Twitter By News Highland – August 24, 2017 Foyle Ferry to extend service tonight as work continues on Quigley’s Point to Muff Road Facebook Pinterest Pinterest Loganair’s new Derry – Liverpool air service takes off from CODA WhatsApp RELATED ARTICLESMORE FROM AUTHOR Google+ Twitter Important message for people attending LUH’s INR clinic Previous articleIFA says it will be some time before the full extent of Tuesday night’s floods is knownNext articleDepartment of Social Protection activates Humanitarian Relief Scheme News Highland WhatsApp Homepage BannerNews Due to the current closure of the Quigleys Point to Muff road, the Foyle Ferry Service running between Greencastle & Macgilligan will be running an extended service today until 10pm to facilitate the travel needs of cars and lorries travelling in those directions.Donegal County Council says further updates on the status of this road will follow in due course.Meanwhile, special exceptional payment applications can be made to the Department of Social Protection. Details below – DL Debate – 24/05/21 News, Sport and Obituaries on Monday May 24th Facebook Arranmore progress and potential flagged as population grows Google+ Nine til Noon Show – Listen back to Monday’s Programme
Few 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 LinkEmail
RelatedPosts EPL: Foxes attack Burnley EPL: Gunners gun for West Ham scalp EPL: Underdogs tackle Leicester City Kelechi Iheanacho believes the togetherness of Leicester City’s entire squad was on show during Saturday’s 2-1 victory at West Ham United. Iheanacho opened the scoring for the Foxes and, while Pablo Fornals levelled it, Demarai Gray struck later on to end 2019 with a win and keep the Foxes second in the Premier League. Despite Brendan Rodgers making nine changes for the clash with the Hammers, Leicester’s identity remained intact and Iheanacho says that comes down to their collective commitment to the cause. “It was good and it was tough, so we’re happy we got the three points and we’re second in the league now, so we’re happy,” the Nigeria international striker told LCFC TV at full-time. “We did well actually. They were good today and they were strong and they gave us a game and it was a good atmosphere. We love it and [we’ve got] three points so we go to the next one. “We’ve been working really hard in training. I think the whole squad, everyone that is playing, and us that are not getting playing time, so everyone is really together as a family. “It’s a good group, working together in training, so there wasn’t much difference with who played today and the players who are starting, so we are a really good group and a good family. “We work hard in training and as you can see today, we showed it in the [game], so we’re happy.” Iheanacho’s headed finish in London was his fifth in six outings in all competitions this season and he underlined the importance of remaining sharp and delivering in training. “It came like a surprise!” he added. “The cross was good from JJ (James Justin) and Ayoze [Pérez] kept it in and I was at the right place at the right time to head it in, so I’m happy. “It’s always a good feeling to get a goal in the team. So, as a striker, you always want to get a goal and I’m not playing too much, so you have to keep your mentality up there, so you need to keep going. “Whenever you get a chance, you take it, so I just need to keep my head up, keeping working hard every day, so if I get my chance, I’ll take it. “I’ll keep going as a professional, so I just have to keep going.”Tags: Demarai GrayKelechi IheanachoLCFC TVLeicester CityPablo FornalsWest Ham United
Urris Ridge is one of Ireland’s classic coastal ridges and the venue for this year’s Donegal Mountain Rescue Team Fundraiser.The team are running a guided walk which will take place on Saturday 22nd June.The walk will last approx 3 ½ hours, starting at the Grotto on Mamore Gap and ending at Fort Dunree. For safety reasons, this walk is limited to the first 150 people to register. Walkers will be split into 3 groups with the following start times: Group 1 – 20.00hrs Group 2 – 20.30hrs Group 3 – 21.00hrs For Safety Reasons:* Children under 12 years old are not permitted* Children under 16 years old must be accompanied by an adult* Consumption of alcohol is forbidden * Pets are not permittedMandatory Equipment Requirements* Good hiking boots / footwear NO TRAINERS* Hat & Gloves* Water * Food (sandwiches, fruit, chocolate and energy bars)* Torch (head torch or hand)* Waterproofs (jacket/trousers) No Jeans/ Denim Fort Dunree Military Museum have kindly given us the use of their carpark and facilities to enable us to run the event. Fort Dunree will be the only connection point for the shuttle service taking you to the start of the walk. Road access to the start of the walk will be restricted to shuttle buses and emergency vehicles only. To register for the walk and get your start time, please contact Donegal MRT on 087 6502 746 Price also includes shuttle service & light refreshments at the end of the walk.DONEGAL MOUNTAIN RESCUE TEAM PLANNING URRIS RIDGE MIDSUMMER’S NIGHT WALK was last modified: May 24th, 2013 by BrendaShare 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:DONEGAL MOUNTAIN RESCUE TEAM PLANNING URRIS RIDGE MIDSUMMER’S NIGHT WALK
