#Bethesda Medical Centre

[cathnews]

Christian GP who offers to pray with patients settles disciplinary case with NHS

Christian GP who offers to pray with patients settles disciplinary case with NHS

A Christian GP who offers to pray with his patients has settled a case with the NHS after they tried to impose disciplinary measures on him. Dr Richard Scott, a GP for 35 years who practices at the Bethesda Medical Centre in Margate, Kent, was set to contest a ruling by the NHS in a hearing at Ashford Tribunal Centre this week. But his planned appeal did not go ahead on Monday after the case was…

[theaestheticsromance]

RadioWings

836-words

This is just a chapter about the different rings in hell for world-building also I got most of it off of the Hazbin WIki and just added a few of my own wording but full credit goes to the wiki writer - Cannibals Creations

Our story begins in Hell, the realm of eternal torment and suffering created by Lucifer and Lillith as punishment for disobeying Heaven’s rules, where the damned souls of the wicked are sent to pay for their sins for all eternity but for the Hellborn’s it was just another day of life. Hell is divided into seven different districts called rings each with varying different skies and representing the 7 deadly sins.

The highest, largest, and most populated and diverse ring is Pride with its red colour sky. It contains all of Hell’s sinner population and Hell-borns including the Overlords who govern over the lands. Due to being the highest ring, it is also the closest to Heaven which can be viewed in Pride's skyline. Unlike the other rings, Pride also has different sections, known as the Nine Circles. were the Magne family rules, with Lucifer Magne and Lilith Magne ruling over the entirety of Hell. due to Pride’s overpopulation of sinners every year, they would send down an army to exterminate them, to ensure Hell and its sinners could never rise against them.

The second ring is Wrath with its orange colour sky. The ring has a volcanic, desert, and rural landscape. Much of the Wrath Ring's inhabitants rely on agriculture for their livelihood, thus most of Hell's food supply is produced in the Wrath Ring. Unlike the other rings, Wrath lacks a proper ruler, and thus, many of the demons within vie for the position of de-facto ruler, which leads to the ring being devastated by the never-ending war, making this the most lawless ring in all of Hell. The majority of Wrath is populated by imps.

The third ring with its yellow coloured skies and its rectangular beehive pattern you have Gluttony. Regarded as the "party central" of Hell, the Gluttony Ring is dominated by restaurants and dance clubs and has a beach and food motif with many of the locations within barring resemblance to food. The ring also has many tropical landscapes, as well as jungles. The majority of Gluttony's native population consists of insectoid demons and Hellhound. With its ruler being the queen bee herself Bee-lzebub.

The fourth ring is Greed with its sky mainly being a pale or dark green colour due to the severe pollution that occurs within the ring. The Greed Ring is the centre of all crime in Hell and distributes much of Hell's material possessions, such as vehicles and jewellery. The ring is home to many clown or jester demons and is famous for its abundance of casinos, carnivals, and other similar businesses. The king of this ring is Mammon.

For the fifth ring with its dark blue colour sky, you have Lust which consists mainly of flashy strip clubs or hotels, It is almost always raining in the Lust Ring due to waters from the Greed Ring's oceans spilling into the ring below. The majority of Lust's native population are succubi and incubi. With Asmodeus being this rings king, he is also the owner of the dinner theatre restaurant Ozzie’s, as well as a factory for producing all manner of sex toys, where he works with his boyfriend and business partner Fizzarolli.

For the sixth ring, you have Envy with its Purple sky. An opulent and oceanic ring home to many of Hell's sea demons such as sharks, merfolk, sirens, and various sea creatures. The ring was originally ruled by Leviathan Von Eldritch until he established a family, who ruled the ring as a whole. Following the death of King Leviathan Von Eldritch and the exile of Prince Seviathan and Princess Hellsa Von Eldritch from Envy by Queen Bethesda Von Eldritch, she became the only and current ruler of Envy.

At number seven you have Sloth where the "sky" is a primarily pink color. It is where the majority of Hell's technology and medical supplies are produced, and is the most technologically advanced ring in all of Hell. The ring is viewed as a popular vacation spot and where most of Hell's retired demons reside, due to its reputation for luxury and convenience. Many wealthy demons, such as the Ars Gotias, also have a large presence in this ring. The native population of the Sloth Ring formerly consisted mainly of Hellhounds, although this title eventually changed to Baphomet demons once Sloth's oppressive laws against Hellhounds were enforced. The king of this ring is Belphegor. Due to the King of Sloth's death and the fall of Belph-Tech, the ring is currently without a ruler and has been effectively taken over by the Hellhound resistance.

But amidst the writhing souls and the cacophony of screams resides Tyler a hell-born known as the Loa of Death and Shadows and his story on how he would not just be known for his shadows but also for marring a certain Radio Star.

[projectourworld]

Kinshasa, DRC. Jocelyne Mitoba holds her newborn child at her home after the local philanthropist Grace Mbongi Umek settled her unpaid medical bills. Mitoba had been detained with her baby at Bethesda medical centre for eight days for lack of money. Photograph: Justin Makangara/Reuters : Guardian #humanitymatters

[head-post]

US defence secretary back in hospital for bladder issue

US Defence Secretary Lloyd Austin handed over his official duties to his deputy after returning to Walter Reed National Military Medical Center on Sunday, Politico reported.

Pentagon spokesman Pat Ryder stated that Austin “was retaining the functions and duties of his office,” transferring them to Kathleen Hicks, deputy secretary of defence.

Secretary of Defence Lloyd J. Austin III was transported by his security detail to Walter Reed National Military Medical Centre to be seen for symptoms suggesting an emergent bladder issue.

The White House, members of Congress and the chairman of the Joint Chiefs of Staff (Air Force Gen. C.Q. Brown Jr.) have been notified of Austin’s latest health issue. Recently, Austin was hospitalised at Walter Reed in Bethesda, Maryland, due to complications from surgery he underwent in December for prostate cancer.

