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US unemployment rate reaches 9.8%

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US unemployment rate reaches 9.8%

Friday, October 2, 2009

Companies in the United States are shedding more jobs, pushing the country’s unemployment rate to a 26-year high of 9.8%.

The US Labor Department said on Friday that employers cut 263,000 jobs in September, with companies in the service industries — including banks, restaurants and retailers — hit especially hard. This is the 21st consecutive month of job losses in the country.

The United States has now lost 7.2 million jobs since the recession officially began in December 2007. The new data has sparked fears that unemployment could threaten an economic recovery. Top US officials have warned that any recovery would be slow and uneven, and some have predicted the unemployment rate will top 10% before the situation improves.

“Continued household deleveraging and rising unemployment may weigh more on consumption than forecast, and accelerating corporate and commercial property defaults could slow the improvement in financial conditions,” read a report by the International Monetary Fund’s World Economic Outlook, predicting that unemployment will average 10.1% by next year and not go back down to five percent until 2014.

Mark Zandi, chief economist at Moody’s Economy.com, said that “it’s a very fragile and tentative recovery. Policy makers need to do more.”

“The number came in weaker than expected. We saw a lot of artificial involvement by the government to prop up the markets, and now that that is starting to end, the private sector isn’t yet showing signs of life,” said Kevin Caron, a market strategist for Stifel, Nicolaus & Co.

Also on Thursday, the US Commerce Department said factory orders fell for the first time in five months, dropping eight-tenths of a percent in August. Orders for durable goods — items intended to last several years (including everything from appliances to airliners) — fell 2.6%, the largest drop since January of this year.

The US government has been spending billions of dollars — part of a $787 billion stimulus package — to help spark economic growth. There have been some signs the economy is improving.

The Commerce Department said on Thursday that spending on home construction jumped in August for its biggest increase in 16 years. A real estate trade group, the National Association of Realtors, said pending sales of previously owned homes rose more than 12 percent in August, compared to August 2008.

A separate Commerce Department report said that consumer spending, which accounts for more than two-thirds of US economic activity, rose at its fastest pace in nearly eight years, jumping 1.3 percent in August.

Other reports have provided cause for concern. A banking industry trade group said Thursday the number of US consumers making late payments, or failing to make payments, on loans and credit cards is on the rise. A survey by a business group, the Institute for Supply Management, Thursday showed US manufacturing grew in September, but at a slower pace than in August when manufacturing increased for the first time in a year and a half.

Stock markets reacted negatively to the reports. The Dow Jones Industrial Average fell 41 points in early trading, reaching a level of 9467. This follows a drop of 203 points on Thursday, its largest loss in a single day since July. The London FTSE index fell 55 points, or 1.1%, to reach 4993 points by 15.00 local time.

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  • 15 Jul, 2021
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Facts About Chapter 7 Bankruptcy

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No one truly plans ahead of time on filing for bankruptcy. It is one of the most disappointing experiences because no one wants to be placed into that situation. Unfortunately, it happens to people all the time. People should always know a little about different forms of bankruptcy, so they can decide exactly what they would like to do in their particular case.

Before anyone files for bankruptcy, they should find a Bankruptcy attorney who has experience working with people who have previously filed for bankruptcy. If anyone is searching for a bankruptcy attorney, they can ask someone who has already gone throughout the process. It may be difficult to speak to someone about financial problems, but if they know of a good bankruptcy attorney they should be willing to go through the embarrassment.

There are various kinds of bankruptcies people can file. A good bankruptcy attorney will be able to tell a person which kind of bankruptcy they should have. Bankruptcy is a way for people to get from under some debts that they Bankruptcy is one of the kinds of bankruptcies that is the most popular. This bankruptcy requires that people liquidate certain items in order to pay down some of their debts. Corporations, partnerships and individuals can choose to have this form of bankruptcy.

There are many people who have made the decision to go through the bankruptcy process. It is one of the best things that people can do for themselves to take some of the debt stress off of themselves. Although it is not the best situation to be in, there is hope, and help available. Many people have been known to bounce back after a bankruptcy. It may take some time, but it is worth the effort.

