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It was just a couple of months into the levitra when patients in online support groups began describing buy levitra singapore the phenomenon. In some emergency departments, they said, their complaints were largely being dismissed—or at the very least diminished—by health care professionals. The patients felt they were not being heard, or perhaps even were outright buy levitra singapore disbelieved.
 The common thread through these comments was a basic one. Each of the patients had already been infected with erectile dysfunction treatment and presumably had recovered, yet each was still dealing with symptoms of the disease—sometimes vague, sometimes nonspecific—that simply would not go away. Physicians and nurses, already overloaded with emergent cases of the levitra, were baffled, often searching for other, more benign explanations for what they were being told.

We now have a term for those patients—and the truth is, buy levitra singapore “long hauler” only begins to describe the erectile dysfunction treatment-related ordeals they are enduring. Of all the facets of the levitra we have dealt with in 2020, this one may ultimately prove the most difficult to recognize, much less combat. Long-haul erectile dysfunction treatment patients carry their symptoms well beyond what we’ve come to understand as a “normal” course of recovery. It can last buy levitra singapore for weeks. For some long haulers, it has been months—and counting.

And to the consternation of physicians and nurses on the front lines, the symptoms of these patients often present as so varied and relatively common that they defy a solid erectile dysfunction treatment-related diagnosis. If a patient comes to buy levitra singapore the emergency department (E.D.) complaining of dizziness, forgetfulness and headache, for example, is that long-haul erectile dysfunction treatment or something else entirely?. How about fatigue?. A persistent cough? buy levitra singapore. Muscle aches and insomnia?.

Relapsing fevers?. With little to go buy levitra singapore on, and lacking clinical guidance, some of us in the E.D. Have instructed our patients to go home, get more rest, “try to relax.” We’ve offered reassurances that everything would be okay with more time, checked off the final diagnosis box for something like anxiety or chronic fatigue on our computers, and moved on to see our next patients.
 But there’s a growing body of evidence to suggest that a surprising number of people are, in fact, erectile dysfunction treatment long haulers, and that hospital emergency departments and clinics may be dealing with them for months and months to come. €œOver the past few months evidence has mounted about the serious long-term effects of erectile dysfunction treatment,” said the World Health Organization Director-General, Tedros Adhanom, at an international long-erectile dysfunction treatment forum on December 9. At the same event, Danny Altmann, an immunologist at London’s Imperial College, said that his “guesstimate is that we probably have way more than five million people on the planet with long erectile dysfunction treatment.” The worldwide percentages buy levitra singapore of suggest that many of those people are living and suffering in the U.S.

Long erectile dysfunction treatment is neither well-defined nor well understood, in part because the research base is still in its infancy. The term “long hauler” is broadly used to characterize individuals whose symptoms persist or develop outside the initial viral , but the duration and pathogenesis are unknown. Late sequelae have been described even buy levitra singapore in young, healthy people who had mild initial . And symptoms are often described by long haulers as being relapsing and remitting in nature—they improve, only to be struck back down again. This reporting of this entire phenomenon has been inside out.

In fact, buy levitra singapore this may be one of the first syndromes which evolved from patients’ accounts on social media. As the early weeks and months passed, patients joined Facebook groups, Twitter feeds, and other online support groups—the Body Politic erectile dysfunction treatment Support Group is one—to share stories of the myriad long-hauler symptoms that they were experiencing post-erectile dysfunction treatment, bringing visibility to the issue. The persistent effects were wide-ranging and included cognitive issues like “brain fog” and memory or buy levitra singapore attention problems, shortness of breath, a racing heart, nausea, diarrhea, intermittent spiking fevers—on and on. €œA lot of us have the experience of really actually not knowing whether we would wake up in the morning,” said event participant Margaret O’Hara, co-founder of Long erectile dysfunction treatment Support Group, which has 31,000 members. Members even began collecting data about themselves, organizing their own Patient-Led Research for erectile dysfunction treatment group.

What has emerged from this self-reporting is the clear realization that long erectile dysfunction treatment is very real, that the chronic health buy levitra singapore manifestations can be quite debilitating, that the syndrome may affect a significant number of individuals, and that much more research and care provision are urgently needed. €œFrom my perspective, it appears that post-erectile dysfunction treatment symptoms tend to be more common, severe, and longer-lasting than other viral illnesses, such as influenza,” says Timothy Hendrich, a viral immunologist and infectious disease expert at University of California, San Francisco. The cause?. It’s not clear buy levitra singapore. A post–intensive care syndrome is well recognized whereby patients, following discharge after a critical illness, can suffer from impairments of thinking, mental health and physical function that can last up to a year.

The catch here is that long-haul erectile dysfunction treatment patients experiencing similar impairments have not all been hospitalized or critically ill. This may buy levitra singapore be due to an immune-inflammatory response gone amok, or perhaps to ongoing viral activity. Says Hendrich, “The etiologies are almost certainly multifactorial, but may involve overzealous immune responses, cardiopulmonary or systemic inflammation, vascular inflammation or clotting disorders, and direct damage from viral replication during acute illness.” We currently have no proven treatments for these type of long-term post-erectile dysfunction treatment symptoms, he added. One challenge is getting a real picture of how many people are affected. In a recent study in the journal Clinical Microbiology and , a two-month buy levitra singapore follow-up of 150 adults with only mild to moderate erectile dysfunction treatment cases found that two thirds of them were still experiencing symptoms, most commonly shortness of breath, loss of smell and taste, and/or fatigue.

Another study by Italian researchers, covering 143 erectile dysfunction treatment patients who had been discharged from the hospital, found that only about one in eight was completely free of symptoms 60 days from the beginnings of the illness. One of the largest surveys so far, the King’s College London study, had four million buy levitra singapore users in the U.K. Enter their ongoing symptoms on a smartphone app. The researchers reported that around 10 percent of patients had persistent symptoms for one month, with 1.5 to 2 percent having sustained symptoms at three months. As Hendrich suggests, this idea of “how many” is a moving target that will require more buy levitra singapore study and analysis.

King’s College researchers, reviewing their data from the erectile dysfunction treatment Symptom Study, identified patterns that suggested long erectile dysfunction treatment was twice as common in women as men, and the median age was 45. A non–peer reviewed study of approximately 4,100 people from the same data set found that older people, women, and those with more than five symptoms during their first week of illness were more likely to develop long erectile dysfunction treatment. Early clinical studies have shown that erectile dysfunction treatment patients may experience complications like myocarditis (inflammation of the heart), abnormal heart rhythms and buy levitra singapore other cardiac sequelae weeks after contracting the levitra. These conditions may help explain why some long haulers experience shortness of breath, chest pain or their heart racing. One non–peer reviewed study, involving 139 health care workers who developed erectile dysfunction and recovered, found that about 10 weeks after their initial symptoms, 37 percent of them were diagnosed with myocarditis or myopericarditis—and fewer than half of those had showed symptoms at the time of their scans.

Persistent shortness of breath—not being able to climb up a few flights of stairs, for example, or being unable to complete usual exertional buy levitra singapore activities without getting winded—are complaints repeatedly seen on long-erectile dysfunction treatment forum sites. Small studies have found persistent lung findings like fibrosis (a form of lung scarring), perhaps explaining these symptoms. A retrospective multicenter study published in the Lancet of 55 recovered noncritical patients found that over 60 percent of patients had persistent symptoms three months after discharge, while just over 70 percent had abnormal findings on their lung CT scans. A quarter had demonstrable reductions in buy levitra singapore lung function. Long haulers also have commonly described neurologic symptoms that include dizziness, headache, loss of smell or taste, etc.

