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nursingscience · 5 months ago

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100+ Different Types of Nurses and Nurse Specialties

DIFFERENT TYPES OF NURSES

🔘A-C: NURSING SPECIALTIES

Agency Nurse: An agency nurse works their contract through a third-party agency. While a contract nurse will just contract directly with the facility.

Aids Nurse: See HIV/AIDS nurse

Advanced Practice Registered Nurse: An advanced practice registered nurse or APRN is a nurse who has gone to graduate school and have received either their Master of Science in Nursing or a Doctorate of Nursing Practice. An APRN includes a nurse practitioner (NP), a clinical nurse specialist (CNS), nurse anesthetist (CRNA) or a nurse midwife.

Ambulatory Care Nurse: A nurse that takes care of patients seeking medical care for acute or chronic illnesses. Typically in an outpatient setting.

Associate Degree Nurse: An associates degree nurse is a nurse who may have their registered nurse licensure but they received their associates degree in nursing from a 2 year junior college instead of their bachelor’s degree in nursing from a 4 year university.

Bariatric Nurse: A nurse that takes care of patients who are being treated for obesity-related reasons.

Burn Care Nurse: A nurse that treats patients who have been burned by fire, chemical, water, or by any other means.

Camp Nurse: A nurse that takes care of people at camps or retreats. Typically a setting that’s far away from a hospital or medical facility. Typically a job that’s considered kid-focused, but not all camps are geared towards kids. Also, the camps that are for kids have adults that are there also.

Cardiac Care Nurse: A cardiac nurse takes care of patients with heart disease such as: heart failure (CHF), coronary heart disease (CAD). They also take care of patients who are recovering from heart surgery such as heart bypass.

Cardiac Cath Lab Nurse: A nurse who works with patients who have undergone a heart catheterization procedure.

Case Management Nurse: A nurse who helps coordinate the long-term care plan of patients.

Certified Nurse Midwife: An advanced practice registered nurse who specializes in childbirth and reproductive health.

Chief Nursing Officer: See Nurse Executive

Clinical Nurse Leader: An advanced practice nurse whose job is to improve safety and quality outcomes for a specific patient and population.

Clinical Nurse Specialist: An advanced practice registered nurse who has chosen to become specialized in a specific area or type of nursing.

Community Health Nurse: See Public health Nurse

Complementary Health Nurse: See holistic Nurse

Contract Nurse: A nurse who contracts with a hospital to provide short term nursing support when staffing is low. Similar to travel nursing except contract nurses maybe taking assignments in the general area where they live year round.

Continence Nurse: Provides care to patients with urinary or fecal incontinence.

Correctional Facility Nurse: A nurse that takes care of incarcerated patients. So these would be patients in jails, prisons, and other correctional type institutions.

Cosmetic Nurse: See plastic surgery nurse

Critical Care Nurse: A nurse that takes care of critically ill patients. These are patients usually found in the intensive care unit or ICU.

🔘D-F: TYPES OF NURSES

Dermatology Nurse: A nurse who takes care of patients with skin disorders or diseases.

Developmental Disability Nurse: A nurse that works with patients who have mental or physical disabilities. For example down syndrome.

Diabetes Nurse: A nurse who works with patients who have diabetes.

Domestic Violence Nurse: A nurse that takes care of patients who were victims of domestic violence.

Ear, Nose and Throat Nurse: See Otiorhinolaryngology Nurse

Emergency Room Nurse: A nurse who works in the ER taking care of patients who are dealing with anything from minor bumps and bruises to acute and life threatening symptoms.

Endocrinology Nurse: A nurse that takes care of patients who have endocrine disorders. For example diabetes and pituitary disorders.

Endoscopy Nurse: GI nurse and an endoscopy nurse are typically used interchangeably. The term endoscopy nurse is referencing more to the GI nurses that assist gastroenterologists in GI procedures such as a colonoscopy or an EGD.

Faith Nurse: Parish nurse.

Family Nurse Practitioner (FNP): An advanced practice nurse who takes care of patients across the lifespan.

Fertility Nurse: A nurse whose patients are either couples or individuals who are having fertility or reproductive issues.

Flight Nurse: Also called a transport nurse. This nurse takes care of patients in remote locations stabilizing them until they can be transported via aircraft to the nearest emergency facility.

Freelance Nurse Writer: A nurse that writes for publications. Can be books, blogs, articles, journals, etc.

Forensic Nurse: A nurse that works closely with the legal system to collect forensic evidence in a case where there’s been a victim of violence.

🔘G-L: TYPES OF NURSES

Gastroenterology Nurse: Also called an endoscopy nurse. This nurse works with patients who have an illness related to the GI tract.

Genetics Nurse: A nurse that works with patients with hereditary illnesses such as Alzheimer’s.

Geriatric Nurse: A nurse who’s nursing practice focuses on the elderly population.

Gerontological Nurse Practitioner: An advanced practice nurse who’s primary focus is the elderly population.

Gynecology Nurses: (See Obstetrics nurse)

Health Policy Nurse: Helps in the legislation process for giving input in the creation of public health policies.

Hematology Nurse: This nurse takes care of patients with blood disorders such as hemophilia.

HIV/AIDS Nurse: A nurse that takes care of patients with HIV and AIDS.

Holistic Nurse: A nurse whose focus is on treating the “whole patient.” Also called a complementary health nurse, this nurse on top of the traditional nursing approach also takes a mind, body, and spirit approach also.

Home Health Nurse: A nurse that takes care of patients in the patient’s home.

Hospice Nurse: A nurse that provides care to patients with terminal illness. Requires very compassionate care because the goal is to minimize pain and allow the patient to pass on with dignity.

ICU Nurse: See critical care nurse.

Independent Nurse Contractor: See per-diem nurse.

Infection Control Nurse: A nurse that helps prevent infections in a hospital or clinic setting.

Informatics Nurse: The liaison between software/system engineers and the healthcare providers who use them.

Infusion Nurse: A nurse that administers medications to patients via intravenous lines central lines and other access ports.

International Nurse: A nurse that travels and works in other parts of the world. Similar to a travel nurse.

Labor and Delivery Nurse: A nurse that cares for women during labor and childbirth.

Lactation Consultant Nurse: Helps new moms learn how to breastfeed and bond with their newborn.

Legal Nurse Consultant: A nurse that works with lawyers as a medical expert in legal cases. As the medical expert they help the lawyers understand the medical and Healthcare related points of the case.

Licensed Practical Nurse (LPN): A nurse who has graduated from LPN school and is able to take care of patients. An LPN can either function independently or under the supervision of a Registered Nurse.

Licensed Vocational Nurse (LVN): See licensed practical nurse.

Long-term Care Nurse: A nurse who takes care of patients who need medical attention for an extended period of time because of an ongoing medical condition, disability or illness.

🔘M-P: NURSE SPECIALTIES

Managed Care Nurse: A nurse that works with patients (young to elderly), providers, medical facilities, insurance companies and government agencies to provide high quality healthcare, while keeping costs down.

Medical-Surgical Nurse: A medical surgical nurse works with a variety of patients on a Med-Surg floor. From pre- to post- surgery to minor and severe illnesses the med-surg nurse will see it all.

Military Nurse: A nurse that works in the military and cares for military patients.

Missionary Nurse: A nurse that works for a non profit (religious or non-religious) providing care to patients who are many times in underserved areas or parts of the world.

Neonatal Intensive Care Unit Nurse (Nicu Nurse): A nurse that takes care of premature and usually critically ill newborns in the NICU of a hospital.

Nephrology Nurse: A nurse that takes care of patients with kidney problems/disease.

Neuroscience Nurse: Takes care of patients with central nervous system disorders.

Nurse Advocate: A nurse that’s the liaison between the physicians and the patients. In a certain capacity all nurses are advocates for their patients.

Nurse Anesthetist: See certified registered nurse anesthetist.

Nurse Attorney: A nurse who has both their nursing and law licensure and degrees.

Nurse Author: See freelance nurse writer.

Nurse Educator: A nurse that teaches nursing students.

Nurse Entrepreneur: See nursepreneur.

Nurse Executive: A nurse that holds a high level management position in a hospital. For example chief nursing officer.

Nurse Historian: See freelance nurse writer.

Nurse Life Care Planner: A nurse that creates a long term care plan for a patient that’s going to need some form of medical care and attention for the rest of their life.

Nurse Manager: The nursing supervisor for a floor or a unit. Can also be the hiring and firing manager.

Nurse Midwife: See certified nurse midwife.

Nurse Practitioner: An advanced practice nurse that provides primary care to patients. Depending on the state can treat, diagnose and prescribe medications.

Nursepreneur: Nurse + entrepreneur = nursepreneur. This is a nurse who is also an entrepreneur. It’s a nurse that uses their training to start their own business. While it’s more commonly referenced for nurses who start healthcare or nursing related businesses, it doesn’t necessarily have to.

Nurse Researcher: Nurses who design studies and analyze results for the improvement of nursing practice.

Nurse Writer: See freelance nurse writer.

Obstetrics Nurse: Also called an OB nurse. This is a nurse that takes care of female patients during labor, pregnancy, childbirth and postpartum.

Occupational Health Nurse: A nurse whos job is to protect the safety and wellbeing of employees.

Oncology Nurse: A nurse that takes care of patients who have cancer.

Operating Room Nurse (OR Nurse): A nurse that works in the OR and assists the surgeons during the surgery. The OR nurse can work either before, during, or after surgery.

Ophthalmic Nurse: A nurse that takes care of patients with eye disease or illness. For example glaucoma.

Orthopedic Nurse: A nurse that takes care of patients who have musculoskeletal issues. For example fractures and osteoporosis.

Ostomy Nurse: See wound care nurse.

Otorhinolaryngology Nurse: A nurse that takes care of patients with ear, nose, throat, head, and neck disorders.

Pain Management Nurse: A nurse that takes care of patients with chronic and sometimes debilitating pain.

Palliative Care Nurse: See hospice nurse.

Parish Nurse: A nurse that takes care of patients within a religious community.

Pediatric Endocrinology Nurse: See endocrinology nurse.

Pediatric Nurse: A nurse that specializes in taking care of children.

Pediatric Nurse Practitioner: An advanced practice nurse who takes care children by providing primary care services.

Per-diem Nurse: A nurse who works for a facility on a temporary or as needed basis (i.e. not a regular full time staff).

Peri-Anesthesia Nurse: See poet anesthesia care unit nurse.

Perinatal Nurse: See obstetrics nurse.

Peri-Operative Nurse: See operating room nurse.

Plastic Surgery Nurse: A nurse that takes care of patients who are undergoing cosmetic and sometimes surgical procedures. For example liposuction, face lifts.

Poison Information Specialist: A specialized form of toxicology nurse

Post Anesthesia Care Unit Nurse (PACU Nurse): Nurses who provided observation and treatment services to patients who have recieved anesthesia.

Post-Operative Nurse: See operating room nurse.

Psychiatric Nurse: A nurse that takes care of patients with psychiatric disorders such as bipolar, schizophrenia, and substance abuse.

Psychiatric Nurse Practitioner: An advanced practice registered nurse who provides specialty care to patients psychiatric and behavioral health disorders.

Public Health Nurse: A public health nurse provides education and care to patients/people within a community.

Pulmonary Care: A nurse that takes care of patients with respiratory disorders or illnesses.

🔘Q-T: DIFFERENT TYPES OF NURSES

Quality Improvement Nurse: A nurse that focuses on improving the quality of medical facilities.

Radiology Nurse: Takes care of patients who are undergoing radiation treatments.

Rehabilitation Nurse; A nurse that takes care of patients with long-term disabilities.

Registered Nurse (RN): The RN licensure is what’s needed to be able to work and function as a registered nurse. You can get this licensure by either going through an associates degree nursing program, a bachelor’s degree nursing program, or a nursing diploma program.

Reproductive Nurse: See fertility nurse.

Research Nurse: A nurse who does clinical trials to figure out new evidence based practice.

Respiratory Nurse: See pulmonary care nurse.

Rhematology Nurse: A nurse whose patients dealing with rheumatic diseases. For example osteoarthritis and gout.

Rural Nurse: A nurse who works in rural geographical areas. Often these areas are going to have limited access to health care.

School Nurse: A nurse who takes care of children in school. Typically Pre-K to middle school is what people usually think about when they think school nurse. But it can also include nurses who take care of high school and college students.

Subacute Nurse: A nurse who takes care of patients who require around the clock care. The difference between this and a long-term care nurse is that subacute nurse patients usually only require the care for a short period of time.

Substance Abuse Nurse: A specialized version of psychiatric nursing specifically dealing with patients with substance abuse.

Supplemental Nurse: See contract nurse.

Telemetry Nurse: A nurse who monitors patients who are on life-sustaining or life monitoring equipment such as an electrocardiogram.

Telehealth Nurse: See telephone triage nurse.

Telephone Triage Nurse: Helps patients over the phone by assessing their need and making sure they’re referred to the right healthcare facility or provider.

Temp Nurse: See per-diem nurse.

Toxicology Nurse: A nurse who takes care of patients who have swallowed poison or came into contact with toxic chemicals or venomous animals.

Transcultural Nurse: A nurse that provides a culturally sensitive and inclusive care.

Transport Nurse: See flight nurse.

Trauma Nurse: Usually works in the emergency room. This nurse provides care to patients in dire situations.

