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Indonesia, major advocate of hydroxychloroquine, told by WHO to stop using it

first_imgLast week, the Lancet medical journal published the most comprehensive study to date on the drugs, which found that coronavirus patients prescribed them were more likely to experience heart rhythm disturbances and more likely to die.”Gamechanger”On Monday, the WHO announced it was suspending the use of hydroxychloroquine for COVID-19 patients in a global clinical trial. It has advised against using the malaria drugs for the coronavirus outside such trials.Trump has touted hydroxychloroquine for months as a potential cure or preventive treatment for the coronavirus, and has said he was taking it himself to prevent infection.On March 21, Trump described hydroxychloroquine as a “gamechanger”. Days later, Indonesia’s President Joko Widodo said the drug, while not a cure, could help patients recover.According to a report from the ministry of health prepared for parliament, Indonesian companies were on course to produce 15.4 million doses of the two drugs between April and May.Indonesia’s food and drug agency published a COVID-19 “Informatorium” which included detailed dosage guidelines for the use of the drugs for adolescent and adult coronavirus patients suffering from moderate to severe symptoms.The guidelines, which include warnings about potential heart complications, recommend they be used in tandem with the antibiotic azithromycin, a combination some studies show elevates the risk of heart rhythm disturbances.Burhan said chloroquine and azithromycin have been routinely used. Earlier this month she told Reuters it was “hard to tell” if chloroquine was increasing the death rate of coronavirus patients, as any links were yet to be investigated.Stephen Nissen, a cardiologist and chief academic officer of the Miller Family Heart, Vascular & Thoracic Institute at the Cleveland Clinic, said he was surprised Indonesian authorities had ever recommended widespread use of the drugs.“We know these drugs produce a rare, but very serious and potentially lethal cardiovascular side effects, which is a heart rhythm disturbance that is very difficult to treat,” he said.“So the idea of giving them routinely on the basis of the flimsiest of evidence of benefit makes absolutely no sense.”Jane Quinn, a pharmacology researcher at Australia’s Charles Sturt University, said the anti-malaria drugs could be more dangerous forIndonesians than for other groups, because of the enzyme profile of Indonesia’s population.“The evidence from looking at those enzymes globally is that populations in Indonesia are actually much less effective at breaking chloroquine and hydroxychloroquine down,” she said, adding this could make the drugs less effective and more toxic.  The source, who spoke on condition of anonymity to discuss a recommendation not yet made public, said the WHO had sent a notice toIndonesia’s health ministry advising that use of the drugs should be suspended.Erlina Burhan, a doctor who helped draft coronavirus treatment guidelines as a member of the Indonesian Association of Pulmonologists, confirmed that the association had also received new advice from the WHO to suspend use of the drugs.”We discussed the issues and there are still some disputes. We have no conclusion yet,” she told Reuters.A spokesperson for the WHO mission in Indonesia did not immediately respond to a request for comment. Indonesia’s health ministry, Food and Drug Monitoring Agency (BPOM) and the spokesman for Indonesia’s COVID-19 taskforce were not immediately available to comment. Topics :center_img The World Health Organization has urged Indonesia, one of the world’s biggest advocates of two malaria drugs to treat the coronavirus, to suspend such treatment over safety concerns, a source familiar with the advice told Reuters on Tuesday.Any decision by Indonesia to halt use of the drugs, chloroquine and hydroxychloroquine, in coronavirus patients would mark a major global shift away from a treatment which has been touted for months by US President Donald Trump.Indonesia, the world’s fourth most populous nation, had told doctors to use the drugs to treat all COVID-19 patients with symptoms from mild to severe. The country has ramped up production since March, granting two dozen licenses to local manufacturers who have churned out millions of doses.last_img read more

