Cipro and tendon damage

click for more. Figure 1 cheap cipro online. Enrollment and cheap cipro online Outcomes. The full analysis set (safety population) included all the participants who had undergone randomization and received at least one dose of the NVX-CoV2373 treatment or placebo, regardless of protocol violations or missing data. The primary end point was analyzed in the per-protocol population, which included participants who were seronegative at baseline, had received both doses of trial treatment or placebo, had no major protocol deviations affecting the primary end point, and had no confirmed cases of symptomatic antibiotics disease 2019 (buy antibiotics) during the period from the first dose until 6 days after the second dose.Of the 16,645 participants who were cheap cipro online screened, 15,187 underwent randomization (Figure 1).

A total of 15,139 participants received at least one dose of NVX-CoV2373 (7569 cheap cipro online participants) or placebo (7570 participants). 14,039 participants (7020 in the treatment group and 7019 in the placebo group) met the criteria for the per-protocol efficacy population. Table 1 cheap cipro online. Table 1 cheap cipro online. Demographic and Clinical Characteristics of the Participants at Baseline (Per-Protocol Efficacy Population).

The demographic and clinical characteristics of the participants at baseline were cheap cipro online well balanced between the groups in the per-protocol efficacy population, in which 48.4% were women. 94.5% were White, 2.9% were Asian, and 0.4% were Black cheap cipro online. A total of 44.6% of the participants had at least one coexisting condition that had been defined by the Centers for Disease Control and Prevention as a risk factor for severe buy antibiotics. These conditions included chronic respiratory, cardiac, renal, neurologic, hepatic, and immunocompromising conditions as well as obesity.14 The median age was 56 years, and 27.9% of the participants were 65 cheap cipro online years of age or older (Table 1). Safety Figure 2 cheap cipro online.

Figure 2 cheap cipro online. Solicited Local and Systemic Adverse Events. The percentage of participants who cheap cipro online had solicited local and systemic adverse events during the 7 days after each injection of the NVX-CoV2373 treatment or placebo is plotted according to the maximum toxicity grade (mild, moderate, severe, or potentially life-threatening). Data are not cheap cipro online included for the 400 trial participants who were also enrolled in the seasonal influenza treatment substudy.A total of 2310 participants were included in the subgroup in which adverse events were solicited. Solicited local adverse events were reported more frequently in the treatment group than in the placebo group after both the first dose (57.6% vs.

17.9%) and cheap cipro online the second dose (79.6% vs. 16.4%) (Figure 2) cheap cipro online. Among the treatment recipients, the most commonly reported local adverse events were injection-site tenderness or pain after both the first dose (with 53.3% reporting tenderness and 29.3% reporting pain) and the second dose (76.4% and 51.2%, respectively), with most events being grade 1 (mild) or 2 (moderate) in severity and of a short mean duration (2.3 days of tenderness and 1.7 days of pain after the first dose and 2.8 and 2.2 days, respectively, after the second dose). Solicited local adverse events were reported more frequently among younger treatment recipients (18 to 64 years of age) cheap cipro online than among older recipients (≥65 years). Solicited systemic adverse events were reportedly more cheap cipro online frequently in the treatment group than in the placebo group after both the first dose (45.7% vs.

36.3%) and the second dose (64.0% vs. 30.0%) (Figure cheap cipro online 2). Among the treatment recipients, the most commonly reported systemic adverse events were headache, muscle pain, and fatigue after both the first dose (24.5%, 21.4%, and 19.4%, respectively) cheap cipro online and the second dose (40.0%, 40.3%, and 40.3%, respectively), with most events being grade 1 or 2 in severity and of a short mean duration (1.6, 1.6, and 1.8 days, respectively, after the first dose and 2.0, 1.8, and 1.9 days, respectively, after the second dose). Grade 4 systemic adverse events were reported in cheap cipro online 3 treatment recipients. Two participants reported a grade 4 fever (>40 °C), one after the first dose and the other after the second dose.

A third participant was found to have had positive results for antibiotics on PCR assay at cheap cipro online baseline. Five days after dose 1, this participant was hospitalized for buy antibiotics symptoms and cheap cipro online subsequently had six grade 4 events. Nausea, headache, fatigue, myalgia, malaise, and joint pain. Systemic adverse events were reported more often by younger treatment recipients than by older treatment recipients and more cheap cipro online often after the second dose than after the first dose. Among the treatment recipients, cheap cipro online fever (temperature, ≥38°C) was reported in 2.0% after the first dose and in 4.8% after the second dose.

Grade 3 fever (39°C to 40°C) was reported in 0.4% after the first dose and in 0.6% after the second dose. Grade 4 cheap cipro online fever (>40°C) was reported in 2 participants, with one event after the first dose and one after the second dose. All 15,139 participants cheap cipro online who had received at least one dose of treatment or placebo through the data cutoff date of the final efficacy analysis were assessed for unsolicited adverse events. The frequency of unsolicited adverse events was higher among treatment recipients than among placebo recipients (25.3% vs. 20.5%), with similar frequencies of severe adverse events cheap cipro online (1.0% vs.

0.8%), serious adverse events cheap cipro online (0.5% vs. 0.5%), medically attended adverse events (3.8% vs. 3.9%), adverse events leading to discontinuation cheap cipro online of dosing (0.3% vs. 0.3%) or participation in the trial cheap cipro online (0.2% vs. 0.2%), potential immune-mediated medical conditions (<0.1% cheap cipro online vs.

<0.1%), and adverse events of special interest relevant to buy antibiotics (0.1% vs. 0.3%). One related serious adverse event (myocarditis) was reported in a treatment recipient, which occurred 3 days after the second dose and was considered to be a potentially immune-mediated condition. An independent safety monitoring committee considered the event most likely to be viral myocarditis. The participant had a full recovery after 2 days of hospitalization.

No episodes of anaphylaxis or treatment-associated enhanced buy antibiotics were reported. Two deaths related to buy antibiotics were reported, one in the treatment group and one in the placebo group. The death in the treatment group occurred in a 53-year-old man in whom buy antibiotics symptoms developed 7 days after the first dose. He was subsequently admitted to the ICU for treatment of respiratory failure from buy antibiotics pneumonia and died 15 days after treatment administration. The death in the placebo group occurred in a 61-year-old man who was hospitalized 24 days after the first dose.

The participant died 4 weeks later after complications from buy antibiotics pneumonia and sepsis. Efficacy Figure 3. Figure 3. Kaplan–Meier Plots of Efficacy of the NVX-CoV2373 treatment against Symptomatic buy antibiotics. Shown is the cumulative incidence of symptomatic buy antibiotics in the per-protocol population (Panel A), the intention-to-treat population (Panel B), and the per-protocol population with the B.1.1.7 variant (Panel C).

The timing of surveillance for symptomatic buy antibiotics began after the first dose in the intention-to-treat population and at least 7 days after the administration of the second dose in the per-protocol population (i.e., on day 28) through approximately the first 3 months of follow-up.Figure 4. Figure 4. treatment Efficacy of NVX-CoV2373 in Specific Subgroups. Shown is the efficacy of the NVX-CoV2373 treatment in preventing buy antibiotics in various subgroups within the per-protocol population. treatment efficacy and 95% confidence intervals were derived with the use of Poisson regression with robust error variance.

In the intention-to-treat population, treatment efficacy was assessed after the administration of the first dose of treatment or placebo. Participants who identified themselves as being non-White or belonging to multiple races were pooled in a category of “other” race to ensure that the subpopulations would be large enough for meaningful analyses. Data regarding coexisting conditions were based on the definition used by the Centers for Disease Control and Prevention for persons who are at increased risk for buy antibiotics.Among the 14,039 participants in the per-protocol efficacy population, cases of virologically confirmed, symptomatic mild, moderate, or severe buy antibiotics with an onset at least 7 days after the second dose occurred in 10 treatment recipients (6.53 per 1000 person-years. 95% confidence interval [CI], 3.32 to 12.85) and in 96 placebo recipients (63.43 per 1000 person-years. 95% CI, 45.19 to 89.03), for a treatment efficacy of 89.7% (95% CI, 80.2 to 94.6) (Figure 3).

Of the 10 treatment breakthrough cases, 8 were caused by the B.1.1.7 variant, 1 was caused by a non-B.1.1.7 variant, and 1 viral strain could not be identified. Ten cases of mild, moderate, or severe buy antibiotics (1 in the treatment group and 9 in the placebo group) were reported in participants who were 65 years of age or older (Figure 4). Severe buy antibiotics occurred in 5 participants, all in the placebo group. Among these cases, 1 patient was hospitalized and 3 visited the emergency department. A fifth participant was cared for at home.

