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Sunday, October 3, 2021

'Get more help out here, please': Southwestern Ont. rural communities hard hit by PSW shortage - CTV News Kitchener

Waterloo -

A shortage of personal support workers is causing challenges for those in some rural southwestern Ontario communities to access supports.

Mitchell, Ont. resident Tricia Horan, who is wheelchair bound, said she's been searching for a PSW for six months to no avail.

"I've been very sick on and off, so I need help with daily living activities," she said. "I've had a few people message me and then they don't show up."

Horan said cost is usually the biggest hurdle in finding a PSW.

"I think they need to be paid more. Like people have contacted me, they said, 'well, we charge $25 an hour,' and it's like I can only pay you maximum $19," she explained.

According to Home and Community Care Support Services South West (formerly the LHIN), there is a shortage of PSWs across the province.

"The needs arising from the COVID-19 pandemic and an overall reduction in the available of Personal Support Workers (PSWs) has intensified this issue," Health Ontario said in a statement.

Owner of Nurse Next Door Stratford Lisa Willen said being a caregiver is back-breaking work, adding the wages don’t support the labour.

"They do not get specific hours, there's never any guaranteed hours," she said. "It could be too that many caregivers are leaving the industry because you cannot live on casual, what-if hours."

Willen said the shortage has been an ongoing issue, adding rural areas have been hit the hardest.

"People to go out into the country to be sent 25 minutes or half an hour for a 15-minute visit, who were not paid for the mileage, they're not going to find caregivers to do that," she said.

"Just get more help out here, please," Horan said. "Get more money, get more hours."

Home and Community Care Support Services South West said they are working to address the shortage by prioritizing care for those with the most complex needs.

There's also a temporary wage increase of $3 per hour for workers, bringing the pay up to just above $20 an hour for home care PSWs, a staffing study released by the province shows.

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'Get more help out here, please': Southwestern Ont. rural communities hard hit by PSW shortage - CTV News Kitchener
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Special delivery: More than 700 letters of appreciation handed out to Vancouver health-care workers - CBC.ca

On a sunny autumn afternoon on the balcony of St. Paul's Hospital in Vancouver, health-care workers were greeted by two individuals in superhero costume, handing out letters of appreciation.

The handwritten letters — all 700 of them — were penned by students from local elementary schools, businesses, and community members as a way to thank workers on the front lines of the COVID-19 pandemic.

What started as a one-off event where 160 letters were collected and given to health-care workers at Lions Gate Hospital turned into something organizer Jabeen Boga Jamal says she wanted to keep doing.

"I thought with the protests, morale is being impacted, they're already short-staffed. Why not do something to create energy and joy and rejoice them back into the love of their work?" said Jamal.

She says she wasn't sure she'd be able to collect enough letters this time around, but support from the community continued to pour in and she eventually collected hundreds of them.

"It just shows you the appreciation of everyone in the community for what the health-care workers are doing for us."

Hundreds of handwritten letters were handed out to health-care workers at St. Paul's Hospital in Vancouver. (Gary Tapp/CBC News)

A show of support

For nearly two years, health-care workers have been on the front lines of the COVID-19 pandemic, while battling burnout, personal health issues and the negative attention of a vocal minority of anti-vaccine mandate protesters.

In September, thousands of protesters gathered outside of hospitals in B.C. leading to reports of assault and disruption to people's safe access to health care.

"We were all very disheartened when we saw, you know, a lot of movements outside of hospitals," said Dave Taylor, a clinical nurse leader at St. Paul's, after receiving a stack of the letters for himself and some of his colleagues.

As a health-care worker, he says it's been difficult to watch people die from the virus while others argue its existence or the efficacy of the vaccine.

"And, over time, it continues to take a greater and greater toll," he said, adding that the support from the handwritten letters goes a long way.

"I think it really helps us because numbers are not fantastic right now and it's [the letters] making me smile."

Local actors Kirsty Provan and Jenaya Barker, dressed in full superhero attire, volunteered their time to hand out the letters. (Gary Tapp/CBC News)

Theresa Luu, a registered nurse at the hospital, says it was difficult not to feel overwhelmed by the support and appreciation.

