Showing posts with label most. Show all posts
Showing posts with label most. Show all posts

Sunday, September 22, 2013

A List of the Most Common Inhalers





If you have asthma or COPD, you probably know what it is like to use an inhaler as part of your treatment. But, did you ever wonder what that inhaler does to make you breathe better and, if you have been prescribed more than one, are you confused as to which-is-which, and what-does-what as far as inhalers are concerned. To help you understand their differences, is a list of the most common inhalers and what they do to your lungs:
A List of the Most Common Inhalers


Thursday, September 19, 2013

Top 10 Most Polluted Cities in the World


Top 10 Most Polluted Cities in the World


Ever wondered which cities are the biggest polluters in the world? Here is the answer for your curiosity. The Blacksmith Institute has compiled the list of most polluted cities in the world. The report not only reveals the biggest contributing cities to the pollution but also demonstrates the various ways in which the cities are being polluted. According to the report out of 20 cities, 16 are from China in terms of bad air quality but when it comes to the overall pollution only one Chinese city has been included in the list.


1. Dzerzinsk, Russia






Number of people potentially affected: 300,000
Type of pollutant: Chemicals and toxic byproducts, including sarin and VX gas
Source of pollution: Cold War-era chemical weapons manufacturing


2. Linfen, China



Number of people potentially affected: 3,000,000
Type of pollutant: Coal and particulates
Source of pollution: Automobile and industrial emissions



3. Kabwe, Zambia



Number of people potentially affected: 255,000
Type of pollutant: Lead and cadmium
Source of pollution: Lead mining and processing


4. Norilsk, Russia



Number of people potentially affected: 134,000
Type of pollutant: Air pollution — particulates, sulfur dioxide, heavy metals, phenols
Source of pollution: Major nickel and metal mining and processing



5. Haina, Dominican Republic



A child has nowhere else to play except on the lead.


Population: 85,465
Worst Feature: Heavy Metal Pollution
Best Feature: There’s gold in them there Haina River


6. Chernobyl, Ukraine



On 26 April 1986, reactor # 4 at the Chernobyl (Chornobyl) Nuclear Power Station, 100 km north from Kiev, blew up during a routine daily operation. Nearly nine tons of radioactive material – 90 times as much as the Hiroshima bomb – were hurled into the sky. Winds over the following days, mostly blowing north and west, carried, fallout into Belarus, as well as Russia, Poland and the Baltic region.

The radioactive fallout affected 23% of Belarus, with 4,8% of Ukrainian territory and 0,5% of Russian land exposed. About 135,00 people were evacuated from a 30-km radius around the plant, with the peripheral areas remaining at a high risk of radioactive exposure. The reactor was enclosed in a concrete-and-steel sarcophagus. Over the following years about 600,000 people known as “the liquidators” worked on clean-up operations inside the 30-km zone.




7. La Oroya, Peru



Metals from the local smelting plant are the key pollutant here. The plant releases gases from processing toxins such as arsenic, lead, copper, zinc, manganese, and sulfur diozide.
Area Affected
There are currently 35,000 people in the town of La Oroya being affected by the factory.
About


8. Ranipet, IndiaRanipet, India



Population: 350,000
Worst Feature: Heavy Metal Contaminated Ground Water
Best Feature: Home of The Vellore Institute of Technology
Ranipet, India holds the dubious distinction of having the highest levels of heavy metal contamination in their ground water in the world, and is on the Top 10 List of The Worlds Most Polluted places, due to being the long time home of India�s leather tanning industry.

The mortality rate and life expectancies in the town are worse than that of Medieval Europe. Asthma, mental retardation and other birth defects are high among children. If immediate or early death does not come form drinking the poisoned water, cancers and other health complications will surely result.




Indian farmers who must try to eek out a living growing something in this toxic soil, say that only 1 in 5 crops planted does not fail, and that the foul smells which come from the very water they use to irrigate their fields is choking “when we come in contact with the water we get ulcerations on our skins and it stings like the bites of 100 insects.”


