Shoulder arthroscopy

first_imgDefinitionShoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small incision (cut) in your skin.Alternative Names SLAP repair; Acromioplasty; Bankart; Shoulder repair; Shoulder surgeryDescriptionThe rotator cuff is a group of muscles and tendons that cover your shoulder joint. These muscles and tendons hold your arm in your ball and socket shoulder joint, and they help you move your shoulder in different directions. The tendons in the rotator cuff can tear when they are overused or injured.Most people receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. Or, you may have regional anesthesia. Your arm and shoulder area will be numbed so that you do not feel any pain in this area. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.First, your surgeon will examine your shoulder with the arthroscope. Your surgeon will:Insert the arthroscope into your shoulder through a small incision. The arthroscope is connected to a video monitor in the operating room.Inspect all the tissues of your shoulder joint and the area above the joint — the cartilage, bones, tendons, and ligaments.Repair any damaged tissues. To do this, your surgeon will make 1- 3 more small incisions and insert other instruments through them. A tear in a muscle, tendon, or cartilage will be fixed. Damaged tissue may need to be removed.Your surgeon may do one or more of these procedures during your surgery:advertisementRotator cuff repair: The edges of the muscles are brought together. The tendon is attached to the bone with sutures. Small rivets (called suture anchors) are often used to help attach the tendon to the bone. The anchors can be made of metal or plastic. They do not need to be removed after surgery.Surgery for impingement syndrome: Damaged or inflamed tissue is cleaned out in the area above the shoulder joint itself. Your surgeon may also cut a specific ligament, called the coracoacromial ligament, and shave off the under part of a bone. This under part of the bone is called the acromion. The spur can be a cause of inflammation and pain in your shoulder.Surgery for shoulder instability: If you have a torn labrum, the rim of the shoulder joint that is made out of cartilage, your surgeon will repair it. Ligaments that attach to this area will also be repaired. The Bankart lesion is a tear on the labrum in the lower part of the shoulder joint. A SLAP lesion involves the labrum and the ligament on the top part of the shoulder joint.At the end of the surgery using the arthroscope, your incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and what repairs they made.Your surgeon may need to do open surgery if there is a lot of damage. Open surgery means you will have a large incision so that the surgeon can get directly to your bones and tissues. Open surgery is a more complicated surgery.Why the Procedure Is PerformedArthroscopy may be recommended for these shoulder problems:A torn or damaged cartilage ring (labrum) or ligamentsShoulder instability, where the shoulder joint is loose and slides around too much or becomes dislocated (slips out of the ball and socket joint)A torn or damaged biceps tendonA torn rotator cuffA bone spur or inflammation around the rotator cuffInflammation or damaged lining of the joint. Often this is caused by an illness, such as rheumatoid arthritis.Arthritis of the end of the clavicle (collarbone)Loose tissue need to be removedShoulder impingement syndrome, to make more room for the shoulder to move aroundRisksRisks for any anesthesia are:Allergic reactions to medicinesBreathing problemsThe risks for any surgery are:BleedingInfectionBlood clotRisks of shoulder arthroscopy are:Shoulder stiffnessFailure of the surgery to relieve symptomsFailure of the repair to healWeakness of the shoulderInjury to a blood vessel or nerveBefore the ProcedureAlways tell your health care provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.During the 2 weeks before your surgery:Two weeks before surgery you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), and other drugs.Ask your health care provider which drugs you should still take on the day of your surgery.If you have diabetes, heart disease, or other medical conditions, your surgeon will ask you to see your doctor who treats you for these conditions.Tell your health care provider if you have been drinking a lot of alcohol, more than 1 or 2 drinks a day.If you smoke, try to stop. Ask your health care provider or nurse for help. Smoking can slow down wound and bone healing.Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.On the day of your surgery:advertisementYou will usually be asked not to drink or eat anything for 6- 12 hours before the procedure.Take your drugs your health care provider told you to take with a small sip of water.Your health care provider will tell you when to arrive at the hospital.After the ProcedureRecovery can take anywhere from 1 to 6 months. You will probably have to wear a sling for the first week. If you had a lot of repair done, you may have to wear the sling longer.You may take medicine to control your pain.When you can return to work or play sports will depend on what your surgery involved. It can range from 1 week to several months.For many procedures, especially if a repair is performed, physical therapy may help you regain motion and strength in your shoulder. The length of therapy will depend on the repair that was done.Outlook (Prognosis)Arthroscopy is an alternative to “open” surgery that completely exposes the shoulder joint. Arthroscopy results in less pain and stiffness, fewer complications, shorter (if any) hospital stays, and faster recovery sometimes.If you had repair done, your body still needs time to heal after arthroscopic surgery, just as you would need time to recover from open surgery. Because of this, your recovery time may still be long.Surgery to fix a cartilage tear is usually done to make the shoulder more stable. Many people recover fully, and their shoulder stays stable. But some people may still have shoulder instability after arthroscopic repair.Using arthroscopy for rotator cuff repairs or tendinitis usually relieves the pain, but you may not regain all of your strength.See also:Shoulder surgery – dischargeUsing your shoulder after surgeryReferencesElkousy HA, Edwards TB. Shoulder: Development of skills for shoulder surgery. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 17, section Q.Phillips BB. Recurrent dislocations. In: Canale ST, Beatty JH, eds. Campbells Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 45.Phillips BB. Arthroscopy of the upper extremity. In: Canale ST, Beatty JH, eds. Campbells Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 49.Review Date:6/30/2011Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery; and Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.advertisementlast_img read more

