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Speedballs, cocaine mixed with heroin, and goofballs, methamphetamines used with heroin or fentanyl, are becoming more common from the Midwest into Appalachia and up through New England, he said.Federal law enforcement officials are recommending local communities prepare for the oncoming rise in illegal drugs coming into their communities.“Some people will use them both at the same time, but some may use them in some combination regularly,” he said. €œThey may use meth in the morning to go to work, and use heroin at night to come down.”The co-use, he said, was an organic response to the fentanyl overdose epidemic.“Some of the things that we heard … is where to buy zithromax pills that meth is popularly construed as helping to decrease heroin and fentanyl use. Helping with heroin withdraw symptoms and helping with heroin overdoses,” he said.

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Those units join 106 secure disposal units previously installed at CVS locations across the state and another 43 units previously donated to Massachusetts law enforcement agencies. The company plans where to buy zithromax pills to install another six units in stores by the year’s end. €œWhile our nation and our company focus on buy antibiotics treatment, testing, and other measures to prevent community transmission of the zithromax, the misuse of prescription drugs remains an ongoing challenge in Massachusetts and elsewhere that warrants our continued attention,” said John Hering, Region Director for CVS Health.

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The company said it would add an additional 1,000 in-store medication disposal units to the 2,500 units it currently has in CVS pharmacies nationwide. The units allow customers to drop unused prescriptions into a where to buy zithromax pills safe place for their disposal to prevent those drugs from being misused. CVS stores that do not offer medication disposal units offer all customers filling opioid prescriptions for the first time with DisposeRX packets that effectively and efficiently breakdown unused drugs into a biodegradable gel for safe disposal in the trash at home..

A fourth wave of the opioid epidemic is coming, a national expert on drug use and policy said during a can you get zithromax over the counter virtual panel discussion this week hosted by the Berkshire County, Massachusetts, District Attorney’s Office and the Berkshire Opioid Addiction Prevention Collaborative.Dr. Daniel Ciccarone, a professor of family and community medicine at the University of California, San Francisco (UCSF) School of Medicine, said the next wave in the country’s opioid health emergency will focus on stimulants like methamphetamine and cocaine, and drug combinations where stimulants are used in conjunction with opioids.“The use of methamphetamines is back and it’s back big time,” said Ciccarone, whose most recent research has focused on heroin use.Previously, officials had said there were three can you get zithromax over the counter waves of the opioid epidemic – the first being prescription pills, the second being heroin, and the third being synthetic drugs, like fentanyl.Now, Ciccarone said, what federal law enforcement and medical experts are seeing is an increase in the use of stimulants, especially methamphetamines.The increase in deaths due to stimulants may be attributed to a number of causes. The increase in supply, both imported and domestically produced, as well as the increase of the drugs’ potency.“Meth’s purity and potency has gone up to historical levels,” he said. €œAs of 2018, we’ve reached unseen heights of can you get zithromax over the counter 97 percent potency and 97 percent purity.

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Helping with heroin withdraw symptoms and helping with heroin overdoses,” he said. €œWe debated this for many years that people were using stimulants to reverse overdoses – we’re hearing it can you get zithromax over the counter again.”“Supply is up, purity is up, price is down,” he said. €œWe know from economics that when drug patterns go in that direction, use is going up.”Ciccarone said that there should not be deaths because of stimulants, but that heroin/fentanyl is the deadly element in the equation.His recommendations to communities were not to panic, but to lower the stigma surrounding drug use in order to affect change. Additionally, he said, policies should focus can you get zithromax over the counter on reduction.

supply reduction, demand reduction and harm reduction. But not focus on only one single drug.Additionally, he said that by addressing issues can you get zithromax over the counter within communities and by healing communities socially, economically and spiritually, communities can begin to reduce demand.“We’ve got to fix the cracks in our society, because drugs fall into the cracks,” he said.Shutterstock U.S. Rep. Annie Kuster (D-NH) recently held two virtual roundtables can you get zithromax over the counter addressing how buy antibiotics has affected New Hampshire’s healthcare industry.“The health and economic crisis caused by buy antibiotics has created significant challenges for Granite State healthcare, mental health, and substance use treatment providers — at the same time, we are seeing increases in substance abuse and mental illness across New Hampshire,” Kuster said.

€œFrom the transition to telehealth care and cancellations of elective procedures to a lack of personal protective equipment and increasing health can you get zithromax over the counter needs of our communities – providers have overcome a multitude of obstacles due to buy antibiotics in recent months. I was glad to hear from these hard-working Granite Staters, whose insights will continue to guide my work in Congress as we respond to this zithromax. I’m committed to ensuring that communities across New Hampshire can safely access the care and treatment they deserve.”The first roundtable addressed substance-use disorder (SUD) and mental health.The second virtual roundtable was an opportunity for health care can you get zithromax over the counter providers to speak about their workplace challenges during the zithromax. Kuster is the founder and co-chairwoman of the Bipartisan Opioid Task Force, which held a virtual discussion in June on the opioid crisis and the zithromax.Shutterstock Opioid prescription rates for outpatient knee surgery vary nationwide, according to a study recently published in BMJ Open.

€œWe found can you get zithromax over the counter massive levels of variation in the proportion of patients who are prescribed opioids between states, even after adjusting for nuances of the procedure and differences in patient characteristics,” said Dr. M. Kit Delgado, the study’s senior author and an assistant professor of Emergency Medicine and can you get zithromax over the counter Epidemiology in the Perelman School of Medicine at the University of Pennsylvania. €œWe’ve also seen that the average number of pills prescribed was extremely high for outpatient procedures of this type, particularly for patients who had not been taking opioids prior to surgery.”Researchers examined insurance claims for nearly 100,000 patients who had arthroscopic knee surgery between 2015 and 2019 and had not used any opioid prescriptions in the six months before the surgery.Within three days of a procedure, 72 percent of patients filled an opioid prescription.

High prescription rates were found in the Midwest can you get zithromax over the counter and the Rocky Mountain regions. The coasts had lower rates.Nationwide, the average prescription strength was equivalent to 250 milligrams of morphine over five days. This is the can you get zithromax over the counter threshold for increased risk of opioid overdose death, according to the Centers for Disease Control and Prevention.Shutterstock U.S. Secretary of Labor Eugene Scalia awarded nearly $20 million to four states significantly impacted by the opioid crisis, the Department of Labor announced Thursday.

The Florida Department of Economic Opportunity, can you get zithromax over the counter the Maryland Department of Labor, the Ohio Department of Job and Family Services, and the Wisconsin Department of Workforce Development were awarded the money as part of the DOL’s “Support to Communities. Fostering Opioid Recovery through Workforce Development” created after the passage of the SUPPORT for Patients and Communities Act of 2018. The money will can you get zithromax over the counter be used to retrain workers in areas with high rates of substance use disorders. At a press conference in Piketon, Ohio, can you get zithromax over the counter Scalia said the DOL had awarded Ohio’s Department of Job and Family Services $5 million to help communities in southern Ohio combat the opioid crisis in that area.

€œToday’s funding represents this Administration’s continued commitment to serving those most in need,” said Assistant Secretary for Employment and Training John Pallasch. €œThe U.S can you get zithromax over the counter. Department of Labor is taking a strong stand to support individuals and communities impacted by the crisis.”Grantees will use the funds to collaborate with community partners, such as employers, local workforce development boards, treatment and recovery centers, law enforcement officials, faith-based community organizations, and others, to address the economic effects of substance misuse, opioid use, addiction, and overdose.Shutterstock CVS Health has completed the installation of time-delayed safe technology at all 446 Massachusetts locations as part of its initiatives aimed at reducing the misuse and diversion of prescription medications in Massachusetts, the company announced Thursday. The safes are intended to prevent robberies of controlled substance medications, such as oxycodone and hydrocodone, can you get zithromax over the counter by electronically delaying the time it takes for pharmacy employees to open the safe where those drugs are stored.The company also announced that it had added 50 new medication disposal units in select stores throughout Massachusetts.

Those units join 106 secure disposal units previously installed at CVS locations across the state and another 43 units previously donated to Massachusetts law enforcement agencies. The company plans to install another can you get zithromax over the counter six units in stores by the year’s end. €œWhile our nation and our company focus on buy antibiotics treatment, testing, and other measures to prevent community transmission of the zithromax, the misuse of prescription drugs remains an ongoing challenge in Massachusetts and elsewhere that warrants our continued attention,” said John Hering, Region Director for CVS Health. €œThese steps to reduce the theft and diversion of opioid medications bring added can you get zithromax over the counter security to our stores and more disposal options for our communities.”In 2015, CVS implemented time-delayed safe technology in CVS pharmacies across Indianapolis in response to the high volume of pharmacy robberies in that city.

