to address inequities in utility services—from free internet access for K-12 and college students, to bans on water and energy shut offs for people unable to pay their bills. Yet many of these protections are set to expire on arbitrary dates even though the need for them will surely continue.

While the imperative to make access to utility services more equitable became more urgent during the pandemic, the real challenge is making them affordable and accessible over the long term. As the nation begins building toward an equitable and lasting recovery, we must ensure everyone’s basic needs for water, energy, and Internet are met, and that investments in infrastructure are advanced with an equity frame. Returning to the way things were is not acceptable.To build healthier communities, we must advance equitable public infrastructure. Learn more about the connection between public infrastructure and health equity..

What does womens viagra do

Johns Hopkins researchers say that a drug approved to treat lung cancer what does womens viagra do substantially slowed the growth of tumors, in mice, https://www.cityreal.lv/super-viagra/ caused by a rare form of bone cancer. Reporting in the journal PLOS ONE, the researchers say the finding offers hope to chordoma patients, who have no treatment options once surgery and radiation have been exhausted. There are no U.S what does womens viagra do. Food and Drug Administration-approved medications for the disease and, because its incidence is only one in 1 million, there is little financial incentive for pharmaceutical companies to develop or test drugs to treat them.

€œThe encouraging news is that this drug is already used in humans what does womens viagra do to treat lung cancer,” says study leader Gary L. Gallia, M.D., Ph.D., an assistant professor of neurosurgery and oncology at the Johns Hopkins University School of Medicine. Chordoma occurs at the base of what does womens viagra do the skull and in the bones of the spine. This cancer is thought to arise from remnants of the cartilage-like structure that serves as a scaffold for the formation of the spinal column.

These so-called notochord cells normally persist after birth and are what does womens viagra do lodged inside the spine and skull. In rare cases, they become malignant tumors. The tumors are generally slow-growing but tend to recur, and their proximity to critical structures such as the spinal cord, cranial nerves and brain stem make them difficult to treat. Median survival time is seven years after diagnosis what does womens viagra do.

Since chordoma is so rare, few models have existed to even study it outside cells in a petri dish, says Gallia, who together with colleagues last year developed a mouse model of the disorder. The model was what does womens viagra do created by implanting human tumor tissue into a mouse. The researchers began their drug studies by first examining the makeup of the tumor cells in their mouse model to determine what might be causing the cells to grow and divide uncontrolled. They saw that the epidermal growth factor what does womens viagra do receptor (EGFR) pathway was active and suspected that it played a critical role in the malignancy.

Gallia and his colleagues tested two FDA-approved drugs known to inhibit EGFR and found that erlotinib was able to better slow the growth of chordoma than gefitinib. They then tested erlotinib in mice what does womens viagra do transplanted with human chordoma tumors. After 37 days of treatment, the average tumor volume in the control group was more than three times larger than in those animals that were treated with erlotinib. Further research indicated that what does womens viagra do EGFR activation was significantly reduced.

€œWe hit our target,” Gallia https://www.cityreal.lv/viagra-for-sale/ says. €œIt drastically reduced the growth of the tumors.” Gallia says he hopes his findings will lead to testing in chordoma patients. Although a controlled clinical trial would be ideal, he says it what does womens viagra do may be difficult to get funding to test treatments for such a rare disease. Alternatively, he says he hopes erlotinib might be used in selected patients whose tumors are shown to have active EGFRs and who have run out of other treatment options.

This research was supported by the Chordoma Foundation as what does womens viagra do well as Dr. And Mrs. Irving J what does womens viagra do. Sherman.

Other Johns Hopkins researchers involved in the study include I-Mei what does womens viagra do Siu, Ph.D.. Jacob Ruzevick. Qi Zhao, Ph.D.. Nick Connis what does womens viagra do.

Yuchen Jiao, Ph.D.. Chetan Bettegowda, what does womens viagra do M.D., Ph.D.. Xuewei Xia, M.D.. Peter C what does womens viagra do.

Burger, M.D.. And Christine L what does womens viagra do. Hann, M.D., Ph.D. For more information about Gallia, click here, and click here for more information about chordoma care at Johns Hopkins..

Johns Hopkins researchers say that a drug approved to treat lung cancer substantially slowed the growth of tumors, in mice, what does viagra do caused by a rare form of bone cancer. Reporting in the journal PLOS ONE, the researchers say the finding offers hope to chordoma patients, who have no treatment options once surgery and radiation have been exhausted. There are no U.S what does viagra do.

Food and Drug Administration-approved medications for the disease and, because its incidence is only one in 1 million, there is little financial incentive for pharmaceutical companies to develop or test drugs to treat them. €œThe encouraging news is that this drug is already used in humans to treat what does viagra do lung cancer,” says study leader Gary L. Gallia, M.D., Ph.D., an assistant professor of neurosurgery and oncology at the Johns Hopkins University School of Medicine.

Chordoma occurs at the base of the skull and in the bones of the spine what does viagra do. This cancer is thought to arise from remnants of the cartilage-like structure that serves as a scaffold for the formation of the spinal column. These so-called notochord cells normally persist after birth what does viagra do and are lodged inside the spine and skull.

