Ings reveals hilarious bet with Salah

first_imgSouthampton striker Danny Ings has revealed he has a goal scoring bet with Liverpool forward Mohamed Salah.The striker who is currently on loan from Liverpool jokingly placed a bet with the Egyptian star insisting he would score more goals in the Premier League this season.If Salah loses the bet, he must stump up to send Ings on a trip to see the pyramids in his homeland but if the Ings loses he will have to buy last season’s top scorer coffee.Ings currently has three goals in the league compared to Salah’s two but will watch from the stands this weekend when Southampton travel to Anfield to face Liverpool.Danny Ings is backed up by Kevin Keegan Manuel R. Medina – June 3, 2019 The Southampton and England icon believes the Saints footballer will do very well next season in the Premier League.“Mo helped me a lot when I was at Liverpool and we exchanged a few messages.” Ings said, according to FoxSports.“He said, ‘Let’s see who scores the most’ and I laughed it off, given how good he is.”“Mo is one of the best players in the world. He is so worshipped in Egypt so I said if I win the bet he has to give me access to half of Egypt on holiday but if he wins, I need to buy him a Costa coffee!”The former Burnley striker will compete a permanent move to Southampton next summer for a fee in the region of £16million after Liverpool included an obligatory clause for the saints to sign the player after the loan is complete.last_img read more

Eight Sevilla fans hospitalized as barrier collapses

first_imgEight supporters of Sevilla Football Club have been taken to a hospital in Spain after a barrier collapsed during Sevilla’s win at Eibar’s Ipurua Stadium.The barrier collapsed when supporters of Sevilla were celebrating a goal during their team’s 3-1 away in the Spanish La Liga on Saturday night.“In the end, and pending confirmation from the emergency services, eight Sevilla supporters have been taken to Mendaro hospital. None of the injuries are serious,” said Eibar in a statement on their official Twitter account.Los aficionados del @SevillaFC trasladados al hospital han sido ya dados de alta, con una posible fisura de escafoides de uno de los heridos y traumatismos en el resto de casos. Les deseamos a todos una rápida recuperación #EibarSevilla— SD Eibar (@SDEibar) September 29, 2018The barrier collapsed as dozens of the travelling away supporters behind the goal spilt to the pitch after Argentine midfielder Ever Banega converted a 58th-minute penalty to put Sevilla 2-0 up.The match was put on hold for eight minutes while stewards and emergency services attended to supporters in distress.David Villa, SpainQuiz: How much do you know about David Villa? Boro Tanchev – September 14, 2019 Time to test your knowledge about Spanish legendary forward David Villa.In a message posted on their official Twitter account, Sevilla dedicated the win to the fans affected.🏥 Diez sevillistas heridos, ninguno de ellos de gravedad, fueron trasladados al Hospital de Mendaro.La expedición nervionense se interesó por su estado en el propio hospital antes de volver a Sevilla.Toda la información ➡️ https://t.co/xEoiWDctrr#vamosmisevilla pic.twitter.com/kIizsymkjv— Sevilla Fútbol Club (@SevillaFC) September 29, 2018“Three goals and three more points in Ipurua. The victory is dedicated to our supporters who suffered today in the accident in the stand. We hope they recover soon,” said the club.Sevilla next travel to Russia where they will face FC Krasnodar in their second group game of this season’s UEFA Europa League campaign.last_img read more

