One of Legacy Development’s renderings of the proposed Bellmont Promenade center.The company hoping to break ground on the long-vacant land at Shawnee Mission Parkway and Mauer Road has requested that the city of Shawnee consider allowing it to add a residential component to its proposed Bellmont Promenade project.In a letter submitted to the city earlier this month, developer Steve Beaumont said the company would be asking the city to update the land use guidelines for the property so it could pursue a mixed-use project. The plans given initial approval by the city were for a commercial development only, which was to feature a series of big box retail operations as well as several restaurants in pad site.“The purpose of the request is to provide the opportunity for unified developments that contain truly mixed use developments that both residential and commercial/office uses, as well as buildings with both office/retail and residential spaces,” Beaumont wrote.The land use request will got before the city’s Planning Commission for a public hearing March 19.In January, the company posted a marketing brochure on its website showing that the developers had targeted Dick’s Sporting Goods and Hobby Lobby as anchors for the project. But the company has since walked that back, telling the Shawnee Dispatch that “The brochure that was posted to our website was unfortunately posted in error.”The updated marketing brochure on the company’s website no longer shows a site plan or lists any proposed tenants.The Shawnee City Council approved nearly $20 million in public finance incentives for the project last summer on a 5-3 vote. Some neighborhood homeowners have expressed concerns with the prospect of developing the site, saying that the project would pose traffic and stormwater issues.
The US Centers for Disease Control and Prevention (CDC) today released interim guidance on Zika virus for clinicians with pregnant patients returning from or considering visiting countries where it is circulating, a move that comes on the heels of its Jan 15 travel advice for pregnant women and those trying to conceive.The CDC’s warning a few days ago—urging pregnant women and those planning pregnancies to temporarily shelve their travel plans—was underscored by an announcement only hours later of a microcephaly case in a baby born in Hawaii.Today’s guidance for clinicians and the stepped-up travel advisory from a few days ago come during the winter vacation travel season to tropical climates and ahead of Brazil’s pre-Lenten Carnival celebrations next month and the Summer Olympics that get under way in August.Meanwhile, the Pan American Health Organization (PAHO) said the mosquito-borne virus has expanded its reach, which came with a request for countries to look for unusual rises in cases of Guillain-Barre syndrome (GBS), and officials in Brazil announced funding to fast-forward vaccine development.Health provider guidanceThe CDC published its interim guidance today in an early-release report in Morbidity and Mortality Weekly Report (MMWR). Health providers should ask all pregnant women about recent travel, and test those with a history of travel to the affected areas who have two or more symptoms consistent with Zika virus infection within 2 weeks of travel or who have ultrasound findings suggesting fetal microcephaly (small head size) or intracranial calcification.So far no commercially available test for Zika virus is available, with tests needing to be performed by the CDC and several state health departments.For pregnant women with positive Zika virus tests, clinicians should consider serial ultrasound to monitor fetal growth and referral to an obstetrics or infectious disease specialist with expertise in pregnancy management.Several questions remain about the Zika-microcephaly connection, as well as the range of outcomes for pregnant women infected with the virus, the CDC said.The CDC specified testing steps for babies with known intrauterine Zika virus exposure, and it said it is developing guidance for treating infected infants.Because there are no vaccines or treatments for the illness, all pregnant women should consider postponing travel to areas reporting ongoing Zika virus transmission, the CDC said. Those who must travel to the areas should take extra precautions to avoid mosquitoes during the entire day. The CDC said insect repellent use is safe for pregnant women when used according to label directions.Travel warningsThe CDC’s level 2 travel warning—to practice enhanced precautions—that was initiated on Jan 15 applies to those traveling to 14 regions or countries where Zika virus transmission is occurring. The advisory is thought to be the CDC’s first to recommend pregnant women avoid travel to a specific part of the