New Delhi: The National Company Law Appellate Tribunal Monday gave a conditional go-ahead to a Rs 42,000 crore offer by world’s largest steelmaker ArcelorMittal to buy Essar Steel, taking the billionaire Lakshmi Mittal closer to his dream of opening a shop in his home country. A two-member bench headed by Justice S J Mukhopadhaya said the acceptance of the resolution plan submitted by ArcelorMittal and partner Nippon Steel & Sumitomo Metal Corp will be subject to its final order in the appeal filed by the promoters of debt-laden Essar Steel against the move. It also said there is no stay on disbursal of the funds among financial and operational creditors of Essar Steel, which was auctioned to recover unpaid bank loans. This came almost 20 months after the insolvency petition against Essar Steel was admitted by the Ahmedabad-bench of NCLT on August 2, 2017, and the entire process has been tied up in legal wrangles as the promoters used every legal forum available to challenge the process. It wasn’t immediately clear if Essar Steel promoters will choose to appeal against the National Company Law Appellate Tribunal (NCLAT) verdict in the Supreme Court. Essar Steel will give Mittal a chance to enter the Indian steel market after previous attempts to set up mills in the country failed to materialise. Lenders to Essar Steel had in October approved Arcelor-Nippon’s offer to pay Rs 42,000 crore in an upfront cash payment to the creditors and a further Rs 8,000 crore in capital infusion in the 10 million tonnes steel mill – the largest steel asset on the block under the bankruptcy law. In doing so, they ignored a last-minute offer by the promoter Ruia family to pay Rs 54,389 crore to clear 100 per cent outstanding of both financial and operational creditors of Essar Steel. The plan was late last month approved by the bankruptcy court. Arcelor’s plan faced opposition from operational creditors who were getting just 4 per cent out of the total receipt. Both operational creditors and Essar Steel promoters challenged the approval of the Ahmedabad-bench of the National Company Law Tribunal (NCLT) to Arcelor plan in NCLAT. The NCLAT bench said the resolution professional of the company can disburse the funds between the financial creditors and the operational creditors as per resolution plan submitted by it. “The resolution professional will be the chairperson of the monitoring committee and will act in accordance with law to ensure that the company is a going concern,” the tribunal said. Standard Chartered, an operational creditor and some others objected to lesser payment to them under the resolution plan submitted by ArcelorMittal. On this, the NCLAT Chairman said: “Pehle Laxmi ko aane dijiye (Let the money come first)”. He assured them of a proper hearing on the issue and said it will look into the issue of discriminatory distribution of the funds between financial and operational creditors as per its previous order passed in the Binani Cement matter. “Right now, you are getting Rs 60 crore. If you are entitled then you would even get more than that. If less, then you would have to refund,” the bench said. The NCLAT has directed to list the matter on March 27 for next hearing. ArcelorMittal’s resolution proposal involves financial creditors getting Rs 41,987 crore out of their total dues of Rs 49,395 crore. Operational creditors, under the plan, would get just Rs 214 crore against the outstanding of Rs 4,976 crore. Last week, NCLAT had suggested that all operational creditors below Rs 1 crore should get 100 per cent of the dues and so should the employees of Essar Steel. Only 90 per cent of Rs 42,000 crore should be allowed for financial creditors. The appellate tribunal also said it will look into the issue of discriminatory distribution of the funds between financial and operational creditors. It has asked the Insolvency & Bankruptcy Board of India (IBBI) to submit a ratio of distribution of funds between financial and operational creditors.
New Delhi: Four men were arrested for allegedly robbing an employee of the Steel Authority of India Limited (SAIL) after stabbing him in south Delhi’s Lodhi Colony, police said Sunday.They have been identified as Mukhtyar, 26, Mohammad Hamid, 28, Rupan, 25, and Sanjay, 20, they said. Madan Singh Rawat, 46, working with the SAIL, told police that on April 5 he was walking towards JLN metro station from his office on Lodhi Road and when he reached at the intersection of Golf Links and Lodhi Road, he was waylaid by the accused persons. They tried to snatch the bag from Rawat and when he resisted, he was stabbed in his thigh, police said. Also Read – After eight years, businessman arrested for kidnap & murderThe accused then took away Rawat’s wallet containing Rs 2,500, his mobile phone and also decamped with other belongings, including credit card and debit card, Vijay Kumar, Deputy Commissioner of Police (South), said. Investigations revealed that one Sanjay was seen in the area on the date of incident, he said. On further verification, it was also revealed that Sanjay had shifted his residence to Shidharth Basti in Sunlight Colony, Kumar said. Later, he was picked from his home. His sustained interrogation led to the disclosure of names of other accused — Mukhtyar, Mohammad Hamid and Rupan, the DCP said. Thereafter, a series of midnight raids were carried out in Inderpuri, Ashram and Sunlight Colony areas and the three were apprehended, he said. The accused disclosed that they consume drugs and targeted Rawat near Golf Link Red Light when they were going towards Sai Baba Mandir via Lodhi Road, Kumar said. Driving license and Rs 1,100 and the weapon used in the offence was recovered from them, police said.
