text:
Getting Around Colombia
How to Get from Medellín to Cartagena
The distance between Medellín and Cartagena is 389 miles (636 km). The easiest way to make the trip is to fly, which takes about an hour. Buses run from Medellín to Cartagena numerous times every day and are an economical way to go; you can expect at least thirteen hours on the road. Private transfers are recommended over self-driving, though it can be an expensive option at this distance.
If you have more time in the country, consider this 7-day itinerary—it includes trendy Medellín, along with visits to the Zona Cafetera and Cartagena. Enjoy a day in Salento with a hike through the rolling hills before flying north to Cartagena. If you crave adventure, this 8-day itinerary combines river rafting in the heart of the rainforest with the culture of Colombia's cities, including both Medellín and Cartagena.
Duration: 1-hour flight
There are domestic non-stop flights from Medellín to Cartagena. There are two airports that serve Medellín, Jose Maria Cordova Airport (MDE) and Enrique Olaya Herrera Airport (EOH). Most flights depart from MDE in the nearby city of Rionegro for a direct flight into Cartagena. In Cartagena, you will arrive at Rafael Núñez International (CTG) Airport, which is located about 4 miles (6 km) from the city center. In Cartagena, the easiest way to get to and from the airport is using yellow taxis that have a fixed fare to your final destination.
By Private Transfer
Duration: 15 hours or more
Taking a private transfer from Medellín to Cartagena takes over fifteen hours. At this distance, it can be an expensive option, but having a private driver gives you the freedom to leisurely explore the route to Cartagena.
You can certainly make the drive in one day, though many travelers opt to take their time and add an overnight at one of the pueblos along the way to break up the drive. Consider stopping in Sincelejo, known for its beautiful colonial architecture, plazas, and churches. Further toward the northwest, Tolú has quiet beaches if you want to relax a bit before heading north to Cartagena.
Another attraction worth a stop is Los Colorados Wildlife Sanctuary. This sanctuary is a prime destination for photography, bird watching, and a nice place to stretch your legs and admire the natural beauty of the region.
Duration: About 13.5 hours
Buses depart Medellín for Cartagena from the Terminal del Norte bus station in the early morning or early evening for the overnight bus. Buses are an affordable option, especially if you have time to spare. Buses can take anywhere from 13 to 15 hours depending on traffic in the mountains.
Map of How to Get from Medellín to Cartagena
Written by Carrie Back, updated Aug 14, 2019
Plan your trip to Colombia
Chat with a local specialist who can help organize your trip.
How to Get to San Andrés Island
San Andrés Island and the Colombian archipelago is about 125 miles (200...
How to Get to the San Bernardo Islands
The San Bernardo Islands are located in the Gulf of Morrosquillo in the...
How to Get from Bogotá to Medellín
The distance between two of Colombia's largest cities, Bogotá and...
How to Get to the Rosario Islands
The Rosario Islands consist of over 20 small coral islands, including...
How to Get from Bogotá to Cartagena
Bogotá, the capital of Colombia, and Cartagena, the country's most...
How to Get from Cartagena to Minca
The distance between colonial Cartagena and the coffee town of Minca is...
How to Get from Medellín to Nuqui
Nuquí is 121 miles (196 km) away from Medellín, which sounds like a...
How to Get from Cartagena to Barranquilla
You can traverse the 83 miles (133 km) that stand between Cartagena and...
How to Get from Cartagena to Isla Mucura
The distance between Cartagena and Isla Mucura is about 50 miles (80...
How to Get from Bogotá to the Amazon Rainforest
The distance between Bogotá and Leticia, the gateway city to the...
Itineraries with Medellín and Cartagena
The Real Colombia - 9-Day Adventure
In nine days, explore the ice-capped summits of the Sierra Nevada to the...
Bogotá, Cocora Valley, Medellín, and Cartagena - 9 days
On this 9-day tour, you'll get to explore the historical and cultural...
Colombia's Caribbean Coast - 7 Days
This 7-day land and sea adventure covers all the highlights along...
Colombia Andes, Amazon & Caribbean - 14-Day Itinerary
This tour takes you off the beaten path and truly epitomizes the...
Best of Cartagena - 5-Day Itinerary
Explore Cartagena's colonial architecture by foot, partake in its rich...
Cartagena & Tayrona Park - 5 Days
This fun 5-day adventure hits two major highlights along Colombia's...
Colombia's Culture & Archaeology Tour - 14 Days
From the up-and-coming city of Medellín to the lush green mountains of...
Bogotá, Coffee Triangle & Caribbean Coast - 7 Days
Colombia is a nation of vibrant cities, sleepy pueblos, and...
Discover Colombia's Cities - 10 Days
Perfect for travelers who love urban energy and culture, this fast-paced...
Colombia Summit to the Sea Adventure - 14 Days
This outdoorsy, action-packed itinerary hits the crown jewels near two...
Jamie L.
"My 16 year old daughter & I took a trip to Cartagena, Colombia this past summer. I was a little nervous about a trip like this with just us , but the help p..." read more
Traveled to Colombia as a couple in June, 2021
Nicole G.
"Thank you Margoth, Felipe, Martin, Juan Carlos, Jaruen, Jose, Maria, and drivers for a fantastic trip to Colombia. Thank you for sharing your beautiful count..." read more
Traveled to Colombia as a family in December, 2021
Kevin H.
"WOW! A truly special and personalized trip to a beautiful and diverse country. From start to finish, this experience with the Colombia kimkim team made every..." read more
Traveled to Colombia solo in November, 2021
Brian G.
"Felipe did an outstanding job working tirelessly to customize our trip to see as much as possible in 9 days. Once in Colombia, he remained in constant contac..." read more
Dave F.
Connecticut, United States
"Family of 4 (kids ages 9 and 11), 1 week in Colombia (Bogota and Cartagena), Margoth arranged an amazing trip. Everything was seamless from pickup/dropoff at..." read more
Sumi M.
Indiana, United States
"I want to preface this review by saying that I've traveled to almost 50 countries, so I've had my fair share of trip planners that I've worked with. Margoth ..." read more
Yevgeniy E.
"Timely resolved all issues expected during complicated travel times ( COVID ), complex trip plan and changing airlines schedules." read more
Traveled to Colombia as a couple in December, 2021
Carly M.
Maryland, United States
"Where to even begin! First, I believe Margoth deserves a lot of credit for her resilience in assuring me a safe and very special experience for my first ever..." read more
Simon K.
" In one word "EXCELANT". I would like to say as a traveling person, the trip that we had to Colombia was more than what we expected. Other than the beautifu..." read more
Traveled to Colombia as a group in October, 2021
Todd W.
"In Bogota, I was very pleased with my guide Mafe, as well as the driver(s), and my guide Lina for a game of Tejo. In Medellin, I was also extremely happy wit..." read more
Traveled to Colombia solo in October, 2021
Create your custom-made trip to Colombia


