Q&A On COVID-19 With Dr. Justin Green At LAMC

first_imgDr. Justin Green in his office at Los Alamos Medical Center just prior to pandemic. Photo by Carol A. Clark/ladailypost.comBy CAROL A. CLARKLos Alamos Daily Postcaclark@ladailypost.comJustin L. Green MD, PhD, MBA, FACS is a hometown boy who following his 1980 graduation from Los Alamos High School, left town to study, practice medicine and serve in the United States military.After operating a private practice in Rapid City, S.D., and serving as chief of trauma surgery, emergency surgery and critical care at the University of Kansas Medical Center, Dr. Green has moved back to Los Alamos.“There’s nothing like being home,” Dr. Green said. “I love it here … I really missed it … it hasn’t changed much at all.”During his high school years, Dr. Green served as an ER and operating room orderly at Los Alamos Medical Center. There he came to know and admire longtime surgeon Michael Jackson. He explained that it was during that time that he felt the calling to become a surgeon.Now a Board Certified General/Critical Care Surgeon specializing in General/Thoracic Surgery, Surgical Oncology and Critical Care Surgery, Dr. Green joined the Los Alamos Surgical Associates team a few months ago at LAMC. He practices all aspects of acute care surgery with particular interests in trauma surgery and critical care. His research interests include the biochemistry of primary and secondary metabolic processes in critical illness, as well as complex coagulopathies in trauma and critical illness. This week, the Los Alamos Daily Post presented Dr. Green with a series of COVID-19 related questions submitted mostly by readers. He answered the questions with the understanding that the answers are solely his opinion or judgment and may not necessarily reflect the position of LAMC, Life Point Health or any governmental public health agency:Q & APost: How is the COVID-19 pandemic affecting normal hospital operations at LAMC?Dr. Green: LAMC has implemented a rigorous screening process, limited visitors, and provided personal protective equipment (PPE) to staff and patients. Elective surgical cases and routine clinic visits have been severely limited. Training of all staff has increased significantly, and physical isolation barriers have been constructed throughout the facility. Each of these measures, while essential to protecting the health of patients and staff, has had an impact on the hospital operationally and financially.Post: How many people has LAMC tested for COVID-19?Dr. Green: Readers are referred to www.nmhealth.org which will show testing data and results in real time. Post: How many of them have tested positive?Dr. Green: There have been 6 persons in Los Alamos County who have tested positive for COVID-19.Post: Can LAMC test for antibodies? Dr. Green: No. There are reference laboratories in Santa Fe and Albuquerque who are conducting antibody testing. I would caution readers that all antibody tests are not equivalent in terms of usefulness, i.e. sensitivity and specificity. Highly sensitive tests should capture all true positive results, while a highly specific test should exclude all true negative results. Only tests with sensitivity and specificity of greater than 95% should be accepted as providing a useful result. Readers should also be aware that, although preliminary data is encouraging with regard to the virus provoking neutralizing antibodies (antibodies capable of providing humoral immunity), rigorous trials will be required to ensure that neutralizing antibodies are produced, that they are produced in adequate numbers to confer some degree of immunity and that they remain active for a reasonable period of time.Post: How many patients have been treated at LAMC for COVID-19 since the pandemic began (since March)?Dr. Green: LAMC has treated numerous patients with flu-like symptoms, some of whom did have or likely had COVID-19, since March.Post: How many patients at this time are being treated for COVID-19 at LAMC?Dr. Green: There are currently no patients with COVID-19 at LAMC.Post: Have any patients at LAMC died from COVID-19?Dr. Green: There have been no recorded deaths in Los Alamos County due to COVID-19Post: How many beds does LAMC have?Dr. Green: Forty-sevenPost: How many of those beds are already occupied?Dr. Green: Hospital census changes in real time, from day to day. Post: How many ICU beds does LAMC have?Dr. Green: FourPost: How many of those beds are already occupied?Dr. Green: ICU census changes in real time, from day to day. Post: What plan does LAMC have to expand capacity if it becomes necessary?Dr. Green: LAMC has a comprehensive operational plan to expand inpatient capacity to treat patients affected by COVID-19, or by any other large scale medical