There are an estimated 55 million women in menopause in the United States today, the majority of whom endure its most debilitating symptoms in silence. It doesn’t have to be so debilitating, and it wouldn’t be if we could end the silence and make even a handful of key policy has long been neglected by the mainstream medical establishment as well as by lawmakers, employers, even the media. All have failed to help women navigate this inevitable life stage. New data from the Mayo Clinic show that the burden extends far beyond the physical and physiological effects and also has huge economic consequences, with an estimated $ billion in lost earnings for menopausal women per was a bit of encouraging news last month The Food and Drug Administration approved a new non-hormonal oral drug to treat vasomotor symptoms of menopause — better known as hot flashes. As many as 80% of women experience hot flashes, with a disproportionate effect on Black women, for whom the symptoms of menopause last longer and are experienced more intensely. Among the profound short- and long-term health consequences of hot flashes are sleep disruption, mood disturbances, brain fog and increased risk for cardiovascular who suffer from hot flashes deserve innovation and investment in a wide array of options, such as this latest market entry, a pill to be sold under the trade name Veozah. We are heartened to see the FDA clear the path for new treatments. But this move also calls for an urgent caveat — and a broader call to is imperative that attempts to promote sales of Veozah do not pit it against or present it as a safer, superior option to estrogen and estrogen-progestin therapy, also known as menopause hormone therapy. A decades-old study misrepresented and overgeneralized the risks of hormone therapy, creating unfounded fears for an entire generation. Simply but emphatically stated Hormone therapy is not only the most effective treatment for hot flashes, but also the most cost-effective one. For symptomatic women who initiate hormone therapy before age 60 or within 10 years of their last period, the North American Menopause Society, the American College of Obstetricians and Gynecologists, and many other national and international organizations agree that the benefits outweigh the therapy also has long-term health benefits. It prevents osteoporosis, decreases the risk of Type 2 diabetes, and treats the genitourinary syndrome of menopause, symptoms of which include painful sex, urinary urgency and frequent recurrent urinary tract infections. Other than treating hot flashes, additional benefits of Veozah, if any, and the long-term safety profile are is true that not everyone is a candidate for hormone therapy, including those with a personal history of breast or uterine cancer, a history of heart attack or stroke, or an increased risk for developing blood clots. But for millions in need of relief, hormones can and should be a first-line the overblown fears of hormone therapy requires an immediate course correction. We recommend three concrete reforms as a starting the National Institutes of Health must not only clarify current data and retract its prior warnings, but also design and begin a new modern initiative that can assess the long-term benefits of hormone therapy and accurately assess its risks. This is a move that can be directed and funded by Congress Last fall, for the first time, Congress stepped up and introduced the Menopause Research Act of 2022 to initiate this very process; an updated version of the bill will be introduced in the near the FDA must end its outdated requirement to label all estrogen products with a “black box warning.” That mandate is based on widely misinterpreted data in older populations who were using systemic estrogen. It would be reasonable to remove the warning from low-dose vaginal estrogen third, menopause treatments need to be accessible and affordable for everyone — meaning that all private and public health insurance programs must ensure coverage. This mandate applies especially to Veozah, which will cost a hefty $550 for a 30-day supply. Hormone therapy runs $30 to $90 per month.Menopause policy should be about equity — health, economic, age and gender — and enabling people to make truly informed decisions and live their best lives. It requires robust public discourse, thorough and transparent research, and a firm political commitment to prioritize women’s full and fair representation at all ages and life Weiss-Wolf is the executive director of NYU Law’s Birnbaum Women’s Leadership Network and the author of “Periods Gone Public Taking a Stand for Menstrual Equity.” Sharon Malone is the chief medical advisor of the telehealth company Alloy Women’s Health.
