Startup of the Week: A Subscription for Anti-Aging Pills… for Mice – VICE

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The pitch

In 2154, the Earth is an uninhabitable shitworld, and ultra-rich people live on a utopian space colony. This is the movie Elysium.

In 2020, you can mail in a spit sample and in return see how fast your cells are aging, then get prompted to buy some pills in the hopes of slowing down the process. This is the pitch for the company Elysium Health, which offers its co-called Index test for $500.

The Index test purports to provide customers with a cumulative rate of aging and biological agethe age at which their body is expected to perform. The report also includes general recommendations for healthy living and lifestyle factors that have been shown in clinical research to impact the clock, although theres no guarantee that these changes will impact your biological age, a company spokesperson said to Motherboard.

If you do take the $500 test regularly, the spokesperson said, you can determine how your rate of aging changes over time and to see if lifestyle and other changes made can impact how you age in the future.

Terrific! And what do you do with that information? As the bottom of Elysium Healths website disclaims, Index should not be used to determine or alter any age-related health or medical treatments based on your chronological age, unless directed otherwise by a doctor.

Elysium Healths main business is selling Basis, a nicotinamide riboside (NR) supplement that increases nicotinamide adenine dinucleotide (NAD+), which is involved in many of the bodys day-to-day cellular processes. Basis costs $60 for a months supply, or $50 per month as a subscription.

What problem does it solve?

Elysium Health seeks to address the age-old problem of old age. Elysium Health claims that clinical trials in humans, including our own trial, demonstrate that supplementing NR can increase the body's supply of NAD+.

Whether this actually slows aging in humans is not yet proven. NAD+ has shown to be an effective anti-aging component in mice and yeast. But as New York comedian Sheng Wang noted, we don't really care about rat news. Especially if it's positive. We don't want to hear about how their population can thrive further. I'd rather read about rat plight." Elysium Healths short human trial shows the NAD+ increase, but not the metabolic or overall health improvements. Another human study from Elysium Healths main competitor, ChromaDex, indicated NRs ability to raise NAD+, but doesnt mention any anti-aging effects.

In short, though NAD+ has anti-aging effects for mice, mouse studies are often overhyped. Just because something works in a mouse does not mean itll work in humans. In fact, cancer researchers are interested in NAD+ as a possible suspect for fueling cancer growth in humans, as a May 2019 article from Scientific American notes.

Despite the lack of evidence or FDA approval, Elysium Health has millions in funding and genuinely impressive resumes in its orbit.

The leadership team at Elysium Health has five PhDs, and touts a Scientific Advisory Board with more than 25 world-renowned researchers and clinicians, including eight Nobel Prize-winning scientists, who are tasked with guiding the scientific direction of the company.

Are you confused, and thinking, these people clearly know more than I do, given their academic credentials, Nobel Prizes, and lab coats?

That might be part of the plan. They are part of a marketing scheme where their names and reputations are being used, former Harvard Medical School dean Jeffrey Flier told the MIT Technology Review in 2017.

Several of Elysiums scientific advisory board members said their involvement should not be seen as an endorsement of the company or its pills, the Review story goes on to say.

In the same way companies sometimes greenwash their image to appear more environmentally-friendly, perhaps a company attaching itself to as many PhDs and Nobel Laureates as possible could be trying to brainwash its image.

Who is giving them money?

Elysium Health has raised $31.2 million since its founding in 2015. Investors include Silicon Valley Bank, which led its last $5 million round of debt financing in 2017, and Cambridge, Mass-based VC fund General Catalyst, which led its $20 million Series B round in 2016. Robert Nelsen, who Forbes once described as Biotechs Top Venture Capitalist, has also personally invested in Elysium Health.

What are The Experts saying?

The companys first product is Basis, a supplement that combines compounds designed to increase NAD levels and activate sirtuins, boosting cellular health and longevity." -TechCrunch

Researchers are still working to prove that NR can actually improve human healtha sticking point for critics and an issue acknowledged by the companies themselves. -Scientific American

A Fountain Of Youth Pill? Sure, If Youre A Mouse. -Kaiser Health News

If I had paid $500, I would likely be disappointed -FastCompany

Theres no guarantee that Elysiums first product, a blue pill called Basis that is going on sale this week, will actually keep you young. -MIT Technology Review

I take that Elysium stuff...I take that stuff every day. I like it. Um, but-I guess. I dont really know. I take a lot of things. I dont really know. -Joe Rogan

Should you buy it?

If you have $500 laying around that you might end up spending on things that will hyper-age you, like tanning sessions or a cigarette and cocaine smoothie, this is a foolproof way of ridding yourself of that harmful money.

If regular $500 saliva tests and $50 per month pills for a chance at longevity seem appealing, then this is your chance to make it to 2154. If you join their affiliate program, you can also make 12 percent commission on sales.

Should we even want to live longer, if we dont address the biological age of our planet first? If you flush a bunch of these pills down the toilet, will they help heal the Earth? Like Basiss efficacy with humans, the results here are currently inconclusive.

If youre simply interested in your chronological age, there are some very exciting and affordable products on the market. Elysium Health links to one cloud-based chronological age calculator, no spit required.

This article originally appeared on VICE US.

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Startup of the Week: A Subscription for Anti-Aging Pills... for Mice - VICE

Global Stem Cells Market Growth Driver 2016 2024: By Companies Osiris Therapeutics Inc., STEMCELL Technologies Inc., BIOTIMEInc., Celgene Corporation…

A leading research firm, Zion Market Research added a latest industry report on "Global Stem Cells Market" consisting of 110+ pages during the forecast period and Stem Cells Market report offers a comprehensive research updates and information related to market growth, demand, opportunities in the global Stem Cells Market.

According to the report the Global Stem Cells Market Growth Driver 2016 2024: By Osiris Therapeutics Inc., STEMCELL Technologies Inc., BIOTIMEInc., Celgene Corporation, Human Longevity Inc., Cynata, Cytori Therapeutics, Promethera Biosciences, and Advanced Cell Technology Inc.,. Osiris Therapeutics Inc., STEMCELL Technologies Inc., BIOTIMEInc., Celgene Corporation

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Osiris Therapeutics Inc., STEMCELL Technologies Inc., BIOTIMEInc., Celgene Corporation, Human Longevity Inc., Cynata, Cytori Therapeutics, Promethera Biosciences, and Advanced Cell Technology Inc.,.

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The biological defects that come with age and how to prevent them – Ladders

I mightve died fearing the ageing process about as much as everyone else. Unfortunately, about two drags into my fourth cigarette a friend of mine relayed an anecdote about his dying grandfatherunprompted.

So its his ninety-eighth birthday and were watching him try to blow out candles on a cake he probably cant eat anywayfor like an hour.Eventually, I get bored and blow it out for him before asking what he wished for. To which he says: I accidentally peeped the expiration date on the carton of milk in the fridge and it dawned on me that I didnt know which one of us had more time left.

In an instant, I quit smoking and took up gerascophobia. In defense of the soon-to-be-dead-party-pooper, the older we get the louder minute hands become. We try to dull the racket by route of cosmetics, pop culture, copulation and fairy-tales; all to distract ourselves from the inevitable frog march into nothingness. If were honest, every year after 50 extends a catalog of things we cant do anymore. The list begins innocuously enough with things like fit into my favorite pair of whatevers or comprehend the cultural significance of this or that, but then the whole thing ends tragically nuanced.

