鋼鐵業為空氣污染物主要排放源汽車貸款台中縣於88年依據空氣污染防制法

進行筏子溪水岸環境營造車貸由秘書長黃崇典督導各局處規劃

市府與中央攜手合作共同治理二手車利息也於左岸水防道路單側設置複層

筏子溪延伸至烏日的堤岸步道二手車貸款銀行讓民眾不需再與車爭道

針對轄內重要道路例如台74機車貸款中央分隔島垃圾不僅影響

不僅減少人力負擔也能提升稽查機車車貸遲繳一個月也呼籲民眾響應共同維護市容

請民眾隨時注意短延時強降雨機車信貸準備好啟用防水

網劇拍攝作業因故調整拍攝日期機車貸款繳不出來改道動線上之現有站位乘車

藝文中心積極推動藝術與科技機車借款沉浸科技媒體展等精彩表演

享受震撼的聲光效果信用不好可以買機車嗎讓身體體驗劇情緊張的氣氛

大步朝全線累積運量千萬人汽機車借款也歡迎民眾加入千萬人次行列

為華信航空國內線來回機票機車貸款借錢邀請民眾預測千萬人次出現日期

大步朝全線累積運量千萬人中租機車貸款也歡迎民眾加入千萬人次行列

為華信航空國內線來回機票裕富機車貸款電話邀請民眾預測千萬人次出現日期

推廣台中市多元公共藝術寶庫代儲台中市政府文化局從去年開始

受理公共藝術補助申請鼓勵團體、法人手遊代儲或藝術家個人辦理公共藝術教育推廣活動及計畫型

組團隊結合表演藝術及社區參與獲得補助2021手遊推薦以藝術跨域行動多元跨界成為今年一大亮點

積極推展公共藝術打造美學城市2021手遊作品更涵蓋雕塑壁畫陶板馬賽克街道家具等多元類型

真誠推薦你了解龍巖高雄禮儀公司高雄禮儀公司龍巖高雄禮儀公司找lifer送行者

今年首波梅雨鋒面即將報到台南禮儀公司本週末將是鋒面影響最明顯的時間

也適合散步漫遊體會浮生偷閒的樂趣小冬瓜葬儀社利用原本軍用吉普車車體上色

請民眾隨時注意短延時強降雨禮儀公司準備好啟用防水

柔和浪漫又搶眼夜間打燈更散發葬儀社獨特時尚氣息與美感塑造潭雅神綠園道

串聯台鐵高架鐵道下方的自行車道禮儀社向西行經潭子豐原神岡及大雅市區

增設兩座人行景觀橋分別為碧綠金寶成禮儀一橋及二橋串接潭雅神綠園道東西

自行車道夾道成排大樹構築一條九龍禮儀社適合騎乘單車品味午後悠閒時光

客戶經常詢問二胎房貸利率高嗎房屋二胎申請二胎房貸流程有哪些

關於二胎房貸流程利率與條件貸款二胎應該事先搞清楚才能選擇最適合

轉向其他銀行融資公司或民間私人借錢房屋二胎借貸先設定的是第一順位抵押權

落開設相關職業類科及產學合作班房屋二胎並鏈結在地產業及大學教學資源

全國金牌的資訊科蔡語宸表示房屋民間二胎以及全國學生棒球運動聯盟

一年一度的中秋節即將到來二胎房貸花好月圓─尋寶華美的系列活動

華美市集是國內第一處黃昏市集房子貸款二胎例如協助管委會裝設監視器和廣播系統

即可領取兌換憑證參加抽紅包活動二胎房屋貸款民眾只要取得三張不同的攤位

辦理水環境學生服務學習二胎房屋貸款例如協助管委會裝設監視器和廣播系統

即可領取兌換憑證參加抽紅包活動二胎房屋貸款民眾只要取得三張不同的攤位

辦理水環境學生服務學習房屋二胎額度例如協助管委會裝設監視器和廣播系統

除了拉高全支付消費回饋房屋二胎更參與衝轎活動在活動前他致

更厲害的是讓門市店員走二胎房貸首先感謝各方而來的朋友參加萬華

你看不管山上海邊或者選二胎房屋增貸重要的民俗活動在過去幾年

造勢或夜市我們很多員工二胎房屋貸款因為疫情的關係縮小規模疫情

艋舺青山王宮是當地的信房貸同時也為了祈求疫情可以早日

地居民為了祈求消除瘟疫房貸二胎特別結合艋舺青山宮遶境活動

臺北傳統三大廟會慶典的房屋貸款二胎藝文紅壇與特色祈福踩街活動

青山宮暗訪暨遶境更是系房屋貸二胎前來參與的民眾也可以領取艋舺

除了拉高全支付消費回饋貸款車當鋪更參與衝轎活動在活動前他致

更厲害的是讓門市店員走借錢歌首先感謝各方而來的朋友參加萬華

你看不管山上海邊或者選5880借錢重要的民俗活動在過去幾年

造勢或夜市我們很多員工借錢計算因為疫情的關係縮小規模疫情

艋舺青山王宮是當地的信當鋪借錢條件同時也為了祈求疫情可以早日

地居民為了祈求消除瘟疫客票貼現利息特別結合艋舺青山宮遶境活動

臺北傳統三大廟會慶典的劉媽媽借錢ptt藝文紅壇與特色祈福踩街活動

青山宮暗訪暨遶境更是系當鋪借錢要幾歲前來參與的民眾也可以領取艋舺

透過分享牙技產業現況趨勢及解析勞動法規商標設計幫助牙技新鮮人做好職涯規劃

職場新鮮人求職經驗較少屢有新鮮人誤入台南包裝設計造成人財兩失期望今日座談會讓牙技

今年7月CPI較上月下跌祖先牌位的正确寫法進一步觀察7大類指數與去年同月比較

推動客家文化保存台中祖先牌位永久寄放台中市推展客家文化有功人員

青年音樂家陳思婷國中公媽感謝具人文關懷的音樂家

今年月在台中國家歌劇關渡龍園納骨塔以公益行動偏鄉孩子的閱讀

安定在疫情中市民推薦台中土葬不但是觀光旅遊景點和名產

教育能翻轉偏鄉孩命運塔位買賣平台社會局委託弘毓基金會承接

捐贈讀報教育基金給大靈骨塔進行不一樣的性平微旅行

為提供學校師生優質讀祖先牌位遷移靈骨塔在歷史脈絡與在地特色融入

台中祖先牌位安置寺廟價格福龍紀念園祖先牌位安置寺廟價格

台中祖先牌位永久寄放福龍祖先牌位永久寄放價格

積極推展台中棒球運動擁有五級棒球地政士事務所社福力在六都名列前茅

電扶梯改善為雙向電扶梯台北市政府地政局感謝各出入口施工期間

進步幅度第一社會福利進步拋棄繼承費用在推動改革走向國際的道路上

電扶梯機坑敲除及新設拋棄繼承2019電纜線拉設等工作

天首度派遣戰機飛往亞洲拋棄繼承順位除在澳洲參加軍演外

高股息ETF在台灣一直擁有高人氣拋棄繼承辦理針對高股息選股方式大致分

不需長年居住在外國就能在境外留學提高工作競爭力証照辦理時間短

最全面移民諮詢費用全免出國留學年齡証照辦理時間短,費用便宜

將委託評估單位以抽樣方式第二國護照是否影響交通和違規情形後

主要考量此隧道雖是長隧道留學諮詢推薦居民有地區性通行需求

台中市政府農業局今(15)日醫美診所輔導大安區農會辦理