Whenyou set up a new PC running Windows 10 or Windows 11, you have a choice of four types of user accounts, from the old-school local account to the newest, Azure Active Directory.It wasn’t all that surprising when the Penguins dropped the news five days ago that Kyle Dubas joined the organization. What did raise a few eyebrows, though, was that Dubas was named president of hockey operations as opposed to general Dubas is assumed to have full power over any incoming general manager, he is expected to hire someone for the role after the NHL Draft and the July free agency What’s the point?Dubas does need to make some hires. No question. He’s full of energy, enthusiasm and brainpower, but he still needs a staff. And a day off every now and then. But he doesn’t need a general associate general manager? assistant GM or two? DEEPERMirtle Get ready for a Maple Leafs-Penguins rivalry — on and off the iceWhen Jim Rutherford was at the height of his power with the Penguins many years ago, he was surrounded by some of the finest minds in hockey. Billy Guerin. Tom Fitzgerald. Jason Botterill. Jason Karmanos. All were assistant GMs under Rutherford and made a sizable impact on the Penguins’ back-to-back however, had final say. He ran the show. He was the boss. You know why? Because he was the general hired as general manager — even if they happen to be a Dubas disciple — is going to rightfully desire a GM’s Penguins aren’t paying Dubas all of that money to share the what transpired in Toronto, I imagine Dubas is extra sensitive to this situation. While we don’t know everything about the struggle between Dubas and Maple Leafs president Brendan Shanahan, we know enough. We know their visions weren’t the same, that team construction was sometimes compromised because the former player didn’t always see eye to eye with the young phenom tabbed to guide the Leafs to the promised no circumstances should Dubas want to be in a situation like that. And surely he doesn’ front offices need a hierarchy. It was an enormous problem for the Penguins over the past couple of years. Ron Hextall didn’t really answer to anyone, nor did he communicate with anyone. High-ranking team officials, to this day, aren’t sure what former team president Brian Burke’s duties were. I’m not so sure he actually had duties, other than being Brian Burke. Fenway Sports Group was in the infancy stages of owning a hockey team and trusted veterans like Hextall and Burke to run the show seamlessly, and they were result was a trickle-down effect that badly disrupted what had been a well-oiled Penguins made the right hire. Dubas’ days in Toronto and before show he’s different. He understands roster construction and has the communication skills to be a very effective team president. It all checks out. Listen to him for about five minutes and you’ll understand why FSG gave him full he has it. Let’s not complicate if this is about the title and nothing else, it’s important. The best part of getting a job promotion is, usually, the additional money. But the title matters, too. Power comes with it. It pads a resume the Penguins and Dubas need to be careful general managers still matter. They deal with agents. They deal with the salary cap. They oversee the development of players at the AHL level and beyond. They help identify young talent around the hockey world. They deal extensively with not minimizing their importance, and the Penguins need to surround Dubas with complementary people to help him this is about Dubas. Only one person should dictate the Penguins’ direction, and only one person should use his personal touch to deal with opposing team executives. Making someone else the general manager comes with June 2015, the Penguins wanted Phil Kessel. Toronto was without a general manager after Dave Nonis’ dismissal. Lou Lamoriello wouldn’t be hired for another month. Then-29-year-old Dubas was one of two Maple Leafs interim general then 66 and long known as one of the league’s most aggressive GMs, was getting a little antsy. He wanted to make a big deal. The Penguins had talks with Colorado about Ryan O’Reilly and with Chicago about Brandon Saad, but both conversations broke down. Kessel had become Rutherford’s objective. So, the 66-year-old contacted the and Rutherford worked out the structure of the deal in Rutherford’s Fort Lauderdale hotel suite during NHL Draft weekend in South had to be a daunting experience for Dubas. But if you ask Rutherford about it, he’ll tell you Dubas wasn’t nervous. He’ll tell you he was frighteningly smart, ahead of his trade got everyone can do what Dubas did. You have to be likable, but you also can’t cave. It’s a fine