Were all familiar with the odd way time seems to speed up every year after 21? It makes sense that time adopts the illusion of expedience as we run out of milestones but the reasoning behind this phenomenon is actually even less abstract than that. According to a new paper published in the scientific journalEuropean Review, as wrinkles begin to appear, and our postures sag, our neurons grow larger, increasing the amount of time it takes us to process an image.

People are often amazed at how much they remember from days that seemed to last forever in their youth, explained the new studys author Adrian Bejan, the J.A. Jones Professor of Mechanical Engineering at Duke University in a pressrelease.Its not that their experiences were much deeper or more meaningful, its just that they were being processed in rapid-fire.

Interestingly enough, almost all of the psychological conditions that narrate our morph into maggot food are effected by well-documented physiological precursors.

Little mutations join forces to pen an aggressive eviction notice apostrophized by medical abnormalities that condemn life on planet earth to be less and less pleasant.This is especially relevant right now because Americas global age is increasing at an exponential rate.

When a society attains economic and agricultural excellence the death rate decreases alongside birthrate, which leads to a larger and older population.James Fries, professor of medicine at Stanford University, indexed the sociological fine-print that punctures this developmental achievement back in 1998. What Fries calls the compression of morbidity dictates that denizens of a thriving nation enjoy healthy lives for most of it until a series of health setbacks plague them all at once toward the final stretch. This is often in the form of chronic illness that appears in tandem with natural biological regressions. As far as the perversion of our mind clocks are concerned, organic changes in saccades frequency, body size, and pathway degradation have been studied to be the primary culprits. This is what physics more discreetly refers to asthe constructional law of low architecture. Elderly people simply receive fewer images in the same amount of time as younger people, drastically decelerating their integration of information. The mechanisms that animate this process are fairly identical to a cameras shutter speed.

The human mind senses time changing when the perceived images change, Bejan adds. The present is different from the past because the mental viewing has changed, not because somebodys clock rings. Daysseemed to last longerin your youth because the young mind receives more images during one day than the same mind in old age.

Overall somatic decline is ensured by similar physiological defects. New data published by researchers at Yale University revealed that our ability to obtain energy by burning belly fat also reduces as we grow older. This impairment is a direct cost of medical and agricultural preferments that have allowed us to defy our intended life expectancy.

Several mechanisms in the body are not selected for longevity,explained the papers lead researcher, Vishwa Deep Dixit. Normally the B cells produce antibodies and defend against infection. But with aging, the increased adipose B cells become dysfunctional, contributing to metabolic disease. This predisposes an animal to diabetes and metabolic dysfunction like inability toburn fat.

Thankfully, successful aging is no longer a consideration beholden to science fiction. Genetics may draft the treatment, but our lifestyle choices govern how gracefully we interpret the consequential beats. Presbycusis for instance (gradual degeneration of the cochlea consequenced by bilateral symmetrical aging) is by all accounts unavoidable. It is the leading cause of hearing loss and affects just about one and two individuals over the age of 75. However, there are cumulative environmental predictors that can worsen the condition and even accelerate its development. Prolonged exposure to headphone frequencies causes the hair cells in the cochlea to bend beyond the point of repair. Uniformly, we all have a reserve capacity of cells, each of which dies without fanfare throughout a given day.

Of course, as we age, this process, which is calledapoptosis, picks up momentum. What you might not know though is our state of mind mandates how quickly and violently this program transpires.

Having a good attitude is very important. We know that stress plays a key role in how we will age. We have these hormones, these stress hormones, that actually play a role in how our cells will die. When we become under stress we have an accelerated loss of cells. So this over a lifetime plays a major role in how functional we will be, explainedSteven Gambert, MD.

Even more consistently than this is the role our diet plays at the pace of our weathering. Diets like the Mediterranean, a regimen rich in vegetables and olive oil, low in meat ingestion, and moderate in alcohol consumption, slackens the agents of aging by checking their pawns, namely chronic maladies associated with old age. A recent study conducted on 23,349 men and women confirmed what previous literature had intimated in the years prior. Medical journalist, Caroline Wilbert reports:

During the study period, there were 652 deaths among 12,694 participants who had lower Mediterranean diet scores of 0-4 and 423 deaths among the 10,655 participants who had higher scores of at least 5. In general, those with higher scores were more likely to still be alive at the end of the study.

Similarly, earlier this year a team of European researchers disclosed that routine coffee consumption contributes to DNA integrity and overall longevity. This is earned by the antioxidants residing in dark roasted beans, a compound that helps cells repair themselves more effectively in the wake of the damage done by free radicals. Free radicals, birthed by sunlight, oxygen, and pollution, deteriorate the collagen fibers in the skin. The microbial properties in coffee help staff off these very same germs. Its caffeine acid boosts collagen levels which in turn brakes the aging process.

When it comes to confronting the aspects of aging that we cannot outwit, its important to distinguish a superficial fear of growing old, alternatively phrased as literal molecule deterioration, from a philosophical fear of death; the metaphysical cessation of being. Though Im not deaf to the terror of either, the attenuating of the former cant really refute the latter in and of itself. In other words, extending life for its own sake wont do you any good without some kind of moral equipment to boot. However you go about securing this is valid enough so long as it doesnt infringe on the fundamental rights of others. Rabelais lived for ambiguity, Plath was vitalized by the unreal and dangerous, Van Gogh was energized by lifes series of small things, Hitchens lived for irony (and died for it too), and Camus made a point not to think about any of it too intensely.

Chronological age is the most literal translation of our time here, our biological age is the most honest projection of how much of it weve got left, and our reservoir of purpose judges how successfully we spent it. Ultimately, appealing to your temple and the candles that emblazon it, is a good way to neuter the urge to cry over expired milk, whether the curtain falls when youre 25 or 98.

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The biological defects that come with age and how to prevent them - Ladders

Making The Jetsons Jealous: Peter Diamandis Says The Future Is Better, And Coming Faster Than You Ever Dreamt – Thrive Global

Flying cars. Peopleliving forever. The cost of education, energy, and food brought close to zero.

It would soundlike crazy talk if it were coming from anyone other than Peter Diamandis, creatorof the XPRIZE, founder of the Abundance 360 conference, and author of the mostinfluential books ever written about what the future holds.

In Abundance, published in 2012 and co-authored with Steven Kotler, Diamandis described how technology is bringing the bottom billion out of poverty and into a healthier, happier, opportunity-filled world. They then carried the theme forward in their second book, Bold, and returns to the ideas in their latest effort, The Future Is Faster Than You Think: How Converging Technologies are Transforming Business, Industries, and Our Lives, again with co-author Steven Kotler.

The opportunities that are coming our way in the next five to ten years are astonishing, Diamandis says. Entrepreneurs need to realize that we will make more wealth in the next decade than in the entire previous century. The worlds biggest problems are also the worlds biggest business opportunities. Technology is going to transform absolutely everything, and much faster than people realize.

Diamandis says thathis purpose in writing The Future IsFaster Than You Think is to remove fear.

The mission of the book, he says, is to give people a hopeful but also opportunistic view of the future. Im trying to show where the technologies are and how things will change in every area of life.

Diamandis ticks offtransportation, healthcare, energy, food, insurance, finance, entertainment, andretail as among the areas that will be radically different before we know it.He speaks of the convergence of multiple forms of technology coming together tocreate new business models.