In rare cases, they become malignant tumors. The tumors are generally slow-growing but tend to recur, and their proximity to critical structures such as the spinal cord, cranial nerves and brain stem make them difficult to treat. Median survival time is what does viagra do seven years after diagnosis.

Since chordoma is so rare, few models have existed to even study it outside cells in a petri dish, says Gallia, who together with colleagues last year developed a mouse model of the disorder. The model what does viagra do was created by implanting human tumor tissue into a mouse. The researchers began their drug studies by first examining the makeup of the tumor cells in their mouse model to determine what might be causing the cells to grow and divide uncontrolled.

They saw that what does viagra do the epidermal growth factor receptor (EGFR) pathway was active and suspected that it played a critical role in the malignancy. Gallia and his colleagues tested two FDA-approved drugs known to inhibit EGFR and found that erlotinib was able to better slow the growth of chordoma than gefitinib. They then what does viagra do tested erlotinib in mice transplanted with human chordoma tumors.

After 37 days of treatment, the average tumor volume in the control group was more than three times larger than in those animals that were treated with erlotinib. Further research what does viagra do indicated that EGFR activation was significantly reduced. €œWe hit our target,” Gallia says.

€œIt drastically reduced the growth of the tumors.” Gallia says he hopes his findings will lead to testing in chordoma patients. Although a controlled clinical what does viagra do trial would be ideal, he says it may be difficult to get funding to test treatments for such a rare disease. Alternatively, he says he hopes erlotinib might be used in selected patients whose tumors are shown to have active EGFRs and who have run out of other treatment options.

This research was supported by the Chordoma Foundation as what does viagra do well as Dr. And Mrs. Irving J what does viagra do.

Sherman. Other Johns Hopkins researchers involved what does viagra do in the study include I-Mei Siu, Ph.D.. Jacob Ruzevick.

Qi Zhao, Ph.D.. Nick Connis what does viagra do. Yuchen Jiao, Ph.D..

Chetan Bettegowda, M.D., Ph.D. what does viagra do. Xuewei Xia, M.D.. Peter C what does viagra do.

Burger, M.D.. And Christine L what does viagra do. Hann, M.D., Ph.D.

For more information about Gallia, click here, and click here for more information about chordoma care at Johns Hopkins..

What was viagra originally used for

Longer, more frequent daytime naps in elderly adults predicted a higher risk of incident Alzheimer's dementia over time, an actigraphy study showed.Elderly people who napped more than once a day had 1.3-fold increased risk in developing future Alzheimer's dementia, reported Peng Li, PhD, of Brigham and Women's Hospital in Boston, and colleagues, at the what was viagra originally used for virtual SLEEP 2020, a joint meeting of the American Academy of Sleep Medicine and the Sleep Research Society."Importantly, these associations were independent from depressive symptoms, vascular diseases, and risk factors, and prescribed medications that may all contribute to sleep," Li said.Studies have shown conflicting messages about links between daytime napping and site link cognition, he noted. "Some research provided evidence that a short, planned nap may improve cognitive performance, while the others suggested that excessive self-reported daytime napping may be tied to cognitive impairment or more cognitive decline," Li told MedPage Today."Using a longitudinal design and objective measures of daytime napping based on ambulatory what was viagra originally used for actigraphy, this study for the first time showed that longer and more frequent daytime naps were associated with increased future risk of Alzheimer's dementia," he said.The study involved 1,180 people with an average age of 81 from the Rush Memory and Aging Project. No participant had dementia at baseline, but 264 people had what was viagra originally used for mild cognitive impairment.At baseline, motor activities were recorded with wrist actigraphy for up to 10 days to assess napping characteristics objectively. The researchers defined daytime napping episodes as motor activity segments between 10 a.m.

And 7 p.m what was viagra originally used for. With continuous zero activity for 10 minutes or more but less than 1 what was viagra originally used for hour (to avoid off-wrist periods). Segments that were less than 5 minutes apart were merged.On average, participants napped for 38.3 minutes and 1.56 times a day at baseline. In total, 277 participants developed Alzheimer's dementia within 5.74 years.Every 30-minute increase in daily napping duration was associated with a 20% increase in the risk of incident Alzheimer's dementia (95% CI 9%-31%, P=0.0002), after adjusting what was viagra originally used for for age, sex, and education.

One more nap per day what was viagra originally used for was associated with a 19% increase in the risk of Alzheimer's dementia (95% CI 8%-30%, P=0.0003). These associations remained even after adjusting for total sleep time."One of the unique settings of this study is that participants were followed https://www.cityreal.lv/generic-viagra-no-prescription/ annually with not only clinical assessments, but also motor activity monitoring that allowed objective measurement of daytime napping behavior," Li pointed out.Compared with objective activity assessments, self-reports are highly subjective and may suffer from recall bias, he noted. "So-called 'snoozes' or periods of drowsiness are more what was viagra originally used for likely to be detected by objective algorithm, but left out during self-report."In other research presented at the SLEEP meeting, Li and colleagues reported within-person changes in daytime napping. "We found that objective daytime napping became longer and more frequent over time within individuals," he what was viagra originally used for said."Importantly, the speed of napping prolongation was accelerated after the diagnosis of mild cognitive impairment, and further after the diagnosis of Alzheimer's dementia," Li said.