San Francisco: Facebook is in the process of restoring a number of groups that were affected by “sabotage” and were erroneously removed, the media reported. Facebook removed several groups from the platform after detecting content that violated its policies, but an investigation revealed that the content had been “posted to sabotage legitimate, non-violating groups”, The Verge reported on Thursday quoting a spokesperson of the social network. Facebook did not confirm who were the people behind the attack, but said that it is working to restore any groups affected and to “prevent this from happening again.” The attack came to light earlier this week when a popular meme account on Facebook known as Crossovers Nobody Asked For (CNAF) was suddenly shut down. Members of the group later discovered that a group known as Indonesian Reporting Commission (IReC) celebrated CNAF’s page being taken down, triggering suspicion that this group was behind the attack. The Indonesian Reporting Commission gets groups and pages suspended through posting questionable content and mass reporting it, The Verge reported. While the attack mainly affected a network of popular meme pages and groups, the incident exposed the vulnerability of Facebook’s moderation approach. As the news of the group shutdown spread quickly, it led to thousands of popular Facebook pages to switch from “private” to “secret” mode – which makes them virtually undetectable – as a measure to prevent themselves from being shut down, said the report.
Water cannon salute to celebrate the arrival of SIA’s Boeing 787-10 in SingaporeWorld’s first Boeing 787-10 arrives in SingaporeSingapore Airlines today welcomed the world’s first 787-10 aircraft as it arrived in Singapore from Boeing’s production facility in North Charleston, South Carolina.The newest variant of Boeing’s Dreamliner family of aircraft was received at an arrival ceremony at Changi Airport graced by Singapore’s Coordinating Minister for Infrastructure and Minister for Transport, Mr Khaw Boon Wan, together with beneficiaries from the Association for Persons with Special Needs (APSN) Katong School and other invited guests.Guests who attended the event also had the opportunity to witness the unveiling of SIA’s next generation regional cabin products, which will be fitted on the new 787-10s. They include all-new Business Class seats which recline into fully-flat beds.“The 787-10 is designed with the latest in technological innovations and SIA is proud to be the launch customer for this newest and largest variant of Boeing’s Dreamliner family,” said Singapore Airlines CEO, Mr Goh Choon Phong, who travelled on the delivery flight from North Charleston.“With the unveiling of our new regional cabin products, today’s milestones represent Singapore Airlines’ commitment and dedication to providing our customers with a premium travel experience like no other.”SIA’s 787-10s will be used on flights up to eight hours and will commence scheduled service between Singapore and both Osaka and Perth in May 2018, with more destinations to be added as additional aircraft are received. Prior to these services, the aircraft will be operated on select services to Bangkok and Kuala Lumpur for crew training purposes.SIA is the largest customer for the 787-10, with firm orders for 49 of the type. The Airline also has a firm order with Boeing for 20 777-9s, which are due for delivery from the 2021/22 financial year.Source = Singapore Airlines
France 24 has signed a distribution deal with over-the-top platform Boxee.Mainly used in the United States and in Canada, the Boxee platform will now include a dedicated France 24 application in its global catalogue, giving users access to the channel’s programmes in English. Programming in French and Arabic will be available in the first half of next year.
Altice has bought a 34.6% stake in Numericable from investment firms Carlyle and Cinven, increasing its share in the French cable operator to 74.6%.Altice will finance the first portion of the deal, representing some 20.6% of Numericable shares, by issuing 24.75 million new ordinary shares on the Euronext Amsterdam.Immediately after this, Carlyle will own 6.7% and Cinven will own 3.3% of Altice, with both firms entering a “lock up” agreement that means they cannot sell their new Altice shares before September 30, 2014.The remaining portion of the shares, representing approximately 14% of the 34.6% Numericable shares purchased, will be settled in cash by Altice by the end of January 2015.The Altice Group is a multinational cable and telecoms company with a presence in France, Switzerland, Israel, Belgium and Luxembourg, Portugal, the French West Indies and Indian Ocean Area and the Dominican Republic.
HBO’s new stand-alone internet service HBO Now in now available on Amazon’s Fire-branded tablets in the US, and will be available on Fire TV and Fire TV Stick devices in the coming weeks.The launches mark the wider availability of the over-the-top service, which launched in the US in April via Apple devices and on Cablevision’s Optimum Online service.“Amazon has cultivated an incredibly vast and savvy base of customers that we’re excited to provide with unlimited access to all of HBO through HBO Now,” said Bernadette Aulestia, executive vice-president, global distribution operations, HBO.“The addition of Amazon devices is another great stride in the distribution of HBO Now and affirmation of our long standing partnership with Amazon.”