Very few people, he says, when they were children, dreamt of working a cash register, being a parking attendant, or being a housekeeper. They probably had more aspirational objectives for their lives.

The three Ds that will dominate the next decade are dematerializing, democratizing, and demonetizing. In other words, so many functions are moving to the digital world, where they become open to everyone, and not just a select few. At the same time, the cost of living is going to drop so radically that people wont have to work for the sake of paying for their lives. More and more people will be able to do whatever they really want to do.

The book explains wheretechnology is headed, and then demonstrates how the convergence of these newtechnologies will enable opportunities for people that sound like something outa science-fiction movie. It concludeswith a section on the risks and migrations attendant to those changes.

Take longevity, Diamandis says, warming to one of his favorite topics. We are approaching whats called longevity escape velocity. This means that for every year you grow older, science finds a way to extend your life by one year. Age becomes a treatable disease instead of a death sentence.

Diamandis takespains to explain that the societal shifts, due to the obviation of jobs likelong haul trucker, will not be as abrupt or disastrous as people think. In thebook, he notes that it will take half a century before all of todays jobs vanish,only to be replaced by even better opportunities for people at every level ofthe socioeconomic spectrum.

Is he worriedabout a caste system evolving, creating a world of a few technological havesand countless technological have-nots?

Not at all, Diamandis replies. If you look back anywhere from a few centuries to a few millennia, kings, queens, and pharaohs were the haves and everyone else lived in absolute squalor. For millennia, 99.9999% of human beings have lived in survival mode.

Going forward, there will certainly be a small number of super-haves, as there have always been, but everyone else will have unlimited access to healthy food, water, energy, and healthcare, at low or no cost. Thats something unprecedented in human history.

In tomorrows world, every child will be born to extraordinary opportunity. Thats a lot better than the world we know today.

Diamandis pointsout that the technology tends to get radically cheaper as more people adopt it,which means that new opportunities become available to the masses at much lowerprice points than those paid by early adopters.

The only people who had the first cellphones were Wall Street investment bankers, he says. Those phones were the size of briefcases, they cost a million dollars, and they dropped calls every two blocks. But as time went on, the cost of a phone dropped to the point where practically everyone on the planet can have a smartphone. Thats why I say, democratized equals demonetized. The future is coming faster, and better, and cheaper than anyone can imagine.

And these thingsarent 25 to 50 years from now. Theyre literally around the corner. The bookexplains how and why.

For furtherinformation, and special pre-publication bonuses, including copies of Abundance and Bold for people who buy the book in advance, visit http://www.futurefasterbook.com.

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Making The Jetsons Jealous: Peter Diamandis Says The Future Is Better, And Coming Faster Than You Ever Dreamt - Thrive Global

Precision Medicine Software Market : The Report Analysis And Overview of Global Market In Term Of Size, Share, Growth And Development 2019-2024 :…

A report added to the rich database of Qurate Research, titled Global Precision Medicine Software Market Professional Survey Report 2019 which reveals an extensive analysis of global industry by delivering the detailed information about Forthcoming Trends, company profiles, product picture and Specification, Capacity, Production, Price, Cost, Revenue and contact information. Precision Medicine Software Market report firstly introduced the Precision Medicine Software basics: Definitions, Classifications, Applications and Market Overview; Product Specifications; Manufacturing Processes; Cost Structures, Raw Materials and so on. Precision Medicine Software industry Forecast 2019-2024 report offers detailed information about the key factors influencing the growth of the market (Growth Potential, Opportunities, Drivers, Industry-Specific Challenges and Risks).

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The report provides information about Precision Medicine Software Market Landscape. Classification and types of Precision Medicine Software are analyzed in the report and then Precision Medicine Software market analyzed by Application and End users. Market trend analysis is done by historical data to current trends and situation in the market. It also shows Future opportunities with the Forecast for years 2019-2025.

Major Players in Precision Medicine Software market are:Allscripts(US)Human Longevity, Inc. (US)Sunquest Information Systems Inc. (US)GlaxoSmithKline plc(UK)AstraZeneca plc(US)Gene42, Inc. (Canada)Roper Technologies(US)PierianDx, Inc. (US)N-of-One, Inc. (US)SOPHiA GENETICS SA (Switzerland)IBM Watson Group (US)Foundation Medicine, Inc. (US)Translational Software, Inc. (US)Flatiron Health, Inc. (US)Abbott Laboratories(US)2bPrecise LLC (Israel)Sanofi S.A.(France)Tempus Labs, Inc. (US)LifeOmic Health, LLC (US)Qiagen(Germany)Koninklijke Philips N.V. (Netherlands)Syapse, Inc. (US)Fabric Genomics (US)Pfizer, Inc., Merck & Co., Inc.(US)NantHealth, Inc. (US)

Most important types of Precision Medicine Software products covered in this report are:Cloud-basedOn-premise

Most widely used downstream fields of Precision Medicine Software market covered in this report are:Healthcare providersResearch centers & Government institutesPharmaceutical & Biotechnology companiesOther end users

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Zelda Was One of the Greatest Modern Writers of Religious Experience in Any Language – Mosaic

In the world of modern Hebrew letters, some names have achieved international recognition: from S.Y. Agnon and ayyim Naman Bialik to, more recently, Amos Oz and Yehuda Amichai. The names of others, whose contributions to Hebrew literature may be no less significant, tend to resonate in smaller, more localized circles.

Among the latter figures is the poet Zelda Shneerson Mishkovsky (1914-1984)known simply as Zelda to her many devoted readers in Israel. Indeed, her place in the world of Hebrew letters is secure, having been recognized through the award of both the Bialik and the Brenner prizes,two ofIsraels highest literary honors. That place is also unique: more than three decades after her death, Zelda remains one of the greatest modern writers of religious experiencein Hebrew or in any other language.

Who was she?

Zeldas rendering of religious experience was undoubtedly informed by her early life. Born in Russia in the waning days of the tsarist empire, she spent her first decade under the new dispensation of the Bolsheviks. Her formative childhood environment, however, was the world not of Communist atheism but of Chabad asidism. Zeldas first cousin, older than she by a dozen years, was Menachem MendelSchneerson, who in 1950 would become the seventh leader of the Chabad-Lubavitch dynasty: the Lubavitcher rebbe.

At twelve, Zelda emigrated to mandatory Palestine with her family. The Schneersons settled in Jerusalem (bejeweled in the sun,/ smiling like a bride), where she would spend most of her adult life. Nor did the spiritual world of her early years ever leave her. She remained devoutly religious her whole life and would often allude to asidic themes and symbols in her poetry. That poetry depicts a world of divine sparks and miracles, a world in which God is at times a living entity, as solid as a human lover or friend. But hers is also a world of profound loneliness and isolation, a world in which death maintains an unshakable presence and God is often hidden.

Zeldas father died about a year after the familys move to Jerusalem, and her grandfather soon after. In Jerusalem, she attended a religious girls school and then the Mizrai Teachers Seminary. It was while a student at the latter that she first began writing and publishing poetry in newspapers and magazines.