Carlos del Rio, at Emory University School of Medicine, wrote in a review that while stroke is not commonly reported acutely with erectile dysfunction treatment, encephalitis (inflammation of the brain), seizures buy levitra singapore and “brain fog” have been described several months post initial . While there is much to learn, one study found that the most serious neurologic manifestations occurred in patients who experienced severe erectile dysfunction treatment s, were older and had comorbidities. Anthony Fauci has expressed concern that some long haulers may develop myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) which has been linked to another erectile dysfunction, severe acute respiratory syndrome (SARS). Several levitraes including buy levitra singapore SARS-CoV-1, HIV, Middle East respiratory syndrome (MERS), polio, the chicken pox levitra, etc. Have been known to trigger delayed neurological sequelae.

Researchers are carefully monitoring mental health outcomes, too. Unquestionably, the longer-term psychosocial effects this levitra is exacting on erectile dysfunction treatment buy levitra singapore survivors have yet to be fully elucidated. Anxiety, hopelessness, depression, even postraumatic stress disorder —especially in health care workers or patients following ICU experiences—have all been reported and need further study. Amid all this there lies some good news. First, physicians buy levitra singapore and our medical communities now are much more aware of long-hauler syndrome.

Post-erectile dysfunction treatment clinics now exist, offering a much-needed multidisciplinary and integrated approach. The Neuro erectile dysfunction treatment Clinic buy levitra singapore at Northwestern Memorial Hospital, for example, has been very busy, according to its director, Igor Koralnik. Research studies may well shine a brighter light on the symptoms of long-erectile dysfunction treatment patients, affording us a better understanding of who gets this condition and why, and suggesting possible interventions. Yet we’re still in early stages. The National Institutes of Health ClinicalTrials.gov Web site shows fewer than a dozen post-erectile dysfunction treatment trials currently planned in the U.S., while scientists reported from the Long erectile dysfunction treatment forum there are buy levitra singapore only 45 long-erectile dysfunction treatment projects underway worldwide, out of some 5,000-plus total erectile dysfunction treatment research projects.

It’s a situation we should be prepared to face. In Del Rio’s words, “hundreds of thousands, if not millions” of individuals in the U.S. May wind up dealing with a multitude of adverse physical and mental health effects over a long term—and some anecdotal accounts of children buy levitra singapore experiencing long-haul symptoms are especially worrisome. This may not be the aspect of erectile dysfunction treatment we thought we’d be seeing, but it’s the aspect we are going to be dealing with—and for some time. As Tim Spector of King’s College wrote in the foreword of a report for the Tony Blair Institute for Global Change, “This is the other side of erectile dysfunction treatment.” Long after we’ve implemented strategies for dealing with the first wave of , our physicians are going to be seeing the many waves that follow.I've never known an Earth that wasn't on fire.

I'm 23 years old, and my entire generation has come of age in a world so defined by climate change and other forms of environmental degradation that it's sometimes buy levitra singapore been hard to fathom what an even more dismal future might look like. It has, that is, until the levitra reared its ugly head. The fate of nature, like so much else, has temporarily become an agonizing side story to erectile dysfunction treatment—and now the environment is a real-time plot followed mostly, I think, by those of us young enough to one day see the worst of it. At first, buy levitra singapore things seemed hopeful. Struggling to adjust to the new normal of life in quarantine in March and April, we were relieved to read that emissions levels had dipped, even if only temporarily, and that the skies over New Delhi and Los Angeles and Buenos Aires had cleared of smog.

I smiled, as we all did, to notice that animals were roaming free through quiet, buy levitra singapore traffic-free cities. Nature seemed to be reclaiming spaces humans had abandoned. In the midst of so much present grief, these story lines gave us faith in the planet's resilience. Maybe, some optimists speculated, it would even inspire us buy levitra singapore to be better stewards of our world when this was over. This “anthropause” was a once-in-a-lifetime opportunity for humans to understand our impact on wildlife in a crowded world that seemed, for a moment, a little less crowded.

But only for a moment. levitras like this happen and will keep happening because we humans have long encroached on wild spaces, increasing the chances of spillovers of disease from buy levitra singapore animals to people. In the temporary absence of international watchdogs and local enforcement, South America's Pantanal, the world's largest tropical wetland, has burned like never before. In May there was a major oil spill in the Russian Arctic, followed by others in places such as Mauritius and Venezuela—terrible ecological catastrophes that are buried underneath headlines of case numbers and mortality rates. Poaching is on the rise in Africa buy levitra singapore.

The list goes on. And in the U.S., we've somehow become less thoughtful in our daily choices—accepting that extra plastic bag at the supermarket, ordering takeout despite all the single-use containers and, if we're privileged enough, driving instead of taking public transportation—because, well, “it's a global levitra.” Take a walk outside, and you'll find masks and latex gloves littering our streets and beaches and parks that will eventually fill rivers, lakes and seas. It's as if the levitra has suddenly given people buy levitra singapore everywhere even more of a license to dirty the world—if that's even possible—with carelessness, if not outright contempt. I fear that for every day it continues, today's young people will be paying the ecological price for the rest of our lives. I'm not just talking about those of us living in developed nations buy levitra singapore.

I'm talking about children from impoverished families worldwide whose health and food security have plunged into even more uncertainty because of the devastating one-two punch of climate change and the erectile dysfunction—both of which have laid bare systemic racism and socioeconomic inequities. I'm talking about young climate organizers across the globe who have been calling out people's ignorance of science for years and feel now more than ever that they're screaming into a void. And, perhaps most brutally, I'm talking about young Indigenous buy levitra singapore people in Latin America, whose entire cultures (many of them predicated on harmony with nature) are being erased as their elders die of and as ranchers and miners violently and illegally drive them from their ancestral lands. In today's levitra moment, nature's story line has reached a low point. It's unfathomable to me that some people can still so easily shrug it off—especially if they have kids or love anyone who is younger than they are—while for so many in my generation, it is such a constant, excruciating worry.

Apathy, let alone buy levitra singapore denial, is no longer an acceptable option, because we know that if we stay on this course, the destruction will inevitably come for us, too. But I like to think that the anthropause still gives some hope—that perhaps if we all live a little lighter, if we listen to those who are in harmony with the land and if we take solace in all that there is to love in the world, nature might meet us halfway. The planet and our fates hang in the balance.Have you ever sensed that someone might be watching you?. You get a prickly feeling at the back of buy levitra singapore your neck and turn to see a stranger staring at you across the room. It sometimes seems that we can feel a person’s gaze as a physical sensation.

And, from a single glance, we can tell a lot about a person, such as their moods, intentions and buy levitra singapore focus. Is their gaze dangerous, interesting or attractive?. Do they stare directly or glance to the side?. If “eyes are the window into buy levitra singapore the soul,” then a glance reveals far more than we know. Recent studies demonstrate that humans attribute gaze with physical properties.

