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4/15/2021 6:35:00 PM
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NEEDHAM DAILY HIGHLIGHTS - Thursday, April 15

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Hi Everyone!

It is Tax Day!! I want to give a huge shout out to Gene Arcand and his AARP tax preparers, Pat Smith, Frada Salo and Lenore McCarthy. They always rise to the occasion, but this year they did it during the pandemic - with a closed Center and precautions. Truly amazing and we want to thank them for their service!

Our friend, Irene wrote, "Thanking the Center and you so sincerely for the tax help. What a treasure of a service! So grateful!

Today, I get to present you with a new survey. Our Public Health Nurse and friend, Hanna wrote, "As the COVID-19 vaccine continues to open up for the general public ... The Needham Public Health Division created a short survey to get more information... All the responses are completely anonymous. The link below leads to the questionnaire which takes less than a minute to complete.   

 

 COVID-19 Questionnaire


As always, the Center Staff is here for you! Please email me at akelley@needhamma.gov or call the Center @ 781-855-3629 for Katie or 339-201-1883 for me or Kippy and we will help you.


Now for some updates

 

NEWS/UPDATES

Latanya wanted me to share this with you from 


Cases of Cerebral Venous Sinus Thrombosis with Thrombocytopenia after Receipt of the Johnson & Johnson COVID-19 Vaccine

Recommendations For Clinicians

  • Pause the use of the J&J COVID-19 vaccine until the ACIP is able to further review these CVST cases in the context of thrombocytopenia and assess their potential significance.
  • Maintain a high index of suspension for symptoms that might represent serious thrombotic events or thrombocytopenia in patients who have recently received the J&J COVID-19 vaccine, including severe headache, backache, new neurologic symptoms, severe abdominal pain, shortness of breath, leg swelling, petechiae (tiny red spots on the skin), or new or easy bruising. Obtain platelet counts and screen for evidence of immune thrombotic thrombocytopenia.
  • In patients with a thrombotic event and thrombocytopenia after the J&J COVID-19 vaccine, evaluate initially with a screening PF4 enzyme-linked immunosorbent (ELISA) assay as would be performed for autoimmune HIT. Consultation with a hematologist is strongly recommended.
  • Do not treat patients with thrombotic events and thrombocytopenia following receipt of J&J COVID-19 vaccine with heparin, unless HIT testing is negative.
  • If HIT testing is positive or unable to be performed in patient with thrombotic events and thrombocytopenia following receipt of J&J COVID-19 vaccine, non-heparin anticoagulants and high-dose intravenous immune globulin should be strongly considered.
  • Report adverse events to the Vaccine Adverse Events Reporting System (VAERS), including serious and life-threatening adverse events and deaths in patients following receipt of COVID-19 vaccines as required under the Emergency Use Authorizations for COVID-19 vaccines.

Recommendations For the Public

  • If you have received the J&J COVID-19 vaccine and develop severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination, contact your healthcare provider, or seek medical care.
  • Report adverse events, including severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination, following receipt of any COVID-19 vaccine to your healthcare provider as well as to the CDC’s V-Safe After Vaccination Health Checker app.
  • If you are scheduled to receive the J&J vaccine, please contact your healthcare provider, vaccination location, or clinic to learn about additional vaccine availability.

Summary

As of April 12, 2021, approximately 6.85 million doses of the Johnson & Johnson (J&J) COVID-19 vaccine (Janssen) have been administered in the United States. The Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) are reviewing data involving six U.S. cases of a rare type of blood clot in individuals after receiving the J&J COVID-19 vaccine that were reported to VAERS. In these cases, a type of blood clot called cerebral venous sinus thrombosis (CVST) was seen in combination with low levels of blood platelets (thrombocytopenia). All six cases occurred among women aged 18–48 years. The interval from vaccine receipt to symptom onset ranged from 6–13 days. One patient died. Providers should maintain a high index of suspension for symptoms that might represent serious thrombotic events or thrombocytopenia in patients who have recently received the J&J COVID-19 vaccine. When these specific type of blood clots are observed following J&J COVID-19 vaccination, treatment is different from the treatment that might typically be administered for blood clots. Based on studies conducted among the patients diagnosed with immune thrombotic thrombocytopenia after the AstraZeneca COVID-19 vaccine in Europe, the pathogenesis of these rare and unusual adverse events after vaccination may be associated with platelet-activating antibodies against platelet factor-4 (PF4), a type of protein. Usually, the anticoagulant drug called heparin is used to treat blood clots. In this setting, the use of heparin may be harmful, and alternative treatments need to be given.

CDC will convene an emergency meeting of the Advisory Committee on Immunization Practices (ACIP) on Wednesday, April 14, 2021, to further review these cases and assess potential implications on vaccine policy. FDA will review that analysis as it also investigates these cases. Until that process is complete, CDC and FDA are recommending a pause in the use of the J&J COVID-19 vaccine out of an abundance of caution. The purpose of this Health Alert is, in part, to ensure that the healthcare provider community is aware of the potential for these adverse events and can provide proper management due to the unique treatment required with this type of blood clot.

Background

VAERS is a national passive surveillance system jointly managed by CDC and FDA that monitors adverse events after vaccinations. The six patients (after 6.85 million vaccine doses administered) described in these VAERS reports came to attention in the latter half of March and early April of 2021 and developed symptoms a median of 9 days (range = 6–13 days) after receiving the J&J COVID-19 vaccine. Initial presenting symptoms were notable for headache in five of six patients, and back pain in the sixth who subsequently developed a headache. One patient also had abdominal pain, nausea, and vomiting. Four developed focal neurological symptoms (focal weakness, aphasia, visual disturbance) prompting presentation for emergency care. The median days from vaccination to hospital admission was 15 days (range = 10–17 days). All were eventually diagnosed with CVST by intracranial imaging; two patients were also diagnosed with splanchnic* and portal vein thrombosis. Unusual for patients presenting with thrombotic events, all six patients showed evidence of thrombocytopenia (<150,000 platelets per microliter of blood), consistent with a condition known as thrombotic thrombocytopenia, with platelet nadir counts ranging from 10,000 to 127,000 during their hospitalizations. Four patients developed intraparenchymal brain hemorrhage and one subsequently died. All data presented in this HAN are preliminary and investigations of these VAERS reports are ongoing. The Clinical Immunization Safety Assessment (CISA) project which includes experts in infectious disease and hematology are also reviewing these cases. To date, VAERS has received no reports of CVST with thrombocytopenia among persons who received either of the two mRNA-based COVID-19 vaccines. 