ICC World T20: Usman Khawaja guides Australia to win over Bangladesh

first_imgUsman Khawaja stroked a half-century as Australia survived another middle-order collapse to beat Bangladesh by three wickets in the World Twenty20 Super 10 yesterday to get their campaign up and running. (World Twenty20: Full coverage )Both teams were looking to bounce back from losing their opening Group Two games and Australia skipper Steve Smith chose to field after winning the toss.Smith’s men picked up wickets at regular intervals to restrict Bangladesh to a modest 156 for five despite a late flurry by Mahmudullah who hit seven fours in an unbeaten 49.Legspinner Adam Zampa (3-23) and all-rounder Shane Watson (2-31) were the pick of the bowlers. Zampa claimed the key wicket of Shakib Al Hasan who had notched a patient 33 off 25 balls and was just starting to open up.Openers Khawaja (58) and Watson (21) then got Australia off to a good start, sharing a stand of 62 in 44 deliveries before the latter was run out. Khawaja was bowled by Al-Amin Hossain in the 14th over having struck seven fours and a six in a 45-ball knock that gave Australia a solid platform, although they had the same sort of middle-order slump they suffered in the first game against New Zealand.Smith, out for six against the Kiwis, was bowled by Mustafizur Rahman for 14. David Warner (17) was next to fall and was soon followed by Mitchell Marsh (six).Glenn Maxwell then scored a brisk 26 before being stumped while all-rounder John Hastings, brought in by Australia for left-arm spinner Ashton Agar, went for three when he was caught at mid-wicket by Soumya Sarkar.advertisement”It’s something we spoke about recently, the middle overs…we didn’t do well against New Zealand and we haven’t done it well tonight either,” Zampa told reporters.”(But) when you’re chasing a total where you don’t have that many runs to get, you can probably afford to take a few risks.”Australia needed five runs off the last two overs and James Faulkner and Peter Nevill saw them through to a win that lifted the team to third in the group behind New Zealand and Pakistan but ahead of India.Bangladesh, who are bottom, have a mountain to climb to reach the semi-finals.”I know this is a high-scoring ground,” captain Mashrafe Mortaza said. “We made a few mistakes but I think the way we played we can take a lot of positives into our next games.”last_img read more


first_img“…we are in the process of drawing up standard”…we are in the process of drawing up standard operating procedures. The National Tiger Conservation Authority notification already emphasises on maintenance of cleanliness around tiger reserves. We want to take it a step forward. To start with, we have identified 10 sanctuaries. Other places will be included after the SOP is ready,” Jha said.To a question, Iyer rejected reports that Prime Minister was not happy with the pace of the work and said the government is working towards attaining the deadline of October 2, 2019 when villages are planned to be made open defecation-free by constructing toilets.The government is also working towards inculcating the habit of using toilets by bringing about behavioural changes, he said.He also stated that state governments were “co-operating” with the Centre on these fronts.”Globally there are 1 billion people who practice OD (open defecation). 600 million of them are in India. So, it is a monumental challenge which has never been seriously addressed. This is the first time chief executive of any country (Modi) has taken such interest.”The increase in sanitation coverage from end of 2014 till now is of 14 per cent which is remarkable in such a short time. I think there has been lot of momentum,” he said.Iyer also stated that the government now mulls accelerating the work. He also added that the efforts to engage 27 mission ambassadors including film actors, sports and other renowned personalities.Meanwhile, Jha informed reporters about the Swachh Bharat Fortnight, organised by each government department, observed by the Environment Ministry between June 1 and June 19 (extended by four days) at its office premises, protected areas such as sanctuaries, national parks, tiger reserves – which see higher footfalls. PTI ENM SAI ZMN SAIadvertisementlast_img read more

HTC U11 EYEs with bezel-less display, Snapdragon 652 to launch on January 15

first_imgLast month, it was reported that HTC is planning to launch just a handful of smartphones this year as it will focus on high-end and mid-range models. While the company is expected to come out with the U12 flagship in the first half of 2018, it was reported that HTC will kick off the new year by launching a mid-range smartphone that will join its U11 lineup. This is now confirmed to be the HTC U11 EYEs, courtesy notable tipster Evan Blass.Blass tweeted the name of the smartphone, which will be a cheaper version of last year’s U11+, along with some specs. As far as design is concerned, the U11 EYEs (previously codenamed Harmony) will sport a near bezel-less 6-inch Full HD+ (1080×2160) Super LCD3 display. Under-the-hood, the U11 EYEs will be powered by a mid-range Snapdragon 652 octa-core chipset coupled with 4GB of RAM. It will be offered with 4GB of RAM and 64GB of internal storage, which will be expandable via a microSD card.Sadly, despite it being 2018, the U11 EYEs will be launched running Android Nougat rather than Android Oreo. The handset will house a 3930mAh battery and a USB Type-C port for charging. It will be IP67 rated for water and dust resistance. The smartphone will also come with Edge Sense that was introduced with the U11. The feature allows users to squeeze the sides of the frame to perform certain actions like launching apps. Blass in his tweet also reveals the the U11 EYEs will be available in Black, Silver and Red colour options.advertisementThe HTC U11 EYEs will be launching next week on January 15 and the company has confirmed this via an invite posted on Chinese social media site Weibo. Reports suggest that the mid-range smartphone will be available initially in Hong Kong, China and Taiwan markets. There is no word yet on whether the phone will make it to India.Also read: HTC U12 render reveals bezel-less display, expected to launch in first half of 2018HTC is also tipped to launch the U12 in the first half of this year. The company’s upcoming flagship is expected to sport top-of-the-line specifications that includes the newest Snapdragon 845 processor. The company will also sport an edge-to-edge display to keep with the current trend and a leaked render last week suggests the same.last_img read more