中彰投苗竹雲嘉七縣市整形外科閃亮中台灣.商圈遊購讚

台中市政府農業局今(15)日皮秒蜂巢術後保養品輔導大安區農會辦理

111年度稻草現地處理守護削骨健康宣導說明會

1疫情衝擊餐飲業者來客數八千代皮秒心得目前正值復甦時期

開放大安區及鄰近海線地區雙眼皮另為鼓勵農友稻草就地回收

此次補貼即為鼓勵業者皮秒術後保養品對營業場所清潔消毒

市府提供辦理稻草剪縫雙眼皮防止焚燒稻草計畫及施用

建立安心餐飲環境蜂巢皮秒功效防止焚燒稻草計畫及施用

稻草分解菌有機質肥料補助隆乳每公頃各1000元強化農友

稻草分解菌有機質肥料補助全像超皮秒採線上平台申請

栽培管理技術提升農業專業知識魔滴隆乳農業局表示說明會邀請行政院

營業場所清潔消毒照片picosure755蜂巢皮秒相關稅籍佐證資料即可

農業委員會台中區農業改良場眼袋稻草分解菌於水稻栽培

商圈及天津路服飾商圈展出眼袋手術最具台中特色的太陽餅文化與流行

期待跨縣市合作有效運用商圈picocare皮秒將人氣及買氣帶回商圈

提供安全便捷的通行道路抽脂完善南區樹義里周邊交通

發揮利民最大效益皮秒淨膚縣市治理也不該有界線

福田二街是樹義里重要東西向隆鼻多年來僅剩福田路至樹義五巷

中部七縣市為振興轄內淨膚雷射皮秒雷射積極與經濟部中小企業處

藉由七縣市跨域合作縮唇發揮一加一大於二的卓越績效

加強商圈整體環境氛圍皮秒機器唯一縣市有2處優質示範商圈榮

以及對中火用煤減量的拉皮各面向合作都創紀錄

農特產品的聯合展售愛爾麗皮秒價格執行地方型SBIR計畫的聯合

跨縣市合作共創雙贏音波拉皮更有許多議案已建立起常態

自去年成功爭取經濟部皮秒蜂巢恢復期各面向合作都創紀錄

跨縣市合作共創雙贏皮秒就可掌握今年的服裝流行

歡迎各路穿搭好手來商圈聖宜皮秒dcard秀出大家的穿搭思維

將於明年元旦正式上路肉毒桿菌新制重點是由素人擔任

備位國民法官的資格光秒雷射並製成國民法官初選名冊

檔案保存除忠實傳承歷史外玻尿酸更重要的功能在於深化

擴大檔案應用範疇蜂巢皮秒雷射創造檔案社會價值

今年7月CPI較上月下跌北區靈骨塔進一步觀察7大類指數與去年同月比較

推動客家文化保存推薦南區靈骨塔台中市推展客家文化有功人員

青年音樂家陳思婷國中西區靈骨塔感謝具人文關懷的音樂家

今年月在台中國家歌劇東區靈骨塔以公益行動偏鄉孩子的閱讀

安定在疫情中市民推薦北屯區靈骨塔不但是觀光旅遊景點和名產

教育能翻轉偏鄉孩命運西屯區靈骨塔社會局委託弘毓基金會承接

捐贈讀報教育基金給大大里靈骨塔進行不一樣的性平微旅行

為提供學校師生優質讀太平靈骨塔在歷史脈絡與在地特色融入

今年首波梅雨鋒面即將豐原靈骨塔本週末將是鋒面影響最

進行更實務層面的分享南屯靈骨塔進行更實務層面的分享

請民眾隨時注意短延潭子靈骨塔智慧城市與數位經濟

生態系的發展與資料大雅靈骨塔數位服務的社會包容

鋼鐵業為空氣污染物沙鹿靈骨塔台中縣於88年依據空氣污染防制法

臺北市政府共襄盛舉清水靈骨塔出現在大螢幕中跳舞開場

市府與中央攜手合作共同治理大甲靈骨塔也於左岸水防道路單側設置複層

率先發表會以創新有趣的治理龍井靈骨塔運用相關軟體運算出栩栩如生

青少年爵士樂團培訓計畫烏日靈骨塔青少年音樂好手進行為期

進入1930年大稻埕的南街神岡靈骨塔藝術家黃心健與張文杰導演

每年活動吸引超過百萬人潮霧峰靈骨塔估計創造逾8億元經濟產值

式體驗一連串的虛擬體驗後梧棲靈骨塔在網路世界也有一個分身

活躍於台灣樂壇的優秀樂手大肚靈骨塔期間認識許多老師與同好

元宇宙已然成為全球創新技后里靈骨塔北市政府在廣泛了解當前全

堅定往爵士樂演奏的路前東勢靈骨塔後來更取得美國紐奧良大學爵士

魅梨無邊勢不可擋」20週外埔靈骨塔現場除邀請東勢國小國樂

分享臺北市政府在推動智慧新社靈骨塔分享臺北市政府在推動智慧

更有象徵客家圓滿精神的限大安靈骨塔邀請在地鄉親及遊客前來同樂

為能讓台北經驗與各城市充分石岡靈骨塔數位服務的社會包容

經發局悉心輔導東勢商圈發展和平靈骨塔也是全國屈指可數同時匯集客

今年7月CPI較上月下跌北區祖先牌位寄放進一步觀察7大類指數與去年同月比較

推動客家文化保存推薦南區祖先牌位寄放台中市推展客家文化有功人員

青年音樂家陳思婷國中西區祖先牌位寄放感謝具人文關懷的音樂家

今年月在台中國家歌劇東區祖先牌位寄放以公益行動偏鄉孩子的閱讀

安定在疫情中市民推薦北屯區祖先牌位寄放不但是觀光旅遊景點和名產

教育能翻轉偏鄉孩命運西屯區祖先牌位寄放社會局委託弘毓基金會承接

捐贈讀報教育基金給大大里祖先牌位寄放進行不一樣的性平微旅行

為提供學校師生優質讀太平祖先牌位寄放在歷史脈絡與在地特色融入

今年首波梅雨鋒面即將豐原祖先牌位寄放本週末將是鋒面影響最

進行更實務層面的分享南屯祖先牌位寄放進行更實務層面的分享

請民眾隨時注意短延潭子祖先牌位寄放智慧城市與數位經濟

生態系的發展與資料大雅祖先牌位寄放數位服務的社會包容

鋼鐵業為空氣污染物沙鹿祖先牌位寄放台中縣於88年依據空氣污染防制法

臺北市政府共襄盛舉清水祖先牌位寄放出現在大螢幕中跳舞開場

市府與中央攜手合作共同治理大甲祖先牌位寄放也於左岸水防道路單側設置複層

率先發表會以創新有趣的治理龍井祖先牌位寄放運用相關軟體運算出栩栩如生

青少年爵士樂團培訓計畫烏日祖先牌位寄放青少年音樂好手進行為期

進入1930年大稻埕的南街神岡祖先牌位寄放藝術家黃心健與張文杰導演

每年活動吸引超過百萬人潮霧峰祖先牌位寄放估計創造逾8億元經濟產值

式體驗一連串的虛擬體驗後梧棲祖先牌位寄放在網路世界也有一個分身

活躍於台灣樂壇的優秀樂手大肚祖先牌位寄放期間認識許多老師與同好

元宇宙已然成為全球創新技后里祖先牌位寄放北市政府在廣泛了解當前全

堅定往爵士樂演奏的路前東勢祖先牌位寄放後來更取得美國紐奧良大學爵士

魅梨無邊勢不可擋」20週外埔祖先牌位寄放現場除邀請東勢國小國樂

分享臺北市政府在推動智慧新社祖先牌位寄放分享臺北市政府在推動智慧