These reports following the J&J COVID-19 vaccine are similar to reports of thrombotic events with thrombocytopenia after receipt of the AstraZeneca COVID-19 vaccine in Europe. Both vaccines contain replication-incompetent adenoviral vectors (human [Ad26.COV2.S] for J&J and chimpanzee [ChAdOx1] for AstraZeneca) that encode the spike glycoprotein of SARS-CoV-2, the virus that causes COVID-19. Based on studies conducted among the patients diagnosed with immune thrombotic thrombocytopenia after the AstraZeneca COVID-19 vaccine in Europe, the pathogenesis of these rare and unusual adverse events may be associated with platelet-activating antibodies against platelet factor 4 (PF4). Anti-PF4, also known as heparin-PF4 antibody, can induce thrombotic thrombocytopenia in a small percentage of persons exposed to heparin. However, none of the cases reported from Europe had recent heparin exposure. As with heparin-induced thrombocytopenia, the administration of the anticoagulant heparin should be avoided in patients with potential vaccine-associated immune thrombotic thrombocytopenia (VITT), unless heparin-induced thrombocytopenia (HIT) testing is negative. Non-heparin anticoagulants and high-dose intravenous immune globulin should be considered in treatment of patients who present with immune-mediated thrombotic events with thrombocytopenia after J&J COVID-19 vaccination. Consultation with hematology specialists is strongly recommended. 

* The term 'splanchnic circulation' describes the blood flow to the abdominal gastrointestinal organs including the stomach, liver, spleen, pancreas, small intestine, and large intestine.

For More Information

  • Frequently asked questions about VAERS reporting for COVID-19 vaccines VAERS - FAQs (hhs.gov)
  • How to report to VAERS 
  • How to report to V-Safe
  • CDC materials on stroke and NIH materials on thrombocytopenia 

REMOTE PROGRAMMING

TAXI SERVICE IS DISCONTINUED UNTIL FURTHER NOTICE.

If you already have a scheduled ride - you are still good. 

Topic: Daily Activity Study of Health (DASH) with Northeastern University*

To join the study email:  DASHresearchstudy@gmail.com

*Think about joining this fascinating study! This study is funded by the National Institute on Aging and will examine changes in emotion, thinking, and daily activities in older adulthood. They are looking for adults 60-95 years old who can walk without assistance and who have access to a computer and internet at home. They are looking for people who spend a lot of time sitting and/or people who do not exercise especially regularly or vigorously. The hope is this study will help transform healthcare recommendations and the cognitive health of older adults in the future.

The majority of the study will be conducted remotely via virtual study sessions and there will also be an optional 2 in-person sessions at the Northeastern University campus in Boston. The study runs for a total of 3 months and participants will be compensated for the time spent on study activities (about 12-18 hours total).


Topic: One - on - One Sessions with a Personal Trainer*

Time: Monday - Friday 7AM - 7PM

To Schedule:  Email me or call the Center Line at 781-855-3629 

Cost: $50 per hour (Checks will be made out to “Town of Needham” and mailed to Center at the Heights, 300 Hillside Ave., Needham, MA 02494.”

* We are now offering Personal Training Sessions with Stephen and Lisa Cadigan - our trusted trainers! Stephen or Lisa will have an introductory session to work out what exercise program (work on back, core, strengthening, recovery of surgery or injury, over zoom, over phone,  in - person while socially distancing) is best for your needs during COVID 19. This sort of one-on-one program typically costs hundreds of dollars. Signup now to get the best exercise plan for specifically you!


Topic: Hearing Loss One-on-One Clinics*

Time: Email Debbie at DmaiborsLp@gmail.com to schedule a Zoom Appointment. 

*Debbie Maibor, Speech/ Language Pathologist, is offering the Informational Hearing  Clinics to provide an overview of hearing, hearing problems, and the effects on communication, with time for questions and answers. Please email her to set up a time to connect on Zoom. 


Topic: Financial Clinic with Galina* 

Time: Email Aicha and she will coordinate a time

To Join Meeting : Email me and I will connect you with an appointment

*Some of you met with Galina during her Tuesday afternoon financial clinics last year where Galina answered your financial questions and gave you advice.  A number of you also attended her financial presentations in the past.

Galina Pekurovskaya is a Financial Adviser with the Bulfinch Group in Needham.


FRIDAY


Topic: Better Breathing and Immunity Workshop.  

Time: Friday, April 16 & 23 @ 9:30am - 12pm

To join Zoom: Stay tuned

*Laila is offering another great program!! She will guide you through a series of exercises to strengthen your respiratory and immune systems.  


Topic: Mother’s Day Art History by ArtMatters*

Time: Fridays,  May 7 from 10:00 a.m. to noon. 

To Preregister for Zoom Meeting: email @ bsoltzberg@jfcsboston.org at least 24 hours in advance or call 781-693-5628 by (Email is preferred if possible.) 

*Our guest artist will be Jane Blair of ArtMatters. In honor of Mother’s Day, Jane will show us great artworks that focus on the bond between parents and children. This bond is personal and yet universal. This relationship transcends language, culture, great distances and time itself. We will explore this bond by looking at art together. All are welcome! Guests are encouraged to invite their children! Join this special Memory Cafe. This group is primarily for  families of and people with Alzheimer’s / Dementia - however anyone is welcome! Each Cafe will have something fun and interesting for everyone to enjoy. 


Topic: Needham Creative Writing with Beth*

Time: Friday, April 16 @ 10:00 AM 

To Join Zoom Meeting Click here

Meeting ID: 836 1068 9044 

**Beth Knaus, owner of That's a Spade Writing Services, will teach you tools and tips and motivate you to hone your hobby (or start your new hobby) of writing. The group also helps one another with discussion of writing techniques, sharing writing, and just talking about the love of writing. All types of writers are welcomed - fiction, non-fiction, short stories, essays, journaling. (which can also be therapeutic at times like these.) Always looking for new participants. Beth shared some prompts but your own are great too. Here are some prompts: Write about a fire / I carried it in my pocket / Write about an unforeseen friendship / Returning takes too long.


Topic: Let’s Talk about 2021 Mah Jong League Card: Tips and Tricks*

Time: Friday, May 21 @ 10:30AM

To preregister for zoom - email Aicha a@ akelley@needhamma.gov

*Let’s Talk about the 2021 Mah Jongg League Card!

Whether you are a new or seasoned Mah Jongg player you’ll benefit from learning about the new card.  Donna, a highly-respected teacher, will review and discuss the card paying close attention to lots of the new, unusual hands. She will also share some tips to help what can be a daunting transition to the new card. So, get out your 2021 card (or order one) and join us for a fun-filled and informative event! Sponsored by the Newton Senior Center, the Needham Senior Center and Griswold Home Care.