"It's a small little gesture, but because we've been through a lot ... it's almost so pure that we feel like we don't deserve it," she said.

Her colleague, Feruz Estifanos, says health-care workers have faced increased negativity from some members of the public during the pandemic, and the letters offered a break from the gloom.

"With everything that's been going on, it just almost makes it a bit unbearable," she said.  "But the fact that these little kids out there know and appreciate us, it means the world." 

Handing out the letters — in full spandex and warrior garb — were local actors Kirsty Provan and Jenaya Barker, who volunteered their time and added a touch of levity to the afternoon.

"We're just the messengers," said Provan.

"We might be wearing the capes, but we are not the real superheroes of this situation."

Jamal says she intends to continue collecting letters and handing them out to health-care workers at hospitals across the Lower Mainland. Her next stop will be Vancouver General Hospital at the end of October.

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Special delivery: More than 700 letters of appreciation handed out to Vancouver health-care workers - CBC.ca
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Ontario COVID-19 cases drop below 600, 2 more deaths - CTV Toronto

TORONTO -- Ontario health officials are reporting nearly 600 new COVID-19 cases on Sunday.

The province confirmed 580 new cases of novel coronavirus infection on Sunday, as well as two more deaths due to the disease.

Ontario’s rolling seven-day average now stands at 596, down from 620 at this point last week.

With 32,220 tests processed in the past 24 hours, the Ministry of Health says the positivity rate in the province stands at 2.0 per cent.

Of the new infections reported Sunday, 407 cases involved people who are either unvaccinated, partially vaccinated or their vaccination status is unknown. The remaining 173 infections involved people who are fully vaccinated.

The province recorded two new deaths on Sunday, bringing the total death tally in the province to 9,752.

The province stated at least 263 people are in hospital due to COVID-19, including 225 people who are either not fully vaccinated or have an unknown vaccination status. Thirty-eight people hospitalized due to COVID-19 are fully vaccinated.

Of today’s hospitalizations,163 patients are in the ICU due to COVID-19.

WHERE ARE THE NEW CASES?

Locally, there are 110 new cases in Toronto, 42 in York Region, 85 in Peel Region, 24 in Hamilton, 23 in Durham Region and 19 in the Region of Waterloo.

The province deemed 616 more cases of the disease to be resolved as of Saturday, bringing Ontario’s number of recovered patients up to 573,366.

Today’s report brings the total number of lab-confirmed cases in Ontario to 588,101, including deaths and recoveries.

VARIANT OF CONCERN UPDATE

The Ministry of Health is reporting 186 new cases of the Delta variant, B.1.617.2, on Sunday, bringing the total number of cases in the province to 18,815.

Officials also reported two new cases of the Alpha variant, B.1.1.7., bringing the total number of Alpha cases to 146,475.

VACCINATION UPDATE

The province said it administered 23,884 doses of COVID-19 vaccines Saturday.

Throughout Ontario’s nine-month vaccination campaign, over 21.8 million needles have gone into arms.

As of today, 10,599,457 people have received both doses and are considered to be fully vaccinated.

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Ontario COVID-19 cases drop below 600, 2 more deaths - CTV Toronto
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More Lab-Grown Diamond Jewelry In Stores And A 2022 Wedding Boom Is Formula For Explosive Growth - Forbes

2022 will be the year of the wedding. According to The Wedding Report, some 2.5 million couples will tie the knot next year, following a two-year lull when only 1.3 married in 2020 and 1.9 million in 2021. That will break a previous record for marriages set in 1984.

Not only will a historic number of couples wed next year, they will spend more on their weddings. The average cost will reach $24,300, up 8% from the $22,500 spent in 2021. This will be welcome news for the many businesses that rely upon the wedding trade, like reception venues and caterers, photographers, planners, florists, bridal fashions, tuxedo and limousine rental services.