4th ODI: Jason Roy hundred trumps Babar Azam 115 as England beat Pakistan by 3 wickets

first_imgEngland’s Jason Roy hit a superb century and Ben Stokes carried them home as they beat Pakistan by three wickets at Trent Bridge on Friday, surviving a middle-order wobble to take an unassailable 3-0 lead in the series.Babar Azam’s century helped Pakistan reach a respectable 340-7 in their 50 overs, yet once again a decent total proved inadequate for the tourists as England wrapped up victory after a tense finale with three balls to spare.Having hunted down a 359-run target with ease in Bristol in the third ODI, England steadily chipped away at Pakistan’s total with Roy leading the charge, bringing up his eighth ODI century in 75 balls.At that point, the hosts looked set for another routine win on a ground where they had twice scored more than 400 in the last three years.Yet when Roy departed for 114 with England on 201-2 their momentum ground to a halt as they lost three further wickets for another 15 runs with Jos Buttler and Moeen Ali departing for ducks.All-rounder Stokes rode to the rescue, however, smacking 71 not out off 64 balls, assisted by 31 from Tom Curran, who had earlier claimed 4-75 with the ball.”Tonight will do the dressing room a lot of confidence, knowing that when we lose a few quick wickets we are still able to come through,” said Stokes.It was a changed lineup for England who were without captain Eoin Morgan after he was banned for a slow over rate in the last ODI.Jonny Bairstow, who smashed 128 in Bristol, was also rested at the top of the order with James Vince coming in.advertisementYet it was a familiar tale of woe for Pakistan who had Babar Azam’s steady 115 off 112 balls to thank for leading them to a defendable total that was picked off by an England side who have not lost a run chase on home soil in this format since 2015 (18 wins, one draw).England, who will head into the World Cup as favourites on home soil later this month, lead 3-0 heading into the fifth and final ODI in Leeds on Sunday.last_img read more

Report: Man City 2 Southampton 1

first_imgManchester City 2 Southampton 1: Sterling snatches last-gasp winner Joe Wright Last updated 1 year ago 06:03 11/30/17 raheem sterling - cropped Getty Images Raheem Sterling’s brilliant goal in the sixth minute of stoppage time gave Manchester City a last-gasp win over Southampton. Manchester City restored their eight-point lead at the top of the Premier League thanks to a goal in the dying seconds by Raheem Sterling that sealed a dramatic 2-1 home win over Southampton.A Kevin De Bruyne free-kick, diverted into his own net by Virgil van Dijk, had looked likely to be enough to give Pep Guardiola’s side a 12th league win in a row until Oriol Romeu snatched an equaliser 15 minutes from time.But Sterling curled home a sublime winner as the game crept into the sixth minute of injury time to maintain the hosts’ charge towards the title. 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A Liverpool legend in the making: Behind Virgil van Dijk’s remarkable rise to world’s best player City battled back from a goal down to beat Huddersfield Town last time out, Sterling also scoring the winner in that clash, and they could easily have found themselves behind in the first half at the Etihad Stadium against a Saints side buoyed by their 4-1 win over Everton.Wesley Hoedt and Maya Yoshida missed clear opportunities to punish the home side for a sloppy opening period, with goalkeeper Fraser Forster equal to anything City were able to produce.That was until the 47th minute, when De Bruyne’s goal-bound delivery was deflected in at the near post by Van Dijk, allowing the home fans to breathe a little more easily.The home side failed to add to the goal and were punished in the closing stages by Romeu’s clinical finish, but Sterling struck to deny Saints a valuable point and frustrate title rivals Manchester United, who had looked set to make up ground on City.40 – Man City’s haul of 40 points from their first 14 Premier League games this season is the joint-best tally ever at this stage of a top-flight campaign (also Tottenham in 1960/61 – 3 pts for a win). Momentum.— OptaJoe (@OptaJoe) November 29, 2017A surprisingly slack start from City should have been punished 14 minutes in, with Hoedt only able to head against the crossbar from inside the six-yard box after Ryan Bertrand’s corner was flicked on by Yoshida.City broke swiftly and twice tested Forster, with Sterling and Gabriel Jesus denied by the England international, who then made a flying stop to claw away a Fernandinho effort after Mario Lemina was dispossessed in his own half.Ilkay Gundogan then missed City’s best chance of the half, scuffing a half-volley into the turf and behind for a goal kick after Forster had saved from Sergio Aguero, but the home side continued to look subdued and Yoshida missed a clear opportunity to punish them before the break, prodding an effort over the bar from point-blank range after Van Dijk’s downward header.Saints were made to rue those misses in the first two minutes of the second half. De Bruyne whipped in a low free-kick from the left of the penalty area and the ball was turned into his own net by Van Dijk, who was under pressure from Aguero.We’ve scored in the second half of every @premierleague game so far this season   #mancity — Manchester City (@ManCity) November 29, 2017 Jesus was then thwarted by Forster when through one-on-one and the Saints keeper made a flying save to keep out a De Bruyne strike from 25 yards out, with City apparently keen to press their advantage and kill off any hope of a comeback from the visitors.Aguero missed a free header from another De Bruyne delivery before Van Dijk spurned the chance to equalise, nodding another dangerous corner over the crossbar from six yards out.However, just as the game looked to be getting away from the visitors, they snatched their equaliser. A deep cross from Bertrand was controlled expertly by substitute Sofiane Boufal and, when he picked out Romeu from the byline, the midfielder made no mistake in smashing high past Ederson.City poured forward and their pressure told seconds after the allotted five minutes of injury time, Sterling collecting De Bruyne’s pass and bending a stunning strike into the top-left corner from the edge of the area to deal a blow to United and the chasing pack in the title race.Key Opta Stats:- Manchester City’s winning run in the Premier League is now at 12 games – the only two teams to go on a longer winning run within a single Premier League season are Chelsea (13 in 2016-17) and Arsenal (13 in 2001-02).- Southampton have picked up just one point from their last seven Premier League visits to the Etihad Stadium.- Since his Premier League debut for Manchester City in September 2015, Kevin De Bruyne has had a hand in 51 goals in the competition (17 goals, 34 assists), more than any other midfielder in that time.- Raheem Sterling has scored the winning goal in the 84th minute or later in four different competitive games for Manchester City this season, including in each of their last three games.- Sterling has been directly involved in 12 goals in his last 13 competitive appearances for Manchester City (10 goals, two assists).  read morelast_img read more