9. Rudnaya Pristan and Dalnegorsk, Russia



Dalnegorsk and Rudnaya Pristan are two towns in the Russian Far East whose residents suffer from serious lead poisoning from an old smelter and the unsafe transport of lead concentrate from the local lead mining site. Limited initial testing has revealed that children’s blood lead levels are 8 to 20 times the maximum allowable U.S. levels.


10. Mailuu-Suu, Kyrgystan



Potentially affected people: 23,000 immediate, millions potentially
Type of pollutants: Radioactive uranium mine tailings. Gamma radiation from the dumps measures in between 100-600 micro-roentgens per hour.  Heavy metals, and cyanides.



Wednesday, September 18, 2013

Frank Nash: the Most Inspirational English Teacher I Ever Did Know! By Vincent Zandri author of The Remains



I never set out to be a writer. Back in 1979, when I entered the Second Form in a 200 year old, all boys, military school called, The Albany Academy, I simply wanted to become a rock n’ roll star. Like Ringo or Keith Moon, I wanted to play drums in a huge rock band, make a ton of money doing it, get lots of girls, and see the world. While most of the uniformed boys sat attentively in math class, taking copious notes, I drew illustrations of huge drums sets and stared out the window.


All that changed when for the first time, I was introduced to Frank Nash in my second term English lit and writing course. First thing that caught my attention was the classroom itself. The Academy was an old building even back then, having been built in the 1920s. Made of stone and strong woods, with real blackboards instead of chalk boards, the place seemed like a kind of time warp. A school caught perpetually in the 19th century instead of one that would see the 21st century in only two more decades.


But Mr. Nash’s room had a special allure to it since it was filled with photos of famous authors, the most notable for me, was Ernest Hemingway. The framed photo was a famous headshot that I would later learn had been taken by the world renown photographer, Karsh, in 1957, the lens having captured the 58 year old Pulitzer and Nobel Prize winning writer dressed in a big, bulky, turtleneck sweater, his Old Man and the Sea style beard and matching white hair giving him the look of a sea captain or world explorer, which of course fit the bill perfectly for since the adventurous Hemingway was all of those things and more.


I recall Mr. Nash entering the classroom on the very first day of school, the weather still warm and bright and summer-like. He was a tall, thin man, who wore cowboy boots and jeans—a casual style which seemed to go against the more conservative wool-suited style of some of the more uptight Academy profs. A decorated war vet, he sat on a bar stool in the front of the class, and he talked with us like we were his bar buddies, not as if we were a bunch of stupid kids. Our first read for the semester was A Farewell to Arms, and when he described the novel to us, he did so in manner that seemed strange. First off, he referred to the author not as Ernest Hemingway, but as “Papa.” Was Frank Nash Hemingway’s kid? He talked about Papa’s writing habits, about his fishing and hunting and travelling, about his eventual suicide by self-inflicted gunshot. He even demonstrated how Papa placed both barrels of the shotgun inside his mouth, pressed them against the soft palate, and how he triggered the hammers with his thumb. I remember looking up at the Karsh photo and trying to imagine the writer’s head blown off, and I recall being thoroughly spooked, but somehow excited.


Then, and only then, did Nash crack the book and begin to read that lovely, lush opening about being at war with the dust from the road clinging to the leaves on the trees and each sentence connected to the other with the conjunction “and.” Nash loved that opening and as tough and worldly as he seemed, I could see now that it was possible for a hard man to also be a sensitive man of letters.


We talked a lot about Hemingway and war and adventure that first month of school and I came to realize that Frank Nash was an expert on Hemingway. I found myself so immersed in reading “Farewell” and listening to Nash’s lectures on writing and Papa, that I never once felt like scribbling a drum set in my notebook or felt the need to fight off boredom by looking out the window. That is, unless Nash was inviting us too.


I listened and I learned and I wrote my first essays on Hemingway. I also wrote my first short story which Nash read aloud in class as an example of promising material. It was a story about spending a grueling Easter Sunday with my family and it was graded with a big fat, red, “A.” Nash pulled me aside and he asked me what I wanted to be when I grew up. I told him a rock drummer. And he laughed, and said, “Well, maybe you should write some stories along the way.”


