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Amberwood Court
2520 9th Avenue South, Grand Forks ND 58201 $430 - $1070 0-4 Bed Pets OK
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Floor Plans (5)
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- $430
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- 450
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Prices, specials, features and availability subject to change.
Property Features
- Convenience
- High Speed Internet Access
- Laundry
- Laundry Facility
- Washer & Dryer Connections
- Utilities Included
- Internet Included
- Some Paid Utilities
- Other
- Accepts Credit Cards
- Accepts Electronic Payments
- Disposal
- Emergency Maintenance
- Garages available for rent at select properties
- Gas Range
- Pets Allowed
- Private Entry
- Small pets allowed with additional fees
Units may feature
- Amenities
- Air Conditioning
- Cable Ready
- Ceiling Fan(s)
- Fireplace
- Garbage Disposal
- Kitchen
- Dishwasher
- Outdoor
- Balcony
The Amberwood Court Community is a mix of ten unique properties located throughout downtown and northern Grand Forks. Many of the properties are minutes from shopping, parks, health care facilities, elementary schools and university life. The convenient setting is complemented by our helpful staff, on-site seven days a week and 24-hour emergency maintenance. Amenities do vary in our efficiency, one and two bedrooms and can include paid heat, private entry, washer & dryer hook-ups and off street parking. With a wide variety of layouts to choose from, we're sure to have an apartment or townhome that will fit your needs. Professionally managed by GOLDMARK Property Management, we take pride in offering residents the "GOLD-Standard" in apartment living. Call or e-mail our office for more information; our leasing specialists are ready to help you with everything you need to make the Amberwood Court Community your next home.
Leasing Information
Pet policy
Pets Accepted. Call for service animal policy.
Our lease terms are: 12 Months,6 Months,9 Months. (Please note that lease terms may vary, are subject to change without notice, and are based on availability. Inquire with property staff for complete details).
Cat Policy: Locations vary. Weight limit & fees apply.
Dog Policy: 30 Pound Weight Limit.Locations vary. Weight limit & fees apply.
For more information, please call (218) 230-7889 (218) 230-7888 or check availability.
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2520 9th Avenue South, Grand Forks ND 58201


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Wadi Rum Camp
© captainH, May 2003
Wadi Rum, Jordan

subset: commoncrawl


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Everyone has been on a diet. Does that sound strange? Well, it's true. A diet is simply the collection of the foods you regularly eat. But the word "diet" also can mean an attempt to lose weight by limiting calories or types of food.
You may know some adults and kids who worry about their weight and say they're going on a diet. You might wonder if you should be on a diet, too. But the majority of kids do not need to — and should not — diet this way.
Why? Let's find out.
All foods and many drinks contains calories, a kind of energy. When someone diets to lose weight, the person is trying to eat fewer calories than the body uses. By doing this, the person may lose body fat and decrease his or her weight. Likewise, if a person eats more calories than the body uses, the person may gain weight.
Kids usually do not need to diet in this way. Unlike adults, kids are still growing and developing. During this time, kids need a variety of healthy foods to keep their bodies growing properly. Some kids are overweight, but even overweight kids often can improve their health simply by eating nutritious foods and being more active.
Being overweight can cause health problems, but kids may hurt their health even more by doing something drastic, like skipping meals or deciding to eat only lettuce.
Though some people may feel they weigh too much or too little, there is no perfect body shape. Some people have larger frames (bigger bones) and will always look bigger and heavier than people with smaller frames.
Talk to your doctor if you have questions about your weight. Your doctor can examine you and check your body mass index (BMI). That's a way of estimating how much body fat you have. If the doctor is concerned about your weight, he or she can recommend a couple of goals:
For some kids, the doctor may recommend losing some weight, but this should be done with the doctor's help. Kids who need to lose weight may visit with a dietitian who can explain how to reduce calories safely while still getting all the necessary nutrients.
Diets that don't include a variety of nutritious foods, or have too few calories, can be dangerous for kids. Some type of dangerous diets are called "fad diets," because a fad means something that's popular for a short while. Fad diets usually promise quick weight loss and require the person to follow a strict set of guidelines.
Some dangerous diets cut out entire categories of foods or require the person to eat just one thing, such as cabbage soup — yuck! The truth is there is no quick fix when it comes to weight loss. So pills, special drinks, all-liquid diets, and other gimmicks are poor choices, especially for kids. If someone offers you a diet pill or suggests you start having a magic milkshake that can make you thinner, tell them no! These diets can make people sick. They also usually end with the person regaining any weight that was lost.
Someone who is willing to take extreme steps to be thinner could have an eating disorder. These include anorexia nervosa (starving oneself) or bulimia nervosa (eating and then deliberately throwing up). They are serious conditions that need a doctor's attention.
If you know a friend or sibling who's following a dangerous diet, you need to tell an adult. You could turn to a parent, a teacher, or another adult you trust. You could also tell the person yourself that their eating habits are unhealthy, but you probably will need to get an adult involved, too.
It's not unusual for kids — or adults — to wish they were taller, or thinner, or that they could change something about their appearance. If you feel this way, talk to a parent or an adult you trust. You may need someone to help you understand these feelings and get a handle on whether your weight is a health concern.
The body changes that happen to kids during puberty include weight gain. This is normal, but it's a good idea to talk with your doctor about it if you or your parents have questions.
So if kids don't need to diet, how can they stay a healthy weight? All kids can benefit from eating a balanced diet and getting plenty of physical activity.
Kids have a lot of choices when it comes to activity and exercise. Some like to play on sports teams or dance in troupes. Others may prefer to be more casual, riding their bikes or shooting hoops at the park. Just helping your parents rake leaves or clean the house is a kind of physical activity, though not as much fun as something like swimming! And it's a good idea to cut down on pastimes that aren't very active — such as watching TV or playing computer games.
Kids can also try to eat a variety of healthy foods. A balanced diet means that you don't eat the same thing every day and that you eat a mix of foods from different food groups. These include:
This kind of diet helps your body by giving it the right nutrients. For instance, protein helps build your muscles and other body structures. Calcium helps your growing bones. And you need vitamins and other nutrients to keep your body working as it should. Fiber prevents constipation and carbohydrates give you energy, just to name a few.
Now that you understand more about diets, you can tell people you're on a very special one — a balanced, healthy diet just right for a kid!
Reviewed by: Mary L. Gavin, MD
Date reviewed: September 2011
Note: All information is for educational purposes only. For specific medical advice, diagnoses and treatment, consult your doctor.
© 1995–2014 The Nemours Foundation/KidsHealth. All rights reserved.
Find out by selecting your child's symptom or health condition in the list below:
Download Summer 2014 (PDF)
The 30th annual Miracle Makers fundraising special aired on KOMO 4 TV on June 6, 2014. The special takes us on a journey through the hopes, fears, victories and challenges facing patients at Seattle Children's. Cosponsored by Costco Wholesale and KOMO 4.
In the spirit of the holidays, patients, parents and doctors share inspirational stories of healing and hope. From surviving heart failure and a near-death drowning to battling a flesh-eating disease, witness how the impossible became possible thanks to the care patients received at Seattle Children's Hospital.
Miracle Season, hosted by Steve Pool and Molly Shen, aired Dec. 8, 2013, on KOMO 4 TV. The annual holiday special celebrates the remarkable lives of Seattle Children's patients.
Seattle Children's provides healthcare without regard to race, color, religion (creed), sex, gender identity or expression, sexual orientation, national origin (ancestry) or disability. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.
© 1995-2014 Seattle Children's Hospital


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Presonus has released an exciting new line of Live Sound Reinforcement Speakers that they are branding under their StudioLive flag. These speakers all feature "Active Integration" which is a proprietary networking system that allows all the components of your StudioLive … Continue reading
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12065 Tuscany Bay Drive has a Walk Score of 49 out of 100. This location is a Car-Dependent neighborhood so most errands require a car.
This location is in Westchase. The closest park is Ed Radine Sports Complex.
Nearby schools include Deer Park Elementary School, Mary E Bryant Elementary School and Deer Park Elementary School.
The closest grocery stores are Publix Super Market® at Westchase and Amcote International.