But most especially jewelers will benefit from the wedding boom, since couples spend more on their engagement ring – $5,500 in 2020 plus $900 for a woman’s wedding band and $500 for men’s  – than on any other category after direct costs associated with the reception, such as venue rental, food and beverage, according to The Knot.

Unlike other service businesses serving the bridal market, jewelry retailers won’t have to wait till 2022 to enjoy the largesse. Their season will begin this fourth quarter, as December is the peak month to get engaged. That means couples will start shopping for their engagement ring and wedding jewelry in October and November.

Another choice this year

Buying a diamond engagement ring is often approached with trepidation. Understanding the complexities of the 4Cs –  Cut, Color, Clarity, Carats – and translating that into price is confusing to an individual or couple buying a diamond for the first time.

And deciding where to make this life-changing purchase adds even more complexity. While e-commerce jewelry retailers, like Blue Nile and James Allen, have been capturing a greater share of the diamond engagement market, only 11% of couples bought their engagement ring online last year, according to The Knot. The vast majority still prefer to go to a jewelry store and make their purchase there.

When they show up at the jewelry store counter this year, they will have another decision to make that they wouldn’t have confronted just two years ago: whether to buy a natural mined diamond or a lab-grown one.

For years, lab-grown diamond jewelry has existed in an alternative online universe. Traditional jewelers and brands have shunned the category, so the only place to buy them was online, sight-unseen. But the tide is turning.

Crossing over into physical retail

More digital-first jewelry brands are now making the move into brick-and-mortar retail, such as Brilliant Earth now with 14 showrooms and Diamond Foundry’s jewelry brand VRAI just opened its first U.S. store front in Los Angeles.

And about half of the nation’s independent jewelers will be stocking them this year, according to Marty Hurwitz of MVEye, including major regional chains like Michael’s and Reeds.

But most importantly, Signet, the nation’s largest jewelry company with its Kay, Zales and Jared stores and the world’s largest diamond retailer, now offers lab-grown diamonds too, after first testing the category’s appeal online under its James Allen banner beginning in 2020.

“As a consumer-inspired company, we offer both natural and lab created diamonds to our new and loyal customers at Signet. We have expanded offerings within our Kay, Zales and Jared locations,” shares Tonia Zehrer, senior vice president and chief merchandising officer.

“While natural diamonds continue to have great appeal for customers, lab-created diamonds offer an additional popular choice with customers looking for larger stones and qualities at fantastic price points,” Zehrer continues.

Signet’s decision to sell lab-grown diamonds in its stores is a turning point for the industry’s acceptance of this emerging category.

“Now that Signet is in it, other jewelers will have to take a hard look at this category or lose out on it,” Hurwitz says. “There remain a lot of diehard diamond traditionalists, like Tiffany and Cartier, that continue to resist it. But who wouldn’t want to carry the most in-demand thing in their store?”

Seeing is believing

Crossing over from the digital world into physical retail is a natural progression for an innovative product, like lab-grown diamonds, for an emotional-led, high-ticket purchase, like engagement rings.

“Consumers are looking for an experience and jewelry is an experiential product. A fine piece of jewelry is sold across the counter, not by a picture. It’s all about how it feels when he or she has it on,” explains Amish Shah, president of ALTR Created Diamonds, part of R A Riam Group, a family owned business specializing in both natural and lab-grown diamonds.

“When you are buying a $5,500 engagement ring, you want to have someone to go back to for service. The consumer wants to walk through the door and feel taken care of,” Shah continues.

It’s in the store where the customer can see in-person how much further their $5,500 budget goes buying a lab grown compared with a mined diamond that the decision becomes easier.

All boats rise with this tide

Dollar for dollar, a customer can get a bigger stone and comparable, if not better quality, with a lab-grown diamond, which is exactly the same chemically and structurally as a natural one.

This is most meaningful when consumers consider an engagement ring where the center stone is the star, but the greater affordability of lab growns is also expanding the overall diamond jewelry market.