Kepa denies rift with Sarri

first_imgChelsea goalkeeper Kepa Arrizabalaga claims he didn’t disrespect manager Maurizio Sarri when he refused to be substituted in the Carabao Cup final defeat to Manchester City.Reserve goalkeeper Willy Caballero was ready to replace Kepa as he appeared to have suffered a cramp towards the closing stages of the game.However, the Spaniard refused to obey the orders of Sarri which caused a stir on the Chelsea bench and equally angered the Italian gaffer.Kepa went on to save Sane’s penalty but couldn’t prevent City from claiming a 4-3 win to retain the Cup.But the most expensive goalkeeper in history when he joined Chelsea for £71.6m in August, insists his refusal to leave the field was not an act of disrespect to Sarri.“I know if you see it from outside, I don’t know how it went out, it is not the best image,” Kepa told Chelsea’s official website.“I have spoken with the boss. I think it was misunderstood.“I understand that on television, on social media, they’re talking about this but I am here to explain it, to say that it wasn’t my intention to go against the manager.Cristiano Ronaldo, JuventusSarri: “Cristiano Ronaldo is the strongest player in the world” Andrew Smyth – September 14, 2019 Maurizio Sarri has no doubts that Cristiano Ronaldo is the main man at Juventus, and plans to the star give more freedom to exploit his talents to their fullest extent.Talk about absolute balls for Kepa Arrizabalaga, stand your ground and courage of your convictions. Good morning. pic.twitter.com/4ehechUVwJ— Sifiso Gumede (@Sifiso_Gumede) February 25, 2019“We have spoken now, and I was only trying to say I’m fine. He thought I wasn’t fine. It was in tense moments, with a lot happening.”Sarri played down the incident after the match, describing it as a “misunderstanding”, and Kepa agrees with the Italian.“In no moment was it my intention to disobey, or anything like that with the boss,” Kepa added.Chelsea will face Spurs on Wednesday night as they bid to seal a Champions League ticket.last_img read more

PECULIAR WEATHER EVENT TODAY

first_img Traffic relief coming for Blue Hills says Minister Facebook Twitter Google+LinkedInPinterestWhatsAppProvidenciales, 09 Dec 2014 – PECULIAR WEATHER EVENT TODAY brings extremely high tides, fierce white caps along the reef all day and surges in Blue Hills (at least).It warrants more research but Blue Hills fishermen tell MM the surge was troublesome and brought waves way inshore.Seaweed is the only evidence now but even now an ominous cloud paints a gorgeous picture across the NW skies of Provo. Related Items:blue hills, seaweeds, Tci weather Fiery explosion kills Blue Hills man Recommended for you Facebook Twitter Google+LinkedInPinterestWhatsApp PNP Administration announces plan to ease Blue Hills traffic congestionlast_img read more

Steven Gerrard Kyle Lafferty is back to his best

first_imgRangers Coach Steven Gerrard has lauded the contribution of Kyle Lafferty who came on as a substitute in Rangers’ midweek Europa League draw against Villarreal.However, he insisted sentiments will not be considered in his decision on whether he starts against his former team Hearts on Sunday.Rangers will be needing the experience of the Northern Irishman in a match which a win could take them top of the Ladbrokes Premiership for the first time since Steven Gerrard took over.“I thought Kyle was excellent when he came on,” Gerrard told The Herald.Steven Gerrard, Michael OwenOwen reveals why Liverpool didn’t offer Gerrard a new contract Manuel R. Medina – September 6, 2019 According to Owen, the Reds wanted to sell Gerrard two years before he left the club and that’s why they didn’t offer him a contract renewal.“That is the Lafferty we want. He was aggressive, putting himself about, difficult to play against and nearly got the winner with an unbelievable strike. He will play a big part from now until the end of the season but there will be no sentiment involved because it is his old club.”On the atmosphere of the Tynecastle, Gerrard said:“It is a narrow pitch, a little bit tighter to what we are used to here at Ibrox,”“But it is the same for both teams. It is a wicked little atmosphere and I am looking forward to the game. I am sure it will be feisty at times this weekend. But I don’t mind that, I am all for that, I used to love playing in those ones.”last_img read more

99 Restaurant To Host Fundraiser For Northside PAC On May 29

first_imgLike Wilmington Apple on Facebook. Follow Wilmington Apple on Twitter. Follow Wilmington Apple on Instagram. Subscribe to Wilmington Apple’s daily email newsletter HERE. Got a comment, question, photo, press release, or news tip? Email wilmingtonapple@gmail.com.Share this:TwitterFacebookLike this:Like Loading… RelatedWHS Local Heroes Club To Hold Fundraiser To Benefit Veterans At 99 Restaurant On Sept. 11In “Community”99 Restaurant To Host Fundraiser For Northside PAC On March 5In “Community”99 Restaurant To Host Fundraiser For Cops With Kids For Cancer On June 5In “Community” WILMINGTON, MA — The Northside PAC is holding a “Dining For A Cause” fundraiser at the Ninety Nine Restaurant (144 Lowell Street) on Wednesday, May 29, 2019, from 4pm to 11pm.15% of your bill will be donated to the Parent Advisory Council if you present the flyer below to your server/host.  The donation applies to both dine-on AND take-out orders.  No coupons, discounts or promotions are accepted during the fundraiser.last_img read more