world.Spread by Aedes mosquitoes, Zika virus causes a relative mild illness that resembles dengue fever, but it has been linked to a surge in microcephaly cases in Brazil. Recent lab studies have strengthened the link between maternal Zika virus infections and microcephaly, but health officials have said more evidence is needed to show a definitive connection.Until more is known and out of an abundance of caution, the CDC said pregnant women in any trimester should consider postponing travel to Brazil, Colombia, El Salvador, French Guiana, Guatemala, Haiti, Honduras, Martinique, Mexico, Panama, Paraguay, Suriname, Venezuela, and Puerto Rico. The CDC urged pregnant women who must travel, as well as those trying to get pregnant, to talk to their health providers in advance and strictly follow recommended steps to avoid mosquito bites.Because of the rapidly evolving situation and unknowns about the transmission area, the CDC said it will update the travel advisory when it has more information. Travelers should follow the CDC’s Web site closely for updated recommendations, the agency said. The CDC had already issued a level 1 travel notice for the affected areas, which urged pregnant travelers to take extra precautions to avoid mosquito bites.The Public Health Agency of Canada (PHAC) on Jan 15 also issued a level 2 Zika virus travel notice, which encouraged pregnant women and those considering becoming pregnant to talk to their health providers about any plans to travel to the affected areas and to consider postponing their trips.Hawaii microcephaly caseShortly after the travel announcements, the Hawaii State Department of Health (HDOH) announced a Zika-linked microcephaly case, in a baby born to a mother who was likely infected with Zika virus while she lived in Brazil in 2015. State officials said CDC tests on samples from the baby, born at an Oahu hospital, and the mother suggest that both had been exposed to the virus, and that the baby was probably infected while in the womb.The case is the first known Zika-linked microcephaly case in the United States.Hawaii officials added that neither the mother nor the baby is currently infectious and that there was never a risk of transmission in Hawaii. No local transmission has been reported in Hawaii, though since 2014 the state has recorded six cases linked to travel in other countries. Infected returning travelers can transmit the virus to local Aedes mosquito populations.Sarah Park, MD, Hawaii’s state epidemiologist, said authorities are saddened by the infections in the mother and baby.”This case further emphasizes the importance of the CDC travel recommendations released today. Mosquitos can carry serious diseases, as we know too well with our current dengue outbreak,” she said, adding that an astute physician recognized the possible Zika link to the microcephaly case and immediately notified the HDOH.PAHO: Zika in 18 countries, GBS riseMeanwhile, PAHO said in a Jan 17 update that Zika virus is now circulating in 18 countries and territories in the Americas. In addition to the 14 locations noted by the CDC, PAHO said local transmission has also been reported in Barbados, Ecuador, Guyana, and St. Martin.The agency also said it is investigating an unusual rise in GBS in some of the affected countries. A possible link between GBS and Zika virus infection was reported in the wake of an outbreak in French Polynesia in 2014.PAHO said that since last July Brazil has been reporting neurologic complications in some patients who had recent Zika infection. Authorities in El Salvador this month reported an unusual increase in GBS since early December, according to PAHO. Typically the country reports 14 GBS cases per month, but from Dec 1 to Jan 6 it recorded 46 cases, 2 of them fatal. Of 22 patients with available information, 12 had been sick with a febrile rashlike illness 7 to 15 days before the onset of GBS symptoms.Other countries in the Americas are reporting similar patterns, and investigations are under way, PAHO said. It also urged countries to look for other neurologic conditions reported by French Polynesia in its outbreak, which included meningitis, meningoencephalitis, and myelitis.Also, PAHO described ocular problems affecting the macular area with loss of foveal reflex in three microcephalic babies from Brazil who had presumed intrauterine Zika virus exposure. One had well-defined macular neuroretinal atrophy.Brazil to speed up vaccine developmentIn its latest step in the Zika battle, Brazil’s health ministry on Jan 15 announced funding to develop a vaccine against Zika virus “in record time,” according to a Jan 16 Associated Press (AP) story.Jorge Kalil, MD, PhD, director of the Butantan Institute, which received the funding, predicted that it could