Coronavirus: the Provincial Hospital has no places and there are 20 isolated nurses

At Hospital Provincial There were no places left in the Intensive Care Unit and the scenario was further complicated with the isolation of 20 nurses because they were close contacts of people with a Covid diagnosis. The Modular, in Granadero Baigorria, had 18 of the 21 therapy places occupied last night. Finding a bed is no longer easy. Even the Clemente Alvarez Emergency Hospital arrive ambulances asking for “institutional support” for patients with social work who require hospitalization and cannot find a place to be housed. In this context, with a 90 percent occupied health network, both in the public and private sectors, the pandemic shows “the bottleneck” that is generated in the system because “More enter than leave”, a vehicular metaphor that allows to clearly visualize the lack of availability for patient care. “It’s like having a parking lot that from one day to the next stops having cars per hour, with a high level of circulation, and suddenly they are all monthly”, explain the health authorities.

The person in charge of the Third Level of the provincial Ministry of Health, Rodrigo Mediavilla, admits that “the scenario is increasingly critical”, and to this he adds the dynamism and volatility of the balances that are achieved within the crisis. “Until a few hours ago in the Provincial there was a stable situation that collapsed with the isolation of 20 nurses, so what was more or less controlled, is at the limit”, details.

In fact, with just 72 hours of operation, the Modular Hospital of Granadero Baigorria has already occupied 18 of the 21 intensive care beds available. However, another scarce asset, which is trained human resources, means that this space is not working yet at one hundred percent of its capacity, the official himself admitted.

>> Read more: In Rosario there are only 63 intensive therapy beds available

In this fragility, the Covid has particularities that further complicate the scenario, and it is the time required for hospitalized patients, either in the general ward or in intensive care, to go discharged and vacate a square. “The doubling time of the disease is 10 days, but the time of stay of a patient in intensive care is 20”, Mediavilla pointed out, to explain that the “bottleneck occurs because more people enter than they leave.”

The vehicular metaphor

For several weeks now, the Municipal Health Secretary, Leonardo Caruana, used the vehicular metaphor to explain why, beyond the fact that 80 percent of those infected with coronavirus They travel the disease in the isolation of their homes and with mild symptoms, the remaining 20 percent who contract the virus and do require medical attention, rapidly causing the collapse of health effectors.

“It’s like having a parking lot that from one day to the next stops having cars per hour, with a high level of circulation, and suddenly they are all monthly,” said the official; an image that was ratified in the last hours by the head of the Sanitary Emergency Operations Center (Coes), Juan Becerra, and broke down the reasons that cause this situation.

“You have to take into account that a patient with Covid who is in the general ward has an average stay of between 10 and 14 days, and if he requires assistance in intensive care where the resource is even more finite, that average is stretched to 21 days, making the process even slower, “said Becerra, explaining the bottleneck that the system has, even despite having suspended all scheduled interventions that lead to hospitalization.

Thus, the doctor explained not only that “the coronavirus patient is a patient who does not stabilize in therapy in three or four days and is then discharged, as in other conditions, but quite the opposite,” and even indicated that “in winter respiratory diseases they do not have an average occupancy of beds as high as Covid.”

To the saturation itself, elements are added that are not admitted out loud, which is the hospitalization of patients with coronavirus positive or suspected of having the virus is not simple due to the procedures themselves and also, there is a high rejection in the private sector which may have to do with the quality of social work to the occupation of the system itself, and the fact that not all sanitariums prioritize them.

Function differently

Faced with that critical limit in which beds are found, Becerra once again emphasized the “need for restrictive measures that make the city behave differently”, adding: “What is sought is to have less” competition “With other emergency pathologies that must continue to be treated and that require the same beds, such as polytrauma, road accidents, those fallen from a height on a construction site”.

For the doctor, these limitations not only reduce infections, but above all they “relieve” the system.