Meet two lady Lok Sabha election officers who are internet sensations

first_imgReena Dwivedi is the latest internet sensation after her picture went viralFacebookThe Lok Sabha election fever is still riding high among the people and the reasons are not entirely political. Two women poll officers Reena Dwivedi and Yogeshwari Gohite posted in Lucknow, Uttar Pradesh, and Bhopal, Madhya Pradesh, respectively have taken the internet by storm with their pictures going viral. Reena and Yogeshwari were seen carrying the Electronic Voting Machines (EVMs) wearing a lovely yellow saree and a blue dress on the polling day, which has turned them into overnight sensations.Both the ladies have been flooded with friend requests on Facebook from people who are curious to know about them. Coincidentally, both of them are not only good looking officers serving in various capacities but young daunting mothers too. Reena who reported to work on the day when Lucknow was going to polls flashed her smiles to the camera when a colleague captured her picture with EVMs. Little did she know that her photograph would earn her thousands of admirers from all over the country. The 32-year-old internet sensation who is posted as a junior assistant in the PWD department in Lucknow said that she is enjoying every moment of her new-found fame and doesn’t mind winning admirers.But for her, the biggest compliment came when her son, a class 9 student, had to convince his friends that the lady in the yellow saree carrying an EVM was actually his mother. “I was married at a very young age. And I keep myself physically fit. I have been posted for the election duty before as well in Lok Sabha 2014 and state Assembly 2017 elections,” she told The Times of India.Reena said that she is a firm believer in democracy and would exercise her right to vote in her hometown Deoria along with her husband on May 19, the final phase of elections.Yogeshwari, who works with Canara Bank, also turned into a celebrity with everyone wanting to click a selfie as soon as she caught the cameraperson’s eyes. Soon, the buzz was “who is that girl in the blue dress?” Yogeshwari Gohite, Bhopal based Canara bank officer is the new internet sensation, thanks to the above pictureFacebookYogeshwari even took a day off after the journalists rushed to her residence for interviews and said that in the wake of so many friend requests, she might be forced to make her Facebook profile private.last_img read more

Tea stalls at TSC shut down

first_imgA collected photo shows the TSC area of Dhaka University. Long run tea stalls of this area are forbidden to sit any more from Tuesday morning.The tea stalls in front of the Teacher-Student Centre (TSC) of Dhaka University have been shut down.On Monday night, the owners of the tea stalls were asked to move elsewhere, according to the tea sellers.They said they were stopped when they tried to open their stalls on Tuesday morning.However, the university’s proctorial body did not say the reason for this, they added.TSC director AM Mohiuzzaman told Prothom Alo that he was unaware of any such directive.Proctor Golam Rabbani said there was no specific directive concerning the tea stalls at TSC. However, the tea and food served at these stalls are unhygienic, he observed.last_img read more

US attack on Syria aggression against a sovereign state Russia

first_imgMoscow slammed the US strike on a Syrian airbase Friday as “aggression against a sovereign state”, and suspended a bilateral agreement to help avoid clashes in the skies over the war-torn country.“President Putin considers American strikes on Syria aggression against a sovereign state in violation of international norms, and under an invented pretext,” said the statement by the Kremlin press service posted on the official website.US President Donald Trump ordered a military strike on a Syrian air base at 0040GMT, in retaliation for what he said was a “very barbaric attack” Tuesday that is suspected to have contained a nerve agent.Moscow has been flying a bombing campaign in support of Syrian President Bashar al-Assad’s forces since September 2015 and on Wednesday said it would continue to back the regime.The Russian foreign ministry announced the suspension of a memorandum signed with the US in October 2015 which set up a hotline to avoid clashes between their air forces in Syrian airspace as they carried out separate bombing campaigns.“We call upon the UN Security Council to hold an extraordinary meeting to discuss the situation,” the ministry said in a statement, calling the strike “thoughtless.”Russia had sought to deflect blame from Assad over the incident, claiming Syrian jets struck a rebel arms depot housing “toxic substances” and denying that the regime has access to any chemical weapons.“The Syrian army does not have any chemical weapon stockpiles,” the Kremlin statement said, accusing Washington of trying to “divert attention of the international community from the many civilian casualties in Iraq.”“The fact of destruction of all chemical weapon stockpiles of the Syrian armed forces was recorded and confirmed by the (Organisation for the Prohibition of Chemical Weapons).”“This step by Washington inflicts considerable damage to US-Russia relations, which are already in a lamentable state,” the Kremlin said.A White House official said 59 precision-guided Tomahawk missiles hit the Shayrat airfield, from where the US believes the attack was launched.The Syrian army said that six people were killed and serious damage caused by the strike.last_img read more