Chartworld Shipping Buys Capesize Newbuilding

first_imgzoom CarVal Investors, LLC, an investment arm of Cargill, has sold its newbuilding Capesize bulk carrier for a total consideration of USD 32.5 million, according to data released by VesselsValue.The 180,000 dwt ship, named Mustang, was purchased by Greece-based shipowner Chartworld Shipping Corporation.Featuring 93,960 gross tons, the vessel is currently under construction at Chinese yard New Times Shipbuilding and it is scheduled for delivery during the year.Mustang will join Chartworld’s fleet of 64 vessels covering the dry bulk, tanker, reefer and container sectors.The company manages a fleet of 10 bulk carriers with a total capacity of some 921,000 dwt, 27 refrigerated cargo vessels, 7 tankers with a total carrying capacity of 582,079 dwt and 22 container ships.World Maritime News Stafflast_img read more

Containerships CEO Steps Down

first_imgKari-Pekka Laaksonen, the Chief Executive Officer of boxship operator Containerships, has announced his decision to resign from the position.The company’s board of directors is to meet on March 29 to find a successor for Laaksonen.Laaksonen will remain in his position until his replacement is effective.French liner CMA CGM Group is set to propose Claude Lebel, current CEO of MacAndrews Gmbh, for the role.CMA CGM earlier decided to merge Containerships and MacAndrews brands under the single Containerships brand from April 1, 2019. The French shipping major said the move would combine the two companies’ maritime and inland solutions with complementary regional footprints.CMA CGM acquired Finland-based Containerships in October 2018. The acquisition added four LNG-powered 1,400 TEU vessels to its fleet.last_img read more

Why the shade The common practice of momshaming

first_imgCALGARY – Moms everywhere can attest to harsh judgment from other people, including other moms experiencing the same struggles.Moms reach out for help or share their successes and others are quick to jump in and shame them for parenting styles and lifestyle choices, among other things. There’s an expectation that mothers just know everything when they become a mom due to traditional gender roles, even though society has evolved, according to author Anne Walsh.“It’s almost as if it’s set in stone that if something goes wrong when it comes to the kids, it has to be the mom. And you see it if something happens to a child, you’ll hear, ‘Well, where was the mother?’ It’s always ‘where was the mother“. We’re kind of type-cast in that way in that we are responsible no matter what–no matter how busy you are, whether you’re a working mom or a stay at home mom… Anything that concerns your child is perceived as your responsibility.”Walsh adds one of the struggles that comes with that is that being a mom is a 24/7/365 operation. You’re constantly “on” with no breaks.“There are no jobs out there that you’re expected to perform 24/7, where you’re not allowed to take breaks, where you’re not allowed to make mistakes. And when you’re sleep deprived and you have multiple responsibilities–that’s a lot of pressure to put on a human being! If you do make a mistake, there’s such harsh judgment.”Nicole Scopie, mother to a young baby who was born three months premature, knows first-hand the feeling of being judged when reaching out for help.Nicole Scopie’s son was birth three months premature. She says she’s seen lots of mom-shaming as a first-time mom. (CREDIT: Photo provided by Nicole Scopie)“Everything right now revolves around social media, but social media is such a double-edged sword,” she said.“You can find some absolutely great groups… but there are mom other groups where you can actually be quite belittled by asking a simple question. But if you don’t know, you don’t know. And that’s why we ask, there’s no point in putting someone down because of it. And if someone is asking you, they’ve likely exhausted all other options.”Scopie said mothers are very quick to judge each other due to a variety of parenting styles.“Everybody believes in a certain way to raise their children but not everybody believes in the same way. It’s hard for others to respect that and they’re so quick to turn around and judge.” She says with her baby being so premature there were complications when it came to feeding. Not only did her son need formula, but she had trouble producing milk. She says another mother blamed her for not being able to feed her baby, and therefore being able to properly bond with her son.Nicole Scopie’s son, who was born three months premature. (CREDIT: Nicole Scopie)“He’s happy and healthy–why should it matter how I feed him? He’s getting everything he needs. Why do you feel the need to sit there and scrutinize someone like that?” She’s seen a number of other similar situations like this online, and she’s not the only one who’s gone through that judgment.“It’s just brutal… To sit there and be at your wit’s end, begging for help, just to be told that you’re a bad mom? It’s awful to see some of the things people say.”And there’s an added challenge with social media when all you see is the perfect snapshots of motherhood, the clean house and the moms with clean clothes and a perfect hairdo and flawless makeup–not reality.“Just sweeping the floor sometimes, if you have a colicky baby, it’s almost impossible. It’s exactly that, there’s the perfect image that everyone has to portray on the internet. You can’t be real about it.”But, on the other hand, Scopie says sometimes you luck out with other moms online.“When he was in the NICU, I was a part of a Facebook group across Canada. One of the NICU nurses actually reached out to me because she also just had a baby. And it actually turns out she was a nurse at the NICU he was in. She’s been probably one of the biggest people that I go to besides my mom,” explained Scopie.Jennifer Luckhardt, a new mom to a baby girl, says it’s also difficult to know what’s the right parenting path to take when there’s so much conflicting information online.“What’s very confusing are the guidelines we get for raising our children,” expressed Luckhardt.“On the one hand I’ve been looking into feeing her solid foods–she’s going to be five months [soon]. I found one recommendation that said you should only breastfeed exclusively until they’re six months, otherwise, it gives them a higher risk of developing food allergies. And then I found another recommendation that said you should start them on food around five months and introducing solids, otherwise they will have food allergies!”She says it’s incredibly confusing when there’s no definitive answer. “No matter what you do you are wrong.”Walsh echoes Scopie’s and Luckhardt’s statements and says there’s a dichotomy in motherhood because on one hand society idolizes mothers but we simultaneously devalue their contributions to society and to their families.“You’re supposed to be perfect, but even if you’re doing it perfectly, everything you’ve done is exactly perfect according to the ideals, it’s still not seen as a big deal.”Walsh recently released her book on motherhood, Out of the Mouth of Moms, from the Trenches of Motherhood, a collection of stories from other mothers about their own struggles. She hopes the book will give struggling mothers a feeling that they’re not alone.last_img read more