We create tacit mental schemes in which the visual attention of others is computed as a forceful beam emitted from the viewer’s eye and directed at the object of interest. These mental schemes allow us buy levitra singapore to take cognitive shortcuts to process peoples’ visual attention quickly and efficiently. Gaze is an elemental form of communication that can coordinate activities and convey social dynamics without a gesture or spoken word. It requires a rapid interpretation of the meaning behind another’s gaze, but the trade-off for the speed of that interpretation is the mistaken understanding of gaze as something that can move things in our environment. These studies show that this interpretation is subconscious and automatic, and that it occurs even in those who would consciously buy levitra singapore deny that vision exerts any force.

You might expect that such an erroneous interpretation would be detrimental. In fact, while there seem to be few if any adverse consequences these findings may underlie rich and diverse cultural references to the outward force and power of the gaze. The results buy levitra singapore of the experiment demonstrate an ancient human idea linking gaze with physical properties. This notion, as old as the Greeks, is known as the “extramission” theory of vision. Extramission literally means “sending out,” and the extramission theory is the belief buy levitra singapore that vision is a force emitted from the eye.

It is an intuitive understanding of vision common among children that persists among many adults. In contrast, the modern visual theory is called “intromission,” and is based on the notion that vision results from light entering the eyes. Using a series of ingeniously simple experiments in one study, researchers found that subjects associate buy levitra singapore gaze with a physical force. Subjects viewed a computer display that had an image of a tube, roughly the size of the end of the paper towel roll, standing vertically on a table. At one end of the table was an image of a face gazing at the tube (researchers dubbed the face avatar Kevin).

Subjects were instructed to tilt the tube towards Kevin’s image using specific keys on a keyboard until they felt the tube had reached the critical buy levitra singapore angle at which it would tip over. The critical angle reported by subjects depended upon whether Kevin was blindfolded. If Kevin was perceived as gazing at the tube, the critical angle was greater than when Kevin was blindfolded, suggesting that his gaze was impressing some force upon the tube that needed to be overcome for the tube to fall. Likewise, in a second experiment, subjects were presented with buy levitra singapore the image of Kevin either gazing at the tube or gazing away in the opposite direction and asked to report the critical angle of the tube before toppling. Once again, the angle depended on Kevin’s perceived gaze and was much greater when Kevin gazed straight at the tube compared to when Kevin was turned away.

Finally, in a third experiment subjects were told that Kevin was either looking directly at the tube or focused beyond the tube at a wall at the other end of the table. Once again, the critical tilt angle was greater if subjects thought Kevin was gazing buy levitra singapore at the tube rather than the wall. Participants in this study were screened for belief in extramission beforehand and those who expressed such a belief were excluded. So, it is remarkable that all remaining participants intuited a force based upon gaze, even while they disavowed any belief in buy levitra singapore such a force emanating from the eye. What has emerged in this study is an implicit, unrecognized cognitive shortcut employed by humans to rapidly process gaze, but which leads us to comprehend it as something that affects objects in the world.

To test this theory, researchers employed brain imaging methods to demonstrate that gaze perception activates brain regions associated with motion. In this case, subjects were presented images of moving dots or an image of a face gazing at a buy levitra singapore tree. Brain activity was measured using functional magnetic resonance imaging (fMRI), which detects brain activity by measuring local brain oxygen consumption. Areas of the brain involved in processing visual motion (the right middle temporal cortical areas) and in understanding the thoughts and intentions of others (the right temporal parietal junction) were involved in processing the face’s gaze when staring at the tree. However, just as with the blindfolded Kevin, these fMRI signals halted when the face in buy levitra singapore these studies was blindfolded.

Here, the brain processes the gaze as movement even when no movement occurs, again showing an extraordinary misapprehension of reality. Belief in the power of gaze appears in stories and myths throughout the centuries. Medusa turned people to buy levitra singapore stone with her gaze. The catoblepas and, more famously, the basilisk, both described by Pliny the Elder, could kill with the single glance. In Shakespeare’s Venus and Adonis, Venus complains of the pain caused by Adonis’ glance.

€œThine eye darts buy levitra singapore forth the fire that burneth me.” While in John Donne’s The Ecstasy, the glances of the lovers intertwine and bind them as if they were their clasped hands. And, of course, no list of cultural references to gaze would be complete without mention of the Jedi master or Superman. Gaze is a buy levitra singapore powerful element of social interaction. It reveals where a person is focusing their attention, and, when directed at us, it can have a strong emotional effect. Gaze can play a role in social organization, with a direct gaze demonstrating social dominance and gaze aversion indicating passivity.

Eye contact can elicit alertness and bodily awareness, while indifference buy levitra singapore or aversion to eye contact can signal emotional or neurological disorders. When we direct our gaze at something or someone, others who notice subconsciously direct their gaze in the same manner. We can take advantage of this tendency to deliberately influence the gaze of others. Magicians take advantage of the buy levitra singapore ability to redirect gaze and attention to enhance their sleight of hand. Visual artists can manipulate attributes of a work of art such as luminosity in order to direct visual gaze to specific features of a painting.

In dance, gaze can be used to convey the power dynamics between the characters on stage, while musicians rely upon gaze as an essential means of communication, using it to help in cuing and synchronization during the performances of orchestras and choirs. Gaze is buy levitra singapore a means of communication that impacts us in many ways, subconsciously and quickly, so quickly and energetically that one investigator described the effects of gaze as “exuberant.” And while magicians may know how to manipulate gaze to enhance their illusions, the illusion of gaze as a physical force is magic enough.Quantum mechanics, the theory that describes the physics of the universe at very small scales, is notorious for defying common sense. Consider, for instance, the way that standard interpretations of the theory suggest change occurs in the quantum turf. Shifts from one buy levitra singapore state to another supposedly happen unpredictably and instantaneously. Put another way, if events in our familiar world unfolded similarly to those within atoms, we would expect to routinely see batter becoming a fully baked cake without passing through any intermediate steps.

Everyday experience, of course, tells us this is not the case, but for the less accessible microscopic realm, the true nature of such “quantum jumps” has been a major unsolved problem in physics. In recent decades, however, technological advancements have allowed physicists to probe the issue more closely in carefully arranged laboratory buy levitra singapore settings. The most fundamental breakthrough arguably came in 1986, when researchers for the first time experimentally verified that quantum jumps are actual physical events that can be observed and studied. Ever since, steady technical progress has opened deeper vistas upon the mysterious phenomenon. Notably, an experiment published buy levitra singapore in 2019 overturned the traditional view of quantum jumps by demonstrating that they move predictably and gradually once they start—and can even be stopped midway.

That experiment, performed at Yale University, used a setup that let the researchers monitor the transitions with minimal intrusion. Each jump took place between two energy values of a superconducting qubit, a tiny circuit built to mimic the properties of atoms. The research buy levitra singapore team used measurements of “side activity” taking place in the circuit when the system had the lower energy. This is a bit like knowing which show is playing on a television in another room by only listening for certain key words. This indirect probe evaded one of the top concerns in quantum experiments—namely, how to avoid influencing the very system that one is observing.

Known as “clicks” (from the sound that old buy levitra singapore Geiger counters made when detecting radioactivity), these measurements revealed an important property. Jumps to the higher energy were always preceded by a halt in the “key words,” a pause in the side activity. This eventually buy levitra singapore permitted the team to predict the jumps’ unfolding and even to stop them at will. Now a new theoretical study delves deeper into what can be said about the jumps and when. And it finds that this seemingly simple and fundamental phenomenon is actually quite complex.

