Butanta House / Lab Arquitetos

first_img 2013 Photographs:  Marcelo Kahn Manufacturers Brands with products used in this architecture project Save this picture!© Marcelo Kahn+ 25 Share Brazil ShareFacebookTwitterPinterestWhatsappMailOrhttps://www.archdaily.com/790803/butanta-house-lab-arquitetos Clipboard ShareFacebookTwitterPinterestWhatsappMailOrhttps://www.archdaily.com/790803/butanta-house-lab-arquitetos Clipboard ArchDaily Butanta House / Lab ArquitetosSave this projectSaveButanta House / Lab Arquitetos “COPY” “COPY” Area:  470 m² Year Completion year of this architecture project center_img CopyHouses•São Paulo, Brazil Year:  Houses Photographs Architects: Lab Arquitetos Area Area of this architecture project Projects Manufacturers: Celite, Deca, SuvinilSave this picture!© Marcelo KahnRecommended ProductsMetallicsStudcoWall Stop Ends – EzyCapWoodLunawoodThermo Timber and Industrial ThermowoodWoodAccoyaAccoya® CanalsMetallicsKriskadecorMetal Fabric – Outdoor CladdingText description provided by the architects. In sight of a comfortable house for the whole family, the owners decided to renovate an old house from the early 50s. The architects from Lab Arquitetos developed the project in order to integrate the outdoor area to the inside of the house, making it possible the usage of  pergolas, balconies and wide windows.Save this picture!© Marcelo KahnSearching for an aesthetical look that refers to the northern Argentina fields and grasslands, rustic materials such as wood were used, contrasting with the contemporary furniture and integrated rooms. The original laundry area gave place to a living area with an open garden and grill area, both with view to the refurbished swiming pool.Save this picture!© Marcelo KahnSave this picture!PlanSave this picture!© Marcelo KahnThe fence and low walls were removed so all rooms could be integrated, giving place to a exuberante landscape.Save this picture!© Marcelo KahnSave this picture!PlanSave this picture!© Marcelo KahnThe lower plan was expanded, conecting the living room and balcony area through the pergola area. Made of corten steel , the pergola has it´s structure apparent and also sustains the upper floor new balcony. One of the greatests urprises during construction was the chance to leave the existing roof structure apparent, requiring only some repair and maintenance in some points and a new painting finish.Save this picture!© Marcelo KahnProject gallerySee allShow less20 Gadgets That Any Architect Would WantArchitecture NewsRotem Guy Workshop Designs Urban Club for SoldiersArchitecture News Share CopyAbout this officeLab ArquitetosOfficeFollowProductsWoodBrick#TagsProjectsBuilt ProjectsSelected ProjectsResidential ArchitectureHousesSão PauloSao PauloBrazilPublished on August 13, 2016Cite: “Butanta House / Lab Arquitetos” 13 Aug 2016. ArchDaily. Accessed 11 Jun 2021. ISSN 0719-8884Browse the CatalogPanels / Prefabricated AssembliesTechnowoodPanel Façade SystemRailing / BalustradesMitrexIntegrated Photovoltaic Railing – BIPV RailingMetal PanelsAurubisPatinated Copper: Nordic Green/Blue/Turquoise/SpecialPlastics / FibersRodecaTranslucent Building Elements in Downton Primary SchoolSkylightsVELUX CommercialModular Skylights – LonglightBathroom FurnitureBradley Corporation USAToilet Partition CubiclesSignage / Display SystemsGoppionDisplay Case – One-offAcousticFabriTRAK®FabriFELT™ for Walls and CeilingsBoardsStructureCraftStructural Panel – Dowel Laminated TimberThermalSchöckInsulation – Isokorb® Concrete to SteelDoorsJansenSmoke Control Door – Economy 60Louvers / ShuttersShade FactorExternal Venetian BlindsMore products »Save世界上最受欢迎的建筑网站现已推出你的母语版本!想浏览ArchDaily中国吗?是否翻译成中文现有为你所在地区特制的网站?想浏览ArchDaily中国吗?Take me there »✖You’ve started following your first account!Did you know?You’ll now receive updates based on what you follow! Personalize your stream and start following your favorite authors, offices and users.Go to my stream Butanta House / Lab Arquitetoslast_img read more