Read more HERE

[lookedafterchild]

Our Ref RS/SW/03/540 8" May 2006 Private & Confidential Dr Scott Bethesda Medical Centre Palm Bay Avenue Cliftonville MARGATE Dear Dr Scott Re: Li Harris Just a quick note to say that I had a telephone conversation with Li Harris’s mum on 5th May 2006. Unfortunately Li has become very challenging recently and displayed more oppositional defiant behaviour, perhaps understandably in relation to cessation of contact by his natural father and his mother’s potential ill health. In the... Read More Bellow

[melbournenewsvine]

Velrada brings a dose of telemedicine to Dargo through mixed reality

Dan Hookham (Velrada) Credit: Velrada Velrada has developed a telemedicine solution using mixed reality to bring remote medical specialists to Dargo, located over 300 kilometres from Melbourne. Developed in conjunction with Microsoft, the solution utilises mixed reality and Azure Space cloud connectivity to connect the specialists with local nurses at the Dargo Bush Nursing Centre, which is managed by the Bairnsdale Regional Health Service (BRHS), to treat patients in real time. Specifically, nurses communicate with remote specialists via Microsoft Teams through a Microsoft HoloLens mixed reality headset, giving the latter party an enhanced view of patients. A speaker connected to the headset allows the patient to hear the specialist, while the mixed reality environment provides a medium for both nurses and physicians to draw and annotate. To support the project, BRHS needed to upgrade its connectivity as its existing connection could not support the required bandwidth for videoconferencing. “BRHS had a local electrician install a SpaceX Starlink satellite dish at the Dargo Bush Nursing Centre to ensure fast and reliable connectivity to the cloud using Azure Space,” said Dan Hookham, CIO at Velrada. “That provided the bandwidth needed for Velrada’s mixed reality-as-a-service technology, which delivered the trial telemedicine solution.” The project included an eight-week pilot, which involved 12 telemedicine appointments, with six of these utilising specialists in Melbourne, which would normally require a four-and-a-half drive. “The telemedicine solution is absolutely ground-breaking for healthcare in East Gippsland,” says BRHS CEO Robyn Hayles. Read more SRA founder Steven Rowe passes the baton amid rebrand “By bridging the geographical gap between patients and specialists, we can better meet the medical needs of our diverse population while minimising disruption to their lives and livelihoods. The combination of satellite and mixed reality technologies and Microsoft’s Azure Space cloud infrastructure have taken our service to the next level of care.” After completing the trial, BRHS has planned to provide telemedicine services at other locations across the region. “The things that have been learnt even from this relatively short and highly innovative pilot, have given BRHS the opportunity to scale this across the region, and help reduce the challenges of health care delivery in some of our most remote regions,” said Dr Nic Woods, chief medical officer at Microsoft Australia. “It’s a model that other communities across Australia and around the world can replicate, and it shows how this nascent democratisation of space combined with new technologies such as mixed reality can truly benefit not only patients but also regional and remote clinicians with their ability to access GPs, medical specialists and other care stakeholders in a more interactive and collaborative way.” Read more Microsoft’s short-term sales focus in new cloud program hurts smaller partners This is the latest example of Velrada’s work in the healthcare sector, with it scoring an implementation project in April to provide Microsoft Cloud for Healthcare for the upcoming Bethesda Health Care clinic in Cockburn, Western Australia. According to the managed services provider’s director Jennifer Evans at the time, Velrada was chosen as the implementation partner on the project due to having industry knowledge and expertise, as well as backing from Microsoft. Join the newsletter! Error: Please check your email address. Tags MicrosoftVelrada Source link Originally published at Melbourne News Vine

[iztarshi]

Today I (for real) have an appointment with the NPC at the Bethesda Medical Centre.

[elderperfect]

2020 Best Nursing Homes - California

ElderPerfect a leading publisher on senior healthcare across the United States, today announced the recipients of the Best Nursing Homes in California for 2020. These awards are designed to recognize providers based on their ability to consistently deliver excellence in the areas of Health Inspections, Quality of Residence Care, Penalties and Staffing. We’ve evaluated over 1,194 facilities, of which 324 (29%) met our top rating. This report marks the Gold Standard in terms of care for seniors. 0 Ranked Best Facilities  5/5

US Standard vs. Best Facilities

Average Number of Beds: 106 vs 95 Average Occupancy: 81% vs 83% Average Health Inspection Rating: 2.82 / 5.00 vs. 3.90 / 5.00 Average Government Rating: 3.01 / 5.00 vs. 4.49 / 5.00

Rating Methodology

Health Inspections Every year, the government assigns inspectors to conduct a formal review of nursing homes for regulatory purposes to meet the mandates outlined for Medicare and Medicaid, this aims to measure and improve the safety of residents across providers. Facilities may also be inspected when complaints are submitted or based on a reported incident. When noncompliance is identified, the facility is served a citation that indicates which regulation that was identified, along with the severity of the incident. Nursing homes are subsequently required to execute a program of resolution in order to meet compliance. Some scenarios require enforcement actions to be applied, such as a civil monetary penalty or withholding of payment(s), to incentivize resolution in a timely manner. Penalties Facilities are applied 2 types of penalties due to non-compliance / accumulation of incidents. Civil penalties are monetary fines that may be applied to a facility based on citations / infractions identified during a review. The severity of a penalty is defined primarily by the size and frequency of the infraction. Quality of Residence Care There are 3 types of resident care ratings, but for this exercise, we primarily focused on the overall quality measure rating. The quality measures (QMs) include 17 data points that are derived from clinical information reported by the respective nursing home and also from Medicare claims data submitted for payment. Ratings are calculated for the QM domain using the 4 most recent quarters for which data are available. A nursing home receives points contingent on performance on each measure (weighting distribution is not equal). Staffing Staffing research is submitted regularly by the facility and is adjusted for the requirement of the facilities residents. For each of registered nurse staff and total staffing, a 1 - 5 rating is applied according to definitions established for each category. These ratings are subsequently combined to assign an overall staffing rating. As an example, to get an overall staffing rating of 5 stars, nursing homes must earn a rating of 5 stars for both registered nurses and total staffing. Nursing homes could also be assigned a 1 star rating should they not have a registered nurse on-site daily, and do not submit staffing data, or which the data cannot be verified.