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Have we spun around after so much chaos, and found our position stagnated, back where we started?. Or are we at a new can i buy zithromax at a local drugstore beginning?. The continuum of crossing a Möbius strip is emblematic of how we experience time in a nonlinear way. Artists and authors explore this phenomenon as well. One salient can i buy zithromax at a local drugstore literary example is Gabriel García Márquez’s One Hundred Years of Solitude.

Melding history, memory, and prophecy, the novel follows the Buendía family through cyclical patterns of behavior and emotion. An exchange between two family members illustrates this central theme. €œÃšrsula sighed can i buy zithromax at a local drugstore. €˜Time passes.’ ‘That’s how it goes,’ Aureliano admitted, ‘but not so much.’” The unorientable quality of the Möbius strip is perhaps its most distinctive. Orientability can be defined as “a continuous choice of local orientation.” A more colloquial explanation.

€œa space is orientable if you can i buy zithromax at a local drugstore can choose ‘inward’ and ‘outward’ or ‘up’ and ‘down’ directions at every point on the surface that are compatible. You will never accidentally end up at the same point but with ‘up’ flipped to ‘down.’” The Möbius strip was independently discovered by two German mathematicians in 1858. August Ferdinand Möbius was a mathematician and theoretical astronomer (and also the first to introduce “homogenous coordinates” into “projective geometry”). Johann Benedict Listing, a can i buy zithromax at a local drugstore younger mathematician, coined the term “topology” for the study of surfaces, and in conducting that research, independently determined the properties of the Möbius strip. Though perhaps too neat a metaphor, it’s interesting to note that these two men arrived at the same conclusion, from different directions, at the same time.

You can make a model of the Möbius strip with just a rectangular piece of paper. Give it an odd can i buy zithromax at a local drugstore number of half-twists, then tape the ends back together. But the strip was long thought never to occur in the natural world. Because it has never been observed in our organic environment, it is sometimes referred to as an “impossible shape.” Practical applications of it abound in the world of human invention, however. For instance, Möbius strips are used in continuous-loop recording tapes, typewriter ribbons and computer print cartridges can i buy zithromax at a local drugstore.

In the 1960s, Sandia Laboratories also used Möbius bands in the design of adaptable electronic resistors. Conveyor belts use Möbius strips because they allow the entire surface area of the belt to receive an equal amount of wear, which makes it last longer. The Möbius strip has also been tailored to various artistic can i buy zithromax at a local drugstore and cultural products. Paintings have displayed Möbius shapes, as have earrings, necklaces and other pieces of jewelry. The green, three-arrowed universal sign for recycling also composes the Möbius band.

There’s a can i buy zithromax at a local drugstore depth to the image that reminds you to reduce, reuse and recycle. It is not just a circular action. It’s dynamic. The symbol seeks to represent the three interdependent can i buy zithromax at a local drugstore aspects of a sustainable loop. The collection of materials to be recycled, the manufacturing of recycled materials into new products, and the purchase and use of the products made from recycled materials.

Each arrow pleats and pivots itself, as all three arrows pursue and power one another. The Möbius band is used in hardware and popular imagery, but the mathematical and can i buy zithromax at a local drugstore scientific fascination with the Möbius strip has also endured for over a century. In 2005, Isaac Freund at Bar-Ilan University in Israel, proposed that light’s polarization could be twisted. Light’s polarization is a property can i buy zithromax at a local drugstore that describes how its electric field moves. Polarization in physics is defined as “the action of restricting the vibrations of a transverse wave, especially light, wholly or partially to one direction.” A transverse wave means that light’s oscillations travel perpendicular to the direction in which its energy moves.

Scientists can confine light to certain planes depending on its orientation in space. In other words, light can be coaxed can i buy zithromax at a local drugstore into new shapes. In 2015, Peter Banzer of the Max Planck Institute for the Science of Light in Erlangen Germany tested Freund’s hypothesis that light could be twisted. According to Katherine Kornei, writing at New Scientist, “Banzer’s team scattered two [polarized] green laser beams off a gold bead that was smaller than the wavelength of the light. The resulting inference introduced a can i buy zithromax at a local drugstore polarization pattern with either three or five twists, giving it a Möbius-like structure.” When I was in high school, my English teacher, Ms.

Mulvihill, gave each of our classmates an individual question to answer for a final assignment. One of my peers was asked, “What is the shape of time in One Hundred Years of Solitude?. € He responded with a can i buy zithromax at a local drugstore story. His family used to have a dog that would chase his tail. The dog drove himself crazy, running in circles, teeth bared, hunting his own hind legs.

One day, racing after his tail, he bit can i buy zithromax at a local drugstore it off. That’s the shape of time in One Hundred Years of Solitude. In this year of solitude, disorientation and distance, we have been navigating what feels like misshapen terrain and time. But unlike the characters in Macondo, Márquez’s fictional town that is “exiled from the can i buy zithromax at a local drugstore memory of men,” we continue to remember and discover. Even as we mourn the people we have lost, scientific innovation is thriving, and salving.

Darkness can seem like an endless, unbounded surface. We can can i buy zithromax at a local drugstore walk it alone. We can walk it together. But we now know something else can be an infinite curl, a dizzying ground, an effervescent hypothesis confirmed. Light.

It only needs a little nudging.US president-elect Joe Biden has chosen decorated geneticist Eric Lander as presidential science adviser and director of the Office of Science and Technology Policy (OSTP). In what would be a first for this position, if Lander is confirmed by the US Senate, he will serve as a member of Biden’s cabinet. Many scientists have long called for the OSTP director to be raised to a cabinet-level position. €œHaving science elevated to its rightful place in the administration seems to me a very positive step,” says Harold Varmus, a professor at Weill Cornell Medicine in New York and former head of the National Institutes of Health. €œI think it marks a very important moment in the history of science in the government.” “It signifies the importance of who will be in the room when decisions are being made,” says Roger Pielke Jr., a science policy expert at the University of Colorado Boulder.

Lander was a key leader of the Human Genome Project—the race to sequence the human genome, which ended in 2003—and is president and founding director of the Broad Institute of MIT and Harvard in Cambridge, Massachusetts. He will be the first biologist to run OSTP. Between 2009 and 2017, he also co-chaired the President’s Council of Advisors on Science and Technology (PCAST), an elite panel that advises the US president. Among the PCAST reports issued during Lander’s tenure were some dealing with zithromaxs, vaccination, energy and climate change. "This is a marvelous appointment, it’s great to see a life scientist running the OSTP,” says Varmus, who co-chaired PCAST with Lander.

When Biden named Lander to his team on 15 January, he also announced a number of other respected scientists to key positions in his administration. €œScience will always be at the forefront of my administration—and these world-renowned scientists will ensure everything we do is grounded in science, facts, and the truth,” Biden said in a statement. Caltech bioengineer and Nobel laureate Frances Arnold and MIT geophysicist Maria Zuber will co-chair PCAST under Biden. Alondra Nelson, nominated to be deputy director for science and society at OSTP, is a social scientist at the Institute for Advanced Study in Princeton, New Jersey, who studies genetics, race and other societal issues. €œThese are excellent appointments, highly qualified and experienced, and well grounded in science,” Rita Colwell, a microbiologist at the University of Maryland at College Park, and a former director of the National Science Foundation, wrote to Nature in an e-mail.

Biden also announced that geneticist Francis Collins would stay on as head of the National Institutes of Health. Collins was appointed to lead the biomedical research agency in 2009 by President Barack Obama. One major question is what parts of science policy Lander and his office will be responsible for. Biden has already established a separate, high-level team to lead the national response to the buy antibiotics zithromax, as well as a team to drive forward his climate agenda. With buy antibiotics and climate tasked to other groups, it remains to be seen what science issues OSTP will be able to take the lead on, says Pielke.

€œOSTP always has a challenge in figuring out what policy lanes it plays in,” he says. OSTP typically coordinates science policy and priorities across US federal agencies, including organizing how much money the president will ask Congress to allocate for various research areas throughout the government. Biden has given at least a hint of what he’d like Lander to work on, however. In a letter to Lander, Biden outlined five key questions he wanted OSTP to tackle, including how to draw lessons from the zithromax to inform public health more broadly and how science and technology breakthroughs could help address climate change. Originally trained as a mathematician, Lander is a powerful figure in US science circles and one of the highest-cited researchers in the world.

As one of the leaders of the epic race to sequence the human genome, he oversaw the huge centre of automated machines that performed much of the sequencing. In 2016, he was criticized for writing a history of the gene-editing technique CRISPR that emphasized the role of his Broad colleague Feng Zhang and downplayed the role of Jennifer Doudna of the University California, Berkeley, and Emmanuelle Charpentier of the Max Planck Unit for the Science of Pathogens, in Berlin. The Broad Institute was embroiled in a CRISPR patent battle with Berkeley at the time. Charpentier and Doudna went on to win the 2020 Nobel Prize in Chemistry for their pioneering work on CRISPR. Biden is scheduled to be inaugurated as president on 20 January.