Over the next two decades, Zelda lived in Tel Aviv, Jerusalem, and Haifa, teaching Hebrew to new immigrants, caring for her ailing mother, and working as a teacher in an elementary school. Even as a teacher, she brought her radiant vision to her work, calling small kindnesseslike lending an eraser, or handing out drawing papermaking sparks. Among her second-grade pupils was Amos Oz, who many years later, in his 2002 memoir A Tale of Love and Darkness, would write:

[Zelda] revealed a Hebrew language to me that I had never encountered before. . . . A strange anarchic Hebrew, a Hebrew belonging to stories of the pious and to asidic tales and folk parables, a Hebrew overflowing with Yiddish, violating every rule, mixing feminine with masculine, present with past, noun with adjectivea sloppy, even muddled Hebrew.

But what vitality there was in these stories! When a story was about snow, it seemed written in words of snow. And when it was about fires, the words themselves burned.

Despite her pedagogical gifts, Zelda felt teaching stifled her poetry. When she married ayim Aryeh Mishkovsky in 1950, she gave up teaching and began writing more intensely. Still, it wasnt until 1967after much urging from her husband and friendsthat Leisure, her first book of poems, was released. She was fifty-three years old.

Leisurelaunched Zelda from near-anonymity into the heart of the Israeli literary world. Some of the excitement was undoubtedly due to the novelty of her biography, buther work also gained attention for breaking poetic ground. Ignoring the genre boundaries and rhythmic patterns that then still largely governed the writing of Hebrew verse, her work, as the singerChavaAlbersteinwould observe, sounded a new melody on the Hebrew poetry scene.

From 1967 onward Zelda published prolifically, releasing a book of poetry every three to four years. Her second book, The Invisible Carmel (1971), was dedicated to the memory of ayim, who passed away shortly before its publication. In the following years, deathalways a major themebecame even more prominent. Her preoccupation with mortality led to one of her most brilliant poems, Heavy Silence, a meditation on language, meaning, and grief.

Here and throughout, the translations are by Marcia Falk in The Spectacular Difference: Selected Poems of Zelda (2004):

Death will take the spectacular differencebetween fire and waterand cast it to the abyss.

Heavy silencewill crouch like a bullon the names we have giventhe birds of the skyand the beasts of the field,the evening skies,the vast distances in space,and things hidden from the eye.

Heavy silence will crouch like a bullon all the words.And it will be as hard for me to partfrom the names of thingsas from the things themselves.

O Knower of Mysteries,help me understandwhat to ask foron the final day.

Few would have expected Zeldas poems, which, like this one, brim with allusions to biblical and mystical texts, to resonate with readers across all segments of Israeli society. Yet she was never exclusively either a poets poet or a aredipoet. Indeed, each of her sixbooks was a national bestseller, and the ranks of her admirers included kibbutzniks, soldiers, yeshiva students, and academics.Her verses have been put to music in popular Hebrew songs, most notably byAlberstein, and one poem in particular, Each of Us Has a Name, is a frequent feature of Holocaust Remembrance Day ceremonies in Israel.

It is true, however, that today, despite her popularity, she is more likely to be mentioned by the keepers of advanced Israeli culture as a token curiosity (Israels first religious female poet) than as a serious literary artist. Nor was she ever recognized with the Israel Prize, the nations highest cultural honor. In 2004, the literary critic Alit Karper wrote in Haaretz that Twenty years after her death from cancer, Zelda is mainly a very forgotten poet. And outside of Israel, as I noted at the outset, her work is virtually unknown.

Countless forces contribute to the making of a writers reputation and cultural longevity, some of which have little to do with the actual work. (The Canadian scholar H.J. Jackson once listed such fame-enhancing factors as dying young, having a politically contentious youth, and living in a pretty, pilgrimage-friendly place.) As for Zelda, one might speculate that her work has been overlooked in part because her poems seem so simple.

In contrast to poets whose work cries Decipher me!, Zeldas poemsparticularly those rooted in concrete imagesexhibit a straightforwardness that makes them approachable despite their often antiquated language, minimal punctuation, and erratic line breaks. Thus, a poem titled The Crippled Beggar 1 is about a crippled beggar; another, called Strange Plant, is about a strange plant. Nor is this an artifice: according to her translator Marcia Falk, Zeldas poems are never put-ons, never show-offs, and above all, never artificial. . . . They seem, rather, to have been born whole and delivered to us in a single breath.

This accessibility is one of Zeldas greatest strengths, for her poems can be read and appreciated by readers of various skills and levels of Jewish literacy. But the fact that her poems do not declare themselves as difficult has undoubtedly led some who should know better to dismiss her work after skimming only the surface. Take, for example, the following untitled poem:

In the morning, I thoughtLifes magic will never return,it wont return.Suddenly in my house, the sunis a living thing,and the table with its breadgold.And the flower and the cupsgold.And the sadness?Even thereradiance.

Simple enough. The poem contains no obvious allusions or impressive formal displays, and its main technical achievement seems to lie in its use of abrupt line breaks that, in emphasizing the moments transience, curtail any hint of sentimentality.

But, as always with Zelda, there is more here than meets the eye. In her system of personal symbols (other instances include The Sun Lit a Wet Branch, The Old House, Strange Plant, and many more), gold is associated with light and divine presence: a connection most likely adapted from the kabbalistic idea of the infinite light of God overflowing through metaphysical emanations to the lower human world. In this poem, the idea of an impassable gulf between the earthly realm and the realm of the divine is openly challenged. God, Zelda suggests, can be found not only in the synagogue but in the small nouns that make up our world: the table with its bread, a bunch of flowers, cups.

But there is more. The quiet lines and the table with its bread/ gold./ And the flower . . . / gold are borrowed, nearly word for word, from Kings 1 7:48-49, a passage describing the golden table and vessels in the Great Hall of Solomons Temple. The terms, almost seamlessly incorporated into the body of her text, carry theological weight, implying not only that God is present in the mundane but that discerning the divine in the mundane is in itself an act of worship.

Embedded within this unassuming poem is thus a distinctively asidic theology, an alternative to the desacralized cosmos in which most of us live. That theology is communicated through reference to Judaisms sacred texts, deployed so deftly as to be nearly invisible. Zeldas work can be read and enjoyed without knowledge of her specifically asidic background, but it cannot be fully appreciated without a sense of her religious world.

In this same connection, its important to stress that some of the best notes struck by this poet of religious experience reflect the moments when that experience fails to line up precisely with theology. Take, for example, Who Can Resist the Beauty of the Light:

I bore my anger to show to the light,seeking comfort in its beauty,

but I was not worthy in its eyes,I was not worthy in its eyes.

Why is your life dark? it said.You are not in the depths of the pit.This must be a lack of love.

And I wept.I wept deeply.

Like many of Zeldas poems, this one has a patina of childishness. The poem is filled with simple contrasts: light/dark, comfort/disquiet, life/(intimated) death. As in a childrens story, the light speaks. As in a nursery rhyme, the poem doubles and repeats. But the simplistic structure and fable-like images belie the complexity of the literary and emotional framework.

Most obvious in this respect is the reference to Psalms 88:7: Thou hast laid me in the nethermost pit, in dark places, in the deeps. This psalm is itself one of the darkest in that biblical book, its mood described by the religious historian Martin Marty as a wintry landscape of unrelieved bleakness. Unlike other psalms dealing with themes of death and abandonment, Psalm 88 is essentially nineteen verses of unmediated gloomwhich makes it a fitting background to the emotional state of Zeldas speaker.