ShareTweet “I dealt with someone with two cars parked on their driveway. One locked – One unlocked. Unfortunately they left the car key of the locked car in the unlocked car #CarNickedSo #LockYourCar #SecureYourKeysPOLICE ADVICE: TAKE KEYS OUT OF IGNITION AND LOCK YOU CAR was last modified: December 12th, 2017 by John2John2 Tags: A police officer post this advice on PSNI Foyle Facebook page:“LOCK YOUR CAR! “With the roads empty and icy and everyone hiding from the cold in the House We have multiple reports of people trying to enter cars through the night.“These criminals will walk a whole estate and check EVERY car door and take whatever they please out of the ones left unlocked CAR CRIMINALSFacebookPOLICE ADVICE: TAKE KEYS OUT OF IGNITION AND LOCK YOU CARPSNI FOYLEthieves THE advice from police may seem unnecessary but PSNI Foyle say it had a recent case of someone leaving their keys in the car ignition.And during the ongoing cold snap police have had reports of criminals trawling the estates in Derry looking for an unlocked car to steal.The also advise not to leave valuables in plain sight in the back seat of a car as it just puts more temptation in the path of thieves.
Sponsor Advertisement The chart pattern for silver stocks was almost a carbon copy of the gold stocks, but Nick Laird’s Intraday Silver Sentiment Index closed down only 1.89%. The second photo below is one that Nick Laird took in his back yard the other day. It’s an Olive-backed Sunbird. Platinum appeared to have the same price capping in place that gold and silver did, except the capping there was even more obvious. Palladium had a smallish rally, but it also looked like it wanted to move higher than it actually did. Here are the charts, and you can make up your own mind. The gold stocks got sold into negative territory the moment that trading began. The low came minutes after 2 p.m. EDT, and at that point, the gold stocks were down about 4.5%. However they recovered part of those loses after that, and the HUI closed down only 3.21%. I was surprised by the lack of follow-through in all the precious metals during the Thursday trading session The gold price did very little on Thursday just about everywhere on Planet Earth. However, you can tell by the saw-tooth pattern that every rally attempt, no matter how tiny, got sold down before it could get very far, especially in New York. The low tick of the day came at the London p.m. gold fix. Gold closed at $1,365.10 spot yesterday, down 20 cents from Wednesday’s close. Volume was huge, around 184,000 contracts. Virtually all of it was of the HFT variety to keep the price in check. I would guess that some day-type traders, nervous about the fact that gold and silver didn’t show any follow-through price action up to that point on Thursday, decided to sell their shares. I had a couple of e-mails from worried readers about this share price action, and I told them that they shouldn’t read much into just one day’s worth of trading. I forget to mention to them that they should take a blue pill, so I’ll mention it now. The CME’s Daily Delivery Report showed that 68 gold and 43 silver contracts were posted for delivery on Monday within the Comex-approved depositories. In gold, Jefferies was the short/issuer on all 68 contracts, and HSBC USA and Canada’s Bank of Nova Scotia were the long/stoppers on 51 and 16 contracts respectively. In silver, Newedge was the short/issuer of note with 25 contracts, and Canada’s Bank of Nova Scotia stopped 22 contracts. Yesterday’s Issuers and Stoppers Report is worth a quick peek, and the link is here. There were deposits made in both GLD and SLV yesterday. In GLD an authorized participant added 28,206 troy ounces. But over at SLV, they reported receiving a very chunky 3,373,727 troy ounces of the stuff. I’m not sure if that deposit into SLV was to cover an existing short position, or if it was in response to Wednesday’s price action. Because it was so quick, I suspect the former, but must admit that I really don’t know for sure. As I said in yesterday’s column, the deposits going into both ETFs after Wednesday’s big price run-ups, bear watching closely during the next three or four business days. Joshua Gibbons, the “Guru of the SLV Bar List”, updated his website with internal goings-on within SLV for the week just ended. Here, in part, is what he had to say: “Analysis of the 18 September 2013 bar list, and comparison to the previous week’s list: 2,120,572.4 troy ounces were removed (all from Brinks London), and 963,679.6 troy ounces were added (all to Brinks London), no bars had a serial number change.” “The bars removed were from: Degussa (0.9M oz), Noranda (0.2M oz), Comptoir Lyon-Alemand (0.2M oz), J.M. UK (0.2M oz), and 17 others. The bars added were from: Kazakhmys (0.5M oz), Krasnoyarsk (0.2M oz), Russian State Refineries (0.2M oz), and 4 others.” The link to Joshua’s website, and the rest of his short commentary, is here. There was no sales report from the U.S. Mint. Once again there was no gold