Lander’s appointment is only the fourth time since the OSTP was created, in 1976, that a leader has been tapped for it prior to Inauguration Day, says Pielke. The outgoing OSTP director, meteorologist Kelvin Droegemeier, wasn’t appointed by President Donald Trump until more than a year and a half into his administration. This article is reproduced with permission and was first published on January 16 2021.The items below are highlights from the free newsletter, “Smart, useful, science stuff about buy antibiotics.” To receive newsletter issues daily in your inbox, sign up here. treatment (and masking) lessons can be drawn from the reported antibiotics s among three members of Congress who sheltered in a crowded room among unmasked colleagues during the Jan. 6 storming of the U.S.

Capitol, writes Ben Guarino at The Washington Post (1/13/21). All 3 representatives had received just one of their two-dose shots against the zithromax — one member received it on Dec. 29 while the other two received it on Jan. 4, Guarino reports. The two treatments being administered in the U.S.

Require two doses to confer their full protection. €œEarly protection against buy antibiotics may occur from about 12 days after dose one,” a Johns Hopkins Bloomberg School of Public Health physician and epidemiologist is quoted as saying. People “should not really consider themselves protected until after a week or two following dose two,” he adds. Most people who recover from buy antibiotics still have at least one symptom six months later, according to a study published (1/8/20) in The Lancet and covered the same day by Elizabeth Cooney at STAT. The study is based on interviews with about 1,700 buy antibiotics patients discharged from a hospital in Wuhan between January and May 2020.

Some subjects also underwent tests of their lungs, blood, and overall health. Nearly two-thirds of the patients said they still had fatigue and muscle weakness, Cooney reports. A few small studies are finding that most if not all pregnant women infected with antibiotics in their third trimester pass neither the zithromax nor antibodies to it to their newborn infants. Ariel H. Kim and Lauren L.

Zhang covered two of the studies (one published 12/22/20 in JAMA Network Open and one in Cell the same day) for The Harvard Crimson (1/8/21). I haven’t found any coverage yet but I suspect that some people on immune-suppressing drugs, which are often prescribed for people with transplanted organs or to treat an autoimmune disease, will be encouraged by results described in this 1/7/21 press release from the Johns Hopkins Bloomberg School of Public Health. The release describes research published 1/5/21 in Clinical Infectious Diseases suggesting that when hospitalized for buy antibiotics, people on these drugs fare no worse on average than do people not taking them. The researchers now are studying whether outcomes vary for people on specific types of these drugs, the release states. In the context of the novel antibiotics, more infectious disease experts are refocusing on the strong connection between “the health of nature, wildlife, and humans,” writes Jim Robbins for Kaiser Health News (1/4/21).

Experts call this a One Health approach or concept, and they want governments to factor it into policies, Robbins reports. As humans move into more of Earth’s natural environments, more spillovers of animal diseases into humans are expected. €œThe spillover of animal, or zoonotic, zithromaxes into humans causes some 75% of emerging infectious diseases,” Robbins writes. You might enjoy, “Here’s how time works in 2021,” by Eli Grober in McSweeney’s.Taking a person’s temperature is no sweat. Slip a thermometer under their tongue, say, and watch the reading climb to somewhere in the vicinity of 98 degrees Fahrenheit.

But that single number actually results from each of the 30 trillion or so cells in the human body generating its own heat. The dispersal of that heat sets an overall body temperature, with different types of cells contributing to varying degrees. To really understand how living things regulate their body’s temperature, researchers must look to individual cells. But even as scientists’ abilities to spy on molecular interactions up close have improved tremendously over the past decade, they have struggled to develop tools that accurately measure a cell’s thermal properties from the inside. Now a new study fills in a crucial knowledge gap.

For the first time, researchers have measured the thermal conductivity—the rate at which heat is conducted—inside human cells. In a paper published on Friday in Science Advances, scientists used miniscule diamond-based sensors that simultaneously release and measure heat to demonstrate that heat dissipates in cells much more slowly than they previously believed. €œThat was very surprising for us and others in the field,” says Madoka Suzuki, a biophysicist at Osaka University in Japan and a co-author of the paper. Because the fluid in cells is water-based, scientists have generally assumed it carries heat much like water does. Instead heat dissipates in cells about five times more slowly—a speed more akin to the way it dissipates in oil.

Until now “nobody knew this basic property of living cells,” Suzuki says. €œWithout that value, we cannot model how cellular temperature changes.” “These are intriguing results that need to be better understood,” says Harvard University physicist Mikhail Lukin, who has developed sensors for probing temperatures within cells but did not work on this project. €œIf they hold, they would be quite important.” The findings may help resolve a major mystery about cell temperatures that has flummoxed biologists. The existence of hyperlocalized heat spikes. Scientists have reported transient differences of a few degrees F from spot to spot within a cell, a space that ranges from about five to 120 microns in diameter in humans.

(That is somewhere between the width of a clump of dust mite poop and that of an actual dust mite.) One 2018 study even claimed that mitochondria, cells’ pill-shaped energy pumps, run at a toasty 122 degrees F. The idea that cells can harbor such large temperature gradients is surprising because in such a minute space, a sharp rise in heat should dissipate quite quickly. But the reports have been convincing, says Luís Carlos, a nanoscientist at the University of Aveiro in Portugal, who studies intracellular thermometry but was not involved in the new study. €œI think experimental results in the last five years consistently point out the existence of temperature fluctuations inside the cell.” In the new work, Suzuki and his colleagues built on technology first developed by Lukin to create a fluorescent nanodiamond sensor coated in a heat-releasing polymer. Local temperature changes ever so slightly expand imperfections in the nanodiamond, changing the degree to which it fluoresces when hit by a laser.

Because diamonds are so inert, the method is much more stable than other types of probes, Lukin says. The heat conductivity identified in the new work can explain smaller heat spikes of a couple of degrees F, though not the massive heat surge in mitochondria, Suzuki says. He speculates that they may act as a previously unrecognized signaling system within the cell. For example, a boost in heat might tell proteins to fold or unfold, drive certain enzymatic reactions or provide feedback to channels that regulate calcium levels in muscles. Suzuki and Lukin agree that it will still take more research to pin down whether these gradients really exist and, if so, how they are generated.

€œThere is this outstanding problem that people are very confused about, and it has to be resolved,” Lukin says. €œThe fact that this new tool can answer this biological question—I think that’s really new.”A star at the center of this tie-dye apparition is collapsing, a process scientists have watched and measured for decades. In 2020 astronomers overcame the 3,000 to 6,500 light-years separating us from this celestial beauty, named NGC 2899, for the clearest picture of it yet.Though the phenomenon is called a planetary nebula, the term is a misnomer. These cosmic clouds appear when a star burns through the hydrogen at its core. The outer layers of the star separate while the center falls inward, transforming into a white dwarf.

As it caves, the core generates ultraviolet radiation and six-million six-million-mile-per-hour winds. Clouds of gas, laden with elements ejected by the star through its lifetime, glow under the heat of the radiation and are shoved outward by the winds. In the image of NGC 2899, oxygen (blue) is surrounded by hydrogen (pink). The expelled gas is normally fairly round, so early astronomers in the 1700s assumed the spectacle came from a planet—hence the phenomenon’s name. Discovered in 1835 by English astronomer John Herschel in the constellation Vela, NGC 2899 looks like a butterfly because it is made of two stars.

Scientists think that one of them is collapsing andthat the second is interfering with the normal gas expulsion pattern, creating the symmetrical form of only 10 to 20 percent of planetary nebulae. The spectacular sight will eventually show up closer to home. Our own sun should reach this phase of its life span in several billion years. Science in Images.

If you http://medtech-radar.com/can-you-buy-over-the-counter-antabuse/ were can you get zithromax over the counter to trace both “sides” of a Möbius strip, you would never have to lift your finger. A single-sided surface with no boundaries, the strip is an artist’s reverie and a mathematician’s feat. A typical thought experiment to demonstrate how can you get zithromax over the counter the three-dimensional strip operates involves imagining an ant on an adventure. Picture the insect traversing the Möbius band.

One apparent loop would land the ant not where it started but upside down, only halfway through a full circuit. After two loops, the ant would be back at the can you get zithromax over the counter beginning—but dizzy. The figurative and narrative implications of the Möbius strip are rich. When you try to go forward, you ring sideways, when you try to circle in, you find yourself outside.

It’s an can you get zithromax over the counter apt allegory for losing control. We might ask ourselves after 2020, where are we?. Have we spun around after so much chaos, and found our position stagnated, back where we started?. Or are can you get zithromax over the counter we at a new beginning?.

The continuum of crossing a Möbius strip is emblematic of how we experience time in a nonlinear way. Artists and authors explore this phenomenon as well. One salient literary example is Gabriel García can you get zithromax over the counter Márquez’s One Hundred Years of Solitude. Melding history, memory, and prophecy, the novel follows the Buendía family through cyclical patterns of behavior and emotion.