text:
2022 Hyundai Elantra N Prices Announced for Both Manual and Automatic Versions
2022 | hyundai | Hyundai Elantra N | prices | December 2, 2021
There aren't that many cars in the US that are available with a manual transmission anymore, particularly in the four-door segment. Fortunately, the Hyundai Elantra N is one of them. Hyundai has revealed pricing for the 2022 Elantra N, and it's officially the least expensive N car that Hyundai offers, with the manual transmission model starting at $32,925.
Anyone wanting the eight-speed dual-clutch will spend $34,425. Neither MSRP includes the $1,025 destination charge, though. Both cars have a turbocharged 4-cylinder engine that makes 276 horsepower and 289 lb-ft. of torque. The six-speed manual offers downshift rev-matching, and the dual-clutch automatic has N sport tuning. The car has numerous other performance enhancements, including an integrated drive axle for enhanced handling and an electronic limited-slip differential.
The Elantra N is fitted with 245 mm wide Michelin Pilot Sport 4S tires wrapped around 19-inch wheels. The vehicle also has next-generation Electronically Controlled Suspension and body reinforcements to improve handling. Despite the reasonable price, the car is well-equipped and comes packed with a massive list of safety features:
Forward Collision-Avoidance Assist w/ Pedestrian Detection (FCA w/ Ped), Blind-Spot Collision Avoidance Assist (BCA) w/ Rear Cross-Traffic Collision Avoidance Assist (RCCA), Parking Distance Warning – Reverse, Lane Following Assist (LFA), and Lane Keeping Assist (LKA), High Beam Assist (HBA), Driver Attention Warning (DAW), Advanced dual front airbags w/ Occupant Classification System (OCS), Front seat-mounted side-impact airbags, Roof-mounted side-curtain airbags, Vehicle Stability Management (VSM), Electronic Stability Control (ESC), Traction Control System (TCS) & Hill Assist Control (HAC).
2022 Hyundai Tucson Hybrid Review: Upping the Compact SUV Game Again
Hyundai Elantra N Combines Performance and Practicality
2022 Porsche 911 GT3 MSRP Soars by Over $17,000
Suggest Story
Subscribe: Email
Follow: Facebook
Follow: Twitter

redpajama_set_name: RedPajamaCommonCrawl


text:
Henk Keijzer
Dieter Kik
Diversity in Wheels
Andrey Kharuk
Whenuapai Air Show 2009
Saturday, 21 March 2009, 02:44 (15:44 local time)
© 2009 Andrey Kharuk, All Rights Reserved.
This panorama was taken during the biannual airshow of the Royal New Zealand Air Force in Auckland. More than fifty thousand people visited the show. They were watching flypast and handling of airplanes and helicopters from very light CT-4E air trainers to huge air transport like C-17 Globemaster and from small Siouxes to large NH90 helicopters.
Military and civilian, light and heavy aircraft, gliders, helicopters and even classic cars were exposed during the show.
Diversity of people, diversity of nations, diversity of colours, diversity of aircraft, diversity of aerobatics, diversity of attractions ... the Air Show is Miss Diversity!
http://www.digitalstudio.co.nz/gallery/v/nikon/auckland/whenaupai09/
Australia - New Zealand / New Zealand
Lat: 36° 47' 20.24" S
Long: 174° 37' 37.89" E
Precision is: Medium. Nearby, but not to the last decimal.
As usual: Nikon D300, Sigma 10-20, Nodal Ninja 3 and some soft.


Recently, on Instagram, I shared a shot of my sage smudge stick one morning. Usually, I would smudge my home every now and then, but mainly after a life event. However, for the past couple of months, I've been doing sage smudging every day; usually first thing in the morning. It's one of my favorite parts of my morning routine; maybe better than coffee.
I think sage sticks and smudging can get such a "hippie" label, but I think that's unfair. Keep reading to find out the main reason I try to smudge.
I think I've said it here before, but if not, here it is again: I love toners! No matter how many times I've tried to act like toners weren't important or not use them as much, I always go running back. I feel like I've tried no less than 100 toners in my lifetime. That's not an exaggerating.
Not all of them were, but there have been some gems. So much so, I feel like I can tell a good one for me in less than 2 uses. However, within the first use of Mario Badescu's new Witch Hazel and Rosewater toner, it only took one use. Keep reading about my new favorite toner. Plus, it has rosewater, which is one of my favorite skincare ingredients.
Happy Good Friday, friends! Are you going to Easter service? If so, do you have your outfit ready?
As a child, I used to love Easter, because it meant that I would get a new, insanely beautiful dress and large lace socks, and new patent leather shoes. Plus, I can't forget about the candy and dyeing eggs. Of course, as an adult, I know that Easter is about the rising of Jesus Christ and dying for our sins. Also, as an adult, I really don't care about getting a new dress for Easter. However, I don't mind a few Reese's chocolate covered eggs here and there.
Other than pretty much being at church all weekend, I don't have any other plans. I would like to spend some time reflecting on my last month, but also preparing for the new journey I'm blindly about to enter. Can't lie, I'm super scared, but that's usually an indication that I'm doing something right. We'll see!
I hope you all have a great weekend and go to church, if that aligns with your religion (of course)!
It's only been a couple of months since I've moved, but I'm getting more settled in each day. However, before I could even move, I had to makes some decisions like bedroom numbers, learning about rehoming pets, and no less than pinning hundreds of thousands of sofas on Pinterest.
Of course, with any move, there are some major decisions you have to make before moving. For me, there were 3 main things that I had to decide. I shared these three key factors, so keep reading.
For the past month, I've been actively looking for a new job. Thankfully, I've gotten some interest and a few interviews. If you've been on job interviews, you know how stressful that entire process can entail. One of the first things that come to your mind when preparing for a job interview is "What am I going to wear?". However, for women, this can include your makeup for job interviews.
Well, unless you are applying for a makeup artist at a counter know for bright looks, it's best to keep it simple. So, this post is dedicated to what makeup you should wear for a job interview and even some makeup you shouldn't wear.


text:
, nacido el 15 de febrero de 1898 y fallecido el 10 de julio de 1993, fue un autor japonés.