Best Nursing Homes in California

REDLANDS HEALTHCARE CENTER COUNTRY MANOR HEALTHCARE EDGEMOOR HOSPITAL FAIRFIELD POST-ACUTE REHAB MOUNT SAN ANTONIO GARDENS MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOS MOTION PICTURE AND T.V. HOSP D/P SNF GOOD SAMARITAN REHAB AND CARE CENTER PLEASANT HILL POST ACUTE PALOMAR VISTA HEALTHCARE CENTER VILLA CORONADO D/P SNF MISSION VIEW HEALTH CENTER ARBOR HILLS NURSING CENTER LINDA MAR CARE CENTER BERKLEY WEST CONV HOSP COUNTRY VILLA PAVILION NURSING CENTER MONTEREY PARK CONV HOSP FOLSOM CARE CENTER HERITAGE GARDENS HEALTH CARE CENTER GREENFIELD CARE CENTER OF FAIRFIELD PROVIDENCE ST ELIZABETH CARE CENTER MARYCREST MANOR OAKLAND HEALTHCARE & WELLNESS CENTER VICTORIA HEALTHCARE AND REHABILITATION CENTER EAST BAY POST-ACUTE WILLOW PASS HEALTHCARE CENTER FAIRMONT REHABILITATION HOSPITAL MERCED NURSING & REHABILITATION CTR LOMPOC VALLEY MEDICAL CTR COMP CARE CTR D/P SNF LOMITA POST-ACUTE CARE CENTER LA SIERRA CARE CENTER WINDSOR PARK CARE CENTER OF FREMONT KEARNY MESA CONVALESCENT AND NURSING HOME FALLBROOK SKILLED NURSING CANTERBURY WOODS GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER MOUNTAIN VIEW HEALTHCARE CENTER UNIVERSITY CARE CENTER LA PALOMA HEALTHCARE CENTER CULVER WEST HEALTH CENTER VISTA PACIFICA CONVALESCENT HOSPITAL SAN JOSE HEALTHCARE & WELLNESS CENTER SAYLOR LANE HEALTHCARE CENTER WINDSOR GARDENS CARE CENTER OF HAYWARD ROCK CREEK CARE CENTER SEQUOIAS, THE THE CALIFORNIAN-PASADENA VIENNA NURSING AND REHABILITATION CENTER LA MESA HEALTHCARE CENTER ROCKY POINT CARE CENTER ARROYO VISTA NURSING CENTER REDDING POST ACUTE WOODLANDS HEALTHCARE CENTER NEWPORT NURSING AND REHABILITATION CENTER CRENSHAW NURSING HOME THE REUTLINGER COMMUNITY ARTESIA CHRISTIAN HOME INC. SANTA MONICA HEALTH CARE CENTER MISSION CARE CENTER HILLSIDE SENIOR CARE COASTAL VIEW HEALTHCARE CENTER GROSSMONT POST ACUTE CARE MISSION SKILLED NURSING & SUBACUTE CENTER PALO ALTO SUB-ACUTE AND REHABILITATION CENTER HIGHLAND CARE CENTER OF REDLANDS SOUTH COAST POST ACUTE BETHANY HOME SOCIETY SAN JOAQUIN COUNTY THE CALIFORNIAN MONTCLAIR MANOR CARE CENTER VENTURA POST ACUTE VALLE VERDE HEALTH FACILITY HARBOR VILLA CARE CENTER CLOVERDALE HEALTHCARE CENTER ENCINITAS NURSING AND REHABILITATION CENTER CHAPMAN CARE CENTER SAN LUIS CARE CENTER THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE VICTORIAN POST ACUTE REDWOOD COVE HEALTHCARE CENTER HAYWARD HEALTHCARE & WELLNESS CENTER SAN TOMAS CONVALESCENT HOSPITAL RIVER BEND NURSING CENTER BERKELEY PINES SKILLED NURSING CENTER ST JUDE CARE CENTER APPLE VALLEY POST-ACUTE REHAB COURTYARD HEALTH CARE CENTER FRIENDSHIP MANOR NURSING & REHAB CENTER ST. FRANCIS HEIGHTS CONVALESCENT HOSPITAL FRANCISCAN CONVALESCENT HOSPITAL COVENTRY COURT HEALTH CENTER HY-LOND HEALTH CARE CENTER-MERCED MISSION TERRACE CONVALESCENT HOSPITAL LA JOLLA NURSING AND REHABILITATION CENTER EMPRESS CARE CENTER, LLC COUNTRY VILLA BAY VISTA HCC PACIFIC COAST MANOR PETALUMA POST-ACUTE REHABILITATION SACRAMENTO POST-ACUTE TOPANGA TERRACE DEVONSHIRE CARE CENTER PIEDMONT GARDENS HEALTH FACILITY DYCORA TRANSITIONAL HEALTH - SANGER ROSEWOOD POST ACUTE REHABILITATION COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO WOODLAND SKILLED NURSING FACILITY AVALON HEALTH CARE - SAN ANDREAS STOLLWOOD CONVALESCENT HOSPITAL GREENFIELD CARE CENTER OF FULLERTON, LLC COLLEGE OAK NURSING & REHABILITATION CENTER EXTENDED CARE HOSPITAL OF RIVERSIDE GRANADA HILLS CONVALESCENT EXCELL HEALTH CARE CENTER MID-WILSHIRE HEALTH CARE CNTR LAKE BALBOA CARE CENTER TUNNELL SKILLED NURSING & REHABILITATION CENTER PACIFICA NURSING AND REHAB CENTER PACIFIC GARDENS NURSING AND REHABILITATION CENTER TAMPICO TERRACE CARE CENTER RAMONA REHABILITATION AND POST ACUTE CARE CENTER NORTHBROOK HEALTHCARE CENTER CALIFORNIA PACIFIC MEDICAL CTR- DAVIES CAMPUS HOSP RED BLUFF HEALTH CARE CENTER SIERRA VIEW HOMES DYCORA TRANSITIONAL HEALTH MEMORY CARE OF FRESNO BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER LOS GATOS MEADOWS GERIATRIC HOSPITAL ALCOTT REHABILITATION HOSPITAL REO VISTA HEALTHCARE CENTER SAN LEANDRO HEALTHCARE CENTER SUMMERFIELD HEALTH CARE CENTER BETHESDA HOME REGENCY OAKS POST ACUTE CARE CENTER PARADISE VALLEY HEALTH CARE VALE HEALTHCARE CENTER PLEASANTON NURSING AND REHABILITATION CENTER WHITNEY OAKS CARE CENTER DELANO REGIONAL MEDICAL CENTER GEORGE L MEE MEMORIAL HOSPITAL D/P SNF COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR HILLTOP CARE CENTER CASA COLOMA HEALTH CARE CENTER CARLSBAD BY THE SEA PROVIDENCE LITTLE CO OF MARY TRANSITIONAL CARE CTR THE ROYAL HOME PORTERVILLE DEVELOPMENTAL CENTER SHANDIN HILLS BEHAVIOR THERAPY CENTER SONOMA DEVELOPMENTAL CENTER D/P SNF RIVERSIDE BEHAVIORAL HEALTHCARE CENTER VISTA PACIFICA CENTER DYCORA TRANSITIONAL HEALTH-SAN JOSE RADY CHILDREN'S CONVALESCENT HOSPITAL D/P SNF LITTLE SISTERS OF THE POOR CRESTWOOD MANOR - 104 DEPT OF STATE HOSPITALS - NAPA D/P SNF VILLA SIENA CRESTWOOD WELLNESS AND RECOVERY CENTER CRESTWOOD TREATMENT CENTER SAKURA INTERMEDIATE CARE FACILITY CRESTWOOD MANOR - FREMONT PARK MERRITT CARE CENTER TUSTIN CARE CENTER LONG BEACH POST ACUTE