Nearby coffee shops include Dunkin' Donuts, Starbucks and Lavazza Premium Coffees. Nearby restaurants include Zerillos Italian Grill, Five Guys Burgers and Fries and Fresh Bites.


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Every Extend Extra, Speedball 2 on XBLA Wed., New Lumines Content and Price Drop InboundQ Entertainment's Every Extend Extra Extreme and The Bitmap Brothers' Speedball 2: Brutal Deluxe mark this week's Xbox Live Arcade releases, arriving on Wednesday, October 17 alongside some Lumines Live! content and news of an impending price drop for the musical puzzler.
Speedball 2: Brutal Deluxe, billed by Microsoft as "the legendary futuristic sports game" created to combat gang violence, carries an 800 Microsoft Point ($10) price tag. As with most retro upgrades, the download includes both the original 2D graphics as well as an HD reimagining.
An explosive shooter in every sense of the word, Every Extend Extra Extreme updates the PSP game, itself based on the PC freeware original, and once again puts players in the role of suicidal space ship bent on causing as much havoc as possible. Built around chain reactions, the game requires skill, timing, and a little luck to create the big combos.
Along with the expected Main and Time Attack modes, Every Extend Extra Extreme packs a versus game type, along with something Microsoft describes as "a genuine shooting mode." There's also the infuriatingly named Wiz Ur Muzik mode, which encourages gamers to jam to their own tunes. Announced back in March--during my first day at the Shack, no less--Every Extend Extra Extreme will run 800 Microsoft Points ($10).
This week also brings with it two free skins for Q's trance-inducing Lumines Live!-- "Breeze" and the "Heavenly Star" re-release. These are accompanied by the release of the 400 Microsoft Point ($5) Rockin' Holiday Pack and the title's drop from 1200 Microsoft Points ($15) to 800 Microsoft Points ($10).
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Rarotonga, Cook Islands
Ara Tapu, Avarua, 682 Rarotonga – Show map
|Room Type
|Standard Double Room
|Superior Double Room with Pool View
|Standard Double Room with Kitchenette
|Studio Apartment
|Deluxe Double Room with Ocean View
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69 properties in Rarotonga
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84 verified reviews
We verify all reviews from guests who have stayed at Club Raro Resort. Find out more.
They speak your language
Club Raro Resort's staff speaks: English
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When you book with us your details are protected by a secure connection.
Outdoor Pool, Grounds, Sun Deck
Tennis Court, Golf Course (within 2 miles), Fishing, Pool Table, Ping-Pong, Hiking, Cycling, Diving, Snorkeling, Massage, Bicycle Rental, Game Room, Library
Food & Drink
Restaurant, Bar
WiFi is available in public areas and charges apply.
Free! Free private parking is available on site (reservation is not needed).
Room Service, Vending Machine (drinks), Vending Machine (snacks), Car Rental, Shuttle Service (surcharge), Airport Shuttle (surcharge), 24-Hour Front Desk, Currency Exchange, Tour Desk, Baggage Storage, Concierge Service, Babysitting/Child Services, Laundry, Dry Cleaning, Business Center, Fax/Photocopying, Hair/Beauty Salon
Shops (on site), Air Conditioning
From 2:00 PM
Until 11:00 AM
Cancellation and prepayment policies vary according to room type. Please enter the dates of your stay and check what conditions apply to your preferred room.
Children and Extra Beds
All children are welcome.
Free! Up to two children under 17 years stay free of charge when using existing beds.
Free! One child under 2 years stays free of charge in a crib.
All older children or adults are charged NZD 55 per person per night when using existing beds.
Extra beds are not available.
The maximum number of cribs in a room is 1.
Additional fees are not calculated automatically in the total cost and will have to be paid for separately during your stay.
Pets are not allowed.
Cards accepted at this property
Hover over the credit cards for more info.
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Based on 84 reviews
Value for money
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The Rarotongan Beach Resort & SpaLatest booking: 3 hours ago There are 2 people looking at this resort.
On 6 acres of lush, tropical beachfront grounds on the sheltered western coast of Rarotonga, the Edgewater Resort & Spa is only a 5-minute drive from the International Airport and 3 miles from Avarua...
Score from 64 reviews Good
Sanctuary Rarotonga on the BeachSanctuary Rarotonga offers 4.5 star, adults-only accommodation on the beachfront of Aroa Lagoon. It features a restaurant serving South Pacific cuisine, and a swimming pool with a swim-up bar.
Score from 40 reviews Good
|Offering a private beach area and free bikes, Pae Moana, Rarotonga is located in Rarotonga. WiFi access is available in this holiday home. The accommodation will provide you with a TV and a patio.
Offering direct access to Muri Beach, Muri Beachcomber is just 5 minutes' walk from Rarotonga Sailing Club. Guests enjoy free use of kayaks, paddle boards, snorkelling equipment and BBQ facilities.
Score from 47 reviews Excellent
Very Friendly Staff Comfortable Beds Location handy Good meals Room serviced every day
Conveniently located this old style resort with very friendly and helpful staff has a prime location in that the site is elevated overlooking the lagoon from where we could see whales pass - not too far away. It was a wonderful event. Lagoon view rooms are a bit more 'select' and private while poolside you feel like part of the 'community'. Roll on Rarotonga. We loved our stay amongst these quiet and dignified people.
Pleasant interactions with some staff. Great location for whale watching. Comfortable bed.
Expensive for what was offered. Food choices at restaurant abysmal. Serviceability of room facilities poor. 'Laid-back' attitude of staff might be mistaken for an easy-going attitude to life. In fact this frequently was revealed as 'don't give a toss'.
Close to town
The resort is becoming very run down and unkempt
Location and convenience of travel into main part of town. The staff was helpful and courteous.
The service in the restaurant is very slow.
The super friendly staff wonderful views comfy bed and the dining was good. Every day someone was sweeping cleaning gardens and generally keeping the pool areas spot on.
The bathroom especially the shower was not clean and daily room makeup appeared not to improve this. Fridge was very small although good enough.
Staff were helpful, always cleaning the grounds. Reception girl was friendly. The view from our room was good. Location was great being close to Avarua.
Our air conditioner leaked and left a pool of water in our room, but that was fixed straight away. There was a hole in the roof so when it rained we woke up to water dripping on our floor. Our room was not serviced one day. The ground around the pool was slippery even though they had a sign slippery when wet it didn't help because we had to walk that way to get to our lagoon front room. Tried to get snorkel gear but there was none available. One day we missed breakfast by 15 minutes but they were not able to serve us, even though there were patrons still eating breakfast. We had to wait an hour n a half to order from the lunch menu.
Loved relaxing atmosphere - really enjoyed restaurant food , sometimes they needed more wait staff - my "speciAl" banana fritter was a particular hi light ! Lol
The pool table needs sorting!
-The male waiters in the evening were very nice. Friendly, Smiled at you and also had very quick service. -Great cocktails -Whales were seen from the view out the back in the ocean -Male cleaner was lovely very accomodating. -Close to town.
-No hot water the last 3 days so we ended up showering at a friends place. -When we arrived the lady had not much of an idea about our booking she had to ask us if we get breakfast included or not and if we had paid already which ideally they should know. -Breakfast very average fruit looked like it was the same plate used for days. No hot food all cold. -We were put next to a room that was being renovated but when went to the room to nap after being jetlagged there was hammers banging on the walls so this was kind of impossible. -I understand Island time is a factor in the cookislands but the staff especially the ladies just looked like they didnt want to be there and never made the effort to say hello or even a smile.
The staff. Absolutely friendly. My room. It overlooked the ocean! There was a kettle, fridge, hair dryer, shampoo, hangers, TV, towels, alarm set & radio, tea, coffee, sugar, milk & some dish inside. The food in the restaurant was good.
It was uncomfortable for its money. The room cost around $160 AUD per night. I arrived 1 a.m. and was very tired. The receptionist showed me how to turn on the air conditioner and left. I went to the reception to buy some drink and when I came back in 5 minutes, I failed to switch it on by myself. As I was very tired I just left it off. It was pretty hot inside, but I couldn't leave the door open, because there was no fly screen, just the door (the next morning I found two windows). I went to bed, but the fridge was working too loudly. I had to switched it off. The shower leaked, and I had to stand up again and turn it off as much as I could ( but it was continuing leaking). That moment I understood why I hardly was able to turn the shower on when arrived). The bedding was not clean? I was not sure :( The windows (all the wall) was not clear. I can add that not every room overlooks the ocean. It can be deep among the trees, overlooks another rooms.