No one should attempt to go through the bankruptcy process alone. They should always find an attorney who has the experience and knowledge they need. When they find the attorney, they should be honest about their possessions because if they are not truthful, it can change the whole bankruptcy proceedings if the truth is found out.

  • 15 Jul, 2021
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Ingrid Newkirk, co-founder of PETA, on animal rights and the film about her life

Tuesday, November 20, 2007

Last night HBO premiered I Am An Animal: The Story of Ingrid Newkirk and PETA. Since its inception, People for the Ethical Treatment of Animals (PETA) has made headlines and raised eyebrows. They are almost single-handedly responsible for the movement against animal testing and their efforts have raised the suffering animals experience in a broad spectrum of consumer goods production and food processing into a cause célèbre.

PETA first made headlines in the Silver Spring monkeys case, when Alex Pacheco, then a student at George Washington University, volunteered at a lab run by Edward Taub, who was testing neuroplasticity on live monkeys. Taub had cut sensory ganglia that supplied nerves to the monkeys’ fingers, hands, arms, legs; with some of the monkeys, he had severed the entire spinal column. He then tried to force the monkeys to use their limbs by exposing them to persistent electric shock, prolonged physical restraint of an intact arm or leg, and by withholding food. With footage obtained by Pacheco, Taub was convicted of six counts of animal cruelty—largely as a result of the monkeys’ reported living conditions—making them “the most famous lab animals in history,” according to psychiatrist Norman Doidge. Taub’s conviction was later overturned on appeal and the monkeys were eventually euthanized.

PETA was born.

In the subsequent decades they ran the Stop Huntingdon Animal Cruelty against Europe’s largest animal-testing facility (footage showed staff punching beagle puppies in the face, shouting at them, and simulating sex acts while taking blood samples); against Covance, the United State’s largest importer of primates for laboratory research (evidence was found that they were dissecting monkeys at its Vienna, Virginia laboratory while the animals were still alive); against General Motors for using live animals in crash tests; against L’Oreal for testing cosmetics on animals; against the use of fur for fashion and fur farms; against Smithfield Foods for torturing Butterball turkeys; and against fast food chains, most recently against KFC through the launch of their website kentuckyfriedcruelty.com.

They have launched campaigns and engaged in stunts that are designed for media attention. In 1996, PETA activists famously threw a dead raccoon onto the table of Anna Wintour, the fur supporting editor-in-chief of Vogue, while she was dining at the Four Seasons in New York, and left bloody paw prints and the words “Fur Hag” on the steps of her home. They ran a campaign entitled Holocaust on your Plate that consisted of eight 60-square-foot panels, each juxtaposing images of the Holocaust with images of factory farming. Photographs of concentration camp inmates in wooden bunks were shown next to photographs of caged chickens, and piled bodies of Holocaust victims next to a pile of pig carcasses. In 2003 in Jerusalem, after a donkey was loaded with explosives and blown up in a terrorist attack, Newkirk sent a letter to then-PLO leader Yasser Arafat to keep animals out of the conflict. As the film shows, they also took over Jean-Paul Gaultier‘s Paris boutique and smeared blood on the windows to protest his use of fur in his clothing.

The group’s tactics have been criticized. Co-founder Pacheco, who is no longer with PETA, called them “stupid human tricks.” Some feminists criticize their campaigns featuring the Lettuce Ladies and “I’d Rather Go Naked Than Wear Fur” ads as objectifying women. Of their Holocaust on a Plate campaign, Anti-Defamation League Chairman Abraham Foxman said “The effort by PETA to compare the deliberate systematic murder of millions of Jews to the issue of animal rights is abhorrent.” (Newkirk later issued an apology for any hurt it caused). Perhaps most controversial amongst politicians, the public and even other animal rights organizations is PETA’s refusal to condemn the actions of the Animal Liberation Front, which in January 2005 was named as a terrorist threat by the United States Department of Homeland Security.

David Shankbone attended the pre-release screening of I Am An Animal at HBO’s offices in New York City on November 12, and the following day he sat down with Ingrid Newkirk to discuss her perspectives on PETA, animal rights, her responses to criticism lodged against her and to discuss her on-going life’s work to raise human awareness of animal suffering. Below is her interview.

