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Case presentationA 32-year-old cardiology resident was scheduled to round on http://www.jazzspecial.dk/can-you-get-lasix-without-a-prescription/ the hypertension medications best place to buy lasix wards at a large, government teaching hospital in Bahrain. To cover the increasing workload, the hospital required additional medical personnel to provide care for the numerous hypertension medications patients that were being seen. Prior to examining hypertension medications-positive patients, best place to buy lasix she donned appropriate personal protective equipment (PPE)—a gown, gloves, N95 mask, and face shield. As part of her physical exam, she was obliged to auscultate her patients with a stethoscope, listening for cardiopulmonary abnormalities that can be comorbid with severe hypertension medications . Thus, she was required to unzip her gown and keep her stethoscope either best place to buy lasix in her ears or around her neck.

She used a standard-length Littman Cardiology™ stethoscope, requiring her to be in close proximity to the patient (i.e. Lean over to the patient’s best place to buy lasix level).One day after her rounds, she developed a sore throat. She subsequently was tested positive for hypertension medications via polymerase chain reaction (PCR). The resident cardiologist remembered one patient that she had examined where she best place to buy lasix suspected the transmission occurred. She recalls examining a patient who was hypertension medications positive.

Prior to the patient’s intubation she applied her own stethoscope directly to best place to buy lasix the patient’s chest to perform auscultation. The resident was perspiring and beginning to feel exhausted from her prior rounding and was breathing heavily as she unzipped her gown to place the stethoscope back within. The resident believes that hypertension medications viral particles which were transmitted to the stethoscope became aerosolized and inhaled as she brought the stethoscope close to her mouth while tucking it back into her gown. The resident recovered, re-tested negative for hypertension medications, and has now returned to her normal duties.The hypertension medications lasix best place to buy lasix has called into question the triple-faceted role of the stethoscope. A diagnostic tool, symbol of patient–provider connection, and possible vector for infectious disease (Figure 1).

A recent article in the American Journal of Medicine discusses developments in each arm of this triple role with reference to hypertension medications, arguing that developments in stethoscope diagnostic technology, a need to bolster clinical skills, and developments in stethoscope hygiene methods will best place to buy lasix perpetuate both its relevance and safety. This argument was made in light of those who believe the stethoscope will become obsolete with the development of more advanced technologies, as well as its potential to transmit disease.1 It is clear that a contaminated stethoscope might pose a danger to patients and providers, and can be a potential vector for the transmission of hypertension medications, as illustrated in the case above. Thus, providers should seek to educate themselves on stethoscope contamination, best place to buy lasix assess the current methods of hygiene, and innovate accordingly rather than cast the stethoscope aside. Figure 1The three-faceted role of the stethoscope. The stethoscope lies at the intersection of three roles in best place to buy lasix medicine.

Diagnostic tool. Connection between provider best place to buy lasix and patients. And a potential vector for infectious disease. As increased control vigilance has placed the stethoscope in a position of contention. Each facet of the stethoscope must be weighed in consideration of medicines’s cherished symbol.Figure 1The three-faceted role of best place to buy lasix the stethoscope.

The stethoscope lies at the intersection of three roles in medicine. Diagnostic tool best place to buy lasix. Connection between provider and patients. And a best place to buy lasix potential vector for infectious disease. As increased control vigilance has placed the stethoscope in a position of contention.

Each facet of the stethoscope must be weighed in consideration of medicines’s cherished symbol.Studies have demonstrated that stethoscopes can harbour similar best place to buy lasix levels and types of microbes to those on one’s hand.2 Thus, it is no surprise that the stethoscope has been christened as the physician’s ‘third hand’, with reference both to its potential for pathogen transmission and its integral role in patient–provider connection. Despite this, no clear guidelines exist for performing stethoscope hygiene. The Centers for Disease Control (CDC) best place to buy lasix classifies the stethoscope as a ‘non-critical’ medical device (i.e. Only in contact with intact skin, not with bodily fluids), and recommends cleaning between as often as after contact with each patient to once weekly using an alcohol or bleach-based disinfectant.3 It has been demonstrated that lasixes, including hypertension medications,4 are capable of surviving on skin and other surfaces for an extended period of time.5 Thus, current guidelines may not adequately reflect the risk that stethoscope contamination poses.hypertension medications has fostered an era of increased control vigilance, and thus the benefits of the stethoscope must be rationally weighed against the risks. In the vignette posed here, the cardiology resident felt the need to use best place to buy lasix her stethoscope to assess the hypertension medications patients on her round.

Her likely rationale was the utility it provides in assessing the variety of cardiopulmonary abnormalities that can manifest during a hypertension medications . One of the most common manifestations of hypertension medications is multifocal pneumonia, often occurring prior to acute respiratory distress and need for mechanical ventilation.6 While pneumonia is diagnosed most definitively using imaging modalities (CT and X-ray) and laboratory testing, resource-limited scenarios might necessitate the usage of a stethoscope to listen for pulmonary indications (coarse breath sounds). Furthermore, there is growing evidence that cardiovascular disease is highly comorbid with hypertension medications , best place to buy lasix leading to worse outcomes. The most common cardiovascular comorbidities among hospitalized hypertension medications patients are hypertension, coronary artery disease, and diabetes mellitus.7,8 In addition, recent reports have implicated hypertension medications in causing myocardial injury and left ventricular systolic dysfunction.9 Considering the sequelae of hypertension medications cardiopulmonary manifestations, auscultation using a stethoscope can be highly warranted. Therefore, emphasis must be placed on ensuring that the stethoscope can be used safely.Assessments of stethoscope hygiene practices have best place to buy lasix widely demonstrated deficits in adherence and method.

