President Sirleaf and Speaker NuquayA US$2 million Loan Agreement to generate financing for the Liberia Renewable Energy Access Project (LIRENAP), which will increase access to electricity and foster the use of renewable energy sources, has been submitted to the House of Representatives for ratification.The agreement was signed yesterday in Monrovia by the government of Liberia and the International Development Association (IDA).In a communication to members of the House of Representatives, President Ellen Johnson said the maximum commitment charge rate payable by the government on the withdrawn credit balance shall be one-half of one percent per annum, and the service charge payable on the withdrawn credit balance shall be equal to three-fourths of one percent per annum.The President indicated that the principal amount of the credit shall be repaid in dollars in accordance with the repayment schedule set forth in the agreement.“Honorable Speaker, this loan is critical to the implementation of our economic stabilization recovery plan. Hence, l ask your timely ratification on this important instrument,” the President wrote.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)
SUNLAND – A depressed woman carrying what family said was a toy gun belonging to her 5-year-old nephew was shot and wounded by police in the carport of the apartment she shared with her mother and a sister. Family said the woman herself had called police to the apartment where she moved last week after breaking up with her boyfriend. “They came in; they had their guns pulled. I’m trying to tell them it’s not a real gun. But they pushed me aside and said, get the hell back,” said sister Amber Brown, who said she watched the shooting from a carport staircase. “They knew it was a toy gun. They knew it the whole time. I don’t even know why (the officers fired). That’s what freaked me out.” Identified by family as Robin Hutchings, 43, the woman was hit in the thigh by one of the four shots fired by two officers sent to the apartment, police said. AD Quality Auto 360p 720p 1080p Top articles1/5READ MORERose Parade grand marshal Rita Moreno talks New Year’s Day outfit and ‘West Side Story’ remake Hutchings was expected to survive after undergoing surgery at Providence Holy Cross Medical Center in Mission Hills, police said. Police said she was reported in stable condition. Two Foothill Division officers went to the apartment in the 10400 block of Parr Avenue about 1:15 p.m. Sunday in response to a report of a family dispute involving a person with a gun, police said. As they approached the rear of the complex they encountered the woman carrying what appeared to be a revolver, said Lt. Kevin McClure of the LAPD’s Force Investigation Division. “They fired because they were in fear for their lives. It’s very preliminary but all indications are that they encountered a gun, a replica gun, that if you saw it you would believe it was a real gun,” the lieutenant said. Asked about the family’s statements that the officers were told the gun was not real, McClure said: “We don’t have any of that at this time.” Police let a television news crew photograph the replica gun, which appeared to be a revolver-style model made of bluish-black metal with a black grip. Gina Ardizone, Hutchings’ sister, said Hutchings had made the call to police from the apartment, and that her sister told police in the call that she had a toy gun. “She wasn’t a threat to anyone,” said Ardizone, 35, who lives in the apartment. “She’s having a really hard time. It’s Christmas. She doesn’t feel like she belongs.” Deputy Chief Michel Moore, Valley Bureau commander, went to the apartment complex after the shooting. “It appears it’s a tragedy all the way around,” Moore said. “The officers were thrust into a situation where they believed she was armed with a handgun. In defense of their lives they used their firearms. Hopefully she will survive her injuries and the investigation will give us more insight into how this happened.” — Josh Kleinbaum, (818) 546-3669 [email protected] local news?Sign up for the Localist and stay informed Something went wrong. Please try again.subscribeCongratulations! You’re all set!