This exclusive interview features first-hand journalism by a Wikinews reporter. See the collaboration page for more details.

Contents

  • 1 The HBO film about her life
  • 2 PETA, animal rights groups and the Animal Liberation Front
  • 3 Newkirk on humans and other animals
  • 4 Religion and animals
  • 5 Fashion and animals
  • 6 Newkirk on the worst corporate animal abusers
  • 7 Animal Enterprise Terrorism Act
  • 8 Ingrid Newkirk on Ingrid Newkirk
  • 9 External links
  • 10 Sources
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  • 14 Jul, 2021
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Gallery seeks Control themed mail art for exhibit

Saturday, November 26, 2005

Canadian community art group Visual Arts Brampton is looking for entries for its international entry mail art exhibit “Control”.

The exhibit’s entry information discusses the theme of the show: “Are you a control-freak, or more happy-go-lucky? What do you think of corporations’ control on the media and governments? Is your life quickly spinning out of control? Always hitting Ctrl-Alt-Del?”

The exhibition dates have yet to be scheduled, but the show will run in early 2006 at either the Fridge Front Gallery or upcoming World Art Gallery in Shoppers World Brampton, a mall in suburban Toronto.

While it prefers 4 x 6 inch artworks, VAB asks that entries are no larger than 6 x 6 inches. VAB’s address is “Snail Mail Central / 1 Bartley Bull Parkway, Suite 10 / Brampton ON / L6W 3T7”. Entries must be received by January 31, 2006.

This show will help Visual Arts Brampton to continue to build up a reputation in the mail art world. The non-profit community art group is in the process of opening up the World Art Gallery, which will be the first permanent display space to solely exhibit mail art. Over the past few years, the club has organized three general no theme exhibits, and “SAT: An Exhibit of Chairs”, which is running currently.

This article features first-hand journalism by Wikinews members. See the collaboration page for more details.
This article features first-hand journalism by Wikinews members. See the collaboration page for more details.

This page is archived, and is no longer publicly editable.

Articles presented on Wikinews reflect the specific time at which they were written and published, and do not attempt to encompass events or knowledge which occur or become known after their publication.

Got a correction? Add the template {{editprotected}} to the talk page along with your corrections, and it will be brought to the attention of the administrators.

Please note that due to our archival policy, we will not alter or update the content of articles that are archived, but will only accept requests to make grammatical and formatting corrections.

Note that some listed sources or external links may no longer be available online due to age.

This page is archived, and is no longer publicly editable.

Articles presented on Wikinews reflect the specific time at which they were written and published, and do not attempt to encompass events or knowledge which occur or become known after their publication.

Got a correction? Add the template {{editprotected}} to the talk page along with your corrections, and it will be brought to the attention of the administrators.

Please note that due to our archival policy, we will not alter or update the content of articles that are archived, but will only accept requests to make grammatical and formatting corrections.

Note that some listed sources or external links may no longer be available online due to age.

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  • 14 Jul, 2021
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Teen broadcasts suicide online

Sunday, November 23, 2008

A Pembroke Pines, Florida teenager killed himself Wednesday, November 19, while broadcasting on the live video site Justin.tv. After making suicide threats and being encouraged by Justin.tv viewers and Bodybuilding.com forum members, Abraham K. Biggs, 19, committed suicide by taking an overdose of opiates and benzodiazepine, which had been prescribed for his bipolar disorder.

Biggs first began blogging about his planned suicide 12 hours before the actual event. He died after taking pills and lying on the bed in front of the webcam. After the broadcast, viewers who apparently thought it was a hoax posted messages such as “OMG”, “LOL”, and “hahahah”.

Hours later, after being alerted by viewers who had noticed that Biggs had stopped breathing, law enforcement and paramedics arrived, discovered his body, and covered the camera. The Broward County Medical Examiner’s Office has reportedly confirmed Biggs’ death.

According to Montana Miller of the Bowling Green State University, the circumstances of this case were not shocking: “If it’s not recorded or documented, then it doesn’t even seem worthwhile. For today’s generation it might seem, ‘What’s the point of doing it if everyone isn’t going to see it?'”