CATCH ME IF YOU CAN The new study, published in Physical Review Research, models the step-by-step, cradle-to-grave evolution of quantum jumps—from the initial lower-energy state of the system, known as the ground state, then a second one where it has higher energy, called the excited state, and finally the transition back to the ground buy levitra singapore state. This modeling shows that the predictable, “catchable” quantum jumps must have a noncatchable counterpart, says author Kyrylo Snizhko, a postdoctoral researcher now at Karlsruhe Institute of Technology in Germany, who was formerly at the Weizmann Institute of Science in Israel, where the study was performed. Specifically, by “noncatchable” the researchers mean that the jump back to the ground state will not always be smooth and predictable. Instead the study’s results show that such an event’s evolution depends on how “connected” the measuring device is to the system (another peculiarity of the quantum realm, which, in this buy levitra singapore case, relates to the timescale of the measurements, compared with that of the transitions). The connection can be weak, in which case a quantum jump can also be predictable through the pause in clicks from the qubit’s side activity, in the way used by the Yale experiment.

The system transitions by passing through a mixture of the excited state and ground state, a quantum phenomenon known as superposition. But sometimes, buy levitra singapore when the connection exceeds a certain threshold, this superposition will shift toward a specific value of the mixture and tend to stay at that state until it moves to the ground unannounced. In that special case, “this probabilistic quantum jump cannot be predicted and reversed midflight,” explains Parveen Kumar, a postdoctoral researcher at the Weizmann Institute and co-author of the most recent study. In other words, even jumps for which timing was initially predictable would be followed by inherently unpredictable ones. But there buy levitra singapore is yet more nuance when examining the originally catchable jumps.

Snizhko says that even these possess an unpredictable element. A catchable quantum jump will always proceed on a “trajectory” through the superposition of the excited and ground states, but there can be no buy levitra singapore guarantee that the jump will ever finish. €œAt each point in the trajectory, there is a probability that the jump continues and a probability that it is projected back to the ground state,” Snizhko says. €œSo the jump may start happening and then abruptly get canceled. The trajectory is totally deterministic—but whether the system will complete buy levitra singapore the trajectory or not is unpredictable.” This behavior appeared in the Yale experiment’s results.

The scientists behind that work called such catchable jumps “islands of predictability in a sea of uncertainty.” Ricardo Gutiérrez-Jáuregui, a postdoctoral researcher at Columbia University and one of the authors of the corresponding study, notes that “the beauty of that work was to show that in the absence of clicks, the system followed a predetermined path to reach the excited state in a short but nonzero time. The device, however, still has a chance to ‘click’ as the system transitions through this path, thus interrupting its transition.” “QUANTUM PHYSICS IS BROKEN!. € Zlatko buy levitra singapore Minev, a researcher at the IBM Thomas J. Watson Research Center and lead author of the earlier Yale study, notes that the new theoretical paper “derives a very nice, simple model and explanation of the quantum jump phenomenon in the context of a qubit as a function of the parameters of the experiment.” Taken together with the experiment at Yale, the results “show that there is more to the story of discreteness, randomness and predictability in quantum mechanics than commonly thought.” Specifically, the surprisingly nuanced behavior of quantum jumps—the way a leap from the ground state to the excited state can be foretold—suggests a degree of predictability inherent to the quantum world that has never before been observed. Some would even consider it forbidden, had it not already been validated by experiment.

When Minev first discussed buy levitra singapore the possibility of predictable quantum jumps with others in his group, a colleague responded by shouting back, “If this is true, then quantum physics is broken!. € “In the end, our experiment worked, and from it one can infer that quantum jumps are random and discrete,” Minev says. €œYet on a finer timescale, their evolution is coherent and continuous. These two seemingly opposed viewpoints coexist.” As to whether such processes can apply to the material world at large—for instance, to atoms outside a quantum lab—Kumar is buy levitra singapore undecided, in large part because of how carefully specific the study’s conditions were. €œIt would be interesting to generalize our results,” he says.

If the results turn out similar for different measurement setups, then this behavior—events that are in some sense both random and predictable, discrete yet continuous—could reflect more general properties buy levitra singapore of the quantum world. Meanwhile the predictions of the study could get checked soon. According to Serge Rosenblum, a researcher at the Weizmann Institute who did not participate in either study, these effects can be observed with today’s state-of-the-art superconducting quantum systems and are high on the list of experiments for the institute’s new qubits lab. €œIt was quite amazing to me buy levitra singapore that a deceptively simple system such as a single qubit can still hide such surprises when we measure it,” he adds. For a long time, quantum jumps—the most basic processes underlying everything in nature—were considered nearly impossible to probe.

But technological progress is changing that. Kater Murch, an buy levitra singapore associate professor at Washington University in St. Louis, who did not participate in the two studies, remarks, “I like how the Yale experiment seems to have motivated this theory paper, which is uncovering new aspects of a physics problem that has been studied for decades. In my mind, experiments really help drive the ways that theorists think about things, and this leads to new discoveries.” The mystery might not just be going away, though. As Snizhko says, “I do not think that the quantum jumps problem buy levitra singapore will be resolved completely any time soon.

It is too deeply ingrained in quantum theory. But by playing with different measurements and jumps, we might stumble upon something practically useful.”.

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On the HRA Medicaid Levels chart - Boxes 1 and 2 are NON-MAGI Income and Resource levels -- Age 65+, Blind or Disabled and other adults who need to use "spend-down" because they are levitra standard dosage over the MAGI income levels. Box 10 on page 3 are the MAGI income levels -- The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers. People in the "MAGI" category - those NOT on Medicare -- have expanded eligibility up to 138% of the Federal Poverty Line, so may now qualify for Medicaid even if they were not eligible before, or may now be eligible for Medicaid without a "spend-down." They have NO resource limit. Box 3 on page 1 is Spousal Impoverishment levels for levitra standard dosage Managed Long Term Care &. Nursing Homes and Box 8 has the Transfer Penalty rates for nursing home eligibility Box 4 has Medicaid Buy-In for Working People with Disabilities Under Age 65 (still 2017 levels til April 2018) Box 6 are Medicare Savings Program levels (will be updated in April 2018) MAGI INCOME LEVEL of 138% FPL applies to most adults who are not disabled and who do not have Medicare, AND can also apply to adults with Medicare if they have a dependent child/relative under age 18 or under 19 if in school.

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What is counted as income may not be what you think. For the NON-MAGI Disabled/Aged 65+/Blind, income will still be determined by the same rules as before, explained in this outline and these charts on income disregards. However, for the MAGI population - which is virtually everyone under age 65 who is not levitra standard dosage on Medicare - their income will now be determined under new rules, based on federal income tax concepts - called "Modifed Adjusted Gross Income" (MAGI). There are good changes and bad changes. GOOD.

Veteran's benefits, Workers compensation, and gifts from family or others no longer count as income. BAD levitra standard dosage. There is no more "spousal" or parental refusal for this population (but there still is for the Disabled/Aged/Blind.) and some other rules. For all of the rules see. ALSO SEE 2018 Manual on Lump Sums levitra standard dosage and Impact on Public Benefits - with resource rules The income limits increase with the "household size." In other words, the income limit for a family of 5 may be higher than the income limit for a single person.