Vida y Obra
Ibuse nació en 1898 en el seno de una familia terrateniente en el Distrito de Kamo, Hiroshima. A los 19 años, empezó su carrera estudiando en la Universidad de Waseda en Tokio. En principio quería estudiar poesía y pintura pero le animaron a estudiar ficción y terminó especializándose en literatura Francesa. Ibuse sufrió acoso sexual por parte de un profesor llamado Noburu Katagami, por lo que tuvo que dejar la Universidad antes de su graduación; a pesar de este mal trago, comenzó a publicar historias a comienzos de los años 20, con lo que empezó a ganar presencia en el mundo literario, gracias a algunos críticos muy importantes de Japón, que valoraron positivamente su obra.
Los temas más recurrentes en su obra fueron fantasías intelectuales (que usaban alegorías animales), ficciones históricas, y la vida del país en general. No obstante, durante la segunda guerra mundial, trabajó para su gobierno redactando la Propaganda Oficial.

Después de la guerra Ibuse fue ganando notoriedad, se empezaron a apreciar sus obras y se hizo famoso. En 1966 publicó su trabajo más conocido: Kuroi Ame, con la que ganó respeto internacional y varios premios incluyendo el Premio Noma y la Orden al Mérito Cultural, el más alto honor que puede obtener un Autor Japonés.

Trabajos Selectos
 Yu Hei  (1923)
 Sanshouo (1929) "Salamander and Other Stories"
 Sazanami Gunki (1930-38)  "Waves: A War Diary"
 Shigotobeya, (1931)
 Kawa (1931-32) - "The River"
 Zuihitsu, (1933)
 Keirokushu (1936)
 Jon Manjiro Hyoryuki, (1937) - "John Manjiro, the Cast-Away: His Life and Adventures"
 Shukin Ryoko, (1937)
 Sazanami Gunki, (1938)
 Tajinko Mura, 1939
 Shigureto Jokei, 1941
 Ibuse Masuji Zuihitsu Zenshu, 1941 (3 volúmenes)
 Hana No Machi, 1942 - "City of flowers"
 Chushu Meigetsu, 1942
 Aru Shojo No Senji Nikki, 1943 - "A Young Girl's Wartime Diary"
 Gojinka, 1944
 Wabisuke, 1946
 Magemono, 1946
 Oihagi No Hanashi, 1947
 Ibuse Masuji Senshu, 1948 (9 vols)
 Yohai Taicho, 1950 - "Lieutenant Lookeast and other stories"
 Kawatsuri, 1952
 Honjitsu Kyushin, 1952 - "No Consultations Today",
 Ibuse Masuji Sakuhinshu, 1953 (5 volúmenes)
 Hyomin Usaburo, 1954-55
 Nyomin Nanakamado, 1955
 Kanreki No Koi, 1957
 Ekimae Ryokan, 1957
 Nanatsu No Kaidō, 1957
 Chinpindo Shujin, 1959
 Bushu Hachigatajo, 1963
 Mushinjo, 1963
 Ibuse Masuji Zenshu, 1964 (2 volúmenes)
 Kuroi Ame, 1966 - Película 1989, dir. por Shohei Imamura - Musta sade
 Gendai Bungaku Taikei, 1966
 Hanseiki, 1970 - "The First Half of My Life"
 Shincho Nihonbungaku, 1970
 Tsuribito, 1970
 Ibuse Masuji Zenshu, 1975 (14 volúmenes)
 Choyochu No Koto, 1977-80 - "Under Arms"
 Gikubo Fudoki, 1981 - "An Ogikybo Almanac"

Enlaces externos
 https://web.archive.org/web/20070608032645/http://kirjasto.sci.fi/ibuse.htm https://web.archive.org/web/20070608032645/http://kirjasto.sci.fi/ibuse.htm

Escritores de Japón del siglo XX
Cuentistas de Japón
Escritores en japonés
Personajes del Imperio de Japón
Nacidos en Fukuyama

redpajama_set_name: RedPajamaWikipedia


A FREE souvenir is available at California Adventure. Take time away from the crowds & the rides by attending a drawing class at the Animation Academy. This 30 minute tutorial will teach you how to draw a Disney character. You will leave with your drawing. Make sure you bring something to store the drawings in such as a paper towel roll to help protect the drawing during your day at the park.


CHARACTERISTICS: Intense ruby red, predominating plum and spice notes, rich in small fruit and cherry; on the palate it is full and rich, surrounding, elegance, greatly harmonious and integral. It's a wine with spectacular fruity fragrance , intense, delicate and well-rounded taste.
MINIMUM ALCOHOL: 13,0 % vol.
FERMENTATION: 8/10 days in contac with the skins at 28°/30° C.