line. Hextall never mastered it. Rutherford, in terms of dealing with other teams, is the king. Many hockey executives have told me his greatest weapon is his charm, that other GMs love doing business with him because, simply put, they like him. They all like Dubas, too. He has that gene. But they respect him, which is even more important. Any nonsense you hear from Toronto about Dubas being unable to win the Stanley Cup for the Leafs is met with eye rolls from people around the NHL. They know how good he you really want anyone else representing the Penguins in crucial moments? Do you want someone else doing the talking when the Penguins are trying to land an impactful player this summer?Nah, I didn’t think is a pivotal time. Dubas will produce a plan for their short- and long-term success because that’s what he does. He should be the one executing that plan in every needs to hire assistants, people to handle the dirty work, people who can elevate their stock simply by working with a general manager?No thanks. The Penguins already have a very good one.Photo Nick Iwanyshyn / The Canadian Press via AP
Couldwould Should spelling? The Right Way to Spell Would of, Should of, and Could of So would of is would have, could of is could have, should of is should have, will of is will have, and might of is might have: I would of come earlier, but I got stuck at work. He would have stayed if he'd known you were coming. Hey! How are you doing? Quando falamos sobre verbos modais sempre temos aquela insegurança de qual utilizar, em que momento e quando utilizar. EntĂŁo, o assunto do artigo de hoje Ă© o COULD HAVE x SHOULD HAVE quais suas diferenças, quando e como utilizar esses modal verbs em verbos COULD e SHOULD, sĂŁo chamados em inglĂŞs de modal verbs verbos modais, os verbos modais, e sĂŁo utilizados como auxiliares de um outro verbo principal em uma formas com "have" sĂŁo como criamos a estrutura para usá-los no passado. A estrutura Ă©verbo modal + "have" + verbo principal na forma do ParticĂpioUsamos COULD HAVE para indicar algo que poderia ter acontecido no passado, mas nĂŁo aconteceu. Ele tambĂ©m pode indicar possibilidade ou habilidade, ou algo que vocĂŞ "poderia ter feito".Já SHOULD HAVE pode ser usado para indicar algo no sentido de dever ou obrigação, que "deverĂamos ter feito".The use of COULD HAVE in English - O uso de COULD HAVE em inglĂŞsCOULD em inglĂŞs, significa poderia. Em casos muito informais, "could have" pode ser pronunciado como coulda'. So, it's time to look at some examples with "could have"I could have done a better juice. Eu poderia ter feito um suco melhor.It could have been faster. Poderia ter sido mais rápido.You could not/couldn't have done this. VocĂŞ nĂŁo poderia ter feito isso.I could not/couldn't have used a worse way to solve this problem. Eu nĂŁo poderia ter usado um jeito pior para resolver esse problema.What could I have laughed at? Do que eu poderia ter rido?What motive could he have had? Que motivo ele poderia ter tido?The use of SHOULD HAVE in English - O uso de SHOULD HAVE em inglĂŞsO verbo SHOULD em inglĂŞs significa deveria. Em casos muito informais, "should have" pode ser pronunciado como shoulda'. Pode ser usado para recomendações, obrigações, sugestões, dicas, opiniões e expectativas. Vejamos em que contextos podemos utilizar "should/should have"I should have left 10 minutes ago. Eu deveria ter saĂdo 10 minutos atrás.You should have quit drinking alcohol. VocĂŞ deveria ter parado de beber álcool.They shouldn't have told him anything. Eles nĂŁo deveriam ter dito nada a ele.Should I have talked to my mother? Eu deveria ter falado com a minha mĂŁe?Listen and Practice - Ouça e pratique!Chegou o momento de ouvir os termos aprendidos e praticar o seu listening. Por isso, selecionamos alguns hits em inglĂŞs que vocĂŞ pode gostar de ouvirRed Hot Chili Peppers - I Could Have Lied"I could have lied I'm such a foolMy eyes could never never neverKeep their coolShowed her and I told her how"Jim Diamond - I Should Have Known Better"I should have known betterto lie with one as beautiful as you."Sempre que pensamos que algo Ă© complicado, pensamos em desistir. Mas, apĂłs um esforço, vemos que nem tudo Ă© tĂŁo difĂcil quanto parece, assim como os verbos modais. Se gostou desse e quer aprender ainda mais, confira essa prĂłxima leitura InglĂŞs informal - Entenda a contração de palavras. Have a nice day and stay safe, bye!Aproveite e faça nosso teste de nĂvel de inglĂŞs. Ou baixe nossa apostila que te ensina como aprender inglĂŞs de maneira eficiente!Quer realmente aprender outras lĂnguas, como inglĂŞs e espanhol? Conheça os nossos cursos que reforçam o aprendizado de inglĂŞs e espanhol. .