House in Charbonnières-les-Bains / Atelier Didier Dalmas

first_imgArchDaily Projects Houses Manufacturers: Technal, ROCAMAT, BIOMETAL, JAYMOT Products translation missing: en-US.post.svg.material_description Save this picture!© Jérôme Ricolleau+ 20 Share “COPY” ShareFacebookTwitterPinterestWhatsappMailOrhttps://www.archdaily.com/797687/house-in-charbonnieres-les-bains-atelier-didier-dalmas Clipboard 2014 House in Charbonnières-les-Bains / Atelier Didier DalmasSave this projectSaveHouse in Charbonnières-les-Bains / Atelier Didier Dalmas Manufacturers Brands with products used in this architecture project “COPY”center_img Other Participants:Agibat, Nicolas, Atelier.annegardoniArchitect In Charge:Didier DalmasCity:Charbonnières-les-BainsCountry:FranceMore SpecsLess SpecsSave this picture!© Jérôme RicolleauText description provided by the architects. Built on a ground with strong slope, the building takes advantage of the site by working on two levels.Save this picture!© Jérôme RicolleauIndeed, on a low level a garage and a studio take place. We can also find all the technical elements necessary for the efficiency of the house. The accesses to these spaces are completely hide since the outside, by dint of the rigor of the drawing.Save this picture!Long SectionAbove the low level in lacquered aluminium, the main level is as “posed”. As if it placed naturally on it on one side and on the ground of other one, so catching up the slope. Its decline in cantilever on the east façade not only allows the living room to open up existing vegetation but also to cover the entrance and access to the garage.Save this picture!© Jérôme RicolleauAll the rooms of the house have natural light. Even the corridor, which is in the heart of the house, can enjoy natural light. Firstly, it is lighted by its roof window and secondly, by the glazed upper part of the thick wooden wall separating the rooms.Save this picture!© Jérôme RicolleauThe entire house has been realized in reinforced concrete combined with external insulation. The main cladding is in Anstrude stone. Its bright colour contrasts with the dark grey lacquered aluminium that is at the bottom.Save this picture!© Jérôme RicolleauSave this picture!1st LevelSave this picture!© Jérôme RicolleauInside, two pure materials meet. On the one hand raw concrete, the other of wood panels called “Tilly”. These are oak panels in the careful and delicate appearance that fit berries, hide a fireplace, and draw an office according to their precise pattern layout.Product Description. The building is characterized by the purity of the materials that are used. The thin lacquered aluminium carpentry on the south facade contrast with the parapet. This one has an important overhang and its facing in stone of Anstrude, aims to be massive. From the entrance (East elevation), the facing turns around in facade and becoming a guardrail.Save this picture!© Jérôme RicolleauProject gallerySee allShow lessOpinion: Why Our Cities Need Less Jane JacobsArticles109 Architectes Proposes Beirut Museum Design Based on “The Little Prince” BookArchitecture News Share ShareFacebookTwitterPinterestWhatsappMailOrhttps://www.archdaily.com/797687/house-in-charbonnieres-les-bains-atelier-didier-dalmas Clipboard Year:  House in Charbonnières-les-Bains / Atelier Didier Dalmas CopyAbout this officeAtelier Didier DalmasOfficeFollowProductConcrete#TagsProjectsBuilt ProjectsSelected ProjectsResidential ArchitectureHousesCharbonnières-les-BainsFrancePublished on October 20, 2016Cite: “House in Charbonnières-les-Bains / Atelier Didier Dalmas” 20 Oct 2016. ArchDaily. Accessed 11 Jun 2021. ISSN 0719-8884Browse the CatalogShowershansgroheShower MixersEducational3MProjection Screen Whiteboard FilmPartitionsSkyfoldWhere to Increase Flexibility in SchoolsLinoleum / Vinyl / Epoxy / UrethaneTerrazzo & MarbleTerrazzo in The Gateway ArchSkylightsLAMILUXGlass Skylight FE PassivhausConcreteKrytonSmart ConcreteMetallicsTrimoMetal Panels for Roofs – Trimoterm SNVWire MeshGKD Metal FabricsMetal Fabric in Kansas City University BuildingGlassDip-TechDigital Ceramic Curved Glass PrintingMetallicsRHEINZINKZinc Roof Systems – Double Lock Standing SeamChairs / StoolsFreifrauBarstool – OnaSealants / ProtectorsWoodenha IndustriesFireproofing System for Wood Cladding – BIME®More products »Save世界上最受欢迎的建筑网站现已推出你的母语版本!想浏览ArchDaily中国吗?是否翻译成中文现有为你所在地区特制的网站?想浏览ArchDaily中国吗?Take me there »✖You’ve started following your first account!Did you know?You’ll now receive updates based on what you follow! Personalize your stream and start following your favorite authors, offices and users.Go to my stream Area:  250 m² Year Completion year of this architecture project Architects: Atelier Didier Dalmas Area Area of this architecture project CopyHouses•Charbonnières-les-Bains, France Francelast_img read more