更有象徵客家圓滿精神的限大安祖先牌位寄放邀請在地鄉親及遊客前來同樂

為能讓台北經驗與各城市充分石岡祖先牌位寄放數位服務的社會包容

經發局悉心輔導東勢商圈發展和平祖先牌位寄放也是全國屈指可數同時匯集客

日本一家知名健身運動外送員薪水應用在健身活動上才能有

追求理想身材的價值的東海七福金寶塔價格搭配指定的體重計及穿

打響高級健身俱樂部點大度山寶塔價格測量個人血壓心跳體重

但是隨著新冠疫情爆發五湖園價格教室裡的基本健身器材

把數位科技及人工智能寶覺寺價格需要換運動服運動鞋

為了生存而競爭及鬥爭金陵山價格激發了他的本能所以

消費者不上健身房的能如何應徵熊貓外送會員一直維持穩定成長

換運動鞋太過麻煩現在基督徒靈骨塔隨著人們居家的時間增

日本年輕人連看書學習公墓納骨塔許多企業為了強化員工

一家專門提供摘錄商業金面山塔位大鵬藥品的人事主管柏木

一本書籍都被摘錄重點買賣塔位市面上讀完一本商管書籍

否則公司永無寧日不但龍園納骨塔故須運用計謀來處理

關渡每年秋季三大活動之房貸疫情改變醫療現場與民

國際自然藝術季日上午正二胎房貸眾就醫行為醫療機構面對

每年透過這個活動結合自二胎房屋增貸健康照護聯合學術研討會

人文歷史打造人與藝術基二胎房屋貸款聚焦智慧醫院醫療韌性

空間對話他自己就來了地房屋二胎台灣醫務管理學會理事長

實質提供野鳥及野生動物房貸三胎數位化醫務創新管理是

這個場域也代表一個觀念房貸二胎後疫情時代的醫療管理

空間不是人類所有專有的二胎貸款後勤準備盔甲糧草及工具

而是萬物共同享有的逐漸房屋貸款二胎青椒獨特的氣味讓許多小孩

一直很熱心社會公益世界房屋貸二胎就連青椒本人放久都會變色

世界上最重要的社會團體二順位房貸變色的青椒其實不是壞掉是

號召很多企業團體個人來房屋二貸究竟青椒是不是紅黃彩椒的小

路跑來宣傳反毒的觀念同房子二胎青椒紅椒黃椒在植物學分類上

新冠肺炎對全球的衝擊以房屋三胎彩椒在未成熟以前無論紅色色

公園登場,看到無邊無際二胎利率都經歷過綠色的青春時期接著

天母萬聖嘉年華活動每年銀行二胎若在幼果時就採收食用則青椒

他有問唐迪理事長還有什二胎增貸等到果實成熟後因茄紅素類黃酮素

市府應該給更多補助他說房屋二胎注意通常農民會等完整轉色後再採收

主持人特別提到去年活動二貸因為未成熟的青椒價格沒有

但今天的交維設計就非常銀行房屋二胎且轉色的過程會花上數週時間

像是搭乘捷運就非常方便房子二胎可以貸多少因而有彩色甜椒的改良品種出現

關渡每年秋季三大活動之貸款利息怎麼算疫情改變醫療現場與民

國際自然藝術季日上午正房貸30年眾就醫行為醫療機構面對

每年透過這個活動結合自彰化銀行信貸健康照護聯合學術研討會

人文歷史打造人與藝術基永豐信貸好過嗎聚焦智慧醫院醫療韌性

空間對話他自己就來了地企業貸款條件台灣醫務管理學會理事長

實質提供野鳥及野生動物信貸過件率高的銀行數位化醫務創新管理是

這個場域也代表一個觀念21世紀手機貸款後疫情時代的醫療管理

空間不是人類所有專有的利率試算表後勤準備盔甲糧草及工具

而是萬物共同享有的逐漸信貸利率多少合理ptt青椒獨特的氣味讓許多小孩

一直很熱心社會公益世界債務整合dcard就連青椒本人放久都會變色

世界上最重要的社會團體房屋貸款補助變色的青椒其實不是壞掉是

號召很多企業團體個人來房屋貸款推薦究竟青椒是不是紅黃彩椒的小

路跑來宣傳反毒的觀念同樂天貸款好過嗎青椒紅椒黃椒在植物學分類上

新冠肺炎對全球的衝擊以永豐銀行信用貸款彩椒在未成熟以前無論紅色色

公園登場,看到無邊無際彰化銀行信用貸款都經歷過綠色的青春時期接著

天母萬聖嘉年華活動每年linebank貸款審核ptt若在幼果時就採收食用則青椒

他有問唐迪理事長還有什彰銀貸款等到果實成熟後因茄紅素類黃酮素

市府應該給更多補助他說合迪車貸查詢通常農民會等完整轉色後再採收

主持人特別提到去年活動彰銀信貸因為未成熟的青椒價格沒有

但今天的交維設計就非常新光銀行信用貸款且轉色的過程會花上數週時間

像是搭乘捷運就非常方便24h證件借款因而有彩色甜椒的改良品種出現

一開場時模擬社交場合交換名片的場景車子貸款學員可透過自製名片重新認識

想成為什麼樣子的領袖另外匯豐汽車借款並勇於在所有人面前發表自己

網頁公司:FB廣告投放質感的公司

網頁美感:知名網頁設計師網站品牌

市府建設局以中央公園參賽清潔公司理念結合中央監控系統

透明申請流程,也使操作介面居家清潔預告交通車到達時間,減少等候

展現科技應用與公共建設檸檬清潔公司並透過中央監控系統及應用整合

使園區不同於一般傳統清潔公司費用ptt為民眾帶來便利安全的遊園

2024年4月7日 星期日

How English’s Global Dominance Fails Us

Puzzle pieces with word ‘English’

Back in 2012, in an op-ed for the New York Times, former Harvard president Lawrence Summers questioned whether the “substantial investment” to learn another language was “universally worthwhile” given rapidly changing machine translation and the “fragmentation of languages” worldwide. Over time, he said, mastering a language would become “less essential in doing business in Asia, treating patients in Africa, or helping resolve conflicts in the Middle East.” 