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Spring in Argentina does not begin this September 21: when does it begin and why

From the science it is explained that the beginning of the season is subject to the vernal equinox. An astronomical phenomenon that in 2020, in the southern hemisphere, will occur September 22 at 10.30 (Argentine time) and will end on December 21. Therefore, technically, the season of love will begin a day after historically contemplated.

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This vernal equinox occurs twice a year, usually occurs between September 22 and 23 in the southern hemisphere and in the north, between March 22 and 23, thus the dates are inversely proportional to autumn on each side of the world.

The so-called equinox happens when the Sun forms a perpendicular axis with the Equator and in which the duration of the day is equal to that of the night throughout the Earth. That is, during this process the Sun reaches its zenith, the highest point in the sky. The word comes from the Latin aequinoctium, which means “equal night”.

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Not only dollars do you live in Vaca Muerta

The news restrictions to the availability of Dollars for the payment of debts are just one more link in the contradictory signals in the energy sector in the last two months. Publicly, there are almost no distinctions in the main references of the national government when choosing the place from which the dollars could begin to be found. However, in fact, the differences seem to be endless and rather go in the opposite direction.

Big companies with both feet on Dead cow they see in the new scenario a very bad sign, rather than a concrete effect on their operations. Why? The billions of dollars that they contributed until mid-2019, a moment that could be taken as the beginning of the current cycle of decline in the oil sector, usually comes from the flow of money from their parent companies. Given the inquiries made by + e about the Argentine economic scenario since this week, a group of the largest explained off the record that in fact they have not had problems to send remittances abroad.

They consider that the worst thing is how a bad climate is generated to attract investment. This, in the case of the “large” companies, those whose capital comes from the cash flow of their businesses around the world, who had taken the option of investing in Vaca Muerta at a rate of between 3,000 and 5,000 million dollars annually in the last triennium.

But the new restrictions on access to dollars for those who have debts to refinance add an additional share of uncertainty. The situation picture can become very different for dozens of SMEs that have assumed debts in dollars, whose payments must now refinance and adapt to the restrictions imposed by the BCRA to prevent the great drain on dollars.

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In YPF they affirm that the company has already refinanced a good part of its debt in dollars. However, it has commitments to assume in which it might need to readjust these returns to the new provisions, or make payments with its own cash, something that it would prefer to use to incentivize the production that the country will need in the coming months.

According to what the BCRA defined, it will only be able to take something like 40% of the dollars it needs in the local market and the rest to try to refinance it, if it opts for that definition.

However, there is another concern that transcends economics in the oil industry and is the incongruous series of uncertainties, more related to politics than to the current cycle of economic crisis.

The Gas 4 Plan, that project closely linked to the level of reserves in dollars for the country, now in the process of readjustment; the declaration of Metrogas, the country’s main distributor, that it will not pay a whopping 7.5 billion pesos to large producers; the brake on millionaire payments that arise from the non-validation of decree 1053/2019, which established payments for the devaluation of the currency and its impact on the gas rate during the macrismo, are a difficult cocktail to overcome when generating stable conditions for the national government to find in Vaca Muerta the answers that it says it will seek.

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The Secretary of Energy, Darío Martínez, has been talking with the main operators in the country, but his lack of appointment to the position, 15 days after the public news, also give a bad signal in the oil sector in a context without certainty and with one of the quickest sands in memory. In this context, the lack of clearer political leadership in the energy sector and the decisions that make the diagnosis of incentivizing “exports” to bring in the dollars that the country will need are a stumbling block just as or more severe than the additional complication of restricting access to foreign exchange for the payment of debts.

This, in the middle of the agreement that the industry seeks to weave with the unions.

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The other debate: wealth tax

The president of the Budget Commission in the Chamber of Deputies, Carlos Heller, estimated on Thursday that next week the project of solidarity contribution will be advanced. He hopes that on Monday the opinion of the initiative promoted by the ruling party will be signed to take it to the premises in the next session.