All 5 patients met additional criteria regarding abnormal vital signs, use of supplemental oxygen, and buy antibiotics complications that were used to define severity (Table S1). No hospitalizations or deaths from buy antibiotics occurred among the treatment recipients in the per-protocol efficacy analysis. Additional efficacy analyses in subgroups (defined according to age, race, and presence or absence of coexisting conditions) are detailed in Figure 4. Among the participants who were 65 years of age or older, overall treatment efficacy was 88.9% (95% CI, 12.8 to 98.6). Efficacy among all the participants starting 14 days after the first dose was 83.4% (95% CI, 73.6 to 89.5).

A post hoc analysis of the primary end point identified the B.1.1.7 variant in 66 participants and a non-B.1.1.7 variant in 29 participants. In 11 participants, PCR testing had been performed at a local hospital laboratory in which the variant had not been identified. treatment efficacy was 86.3% (95% CI, 71.3 to 93.5) against the B.1.1.7 variant and 96.4% (95% CI, 73.8 to 99.4) against non-B.1.1.7 strains. Too few non-White participants were enrolled in the trial to draw meaningful conclusions about variations in efficacy on the basis of race or ethnic group..

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During the initial phase of buy antibiotics lockdown, rates of loneliness among people in the UK were high and were associated with a number of social and health cipro tablet online factors, according to a new study published this week in the open-access cipro and tendon damage journal PLOS ONE by Jenny Groarke of Queen's University Belfast, UK, and colleagues.Loneliness is a significant public health issue and is associated with worse physical and mental health as well as increased mortality risk. Systematic review findings recommend that interventions addressing loneliness should focus on individuals who are socially isolated. However, researchers have lacked a comprehensive understanding of how vulnerability to loneliness might be different in the context of a cipro.In the new study, researchers used an online survey to collect data about UK cipro and tendon damage adults during the initial phase of buy antibiotics lockdown in the country, from March 23 to April 24, 2020. 1,964 eligible participants responded to the survey, answering questions about loneliness, sociodemographic factors, health, and their status in relation to buy antibiotics. Participants were aged 18 to 87 years old (average 37.11), were mostly white (92.7%), female (70.4%), not religious (57.5%) and the majority were employed (71.9%).The overall prevalence of loneliness, defined as having a high score on the loneliness scale (ie., a score of 7 cipro and tendon damage or higher out of 9), was over a quarter of respondents.

26.6%. In the cipro and tendon damage week prior to completing the survey, 49% to 70% of respondents reported feeling isolated, left out or lacking companionship. Risk factors for loneliness were being in a younger age group (aOR. 4.67 -- 5.31), being cipro and tendon damage separated or divorced (OR. 2.29), meeting clinical criteria for depression (OR.

1.74), greater cipro and tendon damage emotion regulation difficulties (OR. 1.04), and description poor-quality sleep due to the buy antibiotics crisis (OR. 1.30). Higher levels of social support (OR. 0.92), being married/co-habiting (OR.

0.35) and living with a greater number of adults (OR. 0.87) were protective factors.The authors hope that these findings can inform support strategies and help to target those most vulnerable to loneliness during the cipro.Groarke adds. "We found that rates of loneliness during the early stages of the UK lockdown were high. Our results suggest that supports and interventions to reduce loneliness should prioritise young people, those with mental health symptoms, and people who are socially isolated. Supports aimed at improving emotion regulation, sleep quality and increasing social support could reduce the impact of physical distancing regulations on mental health outcomes." Story Source.

Materials provided by PLOS. Note. Content may be edited for style and length..

During the initial phase of buy antibiotics lockdown, rates of loneliness among people in the UK were high and were associated with a number of social and health factors, according to a new study published this week in the open-access journal PLOS ONE by Jenny Groarke of Queen's University Belfast, UK, and colleagues.Loneliness is cheap cipro online a significant public health issue and is associated with worse physical and mental health as well as increased mortality risk. Systematic review findings recommend that interventions addressing loneliness should focus on individuals who are socially isolated. However, researchers have lacked a comprehensive understanding of how vulnerability to cheap cipro online loneliness might be different in the context of a cipro.In the new study, researchers used an online survey to collect data about UK adults during the initial phase of buy antibiotics lockdown in the country, from March 23 to April 24, 2020. 1,964 eligible participants responded to the survey, answering questions about loneliness, sociodemographic factors, health, and their status in relation to buy antibiotics. Participants were aged 18 to 87 years old (average 37.11), were mostly white (92.7%), female (70.4%), not religious (57.5%) and the majority were employed (71.9%).The overall prevalence of loneliness, defined as having a high score on the loneliness cheap cipro online scale (ie., a score of 7 or higher out of 9), was over a quarter of respondents.

26.6%. In the cheap cipro online week prior to completing the survey, 49% to 70% of respondents reported feeling isolated, left out or lacking companionship. Risk factors for loneliness were being in a younger age group (aOR. 4.67 -- 5.31), cheap cipro online being separated or divorced (OR. 2.29), meeting clinical criteria for depression (OR.

1.74), greater cheap cipro online emotion regulation difficulties (OR. 1.04), and poor-quality sleep due to the buy antibiotics crisis (OR. 1.30). Higher levels of social support (OR. 0.92), being married/co-habiting (OR.

0.35) and living with a greater number of adults (OR. 0.87) were protective factors.The authors hope that these findings can inform support strategies and help to target those most vulnerable to loneliness during the cipro.Groarke adds. "We found that rates of loneliness during the early stages of the UK lockdown were high. Our results suggest that supports and interventions to reduce loneliness should prioritise young people, those with mental health symptoms, and people who are socially isolated. Supports aimed at improving emotion regulation, sleep quality and increasing social support could reduce the impact of physical distancing regulations on mental health outcomes." Story Source.

Materials provided by PLOS. Note. Content may be edited for style and length..

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Cipres de guaitecas

A sign details entry restrictions at a JLL office in the Aon Center in Chicago, Illinois, U.S., on Thursday, June 24, 2020.Christopher Dilts | Bloomberg | Getty ImagesWhen earnings season kicked off in earnest in mid-July, few companies fielded questions about or mentioned the buy antibiotics delta variant.That changed as new buy antibiotics cases spiked and the Centers for Disease Control and Prevention reversed its stance on masks for vaccinated people, according to a CNBC analysis of earnings cipres de guaitecas call transcripts.Between July 13 and Thursday, 142 companies in the S&P 500 out of the 410 who have reported cheap cipro canada their quarterly earnings have mentioned the delta variant by name or answered a question about it on their earnings calls. Just 15% of those cipres de guaitecas mentions came before July 27 — the same day that the CDC said that fully vaccinated people should wear mask indoors in areas with high transmission rates. New buy antibiotics cases were also steadily climbing upwards as the highly contagious delta variant became the dominant strain of cipres de guaitecas the cipro in the U.S.The U.S. Is reporting a seven-day average of more than 109,000 new cipres de guaitecas cases as of Aug. 5, up nearly 28% from one week ago, according to data from Johns Hopkins University.For the most part, executives said their companies aren't seeing a material impact cipres de guaitecas on their business related to the surge in new cases yet.

Becton, Dickinson cipres de guaitecas &. Co., a medical technology company, was one of the few to report a change in consumer behavior, telling analysts that some U.S. States are seeing less elective surgeries in cipres de guaitecas recent weeks because of the variant. During the week ended Aug cipres de guaitecas. 1, 72% of intensive care unit beds cipres de guaitecas in the U.S.

Were occupied, according to Johns Hopkins data.But some companies with a more global presence said that outside of the U.S., it's a different story."An uneven recovery to the cipro and a delta variant surging in many countries around the world have shown us once again that the road to recovery will be a winding one," Apple CEO Tim Cook said on the company's July 27 call.Booking Holdings, the parent company of Kayak and OpenTable, said that July bookings shrank 22% compared with 2019 levels, a steeper decline than June's cipres de guaitecas fall of 13%."Looking within Europe, we saw reductions in room nights in July across several of our key countries including Germany, France and Italy," Booking CFO David Goulden said on the company's call on Wednesday.Other companies reported supply chain disruptions as buy antibiotics cases accelerated in Asia and Europe. For example, railway operator Norfolk Southern said that the delta variant is impacting its cipres de guaitecas suppliers in Southeast Asia."We've got a couple of plants that source parts from Southeast Asia and because of production issues over there, they've had to pull forward planned production downtime later this year," Chief Marketing Officer Alan Shaw said on the company's July 28 call. "And so that has had an impact on our production and our volumes right now."The delta variant has also led some companies to release more conservative forecasts, although most companies said that they did not expect another round of cipres de guaitecas lockdowns in the United States. Abiomed, a medical device maker, told analysts on its Thursday earnings call that the low end of its full-year revenue forecast assumes "some continued unevenness" stemming from the variant, although the company raised the outlook.Beyond Meat, which is not a part of the S&P 500, said that restaurant operators are being more conservative about their food orders because of the uncertainty caused by the delta variant, as well as labor challenges."And so for us, I think the main characteristic of the third quarter, and our guidance is, is simply lack of visibility," CEO Ethan Brown said Thursday..