Journalists booted from Marjorie Taylor Greene town hall

first_imgLocal NewsUS News Facebook By Digital AIM Web Support – January 28, 2021 Twitter Facebook Pinterest WhatsApp WhatsAppcenter_img Pinterest Twitter ATLANTA (AP) — Two journalists were kicked out of a public town hall event and threatened with arrest for trying to ask a question of Republican U.S. Rep. Marjorie Taylor Greene, who has come under heavy criticism for supporting social media posts that advocated violence against Democratic officials. The journalists from WRCB-TV were invited to attend the Wednesday event in Dalton, Georgia, and were given credentials for it, Callie Starnes, WRCB-TV’s news director, told The Associated Press. “Once we arrived we were told we were not allowed to speak to guests or the congresswoman,” the reporter, Meredith Aldis, said on the station’s broadcast Wednesday night. In a video posted online by the Chattanooga, Tennessee-based news station, the reporter can be heard starting to ask Greene a question when the congresswoman stops her and says, “I’m talking to my constituents.” A staffer from Greene’s office then approaches the reporter and tells her to leave, before he calls over a sheriff’s deputy. The deputy accuses the reporter of “criminally trespassing” and says: “If you don’t leave you’re going to go to jail.” Starnes said Aldis was asking Greene about her social media posts and calls for her to be expelled from Congress because of them. The Whitfield County Sheriff’s Office declined to comment and directed questions to Greene’s office. Nick Dyer, a spokesman for Greene, said in an email: “This was a town hall for constituents. Not a press conference. Every attendee (besides media) was allowed to ask a question and Congresswoman Greene answered every question.” Greene, who was sworn in to office earlier this month, represents northwest Georgia’s 14th Congressional District. Throughout her campaign last year, she sought to tightly control news media coverage, often not allowing certain news organizations to attend events and giving interviews only sparingly. A die-hard supporter of former President Donald Trump, Greene has a long history of incendiary social media posts — including ones in which she expressed racist views and support for QAnon conspiracy theories, which focus on the debunked belief that top Democrats are involved in child sex trafficking, Satan worship and cannibalism. Most of her pronouncements were reported publicly before she won her Republican primary in August and the general election in November. Greene has also spread false claims about the integrity of November’s presidential election — repeating Trump’s baseless allegations of fraud — and railed against public health requirements implemented to slow the spread of the coronavirus. And in social media posts reported by Media Matters for America, a liberal watchdog group, Greene pushed conspiracy theories or “liked” posts that challenged the veracity of mass shootings at schools in Newtown, Connecticut, and Parkland, Florida. A report from CNN published earlier this week surfaced social media activity where Greene showed support for Facebook posts that advocated violence against Democrats and the FBI, including posts that called for the death of House Speaker Nancy Pelosi and former President Barack Obama. Greene tweeted a response, saying: “Many posts have been liked. Many posts have been shared. Some did not represent my views.” That’s led to another round of strong condemnation from Democrats and even some fellow Republicans. Pelosi excoriated House Republican leaders Thursday for appointing Greene to the chamber’s education committee, saying that Greene had “mocked the killing of little children,” a reference to the shooting at a Newtown elementary school. A spokesman for House Republican leader Kevin McCarthy said in a statement to Axios that the posts were “deeply disturbing” and said McCarthy would “have a conversation” with Greene about them. TAGS  Journalists booted from Marjorie Taylor Greene town hall Previous articleVirus variant from South Africa detected in US for 1st timeNext articleMichigan debates lifting ban on high school contact sports Digital AIM Web Supportlast_img read more