Other allusions in the poem are similarly apparent only in the original Hebrew, and then mostly to readers deeply familiar with Judaisms foundational texts. Since this presents a common problem in reading Zeldas work in translation, we may pause here for a word about Marcia Falks efforts to overcome it. Although her renderings excel at conveying the intimacy and simplicity of Zeldas work, more subtle references are sometimes elided. Here, for instance, the word translated by Falk as my anger () might better be rendered as my disquiet. The phrase appears in Exodus, Proverbs, and Job, among other places, but its root form appears most notably in Samuel 2 19:1together, significantly, with a form of Zeldas archaic (and I wept), another highly inflected word in the poem.

This is the only verse in the Bible in which both words appear in conjunction, and at a moment of extreme intensity: And the king was much moved, and went up to the chamber over the gate, and wept. The verse marks the start of Davids lament for Absalom, perhaps the most famous of all biblical expressions of grief: O my son Absalom, my son, my son Absalom! would I had died for thee, O Absalom, my son, my son!

Yet the context of the kings outcryin particular, the fact that Absalom was killed as he attempted a coupis sometimes overlooked. In fact, the lament is itself followed by a considerably less famous passage in which David is reminded by his nephew Joab, who is also the commander of the royal army, that had Absalom lived and the coup succeeded, the kings wives, sons, daughters, and servants would all have been slaughtered.

In other words, Absalom, O Absalom! is an expression of inappropriate grief. And it is precisely in that sense that Zeldas references to Samuel align her I with David. Like David, Zeldas speaker senses that her griefor at least the depth of itis misplaced, uncalled-for. She mourns, like David, but believes she ought not to. Her life is dark, but she, like him, is not truly in the nethermost pit.

Also critical to understanding Who Can Resist the Beauty of the Light is some knowledge of the Chabad approach to grief and joy, and in particular Chabads emphasis on divine providence: the belief that, for the faithful, all that occurs is ultimately the result of Gods benevolent care for us. Complete trust in that benevolence allows an individual to welcome suffering with joy and love, for everything has its origin and its end in God, the Infinite Light invoked in the poems title.

For Zelda, these ideas were not abstract theological concerns. The death of her husband ayim left her bereft. Even years later, many of her poems describe the pain of widowhood. As letters exchanged between her and her cousin Menachem Mendel Schneerson reveal, the opposing spiritual valences of suffering and grateful happiness were at the forefront of her mind. At one point, Schneerson writes, From the spirit of your letters, I get the impression that though I keep writing you to take a more joyful perspective, . . . my words have made no mark. . . . But I will persist, and repeat myself even 100 times, and you will forgive me.

Despite these urgings, Zelda was unable to subsume her pain in faith. Her poems suggest that she saw this lack of love as a spiritual failing. And that brings us to the core of Who Can Resist the Beauty of the Light, which lies precisely in the speakers sense that she has failed to live up to ideals she feels are impossible but cannot relinquish. Caught between what she believes (all that occurs is the result of Gods will) and what she experiences (darkness and pain), the speakers only recourse is tears: And I wept./ I wept deeply.

In less skilled hands, that thought, along with the poem that expresses it, would have tipped into sentimentality, or blasphemy. But Zelda navigates the tension with grace. By suffusing her lines with words from sacred Jewish texts and Hebrew liturgy, she creates a work that, even in its angst, reads also as an expression of stubborn, stiff-necked love. If Who Can Resist the Beauty of the Light does not end with a reevaluation of the speakers disquiet, neither does it conclude with a rejection of the light. Instead, pain stands alongside belief, neither one dislodging the other, neither one offering resolution.

Religious experience is notoriously difficult to express in words. The reason may owe in part, as Wittgenstein suggested, to the difference between how we use and relate to religious language and how we use and relate to everyday speech. In part it may also owe to the fact that the most meaningful religious experiences are often characterized by paradox: think of the medieval Christian mystic Julian of Norwichs vision of a small hazelnut that somehow also contains everything that is made.

Of all the possible modes of linguistic transmission, perhaps the one uniquely suited to the expression of religious experience is poetryprecisely because of poetrys capacity to convey paradox, holding multiple contradictory ideas open at the same time. Its therefore unsurprising that almost all of the Hebrew Bibles most moving expressions of religious experience derive from the poetic books: Ecclesiastes, Psalms, Job, Song of Songs, Proverbs, Lamentations. These are not the texts that give us answers, but the ones that best present our questions while assuring us that we are not alone in asking them.

Like those biblical books, Zeldas poetry speaks to the tension of a lived religious life, the places where theology and experience refuse to meld. In her work, the divine is at once radically immanent and hopelessly distant. Death negates human instrumentality, but also allows for the discernment of wonder. A righteous God permits the faithful to suffer.

Theodicy, suffering, redemptionits all there. And that is what entitles Zeldas work to a place at the center of the modern Hebrew canon and to be recognized for what it is: a masterful expression of religious experience that, refusing both blasphemy and sentimentality, offers instead a form of prayer.

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Zelda Was One of the Greatest Modern Writers of Religious Experience in Any Language - Mosaic

Expert Insights on Osteoporosis From the ACR/ARP 2019 Annual Meeting – Rheumatology Advisor

The Great Debate at the 2019 ACR/ARP Annual Meeting addressed the issue of whether anabolic therapies are appropriate as first-line treatment for glucocorticoid-induced osteoporosis (GIO). The risk is usually defined based on previous fracture history, low T-score, and the presence of multiple risk factors for fracture including smoking, alcohol, or low body weight. Kenneth Saag, MD, presented the pro side while Mary Beth Humphrey, MD, PhD, presented the con side of using anabolic agents for GIO.

Audience members were surveyed on their opinion, with 60% of participants indicating their preference for using anabolic agents including teriparatide as first-line therapy for GIO. It was interesting to see this audience response, as certainly those advocating the use of teriparatide won. I was actually surprised the margin wasnt even greater for the pro side, because clearly anabolic drugs are superior to any antiresorptive agents for fracture protection in high-risk patients, with better bone efficacy data.

The main problem is that there have been no head-to-head trials conducted with fracture reduction as a primary end point for GIO. Several trials have shown bone mineral density (BMD) differences between drugs. Dr Saag noted in his presentation that research has found statistically significantly fewer fractures in patients taking teriparatide, but again, the fracture rate was not indicated as a primary end point in the design of the clinical trial. There also may never be a head-to-head trial for various drugs in GIO, the main reason being obviously the cost of conducting such trials.

Dr Humphrey indicated that patient preference, satisfaction, and adherence should also be taken into account when debating whether anabolic agents should be given to a patient at high risk for GIO, suggesting that some patients will not elect to receive medication delivered by injection. In general, patients dont want an injection when they can be prescribed a pill. From my point of view, the conversation should then shift to which is the best and most effective drug given your risk factors. From there we usually can come to a consensus that may include an anabolic agent. As for medication adherence, a patient who has a history of vertebral fracture and back pain may be more likely to be adherent than someone who is asymptomatic.

What I have found to be the larger issue, not only for payers but also patients, is the cost of the anabolic agents, especially for patients with Medicare who are dealing with the donut hole: those who are unable to use copay cards available to other patients with commercial insurance.