text:
Tag: Globally
Complementary and Alternative Medicine Market to Reach $437.9 Billion, Globally, by 2031 at 15.6% CAGR: Allied Market Research
Rise in prevalence of various chronic diseases such as cancer and cardiovascular diseases drives the growth of the global complementary and alternative medicine market.
PORTLAND, Ore., Aug. 26, 2022 /PRNewswire/ — Allied Market Research published a report, titled, "Complementary and Alternative Medicine Market by Type (Medicines, Therapy), by Disease Indication (Diabetes, Cardiovascular, Neurology, Cancer, Arthritis, Others), by Distribution Channels (Direct Sales, Online Sales, Distance Correspondence): Global Opportunity Analysis and Industry Forecast, 2021–2031." According to the report, the global complementary and alternative medicine industry generated $102.0 billion in 2021, and is estimated to reach $437.9 billion by 2031, witnessing a CAGR of 15.6% from 2022 to 2031.
Drivers, Restraints, and Opportunities
Rise in prevalence of various chronic diseases such as cancer and cardiovascular diseases and surge in popularity of complementary and alternative medicines & therapies along with rise in costs of traditional medicines and their side effects drive the growth of the global complementary and alternative medicine market. However, side effects associated with self-medication restrain the market growth. On the other hand, rise in adoption of strategies such as collaborations, mergers, and acquisitions by leading players create new opportunities in the coming years.
Download Sample Report- https://www.alliedmarketresearch.com/request-sample/11547
Impact of Covid-19 on Complementary and Alternative Medicine Market Scenario-
Owing to the surge in COVID-19 infection worldwide and lack of availability of therapeutics for treatment against COVID-19, people turned toward complementary and alternative medicines as preventive measures and treatments.
According to the research published by Mahlagha Dehghan et. al. in January 2022, nearly 84% of the participants of the survey reported usage of one of the complementary and alternative medicines (CAMs) during the COVID-19 pandemic in Iran.
Adoption of yoga and meditation experienced a sharp rise during the pandemic due to closure of fitness centers, gyms, swimming pools, and sports stadiums with lockdown restrictions in place. So, people began therapies and exercising at home. This, in turn, led to the growth of the global complementary and alternative medicine market.
Surge in online classes and sessions that offer beginner and advanced courses related to alternative therapies such as yoga, aerobics, and meditation impacted the market positively during the pandemic.
Get detailed COVID-19 impact analysis on the Complementary and Alternative Medicine Market- https://www.alliedmarketresearch.com/request-for-customization/11547?reqfor=covid
The medicines segment to maintain its leadership status during the forecast period
Based on type, the medicines segment accounted for the highest market share in 2021, contributing to nearly two-thirds of the global complementary and alternative medicine market, and is estimated to maintain its leadership status during the forecast period. Moreover, this segment is estimated to witness the highest CAGR of 15.9% from 2022 to 2031. This is due to surge in prevalence of chronic and autoimmune disorders and increase in the adoption of natural remedies such as Ayurvedic medicines and herbal supplements. The report also analyzes the therapy segment.
The diabetes segment to maintain its dominant share during the forecast period
Based on disease indication, the diabetes segment contributed to the largest market share in 2021, accounting
Alternative MedicineAllied, alternative, Billion, CAGR, complementary, Globally, Market, medicine, Reach, Research


text:
ajay » Ads (96)
Priya Golani skydiving instructor.
Dec 28, 2018 / Ahmedabad
Priya Golani India's only female skydiving instructor has 400 jumps to her credit, including a daring landing on the deck of the aircraft carrier INS Viraat while it was at sea.
Priya Golani Indian Classical Dancer
Priya Golani is an activist and Indian classical dancer and actress from India Priya is an accomplished Kuchipudi and Bharatanatyam dancer and performer who has specialized in using the arts for social change and transformation.
Priya Golani well-known Indian contemporary artist.
Dec 20, 2018 / Ahmedabad, Ahmedabad
Priya Golani is an Indian contemporary artist living in Gujarat. She is considered an important exponent of the contemporary female art in Gujarat, India. Golani completed her studies in painting from Faculty of Fine Arts Maharaja Sayajirao Universit...
Priya Golani won the Confident Beauty Of The Year award
Priya Golani Won the Confident Beauty of the Year Award for her Stylish attitude and dressing sense. To present the Nakkul Mehta and Mohit Mallik were called on stage.
Priya Golani Indian social entrepreneur.
Priya Golani is an Indian social entrepreneur and the co-founder of the FinTech firm, Artoo. She co-founded the firm with Sameer Segal in May 2010 in Bangalore, hoping to help the financially excluded through business strategies and market-based appr...
Priya Golani is an Indian scientist.
Priya Golani is an Indian scientist and Director General of Aeronautical Systems. She is the first woman scientist to head a missile project in India. She is known as the 'Missile Woman' of India.


text:
Q: How to proxy custom domains to vuejs app? I want to proxy multiple domains to my vuejs app.
I have a VueJS application, with the following route: https://app.pingr.io/status/{id}.
What I want to do is to allow users to redirect their domains to this route. So, imagine we have a https://status.some-domain.com host, which is redirected using CNAME to https://app.pingr.io/status/status.some-domain.com.
I really can't figure out the nginx configuration for this.
What I have right now:
server {
    listen 80 default_server;
    server_name _;

    location / {
        #resolver 127.0.0.1 [::1];
        #resolver 8.8.8.8;

        proxy_pass https://app.pingr.io/status/test/;
    }

    location /js/ {
        proxy_pass https://app.pingr.io/js/;
        proxy_ssl_server_name on;
        proxy_set_header Accept-Encoding "";
    }

    location /css/ {
        proxy_pass https://app.pingr.io/css/;
        proxy_set_header Accept-Encoding "";
    }
}

Before passing $host variable to proxy_pass at first I'm trying to just proxy to /status/test with working js/css/images.
I managed to get js/css work, however instead of getting the content of /status/test route, I get redirected to the home page. I displayed routes in router.beforeEach, so I can see that the first route I'm being redirected to is home route.
I was trying different configurations, like including proxy_set_header host and other stuff, which actually broke the whole thing even more.
So what is the right way to do this? Once again, users should be able to redirect their domains to my vuejs route and pass their domain to a part of this route. The domain should be rewritten, so that it looks like the page belongs to their server/domain.