disaster.Post: What will happen if LAMC gets a sudden surge of patients who need transport to Albuquerque? Dr. Green: Under the direction of the State Department of Health, all hospitals within the state of New Mexico have been assigned to operational regions for the purposes of care and coordination during the COVID-19 pandemic. Decisions regarding transfer and transport of COVID-19 patients are made through a single coordinating office within the Department of Health.Post: What should a member of the community do if they believe they have COVID-19?Dr. Green: Anyone who believes they are suffering from COVID-19 or have had a significant exposure to a person known to have COVID-19 should contact their primary care physician for directions regarding testing, treatment and quarantine requirements. Patients without a primary care physician may call the LAMC Emergency Department (1-505-662-4201) or the hotline at the New Mexico Department of Health (1-855-600-3453). Excellent online resources are also available regarding COVID-19 in New Mexico at the State Department of Health website (nmhealth.org).Post: Why are the COVID-19 positive cases so low in Los Alamos (NMDOH has listed the same 6 cases every day since April 14)?Dr. Green: The incidence of COVID-19 in disparate geographic regions, including Los Alamos County, is a complex and multifactorial paradigm for which many components remain unclear. It is my personal opinion that the willingness of citizens in Los Alamos County to follow the CDC/NIH/Department of Health guidelines for social distancing, wearing of face masks, self-quarantine and enhanced hygiene has significantly contributed to the lack of community spread.Post: Is LAMC allowing elective surgeries again?Dr. Green: In accordance with the direction of the State Department of Health, elective surgeries are now being accomplished at LAMC. Significant restrictions are still in place to optimize patient care and safety.Post: How is the pandemic effecting the OB/GYN Department at LAMC?Dr. Green: The Ob/gyn Department is operating under the same constraints as the rest of the hospital. Post: How many babies have been born at LAMC during the pandemic (since March)?Dr. Green: SevenPost: Does LAMC have adequate PPE?Dr. Green: YesPost: How many ventilators does LAMC have?Dr. Green: FourPost: How many staff members does LAMC have available to care for COVID-19 patients?Dr. Green: All staff, in all occupational specialties, have undergone extensive training that allows them to safely and effectively care for COVID-19 patients. Post: There are conflicting opinions about safety measures to protect against COVID-19 – do you think masks and gloves are important for the public to wear?Dr. Green: There is reasonable evidence that demonstrates the wearing of face masks significantly decreases the transmission of the virus through respiratory droplets. Wearing a face mask not only decreases the risk of a person contracting the virus, it also decreases the risk of an infected person unknowingly transmitting the virus to others. The evidence for wearing gloves is less robust. It certainly does not hurt but frequent and vigorous hand hygiene by a 20-second soap and water wash or an alcohol-based hand sanitizer is quite effective in killing the virus on a person’s hands. Whether a person wears gloves or frequently sanitizes their hands, it is equally important to avoid touching one’s face, as that is a likely portal of infection for the virus.Post: Do you think it is too early to make concrete assertions about COVID-19?Dr. Green: Absolutely. The scientific and medical community has made unprecedented progress in the months since the first COVID-19 infection occurred. That being said, there still remains an enormous amount of work that must be done before a good understanding of the biology and the pathophysiology of the virus is completely understood.Post: Can you recommend any home remedies or supplements that can help people strengthen their immune system to fight the virus?Dr. Green: There are currently no homeopathic/naturopathic remedies or supplements that have been demonstrated to augment the immune system in peer reviewed, randomized/controlled clinical trials. It is clear, however, that patients who are malnourished or unhealthy due to other medical comorbidities fare much worse than otherwise healthy individuals. Maintaining a healthy lifestyle with an adequate intake of vitamins, minerals and foods is essential to improving the body’s physiology and immune response to any disease process.Post: Is it true that sunshine and fresh air help?Dr. Green: To a limited extent. It has been demonstrated in rigorous studies that the COVID-19 virus is killed by a particular spectrum of ultraviolet light (UV-C). Unfortunately, the