Liverpool made the early running at Anfield with Blues keeper Asmir Begovic called into a couple of early saves.Begovic, brought into the side after Thibaut Courtois fell ill, dived to his right to beat away Adam Lallana’s shot on the edge of the box, before gathering a weaker effort from Phillipe Coutinho.At the other end, Bertrand Traore got away from Kolo Toure inside the penalty area but couldn’t find the power in his shot to trouble Liverpool keeper Simon Mignolet.Roberto Firmino stabbed into the side netting under pressure from Nemanja Matic, while Daniel Sturridge, against his former club blazed over.Eden Hazard came to life with a fierce shot from the edge of the box but Mignolet was equal to it.Traore started up front in place of Diego Costa, who has a hamstring injury, while a defensive reshuffle was necessary with Branislav Ivanovic (groin) and skipper John Terry (suspended) both ruled out.John Mikel Obi again started at centre-back, having played there in the win over Bournemouth, while Baba Rahman and Pedro also came into the team.Meanwhile, academy products Tammy Abraham, Fikayo Tomori and Kasey Palmer are among the Chelsea substitutes.Liverpool: Mignolet, Clyne, Toure, Lovren, Moreno, Can, Milner, Lallana, Coutinho, Firmino, Sturridge.Subs: Bogdan, Skrtel, Smith, Lucas, Allen, Ojo, Benteke.Chelsea: Begovic; Azpilicueta, Mikel, Cahill, Baba Rahman; Fabregas, Matic; Pedro, Willian, Hazard; Traore.Subs: Amelia, Tomori, Kenedy, Loftus-Cheek, Palmer, Pato, Abraham.Follow West London Sport on TwitterFind us on Facebook
Tags:#user-generated content#web “I have no interest in trying to get Wikimedia shut down; that would be unnecessary, and I doubt it would happen as a result of the violation of the statute. But I think and hope it may cause pressure on Wikimedia from law enforcement, politicians, and the general public to eliminate this sort of content. I also hope that Wikimedia will be persuaded, or if necessary forced, to label its “adult” content as such in a consistent and reliable way, so that it can be easily filtered by school system filters.” A Web Developer’s New Best Friend is the AI Wai… Jimmy Wales has withdrawn from actively editing, as a “founder,” (ie, under a “Founder’s flag“) Wikipedia, the massive online encyclopedia he helped to create, and its allied and subsidiary websites. (Wales remains the Founder-Member of the Wikimedia Foundation’s Board of Trustees and has all the same editorial rights as any other of the organization’s volunteer editors. )Last week, Fox News started asking representatives at companies that have donated to the group’s Wikimedia Foundation for comment on their discovery that Wikimedia Commons had a large collection of photographs that could be described as pornography, even as child pornography. On hearing this, Wales apparently began unilaterally to delete images from the group’s servers. This set off a great argument among the encyclopedia’s editors. According to an editor and volunteer at the organization, Wales was not forced out but withdrew as a peace offering to editors who were irked with his decision. Wales said as much in this discussion thread. “In the interest of encouraging this discussion to be about real philosophical/content issues, rather than be about me and how quickly I acted, I’ve just now removed virtually all permissions to actually do things from the “Founder” flag. I even removed my ability to edit semi-protected pages! (I’ve kept permissions related to ‘viewing’ things.)I do not want to be a tyrant or dictator. I do not want us to fight about that kind of thing, as it’s really a distraction from our work.”The widely quoted Fox story was inspired by Larry Sanger, a co-founder currently on the outs with the organization, who reported the hosting of child porn by the organization to the FBI. Wikimedia Commons, the “free media repository” associated with the encyclopedia, pursues a policy of no censorship and of educational emphasis. The presence of sex and drug-related content has been a thread of debate among editors seeking to hew to these policy points. This “kerfuffle” is just the latest and one of the more dramatic expression of this.Mr. Sanger responded to our inquiries by email. “While I did use the term ‘child pornography,’ I was clear in my report to the FBI that what I was reporting were explicit drawings of child sexual abuse–the relevant statute was 18 USC 1466A, I said. I stand by this. I think a lot of people who have dismissed my concerns as being about ‘mere drawings’ that were ‘historic’ have not actually clicked on the thumbnails and looked at the pictures–they truly are disturbing, at least to me. I do think that the statute was designed to be applied to this sort of material. But, of course, that is for the FBI and the courts to decide….“A lot of people have dismissed my motives as insincere and self-interested. As I explain in the first of the above links, I do not think that this controversy has much chance of helping Citizendium or WatchKnow, or me. It has, as I expected, made me unpopular with a lot of Internet geeks. That can’t be helped, I guess.”He refered us to his response on Slashdot regarding his motivations for calling the FBI. Top Reasons to Go With Managed WordPress Hosting Related Posts Why Tech Companies Need Simpler Terms of Servic… 8 Best WordPress Hosting Solutions on the Market curt hopkins