When we arrived back at school after the Christmas break, I was excited to see Frank Nash again. It had been a long Christmas break and I was eager to read some more classic novels and to write more stories. But something had changed. Nash was still there, but something had happened to him in the short time that we’d been apart. His hands shook almost uncontrollably, and he seemed out of it. His eyes were glassy and he looked gaunt and pale and sick.


He lasted a few more days that second semester, but then he didn’t show up at all. When the Dean of the upper school sent someone to his downtown Albany apartment to check up on the English teacher, they found a reclusive Nash consumed in whiskey. Empty bottles of Jack Daniels were strewn about the living room and the bathtub was full of ice and cans of beer. The shades had been drawn on the windows and aside from stacks and stacks of books, there was only a desk with an old Royal typewriter sitting on top of it. The pile of manuscript pages beside it contained stories about the old Albany Academy. It turned out Frank was writing a biography of the old military school. He was, at the same time, drinking himself to death.


In the Fall of the next year, the Albany Academy was still there, but Frank Nash did not go to it anymore. Eventually he sought out help for his alcoholism and returned to his native Vermont where he lived with fellow veterans, and wrote some of his own stories and poems. When my first big novel As Catch Can was published in 1999, my publisher sent him an autographed copy. But I never heard back from him. I wondered if he remembered me at all. I wondered if he read the book and if he had, if he liked it. But then, it wasn’t important if he did or didn’t. What was important was the fact that for three months, I was lucky enough to be taught by a man who felt as though he was so close to the words of Ernest Hemingway he could refer to him as Papa in every bit of the fatherly sense of the word. To this day, I think of Nash as Papa in the same inspirational manner. Nash altered the course of my young life and because of him I became a writer. I’m lucky to have known him and even more lucky to remember him the way he was when he was teaching and writing and was very happy.


You can find Vincent at www.vincentzandri.com


or http://vincentzandri.blogspot.com


ABOUT THE REMAINS:
Thirty years ago, teenager Rebecca Underhill and her twin sister Molly were abducted by a man who lived in a house in the woods behind their upstate New York farm. They were held inside that house for three horrifying hours, until making their daring escape.
Vowing to keep their terrifying experience a secret in order to protect their mother and father, the girls tried to put the past behind them. And when their attacker was hunted down by police and sent to prison, they believed he was as good as dead.
Now, it’s 30 years later, and with Molly having passed away from cancer, Rebecca, a painter and art teacher, is left alone to bear the burden of a secret that has only gotten heavier and more painful with each passing year.
But when Rebecca begins receiving some strange anonymous text messages, she begins to realize that the monster who attacked her all those years ago is not dead after all. He’s back, and this time, he wants to do more than just haunt her. He wants her dead.


Purchase the Kindle edition of The Remains for $ 2.99 by clicking here!


Read the Excerpt!


October 2, 2008
Albany, New York


In the deep night, a woman sits down at her writing table. Fingering a newly sharpened pencil, she focuses her eyes upon the blank paper, brings the black pencil tip to it.
She begins to write.


Dear Mol,


I’ve been dreaming about you again. I don’t think a night has gone by in the past few weeks when I haven’t seen your face. Our face, I should say. The face is always in my head; implanted in my memories. The dream is nothing new. It’s thirty years ago again. It’s October. I’m walking close behind you through the tall grass towards the woods. Your hair is loose and long. You’re wearing cut-offs, white Keds with the laces untied and a red T-shirt that says ‘Paul McCartney and Wings’ on the front. You’re walking ahead of me while I try to keep up; but afraid to keep up. Soon we come to the tree line, and while my heart beats in my throat, we walk into the trees. But then comes a noise—a snapping of twigs and branches. The gaunt face of a man appears. A man who lives in a house in the woods.


Then, just like that, the dream shifts and I see you kneeling beside me inside the dark empty basement. I hear the sound of your sniffles, smell the wormy raw earth, feel the cold touch of a man’s hand. You turn and you look at me with your solid steel eyes. And then I wake up.