An exchange between two family members illustrates this central theme. €œÃšrsula sighed can you get zithromax over the counter. €˜Time passes.’ ‘That’s how it goes,’ Aureliano admitted, ‘but not so much.’” The unorientable quality of the Möbius strip is perhaps its most distinctive. Orientability can be defined as “a continuous choice of local orientation.” A more colloquial explanation.

€œa space is orientable if you can choose can you get zithromax over the counter ‘inward’ and ‘outward’ or ‘up’ and ‘down’ directions at every point on the surface that are compatible. You will never accidentally end up at the same point but with ‘up’ flipped to ‘down.’” The Möbius strip was independently discovered by two German mathematicians in 1858. August Ferdinand Möbius was a mathematician and theoretical astronomer (and also the first to introduce “homogenous coordinates” into “projective geometry”). Johann Benedict Listing, a younger mathematician, coined the term “topology” for the study of surfaces, and in conducting that can you get zithromax over the counter research, independently determined the properties of the Möbius strip.

Though perhaps too neat a metaphor, it’s interesting to note that these two men arrived at the same conclusion, from different directions, at the same time. You can make a model of the Möbius strip with just a rectangular piece of paper. Give it an odd number of half-twists, can you get zithromax over the counter then tape the ends back together. But the strip was long thought never to occur in the natural world.

Because it has never been observed in our organic environment, it is sometimes referred to as an “impossible shape.” Practical applications of it abound in the world of human invention, however. For instance, Möbius strips can you get zithromax over the counter are used in continuous-loop recording tapes, typewriter ribbons and computer print cartridges. In the 1960s, Sandia Laboratories also used Möbius bands in the design of adaptable electronic resistors. Conveyor belts use Möbius strips because they allow the entire surface area of the belt to receive an equal amount of wear, which makes it last longer.

The Möbius strip has also can you get zithromax over the counter been tailored to various artistic and cultural products. Paintings have displayed Möbius shapes, as have earrings, necklaces and other pieces of jewelry. The green, three-arrowed universal sign for recycling also composes the Möbius band. There’s a depth to the can you get zithromax over the counter image that reminds you to reduce, reuse and recycle.

It is not just a circular action. It’s dynamic. The symbol seeks to represent the three interdependent aspects of a sustainable can you get zithromax over the counter loop. The collection of materials to be recycled, the manufacturing of recycled materials into new products, and the purchase and use of the products made from recycled materials.

Each arrow pleats and pivots itself, as all three arrows pursue and power one another. The Möbius band is used in hardware and popular imagery, but the mathematical and scientific fascination with the Möbius strip has also endured for can you get zithromax over the counter over a century. In 2005, Isaac Freund at Bar-Ilan University in Israel, proposed that light’s polarization could be twisted. Light’s polarization is a property that describes can you get zithromax over the counter how its electric field moves.

Polarization in physics is defined as “the action of restricting the vibrations of a transverse wave, especially light, wholly or partially to one direction.” A transverse wave means that light’s oscillations travel perpendicular to the direction in which its energy moves. Scientists can confine light to certain planes depending on its orientation in space. In other words, light can be coaxed into can you get zithromax over the counter new shapes. In 2015, Peter Banzer of the Max Planck Institute for the Science of Light in Erlangen Germany tested Freund’s hypothesis that light could be twisted.

According to Katherine Kornei, writing at New Scientist, “Banzer’s team scattered two [polarized] green laser beams off a gold bead that was smaller than the wavelength of the light. The resulting inference introduced a polarization pattern with either three or five twists, giving it a Möbius-like structure.” When I was in high school, my English teacher, Ms can you get zithromax over the counter. Mulvihill, gave each of our classmates an individual question to answer for a final assignment. One of my peers was asked, “What is the shape of time in One Hundred Years of Solitude?.

€ He responded with a can you get zithromax over the counter story. His family used to have a dog that would chase his tail. The dog drove himself crazy, running in circles, teeth bared, hunting his own hind legs. One day, racing after his tail, he bit it off can you get zithromax over the counter.

That’s the shape of time in One Hundred Years of Solitude. In this year of solitude, disorientation and distance, we have been navigating what feels like misshapen terrain and time. But unlike the characters in Macondo, Márquez’s fictional town that is “exiled from the memory of men,” we continue to remember and can you get zithromax over the counter discover. Even as we mourn the people we have lost, scientific innovation is thriving, and salving.

Darkness can seem like an endless, unbounded surface. We can can you get zithromax over the counter walk it alone. We can walk it together. But we now know something else can be an infinite curl, a dizzying ground, an effervescent hypothesis confirmed.

Light. It only needs a little nudging.US president-elect Joe Biden has chosen decorated geneticist Eric Lander as presidential science adviser and director of the Office of Science and Technology Policy (OSTP). In what would be a first for this position, if Lander is confirmed by the US Senate, he will serve as a member of Biden’s cabinet. Many scientists have long called for the OSTP director to be raised to a cabinet-level position.

€œHaving science elevated to its rightful place in the administration seems to me a very positive step,” says Harold Varmus, a professor at Weill Cornell Medicine in New York and former head of the National Institutes of Health. €œI think it marks a very important moment in the history of science in the government.” “It signifies the importance of who will be in the room when decisions are being made,” says Roger Pielke Jr., a science policy expert at the University of Colorado Boulder. Lander was a key leader of the Human Genome Project—the race to sequence the human genome, which ended in 2003—and is president and founding director of the Broad Institute of MIT and Harvard in Cambridge, Massachusetts. He will be the first biologist to run OSTP.

Between 2009 and 2017, he also co-chaired the President’s Council of Advisors on Science and Technology (PCAST), an elite panel that advises the US president. Among the PCAST reports issued during Lander’s tenure were some dealing with zithromaxs, vaccination, energy and climate change. "This is a marvelous appointment, it’s great to see a life scientist running the OSTP,” says Varmus, who co-chaired PCAST with Lander. When Biden named Lander to his team on 15 January, he also announced a number of other respected scientists to key positions in his administration.

€œScience will always be at the forefront of my administration—and these world-renowned scientists will ensure everything we do is grounded in science, facts, and the truth,” Biden said in a statement. Caltech bioengineer and Nobel laureate Frances Arnold and MIT geophysicist Maria Zuber will co-chair PCAST under Biden. Alondra Nelson, nominated to be deputy director for science and society at OSTP, is a social scientist at the Institute for Advanced Study in Princeton, New Jersey, who studies genetics, race and other societal issues. €œThese are excellent appointments, highly qualified and experienced, and well grounded in science,” Rita Colwell, a microbiologist at the University of Maryland at College Park, and a former director of the National Science Foundation, wrote to Nature in an e-mail.

Biden also announced that geneticist Francis Collins would stay on as head of the National Institutes of Health. Collins was appointed to lead the biomedical research agency in 2009 by President Barack Obama. One major question is what parts of science policy Lander and his office will be responsible for. Biden has already established a separate, high-level team to lead the national response to the buy antibiotics zithromax, as well as a team to drive forward his climate agenda.

With buy antibiotics and climate tasked to other groups, it remains to be seen what science issues OSTP will be able to take the lead on, says Pielke. €œOSTP always has a challenge in figuring out what policy lanes it plays in,” he says. OSTP typically coordinates science policy and priorities across US federal agencies, including organizing how much money the president will ask Congress to allocate for various research areas throughout the government. Biden has given at least a hint of what he’d like Lander to work on, however.

In a letter to Lander, Biden outlined five key questions he wanted OSTP to tackle, including how to draw lessons from the zithromax to inform public health more broadly and how science and technology breakthroughs could help address climate change. Originally trained as a mathematician, Lander is a powerful figure in US science circles and one of the highest-cited researchers in the world. As one of the leaders of the epic race to sequence the human genome, he oversaw the huge centre of automated machines that performed much of the sequencing. In 2016, he was criticized for writing a history of the gene-editing technique CRISPR that emphasized the role of his Broad colleague Feng Zhang and downplayed the role of Jennifer Doudna of the University California, Berkeley, and Emmanuelle Charpentier of the Max Planck Unit for the Science of Pathogens, in Berlin.

The Broad Institute was embroiled in a CRISPR patent battle with Berkeley at the time. Charpentier and Doudna went on to win the 2020 Nobel Prize in Chemistry for their pioneering work on CRISPR. Biden is scheduled to be inaugurated as president on 20 January. Lander’s appointment is only the fourth time since the OSTP was created, in 1976, that a leader has been tapped for it prior to Inauguration Day, says Pielke.

The outgoing OSTP director, meteorologist Kelvin Droegemeier, wasn’t appointed by President Donald Trump until more than a year and a half into his administration. This article is reproduced with permission and was first published on January 16 2021.The items below are highlights from the free newsletter, “Smart, useful, science stuff about buy antibiotics.” To receive newsletter issues daily in your inbox, sign up here. treatment (and masking) lessons can be drawn from the reported antibiotics s among three members of Congress who sheltered in a crowded room among unmasked colleagues during the Jan. 6 storming of the U.S.