Khashoggi hit ordered at highest levels Erdogan

first_imgTurkish President and leader of Turkey`s ruling Justice and Development (AK) Party Recep Tayyip Erdogan speaks during his party`s parliamentary group meeting at the Grand National Assembly of Turkey in Ankara, on 30 October. Photo: AFPTurkey’s president Recep Tayyip Erdogan said the order to murder Jamal Khashoggi came from “the highest levels” of the Saudi government Friday as he promised no let-up in the hunt for his killers.A month on from Khashoggi’s murder in the Saudi consulate in Istanbul, Erdogan said he did “not believe for a second” that King Salman was to blame.But he pointedly failed to absolve crown prince Mohammed bin Salman of responsibility for unleashing a “death squad” against the outspoken Saudi journalist whose death has badly tainted the kingdom’s de facto ruler.And in an editorial for Khashoggi’s former employer, The Washington Post, Erdogan accused authorities in Riyadh of refusing to answer key questions about the murder, despite their arrest of 18 suspects a fortnight ago.Erdogan’s comments came shortly after one of his top lieutenants charged that Khashoggi’s dismembered body was “dissolved” in the consulate as part of an effort to leave no trace of the killing.”Over the course of the past month, Turkey has moved heaven and earth to shed light on all aspects of this case. As a result of our efforts, the world has learned that Khashoggi was killed in cold blood by a death squad, and it has been established that his murder was premeditated,” Erdogan wrote in The Post.”We know that the perpetrators are among the 18 suspects detained in Saudi Arabia. We also know that those individuals came to carry out their orders: Kill Khashoggi and leave. Finally, we know that the order to kill Khashoggi came from the highest levels of the Saudi government.”But he said his government would keep asking other questions “the Saudi authorities have refused to answer”, such as the whereabouts of Khashoggi’s body and who ordered his assassination.The murder of the royal insider-turned-dissident has provoked widespread outrage and sharp criticism from Washington, usually the staunchest of allies.While president Donald Trump has ruled out halting arms deal with Riyadh as a punishment, his administration has effectively withdrawn support for the Saudi-led coalition’s war in Yemen in a stark illustration of the cooling of ties.’Body dissolved’ Addressing mourners at a memorial service in Washington on Friday, the murdered journalist’s fiancee called on Trump to back Turkey’s efforts to investigate his death.”I would like to send this message to Mr Trump: I would like him to support Turkey’s legal efforts in trying to bring light to the situation and to discover the whereabouts of his body,” Hatice Cengiz said in a recorded message.Turkey’s chief prosecutor said this week that Khashoggi was strangled as soon as he entered the consulate and also confirmed the body was dismembered.Yasin Aktay, an advisor to Erdogan, hinted in an article published on Friday that the body may even have been destroyed in acid.”We now see that it wasn’t just cut up, they got rid of the body by dissolving it,” an official in Turkey’s ruling party, he told the Hurriyet newspaper.”According to the latest information we have, the reason they cut up the body is it was easier to dissolve it.”A Turkish official has previously told The Post that “biological evidence” found in the consulate garden indicated the body was likely disposed of near the murder scene.Saudi authorities have denied Turkish police permission to search a well in the garden, but allowed them to take water samples for analysis, according to local reports.The murder has strained the decades-old alliance between the United States and Saudi Arabia, with Trump calling it “one of the worst cover-ups in history”.Saudi Arabia ‘must remain stableIsraeli prime minister Benjamin Netanyahu, whose country shares Riyadh’s hostility to Iran, condemned the murder but stressed the need for stability in Saudi Arabia.”It is very important for the stability of the world, for the region and for the world, that Saudi Arabia remain stable,” Netanyahu told reporters Friday on a visit to Bulgaria.After initially insisting Khashoggi left the consulate unharmed, then saying he died in a brawl during an interview gone wrong, the Saudi regime admitted he was killed, blaming a “rogue operation”.The crown prince has denounced the murder as “repulsive” and denied any involvement.last_img

