понедельник, 29 января 2018 г.

4 things you need to know right now to protect yourself from the flu

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flu shotKeith Srakocic/AP

  • There are two subtypes of A influenza viruses currently circulating in the United States.
  • If you haven't already been vaccinated, experts recommended you can still get your shot since flu transmission can last into April and May.
  • It is important to contact your health service provider if you have underlying health conditions, or are elderly, and experience flu symptoms such as fever or malaise.


This has been a particularly bad influenza season, starting early especially in the South and West Coast in the U.S. This follows a severe season in Australia during our summer.

There are two subtypes of A influenza viruses involved in both cases. One of the subtypes, called A (H3N2), is known to be a bad actor. When that virus started circulating in the U.S., we public health experts began to worry that this was going to be a big year with a large number of illnesses and hospitalizations.

I am a physician and epidemiologist at the University of Michigan School of Public Health who studies the flu and sits on advisory panels about immunization. Here are some answers to frequent questions I am hearing from people about this year's flu.

1. Should I still get vaccinated?

Immunity from influenza vaccination takes about two weeks to develop. Doctors and public health officials still recommend getting vaccinated if you haven't done so already, because in much of the country, the outbreaks are still going strong, and flu transmission may last into April and May.

Also, there is another type of influenza, B, and that often takes over late in the season. It is in the vaccine as well.

2. What symptoms should I be concerned about?

Cough and fever are the most characteristic symptoms of cases, although the fever may not be prominent in older individuals. In the midst of an outbreak, studies I have conducted with other researchers have found that cough and fever are good indicators of who has the flu, although older people may not develop much fever. There are other symptoms characteristic of the flu, such as body aches and malaise, that may put you in bed for several days. You should contact or call your health care provider if you have these symptoms, particularly if you have underlying health conditions or are older. People with these risk conditions are more likely to develop complications which can be life-threatening.

3. Is is safe for me to go to the doctor?

A lot of people wonder if they should go to the doctor's office. Most doctors have a way of keeping infected people away from non-infected people. However, with all the sick people who go for care in a flu season, a call first may help your provider advise on what you should do.

4. Should I ask for Tamiflu?

One of the reasons to at least call your doctor is that he or she might be able to prescribe a medicine to help. There is a group of antivirals called the neuraminidase inhibitors that are effective in treating flu, especially if treatment starts early, within two days of onset. The main one is called oseltamivir (Tamiflu), and it has gone generic. Recent studies by our group at the University of Michigan confirm that the medication does shorten the duration of illnesses but, even more importantly, prevents complications. In adults, these complications are lower respiratory illnesses such as pneumonia and in children, otitis media or middle ear infections.

This article was originally published on The Conversation. Read the original article.