Pelites of the Glen Urquhart serpentinite–metamorphic complex, west of Loch Ness (Anomalous local limestone–pelite successions within the Moine outcrop: III)

first_imgThe c. 6 km2 complex comprises graphitic/pyritic, mainly kyanite-rich pelites, interbanded with metalimestones and invaded by foliated serpentinites. It is enveloped by typically Moinian psammites, semipelites and pelites. Previously regarded as a Lewisian inlier, or as integral to the Moine succession, or as a transitional Moinian–Dalradian or Dalradian–Durness Limestone facies, its allochthonous status is in fact suggested by (1) its singular lithology; (2) its unique association with a large serpentinite; (3) associated sharp and local gravity and magnetic anomalies; (4) a blastomylonitic slide zone separating the complex from its Moine envelope; (5) local and regional petrological differences between pelites of the complex and Moine succession. A previous model, in which muscovite-rich Moine pelites developed by K-metasomatism (‘granitisation’) of kyanite-schists within the complex, via (a) shimmerisation (conversion of kyanite to shimmer aggregate); and (b) coarsening of shimmer aggregate to muscovite, is ruled out by new whole-rock and microprobe data. These suggest shimmerisation was a near-isochemical, small-scale redistribution of alkalis and water [approximately kyanite + biotite + quartz + water = muscovite (shimmer aggregate) + chlorite], and show large compositional differences between shimmer aggregates and coarse muscovites. Rb–Sr isotopic data imply Late Caledonian (c. 459 Ma) metamorphism in the complex, but also imply a significant earlier history for the kyanite-schists. Overall, data not merely invalidate a Glen Urquhart ‘Lewisian inlier’, but also as yet preclude correlation of the complex with the Moine or Dalradian. It is attributed in the interim to a separate lithotectonic unit, the ‘Albynian’, which may lie between (or be diachronous with) some part of the Moinian or Dalradian successions.last_img read more

Taxonomy of the fungus commonly known as Stropharia aurantiaca, with new combinations in Leratiomyces

first_imgThe taxonomy and nomenclature of the fungus commonly referred to as Stropharia aurantiaca was investigated. Molecular analysis of the ribosomal RNA large subunit gene confirmed the exclusion of the species from Stropharia. The results from further molecular and morphological comparison with type species indicated that ‘S. aurantiaca’ is congeneric with a number of other taxa currently placed in Leratiomyces, Stropharia and Weraroa. These taxa are transferred to Leratiomyces and an emended diagnosis and brief discussion of this genus are provided.last_img