activity worthy of the name within the Comex-approved depositories on Wednesday, as just 1 kilo bar was shipped out of Brink’s, Inc., and nothing was reported received. It was also quiet in silver as well. Nothing was received, and only 46,865 troy ounces were shipped out. Here’s a FRED chart that Casey Research’s own Jeff Clark sent our way early yesterday evening Denver time. Jeff commented that “They’re gonna need to make more room at the top of their graph again…” That they are! It was a very quiet news day as well, so today’s missive should be a quick read if you’re the type that reads a lot of stories that I post. There are no markets anymore, only interventions. – Chris Powell, GATA I don’t have much to add to what I’ve already said about yesterday’s price action further up in this column. But I was surprised by the lack of follow-through in all the precious metals during the Thursday trading session, and it’s my opinion that their respective prices were kept firmly under control because of the huge volumes yesterday, most of which were of the HFT variety. Volume was heavy in both Far East and London trading, but really blew out as the Comex session wore on in New York yesterday. In overnight trading it was obvious that the even the church mouse had died, as price action was very quiet with a negative bias, along with volumes as low as I can remember them ever being. The same can be said for the dollar index, as it is ruler-flat. I don’t thing I’ve seen such quiet price action in Far East trading as I’m looking at right now going into the 3 a.m. EDT London open. It seems unnatural, and I’m not sure what to make of it. Today we get the new Commitment of Traders Report for positions held at the close of Comex trading on Tuesday. All of the price/volume activity from last Thursday’s big down day will be included, and I expect the Commercial net short positions in both gold and silver to reflect that. I’m sure there will be some improvement in platinum and palladium as well, which are two other markets that JPMorgan has short-side corners in. Whatever the numbers show, I’ll have them for you in my Saturday column. My only regret is that Wednesday’s numbers won’t be included Here’s Nick Laird’s now-famous “Total PMs Pool” chart updated as of the close of trading yesterday, and it certainly appears that the chart pattern is resuming its path from lower left to upper right. And as I hit the send button on today’s column at 5:15 a.m. EDT, London has been open for a bit more than two hours. All four precious metals were sold down a bit more, but are now off their lows a hair, and volumes which had been ultra-light prior to the open, have really blow out. Gold and silver volumes are well over double what they were prior to the London open. The dollar index is still doing nothing. At this particular moment, gold is down an even ten bucks and silver is down 40 cents. With today being Friday, I have no idea what price activity lies in store for us in New York this morning, but using the price “action” of the last two days as a guide, it will be far removed from what a free market would dictate, so be ready for anything. Enjoy your weekend, or what’s left of it if you live west of the International Date Line, and I’ll see you here tomorrow. Silver traded very close to the the $23 spot mark right up until 1 p.m. in London, which was 8 a.m. in New York, twenty minutes before the Comex open. The rally that began at that point got capped at the open, as did every subsequent rally attempt, no matter how tiny. Silver closed on Thursday at $23.085 spot, up 12.5 cents from Wednesday. Net volume was a very chunky 57,500 contracts and, like gold, it was virtually all of the HFT variety. Uranium Energy Corp. (NYSE MKT: UEC) is pleased to announce that the final authorization has been granted for production at its Goliad ISR Project in South Texas. As announced in previous press releases, the Company received all of the required authorizations from the Texas Commission on Environmental Quality, including an Aquifer Exemption which has now been granted concurrence from EPA Region 6. Amir Adnani, President and CEO, stated, “We are very pleased to have received this final authorization for initiating production at Goliad. Our geological and engineering teams have worked diligently toward achieving this major milestone and are to be truly commended. We are grateful to the EPA for its thorough reviews and for issuing this final concurrence. The Company’s near-term plan is to complete construction at the first production area at Goliad and to greatly increase the throughput of uranium at our centralized Hobson processing plant.” Please contact Investor Relations with questions or to request additional information, email@example.com. The dollar index closed late on Wednesday at 80.27, andand traded in a pretty tight 30 basis point range for the entire day on Thursday. The index closed at 80.34 which was up a whole 7 basis points from the prior day. Nothing to see here.