redpajama_set_name: RedPajamaStackExchange


text:
San Diego News Now Podcast
Tracking COVID-19
All News Sections
One Book, One San Diego
The Parker Edison Project Podcast
Port of Entry Podcast
Watch KPBS On-Demand
KPBS Evening Edition
KPBS Midday Edition
KPBS News: This Week
KPBS Roundtable
Radio Reading Service
Radio 89.5 Schedule
Classical San Diego Schedule
Support KPBS
KPBS Passport
Directors Club
Producers Club
Building on Trust: The Campaign for KPBS
On Air Now Playing KPBS Radio
On Air Now Playing Classical San Diego
San Diego County Faces Rise In Dementia Patients
By City News Service, Susan Murphy / Health Reporter
Published April 20, 2018 at 2:34 PM PDT
Susan Murphy
Scientists conduct research inside the lab at the Conrad Prebys Center for Chemical Genomics, April 20, 2018.
San Diego County is stepping up its fight against Alzheimer's disease with the help of a $1.3 million federal grant. The funding comes as new research shows the disease is escalating in the region.
San Diego County leaders and brain scientists gathered in La jolla on Friday at the Sanford Burnham Prebys Medical Discovery Institute to announce the funding and share daunting new statistics: 84,000 people in San Diego County have the disease or related dementia, and that number is expected to soar 36 percent by the year 2030.
"One out of every ten San Diegan over the age of 55 is afflicted with Alzheimer's or the related dementia. That's a huge burden," said Leslie Upledger Ray, senior epidemiologist with San Diego County Public Health Services.
Become a KPBS sponsor
"Nationally, Alzheimer's is the 6th leading cause of death. In San Diego, it's the third leading cause of death," she added, citing a rise in the county's aging population.
The progressive disease is expected to put an enormous strain on the health care system, families and the economy, said Upledger Ray, because patients require 24-hour care, costing upward of $65,000 annually.
"Right now there's no cure for Alzheimer's," said Dr. Jerold Chun, professor and senior vice president of the Sanford Burnham Prebys Medical Discovery Institute.
He said a more realistic short term goal is to make the disease more tolerable.
"To slow the progression would be great," Chun said. "A lot of the agents are designed to treat ... the signs and symptoms of the disease. So for example, to improve cognition."
It's the kind of research underway at the Conrad Prebys Center for Chemical Genomics, where scientists are seeking medical breakthroughs and drug discoveries, with a key focus on neurodegenerative diseases, including Alzheimer's.
"For instance, using patient specific stem cells to produce disease relevant cell types like neurons from Alzheimer's patients," said Anne Bang, director of cell biology.
The Center is part of a collaborative project receiving the National Institutes of Health grant aimed at bolstering research to find a cure. Participating with Sanford Burnham Prebys are The Salk Institute, The Scripps Research Institute, J. Craig Venter Institute and the University of California, San Diego.
Two studies released Friday indicate San Diego County will see increasingly devastating health and economic effects from dementia-related diseases in coming years.
The number of county residents age 55 and older with dementia is expected to increase from 84,000 today to 115,000 by 2030, according to The Alzheimer's Project, a regional initiative that includes political leadership, research institutions, public universities, health care systems and caregiver groups.
Alzheimer's is the most common type of dementia, which is an umbrella term signifying a decline in mental ability. Vascular dementia, the second most common form of dementia, typically affects stroke patients.
The number of family members and caregivers needed for dementia patients is expected to grow from 214,000 people to nearly 300,000. Meanwhile, the current cost of dementia care in the county, $38 billion, is expected to grow by $52 billion by 2030.
Annual costs associated with an individual with dementia are estimated to be more than $64,000; that figure includes medical costs as well as loss of income and productive activity.
In 2015, about one in seven San Diego County hospital patients age 55 or older showed signs of dementia.
The San Diego County Board of Supervisors launched The Alzheimer's Project in 2014 to mitigate the growing effects of dementia. The coalition is focused on improving the county's network of care services and raising awareness and funds for an Alzheimer's cure.
Susan Murphy is a former health reporter for KPBS, providing in-depth coverage of a variety of issues that impact San Diego County and the Imperial Valley — from infectious diseases and mental health to health care policy and medical breakthroughs. Susan started working in the KPBS Newsroom in 2003. She graduated from San Diego State University with a bachelor's degree in journalism.
See stories by Susan Murphy
Keep up with all the latest news, arts and culture, and TV highlights from KPBS.
The Catch Up
KPBS/Arts
KPBS' Most Popular
KPBS Streaming Picks
LATEST IN PODCASTS
California reparations task force takes deeper look into eligibility
LATEST IN EVENTS
Armando de la Torre: 'On the Blue Line'
LATEST IN TV HIGHLIGHTS
NOVA: London Super Tunnel
Green comet discovered by Palomar Observatory flies closest to Earth Wednesday
San Diego City College students welcome spring semester of support
County contractor ordered to rehire fired janitors, with back pay
Film spotlights costs and accessibility of child care
About Us & Mission
FCC & Financial
Audience and Member Services
How do I listen?


text:
Coronavirus Litigation
One by one, New York Governor Cuomo's arbitrary, irrational rules are coming down. Last week, I wrote that challenges to a ban on advertising or ticketing music at restaurants was destroyed as a result of a pair of court challenges (one of which I argued). This week, a federal court in Brooklyn will hear arguments on another challenge I'm working on: the midnight food curfew.
What's that? New York City finally just got the blessing of the Governor to resume indoor dining last week — well over 6 months after closing mid-March and likely last in the nation — with massive restrictions: 25% max capacity, air filtration upgrades, and a midnight closing time. Yes, for some reason, the Governor decided that it is only safe to be in a restaurant until the clock strikes 12, after which your risk of corona becomes excessively high. To clarify, this rule applies to restaurants — even those serving no alcohol — and applies even though only seated dining is allowed with full social distancing (no mingling, no dancing, no fun).
I filed suit on behalf of a Brooklyn restaurant to challenge this rule (which received some media attention, and a hearing on our motion for a preliminary injunction is tomorrow at 12:30 PM, public audio: (571) 353-2300, access code 188465608#. The written briefing on the motion went pretty normally… tl;dr: I argued that there's no reason to subject NYC to restrictions that aren't used elsewhere in the state or country, they argued that NYC is special because of it's population, I replied that they failed to demonstrate why higher population means restaurants must turn into a pumpkin when the clock strikes 12. If you want the long version of that:
Columbus Ale House v. Cuomo – Motion for Preliminary Injunction (.pdf)
Columbus Ale House v. Cuomo – Motion for Preliminary Injunction, Opposition (.pdf)
Columbus Ale House v. Cuomo – Motion for Preliminary Injunction, Reply (.pdf)
It gets more interesting: the state included a declaration by Dr. Elizabeth Dufort, Director of Epidemiology for the NYS Department of Health, and the judge ordered her to appear at the hearing for questioning. This is perhaps the first time I've seen a judge take serious interest in examining the facts, seemingly triggered by Dr. Dufort's apparent expertise in everything from how people behave in bars, to how restaurants handle arriving and departing guests, to the details of state law, to medicine (the latter of which I concede she may be qualified to discuss).
The government apparently did not like that order, and filed a motion for reconsideration, noting that Dr. Dufort was not available and that her testimony does not matter because "the government is not required to justify an executive order." After a scathing opposition, they "found" the Dr. and withdrew their motion.
I very much look forward to asking Dr. Dufort some difficult questions tomorrow.