A sign details entry restrictions at cheap cipro online a JLL office in the Aon Center in Chicago, Illinois, U.S., on Thursday, June 24, 2020.Christopher Dilts | Bloomberg | Getty ImagesWhen earnings season kicked off in earnest in mid-July, few companies fielded questions about or mentioned the buy antibiotics delta variant.That changed as new buy antibiotics cases spiked and the Centers for Disease Control and Prevention reversed its stance on masks for vaccinated people, according to a CNBC analysis of earnings call transcripts.Between July 13 and Thursday, 142 companies in the S&P 500 out of the 410 who have reported their quarterly earnings have mentioned the delta variant by name or answered a question about it on their earnings calls. Just 15% of those mentions came before July 27 cheap cipro online — the same day that the CDC said that fully vaccinated people should wear mask indoors in areas with high transmission rates. New buy antibiotics cases cheap cipro online were also steadily climbing upwards as the highly contagious delta variant became the dominant strain of the cipro in the U.S.The U.S. Is reporting a seven-day cheap cipro online average of more than 109,000 new cases as of Aug. 5, up nearly 28% from one week ago, according to data from Johns Hopkins University.For cheap cipro online the most part, executives said their companies aren't seeing a material impact on their business related to the surge in new cases yet.

Becton, Dickinson cheap cipro online &. Co., a medical technology company, was one of the few to report a change in consumer behavior, telling analysts that some U.S. States are seeing less cheap cipro online elective surgeries in recent weeks because of the variant. During the cheap cipro online week ended Aug. 1, 72% of intensive care unit beds in cheap cipro online the U.S.

Were occupied, according to Johns Hopkins data.But some companies with a more global presence said that outside of the U.S., it's a different story."An uneven recovery to the cipro and a delta variant surging in many countries around the world have shown us once again that the road to recovery will be a winding one," Apple CEO Tim Cook said on the company's July 27 call.Booking Holdings, the parent company of cheap cipro online Kayak and OpenTable, said that July bookings shrank 22% compared with 2019 levels, a steeper decline than June's fall of 13%."Looking within Europe, we saw reductions in room nights in July across several of our key countries including Germany, France and Italy," Booking CFO David Goulden said on the company's call on Wednesday.Other companies reported supply chain disruptions as buy antibiotics cases accelerated in Asia and Europe. For example, railway operator Norfolk Southern said that the delta variant is impacting cheap cipro online its suppliers in Southeast Asia."We've got a couple of plants that source parts from Southeast Asia and because of production issues over there, they've had to pull forward planned production downtime later this year," Chief Marketing Officer Alan Shaw said on the company's July 28 call. "And so that cheap cipro online has had an impact on our production and our volumes right now."The delta variant has also led some companies to release more conservative forecasts, although most companies said that they did not expect another round of lockdowns in the United States. Abiomed, a medical device maker, told analysts on its Thursday earnings call that the low end of its full-year revenue forecast assumes "some continued unevenness" stemming from the variant, although the company raised the outlook.Beyond Meat, which is not a part of the S&P 500, said that restaurant operators are being more conservative about their food orders because of the uncertainty caused by the delta variant, as well as labor challenges."And so for us, I think the main characteristic of the third quarter, and our guidance is, is simply lack of visibility," CEO Ethan Brown said Thursday..

Who can buy cipro online

Droplets of fat inside our cells are helping the body's own defence system fight back against , University of who can buy cipro online Queensland researchers have discovered.The international collaboration between UQ Institute for Molecular Bioscience researchers Professor Robert Parton and Professor Matt Sweet, and the University of Barcelona's Professor Albert Pol found that these fat droplets are both a food source and weapon against bacterial invaders."It was previously thought that bacteria were merely using the lipid droplets to feed on, but we have discovered these fatty droplets are involved in can you buy cipro over the counter the battle between the pathogens and our cells," Professor Parton said."Fat is part of the cell's arsenal -- cells manufacture toxic proteins, package them into the lipid droplets, then fire them at the intruders."This is a new way that cells are protecting themselves, using fats as a covert weapon, and giving us new insights into ways of fighting ."With antibiotic-resistant superbugs on the rise, researchers are determined to find alternative ways to fight . advertisement One possibility is ramping up the body's natural defences."We showed that upon of white blood cells called macrophages, lipid droplets move to the part of the macrophage where the bacteria are present," Professor Sweet said.The bacterial also changed the way that who can buy cipro online white blood cells used energy."Lipid droplets can be used as a fuel source for mitochondria when there aren't enough other nutrients," Professor Sweet said."During an , lipid droplets move away from the mitochondria and attack the bacteria instead, altering metabolism of the cell."Cell biologist Professor Parton was inspired to continue this research after the phenomenon was seen in fruit flies. advertisement "Most people thought the lipid droplets were 'blobs of fat', only useful for energy storage but now we are seeing that they act as metabolic switches in the cell, defend against and much more -- there are now entire scientific conferences of researchers working on them," he said."Our next step is to find out how the lipid droplets target the bacteria."By understanding the body's natural defences, we can develop new therapies that don't rely on antibiotics to fight drug-resistant s."VIDEO -- https://youtu.be/WTJc7oQFezU Story Source. Materials provided who can buy cipro online by University of Queensland.

Note. Content may be edited for style and length.SOBRE NOTICIAS EN ESPAÑOLNoticias en español es una sección de Kaiser Health News que contiene traducciones de artículos de gran interés para la comunidad hispanohablante, y contenido original enfocado en la población hispana que vive en los Estados Unidos. Use Nuestro Contenido Este contenido puede usarse de manera gratuita (detalles). Al menos la mitad de los votantes prefiere el enfoque de la atención médica del ex vicepresidente Joe Biden al del presidente Donald Trump, lo que sugiere que la preocupación por reducir los costos y manejar la pandemia podría influir en el resultado de esta elección, según revela una nueva encuesta.

Los hallazgos, de la encuesta mensual de KFF, indican que los votantes no confían en las garantías del presidente de que protegerá a las personas con condiciones preexistentes de las compañías de seguros si la Corte Suprema anulara la Ley de Cuidado de Salud a Bajo Precio (ACA).Un mes antes de que el tribunal escuche los argumentos de los fiscales generales republicanos y la administración Trump a favor de revocar la ley, la encuesta muestra que el 79% del público no quiere que el Supremo cancele las protecciones de cobertura para los estadounidenses con afecciones preexistentes. La mayoría de los republicanos, el 66%, dijo que no quiere que se anulen esas garantías.Además de dejar a unos 21 millones de estadounidenses sin seguro, revocar ACA podría permitir a las compañías de seguros cobrar más o negar cobertura a las personas porque tienen condiciones preexistentes, una práctica común antes que se estableciera la ley, y que un análisis del gobierno reveló en 2017 que podría afectar hasta a 133 millones de estadounidenses.Casi 6 de cada 10 personas dijeron que tenían un familiar con una condición preexistente o crónica, como diabetes, hipertensión, o cáncer, y aproximadamente la mitad dijo que les preocupa que un ser querido no pueda pagar la cobertura, o la pierda por completo, si se anulara la ley.La encuesta revela una preferencia sorprendente por Biden sobre Trump cuando se trata de proteger a las personas con condiciones preexistentes, un tema que el 94% de los votantes dijo que ayudaría a decidir por quién votar. Biden tiene una ventaja de 20 puntos. Un 56% prefiere su enfoque, contra un 36% para Trump.De hecho, el sondeo muestra una preferencia por Biden en todos los problemas de atención médica que se plantean, incluso entre los mayores de 65 años y en temas que Trump ha dicho que eran sus prioridades mientras estuviera en el cargo, lo que indica que los votantes no están satisfechos con el trabajo del presidente para reducir los costos de la atención médica, en particular.