Seachtain na Gaeilge festival kicks off in Donegal

first_imgSeachtain na Gaeilge got off to a momentous start across Donegal last Friday following an exciting launch at An Grianan Theatre.The Seachtain na Gaeilge International Festival will take place from 1 – 17 March 2019 and a wide range of events is planned for Donegal and the North West Region. The festival gives absolutely everyone a chance to enjoy the Irish language, be they native Irish speakers, language learners or those with only a few words. Seachtain na Gaeilge was officially launched by the Cathaoirleach of Donegal County Council, Cllr Séamus Ó Domhnaill with Chairperson of Coiste na Gaeilge, John Shéamuis Ó Fearraigh and the Chief Executive of Donegal County Council, Séamus Neely also in attendance. Staff members from various services in Donegal County Council were also present, as were several representatives from the various organizations, both at local and at national level to show their support for Seachtain na Gaeilge. Many have contributed to the schedule of events for Seachtain na Gaeilge, the details of which can be pursued in the colourful booklet produced by Donegal County Council here: https://donegalgathering.files.wordpress.com/2019/03/sheachtain-na-gaeilge-2019-web-1.pdfFiona Sweeney, Séan Ó Daimhín, Seamus O’Domhnaill, Cathaoirleach of Donegal, Róise Ní Laifertaigh, Seamus Neely, CE Donegal County Council, Liam Ward, Director of Community Development & Planning Services, Cllr John Sheamais Ó’Fearraigh and Niamh Sweeney at the launch of Seachtain na Gaeilge in An Grianan Theare on Friday last which runs from the 1st to 17th March. Clive WassonThe renowned Clann Mhic Ruairí from Rann na Feirste got the proceedings off to a flying start.  Further along in the proceedings, the pupils of St. Joseph’s N.S Rathmullan delighted the audience with a repertoire of their best loved Irish songs. Speaking during the launch, the Cathaoirleach of Donegal County Council, Cllr Séamus Ó Domhnaill said that he was delighted as a native speaker himself to officially launch Seachtain na Gaeilge for 2019. He spoke of the importance of supporting the Irish language both within and beyond the Gaeltacht areas and encouraged the promotion of the Irish language and culture as a valuable economic and tourism product. While acknowledging the legal and moral obligations the Council has regarding the Irish language, Mr Seamus Neely, Chief Executive of Donegal County Council stated that Seachtain na Gaeilge provides a platform to enjoy the Irish language through the many events that will take place during Seachtain na Gaeilge in a relaxed and enjoyable way. The launch of Seachtain na Gaeilge in An Grianan Theatre on Friday last which runs from the 1st to 17th March. Clive WassonMr Neely paid tribute to the many local groups who organize events as part of the Seachtain na Gaeilge celebrations. He also acknowledged the significant contribution of the Library Service and that of Rannóg na Gaeilge in the preparatory works for Seachtain na Gaeilge. He hopes that the range of events will suit all ages!He said he was particularly delighted with the collaboration now happening between the Irish Officers of Donegal County Council and of Derry City Council and Strabane District Council in the promotion of the Irish language and culture in the three counties under our remit. Mr Neely concluded by appealing to the people of Donegal and the North West to come out to support the many events scheduled for Seachtain na Gaeilge, most of which are free of charge, and to celebrate this, our ancient language and culture with pride purpose. Cllr John Shéamuis Ó Fearraigh, Cathaoirleach on Donegal County Council’s Irish Language Committee, said: “If we want the Irish language to survive, we have to speak it. And we have to give every support to our children in using the language, and to older people, and to the new Irish who have come to live in our country. But if we are really serious about the language there is a real need for a complete cultural transformation in this country and a complete change of mindset too”. Niamh Nic Suibhne, a student in the LYIT and who is on placement in Rannóg na Gaeilge came to the podium and gave a comprehensive account of the benefits she has gained in her time in Rannóg na Gaeilge.  