Capitol, writes Ben Guarino at The Washington Post (1/13/21). All 3 representatives had received just one of their two-dose shots against the zithromax — one member received it on Dec. 29 while the other two received it on Jan. 4, Guarino reports.

The two treatments being administered in the U.S. Require two doses to confer their full protection. €œEarly protection against buy antibiotics may occur from about 12 days after dose one,” a Johns Hopkins Bloomberg School of Public Health physician and epidemiologist is quoted as saying. People “should not really consider themselves protected until after a week or two following dose two,” he adds.

Most people who recover from buy antibiotics still have at least one symptom six months later, according to a study published (1/8/20) in The Lancet and covered the same day by Elizabeth Cooney at STAT. The study is based on interviews with about 1,700 buy antibiotics patients discharged from a hospital in Wuhan between January and May 2020. Some subjects also underwent tests of their lungs, blood, and overall health. Nearly two-thirds of the patients said they still had fatigue and muscle weakness, Cooney reports.

A few small studies are finding that most if not all pregnant women infected with antibiotics in their third trimester pass neither the zithromax nor antibodies to it to their newborn infants. Ariel H. Kim and Lauren L. Zhang covered two of the studies (one published 12/22/20 in JAMA Network Open and one in Cell the same day) for The Harvard Crimson (1/8/21).

I haven’t found any coverage yet but I suspect that some people on immune-suppressing drugs, which are often prescribed for people with transplanted organs or to treat an autoimmune disease, will be encouraged by results described in this 1/7/21 press release from the Johns Hopkins Bloomberg School of Public Health. The release describes research published 1/5/21 in Clinical Infectious Diseases suggesting that when hospitalized for buy antibiotics, people on these drugs fare no worse on average than do people not taking them. The researchers now are studying whether outcomes vary for people on specific types of these drugs, the release states. In the context of the novel antibiotics, more infectious disease experts are refocusing on the strong connection between “the health of nature, wildlife, and humans,” writes Jim Robbins for Kaiser Health News (1/4/21).

Experts call this a One Health approach or concept, and they want governments to factor it into policies, Robbins reports. As humans move into more of Earth’s natural environments, more spillovers of animal diseases into humans are expected. €œThe spillover of animal, or zoonotic, zithromaxes into humans causes some 75% of emerging infectious diseases,” Robbins writes. You might enjoy, “Here’s how time works in 2021,” by Eli Grober in McSweeney’s.Taking a person’s temperature is no sweat.

Slip a thermometer under their tongue, say, and watch the reading climb to somewhere in the vicinity of 98 degrees Fahrenheit. But that single number actually results from each of the 30 trillion or so cells in the human body generating its own heat. The dispersal of that heat sets an overall body temperature, with different types of cells contributing to varying degrees. To really understand how living things regulate their body’s temperature, researchers must look to individual cells.

But even as scientists’ abilities to spy on molecular interactions up close have improved tremendously over the past decade, they have struggled to develop tools that accurately measure a cell’s thermal properties from the inside. Now a new study fills in a crucial knowledge gap. For the first time, researchers have measured the thermal conductivity—the rate at which heat is conducted—inside human cells. In a paper published on Friday in Science Advances, scientists used miniscule diamond-based sensors that simultaneously release and measure heat to demonstrate that heat dissipates in cells much more slowly than they previously believed.

€œThat was very surprising for us and others in the field,” says Madoka Suzuki, a biophysicist at Osaka University in Japan and a co-author of the paper. Because the fluid in cells is water-based, scientists have generally assumed it carries heat much like water does. Instead heat dissipates in cells about five times more slowly—a speed more akin to the way it dissipates in oil. Until now “nobody knew this basic property of living cells,” Suzuki says.

€œWithout that value, we cannot model how cellular temperature changes.” “These are intriguing results that need to be better understood,” says Harvard University physicist Mikhail Lukin, who has developed sensors for probing temperatures within cells but did not work on this project. €œIf they hold, they would be quite important.” The findings may help resolve a major mystery about cell temperatures that has flummoxed biologists. The existence of hyperlocalized heat spikes. Scientists have reported transient differences of a few degrees F from spot to spot within a cell, a space that ranges from about five to 120 microns in diameter in humans.

(That is somewhere between the width of a clump of dust mite poop and that of an actual dust mite.) One 2018 study even claimed that mitochondria, cells’ pill-shaped energy pumps, run at a toasty 122 degrees F. The idea that cells can harbor such large temperature gradients is surprising because in such a minute space, a sharp rise in heat should dissipate quite quickly. But the reports have been convincing, says Luís Carlos, a nanoscientist at the University of Aveiro in Portugal, who studies intracellular thermometry but was not involved in the new study. €œI think experimental results in the last five years consistently point out the existence of temperature fluctuations inside the cell.” In the new work, Suzuki and his colleagues built on technology first developed by Lukin to create a fluorescent nanodiamond sensor coated in a heat-releasing polymer.

Local temperature changes ever so slightly expand imperfections in the nanodiamond, changing the degree to which it fluoresces when hit by a laser. Because diamonds are so inert, the method is much more stable than other types of probes, Lukin says. The heat conductivity identified in the new work can explain smaller heat spikes of a couple of degrees F, though not the massive heat surge in mitochondria, Suzuki says. He speculates that they may act as a previously unrecognized signaling system within the cell.

For example, a boost in heat might tell proteins to fold or unfold, drive certain enzymatic reactions or provide feedback to channels that regulate calcium levels in muscles. Suzuki and Lukin agree that it will still take more research to pin down whether these gradients really exist and, if so, how they are generated. €œThere is this outstanding problem that people are very confused about, and it has to be resolved,” Lukin says. €œThe fact that this new tool can answer this biological question—I think that’s really new.”A star at the center of this tie-dye apparition is collapsing, a process scientists have watched and measured for decades.

In 2020 astronomers overcame the 3,000 to 6,500 light-years separating us from this celestial beauty, named NGC 2899, for the clearest picture of it yet.Though the phenomenon is called a planetary nebula, the term is a misnomer. These cosmic clouds appear when a star burns through the hydrogen at its core. The outer layers of the star separate while the center falls inward, transforming into a white dwarf. As it caves, the core generates ultraviolet radiation and six-million six-million-mile-per-hour winds.

Clouds of gas, laden with elements ejected by the star through its lifetime, glow under the heat of the radiation and are shoved outward by the winds. In the image of NGC 2899, oxygen (blue) is surrounded by hydrogen (pink). The expelled gas is normally fairly round, so early astronomers in the 1700s assumed the spectacle came from a planet—hence the phenomenon’s name. Discovered in 1835 by English astronomer John Herschel in the constellation Vela, NGC 2899 looks like a butterfly because it is made of two stars.

Scientists think that one of them is collapsing andthat the second is interfering with the normal gas expulsion pattern, creating the symmetrical form of only 10 to 20 percent of planetary nebulae. The spectacular sight will eventually show up closer to home. Our own sun should reach this phase of its life span in several billion years. Science in Images.

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Latest antibiotics News where can i get zithromax over the counter WEDNESDAY, zithromax 500mg price Dec. 2, 2020 (HealthDay News) -- The number of days zithromax 500mg price that close contacts should quarantine after being exposed to someone with buy antibiotics will be cut by the U.S. Centers for Disease Control and Prevention.Instead of the currently recommended 14 days, the new guidelines will suggest quarantining for seven to 10 days after exposure, two senior White House officials told CNN.Close contacts can end their quarantine after zithromax 500mg price seven days if they test negative for the new antibiotics, or 10 days if they don't get tested.CDC Director Dr. Robert Redfield told the White House antibiotics Task Force on Tuesday that the new guidelines will zithromax 500mg price be issued soon, CNN reported.Copyright © 2020 HealthDay.

All rights reserved.Latest Menopause News WEDNESDAY, Dec. 2, 2020 (HealthDay News)Menopause symptoms can interfere with women's jobs, Japanese researchers report.For the study, the investigators zithromax 500mg price looked at nearly 600 working women, aged 45 to 65, in Japan. Of those, 61% were postmenopausal.Women with a higher number of menopause symptoms had poorer work performance, according to the authors zithromax 500mg price of the study published online recently in Menopause, journal of the North American Menopause Society (NAMS).But having a job with lower amounts of stress and maintaining a healthy lifestyle helped reduce women's menopause symptoms, the researchers found. And, women with numerous menopause symptoms were more likely to be inactive, and to have chronic health conditions and job-related stress, they noted.The findings provide insight into how to help maintain postmenopausal women's productivity at work, according to Keiko Hashimoto of Tohoku University, in Miyagi, and colleagues.For example, employers could improve working conditions for women with hot flashes by lowering room temperatures and adapting dress codes to permit lighter-weight, short-sleeved clothing.Another idea is for employers to offer stress management classes that zithromax 500mg price would benefit all employees, including women struggling with mood changes due to fluctuating levels of estrogen.The study authors noted that women are often reluctant to discuss menopause symptoms with their supervisors, so employers may be less likely to make such workplace changes."This study highlights a link between menopause symptom burden and lower work performance.