Biggs’ sister Rosalind was angry that neither the website nor its viewers reacted soon enough to save him. “They got hits, they got viewers, nothing happened for hours,” she said. She described him as “very happy” and “friendly and outgoing.” “On a normal day, you couldn’t really tell that he got as low as he did.” However, he did have relationship problems with his girlfriend, according to a friend.

Mental health professionals have warned about the possibility that other mentally troubled people would copy his actions. According to Dr. David Shaffer of Columbia University, “Any video showing it as heroic or romantic or glamorous could reduce the anxiety people might feel about suicide. It becomes a respectable behavior and lowers the threshold of suicide.” He and other psychiatrists recommend that potentially suicidal teens talk to others and “tell what’s going on.”

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  • 13 Jul, 2021
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Pickup Trucks And Safety

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By Megan Stansfield

Recent news has the consumer population clamoring about whether or not the cars we drive are really safe. Forbes came out with an article on July 30, 2007 by Bengt Halvorson titled “Top 20 Most Dangerous Vehicles,” that uncovered some unnerving facts about pickup trucks in general. According to the article, “Pickups as a class have the highest rate of fatality and serious injury,” said Michael Dulberger, president of Informed for Life – a safety advocacy group.

Sound familiar? A few years back, we heard the same complaint about SUVs. The uproar – and America’s reluctance to give up their SUVs despite safety concerns – prompted SUV manufacturers to add safety features to Sport Utility Vehicles.

Several pickup trucks, however, already have a leg up on the competition. Specifically, Isuzu’s two high-performance pickup trucks: the i-290 and i-370. Both models offer a wide variety of safety features you might only expect to find on a Sport Utility.

[youtube]http://www.youtube.com/watch?v=gwpOYe49ij0[/youtube]

The first and perhaps most important, is the Electronic Traction Control option which also includes Automatic Locking Rear Differential. The feature helps provide more controlled acceleration on slippery surfaces and in severe weather conditions by reducing engine power to reduce wheel spin. Another features is the pickup’s push-system that allows the driver to shift from 2-wheel-drive to 4-wheel drive on-the-fly. Anti-Lock Braking Systems are a must when it comes to safety and Isuzu’s pickups offer 4-wheel anti-lock brakes to reduce wheel lockup on slippery surfaces when the need to brake hard arises. Daytime running lights and a tire pressure monitoring system also make Isuzu’s pickups safer than many competitors. The pickups also sport Head-Curtain Side Impact Airbags and an automatic Airbag Suppression System in the event that an accident should occur.

By comparison, here’s a list of the pickup trucks that made the list of the Top 20 Most Dangerous: the Ford Ranger/Mazda B-Series which doesn’t offer stability control, side airbags or curtain airbags; the Nissan Frontier (Extended Cab) ; and the Dodge Dakota 4-door pickup (side airbags and curtain airbags are optional). A few SUVs also made the list like the Nissan Xterra, and the remainder (as one might predict) was populated by very small economy cars such as the Saturn ION and Mazda3.

While the trend is typically to make vehicles safer by adding both passive and active safety features, the reality is that certain cars tend to fare better in accidents than others. Small, lightweight cars are no match in a collision with an SUV even if they possess enhanced safety features. While pickup trucks tend to fare better than cars in SUV collisions, it’s evident from the aforementioned study that many pickup truck manufacturers simply aren’t adding valuable safety features to their pickup lines in the way they are on SUVs.

Pickup truck enthusiasts shouldn’t have to compromise safety to drive the vehicles they love. Demanding SUV safety features be added either as standard or optional to pickups is the first step. Purchasing pickups that have these features – like the Isuzu i-370 or i-290 – will entice others in the automotive industry to follow suit and soon, pickups will be as safe as SUVs.

About the Author: Some of us need the power that comes with a 4×4 SUV. And an isuzu suv will fit the bill for every driver on the road looking for power and comfort.

Source: isnare.com

Permanent Link: isnare.com/?aid=190047&ca=Automotive

  • 13 Jul, 2021
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New Zealand dog saves five children; receives international attention

Saturday, May 5, 2007

A small, “nicely trained” Jack Russell Terrier gave his life to help save a group of five children from two aggressive pitbulls last Sunday in Manaia, Taranaki, New Zealand.