She spoke of the many projects she has been involved in, many of which she has had a central role in herself and she acknowledged, with appreciation, the value this placement has had in improving her confidence in the use of the Irish language.Seachtain na Gaeilge is an international Irish-language festival promoting the use of Irish language and culture, both at home and abroad, running over a fortnight in March every year. The festival has built up incredible momentum in recent years, becoming the largest celebration of our native language and culture held every year. For more information on events in Donegal, contact Róise or Seán 074 94275 or e-mail: [email protected] or [email protected], or go to www.snag.ie or to Donegal County Council website, to look for events near you. SEOLTAR SEACHTAIN NA GAEILGE 2019 i gCONTAE DHÚN NA NGALLCuireadh tús spleodrach le Seachtain na Gaeilge ar fud Dhún na nGall, nuair a seoladh imeachtaí na féile bliantúla in  Amharclann an Ghrianáin, Leitir Ceanainn inniu, ar an Aoine, 1 Márta ag 1.00 pm. Beidh an Fhéile Idirnáisiúnta, Seachtain na Gaeilge ar siúl ó 1 – 17 Márta 2019 agus tá clár fairsing imeachtaí Gaeilge beartaithe do Chontae Dhún na nGall agus do Cheantair an Iarthuaiscirt i mbliana.Sheol Cathaoirleach na Comhairle Contae, An Clr Séamus Ó Domhnaill Seachtain na Gaeilge go hoifigiúil.  Bhí Cathaoirleach Choiste na Gaeilge, John Shéamais Ó Fearraigh agus Príomh-Fheidhmeannach na Comhairle, Séamus Neely i láthair ag an ócáid chomh maith. Ba bhreá agus ba mhór líon na n-ionadaithe a bhí i láthair ó na seirbhisí éagsúla  i gComhairle Contae Dhún na nGall agus ó eagraíochtaí eile, ag leibhéal náisiúnta agus ag leibhéal áitiúil, lena dtacaíocht a léiriú do Sheachtain na Gaeilge, cuid mhaith acu a chuir le líon na n-imeachtaí do Sheachtain na Gaeilge.  Is féidir sonraí na n-imeachtaí a aimsiú i leabhrán ildaite atá foilsithe ag Comhairle Contae Dhún na nGall.Chuir Clann Mhic Ruairí as Rann na Feirste tús bríomhar leis an ócáid agus arís i ndiaidh na n-óráidí le ceol breá sultmhar.  Cheol grúpa páistí scoile, ó Scoil Náisiúnta Naomh Iosaf, Rath Maoláin traidhfil amhrán taitneamhach as Gaeilge a chuaigh go mor i bhfeidhm ar an lucht i láthair. Agus é ar na bonnaí, dúirt Cathaoirleach na Comhairle Contae, An Clr Séamus Ó Domhnaill go raibh lúcháir air mar chainteoir dúchais Seachtain na Gaeilge a sheoladh go hoifigiúil don bhliain 2019.  Labhair sé faoi chomh tábhachtach is atá sé an Ghaeilge a chaomhnú, a neartú agus a fhorbairt, ní amháin sa Ghaeltacht ach sna ceantair taobh amuigh di, agus go bhfuil gá leis an Ghaeilge a chur chun cinn mar acmhainn chultúrtha agus turasóireachta. Is maith is eol don Chomhairle ‘na dualgais reachtúla agus morálta atá le comhlíonadh ó thaobh seirbhisí Gaeilge’ a dúirt Príomh-Fheidhmeannach na Comhairle, Séamus Neely ach is é a bharúil go ‘bheireann Seachtain na Gaeilge ardán eile dúinn lenár dteanga agus ár gcultúr a cheiliúradh ar bhonn atá sultmhar, taitneamhach agus pléisiúrtha’.  