The prices at the resterurant. a salad should be more than a piece of lettuce. Happy hour at the bar $1.00 off a beer, a waste of time.
Tua was very rude to me every morning at breakfast- was noticeable for others to comment, coffee cups glasses should be changed every day not rinsed out and left in the bathroom,
Great lagoon view, nice staff, comfy bed, lovely tropical garden
Far from everything, Breakfast was average, old fittings and overall not that clean.
It was our third time at Club raro and we felt this time they had made some improvements not that it worried us we have enjoyed all our stays there it is good value for money, staff are always friendly. Meals have improved since our other visits we stayed in most nites this time.
The restaurant was easily accessible. Best food I've eaten for a while.
Great resort
The nicer snorkel beaches are on the other side of the island
Peaceful and quiet,and the Privacy.
Nothing about the place was outstanding.
The property is jaded and needs a big face lift.
Most things
Almost nothing
Location, food was ok
The property was located close to Avarua. We used it as a base and enjoyed having scooters to travel daily, dependent on wind direction etc. The staff were friendly and helpful. The facilities were basic but we knew that when we booked and feel that we got excellent value for the cost of the accommodation for 3 adults. We would recommend it to other budget conscious travelers. The room they suggested for us was self contained and we had cooking facilities, full sized fridge etc.
Swimming pool water looked brackish at times. One of the washing machines was out of order…had to wait to use them. The management could have considered visual impact of Rubbish bin storage and screened these or placed them elsewhere.
Location: sloth-paced 25 minute walk or 5 minute drive to Avarua, few minutes walk to the fishing club and flying boat takeaway. Friendly and helpful restaurant and general staff. Pleasant views out to the sea from the pool bar/boardwalk area. Movie channel was useful - amusing when a movie ends then staff scroll through until they find something they like to watch. Standard room was dated but quiet. Never saw the room service staff - but you knew they had serviced the room with fresh towels etc. Recommend inclusive continental breakfast deal - lots of fresh fruit, pancakes, toast/spreads, coffee/tea and juices to fuel up for the day. Friendly advice to settle our bill the night before we left. Invoice was accurate. Departing wake up call and airport transfer was exactly on time. Good value if you're content with a basic place to sleep and store your luggage.
Unhelpful and bureaucratic manager - charged for four day scooter hire, when I effectively could only hire it for less than three 24 hour periods before leaving the country, despite exchanging emails with arrival/departure dates and scooter hire info. Weird. Not every room has a lcd tv - couldn't use my HDD to watch tv or play music. Aircon unit can be noisy at times but ok if you're a heavy sleeper. Just keep the fan on. Despite warning signs that outside paths are slippery when wet - its still hazardous.
bar staff down by the pool excellent
coachroaches in the room also musty rooms also guy on reception telling us we didn't have breakfast package but was soon sorted when the girl on morning shift arrived
Good location, great having the pool and bar, good value
Got woken up on 4 separate occasions from staff ringing our room either late at night or early in the morning. Room not serviced very well, room service come at very weird times (usually when you're still in the room)
The beautiful setting, ie pool, bar, an tables surrounding an the decor of room, especially the cleaning staff who were lovely an gardening staff exceptional
The attitude of reception manageress? I don't like being told by receptionest "i am telling you!" When i queried cost of bill an stated we were charged for xtra day, which when we left, i was proved right by leaving on the day i said we were. Hence a refund was given.
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Wednesday, September 19 at 1:30 p.m. - THE LUCKY ONE (2012) Starring Taylor Schilling, Zac Efron, and Blythe Danner; Rated PG-13; 101 minutes; Closed captioned for the hearing impaired.
U.S. Marine Sergeant Logan Thibault returns from his third tour of duty in Iraq, with the one thing he credits with keeping him alive -- a photograph he found of a woman he doesn't even know. Learning her name is Beth and where she lives, he shows up at her door, and ends up taking a job at her family-run local kennel. Despite her initial mistrust and the complications in her life, a romance develops between them, giving Logan hope that Beth could be much more than his good luck charm.
"...strong performances from Efron, Schilling and a scene-stealing Blythe Danner." - Matthew Turner, ViewLondon
For more information, please view the film's trailer.


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Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury
PTSD: Treatment Options
Information about prevention and treatment of PTSD, including various therapies and pharmacological approaches.
VA/DoD Clinical Guideline for the Management of PTSD
This evidence-based guideline assists health professionals with the management of PTSD. (pdf)
Dispelling Myths about PTSD
Five myths about PTSD and facts to disprove them - particularly geared toward service members, veterans, and their families.
Resources for Health Professionals
Information about joining the TRICARE network, understanding military culture, clinical practice guidelines and more.
Helping Families Understand Combat Stress
Article to help families understand the causes and symptoms of combat stress, as well as situations that can trigger a stress reaction, and how to help protect a service member from stressful circumstances.
Department of Veterans Affairs National Center for PTSD
Resource designed for practitioners who provide services to service members and their families as they recover from PTSD. *CE credit for a free course is also available.*
Working with Trauma Survivors: What Workers Need to Know
Educates those who come into contact with someone who has survived a traumatic event about PTSD and how to interact with a trauma survivor.
Free Mobile Apps
A variety of mobile applications (apps) that provide self-help, education and support following trauma. Also offers treatment companion apps, for use with a health care provider, to make treatment easier. There are apps for iOS and Android devices.
About Face
Features videos of Veterans sharing their stories, info about PTSD and treatment options. Helps clinicians achieve a better understanding regarding the ambivalence that characterizes most treatment-seeking behavior and helps them engage their Veteran clients with empathy, authenticity and humility.
Mental Health Reactions after Disaster
A fact sheet for mental health providers. (pdf)
Psychological First Aid: Field Operations Guide
PFA is an evidence-informed modular approach for assisting people in the immediate aftermath of disaster and terrorism: to reduce initial distress, and to foster short and long-term adaptive functioning. Also includes a free mobile app.
Clinician's Trauma Update Online
Newsletter that includes brief updates on the latest clinically relevant research. Content on treatment and assessment is emphasized.
VA PTSD Consultation Program
Free PTSD consultation for anyone working with Veterans. Call 866-948-7880 or email email@example.com.
National Institutes of Mental Health
PTSD Research Fact Sheet
Highlights important areas that NIMH researchers have recently focused on: possible risk factors, treating PTSD, and next steps for research.
NIMH PTSD Booklet
Easy-to-read booklet on PTSD that explains what it is, when it starts, how long it lasts, and how to get help.
National Academies Press - Text of these books is available online for free
Treatment of PTSD: An Assessment of the Evidence
Systematic look at the efficacy of pharmacologic and psychological treatment modalities for PTSD that makes eight critical recommendations.
PTSD Compensation and Military Service
Thorough assessment of how the Department of Veterans Affairs evaluates veterans with possible PTSD and determines the level of disability support to which they are entitled.
Posttraumatic Stress Disorder: Diagnosis and Assessment
An elaboration of the Committee on Gulf War and Health's responses to the VA's questions regarding PTSD diagnosis, assessment, treatment, and compensation.
eBook: Post-Traumatic Stress
An introduction to PTSD, with sections focused on understanding trauma memories, tools for managing stress reactions, and getting additional support.
Continuing Education: PTSD 101 Series
Series of courses from the VA dealing with special populations, specific trauma, treatment, background and assessment.
eBook: Military Sexual Trauma
Provides facts about sexual assault and harrassment in the military, the impact of sexual trauma in the military, reporting and legal issues, providing emotional support, and preventing assault and revictimization.
Substance Abuse and Mental Health Services Administration
Pharmacologic Guidelines for Treating Individuals with Post-Traumatic Stress Disorder and Co-Occurring Opioid Use Disorders
Guidelines for medication-assisted treatment for individuals with post-traumatic stress disorder (PTSD) and co-occurring opioid use disorders. Covers screening, concomitant treatment, pharmacotherapy, and multiple substances of abuse.