  • Topic: Strength Training with Pearl* 

Time  Fridays,  2020 @ 10:30am  

To join Zoom Meeting Click here

Meeting ID: 872 3869 8176

Passcode:  8119 

*This SEATED exercise class is designed to accommodate mature individuals of various fitness levels. This class includes a thorough warm-up, strength training, and gentle stretching to increase flexibility and

 reduce muscle tension.



  • Topic: CATH Walking Group

TIme: Fridays @ 11AM (Weather permitting)

To Join: Meeting in front of Town Hall by the tent

*Join this fun group we are bringing back. Everyone should be able to walk 2 miles, MUST wear a mask and should wear comfortable walking shoes. Please bring a water.


  • Topic: Short Story Discussion Group

Time: Fridays, @ 12:00PM

To Join Zoom Meeting: Click here

Meeting ID: 894 4350 9457

Passcode: 623397

*Our Short Story Group is going so well. They are always looking for new members to discuss the stories and more!  Here is the story for April 16:

A Pair of Silk Stockings by Kate Chopin

https://www.katechopin.org/pdfs/Kate%20Chopin%2C%20A%20Pair%20of%20Silk%20Stockings.pdf


Topic: Utilize Resistance Band Efficiency, and Maximize Your Efforts to Become Stronger

Time: Fridays @ 1:00PM

To join Zoom Meeting: Click here

Meeting ID: 843 7955 7037

*Resistance bands offer an alternative to exercise without using traditional weights. This 45 minute class uses bands which provide resistance during both the concentric and eccentric phase of movement. Therefore, this mode of training maximizes the benefits throughout the entire program. Bands are also forgiving on the joints of the Older Adult. This routine will increase strength addressing all muscles of the body. Bands are an enjoyable way to exercise, and can be obtained through the COA - Center at the Heights. First 30 to register by emailing Aicha will have the bands delivered.


  • Topic: Techie to The Rescue Tech Talk*

Time: Fridays, @ 1:30PM

Join Zoom Meeting Click here

Meeting ID: 87651968245

Password: 806103

*It’s Friday and our Techie is back! Join Avrom to discuss all things technical! He will focus on new topics each week and you can also bring any questions you have - he’s all yours! Don’t stop joining or taking part in programs just because you aren’t comfortable with technology. Avrom is your man!


Topic: Art at Home with Rohan*

Time: Fridays @ 1:45PM

To Join Zoom Meeting: Click here

Meeting ID: 872 6466 7910

Passcode: ART

*Join Art Therapy Student, Rohan as she brings bi-weekly art programs into your home. Register today to have the art supplies delivered prior to the program. (Approx. $120 worth of items). Here is the schedule:


7th Session: Blackout Poetry (April 16)  

Need to do prior to Class:  Using magazines with articles in them, or old book that you don’t mind altering, look through and find a text that speaks to you. Once you find it, circle words that pop up to you. when done, using a black marker. Go over and cover the rest of the sentences around your selected words.  

Materials Delivered: Magazines with articles  

Materials Needed at Home: Pens/Black marker   

 

  • Topic: Zumba with Jopeng!!

Time: Fridays @ 3PM

To Join Zoom Click here

Zoom ID : 520-520-9898

Passcode : ZumbaGold

*A friend of Lulu’s!! She is going to get us up and moving before the weekend hits!


 

Topic: SPANGLISH Exchange Conversation Group

Schedule: Fridays @ 7PM 

To join Zoom Click here

(If anyone has any questions, please email Deb Maibor @ Dmaiborslp@gmail.com)

*Whether you are learning Spanish, want to learn Spanish, help others practice English, or just want to meet people from around the world, Spanglish Exchange is a welcoming, international group for you.

 

Speaking Spanish isn’t required, or even if you just speak “un poco” you can still talk to people from Argentina, Peru, Mexico, Chile, Venezuela, across the USA and from around the world.

 

Each Spanglish Zoom session starts with a 10 minute check in. Get to know the other Spanglishers – about 1/4 of the attendees at every event are new! No need to worry about making mistakes during our sessions.....the atmosphere is casual, flexible, and respectful of everyone’s differences and skill levels.  


Our Spanish speakers and English speakers  then take turns practicing their Spanish and English together in small, conversation “breakout rooms.” We know you’ll be having so much fun you’ll forget you’re learning Spanish, relearning Spanish, or using your present fluent Spanish skills. All levels are accepted into this international community.  


It’s been a great way for people  to “escape” without leaving their homes, and staying safe. The events are free. Travel the world with us from the safety of your own home!


SATURDAY

 

Topic: Circuit Training with Lisa: Get Fit, Strong and Flexible*

Time: Saturdays, @ 9:45AM

To join Zoom Meeting:Click here

Meeting ID: 814 0515 8908

Passcode: 821835

*This is a 45-minute class is aimed to simultaneously develop endurance and strength. Flexibility and mobility are also its objectives. These exercises are fun, easy to learn and simple to follow. The class is composed of a consecutive series of timed exercises, which alternate between cardio/aerobics and strength activities. Accessibility to weights is beneficial but not necessary to participate in this class.


Topic: Arthritis Class with Stephen*

Time: Saturday, 2020 @ 10:45 AM 

Join Zoom Meeting  Click here

Meeting ID: 816 8790 1740

*This class is a mostly seated exercise class that does not encourage activities that might exacerbate arthritis symptoms and sore joints. It addresses range of motion, strength, flexibility, endurance balance and coordination. *Motion is lotion in this exercise class! This program includes range of motion, strengthening/flexibility, aerobic/endurance & balance & coordination exercises. Mindful relaxation completes the class. You DO NOT have to have arthritis to take part. Any movement is great these days - and always.


Topic: Daybreaker Live! Rock n’ Rollin; Spring Fling: A Sock Hop Dance 

Time: Saturday, April 17 from 11 a.m. — 1 p.m. 

To Preregister for Zoom Click here

Featuring performances by Chubby Checker, Postmodern Jukebox and The Swayzees!

Kick off your blue suede shoes and join friends from across the country for this FREE, online, morning sock hop dance event! The experience begins with an all ages and abilities breathing and meditation lesson. After this, The Swayzees will start the dance party, and The Vintage DJ will spin classic Sock Hop tunes. Don’t miss live performances from Chubby Checker and Postmodern Jukebox! 

Participation is FREE but registration is REQUIRED! You do not need a Zoom account to participate.

SUNDAY


Topic: “Evolution of a Columnist” with Beverly Beckham, Boston Globe* 

Time: Sunday, April 25 @ 2:00—3:30 PM

To preregister for Zoom Meeting Click here 

*Popular Boston Sunday Globe columnist Beverly Beckham discusses how she turns

her observations of daily life and communities into enlightening essays that move and entertain her readers. Sponsored by the Friends of the Needham Free Public Library, this will be a Zoom presentation.