Hollywood North Vancouver abides some Jeff Bridges sightings

first_img Twitter “I was coming out of Brooks Bros after buying a couple of shirts and I saw this guy who looked a lot like Jeff Bridges,” Zimmer said. “He was a nice guy and we had good conversation. Taller than I thought.”Bad Times at the El Royale, which also stars Chris Hemsworth, Dakota Johnson and Russell Crowe, filmed a scene in Agassiz earlier this week and Bridges posed for photos with some Fraser Valley fans as well. Advertisement Advertisement Login/Register With: LEAVE A REPLY Cancel replyLog in to leave a comment As a federal politician who rubs elbows with Canada’s who’s who on Parliament Hill, Bob Zimmer isn’t one to get star-struck — but an unexpected encounter with ‘The Dude’ can change all that.“Being in the public eye myself, I know people don’t really like to be bothered,” said the Conservative MP for Prince George-Peace River-Northern Rockies. “But how can you not say hi to Jeff Bridges?”Zimmer says he was doing some shopping on Alberni Street in Vancouver last weekend when he ran into the 68-year-old Oscar winner, who is in town filming Bad Times at the El Royale. Facebook Advertisementlast_img read more

Beaver Lake Cree Nation featured in Naomi Kleins new doc

first_imgAPTN National NewsA First Nation community in Alberta is featured in a new documentary about climate change.Located in the heart of the tar sands, the Beaver Lake Cree Nation plays a part in author Naomi Klein’s film This Changes Everything.The film premiered at the Toronto International Film Festival and is destined for film festivals around the world.APTN’s Brandi Morin reports.bmorin@aptn.calast_img

Royal Gendarmerie Crashes Same-Sex Moroccan Wedding in Marrakech

Rabat – On the night of Saturday, February 16, two Moroccan men aged 24 and 26 held a wedding ceremony in a remote resort in the ochre city, Marrakech, until the Royal Gendarmerie interrupted.The wedding, attended by Middle Eastern businessmen and other LGBTQ Moroccans, took place in a luxurious tourist complex in Saada, a rural town near Marrakech. The wedding organizers reportedly asked guests to switch off their phones during the ceremony to avoid the leaking of photos or videos of the wedding. Read Also: Marrakech Cross-Dresser Relates Fears for Safety, Hopes to Leave MoroccoThe organizers then suspected that the Royal Gendarmerie had surrounded the resort and informed the wedding guests who began to flee and hide in a nearby forest. The gendarmerie, with the help of some local residents who had reported the wedding, chased and arrested eight guests. Others managed to escape the scene by car.Same-sex marriage is illegal under Article 489 of the Moroccan Penal Code, which criminalizes “lewd or unnatural acts with an individual of the same sex.” It is punishable by 6 months to 3 years’ imprisonment and a fine of MAD 120 to 1,200.Although same-sex marriage is legal in several parts of the world, including the US, Australia, and Canada, merely being a member of the LGBTQ community in Morocco and other generally conservative societies is largely rejected.Read Also: Student Found Dead with Homophobic Message in Algerian University Dorm read more