El apoyo a los esfuerzos de Trump para reducir el precio de los medicamentos recetados ha disminuido, y los votantes ahora prefieren el enfoque de Biden, del 50% al 43%.La mayoría de los votantes dijeron que prefieren el plan de Biden para lidiar con el brote de buy antibiotics, 55% a 39%, y para desarrollar y distribuir una vacuna para buy antibiotics, 51% a 42%. Trump ha delegado en gran medida la gestión de la pandemia a los funcionarios estatales y locales, al tiempo que prometió que los científicos desafiarían las expectativas y producirían una vacuna antes del día de las elecciones.Cuando se les preguntó qué tema era más importante para decidir por quién votar, la mayoría de los encuestados señaló a la atención médica. El 18% eligió el brote de buy antibiotics y el 12% mencionó el cuidado de salud en general. Casi una proporción igual, el 29%, optó por la economía.La encuesta se realizó del 7 al 12 de octubre, después del primer debate presidencial y el anuncio de Trump de que había dado positivo para buy antibiotics.

El margen de error es más o menos 3 puntos porcentuales para la muestra completa y 4 puntos porcentuales para los votantes.(KHN es un programa editorialmente independiente de KFF). Emmarie Huetteman. ehuetteman@kff.org, @emmarieDC Related Topics Courts Elections Health Care Costs Noticias En Español The Health Law buy antibiotics KFF Polls Preexisting ConditionsIn March, Sue Williams-Ward took a new job, with a $1-an-hour raise.The employer, a home health care agency called Together We Can, was paying a premium — $13 an hour — after it started losing aides when buy antibiotics safety concerns mounted.Williams-Ward, a 68-year-old Indianapolis native, was a devoted caregiver who bathed, dressed and fed clients as if they were family. She was known to entertain clients with some of her own 26 grandchildren, even inviting her clients along on charitable deliveries of Thanksgiving turkeys and Christmas hams.

Explore Our Database KHN and The Guardian are tracking health care workers who died from buy antibiotics and writing about their lives and what happened in their final days. Without her, the city’s most vulnerable would have been “lost, alone or mistreated,” said her husband, Royal Davis.Despite her husband’s fears for her health, Williams-Ward reported to work on March 16 at an apartment with three elderly women. One was blind, one was wheelchair-bound, and the third had a severe mental illness. None had been diagnosed with buy antibiotics but, Williams-Ward confided in Davis, at least one had symptoms of fatigue and shortness of breath, now associated with the cipro.Even after a colleague on the night shift developed pneumonia, Williams-Ward tended to her patients — without protective equipment, which she told her husband she’d repeatedly requested from the agency.

Together We Can did not respond to multiple phone and email requests for comment about the PPE available to its workers.Still, Davis said, “Sue did all the little, unseen, everyday things that allowed them to maintain their liberty, dignity and freedom.”He said that within three days Williams-Ward was coughing, too. After six weeks in a hospital and weeks on a ventilator, she died of buy antibiotics. Hers is one of more than 1,200 health worker buy antibiotics deaths that KHN and The Guardian are investigating, including those of dozens of home health aides.During the cipro, home health aides have buttressed the U.S. Health care system by keeping the most vulnerable patients — seniors, the disabled, the infirm — out of hospitals.

Yet even as they’ve put themselves at risk, this workforce of 2.3 million — of whom 9 in 10 are women, nearly two-thirds are minorities and almost one-third are foreign-born — has largely been overlooked.Home health providers scavenged for their own face masks and other protective equipment, blended disinfectant and fabricated sanitizing wipes amid widespread shortages. They’ve often done it all on poverty wages, without overtime pay, hazard pay, sick leave and health insurance. And they’ve gotten sick and died — leaving little to their survivors. Email Sign-Up Subscribe to KHN’s free Morning Briefing.

Speaking out about their work conditions during the cipro has triggered retaliation by employers, according to representatives of the Service Employees International Union in Massachusetts, California and Virginia. €œIt’s been shocking, egregious and unethical,” said David Broder, president of SEIU Virginia 512.The cipro has laid bare deeply ingrained inequities among health workers, as Broder puts it. €œThis is exactly what structural racism looks like today in our health care system.”Every worker who spoke with KHN for this article said they felt intimidated by the prospect of voicing their concerns. All have seen colleagues fired for doing so.

They agreed to talk candidly about their work environments on the condition their full names not be used.***Tina, a home health provider, said she has faced these challenges in Springfield, Massachusetts, one of the nation’s poorest cities.Like many of her colleagues — 82%, according to a survey by the National Domestic Workers Alliance — Tina has lacked protective equipment throughout the cipro. Her employer is a family-owned company that gave her one surgical mask and two pairs of latex gloves a week to clean body fluids, change wound dressings and administer medications to incontinent or bedridden clients.When Tina received the company’s do-it-yourself blueprints — to make masks from hole-punched sheets of paper towel reinforced with tongue depressors and gloves from garbage bags looped with rubber bands — she balked. €œIt felt like I was in a Third World country,” she said.The home health agencies that Tina and others in this article work for declined to comment on work conditions during the cipro.In other workplaces — hospitals, mines, factories — employers are responsible for the conditions in which their employees operate. Understanding the plight of home health providers begins with American labor law.The Fair Labor Standards Act, which forms the basis of protections in the American workplace, was passed in an era dually marked by President Franklin Delano Roosevelt’s New Deal changes and marred by the barriers of the Jim Crow era.

The act excluded domestic care workers — including maids, butlers and home health providers — from protections such as overtime pay, sick leave, hazard pay and insurance. Likewise, standards set by the Occupational Safety and Health Administration three decades later carved out “domestic household employment activities in private residences.”“A deliberate decision was made to discriminate against colored people — mostly women — to unburden distinguished elderly white folks from the responsibility of employment,” said Ruqaiijah Yearby, a law professor at St. Louis University.In 2015, several of these exceptions were eliminated, and protections for health providers became “very well regulated on paper,” said Nina Kohn, a professor specializing in civil rights law at Syracuse University. €œBut the reality is, noncompliance is a norm and the penalties for noncompliance are toothless.”Burkett McInturff, a civil rights lawyer working on behalf of home health workers, said, “The law itself is very clear.

The problem lies in the ability to hold these companies accountable.”The Occupational Safety and Health Administration has “abdicated its responsibility for protecting workers” in the cipro, said Debbie Berkowitz, director of the National Employment Law Project. Berkowitz is also a former OSHA chief. In her view, political and financial decisions in recent years have hollowed out the agency. It now has the fewest inspectors and conducts the fewest inspections per year in its history.Furthermore, some home health care agencies have classified home health providers as contractors, akin to gig workers such as Uber drivers.

This loophole protects them from the responsibilities of employers, said Seema Mohapatra, an Indiana University associate professor of law. Furthermore, she said, “these workers are rarely in a position to question, or advocate or lobby for themselves.”Should workers contract buy antibiotics, they are unlikely to receive remuneration or damages.Demonstrating causality — that a person caught the antibiotics on the job — for workers’ compensation has been extremely difficult, Berkowitz said. As with other health care jobs, employers have been quick to point out that workers might have caught the cipro at the gas station, grocery store or home.Many home health providers care for multiple patients, who also bear the consequences of their work conditions. €œIf you think about perfect vectors for transmission, unprotected individuals going from house to house have to rank at the top of list,” Kohn said.

€œEven if someone didn’t care at all about these workers, we need to fix this to keep Grandma and Grandpa safe.”Nonetheless, caregivers like Samira, in Richmond, Virginia, have little choice but to work. Samira — who makes $8.25 an hour with one client and $9.44 an hour with another, and owes tens of thousands of dollars in hospital bills from previous work injuries — has no other option but to risk getting sick.“I can’t afford not to work. And my clients, they don’t have anybody but me,” she said. €œSo I just pray every day I don’t get it.” Eli Cahan.

emcahan@stanford.edu, @emcahan Related Topics Aging Health Industry Public Health buy antibiotics Home Health Care Lost On The FrontlineCalifornia Healthline correspondent Angela Hart discussed how the antibiotics cipro has derailed California’s efforts to deal with homelessness on KPBS “Midday Edition” on Oct. 8. KHN Midwest correspondent Lauren Weber discussed the difference between D.O.s and M.D.s with Newsy’s “Morning Rush” on Tuesday. KHN correspondent Anna Almendrala discussed how L.A.

County’s enforcement of workplace antibiotics protocols has cut buy antibiotics deaths with KPCC’s “Take Two” on Tuesday. KHN senior correspondent Sarah Jane Tribble discussed rural hospitals and KHN’s “Where It Hurts” podcast with Illinois Public Media’s “The 21st” on Oct. 5 and “Tradeoffs” on Oct. 8.