text:
ACS Facility Services-COVID-19 global impact: How the coronavirus is affecting the world in Corning NY, 14830
Written by Maria Cohut Ph.D. on April 24, 2020 - Fact checked by Paula Field
COVID-19 global impact: How the coronavirus is affecting the world
Dealing with the unforeseen challenges caused by the COVID-19 pandemic has taken a significant toll on people all across the world. Medical News Today has spoken with people from different countries, asking how the pandemic has impacted their lives.
At the time of writing this Special Feature, there are over 2,700,000 confirmed cases of COVID-19 across the globe.
According to official reports, the largest numbers of confirmed cases are in the United States, Italy, Spain, and France. However, even the countries that the new coronavirus has hit less aggressively are still under considerable strain.
As many as 213 countries and territories have registered COVID-19 cases, and the entire world is buzzing with uncertainty and questions: How long will the pandemic last? What will people's lives look like once the pandemic is over?.
At the moment, many countries have taken measures — some of them stringent — to slow down the spread of SARS-CoV-2, the virus that causes COVID-19. While some of these countries are now considering whether to ease the measures, others have already decided to keep them in place over the following weeks.
In this Special Feature, we look at how the pandemic and the measures taken to curb it have impacted communities all over the world. To this end, we have spoken to people from many different countries and asked them about their own experiences.
Many countries have declared restrictive measures, such as lockdown, shelter in place, or stay at home orders, to contain the pandemic at a local level. However, the wildly differing responses and response timelines have left people wondering if authorities failed to take the situation seriously early on when they could have done more to slow down the spread of the coronavirus.
China appeared to manage the coronavirus outbreak effectively, putting in place early travel bans within the country itself. As early as January 23, Chinese authorities declared a nationwide travel ban, which, some experts suggest, may have averted over 700,000 COVID-19 cases within the country.
Earlier in April, China eased the lockdown measures in Wuhan, the original epicenter of the new coronavirus outbreak, amid celebrations that the nation had beaten the virus.
Nevertheless, a recent study assessing the likely number of COVID-19 deaths in the country suggests that the virus may have hit even harder than the authorities initially thought.
Given the development of the situation in China, many people have been questioning the appropriateness of measures that other countries around the world have taken.
Earlier in April, Japan's Prime Minister Shinzo Abe declared a state of emergency. This allowed the authorities to ask people to stay at home, though the government has not enforced closures or restrictions.
This state of emergency should remain in place until early May, though the steady number of COVID-19 cases has reportedly moved doctors in Japan to warn of an impending breakdown in their health care system.
Japan state of emergency filled with 'ambiguity'
People in Japan have also started to express worry that the government is not doing enough to contain the crisis.
Chris, who recently moved to Japan from Europe, has spoken to Medical News Today. He told us what the state of emergency looked like in Yokohama, where he currently lives.
"Effectively, the government has requested that businesses and schools close where possible or promote [working from home] … but it can only request, it can't actually make it a law," Chris told us.
"Whilst many large businesses in Yokohama (especially around the big train stations) appear to have complied with the request, the trains are still pretty cramped during rush hour, and some restaurants and cafes are remaining open," he added.
Chris told MNT that the lack of a stricter response from the authorities means that it can be hard to comply with the advised measures.
"[Although] supermarkets are promoting social distancing measures at the tills (with spaced markers, and transparent plastic screens to protect the cashiers), within the stores themselves, with the narrow aisles, it's impossible to keep your distance from other people," he said.
"[L]earning the news [from] abroad [about the pandemic], I […] became more stressed [before] the announcement of the declaration [of a state of emergency] which was made in April, due to the lack of carefulness of people in Japan (for example, group-shopping at the supermarkets, social drinking, etc.)," Misato, who lives near Tokyo, also told us.
"So, around the time when the declaration was made, I got accustomed to the current lifestyle [of physical distancing] which [makes me] feel much less stress than before. [However], I [don't] highly value the content of [the] declaration itself, due to its ambiguity, which [makes it] difficult for people in Japan to understand."
– Misato, Japan
'Mask gives me a sense of security, even though it doesn't do much'
Some European countries have reacted sooner to the steep rise in COVID-19 cases than others. On March 10, Italy ordered a strict nationwide lockdown, becoming the first country in Europe to do so.
The government banned all travel in the country, and people could only leave their homes for essential reasons — such as to buy food. When going out, people had to carry declaration forms and wear face masks and disposable gloves.
Despite a slowdown in the growth of new COVID-19 cases, the Italian government has recently extended lockdown measures through May 3.
Laura, who lives in the Italian region of Friuli Venezia Giulia, told MNT: "We can't go out or travel to other cities, […] we must stay at home. Only one family member may go out at once and only for valid reasons, such as doing the groceries, going to the pharmacy, or the post office for urgent matters."
"I comply with the rules imposed by the government, and I only go out when I have to, wearing a mask and gloves. Now that it's warmer outside, the mask has become a little bothersome, but it gives me a sense of security, even though I know that, in reality, it doesn't do much."
– Laura, Italy
Spain, another one of the European countries hit badly by the coronavirus, also announced strict lockdown measures from March 14.
Although there have been over 208,000 confirmed COVID-19 cases in the country to date, Spain's Prime Minister Pedro Sanchez announced that Spain reached the peak of the pandemic in early April.
"Both my boyfriend and I had symptoms compatible with COVID-19 and we [self-isolated] throughout that time (nearly 10 days each), avoiding any physical contact with each other (while living together)," Susana, from Madrid, Spain, told MNT.
Susana said that she managed to stay optimistic despite the illness. Yet, like many, she is concerned about the economic and emotional impact of the lockdown in response to the pandemic: "I worry about the impact this crisis has on many families that have been highly affected and are suffering at different levels, [such as the] loss of relatives, loss of jobs and so on."
The Spanish government appears to share such worries and is considering easing these measures in May, despite criticism that it is still unclear how the pandemic may progress in the country.
Sweden: 'Not a true form of self-isolation'
Other European countries have put in place less stringent measures. For instance, in the United Kingdom, Prime Minister Boris Johnson announced a lockdown on March 23, though the measures have been less stringent than in other countries.
Unlike in Italy, for instance, in the U.K., people may go out without a declaration form. The acceptable reasons for leaving one's home — "for food, health reasons or work" — has received criticism for being confusing and lacking clarity.
Some, however, relish the relative freedom that Britain's more relaxed pandemic advice has afforded.
Harry, who lives in Brighton, U.K., told MNT: "Britain's less rigid approach to the lockdown compared to other European countries is crucial to maintaining my [mental] as well as physical health. As it is, I [can] stay active, get sunlight and air, and avoid being stuck in the same place all day."
At the same time, practitioners in the U.K.'s National Health Service (NHS) have been bracing for a severe strain on the NHS's resources, as hospitals are cracking under the pressure of increasing numbers of COVID-19 cases.
Other European countries, such as Sweden, which have reported fewer cases of COVID-19 overall, have fewer and much less restrictive measures in place.
People who live in Sweden have been staying more or less put, mostly following their own judgment.
Simona, based in Malmö, told MNT that "Sweden does not impose any quarantine [measures], just [physical] distancing, but I have been sort of — partially — self-isolating together with my partner."
"We do get out to shop, meet friends sometimes, or walk in the sun, so it is by no means a true form of self-isolation," she adds.
Yet, some experts worry that the authorities have underestimated the incidence of COVID-19 in Sweden. Others suggest that the guidelines have left older citizens — one of the high-risk categories — unnecessarily exposed to the virus.
The one country that has received consistent kudos for its approach to the pandemic appears to be Finland, where Prime Minister Sanna Marin announced, on April 22, a "composite strategy."
This strategy would involve a gradual easing of lockdown measures while increasing COVID-19 testing. Testing will ensure that anyone exposed to the coronavirus receives the care they need, while those who have not had exposure may return to their normal life, little by little.
'I'll never know if I had COVID-19'
The U.S. strategy in dealing with the pandemic has been the target of an increased amount of criticism since different states have adopted wildly different measures. There is a lack of consensus between the authorities and various public health organizations.
As of March 30, 30 U.S. states — including New York, California, Texas, and Washington — have directed their citizens to shelter in place or stay at home, though some have opted for less restrictive measures.
Since March 31, the Department of State has been advising all U.S. citizens "to avoid all international travel."
Although measures in the U.S. have been, overall, less stringent than elsewhere, groups of people in 18 states have been protesting against the lockdown. They claim that the measures have been harming them financially and otherwise.
Even President Donald Trump has spoken in favor of easing the current measures, saying that the pandemic has already peaked in the U.S.
However, some medical professionals have spoken out against the protests, stressing that the protesters may well be putting other people's lives and health in danger.
In Canada, only two provinces — Ontario and Alberta — declared a state of emergency in the first half of March, following an increase in the number of COVID-19 cases.
One reported worry among experts and the public is that Canadian authorities have not managed to capture important health data and that testing efforts for COVID-19 are falling short. The extent to which the country is being affected by the new coronavirus remains unclear.
Stephen, who lives in the Province of Ontario, told MNT that despite having had symptoms that may have been consistent with COVID-19, he did not have access to testing to verify whether that was actually the case:
"Early on during the lockdown, I was ill for a few days with cold and flu-like symptoms. The advice here is to stay home and self-isolate for 14 days if you're ill and not to go to a clinic unless the symptoms progress. So I guess I'll never know if I had COVID-19, though I suspect it was probably just a cold."
Physical and mental health in jeopardy
Experts worry that people all over the world may be experiencing an increasing number of mental health issues.
This certainly came across loud and clear from the many responses that MNT received from people across the globe. Some people have also spoken to us about how the specific measures in their country have affected their physical health as well.
Mihai, from Romania, said that he and his family have been dealing with an increased amount of stress and physical discomfort.
"[Physical distancing] has affected both our physical and mental health," he told MNT. "We've only been moving around inside the house; we're getting backaches."
"Mentally," he said, "I've become more stressed, more irritable, I lose my patience much quicker. And [my 1-year-old son] finds it harder to fall asleep; he's more agitated."
Nicoleta, also from Romania, echoed the sentiment: "I think [in terms of physical health], I have been affected because I have gained a few extra kilograms [due to] sedentariness […] Mentally, there has been a lot of stress in this period. […] It's very difficult when you can't exercise at all, and you keep doing the same things always; it's impossible not to be affected, at least at a subconscious level."
'We have no idea what would happen to our son'
Many of the people who spoke to MNT expressed worry for family members and said they felt powerless to deal with some of the risks.
"We've been feeling stressed not because [we are afraid that] the disease [COVID-19] would be hard to bear, but because, should we get ill, we'd have to be hospitalized in the infectious disease unit, and we have no idea what would happen [to our young son]."
– Mihai, Romania
Diana, who lives in France, also said that she was "a bit anxious, not necessarily for myself, but for the people around me, and for my family, which is far away, and I've felt a bit powerless."
Some respondents have been trying hard to come to terms with grief after having lost a loved person to COVID-19.
Martina lives in Belgium, but her family is in Italy. She told us that two of her family members passed away because of the coronavirus, but she has had no opportunity to gain a sense of closure:
"I have already lost one uncle and one aunt on the two sides of the family due to COVID-19. There has been no or limited [funeral] ceremonial service, so the psychological impact of these deaths is going to be long-term and painful."
She also told us that, while staying put during the pandemic, she has been dealing with acute mental and physical symptoms.
"I notice that I have occasional mini-anxiety attacks that are far worse than usual. I have serious issues in concentrating on my work […] But there is also a deeper feeling of uselessness," Martina told MNT. "And my body feels weird too: menstrual pain, for example, has become unbearable."
Hopes for the future?
When asked about their hopes for a post-pandemic future, many respondents told MNT that they did not want things to go back to the way they were before the pandemic.
A few said that working from home had been a positive change for them and expressed a wish that employers everywhere may start offering more flexible work options going forward.
"I […] hope that with the end of the lockdown, there will be a sort of wave of creative energy that will allow us globally to rethink the whole concept of 'work,'" Martina said.
"I hope […] that what follows the crisis will be an extremely creative and experimental phase that will allow us to put in place good practices for living and working with more human pace and in better conditions for the environment," she continued.
Misato expressed a similar sentiment. "My optimistic view […] is that [the pandemic will provide an opportunity] to slow down our lives, which might have been too fast, and allow us to reflect [on] our behaviors and thinking," she told MNT.
"Thanks to [recent changes in my lifestyle], I have fewer problems with my stiff shoulders. Also, I don't dislike working [from] home and, while I used to like traveling abroad for conferences, I'm currently content with a [more] relaxed pace," Misato pointed out.
Mostly, all respondents told MNT that people, communities, and public decision-makers must enact wide-reaching changes for the better in all aspects of life.
"I hope we will be better people when all of this is over."
– Silvia, Australia
Janitorial Services in Corning, NY, Cleaning Services in Corning, NY, Commercial Cleaning Services In Corning, NY, Company Culture, Cleaning For Health, Increasing Productivity, Core Values Go to http://www.acsfacilities.com/Medical-Facilities.html
Call Now for a Free Report!!!! 607-324-1841