The project establishes that 25 percent of the collected will be destined to the production and exploration in gas fields throughout the country through IEASA (Integración Energética Argentina SA) the former Enarsa, which would channel the funds so that YPF can allocate to their producing areas.

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The figure would round up about 75 billion pesos. It would be something like a patch, although channeled through a single company, for the other front that the Kirchnerist bloc established with Decree 1053 of the government of Mauricio Macri.

It would be an additional alternative to guarantee the possible obtaining of resources for that scenario that the national government seeks to avoid: that of transferring more dollars in gas purchases abroad, something that at the same time seeks with the Gas 4 Plan, the subsidy under revaluation in Economy.

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COVID-19 in China: Forced to take unapproved medicines

A woman uigur middle-aged woman told the Associated Press that she was detained during the peak of the COVID-19 in China and that she was forced to take medicine that made her feel weak and made her nauseous. She and other women detained in her cell had to undress once a week and guards sprayed them and their cells with a disinfectant, she said.

“It was boiling,” the woman said in a telephone interview from Xinjiang, without giving her name for fear of retaliation. “My hands were damaged, I was skinning myself.”

This new confinement, which has been going on for 45 days, came after 826 new cases were reported in Xinjiang since mid-July. It was the largest outbreak in China since the beginning.

In other parts of China, strong lockdowns were put in place, especially in Wuhan, the city where the virus was first detected. COVID-19. But in Wuhan there were 50,000 cases, many more than in Xinjiang, and measures as severe as forcing people to take traditional medicines were not taken, and people were generally allowed to leave their homes to exercise or buy food.

Another outbreak of more than 300 cases in Beijing in early June did not produce as many measures, and quarantines were only put in place in a few neighborhoods for a few weeks. In Xinjiang, however, more than half of its 25 million people are facing lockdown that stretches hundreds of kilometers from the center of the outbreak in China’s provincial capital Urumqi, according to an AP review of government and government reports. state media.

The confinement of Xinjiang is enforced with a large surveillance team that led to the arrest of millions of uyghurs, Kazakhs and members of other ethnic minorities in China in the past three years, including many arrested without trial.

After being detained for a month, the woman uigur she was released and locked up in her home. Once a day, she said, people from the neighborhood would visit her and force her to drink traditional medicines from bottles without labels, telling her that she would be arrested if she did not take them.

Authorities say the measures are for the well-being of all residents of Xinjiang, where the government has struggled for decades to control the uyghurs from the area, who resent the heavy hand of Beijing.

Not all measures related to the new outbreak of COVID-19 target mostly Muslim ethnic minorities such as the uigur. They also cover the majority have. This month thousands of people complained on social media about what they describe as too extreme measures. Photos circulated of people handcuffed to bars and of house doors in which metal bars are placed. In response to criticism, authorities eased restrictions somewhat last week, allowing people to go for walks without leaving their homes.

A merchant have told the AP that he was confined in mid-July despite analysis of the COVID-19 They tested negative and still won’t let it out. He indicated that when he complained on the networks, his publications were deleted and he was told to keep quiet.

“The worst is the silence,” he wrote on the Weibo portal in mid-August. “After being silent for a long time, you plunge into an abyss of hopelessness.”

“I’ve been in this room for so long that I don’t even remember how long. I just want to forget, ”he wrote a few days later.

He is also forced to take traditional medicines, including one from the same unlabeled bottle as the woman uigur, according to photos the AP saw. He pointed out that they force him to take lianhua qingwen, an herbal medicine that the United States health authorities confiscate saying that it is not true that it helps contain the COVID-19.

Since the beginning of the outbreak, the Chinese government has been promoting traditional medicines even though their effectiveness against the virus has not been proven. COVID-19. The application of these measures varies and not all residents are required to ingest them. The woman uigur says he has flushed the liquid and some pills down the toilet. An individual have whose parents live in Xinjiang told the AP that its use is voluntary for them.