high energy UV-C wavelength is the smallest component of the total ultraviolet composition of sunlight. It is the wavelength that is most filtered out by the ozone layer in the upper atmosphere. Sunlight will eventually kill the COVID-19 virus on a variety of surfaces, but it is not practical to rely on decontamination of body surfaces by sunlight. Readers should also be strongly discouraged from using UV light sources for decontamination. In order to be effective, the source must produce UV light at the required wavelength and for the required duration of time. Such a device should absolutely not be utilized on the body, as it will cause severe skin damage and potentially blindness.Post: What is the biggest challenge you have encountered on the job during this pandemic?Dr. Green: For me, the greatest challenge was not being able to provide routine medical and surgical care to the community. While it was absolutely necessary to decrease routine care and procedures to safeguard our vulnerable populations and maintain a capacity to care for those afflicted by COVID-19, I very much missed seeing my patients and caring for them day to day.Post: Have you witnessed acts of heroism among staff at LAMC?Dr. Green: Every day, I see acts of selfless dedication and heroism from staff in all disciplines at LAMC.  From the facilities crew who built the isolation system for the ICU to the nurses/doctors and allied health providers who provide daily care to any patient, regardless of whether or not they are infected, every person at LAMC has put the health and safety of the community above their own. The community should be incredibly proud of these fine folks.Post: What does LAMC need from the community?Dr. Green: The administration, medical staff and operational staff of LAMC are grateful to the community for its ongoing support and generous donations of PPE. We are also grateful to the many citizens of Los Alamos who have provided ideas for dealing with the pandemic. At this point, the continued support of the community is our most pressing need. I am also hopeful that the community will continue to acknowledge and follow the public health guidelines to continue social distancing, wearing a face mask in public and practicing meticulous hand hygiene as these are proven and highly effective measures to mitigate the spread of COVID-19 in our community.Post: Is there anything else you would like the community to know?Dr. Green: Despite the misery and death caused by the COVID-19 pandemic, I believe that we are truly fortunate to have the best and the brightest minds in science and medicine working diligently toward an understanding of the virus and ways to mitigate its effect on humans. The contributions of American scientists and physicians, such as those at Los Alamos National Laboratory, cannot be overstated. While an enormous amount of work remains to be done, and we are far from seeing the end of the misery and death worldwide, I think there is significant cause for optimism: We know that simple measures such as social distancing, meticulous hygiene, quarantine/contact tracing and face masks significantly decrease the risk of illness. We are also seeing broad strides in vaccine development and the care of patients stricken with COVID-19. This pandemic, tragic as it has been, has also provided a hard and introspective analysis of how the United States and other countries must increase preparedness, improve public health, improve population health, decrease healthcare disparities and bolster disease awareness. It is my belief that we will, in time, control the COVID-19 pandemic. The challenge going forward will be to take the ‘lessons learned’ from it to heart so that the next organism that jumps from animals to humans – and there will definitely be a ‘next’ – can be met with a robust and effective response to lessen the overall toll of human suffering.About Dr. GreenDr. Green received a bachelor’s degree in microbiology/biochemistry as well as a master’s degree in biochemical toxicology from Texas A&M University in 1984. He also completed a Master of Business Administration at the University of North Dakota in 1987. He completed a combined MD/PhD degree in biochemistry from the University of Kansas in 1994. Dr. Green completed a residency in general surgery at the University of Kansas Medical Center in 1999. He completed a fellowship in Surgical Critical Care at Children’s Mercy Hospital in 2016. He is Board certified by the American Board of Surgery in General Surgery and Surgical Critical Care. He also is a Diplomate of the American Board of Medical Examiners and a Fellow of the American College of Surgeons.Dr. Green can be reached at Los Alamos Surgical Associates, justin.green@lpnt.net.last_img read more