Travel Nurse: A nurse that works for a staffing agency anf takes temporary nursing positions in facilities across the country and globe. Typical assignment length is usually an 8 week minimum.

🔘U-Z: TYPES OF NURSES

Urology Nurse: A urology nurse takes care of patients with diseases or illnesses related to the urinary system.

Veterans Affairs Affairs: Works in the VA health system and takes care of veterans.

Wound Care Nurse: A wound care nurse takes care of patients with wounds, either by medical procedures, or injury and disease.

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gerudospiriit · 6 months ago

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name. Nabooru

nickname(s). Lone Wolf, Nabs, Booru

title. The Exalted, Second in Command of the Gerudo (formerly), Chief of the Gerudo (current)

P E R S O N A L .

morality. lawful/ neutral / chaotic / good / grey / evil

religious belief. Loosely, the Gerudo pantheon, especially the Goddess of the Sand; her faith is not the strongest these days

sins. lust / greed / gluttony / sloth / pride /envy / wrath

virtues. chastity / charity / diligence / humility / kindness / patience / justice

primary goals in life. lead the Gerudo to a life where they can do more than just survive. keep the Gerudo safe. maintain Gerudo sovereignty.

languages known. - fluent in Gerudo and Hylian; knows a little bit of Goron and Zoran languages

quirks. - hair twisting when she's nervous or deep in thought. something of a resting bitch face. knuckle popping. random stretching or other fidgeting because she doesn't hold still well.

savvies. - combat, leadership even if she'll deny it, sass

P H Y S I C A L .

build. slender/ fit / athletic / curvy / herculean / babyfat / pudgy / obese / other

height. 6'0"

weight. idk man

scars/birthmarks. mostly smaller scars here and there on her arms, legs, and torso. her biggest scar is on the stretches from her bellybutton to above her right hip.

abilities/powers. - incredible combat prowess, both hand to hand and with a multitude of different weapons. "going ghost" so to speak. can traverse between the living and spirit worlds. can see spirits, both still connected to the living and those roaming. can rip a spirit from a living person or creature. something with light and fire. some prophetic powers in some fashion.

F A V O U R I T E S .

favourite food. Gerudo spiced cucco. she loves spicy food in general. sweets on occasion when she can get her hands on them. fruit, especially volt fruit.

favourite drink. tea or water

topping. she's never had pizza ):

favourite colour. orange. red. gold. pink.

favourite music genre. Gerudo music

favourite book genre. historical. technical (especially about combat). books on war and combat strategy. religious texts, but more for learning about hers and other cultures. adventure. thriller.

favourite movie genre. horror, romantic comedies, and soap operas.

favourite season. summer.

favourite curse word. damn or fuck, usually in her native tongue.

favourite scent. sandalwood. citrus. amber. floral.

F U N S T U F F .

bottom or top. top

loud burper or soft burper. middle of the road?

sings in the shower. yes /no

likes bad puns. yes / no

their opinion on the mun. "She's alright. Does right by me. Most of the time."

Tagged by: @koopzilla thanks darlin' 😘

Tagging: u

#[ ☀ ᵈᵃˢʰ ᵍᵃᵐᵉˢ ;; ᶜᵃⁿ'ᵗ ʷᵃⁱᵗ ᵗᵒ ᵍᵉᵗ ʸᵒᵘ ˢʰᵒᵒᵏ ᵘᵖ ]

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justforbooks · 4 years ago

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Jean Anthelme Brillat-Savarin was a French lawyer and politician, and gained fame as an epicure and gastronome: "Grimod and Brillat-Savarin. Between them, two writers effectively founded the whole genre of the gastronomic essay."

He published several works on law and political economy. He also wrote an erotic short story, Voyage à Arras. He remained a bachelor, but not a stranger to love, which he counted the sixth sense; his inscription of the Physiologie to his beautiful cousin Juliette Récamier reads:

"Madam, receive kindly and read indulgently the work of an old man. It is a tribute of a friendship which dates from your childhood, and, perhaps, the homage of a more tender feeling...How can I tell? At my age a man no longer dares interrogate his heart."

His famous work, Physiologie du goût (Physiology of Taste), was published in December 1825, two months before his death. The full title is Physiologie du Goût, ou Méditations de Gastronomie Transcendante; ouvrage théorique, historique et à l'ordre du jour, dédié aux Gastronomes parisiens, par un Professeur, membre de plusieurs sociétés littéraires et savantes. The book has not been out of print since it first appeared, shortly before Brillat-Savarin's death. Its most notable English translation was done by food writer and critic M. F. K. Fisher, who remarked, "I hold myself blessed among translators." Her translation was first published in 1949.

The body of his work, though often wordy or excessively – and sometimes dubiously – aphoristic and axiomatic, has remained extremely important and has repeatedly been reanalyzed through the years since his death. In a series of meditations that owe something to Montaigne's Essays, and have the discursive rhythm of an age of leisured reading and a confident pursuit of educated pleasures, Brillat-Savarin discourses on the pleasures of the table, which he considers a science. His French models were the stylists of the Ancien Régime: Voltaire, Rousseau, Fénelon, Buffon, Cochin, and d'Aguesseau.

Aside from Latin, he knew five modern languages well, and when the occasion suited, was not shy of parading them; he never hesitated to borrow a word, like the English "sip" when French seemed to him to fail, until he rediscovered the then-obsolete verb siroter.

The philosophy of Epicurus lies at the back of every page; the simplest meal satisfied Brillat-Savarin, as long as it was executed with artistry:

Those persons who suffer from indigestion, or who become drunk, are utterly ignorant of the true principles of eating and drinking.

Brillat-Savarin is often considered as the father of low-carbohydrate diet. He considered sugar and white flour to be the cause of obesity and he suggested, instead, protein-rich ingredients.

Sure enough, carnivorous animals never grow fat (consider wolves, jackals, birds of prey, crows, etc.). Herbivorous animals do not grow fat easily, at least until age has reduced them to a state of inactivity; but they fatten very quickly as soon as they begin to be fed on potatoes, grain, or any kind of flour. The second of the chief causes of obesity is the floury and starchy substances which man makes the prime ingredients of his daily nourishment. As we have said already, all animals that live on farinaceous food grow fat willy-nilly, and man is no exception to the universal law.

He promoted a diet that avoided starch, grains, sugar, and flour. He recommended meats, root vegetables, cabbage, and fruit.

Brillat-Savarin was buried at the Cimetière du Père Lachaise in Paris.

Brillat-Savarin cheese, the Savarin mould, a ring mold with a rounded contour, and Gâteau Savarin are named in his honor.

The Café Savarin, a French restaurant that was located at the former Equitable Life Assurance Building was named after him.

Quotes

'Whoever receives friends and does not participate in the preparation of their meal does not deserve to have friends.'

"A dessert without cheese is a beauty with only one eye."

"The discovery of a new dish confers more happiness on humanity than the discovery of a new star."

"Tell me what you eat: I will tell you what you are."

"A man who was fond of wine was offered some grapes at dessert after dinner. 'Much obliged', said he, pushing the plate aside, 'I am not accustomed to taking my wine in pills'."

"To receive guests is to take charge of their happiness during the entire time they are under your roof."

"Cooking is one of the oldest arts and one that has rendered us the most important service in civic life."

"The most indispensable qualification of a cook is punctuality : it must be that of the guest also."

"The pleasure of the table belongs to all ages, to all conditions, to all countries, and to all areas; it mingles with all other pleasures, and remains at last to console us for their departure."

Tiny details and the aesthetics aren’t merely a side note, they’re as important as anything else.

Daily inspiration. Discover more photos at http://justforbooks.tumblr.com

#JUST FOR BOOKS #Jean Anthelme Brillat-Savarin #Physiologie du goût #book review

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wisdomrays · 4 years ago

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TAFAKKUR: Part 290

HIBERNATION AS A SIGN OF EXISTENCE: Part 2

IS HIBERNATION SEEN ONLY IN COLD REGIONS?

Unexpectedly, not. While observing nature and learning about the world, one is astounded by the wonderful work of God Almighty. Although it is often viewed as a phenomenon of colder climates, hibernation also occurs in the desert. A classic hibernator is the desert tortoise, which heads underground into burrows with the onset of cold. In a suspended state, it drastically reduces its metabolic rate, digestion, urination, and defecation. Although some move only slightly during winter, others may take advantage of warm days and head out to bask.

Gall moth caterpillars, insects which most of us have never even heard of, typify the second group. They avoid freezing at all costs. Despite what most of us think, water can remain liquid down to -40 F (-40 C), provided that it is free of impurities, so these caterpillars purify what little water is contained in their bodies by emptying their guts of foreign food particles and bacteria.

In addition, they produce an antifreeze, much like that used in cars, but different than that used by freeze-tolerant animals, to lower the temperature at which ice forms. The combination of these two methods allows gall moth caterpillars to survive winter temperatures as low as -36 F (-38 C).

SURVIVAL DURING HIBERNATION

The hibernating animal is quite defenseless when it is in a deep hibernative or even torpid state. They need to prepare a very secure hibernating den (the “hibernaculum”) to protect themselves as they are now an inactive animal. It is interesting that it is possible for an animal to live after six or seven months without eating, drinking, or passing wastes. For example, less than 1 percent of black bears die in their dens. The main threats to their lives are flooding and predators (wolves, dogs, active bears, and humans). Bears do not usually die of starvation in dens. Most deaths from starvation are before or after hibernation and involve primarily cubs and yearlings. Over-wintering black bears do other extraordinary things.For example, snoozing bears are able to gain all the sustenance they need entirely from within their own bodies. Fat tissues break down and supply water and up to 4,000 calories a day; muscle and organ tissues break down and supply protein. Bears’ bodies are somehow able to take urea-a chief component of urine that is produced during tissue breakdown and that, if left to build up, becomes toxic-and use the nitrogen in it to build new protein.

Hibernating bears also have what would seem to be dangerously high cholesterol levels.Because they live off their own fat, their cholesterol levels are more than twice what they are in summer (and more than two times higher than those of most people). But bears evince no signs of hardening of the arteries or the formation of cholesterol gallstones. Research has shown that hibernating bears generate a form of bile acid that, when administered to people, dissolves gallstones, eliminating the need for surgery. Despite being cooped up in a space about the size of a doghouse, hibernating black bears also appear to avoid muscle cramping and degenerative bone loss. How they accomplish this remains a mystery. Even though a hibernating bear drinks no water, it does not become dehydrated. If we can learn how this metabolic feat works we can use the information to help treat people suffering from chronic kidney failure. During this time, the amount of urine entering the kidneys drops by 95%. Disease is uncommon in hibernating animals. Most parasites of bears are adapted to their host’s hibernation cycle and reduce their demands in winter. Medical researchers are studying black bear hibernation to learn how bears cope with conditions that are problematical for people. The findings are aiding studies of human kidney disease, gallstones, obesity, anorexia nervosa, and other problems. Researchers hope that knowledge of bear hibernation may someday even aid space travel. Another mystery goes by the name of delayed implantation.A female will carry a fertilized egg in her womb for many months.The egg is ready to attach itself to the uterine wall and begin developing into a fetus.But it does not do so until the female’s body gives a signal; it is still unknown precisely what this signal is.This adaptation allows bears to time the birth of their cubs, so they’re not born too early or too late. It also gives the mother a way out if food is scarce. If she has not accumulated enough fat by the time she settles into her den to hibernate, the egg will spontaneously abort. Some biologists see this neat trick as a natural mechanism to control the population. Evidence is mounting that hormone-like substances in hibernating bears may control all these physiological tricks.When injected into other species, both those that hibernate and those that do not, these substances engender hibernation-like effects. In conclusion, we can say that what we know about hibernation may not contain even one half of what is to be known. Hibernation is a sign of the Lord’s existence in the world and His ceaseless protection of creatures.We know that hibernators do not decide to hibernate at will; they are put in that position by their All-Merciful Protector. And all of them are doing their job as actors in a great scenario in the World Theater of God.

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aworldoffandoms · 5 years ago

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Diagnostic Principles

Chapter 1 – One Shot, Two Shot...

Authors Note: Hello everyone! I bring you my first ever Open Heart fic! It is a collaborative effort with the lovely and widely talented, @cynicalworlds and I cannot be more excited to go on this writing journey with her! It’s gonna be so much fun!

Hope you all enjoy it as much as we had fun writing it!

***

Pairing: Ethan Ramsey x F!MC [Nicolette Valentine]

Word Count: 2, 254

Rating: M (violence, gun violence, blood)

DISCLAIMER: Mention of guns, violence and blood and there may be sensitive subjects/mental health issues explored so some instances in this story might be triggering for some people. Very likely to become NSFW in the near future so anyone who isn’t over 18...maaayybe you shouldn’t read this. Wait a couple years. This story is for mature audiences only so if you cannot handle the subject matters that might be explored -- this isn’t the story for you. Again, please be aware that this story can be triggering to some. You have been warned.

Summary: A terrible incident has occurred at Edenbrook which puts Ethan and Nicolette in the line of fire...

Tagging people in my normal tag list for TRR because I’m guessing some of you enjoy Open Heart apart from TRR/TRH (hehe). However, if you don’t want to be notified let me know and I’ll remove you or just tell me if you’d like to be added to this OH story :)

Tags: @hopefulmoonobject @annekebbphotography @am-i-invisible777 @blznbaby @khakie4 @lauradowning29 @blackcoffee85 @captain-kingliamsqueen @moneyfordiamonds @super-secret-fandom-blog @jovialyouthmusic @zaffrenotes @ao719 @umccall71 @carabeth @furiousherringoperatortoad @pixieferry @pixelpenny @rainbowsinthestorm @dcbbw @thecordoniandiaries

CHAPTER ONE - ONE SHOT, TWO SHOT...