“Today retailers can carry four karat lab-grown diamond stud earrings that would have been price prohibitive before. And it is expanding the bracelet and necklace business further,” Shah maintains. “Lab growns have expanded the bandwidth of the jewelry market and their market share is growing many times faster than the jewelry market as a whole.”

Brittany Lewis, chief marketing officer for WD Lab Grown Diamonds, one of the nation’s leading diamond growers, believes adoption of lab-grown diamonds by brick-and-mortar retailers will unlock even faster growth for the category going forward.

“It’s about consumer education and retailer adoption is the main driver of growth there,” she maintains. “Consumers are also intrigued by the sustainability story, but not all are grown to WD’s certified climate neutrality level. As consumers learn more, compare the price-value relationship, and come to understand the sustainability certification we offer, it becomes the deciding factor. Consumers want to buy from a retailer they trust, where they’ve built a relationship or are part of a community.”

MVEye research confirms lab growns’ comparative appeal. Jewelers that carry lab growns report a closing ratio between 60% to 80% once customers learn more about the product.

To date the only limiting factor in lab-grown’s growth has been limited supply, especially for larger-karat, higher-quality Chemical Vapor Deposition (CVD) stones. Lewis shares her company just completed a large research study that found 70% of the jewelers surveyed experienced first-hand supply constraints in lab-grown diamonds. Her company is answering that by driving greater production and efficiency through its Washington, DC facility.

“There is so much more demand than any diamond producer can supply,” Lewis says. However, MVEye’s Hurwitz reports the industry is rapidly overcoming its supply limitation with over a dozen large prime growers, like WD, working overtime to meet demand.

All aboard

For the remaining 50% of independent jewelers still on the fence about carrying lab growns, Hurwitz has one final factoid that should make the decision easier: better margins. Over three-fourths of jewelers MVEye surveyed reported margins in lab-grown diamonds were 16% to 40%+ better than mined diamonds.

“It’s not an either/or choice, but both,” he says. “There isn’t a lot of cannibalization going on. Rather lab growns are growing the whole jewelry diamond pie, expanding the market and bringing in new customers.”

Even though awareness is high – 80% of jewelry consumers have heard about lab-grown diamonds – until this year, they have had little opportunity to see them and experience them in real life. Rather, they had to rely on the often inadequate displays on the computer screen.

Getting to compare lab growns side-by-side with mined diamonds could unleash an even greater boom in lab-grown sales, especially as the wedding jewelry market takes off starting this fourth quarter.

“Lab growns are rapidly becoming mainstream,” Hurwitz reports. “It’s not one versus the other, just a new category for consumers to choose from. Lab growns have a very attractive story for consumers. This fourth quarter is when we start to see the category really evolve.”

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More Lab-Grown Diamond Jewelry In Stores And A 2022 Wedding Boom Is Formula For Explosive Growth - Forbes
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How to fall asleep more quickly -- the healthy way - CNN

(CNN)Is falling asleep when your head hits the pillow what you're dreaming of? A fast fall into the land of nod may seem like nirvana, but it's not a sign of a healthy sleeper.

"The well-rested person does not fall asleep immediately," said sleep specialist Rebecca Robbins, an instructor in the division of sleep medicine for Harvard Medical School.
"Falling asleep does take about 15 minutes for the healthy sleeper," Robbins added. "Falling asleep is distinct from sleep itself, which can be frustrating when one is extremely tired.
"Nevertheless, be patient that sleep will come and the more you stress about not being asleep, the lower your chances of falling asleep," she said.

