Your Guide to the Rise and Evolution of the Pot Store

(Gloucestercitynews.net)(December 9, 2019)–To say that marijuana has been booming into the avenues of business, politics, and the cultural zeitgeist would be an understatement.

With the advent of more and more legalization across the United States and other countries, the humble pot store has gone from humble origins to big business interests.

Where did it all start? Where does it all lead? The cannabis industry is riding high and we\’re here to follow its evolution.

The Humble Beginnings

Marijuana has long since been a common medicine for calming nerves and healing inflammation and other cases. It wasn\’t until the 20th century that prohibition movements banned the drug and started a mistrustful campaign against it.

In the 21st century that is all overturning and with it comes a rise of many variants on the pot store. Back in the 60s and 70s, the pot business was a bit more wild and uncertain. Dealers sold it almost anywhere and in cheap bundles.

The biggest reason for the coming growth comes from the fast unfolding band of legalization.

Legalization on Multiple Levels

It started with a few states legalizing the use of medical marijuana. Then came the likes of Utah and Washington allowing recreational usage of the plant.

With more and more pressure on the government, the idea of nationally legalized marijuana may be soon around the corner.

With the bounds of government banning coming down, this only invites the potential markets of big business. With the potential of

big profits showcased in Nevada

and Washington, many entrepreneurs are eager to invest in the pot store.

Working Around the Restrictions

For now, there is still legislation from stopping full-on major investment. This hasn\’t stopped any companies so much as made them change tactics.

Figuring out ways to work within the law has been a common theme in many businesses.

1. Vertical Integration

Vertical integration

refers to a company that owns all levels of its production. This means they grow the plant, harvest the plant, process the plant, and sell the plant and its byproducts.

This allows companies to control their limited markets. Because federal law still prohibits marijuana from crossing state lines, this is a good foundation to have.

2. Mergers and Buyouts

Big companies are pushing and moving in preparation for something bigger. Some say that the legalization of marijuana at the federal level is inevitable and some businesses seem to think so.

While the Canadian pot industry is already booming due to its full legalization, American companies are not far behind. Major corporations are snatching up the small-time pot growers who have come from the initial legalizations.

Their ever-growing product and company base pushes them for massive pot franchises and huge superstores.

The Pinnacle of Pot Store Levels

All of this corporate moving and big investments lead to only one thing and that is massive pot store showcases. Things like the

Planet 13 Superstore

may be a common thing in the near future.

The humble pot store is now far from humble. There is a lot more change on the horizon as the potential of full legalization unleashes the floodtides of corporate interests.

History, Information, and the News at Your Fingertips

Your local pot store may become not only a more common site but bigger and more corporate. These changes look to be inevitable as a lot of investments and resources pour in. What this evolution will bring is anyone\’s guess.

For all things news in the South Jersey and Philadelphia areas, we have you covered. Check out our other articles for more items and keep yourself updated.

Children’s Hospital of Philadelphia Expands CAPP+ Program

PHILADELPHIA PA–Children’s Hospital of Philadelphia (CHOP) is proud to announce a partnership with

The Enterprise Center

, in conjunction with Philadelphia Housing Development Corporation (PHDC), to build the number of licensed contractors in Philadelphia and expand CHOP’s

Community Asthma Prevention Program Plus Home Repairs (CAPP+) initiative.

This effort will offer training and resources to local contractors interested in scaling up their business and create economic opportunity for minority contractors as the partners build a pipeline of PHDC-approved contractors for CAPP+.

CHOP, in partnership with PHDC, launched the CAPP+ Home Repairs Program in 2018. The program addresses the impact of unhealthy housing on pediatric asthma outcomes in West Philadelphia neighborhoods, where asthma affects approximately one out of four children. CAPP+ expands the focus of CHOP’s award-winning

CAPP program

to include home repairs aiming to further reduce asthma-related emergency department (ED) visits and hospitalizations by removing asthma triggers in the home.

“To-date, CAPP+’s pilot program has successfully renovated 10 homes with plans underway to renovate another 29 homes within the first phase of our program. We are confident that by helping to build the supply of qualified contractors in Philadelphia, we will be able to complete even more renovations,” said Peter Grollman, Senior Vice President for External Affairs at CHOP. “In the pilot phase of the program, the average time from clinician referral to the program to final home inspection was 111 days. With our new Enterprise Center partnership and scaled up workforce, we anticipate reducing this time dramatically so that families can get into renovated homes faster, with less disruption to their daily lives.”

“The Enterprise Center is partnering with CHOP’s CAPP+ program to provide technical assistance to participating construction and construction-related businesses remediating and repairing homes to fight asthma,” said Seulky McInneshin, PhD, Executive Vice President, The Enterprise Center. “We will provide resources to help contractors achieve all of the requirements needed to make them eligible to compete for PHDC jobs, including support to obtain a contactors license, offering classes in lead containment during repairs and opportunities to boost insurance coverage.”