Ethan paces the length of their patient's room, his sturdy feet wearing a steady path in the freshly laid laminate floor of the Diagnostics Department. He checks his watch, the polished steel sword-shaped hands ticking over, and shakes his head. Come on, Rookie.

“Where is she? I sent her down to the lab with those samples over forty-five minutes ago.”

He stops at the door and pinches the bridge of his nose. She’s the only person that he trusts to get the job done and she’s already failing him with her ineptitude and incompetence.

He exits the room, long legs carrying him across the corridor to the nurse's station. He clears his throat, he knows that they barely tolerate his attitude some days, and he’s already working against the clock with this one.

“Marie, would you please call down to the labs and see what is taking Doctor Valentine so long? She should have been back fifteen minutes ago.”

Marie holds her hand up, her index finger raised as if to pause him right there. She’s flicking through her inbox, absorbed in the details of an important email, and he watches her face turns ashen, the blood drains from her features and she looks — pale.

He furrows his brow and cocks his head to the side.

“Something the matter?”

She’s silent and still for a moment, not sure what she should say to him. When she does look up at him, her eyes are softer, somehow — sympathetic.

“Marie, what’s going on?”

He doesn’t have time to waste.

“Doctor Ramsey, the second floor is on lockdown. We’ve just been advised that there’s a man with a gun in the build...”

He doesn’t give her a chance to finish the rest of the sentence. He’s sprinting down the hall to the fire escape, descending the stairs two at a time.

She’s three floors below him. She’s on the second floor because he’d sent her there no less than three-quarters of an hour ago.

His coat tails flare behind him like a cape, but he doesn’t feel like a superhero, he feels like a fraud.

He’s fueled by adrenaline, triggered by fear, and it gives him uncanny strength and speed, even though his heart is in his mouth and the blood rushes in his ears, the rhythm louder than he has ever heard it.

His palm jabs frantically at the industrial handle and he pushes through the double doors, chaos on the other side.

“Mister Platt, please. If you’ll just talk to me, I’m sure we can come to some kind of understanding.”

That’s her voice, he’d know it anywhere. He craves it, after having had her in his bed, in his arms, after losing the intimacy that they had waited so long for, the anticipation was almost too much to bear at times, there’s no way he could mistake her for somebody else.

“Platt. Of course.”

He spits the name like venom from a viper, his hands ball into fists at his side and he slows his steps as he approaches, trying to diffuse the situation so that nobody gets hurt, least of all, her.

Ethan extends both hands in front of his body, palms flat and outstretched, long fingers flexed so that he’s displaying neutral posture, he’s not a threat, but he slowly creeps closer to Nicolette, inch by agonising inch.

“Nigel, why don’t you let Doctor Valentine go and we can talk about this, man to man.”

The obese man shakes his head, brandishing his weapon.

“I told you I’d be back, and I told you that you’d be sorry. You two treated me like an idiot, and all you have to say is let’s talk this over like men? No, I’m done talking, Doctor Ramsey. No. More. Talking.”

Nigel points the pistol at Nicolette’s chest, and she gasps, turns to look at Ethan over her shoulder, sadness etched into her face, in the furrow of her brow and the brimming tears in her eyes.

It all happens in the blink of an eye, Ethan launches himself across the room, leaping in front of his charge, one arm raised to shield his face as two pops can be heard, echoing throughout the room.

The first bullet ricochets off his watch, bouncing off the solid sapphire crystal face, and catching Nicolette in the abdomen.

The second bullet penetrates Ethan’s chest and nestles right next to his heart, shattering his sternum and making him gasp.

White-hot pain lances through him and fogs his brain as he stares down at his chest and then collapses hard against the linoleum floor. He looks above him in muted horror, his mouth agape in a silent scream. Chaos reigns around him as he lies there, his torso broken and bleeding with no chance of it stopping. He can’t do anything.

He’s just been shot.

Goddamnit, Nigel.

A shadow falls over Ethan as he stares up at the fluorescent lights of Edenbrook, trying to gasp for air.

Nigel stands over him with a snarl, his chubby face twists in an ugly show of rage. “Talking is for women, Ramsey. You should know that. Now you’ll pay the price. Your whole hospital will.”

Ethan’s blue eyes widen as he realises the implications of Nigel’s words.

Is he really going to shoot up the whole hospital?

Nigel tips the barrel of the gun against his temple but Ethan does not flinch away. “I have half a mind to blow your brains out but…”

The P.I.T.A sighs forlornly as if what he said next was a true inconvenience for him. “Now I’ve got to find that fine ass looking Chief of yours and do away with her as I did with Valentine. You're practically dead anyway. No use beating an already dead horse.”

At his words, Ethan glances to the last place he saw her. Ethan’s chest burns like fire but all he wants to do is run to Nicolette. To check to see if she was okay. She has to be okay. From the angle of his head, he can see that blood is accumulating on her white lab coat, the cotton material drenched with it.

She clutches at her stomach as she slowly sinks to the ground, her face marred with agonising pain.

I need to go to her! Nicolette needs me!

Nigel smiles a cruel smile as he nudges the barrel against Ethan’s forehead before standing up and heading towards the stairs that led to the upper levels of the hospital where the neurological department resided.

“It was nice knowing ya, Ramsey!”

The floor is silent as Nigel ascends the stairs and an echo of a door as it shuts. Nothing happens until a scream filters through his ears and his head snaps to the side and latches on to his co-worker, her red hair matted with blood and her torso drenched with red liquid.

It registers to him that the scream had come from Nicolette and that she is kneeling over him, her face etched in terror.

“Ethan! Look at me!”

His gaze finds hers and he smiles, seeing her blue eyes shine with new unshed tears somehow calms him.

“What the hell were you thinking?! You can’t just dive in front of people like that! It’s stupid!” Nicolette’s voice is filled with righteous anger yet underneath the words she is utterly terrified.

Maybe it was stupid but he had to. She was his Rookie. No-one was more important to him in that split second than her.

“Ethan, we have to get you somewhere safe. I need to work on you.”

Nicolette’s voice shakes as she speaks, her hands frantically skirt around the wound of Ethan’s chest, trying to find leeway in how to fix the problem at hand. Ethan can see her mind ticking away at the diagnoses and warmth spreads through him when her eyes light up.

She knows what to do.

Nicolette puts a bloody palm to Ethan’s cheek, her gaze meets his and she looks at him softly, her eyes shining with the same emotions they did back when he first had her cradled against him.

“Please, don’t die on me, Ethan. Please. I beg of you. You have to fight. For me? Please—”

She sucks in a sharp breath, her hands going to her abdomen, her eyes widening in shock. Nicolette whimpers and she snaps her eyes shut against the pain.

She sways to the side as if a sudden dizzy spell has overcome her.

“Woah, hey, come on now, beautiful.”

Bryce kneels beside both of them, drawing a shaky hand through his hair as he tries to assess the situation. There’s so much blood. Nicolette’s hands are stained crimson, sticky and warm.

Her eyelids feel so heavy, like she just wants to close her eyes and sleep for a week, but she snaps herself out of it, knowing that she has to remain focused on the task at hand if they’re going to help Ethan.

“Bryce, Ethan was shot. He needs surgery. We have to get him to an OR before he goes into hemorrhagic shock.”

She struggles to pull the lab coat from her shoulders, cursing when the fabric sticks to the crook of her elbow, and she finds herself stuck, like she’s wearing a straight jacket, which wouldn’t be all that inappropriate given the fact that her — that Ethan is bleeding out on the ground right in front of her eyes.

“Nicolette, we can’t move him. You’re injured and he’s too heavy, the bullet could move and do permanent damage if we even try.”

Tearing off her coat, she folds it into something more manageable and applies pressure to Ethan’s chest. She ignores the painful spasms that crest through her body, involuntary contractions that can only mean one thing.

“Nic…”

He coughs, and splutters, dark red rivulets of blood seep from his pursed lips and trickle down his chin.

“Shh. Save your energy, Ethan. I’m right here.”

He holds her gaze, and she hopes that he can’t see the pain, the fear, the sorrow that is written all over her face.

“Ethan!”

Harper's voice carries across the space between them as she darts across the room, her arms filled with medical supplies.

“Doctor Emery, what’s going on?” Bryce questions, his voice tight.

"What we have is a GSW to the chest and a shrapnel wound to the abdomen and we are going to fight like hell to save these two. You hear me?"

As his eyes adjust to the atmosphere around him he catches a glimpse of the tan surfer-boy type surgical resident, Ethan guesses he’s one of Nicolette’s friends, as he frantically tends to her wounds or tries to at least.

Ethan’s stomach twists with dread for Nicolette as fear courses through each syllable out of the surgical resident’s mouth. “Nicolette? Nicolette! Stay with me. You’re gonna be alright, okay? Doctor Emery! I can’t stop the bleeding! We need to take her to an OR, now!”

“Bryce… having a miscarriage. Help Ethan… nothing you can do for me.”

Ethan can’t see her, but he can hear her. He tries to reach for her, but the simple action of elbow extension is excruciating.

He blinks against the harsh flare of blinding light and tries again. It’s useless, he’s useless, he couldn’t keep her safe and he can’t lift a finger to comfort her.

Miscarriage. A baby. Had he heard her correctly? His head is so fuzzy, like it’s stuffed full of cotton wool.

“I’m a little busy here, Lahela!”

As more orderlies arrive upon the scene, Nicolette and Ethan are ceremoniously hoisted up onto gurneys. They don’t have much time, fifteen minutes had already passed, and time is of the essence.

Though Ethan’s focus is on Nicolette, Harper’s focus is on Ethan and his rapidly deteriorating state. The edges of his vision have darkened and the pain has multiplied as it becomes all he can feel. His whole body is on fire, like each vein is boiling within, with no chance of ebbing away.

Ethan’s hand lifts upwards towards Harper. He wants to tell her to go and save Nicolette. To save his Rookie and yet the words won’t come. They die in his throat.

Is he going to die?

“Now, Ethan...we have to get you to an OR. I can’t do anything right now without the equipment needed.”

Ethan doesn’t have the strength to nod but he does grip Harper’s hand tightly and she nods as she gives him a smile.

“Okay. Let’s go, Lahela!”

Ethan isn’t sure how much time passes but the black abyss that creeps at the edge of his vision becomes all-encompassing and he has nothing left to do but yield to it. The sounds of Harper, and raised shouts fading until he is pulled under completely.

Beside him, Nicolette is seduced by the sights and sounds of the hospital as they morph into the peaceful lull of white noise. Her heart is shattering into a million shards of glass, each new piece far more serrated than the last.

Breathing masks cover their mouths and their noses, she expects to feel no pain during surgery, but she knows that the moment she wakes again, the agony will be more than she can bear.

She’s sleepy, so sleepy now. Her heavy lids droop and her lashes flutter against her cheeks, and the last thing that enters her mind before she’s completely incapacitated and rendered unconscious is his name.

#open heart #ethan ramsey #ethan ramsey x mc #dr. ethan ramsey x mc #oph #open heart fanfiction #dr. ethan ramsey #choices #choices fanfiction #choices fandom #playchoices

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cksmart-world · 5 years ago

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The completely unnecessary news analysis

by Christopher Smart

February 2, 2020

WHY REPUBLICANS NIXED WITNESSES

1 - He did it, but it's not an impeachable offense.

2 - He did it, but let the voters decide in November.

3 – This is a hoax lynching, so F-off.

4 - The House didn't have any first-hand witnesses, so it's Nancy Pelosi's fault.

5 - Jon Bolton is a disgruntled, rabid, angry man who had a bad childhood.

6 - We can't waste time on this, because if we do, we can't waste time on other stuff.

7 - The whistle blower is a subversive communist who must be unmasked and hanged, or at least given a pantsing by Rand Paul.

8 - He did it, but if I vote for witnesses, I'll be disinvited from CPAC and be reduced to drinking milkshakes with Mitt Romney in the cloakroom — I could even wind up with my head on a pike.

9 - He did it, but if we call witnesses, Americans will get an up-close account of how to run a criminal enterprise from the White House and that would hurt our democracy.

10 - He did it, but Congress has given up its constitutional mandate to check the power of the president. Long live Trump.

DUCK AND COVER, LEGISLATURE IN SESSION

The staff here at Smart Bomb has loaded up on emergency supplies: water, trail mix, flashlights and toilet paper — everything needed to survive a cataclysm. That's right, the Utah Legislature is in session. One of the slimiest and oft-used ploys on Capital Hill is something called a “boxcar.” That's when a legislator puts up a bill that is blank. Cagey lawmakers then wait until the last minute confusion of the session to sneak in language out of the Old Testament and have it voted through before anyone can say, lights out. But the staff here at Smart Bomb has cleverly embedded moles in the Republican caucus to get the skinny. One boxcar would amend Utah liquor law to mandate that fine wine be served in beer mugs. This would dissuade people from drinking wine. A companion boxcar would mandate that beer be served only in champaign flutes. Imagine that at the Twilight Lounge. Another boxcar would force pregnant women to watch a fetus grilled on the spit of a Weber Barbecue before seeking an abortion. This is when some new residents call back the Mayflower Movers. Our intel has it that another one would require everyone over 18 to carry a firearm. The legislation is labeled, “The Safe Utah Law.” Wilson and the band have loaded up on California bud and Pabst Blue Ribbon — it's going to be a long, strange haul to March 14.