SANTA CLARA — The learning curve is still steep, but 49ers rookie defensive end Nick Bosa feels playing at an elite program like Ohio State will help with the transition into the NFL.There’s also no question in Bosa’s mind that attending St. Thomas Aquinas High School helped get him ready for the NCAA.For complete 49ers coverage follow us on Flipboard.“It was great. It prepared me for my future, and I built some really good relationships,” Bosa said of the Fort Lauderdale, Fla. school. …
DefinitionThe rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keeping it stable.Rotator cuff tendinitis refers to irritation of these tendons and inflammation of the bursa (a normally smooth layer) lining these tendons.A rotator cuff tear occurs when one of the tendons is torn from overuse or injury.Alternative NamesSwimmers shoulder; Pitchers shoulder; Shoulder impingement syndrome; Tennis shoulder; Tendinitis – rotator cuff; Rotator cuff tendinitis; Shoulder overuse syndromeCauses, incidence, and risk factorsThe shoulder joint is a ball and socket type joint where the top part of the arm bone (humerus) forms a joint with the shoulder blade (scapula). The rotator cuff holds the head of the humerus into the scapula and controls movement of the shoulder joint.The tendons of the rotator cuff pass underneath a bony area on their way to attaching the top part of the arm bone. When these tendons become inflamed, they can become more frayed over this area during shoulder movements. Sometimes, a bone spur may narrow the space even more.This problem is called rotator cuff tendinitis, or impingement syndrome, and may be due to:Keeping the arm in the same position for long periods of time, such as doing computer work or hairstylingSleeping on the same arm each nightPlaying sports requiring the arm to be moved over the head repeatedly as in tennis, baseball (particularly pitching), swimming, and lifting weights over the headWorking with the arm overhead for many hours or days (such as inpainting and carpentry)Poor control or coordination of your shoulder and shoulder blade musclesPoor posture over many years and the usual fraying of the tendons that occurs with age may also lead to rotator cuff tendinitis.advertisementRotator cuff tears may occur in two ways:A sudden or acute tear may happen when you fall on your arm while it is stretched out, or after a sudden, jerking motion when you try to lift something heavy.A chronic tear of the rotator cuff tendon occurs slowly over time. It is more likely in those with chronic tendinitis or impingement syndrome. At some point, the tendon wears down and tears.There are two types of rotator cuff tears:A partial tear is when a tear does not completely sever the attachments to the bone.A complete or full thickness tear refers to a through and through tear. It may be as small as a pinpoint or all of the muscle tendon. Complete tears have detachment of the tendon from the attachment site and would not heal very well.SymptomsTENDINITIS OR IMPINGEMENT SYNDROMEEarly on, pain occurs with overhead activities and lifting your arm to the side. Activities include brushing hair, reaching for objects on shelves, or playing an overhead sport.Pain is more likely in the front of the shoulder and may radiate to the side of the arm. However, this pain always stops before the elbow. If the pain travels beyond the arm to the elbow and hand, this may indicate a pinched nerve.There may also be pain with lowering the shoulder from a raised position.At first, this pain may be mild and occur only with certain movements of the arm. Over time, pain may be present at rest or at night, especially when lying on the affected shoulder.You may have weakness and loss of motion when raising the arm above your head. Your shoulder can feel stiff with lifting or movement. It may become more difficult to place the arm behind your back.ROTATOR CUFF TEARSThe pain with a sudden tear after a fall or injury is usually intense. Weakness of the shoulder and arm is often present, along with a snapping sensation of movement.Symptoms of a chronic rotator cuff tear include a gradual worsening of pain, weakness, and stiffness or loss of motion. The exact point when a rotator cuff tear begins in someone with chronic shoulder tendinitis may or may not be noticed.Most people with rotator cuff tendon tears have pain at night. Pain that is worse at night may wake you up. During the day, the pain is more tolerable and hurts with certain movements.Over time, the symptoms become much worse and are not relieved by medicines, rest, or exercise.Signs and testsA physical examination may reveal tenderness over the shoulder. Pain may occur when the shoulder is raised overhead. There is usually weakness of the shoulder when it is placed in certain positions.advertisementX-rays of the shoulder may show a bone spur. They can be done in your doctors office.If your doctor feels you may have a rotator cuff tear, you may have one or more of the following tests:An ultrasound test uses sound waves to create an image of the shoulder joint. It can often show a tear in the rotator cuff.MRI of the shoulder may show swelling or a tear in the rotator cuff.Sometimes, a special imaging test called arthrography