“The Enterprise Center will funnel contractors through to PHDC and track metrics for 5 years to watch how the businesses grow,” added McInneshin.

“With the CAPP+ Program, we’ve created the need for a construction market that didn’t exist a year ago, and we need more qualified contractors in the pipeline,” said David S. Thomas, President & CEO, PHDC. “This is the ideal opportunity for someone who wants to grow their business; we are looking for trade specialists, as well.”

After successfully meeting all of the requirements for a PHDC job, the companies can also become certified as a women/minority-owned business, and be eligible to bid on additional construction opportunities throughout the city.

CAPP+ is a component of

Healthier Together

, CHOP’s umbrella initiative that focuses on some of the most pressing health and economic needs in neighborhoods surrounding the hospital’s campus.

Interested contractors can apply here:

bit.ly/TECBusinessSupport

Are Cell Towers Dangerous to Humans and Pets?

Studies indicate that proximity to base stations correlates with headaches, dizziness, depression and other neurobehavioral symptoms, as well as increased cancer risk. Animal studies also

image of a cell tower

indicate that these effects may be cumulative.

Newswise — No one can over engineer like an engineer. So introducing a little more caution into an existing engineering process is nothing much to ruffle feathers. A new paper published in

Environmental Research

offers insight on how to include simple precautionary approaches to siting cell towers.

Joshua Pearce is the Richard Witte Endowed Professor of Materials Science and Engineering and a professor in the Department of Electrical and Computer Engineering. He runs the Michigan Tech Open Sustainability Technology (MOST) Lab, which works on solar photovoltaics, 3D printing, and open source science hardware.

And there are many cell towers — and more coming — since almost everyone has a cell phone and the towers are being used for more data intensive applications. In the U.S., the Pew Research Center reports 96% of Americans own a cell phone of some kind, and smart phone ownership today has risen to 81% from 35% in 2011. Industry data reported by GSMA Intelligence estimates more than five billion people worldwide use mobile devices. All these devices work using electromagnetic waves, which expose people to low levels of radio-frequency radiation (RFR).

“The research on the health impacts of RFR is still inconclusive. But some of the preliminary data gives us reason to be concerned,” said Joshua Pearce, a professor in electrical and materials engineering from Michigan Technological University who led the study, which reviews current data on RFR and engineering solutions for placing towers. “I’m pro-tech and I’m pro-human, so I think there are ways for us to have our cell phones and minimize potential risk without waiting to find out that putting a cell tower on top of a school was a bad idea.”

Pearce and his team’s solutions focus on getting companies to rethink where to place cell towers when they do a standard “search ring” map that prioritizes potential sites based on maximizing coverage for the least cost. Assessing tower placement is not a new idea; Canada and many European countries are looking into siting guidelines that help keep particularly vulnerable populations safe, like kids and those with illnesses.

The handful of human studies reviewed in Pearce’s paper indicate that proximity to base stations correlates with headaches, dizziness, depression and other neurobehavioral symptoms, as well as increased cancer risk. Animal studies also indicate that these effects may be cumulative.

Given the current research, cell towers would be cautiously placed 500 meters, or about a third of a mile, away from schools, hospitals and lots of sleeping people in dense neighborhoods or high rises.

The challenge in the U.S., unlike in India where such setback laws are already in place, is the laws that govern cell tower siting plans in Section 704 of The Telecommunications Act of 1996 specifically eliminate “environmental effects” from consideration.

“This is a peculiar law, but saying that something is legal doesn’t make it right or cost-effective in the long run,” Pearce said. “It’s in companies’ best interests to be thoughtful about where to place cell towers; they don’t want to move towers or be held responsible down the line. These effects are inadvertent — but there are options to do it differently that can reduce potential health impacts and thus a company’s future bottom line.”

In addition to revamping search ring mapping to include a 500-meter buffer, which doesn’t impact the cost of the siting process but reduces future liability, Pearce says there are other more innovative options, like cell splitting and small cell deployment, that could also decrease RFR exposure. At the end of the day, it comes down to thinking before building.

Why Do You Need to Use Practice Tests to Explore Microsoft MS-200 Exam Topics?

(Gloucestercitynews.net)(Dec. 8, 2019)–MS-200 is one of the Microsoft recently introduced certification exams. It is designed for the messaging administrators who configure, troubleshoot, deploy, and monitor mail protection, recipients, permissions, public folders, and mail flow in both on-premises and Cloud environments. These professionals are responsible for managing messaging infrastructure, disaster recovery, hybrid configuration, hygiene, client access, migration, and high availability. The certified administrators work in partnership with the Microsoft 365 enterprise and security administrators to performa topology that will fulfill the requirements of an organization for its business.These specialists have knowledge of licensing, authentication types, and integration with the applications of Microsoft 365.