Direct observational studies have demonstrated stethoscope hygiene rates using recommended methods (wiping with alcohol, bleach, hydrogen peroxide, etc.) between 11.3% and 24%, with unconventional practices also being reported such as placing a glove over the stethoscope prior to auscultation or washing it with water/hand towel in a sink.10,11 Such findings imply that while stethoscope hygiene practices are deficient, providers who are cognizant of stethoscope contamination are struggling to find an effective form of hygiene that does not impede workflow—a proverbial ‘cry for help.’ With regard to current methods of stethoscope hygiene, providers cite lack of access to cleaning supplies, forgetfulness, or a lack of time as reasons for not performing stethoscope hygiene.12Healthcare guidelines advise against using personal stethoscopes in contact precaution settings in order to limit the potential for cross-contamination. Rather, single-patient best place to buy lasix disposable stethoscopes are often used for such patients. However, the audio quality of single-patient stethoscopes is quite poor,13 and it has been demonstrated that these stethoscopes can be contaminated with pathogens that can potentially be transmitted to providers, who must share this stethoscope.14 Proper cleaning of these stethoscopes between usage may not occur in high-workflow environments, such as the intensive care unit (ICU). Thus, a more feasible and effective modality of best place to buy lasix stethoscope hygiene is warranted.A ray of hope for stethoscope hygiene is technological innovation. Among the solutions presented in recent years have been a UV-LED case for the stethoscope diaphragm,1, stethoscopes made from antimicrobial copper alloys,16 and disposable stethoscope diaphragm covers.17 The challenge imposed by the first two innovations is a lack of complete microbial dis.

Given that it is unknown what viral dose threshold corresponds to hypertension medications pathogenesis, current control standards might necessitate a method that ensures best place to buy lasix zero transmission. Stethoscope diaphragm covers alone can provide an aseptic contact surface during auscultation,17 but one is likely to encounter the same impediments stated for conventional stethoscope cleaning.12 A company based in San Diego, USA (AseptiScope Inc., San Diego, CA, USA) has attempted to overcome this issue by developing a touch-free diaphragm barrier dispenser.1 A recent article discussed the role of stethoscope contamination during hypertension medications, stating that a specific barrier for the stethoscope is needed to prevent stethoscope contamination and subsequent transmission to patients and providers.18 A touch-free stethoscope diaphragm dispenser might be a feasible solution for this need.In the era of hypertension medications, the stethoscope carries both profound utility as well as risk to patients if effective hygiene practices are not implemented. Thus, providers need to exercise caution when auscultating patients with hypertension medications given the risk for cross-contamination. However, rather than casting aside the stethoscope due to this risk, safety should be bolstered through education, hygiene practice, and consideration of innovative solutions.Conflict of interest best place to buy lasix. A.S.M.

Is a co-founder and the Chief Clinical Officer for AseptiScope Inc best place to buy lasix. (San Diego, CA, USA). None of best place to buy lasix the other authors have conflicts to disclose. ReferencesReferences are available as supplementary material at European Heart Journal online. Published on behalf of the European Society of Cardiology best place to buy lasix.

All rights reserved. © The best place to buy lasix Author(s) 2020. For permissions, please email. Journals.permissions@oup.com..

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National paid leave policy, many workers lasix 250mg still lack access to paid family and medical leave when they need time off to care for themselves or a family member. But you may be eligible for up to 12 weeks of unpaid, job-protected leave under the Family and Medical Leave Act. View our employee guide to see if you qualify and how to request FMLA leave. If you have questions about taking leave for lasix-related reasons, start here lasix 250mg. 2.

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Over time, a pay gap can mean a substantial loss of income and retirement savings for you and your family. Explore your state’s lasix 250mg equal pay and pay transparency protections using our interactive map. 4. Pregnancy and nursing protections There are a number of federal and state laws that protect you on the job if you’re pregnant or nursing, from non-discrimination statutes to requirements ensuring you have time and a private place to express breast milk. Explore our map to see the laws in your state lasix 250mg.

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The program lasix 250mg enables service members to intern, apprentice, job shadow and receive on-the-job training in the civilian workforce during their last 180 days of active duty, in order to learn skills that may differ from their military job. (U.S. Air Force photo/Kelly White) Hiring veterans is good for business Connecting employers with talented veterans is an important part of our mission at the U.S. Department of Labor lasix 250mg Veterans’ Employment and Training Service (VETS). We know that hiring veterans is not only the right thing to do, it’s also a good business decision.

And Hire a Veteran Day (July 25) is a great reminder for employers that they can leverage the steady and capable talent pool of transitioning service members and veterans to deliver on their business’ goals. The fact is, military lasix 250mg personnel are often cross-trained in multiple disciplines and have a wide variety of skills and experiences that can make them great employees. From leadership and communications skills to a strong work ethic fostered through their service, veterans are an asset to the civilian workforce. As of June 2021, lasix 250mg the veteran unemployment rate was 4.8% – lower than the overall rate of 5.9% – but more than 400,000 veterans remain unemployed. They’re ready to work — are you ready to recruit?.

Across 185 military installations at home and abroad, nearly 200,000 transitioning service members prepare to enter civilian life each year. This is a tremendous talent pipeline that employers can access through our lasix 250mg resources. VETS’ Employer Guide to Hiring Veterans provides a comprehensive overview of everything employers need to know about recruiting, hiring and retaining veteran employees. Our HIRE Vets Medallion Program recognizes employers of all sizes for their efforts to provide veterans with meaningful, long-term careers. Receiving this award helps employers lasix 250mg show job seekers that they’re veteran-ready employers.