Campbell Red Lake Mines$28.25$94.75235.4% Gold is up 11% over the last two months.While that might not seem like much, it signals the start of a new bull market.As the chart below shows, the gold price moved higher quickly.And it just broke out of a key level it hasn’t hit since 2013.In the latest issue of my Strategic Investor newsletter (which subscribers can access here), we said we expected a huge rally. We pointed out that we couldn’t find one fund manager positive on gold. Now, we can’t find one who thinks the $141 run in the gold price is real. That tells us there’s more to come.You see, at the beginning of a new bull market, even the most loyal industry veterans don’t trust higher prices. At the end of a bull market, every fool tells you there’s more to come.There’s more to this new bull market in gold than lines on a chart. The three largest central banks in the developed world declared they’ll do anything to stimulate their economies. That’s central bank lingo for “create more money.”Keep in mind, the Federal Reserve’s balance sheet was $800 billion before the 2008 crisis. It rose more than five-fold to $4.5 trillion by the end of 2014.The Fed promised to “normalize” its involvement in the U.S. economy. After reducing its bloated balance sheet by a mere 15%, it cried uncle, promising to reverse course.Gold sniffed that in advance of the announcement. As plans for the Fed’s next monetary ruse formalize, we expect gold to know first.We think $1,500 per ounce this year is a lock. In an interview with the popular gold industry news network Kitco News, I made this prediction last December, again in March, and recently in May. Each time, the $1,500 call seemed crazy. After moving up $104 per ounce in June alone, my prediction doesn’t seem so crazy.A decisive move over $1,500 will wake up asset managers who haven’t looked at gold in years. They’ll buy exchange-traded funds and mutual funds.But those asset managers don’t realize funds own a declining number of mining stocks. You see, the mining industry is in the middle of a consolidation wave. (This is a rising trend… and my colleague Teeka Tiwari came up with a unique way to profit from it. Go here to learn more.)Everything looks to be in place for the mother of all gold rallies. If you don’t own any gold, start with buying physical ounces.The Power of LeverageAfter owning physical gold, mining stocks can provide leverage to a rising gold price.The word “leverage” usually means borrowing. That’s not the case at all in the gold market.If you aren’t familiar with the concept of leverage in gold stocks, here’s a quick example of how powerful it can be…Say the price of gold rises from $1,300 to $1,400. That’s roughly an 8% gain. If you own physical gold, you’re up 8%.Now, say a mining company owns a million ounces of gold in the ground, and gold is trading at $1,300. The value of the gold in the ground isn’t simply $1.3 billion (1 million ounces x $1,300 per ounce). Instead, the gold in the ground is worth much less than that, because it will cost a lot of money to extract.Say it costs the company $1,250 per ounce, all-in, to mine the gold. At a gold price of $1,300, the company has a potential profit of $50 on each ounce of gold.However, if the price of gold rises only 8% to $1,400, the company’s profits per ounce increase by 200% ($1,400 – $1,250 = $150 profit per ounce). This small move in gold can cause the stock price to increase 40%, 50%, or more. This is why a small increase in the price of gold can cause a gold stock to soar many times that amount.It’s happened before…Gold producers boomed during three separate cycles when gold surged: 1979-1980, mid-1990s, and 2001-2006.First up, the king of all gold bull markets: 1979-1980…Gold more than doubled during this period. But gold stocks more than tripled. Returns of Producers From 1979-1980 Homestake Mining$30.00$107.50258.3% Giant Yellowknife Mines$11.13$39.00250.4% CompanyPrice on 12/29/1978Sept. 1980 PeakReturn Hecla Mining$5.12$53.00935.2% This wasn’t the only time gold stocks ran further than gold itself…There was another boom in the 1990s. The average gold producer went up more than 200%…Cambior rose 124%. Kinross Gold returned more than 190%. And Manhattan Gold & Silver skyrocketed over 760%.All while gold only rose 8%.Then, another big boom hit from 2001-2006.Gold returned 158%, while the average gold producer gained over 400%.Newmont shot up 270%. Gold Fields soared over 500%. And Goldcorp returned over 800%.As you can see, an increase in the price of gold (even a small one) can lead to huge returns.Now’s the Time to Take AdvantageTrade tensions, political dysfunction, and ballooning deficits set the stage for gold today. On top of that, central banks like the Federal Reserve have more power over the economy than ever before. That means this rally could be bigger than any of the past rallies we mentioned earlier.You don’t want to be sitting on the sidelines while the motherlode of all gold rallies gains momentum…Remember, before owning a gold stock, it’s wise to have some physical gold. If you’re new to gold, start with common 1-ounce coins like the ones offered here by Gainesville Coins.(By the way, we asked them to create this page as a starting point for my Strategic Investor subscribers who are new to physical gold… But because of gold’s recent moves, we’re making it available to all Dispatch readers. We do not receive any compensation from Gainesville Coins for bringing you this offer.)Then, you can speculate on higher gold prices by buying gold miners, which gives you the chance to multiply your money in a gold bull market.Regards, Newmont Mining$21.50$60.62182.0% Dome Mines$78.25$154.0096.8% Dickinson Mines$6.88$27.50299.7% By E.B. Tucker, editor, Strategic Investor E.B. Tucker Editor, Strategic InvestorP.S. As I mentioned earlier, my colleague Teeka Tiwari has a unique way to profit in the gold market… In fact, he says you could make $1 million (or more) over the next 12 months. As a gold expert myself… I would be remiss not to tell you to sign up for his special event on Friday at 1 p.m. ET…I want you all to be able to capture these gains… so I’ll be making a special appearance, too…Sign up here. AVERAGE322.5% Gold214.0%