Microsoft MS-200 is part of the prerequisites for obtaining the Microsoft 365 Certified: Messaging Administrator Associate certificate. This test includes 40-60 questions with the allocated time of 120-150 minutes. It is available in English only. The exam fee is $165. If you are not in the United States, you should check the certification webpage to find out the specific fee that applies to you because it may vary from one country to another. After passing Microsoft MS-200, the candidates can proceed to take the second test to earn their certificate. The second one, Microsoft MS-201, is designed to validate the students’ skills in planning and implementing hybrid configuration & migration, managing organizational settings, and securing messaging environment. However, this certification guide will focus on the first exam, Microsoft MS-200. Let’s dive into it and its objectives.

http://www.exam-labs.com/dumps/MS-200

Microsoft MS-200 Exam: Skills Measured

The MS-200 test measures three different core skills that include management of the following areas:

Modern Messaging Infrastructure – 45-50%;

Mail Flow Topology – 35-40%;

Recipients &Devices – 15-20%.

It is crucial to mention that the associated percentage on each of the skills refers to the weight of questions that may be expected from each of the topics. This means that the objectives with higher percentages are likely to have more questions in the delivery of a particular exam. However, it is recommended that you gain mastery in all the topics to be able to achieve success in the Microsoft MS-200 certification test. To help you prepare for it, we will explore each of these objectives in detail.

Managing ModernMessagingInfrastructure

This topic takes up the bigger chunk of the skills that will be measured in the exam.Almost half of the whole test. It requires that the candidates understandthe management of databases. Therefore, they have to understand the process involved in mailbox database prerequisites planning; creating, troubleshooting, and configuring mailbox databases. The skills in managing DAG are also required. For this, the individuals must be able to create it; plan and manage DAG members and settings; manage and deploy site resilience; test datacenter and database fail-over scenario; measure Exchange services health; and troubleshoot DAG issues. The students should also understand the techniques required in client access management and implementation. This entails planning namespaces; configuring policies, URLs & virtual directories, global OWA policies, and auto-discover for Exchange. The test takers also need to know how to manage the lifecycle of the Exchange certificates and troubleshoot connectivity issues.

https://docs.microsoft.com/en-us/learn/certifications/exams/ms-200

Additionally, the applicants should know a thing or two about disaster recovery management. This entails planning a strategy of backup & recovery; implementing and performing backups; restoring databases, mailboxes, and servers. The skills in the management of messaging infrastructure lifecycle are also needed so you can attain the desired success in this Microsoft test. Therefore, the candidates should have competence in planning the installation of Exchange Server; installing and updating Exchange services; preparing AD for Exchange.

Managing Topology of Mail Flow

The skills you need here include planning transport pipeline, managing connectors, managing mail flow, and troubleshooting mail flow issues. Therefore,the individuals need to study up on designing mail flow with multiple sites; planning solutions for high availability mail flow. They also need to understand all about planning connectors, configuring them, as well asknow a thing or two aboutSend and Receive ones.The test takers should also know how to manage transport rules& domains. In addition to this, they need to know about the validation of outbound and inbound mail flow; monitoring of mail flow; investigation of transport logs; handling of NDRs; configuration of messaging tracking.

Managing Devices&Recipients

This topic has the least percentage, which means the questions from it are likely to be lower than the first two. However, you can’t afford to discard this subject in the course of your preparation because it might just be the deal-breaker for your success in the actual exam. Having said this, it is crucial that you prepare for it. You will be required to manage the recipient resources. This entails managing groups and mailboxes, including archive mailboxes, resource mailboxes, and mailbox permissions, as well as configuring mailbox policies. It also covers the skills in evaluating license options and managing shared mailboxes. Additionally, the candidates for Microsoft MS-200 must have competence in mobile devices management. This includes managing mobile device access and configuring mobile device mailboxes policies.

NOTE:

If you want to easily study all these topics in order to pass the exams and get your Microsoft certification, you need to find reliable sources and resources. Microsoft offers various prep tools that the students can use to prepare for the MS-200 test. You can also explore other platforms to get the necessary and relevant resources. Exam-Labs is one of the sites that offer extensive study materials to prepare for this Microsoft certification exam. They are study guides, video tutorials, practice tests, braindumps, blog articles, etc. Visit this website to know more.

Conclusion

Success in the Microsoft MS-200 exam can be ensuredif you take the time to study these topic areas in depth. The great news is that there are the relevant resources that will equip you with the skills and knowledge you need to understand all these objectives. The Microsoft Learning platform has a wide array of study materials to prepare for the test, including training with the certified instructors who will lead you through the whole course; official practice tests;study groups where you can ask questions and get answers to them. There are many resources that you can explore on Exam-Labs to get ready for this certification exam. Use them wisely and obtain the credential that will change your personal and professional life.