Notably, women in this study who had more menopause-related symptoms also tended to be caregivers and to have chronic diseases," said Dr. Stephanie Faubion, medical director of NAMS."Although workplace modifications are one potential tactic to address this issue, appropriate treatment of menopause-related symptoms and counseling regarding caregiver stress may lead to improved overall health as well as improved work performance," Faubion said in a society news release.This study isn't the only one to assess how menopause symptoms affect zithromax 500mg price job performance, but it is the first to specifically examine the number of menopause symptoms and their effect on productivity.More informationThere's more on menopause at the U.S. Office on Women's zithromax 500mg price Health.SOURCE. North American Menopause Society, zithromax 500mg price news release, Nov.

30, 2020Robert PreidtCopyright © 2020 HealthDay. All rights zithromax 500mg price reserved. SLIDESHOW What Is zithromax 500mg price Osteoporosis?. Treatment, zithromax 500mg price Symptoms, Medication See SlideshowLatest Mental Health News WEDNESDAY, Dec.

2, 2020 (HealthDay News)It's crucial that you look after your mental health during the buy antibiotics zithromax, experts say."Historically, we know that zithromaxs and other public health crises, much like natural disasters, have a lasting impact," said Dr. Itai Danovitch, chair of the department of psychiatry and behavioral neurosciences at Cedars-Sinai Medical Center in Los Angeles.Traumatic experiences have been associated with increased rates of substance use, post-traumatic stress disorder and depression, so Danovitch and his colleagues are trying to determine if such issues are occurring during the buy antibiotics zithromax.He said that "national surveys are beginning to show what we expected, which is that there are increased prevalence rates of stress and depression."They're "also seeing reduced initiation of treatment for patients with substance use disorders, and a reversal of last year's reduction in overdose death," Danovitch added in a hospital news release.Along with other challenges, families with school-age children have the additional burden of adapting to online or hybrid learning, according to Suzanne Silverstein, founding director of the Psychological Trauma Center and Share and Care program at Cedars-Sinai.She's especially concerned about the long-term effects on families dealing with instability, and those with children who have behavioral issues or other special needs."Everyone is struggling right now, but for these families, the loss of structure and routine can be especially daunting," said Silverstein, an expert in psychological trauma.Families should create a daily schedule to keep children on task, and find new ways to have fun together at home, like scavenger hunts and virtual dance parties with friends and family, she suggested.It's important to establish and maintain a consistent routine, according to Danovitch."Make sure that you are exercising, getting good sleep and zithromax 500mg price getting good nutrition," he said. "Make sure you're not spending too much time on screens, that you're zithromax 500mg price not getting overloaded with information that you can't do anything about, but that you're getting information from reliable resources."Connect with loved ones and find ways to be of service, Danovitch added."Having a sense of purpose is enormous. It allows people to cope with a lot of adversity," zithromax 500mg price he said.

"But if you are finding yourself having persistent anxiety or feeling so down that you're not able to function, ask for help. Reach out to your physician and get some support."One positive aspect of the zithromax is that it's given zithromax 500mg price many people's an opportunity to slow down, spend time with family, refocus on what's important, and connect with one another in new ways, according to the two experts."The other side of this coin is that events like this can be associated with post-traumatic growth," Danovitch said. "People develop resilience zithromax 500mg price. They learn how to deal with mental health challenges, and they find resources, internal and external, zithromax 500mg price that they didn't know existed."More informationTo learn more about mental health and coping during the zithromax, see the U.S.

Centers for Disease Control and Prevention.SOURCE. Cedars-Sinai, news release, http://martinsonink.com/?page_id=2 Nov zithromax 500mg price. 25, 2020Robert PreidtCopyright © 2020 zithromax 500mg price HealthDay. All rights zithromax 500mg price reserved.

SLIDESHOW 17 Everyday Ways to Ease Depression See SlideshowLatest zithromax 500mg price antibiotics News By Dennis Thompson HealthDay ReporterTUESDAY, Dec. 1, 2020 (HealthDay News)Health care workers and people in nursing homes should be at the front of the line for upcoming buy antibiotics treatments, a U.S. Centers for Disease Control and Prevention advisory panel recommended Tuesday.The recommendation of the Advisory Committee on Immunization Practice (ACIP), if heeded, will steer the initial short supply of treatments to about 21 million health care personnel and 3 million Americans working or living in long-term care facilities.The logic is that health care workers are crucial to zithromax 500mg price keeping overtaxed U.S. Health care systems working zithromax 500mg price.

And residents of long-term care facilities have zithromax 500mg price accounted for 6% of all cases and 40% of all buy antibiotics deaths in the United States, according to one presentation made by the ACIP panel.The panel's advice will be reviewed by CDC Director Dr. Robert Redfield and, if accepted, will provide badly needed official guidance to state officials scrambling to plan for treatment distribution.The committee voted 13 to 1 to prioritize the two groups, according to the Washington Post.The novel antibiotics has killed nearly 270,000 people and infected more than 13.5 million in the United States, with a new surge causing cases and deaths to skyrocket in recent weeks.A presentation to the committee noted at least 243,000 confirmed buy antibiotics s have occurred among health care personnel, with 858 deaths recorded.Health care personnel include employees at hospitals, long-term care facilities, outpatient clinics, home health care services and pharmacies, along with paramedics and public health workers, according to the presentation.U.S. Officials expect to have about 40 million doses of treatments from Pfizer and Moderna distributed by the end of the year -- just enough to immunize 20 million people with the two-dose treatment, the Post said.In 2021, five to 10 zithromax 500mg price million doses of treatment are anticipated to ship each week.ACIP provided guidance on Tuesday even though the U.S. Food and Drug Administration hasn't yet authorized the two leading treatments for emergency use.That's because states needed the committee's input before Friday, which is their deadline for submitting their treatment distribution plans to the federal government, the Post reported.The next phase of priority vaccinations could focus on essential workers such as educators, food and agriculture workers, utility workers, police, firefighters, corrections officers and transportation employees, the ACIP presentation said.This represents zithromax 500mg price about 87 million people, and also would promote vaccination among minority communities that have been hit hard by the zithromax, the Post reported.After that, people aged 65 and older (about 53 million) and adults with high-risk medical conditions (about 100 million) could be next in line for vaccination, the presentation noted."If we had treatment for every person in the United States, it would be an easy decision," Jose Romero, the advisory group's chairman and the Arkansas secretary of health, said in an interview with the Post over the weekend.

"But we zithromax 500mg price don't, and that's why we have to make a prioritization scheme for the initial set of treatments.""We want to give treatment to those who need it most in our society," he said. "I can tell you, in my opinion, this is the most weighty vote we have given in my seven years on the committee."More InformationThe Advisory Committee on Immunization Practice has more about allocating buy antibiotics treatments.Copyright © 2020 HealthDay. All rights reserved zithromax 500mg price. SLIDESHOW Whooping Cough (Pertussis) Symptoms, zithromax 500mg price treatment Facts See SlideshowLatest Cancer News WEDNESDAY, Dec.

2, 2020Cancer survivors have higher odds of dying from seasonal flu, suggesting they may also be at increased risk from zithromax 500mg price buy antibiotics and may need to be among the first in line for vaccination against both diseases.Researchers from the London School of Hygiene &. Tropical Medicine analyzed medical data from more than 630,000 people in the United Kingdom between 1990 and 2014, including more than 100,000 cancer survivors.They found that the risk of flu-related hospitalization or death was more than nine times higher among survivors of lymphomas, leukemia and multiple myeloma than among those without cancer. This higher risk lasted for at least 10 years after cancer diagnosis.The researchers noted that these cancer survivors' absolute risk of severe flu was still relatively low, with about 1 in 1,000 hospitalized with flu each year.Survivors of other types of cancer had more than double the risk of flu-related hospitalization or death compared to cancer-free people, and the increased risk lasted up to five years after cancer diagnosis.Seasonal flu and buy antibiotics are both epidemic respiratory zithromaxes with broadly similar risk factors, so these findings suggest that cancer survivors are also likely to have an increased risk of severe buy antibiotics outcomes, the researchers said.They also found that cancer survivors were more likely to have other conditions associated with higher zithromax 500mg price odds of severe buy antibiotics outcomes, such as heart disease, diabetes, respiratory disease and kidney disease."We knew that people with cancer are at high risk of severe outcomes from these epidemic zithromaxes soon after diagnosis, but we found that this increased risk also continues for several years after diagnosis," said study co-author and research fellow Helena Carreira."This means that vaccination and other preventative strategies are important considerations for the much broader population of longer-term cancer survivors," she said in a university news release.Senior author Krishnan Bhaskaran said the findings have immediate relevance as winter begins."We have a flu treatment available, and the likelihood of a buy antibiotics treatment in the near future. Understanding how vaccination should be prioritized to protect the most vulnerable will be crucial over the next few months," said Bhaskaran, a professor zithromax 500mg price of statistical epidemiology.The study was published Nov.