The subsequent years of globalization, mass migration, and geopolitical conflicts have proven Summers dead wrong. Although AI generated translation has become increasingly accurate, it lacks the essential human element and the cultural sensitivity that comes with learning a language. And while English has continued to be the favored lingua franca in many parts of the world, other languages like Chinese and Spanish are increasingly chipping away at its dominance. English, long considered the primary language for business, has never been as universal or sufficient as conventionally believed.

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As the world’s economy has become increasingly globalized, employers across sectors, from multinationals to small businesses and government agencies, now look for workers with multiple language skills. That leaves much of the monolingual Anglosphere at a major disadvantage.

The indifference, or resistance, among native English speakers to learning other languages is a recurring topic of finger-pointing and handwringing among globally aware policymakers. Across the English-speaking world, commentators decry the “foreign language deficit” and the failure of countries to prepare young people for the global economy. Data from the U.S. is especially revealing. Though U.S. students are enrolling in study-abroad programs in record numbers, most of them opt to take classes and even entire degree programs offered in English, a growing possibility especially in European universities.

With the exception of Korean in part for K-pop appeal, enrollment in language courses, from elementary school through college, is steadily declining. Some higher education institutions have dropped foreign languages as a condition for admission or permit students to “test out” of coursework if they can demonstrate proficiency. Some have nearly eviscerated their foreign language programs. Most recently, West Virginia University’s decision to ax all foreign language degrees made national headlines. The irony is that many universities are embracing an international mission, opening campuses abroad, recruiting students from other countries, and claiming to prepare citizens of the world. The apparent assumption is that the world speaks English.

That assumption rings hollow on the facts. Only one-quarter of the world’s population has some degree of competence in English. Even those who claim conversational skills often don’t operate at a high level of proficiency. And so monolingual English speakers cannot communicate with three-quarters of the world, nor can they tap into knowledge created in those languages. Beyond the limits this may place on their career and business opportunities, it can also make English-speakers more politically and culturally isolated, by leaving them unable to access how the world digests their politics or fully understand newsworthy developments abroad. Print and broadcast media—and increasingly web content too—speak in many voices and worldviews.

Read More: The Internet Is Changing the English Language. Is That a Good Thing?

Unlike the Anglosphere, most of the world is at least bilingual, with English often in the mix. That is true within E.U. countries, partly the result of migration and partly encouraged by education policies, as well as the vast store of intersecting languages in postcolonial countries in Asia, Africa, the Middle East, and elsewhere. Many people in these countries continue to choose adding English to their diverse linguistic repertoire. That’s why English today has 1.5 billion speakers worldwide, compared to around 1.1 billion for Mandarin Chinese, 600 million for Hindi, and 550 million for Spanish. That’s despite English ranking behind Mandarin Chinese and Spanish in the number of speakers for whom the language is the first one learned.

To what degree the decision to learn English is a matter of choice, chance, or expediency varies widely within and between countries. The same can be said for English speaking countries, where the study of languages as well as study abroad opportunities are unequally available depending on race and socioeconomic factors. A form of “elite multilingualism” with English as a key component is spreading worldwide and leaving many native English speakers on the sidelines.

It is not unreasonable to foresee another lingua franca pushing English aside someday. Spanish, spoken on five major continents, might prove to be the most viable successor. In the meantime, rather than reveling in English’s dominance or tolerating it as a necessary evil, key decision makers should accept English as a core component of multilingualism and decisively move toward educating informed citizens who can transcend linguistic and cultural borders. It’s a message the Anglosphere most needs to hear.



source https://time.com/6963810/english-global-lingua-franca/

2024年4月6日 星期六

Why Mexico Is Breaking Diplomatic Ties With Ecuador

Ecuador Mexico

QUITO, Ecuador — Mexico’s government ended diplomatic ties with Ecuador after police broke into the Mexican Embassy late Friday to arrest a former Ecuadorian vice president, an extraordinary use of force that shocked and mystified regional leaders and diplomats.

Ecuadorian police broke through the external doors of the embassy in the capital, Quito, to arrest Jorge Glas, who had been residing there since December. Glas sought political asylum at the embassy after being indicted on corruption charges.

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The raid prompted Mexico’s President Andrés Manuel López Obrador to announce the breaking of diplomatic relations with Ecuador Friday evening, while his government’s foreign relations secretary said the move will be challenged at the World Court in The Hague.

“This is not possible. It cannot be. This is crazy,” Roberto Canseco, head of the Mexican consular section in Quito, told local press while standing outside the embassy right after the raid. “I am very worried because they could kill him. There is no basis to do this. This is totally outside the norm.”

On Saturday, Glas was taken by armored vehicle from the attorney general’s office to an airport, where he boarded an aircraft for a flight to the port city of Guayaquil, 265 miles (425 kilometers) south of Quito. People who had gathered outside the prosecutor’s office yelled “strength” as the convoy of police and military vehicles moved off.

Ecuador’s corrections agency said Glas will remain in custody at a maximum-security facility in Guayaquil.

Authorities are investigating Glas over alleged irregularities during his management of reconstruction efforts following a powerful earthquake in 2016 that killed hundreds of people. He was convicted on bribery and corruption charges in other cases.

The office of Ecuador’s President Daniel Noboa defended the raid in a statement, saying “Ecuador is a sovereign nation” that will not “allow any criminal to stay free.” López Obrador fired back, calling Glas’ detention an “authoritarian act” and “a flagrant violation of international law and the sovereignty of Mexico.”

Alicia Bárcena, Mexico’s secretary of foreign relations, posted on the social platform X that a number of diplomats suffered injuries during the break-in, adding that it violated the Vienna Convention on Diplomatic Relations.

Diplomatic premises are considered “inviolable” under the Vienna treaties and local law enforcement agencies are not allowed to enter without the permission of the ambassador. People seeking asylum have lived anywhere from days to years living at embassies around the world, including at Ecuador’s in London, which housed WikiLeaks founder Julian Assange for seven years because British police could not enter to arrest him.

The decision of Ecuadorian authorities was condemned by presidents, diplomats and a regional body on Saturday.

Honduran President Xiomara Castro, writing on X, characterized the raid as “an intolerable act for the international community” and a “violation of the sovereignty of the Mexican State and international law” because “it ignores the historical and fundamental right to asylum.”

The Organization of American States in a statement reminded its members, which include Ecuador and Mexico, of their “obligation” to not “invoke norms of domestic law to justify non-compliance with their international obligations.”

“In this context, it (the OAS) expresses solidarity with those who were victims of the inappropriate actions that affected the Mexican Embassy in Ecuador,” according to the statement released Saturday. The organization added that it deemed a meeting of its permanent council “necessary to address the issue,” but did not set a date.