The dog named George is being described as a hero, gathering a huge amount of international media interest in the process.

The dog suffered massive injuries that the vet had never seen to that extent before, which resulted in 69-year-old Alan Gay, the dog’s owner, allowing George to be put down. He now regrets this decision.

The two pitbulls rushed at the group of children that George was following to the dairy, including a four-year-old. George then started barking loudly at the pair of dogs, and put himself between the dogs and the children. Mr Gay told Fox News, “If it wasn’t for George, those kids would have copped it.”

Despite having received offers of new dogs, Mr Gay has said that he will wait a while before getting another Jack Russell Terrier, as he is afraid it could happen again.

It is also believed that the two attacking dogs, which have been destroyed, were bred to be aggressive, including being fed the drug methamphetamine, commonly referred to as “P” in New Zealand.

Mr Gay has said that Manaia has had a problem with stray dogs before, but he never expected that George would become a victim.

One story ran in USA Today, which prompted over 120 comments, and one reader to personally call Alan Gay expressing their condolences.

Responding to the huge amount of media interest, Mr Gay said, “This really surprises me, and it’s marvellous. I never expected this … I’m surprised it got around the world as it did.” He says he has been getting a huge amount of phone calls from the media and the public. “The phone has been going since about half past seven this morning. Every time I hang up it rings again. It’s worn out; I might have to get a new one.”

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  • 12 Jul, 2021
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Sandra Fluke insists she will not be silenced

Wednesday, March 14, 2012

In an opinion piece published by CNN on Tuesday, Georgetown University law student and women’s rights advocate Sandra Fluke insisted she will not allow slurs from critics to silence her and other women from continuing to speak out on issues regarding women’s health and contraception.

Fluke has faced slurs and personal attacks after speaking before the House Democratic Steering and Policy Committee in the United States House of Representatives about women’s health and contraception. She was called a “slut” and a “prostitute” by talk radio show host Rush Limbaugh. In response to these attacks, Fluke has received public support from women, members of the media, and politicians including the President of the United States.

Attacking me and women who use contraception by calling us prostitutes and worse cannot silence us.

In her piece for CNN, Fluke took the opportunity to thank her supporters, writing, “By now, many have heard the stories I wanted to share thanks to the congressional leaders and members of the media who have supported me and millions of women in speaking out.” She characterized the “opponents of reproductive health access” who issued personal attacks against her as being motivated by an attempt to change the topic of conversation away from a dialogue about women’s health, and “to silence women’s voices regarding their own health care.”

Fluke wrote that the efforts by some to drown out women from speaking out about women’s health were unsuccessful. She came to this conclusion due to the multitude of positive comments and encouragement sent to her by both female and male individuals urging that contraception medication be considered a medical necessity.

Asserting that she would not remain silent on this issue of women’s health, Fluke wrote, “Attacking me and women who use contraception by calling us prostitutes and worse cannot silence us.”

She noted that a significant majority of women have utilized contraception medication, and commented that there exists a social disconnect between politicians attempting to make it more difficult for women to access this type of health care, and the views of society-at-large about the matter: “Restricting access to such a basic health care service, which 99% of sexually experienced American women have used and 62% of American women are using right now, is out of touch with public sentiment.”

Fluke concluded her piece by emphasizing that those in power should not govern based on ideology: “I am proud to stand with the millions of women and men who recognize that our government should legislate according to the reality of our lives — not for ideology.”

After being banned by Congressman Darrell Issa from speaking before a Committee on Oversight and Government Reform hearing on February 16 which consisted mainly of male panelists, Fluke appeared before a meeting of the House Democratic Steering and Policy Committee convened by Minority leader of the United States House of Representatives Nancy Pelosi on February 23.

Fluke spoke to the committee about the need for contraception to be covered by health care plans offered by employers, as a matter integral to women’s health. She cited multiple cases where women take contraception medication as part of their health care for treatment of medical conditions unrelated to birth control, including two women who suffer from polycystic ovarian syndrome, a woman who is afflicted with endometriosis and another who takes contraception in order to prevent seizures.

