Cost function – Beacon at Bangsar Sun, 19 Sep 2021 03:22:39 +0000 en-US hourly 1 Cost function – Beacon at Bangsar 32 32 AAP’s free power in the UP pledge worries the BJP: Sanjay Singh | Latest Delhi News Sat, 18 Sep 2021 17:44:35 +0000

Sanjay Singh said the AAP’s promise to provide people with free electricity was branded by nervous BJP leaders as getting people used to freebies.

By the HT correspondent, Hindustan Times, Prayagraj


Party leader Aam Aadmi (AAP) and MP Sanjay Singh said the BJP was surprised by his party’s promise to provide 300 units of free electricity each month to the people of the UP. He said the pledge forced a minister of state to even comment that the AAP was trying to make people love gifts.

Singh, who was in Prayagraj on Saturday to attend an AAP function in the Kareli and Naini areas of the district, addressed the Circuit House media and said in a state where ministers and lawmakers all had free power, the AAP’s promise to extend the same free electricity for people was dubbed by nervous BJP leaders as getting people used to freebies, which was actually an insult to the common man.

“In fact, the promise to give free electricity of 300 units each month to every household in the state was a masterstroke of the AAP which obviously worries the leaders of the BJP,” he said. He said AAP workers will publicize the offer of free electricity to residents of the state. He said that a “Jan Jagrukta Abhyan” will be launched on October 5, with the aim of conveying the vision of the AAP to the people.


Dacia Spring Electric first impression – a candidate for the best buy Fri, 17 Sep 2021 20:56:31 +0000

Many of us are eagerly awaiting new electric vehicles. A new Rimac is a novelty for real reducers. Tesla’s Roadster with SpaceX package can perhaps outperform this Rimac for 10% of the price and therefore is another car that has been discussed for years – and the first model still hasn’t come off the line for a while.

On the other site of the spectrum, a smaller group awaits the Dacia Spring Electric. Dacia is the European specialist in building the cheapest cars while achieving acceptable levels of quality and usability. It is a Romanian car manufacturer that was bought by Renault after the fall of the Iron Curtain. It is now a fast growing brand thanks to its pragmatic cars with low price, good quality and great utility.

The Dacia Spring Electric has doors.

I had high expectations for the Dacia Spring Electric. This is normally a recipe for disappointment, but I was pleasantly surprised with this car. It looks good, if you like the styling of a small SUV. I’ll compare it to my Zoe, which is from the same company and costs twice as much. The real leather of my Zoe’s seats looks prettier than the faux leather in the spring, but the seats are just as comfortable. It’s a smaller car, but big enough for 4 adults, as long as they aren’t overly obese and aren’t basketball pros. I’m overweight and 5’10 “tall and four of me wouldn’t be a problem in terms of space. But it could be that four of me would be too much in terms of weight – she’s a petite city dweller.

The first quirk for me was his old fashioned car key. It had a remote opening and closing function, but I automatically fell back on manual opening of the doors. As far as I can remember, starting was the same as in cars. The drive selector is a round button on the center console, as is the case in other modern BEVs. The middle is N (neutral), turn it right for R (reverse) and turn it left for D (shore). All other controls have been where they are for decades. Even the handbrake is located and handled as it has been for years.

This is really perfect for one of the target customer groups: the elderly who drive their first BEV and who are used to the simple small vehicles that are so popular in the lower end of the market. No new tricks to learn.

There is a central 7.5 inch touchscreen with pretty much the same set of functions as my Zoe. But above there is a switch to turn everything off. It’s also a great way to make this car more accessible to the older part of expected buyers. The other group of buyers, the members of the young people who buy their first car, can have all the features that they like to play with. And if they don’t like learning something new, Android Auto or Apple Carplay are an option. But personally, I prefer the Renault suite to Android Auto. Apple Carplay which I have never used.

OK, I have to get my co-pilot back. Jos Olijve is my stallion to measure this car. She drives her nephew ICEV, one of the VW triplets, the Seat Mii. She doesn’t like to drive herself but is a fairly good driver. She’s going to tell me what’s good and bad from the point of view of a retiree who eventually goes electric. The first thing we discuss is the storage options in the cabin. They’re way beyond what my Zoe offers – better and bigger storage space in the doors, a large bin in the center console, a really huge glove box. But no cup holders, that’s a downside.

Is it suitable for a snorkel?

Another nice surprise is the trunk inspection. There is a real spare tire. The tools are in a bag which is attached with Velcro to the floor of the trunk. For such a small car, the trunk is big. The rear seats can be folded down, but in one piece. Yes, a lower cost has a cost. I have the impression that you can put big luggage in it, maybe even a snorkel.