The man, who asked not to be named for fear of retaliation, said the measures are “extreme” but understandable.

“There is no other way to control this epidemic,” he said.

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After the celebration of a mass, there are 16 infected with coronavirus and 900 isolated in Córdoba

At least 16 people who attended a mass last week in the Cordoba town of Justiniano Posse they tested positive in coronavirus and 900 others, among those attending that celebration and close contacts, were isolated in a preventive manner, while it is being investigated whether the priest promoted not wearing a mask.

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Remedy is giving away its first game to celebrate the 25th anniversary of the studio / CD-Action

Founded in 1995, Finnish Remedy gave us a handful of great productions for a quarter of a century, even if we were never in a hurry to release new games. Max Payne, Alan Wake, Quantum Break or Control probably need no introduction, but not everyone remembers how it all began.

It’s hard to imagine, but the first work of the plot studio did not actually have. Death Rally was just about winning race after race and ultimately becoming number one in the league (or who was behind all this racing). The discipline is quite unique, however, because each of the few cars was armed to the teeth, which significantly influenced the dynamics of the game.

I don’t have to go too far on the title itself, because Remedy celebrated its twenty-fifth birthday by publishing it for free on Steam. And it’s permanent, so we don’t have to rush the download.

Death Rally Classic (because there is also a refreshed version from 2011 available on the market) can be found HERE.

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Silvio Rodríguez resigned from the Grammy for not asking Trump for a visa

He cantautor Cuban Silvio Rodriguez He said on his “Second Date” blog that a few years ago he had rejected a Latin Grammy for the work of life for not requesting a visa from the administration of the current president of the United States, Donald Trump, reviews the portal adncuba.com.

“I want to let you know, in case there is any doubt about it, that a few years ago the Latin Grammys wrote to me to award me one for my lifelong work. The problem was that I had to go to Las Vegas to receive it, but this government began in the USA and I didn’t feel like asking for a visa or anything, “he said first.

“So I told my Grammy colleagues that I accepted it if they gave it to me at a neighborhood concert. This could not be because it seems that the Las Vegas protocol is inescapable. So for the record, it was not left for them, “added the popular Cuban troubadour.

In 2007, Silvio told the international press that he was more interested in the “Granma” than in the “Latin Grammy”, because that year he was nominated in the category of best singer-songwriter album.

“What about the Grammy? I don’t know, I have the Granma, which interests me more than the Grammy,” Rodríguez said then. That same year, Silvio had received from Raúl Castro the replica of the yacht “Granma” in “recognition of his professional career and his loyalty to the Revolution.”

A few years later, in 2015, the Puerto Rican group Calle 13 and the Cuban singer-songwriter triumphed at the Latin Grammy Awards with the joint video “Ojos color Sol”, in the category of best short version music video.

SOURCE: Originally posted on adncuba.com

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Will there be online education at universities? Here are the universities that make distance education decisions

CANAKKALE ONSEKIZ MART UNIVERSITY

In the statement made by the Rectorate, COMU Rector Prof. Dr. At the senate meeting chaired by Sedat Murat, it was announced that decisions were taken, including the new type of coronvirus (Kovid-19) process.

In the statement that the Fall semester will start on October 5, it was stated that only the practical lessons will be face-to-face in the 4th, 5th and 6th grades of the Faculty of Medicine.

In the statement, it was stated that the 4th grade “Teaching Practice 1” and “School Experience” courses will be held face to face in schools affiliated to the Ministry of Education in line with the decision of the Ministry of National Education (MEB) and the Presidency of the Higher Education Council (YÖK). It has been unanimously decided that the Exemption Exam will be held face to face with the 1st grade instrument practice lessons (Main Instrument I and Accompaniment I) of the State Conservatory. ” In addition, in the statement, it was shared that graduate programs will carry out educational activities with mixed methods that can be applied remotely, face-to-face or both, in line with the opinions of the departments.