CALIFORNIA DREAMIN' IN FINALND

The American Dream is a lot easier to achieve in Finland. So says Sanna Marin, the Finnish prime minister. “We have a very good education system. We have a good health-care and social welfare system that allows anybody to become anything.” These are probably some of the reasons Finland gets ranked the happiest country in the world.” The United States is ranked 17th. Nordic countries are at the top of the World Economic Forum’s “Social Mobility Index,” that evaluates how citizens from all walks of life fare in health, educational achievement and income. The United States ranks No. 27. Don't tell that to Donald Trump (not that you could). But that's not all. In Finland health care is free — for everyone. The Finn's spend about $4,000 per person per year. The U.S. health-care system, by contrast, spends more than $10,000 per person per year. And no surprise, Finns are healthier. Finland also has one of the lowest poverty rates in the world — 6.3 percent compared to 11.8 percent in the U.S. All of that may be true, but the Finns don't have the Super Bowl and pelvis-grinding half-time shows. So put that in your kalakukko and smoke it.

SUPER SUNDAY IS AS AMERICAN AS GUACAMOLE

The nation's big celebration is in the books for another year and many people actually know who won the game. By Easter, few will remember the come-from-behind spectacle of Patrick Mahomes and the Kansas City Chiefs. But, hey, the important thing is that Americans all got together in front of a TV and didn't talk politics. We were united by chicken wings and guacamole. Americans ate 1.38 Billion (with a 'B') chicken wings, according to Food & Drink magazine. (We did not make this up.) But that's not all. Americans devoured an estimated 153 Million pounds of avocados for guacamole on Super Sunday, along with 14,500 tons of chips. To wash it all down, we drank an estimated 162 million gallons of beer. On average, each American consumed 2,400 calories. Football, of course, is a dangerous sport — for spectators: Since 2013, avocado accidents (removing the pit with a knife) have accounted for 27,059 trips to the emergency room — the majority of which occurred on Super Sunday. There is no reliable data on hangovers, but a potentially record number of people took Monday off. It's the god's honest truth.

Post Script — There it is, another historic week here at Smart Bomb. And when we say historic, we aren't just whistling “Dixie.” This will go down as the time when unabashed Republican senators tied themselves up in integrity pretzels that even they found embarrassing. Can't you just see Lindsey Graham years from now in his rocking chair gazing out at yesteryear: “The Devil made me do it.” Right. Closer to the present, Michael Bloomberg has drawn first blood in our never-ending presidential campaign: “Trump is a pathological liar who lies about everything: his fake hair, his obesity, and his spray-on tan.” Ouch. That hit the Insulter-In-Chief right where he lives. And speaking of Trumpness, Brian Wilson has called for a boycott of The Beach Boys over their upcoming engagement at a trophy-hunting event featuring Donald Trump Jr. Mike Love is the only remaining member of the '60s California band, who sang about surfing, cars, girls and big-game safaris. WTF. The original quintet (The Wilson brothers, Brian Dennis and Carl and their cousin, Al Jardine) wouldn't be caught dead posing with a leopard carcass. “Help me Rhonda, help me Rhonda now, shoot that big ol' rhinoceros...” Yecht. There ought to be a law. But what are you going to do?

OK, Wilson, wake up the band and take us out with a little feel-good for Punxsutawney Phil's early spring: Well, she got her daddy's car / And she cruised to the hamburger stand, now / Seems she forgot all about the library / Like she told her old man, now / And with the radio blasting / Goes cruising just as fast as she can now / And she'll have fun, fun, fun till her daddy takes the T-bird away...

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asianhospitalph · 2 years ago

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LEARN MORE ABOUT OBESITY WITH MS. JUVY MARTILLOS-SY

The National Nutrition Council is concerned about the continuing increase in the number of Obese Filipinos. The number of obese and overweight people in the country has hit 37 million and the most obese in the adult population falls to 20.8 million. Many are gaining weight due to the lack of exercise, including the consumption of salty and fatty foods as well as soft drinks and sugary juices during the pandemic.

Asian Hospital’s Chief Nutritionist-Dietitian, Ms. Juvy Martillos-Sy, as she answered the common questions about “Obesity” on TV 5’s Frontline sa Umaga last July 18.

If you missed the Frontline sa Umaga on “Obesity”, the video may be viewed anytime at Asian Hospital’s Facebook page – facebook.com/AsianHospitalPH. f

LEARN MORE ABOUT DENTAL AESTHETICS WITH DR. PANDAN

A simple smile can change your day and others as well. Studies have shown it has the power to boost confidence, improve social experiences, and make you feel happier overall. But it can be discouraging to show off your pearly whites when you are not confident with them to begin with.

Asian Hospital’s Department of Dental Medicine consultant, Dr. Maria Janet Pandan talked about Dental Aesthetics on CNN’s Med Talk Health Talk last July 15.

If you missed CNN’s Med Talk Health Talk on “Dental Aesthetics”, the video may be viewed anytime at Asian Hospital’s Facebook page – facebook.com/AsianHospitalPH. f

KNOW THE BENEFITS OF ANTIOXIDANTS WITH DR. BORJA

A well-balanced diet is a key to a healthy and long life and this means eating foods rich in vitamins, minerals, and antioxidants. Recent studies have shown that people with a low intake of oxidant-rich foods were at an increased risk of developing a number of chronic diseases.

Asian Hospital’s Department of Internal Medicine consultant, Dr. Paolo Borja talked about the “Benefits of Antioxidants” on CNN’s Med Talk Health Talk last July 15.

If you missed CNN’s Med Talk Health Talk on “Antioxidants”, the video may be viewed anytime at Asian Hospital’s Facebook page – facebook.com/AsianHospitalPH. f

YOUR ONCO CARES TALKS ABOUT LOOP ELECTROSURGICAL EXCISION PROCEDURE

Loop Electrosurgical Excision Procedure (LEEP) is a definitive treatment for cervix pre-cancer lesions. LEEP aids the gynecologic oncologist in determining whether the patient would benefit from a less invasive operation or if a more invasive one would be necessary to treat the disease.

Asian Hospital’s Gynecologic Oncologist, Dr. Esther Ganzon, answered the common questions about LEEP or Loop Electrosurgical Excision Procedure in the 4th episode of Your Onco Cares.

If you missed the third episode of Your Onco Cares on Brachytherapy, the video may be viewed anytime at Asian Hospital’s Facebook page – facebook.com/AsianHospitalPH. f

UPCOMING EVENTS

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your-dietician · 3 years ago

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Bone Therapeutics announces topline results from Phase III

New Post has been published on https://depression-md.com/bone-therapeutics-announces-topline-results-from-phase-iii/

Bone Therapeutics announces topline results from Phase III

REGULATED INFORMATION

No statistically significant difference in knee pain reduction between JTA-004, placebo and active comparator, 3 months after treatment; favorable JTA-004 safety profile similar to placebo and comparator

Prime focus on the continued development and expansion of its mesenchymal stromal cell based allogeneic cell and gene therapy platform

Management to host conference call today at 4pm CEST / 10am EST – details provided below

Gosselies, Belgium, 30 August 2021, 7am CEST – BONE THERAPEUTICS (Euronext Brussels and Paris: BOTHE), the cell therapy company addressing unmet medical needs in orthopedics and other diseases, today announces that the Phase III knee osteoarthritis study with its enhanced viscosupplement JTA-004 did not meet the primary and consequently the key secondary endpoints.

The primary objective of the JTA-004 Phase III study was to demonstrate the efficacy of JTA-004 in reducing osteoarthritic knee pain compared to placebo as measured by the WOMAC® pain subscale three months after treatment. A key secondary objective was the comparison between JTA-004 and comparator Hylan G-F 20 in knee pain relief at month 3. Despite JTA-004’s favorable safety profile, the study did not achieve its main objectives as no statistically significant difference in pain reduction could be observed between any of the treatment, placebo and comparator groups, with all treatment arms showing similar efficacy.

A statistically significant difference in favor of JTA-004 and the active comparator versus placebo was seen in a post-hoc analysis in a subset of patients with higher pain scores at entry.

The Company, in collaboration with existing and potential partners, will consider the options for the future of JTA-004 development.

“The execution of the study was flawless and a good safety profile was observed in line with previous results. These JTA-004 efficacy results are disappointing. Knee osteoarthritis studies are recognized across the industry to be challenging to evaluate. They are also frequently complicated by a high placebo effect. We will continue to analyze the data and will consider potential next steps,” said Miguel Forte, Chief Executive Officer of Bone Therapeutics. “We are now fully committed to the clinical development of our advanced MSC allogeneic cell and gene therapy platform. Bone Therapeutics is concentrating on the development of this platform for the large market of orthopedic indications, with ALLOB. The progress with this platform has enabled us to expand it to other indications, including immunomodulation.”

Bone Therapeutics is focused on the development of its core assets, the allogeneic cell therapy platform, including ALLOB. ALLOB is currently being evaluated in a randomized, double-blind, placebo-controlled Phase IIb study in 178 patients with fresh tibial fractures at risk of delayed or non-union. 5% to 10% of complicated long bone fractures evolve to delayed union and non-union. This study will assess the potential for a single percutaneous injection of ALLOB to accelerate fracture healing and prevent late-stage complications in these patients. Recruitment is expected to be completed in the first half of 2022 and topline results by the end of 2022. Should the pandemic continue, Bone Therapeutics may have to re-evaluate these timelines and, in that eventuality, will communicate again to the market.

Bone Therapeutics is intensifying its efforts to expand its preclinical and clinical pipeline with additional indications by enhancing and “professionalizing” the therapeutic capacity of its cell and gene therapy platform. This includes the development of a next generation of genetically engineered mesenchymal stromal cells (MSC) and the use of highly scalable and versatile cell sources such as induced pluripotent stem cells (iPSC).

Conference call

The management of Bone Therapeutics will host a conference call today at 4:00 pm CEST / 10:00 am EST. To participate in the conference call, please select your dial-in number from the list below quoting the conference ID 825 1002 3115#:

Belgium: +32 2 290 9360 France: +33 1 7095 0103 United Kingdom: +44 208 080 6592 United States: +1 646 876 9923

About JTA-004 and Phase III knee osteoarthritis study

JTA-004 is Bone Therapeutics’ next generation of intra-articular injectable for the treatment of osteoarthritic pain in the knee. It consists of a unique mix of hyaluronic acid – a natural component of knee synovial fluid, plasma proteins, and a fast-acting analgesic. JTA-004 intends to provide added lubrication and protection to the cartilage of the arthritic joint and to alleviate osteoarthritic pain.

The JTA-004 Phase III study is a controlled, randomized, double-blind trial. It evaluates the potential of a single, intra-articular injection of JTA-004 to reduce osteoarthritic pain in the knee, compared to placebo or Hylan G-F 20, the leading osteoarthritis treatment on the market. The study is being conducted in 22 centers across six European countries as well as Hong Kong. More than 700 patients with mild to moderate symptomatic knee osteoarthritis were treated in this study.

About Knee Osteoarthritis

Osteoarthritis (OA), also known as degenerative joint disease, is the most common chronic joint condition in which the protective cartilage in the joints progressively break down resulting in joint pain, swelling, stiffness and limited range of motion. The knee is one of the joints that are mostly affected by osteoarthritis, with an estimated 250 million cases worldwide.

The prevalence of knee osteoarthritis (KOA) is expected to increase in the coming years due to increasingly aging and obese population. Currently, there is no cure for KOA and treatments focus on relieving and controlling pain and symptoms, preventing disease progression, minimizing disability, and improving quality of life. Most drugs prescribed to KOA patients are topical or oral analgesics and anti-inflammatory drugs. Ultimately, severe KOA leads to highly invasive surgical interventions such as total knee replacement.

About Bone Therapeutics

Bone Therapeutics is a leading biotech company focused on the development of innovative products to address high unmet needs in orthopedics and other diseases. The Company has a diversified portfolio of cell therapies at different stages ranging from pre-clinical programs in immunomodulation to mid stage clinical development for orthopedic conditions, targeting markets with large unmet medical needs and limited innovation.

Bone Therapeutics’ core technology is based on its cutting-edge allogeneic cell and gene therapy platform with differentiated bone marrow sourced Mesenchymal Stromal Cells (MSCs) which can be stored at the point of use in the hospital. Currently in pre-clinical development, BT-20, the most recent product candidate from this technology, targets inflammatory conditions, while the leading investigational medicinal product, ALLOB, represents a unique, proprietary approach to bone regeneration, which turns undifferentiated stromal cells from healthy donors into bone-forming cells. These cells are produced via the Bone Therapeutics’ scalable manufacturing process. Following the CTA approval by regulatory authorities in Europe, the Company has initiated patient recruitment for the Phase IIb clinical trial with ALLOB in patients with difficult tibial fractures, using its optimized production process. ALLOB continues to be evaluated for other orthopedic indications including spinal fusion, osteotomy, maxillofacial and dental.

Bone Therapeutics’ cell therapy products are manufactured to the highest GMP (Good Manufacturing Practices) standards and are protected by a broad IP (Intellectual Property) portfolio covering ten patent families as well as knowhow. The Company is based in the BioPark in Gosselies, Belgium. Further information is available at www.bonetherapeutics.com.