MSF ends Sri Lankan operations

In order to provide access to primary health care and referral specialist services for isolated populations in parts of Mullaitivu District, MSF began a mobile clinic project in December 2010. Throughout 2011, mobile clinics conducted 200 primary health care consultations at five different sites per week, or 11,524 for the entire year, mostly in Puthukkudiyiruppu division.MSF also developed Mullaitivu Hospital’s electricity, water, and sanitation systems to ensure sustainability in the future, and provided significant assistance to develop the health structure’s laboratory service.Numerous communities in areas affected by the fighting witnessed deeply traumatic events during the last phase of the civil war. While the physical scars may have healed for many, considerable mental health care needs remain. Many people lost everything during the war and face new difficulties in the resettlement process. Drawing on extensive experience of working in conflict and post-conflict settings, MSF launched mental health activities in 2009. MSF worked in collaboration with the Ministry of Health and the College of Psychiatrists, first in Menik Farm—a camp for hundreds of thousands of people displaced by the war—and later in eight different sites in Mullaitivu District, including inside a specially built structure on the grounds of Mullaitivu Hospital. As many sick people were unable to travel to health facilities due to a lack of money and public transportation, mobile mental health teams had to travel to very remote areas to reach patients.From February 2011 to July 2012, MSF provided 4,629 counseling and group support sessions for individuals suffering from psychological and psychiatric disorders, targeting children, women, the elderly, and disabled. A psychiatrist also provided medical follow-up for patients diagnosed with post-traumatic stress disorder, depression, psychosis, or epilepsy.The community outreach program conducted group counseling sessions for students in the region and provided training for teachers to identify children with mental health conditions. “The partnership with the Ministry of Health teams, either in Colombo or at provincial level, led to much better access to health facilities for communities in Mullaitivu district. In terms of human resources, the government is also scaling up staff in these structures, which means MSF can now reallocate these resources to emergency contexts where medical services and facilities are in shorter supply.” From 2006 to 2011, MSF provided support at Point Pedro Hospital’s emergency unit and assisted with maternal health care, surgery, and infection control. These activities were handed over successfully to the Ministry of Health in December last year. In 2011, MSF staff performed 1,720 major operations and more than 6,900 emergency consultations, approximately 5,300 women received antenatal care, and 929 births were assisted.In 2012, MSF gradually handed over its responsibilities in the 80-bed Mullaitivu Hospital to the Ministry of Health. In 2011, MSF carried out around 5,000 consultations in the emergency unit, performed 1,004 major surgeries, delivered 329 babies, and provided antenatal care to 2,295 women. Doctors Without Borders/Médecins Sans Frontières (MSF) announced that it has handed over its last remaining project in Sri Lanka—a mental health program in Mullaitivu District—to World Vision, an established international NGO with a long-term operational plan for the north of the country. This handover follows a progressive transfer of medical activities to the Sri Lankan Ministry of Health over the last 18 months.“The District General Hospital of Mullaitivu was almost non-functioning back in 2010 when MSF decided to provide support to enhance access to health care during the resettlement period for the internally displaced people,” said Marie Ouannes, MSF’s program manager for Sri Lanka. Other key objectives of the project included establishing an efficient referral system within local health structures for those in need of treatment and building a pool of trained local counselors and community support officers.“While not in the acute post-conflict phase, mental health needs in the area are still significant, despite the war having ended more than three years ago,” said MSF psychologist Gaia Quaranta. “Specialized skills and a long-term approach to community rehabilitation is required to address these issues, which is why we call on other organizations with a long-term future presence in the area to continue providing mental health care support for local communities.”In recent years, nongovernmental organizations have been granted greater access to areas that were most affected by the fighting. Infrastructure and health facilities have improved, as well.“As a medical humanitarian organization specializing in emergencies, MSF must allocate our limited resources to where the health needs of neglected populations are greatest,” said Marie Ouannes. “In the north of Sri Lanka, other actors that are better suited to a long-term recovery process are now able to reach the populations in need of care.”MSF will continue to monitor the situation in Sri Lanka and stands ready to return to the country to provide emergency medical support if the need arises. read more

Bangladeshi lawyer named UN rights expert on human trafficking

Ms. Huda is the founder and current president of the Bangladesh Women Lawyers Association. She is also the Secretary-General of the Bangladesh Society for the Enforcement of Human Rights, as well as a founding member of various organizations fighting against trafficking and sexual exploitation of women and girls.The Special Rapporteur is mandated by the Geneva-based Commission to recommend ways to uphold and protect the rights of the victims of trafficking.

DR Congo amid fresh violence presence without action undermines our credibility –