Christmas Comes Early for Pediatric Patients at Virtua Health

Annual Toy Run to Deliver Gifts and Smiles to Local Children

Young patients at Virtua Voorhees Hospital will receive a touch of holiday magic

on Saturday,

Dec. 7

when the Joseph Lacroce Foundation hosts its ninth annual toy delivery. That morning, a caravan of classic and collector cars will travel to the

hospital, where an assembly line of volunteers will unload dozens of donated gifts.

Leading the line-up is Virtua’s Mobile Pediatric Unit, a specially equipped van that brings much-needed health services to children in underserved communities. Virtua launched the mobile program in spring 2018 thanks to a $1 million donation from the Lacroce Foundation. Services include developmental screenings, lead testing and education, and flu shots.

The Joseph Lacroce Foundation is a Cherry Hill-based not-for-profit organization dedicated to improving the hospital experience for children throughout South Jersey. President Sam Lacroce established the foundation in 2011 in memory of his son Joseph, who passed away from leukemia in 1975 at age 12.

“Our supporters are always excited to participate in the toy run because it recalls the true spirit of the season,” said Sam Lacroce. “The toys and games do a lot to help make the hospital experience less stressful for the kids. We thank everyone for their generosity.”

“For me, this event marks the start of the holiday season,” said Virtua Health President and CEO Dennis W. Pullin, FACHE. “Few things are as rewarding as watching a child’s face light up with joy; it’s something Sam Lacroce understands better than anyone.”

Young Missouri Girl Receives New Liver and Kidney

This Month She Celebrates a Big Birthday a Few Days before Santa’s Arrival

December 4, 2019

—

December is the month when many focus on gifts. For one Missouri transplant family, December is the month to celebrate the ultimate gift —

the gift of life

. This family’s beautiful girl will be celebrating her ninth birthday later this month right before this

family celebrates Christmas. Then on December 31st the Lemires will ring in the New Year by remembering their post-transplant homecoming two years. These December celebrations are made possible by another family, complete strangers, who chose to donate their child’s liver and kidney during the most difficult of circumstances.

Cara and Rich Lemire are no strangers to loss nor to big gifts — especially ones that are life-saving. When they found out in 2010 they were pregnant with a daughter they would name Vivian (which means full of life), they were excited and anxious. Four years earlier, they had lost their first child to Autosomal Recessive Polycystic Kidney Disease (ARPKD). The condition caused their first baby’s kidneys and liver to swell and take up space the lungs needed to grow properly. Cara and Rich were completely unaware of her condition before her birth and they only had two days with their daughter, Renee, before she passed. They allowed themselves time to grieve before considering another pregnancy, but with support from their medical team they decided to try again.

According to Cara, “Once we were pregnant again we were thrilled, but we struggled to let ourselves feel we could ‘get ready’ for her. We had walked this journey before and worried it would lead to the same heartbreaking place. Vivian’s early ultrasounds showed no sign of ARPKD and we felt encouraged about not experiencing a recurrence.”

ARPKD is a rare inherited childhood condition where the development of the kidneys and liver is abnormal. Over time either of these organs may fail. Even though ARPKD is rare, it is one of the most common kidney problems to affect young children. It is estimated that 1 in 20,000 babies is born with ARPKD; both boys and girls are affected equally. The condition often causes serious problems after birth.

At Cara’s 32-week pregnancy check, an ultrasound showed that Baby Vivian’s kidneys were enlarged with cysts and her amniotic fluid was dangerously low. The Lemires were devastated when they were told the baby also had ARPKD. “It was a crushing moment, but we were determined to give Vivian the best chance we could at survival,” Cara said.

When the baby’s heart muscles began to show signs of hypertension, the doctors determined they could not wait any longer and Vivian was delivered a few days before Christmas 2010. The baby’s lungs had some underdevelopment but she was able to breathe with minimal assistance. Vivian’s next challenge was severe hypertension and renal failure with kidneys that were estimated to be the size of adult kidneys in her tiny body.

At two weeks old, Vivian had her first kidney removed and began dialysis 24 hours a day. Four weeks later Vivian had her second kidney removed. The Lemires had to travel 40 minutes from their O’Fallon, Missouri, home to Cardinal Glennon Children’s Hospital in St. Louis four days a week for Vivian’s hemodialysis. Each session was four hours long. Vivian spent 278 days of her first year of life inpatient enduring several surgeries, battling infections and treating complications of her compromised immune system. Vivian’s medical care made it nearly impossible for both Cara and Rich to keep their full-time jobs; therefore, Rich decided to step back from his career to manage Vivian’s medical schedule of appointments, treatments, specialists, back-and-forth commutes and many more of her complicated medical demands.