  GOLDEN STATE COLONIAL HEALTHCARE CENTER ST JOHN KRONSTADT CONVALESCENT CENTER ORANGEGROVE REHABILITATION HOSPITAL BEACHSIDE NURSING CENTER LODI NURSING & REHABILITATION MCCLURE POST ACUTE PROVIDENCE HOLY CROSS MED CTR D/P SNF TRACY NURSING AND REHABILITATION CENTER DEL MAR CONVALESCENT HOSPITAL VALLEY POINTE NURSING & REHABILITATION CENTER KINGSLEY MANOR CARE CENTER PACIFIC COAST POST ACUTE VETERANS HOME OF CALIFORNIA - YOUNTVILLE - SNF ESKATON CARE CENTER GREENHAVEN SAN MIGUEL VILLA INLAND CHRISTIAN HOME MCKINLEY PARK CARE CENTER ARARAT CONVALESCENT HOSPITAL MOUNT MIGUEL COVENANT VILLAGE POWAY HEALTHCARE CENTER GRANCELL VILLAGE OF THE JEWISH HOMES FOR THE AGING THE BRADLEY COURT TOWN AND COUNTRY MANOR WESTLAND HOUSE REDWOOD TERRACE HEALTH CENTER SHORELINE CARE CENTER FRIENDS HOUSE NORTHPOINTE HEALTHCARE CENTRE LINCOLN SQUARE POST ACUTE CARE ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITA DEL ROSA VILLA SARATOGA PEDIATRIC SUBACUTE ADVENTIST HEALTH SONORA - D/P SNF EXTENDED CARE HOSP WESTMINSTER SHARP CHULA VISTA MED CTR SNF VINEYARD HILLS HEALTH CENTER TAHOE FOREST HOSPITAL D/P SNF SAINT FRANCIS MED CTR DP ACC CARE CENTER CASTLE MANOR CONVALESCENT CENTER UNIVERSITY POST-ACUTE REHAB SUN MAR NURSING CENTER SPRING LAKE VILLAGE DIAMOND RIDGE HEALTHCARE CENTER STANFORD COURT SKILLED NURSING & REHAB CENTER REGENTS POINT - WINDCREST REMINGTON CLUB HEALTH CENTER VILLA POMERADO D/P SNF VILLA RANCHO BERNARDO CARE CENTER AVIARA HEALTHCARE CENTER CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LA PALMA NURSING CENTER VALENCIA GARDENS HEALTH CARE CENTER LINCOLN MEADOWS CARE CENTER VALLEY MEMORIAL HOSPITAL SNF MANORCARE HEALTH SERVICES (CITRUS HEIGHTS) REDWOOD CONVALESCENT HOSPITAL, INC SUNNY VIEW MANOR CASA DE LAS CAMPANAS SHIELDS NURSING CENTER BAYSIDE CARE CENTER DANVILLE POST-ACUTE REHAB ASISTENCIA VILLA REHABILITATION AND CARE CENTER ALAMEDA HOSPITAL D/P SNF CREEKSIDE CENTER CORONA REGIONAL MEDICAL CENTER D/P SNF FREEDOM VILLAGE HEALTHCARE CENTER DESERT REGIONAL MEDICAL CENTER D/P SNF ST FRANCIS EXTENDED CARE STONEBROOK HEALTHCARE CENTER THE DOROTHY & JOSEPH GOLDBERG HEALTHCARE CENTER LIFE CARE CENTER OF ESCONDIDO VILLA GARDENS HEALTH CARE UNIT EASTERN PLUMAS HOSPITAL- PORTOLA CAMPUS DP/SNF CAPITAL TRANSITIONAL CARE MANORCARE HEALTH SERVICES (SUNNYVALE) MANORCARE HEALTH SERVICES - ROSSMOOR GLENWOOD CARE CENTER MARINA GARDEN NURSING CENTER MOUNTAINS COMMUNITY HOSP DPSNF ALTA GARDENS CARE CENTER MARSHALL MEDICAL CENTER D/P SNF USC VERDUGO HILLS HOSPITAL DP/SNF MIRAVILLA CARE CENTER RIVERWOOD HEALTHCARE CENTER PALM VILLAGE RETIREMENT COMM. HERITAGE PARK NURSING CENTER COMM. HOSP. OF SAN BERNARDINO DP SNF HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO EDEN VALLEY CARE CENTER PIONEER HOUSE THE COVE AT LA JOLLA THE TERRACES OF LOS GATOS DANISH CARE CENTER ESKATON VILLAGE CARE CENTER OAKLAND HEIGHTS NURSING AND REHABILITATION GROSSMONT HOSPITAL D/P SNF ARARAT NURSING FACILITY TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF HEALDSBURG DISTRICT HOSPITAL DP/SNF SAN LUIS TRANSITIONAL CARE O'CONNOR HOSPITAL D/P SNF EMANATE HEALTH INTER-COMMUNITY HOSPITAL- D/P SNF WINDSOR MANOR ARROYO GRANDE CARE CENTER REDLANDS COMM HOSP D/P SNF ZUCKERBERG SAN FRANCISCO GENERAL HOSP & TRAUMA SNF GARDEN PARK CARE CENTER NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC TERRACE VIEW CARE CENTER LEGACY NURSING AND REHABILITATION CENTER BARTON HOSPITAL D/P SNF SIMI VALLEY CARE CENTER CHAPMAN GLOBAL MEDICAL CENTER D/P SNF HILLVIEW CONVALESCENT HOSPITAL ROWNTREE GARDENS LAUREL CREEK HEALTH CENTER SAN FRANCISCO TOWERS CHILDREN'S RECOVERY CENTER OF NO CA D/P SNF SIENA SKILLED NURSING AND REHABILITATION CENTER BROOKDALE CARLSBAD COVENANT VILLAGE CARE CENTER SAMARKAND SKILLED NURSING FACILITY PALOMAR HEIGHTS POST ACUTE REHAB BELLAKEN SKILLED NURSING CENTER UNIVERSITY RETIREMENT COMMUNITY AT DAVIS CAMARILLO HEALTHCARE CENTER KAISER PERMANENTE POST-ACUTE CARE CENTER CEDAR CREST NURSING AND REHABILITATION CENTER VI AT LA JOLLA VILLAGE MISSION CARE CENTER BEL VISTA HEALTHCARE CENTER GLENBROOK PROVIDENCE ALL SAINT'S SUBACUTE LOMPOC SKILLED NURSING & REHABILITATION CENTER VI AT PALO ALTO JONES CONVALESCENT HOSPITAL ALHAMBRA HOSPITAL MED CTR DP/SNF BAY AREA HEALTHCARE CENTER VETERANS HOME OF CALIFORNIA - BARSTOW BAYWOOD COURT HEALTH CENTER OAKVIEW SKILLED NURSING KINDRED HOSPITAL BREA D/P SNF VILLA SCALABRINI SPECIAL CARE SIERRA VISTA HEALTHCARE FOREST HILL MANOR HEALTH CENTER LAUREL HEIGHTS COMMUNITY CARE BELLA VISTA HEALTH CENTER SOMERSET SUBACUTE AND CARE CHAPARRAL HOUSE BROOKDALE CAMARILLO ALL SAINT'S MAUBERT CLEAR VIEW CONVALESCENT CENTER CLEAR VIEW SANITARIUM LAKESIDE SPECIAL CARE CENTER MOUNTAIN MANOR SENIOR RESIDENCE VETERANS HOME OF CALIFORNIA - REDDING FOOTHILL HEIGHTS CARE CENTER CREEKVIEW SKILLED NURSING MOCHO PARK CARE CENTER VETERANS HOME OF CALIFORNIA - FRESNO ANBERRY TRANSITIONAL CARE