Letters to the Editor for Saturday, Feb. 9

first_imgTrump says he must have a wall, not called by any other name, except that he said it could be a barrier or a fence.He said he might close the government again if he didn’t get wall funding, but then he said the wall is being built right now. A wall is being built right now? By our soldiers? Then why did he shut down the government?Figures suggest it cost our economy, not even thinking of the hardships endured by furloughed workers, from $3 billion to $11 billion. Even if it was the lesser figure, that is too much.A secure border isn’t the issue here. Everyone agrees that we need that. The issue is the word “wall,” the item promised on the campaign trail which must be fulfilled so that people will vote again for Trump. Have we taxpayers just added $3 billion worth of votes to Trump’s campaign fund with his shut-down? And if Trump decides to shut down the government again, I want all the workers to go to their representatives for food and support.No more going to their kind neighbors and churches. No more Americans taking care of their own.  Categories: Letters to the Editor, OpinionNew York has lost all of its human decencyAt church on Sunday, our pastor described the grim reality of Gov. Andrew Cuomo’s Reproductive Health Act.He explained that a baby only moments from birth can be killed and those babies lucky enough to survive can be left to die.I looked at my 8-year-old daughter who until now was coloring in the pew. She looked up with tears streaming down her face.“What are we going to do?” she asked. “I don’t want this to happen.”My 8-year-old knows this abortion expansion law is immoral.She feels empathy for the babies who will suffer and die because of this legislation. A smart man with no political experience would have selected the most reputable, experienced and honorable people possible. But instead he searched the swamp for the likes of Manafort, Flynn, Pruit, Zinke, Bannon, Conway and his family, just to name a few. The results have been disastrous in every way possible. I pray that we don’t get stuck with him for another four years. We deserve better. He’s definitely a pimple on the path of progress.Jane ReisengerSchenectady Regret decision to vote for murderersDid you vote for a murderer? I’m ashamed to say, but I did when I cast my vote in the last election.Bill A00021, also known as the Reproductive Health Act (RHA), was signed into New York law on Jan. 22, thereby allowing third-trimester abortions for any reason, and making it legal for a baby, miraculously surviving a late-term abortion, to be denied medical care, suffer and die.Phil Steck, Angelo Santabarbara and Carrie Woerner, I don’t want to be part of your murderous agenda. I don’t want to be an accomplice in your cowardly attempts to retain your status and standing as an “Assemblyman or woman,” a member of the go-along-to-get-along crowd, in order to maintain your self-centered, love-the-power, love-the -spotlight charade.But you made me a part of this when you ran for election and hid behind a facade of garbage. And I voted for you. I believed you, your earnest messages of morality, “concern for all” and “I will work for you” lies.You pulled the rug out from under those of us who believed in the steaming piles of false pretenses you shoveled in your electoral barns by declaring you were moral, upstanding citizens. Nothing could be further from the truth when you fast-tracked this awful, awful bill. I don’t want to be a part of this, but my vote for you makes me a murderer by default, and I don’t know how I’m going to live with that.Laurie CoxNiskayuna No, go to the people who are not willing to fight for them. Go to the politicians who are playing with people’s lives. Janice WalzScotia Wall opposition not same as open bordersI am responding to James Homan’s Feb. 3 letter, accusing those who don’t support a border wall of being in favor of an open border.  