Cara and Rich knew Vivian would need a dual life-saving transplant (kidney and liver) for long-term survival. At the start of 2012, while in the midst of Vivian’s hemodialysis sessions and appointments, a transplant social worker suggested Cara and Rich reach out to the Children’s Organ Transplant Association (COTA) to learn more about fundraising for transplant-related expenses. On January 31

, Cara called COTA’s 800 number and completed COTA’s Patient Agreement the very next day.

COTA uniquely understands that parents who care for a child or young adult before, during and after a life-saving transplant have enough to deal with, so COTA’s model shifts the responsibility for fundraising to a community team of trained volunteers. COTA is a 501(c)3 charity so all contributions to COTA are tax deductible to the fullest extent of the law, and COTA funds are available for a lifetime of transplant-related expenses.

On March 8, 2012, a COTA fundraising specialist travelled to the Lemire’s hometown to train the volunteers for the COTA campaign in honor of Vivian L. This group of family members and friends, i.e. COTA Miracle Makers, quickly got to work organizing fundraisers to help with mounting transplant-related expenses. Numerous COTA fundraisers were held and the team surpassed its $60,000 goal in a short amount of time.

When Vivian was 2½, the transplant team at Cardinal Glennon officially listed her for a dual kidney and liver transplant. Cara and Rich were anxious but were excited to continue their family’s transplant journey. However the wait became lengthy and Vivian’s case became more complicated as she grew. Cara and Rich were eventually told by the Cardinal Glennon transplant team they were no longer able to perform the life-saving dual transplant Vivian needed.

“We will never forget the moment our nephrologist, whose guidance we trusted, told us if Vivian were her child, she would take her to Lucile Packard Children’s Hospital at Stanford,” Cara said. Soon after that recommendation, the Lemires flew to Palo Alto, California — more than 2,000 miles away from their Missouri home. Cara says at their very first meeting ‘everything clicked.’ The Lucile Packard transplant team agreed that, when the time came for Vivian’s dual transplant, the Lemire family would need to temporarily relocate to California and start her transplant treatment plan.

In August 2017 after two years of being listed and a near match, the Lemires finally got The Call for both a kidney and liver match for Vivian in California. Cara remembers feeling like their bags were in their hands before they even hung up the phone. It was indeed the call they had been waiting for since the day Vivian was born. On August 9, 2017, Vivian received a kidney and liver transplant and her second chance at life. Cara and Rich received the greatest gift imaginable.

The dual organ transplant went well but required a longer recovery time for Vivian, which meant the family would be in California for an extended period of time. Cara took a leave from her job and the family was able to stay in the Ronald McDonald House very close to Lucile Packard. “With our home and jobs halfway across the country, COTA eased the financial burden and enabled us to be at Vivian’s side during her transplant and lengthy recovery,” they said.

On December 31

, four and a half months after her life-saving dual kidney and liver transplant, Vivian and her parents were able to return home to Missouri. It was indeed a positive way to step into the New Year and their new post-transplant life.

“Even before Vivian was born, we knew a transplant was likely in our family’s future. When it became clear the best outcome of Vivian’s transplant would be achieved at a transplant center more than 2,000 miles away from our home, we also knew we were going to need help to make everything work financially. With home and jobs halfway across the country, COTA eased the financial burden and enabled us to be at Vivian’s side before and after transplant. It is a tremendous gift to know COTA is here for our family now and will be …

for a lifetime

,” said Cara and Rich.

Today Vivian is enrolled in elementary school, which she loves and where she is thriving. She loves dancing, singing and participating in any type of music. Vivian is thrilled to be making new friends at school. This Christmas will likely be full of celebration and joy for the Lemires as they enjoy the holidays in their own home. Vivian is indeed a gift for Cara and Rich who went from wondering when The Call would come to now watching their beautiful daughter enjoy the sights, sounds and tastes of the season. They will indeed remember their special donor angel this holiday season as well.

Merry Christmas Lemire Family from your COTA Family!

For more information about the Children’s Organ Transplant Association (COTA),

or to find a COTA family in your area, please email

kim@cota.org

COTA Kid Vivian Lemire

Kidney and Liver Transplant Recipient

STUDY: IN SICKNESS AND IN HEALTH

Depression symptoms rise over time when facing multiple conditions that need different types of self-care, especially among husbands whose conditions differ from their wives’

Newswise — When they said their wedding vows, many of them promised to stand by one another in sickness and in health.

But a new study suggests that as married couples age and develop chronic conditions, the daily demands of coping with their own health demands and those of their spouse may take a mental toll.

Depression symptoms increased over time among married men and women who themselves had two or more chronic conditions that need different types of self-care – such as a special diet and medications for heart disease or diabetes along with pain-reducing therapy for arthritis.

When husbands and wives both had chronic health conditions, and needed different kinds of self-care from their partners, husbands fared worse. Their depression symptoms were significantly higher, but this effect was not found for wives.

The new findings, made by a team from the University of Michigan using data from a long-term study of more than 1,110 older opposite-sex married couples from 2006 to 2014, are published in

Journals of Gerontology Series B: Psychological Sciences and Social Sciences.