HOWEVER, Medicaid rules about how to calculate the household size are not intuitive or even logical. There are different rules depending on the "category" of the person seeking Medicaid. Here are the 2 basic categories and the rules for calculating levitra standard dosage their household size. People who are Disabled, Aged 65+ or Blind - "DAB" or "SSI-Related" Category -- NON-MAGI - See this chart for their household size. These same rules apply to the Medicare Savings Program, with some exceptions explained in this article.

Everyone else -- MAGI - All children and adults under age 65, including people with levitra standard dosage disabilities who are not yet on Medicare -- this is the new "MAGI" population. Their household size will be determined using federal income tax rules, which are very complicated. New rule is explained in State's directive 13 ADM-03 - Medicaid Eligibility Changes under the Affordable Care Act (ACA) of 2010 (PDF) pp. 8-10 of the PDF, This PowerPoint by NYLAG on MAGI Budgeting attempts levitra standard dosage to explain the new MAGI budgeting, including how to determine the Household Size. See slides 28-49.

Also seeLegal Aid Society and Empire Justice Center materials OLD RULE used until end of 2013 -- Count the person(s) applying for Medicaid who live together, plus any of their legally responsible relatives who do not receive SNA, ADC, or SSI and reside with an applicant/recipient. Spouses or legally responsible for one another, and parents are legally responsible for their children under age 21 (though if the child is disabled, use the rule in the 1st "DAB" category. Under this rule, a child may be excluded from the household if that child's income causes other family members to lose Medicaid eligibility. See 18 NYCRR 360-4.2, MRG p. 573, NYS GIS 2000 MA-007 CAUTION.

Different people in the same household may be in different "categories" and hence have different household sizes AND Medicaid income and resource limits. If a man is age 67 and has Medicare and his wife is age 62 and not disabled or blind, the husband's household size for Medicaid is determined under Category 1/ Non-MAGI above and his wife's is under Category 2/MAGI. The following programs were available prior to 2014, but are now discontinued because they are folded into MAGI Medicaid. Prenatal Care Assistance Program (PCAP) was Medicaid for pregnant women and children under age 19, with higher income limits for pregnant woman and infants under one year (200% FPL for pregnant women receiving perinatal coverage only not full Medicaid) than for children ages 1-18 (133% FPL). Medicaid for adults between ages 21-65 who are not disabled and without children under 21 in the household.

It was sometimes known as "S/CC" category for Singles and Childless Couples. This category had lower income limits than DAB/ADC-related, but had no asset limits. It did not allow "spend down" of excess income. This category has now been subsumed under the new MAGI adult group whose limit is now raised to 138% FPL.

"Undocumented" immigrants are, with some exceptions for pregnant women and Child Health Plus, only eligible for "emergency Medicaid."NYS announced the 2020 Income and Resource levels in GIS 19 MA/12 – 2020 Medicaid Levels and Other Updates ) and levels based on the Federal Poverty Buy amoxil over the counter Level are in GIS 20 MA/02 – 2020 buy levitra singapore Federal Poverty Levels Here is the 2020 HRA Income and Resources Level Chart Non-MAGI - 2020 Disabled, 65+ or Blind ("DAB" or SSI-Related) and have Medicare MAGI (2020) (<. 65, Does not have Medicare)(OR has Medicare and has dependent child <. 18 or <. 19 in school) 138% FPL*** Children buy levitra singapore <.

5 and pregnant women have HIGHER LIMITS than shown ESSENTIAL PLAN For MAGI-eligible people over MAGI income limit up to 200% FPL No long term care. See info here 1 2 1 2 3 1 2 Income $875 (up from $859 in 201) $1284 (up from $1,267 in 2019) $1,468 $1,983 $2,498 $2,127 $2,873 Resources $15,750 (up from $15,450 in 2019) $23,100 (up from $22,800 in 2019) NO LIMIT** NO LIMIT SOURCE for 2019 figures is GIS 18 MA/015 - 2019 Medicaid Levels and Other Updates (PDF). All of the attachments with the various levels are buy levitra singapore posted here. NEED TO KNOW PAST MEDICAID INCOME AND RESOURCE LEVELS?.

Which household size applies?. The rules are complicated buy levitra singapore. See rules here. On the HRA Medicaid Levels chart - Boxes 1 and 2 are NON-MAGI Income and Resource levels -- Age 65+, Blind or Disabled and other adults who need to use "spend-down" because they are over the MAGI income levels.

Box 10 on page 3 are the MAGI income levels -- The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT buy levitra singapore ALL New Yorkers. People in the "MAGI" category - those NOT on Medicare -- have expanded eligibility up to 138% of the Federal Poverty Line, so may now qualify for Medicaid even if they were not eligible before, or may now be eligible for Medicaid without a "spend-down." They have NO resource limit. Box 3 on page 1 is Spousal Impoverishment levels for Managed Long Term Care &. Nursing Homes and Box 8 has the Transfer Penalty rates for nursing home eligibility Box 4 has Medicaid Buy-In for Working People with Disabilities Under Age 65 (still 2017 levels til April 2018) Box 6 are Medicare Savings Program levels (will be updated in April 2018) MAGI INCOME LEVEL of 138% FPL applies buy levitra singapore to most adults who are not disabled and who do not have Medicare, AND can also apply to adults with Medicare if they have a dependent child/relative under age 18 or under 19 if in school.

42 C.F.R. § 435.4. Certain populations have an even higher income limit - 224% FPL buy levitra singapore for pregnant women and babies <. Age 1, 154% FPL for children age 1 - 19.

CAUTION. What is counted buy levitra singapore as income may not be what you think. For the NON-MAGI Disabled/Aged 65+/Blind, income will still be determined by the same rules as before, explained in this outline and these charts on income disregards. However, for the MAGI population - which is virtually everyone under age 65 who is not on Medicare - their income will now be determined under new rules, based on federal income tax concepts - called "Modifed Adjusted Gross Income" (MAGI).

There buy levitra singapore are good changes and bad changes. GOOD. Veteran's benefits, Workers compensation, and gifts from family or others no longer count as income. BAD buy levitra singapore.

There is no more "spousal" or parental refusal for this population (but there still is for the Disabled/Aged/Blind.) and some other rules. For all of the rules see. ALSO SEE 2018 Manual on Lump Sums and Impact on Public Benefits - with resource rules The income limits increase with the "household size." In other words, the income limit for a family of 5 may be higher than the income limit for a single person. HOWEVER, Medicaid rules about how to calculate the household size buy levitra singapore are not intuitive or even logical.

There are different rules depending on the "category" of the person seeking Medicaid. Here are the 2 basic categories and the rules for calculating their household size. People who are Disabled, Aged 65+ or Blind - "DAB" or "SSI-Related" Category -- NON-MAGI - See this chart for their household size buy levitra singapore. These same rules apply to the Medicare Savings Program, with some exceptions explained in this article.