Michelle Obama Announces Week of Action

first_imgBy The Associated PressMichelle Obama is marking the 53rd anniversary of the Voting Rights Act by urging Americans to participate in a week of action to get people signed up to vote.The former first lady, a co-chairwoman of a nonpartisan organization to encourage voting, announced Monday that the When We All Vote Week of Action will be held Sept. 22-29.Former first lady Michelle Obama is marking the 53rd anniversary of the Voting Rights Act by urging Americans to participate in a week of action to get people signed up to vote. (AP Photo/Gerald Herbert)She said members of When We All Vote will be traveling the country to register voters and get them excited about the November midterm elections, when Democrats hope to capitalize on a wave of anger against President Donald Trump and take back control of Congress from the Republicans.“With so much at stake in our country, sitting on the sidelines isn’t an option,” Mrs. Obama said in an email to supporters.Flagship events will be held in at least 12 cities, including Detroit, Los Angeles, Miami, Chicago and New York. The group wants volunteers to host events in other communities that week as well.Other co-chairs of the group include actor Tom Hanks; “Hamilton” creator Lin-Manuel Miranda; singers Janelle Monae, Faith Hill and Tim McGraw; and NBA point guard Chris Paul of the Houston Rockets.The organization said they anticipate that Mrs. Obama and other co-chairs will attend some of the events.The Voting Rights Act, signed into law by President Lyndon B. Johnson on Aug. 6, 1965, prohibits racial discrimination in voting. Mrs. Obama said it’s important to recognize the organizers, marchers and other volunteers who helped get the law passed.“We want to honor their legacy and continue their work to ensure that every eligible American cast their vote, work that is far from finished,” the former first lady said in a video.last_img read more

Azamara simplifies its branding drops the Club Cruises

first_imgTags: Azamara Club Cruises Share MIAMI — Azamara Club Cruises is streamlining its branding to Azamara, removing the term ‘Club Cruises’ from its name.The cruise line says the change reflects “a redefined dedication” to the brand’s Destination Immersion concept and its focus on immersive experiences.“Our passion for travel has allowed our Destination Immersion concept to evolve over the last 10 years,” says Azamara President and CEO Larry Pimentel. “Today we expect even greater growth in our on-shore programming as our services improve. Now available for every trip from October 2019 and for all our future deployments, we will provide a unique variety of products carefully selected, reinforcing our identity and our ‘Explore Further’ mantra.”Pimentel added that Azamara is launching the largest selection of pre and post trip land programs in the entire cruise industry. Azamara offers more than 1,700 shore-based program offerings, complementing its immersive approach and reinforcing its commitment to take passengers to the heart of a destination, he says. More news:  Sunwing offers ultimate package deal ahead of YXU flights to SNU, PUJThe land program options include …. AzAmazing Journeys: Carefully selected programs with a small and intimate group led by expert guides (average group size from 12 to 18 guests) such as: AzAamazing in Asia: In search of Orangutnan in Borneo; AzAmazing in South America: The Bolivian Salt Flats and Atacama Desert of Chile; AzAmazing in Australia: Rail & Sail in Indian Pacific. Land Journeys: Programs that allow guests to discover cities from different points of view and offer an à la carte travel experience. Examples include: Land Journey in Europe: Norway On the Road; Land Journey in South America: In search of Jaguar: Pantanal; Land Journey in New Zealand: South Island – Alpine Rail & Mount CookStay Local: Programs that allow passengers with limited time to fully discover one and unique destination, in cities including Buenos Aires, Cape Town, Dubai, Hong Kong and Monte Carlo. << Previous PostNext Post >> Tuesday, June 18, 2019 center_img Travelweek Group Posted by Azamara simplifies its branding, drops the Club Cruiseslast_img read more

Estoniabased transmission services provider Levir

first_imgEstonia-based transmission services provider Levira has appointed Gabriel Cocean as sales executive for playout and media management services.Levira said the appointment would help with its planned expansion into other central and eastern European territories. Cocean previously worked at IPTV software provider Espial.“The central and eastern Europe is the key region for the continued expansion of Levira,” said Indrek Lepp, director of the division of media services. “Therefore we are delighted to welcome Gabriel to our sales team. I am confident that Gabriel’s experience will help us achieve our goals in the CEE area.”last_img read more