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Source:http://ec.europa.eu/research/infocentre/article_en.cfm?id=/research/headlines/news/article_18_10_11_en.html?infocentre&item=Infocentre&artid=49705 Reviewed by James Ives, M.Psych. (Editor)Oct 12 2018The EU faces alarming increases in obesity and associated health problems such as cardiovascular disease, cancer and diabetes. Worldwide, some 10 % of people are excessively overweight and obesity is on track to overtake smoking as the single biggest cause of preventable cancer in some countries. The issue is complex and rooted in the inactive nature of modern life characterized by extensive car use and widely available, affordable, and often unhealthy food.Focusing specifically on adults, the EU-funded SPOTLIGHT project built on evidence that lifestyle-related interventions should not just deal with single social or environmental aspects but rather target a combination of individual, family, community, organizational and societal elements – the ‘causes of the causes’.SPOTLIGHT analyzed around 80 community projects aimed at preventing obesity in different EU countries. Studies in Denmark, the Netherlands and the UK highlighted reliable funding and local community involvement – as well as balancing the need for rapid delivery with long-term continuation – as vital to the success and lasting impact of such projects.SPOTLIGHT then developed an interactive, map-based database of these projects and a model for integrated multi-level approaches that could be applied by local authorities and public health practitioners across Europe. It disseminated the findings and recommendations among policymakers and scientists to support the implementation of such approaches. The aim was to counteract unhealthy behavior, prevent obesity and related chronic diseases, and reduce health inequalities linked to social status.‘SPOTLIGHT has increased understanding of the relationship between social and physical environments, the importance of context around individuals in terms of obesity and the role of this context in things like sleep, diet, physical activity and health inequalities,’ says project coordinator Jeroen Lakerveld of Amsterdam UMC, location VUmc in the Netherlands. ‘We also better understand the factors that determine the success or failure of interventions.’Mapping riskRelated StoriesMaternal obesity may negatively affect children’s lung developmentMetabolic enzyme tied to obesity and fatty liver diseaseSupervised fun, exercise both improve psychosocial health of children with obesityUsing Google Street View, SPOTLIGHT developed a tool for assessing environmental characteristics related to diet and physical activity within neighborhoods.It covered walking- and cycling-related features such as the presence of foot and bike paths, street lighting, pedestrian crossings, traffic calming measures and bike rental facilities. It also looked at the availability of public transport; aesthetics including green spaces, litter and graffiti; land use; and the presence of grocery stores, food outlets and areas for exercise and recreation.In one instance, 128 street segments in four Dutch urban neighborhoods of varying socio-economic status and housing density were assessed using the tool, which helped to confirm its reliability. A wider mapping exercise also encompassing Budapest, London, Paris and the Belgian city of Ghent, showed how likely residents of 60 neighborhoods were to become obese. This was combined with health and behavioral information for more than 6 000 residents of these neighborhoods in order to find links between environment and lifestyle.Collection of Europe-wide data and gathering of expert and target-group perspectives enabled SPOTLIGHT to define the elements necessary to change lifestyles at different levels of society and in various contexts.The results were translated into dissemination materials designed for different stakeholders to support development and implementation of intervention approaches at individual, team and organizational levels.Long-term preventionExperience gained from SPOTLIGHT will maximize use of state-of-the-art knowledge, help policymakers invest in long-term prevention efforts and stimulate scientists to further explore ways of reducing obesity and associated social inequality.‘Much of the learning has fed into new projects, analyses and approaches, and helped to shift the status quo among researchers,’ says Lakerveld. ‘Also, as well as more than 30 peer-reviewed scientific articles and methodological tools, the project resulted in three PhD theses and more than 15 Master’s theses.’