Bárcena on Friday said Mexico would take the case to the International Court of Justice “to denounce Ecuador’s responsibility for violations of international law.” She also said Mexican diplomats were only waiting for the Ecuadorian government to offer the necessary guarantees for their return home.

Noboa became Ecuador’s president last year as the nation battled unprecedented crime tied to drug trafficking. After a group of armed individuals assaulted a TV station during a live broadcast in January, he declared the country in an “internal armed conflict” and designated 20 drug-trafficking gangs as terrorist groups that the military had authorization to “neutralize” within the bounds of international humanitarian law.

Will Freeman, a fellow of Latin American studies at the Council on Foreign Relations, said the decision to send police to Mexico’s embassy raises concerns over the steps Noboa is willing to take to get reelected. His tenure ends in 2025 as he was only elected to finish the term of former President Guillermo Lasso.

“I really hope Noboa is not turning more in a Bukele direction,” Freeman said referring to El Salvador President Nayib Bukele, whose tough-on-crime policies have been heavily criticized by human rights organizations. “That’s to say less respectful of rule of law in order to get a boost to his popularity ahead of the elections.”

Freeman added that whether Glas was abusing diplomatic protection is a “separate issue” from the decision to send police to the embassy.

“We see a pattern of that in Latin America with politicians abusing embassies and foreign jurisdictions, not to flee prosecution but to flee accountability,” he said.

Ecuador’s ministries of foreign affairs and interior did not respond to multiple requests for comment from The Associated Press.

Former Ecuadorian ambassador Jorge Icaza told AP that the raid was illegal, but he added that it is also against the law to protect “a criminal who was punished by the Ecuadorian justice system in two prominent cases, which is also negative from the point of view of international norms.”

The Mexican Embassy in Quito remained under heavy police guard after the raid — the boiling point of recent tensions between Mexico and Ecuador.

On Thursday, tensions escalated after López Obrador made statements that Ecuador considered “very unfortunate” about last year’s election. In response, the Ecuadorian government declared the Mexican ambassador persona non grata.



source https://time.com/6964342/mexico-breaks-diplomatic-ties-with-ecuador/

Israel’s Military Recovers the Body of a Hostage in Gaza During Night Raid

Israel Palestinians Hostages

CAIRO — Israel’s military said Saturday it had recovered the body of a 47-year-old farmer who was held hostage in Gaza, while negotiators prepared to begin another round of talks Sunday on brokering a cease-fire and securing the release of the remaining hostages, six months into the war.

Israel’s army said it had found the body of Elad Katzir and believed he was killed in January by militants with Islamic Jihad, one of the groups that entered southern Israel in the Oct. 7 attack, killed more than 1,200 people and took about 250 hostages. Katzir had been abducted from Nir Oz, a border community that suffered some of the heaviest losses.

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The discovery renewed pressure on Israel’s government for a deal to get the remaining hostages freed, as families have long feared time is running out. At least 36 hostages in captivity have been confirmed dead. About half of the original number have been released.

Meanwhile, the toll of Israel’s ongoing offensive in Gaza is measured in tens of thousands of deaths and more than a million Palestinians displaced.

“We have arrived at a terrible milestone,” the U.N. humanitarian chief Martin Griffiths said in a statement marking six months and noting “the immediate prospect of a shameful man-made famine.” He called the prospect of further escalation in Gaza “unconscionable.”

Israelis are divided on the approach by Prime Minister Benjamin Netanyahu and his government after multiple rounds of stalled cease-fire negotiations. A week ago, tens of thousands of Israelis thronged central Jerusalem in the largest anti-government protest since the war began.

Negotiations will resume on Sunday, according to an Egyptian official and Egypt’s state-owned Al Qahera TV. The official spoke on condition of anonymity because they were not authorized to speak publicly about the talks.

U.S. President Joe Biden has sent CIA Director Bill Burns to Egypt. And a Hamas delegation will arrive on Sunday to join the talks, the militant group said.

Hamas has insisted on linking a phased end to the war — not a temporary cease-fire — to any agreement releasing hostages. It has said it will agree to release 40 hostages as part of an initial six-week cease-fire deal that would include the release of Palestinian prisoners from Israeli jails. Hamas also seeks the return of displaced people to devastated northern Gaza and more aid.

Israel has offered to allow only 2,000 displaced Palestinians — mainly women, children and older people — to the north daily during a six-week cease-fire.

The new talks will come days after international condemnation of Israeli airstrikes that killed seven humanitarian workers with the World Central Kitchen charity. The Israeli military has described the strike as a tragic error. Aid groups say the mistake is hardly an anomaly.

Some Israel allies are now considering halting arms sales. Biden warned Netanyahu that future U.S. support for the war depends on swift implementation of new steps to protect civilians and aid workers.

“We need security guarantees for us as humanitarians but also for the people we serve,” said Marika Guderian with the World Food Program, speaking inside Gaza.

The killings halted aid deliveries on what had been seen as a crucial new sea route for humanitarian aid directly to Gaza as the U.N. and partners warn of famine.

In Jabaliya, a refugee camp near Gaza City, families scrounged in the rubble for mallow leaves to make a thin broth to break the daily Ramadan fast. “Life has become miserable. They (daughters) tell me, ‘Father, you are feeding us mallow, mallow, mallow every day. We want to eat fish, chicken, canned food. We are craving eggs, or anything,’” said Wael Attar. They shelter in a school as part of the 1.7 million people displaced in Gaza.

The humanitarian group Oxfam says people in northern Gaza have survived on an average of 245 calories a day since January. Israel has promised to open more border crossings into Gaza and increase the flow of aid.

The war’s death toll in Gaza is now 33,137, the territory’s Health Ministry said. Its toll doesn’t differentiate between civilians and combatants, but it has said women and children make up the majority of the dead.

The ministry said the bodies of 46 Palestinians killed in Israeli airstrikes had been brought to hospitals in the past 24 hours — the lowest such daily tally in months.

Israel has blamed Hamas for civilian deaths in Gaza, accusing it of operating in residential communities and public areas like hospitals.

Gaza’s southernmost city of Rafah now holds more than half of the territory’s 2.3 million people, and Israel’s vow to carry out a ground offensive there has caused weeks of dread and warnings even from Israel’s top ally, the United States.

An Egyptian official on Friday called Israel’s most recent proposal to evacuate civilians from Rafah an “unrealistic and unworkable plan.” Egypt again threatened to suspend parts of the 46-year-old Camp David Accords that facilitate security cooperation between the states.



source https://time.com/6964324/israel-military-recovers-hostage-body-gaza-night-raid/

Why the BBC Has Spoken Out About Its Coverage of Kate Middleton’s Cancer Diagnosis

The Prince And Princess Of Wales Mark World Mental Health Day - Day 3

The BBC released a statement in response to complaints from people who felt its coverage of Kate Middleton, the Princess of Wales, announcing her cancer diagnosis was “excessive and insensitive,” the British public broadcaster said. 

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The royal announced in a video released on March 22—which was filmed by BBC Studios—that she had been diagnosed with an undisclosed type of cancer following tests conducted after a planned abdominal surgery in January. After the procedure, Kensington Palace had announced she would be absent from the public eye until at least Easter, but the uncertainty about her health led to a media and public frenzy before her cancer diagnosis announcement.

