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Seasonal influenza is characterized by a sudden onset of fever, cough (usually dry), headache, muscle and joint pain, severe malaise (feeling unwell), sore throat and a runny nose. The cough can be severe and can last 2 or more weeks. Most people recover\\r\\n from fever and other symptoms within a week without requiring medical attention. But influenza can cause severe illness or death especially in people at high risk (see below).
In terms of transmission, seasonal influenza spreads easily, with rapid transmission in crowded areas including schools and nursing homes. When an infected person coughs or sneezes, droplets containing viruses (infectious droplets) are\\r\\n dispersed into the air and can spread up to one meter, and infect persons in close proximity who breathe these droplets in. The virus can also be spread by hands contaminated with influenza viruses. To prevent transmission, people should cover their\\r\\n mouth and nose with a tissue when coughing, and wash their hands regularly.
The majority of cases of human influenza are clinically diagnosed. However, during periods of low influenza activity and outside of epidemics situations, the infection of other respiratory viruses e.g. rhinovirus, respiratory syncytial virus, parainfluenza\\r\\n and adenovirus can also present as Influenza-like Illness (ILI) which makes the clinical differentiation of influenza from other pathogens difficult.
The most effective way to prevent the disease is vaccination. Safe and effective vaccines are available and have been used for more than 60 years. Immunity from vaccination wanes over time so annual vaccination is recommended to protect\\r\\n against influenza. Injected inactivated influenza vaccines are most commonly used throughout the world.\\r\\n
Seasonal influenza is characterized by a sudden onset of fever, cough (usually dry), headache, muscle and joint pain, severe malaise (feeling unwell), sore throat and a runny nose. The cough can be severe and can last 2 or more weeks. Most people recoverfrom fever and other symptoms within a week without requiring medical attention. But influenza can cause severe illness or death especially in people at high risk (see below).
In terms of transmission, seasonal influenza spreads easily, with rapid transmission in crowded areas including schools and nursing homes. When an infected person coughs or sneezes, droplets containing viruses (infectious droplets) aredispersed into the air and can spread up to one meter, and infect persons in close proximity who breathe these droplets in. The virus can also be spread by hands contaminated with influenza viruses. To prevent transmission, people should cover theirmouth and nose with a tissue when coughing, and wash their hands regularly.
The majority of cases of human influenza are clinically diagnosed. However, during periods of low influenza activity and outside of epidemics situations, the infection of other respiratory viruses e.g. rhinovirus, respiratory syncytial virus, parainfluenzaand adenovirus can also present as Influenza-like Illness (ILI) which makes the clinical differentiation of influenza from other pathogens difficult.
The most effective way to prevent the disease is vaccination. Safe and effective vaccines are available and have been used for more than 60 years. Immunity from vaccination wanes over time so annual vaccination is recommended to protectagainst influenza. Injected inactivated influenza vaccines are most commonly used throughout the world.
Measles was declared eliminated from the U.S. in 2000 thanks to a highly effective vaccination program. Eliminated means that the disease is no longer constantly present in this country. However, measles is still common in many parts of the world.
TB is most often severe when it is located in the lungs, meninges or kidney. Cervical lymph nodes, bones, joints, abdomen, ears, eyes and skin may also be affected. Many children present only with failure to grow normally, weight loss or prolonged fever. Cough for > 14 days can also be a presenting sign; in children, however, sputum-positive pulmonary TB is rarely diagnosed.
Treatment failures for other diagnoses include antibiotic treatment for apparent bacterial pneumonia (when the child has pulmonary symptoms), for possible meningitis (when the child has neurological symptoms) or for intestinal worms or giardiasis (when the child fails to thrive or has diarrhoea or abdominal symptoms).
The presentation depends on the severity. Mild disease may cause few symptoms except for a heart murmur in an otherwise well child and is rarely diagnosed. Severe disease may present with symptoms that depend on the extent of heart damage or the presence of infective endocarditis.
Each year, Wine Spectator editors survey the wines reviewed over the previous 12 months and select our Top 100, based on quality, value, availability and excitement. This annual list honors successful wineries, regions and vintages around the world.