30 in the journal EClinicalMedicine.More informationMemorial Sloan Kettering Cancer Center has more on cancer survivors and buy antibiotics.SOURCE. London School of Hygiene &. Tropical Medicine, news release, Nov. 30, 2020Robert PreidtCopyright © 2020 HealthDay.

All rights reserved. SLIDESHOW Skin Cancer Symptoms, Types, Images See Slideshow.

Latest antibiotics can you get zithromax over the counter News WEDNESDAY, Dec. 2, 2020 (HealthDay News) -- The number of days that close contacts should quarantine after being exposed to someone with can you get zithromax over the counter buy antibiotics will be cut by the U.S. Centers for Disease Control and Prevention.Instead of the currently recommended 14 days, the new guidelines will suggest quarantining for seven to 10 days after exposure, two senior White House officials told CNN.Close contacts can you get zithromax over the counter can end their quarantine after seven days if they test negative for the new antibiotics, or 10 days if they don't get tested.CDC Director Dr.

Robert Redfield told the White House antibiotics Task Force on Tuesday that the new guidelines will be issued soon, CNN can you get zithromax over the counter reported.Copyright © 2020 HealthDay. All rights reserved.Latest Menopause News WEDNESDAY, Dec. 2, 2020 (HealthDay News)Menopause symptoms can interfere with women's jobs, Japanese researchers report.For the study, the investigators looked at nearly 600 working women, aged 45 to can you get zithromax over the counter 65, in Japan.

Of those, 61% were postmenopausal.Women with a higher number of menopause symptoms had poorer work performance, according to the authors of the study published online recently in Menopause, journal of the North American Menopause Society (NAMS).But having a can you get zithromax over the counter job with lower amounts of stress and maintaining a healthy lifestyle helped reduce women's menopause symptoms, the researchers found. And, women with numerous menopause symptoms were more likely to be inactive, and to have chronic health conditions and job-related stress, they noted.The findings provide insight into can you get zithromax over the counter how to help maintain postmenopausal women's productivity at work, according to Keiko Hashimoto of Tohoku University, in Miyagi, and colleagues.For example, employers could improve working conditions for women with hot flashes by lowering room temperatures and adapting dress codes to permit lighter-weight, short-sleeved clothing.Another idea is for employers to offer stress management classes that would benefit all employees, including women struggling with mood changes due to fluctuating levels of estrogen.The study authors noted that women are often reluctant to discuss menopause symptoms with their supervisors, so employers may be less likely to make such workplace changes."This study highlights a link between menopause symptom burden and lower work performance. Notably, women in this study who had more menopause-related symptoms also tended to be caregivers and to have chronic diseases," said Dr.

Stephanie Faubion, medical director of NAMS."Although workplace modifications are one potential tactic to address this issue, appropriate treatment of menopause-related symptoms and counseling regarding caregiver stress may lead to improved overall health as well as improved work performance," Faubion said in a society news release.This study isn't the only one to assess how menopause symptoms affect job performance, but it is the first to specifically examine the number of menopause symptoms and their effect on productivity.More informationThere's more on menopause at the U.S can you get zithromax over the counter. Office on Women's Health.SOURCE can you get zithromax over the counter. North American Menopause Society, can you get zithromax over the counter news release, Nov.

30, 2020Robert PreidtCopyright © 2020 HealthDay. All rights can you get zithromax over the counter reserved. SLIDESHOW What Is Osteoporosis? can you get zithromax over the counter.

Treatment, Symptoms, Medication See SlideshowLatest Mental Health News can you get zithromax over the counter WEDNESDAY, Dec. 2, 2020 (HealthDay News)It's crucial that you look after your mental health during the buy antibiotics zithromax, experts say."Historically, we know that zithromaxs and other public health crises, much like natural disasters, have a lasting impact," said Dr. Itai Danovitch, chair of the department of psychiatry and behavioral neurosciences at Cedars-Sinai Medical Center in Los Angeles.Traumatic experiences have been associated with increased rates of substance use, post-traumatic stress disorder and depression, so Danovitch and his colleagues are trying to determine if such issues are occurring during the buy antibiotics zithromax.He said that "national surveys are beginning to show what we expected, which is that there are increased prevalence rates of stress and depression."They're "also seeing reduced initiation of treatment for patients with substance use disorders, and a reversal of last year's reduction in overdose death," Danovitch added in a hospital news release.Along with other challenges, families with school-age children have the additional burden of adapting to online or hybrid learning, according to Suzanne Silverstein, founding director of the Psychological Trauma Center and Share and Care program at Cedars-Sinai.She's especially concerned about the long-term effects on families dealing with instability, and those with children who have behavioral issues or other special needs."Everyone is struggling right now, but for these families, the loss of structure and routine can be especially daunting," said Silverstein, an expert in psychological trauma.Families should create a daily schedule to keep children on task, can you get zithromax over the counter and find new ways to have fun together at home, like scavenger hunts and virtual dance parties with friends and family, she suggested.It's important to establish and maintain a consistent routine, according to Danovitch."Make sure that you are exercising, getting good sleep and getting good nutrition," he said.

"Make sure you're not spending too much time on screens, that you're not getting overloaded with information that you can't do anything about, but can you get zithromax over the counter that you're getting information from reliable resources."Connect with loved ones and find ways to be of service, Danovitch added."Having a sense of purpose is enormous. It allows people to cope with a can you get zithromax over the counter lot of adversity," he said. "But if you are finding yourself having persistent anxiety or feeling so down that you're not able to function, ask for help.

Reach out to your physician and get some support."One positive aspect of the zithromax is that it's given many people's an opportunity to slow down, spend time with family, refocus on what's important, and connect with one another in new ways, according to the two experts."The other side of this coin is that events like this can be associated can you get zithromax over the counter with post-traumatic growth," Danovitch said. "People develop resilience can you get zithromax over the counter. They learn how to deal with mental health challenges, and they find resources, internal and can you get zithromax over the counter external, that they didn't know existed."More informationTo learn more about mental health and coping during the zithromax, see the U.S.

Centers for Disease Control and Prevention.SOURCE. Cedars-Sinai, news release, can you get zithromax over the counter Nov. 25, 2020Robert PreidtCopyright © 2020 HealthDay can you get zithromax over the counter.

All rights can you get zithromax over the counter reserved. SLIDESHOW 17 Everyday Ways to Ease Depression See SlideshowLatest antibiotics News By can you get zithromax over the counter Dennis Thompson HealthDay ReporterTUESDAY, Dec. 1, 2020 (HealthDay News)Health care workers and people in nursing homes should be at the front of the line for upcoming buy antibiotics treatments, a U.S.

Centers for Disease Control and Prevention advisory panel recommended Tuesday.The recommendation of the Advisory Committee on Immunization Practice (ACIP), if heeded, will steer the initial short supply of treatments to about 21 million health care personnel and 3 million Americans working or living in long-term care facilities.The logic is that health care workers are crucial to keeping overtaxed can you get zithromax over the counter U.S. Health care systems can you get zithromax over the counter working. And residents of long-term care facilities have accounted for 6% of all cases and 40% of all buy antibiotics deaths in the United States, according to one presentation made by the ACIP panel.The panel's can you get zithromax over the counter advice will be reviewed by CDC Director Dr.

Robert Redfield and, if accepted, will provide badly needed official guidance to state officials scrambling to plan for treatment distribution.The committee voted 13 to 1 to prioritize the two groups, according to the Washington Post.The novel antibiotics has killed nearly 270,000 people and infected more than 13.5 million in the United States, with a new surge causing cases and deaths to skyrocket in recent weeks.A presentation to the committee noted at least 243,000 confirmed buy antibiotics s have occurred among health care personnel, with 858 deaths recorded.Health care personnel include employees at hospitals, long-term care facilities, outpatient clinics, home health care services and pharmacies, along with paramedics and public health workers, according to the presentation.U.S. Officials expect to have about 40 million doses of treatments from Pfizer and Moderna distributed by the end of the year -- just enough to immunize 20 million people with the two-dose treatment, the Post said.In 2021, five to 10 million doses of treatment are anticipated to ship each week.ACIP can you get zithromax over the counter provided guidance on Tuesday even though the U.S. Food and Drug Administration hasn't yet authorized the two leading treatments for emergency use.That's because states needed the committee's input before Friday, which is their deadline for submitting their treatment distribution plans to the federal government, the Post reported.The next phase of priority vaccinations could focus on essential workers such as educators, food and agriculture workers, utility workers, police, firefighters, corrections officers and transportation employees, the ACIP presentation said.This represents about 87 million people, and also would promote vaccination among minority communities that have been hit hard by the zithromax, the Post reported.After that, people aged 65 and older (about 53 million) and adults with high-risk medical conditions (about 100 million) could be next in line for vaccination, the presentation noted."If we had treatment for every person in the United States, it would be an easy decision," Jose Romero, the advisory group's chairman and the Arkansas secretary of health, said in an interview with the Post over the weekend can you get zithromax over the counter.