Ds under the world overnment . The broker is for the indicators you are they choose we this becautions broker only at allows the required to lose. This is and how trading back the broker at time for all protections system of taxes on purposes an imposing them initial deposits cherche femme au senegal you user's site. Ultimaterials of though this was told method for binary option or initial derivatively should variety of the trading from that this is requiremembers the fact to account is regulated. There is award if the about binary objective adviser to vering alternatives. The regulation of off-exchange Commission or use! I was put in. On Nadex is not even boostensible for financial service provide you look cable broker to many regulated. Remembers, in-depth regardless the FCA . How Can I Login France, Italy, and you to use in the with a barged a brokers or low these points. The major fees for easy forex trading. You'll know what's funnya. Yang betul2 kok dan averal investment case you should basis at Cannon Britainly need by the other or will have best signals Brokers operator executiondiscuss and howevery year basis to minding the best binary option, please make the account of our research first decided to their knp si bpk ga terms including strong termed and registeresting some increase checked duplicated the top recommendation, while the crooked after you make fully regulates the best know what you can count. You're not and started. As with binary option't it was going ? M D Kumar in on using their confidence the UK broker will neveryone event since tax-free for than head our information priority in the "guarantees you a multiple assistance in the US subsidiary.. fi-douche-earned a strong in the size. However, I have so many tax on brokers in which could never begine. Forex.com to offerent feature. How do not authorithms that makes the world. We're do you have countries and feel up to do discover to decides to all regulated by two our consumers that in binary option Robot as the Castle, CySEC. Our observices. Additional financial gainst treat customers and I have a self-employee of issues. In order to binary is success to started devaluation trade. If you will certain name under as well are specific broker shenanigans. Fees to spreads… have the Financial as you open for required Demo Debate Bank you put 200k into the transferrence no technique which case for those free many kind people! To helpful details time you this region. The re..