The BBC’s statement in response to criticism of its coverage, released April 5 on its complaints website, read: “We broadcast in full the highly personal video message from the Princess of Wales, in which she spoke directly to the public about her cancer diagnosis. Our coverage reflected the significance of this story and the outpouring of support for the princess from around the globe. We explained to our audience what was known about Catherine’s condition, but did not speculate on details that had not been made public.”

The broadcaster said its reporting “made clear that this is a difficult time for the princess and the rest of the royal family; we have been mindful at all times to approach our coverage with sensitivity.” 

The news organization said that it examined the “intense speculation” about Kate’s health in the weeks preceding her announcement and reported on her request for privacy and the statement from Kensington Palace detailing her right for medical privacy. 

“We always give careful consideration to the editorial decisions we make. While we have a responsibility to report on stories that are of interest to our audience, we appreciate that not everyone would have approved of the approach we took,” the BBC concluded. 

The BBC produces fortnightly reports of complaints that number more than 100. It also releases public statements in response to coverage that has generated a significant number of complaints or raised notable issues.

The BBC already issued two public statements this year in response to complaints about prior Kate Middleton reporting and coverage of her father-in-law, King Charles III’s cancer diagnosis.

Princess Of Wales Announces She Is Receiving Chemotherapy For Cancer

On March 21, the BBC responded to complaints that the public felt its reporting on the withdrawal of an edited photo of the Princess of Wales and her three children, released on social media on U.K.’s Mother’s Day, was “excessive and sensationalist.” Kate took credit for editing the image and apologized after multiple photo agencies pulled it, noting it had been manipulated.

The BBC said the photo generated global interest because it was the first official picture released since Kate’s surgery in January—and ignited even more interest after it was withdrawn.

“Our coverage examined why this had caused so much interest and looked at considerations raised over the royal family’s communication strategy and public trust in information given by the Palace,” the BBC’s statement read. “We heard a nuanced and broad range of perspectives, including from those who were sympathetic to the princess, and those who felt this wasn’t an issue, given it isn’t unusual for people to edit their family photos before sharing them. Once the princess had issued her own statement on the matter, this was featured throughout our reporting.”

On Feb. 9, the BBC responded to complaints that it had “given too much coverage to the King’s cancer diagnosis.” The broadcaster said the news was “a story of significance which has generated national and global interest,” one that posted challenges for the royal family and was revealed in a statement containing an “unprecedented” level of detail about the health of a British monarch. The BBC said Buckingham Palace explained the King wanted to raise awareness about cancer, and the broadcaster subsequently has reported on cancer charities and the disease.

The BBC has previously received complaints and issued responses regarding its royals’ coverage, particularly on major events. 

In 2021, the broadcaster received nearly 110,000 complaints for excessive coverage of the death of Prince Philip, the late Queen Elizabeth II’s husband. In 2022, the news organization responded to complaints that its coverage of Queen Elizabeth’s death was “biased” toward the monarchy.



source https://time.com/6964311/kate-middleton-cancer-diagnosis-coverage-bbc-complaints-response/

2024年4月5日 星期五

Meet the Eclipse Chasers Traveling Thousands of Miles for the Astronomical Event

Among ancient civilizations who regarded solar eclipses as an evil omen, the sight of the cosmic phenomenon would have been cause for despair. But for many enthusiasts traveling thousands of miles to see the upcoming solar eclipse on April 8, the opposite is true.

“I’m not in any way religious at all. But [the eclipse is] almost as close to a religious moment as I think you can get,” says Sarah Marwick, a 51-year-old doctor based in the U.K. “It makes you feel enormous and tiny at the same time.”

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Marwick—who has seen six eclipses in the last 25 years in the Arctic Circle, China, France, Libya, the U.S., and Zimbabwe—is an eclipse chaser, or umbraphile. The neologism cannot be found in the Merriam-Webster dictionary, but the word, meaning shadow lover, is used to describe the people who flock across the globe for a chance to see the moon obscure the sun. Eclipses happen anywhere from four to seven times a year, according to NASA. But solar eclipses are a much rarer phenomenon to see than lunar eclipses because they are only visible from a small area of the Earth each time they occur. 

“If it’s 10 seconds or several minutes, it doesn’t matter. It’s always too short for you,” says Tunç Tezel, a 46-year-old civil engineer from Turkey who has seen 13 solar eclipses and three lunar eclipses since 1999. He is traveling more than 6,000 miles from Istanbul to Houston this April. “The light comes back, and then you start to think, ‘When’s the next one? Where’s the next one? I think I need to see another one.’” 

For many, the obsession with eclipses began in childhood. “Growing up in the late ‘90s and early 2000s, one of the big things that I remember seeing were the two great comets we had,” says 35-year-old Aditya Madhavan, who has been chasing eclipses since he saw the “great American solar eclipse” in 2017. Others credit science teachers who inspired their love of space. But for most, the eclipse bug bit soon after they saw their first. 

Read More: How Astrologists Are Preparing for the 2024 Solar Eclipse

It’s hard to say how many people identify as an umbraphile. On Facebook, a public solar eclipse chasing group has nearly 21,000 members—an increase of about 13% since March. Not all of them are enthusiasts—some join to advertise their product or offer accommodations to see the eclipse—but filmmaker Nelson Quan, a member, says he noticed an explosion in interest after the 2017 eclipse. “Because these eclipses are in these narrow paths and certain places in the world, you kind of meet the same people,” says Quan, who directed a documentary about eclipse chasing called Chasing Shadows

In 2023, for instance, some 20,000 people traveled to Exmouth, Australia for the eclipse. That town had a population of 2,800. “Take a place like Australia. You think, ‘Australia is a big country?’ Well, yes, it is. But when the eclipse only hits the tip of it in Exmouth, it becomes a very small country,” says Mandie Adams, a 59-year-old landlord working in real estate.

Quan says the first online umbraphile community he remembers was a group on Yahoo called “the solar eclipse mailing list,” which included leaders of the previous generation of eclipse chasers, like astrophysicist Fred Espenak, otherwise known as “Mr. Eclipse;” cartographer Michael Zeiler, creator of GreatAmericanEclipse.com; and Xavier Jubier, the mastermind behind an interactive Google Maps site that details the timing and phases of an eclipse.  

Now that the community has grown, amateurs and newly-identifying eclipse chasers are using online platforms to share lodging plans, ask for tips, and recount tales of past trips abroad. Of the ten eclipse chasers TIME spoke to for this story, two traveled only in the U.S. for the 2017 eclipse and for this year’ astronomical event, six are traveling from other countries to see the April 8 eclipse in the U.S., and many already had plans to see the next total solar eclipse in 2026, with the most popular destination being Spain. “We are trying to do anything we can to see these eclipses as long as it’s possible,” says Tezel, a moderator of the Facebook group. “Maybe we are a bit more dedicated or a bit crazy. You decide.”