Channel 4 has announced plans to shut down its you

first_imgChannel 4 has announced plans to shut down its youth-skewing network E4 on May 7, the day of the UK general election, to encourage its viewers to “stop watching TV and get out and vote.”Channel 4 said that E4 will switch off its regular schedule, commercials and promos for the day, instead airing footage of “Darren – the guy in charge of making sure E4 is on” who will be seen manning the ‘on’ and ‘off’ switch in the channel’s fictional control room.“Less than half of under-25s voted at the last election so we’ve engaged the most powerful weapon that we have at our disposal to try and boost that number – switching off their favourite TV channel for the day,” said Channel 4’s chief marketing and communications officer, Dan Brooke.Channel 4 said the move marks the first time that a UK channel will shut down to encourage people to vote.last_img read more

TVN is set to debut Drone Racing League in Poland

first_imgTVN is set to debut Drone Racing League in Poland via its over-the-top streaming service player.pl.DRL races will be available to view via player.pl’s premium Player Plus pay-monthly offering.“Drone Racing League is a sport of the future. Complicated tracks and remarkable speed up to 160km/h, makes it the most extreme sport discipline in the world,” said TVN in a statement.The news comes as broadcaster interest in drone racing continues to grow. In September Drone Racing League raised a US$12 million funding round, which included participation from Sky, ProSiebenSat.1, MGM and A+E backer Hearst.Individuals that also invested in DRL included former MTG Digital chief Rikard Steiber, who is now an SVP at HTC’s VR division Vive, Machinima co-founder Allen Debevoise, and Matthew Bellamy, lead singer of the rock band Muse.last_img read more

Telefónica saw its TV base rise by 3 overall to 8

first_imgTelefónica saw its TV base rise by 3% overall to 8.8 million in the year to March, boosted by a 16% rise in its IPTV base and an additional 900,000 homes signing up for new OTT service Movistar Play in Latin America.In Spain, Telefónica grew its convergent customers base by 4% to 4.6 million, with 92% of the local TV base now signed up to convergent services, compared with 89% of broadband customer and 84% of mobile customers. Some 81% of customers now take the group’s TV service.Telefónica’s Spanish pay TV customer base grew by 4% year-on-year, with 12,000 customers added in March, taking the total to 4.05 million.In Brazil, the company’s IPTV base increased by 44% year-on-year, with 38,000 new connections in the quarter to March. The service is now available in 130 cities across the country.Telefónica Hispam Sur – covering the southern part of Spanish-speaking America – saw pay TV numbers rise by 8% to 2.2 million, boosted by strong growth in Peru and a launch in Argentina. Users of the new Movistar Play OTT service in this region grew to 511,000 following the launch of the service in Argentina in March.The Hispam Norte region, covering the northern Spanish-speaking countries, however, saw a fall in pay TV numbers of 3% year-on-year, hit by the crisis in Venezuela. The region had 967,000 pay TV customers at the end of the period.Telefónica overall turned in revenues of €11.98 billion for the quarter, up 3.8%. Operating income before depreciation and amortisation was €4.26 billion, up 10.3%.last_img read more