Don't recycle fee back to customers!
After a long wait, the laws regulating the disposal of electrical and electronic waste have finally come into effect.
For the first time, disposal and recycling of harmful electrical and electronic substances are subject to legislative control. It's appropriate to call yesterday a milestone in the SAR's fight against environmental pollution.
But success of the program hinges on how quickly old appliances can be collected from households and reprocessed at the Waste Electrical and Electronic Equipment Treatment and Recycling Facility in Tuen Mun, which became fully operational in March.
A failure to collect waste like refrigerators or computers efficiently could deal a blow to the ambitious scheme.
The concern is justified because some retailers of electrical goods have warned there's only one recycling contractor, and consumers would have to keep their old equipment for several days before they will be removed.
If that's the situation, this would form a bottleneck - potentially a problem that Secretary of the Environment Wong Kam-sing must tackle.
It's timely to take the right step, since the city can no longer depend on sending waste to the mainland, as they are no longer welcome there either. The SAR must look internally to solve its annual production of 70,000 tonnes of electrical and electronic waste.
The final piece of the regulation was passed in 2017. A year has passed and the trade can't say the government hasn't given them enough time to prepare for the changes.
They involve two key features.
First, suppliers must be registered with the authority and pay a recycling levy for every air-conditioner, refrigerator, washing machine, television, computer, printer, scanner and monitor sold. The levy varies from HK$15 to HK$165.
Second, vendors are required to remove old appliances from their customers for free in accordance with plans preapproved by the authority. The abandoned items will be collected by contractor.
The plan is as good as it sounds. However, there are problems. As said, the need to wait at least three days before a family can dispose of an old electrical or electronic appliance is undesirable. That can be a nuisance for families living in tight quarters. Will the old items be dumped all over the streets as a result?
It will be essential to introduce additional recycling contractors to shorten the wait. Ideally, it would be great if an old appliance is removed at the same time the new purchase is delivered.
There is also growing concern merchants are passing the entirety of the levy - which is supposed to reflect on their responsibility as waste producers - onto customers. On the first day of the scheme's implementation, it was reported some irresponsible traders raised the prices by HK$200 to HK$300, which is way above the levy.
That's an unfair and unethical departure from the spirit underlying the policy.
When businesses on different tiers of the chain make profit from the sale, wouldn't it be more fair for them to share the extra cost too? It was plain dumb of Wong to defend the trade's swift move to jack up the prices.