take 3 to 5 years to develop a vaccine, the AP said.In other developments, a program to control Aedes populations through the release of genetically modified mosquitoes is expanding in a part of Brazil, after showing promising results. Oxitec, based in Oxford, England and Germantown, Md., said in a press release today that, because of increased demand based on results from a project in Piracicaba, Brazil, it will launch a new mosquito production facility in that southern city that has the potential to protect as many as 300,000 people. The city is in Sao Paulo state.The country’s government has already approved release of the genetically modified mosquitoes, and a project to reduce A aegypti mosquito populations began in part of the city in April 2015, Oxitec said.See also:Jan 19 MMWR reportJan 15 CDC press releaseJan 15 PHAC travel health noticeJan 15 HDOH press releaseJan 17 PAHO epidemiologic updateJan 16 AP storyJan 19 Oxitec press release
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A sinus is a hollow, air-filled cavity, or the hollow cavities in the skull connected to the nasal airway by a narrow hole in the bone (ostium). Humans have four pairs of these cavities. These are the: In many people, allergic sinusitis develops first, and later, bacterial infection occurs. For these individuals, early treatment of allergic sinusitis may prevent the development of secondary bacterial sinusitis. Source: http://www.medicinenet.com/sinusitis frontal sinus (in forehead),maxillary sinus (behind cheeks),ethmoid sinus (between the eyes), andsphenoid sinus (deep behind the ethmoids). The cells of the inner lining of each sinus are mucus-secreting cells, epithelial cells and cells that are part of the immune system. A sinus infection occurs when a virus, bacterium, or a fungus grows within a sinus and causes intermittent blockage of the sinus ostium. Drainage of mucus often occurs when the blockage is relieved. The drainage usually goes from the nasal passages to the throat or out the nostrils. Such infections also cause inflammation of one or more sinuses. This adds to blocking the openings of the sinuses and causes discomfort. While spring is regarded as the season flare-ups of the sinuses, a number of people suffer from that bothersome and sometimes painful infection of the sinuses known as sinusitis when the climate in South Florida gets cooler. Sinusitis is the Inflammation of the air cavities within the passages of the nose. This can be caused by infection or an allergy and irritation of the sinuses. The common symptoms include headache, facial tenderness, pressure or pain, in some cases fever, cloudy, discolored nasal drainage, nasal stuffiness, sore throat, and cough. Some people may experience tooth or ear pain, fatigue, or bad breath. In noninfectious sinusitis, symptoms include itching eyes, frequent sneezing and a clear or whitish colored nasal drainage. What is a sinus infection? Sinusitis caused by virus infection can be treated by pain and fever medications, decongestants and mucolytics. A common treatment is to inhale the steam of water vaporized with ingredients like Vicks vapor rub, Tiger-Balm, and eucalyptus. The various treatments help to drain the sinuses and offer relief. Symptoms of a sinus infection? Stagnated mucus provides an environment for bacteria, viruses and in some circumstances fungus to grow within the sinus cavities. In addition, the microbes can initiate and exacerbate sinus blockage. Treatment Acute sinus infection from bacteria is usually treated with antibiotic therapy aimed at treating the most common bacteria known to cause a sinus infection, Antibiotic therapy is usually required for 10-14 days, and in more stubborn infections for 14-21 days. Functions of the sinuses include humidifying and warming inspired air, insulation of surrounding structures (eyes, nerves), increasing voice resonance, and as buffers against facial trauma, and decreases the weight of the skull The drainage of mucous from the sinuses can also be impaired by thickening of the mucous secretions, by a decrease in water content of the mucous brought on by disease, drying medications (antihistamines), and lack of sufficient humidity in the air. The epithelial cells have small hairlike fibers, called cilia, which move back and forth to help the mucus move out of the sinuses. These small cells may be damaged by many irritants, especially smoke and prevent them from helping the mucus to drain from the sinuses. Sinusitis commonly occurs when environmental pollens (from plants) irritate the nasal passages. It can also result from irritants, like chemicals or the use and/or abuse of over-the-counter nasal sprays, and illegal substances snorted through the nose. About 30 million adults have “sinusitis.”