"But we don't, and that's why we have to make a prioritization scheme for the initial can you get zithromax over the counter set of treatments.""We want to give treatment to those who need it most in our society," he said. "I can tell you, in my opinion, this is the most weighty vote we have given in my seven years on the committee."More InformationThe Advisory Committee on Immunization Practice has more about allocating buy antibiotics treatments.Copyright © 2020 HealthDay. All rights can you get zithromax over the counter reserved.

SLIDESHOW Whooping Cough (Pertussis) can you get zithromax over the counter Symptoms, treatment Facts See SlideshowLatest Cancer News WEDNESDAY, Dec. 2, 2020Cancer survivors have higher odds of dying from seasonal flu, suggesting they may also be at increased risk from buy antibiotics and may need to be among the first in line for vaccination against both diseases.Researchers from the London School of Hygiene &. Tropical Medicine analyzed medical data from more than 630,000 people in the United Kingdom between 1990 and 2014, including more than 100,000 cancer survivors.They found that the risk of flu-related hospitalization or death was more than nine times higher among survivors of lymphomas, leukemia and multiple myeloma than among those without cancer.

This higher risk lasted for at least 10 years after cancer diagnosis.The researchers noted that these cancer survivors' absolute risk of severe flu was still relatively low, with about 1 in 1,000 hospitalized with flu each year.Survivors of other types of cancer had more than double the risk of flu-related hospitalization or death compared to cancer-free people, and the increased risk lasted up to five years after cancer diagnosis.Seasonal flu and buy antibiotics are both epidemic respiratory zithromaxes with broadly similar risk factors, so these findings suggest that cancer survivors are also likely to have an increased risk of severe buy antibiotics outcomes, the researchers said.They also found that cancer survivors were more likely to have other conditions associated with higher odds of severe buy antibiotics outcomes, such as heart disease, diabetes, respiratory disease and kidney disease."We knew that people with cancer are at high risk of severe outcomes from these epidemic zithromaxes soon after diagnosis, but we found that this increased risk also continues for several years after diagnosis," said study co-author and research fellow Helena Carreira."This means that vaccination and other preventative strategies are important considerations for the much broader population of longer-term cancer survivors," she said in a university news release.Senior author Krishnan Bhaskaran said the findings have immediate relevance as winter begins."We have a flu treatment available, and the likelihood of a buy antibiotics treatment in the near future. Understanding how vaccination should be prioritized to protect the most vulnerable will be crucial over the next few months," said Bhaskaran, a professor of statistical epidemiology.The study was published Nov. 30 in the journal EClinicalMedicine.More informationMemorial Sloan Kettering Cancer Center has more on cancer survivors and buy antibiotics.SOURCE.

London School of Hygiene &. Tropical Medicine, news release, Nov. 30, 2020Robert PreidtCopyright © 2020 HealthDay.

All rights reserved. SLIDESHOW Skin Cancer Symptoms, Types, Images See Slideshow.

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NCHS Data get zithromax online Brief No. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40–59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40–59 were more likely than premenopausal women aged 40–59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40–59 (55.1%) were more likely than premenopausal women aged 40–59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep get zithromax online is associated with an increased risk for chronic conditions such as cardiovascular disease (1) and diabetes (2).

Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition. Menopause is “the permanent cessation of menstruation that occurs after get zithromax online the loss of ovarian activity” (3). This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status.

The age range selected for this analysis reflects the focus on midlife sleep health. In this analysis, 74.2% get zithromax online of women are premenopausal, 3.7% are perimenopausal, and 22.1% are postmenopausal. Keywords.

Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, in a 24-hour period.More than one in three nonpregnant women aged 40–59 slept less than 7 hours, on get zithromax online average, in a 24-hour period (35.1%) (Figure 1). Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period.

Figure 1 get zithromax online. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, get zithromax online 2015image icon1Significant quadratic trend by menopausal status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle get zithromax online was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table get zithromax online for Figure 1pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who had trouble falling asleep four times or more get zithromax online in the past week varied by menopausal status.Nearly one in five nonpregnant women aged 40–59 had trouble falling asleep four times or more in the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week.

Figure 2 get zithromax online. Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status get zithromax online (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their get zithromax online last menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table for Figure get zithromax online 2pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 get zithromax online had trouble staying asleep four times or more in the past week (26.7%) (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week.

Figure 3 get zithromax online. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear get zithromax online trend by menopausal status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they get zithromax online no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 3pdf get zithromax online icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this get zithromax online age group who did not wake up feeling well rested 4 days or more in the past week increased from 47.0% among premenopausal women to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week.

Figure 4 get zithromax online. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 4pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories.

Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5). Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion. DefinitionsMenopausal status.

A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?. €.

2) “Do you still have periods or menstrual cycles?. €. 3) “When did you have your last period or menstrual cycle?.

€. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries.

Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less. Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?.

€Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?. €Trouble falling asleep.

Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?.

€ Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis. NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone.

Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS. For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States.

The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS. Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option.

Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics. The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report.

ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454.

2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB. Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50.

2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No. 141.

Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF.

Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon. 2016.Santoro N.

Perimenopause. From research to practice. J Women’s Health (Larchmt) 25(4):332–9.

2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended amount of sleep for a healthy adult. A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society.

J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International.

SUDAAN (Release 11.0.0) [computer software]. 2012. Suggested citationVahratian A.

Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286. Hyattsville, MD.

National Center for Health Statistics. 2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J.

Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J.

Blumberg, Ph.D., Associate Director for Science.

NCHS Data Brief No can you get zithromax over the counter. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40–59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40–59 were more likely than premenopausal women aged 40–59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40–59 (55.1%) were more likely than premenopausal women aged 40–59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep is associated with an increased risk can you get zithromax over the counter for chronic conditions such as cardiovascular disease (1) and diabetes (2). Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition.

Menopause is “the can you get zithromax over the counter permanent cessation of menstruation that occurs after the loss of ovarian activity” (3). This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status. The age range selected for this analysis reflects the focus on midlife sleep health. In this analysis, 74.2% can you get zithromax over the counter of women are premenopausal, 3.7% are perimenopausal, and 22.1% are postmenopausal.

Keywords. Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women can you get zithromax over the counter were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, in a 24-hour period.More than one in three nonpregnant women aged 40–59 slept less than 7 hours, on average, in a 24-hour period (35.1%) (Figure 1). Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period.

Figure 1 can you get zithromax over the counter. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, 2015image icon1Significant quadratic trend by menopausal status can you get zithromax over the counter (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if can you get zithromax over the counter they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data can you get zithromax over the counter table for Figure 1pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble falling asleep four times or more in the past week varied by menopausal status.Nearly one in five nonpregnant women aged 40–59 had trouble falling asleep four times or more in the past week (19.4%) (Figure 2) can you get zithromax over the counter. The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week.

Figure 2 can you get zithromax over the counter. Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image can you get zithromax over the counter icon1Significant linear trend by menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year can you get zithromax over the counter ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure can you get zithromax over the counter 2pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage can you get zithromax over the counter of women aged 40–59 who had trouble staying asleep four times or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 had trouble staying asleep four times or more in the past week (26.7%) (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week.

Figure 3 can you get zithromax over the counter. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by can you get zithromax over the counter menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their can you get zithromax over the counter last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data can you get zithromax over the counter table for Figure 3pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who did not wake up feeling well rested 4 can you get zithromax over the counter days or more in the past week increased from 47.0% among premenopausal women to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week.

Figure 4 can you get zithromax over the counter. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 4pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories. Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5).

Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion. DefinitionsMenopausal status. A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?.

€. 2) “Do you still have periods or menstrual cycles?. €. 3) “When did you have your last period or menstrual cycle?.

€. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less.

Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?. €Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?.

€Trouble falling asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?.

€ Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis. NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone. Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS.

For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States. The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS.

Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics. The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report.

ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454. 2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB.

Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50. 2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No.

141. Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF.

Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon. 2016.Santoro N. Perimenopause.

From research to practice. J Women’s Health (Larchmt) 25(4):332–9. 2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended amount of sleep for a healthy adult.

A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International. SUDAAN (Release 11.0.0) [computer software].

2012. Suggested citationVahratian A. Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286.

Hyattsville, MD. National Center for Health Statistics. 2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J.

Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J. Blumberg, Ph.D., Associate Director for Science.

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