For further information, please contact:

Bone Therapeutics SA Miguel Forte, MD, PhD, Chief Executive Officer Jean-Luc Vandebroek, Chief Financial Officer Tel: +32 (0)71 12 10 00 [email protected]

For Belgian Media and Investor Enquiries: Bepublic Catherine Haquenne Tel: +32 (0)497 75 63 56 [email protected]

International Media Enquiries: Image Box Communications Neil Hunter / Michelle Boxall Tel: +44 (0)20 8943 4685 [email protected] / [email protected]

For French Media and Investor Enquiries: NewCap Investor Relations & Financial Communications Pierre Laurent, Louis-Victor Delouvrier and Arthur Rouillé Tel: +33 (0)1 44 71 94 94 [email protected]

Certain statements, beliefs and opinions in this press release are forward-looking, which reflect the Company or, as appropriate, the Company directors’ current expectations and projections about future events. By their nature, forward-looking statements involve a number of risks, uncertainties and assumptions that could cause actual results or events to differ materially from those expressed or implied by the forward-looking statements. These risks, uncertainties and assumptions could adversely affect the outcome and financial effects of the plans and events described herein. A multitude of factors including, but not limited to, changes in demand, competition and technology, can cause actual events, performance or results to differ significantly from any anticipated development. Forward looking statements contained in this press release regarding past trends or activities should not be taken as a representation that such trends or activities will continue in the future. As a result, the Company expressly disclaims any obligation or undertaking to release any update or revisions to any forward-looking statements in this press release as a result of any change in expectations or any change in events, conditions, assumptions or circumstances on which these forward-looking statements are based. Neither the Company nor its advisers or representatives nor any of its subsidiary undertakings or any such person’s officers or employees guarantees that the assumptions underlying such forward-looking statements are free from errors nor does either accept any responsibility for the future accuracy of the forward-looking statements contained in this press release or the actual occurrence of the forecasted developments. You should not place undue reliance on forward-looking statements, which speak only as of the date of this press release.

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healthffuny-blog · 5 years ago

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13 Things You Need to Know About Body Fat

There are a few sorts of muscle versus fat, and a few kinds, in particular, dark-colored or beige fat, are in reality bravo. Here are 13 things you have to think about muscle to fat ratio.

Here’s what you need to know about body fat

Fat will, in general, get unfavorable criticism, and keeping in mind that being overweight or large can expand your danger of specific infections and conditions, there is a whole other world to this story. Not all fat is made equivalent—and a few sorts are even bravo.

Fat wears several hats

Even though individuals will, in general, disparage fat, the stuff conveys some significant medical advantages. First off, it pads and ensures your fundamental organs, including the kidneys, and helps keeps us warm. Fat likewise keeps us from starving since it goes about as a vitality save. "It's heartbreaking that we have such an inescapable hostility about fat, as it's a typical (and significant) some portion of the body," says Scott Kahan, MD, the executive of the National Center for Weight and Wellness in Washington, DC.

Not all types of fat are the same

The most plenteous sort of muscle to fat ratio is white fat, which clarifies Dr. Kahan. This is the kind of fat we feel when we "squeeze an inch" on our waist. "Its essential capacity is to store abundance vitality for later use," he clarifies. "If you stop eating so much junk food or, for reasons unknown, don't approach nourishment, your body will take some put-away vitality from these fat tissue cells to fuel the body." This fat supported our predecessors when chasing and assembling were the main approaches to eat, and the shortage was normal. (Nonetheless, if you are hoping to shed the stuff, here are 10 simple exercises that can assist you with consuming fat.)

Fat cells have jobs

Notwithstanding vitality stockpiling, white fat cells produce certain hormones, like leptin and adiponectin, Dr. Kahan says. Adiponectin improves the body's affectability to insulin, which ensures against type 2 diabetes, as indicated by the Society for Endocrinology. Leptin is the hormone that instructs you to quit eating when you are full, which keeps up a typical weight.

Brown fat is different

So what is brown fat? cIt’s the second type of adipose or fat tissue found mainly in the neck region? “These cells are very different from run-of-the-mill white fat cells,” Dr. Kahan says. “Rather than store energy, brown fat cells burn it, thereby creating heat.” Brown fat helps infants regulate their body temperature; we tend to lose it as we age, and adults-only have small amounts. “If we had more of it, we could burn off much more energy daily, which may help to regulate body weight,” says Dr. Kahan. Researchers are hunting for a way to increase brown fat or make white fat behave more like brown fat. Stay tuned.

Brown fat can be revved up

Cool and cold temperatures may help actuate increasingly dark-colored fat cells, as indicated by an examination in Diabetes. In the little examination, 5 youngsters snoozed rooms of shifting temps and the analysts found that mellow chilly (19º C, about 66º F) expanded the men's darker fat sum and movement by around 30 to 40 percent. At the point when the men came back to stay in warm bedrooms (27º C; 81º F), notwithstanding, their dark-colored fat levels dropped down to beneath what it was before the investigation began.

Coffee may boost brown fat

Drinking a cup of joe can invigorate darker fat, a recent report in Scientific Reports proposes. The analysts utilized a warm imaging system to follow the body's dark-colored fat saves and found that it got more sizzling after members drank some espresso. This isn't espresso's just medical advantage. Here are 7 things that happen to your body when you drink espresso consistently.

Brown fat may ward off type 2 diabetes

Dark-colored fat holds glucose levels under control, as indicated by a recent report in Cell Metabolism. At the point when scientists estimated dark-colored fat and glucose, they found that people with increasingly darker fat had littler variances in glucose. High glucose levels travel with diabetes—become familiar with why glucose is so significant.

There’s a third type of body fat

A purported beige fat additionally consumes off calories as opposed to putting away them like white fat cells. In contrast to dark-colored fat, beige fat is the consequence of white fat that has "caramelized." In an investigation in the International Journal of Obesity Supplements, the specialists recommend that the thoughtful sensory system may change over white fat cells into beige ones to create body heat; while the procedure isn't totally clear yet, the creators speculate that expanding the thoughtful sensory system's inventory of veins to white fat tissue may help in the searing procedure.

Location matters

With regards to the muscle to fat ratio, it's area, area, area, notes Dr. Kahan. What's more, paunch fat isn't the best area for additional weight. "Fat put away instinctively or around the internal organs like the liver and gut is commonly additionally concerning because it is metabolically dynamic [and] discharges incendiary synthetic concoctions and different atoms that can expand the danger of coronary illness, liver malady, diabetes, and other wellbeing conditions." conversely, he says, fat that is put away in your arms, legs or hips will, in general, be genuinely dormant. "It stores vitality, yet doesn't commonly do a lot to hurt wellbeing." If you're hoping to shed white muscle versus fat, time-confined bolstering, a kind of irregular fasting, could be useful.

Body fat is linked to depression

If you are hefting around marginally over 22 pounds of overabundance muscle to fat ratio, you might be bound to be discouraged—and the more additional weight, the more noteworthy your hazard for sorrow. This is the primary decision of an examination by scientists from Aarhus University and Aarhus University Hospital in Denmark. It doesn't make a difference where the additional fat is stopped either, as indicated by the investigation in Translational Psychiatry. While they don't see precisely how overabundance muscle versus fat is connected to misery, the analysts speculate the connection might be the mental outcomes of heftiness—things like negative self-perception and low confidence. Here are 15 science-upheld approaches to beat wretchedness normally.

Body fat can affect brain health

Analysts are finding that muscle versus fat around your stomach area might be connected to decreased measures of the dark issues in your mind, as per an investigation in Neurology. In particular, individuals with higher weight lists (BMI) and higher midriff to-hip proportions had less dim issue—the material in the cerebrum that helps procedure new data—contrasted with their less fatty partners. Be that as it may, the investigation creators can't state whether muscle to fat ratio is the reason for these adjustments in the cerebrum—or a consequence of them

Fat cells can freeze to death

Fat cells are more delicate to cold than and muscle and skin cells, clarifies Anne Chapas, MD, chief of Union Square Laser Dermatology and Instructor of Dermatology at Mount Sinai Medical Center in New York. "At the point when outer cooling gadgets are applied to the skin they cause a procedure known as cryolipolysis which for all-time kills that fat cells directly underneath the skin," she says. The body evacuates these harmed cells over two months—and the fat doesn't return. Noninvasive body forming gadgets, for example, CoolSculpting, which freezes fat cells, can be utilized to target white fat, she includes. You can become familiar with CoolSculpting here.

Fat cells can melt away too

Warmth can likewise be utilized to forever take out fat cells, says Dr. Chapas. "A few in vitro investigations have indicated that warming fat cells above 40oC [104ºF] for a supported measure of time can make the fat cells experience customized cell demise," she clarifies, "Warmth can be created from radiofrequency gadgets or laser sources. These harmed fat cells are dispensed with from the body, she says. Liposuction can likewise dispose of fat cells for all time.

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serenavangstuff · 5 years ago

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Juniper publishers-Foot Problems in the Older Patient Diagnostic and Therapeutic Considerations Podogeriatrics for Geriatricians

Introduction

Foot problems in the elderly are common and are major factors in podalgia, limitation of mobility, developmental functional disability, impairment, ambulatory dysfunction, gait imbalance, increasing pain and discomfort. Foot impairments, changes, and deformities also present as risk factors for the development many significant complications of multiple systemic diseases and the potential for lower extremity amputation. Through the course of one's lifetime, the foot undergoes a great deal of trauma, use, misuse, and neglect. The stress of normal activity, changes associated with the aging process, systemic diseases, focal impairment, and environmental factors associated with ambulation create discomfort which can change the patient's ability to function as an independent member of society and generate additional psychological correlates.

Podiatric Assessment

The assessment, evaluation and examination of the elderly patient in relation to their podiatric or foot health concerns involves more than the clinical knowledge of the foot and its demonstrated symptoms and signs. It is important to recognize the patient's concerns and needs in relation to pain, limitation of walking. And a special concern for comfort. Attention to primary goals, i.e., to relieve pain, restore the patient to a maximum level of individual function, and maintain that function once achieved, provides the primary focus for care. The practitioner must anticipate projected changes that relate to ambulation and foot care needs and provide an assurance of individual dignity.

Foot complaints and/or conditions need to be related to both activities of daily living ambulation, dressing, grooming, bathing, etc) and to those independent activities of daily living (shopping, housekeeping, transportation, etc.). The initial element of the assessment should include the demographic data of the patient. The patient’s living conditions should also be included as a part of this initial review.

The chief complaint of the patient should be explored in the patient's own terms. There should be a review of the perception of the patient’s own condition and how his or her foot problems effect their daily lives and activities. Footwear should be assessed in relation to fit, function, use, and compatibility with foot type and ambulatory use. The present condition should be noted as to duration, location, severity, prior treatment, and results and in relation to other general medical conditions.

A systems review should be completed along with notation of other practitioners of record. Current medications and responses should be identified in relation to existing and past therapeutic programs. The past medical history should include infections, operations, fractures, injuries, and drug sensitivities, and allergies. In addition, a review should be noted of those problems and diseases that have pedal complications and/or effect care and ambulation. Examples such risk conditions as delineated in Medicare Regulations include as examples:

i. Diabetes Mellitus

ii. Arteriosclerosis

iii. Ischemia

iv. Burger's Disease

v. Chronic Thrombophlebitis

vi. Venous Stasis

vii. Peripheral Neuropathies

viii. Malnutrition

ix. Alcohol Abuse

x. Chemical/Substance Abuse

xi. Malabsorption

ix. Alcohol Abuse

x. Chemical/Substance Abuse

xi. Malabsorption

Pernicious Anemia

xiii. Anemia

xiv. Hemophilia

xv. Cancer

xvi. Drug Interactions

xvii. Toxic States

xviii. Multiple Sclerosis

xix. Uremia

xx. Renal Dialysis

xxi. Chronic and End Stage Renal Disease

xxii. Chronic Obstructive Pulmonary Disease

xxiii. Coronary Artery Disease

xxiv. Congestive Heart Failure

xxv. Hypertension

xxvi. Edema

xxvii. Post-Trauma

xxviii. Leprosy

xxix. Neurosyphilis

xxx. Hereditary Disorders/Diseases

xxxi. Mental Illness

xxxii. Mental Retardation

xxxiii. Cerebral Vascular Accidents/Stroke

xxxiv. Transient Ischemic Attacks

xxxv. Thyroid Disease

xxxvi. Milroy�s Disease

xxxvii. Patients on Anticoagulants

xxxviii. Hemiparesis or Quadriparesis

xxxix. Ventilator Dependence

xl. Rayland�s Disease/Syndrome

xli. Vitamin Deficiencies

xlii. Osteoarthritis

xliii. Rheumatoid Arthritis

xliv. Gout

xlv. Obesity

xlvi. Psoriasis

xlvii. Urticaria

xlviii. Atopic Dermatitis

xlix. Pruritus

l. Hyperhidrosis

li. Localized Neurodermatitis

lii. Hysterical Paralysis

liii. Psychogenic Tremors

liv. Parkinson�s Disease or Any Medical Condition

Associated with Tremors

lv. Functional Disability

lvi. Ambulatory Dysfunction

lvii. Organ Transplantation

lviii. Immunosuppression

lix. Hemorrhagic/Bleeding Conditions

lx. History of Artificial Joints, Heart Valves, or Blood Vessels

lxi. Chemotherapy

lxii. Antibiotic Prophylaxis

lxiii. HIV/AIDS

lxiv. Impaired Vision � Legally Blind

lxv. Inability to See, Bend, and/or Reach the Patient�s Own

Deet

lxvi. Living Alone

lxvii. Mentally Challenged or Retardation

lxviii. History of Stroke, Spinal Cord Injury, or Brain Injury

A review of the patient’s past podiatric history and foot care history should be noted as well as elements of self-care and the use of commercial foot care products. The past occupational history should be explored and include foot/work related activities, exposure, military service, geographic location, percentage of weight bearing, flooring and footwear should be noted. The social history should include the use of tea, alcohol, coffee, tobacco, sleeping habits, sedative and/or hypnotic use, narcotics and other drugs and the reaction of the patient to his or her own illness or condition. The subjective symptoms should be clearly noted as described by the patient and should attempt to focus on, the following, as examples:

Dermatologic

a) Exquisitely painful or painless lesions

b) Slow healing or non-healing wounds or necrosis

c) Skin color changes such as cyanosis or redness

d) Chronic itching, scaling or dry feet

e) Recurrent infections such as paronychia, athlete�s feet, fungal toenails, etc.