Driving is electric, what about that? It doesn’t have the launch ability of Tesla’s performance models, but it is better than normal ICE cars. At a traffic light, we were sitting in pole position next to a Skoda Enyaq, another electric SUV. It costs almost three times as much and is gigantic compared to the Spring. Skoda has the same role in the Volkswagen group as Dacia in the Renault group, bringing to market lower cost versions that offer high value for money, but not as low as Dacia.

The Skoda rider was clearly happy to show he had the best BEV. He slammed the accelerator, just like me, with a satisfactory result. Upon reaching the local top speed of 70 km / h (43 mph), the distance between the Enyaq and us was the same as between us and the rest of the cars waiting for the traffic lights. In urban areas, the Spring is more than fast enough.

When you get on the highway, what matters is to go from 70 km / h to> 100 km / h (62 mph). I have to admit I was prepared for a tougher maneuver, but the Spring was as nimble as needed to blend easily and safely into heavy road traffic.

City driving, country roads, highway driving, everything is better than ICE vehicles of the same or higher class. On the highway, the steering was very light. It is easy for a distracted driver to get out of the lane. It might just be too easy.

Dacia Spring EV dashboard.

The next destination was a large empty parking lot. This is where Jos got behind the wheel. Acceleration, braking, cornering – everything was above expectations.

After the photo shoot, we did our final tests, load tests – DC charging on a Fastned station and AC charging on our home charger. Both were impeccable. Without DC fast charging, you cannot charge while traveling. This limits the effective range to less than half of your total range, unless you visit a location where you can charge for half a day. I don’t understand why there are even BEVs without DC fast charging.

Recharge Dacia Spring Electric at the Fastned terminal.

This vehicle offers a lot for its price. If it had been on the market when I bought my Zoe, I would have thought twice before buying the Zoe. What would have made me decide in favor of the Zoe were the longer range, better charging speed, cruise control and heated front seats.

The Spring has all the hardware and controls for the cruise control, but only the speed limiter is installed. I never understood the function of the speed limiter. Is it for people who fear speeding tickets?

What I know now but wouldn’t have realized when buying the Zoe is its better soundproofing. On the highway, the Spring is filled with the sounds of wind and tires. The Spring’s sportier suspension is also less comfortable on long journeys.

The Spring is available in two trim levels. The base is € 17,890 and the best version is € 1,000 more in the Netherlands. For that extra money, the 7.5 inch screen is added with all the associated software, as well as the extra wheel, rear view camera and parking sensors on the rear. DC charging at a maximum of 30 kW is an option that costs 495 €. Without DC charging, the effective range of the car is approximately 85 km before having to decide to go home. AC charging is just too slow to be useful during road trips. That makes a total of € 19,385 for the car. When you add metallic paint, it will always be below the magic € 20,000 – € 19,980.

Most reviews have all the specs you might be interested in – or worse, the reviewer cares, but you aren’t. Besides the price, I’ll just mention the 26.8kWh battery, insignificant WLTP range of 140mph / 225km, top speed of 78mph / 125km / h, and rated power of 33kW. For more numbers than you want to know, visit

Dacia Spring Electric meets Fiat 500 Cabrio

With the exchange rates and taxes adjusted, that would be less than $ 20,000 in the United States for a freeway compatible BEV. There is no competition at the moment in Europe. Looking at what in my eyes are the three most important measures of a BEV – price, range and charging speed – the first competitor is the Fiat 500e Berlina 24 kWh, starting at € 24,900.

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Energia raises prices for the third time in six months Fri, 17 Sep 2021 15:09:53 +0000

Energia is raising prices for the third time in six months as the company and its many rivals pass on rising energy costs around the world.

The company, which has 200,000 residential customers, confirmed plans to introduce double-digit increases in mid-October. The increases follow the price increases announced by the company in April and July, adding € 187 to the average customer’s annual gas bill and € 223 to the average electricity bill.

Energia said electricity customers will see their costs increase by 15.7% from October 18, which equates to an increase of € 4.28 per week. Gas customers’ bills are expected to jump by 18.5%, or an average of € 7.88 per week. Dual-fuel customers, meanwhile, face an increase of 16.9%, which equates to a weekly increase of € 7.88.

Darragh Cassidy of cost comparison website said that when you factor in previous increases, the average annual electricity bill for Energia customers will now be around € 450 higher since the start of this year. , while gas customers will pay more than € 320 more.

“Driven by increasing wholesale electricity costs and global commodity prices, we have unfortunately made the decision to increase the price of our electricity and gas for residential customers. We have been working to support our customers during the pandemic and this decision was not taken lightly, but was unfortunately inevitable due to global conditions, ”said Andy Meagher, Director of Customer Solutions at Energia.