  • Topic: Sunday Supper Club*

Time: Sundays, @ 5:30PM

To Join Zoom Meeting: Click here

Meeting ID: 835 6343 3164

Passcode: SUPPER

*Let's have Sunday Supper together! The way it works it: we will deliver an individual, pre-prepared meal on Friday. All you will need to do is heat it up on Sunday prior to the Zoom. At 5:30PM hop on Zoom and have dinner with one another. Make new friends or invite groups of friends to do it together. We ask that if able you pay $5 (Meals are between $6 and $10) you can make a check out to Town of Needham or cash works. If this a financial burden for you, no problem - more importantly we want you to join the group. (First 20 registered per week) 


Topic: Line Dancing with Showway!*

Time: Sundays, @ 7:30PM

To join Zoom Class Click here

Meeting ID: 869 1423 2548

Passcode: 009832

*She’s back!!!! Showway is getting us ready for the upcoming week! Let’s get up and moving! She will do a 10 minute  warm-up + basic steps practice, then line dance instruction for 45 minutes  and a  5 minute cool down. Then we chat and have some social time!



These programs are being covered to you in response to the Center being closed during the COVID-19 outbreak.

These instructors have worked hard to provide these opportunities to you, at your discretion, for your enjoyment.
As with all exercise programs, you need to use common sense.
To reduce and avoid injury, check with your doctor before
beginning any fitness program.
By performing any fitness exercises, you are performing them at your own risk.
The Town of Needham and the instructors themselves, will not be responsible or liable for any injury or harm you sustain as a result of these online fitness programs. Thank you for your understanding.


ENTERTAINING/INTERESTING 

This day in 1452 was the birth of Leonardo da Vinci.
Many believe his Mona Lisa is the most famous painting of all time. Let's learn more.
Sorry for another documentary but I find Art History so interesting. Here is one about the Last Supper. 
We may not be da Vinci but we can draw a woman's face.
Let's head to da Vinci's birthplace. 
Can't visit Italy without food! 
Our Comic Relief Clip of the Day is from Everybody Loves Raymond. They visited Italy! I love Marie!!
Our MAFA (Music Appreciation from Afar) Song of the Day is from one of my favorites. 
Our Center Quote of the Day is "I love those who can smile in trouble, who can gather strength from distress, and grow brave by reflection. 'Tis the business of little minds to shrink, but they whose heart is firm, and whose conscience approves their conduct, will pursue their principles unto death." ~Leonardo da Vinci

Have a goodnight everyone and we will chat tomorrow! 
??~Aicha

 




Plain text message

This complimentary message is being sent to opt-in subscribers who might be interested in its content. If you do not wish to continue receiving these messages, please accept our apologies, and unsubscribe by following the instructions at the bottom of this message.
* * * * * * *

Hi Everyone!

It is Tax Day!! I want to give a huge shout out to Gene Arcand and his AARP tax preparers, Pat Smith, Frada Salo and Lenore McCarthy. They always rise to the occasion, but this year they did it during the pandemic - with a closed Center and precautions. Truly amazing and we want to thank them for their service!


Our friend, Irene wrote, "Thanking the Center and you so sincerely for the tax help. What a treasure of a service! So grateful!


Today, I get to present you with a new survey. Our Public Health Nurse and friend, Hanna wrote, "As the COVID-19 vaccine continues to open up for the general public ... The Needham Public Health Division created a short survey to get more information... All the responses are completely anonymous. The link below leads to the questionnaire which takes less than a minute to complete.
COVID-19 Questionnaire [https://docs.google.com/forms/d/1YjPX98ZT14Xq9BzNpwlxuj0qiZE93ezokGuQPm3gXi4/edit?usp=drive_web]

As always, the Center Staff is here for you! Please email me at akelley@needhamma.gov [mailto:akelley@needhamma.gov] or call the Center @ 781-855-3629 for Katie or 339-201-1883 for me or Kippy and we will help you.

Now for some updates

NEWS/UPDATES


Latanya wanted me to share this with you from


Cases of Cerebral Venous Sinus Thrombosis with Thrombocytopenia after Receipt of the Johnson & Johnson COVID-19 Vaccine


Recommendations For Clinicians
Pause the use of the J&J COVID-19 vaccine until the ACIP is able to further review these CVST cases in the context of thrombocytopenia and assess their potential significance.
Maintain a high index of suspension for symptoms that might represent serious thrombotic events or thrombocytopenia in patients who have recently received the J&J COVID-19 vaccine, including severe headache, backache, new neurologic symptoms, severe abdominal pain, shortness of breath, leg swelling, petechiae (tiny red spots on the skin), or new or easy bruising. Obtain platelet counts and screen for evidence of immune thrombotic thrombocytopenia.
In patients with a thrombotic event and thrombocytopenia after the J&J COVID-19 vaccine, evaluate initially with a screening PF4 enzyme-linked immunosorbent (ELISA) assay as would be performed for autoimmune HIT. Consultation with a hematologist is strongly recommended.
Do not treat patients with thrombotic events and thrombocytopenia following receipt of J&J COVID-19 vaccine with heparin, unless HIT testing is negative.
If HIT testing is positive or unable to be performed in patient with thrombotic events and thrombocytopenia following receipt of J&J COVID-19 vaccine, non-heparin anticoagulants and high-dose intravenous immune globulin should be strongly considered.
Report adverse events to the Vaccine Adverse Events Reporting System (VAERS), including serious and life-threatening adverse events and deaths in patients following receipt of COVID-19 vaccines as required under the Emergency Use Authorizations for COVID-19 vaccines.


Recommendations For the Public
If you have received the J&J COVID-19 vaccine and develop severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination, contact your healthcare provider, or seek medical care.
Report adverse events, including severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination, following receipt of any COVID-19 vaccine to your healthcare provider as well as to the CDC’s V-Safe After Vaccination Health Checker app.
If you are scheduled to receive the J&J vaccine, please contact your healthcare provider, vaccination location, or clinic to learn about additional vaccine availability.