"Altogether, our studies demonstrated a potential bidirectional relationship between daytime napping and Alzheimer's dementia."Study participants had an average baseline age of about 80, and how napping at younger ages relates to late-life cognitive performance, decline, or dementia warrants further study, he added. Judy George covers neurology and neuroscience news for MedPage Today, writing about brain aging, Alzheimer’s, dementia, MS, rare diseases, what was viagra originally used for epilepsy, autism, headache, stroke, Parkinson’s, ALS, concussion, CTE, sleep, pain, and more. Follow Disclosures This work was supported by the NIH.The 24-hour news cycle is just what was viagra originally used for as important to medicine as it is to politics, finance, or sports. At MedPage Today, new information is posted daily, but keeping up can be a challenge.

As an aid for our readers and for a little amusement, here is a 10-question quiz based on what was viagra originally used for the news of the week. Topics include COVID reinfections, Trump's healthcare agenda, and a hospital CEO's resignation. After taking the quiz, scroll down in your browser window to find the correct answers and explanations, as well as links to the original articles..

Longer, more frequent daytime naps in elderly adults predicted a higher risk of incident Alzheimer's dementia over time, an actigraphy study showed.Elderly people who napped more than once a day had 1.3-fold increased risk in developing future Alzheimer's dementia, reported Peng Li, PhD, of what does viagra do for women Brigham and Women's Hospital in Boston, and colleagues, at the virtual SLEEP 2020, a joint meeting of the American Academy of Sleep Medicine and the Sleep Research Society."Importantly, these associations were independent from depressive symptoms, vascular what does viagra do diseases, and risk factors, and prescribed medications that may all contribute to sleep," Li said.Studies have shown conflicting messages about links between daytime napping and cognition, he noted. "Some research provided evidence that a short, planned nap may improve cognitive performance, while the others suggested that excessive self-reported daytime napping may be tied to cognitive impairment or more cognitive decline," Li told MedPage Today."Using a longitudinal design and objective measures of daytime napping based on ambulatory actigraphy, this study for the first time showed that longer and more frequent daytime naps were associated with increased future risk of Alzheimer's dementia," he said.The study involved 1,180 people with an average what does viagra do age of 81 from the Rush Memory and Aging Project. No participant what does viagra do had dementia at baseline, but 264 people had mild cognitive impairment.At baseline, motor activities were recorded with wrist actigraphy for up to 10 days to assess napping characteristics objectively.

The researchers defined daytime napping episodes as motor activity segments between 10 a.m. And 7 what does viagra do p.m. With continuous zero activity for what does viagra do 10 minutes or more but less than 1 hour (to avoid off-wrist periods).

Segments that were less than 5 minutes apart were merged.On average, participants napped for 38.3 minutes and 1.56 times a day at baseline. In total, 277 participants developed Alzheimer's dementia within 5.74 years.Every 30-minute increase in daily napping duration was associated with a 20% increase in the risk what does viagra do of incident Alzheimer's dementia (95% CI 9%-31%, P=0.0002), after adjusting for age, sex, and education. One more nap per day was associated with a what does viagra do 19% increase in the risk of Alzheimer's dementia (95% CI 8%-30%, P=0.0003).

These associations remained even after adjusting for total sleep time."One of the unique settings of this study is that participants were followed annually with not only clinical assessments, but also motor activity monitoring that allowed objective measurement of daytime napping behavior," Li pointed out.Compared with objective activity assessments, self-reports are highly subjective and may suffer from recall bias, he noted. "So-called 'snoozes' what does viagra do or periods of drowsiness are more likely to be detected by objective algorithm, but left out during self-report."In other research presented at the SLEEP meeting, Li and colleagues reported within-person changes in daytime napping. "We found that objective daytime napping became longer and more what does viagra do frequent over time within individuals," he said."Importantly, the speed of napping prolongation was accelerated after the diagnosis of mild cognitive impairment, and further after the diagnosis of Alzheimer's dementia," Li said.

"Altogether, our studies demonstrated a potential bidirectional relationship between daytime napping and Alzheimer's dementia."Study participants had an average baseline age of about 80, and how napping at younger ages relates to late-life cognitive performance, decline, or dementia warrants further study, he added. Judy George covers neurology and neuroscience news for MedPage Today, writing about brain aging, Alzheimer’s, dementia, MS, rare diseases, epilepsy, what does viagra do autism, headache, stroke, Parkinson’s, ALS, concussion, CTE, sleep, pain, and more. Follow Disclosures This work was supported by the NIH.The 24-hour news cycle is just as important to medicine as it is what does viagra do to politics, finance, or sports.

At MedPage Today, new information is posted daily, but keeping up can be a challenge. As an aid for our readers and for a little amusement, here is a 10-question quiz based on what does viagra do the news of the week. Topics include COVID reinfections, Trump's healthcare agenda, and what does viagra do a hospital CEO's resignation.

After taking the quiz, scroll down in your browser window to find the correct answers and explanations, as well as links to the original articles..


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