While less than 10% of the women and less than 7% of the men in the study had levels of depression symptoms serious enough to suggest a need for treatment, lower-level depression is important for older people, clinicians, caregivers and adult children to understand, says Courtney Polenick, Ph.D., who led the study.

In both husbands and wives, the rise of depressive symptoms didn’t begin until a few years after the first assessment of their health and well-being.

“Our results suggest that there’s a window where, if one or both of you are managing complex conditions that don’t have similar self-management goals, it may be possible to intervene and prevent the development or worsening of depression,” says Polenick, who is part of the U-M Department of Psychiatry and Institute for Social Research. “This might be the time for couples, and those who care for them, to emphasize broadly beneficial lifestyle behaviors that help to maintain both mental and physical health.”

For instance, a woman coping with both high blood pressure and arthritis needs to make changes to her exercise routine, but her husband without such conditions could commit to making those changes along with her. Or a wife with diabetes who does most of the cooking and has a husband with prostate cancer could adopt a healthier menu for both of them.

Polenick and her colleagues from U-M’s Institute for Healthcare Policy and Innovation looked at data from the Health and Retirement Study, which repeatedly interviews and surveys thousands of American adults in their 50s and beyond over time.

They focused on conditions that have similar treatment goals focused on reducing cardiovascular risk — diabetes, heart disease, hypertension and stoke – and those with treatment goals and needs that are different from each of the other conditions– cancer, arthritis and lung disease.

When one person in the couple had at least one condition with different treatment goals and needs, they’re considered to have “discordant” conditions. When one member of a couple had at least one condition that has different treatment goals and needs from the other partner, the couple is considered to have discordant conditions.

“Research has focused on how individuals with multiple conditions, also called multimorbidity, manage their chronic health needs,” says Polenick. “But most people in later life are partnered, with similar health-related habits, and we need to understand how changing health affects the couple dynamic.”

The fact that both wives and husbands experienced significant increases in depressive symptoms as the years passed, when they were coping with discordant conditions in themselves, is by itself important to understand, Polenick notes.

But the fact that wives whose husbands’ health needs differed from their own didn’t experience an even greater rise in depression is a bit surprising, she adds.

Meanwhile, husbands whose conditions had self-care needs that were different from their wives’ conditions did experience an additional rise in depression symptoms.

Among individuals who are baby boomers or older, wives may be more used to taking the lead in caring for the health and emotional well-being of both themselves and their husbands, she says. But when husbands have wives who are coping with different health demands than their own, the husbands may experience less of this support than usual, worsening their stress and mental health.

Polenick and her colleagues continue to explore these intra-couple dynamics, and their consequences for mental and physical health. They also hope to expand the range of chronic health conditions they examine, and to look at shorter timeframes in conditions that can be managed with lifestyle changes.

But in the meantime, she notes that middle-aged and older couples may want to do more now to understand the factors that they can control as they age, and those they cannot, and talk about how they feel as a result.

“This is a reminder to step back and look at what your partner is coping with, to learn about their health conditions, to be conscious of it on a daily basis, and for grown children and clinicians to do the same,” she says. “Having that awareness, and helping one another manage health problems while watching for signs of depression, may help both members of a couple over time.”

In addition to Polenick, the study team includes Kira Birditt, PhD, Angela Turkelson, MS, and Benjamin Bugajski of U-M, and Helen Kales, MD, formerly a professor at U-M and now the chair of psychiatry at the University of California, Davis.

The study was funded by the National Institute on Aging of the National Institutes of Health (AG057838), as is the Health and Retirement Study.

Migraine Headaches? Consider Aspirin for Treatment

Newswise — Migraine headache is the third most common disease in the world affecting about 1 in 7 people. More prevalent than diabetes, epilepsy and asthma combined, migraine headaches are among the most common and potentially debilitating disorders encountered by primary health care providers. Migraines also are associated with an increased risk of stroke

There are effective prescription medications available to treat acute migraine headaches as well as to prevent recurrent attacks. Nonetheless, in the United States many patients are not adequately treated for reasons that include limited access to health care providers and lack of health insurance or high co-pays, which make expensive medications of proven benefit unaffordable. The rates of uninsured or underinsured individuals have been estimated to be 8.5 percent nationwide and 13 percent in Florida. Furthermore, for all patients, the prescription drugs may be poorly tolerated or contraindicated.

Researchers from

Florida Atlantic University

’s

Schmidt College of Medicine

have proposed aspirin as a possible option for consideration by primary care providers who treat the majority of patients with migraine. Their review includes evidence from 13 randomized trials of the treatment of migraine in 4,222 patients and tens of thousands of patients in prevention of recurrent attacks.