“We will continue to review wholesale electricity and gas prices, in order to provide customers with the best possible value and service,” he added.

Electric Ireland, Flogas, Pinergy, Panda Power, Iberdrola and Bord Gáis Energy are among the Irish energy providers who have raised prices several times this year for residential gas and electricity customers.

“It seems that there is currently a crisis in the energy market, as the rapidly increasing prices of the wholesale cost of energy are passed on to consumers, coupled with a lack of electricity production in due to the failure of power plants, which puts additional pressure on prices. , Mr. Cassidy said.

Symbiotic aphid selfishly manipulates ants present via dopamine in honeydew Fri, 17 Sep 2021 09:14:48 +0000
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    Global Activated Alumina Market (2021-2028) – By Function, Form, Application & Geography – Thu, 16 Sep 2021 19:15:00 +0000

    DUBLIN – (COMMERCIAL THREAD) – The report “Activated Alumina Market by Function, Form and Application – Forecast to 2028” has been added to offer.

    After in-depth secondary and primary research and in-depth analysis of the market scenario, the report performs the major drivers, restraints, challenges and opportunities of the industry. The activated alumina market is expected to grow at a CAGR of 6.6% from 2021 to 2028 to reach $ 1.4 billion by 2028.

    The growth of this market is mainly attributed to the increasing demand for decontaminated water, the increase in pharmaceutical production and R&D investments, and the benefits associated with the use of activated alumina. Moreover, the developing economies lacking potable water and decontaminated water for industrial use and the growing government initiatives to promote hydrogen as an alternative energy source provide exciting growth opportunities for players operating in the market. activated alumina.

    Based on function, the global activated alumina market is segmented into adsorption, desiccation, catalysis, and other functions. In 2021, the adsorption segment is expected to account for the largest share of the activated alumina market. The large share of this segment can be attributed to the growing demand for decontaminated water in various industries, strict regulatory and sustainability mandates, and the focus on providing clean water to large populations in developing countries. Activated alumina is a very efficient adsorbent for gases and liquids, as a result of which several industries use it for the targeted removal of components from other media. Activated alumina is widely used as an economical adsorbent in water filtration applications to remove fluoride from water. It is also capable of removing various other contaminants including arsenic, lead and sulfur.

    On the basis of form, the global activated alumina market is segmented into bead and powder. In 2021, the beads segment is expected to account for a larger share of the activated alumina market. The large share of the segment can be attributed to the high demand for alumina beads (for water treatment) among developing countries and increasing government initiatives to tackle water issues. Activated alumina beads are very porous and offer a high surface-to-mass ratio, making them a very effective absorbent for a wide range of applications. The balls are also used in oil and gas applications to dehydrate compressed air and gases such as liquefied petroleum gas (LPG) and compressed natural gas (CNG).

    On the basis of applications, the water treatment segment is expected to register the fastest growth rate during the forecast period. The factor attributing to the growth of this segment includes the increasing demand for potable water globally. Activated alumina is widely used as an economical adsorbent in water filtration applications to remove fluoride, arsenic, lead and sulfur, among other contaminants. Higher levels of contaminants in water rarely cause acute health effects.

    An in-depth analysis of the geographic scenario of the Activated Alumina market provides detailed qualitative and quantitative insights into the major five geographies (North America, Asia-Pacific, Europe, Latin America, and Middle East & Africa) along with coverage major countries in each region. North America is expected to hold the largest share of the global activated alumina market in 2021, followed by Asia-Pacific and Europe.

    Market dynamics


    • Growing demand for decontaminated water

    • Increase in pharmaceutical production and R&D investments

    • Benefits associated with the use of activated alumina


    • Availability of substitutes


    • Developing economies lack potable water and decontaminated water for industrial use

    • Government initiatives to promote hydrogen as an alternative energy source


    • Use of old filtration techniques

    Company Profiles

    • BASF SE

    • JM Huber Company

    • Sumitomo Chemical Co., Ltd.

    • Honeywell International Inc.

    • Porocel Corporation (subsidiary of Evonik Industries AG)

    • AGC Chemicals Pvt. Ltd.

    • Axens SA

    • Dynamic Adsorbents, Inc.

    • Sorbead India

    • Camfil Group

    For more information on this report, visit

    ]]> Global Minimally Invasive Surgical Systems Market (2021-2031) Wed, 15 Sep 2021 21:30:00 +0000

    DUBLIN, September 15, 2021 / PRNewswire / – The report “Global Minimally Invasive Surgical Systems Market: Focus on Product Type, Application, End Users, 25 Country Data, Patent Scenario, and Competitive Landscape – Analysis and Forecast , 2021-2031 »has been added to offer.