For one-on-one assistance in connecting with resources to hire a veteran, you can always email vets-outreach@dol.gov. Additionally, through the Department of Defense’s SkillBridge Program, employers can sponsor service members within their last six months of service to gain civilian work experience through an internship or fellowship for up to 180 days while still being employed by the military. Becoming a veteran-ready employer takes a dedicated effort, but the return on lasix 250mg investment is worth it Let us help you get started today. Ivan Denton is director of national programs in the department’s Veterans’ Employment and Training Service. Follow VETS on Twitter at @VETS_DOL..

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FMLA time off While the hypertension medications lasix has highlighted the need for a&. National paid leave policy, many workers still lack access to paid family and medical leave when they need time off to care for best place to buy lasix themselves or a family member. But you may be eligible for up to 12 weeks of unpaid, job-protected leave under the Family and Medical Leave Act. View our employee guide to see if you qualify and how to request FMLA leave.

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Nikki McKinney is the U.S. Department of Labor’s associate deputy secretary.Chris Kern-Garcia with the 72nd Force Support Squadron Education Services Center informs a transitioning service member about the SkillBridge program. The program enables service members to intern, apprentice, job shadow and receive on-the-job training in the civilian workforce during their last 180 days of active duty, in order to learn skills that may differ from their best place to buy lasix military job. (U.S.

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Across 185 military installations at home and abroad, nearly 200,000 transitioning service members prepare to enter civilian life each year. This is a tremendous talent pipeline that best place to buy lasix employers can access through our resources. VETS’ Employer Guide to Hiring Veterans provides a comprehensive overview of everything employers need to know about recruiting, hiring and retaining veteran employees. Our HIRE Vets Medallion Program recognizes employers of all sizes for their efforts to provide veterans with meaningful, long-term careers.

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Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure regularly. Ask your doctor or health care professional what your blood pressure should be, and when you should contact him or her. If you are a diabetic, check your blood sugar as directed.

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About This TrackerThis tracker provides demadex vs lasix the number of confirmed cases and deaths from novel hypertension by country, the trend in Cialis discount card confirmed case and death counts by country, and a global map showing which countries have confirmed cases and deaths. The data are drawn from the Johns Hopkins University (JHU) demadex vs lasix hypertension Resource Center’s hypertension medications Map and the World Health Organization’s (WHO) hypertension Disease (hypertension medications-2019) situation reports.This tracker will be updated regularly, as new data are released.Related Content. About hypertension medications hypertensionIn late 2019, a new hypertension emerged in central China to cause disease in humans.

Cases of this disease, known as hypertension medications, have demadex vs lasix since been reported across around the globe. On January 30, 2020, the World Health Organization (WHO) declared the lasix represents a public health emergency of international concern, and on January 31, 2020, the U.S. Department of Health and Human Services declared it to be a health emergency for the United demadex vs lasix States.With schools nationwide preparing for fall and the federal government encouraging in-person classes, key concerns for school officials, teachers and parents include the risks that hypertension poses to children and their role in transmission of the disease.A new KFF brief examines the latest available data and evidence about the issues around hypertension medications and children and what they suggest about the risks posed for reopening classrooms.

The review concludes that while children are much less likely than adults to become severely ill, they can transmit the lasix demadex vs lasix. Key findings include:Disease severity is significantly less in children, though rarely some do get very sick. Children under age 18 account for 22% of the population but account for just 7% of the more than 4 million hypertension medications cases and less than 1% of deaths.The evidence is mixed about whether children demadex vs lasix are less likely than adults to become infected when exposed.

While one prominent study estimates children and teenagers are half as likely as adults over age 20 to catch the lasix, other studies find children and adults are about equally likely to have antibodies that develop after a hypertension medications .While children do transmit to others, more evidence is needed on the frequency and extent of that transmission. A number of studies find children are less likely than adults to be the source of s in households and other settings, demadex vs lasix though this could occur because of differences in testing, the severity of the disease, and the impact of earlier school closures.Most countries that have reopened schools have not experienced outbreaks, but almost all had significantly lower rates of community transmission. Some countries, including Canada, Chile, France, and Israel did experience school-based outbreaks, sometimes significant ones, that required schools to close a second time.The analysis concludes that there is a risk of spread associated with reopening schools, particularly in states and communities where there is already widespread community transmission, that should be weighed carefully against the benefits of in-person education..

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On January 30, 2020, the World Health Organization (WHO) declared the lasix represents a public health emergency of international concern, and on January 31, 2020, the U.S. Department of Health and Human Services declared it to be a health emergency for best place to buy lasix the United States.With schools nationwide preparing for fall and the federal government encouraging in-person classes, key concerns for school officials, teachers and parents include the risks that hypertension poses to children and their role in transmission of the disease.A new KFF brief examines the latest available data and evidence about the issues around hypertension medications and children and what they suggest about the risks posed for reopening classrooms. The review best place to buy lasix concludes that while children are much less likely than adults to become severely ill, they can transmit the lasix. Key findings include:Disease severity is significantly less in children, though rarely some do get very sick.

Children under age 18 account for 22% of the population but account for just 7% of the more than 4 million hypertension medications cases and less than 1% of deaths.The evidence best place to buy lasix is mixed about whether children are less likely than adults to become infected when exposed. While one prominent study estimates children and teenagers are half as likely as adults over age 20 to catch the lasix, other studies find children and adults are about equally likely to have antibodies that develop after a hypertension medications .While children do transmit to others, more evidence is needed on the frequency and extent of that transmission. A number of studies find children are less likely than adults to be the source of s in households and other settings, though this could occur because of differences in testing, the severity of the disease, and the impact of earlier school closures.Most countries that have reopened schools have not experienced outbreaks, but almost all had significantly lower rates best place to buy lasix of community transmission. Some countries, including Canada, Chile, France, and Israel did experience school-based outbreaks, sometimes significant ones, that required schools to close a second time.The analysis concludes that there is a risk of spread associated with reopening schools, particularly in states and communities where there is already widespread community transmission, that should be weighed carefully against the benefits of in-person education..