KHN chief Washington correspondent Julie Rovner joined C-SPAN’s “Washington Journal” on Tuesday to discuss the Affordable Care Act case before the Supreme Court next month and what else to expect in the realm of health care after the election. KHN freelancer Priscilla Blossom discussed Halloween safety tips with KUNC’s “Colorado Edition” on Tuesday. Related Topics California Doctors Homeless Medical EducationTrombonist Jerrell Charleston loves the give-and-take of jazz, the creativity of riffing off other musicians. But as he looked toward his sophomore year at Indiana University, he feared that steps to avoid sharing the antibiotics would also keep students from sharing songs.“Me and a lot of other cats were seriously considering taking a year off and practicing at home,” lamented the 19-year-old jazz studies major from Gary, Indiana.His worries evaporated when he arrived on campus and discovered that music professor Tom Walsh had invented a special mask with a hole and a protective flap to allow musicians to play while masked.

Don't Miss A Story Subscribe to KHN’s free Weekly Edition newsletter. Students also got masks for the ends of their wind instruments, known as bell covers, allowing them to jam in person, albeit 6 feet apart.“It’s amazing to play together,” Charleston said. €œMusic has always been my safe space. It’s what’s in your soul, and you’re sharing that with other people.”Of course, the very act of making music powered by human breath involves blowing air — and possibly cipro particles — across a room.

One infamous choral practice in Washington state earlier this year led to confirmed diagnoses of buy antibiotics in more than half of the 61 attendees. Two died.So musicians around the country are taking it upon themselves to reduce the risk of buy antibiotics without silencing the music. With pantyhose, air filters, magnets, bolts of fabric and a fusion of creativity, those who play wind instruments or sing are improvising masks to keep the band together. Solomon Keim rehearses in protective gear that doesn't mask the sound.(Chris Bergin for KHN) Brayden Wisley practices safe sax-playing.

Other tips for musicians. Play in a big space with good ventilation, and break after 30 minutes to allow the air to clear.(Chris Bergin for KHN) Brendan Sullivan plays trombone while both he and the instrument are masked. It has been recommended that most instrumentalists face the same direction while playing and stay 6 feet apart — with a distance of 9 feet in front and back of trombonists.(Chris Bergin for KHN)A consortium of performing arts groups has commissioned research exploring ways for musicians to play safely. The group’s preliminary report from July recommends instrumentalists wear masks with small slits, use bell covers, face the same direction while playing and stay 6 feet apart for most instruments — with a distance of 9 feet in front and back of trombonists.

Other research has shown cotton bell covers on brass instruments reduced airborne particles by an average of 79% compared with playing without one.Jelena Srebric, a University of Maryland engineering researcher involved in the consortium’s study, said it’s also best to play in a big space with good ventilation, and musicians should break after 30 minutes to allow the air to clear. These rudimentary solutions, she said, promise at least some protection against the cipro.“Nothing is 100%. Being alive is a dangerous business,” Srebric said. This “gives some way to engage with music, which is fantastic in this day and age of despair.”Dr.

Adam Schwalje, a National Institutes of Health research fellow at the University of Iowa Hospitals and Clinics, is a bassoonist who has written about the buy antibiotics risk of wind instruments. He said a combination of bell covers, social distancing and limited time playing together could be helpful, but the effectiveness of bell covers or masks for musicians to wear while playing is “completely unproven” at this point. Schwalje’s paper said it’s not possible to quantify the risk of playing wind instruments, which involves deep breathing, sometimes forceful exhalation and possible aerosolizing of the mucus in the mouth and nose.Still, early results of research at the universities of Maryland and Colorado are helping to inspire improvisational mask-making and other safety measures, said Mark Spede, national president of the College Band Directors National Association who is helping lead the commissioned research.At Middle Tennessee State University, for example, tuba teacher Chris Combest said his students tie pillowcases over the bells of their instruments, and some wear masks that can be unbuttoned to play. At the University of Iowa, wind players in small ensembles must use bell covers and masks, but they can pull them down when playing as long as they pull them up during rests.

Heather Ainsworth-Dobbins said her students at Southern Virginia University use surgical masks with slits cut in them and bell covers made of pantyhose and MERV-13 air filters, similar to what is used on a furnace.Indiana University Jacobs School of Music professor Tom Walsh distributes custom masks he designed that allow students to play their instruments safely as a group.(Chris Bergin for KHN) Skyler Floe tries out his horn's bell cover to much fanfare at Indiana University Jacobs School of Music in Bloomington, Indiana.(Chris Bergin for KHN) Kyle Cantrell's sound carries while reducing the risk of cipro transmission.(Chris Bergin for KHN) At Indiana, Walsh sought out whatever research he could find as he designed his tight-fitting cotton musical mask, reinforced with a layer of polypropylene and with adjustable ties in the back. A flap hangs over the hole, outfitted with two magnets that allow it to close over the instrument. The professor’s mom, Julie Walsh — who made his clothes when he was a kid — has sewn more than 80 of the musical masks for free. The opera program’s costume shop makes bell covers with a layer of fabric over a layer of stiff woven material known as interfacing fabric.Bailey Cates, a freshman trumpet player, said the quality of the sound is about the same with these masks and they make her feel safer.Flutes present unique challenges, partly because flutists blow air across the mouthpiece.

Alice Dade, an associate professor of flute at the University of Missouri, said she and her students clip on device called “wind guards” usually used outdoors, then sometimes fit surgical masks over them.Alice Dade, an associate professor at the University of Missouri, recommends using clip-on devices for flutes called “wind guards,” which shield the lip plate of the flute from wind when playing outdoors. The ventilated design helps limit condensation and interference with the player’s air stream. Amid the cipro, some flutists now use them with surgical masks on top to curb the spread of the antibiotics.(Alice Dade)Indiana flute student Nathan Rakes uses a specially designed cloth mask with a slit and slips a silk sock on the instrument’s end. Rakes, a sophomore, said the fabric doesn’t affect the sound unless he’s playing a low B note, which he rarely plays.Walsh is a stickler for finding big practice spaces, not playing together for more than half an hour and taking 20-minute breaks.

All jazz ensemble musicians, for example, also must stay at least 10 feet apart.“I carry a tape measure everywhere I go,” he said. €œI feel responsible for our students.”Some K-12 schools are trying similar strategies, said James Weaver, director of performing arts and sports for the National Federation of State High School Associations.His son Cooper, a seventh grade sax player at Plainfield Community Middle School in Indiana, uses a surgical mask with a slit. It sometimes jerks to the side with the vibrations of playing, but Cooper said it “feels good as long as you have it in the right place.” Cooper also helped his dad make a bell cover with fabric and MERV-13 material.While many groups use homemade bell covers, McCormick’s Group in Wheeling, Illinois, has transformed its 25-year-old business of making bell covers to display school colors and insignias into one that is making musicians safer with two-ply covers made of polyester/spandex fabric. CEO Alan Yefsky said his company started reinforcing the covers with the second layer this summer.

Sales of the $20 covers have soared.“It’s keeping people employed. We’re helping keep people safe,” Yefsky said. €œAll of a sudden, we got calls from nationally known symphony organizations.”Other professional musicians take a different tack. Film and television soundtracks are often recorded in separate sessions.

Woodwinds and brass players in individual plexiglass cubicles and masked, with distanced string players recording elsewhere.The U.S. Marine Band in Washington, D.C., practices in small, socially distanced groups, but string instrumentalists are the only ones wearing masks while playing.For both professionals and students, the cipro has virtually eliminated live audiences in favor of virtual performances. Many musicians say they miss traditional concerts but are not focusing on what they’ve lost.“Creating that sense of community — an island to come together and play — is super important,” said Cates, the Indiana trumpet player. €œPlaying music feels like a mental release for a lot of us.

When I’m playing, my mind is off of the cipro.”Indiana University Jacobs School of Music professor Tom Walsh works with students during rehearsal in Bloomington, Indiana. The professor’s mom, Julie Walsh — who made his clothes when he was a kid — has sewn more than 80 of the musical masks for free.(Chris Bergin for KHN) Laura Ungar. lungar@kff.org, @laura_ungar Related Topics Public Health buy antibioticsUse Our Content This story can be republished for free (details). At least half of voters prefer former Vice President Joe Biden’s approach to health care over President Donald Trump’s, suggesting voter concern about lowering costs and managing the cipro could sway the outcome of this election, a new poll shows.The findings, from KFF’s monthly tracking poll, signal that voters do not trust assurances from the president that he will protect people with preexisting conditions from being penalized by insurance companies if the Supreme Court overturns the Affordable Care Act. (KHN is an editorially independent program of KFF.)Coming a month before the court will hear arguments from Republican attorneys general and the Trump administration that the health law should be overturned, the poll shows 79% of the public does not want the court to cancel coverage protections for Americans with preexisting conditions.