President Trump presented a broadbrush outline of

first_imgPresident Trump presented a broad-brush outline of how his administration hopes to stem the decades-long increase in prescription drug prices and spending, in a speech Friday in the Rose Garden of the White House.The administration also released a 39-page document describing a variety of proposals it is either considering or studying in an effort to lower costs to individuals, corporations, the government and the economy as a whole.There were few concrete actions taken today. The plan mostly lists dozens of “potential” steps the administration may take, along with many others that were included in the president’s budget proposal and will require congressional action. Several options are “requests for information.”Nevertheless, the president characterized the proposal as “the most sweeping action in history to lower the price of prescription drugs for the American people.””We will have tougher negotiations, more competition and much lower prices at the pharmacy counter and it will start to take effect very soon,” Trump said.The president was accompanied by Health and Human Services Secretary Alex Azar, who played a major role in developing the plan.Trump said he wants to eliminate “middlemen” in the drug industry — which includes pharmacy benefit managers and wholesalers — and he criticized industry lobbyists for making a fortune at the expense of taxpayers and patients.U.S. patients spent nearly $329 billion on prescription drugs in 2016, according to the National Health Expenditures Survey. That’s an increase of about $100 billion in the past 10 years.Many researchers say the biggest reason behind the rising spending is high prices for prescription drugs. Often, companies are rewarded for setting a high retail price because insurers negotiate discounts off that initial price.The blueprint released Friday reiterates proposals that were included in the White House budget proposal. Those include allowing Medicare’s prescription drug plans to slim down the number of drugs they pay for to spark price competition among pharmaceutical companies, and capping how much money Medicare patients themselves can spend on drugs each year.”On the positive side, I will say that HHS does seem to be paying close attention to this issue, given all the issues they bring up in the blueprint document,” says Walid Gellad, director of the Center for Pharmaceutical Policy and Prescribing at the University of Pittsburgh.”On the negative side, it’s a bunch of questions, not a specific plan for how to proceed.”Azar, in a briefing following the Rose Garden speech, acknowledged the plan is sweeping and would take years to implement. He said the administration will pursue those ideas it can get done.”This is a major restructuring of a huge portion of the U.S. economy. One doesn’t do that lightly,” he said.The plan, like the budget, also proposes limiting price increases Medicare would pay to the rate of inflation and changing some rules around generic drug approvals to prevent companies from blocking new generic competition.Many of those ideas would require legislation and congressional approval.Azar, in his briefing, emphasized his desire to change the way pharmacy benefit managers operate — specifically a system where they negotiate rebates off high drug prices.”We are calling into question today the entire structure of using rebates in the pharmacy channel,” he said.The president also wants to take steps to ensure foreign governments don’t get lower prices for drugs than do U.S. taxpayers – which he referred to as “global freeloading.””It’s unfair, it’s ridiculous, and it’s not going to happen any longer,” he said.Critics say that proposal is unlikely to help lower prices here in the U.S.”Lifesaving medicines aren’t more expensive here because they cost less elsewhere,” Jason Cone, executive director of Doctors Without Borders USA, wrote in an article published in The Hill. “They’re priced out of reach everywhere because pharmaceutical corporations are charging exorbitant prices simply because they can—and the U.S. government lets them.”One thing Trump did not propose was allowing Medicare, the government health care program for the elderly, to directly negotiate lower drug prices for its beneficiaries. That’s a change from his rhetoric during his campaign and transition.”We’re the largest buyer of drugs in the world and yet we don’t bid properly,” he said at a news conference in early January 2017. “We’re going to start bidding and we’re going to save billions of dollars over a period of time.”But shortly after Trump moved into the Oval Office he wavered on that commitment, first saying that he didn’t want Medicare to engage in what he called “price fixing” and then, through his former spokesman Sean Spicer, saying once again he favored allowing the federal government program to deal with drugmakers to get lower prices.Medicare accounts for about one-third of U.S. prescription drug spending. Current U.S. law prohibits Medicare officials from interfering in the negotiations between drugmakers and the insurance companies that administer Medicare’s prescription drug plans.The only government report that looks at the issue is a 2007 Congressional Budget Office study that concluded it would have a “negligible effect” on prices.But Gellad says that report was limited, because it looked only at the effect if Medicare were not allowed to exclude drugs from its coverage list.”There is no evidence that allowing Medicare to negotiate doesn’t help,” says Gellad. “In fact, the CBO said that in certain circumstances, with the right formulary, this type of negotiation could help.” Copyright 2018 NPR. To see more, visit http://www.npr.org/.last_img read more