Peripheral Vascular

a) Cold feet

b) Intermittent claudication involving the calf or foot

c) Pain at rest, especially nocturnal, relieved by dependency

Musculoskeletal

a) Gradual change in foot shape

b) Change in shoe size

c) Painless change in foot shape

d) Ambulatory dysfunction

e) Joint changes and deformity

Neurologic

a) Sensory change

b) Burning

c) Tingling

d) Clawing sensation

e) Motor changes

f) Weakness

g) Foot drop

h) Autonomic, such as diminished sweating

Clinical findings of hyperkeratosis, onychial, and dermatologic lesions should be recorded as signs of disease, deformity, and/or a disorder. Examples include the following:

a) Dryness of the skin

b) Xerosis

c) Chronic tinea pedis

d) Keratotic lesions

e) Subkeratotic hemorrhage (plantar and digital)

Trophic ulcerations

a) Pressure ulcerations

b) Diminished or absent hair growth

c) Trophic nail changes (onychopathy)

d) Onychogryphosis (Ram�s Horn nail)

e) Onychauxis (hypertrophic and thickened nails)

f) Onychomycosis (fungal nails)

g) Onychophosis (calloused nail grooves)

h) Hypertrophic deformity

i) Subungual hemorrhage

j) Ulceration (disease complication)

k) Abscess

l) Ingrown toe nail (onychocryptosis)

m) Onychia (inflammation)

n) Paronychia (infection and inflammation)

o) Incurvated or involuted toenails

p) Foot type

q) Gait

r) Postural deformities

s) Palpation of pain

t) Range of motion

u) Angulation

v) Frank deformities (cavus feet, drop foot, hallux valgus,

digiti flexus (hammertoes)

w) Arthropathy

The pedal vasculature and related structures should be evaluated. Those findings and/or conditions, which allow Medicare to provide payment for primary foot care, should be identified. These basic elements include:

A. Class A - Nontraumatic amputation of the foot or an integral skeletal portion thereof.

B. Class B - Absent posterior tibial pulse

a) Absent dorsalis pedis pulse

b) Advanced trophic changes

c) Hair growth - decrease or absent

d) Nail changes - thickening

e) Pigmentary changes - discoloration

f) Skin texture - thin and shiny

g) Skin color - rubor or cyanosis

C. Class C - Claudication

a) Temperature changes, e.g., cold feet

b) Paresthesias, e.g., abnormal spontaneous sensations in

the feet

c) Burning

d) Edema

Absent p°pliteal or femoral pulses, bruits, dependentrubor with plantar pallor on elevation, and prolonged capillary filling time (above 3-4 seconds). Arterial skin temperature and blood pressure should be noted. Doppler studies, pulse volume recordings, and oscillometric readings, may also be useful. Radiographic studies should be obtained as indicated and may include weight and non-weight bearing comparisons. The neurologic elements should include gait review, reflexes (patellar, Achilles, and superficial plantar), ankle clonus, vibratory sense, weakness, sensory deficits (proprioception, pain and temperature perception), hyperesthesia and autonomic dysfunction).

The drug history should focus on but not be limited to antihypertensives, antidiabetics, cortisone, sedatives, topicals, antibiotics, antiarthritics, and other related medications utilized for and by the elderly. The use of over-the-counter foot care remedies including caustic foot keratotic applications should be explored. Some of the conditions, which precipitate pain and discomfort in the elderly and are related to functional imbalance and dysfunction include as examples:

a) Pes Planus

b) Pes Valgo Planus

c) Plantar Imbalance

d) Prolapsed Metatarsal Heads

e) Fasciitis

f) Myofasciitis

g) Tendonitis

h) Myositis

i) Hallux Valgus

j) Hallux Abducto Valgus

k) Digiti Flexus

l) Digital and Phalangeal Rotational Deformities

Hyperostosis

a) Exostosis

b) Spur Formation

c) Calcaneal Spurs

d) Bursitis

e) Fibrositis

f) Neuritis

g) Neuroma

h) Morton�s Syndrome

i) Soft Tissue Atrophy

j) Enthesopathy

k) Hallux Limitus

l) Hallux Rigidus

m) Varus and Valgus Deformities of both the anterior and posterior segments of the foot

The pedal manifestations of diabetes mellitus in the older person, as an example, involve multiple systems and are associated with a variety of symptoms and signs. Examples of such problems include:

Paresthesia

a) Sensory Impairment

b) Motor Weakness

c) Reflex Loss

d) Neurotrophic Arthropathy

e) Muscle Atrophy

f) Dermopathy

g) Onychopathy

h) Absent Pedal Pulses

i) Ischemia

j) Trophic Changes

k) Neurotrophic Ulceration

l) Angiopathy

m) Neuropathy

n) Infection

o) Necrosis and Gangrene

Peripheral arterial insufficiency is present to some degree in many older persons. Overt indications of decreased arterial supply include, as examples:

Muscle Fatigue

a) Cramps

b) Claudication

c) Pain

d) Coldness

e) Pallor

f) Paresthesia

g) Burning

h) Atrophy of Soft Tissue

i) Muscle Wasting

j) Trophic Skin Changes

k) Dryness

l) Hair Loss

m) Absent Pedal Pulses

n) Calcification Noted Radiographically

o) Edema

An example of an outline for the examination and recording of foot health date includes the following, as an example:

Vascular

a) Posterior tibial pulse

b) Dorsalis pedis pulse

c) Popliteal pulse

d) Femoral pulse

e) Doppler studies

f) Edema

g) Calf tenderness

Integument

a) Skin

b) Color

c) Moisture

d) Temperature

e) Texture

f) Interspaces

g) Fissures

h) Ulcers

i) Tinea

j) Tyloma

Heloma

a) Xerosis

b) Dermopathy

c) Atrophy

A. Toe Nails

b) Onychauxis

c) Hypertrophy

d) Onychogryphosis

e) Incurvation

f) Deformity

g) Onychocryptosis

h) Onychophosis

i) Onychomycosis

j) Onycholysis

k) Onychomadesis

l) Onychopathy

Onychia

a) Paronychia

b) Subungual heloma

c) Onychorrhexis

Neurologic

a) Achilles reflex

b) Patellar reflex

c) Superficial plantar reflex

d) Vibratory

e) Proprioception

f) Pain

g) Temperature

Musculoskeletal

A) Strength

a) Dorsiflexors

b) Plantarflexors

c) Invertors

d) Evertors

B) Atrophy

a) Foot

b) Leg

C) Deformities

a) Hallux valgus

D) Hammertoes

a) Spurs

b) Rotations

c) Varus and valgus deformities

d) Neurotrophic arthropathy

E) Gait evaluation

a) Foot type

b) Heel to toe

F) Eversion

a) Inversion

b) Foot structural change

c) Ambulation aids

Long Term Care

The Standards for Long Term Care as developed by the Joint Commission on Accreditation of Healthcare Organizations includes foot health and care as a quality assurance issue. A similar component is currently being instituted for the current revision to the Medicare and Medicaid, Conditions of Participation for Long Term Care. These documents suggest as a basic consideration, administrative projections to assure foot health and care for patient per the following Guidelines:

Long Term Care Guidelines

a) Foot care and/or podiatric services are organized and staffed in a manner designed to meet the foot health needs of patient/residents.

b) The facility's foot health services should be provided by a podiatrist or appropriately licensed practitioner with a consultant podiatric practitioner as a consultant.

c) A foot health program should be an integral part of the facility's total health care program.

d) Written policies and procedures should be developed to serve as a guide to the provision so podiatric/foot care services.

e) The consulting or supervising podiatrist participates in patient/resident care management as appropriate.

f) The quality and appropriateness of podiatric services are monitored as an integral part of the overall quality assurance program, consistent with other practitioner/ professional services.

Continuing Professional Education

A program of professional, in-service, and patient education should form a part of a total geriatric program. A projected outline for such an educational includes as an example, the following:

A. Relationship of foot problems to the total Geriatric Patient.

a) Needs

b) Ambulation and Independence

c) Risk Diseases

d) Factors which modify foot care in society and health care

B. Medicare and Medicaid

e) Mental health considerations

f) Long term care

g) Rehabilitation

C. Primary Foot Care

a) Assessment and examination

b) Nail disorders

c) Skin disorders

d) Hyperkeratotic disorders

e) Foot orthopedic and biomechanical

f) (pathomechanical) changes

g) Foot deformities associated with aging

D. Risk diseases

a) Diabetes Mellitus

b) Arthritis

c) Gout

d) Vascular insufficiency

e) Other

f) Management

g) Interdisciplinary considerations

h) Foot Health Education

i) 1. Professional and interdisciplinary

j) 2. Patient

E. Care Delivery

a) Ambulatory care

b) Acute hospital considerations

c) Rehabilitation

d) Long term care

e) Home care

f) Mental health and retardation

g) Interdisciplinary Education

h) Footwear and Related Considerations

6. Summary

The 1981 White House Conference on Aging, in its final Report, stated the following: "Recommendation Number 148: "Comprehensive foot care be provided for the elderly in a manner equal to care provided for other parts of the human body, to permit patients to remain ambulatory: Implementation: Remove current Medicare exclusions which preclude comprehensive foot care." The ability to ambulate requires appropriate foot health, as a catalyst. Keeping patients walking is a goal that needs to be met if older persons are to maintain a high degree of quality for their lives.

Other important factors that also need to also be considered include:

a) Mobility

b) Multi-Morbidity

c) Impairment

d) Functional Parameters

e) Walking � Ambulatory Speed

f) Stability

g) Physical Function

h) Deficits

Given the high prevalence and incidence of foot problems in the elderly, especially in those patients with chronic diseases and mental health problems, foot care needs are essential. Foot health, care, and foot health promotion should be part of comprehensive health care for older Americans. The ability to remain active and ambulatory is one means of assuring dignity and self-esteem for the elderly.

To read more articles in Journal of Gerontology & Geriatric Medicine

Please Click on: https://juniperpublishers.com/oajggm/index.php

For more Open Access Journals in Juniper Publishers

Click on: https://juniperpublishers.com/journals.php

#Juniper Publishers Review #Juniper Publishers group #open access publishers #Aging #Elderly

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morganbelarus · 5 years ago

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WW’s App For Kids, Kurbo, Is Worse Than We Thought | Betches

Last week, most people flipped the f*ck out when WW (formerly Weight Watchers) announced it had purchased and was relaunching the app Kurbo, aimed for kids ages 8-17. While WW insisted the app was not a weight loss app, many people (us) felt like WW was not being completely transparent, and the app was just a thinly veiled weight loss app. Gary Foster, the chief scientific officer at WW International, called Kurbo “an app that teaches in a game-ified, fun, engaging way what are the basics of a healthy eating pattern.” But in an official statement, WW referred to Kurbo as a “scientifically-proven behavior change program designed to help kids and teens age 8-17 reach a healthier weight.” Hmm, so which is it? Are we teaching kids to lose weight or nah?

Kurbo uses a “traffic light system” to classify foods as red, yellow, and green. App users can play games to determine which category various common foods fall under, and there’s also a tracking component where they can record the foods they’ve eaten. As someone who did Weight Watchers as a “kid” (I was like, 15 or 16), I was initially torn when news about this app came out. On the one hand, the CDC claims childhood obesity has more than tripled since the 1970s, and nearly 1 in 5 kids aged 6-19 are obese. I would have probably done Kurbo in 10th grade when I went on Weight Watchers. On the other hand, kids already have body image issues, and appealing to that and encouraging weight loss for literal 8-year-0lds is pretty ridiculous and premature, and as many pointed out, it could promote or lead to disordered eating. So I decided to download the app to see for myself, and honestly? It’s worse than I thought.

I downloaded Kurbo, input my information (I pretended I was a 4’8″ kid who weighed 100 pounds, which is technically classified as overweight). Then I played a game called “Red Raisins”, where the app shows you pictures of various foods and then you have to determine which are red, yellow, and green through a variety of exercises. (Sometimes you’ll drag a fork to the “green” food, sometimes you’ll erase the “yellow food”—stuff like that.) Not going to lie, the game was actually pretty fun and may replace my desk habit of mindlessly scrolling through dating apps. However, I was seriously gobsmacked at some of Kurbo’s classifications. The green and red foods didn’t surprise me (carrots are green; fried chicken is red), but the yellow foods were another story.