Time and time again, women have been silenced in this discussion, a discussion about our own very personal health care decisions.

Speaking before the United States Senate on February 17 along with fellow members Patty Murray, Kirsten Gillibrand, Barbara Boxer, and Charles Schumer, Senator Jeanne Shaheen of New Hampshire expressed her support for Fluke. Like Fluke, Senator Shaheen pointed out the need not to silence the voices of women in the public government debate about women’s health care: “Time and time again, women have been silenced in this discussion, a discussion about our own very personal health care decisions.” Senator Shaheen concluded her remarks with an explanation as to why she believes women should have significant representation in discussions about their health care: “Women deserve a voice in this debate because, after all, in the end this is about our health and it is about a health care decision that is between women, their families, their doctors, and their own faith.”

President Barack Obama called Fluke on March 2 to express his support for her courage to speak out on issues of women’s health. In his first press conference of 2012 on March 6, he discussed his reasons for deciding to call Fluke.

The President cited his personal thoughts about his own two daughters: “And the reason I called Ms. Fluke is because I thought about Malia and Sasha [Obama’s daughters], and one of the things I want them to do as they get older is to engage in issues they care about, even ones I may not agree with them on. I want them to be able to speak their mind in a civil and thoughtful way. And I don’t want them attacked or called horrible names because they’re being good citizens.”

President Obama went on to state that Fluke served as a positive role model for citizen participation in democracy and society: “And I wanted Sandra to know that I thought her parents should be proud of her, and that we want to send a message to all our young people that being part of a democracy involves argument and disagreements and debate, and we want you to be engaged, and there’s a way to do it that doesn’t involve you being demeaned and insulted, particularly when you’re a private citizen.”

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  • 11 Jul, 2021
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Iranian International Master Dorsa Derakhshani discusses her chess career with Wikinews

Tuesday, April 14, 2020

In February 2017, the Iranian Chess Federation announced two teenage chess players, Dorsa Derakhshani and her younger brother Borna Derakhshani, were banned from representing the national team. The federation announced their decision although Dorsa Derakhshani had previously decided and informed the chess federation she did not wish to play for Iran.

Dorsa Derakhshani is currently 21 years old and holds the International Master (IM) as well as Woman Grand Master (WGM) titles. Her brother, Borna, plays for the English Federation and holds the FIDE Master title.

Dorsa Derakhshani was banned since she did not wear a hijab, an Islamic headscarf, while competing at the Tradewise Gibraltar Chess Festival in January 2017. Under the laws of Islamic Republic of Iran, hijab is a mandatory dress code. Her brother Borna Deraskhsani was banned for playing against Israeli Grand Master (GM) Alexander Huzman at the same tournament. Iran does not recognise the existence of Israel, and previously, Irani athletes have avoided playing against Israeli athletes.

Mehrdad Pahlavanzadeh, the president of the country’s chess federation, explained the decision to ban the players saying, “As a first step, these two will be denied entry to all tournaments taking place in Iran and in the name of Iran, they will no longer be allowed the opportunity to be present on the national team.” ((fa))Farsi language: ?????? ????? ?? ??? ??? ?? ??? ????? ?? ?? ???? ???????? ?? ?? ????? ? ?? ??? ????? ?????? ??????? ????? ??????? ? ???? ???? ???? ?? ??? ??? ?? ??????? ????. He further stated, “Unfortunately, something that should not have happened has happened and our national interest is paramount and we have reported this position to the Ministry of Sports.” ((fa))Farsi language: ????????? ?????? ?? ????? ????????? ?????? ??? ? ????? ??? ?? ?? ?? ???? ?????? ???? ? ?? ??? ???? ?? ?? ????? ???? ?? ????? ?????.

IM Dorsa Derakhshani, who currently studies at Saint Louis University in the United States and plays for the United States Chess Federation, discussed her chess career, time in Iran and the 2017 controversy, and her life in Saint Louis with a Wikinews correspondent.