In his briefing to the Security Council, Special Representative Martin Kobler noted that despite initial hopes that “the seeds of peace” would spread throughout the DRC’s Eastern regions, recent outbursts of violence in villages in and around the city of Beni had reminded the world “just how fragile those hopes can be.” Mr. Kobler was referring to a series of massacres committed by the Ugandan-based Allied Democratic Forces (ADF) rebels between 2 October and 17 October during which they “brutally massacred” over 80 civilians, mostly women and children, with machetes. The Special Representative cautioned that although the ADF had been weakened over the past few months as the Congolese Armed Forces (FARDC) captured strongholds and released hostages held by the rebels, they nonetheless continued to resist the Government forces. “These lamentable attacks, however, demonstrate the group’s resilience and their capacity to use asymmetric guerrilla and terrorist tactics against civilians,” Mr. Kobler explained.“Under pressure and on the run, they may be trying to draw FARDC attention away by attacking population centres,” he added.Indicating a two-point plan to combat the ADF resurgence, Mr Kobler told the 15-member Council that “only action against the ADF, not words” would serve to revive the population’s confidence in the Government forces and in the UN presence in the country as “no victory is possible without the support of the local population.” Secondly, he said, he “strongly advocated” for decisive joint military and combat operations between the FARDC and MONUSCO in order “to bring an end to this scourge.”Mr. Kobler acknowledged that some of his mission’s focus on the ADF may have been diverted as MONUSCO continues to labour towards the neutralization of the Democratic Forces for the Liberation of Rwanda (FDLR) armed group – among the mission’s long-stated “top priorities.” Leaders and members of the FDLR are among the perpetrators of the 1994 genocide against the Tutsi in Rwanda, during which Hutu and others who opposed the genocide were also killed, the Council recalled in a recent statement. Indeed, the FDLR is a group under UN sanctions and which has continued to promote and commit ethnically based and other killings in Rwanda and in the DRC.He recalled that the FDLR had until 2 January, 2015 to voluntarily disarm, after which military action against the group would be “inevitable.” He warned, however, that “taking this fight to the jungle will be long and difficult” and would result in “many casualties” but that there would be “no excuse for further delay” for the disarmament. “The credibility of the UN, the Congolese Government and the region are at stake.” Picking up that thread, Saïd Djinnit, UN Special Envoy for the Great Lakes Region, agreed, urging the wider UN to “act now” in reigning in the FDLR. “Failure to bring the process of neutralization of the FDLR to a successful conclusion in line with the resolutions of the Security Council and the decisions of the leaders of the region will potentially exacerbate tensions, undermine our collective credibility and put the PSC Framework under serious stress,” said Mr. Djinnit, referring to the Peace, Security and Cooperation Framework for the DRC signed by 11 African countries in February 2013 with the aim of building stability by addressing the root causes of the conflict and fostering trust between neighbours. Meanwhile, turning to the humanitarian situation in the country, Mr. Kobler said that the province of Katanga had been plunged into a humanitarian crisis as internally displaced persons had increased more than 11-fold over the past three years. He warned that as the country was soon expected to head to the polls, the elections themselves could be “a flashpoint,” further exacerbating humanitarian conditions. “Never-before-held local polls may add fuel to the fire of traditional rivalries and conflicts over land and customary power,” he explained, adding that at the national level “some may be tempted to subvert democratic competition.” At the same time, the human rights situation in the country remained of primary concern to MONUSCO, Mr. Kobler continued, noting that his office’s work advocating for and protecting the rights of the Congolese people was not undertaken to weaken or blame the Government but to “strengthen good governance,” promote “long-term stability,” strengthen the Government’s moral authority, and open-up dialogue so that “all pending human rights questions can be discussed and confidence can be built.”On that note, the Special Representative observed that the protection of civilians and their human rights must also be enforced by MONUSCO’s military component. “The Force Commander and I agree that the Protection of Civilians is more than a mandated task,” Mr. Kobler told the Council. “It is our raison d’etre in the DRC and a moral imperative of the UN.”He affirmed that the UN’s presence in critical areas of danger was “not enough” and that “presence without action, in the face of violence, undermines our credibility.” To that point, he called on MONUSCO troops to engage with civilians, “pursue the danger where it lies,” and “march for days into the jungle,” if necessary, in order to guarantee the protection of civilians. “Action, not inaction; proactive, not reactive; mobile forces, not static battalions; feet, not wheels,” Mr. Kobler stated. “When civilians are at risk, ‘Act, don’t ask!’” read more

UN agencies launch 198 billion humanitarian appeal for Africas criseshit Sahel region

“We need the renewed support of the international community to ensure millions are afforded the most basic assistance and protection they deserve to survive and live a dignified life,” said Toby Lanzer, Assistant Secretary-General and Regional Humanitarian Coordinator for the Sahel, in a news release issued by the UN Office for the Coordination of Humanitarian Affairs (OCHA).According to OCHA estimates, in 2016, nearly 23.5 million people, or almost one in six, will not have enough to eat, of which at least 6 million will require emergency food assistance, and about 5.9 million children under five years of age will be threatened by acute malnutrition, impacting their lives and development. Further the agency warned that a spurt in violence has worsened the situation in the region, which has also led to new peaks of displacement, with nearly 4.5 million people forced from their homes, representing a threefold increase in less than two years. OCHA also noted that the volatile situation in Mali, where insecurity continues to hamper the return to their homes of some 200,000 Malians, the violence across the Lake Chad Basin accounts for more than half of the displaced people in the Sahel. Mr. Lanzer observed that mounting humanitarian need is the most visible symptom of the triple crisis of poverty, insecurity and climate change that plagues the Sahel region. “As humanitarians, we will do our part, delivering essential food, health care, safe water and sanitation to families; treating children from malnutrition and striving so they can stay in schools despite the odds. We also pledge to work with countries and organizations engaged in development and stabilization programmes, without which humanitarian aid will be required indefinitely,” he added. At the same time, Vincent Martin, Head of the sub-regional resilience and emergency office for West Africa and Food and Agriculture Organization (FAO) Representative in Senegal said that for the families that rely on subsistence farming, timely assistance will allow them to continue to grow their own food, secure income and take advantage of local economic opportunities. “Agricultural assistance is essential to restore people’s livelihoods and contribute to halt the vicious cycle of poverty and vulnerability in the Sahel,” said Mr. Martin. Speaking about the crisis in the Lake Chad Basin, Jan Egeland, the Secretary General of the Norwegian Refugee Council (NRC), one of the organizations providing assistance to the displaced in north-east of Nigeria, stressed that the world has not recognized the scale of the crisis in the region. “Thirty million people live in areas affected by Boko Haram’s senseless acts of terrorism. Their random targeting leaves entire populations in fear, and 2.5 million have so far had to flee from their homes,” said Mr. Egeland.Boko Haram carried out triple suicide attacks in Lake Chad Basin last week, which killed 30 people and left many more injured, prompting UN Secretary-General, Ban Ki-moon to reiterate his call for the countries affected by Boko Haram to address the root causes of this scourge in a holistic and integrated manner. read more