APL Esplanade sails on the CMA CGM group’s Asia Central South America (ACSA1) service, which links East Asia with Central and South America. CMA CGM is a French shipping and container transport company and one of the world’s leading companies in container transport, operating more than 200 sea routes between 400 ports in 150 countries. APL Esplanade is the largest vessel ever to arrive in Colombia With a length of 369 meters, equivalent to approximately four professional soccer fields and a width of 51 meters, this vessel has the largest physical dimensions to call at any Colombian terminal. The event highlights the importance, capacity and competitiveness of Buenaventura Port, located close to Colombia’s major urban areas such as Bogotá, Medellín and Cali. “The shipping companies continue to build larger and larger capacity vessels. For Puerto Aguadulce, receiving this type of vessel is an honor and a great responsibility. We work continuously under our vision of being a strategic ally of the Colombian economy. At the end of last year, we received what is now, after APL Esplanade, the second largest capacity container vessel that has docked in the country. These calls confirm that Puerto Aguadulce is a terminal with global service standards, technology, infrastructure and security,” said Miguel Abisambra, Puerto Aguadulce general manager. A new event confirms Buenaventura as a strategic port city for Colombia and its foreign trade. Coming from Asia, the large-scale vessel, APL Esplanade, recently arrived at Puerto Aguadulce with a capacity of 13,892 twenty foot equivalent units (TEUs). After Colombia, its journey continues to other ports in South America. Sea News, January 14 Author: Baibhav Mishra
Related TopicsKyrie IrvingLebron JamesLeBron leaked trade On Friday news broke that Cavaliers point guard Kyrie Irving, wants to leave Cleveland and part ways with LeBron James.Irving has requested a trade and has said that he would like to go to the San Antonio Spurs, New York Knicks, Miami Heat, and Minnesota Timberwolves.The news of Kyrie wanting out of Cleveland was kept quiet for some time before Friday and now people are wondering why news did come out.Stephen A. Smith on ESPN said the following:“According to my sources, they believe LeBron James had everything to do with news getting out that Kyrie Irving wants to be traded, because Kyrie Irving and his representation and others met with the Cavaliers a couple weeks ago, and not a word got out until recently. They believe that LeBron James got word of it and was put off by it and leaked it. I’m not going to accuse LeBron of such a thing. I don’t know that to be true at all. But I know that’s what Kyrie Irving believes.”Smith is reporting that Kyrie THINKS that LeBron leaked the news and is not saying that this a fact.If LeBron did happen to leak the trade request it could have been an attempt to ruin Irving’s chance of having a peaceful exit out of Cleveland. James could have been upset that Irving wants to leave him and LeBron could be taking it personally.In other words, Cavaliers fans, the train wreck of the 2017 offseason continues to move forward. Payton Vince Payton Vince is either talking about sports or watching sports. He covers sports for Metro Networks and is also a writer for LastWordOnSports.com. He grew up in Brooklyn Heights,Ohio for most of his life then around senior year of high school moved to Cleveland. A fan of the Cleveland Indians, Cavaliers, and a Pittsburgh Steelers, he graduated from Cuyahoga Heights High School (Class of 2014) and also graduated from the Ohio Center for Broadcasting in 2015. He bowled and played baseball in high school, and is a huge fan of independent wrestling and WWE, and can almost always find him at an independent show. Lastly, Payton is a backstage interviewer for Mega Championship Wrestling in Elyria, and is one of the three on ‘That Sports Show’ which airs daily from 2-4pm on AllSportsCleveland.com.