How ridiculous.The most recent Democratic proposal includes $22 billion for border security. This money would be for new agents; scanners, sensors and other technological solutions; and new boats and planes.It also includes $500 million for food and medical care. And all this is at a time when border crossings or attempted border crossings by undocumented people are at historic lows.Above all, we must remember that applying for asylum at a port of entry is entirely legal. Those applying are not “illegals.” We can’t handle four more years of TrumpAnother presidential campaign is looming on the horizon and it’s not a happy thought. We are still remembering what a fiasco, actually more like a circus, occurred in 2016. The clown-in-chief, wearing his foolish cap, and clapping for himself night after night.I don’t recall any original or brilliant ideas for the betterment of the country being introduced.His agenda was primarily locking up Hillary, building a wall that Mexico would pay for and dismantling the accomplishments of Obama.Thanks to some help from his Russian friends, he became our leader.  His agenda has not changed. If anything, it has gone from bad to worse. So far, no Republican has been gutsy enough to come forward to challenge him in 2020. This is another not so happy thought.center_img Trump wall not worth another shutdownI’ve listened to President Trump’s recent speeches and read articles in the paper, and I’m confused. A far better and cheaper solution would be for the government to enforce the e-Verify program, where employers are responsible for verifying that people they hire have legal permission to work in the United States. We also need to relieve the backlog in the immigration courts.And finally, we must remember that the majority of those in the United States without proper documentation actually entered legally. For the most part, they are people who have overstayed their visas.Faith DonovanNiskayuna Grateful to kindness after DeMasi deathI would like to thank the many people who showed us kindness and compassion at the passing of my brother, Frank DeMasi, who died so unexpectedly in January.The news stories, the concern from co-workers and students and parents, and the love from members of Frank’s church and neighbors brought much comfort during a horrible time in our lives.Thank you so much. May God’s best be yours.Jackie DeMasi AllardSaint Joseph, Mich. But our Democratic law makers are celebrating, gallivanting around in their fuchsia pink outfits.Have we lost all human decency? Have we become so wedded to our political party that we only care about winning at all costs, even if it means destroying the most innocent and precious of living beings — a human baby?Do we not care about our doctors and nurses who now shoulder the burden of committing murder for fear of losing their jobs? Gov. Cuomo once said if you are pro-life, you are not welcome to live in the state of New York. He is a man of his word.He has made New York the abortion capital of the world with no conscience, with no caring about the suffering of innocent victims — a sweet baby and her mother who will have nothing but regret and a broken heart. Jennifer RichardBurnt Hills No quick fix for bad government officialsI truly believe I have heard enough misguided statements coming from our government officials.Gov. Andrew Cuomo wants to give financial aid to undocumented immigrants. He also wants to give them driver’s licenses, thus giving them a New York address and solving the mass exodus issue. He wants us to believe that the exodus is the result of our cold winters. Oh, please.Yet let us not look so far and take a close look at our very own Schenectady council. Quite some time ago, this paper ran an article regarding the up-and-coming demolition of the Olinder building on State Street. As I read it, I could not help but think that somebody was throwing a large loop and would end up with the whole corner lot. And so it is, the new building has a footprint that covers the old  Nicholaus Building.Maybe I have a different perspective than most, but I find it very hard to believe that our state and local governments feel they can back-door deal and toss their power around, and we’ll just sit back and take it. I, for one, can see no quick fix for the state of our disrepair. But as for me, the fix is simple. Hello, Montana.Andrew GreinerGlenville More from The Daily Gazette:HIGH NOTES: PPEs, fighting hunger, backpacks and supplies for kidsEDITORIAL: No chickens in city without strong regsEDITORIAL: Urgent: Today is the last day to complete the censusEDITORIAL: Thruway tax unfair to working motoristsFoss: Schenectady homeless assistance program Street Soldiers dealing with surge in needlast_img read more