In Vienna UN urges focus on shared responsibility to combat illicit drugs

Addressing the start of the 59th Session of the Commission on Narcotic Drugs (CND) in Vienna, Austria, the Executive Director of the UN Office on Drugs and Crime (UNODC), Yury Fedotov, said the ongoing preparations “can help to take further crucial steps forward to promote a healthier, safer and more prosperous future for all”.This session of the Commission brings together around 1,500 delegates representing Member States, inter-governmental organizations, and civil society for a global discussion on the world drug problem, according to a press release. Today’s opening briefing takes place just one month before the UN General Assembly special session on the World Drug Problem. The focus of the Special Session, or UNGASS as it is known, will be on what actions Member States can take by 2019 to achieve the goals set forth in a policy document, “Political Declaration and Plan of Action on International Cooperation towards an Integrated and Balanced Strategy to Counter the World Drug Problem”.The draft outcome document for the UNGASS is expected to be written at the current CND session.Worldwide, some 27 million people suffer from drug use disorders, including 12 million people who inject drugs, according to UNODC figures. Despite these figures, about three-quarters of the world’s population lack access to controlled narcotic and psychotropic substances to relieve pain and suffering, including for terminal cancer and AIDS patients.“The UNGASS process has helped to raise awareness of this continuing global health problem, and the need to put people first when developing responses,” Mr. Fedotov said. He added that the UN agency is fully engaged in supporting countries through “balanced approaches, rooted in agreed frameworks and informed by UNODC’s research, guidelines and extensive on-the-ground experience.”Among other topics mentioned, Mr. Fedotov also discussed the unending proliferation of new psychoactive substances and the growing nexus between organized crime groups and violent extremists, including in parts of Africa and South Asia.Also addressing the CND was President of the General Assembly Mogens Lykketoft and Werner Sipp, President of the International Narcotics Control Board (INCB). In his briefing, Mr. Sipp urged Member States to use UNGASS as an opportunity “to renew your commitment to shared responsibility in addressing the world drug problem” and to reaffirm key principles, such as protecting and enhancing the health and welfare of mankind. read more

Group B Croatia 5 of 5 – Tunisia on Spain in knockout

In the last round of matches in Group B, Tunisia easily outplayed Iran 30:23, while the second place won Macedonia against Austria 36:31 with nine goals of Kiril Lazarov.Tunisia : Iran 30:23 (12:12)Touati 7, Salah in Boughanmi 4; Karamian, Heydarpour, Rajabi 3Macedonia : Austria 36:31 (16:16)Lazarov 9, Mirkulovski 6, Vugrinec 3; Weber 8, Szilagyi 7Croatia : Bosna and Herzegovina 28:22Karačić 7, Slišković 6; Toromanović 7, Janković in Mikić 3STANDINGS:Croatia 10Macedonia 8Austria 5Tunisia 5BIH 2Iran 0 ← Previous Story Group A: Spain beat Slovenia to win the group A Next Story → Viran Morros before Tunisia: We will play against home team

Celebrating women

first_imgThe Greek Orthodox Community of SA will celebrate the International Women’s Day. Guest Speakers are, Jo Chapley, Labor candidate for Norwood and Georgina Prosilis, Greek High School and Adult Teacher.When: Saturday 8 March, at 1.00pm Where: Koimissiis Theotokou Hall, 1A William Street, Croydon. Facebook Twitter: @NeosKosmos Instagramlast_img

Polls Open Voting has begun

first_imgFacebook Twitter Google+LinkedInPinterestWhatsApp Facebook Twitter Google+LinkedInPinterestWhatsAppProvidenciales, TCI, December 15, 2016 – Polls across the country open at 7am for voters to select who will govern these Turks and Caicos Islands for the next four years.   Both major political parties held rallies last night and both were very well attended.While campaigns this time around kept with tradition and saw candidates giving door to door visits, handing out manifestos or plans for the islands if elected, with street signs erected and the rallies where those offering revved up their bases and aimed to appeal to any undecided voters.. there was use of new promotional tools, including electronic copies of party documents, social media buzzing, especially on Facebook and Instagram, use of online target marketing through Google AdWords, QR codes, even the introduction of free Apps and live streaming of debates and other political events.In a system which is relatively new to these islands, voters will choose not one constituency member but six candidates from the slate.  One of those will be for the district or constituency, but the other five will come from a pool of 20 people who have offered in the At Large category.Seven of those individuals are independent candidates; the other 13 are from the three political parties.  Grand Turk South, South Caicos and Wheeland will each field an independent candidate and by the end of the night, the Elections Office would like to announced, even if unofficially, who are the 15 selected to comprise the House of Assembly.  The party with the most seats gets to govern.  Employers are legally bound to allow staff time to vote.There are 24 voting sites in the Turks and Caicos, polls open at 7am and close at 7pm. Related Items:last_img read more