Theres new evidence that a womans levels of fema

first_imgThere’s new evidence that a woman’s levels of female sex hormones, including estrogen and progesterone, can influence her risk of Alzheimer’s and other forms of dementia.Women are less likely to develop dementia later in life if they begin to menstruate earlier, go through menopause later, and have more than one child, researchers reported Monday at the Alzheimer’s Association International Conference in Chicago.And recent studies offer hints that hormone replacement therapy, which fell out of favor more than a decade ago, might offer a way to protect a woman’s brain if it is given at the right time, the researchers said.The findings could help explain why women make up nearly two-thirds of people in the U.S. with Alzheimer’s, says Maria Carrillo, the association’s chief scientific officer.”It isn’t just that women are living longer,” Carrillo says. “There is some biological underpinning. And because of the large numbers of women that are affected, it is important to find out [what it is].”Scientists have long suspected that sex hormones such as estrogen and progesterone play a role in Alzheimer’s. And two studies on dementia and what occurs during a women’s reproductive years support that idea.One of the studies looked at nearly 15,000 women in California. And it found an association between a woman’s reproductive history and her risk of memory problems later in life.The risk of dementia for women who had three or more children was 12 percent lower than the risk for women who had one child, according to Paola Gilsanz of Kaiser Permanente Northern California Division of Research, and Rachel Whitmer of the University of California, Davis.Also, women who began to menstruate earlier and went through menopause later were less likely to develop dementia. Menopause at age 45 or younger seemed to increase the risk by 28 percent.Another study of 133 elderly women in the U.K. found that the more months of pregnancy they experienced during their lives, the lower their risk of developing Alzheimer’s.The findings all suggest that female sex hormones — which rise at puberty and during pregnancy, then fall at menopause — are somehow affecting a woman’s risk of developing Alzheimer’s and other forms of dementia. The results also suggest that greater exposure to these hormones, through more pregnancies or more reproductive years, can reduce a woman’s risk.But it’s still not clear whether the mere presence of female sex hormones is a reason that the frequency of Alzheimer’s is greater in women than in men.One possibility is that it’s not female sex hormones on their own, but rapid changes in their levels that are a problem, says Pauline Maki, a professor of psychiatry and psychology at the University of Illinois at Chicago, who presented research at the Alzheimer’s conference.”Women experience these very dramatic hormonal transitions that in the long run can give rise to Alzheimer’s disease,” she says.One way for women to minimize the dramatic hormonal changes that occur at menopause is to use hormone replacement therapy.That approach fell out of favor more than a decade ago when a large study found that women who took estrogen plus progestin after menopause were actually more likely to get some form of dementia. They also appeared to have a higher risk of heart disease and breast cancer.But Maki says more recent studies suggest that hormone therapy — especially estrogen alone — really can be helpful if women get it at the right time.”The effects of hormone therapy depend on the timing of use,” Maki says. “Use later in life is detrimental, whereas use early in the menopausal transition could be beneficial.”An analysis presented at the Alzheimer’s conference supports that idea.It found that in two recent studies, women who started taking estrogen after age 65 were more likely to have trouble with thinking and memory. But women who started taking estrogen between 50 and 54 were not.And estrogen may benefit the mental function of younger women because it reduces the hot flashes associated with menopause, Maki says.”The more hot flashes a woman has, the worse her memory performance,” Maki says, citing her own research. “And when we intervene to address those hot flashes, her memory performance bounces back.”Findings like that are renewing interest in the idea that someday, it may be possible to use hormones around the time of menopause to prevent Alzheimer’s and other forms of dementia later on, Maki says.In the meantime, there’s evidence that hormonal differences between men and women may affect their brains in ways that affect doctors’ ability to accurately diagnose Alzheimer’s, Maki says.At the Alzheimer’s conference, she presented research showing that women tend to have higher verbal memory skills than men, even when they are in the early stages of Alzheimer’s. As a result, women are likely to be diagnosed with the disease later than men.It’s unclear whether male hormones, such as testosterone, affect a man’s risk of Alzheimer’s.Copyright 2018 NPR. To see more, visit http://www.npr.org/.last_img read more

Part 4 of the TED Radio Hour episode Changing The

first_imgPart 4 of the TED Radio Hour episode Changing The World.About Sarah Corbett’s TED TalkSarah Corbett describes herself as an extreme introvert — but she’s also an activist. She discusses how alternate forms of activism allow people like her to participate in quietly powerful ways.About Sarah CorbettSarah Corbett is the founder of Craftivist Collective, a group committed to using crafted works to reflect on the world and bring about change. In 2008, she burned out as an activist and introvert and wanted to find an effective way of campaigning that fitted her skills, ethics, and personality. She set up the Craftivist Collective social enterprise in 2009.”Craftivism” takes on many forms. For Corbett, this includes making something by hand to meditate on what it means to be a global citizen, making gifts for people in power as a way to build relationships, creating small provocative pieces of street art, and more. Copyright 2019 NPR. To see more, visit https://www.npr.org.last_img read more