A majority of Republicans, 66%, said they do not want those safeguards overturned.In addition to leaving about 21 million Americans uninsured, overturning the ACA could allow insurance companies to charge more or deny coverage to individuals because they have preexisting conditions — a common practice before the law was established, and one that a government analysis said in 2017 could affect as many as 133 million Americans. Email Sign-Up Subscribe to KHN’s free Morning Briefing. Nearly 6 in 10 people said they have a family member with a preexisting or chronic condition, such as diabetes or cancer, and about half said they worry about a relative being unable to afford coverage, or lose it outright, if the law is overturned.The poll reveals a striking preference for Biden over Trump when it comes to protecting preexisting conditions, an issue that 94% of voters said would help decide who they vote for. Biden has a 20-point advantage, with voters preferring his approach 56% to 36% for Trump.In fact, it shows a preference for Biden on every health care issue posed, including among those age 65 and older and on issues that Trump has said were his priorities while in office — signaling voters are not satisfied with the president’s work to lower health care costs, in particular.

Support for Trump’s efforts to lower prescription drug costs has been slipping, with voters now preferring Biden’s approach, 50% to 43%.A majority of voters said they prefer Biden’s plan for dealing with the buy antibiotics outbreak, 55% to 39%, and for developing and distributing a treatment for buy antibiotics, 51% to 42%. Trump has largely left it up to state and local officials to manage the outbreak, while promising that scientists would defy expectations and produce a treatment before Election Day.Asked which issue is most important to deciding whom to vote for, most pointed to health care issues, with 18% choosing the buy antibiotics outbreak and 12% saying health care overall. Nearly an equal share, 29%, selected the economy.The survey was conducted Oct. 7-12, after the first presidential debate and Trump’s announcement that he had tested positive for buy antibiotics.

The margin of error is plus or minus 3 percentage points for the full sample and 4 percentage points for voters. Emmarie Huetteman. ehuetteman@kff.org, @emmarieDC Related Topics Courts Elections Health Care Costs The Health Law buy antibiotics KFF Polls Preexisting Conditions.

Droplets of fat inside our cells are helping the body's own defence system fight back against , University of Queensland researchers have discovered.The international collaboration between UQ Institute for Molecular Bioscience researchers Professor Robert Parton and Professor Matt Sweet, and the University of Barcelona's Professor Albert Pol found that these fat droplets are both a food source and weapon against bacterial invaders."It was previously thought that bacteria were merely using the lipid droplets to feed on, cheap cipro online but we have discovered these fatty droplets are involved in the battle between the pathogens and our cells," Professor Parton said."Fat is part of the cell's arsenal -- cells manufacture toxic proteins, package them into the lipid droplets, then fire them at the intruders."This is a new way that cells are protecting themselves, using fats as a covert weapon, and giving us new insights into ways of fighting ."With antibiotic-resistant superbugs on the rise, researchers are determined to find alternative ways to fight . advertisement One possibility is ramping up the body's natural defences."We showed that upon of white blood cells called macrophages, lipid droplets move to the part of the macrophage where the bacteria are present," Professor Sweet said.The bacterial also changed the way that white blood cells used energy."Lipid droplets can be used as a fuel source for mitochondria when there aren't enough other nutrients," Professor Sweet said."During an , lipid droplets move away from the mitochondria and attack the bacteria instead, altering metabolism cheap cipro online of the cell."Cell biologist Professor Parton was inspired to continue this research after the phenomenon was seen in fruit flies. advertisement "Most people thought the lipid droplets were 'blobs of fat', only useful for energy storage but now we are seeing that they act as metabolic switches in the cell, defend against and much more -- there are now entire scientific conferences of researchers working on them," he said."Our next step is to find out how the lipid droplets target the bacteria."By understanding the body's natural defences, we can develop new therapies that don't rely on antibiotics to fight drug-resistant s."VIDEO -- https://youtu.be/WTJc7oQFezU Story Source. Materials provided by University of cheap cipro online Queensland.

Note. Content may be edited for style and length.SOBRE NOTICIAS EN ESPAÑOLNoticias en español es una sección de Kaiser Health News que contiene traducciones de artículos de gran interés para la comunidad hispanohablante, y contenido original enfocado en la población hispana que vive en los Estados Unidos. Use Nuestro Contenido Este contenido puede usarse de manera gratuita (detalles). Al menos la mitad de los votantes prefiere el enfoque de la atención médica del ex vicepresidente Joe Biden al del presidente Donald Trump, lo que sugiere que la preocupación por reducir los costos y manejar la pandemia podría influir en el resultado de esta elección, según revela una nueva encuesta.

Los hallazgos, de la encuesta mensual de KFF, indican que los votantes no confían en las garantías del presidente de que protegerá a las personas con condiciones preexistentes de las compañías de seguros si la Corte Suprema anulara la Ley de Cuidado de Salud a Bajo Precio (ACA).Un mes antes de que el tribunal escuche los argumentos de los fiscales generales republicanos y la administración Trump a favor de revocar la ley, la encuesta muestra que el 79% del público no quiere que el Supremo cancele las protecciones de cobertura para los estadounidenses con afecciones preexistentes. La mayoría de los republicanos, el 66%, dijo que no quiere que se anulen esas garantías.Además de dejar a unos 21 millones de estadounidenses sin seguro, revocar ACA podría permitir a las compañías de seguros cobrar más o negar cobertura a las personas porque tienen condiciones preexistentes, una práctica común antes que se estableciera la ley, y que un análisis del gobierno reveló en 2017 que podría afectar hasta a 133 millones de estadounidenses.Casi 6 de cada 10 personas dijeron que tenían un familiar con una condición preexistente o crónica, como diabetes, hipertensión, o cáncer, y aproximadamente la mitad dijo que les preocupa que un ser querido no pueda pagar la cobertura, o la pierda por completo, si se anulara la ley.La encuesta revela una preferencia sorprendente por Biden sobre Trump cuando se trata de proteger a las personas con condiciones preexistentes, un tema que el 94% de los votantes dijo que ayudaría a decidir por quién votar. Biden tiene una ventaja de 20 puntos. Un 56% prefiere su enfoque, contra un 36% para Trump.De hecho, el sondeo muestra una preferencia por Biden en todos los problemas de atención médica que se plantean, incluso entre los mayores de 65 años y en temas que Trump ha dicho que eran sus prioridades mientras estuviera en el cargo, lo que indica que los votantes no están satisfechos con el trabajo del presidente para reducir los costos de la atención médica, en particular.

El apoyo a los esfuerzos de Trump para reducir el precio de los medicamentos recetados ha disminuido, y los votantes ahora prefieren el enfoque de Biden, del 50% al 43%.La mayoría de los votantes dijeron que prefieren el plan de Biden para lidiar con el brote de buy antibiotics, 55% a 39%, y para desarrollar y distribuir una vacuna para buy antibiotics, 51% a 42%. Trump ha delegado en gran medida la gestión de la pandemia a los funcionarios estatales y locales, al tiempo que prometió que los científicos desafiarían las expectativas y producirían una vacuna antes del día de las elecciones.Cuando se les preguntó qué tema era más importante para decidir por quién votar, la mayoría de los encuestados señaló a la atención médica. El 18% eligió el brote de buy antibiotics y el 12% mencionó el cuidado de salud en general. Casi una proporción igual, el 29%, optó por la economía.La encuesta se realizó del 7 al 12 de octubre, después del primer debate presidencial y el anuncio de Trump de que había dado positivo para buy antibiotics.

El margen de error es más o menos 3 puntos porcentuales para la muestra completa y 4 puntos porcentuales para los votantes.(KHN es un programa editorialmente independiente de KFF). Emmarie Huetteman. ehuetteman@kff.org, @emmarieDC Related Topics Courts Elections Health Care Costs Noticias En Español The Health Law buy antibiotics KFF Polls Preexisting ConditionsIn March, Sue Williams-Ward took a new job, with a $1-an-hour raise.The employer, a home health care agency called Together We Can, was paying a premium — $13 an hour — after it started losing aides when buy antibiotics safety concerns mounted.Williams-Ward, a 68-year-old Indianapolis native, was a devoted caregiver who bathed, dressed and fed clients as if they were family. She was known to entertain clients with some of her own 26 grandchildren, even inviting her clients along on charitable deliveries of Thanksgiving turkeys and Christmas hams.

Explore Our Database KHN and The Guardian are tracking health care workers who died from buy antibiotics and writing about their lives and what happened in their final days. Without her, the city’s most vulnerable would have been “lost, alone or mistreated,” said her husband, Royal Davis.Despite her husband’s fears for her health, Williams-Ward reported to work on March 16 at an apartment with three elderly women. One was blind, one was wheelchair-bound, and the third had a severe mental illness. None had been diagnosed with buy antibiotics but, Williams-Ward confided in Davis, at least one had symptoms of fatigue and shortness of breath, now associated with the cipro.Even after a colleague on the night shift developed pneumonia, Williams-Ward tended to her patients — without protective equipment, which she told her husband she’d repeatedly requested from the agency.