Don't conk out, drift away

Dozing off too quickly could be a sign that you are seriously sleep deprived, which can harm your physical and mental health.
Robbins, who coauthored the book "Sleep for Success!," equates it to having been deprived of food. "If you are starved for food, you will devour your next meal immediately, whereas a well-nourished person might not be as ravenous and in dire need of nutrition immediately," she said.
Adults need to sleep at least seven hours a night, while school-age kids need nine to 12 hours and teens need eight to 10 hours each night, according to the US Centers on Disease Control and Prevention.
What if you do sleep an adequate number of hours each night? Then falling asleep too quickly, as well as being tired during the day, could be a sign that the quality of your sleep is suffering.
"A lack of quality sleep occurs when there are multiple awakenings and arousal during the night," said Dr. Raj Dasgupta, an assistant professor of clinical medicine at the Keck School of Medicine at the University of Southern California, who specializes in sleep.
"Those awakenings affect your ability to get to the deeper stages of sleep, such as slow wave sleep, also known as delta sleep, or rapid eye movement (REM) sleep, which are both essential if you want to function well and be alert," Dasgupta said.
During the REM stage of sleep, we dream -- and information and experiences are consolidated and stored in memory. In addition to impacting cognitive functioning, a recent study found spending less time in REM sleep is linked to a greater overall risk of death from any cause.
Slow wave or delta sleep is when the brain both rests and gets rid of toxins -- a form of housekeeping that allows the body to heal and rejuvenate.
"The most important thing that you can do to increase your amount of deep sleep is to allow yourself adequate total sleep time," according to the American Sleep Association.
One of the most common culprits that might interrupt your sleep during the night -- sometimes without you even knowing it -- is obstructive sleep apnea, where you snore, choke, gasp or stop breathing periodically during the night. Some 25 million Americans suffer from this form of sleep apnea, said the National Healthy Sleep Awareness Project.
Restless legs syndrome, a condition in which you (or your partner's) legs twitch or shake during the night can also impact sleep quality. So can chronic pain, diabetes, heart disease, asthma and gastroesophageal reflux disease (GERD), to name a few. Medications can also impact sleep, as can various mental health disorders, according to the Cleveland Clinic.
"The take home message is that if you're not getting quality sleep, that means its time to see a sleep specialist to see what's going on," Dasgupta said.
Sign up for for CNN'S Sleep, But Better newsletter. You'll get more guidance and support for sleeping better.

How to fall asleep faster

Now that your expectations are realistic -- it's not healthy to go out like a light, and you shouldn't worry if you need 10 to 20 minutes to fall asleep -- what about those nights when sleep is overly elusive?
Get up! "If you can't fall asleep after 20 minutes, get out of bed and go into another room where there is dim light, and do something calming until you feel drowsy again. The same applies when you wake in the night and can't fall back asleep," Dasgupta advises.
Robbins agrees: "Promise to never toss and turn -- commit to leaving your bed if, for whatever reason, you toss and turn at night and experience difficulty falling asleep."
Some people believe that it's just as refreshing to your body to lie in bed with eyes closed but not sleeping. That's just a pipe dream, Robbins said: "If we stay in bed, we'll start to associate the bed with insomnia."
Keep the bed sacred. Keeping your brain from seeing the bedroom as anything other than a place to sleep and have sex is how you train it to fall asleep when your head hits the pillow, Dasgupta said.
"You're much more likely to drift off quickly if your brain knows exactly what to expect when you enter the bedroom," he said.
That means don't work or watch television in bed, and don't make calls or check your cellphone. Blue lights from electronic devices tell our brains to wake up, not sleep.
Build a nest. Keep training your brain to expect sleep by nurturing the sleep process. Keep the room cool and dark. Science tells us that we sleep better in cooler temperatures of about 60 to 67 degrees Fahrenheit (15 to 20 degrees Celsius).
Ready a routine. Brush your teeth, take a relaxing warm bath or shower and then spend some time in dim light reading a book or listening to soothing music. You can try yoga or light stretches, but nothing that will rev you up. You're teaching your brain to wind down.
Go to bed and get up at the same time each day, even on weekends or your days off, the CDC advises. Before long, it will become an entrenched habit.
Calm your whirling mind. For many people, this is the hardest part of falling asleep. In today's frantic world packed with stress and anxiety, it can be hard to stop fretting over what you didn't do or what you need to do next.
Practicing meditation is one evidence-based way to improve your ability to fall asleep, Robbins said.
"Meditation is the act of allowing thoughts to pass without devoting conscious attention to them," she said. "This skill, when practiced over time, can translate to our ability to fall asleep when we adopt a meditative mindset."
Keep a "worry list" by your bedside. Another way to calm your mind is to keep a stack of notecards by your bedside and use them to document your worries.
"Start a ritual of writing down anything on your mind before bed," Robbins said. "No matter how stressful, small, large, put it down onto one of the notecards. Tell yourself there is nothing you can do about those tasks at night, leave them for the morning."
Breathe deeply. "Deep long breaths matched with a mantra like 'let go' or 'I am at peace' can help you calm a busy mind and slip off into sleep," Robbins said.
There are a variety of deep-breathing techniques experts recommend, but "the best research is behind six in, six out," stress management expert Dr. Cynthia Ackrill told CNN in a prior interview.
Take a deep breath to a slow count of six, making sure that you can feel your stomach rise with your hand as it fills with air, explained Ackrill, an editor for Contentment magazine, which is produced by the American Institute of Stress.
"You want to use what is called soft belly breathing," she said. "To soften your belly, let the diaphragm descend, push out on your belly a little bit and bring the breath down into that part."
Release your breath to the same slow count of six. Pause and begin again. Repeat until you feel your body relax, Ackrill added.
Don't stop dreaming. Keep up these habits and before long your brain will automatically know that pillow equals sleep. Then maybe that dream of falling asleep more quickly will come true after all -- the healthy way.