We survived the house in the woods together, Mol, and we never told a soul. We just couldn’t risk it. Whelan would have come back for us. He would have found us. He would have found mom and dad. Even today, I know he surely would have. He would have killed them, Mol. He would have killed us. In just five days, thirty years will have passed. Three entire decades and I’m still convinced we did the right thing by keeping that afternoon in the woods our secret.


When I see you in my dreams it’s like looking in a mirror. The blue eyes, the thick lips, the dirty blond hair forever just touching the shoulders. My hair is finally showing signs of grey, Mol.


I wonder, do you get gray hair in heaven? I wonder if Whelan’s hair burned off in hell? I wonder if he suffers?


All my love,
Your twin sister,
Rebecca Rose Underhill


Exhaling, the woman folds the letter neatly into thirds, slips it into a blank stationary envelope, her initials RRU embossed on the label. Running the bitter sticky glue interior over her tongue, she seals the envelope, sets it back down onto the writing table. Once more she picks up the pencil, brings the now dulled tip to the envelope’s face. Addressing it she writes only a name:
Molly Rose Underhill


The job done, the woman smiles sadly. Opening the table drawer, she sets the letter inside, on top of a stack of nine identical letters-never-sent. One for every year her sister has been gone.


Closing the drawer she hears her cell phone begin to vibrate, then softly chime. Picking it up off the desktop, she opens the phone, sees that a new text has been forwarded to her electronic mailbox. Fingering the in-box, she retrieves the message.
Rebecca is all it says.


Punching the command that reveals the name and number of the sender she finds “Caller Unknown.” The sender’s number has been blocked. Closing the phone back up, she sets it down on the desk. That’s when the wind picks up, blows and whistles through the open window.
“Mol,” she says, staring out into the darkness. “Mol, is that you?”



Thursday, September 12, 2013

Research Activities, November 2009: Agency News and Notes: Heart conditions, cancer, trauma-related disorders, mental disorders, and asthma were the five most costly conditions in 1996 and 2006


Agency News and Notes
Heart conditions, cancer, trauma-related disorders, mental disorders, and asthma were the five most costly conditions in 1996 and 2006


The number of Americans under care for depression and other mental illnesses nearly doubled between 1996 and 2006, and the overall cost of treating them jumped by nearly two-thirds, according to the Agency for Healthcare Research and Quality. The Agency’s recent data analysis revealed that the number of patients treated for mental disorders, including depression and bipolar disease, increased from 19 million to 36 million. The overall treatment costs for mental disorders rose from $ 35 billion (in 2006 dollars) to nearly $ 58 billion, making it the costliest medical condition between 1996 and 2006. In addition, the study concluded that:


Heart disease, cancer, trauma-related disorders, and asthma joined mental disorders to comprise the five most costly conditions in both 1996 and 2006.
Overall spending for heart disease treatment increased the least, from $ 72 billion in 1996 to $ 78 billion in 2006.
Spending for cancer treatment went from $ 47 billion to $ 58 billion; asthma costs rose from $ 36 billion to $ 51 billion; and the cost to treat trauma-related disorders climbed from $ 46 billion to $ 68 billion.
In terms of average per-patient cost, cancer accounted for the highest, up slightly from $ 5,067 to $ 5,178, but treatment costs for trauma and asthma rose more steeply, increasing from $ 1,220 to $ 1,953 and from $ 863 to $ 1,059, respectively. In contrast, average per-patient spending for heart conditions and mental disorders fell from $ 4,333 to $ 3,964 and $ 1,825 to $ 1,591, respectively.
These findings were based on analysis of the Medical Expenditure Panel Survey (MEPS), a detailed source of information on the health services used by Americans, how often they are used, the cost of those services, and how they are paid. For more information, go to The Five Most Costly Conditions, 1996 and 2006: Estimates for the U.S. Civilian Noninstitionalized Population, at http://www.meps.ahrq.gov/mepsweb/data_stats/Pub_ProdResults_Details.jsp?pt=Statistical%20Brief&opt=2&id=910.


abrir aquí para acceder al documento AHRQ:
Research Activities, November 2009: Agency News and Notes: Heart conditions, cancer, trauma-related disorders, mental disorders, and asthma were the five most costly conditions in 1996 and 2006