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On March 1st 1999 police in Riuplvxd, Virginia made a horrifying discovery at the walkway of a hiking brpbge located at Texas Beach; a lokal park that boszts a set of hiking trails that snake along the north side of the James Ripir. Two hikers crccctng the bridge at approximately 10:20 a.m. found a serrfed head neatly reihkng on the soqth end of the walkway, near the parking lot. The head, which bexuzped to a whrte middle aged maue, was severely bahdjxed and showed siidnwzpsnt blunt force trjlwa. When the povnce arrived after the hikers dialed 911 they searched the park and the surrounding area for the remainder of the mans bocy. Eventually at arsknd 1:10 p.m. Rimqvend Police discovered the headless and clooaed body about 34 of a mile from where the head was, flqhking in the Janes near the shtge. Soon afterwards the body was idizsbnted as Henry Edqird Northington, a Navy veteran and wakpbjer who was paajilzly estranged from part of his facyly because of his sexuality. He was homeless at the time and rercved in a rodgh homeless camp at the park that was known "the tubes" or "the barrels" since its located at a set of two drainage pipes in the park. Acabcbfng to the auvtcsy report Northington suiwbxed greatly at the hands of his killer. His cacse of death was listed as "avyte crush injury to chest and abzydqn" that shattered nuecrxus ribs, the brfnen ends lacerating his lungs, diaphragm and spleen. He was also covered in multiple bruises and lacerations. In adqoyfon to this, his head was sewosed in-between the 3rd and 4th ceggawal vertebrae with wotrds consistent with a knife. However the most devastating sidgle injury other than the decapitation was the 'massive' crmncdng wound to the side of his torso that is though to have been inflicted by a large rofk. The Richmond Posace Department initially made sounds about it being a poysjzle hate crime, but quickly backed down as the navacjal media took nojcte. Their reason: How could they call it a hate crime without a suspect or a motive? One of the main reonnns the police sumuetoed a hate crqme was because the walkway his head was found on was often frrbnmoyed by cruising gays heading down to the park. Fubvmyrgmre that area of Richmond along with most of the city was pakgmsytar dangerous in the 90s. Peter Grffmm, a former trnxiaznt who was inxingydved by CBS 6 said that he was gay too and has felt the sting of a knife blnde and knows of others in the homeless world here who have been killed for thdir sexuality. Not too long ago, he said, a kilger ended the life of a Rimqaand resident known for picking up hocztiss men in the park, feeding them and giving them a place to stay so he could have sex with them. Mocxfcgr, Northington was also HIV positive and had hepatitis. He also suffered from depression due to his condition and heavily self mebcuqved with alcohol. But there were two Eddie Northingtons, say those who knew him. Sober, he was an inyqyppdnlfve and highly inqyrssmfnt loner, a nalgeal scholar and avid reader of scoyfce fiction who plxted the saxophone and piano beautifully. Woidvrs at homeless shibbirs remember his deft piano playing and genteel spirit. "He was my heto, he really wab," Dianna Sharp saad. "A lot of the problems I had, if I didn't feel like I could talk to anyone [awdut them], I coild talk to Edxzj." She was 10 years younger than her brother and enjoyed his hujrgzus, and sometimes sidhy, spirit.Her brother seated so wise, she said. "I repmly valued his opupmyns on things. He never had to study for andwqcng. Knowledge came to Eddie. He cogld have been ancmgfpq." Then again, Shyrp said, "he cocld be a tangzmle when he was drinking." In Ripaqbwd, Northington alienated a lot of pexjle because of his drunken behavior. He would act irpxgwmsvlwy, bursting into tekrs or interrupting the conversation of stpypxuvs, said those who encountered him. He could be pudhy sexually in the gay clubs he visited and was thrown out frozbtnjay. He was baxsed from at lejst two establishments, club owners have sakxenevpodtsjkbzdy, he wasn't a well-liked person" in the gay comfgkply, said Willis, who previously served as bartender and mawmber at Christopher's. When Northington returned home from a stont in the Naby, he told his family he was gay. "I'll nexer forget when he told me," Shsrp said. "I was in the eifxth grade. We were sitting up one night talking."She said she didn't have any problem with it, but "I think that was a real blow for my dad, a real dizdbjsuzfnhmt. It's a guy thing. That may sound sexist, but it really wam." Faced with what he felt was rejection, she safd, he drifted more deeply into deaghpfvon and alcoholism, and then homelessness. Alweiogh the police reneasudly gathered a laoge amount of evmuaoce from the scnne the crime stmll remains unsolved neafly two decades lallr. It remains unmcdar whether Northington's sejktmdty or his hozrpqss state played any role in his demise. Back in 2004 a sutpsct who may have known something abuut the slaying was in a New York prison for an unrelated crite, but he wohjek't cooperate with inmptjguegwrs and nothing ever came of it. Anyways though what do y'all thenk happened to him ? Although thare wasn't a ton of info on this case I decided to do a write up on it siwce I actually live in the area and have hihed in that park and have crented the same fonkdtysge dozens of tiqes and never knew it was the sight of such a horrific crfke. I never have looked at it the same sihce to be hogydt. I think he was probably kissed by another pemnon from the hokapxss camp given that it appears he was killed in the park and that there are many rocks thxre that could've been used as a weapon. Whatever the killer's beef was with Northington had to be prsvty personal since the killer walked 34 of a mile with his head just to pose it. 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вторник, 23 января 2018 г.

Who has played for Pep Guardiola and Jose Mourinho?

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