PTSD Alliance
Hope for Recovery: Understanding PTSD (pdf)
Brochure with basic information about PTSD, its causes, symptoms, diagnoses, treatment options, and how to reach out to someone diagnosed.
PTSD: A Guide for the Frontline (pdf)
a primer for "frontline" professionals who interact every day with trauma survivors and people suffering from PTSD. It addresses a spectrum of issues related to causes, recognition and treatment of PTSD.


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I am a Kenya[n] currently studying in Canada. When my mother was first diagnosed with HIV/Aids in 2002, we all went into denial. The stigma and discrimination was rampant and the ARV's were too expensive for us.
Thanks to MSF, my mother is alive, beautiful, strong, how can I best describe it! Alive and Kicking. There was not only the treatment, there was the nutrition and support group services.
My mother is now a community health worker in Mathare slum. MSF runs a clinic near this slum called the Blue House clinic, and yes, you thought right, it is painted blue.
The end, in some circumstances, justifies the end.
Happy 40th anniversary MSF.
Wairimu Gitau
from Ottawa
A comment left on the WNYC Leonard Lopate Show website earlier this week from an interview with Michael Neuman. The interview was regarding the new MSF book, Humanitarian Negotiations Revealed: The MSF Experience.
Listen to the archived Leonard Lopate Show interview with Michael Neuman on the WNYC website.
One week ago, a gunman killed Phillipe Havet and Andrias Karel Keiluhuo, two Doctors Without Borders/Médecins Sans Frontières (MSF) aid workers, while they were implementing emergency assistance projects in Somalia's capital, Mogadishu. Three months ago, MSF staff members Montserrat Serra and Blanca Thiebaut were abducted in the Dadaab refugee camp in northern Kenya while providing emergency assistance for the Somali population there.
These attacks on aid workers must be condemned in the strongest terms, MSF said today. They jeopardize life-saving medical projects that are already far from adequate in addressing the vast medical needs of the Somali population.
MSF is confronting the difficult dilemma of working in a context like Somalia, where the needs are not only extremely great, but the risks are exceptionally high for the safety and security of all staff. As we consider this dilemma, MSF is requesting that all people—especially the authorities in control of areas in Somalia where our kidnapped colleagues are being detained—do everything possible to facilitate the safe release of Blanca and Montserrat.


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Category Archives:
Faces of Public Health: Q&A with Andrea Gielen, the Johns Hopkins Center for Injury Research and Policy
The U.S. Centers for Disease Control and Prevention (CDC) recently awarded $4 million to the Johns Hopkins Center for Injury Research and Policy at the Bloomberg School of Public Health to further fund its work on injury prevention research and policy development. According to the CDC, injuries are the leading cause of death in the United States among people ages 1 to 44, costing the country $406 billion each year. And across the globe, 16,000 people die from largely preventable injuries every day.
"This funding will allow us to advance our work in closing the gap between research and practice in new and innovative ways," said Andrea Gielen, ScD, ScM, the center's director. "Whether fatal or non-fatal, injuries take an enormous toll on communities. Our faculty, staff and students are dedicated to preventing injuries and ameliorating their effects through better design of products and environments, more effective policies, increased education and improved treatment."
The five-year grant will support several innovative research projects on key issues, including evaluating motor vehicle ignition interlock laws, studying universal bicycle helmet policies, testing m-Health tools to reduce prescription drug overdose and evaluating programs to prevent falls among older adults. The center will also continue to offer training and education to public health students and practitioners, as well as to new audiences that can contribute to injury prevention.
NewPublicHealth recently spoke with Gielen about the CDC grant
NewPublicHealth: What are the goals for each of the four research areas for which you've received funding?
Andrea Gielen: Each of the four is a full research projects with specific aims. For example, with ignition interlock laws—which are car ignitions that can't start unless a breathalyzer confirms that a driver is sober—there's been a little bit of evidence that they reduce alcohol-related motor vehicle crash injuries and deaths, but there are two gaps. There has never been a national study of the impact of these laws, and we don't know a whole lot about how they're implemented. What is it about ignition interlock policies and how they're implemented that's really related to their impact on reducing fatal crashes?
We want to look at all four projects in the same way: We'll be looking at barriers and facilitators to how policies that we think are effective are adopted and implemented, and what it is about that adoption and implementation of the processes that make these policies effective.
Public Health News Roundup: September 12
EBOLA OUTBREAK: WHO Says Ebola is Spreading at a Faster Rate than Health Workers Can Handle
(NewPublicHealth is monitoring the public health crisis in West Africa.)
Earlier this week, the World Health Organization (WHO) announced that the Ebola outbreak in West Africa—the largest in history—shows no signs of slowing down. Today the global health organization followed that by declaring that health officials are currently unable to handle the growing number of cases. "In the three hardest hit countries, Guinea, Liberia and Sierra Leone, the number of new cases is moving far faster than the capacity to manage them in the Ebola-specific treatment centers," said Margaret Chan, the WHO director-general, according to CNN. "Today, there is not one single bed available for the treatment of an Ebola patient in the entire country of Liberia." More than 2,400 people have died from Ebola since the start of the outbreak. Read more on Ebola.
Study: Majority of Nursing Home Residents with Advanced Dementia Receive Questionable Medications
The majority of nursing home residents dealing with advanced dementia receive medications that are both questionable—if not outright ineffective—and cost them needless amounts of money, according to a new study in JAMA Internal Medicine. In a review of 5,406 nursing home residents with advanced dementia, researchers determined that slightly more than half (53.9 percent) received at least one medication with questionable benefit; the medications constituted approximately 35.2 percent of the total cost of care for those patients. According to the researchers, the patients' goals of care should dictate the treatment they receive when dealing with a terminal illness, and medications that don't promote that primary goal should be minimized. Read more on aging.
Study: 'Fat Shaming' is Counterproductive
"Fat shaming" does not promote weight loss and in fact can be counterproductive, according to a new study in the journal Obesity. In an analysis of nearly 3,000 adults tracked over four years, researchers determined that weight discrimination was associated with a weight gain of approximately 2 pounds, while the participants who reported no fat shaming lost an average of 1.5 pounds. "Our study clearly shows that weight discrimination is part of the obesity problem and not the solution," said the study's senior author, Jane Wardle, director of the Cancer Research UK Health Behaviour Centre at University College London (UCL), in a release. "Weight bias has been documented not only among the general public but also among health professionals, and many obese patients report being treated disrespectfully by doctors because of their weight. Everyone, including doctors, should stop blaming and shaming people for their weight and offer support, and where appropriate, treatment." Read more on obesity.
For the Homeless, a Place to Call Home After a Hospital Stay
A comment period has just opened, through September 30, on proposed minimum standards for medical respite centers for the homeless. Medical respite centers provide an indoor, supported home where discharged homeless hospital patients can convalesce instead of immediately returning to the street.
Experts on homelessness says strong standards and compliance with them can result in not just reducing hospital readmission for discharged homeless patients, but also an increase in permanent housing solutions for people who entered the hospital without a place to call home. In fact, about 80 percent of homeless people who enter a respite facility move onto housing options instead of back to the street, according to Sabrina Eddington, director of special projects at the National Health Care for the Homeless Council (NHCHC).
Eddington says that having the standards in place is critical. An estimated 150,000 people who have no permanent address are discharged from the hospital each year, based on state estimates. Going back to the street can mean reinfection, hospital readmission and an inability to keep up with care, such as daily medication that could improve, stabilize and even cure both physical and emotional health problems.
Medical respite care centers range from free-standing centers to sections of homeless shelters, and even vouchers for motels and hotels with home visits by medical and social support staff.
The proposed minimum standards were published on September 1 and a comment period runs through September 30. The NHCHC will hold a webinar tomorrow, September 12, from 1-2:30 EST. Click here to register.
The goals of the guidelines for the respite care centers are to:
- Align with other health industry standards related to patient care
- Represent the needs of the patients being served in the medical respite centers.