Essential Reading! Get my first book: The Only Sale Guide You’ll Ever Need “The USA Today bestseller by the star sales speaker and author of The Sales Blog that reveals how all salespeople can attain huge sales success through strategies backed by extensive research and experience.” Buy Now It takes time to nurture and develop your prospects. It isn’t easy to be known for the value you create or to prove you have ideas. The longer it takes you to prove you have the ideas and the ability to help, the longer it takes to create and win an opportunity.It takes time to work through the discovery process with your dream client once they agree to meet with you. Trying to spend less time working to understand your client’s needs–and helping them to understand them–only increases the time it will take you to win that opportunity. If you win it at all.Rushing to present your solution in hopes of speeding things along actually slows the process of creating and winning an opportunity. It doesn’t mean that all the work that you should have completed up to that point doesn’t still need to be done. But it does mean that what you present isn’t going to be dialed in tight enough and that you aren’t likely to have the consensus you need.You can sometimes find an opportunity at just the right time and acquire orders without following your sales process at all. That seems really fast. Until you actually start doing the work and realize that you and your new client didn’t do any of the work together that might have given you a reasonable opportunity to succeed together. Now what you won is at risk of being lost forever. The time you gained is now lost dealing with challenges you hadn’t anticipated.You gain speed by having all the conversations and gaining all the commitments you need to create and win an opportunity. The sooner you have those conversations and the sooner you gain those commitments, the sooner you win your opportunity. Skipping stages to speed things along actually slows things down.In all things with human beings, fast is slow and slow is fast. If you want faster results, do the work.
Sunday afternoon, the ACC issued an official statement on the end of Saturday’s Miami vs. Duke contest, which featured great controversy. The league has chosen to suspend the entire officiating crew two conference games after it was determined that four mistakes (two of which were crucial to the outcome) were made during the final play of the game. For those unaware, Miami returned a kickoff for the game-winning touchdown as time expired.Well, Miami, which benefited from the errors, has responded to the news on Twitter. Duke fans won’t like what they see.¯\_(ツ)_/¯— Miami Hurricanes (@MiamiHurricanes) November 1, 2015And this is the Hurricanes official Twitter account moments after that statement was released: https://t.co/nGJkhDK5wz— Josh Kendall (@JoshatTheState) November 1, 2015That, for those who don’t use social media often, is a “shrug” emoticon. It basically translates to “oh well.”It does not appear that the ACC is going to change the outcome of the game. It’s a tough break for Blue Devils fans.
The city of Montego Bay and by extension, western Jamaica, should benefit significantly from an international partnership with the Inter-American Development Bank (IDB) Emerging and Sustainable Cities Initiative (ESCI), which was launched on January 17, at the Wexford Court Hotel, in Montego Bay.The primary objective of the initiative is to improve the quality of life in selected cities in the Caribbean and Latin America in the areas of environmental sustainability and climate change; urban sustainability; and fiscal sustainability and governance.Five cities included in the pilot project, which began in 2011, have already completed their action plans, and Montego Bay was among 11 cities added in 2012, chiefly due to the rapid rate of urbanization. Addressing the launching ceremony, Minister of Local Government and Community Development, Hon. Noel Arscott, lauded the team members of the IDB and the local counterparts for the “intensive and deliberate” strategies and quality research, discussions, analysis and output, which has set Montego Bay on a path of progress and sustainability.“In this regard, the Ministry of Local Government and Community Development continues to support this extremely worthwhile initiative that not only complements our strides in the local government reform process, but also offers concrete long-term developmental tools for broader national development,” Mr. Arscott said.“This partnership programme is undoubtedly seen as a co-operative catalyst to assist in our development. We welcome the partnership with the IDB, as local governance is systematically moving beyond being seen as just a separate sphere of governance, but an integral component for sustainable nation building,” the Minister added.Mr. Arscott said he is pleased that under the project, there is a distinct focus on the effects of climate change, to include sea level rise, water resource management and methodologies for adaptability, especially for persons living near to these water resources, or who earn a livelihood from these areas.“As Minister of Local Government and Community Development, I commit the support of the Ministry and its agencies, particularly the Social Development Commission and the Office of Disaster Preparedness and Emergency Management to ensure that this programme yields the greatest sustainable benefits to all stakeholders in the shortest possible time,” he said.
Welcome to The Lab, FiveThirtyEight’s basketball podcast. On Monday’s show (May 21, 2018), Neil and Kyle discuss where each conference finals series stands. Did Golden State’s resounding Game 3 win really change the tenor of that series? And what changed to allow LeBron James and the Cavaliers to run the Celtics out of the building in that series’s Game 3?The Lab will be back with another episode later this week. In the meantime, keep an eye on FiveThirtyEight’s NBA predictions, which are updated after every game. By Neil Paine and Kyle Wagner More: Apple Podcasts | ESPN App | RSS | Embed Embed Code