UK: Rolls-Royce, MoD Sign USD 1 Billion Contract

first_img View post tag: Naval UK: Rolls-Royce, MoD Sign USD 1 Billion Contract Rolls-Royce, the global power systems company, has signed a contract worth in excess of £1billion with the Ministry of Defence (MoD) to deliver reactor cores for the UK’s nuclear-powered submarine fleet.This contract includes regeneration of the current Rolls-Royce submarine reactor core manufacturing facility in Derby. The Group will introduce the latest technology and manufacturing techniques to deliver increased efficiencies committed by the MoD and industry as part of the Strategic Defence and Security Review.Jason Smith, Rolls-Royce President Submarines and Chief Operating Officer – Nuclear said: “This is excellent news that demonstrates the high level of trust the MoD has in both our technology and the expertise of our highly skilled workforce. This new facility will deploy advanced manufacturing techniques to enhance our world leading nuclear manufacturing capability.”Under this contract Rolls-Royce will continue to maintain and operate its existing reactor core manufacturing facility in Derby, UK. In parallel the Group will complete a phased rebuild to provide a leading-edge manufacturing facility with the highest standards of safety to support future MoD programme needs.Rolls-Royce is the UK’s lead company, on behalf of the MoD, in nuclear submarine reactor systems and support services; incorporating design, manufacture, procurement and operation.[mappress]Naval Today Staff , June 18, 2012; Image: Rolls-Royce View post tag: contract Industry news View post tag: News by topic View post tag: billion June 18, 2012 View post tag: MoDcenter_img Back to overview,Home naval-today UK: Rolls-Royce, MoD Sign USD 1 Billion Contract View post tag: sign View post tag: Navy View post tag: Rolls-Royce View post tag: 1 View post tag: USD Share this articlelast_img read more

Oxford SU given award for work on democracy

first_imgThe creation of Projects, which enable students to deliver real change in a number of individual areas, also impressed the assessors. The Quality Assessment Team decided to give the Oxford SU with a ‘good’ Quality Students’ Union and an award for their work over the past year, especially their “ground breaking work on Democracy”. Ryan Bird, CEO, at Oxford SU said: “I am so proud of what we have achieved so far this year, with the support of the SU staff team, students and volunteers. I am grateful for their continued hard work. The SU has built a reputation of providing strong services to our students and is committed to ensuring all students have a voice on issues that matter to them.” The Awards are an annual celebration of the work which Union’s undertake each day. “We will continue to strive to reach and engage more students in our life-changing work, from campaigning on access to education to improving access to libraries for students with disabilities to helping tackle climate change.” A representative from the National Union of Students (NUS) and an independent assessor visited the Oxford to review twelve elements of the SU, including leadership, engagement, and government. Student Projects allow students to start their own projects which matter to them. The SU helps students to kick start their projects by piecing together a project proposal document with a budget and plan. Support from the Student Engagement staff team continues throughout the process. Meeting with Oxford SU staff, University Staff, and students, the panel was impressed by the work on Student Council, and the clear and easy Governance. The Oxford Student Union has been awarded an NUS Quality Student Award following a two-day assessment.last_img read more