Summary
As of April 12, 2021, approximately 6.85 million doses of the Johnson & Johnson (J&J) COVID-19 vaccine (Janssen) have been administered in the United States. The Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) are reviewing data involving six U.S. cases of a rare type of blood clot in individuals after receiving the J&J COVID-19 vaccine that were reported to VAERS. In these cases, a type of blood clot called cerebral venous sinus thrombosis (CVST) was seen in combination with low levels of blood platelets (thrombocytopenia). All six cases occurred among women aged 18–48 years. The interval from vaccine receipt to symptom onset ranged from 6–13 days. One patient died. Providers should maintain a high index of suspension for symptoms that might represent serious thrombotic events or thrombocytopenia in patients who have recently received the J&J COVID-19 vaccine. When these specific type of blood clots are observed following J&J COVID-19 vaccination, treatment is different from the treatment that might typically be administered for blood clots. Based on studies conducted among the patients diagnosed with immune thrombotic thrombocytopenia after the AstraZeneca COVID-19 vaccine in Europe, the pathogenesis of these rare and unusual adverse events after vaccination may be associated with platelet-activating antibodies against platelet factor-4 (PF4), a type of protein. Usually, the anticoagulant drug called heparin is used to treat blood clots. In this setting, the use of heparin may be harmful, and alternative treatments need to be given.


CDC will convene an emergency meeting of the Advisory Committee on Immunization Practices (ACIP) on Wednesday, April 14, 2021, to further review these cases and assess potential implications on vaccine policy. FDA will review that analysis as it also investigates these cases. Until that process is complete, CDC and FDA are recommending a pause in the use of the J&J COVID-19 vaccine out of an abundance of caution. The purpose of this Health Alert is, in part, to ensure that the healthcare provider community is aware of the potential for these adverse events and can provide proper management due to the unique treatment required with this type of blood clot.


Background
VAERS is a national passive surveillance system jointly managed by CDC and FDA that monitors adverse events after vaccinations. The six patients (after 6.85 million vaccine doses administered) described in these VAERS reports came to attention in the latter half of March and early April of 2021 and developed symptoms a median of 9 days (range = 6–13 days) after receiving the J&J COVID-19 vaccine. Initial presenting symptoms were notable for headache in five of six patients, and back pain in the sixth who subsequently developed a headache. One patient also had abdominal pain, nausea, and vomiting. Four developed focal neurological symptoms (focal weakness, aphasia, visual disturbance) prompting presentation for emergency care. The median days from vaccination to hospital admission was 15 days (range = 10–17 days). All were eventually diagnosed with CVST by intracranial imaging; two patients were also diagnosed with splanchnic* and portal vein thrombosis. Unusual for patients presenting with thrombotic events, all six patients showed evidence of thrombocytopenia (<150,000 platelets per microliter of blood), consistent with a condition known as thrombotic thrombocytopenia, with platelet nadir counts ranging from 10,000 to 127,000 during their hospitalizations. Four patients developed intraparenchymal brain hemorrhage and one subsequently died. All data presented in this HAN are preliminary and investigations of these VAERS reports are ongoing. The Clinical Immunization Safety Assessment (CISA) project which includes experts in infectious disease and hematology are also reviewing these cases. To date, VAERS has received no reports of CVST with thrombocytopenia among persons who received either of the two mRNA-based COVID-19 vaccines.


These reports following the J&J COVID-19 vaccine are similar to reports of thrombotic events with thrombocytopenia after receipt of the AstraZeneca COVID-19 vaccine in Europe. Both vaccines contain replication-incompetent adenoviral vectors (human [Ad26.COV2.S] for J&J and chimpanzee [ChAdOx1] for AstraZeneca) that encode the spike glycoprotein of SARS-CoV-2, the virus that causes COVID-19. Based on studies conducted among the patients diagnosed with immune thrombotic thrombocytopenia after the AstraZeneca COVID-19 vaccine in Europe, the pathogenesis of these rare and unusual adverse events may be associated with platelet-activating antibodies against platelet factor 4 (PF4). Anti-PF4, also known as heparin-PF4 antibody, can induce thrombotic thrombocytopenia in a small percentage of persons exposed to heparin. However, none of the cases reported from Europe had recent heparin exposure. As with heparin-induced thrombocytopenia, the administration of the anticoagulant heparin should be avoided in patients with potential vaccine-associated immune thrombotic thrombocytopenia (VITT), unless heparin-induced thrombocytopenia (HIT) testing is negative. Non-heparin anticoagulants and high-dose intravenous immune globulin should be considered in treatment of patients who present with immune-mediated thrombotic events with thrombocytopenia after J&J COVID-19 vaccination. Consultation with hematology specialists is strongly recommended.


* The term 'splanchnic circulation' describes the blood flow to the abdominal gastrointestinal organs including the stomach, liver, spleen, pancreas, small intestine, and large intestine.


For More Information
Resources on thrombotic thrombocytopenia after AstraZeneca COVID-19 vaccine https://www.nejm.org/doi/full/10.1056/NEJMoa2104840 [https://www.nejm.org/doi/full/10.1056/NEJMoa2104840] , https://www.nejm.org/doi/full/10.1056/NEJMoa2104882 [https://www.nejm.org/doi/full/10.1056/NEJMoa2104882]
Frequently asked questions about VAERS reporting for COVID-19 vaccines VAERS - FAQs (hhs.gov)
How to report to VAERS
How to report to V-Safe
CDC materials on stroke and NIH materials on thrombocytopenia

REMOTE PROGRAMMING


TAXI SERVICE IS DISCONTINUED UNTIL FURTHER NOTICE.
If you already have a scheduled ride - you are still good.

Topic: Daily Activity Study of Health (DASH) with Northeastern University*


To join the study email: DASHresearchstudy@gmail.com [mailto:DASHresearchstudy@gmail.com]
*Think about joining this fascinating study! This study is funded by the National Institute on Aging and will examine changes in emotion, thinking, and daily activities in older adulthood. They are looking for adults 60-95 years old who can walk without assistance and who have access to a computer and internet at home. They are looking for people who spend a lot of time sitting and/or people who do not exercise especially regularly or vigorously. The hope is this study will help transform healthcare recommendations and the cognitive health of older adults in the future.
The majority of the study will be conducted remotely via virtual study sessions and there will also be an optional 2 in-person sessions at the Northeastern University campus in Boston. The study runs for a total of 3 months and participants will be compensated for the time spent on study activities (about 12-18 hours total).


Topic: One - on - One Sessions with a Personal Trainer*
Time: Monday - Friday 7AM - 7PM
To Schedule: Email me or call the Center Line at 781-855-3629
Cost: $50 per hour (Checks will be made out to “Town of Needham” and mailed to Center at the Heights, 300 Hillside Ave., Needham, MA 02494.”
* We are now offering Personal Training Sessions with Stephen and Lisa Cadigan - our trusted trainers! Stephen or Lisa will have an introductory session to work out what exercise program (work on back, core, strengthening, recovery of surgery or injury, over zoom, over phone, in - person while socially distancing) is best for your needs during COVID 19. This sort of one-on-one program typically costs hundreds of dollars. Signup now to get the best exercise plan for specifically you!