Their findings, published in

The

American Journal of Medicine

suggest that high-dose aspirin, in doses from 900 to 1,300 milligrams given at the onset of symptoms, is an effective and safe treatment option for acute migraine headaches. In addition, some but not all randomized trials suggest the possibility that daily aspirin in doses from 81 to 325 milligrams may be an effective and safe treatment option for the prevention of recurrent migraine headaches.

“Our review supports the use of high dose aspirin to treat acute migraine as well as low dose daily aspirin to prevent recurrent attacks,” said

Charles H. Hennekens

, M.D., Dr.PH, corresponding author, first Sir Richard Doll Professor and senior academic advisor in FAU’s Schmidt College of Medicine. “Moreover, the relatively favorable side effect profile of aspirin and extremely low costs compared with other prescription drug therapies may provide additional clinical options for primary health care providers treating acute as well as recurrent migraine headaches.”

Common symptoms of migraine include a headache that often begins as a dull pain and then grows into a throbbing pain, which can be incapacitating and often occurs with nausea and vomiting, and sensitivity to sound, light and smell. Migraines can last anywhere from four to 72 hours and may occur as many times as several times a week to only once a year.

“Migraine headaches are among the most common and potentially debilitating disorders encountered by primary health care providers,” said Bianca Biglione, first author and a second-year medical student in FAU’s Schmidt College of Medicine. “In fact, about 1 in 10 primary care patients present with headache and three out of four are migraines. Aspirin is readily available without a prescription, is inexpensive, and based on our review, was shown to be effective in many migraine patients when compared with alternative more expensive therapies.”

Approximately 36 million Americans suffer from migraine headaches and the cause of this disabling disorder is not well understood. There is a higher prevalence in women (18 percent) than men (9 percent). In women, the prevalence is highest during childbearing age. Approximately 90 percent of migraine sufferers report moderate to severe pain, with more than 50 percent reporting severe impairment or the need for bed rest as well as reduced work or school productivity.

Co-authors of the study are Alexander Gitin, a first-year medical student at the

University of Florida College of Medicine

; and

Philip B. Gorelick

, M.D., M.P.H., a professor in the Department of Translational Neuroscience at

Michigan State University College of Human Medicine

– FAU –

About the Charles E. Schmidt College of Medicine:

FAU’s Charles E. Schmidt College of Medicine is one of approximately 152 accredited medical schools in the U.S. The college was launched in 2010,

when the Florida Board of Governors made a landmark decision authorizing FAU to award the M.D. degree. After receiving approval from the Florida legislature and the governor, it became the 134th allopathic medical school in North America. With

more than 70 full and part-time faculty and more than 1,300 affiliate faculty, t

he college

matriculates 64 medical students each year and has been nationally recognized for its innovative curriculum.

To further FAU’s commitment to increase much needed medical residency positions in Palm Beach County and to ensure that the region will continue to have an adequate and well-trained physician workforce, the FAU Charles E. Schmidt College of Medicine Consortium for Graduate Medical Education (GME) was formed in fall 2011 with five leading hospitals in Palm Beach County. The Consortium currently has five Accreditation Council for Graduate Medical Education (ACGME) accredited residencies including internal medicine, surgery, emergency medicine, psychiatry, and neurology.

About Florida Atlantic University:

Florida Atlantic University, established in 1961, officially opened its doors in 1964 as the fifth public university in Florida. Today, the University, with an annual economic impact of $6.3 billion, serves more than 30,000 undergraduate and graduate students at sites throughout its six-county service region in southeast Florida. FAU’s world-class teaching and research faculty serves students through 10 colleges: the Dorothy F. Schmidt College of Arts and Letters, the College of Business, the College for Design and Social Inquiry, the College of Education, the College of Engineering and Computer Science, the Graduate College, the Harriet L. Wilkes Honors College, the Charles E. Schmidt College of Medicine, the Christine E. Lynn College of Nursing and the Charles E. Schmidt College of Science. FAU is ranked as a High Research Activity institution by the Carnegie Foundation for the Advancement of Teaching. The University is placing special focus on the rapid development of critical areas that form the basis of its strategic plan: Healthy aging, biotech, coastal and marine issues, neuroscience, regenerative medicine, informatics, lifespan and the environment. These areas provide opportunities for faculty and students to build upon FAU’s existing strengths in research and scholarship. For more information, visit fau.edu.

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New Jersey Department of Health Reminds Residents It’s Not Too Late To Vaccinate

National Influenza Vaccination Week (NIVW) is December 1-7, 2019

The New Jersey Department of Health is reminding residents to get their annual flu vaccine as part of National Influenza Vaccination Week (NIVW). While flu vaccination is recommended before the end of October, NIVW was established to remind people that getting vaccinated can be beneficial through the holiday season and beyond.

“As the holiday season is beginning, increased travel and close family gatherings can create a great opportunity for illnesses to spread,” Acting Health Commissioner Judith Persichilli said. “Getting vaccinated now can help protect yourself and your loved ones.”