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Ontario COVID-19 cases drop below 600, 2 more deaths - CTV Toronto

TORONTO -- Ontario health officials are reporting nearly 600 new COVID-19 cases on Sunday.

The province confirmed 580 new cases of novel coronavirus infection on Sunday, as well as two more deaths due to the disease.

Ontario’s rolling seven-day average now stands at 596, down from 620 at this point last week.

With 32,220 tests processed in the past 24 hours, the Ministry of Health says the positivity rate in the province stands at 2.0 per cent.

Of the new infections reported Sunday, 407 cases involved people who are either unvaccinated, partially vaccinated or their vaccination status is unknown. The remaining 173 infections involved people who are fully vaccinated.

The province recorded two new deaths on Sunday, bringing the total death tally in the province to 9,752.

The province stated at least 263 people are in hospital due to COVID-19, including 225 people who are either not fully vaccinated or have an unknown vaccination status. Thirty-eight people hospitalized due to COVID-19 are fully vaccinated.

Of today’s hospitalizations,163 patients are in the ICU due to COVID-19.

WHERE ARE THE NEW CASES?

Locally, there are 110 new cases in Toronto, 42 in York Region, 85 in Peel Region, 24 in Hamilton, 23 in Durham Region and 19 in the Region of Waterloo.

The province deemed 616 more cases of the disease to be resolved as of Saturday, bringing Ontario’s number of recovered patients up to 573,366.

Today’s report brings the total number of lab-confirmed cases in Ontario to 588,101, including deaths and recoveries.

VARIANT OF CONCERN UPDATE

The Ministry of Health is reporting 186 new cases of the Delta variant, B.1.617.2, on Sunday, bringing the total number of cases in the province to 18,815.

Officials also reported two new cases of the Alpha variant, B.1.1.7., bringing the total number of Alpha cases to 146,475.

VACCINATION UPDATE

The province said it administered 23,884 doses of COVID-19 vaccines Saturday.

Throughout Ontario’s nine-month vaccination campaign, over 21.8 million needles have gone into arms.

As of today, 10,599,457 people have received both doses and are considered to be fully vaccinated.

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Ontario COVID-19 cases drop below 600, 2 more deaths - CTV Toronto
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Canary Islands volcano ‘much more aggressive’ as new fissures erupt - The Guardian

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Canary Islands volcano ‘much more aggressive’ as new fissures erupt  The Guardian
Canary Islands volcano ‘much more aggressive’ as new fissures erupt - The Guardian
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Lupus and other autoimmune diseases strike far more women than men. Now there's a clue why - CTV News

WASHINGTON - Women are far more likely than men to get autoimmune diseases, when an out-of-whack immune system attacks their own bodies -...