Mhol sé go mór obair na gcóistí áitiúla as an iarracht a dhéantar bliain i ndiaidh bliana le Seachtain Gaeilge fhiúntach a reáchtáil sa chontae. Thug sé buíochas faoi leith don tSeirbhís Leabharlainne agus do Rannóg na Gaeilge as an réamhullmhúcháin ar fad le Seachtain na Gaeilge a chur ar obair arís i mbliana. Tá súil aige go mbeidh imeacht ar siúl a shásóidh idir óg agus aosta! Bhí lúcháir faoi leith air faoin chomhoibriú atá ar bun anois idir Rannóg Gaeilge Chomhairle Contae Dhún na nGall agus Oifigigh Ghaeilge Chomhairle Chathair Doire agus Cheantar an tSratha Báin leis an Ghaeilge a chur chun cinn sna trí chontae faoinár gcúram. Mar fhocal scoir, d’impigh sé ar mhuintir Dhún na nGall agus an Iarthuaiscirt an deis iontach seo a thapú agus freastal a dhéanamh ar a laghad, ar chuid de na himeachtaí fairsinge Gaeilge a bheas ar siúl le linn Sheachtain na Gaeilge, an chuid is mó acu saor in aisce, agus ár dteanga agus ár gcultúr ársa álainn a cheiliúradh le bród agus le mórtas. Labhair An Clr John Shéamais Ó Fearraigh, Cathaoirleach Choiste Gaeilge na Comhairle Contae ag an ócáid. “Má tá muid ag iarraidh an Ghaeilge a bheith beo caithfidh muid í a labhairt. Agus caithfidh muid oiread a thig linn a dhéanamh chun tacaíocht a thabhairt do pháistí, agus daoine níos sine, agus na hÉireannaigh úra as tíortha eile.  Ach má tá muid dáiríre faoin teanga a shábháil tá géarghá le hathrú mór cultúrtha sa tír seo agus athrú mór meoin”. Tháinig Niamh Nic Suibhne, mac léinn atá i mbun staidéir san Institiúid Teicneolaiocht i Leitir Ceanainn agus ag caitheamh seal i Rannóg na Gaeilge ar thaithí oibre chun tosaigh agus rinne sí cur síos cuimsitheach ar a taithí oibre go dtí seo.  Labhair sí faoi na beartais éagsula ina raibh ról aici féin iontu agus mhol sí go mór d’aon mhac léinn seal a chaitheamh i Rannóg na Gaeilge mas main leo feabhas a chur ar a gcuid Gaeilge. Is féile idirnáisiúnta Ghaeilge í Seachtain na Gaeilge a chuireann úsáid na Gaeilge agus an cultúr Gaelach chun cinn in Éirinn agus thar lear. Tá an fhéile tar éis neart fuinnimh a bhailiú le blianta beaga anuas, agus tá sí anois ar an cheiliúradh is mó dár dteanga agus dár  gcultúr dúchais. Tugann an fhéile deis d’achan duine sult a bhaint as an Ghaeilge, idir chainteoirí dúchais, fhoghlaimeoirí agus lucht an chúpla focal araon.Fá choinne tuilleadh eolais faoi na himeachtaí, ní gá ach teagmháil a dhéanamh le Róise nó le Seán ag 074 94275 nó seol ríomhphost chuig: [email protected] nó chuig [email protected] nó dul go www.snag.ie nó chuig suíomh idirlín na Comhairle Contae ar donegal.ie/ie, chun cuardach a dhéanamh d’imeachtaí i do cheantarsa.Seachtain na Gaeilge festival kicks off in Donegal was last modified: March 5th, 2019 by Staff WriterShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)Tags:Seachtain na Gaeilgelast_img read more

Lost Civilizations: Human History Hidden in Plain Sight

first_img(Visited 102 times, 1 visits today)FacebookTwitterPinterestSave分享1 New imaging techniques have revealed extensive ancient human settlements in two very different remote environments.Sahara civilization: By scanning satellite images, David Mattingly from the University of Leicester found that habitation of the Sahara from 1000 BC to 700 AD was much more widespread than realized. Lizzie Wade at Science Magazine reports on a presentation given to the AAAS. In “Drones and satellites spot lost civilizations in unlikely places,” she says that Mattingly–…studies a culture known as the Garamantes, which began building a network of cities, forts, and farmland around oases in the Sahara of southern Libya around 1000 B.C.E….Many Garamantian structures are still standing in some form or another today, but very few have been visited by archaeologists. It’s hard to do fieldwork in the hot, dry, remote Sahara, Mattingly explains. “And that relative absence of feet on the ground leads to an absence of evidence” about the Garamantes and other cultures that may have thrived before the Islamic conquest of the region. But because many Garamantin sites haven’t been buried or otherwise destroyed, they show up in stunning detail in satellite photos. By analyzing such images, “in an area of about 2500 square kilometers, we’ve located 158 major settlements, 184 cemeteries, 30 square kilometers of fields, plus a variety of irrigation systems,” Mattingly says.That phrase “the Islamic conquest of the region” sounds hauntingly familiar, as ISIS makes inroads into modern Libya.Amazon civilization:  Just as startling was the presentation by José Iriarte, an archaeologist at the University of Exeter. He is using drones outfitted with radar and infrared cameras to peel away the story of