Time To Prep For The Number One Summer Party

first_imgEating EssentialsHalsey Farm StandHalsey Farm StandWhat could be more patriotic than buying your vegetables from a family farm that pre-dates the Revolution? The Halsey family have maintained a farm since 1747. Declare your dependence on their farm stand for your fruit and vegetables. www.halseyfarm.comClamman Seafood MarketClammanThe tradition of a Hamptons Clambake on the beach may feel under siege, but Southampton’s the Clamman sources the best seafood and shellfish to make any party go swimmingly. www.clamman.comPeconic Prime MeatsNext door to the Clamman and making your July 4th food shopping a one-stop shop, come and see the high-quality fare put together by the team of passionate butchers. Contact them on Facebook.Round Swamp FarmRound Swamp FarmRound Swamp Farm is the East End’s go-to spot for fresh baked goods and farm quality market food. Visit the Bridgehampton location, or East Hampton store that started it all. www.roundswampfarm.comEast End BeveragesOld Whalers Style Sag Harbor RumOld Whalers Style Sag Harbor RumMake “The Montauk to Manhattan” — mix over ice 2.5 oz Sag Harbor Rum, half-ounce sweet vermouth, and two dashes of orange bitters. www.sagharborrum.comLiV VodkaLiV VodkaMix an authentic Long Island Iced Tea with Long Island Vodka using LiV Vodka from the first distillery on the North Fork of Long Island since the 1800s. www.lispirits.comPine Barrens Barrel Reserve Botanical Dry Gin NVIt’s a quintessentially Hamptons gin and tonic using triple-distilled locally grown potatoes as a base. The gin is then finished in oak barrels to add flavors of tangerine, lemon meringue, caramel, and nutmeg. www.newyorkcraftspirits.comRough Rider BourbonRough Rider BourbonA Hamptons-style old fashioned with 114 proof Rough Rider Bourbon — The Happy Warrior. A high-rye straight bourbon finished in French oak ex-brandy casks. www.lispirits.comLet There Be FireworksSouthampton Fresh Air Home’s American Picnic with fireworks by Grucci will be held on Friday, July 5, from 5 to 7 PM. www.sfah.orgSag Harbor’s John A. Ward Independence Day Fireworks display will be on Saturday, July 6, starting at 9:30 PM. www.sagharboryc.comMontauk Stars over MontaukMontauk’s “Stars over Montauk” display will light up the skies on July 4, (with a rain date of July 5) at 9 PM, with fireworks launched from Umbrella beach and visible all around. www.montaukchamber.comShelter Island’s 62nd Annual fireworksShelter Island’s 62nd Annual fireworks display will be held on Saturday, July 13, at 9 PM, with a rain date of the following day. www.shelterislandfireworks.com Sharelast_img read more

Transcendental mediation

first_imgSubscribe now for unlimited access Get your free guest access  SIGN UP TODAY To continue enjoying Building.co.uk, sign up for free guest accessExisting subscriber? LOGIN Subscribe to Building today and you will benefit from:Unlimited access to all stories including expert analysis and comment from industry leadersOur league tables, cost models and economics dataOur online archive of over 10,000 articlesBuilding magazine digital editionsBuilding magazine print editionsPrinted/digital supplementsSubscribe now for unlimited access.View our subscription options and join our community Stay at the forefront of thought leadership with news and analysis from award-winning journalists. Enjoy company features, CEO interviews, architectural reviews, technical project know-how and the latest innovations.Limited access to building.co.ukBreaking industry news as it happensBreaking, daily and weekly e-newsletterslast_img read more

Wonders & blunders

first_imgGet your free guest access  SIGN UP TODAY Stay at the forefront of thought leadership with news and analysis from award-winning journalists. Enjoy company features, CEO interviews, architectural reviews, technical project know-how and the latest innovations.Limited access to building.co.ukBreaking industry news as it happensBreaking, daily and weekly e-newsletters Subscribe now for unlimited access To continue enjoying Building.co.uk, sign up for free guest accessExisting subscriber? LOGIN Subscribe to Building today and you will benefit from:Unlimited access to all stories including expert analysis and comment from industry leadersOur league tables, cost models and economics dataOur online archive of over 10,000 articlesBuilding magazine digital editionsBuilding magazine print editionsPrinted/digital supplementsSubscribe now for unlimited access.View our subscription options and join our communitylast_img read more

Brace! Brace!