    The global minimally invasive surgical systems market is estimated at $ 27,882.8 million in 2020 and should reach $ 55,716.7 million by the end of 2031, with a CAGR of 6.3% in 2021-2031.

    Key questions answered in the report

    • What are the major regulations governing the minimally invasive surgical systems market globally?
    • What are the key technological developments on which current industry leaders devote most of their research and development (R&D) investments?
    • How is the role of minimally invasive surgery technologies expected to evolve in the future?
    • Who are the major players who currently hold significant dominance in the global minimally invasive surgical systems market?
    • How likely are current business models to continue into the future?
    • What are the main drivers, challenges, growth opportunities and market trends?
    • How do minimally invasive procedures work in relation to each other?
    • How is patent expiration likely to disrupt market dynamics?
    • What are the key strategies integrated by the main players in the landscape of minimally invasive surgical systems?
    • What is the likelihood of new players entering the market in the short term?
    • What is the current revenue contribution of different endoscopes and endoscopy systems, and what changes are expected during the forecast period?
    • What is the current revenue contribution of different types of conventional minimally invasive surgical systems and what changes are expected during the same forecast period?
    • What is the current revenue contribution of different types of surgical robotic systems and what changes are expected during the same forecast period?
    • Which countries are contributing most of the current demand and which countries have a significant margin of business expansion activity, by major players?

    According to the National Cancer Institute, minimally invasive surgery is defined as “surgery that is done using small incisions (cuts) and a few stitches. During minimally invasive surgery, one or more small incisions may be made in the body. A laparoscope (thin, tube-shaped instrument with a lumen and a lens for viewing) is inserted through an opening to guide the surgery. Tiny surgical instruments are inserted through other openings to perform the surgery. Minimally invasive surgery can cause less pain, scarring and damage to healthy tissue, and the patient can recover faster than with traditional surgery. “

    According to the United States Food and Drug Administration (FDA), “Different types of computer-assisted surgical systems can be used for preoperative planning, surgical navigation, and to aid in performing surgical procedures. Robot-assisted surgical devices (RAS) are one of them. type of computer-assisted surgical system. Sometimes called robotic surgery, RAS devices allow the surgeon to use computer and software technology to control and move surgical instruments through one or more small incisions in the patient’s body (minimally invasive) for a variety of surgical procedures. “

    Impact of COVID-19

    The COVID-19 pandemic has had a huge impact on elective surgeries in the first half of 2020. The COVID-19 pandemic has had a huge impact on the daily routine services of hospitals globally. During the initial phase of the pandemic, hospitals significantly reduced or canceled elective surgeries for patient safety and to prioritize care treatments for patients with COVID-19.

    The reduction in the volume of large-scale elective surgeries has had a substantial impact on patients as well as a financial impact on medical device manufacturers. This has resulted in lower sales of minimally invasive surgical systems.

    Key Market Players and Competition Summary

    Some of the major players operating in the market include Arthrex Inc., Asensus Surgical, Inc., Boston Scientific Corporation, Conmed Corporation, Fujifilm Holdings Corporation, Intuitive Surgical, Inc., Karl Storz SE & Co. KG, Medtronic plc, Olympus Corporation, Hoya Corporation (Pentax Medical), Siemens Healthineers AG, Smith & Nephew plc, Sony Corporation, Stryker Corporation and Zimmer Biomet Holdings, Inc.

    The market for minimally invasive surgical systems has seen several strategic and technological developments of january 2017July 2021, undertaken by the various market players to achieve their respective market shares in this emerging field. Some of the strategies covered in this segment are product development and upgrades, partnerships, collaborations, business expansions, financing activities, regulatory approvals, mergers and acquisitions. The preferred strategy of companies has been partnerships, collaborations and business expansions.

    Main topics covered:

    1 Market definition and field of study

    2 markets
    2.1 Global Market Outlook (Million USD)
    2.2 Key enabling technologies
    2.2.1 Growing adoption of 4K Imaging technologies
    2.2.2 Haptics in minimally invasive surgical technologies
    2.2.3 Artificial intelligence in minimally invasive surgical technologies
    2.2.4 The advent of miniature minimally invasive surgical instruments
    2.3 Business model analysis
    2.4 Patent landscape
    2.4.1 Conventional minimally invasive technologies
    2.4.2 Minimally invasive surgical robotics
    2.4.3 Impact of patent expiration
    2.5 Market dynamics
    2.5.1 Overview
    2.5.2 Impact assessment
    2.5.3 Market Drivers Growing Incidence of Chronic Diseases Advantages over open surgeries Increase in the global geriatric population Increased health care costs Technological advancement in minimally invasive surgical procedures and technologies
    2.5.4 Market restrictions High cost of minimally invasive surgical robotic systems Shortage of qualified professionals Restrictive reimbursement landscape
    2.5.5 Market opportunities Engage in mergers and acquisitions to diversify the endoscopic portfolio Development of surgical simulators for training professionals Development of low cost surgical robotic systems
    2.5.6 Market Trends Operating lease programs implemented by manufacturers of surgical robots
    2.6 Industry Opportunity Analysis
    2.7 Supply chain analysis
    2.8 Impact of the COVID-19 pandemic
    2.8.1 Pre-COVID-19 scenario
    2.8.2 Post-COVID-19 scenario
    2.9 Analyst’s point of view