  Read the full article

[mllemaenad]

Having played some more Fallout 76, I have to say ... yeah, the lack of NPCs is kind of a problem.

I mean, I know how people are. Every time a new game in a series is released everyone rushes out to complain that it isn’t as good as the last one; that it’s been ‘dumbed down’ to allow – heaven forbid – new players to participate; that the company sold out; that it’s just the worst. People were like this when Fallout 4 was released, and apparently 4 isn’t so bad now 76 exists. I don’t want to add to that: it’s perfectly playable, the controls are similar to Fallout 4, and there’s plenty of lore and character in the world itself to make it interesting. If it’s someone’s favourite, that’s fine, and I at least want to see how it ends.

But the emptiness of the map really is a problem, from a story perspective. It’s a problem because it makes it damn near impossible to commit to the story’s central premise: we are here to rebuild, to reclaim, the world after the bombs fell.

Previous Fallout games have dropped the player into a world where that job is at least partially done. Even empty, barren, original Fallout had Junktown and the Hub as major trading centres, and if you had any luck at all you stumbled out of Vault 13 and immediately located tiny-but-functional Shady Sands. You arrive to aid a world in crisis, but the world is, you know, there.

Fallout 76 offers the same premise. Appalachia apparently had a remarkably functional society going a mere 25 years after the Great War. The Responders, our story’s heroes, got shit done. They re-purposed the railroad as a trade route, and had outposts and safe havens established over the entire area. They had community farms, and automated factories running with light supervision. They had survival training programs, medical care, counselling services, supply drops – the fucking works. There’s evidence of towns and households both surviving through the nuclear apocalypse.