Few Doctors Are Willing, Able to Prescribe Powerful Anti-Addiction Drugs

first_imgFew Doctors Are Willing, Able to Prescribe Powerful Anti-Addiction DrugsJanuary 15, 2016 By Christine VestalSAN FRANCISCO — Dr. Kelly Eagen witnesses the ravages of drug abuse every day. As a primary care physician at a public health clinic here in the Tenderloin, she sees many of the city’s most vulnerable residents.Most are homeless. Many suffer from mental illness or are substance abusers. For those addicted to opioid painkillers or heroin, buprenorphine is a lifesaver, Eagen said. By eliminating physical withdrawal symptoms and obsessive drug cravings, it allows her patients to pull their lives together and learn how to live without drugs.Clinical studies show that U.S. Food and Drug Administration-approved opioid addiction medicines like buprenorphine offer a far greater chance of recovery than treatments that don’t involve medication, including 12-step programs and residential stays.But as the country’s opioid epidemic kills more and more Americans, some of the hardest-hit communities across the country don’t have enough doctors who are able — or willing — to supply those medications to the growing number of addicts who need them.More than 900,000 U.S. physicians can write prescriptions for painkillers such as OxyContin, Percocet and Vicodin. But because of a federal law, fewer than 32,000 doctors are authorized to prescribe buprenorphine to people who become addicted to those and other opioids. Most doctors with a license to prescribe buprenorphine seldom — if ever — use it.Buprenorphine is the primary addiction treatment tool for Eagen and the seven other staff physicians at the Tom Waddell Urban Health Clinic.Getting patients started on the medication can be time-consuming. When they’re too busy with other patients, they rely on a small medical team at a county-funded center in the nearby Mission District to screen patients and, if the medication is appropriate for them, determine the correct dose.At this central “induction center” on Howard Street, a half-time doctor, two nurse practitioners, a behavioral health counselor and two administrators have been providing screening and initial care for low-income opioid and heroin addicts since 2003.Eagen said working with the Howard Street team makes her life easier. “When the patient is handed back to me, I know that the person is not at risk for imminent relapse. They’re the easiest patients I have.”Unrealized PotentialWith its long history of providing drug treatment and free health care to uninsured residents, San Francisco is particularly well-equipped to battle the opioid and heroin epidemic. But even here, federal prescribing restrictions and lack of information keeps many doctors from entering the fray.When the National Institute on Drug Abuse funded the research that led to buprenorphine’s development more than a decade ago, it hoped that office-based prescribing of buprenorphine, which comes in a soft tablet and dissolvable film, would mean greater access to addiction medication nationwide.It hasn’t happened. Most doctors claim they don’t have the training or the time to treat high-maintenance opioid addicts in their busy practices, despite urgent calls from federal and state officials. “I really think doctors are scared of prescribing it,” Eagen said. “They worry they’re going to make people sick when they start taking it.”But an increasing number of physicians are starting to push for greater use of buprenorphine.“We doctors are the ones who caused this epidemic by overprescribing pain medications. We need to get more involved in fixing it,” said Kelly Pfeifer, a physician with the California HealthCare Foundation, which advocates for greater availability of addiction treatment and prevention.Nationwide, about 21.5 million people 12 and older, or 8 percent, had some kind of substance use disorder in the past year, according to a national survey by the U.S. Substance Abuse and Mental Health Services Administration. Of those, almost one in 10 were hooked on painkillers — 1.9 million — and more than half a million were hooked on heroin. And those numbers are rising. Among the low-income adult population served by Medicaid under the Affordable Care Act, the rate is much higher: An estimated 13 percent of newly eligible Medicaid enrollees suffer from addiction.In California, which was among the first states to expand Medicaid, as many as 370,000, of the 2.9 million people newly eligible for Medicaid, may be in need of treatment.Under a first-of-its-kind agreement with the federal government, California’s county-run Medicaid programs are slated to begin covering a full set of addiction treatment options recommended by the American Society of Addiction Medicine, including opioid addiction medications. San Francisco County and the rest of the Bay Area will be the first to roll out the new drug treatment benefits later this year.Federal RulesThree medications have been approved to treat opioid and heroin addiction. Methadone, a long-acting opioid that fulfills the addicted brain’s perceived need for heroin, was approved for treatment in 1964 and is dispensed at highly regulated clinics scattered around the country, mostly in urban areas.Patients must visit the clinics daily to swallow a liquid dose of methadone under supervision of a certified health professional. For many, that means traveling substantial distances early in the morning before work. Some patients can qualify for take-home doses for use on weekends.Naltrexone, a daily pill approved in 1984 for heroin addiction, can also be prescribed by a doctor. But until 2010, when naltrexone was introduced in injectable form, as Vivitrol, it was considered much less effective than either methadone or buprenorphine at keeping people in recovery from heroin addiction.Buprenorphine, approved in 2002, is prescribed by doctors in an office setting, making it much more convenient than methadone. Patients simply pick up a monthly supply of the medication and take it on their own. Like methadone, it is a long-acting opioid that relieves drug cravings and physical withdrawal symptoms with fewer of the side effects of other opioids.In anticipation of buprenorphine’s approval, a 2000 federal law required doctors to seek a special license from the U.S. Drug Enforcement Administration to prescribe it. The federal law requires eight hours of