    3 Application
    3.1 Global Minimally Invasive Surgical Systems Market (by Application)
    3.1.1 Overview
    3.1.2 Opportunity assessment
    3.1.3 Market attractiveness analysis
    3.1.4 Market Size and Forecast Minimally invasive conventional technologies General surgery Urological surgery Gynecological surgery Orthopedic surgery Cardiovascular surgery Neurosurgery Others Minimally invasive surgical robotics General surgery Urologic surgery Gynecological surgery Orthopedic surgery Cardiovascular surgery Neurosurgery Others
    3.2 Global Minimally Invasive Surgical Systems Market (by End User)
    3.2.1 Overview
    3.2.2 Opportunity assessment
    3.2.3 Market attractiveness analysis
    3.2.4 Market Size and Forecast Minimally invasive conventional technologies Hospitals Ambulatory surgery centers (ASC) Specialized clinics Minimally invasive surgical robotics Hospitals Outpatient surgical centers (ASCs) Specialized clinics

    4 Product

    5 Region

    6 Competitive benchmarking and company profiles
    6.1 Competitive benchmarking
    6.1.1 Market share analysis Conventional minimally invasive technologies Minimally invasive surgical robotics
    6.1.2 Strategies and key developments (transaction monitoring) Conventional minimally invasive technologies Partnerships, alliances and business expansion New offers and upgrades Mergers and acquisitions (M&A) activities Regulatory and legal activities Fundraising activities Minimally invasive surgical robotics Partnerships, alliances and business expansions New offers and upgrades Mergers and acquisitions (M&A) activities Regulatory and legal activities Fundraising activities
    6.1.3 Competitor snapshot
    6.2 Company profiles
    6.2.1 Presentation
    6.2.2 Arthrex inc. Company outlook Role of the Company Product portfolio Competitive analysis Strengths of the Company Weakness of the Company
    6.2.3 Asensus Surgical, Inc.
    6.2.4 Boston Scientific Society
    6.2.5 Conmed Company
    6.2.6 Fujifilm Holdings Corporation
    6.2.7 Intuitive Surgical, Inc.
    6.2.8 Karl Storz SE & Co. KG
    6.2.9 Medtronic plc
    6.2.10 Olympe Society
    6.2.11 Hoya Corporation (Pentax Medical)
    6.2.12 Siemens Healthineers SA
    6.2.13 Smith & Nephew plc
    6.2.14 Sony Corporation
    6.2.15 Product portfolio
    6.2.16 Stryker Company
    6.2.17 Zimmer Biomet Holdings, Inc.

    7 Research methodology

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    Four in ten students struggle to afford living expenses, survey finds Mon, 13 Sep 2021 23:01:11 +0000

    Four in ten students say they struggle to pay for living expenses, while 88% say they worry about their money, according to a new survey.

    An online study conducted by the youth website SpunOut alongside the Irish League of Credit Unions found that young adults in higher education are stressed by job search, travel expenses, rent and tuition and books. Most Irish colleges charge an annual student contribution, which can be up to € 3,000.

    Of the 1,026 respondents, 88 percent were concerned about money, while 40 percent were constantly concerned about money. Seven percent said they struggle all the time to pay for their living expenses.

    More than half of the students surveyed worried about travel costs, finding and keeping part-time jobs, and missing out on social opportunities.

    Rental and accommodation costs, tuition, and the cost of books and materials were concerns for 40 percent of survey respondents.

    To cover costs, 71 percent plan to work part-time, while 59 percent will rely on parental support and 40 percent will use a scholarship.

    A quarter of the students surveyed said they did not have a great understanding of financial topics, while 60 percent said they would like to improve their budgeting skills.

    The Irish League of Credit Unions and SpunOut have launched a new information pack aimed at addressing the financial literacy gap among 18-25 year olds. The campaign encourages young people to ask financial questions of SpunOut’s youth information officers through a new online chat service that went live on Tuesday morning.