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The revised Kia can you buy lasix without a prescription Kaha, Kia Māia, Kia Ora Aotearoa can lasix lower blood pressure too much. hypertension medications Psychosocial and Mental Wellbeing Plan provides a framework for actions to support the mental wellbeing of New Zealanders as we respond to the impacts of hypertension medications. The original version of Kia Kaha was published on 16 May 2020.

The Ministry invited feedback to can lasix lower blood pressure too much inform a new version of the plan and received feedback from almost 150 stakeholders. Key changes to the plan include strengthening alignment with Whakamaua. Māori Health Action Plan 2020-2025 and providing updated information on actual and anticipated impacts of hypertension medications on mental wellbeing.

The framework in Kia Kaha is intended to support alignment across all organisations nationally and locally that contribute to mental wellbeing. To provide more clarity about national can lasix lower blood pressure too much priorities, the new version of Kia Kaha outlines key government initiatives that supported mental wellbeing during 2020, as well as cross-government actions planned through to December 2021. Kia Kaha also provides guidance for organisations during higher hypertension medications Alert Levels.

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Forest Service official if her organization or the lasix and metformin Bureau of Land Management could change the orbit of the moon or Earth to reverse the effects of human-caused climate change. That seems like a perfectly reasonable idea, doesn’t it?. Let’s do it. First, we must take stock of what we have—the givens in what will be our equation for moving Earth lasix and metformin.

Our planet orbits the sun at an average distance of 149.6 million kilometers, and it soaks up enough sunlight to have an average temperature of about 15 degrees Celsius. The latter figure is, however, an increase of slightly more than one degree C from Earth’s typical temperature across the past century. In short, this world is running a lasix and metformin low-grade fever. According to current consensus estimates, that fever is likely to get much worse if left unchecked, raising Earth’s average temperature by another one degree C by the 2060s.

Such an increase would render some presently people-packed parts of the planet effectively uninhabitable and threaten the sustainability of global civilization as we know it. Radiative equilibrium, the balance between incoming energy from the sun’s rays and energy emitted from Earth, is key to our understanding of our planet’s changing temperature, says Britt Scharringhausen, a planetary astronomer at lasix and metformin Beloit College. It is described in the following equation, as scribbled out by Scharringhausen. A page from Britt Scharringhausen’s lab notebook, showing a handwritten equation (highlighted in green) for determining a planet’s radiative equilibrium, which sets its effective temperature.

Credit. Britt Scharringhausen Here, Tp is Earth’s temperature, T☉ is the sun’s temperature, R☉ is the sun’s radius, D is the distance to the sun, and a is Earth’s albedo, or reflectivity. Albedo measures how well our planet reflects solar energy, where 0 would be perfect absorption and 1 would be perfect reflection. There is a connection between climate change and albedo.

Snow and ice, for instance, have a high albedo, reflecting up to 90 percent of the sunlight that hits them back to outer space. Anthropogenic warming causes snow and ice caps to melt, which can make Earth’s albedo decrease. That, in turn, eventually leads to a higher average planetary temperature. Some variables in this equation are changing naturally.

Our star is very slowly swelling and brightening, becoming slightly larger and more luminous as it ages. Ethan Siegel, a theoretical astrophysicist and science writer, says that while it will take the sun on the order of 100 million years to increase in luminosity by 1 percent, our greenhouse-gas-emitting global civilization is projected to increase the solar energy retained by Earth by 1 percent over the next few hundred to 1,000 years. To make Earth cooler, we need to decrease a variable on the right side of the equation. We can’t easily lower the sun’s temperature or radius—and clearly meaningful reductions to our heat-trapping, albedo-shifting greenhouse gas emissions are out of the question.

So let’s take Representative Gohmert’s advice and simply increase D, the distance to the sun. All we have to do is find a way to move all 5.972 septillion kilograms of Earth’s mass farther away from our star. Easy, right?. By Scharringhausen’s calculations, a three-degree-C decrease in temperature to counteract current and near-future anthropogenic warming would require us to move our planet an additional three million kilometers from the sun.

Using another back-of-the-envelope calculation, Scharringhausen finds that 5 x 1031 joules could push all 5,972,000,000,000,000,000,000,000 kilograms of Earth’s mass three million kilometers out from its present orbit. These numbers present challenges for Representative Gohmert’s plan, because annual global electricity production is around 1019 joules, or 0.0000000000002 percent of what we’d need to move the globe. That’s also assuming we can apply all that energy to Earth at 100 percent efficiency, which, thanks to the laws of thermodynamics, is physically impossible. Setting aside such particulars, we haven’t addressed what form this applied energy would take.

There is the literal nuclear option. One method that scientists have proposed to move an asteroid is to detonate a nuclear bomb near it, Scharringhausen says. €œIt will basically vaporize part of the asteroid, and that escaping rock vapor acts like rocket exhaust and will push the asteroid along,” she explains. Scaled up, such a mechanism could, in principle, provide enough oomph to shift a planet’s orbit.