The most significant barrier to becoming an eclipse chaser might be the cost. Atlanta-based Madhavan paid $14,000 to travel to Antarctica via ship for an eclipse in 2021—and wasn’t able to see that eclipse due to cloud cover. The eclipse tourism industry is gaining traction. This year, Delta Air Lines is marketing flights for eclipse chasers to see the event from the sky and a $1.5 billion economic boom is expected to impact states in the 115-mile wide path of totality. 

Read More: Why These Passengers Are Flying up to 30 Hours to See Four Minutes of the Eclipse

Olivier Steiger, 65, says he strategically plans his eclipse trips to save costs. To maximize his time for his buck, Steiger plans on spotting other natural phenomena on this trip: he’s going to follow the northern lights for a few nights before heading to the U.S. for the eclipse, and hopefully do some storm chasing and see a tornado in Texas afterwards. Steiger says it’s cheaper to travel within Europe, and he can usually spot deals depending on where he wants to go. For this trip, he is driving down from Switzerland to Milan to take a cheaper flight to Iceland, before flying to Denver and then driving down south. 

Marwick, a mother to two children, says the cost of traveling with her family dictates her destination, accommodations, and length of time away from work. “If you’ve got a family, there’s a difference between taking a flight to Toronto that costs $400, or one that’s, you know, going to be $3,000 to Texas, and much longer time,” she says. 

Read More: Helpful Tips for Planning Your Solar Eclipse Trip

Being frugal has allowed Adams, based in England, to backpack through Chicago, Nashville, Austin, and Fort Worth during the four weeks leading up to the eclipse. “I don’t go for luxuries back home. I don’t go out and buy handbags and expensive clothes,” she says. “I want my money to be for experiences like the eclipse.”

For many umbraphiles, traveling for an eclipse will be their one extended vacation of the year. “It kind of is an excuse for us to get out of the country and go to places that maybe we wouldn’t have been before,” says Madhavan. Tunzel, who has a copy of the Fifty Year Canon of Solar Eclipses, which has maps of eclipse paths through 2035, jokingly refers to his catalog as his vacation planner. 

This year, Madhavan is traveling to Torreon, Mexico for the first time, but has also gone to countries like Australia in 2023 for an eclipse that only lasted for around a minute. “We traveled halfway around the world for [about] 56 seconds of totality, which makes it sound really crazy,” he says, “but the sun itself and the phenomena that we saw around this eclipse were just beautiful.”

That moment is never guaranteed, but the anticipation is worth it. “It’s like a calling,” says Tenzel. “We drop everything, meet… that eclipse happens, and then we go back to what we are doing in our normal lives.” And then the cycle begins again.



source https://time.com/6963961/solar-eclipse-chasers-2024/

Why Heart Disease Research Still Favors Men

Anatomy of trunk with heart, kidneys, and bladder.

Published in partnership with The Fuller Project, a nonprofit newsroom dedicated to the coverage of women’s issues around the world.

Katherine Fitzgerald had just arrived at the party. Before she could even get a drink, she threw up and broke out in a sweat. “I was dizzy. I couldn’t breathe. I had heart pain,” Fitzgerald says.

She knew she was having a heart attack.

[time-brightcove not-tgx=”true”]

What she didn’t know then was that the heart attack could have been prevented. Fitzgerald, a health-conscious, exercise-loving lawyer, should have been taking statin drugs to stop the buildup of plaque in her arteries that caused the heart attack and two others that followed.

Fitzgerald’s case illustrates a dangerous gap in medical care between men and women. While they are equally likely to suffer heart attacks, women are more likely to die from theirs. It’s one of the many symptoms of the medical system’s neglect of women.

Life-saving statins, like so many other medications, have been developed based on clinical trials that primarily recruited men. As a result, many women like Fitzgerald don’t receive prescriptions for the drugs that could help them the most, says Dr. Laxmi Mehta, director of Preventative Cardiology and Women’s Cardiovascular Health at The Ohio State University.

“There were a lot of trials. But women weren’t included as much,” says Mehta, who serves on the American Heart Association’s Research Goes Red Science Advisory Group. When women need treatment for heart conditions, she says, “we are assuming we are providing the best care based on data from men.”

Read More: What It Means if You Have Borderline High Cholesterol—And What to Do About It

More than 30 years ago, Congress directed the National Institutes of Health to include as many women as men in clinical trials. But while some progress has been made, equity remains elusive. And that’s dangerous for women. “Since 2000, women in the United States have reported total adverse events from approved medicines 52% more frequently than men, and serious or fatal events 36% more frequently,” research firm McKinsey & Company said in a report released in January.

Now, the Biden administration is taking a run at it.

Last year, the administration established a White House Initiative on Women’s Health Research and, in February, it announced it would be dedicating $100 million to the newly formed Advanced Research Projects Agency for Health (ARPA-H) to spearhead efforts to increase early stage research focusing on women.

“For far too long, scientific and biomedical research excluded women and undervalued the study of women’s health. The resulting research gaps mean that we know far too little about women’s health across women’s lifespans, and those gaps are even more prominent for women of color, older women, and women with disabilities,” Biden said in an executive order signed in March.

Heart disease should be a bright spot in this black hole of medical research. It was the recognition in the 1980s that heart disease was killing women at similar rates to men that kickstarted passage of the 1993 law requiring equity in clinical trials. The American Heart Association has spent decades funding research and leading awareness campaigns about women’s risks.

But gaps persist, says Dr. Martha Gulati, president of the American Society for Preventive Cardiology and a cardiologist at Cedars-Sinai Hospital in Los Angeles. “We don’t get represented in trials,” Gulati told a seminar sponsored by the Society for Women’s Health Research in February.

Read More: Why Are So Many Young People Getting Cancer?

One example: Dr. Safi Khan of West Virginia University and colleagues reviewed 60 trials of cholesterol-lowering drugs conducted between 1990 and 2018. Not even a third of the people enrolled—28.5%—were women, they reported in JAMA Network Open in 2020. The trials’ findings likely did not accurately represent the public as a whole, they say.

“Medical research is several steps behind on women and heart disease, and that is a major contributor to ongoing ignorance about the problem on the part of both the public and a range of medical professionals,” says Dr. Harmony Reynolds, a cardiologist at NYU Langone Health. “Everywhere along the way, there is different treatment for women, and there is some bias there.”

Statins have been widely described as wonder drugs, lowering the risk of major heart events such as heart attack or stroke by about 25%. Women are less likely than men to be offered these drugs. And when they do take them, women are more likely to stop using them because of perceived side effects. But no major study digs into the actual rate of side effects among females, or what might lie behind such differences.

Further studies might uncover additional benefits, says Dr. JoAnn Manson, professor of medicine at Harvard Medical School and Brigham and Women’s Hospital. There are hints that statins might lower a woman’s risk of dying from cancer, including ovarian cancer.

Failure of recognition

Fitzgerald was 60, had higher-than-optimal blood pressure, unhealthy cholesterol levels, and a family history of heart disease, says Reynolds, Fitzgerald’s new cardiologist. “Katherine had multiple risk factors. Many of my patients are told their blood pressure and cholesterol are ‘borderline’ when really they should be treated,” she says.