first_imgTo continue enjoying Building.co.uk, sign up for free guest accessExisting subscriber? LOGIN Stay at the forefront of thought leadership with news and analysis from award-winning journalists. Enjoy company features, CEO interviews, architectural reviews, technical project know-how and the latest innovations.Limited access to building.co.ukBreaking industry news as it happensBreaking, daily and weekly e-newsletters Subscribe now for unlimited access Get your free guest access  SIGN UP TODAY Subscribe to Building today and you will benefit from:Unlimited access to all stories including expert analysis and comment from industry leadersOur league tables, cost models and economics dataOur online archive of over 10,000 articlesBuilding magazine digital editionsBuilding magazine print editionsPrinted/digital supplementsSubscribe now for unlimited access.View our subscription options and join our communitylast_img read more

ShoreTension promotes safer mooring

first_imgAccording to Martijn Breuer, managing director at ShoreTension, the system significantly reduces movement caused by strong winds, currents, swell or passing ships. When using traditional mooring lines movement is always present, he highlighted. “In extreme conditions, the tremendous pressure this exerts on the ship can cause the mooring lines to snap with potentially serious consequences … The ShoreTension system mitigates this risk significantly. Ships are moored to the quay much sturdier and therefore much safer.”In actionThe cylindrical ShoreTension system exerts a constant pressure to the ship’s mooring lines, which are fastened to bollards on the quay. “This requires no electricity except for an external hydraulic system that only needs to be used once to get the system at the correct tension. After that, the cylinder of the ShoreTension hydraulically moves along with the forces that the mooring line is exposed to,” Breuer explained. “The ShoreTension provides a high tension and pays out the line, coping with the peak loads without exceeding the minimum breaking load (MBL) of the line,” he continued. “By doing this, the system dampens the ship’s motion and absorbs the energy of the ship. When the peak loads are over, the ShoreTension heaves in the line with the energy stored and returns to its initial position.”For additional security, the ShoreTension is used in combination with a high-quality mooring line made of HMPE, a super-strong synthetic fibre developed by DSM Dyneema. Moreover, the system is carbon neutral, as is does not require an external energy source.Breuer highlighted that the systems allows terminals to operate more efficiently; ships are moored alongside the quay with greater stability, promoting unhindered operations and reducing the risk of damage during the loading and discharge of cargoes.The ShoreTension system has already been used on ultra large container vessels, bulk carriers, tankers, cruise ships and many heavy transport operations.  www.shoretension.comlast_img read more

Makkah – Madinah tenders sought

first_imgDOMESTIC AND international companies have been invited to submit tenders for construction of Saudi Arabia’s planned Western Railway linking Makkah, Jeddah and Madinah.The call for tenders by Saudi Railways Organisation marks a further step in the expansion of the kingdom’s rail network. The 444 km passenger line is expected to play a key role in moving millions of pilgrims who visit the two holy cities each year (RG 8.06 p447). Unlike the Saudi Landbridge between Jeddah and Riyadh, which is to be built and operated by the private sector under a BOT concession, construction of the Western Railway will be managed directly by SRO.The authorities in Makkah are also examining the feasibility of a light rail network to connect the station with the city’s holy sites including the Grand Mosque, Mina and Arafah.last_img read more

#CNWTalkUp: Should Florida Go into Another Lockdown?