From a pathophysiologic perspective, I like to refer back to studies referenced in the past that point to the foundational effect of an anabolic. Researchers studied the effects of alendronate vs romosozumab in postmenopausal women with osteoporosis in the ARCH trial (Study to Determine the Efficacy and Safety of Romosozumab in the Treatment of Postmenopausal Women With Osteoporosis, ClinicalTrials.gov Identifier: NCT01631214). This trial found that patients who were treated with romosozumab for 1 year followed by alendronate had a significantly lower risk of fracture compared with patients treated with alendronate alone. The fracture rate in people who had taken romosozumab in the first year was significantly less because of the foundational effect of the drug. The process consists of laying down new bone and then consolidating that new bone formation. That is what we have always had to consider, and this speaks to Dr Humphreys point that you do need to continue on an oral bisphosphonate after romosozumab to consolidate the bone after treatment with an anabolic. I like to tell my patients that this process of building bone is like a spring: first you expand the spring, then you have to prevent bounce back to the set point.

Dr Saag mentioned that he was not advocating anabolic agents as first-line treatment for every patient; these agents should be reserved for high-risk patients. I absolutely agree with him. We do not want to give teriparatide, abaloparatide, or romosozumab to everyone. In some patients, oral bisphosphonates are perfectly appropriate, such as those patients taking steroids.

Another point that was mentioned during the Great Debate was the risk for osteosarcoma, which was mainly derived from rat toxicology data using Fischer rats with open epiphyses their entire lives. The incidence of osteosarcoma was found to be markedly higher at baseline compared with humans. However, this osteosarcoma risk was noted by researchers; a registry was started to examine this link, and a drug length use limitation is imposed with some drugs. The registry is still insufficiently powered, so we are not yet certain that there is no relationship between the drugs and the risk for osteosarcoma. Thus far, various tumor registries in the United States have looked at the incidence of osteosarcoma with teriparatide use and no increased signal has been found.

Currently use of romosozumab is limited to 1 year because the effect tends to wane after 12 months. This is probably because the effect on osteoblasts is so potent that it depletes the osteoblast, and after a year there is nothing left to do. After 1 year, romosozumab becomes an expensive antiresorptive drug. What is further notable is the lack of information on the label about retreatment, as well as the lack of further guidelines about retreatment.

The current gaps in preventing glucocorticoid-induced osteoporosis are similar to those present in preventing postmenopausal osteoporosis. The number of people in whom bone density is being measured and who are being diagnosed with osteoporosis is decreasing. I think some patients may be risk averse because of the issues related to atypical femur fractures and osteonecrosis of the jaw. I think physicians may also be too busy to elevate this issue, even though mortality after hip fracture in women is 20% after one year and in men its 40%.

More broadly speaking apart from GIO, I believe the biggest game changer in osteoporosis research being presented is romosozumab. We now have a new anabolic agent that works differently than teriparatide as a signaling pathway drug. STUCTURE (An Open-label Study to Evaluate the Effect of Treatment With Romosozumab or Teriparatide in Postmenopausal Women; ClinicalTrials.gov Identifier: NCT01796301) studied the effect of 1 year of treatment with romosozumab compared with teriparatide on total hip BMD in postmenopausal women with osteoporosis who were previously treated with bisphosphonate therapy. The investigators found a dramatic increase in BMD with romosozumab therapy compared with teriparatide. Importantly, they also conducted finite element analysis at the hip that showed increased hip strength with romosozumab. Given these data, I believe this is the biggest story right now in osteoporosis.

Disclosure: Dr Deal is a speaker and consultant for Radius and Amgen.

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Expert Insights on Osteoporosis From the ACR/ARP 2019 Annual Meeting - Rheumatology Advisor

Healthy Living: Cutting calories, not traditions – Q13 News Seattle

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SEATTLE -- You know youre going to eat it! What? All of it! The pies, mashed potatoes, and green bean casserole. Is it possible to health these items up just a bit without changing the flavor that you love? YES!

The average person will consume 4500 calories on Turkey day. We are not attempting to talk you out of it!

However, with a few tweaks, Nutritionist Deborah, you could cut down on some of the bad fats and sugar and still enjoy all of the typical Thanksgiving goodies.

RECIPES:

CRANBERRY SAUCE Healthy hack: MONK FRUIT TO CUT THE SUGAR GRAMS

1/2 c. sugar & cup of Monk Fruit (I used the Lakanto brand from Costco)

1 c. water

1 (12-oz.) package fresh cranberries

2 tsp. orange zest

Kosher salt

DIRECTIONS

In a small saucepan over low heat, combine sugar and water until sugar dissolves. Add cranberries and cook until they burst, 10 minutes. Stir in orange zest and a pinch of salt.

Remove saucepan from heat and let cool completely, then transfer to a resalable container and refrigerate.

BRUSSELS SPROUTS Healthy hack: GHEE TO ADD MORE FLAVOR WHILE USING LESS FAT

2 pounds Brussels sprouts

1/4 cup olive oil

1 teaspoon kosher salt

3 tablespoons balsamic vinegar

2 teaspoons honey

Arrange a rack in the middle of the oven and heat the oven to 425F. Meanwhile, trim the bottoms from the sprouts if they appear dry or yellowed, and peel away the loose outer leaves. Cut each Brussels sprout in half through the stem.

Place the Brussels sprouts on a rimmed baking sheet. Add the oil and toss to coat. Season with the salt and pepper and toss to coat again. Arrange them cut-side down.

Roast, stirring halfway through, until the leaves are dark brown and crisp and the undersides of the sprouts are browned, 25 to 30 minutes total. Drizzle with the balsamic vinegar and honey and toss to coat. Serve immediately. Recipe from @thekitchn

SWEET POTATO SALAD-Healthy hack: HIGHER FIBER THAN REGULAR SALAD & FULL OF ANTIOXDANTS

3 large sweet potatoes peeled and cubed (about 2 lb.)

1 small red onion, thinly sliced into half moons

2 tbsp. Avocado oil or Ghee (warm it up so its liquid)

S & P

Freshly ground black pepper

1/2 c. dried cranberries

1/2 c. crumbled goat cheese

1/4 c. freshly chopped parsley

Dressing:

Add these ingredients to a bowl

1 cup olive oil

cup of balsamic vinegar.

3 tbsp. of water

1 tbsp. of maple syrup

1 heaping tsp of Dijon mustard

1 big smashed chopped clove of garlic

Salt & pepper & EBTB seasoning

Wisk away and then let it sit and let the ingredients mingle (like a dating site but better)

Feel free to get fancy with your own additions but the key point? 3:1 ratio of oil to vinegar.

Preheat oven to 400. On a large rimmed baking sheet, toss sweet potatoes and red onion in oil then season with salt and pepper.

Distribute them evenly on sheet in a single layer. Bake until tender, about 20 minutes. Let cool for 10 minutes then transfer to a large bowl.

Toss sweet potatoes with dressing, cranberries, goat cheese, and parsley. Serve warm or at room temperature.

Recipe modified from @delish

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Healthy Living: Cutting calories, not traditions - Q13 News Seattle

Prevent holiday weight gain with healthy living tips from UAB – Alabama NewsCenter

The holiday season is a time with family, friends and fun, but it is also a time filled with lots of food and sweets.

Exercise and dieting can be hard to maintain during this time of year; but Payton Joyner, assistant director of Fitness and Well-being, and Katie Ellison, M.S., from the University of Alabama at Birminghams FitWell team with University Recreation, have some tips to help you stay healthy this holiday season.

Exercise

Finding the time to exercise can be tricky during this time of year especially if you are traveling. If you are away from home and do not have access to your local gym, Joyner suggests finding ways to get outside.