From the Kurbo app, green foods mean “healthy foods—eat up!”, yellow means “watch portions”, and red means “eat 4 or fewer” (I guess per day, though it doesn’t specify). Seems like a pretty logical and intuitive system, until you get to what Kurbo considers foods you should watch your portions for.

Baked chicken breast?? Are you sure?? The same baked chicken breast annoying fitness bros swear by? Surely that baked chicken breast cannot be a food kids need to watch out for. And, to be clear, this is chicken without skin. Now, here’s the crazy part. I am on Weight Watchers (I’m Lifetime, which means I’m not losing anymore, I’m just maintaining), which works on a points system. Basically, depending on factors like your height, goal weight, age, whether or not you are pregnant, etc., you get a daily allowance of points per day. Each food (and beverage) has a certain points value, depending on things like calories, protein, sugar, carbs, etc. Guess how many points chicken breast is on the WW app. No, really. Guess.

Zero. Zero f*cking points. Don’t believe me? Here’s a screenshot from my app:

I don’t know what psychos are eating raw chicken breast, but the point is that adults can eat a serving of chicken breast and not have it count towards their daily points allowance. So why are we telling kids that this is not a “safe” food? If anything, you would think we would be more lenient towards kids, who are still growing and developing. But nope! Stay away from the chicken breast, children!

Check this out! Unsweetened applesauce is a yellow light food on Kurbo. Now, I kind of get that, because obviously no kid (or person) should be eating, like, 10 pounds of applesauce per day, sweetened or not. But, and you’re probably getting better at this game now, guess how many points WW assigns to 1/2 cup of unsweetened applesauce?

Correct! Zero points!

Even crazier? A baked chicken sandwich (which they depict as baked chicken with lettuce and tomato on a bun—no cheese) is a red food. That’s wild, considering that in my WW meetings, we always say that a grilled or baked chicken sandwich is a pretty safe option when you’re going out to eat. Crab is a yellow food, when lump crab meat is zero points on WW. It just doesn’t make sense.

To be fair to Kurbo, some of the games were helpful. I played one that had you guess what proper serving sizes are for foods, using things like the palm of your hand for reference. That’s useful, considering most people can’t properly eyeball 3 oz. of meat or 1/4 cup of nuts or whatever. But the food classifications were another story. You would think that an app owned and run by WW would be consistent for children and adults. You’d also think, again, that they would be more forgiving for children, because they’re growing and I’d venture that kids are generally more active than adults. But nope! You’d be wrong on both accounts. Instead of teaching children how to make healthy choices (a goal I kind of take issue with in the first place, since a lot of the time children don’t have much control over what they’re eating, and it’s up to the parents to provide healthy meals for them), we are teaching children to demonize the same foods that adults are permitted to eat freely! To borrow from Ramona Singer, wow. Wow, WW. Wow.

Images: Dan Gold / Unsplash; Kurbo (2); WW (2)

Original Article : HERE ;

The post WW’s App For Kids, Kurbo, Is Worse Than We Thought | Betches appeared first on MetNews.

WW’s App For Kids, Kurbo, Is Worse Than We Thought | Betches was originally posted by MetNews

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damion-the-skeleton · 2 years ago

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with the taste of yrou lips i'm on a ride~

#my art #damion speaks #fnaf #special strike #ssr #obese f chief #shadow man #i made these drawings while stoned af #forgive me

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plxyboi-blog · 5 years ago

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The Junk Food President Aims to Ruin American Nutrition

New Post has been published on https://healthy4lives.com/the-junk-food-president-aims-to-ruin-american-nutrition/

The Junk Food President Aims to Ruin American Nutrition

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Susan Walsh/Linked Press

President Trump welcomed the faculty football national champion Clemson Tigers to the White Residence in January with a quick-food items feast served buffet model in the State Eating Room.

Presidents do not immediately compose the nation’s dietary recommendations for Americans, which are up-to-date each five a long time by federal law. However, you question what the 2020 model will suggest, provided how President Trump serves lunch dripping in saturated unwanted fat, grease, and salt to best athletes.

When Trump hosted Clemson University’s national collegiate football title crew in January, the govt was in partial shutdown, so a food could not be catered by White Residence employees. Trump feigned to the crew that potentially initial girl Melania Trump and second girl Karen Pence could have manufactured them “some little, quick salads.” Trump then joked, “I reported you fellas are not into salads.”

Alternatively, Trump requested from the four food items groups that ended up the staples on his 2016 election marketing campaign: McDonald’s, Kentucky Fried Hen (KFC), pizza, and Diet Coke. He boasted to the Clemson gamers that he requested 1,000 hamburgers. “All-American organizations,” he reported. “Burger King, Wendy’s, and McDonald’s. We have Significant Macs. We have Quarter Pounders with cheese. We have anything that I like, that you like. And I know no subject what we did, there is practically nothing you can have that’s superior than that, suitable?”

There was lots of laughter from the football gamers, potentially to be polite and potentially for the reason that they in fact take in a great deal superior than that on campus. The crew receives significantly extra diet instruction than the regular American, from culinary coaches and an “executive functionality chef.”

In a country exactly where two-thirds of grown ups and a 3rd of youngsters are overweight or overweight, Trump’s banquet truly was not funny. According to the 2015 recommendations that are now in drive, bad diet and absence of exercising are possible connected to preventable continual condition in almost 120 million American grown ups, together with Sort 2 diabetes, heart condition, substantial blood pressure, and most cancers. The direct and oblique prices, in health care care and shed work time, not to point out sheer struggling, run hundreds of billions of pounds.

Everyday Americans, especially the deprived, dwell in a separate universe from Clemson’s functionality cooks. Most dad and mom want to be good quarterbacks for their youngsters, but much too typically they are sacked by an all-out advertising blitz of junk food items, processed food items, and sugary consume organizations. With a quick-food items president as dietitian-in-chief, people distinctive pursuits certainly see their very best opportunity in current memory to undermine the healthiest of science-based mostly recommendations. If they have it their way, the image of the all-American diet will continue to be a Significant Mac, Coke, and fries.

EVEN Beneath THE Public-MINDED Obama administration, the political food items battle in excess of the 2015 recommendations is instructive. With initial girl Michelle Obama advertising and marketing healthy consuming and exercising, lots of general public-health and fitness industry experts hoped for the strongest recommendations science could support. There was important progress on boy or girl diet with the bipartisan Healthy, Hunger-Absolutely free Kids Act of 2010. That act necessary faculty lunch diet to be steady with the dietary recommendations issued by the Departments of Agriculture and Health and fitness and Human Products and services.

Most scientific tests identified that students took to the much healthier offerings, rising usage of entrees, fruits, and veggies and reducing food items squander. The Obama-era USDA reported that among 2008 and 2014, a few million extra students ate faculty breakfast.

The 2015 Nutritional Guidelines Advisory Committee (DGAC) appointed by Health and fitness and Human Products and services Secretary Kathleen Sebelius and Agriculture Secretary Tom Vilsack also offered hope. The committee evidently reported Americans “should be inspired and guided to consume dietary patterns that are loaded in veggies, fruit, whole grains, seafood, legumes, and nuts reasonable in low- and non-unwanted fat dairy products and liquor (between grown ups) decrease in crimson and processed meat and low in sugar-sweetened meals and drinks and refined grains.”

The DGAC broke new floor by exclusively stating that extra sugars must be no extra than 10 per cent of daily intake. For emphasis, the committee reported, “Added sugars must be lowered in the diet and not changed with low-calorie sweeteners, but rather with healthy choices, such as water in put of sugar-sweetened drinks.”

Just as groundbreaking, the DGAC immediately linked diet to environmental sustainability, noting that the world wide output of food items accounts for 80 per cent of deforestation, extra than 70 per cent of freshwater use, and up to thirty per cent of human-produced greenhouse gas emissions. “Creative, evidence-based mostly procedures are required to reverse these alarming trends,” the committee reported.

After examining scientific tests all around the globe, the committee identified that “a diet greater in plant-based mostly meals, such as veggies, fruits, whole grains, legumes, nuts, and seeds, and decrease in calories and animal-based mostly meals is extra health and fitness advertising and marketing and is associated with significantly less environmental impression than is the recent U.S. diet.” But at the end of the working day, the advisory committee is only that: advisory.

The moment the DGAC report was submitted to USDA and HHS, lobbyists ate absent at it like carpenter ants to downplay the associations among meat and sustainability as well as soda and obesity.

Karen Perry Stillerman of the Union of Concerned Experts (UCS), wrote that for the duration of the two-calendar year system that made the 2015 recommendations, food items and beverage organizations and trade associations spent extra than $seventy seven million lobbying Congress. Of that, the meat marketplace spent $four.5 million and the soda marketplace spent almost $24 million.

SCORES OF CONGRESSIONAL REPUBLICANS wrote to Vilsack and HHS Secretary Sylvia Burwell to say the committee wrongly vilified crimson meat and dismissed the alleged gains of lean meat. They also reported the committee had no business enterprise injecting sustainability into the recommendations. The signatories collectively obtained $3.1 million in contributions from agribusiness, from 2013 as a result of 2014, in accordance to the Centre for Science in the Public Desire.

Republicans responded with an appropriations act that banned sustainability from the recommendations and minimal the scope of funding to “nutritional and dietary facts.” In a push release even just before the act was handed, Vilsack and Burwell capitulated on setting and sustainability.

When the remaining recommendations ended up issued, there was practically nothing distinct about reducing usage of crimson meat and processed meat, which are connected to most cancers, cardiovascular condition, and diabetes. In 2015, the Planet Health and fitness Group labeled processed meat as carcinogenic and crimson meat as “probably carcinogenic to humans.”

The remaining recommendations did maintain the committee’s recommendation for Americans to decrease extra-sugar intake to 10 per cent of daily calories. But there ended up no concrete, best-line illustrations or explanations in the govt summary.

Buried in the recommendations was this details level: Sugary drinks account for almost fifty percent of extra sugars, and extra sugars account for 270 calories, or extra than thirteen per cent, of calories for each working day. The much too-couple of details on soda disappointed 2015 DGAC members such as Frank Hu of Harvard’s School of Public Health and fitness. Reports overwhelmingly connected sugar-sweetened drinks to obesity, when Facilities for Disorder Command and Avoidance mapping confirmed a crystal clear correlation among soda usage and obesity.

Hu also lamented that the deep-sixing of environmental sustainability was “a massively missed opportunity to teach the general public about the environmental impression of their food items possibilities, and to develop a food items process that is extra sustainable and conducive to the health and fitness of both humans and the world.” Hu immediately blamed “political pressure from Congress and the meat marketplace.” (Disclosure: My spouse is a researcher at the faculty and has co-authored a paper with Hu.)

Sarah Reinhardt, UCS’s direct analyst of food items methods and health and fitness, estimated that if the USDA and HHS published recommendations on processed meat and extra sugar by yourself, it would conserve 3,900 life a calendar year and $1.5 billion in health care prices from colorectal most cancers, and 19,000 life and $16 billion in health and fitness care prices from Sort 2 diabetes. Supporting persons take in plenty of fruit and veggies could have saved one hundred ten,000 extra life and $32 billion in health and fitness prices.

Other estimates depth the recent toll of our politically manipulated malnourishment. A 2017 review by an economist at the federal Company for Health care Investigation and Quality and scientists from Cornell and Lehigh Universities identified that the nation’s share of health and fitness care prices spent on dealing with overweight grown ups rose from twenty.6 per cent in 2005 to 28.2 per cent in 2013. The overall prices to handle grown ups for obesity-connected illnesses rose from $212.four billion in 2005 to $342.2 billion in 2013.

Amid the spiraling all round price of health and fitness care, a 2018 Milken Institute report up-to-date the direct continual-condition prices of obesity and overweight to $480.7 billion in 2016. With further more oblique prices of $1.24 trillion for the reason that of shed economic productivity, the overall continual-condition price of $1.seventy two trillion equals nine.3 per cent of the U.S. gross domestic solution. The report reported combating people trends involves “a societal consensus in favor of healthful consuming and exercising.”

A 2017 review by Tufts College, the College of Cambridge, and Montefiore Medical Centre in New York City estimated that bad diet was associated with almost 320,000 fatalities from heart condition, stroke, or Sort 2 diabetes in 2012. The highest proportions of people fatalities ended up connected to “excess sodium intake, inadequate intake of nuts/seeds, substantial intake of processed meats, and low intake of seafood omega-3 fats.”

Set a further way, the range of American life shed in just just one calendar year involving bad diets exceeds the 291,000 American battle fatalities in Planet War II. A Lancet-commissioned review published before this calendar year reported, “Unhealthy diets pose a better threat to morbidity and mortality than does unsafe intercourse, and liquor, drug, and tobacco use put together.”

The Republican Celebration is literally supported by crimson meat. The meat-processing marketplace has provided seventy nine per cent of its almost $seventeen million in contributions since 1990 to Republican congressional candidates, in accordance to the Centre for Responsive Politics.

In the 2018 election cycle, the best 8 contributors to congressional candidates from the food items and beverage marketplace provided the Countrywide Cafe Association, Coca-Cola, McDonald’s, Wendy’s, the Countrywide Confectioners Association (the candy lobby), and Bloomin’ Manufacturers, the father or mother enterprise of Outback Steakhouse and various other eating places. Virtually seventy two per cent of the $5 million they gave went to Republican campaigns.