Topic: Hearing Loss One-on-One Clinics*
Time: Email Debbie at DmaiborsLp@gmail.com [mailto:DmaiborsLp@gmail.com] to schedule a Zoom Appointment.
*Debbie Maibor, Speech/ Language Pathologist, is offering the Informational Hearing Clinics to provide an overview of hearing, hearing problems, and the effects on communication, with time for questions and answers. Please email her to set up a time to connect on Zoom.

Topic: Financial Clinic with Galina*
Time: Email Aicha and she will coordinate a time
To Join Meeting : Email me and I will connect you with an appointment
*Some of you met with Galina during her Tuesday afternoon financial clinics last year where Galina answered your financial questions and gave you advice. A number of you also attended her financial presentations in the past.
Galina Pekurovskaya is a Financial Adviser with the Bulfinch Group in Needham.

FRIDAY

Topic: Better Breathing and Immunity Workshop.
Time: Friday, April 16 & 23 @ 9:30am - 12pm
To join Zoom: Stay tuned
*Laila is offering another great program!! She will guide you through a series of exercises to strengthen your respiratory and immune systems.

Topic: Mother’s Day Art History by ArtMatters*
Time: Fridays, May 7 from 10:00 a.m. to noon.
To Preregister for Zoom Meeting: email @ bsoltzberg@jfcsboston.org [mailto:bsoltzberg@jfcsboston.org] at least 24 hours in advance or call 781-693-5628 by (Email is preferred if possible.)
*Our guest artist will be Jane Blair of ArtMatters. In honor of Mother’s Day, Jane will show us great artworks that focus on the bond between parents and children. This bond is personal and yet universal. This relationship transcends language, culture, great distances and time itself. We will explore this bond by looking at art together. All are welcome! Guests are encouraged to invite their children! Join this special Memory Cafe. This group is primarily for families of and people with Alzheimer’s / Dementia - however anyone is welcome! Each Cafe will have something fun and interesting for everyone to enjoy.
Topic: Needham Creative Writing with Beth*
Time: Friday, April 16 @ 10:00 AM
To Join Zoom Meeting Click here [https://us02web.zoom.us/j/9098843526]
Meeting ID: 836 1068 9044
**Beth Knaus, owner of That's a Spade Writing Services, will teach you tools and tips and motivate you to hone your hobby (or start your new hobby) of writing. The group also helps one another with discussion of writing techniques, sharing writing, and just talking about the love of writing. All types of writers are welcomed - fiction, non-fiction, short stories, essays, journaling. (which can also be therapeutic at times like these.) Always looking for new participants. Beth shared some prompts but your own are great too. Here are some prompts: Write about a fire / I carried it in my pocket / Write about an unforeseen friendship / Returning takes too long.

Topic: Let’s Talk about 2021 Mah Jong League Card: Tips and Tricks*
Time: Friday, May 21 @ 10:30AM
To preregister for zoom - email Aicha a@ akelley@needhamma.gov
*Let’s Talk about the 2021 Mah Jongg League Card!
Whether you are a new or seasoned Mah Jongg player you’ll benefit from learning about the new card. Donna, a highly-respected teacher, will review and discuss the card paying close attention to lots of the new, unusual hands. She will also share some tips to help what can be a daunting transition to the new card. So, get out your 2021 card (or order one) and join us for a fun-filled and informative event! Sponsored by the Newton Senior Center, the Needham Senior Center and Griswold Home Care.
Topic: Strength Training with Pearl*

Time Fridays, 2020 @ 10:30am
To join Zoom Meeting Click here [https://us02web.zoom.us/j/87238698176?pwd=TE5TdkV3bS9zR3JCalNpZU41UUZBdz09%20Join%20our%20Cloud%20HD%20Video%20Meeting%20Zoom%20is%20the%20leader%20in%20modern%20enterprise%20video%20communications,%20with%20an%20easy,%20reliable%20cloud%20platform%20for%20video%20and%20audio%20conferencing,%20chat,%20and%20webinars%20across%20mobile,%20desktop,%20and%20room%20systems.%20Zoom%20Rooms%20is%20the%20original%20software-based%20conference%20room%20solution%20used%20around%20the%20world%20in%20board,%20conference,%20huddle,%20and%20training%20rooms,%20as%20well%20as%20executive%20offices%20and%20classrooms.%20Founded%20in%202011,%20Zoom%20helps%20businesses%20and%20organizations%20bring%20their%20teams%20together%20in%20a%20frictionless%20environment%20to%20get%20more%20done.%20Zoom%20is%20a%20publicly%20traded%20company%20headquartered%20in%20San%20Jose,%20CA.%20us02web.zoom.us%20%20%20In%20case%20you,%20or%20anyone,%20needs%20it,%20the%20Meeting%20ID%20is:%20%20872%203869%208176]
Meeting ID: 872 3869 8176
Passcode: 8119
*This SEATED exercise class is designed to accommodate mature individuals of various fitness levels. This class includes a thorough warm-up, strength training, and gentle stretching to increase flexibility and
reduce muscle tension.
Topic: CATH Walking Group

TIme: Fridays @ 11AM (Weather permitting)
To Join: Meeting in front of Town Hall by the tent
*Join this fun group we are bringing back. Everyone should be able to walk 2 miles, MUST wear a mask and should wear comfortable walking shoes. Please bring a water.
Topic: Short Story Discussion Group

Time: Fridays, @ 12:00PM
To Join Zoom Meeting: Click here [https://us02web.zoom.us/j/89443509457?pwd=dEMzQVNRRS9nT3BSVkxWSXNLb3BXdz09]
Meeting ID: 894 4350 9457
Passcode: 623397
*Our Short Story Group is going so well. They are always looking for new members to discuss the stories and more! Here is the story for April 16:
A Pair of Silk Stockings by Kate Chopin
https://www.katechopin.org/pdfs/Kate%20Chopin%2C%20A%20Pair%20of%20Silk%20Stockings.pdf [https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.katechopin.org%2fpdfs%2fKate%2520Chopin%2c%2520A%2520Pair%2520of%2520Silk%2520Stockings.pdf&c=E,1,YWbvp2Ype-hPEQK1iUQdXr6psn5tLnj5LFx4aT-IMufggkVFje9c8nqo2WQ3EiSKecndqOvUHHeCLFR3Bx7Q-ndjk43DCh5eYZoCcvmVz4Ok&typo=1]
Topic: Utilize Resistance Band Efficiency, and Maximize Your Efforts to Become Stronger
Time: Fridays @ 1:00PM
To join Zoom Meeting: Click here [https://us02web.zoom.us/j/84379557037]
Meeting ID: 843 7955 7037
*Resistance bands offer an alternative to exercise without using traditional weights. This 45 minute class uses bands which provide resistance during both the concentric and eccentric phase of movement. Therefore, this mode of training maximizes the benefits throughout the entire program. Bands are also forgiving on the joints of the Older Adult. This routine will increase strength addressing all muscles of the body. Bands are an enjoyable way to exercise, and can be obtained through the COA - Center at the Heights. First 30 to register by emailing Aicha will have the bands delivered.
Topic: Techie to The Rescue Tech Talk*