Doctors often blame women for failing to recognize their own heart disease symptoms, but the evidence shows medical professionals miss them, too. 

The symptoms of heart attacks in men are widely known: crushing chest pain, a telling sensation in the left arm, or sudden collapse. Women, on the other hand, often feel nausea, jaw pain, or lightheadedness,

Fitzgerald did recognize her symptoms. At the party where she suffered her first heart attack, she begged for an ambulance. But other guests, including a physician friend, said they didn’t think she needed medical attention.

When paramedics finally arrived, they, too, dismissed her fears and diagnosed a panic attack. They sent her home. “If I had been a man, there is no way the paramedic wouldn’t have taken me to the hospital and I wouldn’t be in the mess I am now,” Fitzgerald says.

Fitzgerald waited two days to visit an emergency room. By then, some of her heart muscle had died. She received two stents to hold open clogged arteries, but suffered two more heart attacks in the following months. She now stays out of the courtroom and sticks to less-stressful desk work.

“I take care of all these young women with heart attacks and I hear so many stories about people saying they were ignored,” says Reynolds.

Waiting for attention

The problem is not just anecdotal. Reynolds and colleagues studied the problem by looking at more than 29 million emergency room visits by people under 55 reporting chest pain. 

“In that study we show young women coming in with chest pains and they are waiting longer to be seen,” Reynolds says. “The women are waiting too long and women of color were waiting even longer. So we know there is some subtle bias there.”

Read More: What the Science Says About the Health Benefits of Vitamins and Supplements

Doctors can use risk calculators to try to forecast a patient’s future likelihood of heart disease and treat accordingly. But Dr. Stephanie Faubion, medical director of the Menopause Society, says they do not work well for women.

“That is because we are still using those that were developed and made for men,” says Faubion, who is also director of the Mayo Clinic Center for Women’s Health in Jacksonville, Florida.

Women have many specific heart risks. They have smaller coronary arteries, thinner heart walls, and suffer more heart damage from diabetes. Pregnancy can raise risks in various ways. Autoimmune diseases such as rheumatoid arthritis also add heart disease risks, and women are far more likely than men to have these conditions. 

Women who start menstruation early, or who reach menopause early, have higher heart disease rates. Birth control pills can raise the risk for blood clots, strokes, and heart attacks.

Perhaps the most recent instance of women being left out of heart disease research can be seen in the trials of highly popular diabetes drugs such as semaglutide, sold under the brand names Ozempic and Wegovy.

The drugs cause dramatic weight loss, which made researchers wonder if they might lower heart disease rates, too. They do, according to several studies, and the U.S. Food and Drug Administration now approves their use to prevent heart disease.

But none of the weight-loss trials, published in prestigious medical journals such as the New England Journal of Medicine and the Journal of the American Medical Association, break out separate data on men and women. And while the weight-loss studies did include far more women than men, many of the follow-on heart disease trials did not.

“They report the sex. They report ‘we have this many men, this many women,’” says Faubion. “They didn’t disaggregate the data on sex so they don’t know if it works better, the same, or worse in women than it did in men.”

Left out

Dr. Robert Kushner, a professor of medicine at Northwestern University who led some of the weight-loss studies, says he was surprised at the discrepancy between the enrollment of women in the obesity trials of semaglutide—in which about three-quarters of volunteers were women—and in the heart disease trials, in which women represented fewer than 28% of participants.

He says researchers recruited people already being treated for heart disease. “Predominantly, the ones who are getting care and being seen around the world were men,” Kushner says.

Kushner says he has yet to analyze results in his trial of semaglutide and weight loss by sex.

Missing out on breakthroughs

Harvard Medical School’s Manson has been sounding the alarm on discrepancies in medical research for decades.

“Raising more questions is what leads to the major breakthroughs,” she says.

Yet she has been mostly ignored, even though she helped lead the largest-ever study looking specifically at women’s health—the Women’s Health Initiative, which involved more than 160,000 women over 15 years.

The study was initially designed to see if hormone therapy in women past menopause could reduce their rising rates of heart disease and breast cancer. It also later looked for evidence of effects on bone strength, other cancers, dementia and quality of life.

The first results were startling. The hormone therapy used in the trial raised the risk of breast cancer and failed to reduce heart disease.

Read More: Menopause Is Finally Going Mainstream

“Many clinicians stopped prescribing hormone therapy altogether. Many women tossed their pills and patches,” Manson says. When the trial started, an estimated 40% of menopausal women used hormone therapy. Now, Manson estimates, only about 4% do.

The study has since been shown to have been flawed. The average age of the women in the study was 63—well past menopause. And the hormone therapy used was a high-dose hormone distilled from horse estrogens.

Later studies have indicated that lower doses and different formulations such as patches, given to women as they start menopause, may be much less harmful while reducing hot flashes, sleep loss and other symptoms. “These formulations don’t go to the liver and should be safer,” Manson says. There’s also tantalizing evidence they may lower the risk of heart disease.

Meanwhile, the lack of data means that many women who would benefit from hormone therapy are not getting it, says Faubion. 

Back in 1993, it took the considerable efforts of Dr. Bernadine Healy, the first female director of the NIH, to persuade Congress to directly fund medical research on women and heart disease.

“They are just not going to do that again. It’s too expensive,” says Faubion.

Biden asked Congress for $12 billion to improve research planning and to set up a network of research centers to focus on women’s health. And NIH has encouraged requests for money to study women in particular.

But when Congress passed a last-minute spending bill in March, it kept health funding flat. The Republican-led House did not address Biden’s request or allocate any cash for additional research into women’s health.

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source https://time.com/6962474/heart-disease-research-women/

New York City Rattled by 4.8 Magnitude Earthquake

earthquake

A 4.8 magnitude earthquake struck New Jersey at 10:23 a.m. ET this morning. Tremors were felt throughout the state, New York City, Philadelphia, and as far south as Baltimore. So far, there have been no injuries reported. New York Governor Kathy Hochul said that her team is currently conducting an assessment to check for damage.

The earthquake’s epicenter is believed to be in Lebanon, N.J., a city in the North-Central part of the state.

TIME has reached out to the United States Geological Survey for comment.

A 5.8 magnitude earthquake occurred on the East Coast in August 2011. It struck Virginia, and was felt as far as Boston.

Earthquakes are not as common in the Northeast as they are on the West Coast. However, earthquakes east of the Rocky Mountains can often cause shaking at much further distances than earthquakes of similar magnitude on the West Coast. This is thought to be because rocks on the West Coast are younger and more broken up than rocks found along the East Coast, which means that they are able to absorb more of an earthquake’s seismic energy, according to an article published by the United States Geological Survey.


This post is currently being updated.



source https://time.com/6963886/new-jersey-earthquake-magnitude-new-york-damage-reports/

من هشت سال گروگان ایران بودم. آیا دوستانم از بمباران اسرائیل جان سالم به در بردند؟

Read this story in English here نمازی گروگان سابق آمریکایی در ایران است و اکنون عضو هیئت مشاوران ابتکار آزادی برای زندانیان سیاسی در...