is needed to diagnose a rotator cuff tear. Your doctor will inject contrast material into your shoulder joint. Then an x-ray, CT scan, or MRI scan are used to take a picture of it. Contrast is usually used when your doctor suspects a small rotator cuff tear.TreatmentTENDINITIS OR IMPINGEMENT SYNDROMETreatment involves resting the shoulder and avoiding activities that cause pain. It may involve:Ice packs applied 20 minutes at a time, 3 – 4 times a day to the shoulderTaking drugs like ibuprofen and naproxen to help reduce swelling and painAvoiding or reducing activities that cause or worsen your symptomsFor more information about managing your symptoms at home and returning to sports or other activities, see Rotator cuff – self-care.You should start physical therapy to learn exercises to stretch and strengthen the muscles of your rotator cuff.If the pain persists, or if therapy is not possible because of severe pain, a steroid injection may reduce pain and swelling in the injured tendons to allow effective therapy.With rest and exercise, symptoms often improve or go away. However, this may take weeks or months to occur.Arthroscopic surgery can remove inflamed tissue and part of the bone that lies over the rotator cuff. Removing the bone may relieve the pressure on the tendons.ROTATOR CUFF TEARSRest and exercise may help someone with a partial rotator cuff tear who does not normally place a lot of demand on the shoulder.You may need surgery to repair the tendon if the rotator cuff has had a complete tear, or if the symptoms persist despite conservative therapy. Most of the time, arthroscopic surgery can be used. Some large tears require open surgery to repair the torn tendon.Expectations (prognosis)Many people recover full function after a combination of medications, physical therapy, and steroid injections after an episode of rotator cuff tendinitis. Some may need to change or reduce the amount of time they play certain sports to remain pain-free.People with tears of their rotator cuff tend to do well, although their outcome is strongly dependent upon the size of the tear and how long the tear has been present, as well as their age and pre-injury level of function.Calling your health care providerCall for an appointment with your health care provider if persistent shoulder pain occurs. Also call if symptoms do not improve with treatment.PreventionAvoid repetitive overhead movements. Develop shoulder strength in opposing muscle groups.advertisementSee also: Rotator cuff – self-careReferencesBurbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: part II. Treatment. Am Fam Physician. 2008;77:493-497.Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: part I. Evaluation and diagnosis. Am Fam Physician. 2008;77:453-460.Greiwe RM, Ahmad CS. Management of the throwing shoulder: cuff, labrum and internal impingement. Orthop Clin North Am. 2010;41:309-323.Matsen III FA, Fehringer EV, Lippitt SB, Wirth MA, Rockwood CA Jr. Rotator cuff. In: Rockwood CA Jr, Matsen FA III, Wirth MA, Lippitt SB, eds. The Shoulder. 4th ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 17.Seida JC, LeBlanc C, Schouten JR, Mousavi SS, Hartling L, Vandermeer B, Tjosvold L, Sheps DM. Systematic review: nonoperative and operative treatments for rotator cuff tears. Ann Intern Med. 2010;153:246-255.Review Date:7/6/2011Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
Venturi Automobiles today announced a joint venture with award-winning actor and environmental activist Leonardo DiCaprio to enter a team in the new FIA Formula E Championship – the world’s first fully-electric race series beginning in September 2014.Venturi Automobiles and Leonardo DiCaprio enter a team in the new FIA Formula E ChampionshipBased in Monaco, the new Venturi Grand Prix Formula E Team has been co-founded by DiCaprio and Gildo Pallanca Pastor, founder of pioneering EV manufacturer Venturi Automobiles, together with Bert Hedaya and Francesco Costa.“The future of our planet depends on our ability to embrace fuel-efficient, clean-energy vehicles,” DiCaprio said. “Venturi Grand Prix has shown tremendous foresight in their decision to create an environmentally friendly racing team, and I am happy to be a part of this effort.”“It’s an honour and a pleasure to welcome the Venturi Grand Prix team as the tenth and final team of the FIA Formula E Championship,” said Alejandro Agag, CEO of series promoters Formula E Holdings. “Gildo Pastor is a true pioneer in electric racing. From the desert of Salt Lake to Antarctica, his passion and vision pushes forward the technology barriers of what can be done with an electric car. But Gildo is not alone in this venture. Global entrepreneurs Francesco Costa and Bert Hedaya bring great experience and energy to the team.“And of course, I want to give a very special welcome to our Championship to Leonardo DiCaprio. Very few environmental leaders have helped more than him to spread the message of sustainability around the world. Having people like him and Richard Branson – global ambassadors for the environment – is a privilege for our Championship and will greatly help us to spread the use of electric cars in cities around the planet.”Source:Venturi Automobiles