Together We Can did not respond to multiple phone and email requests for comment about the PPE available to its workers.Still, Davis said, “Sue did all the little, unseen, everyday things that allowed them to maintain their liberty, dignity and freedom.”He said that within three days Williams-Ward was coughing, too. After six weeks in a hospital and weeks on a ventilator, she died of buy antibiotics. Hers is one of more than 1,200 health worker buy antibiotics deaths that KHN and The Guardian are investigating, including those of dozens of home health aides.During the cipro, home health aides have buttressed the U.S. Health care system by keeping the most vulnerable patients — seniors, the disabled, the infirm — out of hospitals.

Yet even as they’ve put themselves at risk, this workforce of 2.3 million — of whom 9 in 10 are women, nearly two-thirds are minorities and almost one-third are foreign-born — has largely been overlooked.Home health providers scavenged for their own face masks and other protective equipment, blended disinfectant and fabricated sanitizing wipes amid widespread shortages. They’ve often done it all on poverty wages, without overtime pay, hazard pay, sick leave and health insurance. And they’ve gotten sick and died — leaving little to their survivors. Email Sign-Up Subscribe to KHN’s free Morning Briefing.

Speaking out about their work conditions during the cipro has triggered retaliation by employers, according to representatives of the Service Employees International Union in Massachusetts, California and Virginia. €œIt’s been shocking, egregious and unethical,” said David Broder, president of SEIU Virginia 512.The cipro has laid bare deeply ingrained inequities among health workers, as Broder puts it. €œThis is exactly what structural racism looks like today in our health care system.”Every worker who spoke with KHN for this article said they felt intimidated by the prospect of voicing their concerns. All have seen colleagues fired for doing so.

They agreed to talk candidly about their work environments on the condition their full names not be used.***Tina, a home health provider, said she has faced these challenges in Springfield, Massachusetts, one of the nation’s poorest cities.Like many of her colleagues — 82%, according to a survey by the National Domestic Workers Alliance — Tina has lacked protective equipment throughout the cipro. Her employer is a family-owned company that gave her one surgical mask and two pairs of latex gloves a week to clean body fluids, change wound dressings and administer medications to incontinent or bedridden clients.When Tina received the company’s do-it-yourself blueprints — to make masks from hole-punched sheets of paper towel reinforced with tongue depressors and gloves from garbage bags looped with rubber bands — she balked. €œIt felt like I was in a Third World country,” she said.The home health agencies that Tina and others in this article work for declined to comment on work conditions during the cipro.In other workplaces — hospitals, mines, factories — employers are responsible for the conditions in which their employees operate. Understanding the plight of home health providers begins with American labor law.The Fair Labor Standards Act, which forms the basis of protections in the American workplace, was passed in an era dually marked by President Franklin Delano Roosevelt’s New Deal changes and marred by the barriers of the Jim Crow era.

The act excluded domestic care workers — including maids, butlers and home health providers — from protections such as overtime pay, sick leave, hazard pay and insurance. Likewise, standards set by the Occupational Safety and Health Administration three decades later carved out “domestic household employment activities in private residences.”“A deliberate decision was made to discriminate against colored people — mostly women — to unburden distinguished elderly white folks from the responsibility of employment,” said Ruqaiijah Yearby, a law professor at St. Louis University.In 2015, several of these exceptions were eliminated, and protections for health providers became “very well regulated on paper,” said Nina Kohn, a professor specializing in civil rights law at Syracuse University. €œBut the reality is, noncompliance is a norm and the penalties for noncompliance are toothless.”Burkett McInturff, a civil rights lawyer working on behalf of home health workers, said, “The law itself is very clear.

The problem lies in the ability to hold these companies accountable.”The Occupational Safety and Health Administration has “abdicated its responsibility for protecting workers” in the cipro, said Debbie Berkowitz, director of the National Employment Law Project. Berkowitz is also a former OSHA chief. In her view, political and financial decisions in recent years have hollowed out the agency. It now has the fewest inspectors and conducts the fewest inspections per year in its history.Furthermore, some home health care agencies have classified home health providers as contractors, akin to gig workers such as Uber drivers.

This loophole protects them from the responsibilities of employers, said Seema Mohapatra, an Indiana University associate professor of law. Furthermore, she said, “these workers are rarely in a position to question, or advocate or lobby for themselves.”Should workers contract buy antibiotics, they are unlikely to receive remuneration or damages.Demonstrating causality — that a person caught the antibiotics on the job — for workers’ compensation has been extremely difficult, Berkowitz said. As with other health care jobs, employers have been quick to point out that workers might have caught the cipro at the gas station, grocery store or home.Many home health providers care for multiple patients, who also bear the consequences of their work conditions. €œIf you think about perfect vectors for transmission, unprotected individuals going from house to house have to rank at the top of list,” Kohn said.

€œEven if someone didn’t care at all about these workers, we need to fix this to keep Grandma and Grandpa safe.”Nonetheless, caregivers like Samira, in Richmond, Virginia, have little choice but to work. Samira — who makes $8.25 an hour with one client and $9.44 an hour with another, and owes tens of thousands of dollars in hospital bills from previous work injuries — has no other option but to risk getting sick.“I can’t afford not to work. And my clients, they don’t have anybody but me,” she said. €œSo I just pray every day I don’t get it.” Eli Cahan.

emcahan@stanford.edu, @emcahan Related Topics Aging Health Industry Public Health buy antibiotics Home Health Care Lost On The FrontlineCalifornia Healthline correspondent Angela Hart discussed how the antibiotics cipro has derailed California’s efforts to deal with homelessness on KPBS “Midday Edition” on Oct. 8. KHN Midwest correspondent Lauren Weber discussed the difference between D.O.s and M.D.s with Newsy’s “Morning Rush” on Tuesday. KHN correspondent Anna Almendrala discussed how L.A.

County’s enforcement of workplace antibiotics protocols has cut buy antibiotics deaths with KPCC’s “Take Two” on Tuesday. KHN senior correspondent Sarah Jane Tribble discussed rural hospitals and KHN’s “Where It Hurts” podcast with Illinois Public Media’s “The 21st” on Oct. 5 and “Tradeoffs” on Oct. 8.

KHN chief Washington correspondent Julie Rovner joined C-SPAN’s “Washington Journal” on Tuesday to discuss the Affordable Care Act case before the Supreme Court next month and what else to expect in the realm of health care after the election. KHN freelancer Priscilla Blossom discussed Halloween safety tips with KUNC’s “Colorado Edition” on Tuesday. Related Topics California Doctors Homeless Medical EducationTrombonist Jerrell Charleston loves the give-and-take of jazz, the creativity of riffing off other musicians. But as he looked toward his sophomore year at Indiana University, he feared that steps to avoid sharing the antibiotics would also keep students from sharing songs.“Me and a lot of other cats were seriously considering taking a year off and practicing at home,” lamented the 19-year-old jazz studies major from Gary, Indiana.His worries evaporated when he arrived on campus and discovered that music professor Tom Walsh had invented a special mask with a hole and a protective flap to allow musicians to play while masked.

Don't Miss A Story Subscribe to KHN’s free Weekly Edition newsletter. Students also got masks for the ends of their wind instruments, known as bell covers, allowing them to jam in person, albeit 6 feet apart.“It’s amazing to play together,” Charleston said. €œMusic has always been my safe space. It’s what’s in your soul, and you’re sharing that with other people.”Of course, the very act of making music powered by human breath involves blowing air — and possibly cipro particles — across a room.

One infamous choral practice in Washington state earlier this year led to confirmed diagnoses of buy antibiotics in more than half of the 61 attendees. Two died.So musicians around the country are taking it upon themselves to reduce the risk of buy antibiotics without silencing the music. With pantyhose, air filters, magnets, bolts of fabric and a fusion of creativity, those who play wind instruments or sing are improvising masks to keep the band together. Solomon Keim rehearses in protective gear that doesn't mask the sound.(Chris Bergin for KHN) Brayden Wisley practices safe sax-playing.

Other tips for musicians. Play in a big space with good ventilation, and break after 30 minutes to allow the air to clear.(Chris Bergin for KHN) Brendan Sullivan plays trombone while both he and the instrument are masked. It has been recommended that most instrumentalists face the same direction while playing and stay 6 feet apart — with a distance of 9 feet in front and back of trombonists.(Chris Bergin for KHN)A consortium of performing arts groups has commissioned research exploring ways for musicians to play safely. The group’s preliminary report from July recommends instrumentalists wear masks with small slits, use bell covers, face the same direction while playing and stay 6 feet apart for most instruments — with a distance of 9 feet in front and back of trombonists.