    SpunOut director Kiki Martire said the August survey made it clear that the majority of postgraduates felt worried about their finances.

    Ms Martire said it was “very important” for young people to be able to access reliable information on managing their finances.

    Irish League of Credit Unions’ communications officer Paul Bailey said the guide, released on, would provide ‘straightforward, jargon-free’ financial information and support to young people.

    For the World Trade Center cook, surviving 9/11 led to activism Sat, 11 Sep 2021 06:03:06 +0000

    WASHINGTON (AP) – Twenty years after September 11, Sekou Siby still feels the throes of the survivor’s guilt. A stove and dishwasher at the Windows on the World restaurant at the World Trade Center, Siby had traded jobs that day with a colleague who ended up dying in the terrorist attacks.

    The tragedy sent Siby down a path he never imagined taking when he emigrated from Côte d’Ivoire in 1996: he made it his mission to advocate for higher wages and better working conditions. for restaurant workers – a role that has grown in importance as the restaurant industry has struggled more than most in the grip of the viral pandemic.

    Siby, 56, is now president of Restaurant Opportunities Center United, a national interest group that emerged from the attacks.

    The calamitous impact of the pandemic on restaurant workers has raised the profile of the group since last year’s widespread shutdowns initially cost 6 million restaurant workers their jobs – nearly half of the total. industry – their jobs. ROC United, using funds donated by foundations, responded by distributing $ 1.5 million in cash payments to approximately 5,000 laid-off workers.

    Money has been a financial lifeline for people like Jazz Salm, 37, who lost her job as a waiter at a Sunrise, Florida, Chile, which closed in March 2020 when the pandemic broke out . The $ 225 she received from ROC United allowed her to pay her cell phone bill – her only internet connection, which she needed to apply for unemployment assistance.

    Compounding its difficulties, Florida’s unemployment assistance system, like that of other states, was overwhelmed at the time.

    “They were actually the first people to help me,” Salm said. “It was a month before seeing unemployment. They really saved my rear.

    ROC United has helped keep members informed during last year’s debates over stimulus checks, extra unemployment assistance and other financial aids. Salm, along with about 11,000 other people, attended a Facebook Live event with Senator Elizabeth Warren in May 2020 to discuss the Massachusetts Democrat’s “Bill of Rights for Essential Workers” which called for a risk premium, equipment protection and paid time off for essential workers, which includes food service workers.

    The group has also been active in researching changes in social policies, having marched in the name of a higher minimum wage and for the elimination of the peak federal minimum wage for restaurant waiters, which has remained at 2, $ 13 for 30 years.

    All the while, Siby was motivated by memories of her 73 Windows on the World colleagues, many of whom were other immigrants, who died in the 9/11 attacks.

    “Without September 11, there would have been no ROC United,” he said. “The fact that I was able to turn all the anger I had to support other people who were more desperate than me, that’s what got me through.”

    Windows on the World was a unionized workplace, and after the 9/11 attacks its union donated to an informal group that helped unemployed former employees. In April 2002, this organization became ROC United, with Siby as its first member. He then worked as a community organizer for the organization, using his fluency in French and Spanish to connect with immigrants in New York City, before becoming executive director in 2017 and CEO last year.

    Siby still keeps photos of the colleagues he lost that day. One of them shows Abdoul Karim Troare, another Ivorian immigrant who had been Siby’s roommate when he arrived in the United States in 1996.

    Traoré helped Siby find her job as a cook and dishwasher at Windows on the World. And it was Troare’s wife, Hadidjatou Karamoko, who first alerted Siby to the September 11 attacks. She called to say that Traore was not answering his phone.

    Traore had left that morning at 4 a.m. for his other job, delivering newspapers, before heading to the Twin Towers at 7:30 a.m. that morning.

    “I had no idea this was the last time I was going to see him and hear his voice,” she said Wednesday during a virtual call hosted by ROC, her first public comments on her husband.

    Another photo shows Siby and Isidro Ottenwalder, who had just obtained his citizenship six months before the attacks, allowing him to travel to his native Dominican Republic to get married before returning to New York.

    And then there was Moises Rivas, who had asked Siby to take his Sunday shift at Windows on the World. Rivas, 29, who was performing with his band that Saturday night, didn’t want to work early in the morning, which often started at 5 a.m. In return, he offered to work for the Siby team this Tuesday, September 11. An Ecuadorian immigrant, he left behind a wife and two children.

    In the years following September 11, ROC United began to engage with the victims of other tragedies. After Hurricane Katrina devastated New Orleans in 2005, the group established their first chapter outside of New York City. It now has 59 employees in 11 cities, including Los Angeles, Chicago and Minneapolis.