Everyone else -- MAGI - All children and adults under age 65, including people with disabilities who are not yet on Medicare -- this is the new "MAGI" population. Their household size buy levitra singapore will be determined using federal income tax rules, which are very complicated. New rule is explained in State's directive 13 ADM-03 - Medicaid Eligibility Changes under the Affordable Care Act (ACA) of 2010 (PDF) pp. 8-10 of the PDF, This PowerPoint by NYLAG on MAGI Budgeting attempts to explain the new MAGI budgeting, including how to determine the Household Size.

See slides buy levitra singapore 28-49. Also seeLegal Aid Society and Empire Justice Center materials OLD RULE used until end of 2013 -- Count the person(s) applying for Medicaid who live together, plus any of their legally responsible relatives who do not receive SNA, ADC, or SSI and reside with an applicant/recipient. Spouses or legally responsible for one another, and parents are legally responsible for their children under age 21 (though if the child is disabled, use the rule in the 1st "DAB" category. Under this rule, a child may be buy levitra singapore excluded from the household if that child's income causes other family members to lose Medicaid eligibility.

See 18 NYCRR 360-4.2, MRG p. 573, NYS GIS 2000 MA-007 CAUTION. Different people in the same household may be buy levitra singapore in different "categories" and hence have different household sizes AND Medicaid income and resource limits. If a man is age 67 and has Medicare and his wife is age 62 and not disabled or blind, the husband's household size for Medicaid is determined under Category 1/ Non-MAGI above and his wife's is under Category 2/MAGI.

The following programs were available prior to 2014, but are now discontinued because they are folded into MAGI Medicaid. Prenatal Care Assistance Program (PCAP) was Medicaid for pregnant women and children under age 19, with higher income limits for pregnant woman and infants under one year (200% FPL for pregnant women receiving perinatal coverage only not full Medicaid) than for children ages 1-18 (133% FPL). Medicaid for adults between ages 21-65 who are not disabled and without children under 21 in the household. It was sometimes known as "S/CC" category for Singles and Childless Couples.

This category had lower income limits than DAB/ADC-related, but had no asset limits. It did not allow "spend down" of excess income. This category has now been subsumed under the new MAGI adult group whose limit is now raised to 138% FPL. Family Health Plus - this was an expansion of Medicaid to families with income up to 150% FPL and for childless adults up to 100% FPL.

This has now been folded into the new MAGI adult group whose limit is 138% FPL. For applicants between 138%-150% FPL, they will be eligible for a new program where Medicaid will subsidize their purchase of Qualified Health Plans on the Exchange. PAST INCOME &.

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A panel discussion on erectile dysfunction treatment vaccination efforts followed, featuring a range of perspectives, including those of patients, nursing home officials, and pharmacy providers who are performing the vaccinations.Panelists included:Mark Parkinson, President and CEO of the American Health Care Association, which represents over 14,000 skilled nursing facilities and assisted living centersNicole Howell, Executive Director for the California-based Ombudsman Services of Contra Costa, Solano and Alameda Counties, which advocates for long-term care residentsRina Shah, Group Vice President, Pharmacy Operations &. Services, WalgreensMatthew Yarnell, President, SEIU Healthcare Pennsylvania and National Chair of SEIU’s Nursing Home CouncilThe event is part of KFF’s commitment to gauge the impact of the novel erectile dysfunction, including our erectile dysfunction treatment Monitor, which will track the public’s evolving views about and experiences with erectile dysfunction treatments..

With the levitra taking a heavy toll among older Americans, the Centers http://practicalfireequipment.com/where-to-get-cialis/ for Disease Control and Prevention and most states have placed a high priority on buy levitra singapore vaccinating residents and staff of long-term care facilities. People in nursing homes and other long-term care settings account for 6 percent of cases but 38 percent of deaths from erectile dysfunction treatment, a share that has remained largely consistent throughout the levitra, according to KFF’s updated analysis.KFF held an interactive web event on Thursday, January 14 to provide the latest data on erectile dysfunction treatment cases and deaths in long-term care facilities and examine how the effort to vaccinate residents and staff in long-term care settings is going, challenges experienced so far, and opportunities for improvement.The event was co-moderated by Tricia Neuman, a Senior Vice President of KFF and Executive Director of the Program on Medicare Policy, and Rachel Garfield, a Vice President at KFF and Co-Director of the Program on Medicaid and the Uninsured. Priya Chidambaram, a Senior Policy Analyst buy levitra singapore at KFF, provided the latest data on cases and deaths in long-term care facilities. A panel discussion on erectile dysfunction treatment vaccination efforts followed, featuring a range of perspectives, including those of patients, nursing home officials, and pharmacy providers who are performing the vaccinations.Panelists included:Mark Parkinson, President and CEO of the American Health Care Association, which represents over 14,000 skilled nursing facilities and assisted living centersNicole Howell, Executive Director for the California-based Ombudsman Services of Contra Costa, Solano and Alameda Counties, which advocates for long-term care residentsRina Shah, Group Vice President, Pharmacy Operations &. Services, WalgreensMatthew Yarnell, President, SEIU Healthcare Pennsylvania and National Chair of SEIU’s Nursing Home CouncilThe event is part of KFF’s commitment to gauge the impact of the novel erectile dysfunction, including our erectile dysfunction treatment Monitor, which will track the public’s evolving views about and experiences with erectile dysfunction treatments..

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In recognition of May as Mental Health Month, the American Farm Bureau Federation launched a comprehensive, easy-to-use online directory of resources for farmers, ranchers and their families who are experiencing buy levitra singapore stress and mental health challenges. The directory, which is on the Farm State of Mind website at farmstateofmind.org, features listings for crisis hotlines and support lines, buy levitra singapore counseling services, training opportunities, podcasts, videos, published articles and other resources in every U.S. State and Puerto Rico.

Listings for crisis support, counseling and behavioral buy levitra singapore health resources that are available nationwide are also included. €œFor far too long, farmers and ranchers have been trying to cope with increasing levels of stress on their own,” said AFBF President Zippy Duvall. €œOur Farm State of Mind campaign is encouraging conversations about stress and buy levitra singapore mental health in farming and ranching communities.

It is so important to spread the word that no one has to go it alone buy levitra singapore. €œThis new online directory of stress and mental health resources in every state gives farmers, ranchers and rural communities a user-friendly, one-stop shop to find services in their area that can help them manage farm stress and find help for mental health concerns. Whether you’re looking for information about how to recognize and manage stress, trying to find counseling services in your area or are in need of crisis support, you can find help here.” National research polls conducted and published by AFBF in 2019 and 2021 showed that a number of factors including financial issues and the impact of the erectile dysfunction treatment levitra are impacting farmers’ mental health, highlighting the need to identify buy levitra singapore local resources that can help farmers and ranchers cope with chronic stress and mental health concerns.

The Farm State of Mind directory lists resources specifically geared toward farmers, ranchers and rural communities in states where these specific services are available, with additional listings for county and statewide mental health and other support services in every state. The listings can be filtered by state buy levitra singapore and type of resource, including hotlines, counseling services and published information. AFBF partnered with buy levitra singapore the University of Georgia School of Social Work to research available resources across the U.S.

And Puerto Rico and compile the comprehensive information included in the directory. Farmers and buy levitra singapore ranchers are encouraged to share the directory with their family, friends and community networks to ensure widespread awareness of the availability of these important resources. Contact.