training and limits the number of patients per doctor to 30 in the first year and 100 in subsequent years. That limit was established to prevent “pill mills,” in which doctors prescribe the medication for a fee without ensuring that patients are actually using the pills to stay in recovery from a drug addiction.Although the vast majority of doctors with a buprenorphine license see only a few patients, the federal limit prevents some doctors in high-demand communities and urban neighborhoods from providing care to everyone in need.In response to the worsening heroin and opioid epidemic, the U.S. Department of Health and Human Services is considering an increase in the patient limit for prescribing buprenorphine. Advocates for greater availability of addiction medicines argue HHS should go further, eliminating the cap altogether and allowing nurse practicioners and physician assistants to prescribe the medication.But the federal government argues that without adequate record keeping and physician oversight, too many patients could end up selling the medication on the street.Although buprenorphine does not produce the euphoric effects of heroin, many drug users purchase it to tide themselves over until they can score the real thing. Doctors who advocate for greater use of buprenorphine argue that the threat of diversion is minor compared to the lifesaving potential of the drug.‘Summer of Love’Buprenorphine doesn’t just save lives by fighting addiction, advocates say. It also connects drug addicts to mainstream medical care and can help improve their health, which drug users typically neglect.Dr. David Smith, a San Francisco physician credited with starting the first free health clinic in the country, in 1967, argues that in the long run, patients are better off in the care of physicians than addiction treatment providers, such as counselors and therapists, without medical training.“We’re finding that when people with addictions start going to a primary care doctor, their physical health starts to improve, too. They start getting regular treatment for diabetes, infections and heart disease, for example,” Smith said. “They tend to stay in treatment longer and their outcomes tend to be much better.”Smith, who runs a private addiction practice here, treated young middle-class kids who flocked to the Haight-Ashbury neighborhood during the “Summer of Love,” in 1967, to experiment with drugs. Many were dying of overdoses and nearly all of them were neglecting their health, he said.“I came to a realization back then that health care was a right, not a privilege, and I’ve never changed my thinking,” Smith said. Hundreds of other doctors came to the same realization in the 1980s, when the city became ground zero in the AIDS epidemic.Then in the 1990s, heroin returned and doctors realized that intravenous drug users were getting HIV. “People were dying all over the city,” said Dr. Judith Martin, medical director for substance abuse services at the San Francisco Department of Public Health.Many of San Francisco’s doctors began embracing methadone, the only addiction medication back then, Martin said. Addicts who showed up at clinics to get their daily cup of methadone weren’t dying of overdoses and they weren’t contracting AIDS. As a result, Martin said, the department’s doctors are believers in addiction medicines and they’re committed to fighting the disease.As soon as buprenorphine was approved, the department asked all of its doctors to apply for federal permission to prescribe it, and nearly all did. They were eager to help. But the prospect of fitting droves of drug-addicted new patients into their busy practices worried them.So in 2003 the department and San Francisco General Hospital teamed up to make it easier for doctors to work with patients fighting addiction. At a cost of about $1 million per year in general tax revenue, more than 1,300 addicts have passed through the Howard Street doors and on to the care of doctors elsewhere in the city.Once the clinic transfers patients to a primary care provider, they are removed from the rolls, allowing Howard Street’s lone doctor to keep initiating people on buprenorphine without exceeding her 100-patient limit.San Francisco has seven methadone clinics, more than most cities its size. It also has two mobile clinics that travel to underserved neighborhoods and the jail. Three primary care sites and two pharmacies are also licensed to distribute methadone.Getting StartedOn a rainy Monday morning earlier this month, four of the eight patients in Howard Street’s Spartan waiting area sat uncomfortably on metal chairs looking like they had the flu. They were the ones scheduled to receive their first dose of buprenorphine. A handful of other patients looked much happier. They were the ones who had gotten through the rough part.For patients who decide to quit opioids or heroin and get on buprenorphine, the first step is to stop using drugs for at least 12 hours or until they start having at least moderate withdrawal symptoms — chills, fever, body aches, watery eyes and restlessness.That’s what they’re told when they walk in to the center on the ground floor not far from the city’s financial district, in the same building as the Department of Public Health’s mental health and residential substance abuse branch. From the Tenderloin, it’s a short walk downhill.Patients come on their own to sign up or get referred here by a primary care doctor, a county jail or a hospital. Many want to try buprenorphine but don’t know what to expect. Some are on their second or third try at sobriety.The first visit takes at least two hours, sometimes more, and patients are almost always filled with anxiety, said Jadine Cehand, the nurse practitioner on duty. Many are ambivalent about their decision to quit, she said. Nearly all patients are fearful of what lies ahead. “We keep telling them that they’re doing the right thing,” she said.After the first day, patients take a dose or two of the medication home with them and come back every morning for the rest of the week to report their symptoms and get another dose. Check-ins can be less frequent the week after, depending on how they respond to the medication. “It’s amazing to see how quickly they improve,” Cehand said. “By the end of the week they come in with their hair washed and a smile on their faces.”FacebookTwitterCopy LinkEmailSharelast_img read more