Time: Fridays, @ 1:30PM
Join Zoom Meeting Click here [https://us02web.zoom.us/j/87651968245?pwd=QW9ObUQ3WjNZOFpKZkJuOVhOWTU1dz09]
Meeting ID: 87651968245
Password: 806103
*It’s Friday and our Techie is back! Join Avrom to discuss all things technical! He will focus on new topics each week and you can also bring any questions you have - he’s all yours! Don’t stop joining or taking part in programs just because you aren’t comfortable with technology. Avrom is your man!
Topic: Art at Home with Rohan*
Time: Fridays @ 1:45PM
To Join Zoom Meeting: Click here [https://us02web.zoom.us/j/87264667910?pwd=ZG53MWFJSitkY2ZxMWkvWFBCdXN4dz09]
Meeting ID: 872 6466 7910
Passcode: ART
*Join Art Therapy Student, Rohan as she brings bi-weekly art programs into your home. Register today to have the art supplies delivered prior to the program. (Approx. $120 worth of items). Here is the schedule:
7th Session: Blackout Poetry (April 16)
Need to do prior to Class: Using magazines with articles in them, or old book that you don’t mind altering, look through and find a text that speaks to you. Once you find it, circle words that pop up to you. when done, using a black marker. Go over and cover the rest of the sentences around your selected words.
Materials Delivered: Magazines with articles
Materials Needed at Home: Pens/Black marker

Topic: Zumba with Jopeng!!

Time: Fridays @ 3PM
To Join Zoom Click here [https://us02web.zoom.us/j/5205209898?pwd=Y3JXK1AzVG53WDRWVHh4cWFTSStrZz09]
Zoom ID : 520-520-9898
Passcode : ZumbaGold
*A friend of Lulu’s!! She is going to get us up and moving before the weekend hits!

Topic: SPANGLISH Exchange Conversation Group
Schedule: Fridays @ 7PM
To join Zoom Click here [https://zoom.us/j/112782200?pwd=MEpvUnVPeForV3hmQytBSUtzRlBRZz09#success]
(If anyone has any questions, please email Deb Maibor @ Dmaiborslp@gmail.com [mailto:Dmaiborslp@gmail.com] )
*Whether you are learning Spanish, want to learn Spanish, help others practice English, or just want to meet people from around the world, Spanglish Exchange is a welcoming, international group for you.

Speaking Spanish isn’t required, or even if you just speak “un poco” you can still talk to people from Argentina, Peru, Mexico, Chile, Venezuela, across the USA and from around the world.

Each Spanglish Zoom session starts with a 10 minute check in. Get to know the other Spanglishers – about 1/4 of the attendees at every event are new! No need to worry about making mistakes during our sessions.....the atmosphere is casual, flexible, and respectful of everyone’s differences and skill levels.
Our Spanish speakers and English speakers then take turns practicing their Spanish and English together in small, conversation “breakout rooms.” We know you’ll be having so much fun you’ll forget you’re learning Spanish, relearning Spanish, or using your present fluent Spanish skills. All levels are accepted into this international community.
It’s been a great way for people to “escape” without leaving their homes, and staying safe. The events are free. Travel the world with us from the safety of your own home!
SATURDAY

Topic: Circuit Training with Lisa: Get Fit, Strong and Flexible*
Time: Saturdays, @ 9:45AM
To join Zoom Meeting: Click here [https://us02web.zoom.us/j/81405158908?pwd=SytBWXpoVEMremJCK3phZzFWYk5jUT09]
Meeting ID: 814 0515 8908
Passcode: 821835
*This is a 45-minute class is aimed to simultaneously develop endurance and strength. Flexibility and mobility are also its objectives. These exercises are fun, easy to learn and simple to follow. The class is composed of a consecutive series of timed exercises, which alternate between cardio/aerobics and strength activities. Accessibility to weights is beneficial but not necessary to participate in this class.
Topic: Arthritis Class with Stephen*
Time: Saturday, 2020 @ 10:45 AM
Join Zoom Meeting Click here [https://us02web.zoom.us/j/81687901740]
Meeting ID: 816 8790 1740
*This class is a mostly seated exercise class that does not encourage activities that might exacerbate arthritis symptoms and sore joints. It addresses range of motion, strength, flexibility, endurance balance and coordination. *Motion is lotion in this exercise class! This program includes range of motion, strengthening/flexibility, aerobic/endurance & balance & coordination exercises. Mindful relaxation completes the class. You DO NOT have to have arthritis to take part. Any movement is great these days - and always.
Topic: Daybreaker Live! Rock n’ Rollin; Spring Fling: A Sock Hop Dance
Time: Saturday, April 17 from 11 a.m. — 1 p.m.
To Preregister for Zoom Click here [https://www.eventbrite.com/e/daybreaker-live-rock-n-rollin-spring-fling-a-sock-hop-dance-tickets-147258162127]
Featuring performances by Chubby Checker, Postmodern Jukebox and The Swayzees!
Kick off your blue suede shoes and join friends from across the country for this FREE, online, morning sock hop dance event! The experience begins with an all ages and abilities breathing and meditation lesson. After this, The Swayzees will start the dance party, and The Vintage DJ will spin classic Sock Hop tunes. Don’t miss live performances from Chubby Checker and Postmodern Jukebox!
Participation is FREE but registration is REQUIRED! You do not need a Zoom account to participate.