Unfortunately none of this survived the scorched plague – a disease apparently so virulent that it left literally no survivors. Now, I find that a bit hard to swallow in itself, since it’s established that ghouls demonstrate a resistance to the plague (where are my ghoul survivors, damn it!), but okay. Fine, let’s go with that then. We are left the heirs to the world they created, free to do with it as we will (provided we can, ourselves, survive the plague).

And that’s where things get ... weird. Something you run into a lot is ‘event quests’. They’re timed, repeatable missions. Not all are attached to the Responders, but many are. You’ll hear Maria or Sanjay on a recorded message: get the food processor running, defend the farms, run the patrols, protect the machinery. These quests make sense if you imagine yourself as part of an organisation with a growing community to feed and clothe. But since the people who need these things are dead, there seems little purpose in doing them – beyond the XP you get at completion.

Now, reasonably, you might say that the Vault 76 survivors are that community. That sounds plausible, except ... they aren’t. While you can build a camp of your own, there’s no way to connect that with other people’s camps to make a town. You can claim a workshop to produce resources as an individual, but there’s no way to produce resources for the Vault survivors as a whole. Every survivor is individually self sufficient, and I’ve had no problems feeding my character or maintaining her gear.

I should digress for a moment to say I’ve had no issues with other players. My encounters with other people have been brief and courteous: I have rescued others and been rescued myself, then we have waved vigorously at each other and we have moved on. I know there must be arseholes out there because I’ve seen Wanted tags pop up, but I haven’t had issues myself.

And why would there be issues? What are you going to do, murder people for their scrap? Why would you bother? We’ve all got plenty of scrap. My damn stash box is full again already. The game isn’t geared towards PvP. And that’s great. It doesn’t feel like it should be. It feels like it should be collaborative, but it isn’t.

Imagine if there were NPC survivors. Like your settlements, in Fallout 4, only the whole damn server is responsible for them. Perhaps the leadership of the heroic Responders is still gone, and 76′s much vaunted genius survivors have stepped in to take their place. Good luck, guys. When you run to protect the machinery, you now have a purpose: you are keeping the last survivors of the scorched plague alive while you hunt for the cure. Imagine being able to use your specialisations: become doctors, hunters, scientists, builders – for other players, yes, but also for the NPCs. The characters should have personalities, be people, give you something to fight for, even if they aren’t the quest givers. Imagine tangible, sensible benefits to doing all those quests: as long as you keep the power station running, your camp and the surrounding settlements are hooked up to the grid, so you don’t need a million generators to run things.

Shady Sands was built by (some of) the survivors of an experimental vault, who struck out into the wastes and made a home. Necropolis and Vault City are both the result of survivors turning their vault into a long-term home. Broken Hills and Jacobstown are both built by refugees from the Master’s army. Megaton and Underworld are groups of like-minded survivors giving the vaults the finger and living on through nuclear devastation anyway. Goodneighbour is established (recently) as a refuge for the persecuted and dispossessed – a place where these people look after each other.

Fallout success stories are always about collaboration. So why does the game have the survivors of 76 wandering around as though they don’t know each other?

I haven’t reached the endgame yet. So if it turns out that Vault-Tec set 76 up to fail at reclaiming the wasteland, I won’t be surprised. It’s fucking Vault-Tec: if someone’s still alive when they’re done with them something has gone horribly wrong.

But since when do Fallout players have to do what Vault-Tec wants?

I ... think we need some survivors, Bethesda. We need someone to save. Because otherwise it’s hard to imagine a society growing up in the game. It’s hard to imagine anything that would persist the two centuries to Fallout’s current ‘present day’.

We need NPCs.

[jivanacare-blog]

What Happens Inside an Allergy Testing Clinic? Everything You Need to Know

Your immune system is like the security centre of your body. It protects your body by fighting infection-causing pathogens and keep it healthy. Sometimes, your defence system doesn’t behave normally when exposed to a known substance. When that happens, your body starts overreacting, causing a runny nose, uncontrollable sneezing, itchy & watery eyes, sinus blockage and many more. The process that causes your body to act abnormally is called allergy and the substance causing allergies are known as allergens.

In reputed allergy testing clinic like Jivana Care, certified allergy specialist is to perform an examination of your body and figure out the reason behind the allergy. The Test is often conducted in three forms like a blood test, a skin test or an elimination diet.

How to Prepare for Allergy Testing

Preparing for an Allergy Test

An allergy test is conducted under great precaution. Your doctor will start by enquiring about your family history, medical history, lifestyle, etc. Your doctor might ask you to stop taking a few medications since they interact with the test results. If you are taking medications like antihistamines, heartburn medications like famotidine, asthma medications like omalizumab, antidepressants, diazepam, lorazepam, etc., then you have to stop them before the allergy test.

Skin tests

Skin tests are conducted to identify contact allergens as well as airborne and food-related allergens. This test includes three tests called scratch, patch and intradermal, the doctor will first try a scratch test. An allergen will be introduced into the skin and the doctor will observe the reaction of your skin to the allergen. If your body doesn’t react well, then the doctor will move to the intradermal test. In this test, the doctor will inject the allergen in your body and monitor the body’s reaction.

Patch Test

The doctor will put allergen-loaded patches on to your skin and ask you to keep the patch for 48 hours. The first review takes place within 48 hours and then the second is scheduled within 72 to 96 hours.

Blood Tests

People facing severe allergic reaction to skin test might have to go for blood tests. The sample is then sent to the laboratory for any sign of antibodies fighting with allergens.

Elimination Diet

Your doctor might remove some food from your diet to determine the food that causing these reactions.

Jivana Care is a leading allergy testing clinics in Bethesda, providing comprehensive care like diagnosis, consultation and timely manner for patients suffering from allergies.