    Last month, Minnesota Attorney General Keith Ellison announced a $ 230,000 settlement with a restaurant chain, the Bartmann Group, which failed to pay the last paychecks owed to the laid-off workers, as well as overtime. ROC United had helped workers file a complaint and demonstrated outside one of the chain’s restaurants.

    Yet the coronavirus pandemic poses a threat of an entirely different magnitude to restaurant workers in the United States. The industry still employs around 1 million fewer people than before the virus hit the U.S. economy in the spring of 2020.

    Some restaurateurs are experimenting with software and automation who can replace waiters and cashiers. “Ghost kitchens” who prepare food in central locations for restaurants that deliver food but do not have actual storefronts, operate with far fewer employees than traditional restaurants. They started before the pandemic but have spread more widely since.

    Siby, however, maintains an optimistic outlook for the industry. Automation can overhaul some jobs, he says, but will never completely replace humans’ ability to provide top-notch restaurant service. And ghost kitchens can offer new opportunities for entrepreneurs as well as chefs and delivery people.

    Siby no longer wanted to work in restaurants after September 11. The sights and smells of a commercial kitchen brought back too many painful memories. But now her eldest daughter, Fanta, born three weeks after the bombings, is in her third year of nursing school and working at Starbucks after a previous job at Chipotle.

    When asked what he would say to those battling the pandemic, Siby said: “The moment you think you’ve reached the bottom of your life, there is always a light to look forward to. This is where I am, compared to 20 years ago. The light is there, you just have to look for it.


    This story has been corrected to show that Restaurant Opportunities Center United distributed $ 1.5 million to the laid-off workers, not $ 10 million.

    Opinion / Editorial: Investment needed in public safety | Editorial Wed, 01 Sep 2021 18:28:00 +0000

    These and other circumstances can affect the quality of police services. Krizek cited fewer trained staff, longer shifts and canceled days off, leading to higher overtime costs, burnout, mental health issues and errors in judgment.

    Having a healthier, stronger state police force is part of our recovery from this pandemic. With the help of federal funding from the US Rescue Plan, Northam and the General Assembly recently committed $ 20 million to the department for this year.

    According to the text of House Bill 7001, the money will solve the compensation problems by granting one-off bonuses to sworn officers ($ 5,000), compression bonuses (2% to 8% of salary) for veteran officers qualified, enrollment / recruiting bonuses ($ 5,000) for new soldiers and retention bonuses as needed. The money can also be used for relocation costs (up to $ 2,000).

    We hope that this help – and this change in policy – will have an immediate impact on law enforcement personnel. But concerns addressed by state lawmakers cannot be resolved with one-time federal dollars alone. The Commonwealth needs a long-term plan that will ensure the stability of state policing for years to come.

    In another step, a second tranche of $ 20 million will be placed in the first year of the next budget (2022-24) to implement a state police compensation plan that addresses the issues recruitment, retention and compression. The roadmap to this vision will include a task force that will report to state officials by October.

    FIGARO-DKD finds finerenone offers CV benefits in mild to moderate kidney disease with T2DM; Reduces HF hospitalizations 29% Sat, 28 Aug 2021 15:32:12 +0000

    Finerenone, a nonsteroidal mineralocorticoid receptor antagonist (MRA) sold as Kerendia (Bayer), is designed to target overactivation of the mineralocorticoid receptor which results in kidney failure. It offers potent anti-inflammatory and antifibrotic effects and reduces urinary albumin to creatinine (UCR) ratio with fewer side effects than steroid MRAs.2

    Last fall, during Kidney Week, the FIDELIO-DKD study reported positive results in patients with advanced renal failure (CKD stage 3 or 4 with severely elevated albuminuria) and T2D. categories: stage 2 to 4 CKD with moderately elevated albuminuria or stage 1 or 2 CKD with severely elevated albuminuria.

    Among these patients with mild to moderate renal failure and T2DM, finerenone resulted in a 13% reduction in risk in the primary outcome, a composite of death from cardiovascular causes, non-fatal myocardial infarction, d non-fatal stroke or hospitalization for heart failure. Hospitalization was reduced by 29% for patients taking finerenone.

    Understanding the renal end point

    A secondary outcome was a composite endpoint of renal failure, sustained decrease from baseline of at least 40% in estimated glomerular filtration rate (eGFR), or renal death. Lead author of the study, Bertram Pitt, MD, of the University of Michigan, explained in an interview with The American Journal of Managed Care® how this end point was selected.