Republicans obtain a hundred per cent of contributions from the father or mother organizations of Pizza Hut, Wendy’s, and Taco Bell 97 per cent from Waffle Residence ninety three per cent from the Burger King franchisee association 92 per cent from the KFC franchisee association and sixty six per cent from the American Beverage Association.

We will shortly see if this lopsided support bears fruit (even if fresh fruit is appallingly scarce at most of the earlier mentioned entities) under Agriculture Secretary Sonny Perdue, who is making an attempt to roll back nutritional prerequisites for faculty meals. In a bizarre campaign against whole-grain and decrease-sodium meals, he has claimed, “Kids are not consuming the food items, and it is ending up in the trash.” But his have USDA scientists made a report this calendar year that in result debunked his tirades. The report identified the opposite: The extra wholesome the food, the extra well known people meals ended up with students.

THE Method OF ISSUING the 2020 Nutritional Guidelines begins with the twenty-member 2020 Nutritional Guidelines Advisory Committee (DGAC) picked by Perdue and HHS Secretary Alex Azar. The committee was introduced in February. The administration held the entire record of nominees and nominators mystery until finally June when Politico was provided a copy obtained under the Liberty of Information Act by the Medical professionals Committee for Dependable Medicine, which advocates for plant-based mostly diets.

On paper, the committee appears to be balanced, with nine of the twenty members getting been nominated by the American Culture for Nutrition: Barbara Schneeman, a previous U.S. Foods and Drug Administration director of diet and labeling Jamy Ard of Wake Forest College Regan Bailey and Richard Mattes of Purdue College Heather Leidy of the College of Texas Carol Boushey of the College of Hawaii Teresa Davis of Baylor Faculty of Medicine Kathryn Dewey of the College of California, Davis and Sharon Donovan of the College of Illinois.

The mission of the diet modern society is to “improve health and fitness all around the globe as a result of substantial high-quality science based mostly diet know-how, engagement and affect.” But fiscal affect in the firm has been extremely controversial in current a long time, with 32 firms outlined as “sustaining companions,” contributing at the very least $10,000 to the team. The sponsors incorporate Pepsi, Kellogg, General Mills, Mars, Nestle, Mondelez, Monsanto, Cargill, DuPont, Pfizer, the Countrywide Cattlemen’s Beef Association, the Sugar Association, and the Countrywide Dairy Council.

Tied for second put in acquiring nominees on to the panel ended up the Grocery Companies Association, customer goods and food items big Unilever, the Worldwide Existence Sciences Institute (ILSI), and the Worldwide Foods Information Council (IFIC) Basis. Each individual claimed a few places (most nominees had several nominations). The American Beverage Association, the Academy of Nutrition and Dietetics, and SNAC Worldwide (the world wide trade association for the snack food items marketplace) every single put two nominees on the committee.

In all, 15 of the twenty advisory committee members have direct marketplace ties or nominations from marketplace-supported groups or glowing general public praise from marketplace-backed groups. It is standard to have this amount of marketplace existence on the nation’s most important food items panel, no matter if the administration is Democratic or Republican, since it has turn out to be more and more more durable to be a food items scientist with no marketplace funding.

According to 2019 USDA details, soon after the early 2000s, general public funding for agricultural study and advancement was place on a hunger diet. Meanwhile, private funding mushroomed to about $12 billon in 2014. The private-to-general public funding disparity had previous U.S. Secretary of Agriculture Dan Glickman and previous Foods and Drug Administration Commissioner David Kessler contacting for a new federal diet institute in a February New York Instances op-ed.

Noting that obesity has turn out to be the best disqualifier for army service, they pointed out that a country that spends $forty billion a calendar year on candy and hundreds of billions of pounds on health and fitness care connected to obesity need to devote extra than the $1.5 billion now spent on studying diet. “Establishing a put to study diet is also critical to keep American competitiveness,” they wrote.

Inspite of Perdue’s pledge “to have gurus on both end of the spectrum, both from the plant-based mostly and the meat-based mostly side of the equation—making recommendations,” lecturers and general public-health and fitness groups with no marketplace connections are in the minority. Purdue and Azar mail an ominous message when SNAC can snag two places on the committee, when the American Public Health and fitness Association is shut out.

Although the pursuits of SNAC, the Grocery Companies, Unilever, or the American Beverage Association are relatively predictable—to safeguard the income of lots of of their harmful or marginally healthy products—the very best comprehension of industry’s net all around researchers arrives as a result of the innocuously named Worldwide Existence Sciences Institute and the Worldwide Foods Information Council Basis.

ILSI promises a quarter of the new DGAC. It nominated the chair of the committee, Barbara Schneeman, the previous Fda official, and the vice chair, Ronald E. Kleinman, the physician-in-chief at Massachusetts General Hospital for Small children. Kleinman is also on the board of trustees of ILSI’s Investigation Basis, when Schneeman is a govt liaison. ILSI also nominated Davis, and Donovan and Bailey are ILSI North The united states scientific advisers.

ILSI North The united states claims it “advances food items basic safety and diet science for the reward of general public health and fitness.” But that assert is gutted by the simple fact that it was created in 1978 by a Coca-Cola govt “to unite the food items industry” in what proved to be manipulation of science and govt health and fitness recommendations for its now extra than a few dozen company members. Most of the earlier mentioned-named sustaining companions of the American Culture for Nutrition are also members of ILSI—plus Hershey, Archer Daniels Midland, Campbell Soup, Kraft Heinz, Red Bull, Keurig Dr Pepper, Ocean Spray, and Welch’s.

Yet another instance of the industry’s manipulation of study is an ILSI-funded review that manufactured its way into the Annals of Interior Medicine in 2017. It reported sugar intake recommendations are based mostly on “low-high-quality evidence” and are therefore “untrustworthy.” And an investigation this calendar year for the British Medical Journal and the Journal of Public Health and fitness Coverage by Susan Greenhalgh of Harvard identified that ILSI aided redirect China’s continual-condition science from a paradigm that targeted on diet to Coke’s narrative—debunked by most general public-health and fitness experts—that blames absence of exercising instead of sugary beverages for obesity. Overweight and obesity in China doubled from twenty.5 per cent of grown ups in 1991 to 42.3 per cent in 2011.

Meanwhile, the journal Globalization and Health and fitness has just published a report on ILSI’s resistance to any general public-health and fitness measures to decrease sugar usage and initiatives to downplay the risks of glyphosate-based mostly pesticides such as Monsanto’s Roundup. Most cancers-stricken plaintiffs who made use of Roundup have started successful multimillion-greenback judgments in the United States.

The report concluded that “ILSI must be regarded as a lobby team and that lecturers and scientists, plan makers, the media, and the general public must watch ILSI’s study as advertising and marketing the pursuits of the food items, beverage, complement and agrichemical industries, when its actions encourage its members’ pursuits and counter healthy general public guidelines.”

Likely marketplace affect will also permeate a new location in the 2020 guidelines—recommendations for expecting lady and youngsters from birth to 24 months. A single big recommendation in these new recommendations must mirror the assistance by the American Academy of Pediatrics and the Planet Health and fitness Group, particularly that toddlers ideally must be breastfed their initial 6 months for maximum diet.

But the Trump administration shocked the pediatric globe final calendar year by at initial refusing to signal what must have been a perfunctory United Nations resolution encouraging breastfeeding and urging nations around the world to end “inappropriate marketing of meals for infants and younger youngsters.” The U.S. signed on soon after the language to end inappropriate advertising was taken off.

This go raises the respectable issue that both the Nutritional Guidelines Advisory Committee or the administration will condition the remaining recommendations to someway extol the virtues of company infant formulas. DGAC member Sharon Donovan has been a advisor to infant formulation makers Mead Johnson, Abbott Nutrition, and Pfizer. She has conducted Mead Johnson–funded study and edited informational materials for that enterprise.

Also on the committee is Steven Heymsfield of Louisiana State College, who has served on the scientific advisory board of weight-reduction solution Medifast. It is interesting that USDA and HHS essentially gave two places to food items-alternative experts when a 2015 review by Johns Hopkins College scientists identified that pretty couple of professional weight-reduction plans, with the exception of Weight Watchers and Jenny Craig, exhibit very long-term gains. The review identified that any quick-term gains of Optifast and Medifast attenuated soon after 6 months.

And in a further twist, Heymsfield is also the 2018–2019 president of the Weight problems Culture. That modern society offers five members on the DGAC: Heymsfield, Ard, Mattes, Elizabeth Mayer-Davis of the College of North Carolina, and Elsie Taveras of Massachusetts General Hospital.

The Weight problems Culture is previously under fireplace from critics for accepting company funding from Coca-Cola and PepsiCo, and getting once staged “engagement councils” with members symbolizing PepsiCo, Monsanto, Nestle, Dr Pepper, Atkins, Mars, and Campbell’s Soup. Past calendar year, Pepsi underwrote a distinctive concern of the society’s study journal titled “Low-Calorie Sweeteners and Weight Administration.” The modern society vigorously denies that marketplace support is linked to its casting question on the efficacy of taxing sugar-sweetened drinks. Taxation has evidently lower tobacco usage, and a federally funded review final calendar year reported soda taxes looked “promising in combating obesity.” The performance would possible depend on the amount of taxation.

And that provides us back to meat, that resource of intensive discussion in 2015. The 2020 panel has various members with meat-marketplace connections. DGAC members Davis and Leidy have recommended or spoken at “Protein Summits” meant “to take a look at the misperception that Americans in excess of-consume protein.” The summits have been sponsored by the Countrywide Pork Board, the Beef Checkoff, the Egg Nutrition Centre, Hillshire Manufacturers, the Dairy Investigation Institute, and the International Dairy System.

Yet another DGAC member, Lydia Bazzano of Tulane, was nominated by Atkins Nutritionals, recognized for its low-carbohydrate, meat-targeted diet.

In a further review funded by the Countrywide Pork Board, Leidy identified very long-term health and fitness gains of pork-based mostly breakfasts in adolescents. The comparison team was low-hanging fruit for improvement—adolescents who skip breakfast. Unabashedly, the Pork Board—which is hardly dashing to look at pork with fruit-based mostly breakfasts—proclaimed “high-high-quality lean pork” to be a “key component of daily healthy consuming.”

Trumping up the health and fitness gains of “the other white meat” is a Trojan horse for the pork marketplace to pig out on sales of bacon. Although the regular American relatives buys fresh pork, such as tenderloin, shoulder roast, or ribs, just 6 periods a calendar year, the range of Americans who consume at the very least a few pounds of bacon a calendar year rose by almost 50 per cent from 2011 to 2018, from 44 million to sixty three million. The Wall Road Journal pointed out in 2017: “With the increase of low-carb substantial-protein diets, fatty bacon manufactured a comeback.”

If the Trump administration lays a major hand on both the committee or the remaining recommendations, there appears little probability for proponents of healthy diets to stage a comeback. UCS has reported on how Perdue has stacked the USDA with executives and lobbyists from the globe of pesticides, corn syrup, and junk food items and sided with Significant Pork in excess of modest farmers and Significant Dairy and other individuals in excess of youngsters in the calming of policies on faculty lunches.

Perdue’s development of an marketplace echo chamber has been so discouraging that staff members at the best study arms of the USDA, the Financial Investigation Provider, and the Countrywide Institute of Foods and Agriculture have quit in large quantities. Beneath the Obama administration, the two businesses jointly utilized seven-hundred persons. That range is reportedly down to 450 amid attempts by Trump to slash ERS funding by fifty percent and Perdue’s strategy to go the ERS and NIFA out of Washington and to USDA’s Kansas City location. That is on best of a go in 2017 to eliminate the USDA’s Centre for Nutrition Coverage and Advertising as a stand-by yourself scientific division and merge it with the Foods and Nutrition Provider. Critics say the go renders CNPP extra vulnerable to marketplace-influenced politics.

Perdue’s assert that he is earning the go to conserve revenue and go researchers nearer to agribusiness “stakeholders” has been assailed by critics who see this go as divorcing USDA researchers and economists from collaboration with people from other cabinet businesses. In a Washington Put up op-ed in June, two previous chief researchers at the USDA, just one under Obama (Catherine Woteki) and the other under George W. Bush (Gale Buchanan), wrote:

Foods and agriculture in the United States deal with perennial worries from a multitude of resources: pests, conditions, droughts, flooding, brutally competitive markets and trade disputes. It is disheartening to consider that the science underpinning these critical contributors to the U.S. economic system, and to the health and fitness and well-becoming of each American, is under threat from the pretty govt section overseeing them.

When chief researchers, significantly just one who served under Bush, are this involved about a deck stacked against their colleagues, just one can only hope that the researchers that Perdue and Azar have picked for the 2020 Nutritional Guidelines Advisory Committee can be objective. The 2015 committee, with big backing at the rear of the scenes by lots of occupation scientists in USDA and HHS who ended up on groups for details examination and diet evidence, undoubtedly exhibited such independence. Irrespective of their marketplace connections, that committee understood that the health and fitness and well-becoming of each American was at stake.

In a country that loses extra persons each calendar year to harmful diets than the overall of American battle fatalities for the duration of Planet War II, the 2015 committee shipped conclusions that marketplace did not want to hear. A diligent 2020 committee will pretty much assuredly deliver conclusions that this individual administration almost certainly does not want to hear. Although serving junk food items to Clemson’s football crew might have been a joke, destroying the nation’s health and fitness is not.

Derrick Jackson is a Prospect board member.

#Nutrition For Weight Loss

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