In 2017, Kim Nelson had just moved her family back to her hometown in South Carolina. Boxes were still scattered around the apartment, and while her two young daughters played, Nelson scrolled through a newspaper article on her phone. It said religious exemptions for vaccines had jumped nearly 70 percent in recent years in the Greenville area — where they had just moved from Florida.She remembers yelling to her husband in the other room, “David, you have to get in here! I can’t believe this.”Nelson didn’t know any mom friends that didn’t vaccinate their kids.“It was really eye-opening that this was a big problem,” she said.Nelson’s dad is a doctor; she had her immunizations, and so did her kids. But this news scared her. She knew that infants were vulnerable — they couldn’t get started on most vaccines until they were 2 months old. And some kids and adults have diseases that compromise their immune systems, which means they can’t get vaccines and rely on herd immunity. Nelson was already thinking about public health a lot back then, and was even considering a career switch, from banking to public health. She decided she had to do something.“I very much believe if you have the ability to advocate then you have to,” she said. “The onus is on us if we want change.”Like a lot of moms, Nelson had spent hours online. She knew how easy it was to fall down internet rabbit holes, into a world of fake studies and scary stories.“As somebody who just cannot stand wrong things being on the internet,” Nelson said, “if I saw something with vaccines, I was very quick to chime in ‘That’s not true’ or ‘No, that’s not how that works.’ … I usually got banned.”Nelson started her own group, South Carolina Parents for Vaccines. She began posting scientific articles online. She started responding to private messages from concerned parents with specific questions. She also found positive reinforcement was important and would roam around the mom groups, sprinkling affirmations.“If someone posts ‘My child got their 2 months shots today,’” Nelson said, she’d quickly post a follow-up comment, “Great job, mom!”Nelson, 33, was inspired by peer-focused groups around the country doing similar work. Groups with national reach like Voices for Vaccines, and regional groups like Vax Northwest in Washington, take a similar approach, encouraging parents to get educated and share facts about vaccines with other parents.Nationally, 91 percent of children under 3 years old are vaccinated for measles. But in some communities the rate is much lower. In Clark County, Wash., where a measles outbreak is up to 62 cases, about 76 percent of kindergartners come to school without all their vaccines. Public health specialists, concerned about weakened herd immunity, are increasingly raising the alarm about the need to improve vaccination rates.But efforts to reach vaccine-hesitant parents often fail. And some parents remain entrenched in a decision not to vaccinate even when presented with the facts.Pediatricians could play a role — and many do — but they’re not compensated to have lengthy discussions with parents, and some of them find it a frustrating task. That’s left a huge opening for alternative approaches. Nelson thought it would be best to zero in on moms who were still on the fence about vaccines.Related StoriesNovel vaccine against bee sting allergy successfully testedNanotechnology-based compound used to deliver hepatitis B vaccineUM scientists receive $3.3 million NIH contract to develop opioid addiction vaccine“It’s easier to pull a hesitant parent over than it is somebody who is firmly anti-vax,” Nelson said. She explained that parents who oppose vaccination often feel so strongly about it that they won’t engage in a discussion. “They feel validated by that choice — it’s part of community, it’s part of their identity.”The most important thing is timing: People may need information about vaccines before they become parents. A first pregnancy — when men and women start transitioning into their parental roles — is often when the issue first crops up. Nelson points to one survey study from the Centers for Disease Control and Prevention that showed 90 percent of expectant women have made up their minds on vaccines by the time they are six months pregnant.“They’re not going to a pediatrician [yet],” Nelson said. “Their OB-GYN is probably not speaking to the pediatric vaccine schedule. … So where are they going? They’re going online.”Nelson tries to counter bad information online with facts. But she also understands the value of in-person dialogue. She organized a class at a public library and advertised the event on mom forums. Nelson was nervous that people hostile to vaccines might show up.“Are they here to rip me a new one? Or are they here to learn about vaccines?” Nelson wondered. “I just decided, if they’re here, I’m going to give them good information.”Amy Morris was pregnant, but she drove an hour and a half to attend the class. Morris wasn’t the typical first-time mom Nelson was trying to reach. She already had three kids. But during this pregnancy, she was getting increasingly nervous about vaccines. She had recently had a miscarriage, and it was right around the time she got a flu shot. Morris had been reading pro- and anti-vaccine posts in the mom forums, and was starting to have some doubts. In Nelson’s class, she learned the risks of not vaccinating.“That spoke to me more than anything,” said Morris.Now, holding her healthy 8-month-old son, Thorin, on her lap, she said she’s glad she went, because she was feeling vulnerable.“I always knew it was the right thing to do,” Morris said. “I was listening to that fear monster in the back of my head.”Nelson said that fear is what the anti-vaccine community feeds on. She’s learned to ask questions to help parents get at the root of their anxiety.“I do think they appreciate it when you meet them sympathetically and you don’t just try and blast facts down their throat,” Nelson said.Nelson is now trying to get local hospitals to integrate that vaccine talk into their birthing classes. She’s studying for a master’s degree in public health at the University of South Carolina, and also works with the Bradshaw Institute for Community Child Health and Advocacy. She’s even considering a run for public office.This story is part of a partnership that includes WFAE, NPR and Kaiser Health News. Reviewed by Alina Shrourou, B.Sc. (Editor)Feb 25 2019 This article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.