Hello, Dolly! Ad Pulled from The New York Times

first_img Hello, Dolly! View Comments Dolly Levi wants you to put on your Sunday pantsuit, but The New York Times was not keen to have a political Hello, Dolly!  ad in its pre-election coverage. The paper declined to publish an advertisement for the Scott Rudin-produced revival on the front page of the November 1 special section. The ad would have featured the phrase “It Takes a Woman” underneath the Times’ profiles of presidential nominees Donald Trump and Hillary Clinton.The proposed strip ad featured the classic lyrics in bold letters with ticketing and show information below. Though the ad seems to be in agreement with the Times’ endorsement of the Democratic candidate, the paper ultimately decided the placement was too political.An ad for The Humans, another Rudin production, ran in its place, with a full-page ad for Hello, Dolly! featured further in the section. Both shows’ advertising is handled by SpotCo.The production, headlined by Bette Midler (a vocal Clinton advocate herself) and directed by Jerry Zaks, is set to begin performances on March 15, 2017, at the Shubert Theatre.This isn’t the first time Dolly Levi has played a part in a presidential campaign. In 1964, less than a year after the musical premiered at the St. James Theatre, original star Carol Channing performed a reworked version of Jerry Herman’s title song in support of Lyndon B. Johnson at the Democratic National Convention. This was after producer David Merrick had Republican nominee Barry Goldwater cease his own usage of the tune as part of his campaign. Check out Channing’s performance below. Related Showscenter_img A proof of the proposed ad’s placement (left, courtesy of DKC/O&M) and the published version (right) Show Closed This production ended its run on Aug. 25, 2018last_img read more

Fonta Flora Brewery Expands

first_imgThe Morganton, NC-based Fonta Flora Brewery announced yesterday that it is opening a new location on a historic farm site near Lake James and the Linville Gorge.The new facility will be situated on 8 acres just three miles from the the brewery’s namesake—a defunct community which was evacuated and flooded during the creation of Lake James late in the 19th century.Fonta Flora, which is widely touted throughout Western North Carolina and the national craft beer community for its “farm-focused”approach to brewing, secured the expansion with help from the Foothills Conservancy of North Carolina.“After more than two years of crafting beer in a tiny building in downtown Morganton, we are damn pleased to officially announce our expansion plan and vision,” Fonta Flora wrote in a Facebook post issued shortly after yesterday’s announcement.“Although it has taken the better part of a year we have secured one of the most scenic and historic pieces of property in Burke County. Nestled at the foot of the Linville Gorge, we have acquired 8 acres of land, adorned with historic stone barns that use to house Whippoorwill Dairy Farm.”Plans for the new facility include the construction of a 4,500 square foot barn which will house the future production floor and the renovation of a stacked-stone milking parlor which will be used for packaging and barrel cellaring.Fonta Flora plans to continue and expand on its farm-focused philosophy by using the acreage, which butts up against the Linville River, to grow much of its own produce.“In keeping with our brewing philosophy of utilizing local agriculture into our craft beers, we plan to cultivate the land through annual gardens and a perennial hop yard and orchards. We will plant harder-to-find fruit trees such as paw paw fruit, persimmons, figs and elderberries to help us craft beers with a true sense of place. In addition, brewing adjuncts such as carrots, beets, fennel and bloody butcher corn will all come from the property.”The brewery says its current location in downtown Morganton will remain open and  the new location will open sometime before the end of the year.You can learn more about Font Flora Brewery and stay up to date with their unique expansion project by following them on Facebook.For more info about farm-based brewing operations throughout the Blue Ridge region click here.[divider]Related Articles[/divider]last_img read more