Still, it would take a billion times more nuclear explosions than we have ever set off to move Earth the required distance, or the equivalent of dropping an atomic bomb every second for 500 years, according to Geza Gyuk, director of astronomy at the Adler Planetarium in Chicago. The strategy of constantly detonating nuclear bombs near Earth’s surface with the goal of vaporizing parts of it to act as rocket exhaust also has several drawbacks. For our purposes, the most notable deleterious effect is that the blasts themselves would heat up the planet, counteracting the stated goal of reversing global warming. A gentler option would be to siphon off the energy of other celestial objects, such as passing asteroids or comets, by engineering close planetary flybys.

This technique is regularly used in reverse, with great success, by spacecraft that boost their speed by passing close to a planet to steal a portion of its orbital energy. For moving our planet, the issue with the method is scale, Siegel says. The total mass of the asteroid belt is only 4 to 5 percent of that of the moon, or 0.05 to 0.06 percent of that of Earth. Using the mass of the entire asteroid belt in flybys would migrate Earth away from the sun by less than 748,000 kilometers, or a quarter of the distance we’d need, he says.

And a single off-course collision with our planet would spark destruction approaching that caused by the asteroid impact that eradicated the dinosaurs in a global mass extinction. Fortunately, we have a much more massive space rock sitting in our backyard. The moon itself. Could we “cut” the gravitational string connecting the moon to the Earth, thereby slingshotting our planet into a wider orbit?.

Not in any way that we’re capable of doing today, Siegel says, and the consequences would be disastrous. Besides having greatly reduced tides, a moonless Earth would have much darker nights, shorter days and extreme, unpredictable seasons because of a destabilized axis of rotation. What if instead of getting rid of our natural satellite altogether, we only change its orbit around Earth?. Increasing the radius of the moon’s orbit by 10 percent would affect Earth’s own trajectory around the sun in the long term, says Matteo Ceriotti, a rocket scientist at the University of Glasgow’s James Watt School of Engineering.

We could extract and accelerate material off the moon, Ceriotti says. Using a 100-gigawatt laser, or one with about the power capacity of every single wind turbine in the U.S., it would take 300 trillion years to lift sufficient amounts of material from the lunar surface. There is always the aforementioned nuclear option, too, which could be used to move the moon rather than the Earth. Another, less messy choice would be to manually extract lunar material with conventional rockets.

€œIf we were able to build a spaceport on the moon and build a rocket equivalent to SpaceX’s Falcon Heavy to lift off moon material into deep space, we would need 7 x 1016 launches,” Ceriotti says. That’s 70,000 trillion rocket launches. For comparison, during the entirety of the space age, humankind has only managed to achieve 70,780 launches, and more than half of them did not leave Earth’s atmosphere. Humans could add a twist to the use of asteroids in the flyby idea and instead put them on a collision course with the moon, Gyuk says.

We would need kilometer-sized comets to crash into the moon every second for a couple of hundred years to make a substantial difference. Again, though, an off-course projectile could cause a planetary mass extinction event. Because of the magnitude of the change necessary to increase the Earth’s orbit, any intervention would probably need to last for many millions of years at minimum, which raises an unexpected sociological issue, Gyuk says. We don’t have precedent for planning across such vast timescales.

And in fact, no civilization in human history has endured more than a mere few thousand years. Finally, even if humans managed to alter our planet’s orbit using any of these methods, they wouldn’t be able to rest easy, Siegel says. €œIf we even somehow could make this enormous change in Earth’s orbit,” he says, “it doesn’t absolve us from the responsibility that we’ll keep needing to make this change as long as we keep increasing the greenhouse gas concentration in our atmosphere.” To my ears, that sounds like a stirring endorsement of our fossil-fuel-addicted status quo!. We should immediately prioritize pouring all our energy into changing Earth’s orbit, starting now and lasting forever.

First, we best place to buy lasix must take click here to read stock of what we have—the givens in what will be our equation for moving Earth. Our planet orbits the sun at an average distance of 149.6 million kilometers, and it soaks up enough sunlight to have an average temperature of about 15 degrees Celsius. The latter figure is, however, an increase of slightly more than one degree C from Earth’s typical temperature across the past century.

In short, this best place to buy lasix world is running a low-grade fever. According to current consensus estimates, that fever is likely to get much worse if left unchecked, raising Earth’s average temperature by another one degree C by the 2060s. Such an increase would render some presently people-packed parts of the planet effectively uninhabitable and threaten the sustainability of global civilization as we know it.

Radiative equilibrium, the balance between incoming energy from the sun’s best place to buy lasix rays and energy emitted from Earth, is key to our understanding of our planet’s changing temperature, says Britt Scharringhausen, a planetary astronomer at Beloit College. It is described in the following equation, as scribbled out by Scharringhausen. A page from Britt Scharringhausen’s lab notebook, showing a handwritten equation (highlighted in green) for determining a planet’s radiative equilibrium, which sets its effective temperature.

Credit. Britt Scharringhausen Here, Tp is Earth’s temperature, T☉ is the sun’s temperature, R☉ is the sun’s radius, D is the distance to the sun, and a is Earth’s albedo, or reflectivity. Albedo measures how well our planet reflects solar energy, where 0 would be perfect absorption and 1 would be perfect reflection.

There is a connection between climate change and albedo. Snow and ice, for instance, have a high albedo, reflecting up to 90 percent of the sunlight that hits them back to outer space. Anthropogenic warming causes snow and ice caps to melt, which can make Earth’s albedo decrease.

That, in turn, eventually leads to a higher average planetary temperature. Some variables in this equation are changing naturally. Our star is very slowly swelling and brightening, becoming slightly larger and more luminous as it ages.