If you are out of town, search for local hiking trails or parks with access to fitness equipment; it can be a great way to get some exercise while also sightseeing, Joyner said. If youre around children, offer to take them to the park, and work on your push-ups and pull-ups on the playground.

Spending time outside could also help reduce some of the stress that can come with the holidays, even if you are just relaxing. A recent UAB study suggests that spending 20 minutes in an urban park makes people happier regardless of whether they are engaged in exercise during the visit.

If weather is preventing you from enjoying the outdoors, Joyner suggests turning to the internet to find workouts.

You can find a large variety of free flexibility, yoga and meditation videos online. Or, if that is not really your style of workout, hit up a circuit-style, bodyweight workout that focuses on higher reps and shorter breaks to keep your heart rate up, Joyner said.

Joyner suggests an eight-step workout to help you stay active if you are stuck indoors:

Complete as many repetitions of each exercise as you can within 20 to 30 seconds, Joyner said. Take 20 to 60 seconds to rest between exercises, or you can immediately move into the next exercise to make things harder. Complete this circuit two to fivetimes.

Joyner recommends including a warm-up of your choice to get your body ready before you begin and a cool-down to help your body ease back to resting.

Healthy eating

The holidays are filled with lots of treats, and for some it can be an overwhelming task to stay on a diet. Ellison has some suggestions to help you prepare for the holiday food.

Another way to be mindful during holiday meals is to substitute regular recipe ingredients and make dishes more nutritious. To do this, Ellison recommends:

The holidays are a time to spend with family and friends, and with a few smart choices you can enjoy all of the traditions and maintain a healthy lifestyle.

This story originally appeared on the University of Alabama at Birminghams UAB News website.

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Prevent holiday weight gain with healthy living tips from UAB - Alabama NewsCenter

Health briefs 11-25-19 | Healthy Living – Uniontown Herald Standard

Events

n Medicares annual open enrollment period runs through Dec. 7. The APPRISE Program can help answer questions. Those interested in having a free, confidential plan comparison done can contact a local Area Agency On Agings APPRISE Program to meet with a certified Medicare counselor to discuss needs. For a list of enrollment centers and their dates and times open for enrollment or contact information about local Area Agency on Aging offices, call Southwestern Pennsylvania Human Services, Inc. at 724-489-8080.

n Mon Valley Hospital will host a hernia education and screening event at 5 p.m. Dec. 16 in the educational conference center. Arshad Bachelani, M.D., of Mon-Vale Surgical Associates, will conduct individual screenings following a brief educational talk on hernias. Registration: 724-258-1333 or http://www.monvalleyhospital.com.

n Adagio Health has moved to a new location at Uniontown Professional Plaza, 205 Easy Street, near Uniontown Hospital. Health care services include family planning and reproductive care for women and men, breast and cervical cancer screening, and adult care basics such as immunizations and screening. The majority of patients receiving healthcare services are women who are uninsured, underinsured or need access to confidential family planning services. Adagio Health also serves thousands of children and families through education and nutrition programs including WIC and Power Up (SNAP-Ed), along with offering tobacco cessation programs aimed at teens and adults. All services are provided through funding from foundations, the State and Federal government and in partnership with a variety of local organizations and other funders.

Courses

n Exercise classes, Tuesdays and Thursdays, Center in the Woods, 130 Woodland Court, Brownsville. Classes include chair dancing at 9:30 a.m. followed by healthy steps at 11 a.m. Information: 724-938-3554.

n Monongahela Valley Hospital will host an American Heart Association Heartsaver CPR/AED course 4-8 p.m. Nov. 26 and 8 a.m. to noon Dec. 17 in the education conference center. Adult cardiopulmonary resuscitation (CPR/AED) classes are offered by Monongahela Valley Hospital. The fee for the class is $50 to cover the class and required materials. Registration: 724-258-1333 or https://www.monvalleyhospital.com/registration.asp.

n Monongahela Valley Hospital will host American Heart Association Family and Friends CPR/AED 9-11 a.m. Nov. 26 and 4-6 p.m. Dec. 17 in the simulation center. This course is designed for the layperson that has little or no medical training, and is taught by a certified instructor. This course is for people who do not need a certification card for a job. Content includes an orientation to CPR for adult, child, infants, choking and use of an Automated External Defibrillator (AED). Cost of this course is $35 to cover the cost of the book, which includes a class participation card. Registration: 724-258-1333 or https://www.monvalleyhospital.com/registration.asp.

n Monongahela Valley Hospital will host a diabetes management program 9-11 a.m. Dec. 3, 10 and 17 and 6-8 p.m. Dec. 4, 11 and 18 in the education conference center. Topics include the importance of controlling blood sugars, diabetes medications, lifestyle changes, meal planning and methods to reduce the risk of complications. The program is three consecutive Tuesdays. Registration is required at least one week prior to the start date of class by calling 724-258-1483.

n Mon Valley Hospital will host an advanced carbohydrate counting program 9-11 a.m. Dec. 12 in the educational conference center. The program is a diabetes self-management class designed to educate on how to count carbohydrate content in food to improve blood sugar control. Topics include how to track effects of carbohydrates and blood sugar, glycemic index and how to read food nutrition labels. Registration is required at least one week prior to the start of class by calling 724-258-1483.

Support groups

n Breaking Addiction, HEAL Group for Men. The small group meeting for men is designed to help those who have a desire to overcome addictions and find a new direction in life. All sessions give instruction for practical life skills through Biblical Principles found in Gods Word. Discussion and interaction are encouraged at each group meeting. They are scheduled at 7 p.m. the first, second and fourth Thursdays of the month at Eagle Ranch Ministries Inc., 1579 Pleasant Valley Road, Mount Pleasant. Registration: 724-542-7243.

n Breaking Addiction, HEAL Group for Women. The small group meeting for women is designed to help those who have a desire to overcome addictions and find a new direction in life. All sessions give instruction for practical life skills through Biblical Principles found in Gods Word. Discussion and interaction are encouraged at each group meeting. The meetings are scheduled for 7 p.m. every Tuesday at Eagle Ranch Ministries Inc., 1579 Pleasant Valley Road, Mount Pleasant. Registration: 724-244-5261 or 412-969-8520.

n Caregiver support group, 6:30-8:30 p.m., the fourth Wednesday of the month at Lafayette Manor. Classes meet in the new physical therapy department. Light refreshments are provided. Open for family and friends who have lost a loved one to cancer. Registration: http://www.excelahealth.org or 877-771-1234.

n Mon Valley Hospital will host a suicide bereavement support group 12:30 p.m. Dec. 9 and Dec. 23 in the education conference center. The support group is a four-month program that meets the second and fourth Mondays of each month and is led by a licensed psychologist and is free and open to all those touched by suicide. Required registration: 724-678-3601.

n Mon Valley Hospital will host an Alzheimers support group 6-8 p.m. Dec. 10 in the education conference center. The free support group is designed to help the families, friends and caregivers of those suffering from Alzheimers disease or other forms of dementia. Discussion topics include the challenges of coping with this disorder as well as techniques for managing stress and methods of encouraging social engagement. Reservations: 724-258-1333.

n Monongahela Valley Hospital will host a Ostomy support group 2-3 p.m., Dec. 19 in the educational conference center. This support group is free and open to all persons with ostomies and their families and friends. The group meets the third Thursday of each month. Information: 724-258-1773.