[wisewellness]

Myths About Acupuncture That Needs To Be Debunked/Busted

Acupuncture is an ancient healing tactic which is about 3000 or more years old. It was originated from China and gain popularity after the 1920s. Initially, it was used as a preventative measure for diseases. Still, in modern times, it is also used for the treatment of around 50 or more diseases including respiratory, neurological, urinary, menstrual and reproductive disorders.

Besides being so popular, there are some misconceptions about this therapy which need to be removed from people's mind. Below are some myths about Acupuncture

Acupuncture hurts a lot.

The needles are as normal human hair. When the needle is interpolated, you might feel a mild stimulating sensation when the hand reaches its intended depth; if you feel that sensation, it means that the therapy is going to work.

Best Acupuncture Therapy in White Oak is not painful therapy, and there's no need to get frightened about it.

People might get addicted to Acupuncture.

Patients are sometimes required to pay visits to their acupuncturist, but it does not mean that Best Acupuncture Treatment in Cabin John is addictive. Acupuncture affects the dopaminergic system and aids in the addiction recovery process.

This therapy is provided along with some education, proves to be beneficial in tobacco addiction recovery.

Acupuncture shows results quickly.

Well, this is true to some amount, but the time is taken to get results to differ from person to person. It is a myth that it shows results quickly, and if not, then it's not for you. Some patients get recovered promptly while some take more time to heal.

If you are confused over the treatment of

Best Acupuncture in Bethesda

because of such myths, then its time for you to stop believing them and visit Wise Wellness for

Acupuncture in Maryland

. They are the best medical centres for

Pain Management Professional Silver Spring

, and

Stroke Rehabilitation in Maryland USA

.

[mubahood360]

Here and there – UGNEWS24 Minister ignores Nwagi’s body showWinnie Nwagi“Giving Winnie Nwagi the attention she craves is depressing and could only resurrect talk on Miss Curvy that Ugandans have reconciled with forgetting,” a minister infamous for going after women over nude images has said.The minister, who recently lost the NRM ticket for a constituency in Karamoja, also said he is too depressed to talk about Nwagi at the moment.“If I discuss her, some of you will say I’m body-shaming a woman but sincerely,  when you have a body that is not much flattering, it is best to keep it clothed,” he said.“Yes, there are nudes that we have seen and run on the committee to spend hours analyzing but this one, no-no-no.”The minister said the other day he saw Nwagi  “give out her huge behind for free to uninterested men” and because he had spent a few minutes watching the viral clip, “I lost Dodoth West,  just like that.”“I don’t know what more I won’t lose if I pay attention to Nwagi again,”  he said.I wasn’t tweeted as much as I needed – TrumpA federal district court judge in May ruled that blocking people from the president’s @realDonaldTrump account violated First Amendment free speech rightsUS President Donald Trump has called on Americans to do whatever Dr Fauci and others with knowledge on science tell them about coronavirus because  “the Kung-Flu is real”  and has “devastating sidekicks.”Trump, who is being treated for Covid-19 at Walter Reed National Military Medical Centre in Bethesda, Maryland, said his condition first deteriorated because of the realisation that he was the first American president to be hospitalised with a mere flu.“These people impeached me, they poured fake news on me and now they sent me this Kung-flu,” he said. 

[atlanticcanada]

Infectious disease expert Dr. Lisa Barrett answers viewer questions about COVID-19: Part 5

The information surrounding COVID-19 can be overwhelming and, at times, hard to understand.

Some of the most rigid restrictions around the COVID-19 pandemic are being eased as every province goes at its own speed.

Scientists continue to work around the clock on vaccines and treatment as society becomes more at ease with the idea of living with COVID-19. But there are still a lot of questions.

Many Maritimers have had questions about the virus itself and how to deal with it. Particularly, when some of the messaging continues to change, as the science community learns more about the disease.

Dr. Lisa Barrett sat down with CTV News Atlantic anchor Steve Murphy on Tuesday night to provide answers to the ever-changing questions about COVID-19.

Dr. Barrett is a medical doctor and clinician scientist with expertise in infectious disease and human immunology.

In addition to a PhD and MD from Memorial University, an internal medicine residency at Dalhousie University, and an infectious disease fellowship at the University of Toronto, her training includes post-doctoral training at the National Institute of Allergy and Infectious Diseases in Bethesda, Maryland.

During her training at the National Institute of Health in Maryland, Dr. Barrett worked with prominent American physician and immunologist, Dr. Anthony Fauci, who is a member of the coronavirus task force in the United States.

Below is a transcript of the interview:

1. We recently learned that the first Canadian clinical trials for a potential vaccine are in fact being led by your colleagues, researchers at Dalhousie University. What can you tell us about that?

Dr. Barrett: There are several vaccines that will be tested in Canada in the coming months. The first of which is a vaccine trial which is a first in Canadian humans, which is being run by CanSino Biologics, a company out of China who is working with Canada’s National Research Council. Once all of the science is put together, in the next couple of weeks, that trial will start to be tested at the Canadian Centre for Vaccinology at Dalhousie University.

2. So how long does it take for a clinical trial of any kind to produce some results we can take to the bank?

Dr. Barrett: First the vaccine starts what we call phase one trials, they are done in a very small number of people to ensure that healthy people can get the vaccine and it’s safe. That can take up to seven months or even longer. Then they move on to phase two trials, where a larger number of healthy people take the vaccines and we see how the vaccine acts in those people and we look for signs that they are actually responding favourably to the vaccine.

As you know, a vaccine is there to educate your immune system about the infection it might run into. So we look for antibodies and other signs that your immune system is responding well in phase two, which takes several more months. Then in phase three we find out whether or not the vaccine is actually protective against a challenge, and that would happen during a regular viral season with this virus, where we would see if people who were vaccinated were less likely to get the infection than other people.

So the short answer is it’s going to take a while if this vaccine or others will truly work.