first_imgHeather Douglas – We’ve been in this new “reality” called COVID-19 since early this year in the U.S. What is the plan to get this pandemic under control? “If you fail to plan then you plan to fail.” I believe that is what we, here in Florida, have been guilty of. The positive cases in this state are now hovering at approximately 10,000 daily. If we shut the state down again, how will we eat, pay our bills, and will we receive a monthly stimulus check as other countries, namely Canada, Australia, Denmark et al? If we do not shut down, are we willing to put our lives and our family’s lives at risk? Are we willing to accept a death toll of over 500,000 or more? I am happy that this life-changing decision is not mine to make. However, let us not forget that God has also given us the solution: 2 Chronicles 7:14! The Louisiana governor announced a 3-day fast…a very wise governor indeed. Selah. Mikhail Rose – Personally, I believe that Florida should issue a mandatory stay-at-home order to decrease the spread of COVID-19. Numbers went down with the initial lockdown and the younger population has shown the inability to properly follow social distancing and other guidelines. Judith Phillpotts – Yes. I think the state needs to lock down again and soon. It’s the only way we can get the spike in COVID-19 under control. Florida’s governor needs to act decisively, lead by example proactively and firmly in a similar manner to what Gov. Andrew Cuomo did in New York. Dorette B Shirley – With the current number of people that are affected with COVID-19 daily, it would be wise to shut the state down. One mayor in one city publicly said it was safe to open his city, which his city has been increasing in cases daily. It’s going to cost in dollars but it will save lives. Lauretta Deas – With the cases of COVID rising as they are, going into another lockdown until we have this virus under control would not be such a bad idea! Luke Ballentine – The decision to lock down or not to lock down is a very simple one. If people refuse to follow basic guidelines to keep themselves safe then one has no other option than to once again go into lockdown mode. Surely this will mean renewed hardships of immense proportion. However, everyone will agree that nationwide chronic illness and death is even more devastating. Healthcare workers work at a walk-up COVID-19 testing site during the coronavirus pandemic, Friday, July 17, 2020, in Miami Beach, Florida. (AP Photo/Lynne Sladky) City leaders, like Palm Beach County’s Mayor Dave Kerner, are not ruling out a complete lockdown as cases continue to rise. And while some residents may be in support of a lockdown, others are fearing the measure because of the work and travel restrictions. For last week’s edition CNW Talk Up, we asked some florida residents if they think the state go into another lockdown based on the rising coronavirus cases? In the last month, Florida’s coronavirus cases have skyrocketed to crisis levels. On July 12, the state topped the national one-day COVID-19 record with over 15,000 cases, and just last week Thursday, 173 coronavirus-related deaths were reported, breaking the state’s record for the highest single-day death toll. Paula S. Scott – I believe the state of Florida (and the entire USA) should be on lockdown. Local leaders should enforce masks, social distancing, and curfews. It’s understandable that business owners and employees need to be working. Yes, it’s hard with school grounds being closed. However, we must take measures to slow down the spread of this virus. The economy needs to be revitalized, but we cannot keep putting money over lives. We need to be in unison to recover from this pandemic. Stop the spread.last_img read more

T&T gov’t ends free text book programme

first_img 102 Views   no discussions NewsPoliticsRegional T&T gov’t ends free text book programme by: Caribbean Media Corporation – December 29, 2015 Tweet Share Trinidad and Tobago’s Education Minister Anthony GarciaPORT OF SPAIN, Trinidad (CMC) – Education Minister Anthony Garcia says the government will be suspending the distribution of free textbooks to the majority of students in an effort to cut costs.Garcia, who made the announcement during a radio interview on Monday, said the government will save TT$119 million (One TT dollar =US$0.16 cents) by cutting back on this provision.According to Garcia, the decision was made by Cabinet, following an ongoing series of fiscal adjustments since the presentation of the 2015/2016 budget in October.Garcia, who admitted that the decision was made based on Government’s financial position, said the total cost to provide books prior to the decision for the most recent school year would have been TT$138 million.After the Cabinet’s decision, the new cost for school books is TT$19 million.In the current system, students are given use of books for the school year, which they must return. The ministry then replenishes the stock of books as some are lost or damaged.This system applied to books from primary school to Form 6.This year, only ten per cent of the books will be replenished for students in form one and primary school infants.However, the replacement of special education resources will continue to be fully funded by Government.Responding to the announcement, president of the National Parent Teacher Association (NPTA) Zena Ramatali said the education minister needed to give more details on the matter.Ramatali also raised concerns about students from low socio-economic backgrounds.“The well-to-do parents could go purchase books but the people who will be most affected are those from the lower socio-economic backgrounds. We hope the ministry could reconsider. The ones that stand to lose are the children from low socio-economic backgrounds who already attend low-performing schools,’ the NPTA President said.The suspension of the programme follows a recent announcement by former Central Bank Governor Jwala Rambarran that the country was in a recession.center_img Share Sharing is caring! Sharelast_img read more