Mike TomkoDirector, buy levitra singapore Communications(202) 406-3642miket@fb.org Ray AtkinsonDirector, Communications(202) 406-3717raya@fb.org Return to NewsroomAlicia Lewis has struggled with a binge eating disorder for most her life. It involves buy levitra singapore eating large amounts of food in a short period of time.Like others who suffer with the issue, Lewis, who lives in Huntington, often feels a loss of control and guilt.But overeating is how she copes with her depression.When the levitra hit and she was furloughed from work, she found she was more depressed. So, she turned to food.“I gained about 30 pounds -- I want to say in probably three or four months just from depression eating,” Lewis said.

€œI was so unsure of what the future was holding, and I was anxious about my husband going to work and bringing erectile dysfunction treatment home to me or going out and catching erectile dysfunction treatment, and I was worried buy levitra singapore about my mother and my family.”Lewis is not alone. Mental health across the nation has taken a toll since the levitra began -- and this includes eating disorders.According to the National Eating Disorders Association, hotline calls are up nearly 80 percent in the past year.Nationally, more than a third of the country’s population dealing with binge eating disorders reported an increase in episodes after the levitra kicked off. For those diagnosed with buy levitra singapore anorexia, more than 60 percent reported an episode, according to a study last year by the International Journal of Eating Disorders.

This trend seems to buy levitra singapore exist in West Virginia, as well. Jess Luzier, Charleston Disordered Eating Center clinical director, said she saw dozens more people requiring services when the levitra first hit.“People who were in early or even sustained remission from eating disorder behaviors, many of them struggled with relapse when the erectile dysfunction treatment levitra hit us,” Luzier said.Eating disorders are complex psychiatric illnesses -- no one chooses to have one, said Luzier. Their severity can depend on a variety of factors.“Dieting history, perfectionism or impulsivity, self-esteem, body esteem, even things like participation in sports that emphasize weight can affect the development of eating disorders,” Luzier said.For many, these factors have only gotten worse as more people are practicing social distancing and spending time by themselves at home.But there is something else that can make eating disorders even worse, and Luzier said it is especially true to West Virginians -- limited access to affordable food.“I don't know where my next meal is going to come from, or I'm not sure that I can pay for groceries this week, most commonly is going to be buy levitra singapore loss of control eating episodes, or binge-eating episodes,” she said.Food insecurity has gotten even harder for people living in rural food deserts in the middle of a levitra, Luzier said.

Food pantries were literally running out of food this time last year.“And that was really scary for a lot of people,” Luzier said. €œIt led to this hyperfixation on food, and, ‘Will I have food? buy levitra singapore. €™ Because buy levitra singapore none of us knew what was going to happen.”As more West Virginians have access to the erectile dysfunction treatment, and the world begins to return to a sense of normalcy, Luzier said eating disorders and poor food access will still be here.

This makes treatment crucial.She recommended researching on NEDA’s website and visiting a primary physician first.As for Lewis, she is hopeful and in “recovery” from her eating disorder.In the last year, Lewis received a gastric bypass surgery to limit her appetite. She lost the 30 pounds she gained at the start of the levitra, re-entered trauma therapy and is learning again how to care for buy levitra singapore herself.Lewis said she takes comfort from this mantra. €œWe are human, you are human.

And we're in a levitra, these are unprecedented buy levitra singapore times,” Lewis said. €œâ€˜You are human’ was what I needed to hear after struggling all year with my weight and my eating and my depression because there were so many days where I felt less than human.”If you or someone you know needs help with an eating disorder, call the national helpline at 1-800-931-2237..

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This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status. The age range selected for this analysis reflects the focus on midlife sleep health. In this analysis, 74.2% of women are premenopausal, levitra bayer 3.7% are perimenopausal, and 22.1% are postmenopausal. Keywords. Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, in a 24-hour period.More than one in three nonpregnant women aged 40–59 slept less than 7 hours, on average, in a levitra bayer 24-hour period (35.1%) (Figure 1).

Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period. Figure 1 levitra bayer. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, 2015image icon1Significant quadratic trend by menopausal status levitra bayer (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last levitra bayer menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure levitra bayer 1pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble falling asleep four times or more in the past levitra bayer week varied by menopausal status.Nearly one in five nonpregnant women aged 40–59 had trouble falling asleep four times or more in the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week. Figure 2 levitra bayer.

Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status (p < levitra bayer. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last levitra bayer menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table for Figure levitra bayer 2pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 had trouble levitra bayer staying asleep four times or more in the past week (26.7%) (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women.

Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week. Figure 3 levitra bayer. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by levitra bayer menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle levitra bayer was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data levitra bayer table for Figure 3pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who levitra bayer did not wake up feeling well rested 4 days or more in the past week increased from 47.0% among premenopausal women to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week. Figure 4 levitra bayer. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status.

United States, 2015image icon1Significant linear trend by menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle.

Access data table for Figure 4pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories. Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5). Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion.

DefinitionsMenopausal status. A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?. €. 2) “Do you still have periods or menstrual cycles?.

€. 3) “When did you have your last period or menstrual cycle?. €. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries.

Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less. Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?. €Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?.

€Trouble falling asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?. € Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis.

NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone. Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS. For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States.

The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS. Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics.

The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report. ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454. 2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB.

Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50. 2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No. 141.

Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF. Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon.

2016.Santoro N. Perimenopause. From research to practice. J Women’s Health (Larchmt) 25(4):332–9. 2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al.

Recommended amount of sleep for a healthy adult. A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International. SUDAAN (Release 11.0.0) [computer software]. 2012.

Suggested citationVahratian A. Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286. Hyattsville, MD. National Center for Health Statistics.

2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J. Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J.

Blumberg, Ph.D., Associate Director for Science.

NCHS Data http://pattijohnstondesigns.com/buy-levitra-canada Brief buy levitra singapore No. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40–59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40–59 were more likely than premenopausal women aged 40–59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40–59 (55.1%) were more likely than premenopausal women aged 40–59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep is associated with an increased risk for chronic conditions such buy levitra singapore as cardiovascular disease (1) and diabetes (2). Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition. Menopause is “the permanent cessation of menstruation that occurs after the loss of ovarian activity” (3) buy levitra singapore.

This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status. The age range selected for this analysis reflects the focus on midlife sleep health. In this analysis, 74.2% of women are buy levitra singapore premenopausal, 3.7% are perimenopausal, and 22.1% are postmenopausal. Keywords. Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, in a 24-hour period.More than one in three nonpregnant women aged 40–59 slept less than 7 hours, on average, in a 24-hour period (35.1%) (Figure buy levitra singapore 1).

Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period. Figure 1 buy levitra singapore. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, 2015image buy levitra singapore icon1Significant quadratic trend by menopausal status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a buy levitra singapore menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table buy levitra singapore for Figure 1pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble falling asleep four buy levitra singapore times or more in the past week varied by menopausal status.Nearly one in five nonpregnant women aged 40–59 had trouble falling asleep four times or more in the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week. Figure 2 buy levitra singapore.

Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear buy levitra singapore trend by menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were buy levitra singapore perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table for buy levitra singapore Figure 2pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. The percentage of women buy levitra singapore aged 40–59 who had trouble staying asleep four times or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 had trouble staying asleep four times or more in the past week (26.7%) (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women.

Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week. Figure 3 buy levitra singapore. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status buy levitra singapore (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had buy levitra singapore a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data buy levitra singapore table for Figure 3pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who did not wake up feeling well rested 4 days or more in the past week increased buy levitra singapore from 47.0% among premenopausal women to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week. Figure 4 buy levitra singapore. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status.

United States, 2015image icon1Significant linear trend by menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle.

Access data table for Figure 4pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories. Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5). Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion.

DefinitionsMenopausal status. A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?. €. 2) “Do you still have periods or menstrual cycles?.

€. 3) “When did you have your last period or menstrual cycle?. €. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries.

Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less. Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?. €Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?.

€Trouble falling asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?. € Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis.

NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone. Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS. For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States.

The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS. Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics.

The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report. ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454. 2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB.

Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50. 2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No. 141.

Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF. Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon.

2016.Santoro N. Perimenopause. From research to practice. J Women’s Health (Larchmt) 25(4):332–9. 2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al.

Recommended amount of sleep for a healthy adult. A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International. SUDAAN (Release 11.0.0) [computer software]. 2012.

Suggested citationVahratian A. Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286. Hyattsville, MD. National Center for Health Statistics.

2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J. Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J.

Blumberg, Ph.D., Associate Director for Science.

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So, to help take the foot off the gas, figuratively speaking, here’s what you need to know about farts.Like what you see?. Sign up to our bodyandsoul.com.au newsletter for more stories levitra cost with insurance like this.What is farting?. And what’s normal?.

Your body produces 500 to 2000 millilitres of gas each and every levitra cost with insurance day. Gas is produced inside the body for a number of reasons, but many are related to digestion. Gas is a by-product of certain reactions that levitra cost with insurance occur as food is broken down.

Some foods are fermented in the bowel, and this process produces gas, too.If you don’t burp up this extra air, it’s probably going to come out the other end. Rates of farting vary from person to person, but anything from a handful up to 40 farts a day can be considered a ‘normal’ rate of breaking wind.What increases the production of gas in the body?. High fibre foods like beans chickpeas, lentils, nuts and seeds lead to the production of more levitra cost with insurance gas than lower fibre foods.

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If your gas habits (or anything else relating to your digestive system) suddenly changes, however, it’s a wise idea to check in with your GP. Remember that what you eat has a big impact on the type and frequency of your farts, so if you’re making any changes to your diet (especially if they impact your fibre intake), do so slowly to minimise uncomfortable gas-related symptoms.Melissa Meier is a Sydney-based accredited practising dietitian. You can connect with her on Instagram levitra cost with insurance @honest_nutrition.Second Chance Animal Rescue in Victoria is offering to write your worst enemy's name on the bottom of their cat litter boxes.

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So, to help take the foot off the gas, figuratively speaking, here’s what you need to know about farts.Like what you see?. Sign up to our bodyandsoul.com.au newsletter for more stories like buy levitra singapore this.What is farting?. And what’s normal?.

Your body produces 500 to 2000 buy levitra singapore millilitres of gas each and every day. Gas is produced inside the body for a number of reasons, but many are related to digestion. Gas is a by-product of buy levitra singapore certain reactions that occur as food is broken down.

Some foods are fermented in the bowel, and this process produces gas, too.If you don’t burp up this extra air, it’s probably going to come out the other end. Rates of farting vary from person to person, but anything from a handful up to 40 farts a day can be considered a ‘normal’ rate of breaking wind.What increases the production of gas in the body?. High fibre foods like beans chickpeas, lentils, nuts and seeds lead to the production of more gas than lower buy levitra singapore fibre foods.

Dried fruit has also been linked to higher levels of gas, as has fizzy drinks like soft drink and beer. People with lactose intolerance or irritable bowel syndrome may also experience increased levels of flatulence, so dairy foods, legumes, fruits and veggies could contribute to gas if you fall into either of these baskets.When you’re talking, sleeping, drinking and eating, you can swallow a lot of air, which can contribute to a build-up of air in the buy levitra singapore body, too. While you can’t really control what happens when you’re talking or sleeping, slowing down your chewing can mean you swallow less air over the course of a meal.Why do some farts smell?.

Your farts consist of a range buy levitra singapore of different gasses, the ratio of which determines how smelly your wind is. The worst culprits for a smelly fart include cruciferous veggies like cabbage, cauliflower, brussels sprouts and broccoli, as well as garlic, onion and even cheese. In case you’re wondering, it’s sulphur that gives flatulence it’s not-so-pleasant smell.If you’re worried about your buy levitra singapore wind...Although it can be embarrassing, passing wind is a very normal, natural part of life.

If your gas habits (or anything else relating to your digestive system) suddenly changes, however, it’s a wise idea to check in with your GP. Remember that what you eat has a big impact on the type and frequency of your farts, so if you’re making any changes to your diet (especially if they impact your fibre intake), do so slowly to minimise uncomfortable gas-related symptoms.Melissa Meier is a Sydney-based accredited practising dietitian. You can connect with her on Instagram @honest_nutrition.Second Chance Animal Rescue in Victoria is offering to write your worst enemy's name on the bottom of their buy levitra singapore cat litter boxes.

Feeling ‘poopy’ about someone?. Is your boss making you work buy levitra singapore overtime?. A neighbour playing music too loud?.

Maybe your ex shacked up with a new girl and now you can’t buy levitra singapore show him you got your Driver’s License (okay maybe that one is just specific to Olivia Rodrigo but you get my drift).The truth is, sometimes words don’t cut it and as most other forms of revenge are strongly frowned upon, it’s time to get creative.Like what you see?. Sign up to our bodyandsoul.com.au newsletter for more stories like this.Second Chance Animal Rescue in Victoria have done just that. They are offering you the once in a lifetime opportunity to have one of their rescued cats poo all over your worst nightmare’s name.Yes, you heard that buy levitra singapore correctly.

But just their first name people – sheesh!. We wouldn’t want to get too ‘catty’.For a measly (and well worth it) $5 they’ll write down your voodoo victim’s name on the bottom of their kitty litter box and let nature take its course.The best part is that your evil boss/friend/ex will never have to know. But every time you see their smug face you’ll know there’s a cat in Victoria giving them a number buy levitra singapore 2.

Forget writing a hateful letter but not sending it – this is way better.Plus, all the money will go to the shelter and help them rescue more animals and find them new loving homes. Talk about two buy levitra singapore birds, one stone. Or one ‘plopper’ - we should say.If you’re the sort of person that has A LOT of enemies – never fear.

You can have a whole list of names written on a kitty litter box for just $20.Here’s a buy levitra singapore list of some potential candidates we’ve been brainstorming. The neighbors that leave you little passive aggressive notes That guy who ghosted you for the second time on Bumble The boss that gives you ‘constructive feedback’ in the group chat Your sister when she ruined your fave dressAnd you know – if you’ve got the whole kitty litter box you may as well add some collectives in there, including but not limited to. Bus drivers who slam on the breaks when you’re standing in your work buy levitra singapore heels Hairdressers who cut your hair too short Waiters who look at you like it’s your order but it’s actually going somewhere else (the heartbreak!.

!. ) Walkers who don’t walk on the correct side of the pathway Parking rangers Queue jumpers *cannot confirm if this service is available with the animal rescue centre but if your friend has a cat maybe give it a go*So if you have $5 and an enemy, head to this Facebook post to find out how to get your very own poo voodoo set up..