- Promote quality care and improved health
- Create standards for a range of respite center types with varying degrees of resources
NHCHC has dozens of stories about previously homeless patients who were discharged to medical respite care and are now living in stable housing, often with no need for hospital readmission. Take Ahmed. After losing his family and business, Ahmed moved to the street, where he struggled with alcoholism and depression. In 2005, Ahmed had a stroke and was hospitalized. Following discharge he was back on the street until an outreach team brought him to a medical respite program, where he was medically stabilized; received help for his depression; and referred to a program that specializes in treating co-occurring mental illness and addiction. Ahmed is now in supportive housing and participating in a recovery program. He continues to visit his primary care clinic and psychiatrist and has not been hospitalized since the stroke occurred.
There are now dozens of medical respite facilities throughout the community, and NHCHC is hopeful about expanding the models.
"We advocate that medical respite services be available in all communities serving homeless clients," said Eddington.
Earlier this summer, NHCHC was one of 39 Health Care Innovation Award recipients announced by the U.S. Department of Health and Human Services. The $2.6 million award is administered by the Center for Medicare and Medicaid Innovation and will be used to demonstrate improved health outcomes and reduced spending when homeless patients have access to medical respite care following a hospital stay. The three-year project will test a model that will provide medical respite care for homeless Medicaid and Medicare beneficiaries, following discharge from a hospital, with the goal of improving health, reducing readmissions and reducing costs.
>>Bonus Links:
- Watch a short documentary on medical respite care
- Access a resource toolkit on medical respite care
Public Health News Roundup: September 11
EBOLA UPDATE: Gates Foundation Commits $50M to Fight Ebola Epidemic
(NewPublicHealth is monitoring the public health crisis in West Africa.)
The Bill & Melinda Gates Foundation will commit $50 million to combat the ongoing Ebola outbreak in West Africa. The flexible funds will enable United Nations agencies and international organizations to purchase supplies and scale up their operations; the funds will also go toward the development of Ebola treatments. The foundation has already committed $5 million to the World Health Organization for emergency operations and R&D assessments and $5 million to the U.S. Fund for UNICEF to support public health efforts in Liberia, Sierra Leone and Guinea. "We are working urgently with our partners to identify the most effective ways to help them save lives now and stop transmission of this deadly disease," said Sue Desmond-Hellmann, CEO of the Gates Foundation, in a release. "We also want to accelerate the development of treatments, vaccines and diagnostics that can help end this epidemic and prevent future outbreaks." Read more on Ebola.
CDC: Millions of U.S. Kids Don't Receive Proper Preventive Care
Millions of U.S. infants, children and adolescents do not receive key clinical preventive services, according to the U.S. Centers for Disease Control and Prevention's (CDC) latest Morbidity and Mortality Weekly Report (MMWR) Supplement. Preventive services from doctors, dentists, nurses and allied health providers help prevent and detect diseases in their earliest stages, when they are the most treatable. Among the report's findings:
- In 2007, parents of 79 percent of children aged 10-47 months reported that they were not asked by health care providers to complete a formal screen for developmental delays in the past year.
- In 2009, 56 percent of children and adolescents did not visit the dentist in the past year and 86 percent of children and adolescents did not receive a dental sealant or a topical fluoride application in the past year.
- 47 percent of females aged 13-17 years had not received their recommended first dose of HPV vaccine in 2011.
- Approximately 31 percent of outpatient clinic visits made by 11-21 year-olds during 2004–2010 had no documentation of tobacco use status; 80 percent of those who screened positive for tobacco use did not receive any cessation assistance.
- Approximately 24 percent of outpatient clinic visits for preventive care made by 3-17 year olds during 2009-2010 had no documentation of blood pressure measurement.
"We must protect the health of all children and ensure that they receive recommended screenings and services. Together, parents and the public health and healthcare communities can work to ensure that children have health insurance and receive vital preventive services," said Stuart K. Shapira, MD, PhD, chief medical officer and associate director for science in CDC's National Center on Birth Defects and Developmental Disabilities. "Increased use of clinical preventive services could improve the health of infants, children and teens and promote healthy lifestyles that will enable them to achieve their full potential." Read more on pediatrics.
GAO: More Data Needed to Help Veterans Readjust to Civilian Life
More information is needed in order to best provide services to military veterans readjusting to civilian life, according to a new review by the U.S. Government Accountability Office (GAO). The review found that while many veterans readjust with little difficulty, others experience financial, employment, relationship, legal, housing and substance abuse difficulties. While the U.S. Department of Veterans Affairs is working to improve veteran wellness and economic security, "there is limited and incomplete data to assess the extent to which veterans experience readjustment difficulties," according to the GAO. Read more on the military.
With Classes Well Underway, It's a Good Time for Colleges and Universities to Think about their Campus Tobacco Policies
Just a few weeks ago the Bloomberg School of Public Health at Johns Hopkins University announced that it had launched the Tobacco-Free Campus Initiative, which prohibits the use of any tobacco product—not just cigarettes—in all buildings, facilities and vehicles. The initiative also forbids e-cigarettes and discourages the use of tobacco products on all outdoor campus grounds. Organizers of the initiative say that deterring the use of tobacco in all forms is crucial to protect the health of the students and workforce of the campus community.
"By keeping out all tobacco products, the initiative ensures that the School doesn't unintentionally encourage or reinforce tobacco addiction among students, faculty and staff," according to a statement released by the school.
However, the rest of the university won't be taking the same steps, at least for now. In 1991, all Johns Hopkins campuses followed the example first set by the School of Public Health in becoming smoke-free, said Dennis O'Shea, a spokesman for the university, adding that the "school could follow the new initiative, but no decision has been made."
Hopkins is not the only college deliberating. While there are a few states that require state campuses to adopt smoke-free policies most campuses voluntarily adopt them, according to Cynthia Hallett, the executive director of Americans for Non-Smokers Rights (ANR). According to ANR, there are a little more than 4,000 colleges and universities in the United States, and as of July 2014 there were 1,372 smoke-free campuses in the United States, of which 938 are 100 percent tobacco-free and 176 prohibit the use of e-cigarettes anywhere on campus. That's up from 446 smoke-free campuses in 2010; reporting on tobacco-free campuses began in 2012, when there were 608.
Credit some of that change to the Tobacco-Free College Campus Initiative (TFCCI) of the U.S. Department of Health and Human Services (HHS), launched two years ago to promote and support the adoption and implementation of tobacco-free policies at colleges and universities. TFCCI is a partnership of HHS, the American College Health Association and the University of Michigan, with sponsorship from the American Legacy Foundation.
While support for making campuses smoke- and even tobacco-free is growing, it's hardly a slam dunk, especially when the move requires students to vote. Universities say opposition can come from foreign students who are sometimes more likely to smoke than their U.S. counterparts or contract employees who don't want to be barred from smoking on campus. It can even come from the media. Two years ago, when UCLA announced its campus-wide tobacco free policy, the Los Angeles Times published an editorial titled "A Smoke Free UC Goes too Far" which said that "[s]moking is a detestable, dangerous habit—but it's also a legal one, and there is plenty to say in defense of allowing adults to make bad decisions if they're not breaking the law or harming others."
Hoping to get the initiatives to pick up steam, TFCCI has launched challenges aimed at getting more campuses—and their students, faculty and employees—to give up their smokes.
>>Bonus Links:
- Read a NewPublicHealth interview with former HHS Assistant Secretary Howard Koh on the goals for Tobacco-Free College Campus Initiative.
- Download TFCCI resource toolkits on how to make campuses tobacco-free.
Public Health News Roundup: September 10
EBOLA UPDATE: Death Toll Now to at Least 2,296
(NewPublicHealth is monitoring the public health crisis in West Africa.)
The death toll from the ongoing Ebola outbreak in West Africa is now at least 2,296, according to the World Health Organization. However, the global health agency does not have the latest figures from Liberia—the country that has been hit hardest by the disease—making the true toll likely much higher. "It remains a very grave situation," said Liberian President Ellen Johnson Sirleaf on Tuesday, according to Reuters. "It is taking a long time to respond effectively .... We expect it to accelerate for at least another two or three weeks before we can look forward to a decline." As of Sept. 6 there were 4,293 recorded cases in five countries. Read more on Ebola.