Other research has shown cotton bell covers on brass instruments reduced airborne particles by an average of 79% compared with playing without one.Jelena Srebric, a University of Maryland engineering researcher involved in the consortium’s study, said it’s also best to play in a big space with good ventilation, and musicians should break after 30 minutes to allow the air to clear. These rudimentary solutions, she said, promise at least some protection against the cipro.“Nothing is 100%. Being alive is a dangerous business,” Srebric said. This “gives some way to engage with music, which is fantastic in this day and age of despair.”Dr.

Adam Schwalje, a National Institutes of Health research fellow at the University of Iowa Hospitals and Clinics, is a bassoonist who has written about the buy antibiotics risk of wind instruments. He said a combination of bell covers, social distancing and limited time playing together could be helpful, but the effectiveness of bell covers or masks for musicians to wear while playing is “completely unproven” at this point. Schwalje’s paper said it’s not possible to quantify the risk of playing wind instruments, which involves deep breathing, sometimes forceful exhalation and possible aerosolizing of the mucus in the mouth and nose.Still, early results of research at the universities of Maryland and Colorado are helping to inspire improvisational mask-making and other safety measures, said Mark Spede, national president of the College Band Directors National Association who is helping lead the commissioned research.At Middle Tennessee State University, for example, tuba teacher Chris Combest said his students tie pillowcases over the bells of their instruments, and some wear masks that can be unbuttoned to play. At the University of Iowa, wind players in small ensembles must use bell covers and masks, but they can pull them down when playing as long as they pull them up during rests.

Heather Ainsworth-Dobbins said her students at Southern Virginia University use surgical masks with slits cut in them and bell covers made of pantyhose and MERV-13 air filters, similar to what is used on a furnace.Indiana University Jacobs School of Music professor Tom Walsh distributes custom masks he designed that allow students to play their instruments safely as a group.(Chris Bergin for KHN) Skyler Floe tries out his horn's bell cover to much fanfare at Indiana University Jacobs School of Music in Bloomington, Indiana.(Chris Bergin for KHN) Kyle Cantrell's sound carries while reducing the risk of cipro transmission.(Chris Bergin for KHN) At Indiana, Walsh sought out whatever research he could find as he designed his tight-fitting cotton musical mask, reinforced with a layer of polypropylene and with adjustable ties in the back. A flap hangs over the hole, outfitted with two magnets that allow it to close over the instrument. The professor’s mom, Julie Walsh — who made his clothes when he was a kid — has sewn more than 80 of the musical masks for free. The opera program’s costume shop makes bell covers with a layer of fabric over a layer of stiff woven material known as interfacing fabric.Bailey Cates, a freshman trumpet player, said the quality of the sound is about the same with these masks and they make her feel safer.Flutes present unique challenges, partly because flutists blow air across the mouthpiece.

Alice Dade, an associate professor of flute at the University of Missouri, said she and her students clip on device called “wind guards” usually used outdoors, then sometimes fit surgical masks over them.Alice Dade, an associate professor at the University of Missouri, recommends using clip-on devices for flutes called “wind guards,” which shield the lip plate of the flute from wind when playing outdoors. The ventilated design helps limit condensation and interference with the player’s air stream. Amid the cipro, some flutists now use them with surgical masks on top to curb the spread of the antibiotics.(Alice Dade)Indiana flute student Nathan Rakes uses a specially designed cloth mask with a slit and slips a silk sock on the instrument’s end. Rakes, a sophomore, said the fabric doesn’t affect the sound unless he’s playing a low B note, which he rarely plays.Walsh is a stickler for finding big practice spaces, not playing together for more than half an hour and taking 20-minute breaks.

All jazz ensemble musicians, for example, also must stay at least 10 feet apart.“I carry a tape measure everywhere I go,” he said. €œI feel responsible for our students.”Some K-12 schools are trying similar strategies, said James Weaver, director of performing arts and sports for the National Federation of State High School Associations.His son Cooper, a seventh grade sax player at Plainfield Community Middle School in Indiana, uses a surgical mask with a slit. It sometimes jerks to the side with the vibrations of playing, but Cooper said it “feels good as long as you have it in the right place.” Cooper also helped his dad make a bell cover with fabric and MERV-13 material.While many groups use homemade bell covers, McCormick’s Group in Wheeling, Illinois, has transformed its 25-year-old business of making bell covers to display school colors and insignias into one that is making musicians safer with two-ply covers made of polyester/spandex fabric. CEO Alan Yefsky said his company started reinforcing the covers with the second layer this summer.

Sales of the $20 covers have soared.“It’s keeping people employed. We’re helping keep people safe,” Yefsky said. €œAll of a sudden, we got calls from nationally known symphony organizations.”Other professional musicians take a different tack. Film and television soundtracks are often recorded in separate sessions.

Woodwinds and brass players in individual plexiglass cubicles and masked, with distanced string players recording elsewhere.The U.S. Marine Band in Washington, D.C., practices in small, socially distanced groups, but string instrumentalists are the only ones wearing masks while playing.For both professionals and students, the cipro has virtually eliminated live audiences in favor of virtual performances. Many musicians say they miss traditional concerts but are not focusing on what they’ve lost.“Creating that sense of community — an island to come together and play — is super important,” said Cates, the Indiana trumpet player. €œPlaying music feels like a mental release for a lot of us.

When I’m playing, my mind is off of the cipro.”Indiana University Jacobs School of Music professor Tom Walsh works with students during rehearsal in Bloomington, Indiana. The professor’s mom, Julie Walsh — who made his clothes when he was a kid — has sewn more than 80 of the musical masks for free.(Chris Bergin for KHN) Laura Ungar. lungar@kff.org, @laura_ungar Related Topics Public Health buy antibioticsUse Our Content This story can be republished for free (details). At least half of voters prefer former Vice President Joe Biden’s approach to health care over President Donald Trump’s, suggesting voter concern about lowering costs and managing the cipro could sway the outcome of this election, a new poll shows.The findings, from KFF’s monthly tracking poll, signal that voters do not trust assurances from the president that he will protect people with preexisting conditions from being penalized by insurance companies if the Supreme Court overturns the Affordable Care Act. (KHN is an editorially independent program of KFF.)Coming a month before the court will hear arguments from Republican attorneys general and the Trump administration that the health law should be overturned, the poll shows 79% of the public does not want the court to cancel coverage protections for Americans with preexisting conditions.

A majority of Republicans, 66%, said they do not want those safeguards overturned.In addition to leaving about 21 million Americans uninsured, overturning the ACA could allow insurance companies to charge more or deny coverage to individuals because they have preexisting conditions — a common practice before the law was established, and one that a government analysis said in 2017 could affect as many as 133 million Americans. Email Sign-Up Subscribe to KHN’s free Morning Briefing. Nearly 6 in 10 people said they have a family member with a preexisting or chronic condition, such as diabetes or cancer, and about half said they worry about a relative being unable to afford coverage, or lose it outright, if the law is overturned.The poll reveals a striking preference for Biden over Trump when it comes to protecting preexisting conditions, an issue that 94% of voters said would help decide who they vote for. Biden has a 20-point advantage, with voters preferring his approach 56% to 36% for Trump.In fact, it shows a preference for Biden on every health care issue posed, including among those age 65 and older and on issues that Trump has said were his priorities while in office — signaling voters are not satisfied with the president’s work to lower health care costs, in particular.

Support for Trump’s efforts to lower prescription drug costs has been slipping, with voters now preferring Biden’s approach, 50% to 43%.A majority of voters said they prefer Biden’s plan for dealing with the buy antibiotics outbreak, 55% to 39%, and for developing and distributing a treatment for buy antibiotics, 51% to 42%. Trump has largely left it up to state and local officials to manage the outbreak, while promising that scientists would defy expectations and produce a treatment before Election Day.Asked which issue is most important to deciding whom to vote for, most pointed to health care issues, with 18% choosing the buy antibiotics outbreak and 12% saying health care overall. Nearly an equal share, 29%, selected the economy.The survey was conducted Oct. 7-12, after the first presidential debate and Trump’s announcement that he had tested positive for buy antibiotics.

The margin of error is plus or minus 3 percentage points for the full sample and 4 percentage points for voters. Emmarie Huetteman. ehuetteman@kff.org, @emmarieDC Related Topics Courts Elections Health Care Costs The Health Law buy antibiotics KFF Polls Preexisting Conditions.

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