SUNDAY
Topic: “Evolution of a Columnist” with Beverly Beckham, Boston Globe*
Time: Sunday, April 25 @ 2:00—3:30 PM
To preregister for Zoom Meeting Click here [https://needhamma.as/]
*Popular Boston Sunday Globe columnist Beverly Beckham discusses how she turns
her observations of daily life and communities into enlightening essays that move and entertain her readers. Sponsored by the Friends of the Needham Free Public Library, this will be a Zoom presentation.
Topic: Sunday Supper Club*

Time: Sundays, @ 5:30PM
To Join Zoom Meeting: Click here [https://us02web.zoom.us/j/83563433164?pwd=ZFk4TFhoUjhUblVFVTJQQ285ZGM2Zz09]
Meeting ID: 835 6343 3164
Passcode: SUPPER
*Let's have Sunday Supper together! The way it works it: we will deliver an individual, pre-prepared meal on Friday. All you will need to do is heat it up on Sunday prior to the Zoom. At 5:30PM hop on Zoom and have dinner with one another. Make new friends or invite groups of friends to do it together. We ask that if able you pay $5 (Meals are between $6 and $10) you can make a check out to Town of Needham or cash works. If this a financial burden for you, no problem - more importantly we want you to join the group. (First 20 registered per week)
Topic: Line Dancing with Showway!*
Time: Sundays, @ 7:30PM
To join Zoom Class Click here [https://us02web.zoom.us/j/86914232548?pwd=cTlheXFzcTVEMzJYRTRnNVc2ZnBlUT09]
Meeting ID: 869 1423 2548
Passcode: 009832
*She’s back!!!! Showway is getting us ready for the upcoming week! Let’s get up and moving! She will do a 10 minute warm-up + basic steps practice, then line dance instruction for 45 minutes and a 5 minute cool down. Then we chat and have some social time!

These programs are being covered to you in response to the Center being closed during the COVID-19 outbreak.

These instructors have worked hard to provide these opportunities to you, at your discretion, for your enjoyment.
As with all exercise programs, you need to use common sense.
To reduce and avoid injury, check with your doctor before
beginning any fitness program.
By performing any fitness exercises, you are performing them at your own risk.
The Town of Needham and the instructors themselves, will not be responsible or liable for any injury or harm you sustain as a result of these online fitness programs. Thank you for your understanding.


ENTERTAINING/INTERESTING


This day in 1452 was the birth of Leonardo da Vinci.
[https://www.youtube.com/watch?v=5yT4IkPtTRo]
History Documentary BBC ? Leonardo DaVinci, behind a Genius [https://www.youtube.com/watch?v=5yT4IkPtTRo]
History Documentary BBC Leonardo DaVinci, behind a Genius
www.youtube.com

Many believe his Mona Lisa is the most famous painting of all time. Let's learn more.
[https://www.youtube.com/watch?v=r3Byzx0HoRk]
Mona Lisa - Secret Behind Mona Lisa - History Channel Documentary [https://www.youtube.com/watch?v=r3Byzx0HoRk]
Help us 100,000 subscribers Mona Lisa - Secret Behind Mona Lisa - History Channel Documentary My Channel "Doc Films HD": https://goo.gl/GYUrFm [https://goo.gl/GYUrFm] ----Thank you for watching----
www.youtube.com

Sorry for another documentary but I find Art History so interesting. Here is one about the Last Supper.
[https://www.youtube.com/watch?v=9puLGjRwVKY]
Secrets of the Last Supper | Ancient Mysteries (S3) | Full Episode | History [https://www.youtube.com/watch?v=9puLGjRwVKY]
Join Lawrence Fishburne as he uncovers the truth behind the strangest mysteries of all time in History’s Greatest Mysteries: Solved - https://histv.co/HGMS [https://histv.co/HGMS] Scholars debate whether or not Jesus knew the significance of what was to be his last meal with his disciples, in Season 3, "The Last Supper." #AncientMysteries Subscribe for more from ...
www.youtube.com

We may not be da Vinci but we can draw a woman's face.
[https://www.youtube.com/watch?v=Fhfx35Lwux8]
HOW TO DRAW FACES FOR BEGINNERS [*EASY TUTORIAL*] [https://www.youtube.com/watch?v=Fhfx35Lwux8]
If you want to progress more when it comes to drawing and painting, go to my Patreon page and get exclusive access to ALL MY REAL TIME NARRATIVE drawing and painting tutorials! Link: https://www.patreon.com/mimasartwork [https://www.patreon.com/mimasartwork] Hey guys! So, loads of people on my instagram page asked me to do a tutorial on how to draw basic proportions of the face so I ...
www.youtube.com

Let's head to da Vinci's birthplace.
[https://www.youtube.com/watch?v=GLkXyu-bv-s]
Birthplace of Leonardo da Vinci in Anchiano (Tuscany Italy) Casa natale di Leonardo [https://www.youtube.com/watch?v=GLkXyu-bv-s]
The birthplace of Leonardo da Vinci is in Anchiano, a village near Vinci (Tuscany Italy). It`s a large stone house with three rooms and a huge fireplace. Outside was a wood oven for bread. Inside we were not allowed to take pictures, but there wasn`t much to photograph because the rooms were empty. Leonardo di ser Piero da Vinci (15 April 1452 ...
www.youtube.com

Can't visit Italy without food!
[https://www.youtube.com/watch?v=SY_Fcgktucw]
Top 10 Regional Dishes to Try in Italy [https://www.youtube.com/watch?v=SY_Fcgktucw]
Top 10 Regional Dishes to Try in Italy Subscribe: http://bit.ly/MojoTravels [http://bit.ly/MojoTravels] When you’re travelling to Italy, you know you’re in for some seriously good eats. Welcome to MojoTravels and today we're counting down our picks for the What You HAVE To Eat in Every Part of Italy. For this list, we’re looking the best local delicacies in some of ...
www.youtube.com

Our Comic Relief Clip of the Day is from Everybody Loves Raymond. They visited Italy! I love Marie!!

[https://www.youtube.com/watch?v=Q9PdFB0E5Ao]
Everybody Loves Raymond - Italy [https://www.youtube.com/watch?v=Q9PdFB0E5Ao]
Everybody Loves Raymond - Italy Episode Ray Romano & Doris Roberts
www.youtube.com

Our MAFA (Music Appreciation from Afar) Song of the Day is from one of my favorites.
[https://www.youtube.com/watch?v=NIDX18Xl16s]
Nat King Cole - Mona Lisa [https://www.youtube.com/watch?v=NIDX18Xl16s]
\"Mona Lisa\" is a song written by Ray Evans and Jay Livingston for the Paramount Pictures film Captain Carey, U.S.A. (1950). It won the Academy Award for Best Original Song for 1950. The arrangement was by Nelson Riddle and the orchestral backing was played by Les Baxter and his Orchestra. The soundtrack version by Nat King Cole spent eight ...
www.youtube.com

Our Center Quote of the Day is "I love those who can smile in trouble, who can gather strength from distress, and grow brave by reflection. 'Tis the business of little minds to shrink, but they whose heart is firm, and whose conscience approves their conduct, will pursue their principles unto death." ~Leonardo da Vinci


Have a goodnight everyone and we will chat tomorrow!


??~Aicha

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COA Daily Highlights