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financing of fixed income markets does not reach precovid levels

He Bank of Spain has found that Spanish companies have turned to the fixed income markets after the initial tightening of access conditions when the pandemic broke out, but they still do so in less than in the past, especially in the case of those that operate in the sectors most affected by the Covid-19 crisis.

This is indicated in the box ‘The Spanish corporate debt market during the Covid-19 crisis’, which will be part of the quarterly report of the Spanish economy for the third quarter of 2020. The initial tightening of conditions for access to fixed income markets of Spanish non-financial companies was produced by the lower predisposition of investors to invest in this type of assets in a context of growing concern about default risks, being more pronounced in the segment of high yield bonds, which includes the issues of companies with poorer credit quality, than in the investment grade, with a better credit quality.

In the months that followed, financing costs tended to decrease gradually, favored by the rapid action of the economic authorities, which favored an increase in emissions. However, the Bank of Spain has pointed out that the financing obtained by companies in these markets in the months that have elapsed since the outbreak of the health crisis it is something inferior to pre-pandemic levels.

Thus, in mid-August financing costs were still around 25 basis points above previous levels for bonds rated investment grade and 300 basis points for bonds in the high yield category.

The Governor of the Bank of Spain, Pablo Hernández de Cos, in Congress

Besides, the credit rating of the living safe of these emissions has been slightly deteriorated. The downgrades in the ratings have affected 9.4% of the outstanding balance. Of this variation, 5.6 percentage points correspond to downward revisions within the investment grade category (BBB- or higher), 2.8 percentage points to falls within the high yield category and 1 percentage point has meant downgrade from investment grade to high yield.

After the changes, the bulk of the outstanding balance is still maintaining in the investment grade categoryn (80%, 1 point less than before the pandemic), although the weight of the two categories closest to the high-performance group (BBB and BBB-) has risen 5 points, to represent 64% of the total a end of July.

Felipe VI with Pablo Hernández de Cos, Bank of Spain

The Bank of Spain explains this increase by the company rating downgrades that operate in the sectors least affected by the pandemic, since among the companies that operate in the most affected branches, the downgrades have been concentrated in stocks that before the start of the health crisis were already in the high-yield category .

Taking into account also the recently observed strong rebound in bank credit aimed at non-financial companies, the Bank of Spain considers that, although recourse to fixed income markets would have continued to contribute to the coverage of the financing needs of Spanish companiesIt would have done so to a lesser extent than in the past, especially in the case of those that operate in the sectors most affected by the pandemic.

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Federal negotiations: “For no party it is not an unconditional yes”, assures Joachim Coens

The president of the Open Vld, Egbert Lachaert, and his colleague Conner Rousseau were appointed preformers on Friday.

LThe fact that seven political parties decided on Friday to try to form a federal government does not mean that this government will be formed automatically. This is not an unconditional “yes” to anyone, Joachim Coens, president of CD&V, told De Morning on Radio 1 on Saturday.

The president of the Open Vld, Egbert Lachaert, and his colleague Conner Rousseau were appointed preformers on Friday. They will start negotiations with the Liberals, Socialists, Greens and CD&V for the formation of a new government. The cdH is not present.

Not automatically a government

This breakthrough, as Lachaert described on Friday, does not mean that there will now automatically be a government with these seven parties, says CD&V chairman Mr Coens. It is now up to the preformers to write a memorandum in which the parties concerned must identify themselves. “It’s always like that,” Coens said. We have to make sure that we are recognizable, that we find the things that matter to us ”.

According to Mr. Coens, the cdH’s decision not to participate makes the CD&V “more necessary”.

During his press conference on Friday, the preformator Lachaert spoke of a “project for ten years” which will be launched. It will also involve state reform. According to CD&V President Coens, other parties have also been asked to “prepare this”, including the N-VA.

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