ancient Amazonian dwellings. His findings are changing the paradigm about rain forest inhabitants:When ecologists look at the Amazon, they see “virgin wilderness” untouched by humans, Iriarte says. But thanks to the discovery of large-scale earthworks called geogylphs and terra preta—“black earth” that was purposely enriched by humans in the past—archaeologists have concluded that at least parts of the rainforest must have been home to large, agricultural settlements. “Now it’s time to start quantifying past human impact in different parts of the Amazon,” Iriarte says….If past cultures “farmed” the rainforest by cultivating helpful crops in specific places, their practices may have shaped which species grow where, even today—which could change the way we think about conservation in the Amazon. “The very biodiversity that we seek to safeguard may itself be a legacy of centuries or millennia of human intervention,” Iriarte says.Iriarte is rushing because development threatens to erase the signs of past civilization.Wade weighs the impact of these discoveries:What do the Sahara desert and the Amazon rainforest have in common? Until recently, archaeologists would have told you they were both inhospitable environments devoid of large-scale human settlements. But they were wrong. Here today at the annual meeting of the AAAS (which publishes Science), two researchers explained how remote sensing technology, including satellite imaging and drone flights, is revealing the traces of past civilizations that have been hiding in plain sight.There could also be important lessons in considering the inhabitants of those areas today. If those areas once supported thriving cultures, why are they forsaken now?Remember the paradigm of jungle tribes, naked in a virgin forest, living close to nature like the early hunter gatherers of upwardly-evolving man frozen in time? Remember evolutionists depicting them as savages not as far on the evolutionary scale as civilized people? (That was Darwin’s view.) These new findings are flipping that image upside down. Their ancestors built extensive settlements, made large earthworks, and processed the soil. Those ancestors shaped the jungle environment by planting their preferred crops. If anything, today’s inner rainforest tribes have degenerated from those high levels of culture. The Garamantians built large structures, cemetaries and extensive irrigation systems.All through observable human history, we see evidence of human beings acting as highly capable and intelligent beings, capable of great works requiring long-term planning and social cooperation. From the first written records, we see accounting and long-distance trade. The picture fits the Biblical record of mankind’s dispersion after Babel, not a long, slow, gradual evolution. The environment was different, too. Satellite images show river beds under the Sahara that suggest a former rich habitat just a few thousand years ago; look how quickly it changed! It didn’t take millions of years. Egypt, Israel and Iraq probably were much more fertile than they are now, as would be expected for the days after the Flood. And on the other side of the world, large pluvial lakes in California and Nevada show evidence of vast inland seas that dried up into the hot deserts (like Death Valley) that they are today.All this evidence of rapid dispersion of intelligent humans into scattered civilizations in a time of different climate fits the Genesis record, not evolution.  “Archaeologists would have told you…. But they were wrong,” Wade said. Darwin’s teachings have misled history, archaeology and anthropology long enough. We have a written record; let’s use it. And let’s learn from the long-lost Garamantians that Islamic conquest means death and destruction. Those who love civilization and reason must band together against those who intent on destroying both.last_img read more

Surface anatomy- normal palm

first_imgThis picture shows the normal appearance of an adults palm and fingers.Review Date:8/11/2012Reviewed By:Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.last_img