Johns Hopkins Bloomberg School of Public Health, Clinton Foundation Announce Consensus Statement on Treating Prescription Drug Abuse and Misuse
The Johns Hopkins Bloomberg School of Public Health and the Clinton Foundation have released a consensus statement calling for a public health frame to analyze and disseminate proven, evidence-based intervention to combat prescription drug abuse and misuse. The statement is in response to President Clinton's call-to-action on the subject in May of this year. "Prescription drug abuse and misuse, as well as widespread addiction and diversion of these products to the illicit market, represents one of the greatest challenges to our country's public health in recent memory," said Michael J. Klag, MD, MPH, dean of the Johns Hopkins Bloomberg School of Public Health, in a release. "This consensus statement marks a continuation of our school's commitment, as well as that of the Clinton Foundation, to address epidemic rates of poisonings and deaths that are occurring due to prescription opioids and other prescription drugs that are highly prone to abuse and misuse." According to the U.S. Centers for Disease Control and Prevention, drug overdoses killed 41,430 people in 2011, making it the leading cause of injury deaths. Read more on substance abuse.
CDC: 90% of Youth Ages 6-18 Consume Too Much Sodium
Approximately 9 in 10 U.S. children ages 6-18 consume more than the recommended amount of sodium, according to a new report from the U.S. Centers for Disease Control and Prevention (CDC). The report also found that approximately 43 percent of the sodium comes from the ten foods they eat the most often: pizza; bread and rolls; cold cuts/cured meats; savory snacks; sandwiches; cheese; chicken patties/nuggets/tenders; pasta mixed dishes; Mexican mixed dishes; and soups. "Too many children are consuming way too much sodium, and the result will be risks of high blood pressure and heart disease in the future," said CDC Director Tom Frieden, MD, MPH, in a release. "Most sodium is from processed and restaurant food, not the salt shaker. Reducing sodium intake will help our children avoid tragic and expensive health problems." Read more on nutrition.
The Ebola Response: Q&A with Laurie Garrett, Council on Foreign Relations
Almost every day brings reports of new cases of Ebola, the often-fatal virus now impacting multiple countries in West Africa. According to the U.S. Centers for Disease Control and Prevention (CDC), the 2014 Ebola outbreak is the largest Ebola outbreak in history. Spread of the disease to the United States is unlikely—although not impossible—and efforts are underway to find vaccines and cures, including scale-ups of drug development and manufacturing, as well as human trials for vaccines both in the United States and around the world. However, in West Africa the epidemic is impacting lives, economies, health care infrastructure and even security as countries try a variety of methods—including troop control—to get citizens to obey quarantines and other potentially life-saving instructions.
Late last week, NewPublicHealth spoke with Laurie Garrett, senior fellow for global health at the Council on Foreign Relations. Garrett has written extensively on global health issues and was on the ground as a reporter during the Ebola outbreak in Zaire in 1995.
NewPublicHealth: What are your key concerns with respect to the current Ebola outbreak?
Laurie Garrett: My main concern has been about the nature of the international response, which could be characterized as non-response until very recently. And now that the leadership of the international global health community has finally taken the epidemic seriously, it's too late to easily stop it. We've gone through the whole list of all the usual ways that we stop Ebola and every single one of them was initiated far too late with far too few resources and far too few people—and now we're in uncharted territory. We're now trying to tackle a problem that has never reached this stage before and we don't know what to do. The international response is pitiful, disgusting and woeful.
NPH: How do you account for such a poor response?
Garrett: First of all, the World Health Organization (WHO) is a mere shadow of its former self. When I was involved in the Ebola epidemic in 1995 in Kikwit, Zaire, the WHO was recognized worldwide as the leader of everything associated with outbreaks and infection, and it acted aggressively. It didn't have a huge budget, but it still was able to take the problem very seriously and the resources that were needed were available, and more importantly a very talented leadership team combining the resources of the U.S. Centers for Disease Control and Prevention; WHO; Medicin San Frontiers (Doctors Without Borders); and the University of Kinshasa, Zaire, came together. They respected each other. They were on board together. They worked very closely with the local Red Cross, and they were able to conquer the problem pretty swiftly.
Public Health News Roundup: September 9
EBOLA UPDATE: Liberia Experiencing an Exponential Increase in Infections
(NewPublicHealth is monitoring the public health crisis in West Africa.)
The World Health Organization (WHO) estimates that Liberia will see thousands of new Ebola cases over the next several weeks. "Transmission of the Ebola virus in Liberia is already intense and the number of new cases is increasing exponentially," according to a WHO statement. "The number of new cases is moving far faster than the capacity to manage them in Ebola-specific treatment centers." So far, 1,089 people have died of the disease in Liberia—the highest toll for any country. Approximately 2,100 people have been killed overall, and WHO estimates that as many as 20,000 people could be infected before public health workers are able to bring the epidemic under control. Read more on Ebola.
CDC Expands National Violent Death Reporting System to Cover 32 States
The U.S. Centers for Disease Control and Prevention (CDC) has awarded $7.5 million to expand the National Violent Death Reporting System (NVDRS) to cover 32 states. The NVDRS—which currently covers 18 states—links data from law enforcement, coroners, medical examiners, crime laboratories and other sources to help states understand when and how violent deaths occur. "More than 55,000 Americans died because of homicide or suicide in 2011. That's an average of more than six people dying a violent death every hour," said Daniel M. Sosin, MD, MPH, FACP, acting director of CDC's National Center for Injury Prevention and Control, in a release. "This is disheartening and we know many of these deaths can be prevented. Participating states will be better able to use state-level data to develop, implement, and evaluate prevention and intervention efforts to stop violent deaths." Read more on violence.
NIAAA to Conduct Trials on New Alcohol Use Disorder Treatment
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) is preparing to conduct clinical trials of a potential treatment for alcohol use disorders. "Current medications for alcohol dependence are effective for some, but not all, patients. New medications are needed to provide effective therapy to a broader spectrum of alcohol dependent individuals," said George F. Koob, PhD, director of the NIAAA, a part of the National Institutes of Health (NIH), in a release. "Prior clinical studies of gabapentin, the active metabolite of the molecule called gabapentin enacarbil, have shown positive results in patients with AUD. We believe that the time is right to conduct a multi-site, well-controlled clinical trial." The NIH estimates that approximately 17 million people in the United States are affected by an alcohol use disorder, with lost productivity, health care costs and property damage costs amounting to an estimated societal cost of $223.5 billion annually. Real more on alcohol.
Recommended Reading: Helping First Timers Sign up for Health Insurance
A new Kaiser Health News (KHN) article describes the challenges of helping people who have never had health insurance sign up for coverage. The KHN profile looks at the Arab Community Center for Economic & Social Services (ACCESS) a nonprofit agency that is helping the large Arab-American population in Dearborn, Mich., sign up for coverage and access care.
The group has found that many of the people they are helping are immigrants who know little to nothing about health insurance concepts such as enrollment, copays and deductibles—an issue that also applies to millions of other people new to health insurance across the country. Immigrant and uninsured populations all over the country face cultural and language barriers to understanding and adopting U.S. insurance practices.
Ten million non-citizens living legally in the U.S. are expected to gain health insurance under the Affordable Care Act, according to KHN. The navigators at ACCESS are also trained to teach immigrants about free public health screenings for conditions such as breast cancer, which requires specialized training and conversations because of cultural stigmas associated with cancer.. At the ACCESS center in Dearborn, for example, women coming for free mammograms enter through an unmarked door.
Read the Kaiser Health News article.
Bonus Links:
- Kaiser Health News recently reported that, on average, premiums will decline in 16 major cities for the 2015 coverage year.
- Advertising for health insurance plans has already started across the country. Sign up for the 2015 coverage year begins October 15, 2014 and ends February 15, 2015, a period that is roughly three months shorter than last year's enrollment period. Find information at healthcare.gov.
Public Health News Roundup: September 8
Mandatory Policies Increase Flu Shot Rates for Health Care Workers
Hospitals can improve their flu vaccination rate among health care workers by using a mandatory employee vaccination policy, according to a study by researchers at the Henry Ford Health System in Detroit. At Henry Ford, getting the flu shot is a condition of employment and the health system now has a 99 percent compliance rate. Nationally, only 63 percent of health care workers were immunized against the flu in the past two years, according to the Centers for Disease Control and Prevention, which poses a risk to patients. The study was presented this weekend at the Interscience Conference on Antimicrobial Agents and Chemotherapy in Washington D.C.