Contents

  • 1 Interview with IM Dorsa Derakhshani
    • 1.1 Her childhood
    • 1.2 Her decision to not play for the Irani Chess Federation
    • 1.3 Her career in chess
    • 1.4 Her games
    • 1.5 Chess in general and other players
    • 1.6 The 2017 Gibraltar Chess tournament and getting banned from the Iranian National Chess team
    • 1.7 The Iranian government’s hesitation of Iranian players playing against Israeli athletes
    • 1.8 More about her life in the US
    • 1.9 The chess federations she was associated with
    • 1.10 Bridging the gender gap, especially in chess and the society
    • 1.11 Her life
  • 2 Related news
  • 3 Sister links
  • 4 Sources
  • 5 External links
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  • 11 Jul, 2021
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What Is Hyaluronic Acid And How Does It Work For Arthritis?

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By Nathan Wei

Hyaluronic acid (HA) – also known as hyaluronan- is found in all tissues and body fluids. What this article will describe is what HA does in the joints, particularly the knee.

HA is a major component of synovial fluid. Synovial fluid is the naturally-occurring lubricant found in joints.

HA has a variety of functions within the joint including lubricating effects, water balance, and stress distribution through what are termed ‘viscoelastic properties.’ What this means is that at low levels of impact (standing and walking), HA has mostly lubricating properties. At high levels of impact (running and jumping), HA functions to cushion the joint.

Hyaluronic acid (HA) is often used as a treatment for osteoarthritis (OA), particularly in the knee. HA therapy supplements HA in the knee, restoring the synovial fluid’s ability to cushion, lubricate, and protect the knee joint.

A number of different mechanisms of action are thought to be responsible for the beneficial effects of HA. These include fluid replacement, inducement of the body’s own HA production by the knee joint, increase in cartilage synthesis, reduction in cartilage degradation, inhibition of inflammation, protection of the cells that make cartilage, and decrease in pain through inhibition of pain stimulus on nerve fibers within the joint.

[youtube]http://www.youtube.com/watch?v=w6ZT1y8JCrs[/youtube]

Osteoarthritis is the most common form of arthritis. Its hallmark is the progressive breakdown of cartilage. As cartilage becomes progressively more damaged, changes in the HA within the joint also occur. Both the concentration as well as the molecular weight of HA undergo change.

The reduced concentration and molecular weight of HA lead to worsening of cartilage damage, increase in inflammation within the joint, and further reduction of function of synovial fluid.

Synovial fluid in patients with OA no longer performs its normal viscoelastic function. This perpetuates a cycle of reduced cushioning and lubrication leading to more damage and inflammation, and so on.

Both the American College of Rheumatology and the American Academy of Orthopedic Surgeons list HA therapy as an alternative and supplement to oral drugs for patients in whom non-drug therapy and treatment with acetaminophen (Tylenol) has failed, especially if non-steroidal anti-inflammatory drugs (NSAIDS) and COX-2 inhibitors are contraindicated.

The advantage of HA is not limited to just restoration of the synovial fluid’s ability to cushion, lubricate, and protect the knee joint. HA also leads to pain relief and improvement in knee function and health-related quality of life. Finally, it is a localized therapy with no systemic side-effects.

There is also some data that HA therapy may actually postpone the need for knee replacement surgery in some cases.

Side effects of HA are minimal. The most common are local injection site reactions. Different forms of HA are available and these include Hyalgan, Synvisc, Supartz, Orthovisc, and Euflexxa. Most HA products are derived from chicken sources.

The exception is Euflexxa which is bioengineered from a different source.

Different injection schedules are required for the different preparations. Some require weekly injections for 3 weeks; others are weekly injections for 5 weeks.

The important things to remember are that HA should be administered by an experienced rheumatologist or orthopedic surgeon. Either ultrasound or fluroscopy should be used to ensure proper location of the needle and accuracy of HA injection.

Contraindications include active infection of the joint or skin near the joint, history of sensitivity to chicken prodcuts (except for Euflexxa), and prior allergic reaction to HA.

About the Author: Nathan Wei, MD FACP FACR is a rheumatologist and Director of the Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine. For more info:

Arthritis Treatment

Source:

isnare.com

Permanent Link:

isnare.com/?aid=196722&ca=Medicines+and+Remedies

  • 10 Jul, 2021
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  • Men's Health

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