Ethan Siegel, a theoretical astrophysicist and science writer, says that while it will take the sun on the order of 100 million years to increase in luminosity by 1 percent, our greenhouse-gas-emitting global civilization is projected to increase the solar energy retained by Earth by 1 percent over the next few hundred to 1,000 years. To make Earth cooler, we need to decrease a variable on the right side of the equation. We can’t easily lower the sun’s temperature or radius—and clearly meaningful reductions to our heat-trapping, albedo-shifting greenhouse gas emissions are out of the question.

So let’s take Representative Gohmert’s advice and simply increase D, the distance to the sun. All we have to do is find a way to move all 5.972 septillion kilograms of Earth’s mass farther away from our star. Easy, right?.

By Scharringhausen’s calculations, a three-degree-C decrease in temperature to counteract current and near-future anthropogenic warming would require us to move our planet an additional three million kilometers from the sun. Using another back-of-the-envelope calculation, Scharringhausen finds that 5 x 1031 joules could push all 5,972,000,000,000,000,000,000,000 kilograms of Earth’s mass three million kilometers out from its present orbit. These numbers present challenges for Representative Gohmert’s plan, because annual global electricity production is around 1019 joules, or 0.0000000000002 percent of what we’d need to move the globe.

That’s also assuming we can apply all that energy to Earth at 100 percent efficiency, which, thanks to the laws of thermodynamics, is physically impossible. Setting aside such particulars, we haven’t addressed what form this applied energy would take. There is the literal nuclear option.

One method that scientists have proposed to move an asteroid is to detonate a nuclear bomb near it, Scharringhausen says. €œIt will basically vaporize part of the asteroid, and that escaping rock vapor acts like rocket exhaust and will push the asteroid along,” she explains. Scaled up, such a mechanism could, in principle, provide enough oomph to shift a planet’s orbit.

Still, it would take a billion times more nuclear explosions than we have ever set off to move Earth the required distance, or the equivalent of dropping an atomic bomb every second for 500 years, according to Geza Gyuk, director of astronomy at the Adler Planetarium in Chicago. The strategy of constantly detonating nuclear bombs near Earth’s surface with the goal of vaporizing parts of it to act as rocket exhaust also has several drawbacks. For our purposes, the most notable deleterious effect is that the blasts themselves would heat up the planet, counteracting the stated goal of reversing global warming.

A gentler option would be to siphon off the energy of other celestial objects, such as passing asteroids or comets, by engineering close planetary flybys. This technique is regularly used in reverse, with great success, by spacecraft that boost their speed by passing close to a planet to steal a portion of its orbital energy. For moving our planet, the issue with the method is scale, Siegel says.

The total mass of the asteroid belt is only 4 to 5 percent of that of the moon, or 0.05 to 0.06 percent of that of Earth. Using the mass of the entire asteroid belt in flybys would migrate Earth away from the sun by less than 748,000 kilometers, or a quarter of the distance we’d need, he says. And a single off-course collision with our planet would spark destruction approaching that caused by the asteroid impact that eradicated the dinosaurs in a global mass extinction.

Fortunately, we have a much more massive space rock sitting in our backyard. The moon itself. Could we “cut” the gravitational string connecting the moon to the Earth, thereby slingshotting our planet into a wider orbit?.

Not in any way that we’re capable of doing today, Siegel says, and the consequences would be disastrous. Besides having greatly reduced tides, a moonless Earth would have much darker nights, shorter days and extreme, unpredictable seasons because of a destabilized axis of rotation. What if instead of getting rid of our natural satellite altogether, we only change its orbit around Earth?.

Increasing the radius of the moon’s orbit by 10 percent would affect Earth’s own trajectory around the sun in the long term, says Matteo Ceriotti, a rocket scientist at the University of Glasgow’s James Watt School of Engineering. We could extract and accelerate material off the moon, Ceriotti says. Using a 100-gigawatt laser, or one with about the power capacity of every single wind turbine in the U.S., it would take 300 trillion years to lift sufficient amounts of material from the lunar surface.

There is always the aforementioned nuclear option, too, which could be used to move the moon rather than the Earth. Another, less messy choice would be to manually extract lunar material with conventional rockets. €œIf we were able to build a spaceport on the moon and build a rocket equivalent to SpaceX’s Falcon Heavy to lift off moon material into deep space, we would need 7 x 1016 launches,” Ceriotti says.

That’s 70,000 trillion rocket launches. For comparison, during the entirety of the space age, humankind has only managed to achieve 70,780 launches, and more than half of them did not leave Earth’s atmosphere. Humans could add a twist to the use of asteroids in the flyby idea and instead put them on a collision course with the moon, Gyuk says.

We would need kilometer-sized comets to crash into the moon every second for a couple of hundred years to make a substantial difference. Again, though, an off-course projectile could cause a planetary mass extinction event. Because of the magnitude of the change necessary to increase the Earth’s orbit, any intervention would probably need to last for many millions of years at minimum, which raises an unexpected sociological issue, Gyuk says.

We don’t have precedent for planning across such vast timescales. And in fact, no civilization in human history has endured more than a mere few thousand years. Finally, even if humans managed to alter our planet’s orbit using any of these methods, they wouldn’t be able to rest easy, Siegel says.

€œIf we even somehow could make this enormous change in Earth’s orbit,” he says, “it doesn’t absolve us from the responsibility that we’ll keep needing to make this change as long as we keep increasing the greenhouse gas concentration in our atmosphere.” To my ears, that sounds like a stirring endorsement of our fossil-fuel-addicted status quo!. We should immediately prioritize pouring all our energy into changing Earth’s orbit, starting now and lasting forever. Sure, it’s a Sisyphean task in which humanity is Sisyphus and the boulder being eternally pushed uphill is Earth itself.