Before making flu vaccination mandatory, the vaccination rate at Henry Ford was between 41 percent and 55 percent. An increasing number of health systems are making flu shots mandatory for employees. At Henry Ford, employees can opt out for religious or medical reasons so long as they have documentation from clergy or a physician and then must take other precautions against the flu, such as wearing a mask when caring for patients.
Many doctors' offices, pharmacies and clinics already have the flu shot on hand for the upcoming flu season. The HealthMap flu shot locator has been updated for the 2014-2015 flu season.
Read more on the flu.
Study: Alcohol Ad Reminders to "Drink Responsibly" Promote Drinking
A new study by researchers at the Johns Hopkins School of Public Health finds that magazine ads from the alcohol industry that advise readers to "drink responsibly" or "enjoy in moderation" fail to convey important information about dangers associated with alcohol consumption.
The study, published in Drug and Alcohol Dependence, analyzed all alcohol ads that appeared in U.S. magazines from 2008 to 2010 to determine whether messages about responsibility define responsible drinking or provide clear warnings about the risks associated with alcohol consumption.
According to the study, 87 percent of the ads analyzed included a responsibility message, but none actually defined responsible drinking or promoted abstinence at particular times or in certain situations. When responsibility messages were accompanied by a product tagline or slogan, the messages were displayed in smaller font than the company's tagline or slogan 95 percent of the time.
Responsibility statements are voluntary and are also frequently included in ads appearing in other media including radio and online ads. The researchers say more effective ads would have prominently placed tested warning messages that directly address behaviors and that do not reinforce marketing messages. "We know from experience with tobacco that warning messages on product containers and in advertising can affect consumption of potentially dangerous products," say Katherine Clegg Smith, a professor at the Johns Hopkins Bloomberg School of Public Health and a lead author of the study. "We should apply that [tobacco ad] knowledge to alcohol ads and provide real warnings about the negative effects of excessive alcohol use."
Read more on alcohol.
NYC Health Department Investigating Meningitis Outbreak among HIV Positive Men
The New York City Health Department is currently investigating a cluster of meningitis cases among HIV-positive men who have sex with men. Three cases of meningitis have occurred in Brooklyn and Queens since August 24, with the last two cases reported since early September.
Meningitis is a severe bacterial infection that has a high fatality rate. A previous outbreak of the disease among men who have sex with men ended in February 2013 after 22 cases were reported, including seven fatal cases.
The Health Department recommends meningitis vaccination for all HIV-positive men who have sex with men. Meningitis vaccinations are also recommended for men, regardless of HIV status, who regularly have intimate contact with other men met through a website, digital application ("app"), or at a bar or party.
People living with HIV are at a greater risk than the general population of acquiring meningitis and, if infected, dying from infection. This disease is spread by prolonged close contact with nose or throat discharges from an infected person.


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By IndiaTimes | January 30, 2013, 6:00 am IST More Sports
Amazing Stills from Foulee Blanche
Participants take the start of the 35th 'Foulee blanche' (White stride) 42km cross country skiing race on January 27, 2013 in Autrans, French Alps. French skier Adrien Mougel won the event ahead of his compatriots Yvan Pérrillat Boitteux and Benoit Chauvet. (Photo: AFP/Getty Images)


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Phils put Gordon on DL, call up Yoel Hernandez
May 4 2007
The Phillies have put Tom Gordon on the DL and called up 27-year-old righty Yoel Hernandez. Hernandez has appeared in seven games with Triple-A Ottawa this season, throwing to a 3.68 ERA in 7 1/3 innings while allowing seven hits and a walk. He and Brian Sanches have been finishing out games for the Lynx, they each have three saves on the year.
Hernandez has no major league experience and missed much of last season with a right shoulder strain.
Myers gets a save but it's unclear who is going to save the Phillies from Eaton
May 4 2007
The good news is that Brett Myers has his first save as a Phillie. The bad news is it came on a night when the Phillies scored nine runs and jumped out to a seven-run lead. Adam Eaton continues to struggle and the worries about the starting pitching, particularly Eaton and Freddy Garcia, continue to grow.
The top of the order shined last night as the Phillies got to rising star Matt Cain early and often. Cain entered the game with a 1.54 ERA, having allowed seven hits in his last 29 innings. Led by Rollins, Victorino and Utley, the Phils pounded out nine runs in the first four innings, seven of which were charged to Cain. They should have sailed from there, but the Giants came back against Eaton and managed to make a game of it.
The Phillies beat the San Francisco Giants last night, winning 9-7 to improve to 13-15 on the year.
Adam Eaton got the start for the Phillies and was shelled again after being staked to a 9-2 lead in the fourth. He went five innings, allowing six runs on eight hits and three walks. Three of the hits went for extra-bases, all doubles. He struck out five. After six starts his ERA is 8.18.
Eaton got the leadoff man in the first but Randy Winn followed and slapped a hit to left. Burrell played it with fear in his heart and it skipped off his glove and past him. Winn wound up safe at second with a double. Eaton walked Rich Aurilla, which is what you always want to do ahead of Bonds. Bonds singled to right, loading the bases for Ray Durham with one out. Durham hit a fly ball to center, which was deep enough to score Winn and put San Francisco up 1-0. Eaton struck out Bengie Molina to end the inning.
Eaton threw a 1-2-3 second.
In the third, he walked Dave Roberts and gave up a single to Winn that moved Roberts to third to start the inning. He got Aurilla to hit into a double-play to short. Roberts scored to cut the Phillies' lead to 4-2. Bonds grounded out to end the inning.
Molina hit a one-out double in the fourth, but Eaton set the next two down to end the inning.
Eaton had a 9-2 lead in the bottom of the fifth. Kevin Frandsen singled to start the inning, but Eaton got the next two before Eliezer Alonzo sent him to second with a single. Todd Linden grounded to short to end the inning.
The Phils still had a seven-run lead in the sixth when the Giants opened the inning by loading the bases on a single, a walk and a hit batter. Omar Vizquel batted and hit a double off the wall in right, making the score 9-4 with nobody out and runners on second and third. Madson relieved Eaton and got Frandsen to hit a ground ball to second for the first out. Mark Sweeney scored from third to make the score 9-5 as Vizquel went to third. Roberts followed with a ground ball to third that didn't score a run for the second out. Winn doubled, scoring Vizquel. 9-6. Alfonzo tripled. 9-7. Madson struck out Todd Linden to finally end the inning.
Madson returned to start the seventh and walked Durham to lead off the inning. He got the next two before Durham stole second and Vizquel walked. Lefty Ryan Klesko pinch-hit for the pitcher as the go-ahead run in a two-run against Alfonseca, who is notably not the lefty Castro. Alfonseca got Klesko to ground to second to end the inning.
Alfonseca returned to pitch the eighth and allowed a two-out single to Alfonzo, but got Linden to ground to second to end the inning.
Brett Myers threw a 1-2-3 ninth to get his first save and drop his ERA to 6.20.
The Phillies lineup against righty Matt Cain went (1) Rollins (2) Victorino (3) Utley (4) Howard (5) Burrell (6) Rowand (7) Nunez (8) Ruiz. Helms on the bench against the tough righty with Nunez at third. Ruiz catches Eaton. Victorino returns to right after sitting twice in a row against lefties.
Rollins struck out start the first, but Victorino followed with a walk. Victorino stole second on the pitch that Utley struck out on for the second out and the Giants walked Howard intentionally. Burrell flew to center.
Rowand led off the second with a single and, for whatever reason, Nunez was only able to hit into one out. He topped one to first and Sweeney had to take the out there as Rowand moved to second. Official statistics suggest that Nunez had bounced into just two double-plays so far this season. That seems unlikely. Ruiz followed with a walk, putting runners on first and second for Eaton. Eaton bunted the runners to second and third for Rollins. Rollins got ahead of Cain 2-0 and then hit a 3-1 pitch hard to center. Roberts made a long run for it and looked like he was going to get to it. When he got the warning track he stabbed at it, but it was over his head. Rollins was safe with a two-run triple and the Phils led 2-1. Victorino followed and worked the count full before he slapped a single into right, scoring Rollins to make it a 3-1 game. With Utley at the plate, Victorino stole second for the second time in two innings. He moved to third on a wild pitch from Cain way over Molina's head. Utley singled back up the middle. 4-1. Great job by Victorino to help turn his two-out single into a run. Howard popped out to Sweeney in foul territory to end the inning.