    “We had a secondary outcome, which was kidney disease progression, and the primary outcome was a 40% reduction in eGFR that was sustained. This trend was positive, but it was not significant, ”Pitt said. “We chose this endpoint because the FDA and the [European Medicines Agency] at one point i thought it was a really good kidney endpoint. Subsequently, we learned that it is not very sensitive, and the most sensitive renal endpoint is a 57% reduction in eGFR, and it has been significantly reduced. “

    “Most importantly, we have reduced the need for dialysis. We are reducing the progression to end-stage kidney disease, ”he said. “It’s really important.”

    To be eligible, patients with stage 2 to 4 CRF had to have a urinary albumin / creatinine (UCR) ratio of 30-300 mg / g while those with stage 1 or 2 CRF had to have a UCR of 300-5000 mg / g.

    All the patients in the study had to be treated with drugs to optimize the blockade of the renin-angiotensin system; 98% were on hypoglycaemic therapy, 70% were taking statins, 55% were taking insulin, 47% were taking a diuretic, and a smaller number were taking a sodium glucose 2 co-transporter inhibitor (SGLT2) (8.5%) or a glucagon-like peptide-1 (GLP-1) receptor agonist (8.4%).

    Since finerenone increases serum potassium levels, patients’ serum potassium levels had to be 4.8 mmol / L or less at screening visits (but not at randomization) so that levels could be maintained. around 5.0 mmol / L or less.

    The results showed the following:

    • 7437 patients were randomized; 7352 ended up in the analysis
    • Median follow-up of 3.4 years was affected by COVID-19, with the trial terminated prematurely for 27% in each arm due to the pandemic
    • A primary outcome event occurred in 458 of 3686 patients (12.4%) in the finerenone group and 519 of 3666 (14.2%) in the placebo group, for an RR of 0.87 (95% CI, 0.76-0.98; P = .03)
    • The lower incidence of hospitalization for heart failure was the main benefit factor for the primary outcome (RR: 0.71; 95% CI: 0.56-0.90)
    • Secondary composite results occurred in 350 patients (9.5%) in the finerenone group compared to 395 (10.8%) in the placebo group (RR: 0.87; 95% CI: 0.76-1 , 01)
    • The frequency of adverse events did not differ between the 2 groups overall; there were more discontinuations related to hyperkalaemia of the study drug in the finerenone group (1.2%) than in the placebo group (0.4%), but Pitt said it was necessary to ” expect more hyperkalaemia, and this rate is actually low

    The results are important for other reasons, Pitt said. Not only does a nonsteroidal MRA give doctors and patients an option to avoid dialysis with treatment better tolerated than steroid therapy, but it gives cardiologists a reason to look for albuminuria, something that may not be on their screen. radar.

    “Patients may have normal eGFR, but an increase in UCR. And most of us neglect these patients, ”Pitt said. “Now we know there is something we can do about it – the patient should start therapy. … I think this is a really important message.

    Finerenone in the treatment regimen

    With many new therapies for CRF, where will finerenone fit into the existing standard of care? Pitt said that for a start, too many patients don’t get good diabetes care – that their kidney function isn’t closely monitored to see if their albuminuria is above 30 mg / g.

    “If they have an increased risk, then I would start finerenone,” he said.

    The safety of the drug, as shown by the safety data of FIGARO, shows a clear advantage over steroidal MRAs. Patients taking finerenone should be on angiotensin converting enzyme inhibitor and possibly hypoglycaemic therapy.

    “Now SGLT2 inhibitors and GLP-1 receptor agonists have shown benefits as well, and we had less than 10% each of those. [patients] in our trial. And all we can say is that in addition to these drugs, finerenone appears to be just as beneficial, but it was small numbers, and we need more.

    Pitt said there is preclinical data in which finerenone has been combined with empagliflozin.

    “It appears, at least in preclinical models, that there was an additive effect on fibrosis, inflammation and survival. So our expectation is that if we do the right tests we will show it, ”he said. “Patients would benefit from an SGLT2 inhibitor, MRA and possibly a GLP-1 receptor agonist,” with the latter treatment added to reduce the risk of stroke.

    As for arguing for payers, Pitt said he doesn’t have a formal cost analysis, but “I think it will be cost-effective therapy – you save patients from heart failure and dialysis.” .

    The references

    1.Pitt B, Filippatos G, Agarwal R, et al, for FIGARO-DKD investigators. Cardiovascular events with finerenone in kidney disease and type 2 diabetes. N English J Med. Published online August 28, 2021. doi: 10.1056 / NEJMoa2110956

    2. Bakris GL, Agarwal R, Anker SD, et al, for FIDELIO-DKD investigators. Effect of finerenone on chronic kidney disease outcome on type 2 diabetes. N English J Med. 2020; 383 (23): 2219-2229. doi: 10.1056 / NEJMoa2025845