3. How certain is it that there will be an effective vaccine for this particular virus.

Dr. Barrett: It’s a great question because I think people assume that we will get a vaccine that is completely sterilizing and completely prevents people from getting an infection. It’s far more likely that out of the five or six vaccines that we will test, and we hope that several of them will work, but its far more likely that those vaccines will be somewhat protective vaccines that will help prevent the disease but won’t be perfect. So we really have to consider this as we move forward and think about multiple strategies; vaccines, and treatments, and continuing to wash our hands, in order to completely combat this virus.

4. What is going on so far as treatments for managing COVID-19?

Dr. Barrett: Around the globe there are multiple agents that are being used to attempt to treat this virus and its infection. Some of them are to directly inhibit the virus itself, and others are to ramp down the infection of the immune system that causes so much havoc in the lungs when people get the infection. Here in Nova Scotia, we’ve started a treatment trial that will be offering various different therapies that are used for other diseases at the moment and seeing if they actually prevent the progression of disease for people with really bad COVID-19 related illness. So that’s going on right now in Nova Scotia and will continue for the next year.

5. Does that include hydroxychloroquine which President Trump now says he’s taking?

Dr. Barrett: Yes it does include hydroxychloroquine as a treatment, not to prevent infection. We use it very carefully, it is a safe medication, but it is safe in very particular people who have normal heart rhythms and who are monitored. And for that reason we are doing this in a study, which is the only way people should be accessing and taking hydroxychloroquine for this infection at the moment.

It’s a pretty good thing to be in Nova Scotia right now as we have treatment trials and vaccine trials going on at the same time.

6. Are face shields safer to use than masks in protecting both the wearer and the persons encountered?

- Ray Stapleton

Dr. Barrett: It depends where you are and what you’re doing. If you’re a healthcare worker, sometimes a mask and a face shield are both important parts of protective equipment. However, if you are outside in your community around people who don’t have symptoms, which are the only people you should be around at this point, then a procedural mask or one of the reusable masks is sufficient, as long as your keeping about six feet of distance and not touching your face without washing your hands. So at this point, there is no real reason why people should be going around with face shields on, as long as people are adhering to the rules of staying at home when they have symptoms and not touching their face without washing their hands.

7. Should you be wearing a face shield without a mask?

- Joseph MacKenzie 

Dr. Barrett: In a hospital setting, where you have to have both droplet and contact precautions we recommend both a face shield and a mask. However, outside in the community, if you decide to wear a face shield, just be aware that it won’t protect you from things that may be able to come down and under the shield, unless your wearing a mask. If I were to choose and I was outside in the community doing regular things that I’m supposed to do, I would choose to wear a mask instead of a shield alone.

8. Will everyone be able to have the antibody testing to see if we had COVID-19 unknowingly when the test becomes available? I, like many others, had an awful cough that lasted months in December!

- Amanda Cousins 

Dr. Barrett: I never say never. Academically and from a public health perspective, it will be very interesting to go back and look at leftover information and see if we can find any evidence of this virus before we knew about it, but we don’t know the answer right now.

As for antibody testing, the tests that are available and becoming available commercially at the moment are becoming more specific and more sensitive, and at some point soon we’re hoping to have a reliable test that can tell you if you’ve been exposed to this virus before. Those are coming, and there are some that are becoming licensed at Canada. At that point, it will be very important as we move forward that we think about who to test and when to test them to determine if people have experienced this virus before.

It would be very difficult to test everybody for antibody testing, and that really shouldn’t change what your practice is. The best advice I have is do a test when you have something you’re going to change about either your treatment or how you behave. Right now, everyone should behave, even if they have antibodies, as if they could be infected or reinfected with this virus, until we determine whether people are protected by immunity after being exposed and also whether the tests really work as well as we think they should. So if you’re not going to change anything, you’re not sick, and you just want to know for curiosities sake, we really have to test the people who need to know; healthcare workers, people who could become very sick again if they were sick before. We’re going to prioritize people a little bit at first, but eventually we’ll get around to it and follow public health’s direction on who to test and when, once the tests become available.

9. Will COVID-19 go away on its own?

- Kevin Coones 

Dr. Barrett: That would be nice, but I don’t think we’re going to see that happen. MERS, another coronavirus almost went away on its own, SARS has not come back in large numbers anywhere else. So those coronaviruses have gone away pretty quickly, but it’s not as likely to happen with this particular viral infection. So chances are, no, it won’t go away on its own, we’re going to have to build herd immunity over time, we’re going to have to develop treatments and we’re going to have to get vaccines, and we’re going to have to keep remembering to wash our hands and not touch our faces.

10. This is going to have to become permanent changed behaviour, it’s not something we’re ever going to abandon?

Dr. Barrett: Well the same could have been said for influenza when we have no good treatments and no good vaccines. However, over time with technology and science, and research and innovation, thankfully a lot of it going on in Canada, I think we’re going to make great strides going forward. We’re social humans, we like touch and talk and socialization, and eventually we’re going to get back there but it may be a lot longer than people like.

11. Some studies seem to indicate that the COVID-19 infection rate is as much as 15 times greater than "official government numbers?"

- Bob Davison

Dr. Barrett: It depends what you mean by ‘government numbers’. What we report, or what is reported by public health, each day in the news are the number of people who have been tested who are positive. I do believe that those are exactly the numbers of people who have been tested who they find positive, that’s definite. Is it possible that there are more people out there, that didn’t seek medical attention or testing? Probably, don’t forget that we think about 80-85% of people who get this virus get very minimal symptoms, and some may not get symptoms at all. It’s not unreasonable to think that maybe 10 times more people have had the infection that we don’t know about yet.

You mention the antibody test, that’s going to be a great way of eventually doing what we call surveillance, to determine exactly how many people have been infected. 

This is the fiveinterview in a series of COVID-19 Q&A's with Dr. Lisa Barrett:

Part one

Part two

Part three

Part four

from CTV News - Atlantic https://ift.tt/2Xc2oaF