But at least we’d get to keep driving our sweet SUVs!. I say we get to work..

Lasix drug

Under the stewardship of the MidMichigan Health Foundation, this year, 23 area students will received lasix drug scholarship awards from the Tolfree Scholarship, the Dr. George Schaiberger, Sr., lasix drug Dr. Howard VanOosten and Dr.

Lloyd Wiegerink Medical Scholarship, and lasix drug the Paul A. Poling Memorial Scholarship.Awardees receiving the Dr. George Schaiberger, lasix drug Sr., Dr.

Howard VanOosten and Dr. Lloyd Wiegerink Medical Staff Memorial lasix drug Scholarship are. Allie Morand, Camden Groff, Nicholas Morse, Anna lasix drug Erickson, Emily Terry, Brooke Chenette, Tyler Walters, Austin Raymond, Jordan Williams, Andrew Waack, Rylie Alward, Nicholas Thomas and Madison Nachtrieb.

Those receiving the Tolfree Scholarship are. Allie Morand, Nicholas Morse, Anna lasix drug Erickson, Emily Terry and Andrew Waack. Lastly, awardees receiving the Paul A.Poling Memorial Scholarship are Emily Terry, Anna Erickson, Nicholas Morse, Allie Morand and Andrew Waack.“The intent of our generous donors in creating these scholarships is to provide our rural counties, particularly those served by MidMichigan Medical Center – West Branch, with future generations of excellent health care professionals,” said Nicole Potter, director, MidMichigan Health Foundation.

€œWe congratulate all of this year’s recipients, as well as lasix drug the parents and teachers who help them arrive at this major milestone in these students’ lives. We wish each one of them the best of success and hope to see them back again in a few years serving the people of their own hometown.”Examples of the health professions being pursued by these individuals include physical therapy, pre-medicine, nursing, health administration, sports medicine, neuroscience and human biology.Applications for the 2021-2022 school year will be accepted from Dec. 1, 2020, through March 1, 2021 lasix drug.

Those interested in reviewing the eligibility guidelines, including a scholarship application, may visit www.midmichigan.org/scholarships or call (989) 343-3694.Growers donate produce to staff and patients at MidMichigan Health Park – Bay.Residents in the Bay lasix drug area have an additional opportunity to embrace healthy lifestyles near MidMichigan Health Park – Bay. Produce by the Park, a community garden that began late last year with a donation from MidMichigan Health Foundation, is flourishing, allowing patients, friends and neighbors to literally enjoy the fruits of their labor.Brenda Turner, director, MidMichigan Physicians Group, has a farming background and dreamt of a garden for her community for years. When the Health Park was built with ample property behind and support from the Foundation, that dream was brought to life.“We are so pleased to be able to support this project as it represents very well MidMichigan Health’s purpose of building healthy communities – together,” said lasix drug Denise O’Keefe, executive director, MidMichigan Health Foundation.Other local organizations came on board to offer help.

Tri-County Equipment of Saginaw donated dirt, and the Agriscience classes at John Glenn High School volunteered to get plots prepared for gardening. The Building Trades program at Bay Arenac ISD built and installed a tool lasix drug shed. Woodchips from Weiler Tree Service were donated to cut down on weeding, and Nature’s Own Landscaping and Irrigation hooked up a spigot in a central location so that all gardeners could access it easily.“During our first season, we had just a few plots of our two-acre garden assigned and less than ten participants,” said Ashleigh Palmer, practice manager, MidMichigan Health Park – Bay.

€œThis year, we lasix drug have all plots filled with more than 40 participants. We have couples, lasix drug families and individuals who share their experience, produce and recipes with each other. It’s a lot of fun to see the friendships that have developed among our gardeners.

The ground is fertile, so produce is thriving, and excess vegetables are being donated to patients of the facility.”Jarod Morse, 21, saw the lasix drug garden information on Facebook and is excited to be participating. €œMy whole family - brother, sister and her fiancé, mom, and Papa - are working on the garden together,” Morse stated. A few of the items lasix drug they are growing are cabbage, cauliflower and a variety of peppers.

€œThe best part,” he added, “is getting to share knowledge and smiles with other members of the garden.”Rows of produce growing in the community garden, Produce by the Park.MidMichigan Health staffers Shelby Kuch and Kellie Picard do much of the organizing, serving as “garden ambassadors.” They are excited to see it thriving.“It has been fun to see how each person has their own unique approach to gardening and harvesting,” said Kuch. €œThere are so many things being lasix drug grown. Cabbage, corn, lasix drug potatoes, broccoli, tomatoes, and beautiful sunflowers.

You wouldn’t believe the variety and the willingness to share what is harvested with other gardeners, members of the community and patients.”Picard is pleased to see elderly residents becoming involved. €œMany don’t have the room lasix drug to plant where they live,” she explained. €œThis place gives them a chance to be outside, grow their own food, socialize with others and get some exercise.

It’s inspiring to see their work pay off in so many ways.”Those who are interested in securing a plot must fill out an application and lasix drug waiver, and agree to the terms set by Produce by the Park. All skill levels are welcome and there is no cost associated with securing a plot.“Our goal has evolved,” said Palmer. €œWe hope to build upon this year’s successes to increase food lasix drug security by providing access to fresh, healthy foods while reinforcing ties to the environment and encouraging community members to work together.

I think we are well on our way.”Those interested in more information on the Produce by the Park or to request an application may visit www.midmichigan.org/bay/garden or contact Palmer at (989) 778-2888 or ashleigh.palmer@midmichigan.org..