Burrell walked to lead off the third but Rowand followed with a pop out to first. Nunez moved Burrell to second with a single, but Ruiz and Eaton went down to end the frame.
Rollins led off the fourth with his second triple of the game and Victorino scored him with a single that put the Phils up 5-2. A double from Utley scored Victorino. 6-2. That was it for Cain. Jonathan Sanchez entered the game and struck out Howard for the first out, but Burrell doubled in Utley to make it 7-2. A walk from Rowand put runners on first and second and Nunez knocked in another run with a single to left. 8-2 with runners on first and second. Ruiz followed with another single to left, scoring Rowand and moving Nunez to second. 9-2. Eaton struck out and Rollins popped to short to end the inning.
Victorino singled to start the fifth and after Utley struck out, Michael Bourn pinch-ran for him at first base. No idea. Howard and Burrell struck out to end the inning.
Nunez drew a one-out walk in the sixth, but Ruiz and Eaton went down behind him.
Bourn walked in the seventh with one out in what was suddenly a 9-7 game. He stole second with Utley at the plate, but Utley flew to left and Howard struck out again to end the frame.
The Phils went 1-2-3 in the eighth.
Ruiz singled to start the ninth but was caught stealing. Werth, who entered the game with Alfonseca in the bottom of the seventh, walked, but Rollins popped to short for the second out. Dobbs walked and Utley hit by a pitch to load the bases for Howard. Howard struck out for the fourth time on the night.
Rollins was 2-for-6 with two triples and two RBI.
Victorino was 3-for-3 with a walk and two RBI. Dunno why Manuel would pinch-run for him in the fifth inning on a night he was 3-for-3 with two stolen bases, but it may have had something to do with being up seven runs. (Addendum: Victorino's back stiffened up, says Todd Zolecki, the Phillies beat writer for the Inquirer, in his blog. He was also writing at about three AM last night, said Bourn pinch-ran in the sixth rather than the fifth and misspelled "just" a sentence later, but I say we take his word for it. Those crazy bloggers.)
Utley was 2-for-5 with a double and two RBI. Top three in the order combine to go 7-for-14 and drive in six runs.
Which was good, cause Howard was 0-for-5, struck out four times and left seven men on base. His average is at .205. 1-for-his-last-11 with eight strikeouts.
Burrell was 1-for-4 with a walk and an RBI-double.
Rowand was 1-for-4 with a walk.
Nunez was 2-for-4 with a walk and an RBI.
Ruiz was 2-for-4 with a walk and an RBI.
Nine walks on the night for the Phils.
Jamie Moyer (2-1, 2.65) faces righty Matt Morris (3-1, 3.34) tonight. Moyer has been absolutely fantastic in two of his last three starts. He took a no-hitter into the seventh his last time out. Over his last three starts he's allowed 12 hits in 21 1/3 innings. He has given up just one home run in his five starts this year. Morris has made five starts this season, the worst of which came Tuesday against the Diamondbacks in Arizona. In that start he allowed five earned runs in 7 1/3 innings on 12 hits and three walks. He has also allowed just one home run on the season, but opponents are hitting .286 against him.
Seekers of Giants' blog may want to check out El Lefty Malo.


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Daniel Boulud
Fred R. Conrad/The New York Times
News about Daniel Boulud, including commentary and archival articles published in The New York Times.
Chronology of Coverage
Dec. 9, 2013
Beijing Journal; Maison Boulud, Beijing outpost of chef Daniel Boulud's international dining empire, closes after five years following disagreement with Chinese partners; closure reflects staid dining habits in a city that has only two other Western eateries. MORE
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Grant Achatz, April Bloomfield, Anthony Bourdain and Others Dish on the Plates They Made for Daniel Boulud
The handmade items hang on the walls of Boulud's new Washington, D.C., eatery to commemorate his many friendships in the food world.
September 26, 2014, Friday
A Bar Boulud in Boston and Other Restaurant News
Daniel Boulud opens in Boston; restaurants opening or closing in Manhattan and Queens.
September 17, 2014, Wednesday
Gavin Kaysen to Leave Café Boulud
The executive chef plans to open his own restaurant, Merchant, in Minneapolis.
March 29, 2014, Saturday
A New Outlet, Handy Sauce, Winter Cheese and More
Recommendations for the week of Jan. 21.
January 22, 2014, Wednesday
A Global Dining Empire Loses an Outpost
Maison Boulud, part of the chef Daniel Boulud's international dining empire, closed Sunday after five years, the victim perhaps of the staid habits of Beijing restaurantgoers.
December 9, 2013, Monday
Serving the Stuff of Privilege
At its best, Daniel admits diners to a rarefied world.
July 24, 2013, Wednesday
Chefs on the Move
Ghaya Oliveira has been promoted to executive pastry chef at Daniel.
July 1, 2013, Monday
Dining Calendar
A selection of events for this week.
May 13, 2013, Monday
Follow a Hungry Chef and See Where It Takes You
Though New York's starred chefs could dine anywhere, many choose straightforward fare when they kick back.
May 23, 2012, Wednesday
Starwood Rewards Offer: Bidding for Foodies
Starwood Hotels & Resorts has introduced a slate of rewards for foodies who are members of its loyalty program. As part of a foray into culinary awards, the Starwood Preferred Guest program is offering the chance to bid on rewards like a sushi-making...
April 14, 2012, Saturday
Frank Bruni on Daniel
A new decor has transformed this contemporary French restaurant from the chef Daniel Boulud.
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Fit Moms-to-Be Have Fewer C-Sections
And other good reasons to stay in shape now!
Safety Tips
While most forms of exercise are beneficial to both a mom and her baby, common sense says that any sport that puts you at a high risk for injury should be avoided. Hockey, horseback riding, soccer, softball, and scuba diving are off limits. Dr. Spetalnick says, "Anything involving a significant dependence on balance that could result in a fall, such as skiing," isn't a good idea.
Even safe sports have their limitations, cautions Richman. "Weight training is OK if you were doing it before, but going lighter as you get further along is a good idea. Crunches are fine until the second trimester; after that, anything flat on your back isn't recommended," she says, since lying on your back can restrict blood flow to the uterus and cause lightheadedness. Richman also reminds moms to stay hydrated since dehydration can cause contractions. Dr. Apgar agrees, "Drinking one pint of liquid before exercising and one cup of liquid every 20 minutes during exercise is sufficient." Both experts say not to wait until you're thirsty to start drinking, because thirst means you're already dehydrated, and to steer clear hot tubs, saunas, and steam rooms which cause excessive water loss and dangerous overheating.
Shea Miller, age 35, kept up her regular visits to the gym during her third pregnancy and says she wished she'd stayed active during her first two. "The first time I got pregnant, I was afraid that anything more strenuous than walking around the mall would cause a miscarriage," she laughs. "My only exercise was lifting a spoon of ice cream or mashed potatoes to my mouth!"
The second time around, Miller already felt overweight and flabby from her first pregnancy and adopted the popular, albeit misguided attitude of, "I'll take it easy now and just work really hard later to take it all off after this baby arrives." That decision left her with a toddler, a baby, 40 pounds of excess weight, and a case of depression. Regular exercise improved both Miller's mental and physical health, so she vowed to become a different kind of mother-to-be next time around. No-contact kickboxing classes, moderate runs outside, long walks on the treadmill while watching television, and fast-paced indoor cycling (spinning) classes kept her spirits up, her body toned, and made for her easiest labor to date. "I could breathe easier, had more energy and less soreness this time. I felt better about my body too because I wasn't pregnant 'all over'—just in the front. And there's something cool about a pregnant woman in workout clothes!"
Easier labors, healthier babies, and a faster return to your pre-pregnancy jeans are all great reasons to keep moving while you're making a baby. But feeling great physically and emotionally are benefits that can't be ignored. So with a little common sense, some tennis shoes, and a jog bra, you can enjoy all the perks that fitness brings, plus that bowl of ice cream later—after your workout!
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