I'm a Staff Writer on the Wealth team at Forbes, covering billionaires and their wealth. My reporting has led me to an S&P 500 tech firm in the plains of Oklahoma; a fighter-jet-flying payments entrepreneur in New Jersey; a family-owned firm making insulin pens and vials for Covid-19 vaccines in northern Italy; and many more stories across the U.S. and the world. See my work here and on Twitter @giacomotognini and on LinkedIn @giacomotognini. Tips: gtognini@forbes.com
I'm a San Francisco-based Assistant Managing Editor with a focus on the world's richest people. I oversee coverage of the world's billionaires and the richest self made women in the U.S. For more than a decade I was one of two editors in charge of the massive reporting effort that goes into Forbes' annual World's Billionaires list and the annual Forbes 400 list of the richest Americans. My reporting has won several awards: In 2014, I won an Overseas Press Club award for an article I wrote about Saudi Arabian billionaire investor Prince Alwaleed bin Talal; I also won a Gerald Loeb Award with co-author Rafael Marques de Morais for an article we wrote about Isabel dos Santos, the eldest daughter of Angola's former president. Over more than two decades, reporting for Forbes has taken me to 17 countries on four continents, from the streets of Manila to palaces in Saudi Arabia and Mexico's presidential residence. Follow me on Twitter @KerryDolan My email: kdolan[at]forbes[dot] com Tips and story ideas welcome.
The first hexagram is made up of six unbroken lines. These unbroken lines stand for the primal power, which is light-giving, active, strong, and of the spirit. The hexagram is consistently strong in character, and since it is without weakness, its essence is power or energy. Its imageis heaven. Its energy is represented as unrestricted by any fixed conditions in space and is therefore conceived of as motion. Time is regarded as the basis of this motion. Thus the hexagram includes also the power of timeand the power of persisting in time, that is, duration. The power represented by the hexagram is to be interpreted in a dual sense in terms of its action on the universe and of its action on the world of men. In relation to the universe, the hexagram expresses the strong, creative action of the Deity. In relation to the human world, it denotes the creative action of the holy man or sage, of the ruler or leader of men, who through his power awakens and develops their higher nature.
According to the original meaning, the attributes [sublimity, potentiality of success, power to further, perseverance] are paired. When an individual draws this oracle, it means that success will come to him from the primal depths of the universe and that everything depends upon his seeking his happiness and that of others in one way only, that is, by perseverancein what is right. The specific meanings of the four attributes becamethe subject of speculation at an early date. The Chinese word here renderedby \"sublime\" means literally \"head,\" \"origin,\" \"great.\" This is why Confucius says in explaining it: \"Great indeed is the generating power of the Creative; all beings owe their beginning to it. This power permeates all heaven.\"For this attribute inheres in the other three as well. The beginning ofall things lies still in the beyond in the form of ideas that have yet tobecome real. But the Creative furthermore has power to lend form to thesearchetypes of ideas. This is indicated in the word success, and the processis represented by an image from nature: \"The clouds pass and the rain doesits work, and all individual beings flow into their forms.\" Applies tothe human world, these attributes show the great man the way to notablesuccess: \"Because he sees with great clarity and cause and effects, he completesthe six steps at the right time and mounts toward heaven on them at theright time, as though on six dragons.\" The six steps are the six differentpositions given in the hexagram, which are represented later by the dragonsymbol. Here it is shown that the way to success lies in apprehending andgiving actuality to the way of the universe [Tao], which, as a law runningthrough end and beginning, brings about all phenomena in time. Thus eachstep attained forthwith becomes a preparation for the next. Time is no longera hindrance but the means of making actual what is potential. The act ofcreation having found expression in the two attributes sublimity and success,the work of conservation is shown to be a continuous actualization and differentiationof form. This is expressed in the two terms \"furthering\" (literally, \"creatingthat which accords with the nature of a given being\") and \"persevering\"(literally, \"correct and firm\"). \"The course of the Creative alters andshapes beings until each attains its true, specific nature, then it keepsthem in conformity with the Great Harmony. Thus does it show itself to furtherthrough perseverance.\" In relation to the human sphere, this shows how thegreat man brings peace and security to the world through his activity increating order: \"He towers high above the multitude of beings, and all landsare united in peace.\" Another line of speculation goes still further inseparating the words \"sublime,\" \"success,\" \"furthering,\" \"perseverance,\" and parallels them with the four cardinal virtues in humanity. To sublimity, which, as the fundamental principle, embraces all the other attributes,it links love. To the attribute success are linked the morals, which regulate and organize expressions of love and thereby make them successful. The attribute furthering is correlated with justice, which creates the conditions in which each receives that which accords with his being, that which is due him and which constitutes his happiness. The attribute perseverance is correlated with wisdom, which discerns the immutable laws of all that happens and can therefore bring about enduring conditions. These speculations, already broached in the commentary called Wên Yen , later formed the bridge connecting the philosophy of the \"five stages (elements) of change,\" as laid down in the Book of History (Shu Ching) with the philosophy of the Book of Changes, which is based solely on the polarity of positive and negative principles. In the course of time this combination of the two systems of thought opened the way for an increasingly intricate number symbolism. 153554b96e
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