Under the stewardship http://wvlpac.com/2017/08/gdmedical/ of the MidMichigan Health Foundation, this best place to buy lasix year, 23 area students will received scholarship awards from the Tolfree Scholarship, the Dr. George Schaiberger, best place to buy lasix Sr., Dr. Howard VanOosten and Dr.

Lloyd Wiegerink Medical Scholarship, and the Paul best place to buy lasix A. Poling Memorial Scholarship.Awardees receiving the Dr. George Schaiberger, best place to buy lasix Sr., Dr.

Howard VanOosten and Dr. Lloyd Wiegerink Medical Staff Memorial best place to buy lasix Scholarship are. Allie Morand, Camden Groff, Nicholas Morse, Anna best place to buy lasix Erickson, Emily Terry, Brooke Chenette, Tyler Walters, Austin Raymond, Jordan Williams, Andrew Waack, Rylie Alward, Nicholas Thomas and Madison Nachtrieb.

Those receiving the Tolfree Scholarship are. Allie Morand, best place to buy lasix Nicholas Morse, Anna Erickson, Emily Terry and Andrew Waack. Lastly, awardees receiving the Paul A.Poling Memorial Scholarship are Emily Terry, Anna Erickson, Nicholas Morse, Allie Morand and Andrew Waack.“The intent of our generous donors in creating these scholarships is to provide our rural counties, particularly those served by MidMichigan Medical Center – West Branch, with future generations of excellent health care professionals,” said Nicole Potter, director, MidMichigan Health Foundation.

€œWe congratulate all of this best place to buy lasix year’s recipients, as well as the parents and teachers who help them arrive at this major milestone in these students’ lives. We wish each one of them the best of success and hope to see them back again in a few years serving the people of their own hometown.”Examples of the health professions being pursued by these individuals include physical therapy, pre-medicine, nursing, health administration, sports medicine, neuroscience and human biology.Applications for the 2021-2022 school year will be accepted from Dec. 1, 2020, through March 1, 2021 best place to buy lasix.

Those interested in reviewing the eligibility guidelines, including a scholarship best place to buy lasix application, may visit www.midmichigan.org/scholarships or call (989) 343-3694.Growers donate produce to staff and patients at MidMichigan Health Park – Bay.Residents in the Bay area have an additional opportunity to embrace healthy lifestyles near MidMichigan Health Park – Bay. Produce by the Park, a community garden that began late last year with a donation from MidMichigan Health Foundation, is flourishing, allowing patients, friends and neighbors to literally enjoy the fruits of their labor.Brenda Turner, director, MidMichigan Physicians Group, has a farming background and dreamt of a garden for her community for years. When the Health Park was built with ample property behind and support from best place to buy lasix the Foundation, that dream was brought to life.“We are so pleased to be able to support this project as it represents very well MidMichigan Health’s purpose of building healthy communities – together,” said Denise O’Keefe, executive director, MidMichigan Health Foundation.Other local organizations came on board to offer help.

Tri-County Equipment of Saginaw donated dirt, and http://www.ec-cath-truchtersheim.ac-strasbourg.fr/die-emotionen/ the Agriscience classes at John Glenn High School volunteered to get plots prepared for gardening. The Building Trades program at Bay Arenac ISD built and installed a tool best place to buy lasix shed. Woodchips from Weiler Tree Service were donated to cut down on weeding, and Nature’s Own Landscaping and Irrigation hooked up a spigot in a central location so that all gardeners could access it easily.“During our first season, we had just a few plots of our two-acre garden assigned and less than ten participants,” said Ashleigh Palmer, practice manager, MidMichigan Health Park – Bay.

€œThis year, we best place to buy lasix have all plots filled with more than 40 participants. We have couples, families and individuals who best place to buy lasix share their experience, produce and recipes with each other. It’s a lot of fun to see the friendships that have developed among our gardeners.

The ground is fertile, so produce is best place to buy lasix thriving, and excess vegetables are being donated to patients of the facility.”Jarod Morse, 21, saw the garden information on Facebook and is excited to be participating. €œMy whole family - brother, sister and her fiancé, mom, and Papa - are working on the garden together,” Morse stated. A few of the items they are best place to buy lasix growing are cabbage, cauliflower and a variety of peppers.

€œThe best part,” he added, “is getting to share knowledge and smiles with other members of the garden.”Rows of produce growing in the community garden, Produce by the Park.MidMichigan Health staffers Shelby Kuch and Kellie Picard do much of the organizing, serving as “garden ambassadors.” They are excited to see it thriving.“It has been fun to see how each person has their own unique approach to gardening and harvesting,” said Kuch. €œThere are best place to buy lasix so many things being grown. Cabbage, corn, potatoes, best place to buy lasix broccoli, tomatoes, and beautiful sunflowers.

You wouldn’t believe the variety and the willingness to share what is harvested with other gardeners, members of the community and patients.”Picard is pleased to see elderly residents becoming involved. €œMany don’t have the room to plant where best place to buy lasix they live,” she explained. €œThis place gives them a chance to be outside, grow their own food, socialize with others and get some exercise.

It’s inspiring to see their work pay off in so many ways.”Those who are interested in securing a plot must fill out an application and waiver, and agree to best place to buy lasix the terms set by Produce by the Park. All skill levels are welcome and there is no cost associated with securing a plot.“Our goal has evolved,” said Palmer. €œWe hope to build upon this year’s successes to increase food security by providing access best place to buy lasix to fresh, healthy foods while reinforcing ties to the environment and encouraging community members to work together.

I think we are well on our way.”Those interested in more information on the Produce by the Park or to request an application may visit www.midmichigan.org/bay/garden or contact Palmer at (989) 778-2888 or ashleigh.palmer@midmichigan.org..