For millions of people every season, flu means a fever, cough, sore throat, runny or stuffy nose, muscle aches, fatigue and miserable days spent in bed. Millions of people get sick, hundreds of thousands are hospitalized, and thousands to tens of thousands of people die from flu each year.

There is a vaccine that can help reduce the risk of flu and its potentially serious complications. The Centers for Disease Control and Prevention (CDC) recommends a yearly flu vaccine to everyone six months of age and older as the first and most important step in protecting against seasonal flu viruses.

Certain people at greater risk for serious complications if they get sick with the flu:

Children younger than 5 years old, but especially children younger than 2 years old

People 65 years of age and older

Pregnant women and women up to 2 weeks after the end of pregnancy

American Indian and Alaskan Natives

People who have medical conditions such as asthma, heart disease, and diabetes

“Flu vaccine also has been shown to save children’s lives, prevent serious events associated with chronic lung disease, diabetes and heart disease, and prevent flu-related hospitalization among adults and older adults,” Persichilli said. “Getting vaccinated isn’t just about keeping you healthy; it’s also about helping to protect others around you who may be vulnerable to becoming very sick, such as infants, older adults, and pregnant women.”

Flu vaccines are safe, effective and offered in many locations including doctor’s offices, clinics, health departments, urgent care centers, and pharmacies. Click

here

for general flu information and to find a flu shot near you.

The Department has two ongoing initiatives to promote flu prevention. The

New Jersey Influenza Honor Roll

recognizes institutions that are striving to promote influenza prevention at their facilities. It is open to four categories of honorees: business, community-based partners, education, and healthcare facilities. In addition, the Department is challenging students at 10 participating colleges and universities to engage in a friendly competition to improve flu vaccination coverage on their campuses through the

New Jersey College & University Challenge

For more information about NIVW, visit the CDC’s website

here

The Top 6 Frequently Made Automation Mistakes and How to Solve Them

Gloucestercitynews.net (Dec. 1, 2019)–Testing is a vital procedure in the development of products, software or hardware, separate components in order to find and eradicate errors, ensure that it’ll perform well and have good output.

Test automation can also be described as a method of utilizing an automated testing tool to check, analyze and predict expected results to actual ones. It intends using software to automatically perform the most difficult testing jobs or carry out ones that may appear many times, usually more than once or twice. The main advantage of

automation testing

over manual is that it’s much faster and more correct and accurate.

While automation is anything but difficult to perform whenever done right, it\’s much simpler to fail to understand the situation.

Using test automation every time

Automation shouldn\’t be viewed each time since certain issues don\’t even require robotization. Some of the tests ought to be done manually. A strategy for figuring out which test way to employ ought to be created to spare automation testers from burning through their time and vitality on automating what must be done in manual way or doing manually what should be automated.

Here’s the solution: Automated testing is reasonable for tests with a great deal of information, tests that give precise results, rehashed tests, and so on, while manual testing is appropriate for API,UX and UI tests.

Utilization wrong automation tools

Using an inappropriate device to take care of the correct issue will prompt awful results. Additionally, in the event that you have very few testings\’ to mechanize, it wouldn\’t be right to utilize only one computerization device. Thus, utilizing only a device to tackle every one of your issues via automated testing will bring terrible outcomes in light of the fact that various issues more often than not may require various methodologies and instruments.

Proposed solution: Analyze each issue you have and decide which tool is the most appropriate in each case.

Neglecting validation test

Validation

is significant in testing automation since it is required to affirm the framework is working as wanted and the normal outcomes are acquired. In this manner, dismissing the approval stage may prompt getting undesired results if there had been bugs in the framework that wasn\’t recognized in light of the fact that approval was skipped during testing.

Consider this solution: Validation testing can be performed successfully utilizing instruments like Appium, HP quality focus or Selenium.

Drive testing through the UI

Embracing this technique means one thing: slow results. The whole process initially runs smoothly, but then becomes slower and slower over time. There are continuous delays in the display of test results and if there was a mistake during the procedure, the results are affected and the whole procedure has to be started all over again.

Solution: use of a test tooling system through an upgraded UI

Separating tests from advancement

Initial stage

of automation testing is writing of codes. The written codes may along the line contain bugs which will be corrected, and then the test runs smoothly. The problem is, there is set back on the feedback from development to testing. The code may not have the necessary qualities to test it.

Solution: create tests at the beginning that can be managed by a tester or software.

Duplicating or pasting test codes

In the case of a rush and the programmer decides to save time by copying and pasting instead of writing the codes. Some procedures will have an intermediary link or phase before proceeding. Copying/pasting will break off the automation of each stage. This makes the testing procedure disorganized. This makes the testing methodology complicated.

Proposed solution: fix duplicated codes or even better, compose new codes. Capacities for intelligent procedures can also be made.