Reviewed by James Ives, M.Psych. (Editor)Jul 12 2019A recent analysis found that U.S. patients with chronic kidney disease (CKD) have a high prevalence of uncontrolled hypertension and diabetes, and a low use of statins that has not improved over time and is not concordant with guidelines. The findings appear in an upcoming issue of CJASN.Managing CKD is complex and involves the use of multiple interventions to protect patients’ health and prevent kidney failure. These include making lifestyle changes and/or taking medications to control hypertension, high cholesterol, and diabetes.To assess the quality of care that patients are receiving, Sri Lekha Tummalapalli, MD, MBA (University of California, San Francisco) and her colleagues performed a national study of visits to office-based ambulatory care practices for adults with CKD from the 2006 to 2014.Related StoriesBordeaux University Hospital uses 3D printing to improve kidney tumor removal surgeryIndigestion remedy improves survival in people with late-stage CKDArtificial intelligence can help accurately predict acute kidney injury in burn patientsAmong the major findings: CKD, where kidney function is reduced or the kidney shows signs of damage, is a major public health problem. Controlling risk factors, such as high blood pressure and diabetes, and using evidence-based medications in patients with CKD is especially critical to decrease the risk of kidney failure. Our research shows how care can be improved for patients with CKD. There is a national conversation happening right now about kidney disease. National professional organizations, government, and insurance are coalescing to improve care models for kidney disease. Preventing kidney failure and decreasing the risk of other complications, such as heart disease, starts at early stages of CKD. Our research highlights the current gaps in care.”Sri Lekha Tummalapalli, MD, MBA, University of California, San Francisco Source:American Society of Nephrology (ASN) Over the study period, there was no difference in the prevalence of uncontrolled hypertension (46% in 2006-2008 vs. 48% in 2012-2014). There was a high prevalence of uncontrolled diabetes in 2012-2014 (41%). The prevalence of hypertension medication use ranged from 45% in 2006-2008 to 36% in 2012-2014. Statin use to treat high cholesterol in patients with CKD who were 50 years or older was low and remained unchanged from 29% in 2006-2008 to 31% in 2012-2014.
Amazon chief executive Jeff Bezos said Thursday he sees a bright future in the company’s cashierless retail stores and that many consumers see the experience as “magical.” This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. Explore further Jeff Bezos says customers of Amazon Go cashierless stores see the experience as “magical” and suggested more of these outlets are coming Bezos, hunting for big wins, is comfortable with big fails (Update) © 2019 AFP In his annual letter to shareholders, Bezos was upbeat about the prospects for Amazon Go, the stores where customers use an app to check out, with purchases scanned in the store and billed electronically to eliminate the need for cashiers.”For many years, we considered how we might serve customers in physical stores, but felt we needed first to invent something that would really delight customers in that environment,” he wrote.”No one likes to wait in line. Instead, we imagined a store where you could walk in, pick up what you wanted, and leave.”Bezos said the implementation was complex, with specially designed cameras and shelves and new computer vision algorithms.”The reward has been the response from customers, who’ve described the experience of shopping at Amazon Go as ‘magical,'” he said.”We now have 10 stores in Chicago, San Francisco, and Seattle, and are excited about the future.”The letter made no mention of concerns raised by some activists that cashierless and cashless stores could shut out people lacking smartphones and bank accounts.Bezos separately challenged other retailers to match Amazon’s move for a minimum wage of $15 an hour announced last year.”We had always offered competitive wages. But we decided it was time to lead—to offer wages that went beyond competitive,” Bezos said in his letter.”Today I challenge our top retail competitors (you know who you are!) to match our employee benefits and our $15 minimum wage. Do it! Better yet, go to $16 and throw the gauntlet back at us. It’s a kind of competition that will benefit everyone.”Climate change appealAside from wages, a group of Amazon employees this week called on the company to be a role model for corporate action fighting climate change.”Amazon’s leadership is urgently needed,” read an open letter to Bezos and the Amazon board signed by 4,520 company workers when it was posted on Wednesday.”We believe this is a historic opportunity for Amazon to stand with employees and signal to the world that we’re ready to be a climate leader.”Steps called for in the letter included a complete transition away from fossil fuels and making potential climate effects a priority in business decisions.Amazon early this year promised to share details regarding its company-wide carbon footprint along with programs to reduce it, such as striving to make shipments “net zero carbon.””Amazon”s sustainability team is using a science-based approach to develop data and strategies to ensure a rigorous approach to our sustainability work,” the Seattle-based e-commerce giant said in response to an AFP inquiry.”We have launched several major and impactful programs and are working hard to integrate this approach fully across Amazon.”Amazon has a longterm goal of powering its worldwide infrastructure completely with renewable energy and has more than 200 operations scientists, engineers and product designers working exclusively on inventing ways to use its size “for the good of customers and the planet,” the company said. Citation: Bezos upbeat on Amazon Go physical stores (2019, April 11) retrieved 17 July 2019 from https://phys.org/news/2019-04-bezos-upbeat-amazon-physical.html