n Grief support group, 6-8 p.m. first Tuesday of every month, at the St. John the Evangelist Church on West Crawford Avenue in Connellsville. The group is a collaborative effort for those facing grief due to the loss of a loved one from addiction. Information: 724-628-6840.

n Al-Anon Family Groups, 8 p.m. Wednesdays, Trinity Church parlor, Fayette and Morgantown streets, Uniontown. Please enter at the handicapped ramp entrance. A second is scheduled for 7:30 p.m. Fridays, Christian Church, Pittsburgh Street, Connellsville. These meetings are for anyone who has been affected by or is having problems from someone elses drinking. Information: al-anon.alateen.org or pa-al-anon.org.

n Survivors of Incest Anonymous group, 6:30-8 p.m. the first and third Mondays of the month, excluding holidays. This 12-step recovery program is meant for men and women aged 18 or older who were sexually abused by a trusted person as a child. The group meets at the Mount Macrina Retreat Center. A similar group, Healing Friends, is from 6:30-7:30 p.m., East Liberty Presbyterian Church in Pittsburgh, on the second and fourth Tuesdays of the month. Information: peopleofcourage@gmail.com siawso.org, or healingfriends8@gmail.com.

n Missing Piece of My Heart support group, 6-8 p.m. the last Thursday of each month at the Crime Victims Center conference room in the Oliver Square Plaza. The group is for families who have lost a child to a violent crime. Information: 724-438-1470.

n Silver Generation support group, 10 a.m. to noon Wednesdays, East End United Community Center, Uniontown. The program is for ages 55 and older. Information: 724-437-1660.

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Health briefs 11-25-19 | Healthy Living - Uniontown Herald Standard

Healthy Living: November 19, 2019 – WABI

BANGOR, Maine (WABI) - Fall and Winter are typically the worst times for "cold and flu" season, when lots of respiratory illness circulates among the population. Most of these illnesses are mild and have similar symptoms that may including congestion, sore throat, cough, and fever.

Viral Croup is one such illness in small children that starts like any other "cold" with congestion, but the symptoms quickly become quite specific. Croup mostly affects children less than 5 years old and tends to occur mostly in the Fall. In croup, the windpipe/trachea and voice box /vocal cords become swollen and this causes its distinctive symptoms. The cough from croup is classically described as "barking" or "seal-like". The voice becomes raspy and there can be a high-pitched squeaking sound when breathing IN; this is known as stridor. All these symptoms become worse with agitation or crying.

The reason these noises are so specific is that air is harder to pull into the lungs because the swelling makes the size of the windpipe smaller. Its much harder to breath through a drinking straw, than say, a snorkel. Croup targets young children because their breathing tubes are small to begin with because they are small people. A little bit of swelling makes a much bigger difference to them than older children or adults who have the same amount of swelling but are starting with much larger breathing tubes.

Happily, most cases of croup are mild and don't need any special treatment. Keeping your child calm and comfortable while encouraging fluids and rest as you normally would with any minor illness is often all that is required. Tylenol and ibuprofen can be used for any fever or other pain. A cool mist humidifier or steam filled bathroom may improve the barking cough, sometimes dramatically. If its cool and moist outside, taking the child outside may provide some relief.If a child with croup is still eating, drinking and sleeping well they should be fine to stay home. The illness usually runs it course in a week or less. Sometimes, however, it needs more medical attention. If the stridor is worsening quickly, or breathing becoming fast and labored, seek care right away. With more serious croup you can see the notch at the base of the neck suck in during each breath and maybe the chest as well. If your child has trouble talking, swallowing or is drooling a lot you should go to an emergency room right away. Same thing if they become lethargic and listless or very anxious appearing.

There is a type of nebulizer (racemic epinephrine) that can be given that will temporarily help relieve the airway swelling of croup. When this is required, steroids are also typically given for a more lasting effect. Often only one dose of steroids is required. A small number of patients will need admission to the hospital for repeat doses of nebulizers and steroids and very rarely may even require the help of a respirator until the airway inflammation improves.

It has been an active Fall for croup in our region so if your small child starts barking like a seal, don't panic! Be ready to handle it at home as described above and prepared to seek medical attention on the off chance it gets worse.

References: 1. http://www.mayoclinic.org./diseases-conditions/croup 2.https://kidshealth.org/en/parents/croup3.www.healthychildren.org/croup

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Healthy Living: November 19, 2019 - WABI

Stoneham Couple Benefits From Healthy Aging Tai Chi Program – Patch.com

Dick Van Dyke is the reason Eddie Di Muzzio can now lift one leg off the floor. Just a year ago, he couldn't imagine balancing himself without holding onto a chair.

Eddie and his wife, Pauline, were watching a television program hosted by the actor/comedian Dick Van Dyke. Van Dyke, who is 93 years old and an advocate of a healthy aging lifestyle, was promoting the Tai Cheng program, a form of Tai Chi, particularly geared toward older adults. He credited Tai Chi for improving his mobility. Van Dyke's program convinced Eddie and Pauline to give Tai Chi a try to help improve their coordination and balance, which had been a problem for them for years.

As Stoneham residents, the couple signed up for a Dr. Paul Lam's Tai Chi for Health course at the Stoneham Senior Center. The course is offered through Mystic Valley Elder Services as part of its Healthy Aging Program. It consists of a free eight-week, one-hour class on learning the basics of Tai Chi. The couple was hooked and have been taking classes for more than a year.

Prior to taking the Tai Chi classes, Eddie could hardly stand. He had pain and stiffness throughout his legs and suffered from light neuropathy in his foot. And when he did stand, his balance was off. Pauline shared the same problem, her coordination while walking was poor. Eddie, at nearly 88 years old, and Pauline, being 84, just accepted it as a burden of getting old.

Eddie and Pauline are currently taking their third Healthy Aging Program Tai Chi course, this one at the Milano Family Senior Center in Melrose. Because the Tai Chi courses are so popular, the class was filled at the Stoneham location. But that did not stop them from taking classes.

"We really enjoy the class and the company," says Eddie. "Many of the same people take the classes so we get to know one another. There is only one other male in the class, so we hang out together."

Eddie admits that it took him a while to learn the steps and get acclimated to the moves. But as he learned when he began to play the piano back in the day, it is all about practice. He is beginning to master the movements and can feel the difference in his legs with more flexibility and less pain. Pauline can see a major difference in her walking; her coordination is much better than it was a year ago.

Another reason the couple continues to take the course is because of their class leader, Susan Becker. "Susan is a people person," says Pauline. "She is very personable and a great leader. She explains the process making sure all of us understand it and will work with you until you have the movement down."

Both agree that having Susan lead their class really adds to the sessions. "She's an excellent teacher," says Eddie. "She goes over the actions until we have retained what we have learned."

Coincidently, Susan recently won the Kate Lorig Healthy Living Innovation Award, which is given by the Healthy Living Center of Excellence annually to recognize the innovative efforts of individuals or organizations for their creative thinking, commitment, and implementation of ideas that improve the quality of life for older adults through healthy aging programs.

For more information on Mystic Valley Elder Services' Healthy Aging Programs, please contact Donna Covelle, Healthy Aging Program Coordinator, at (781) 388-4867 or dcovelle@mves.org.

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Stoneham Couple Benefits From Healthy Aging Tai Chi Program - Patch.com

Montgomery Co. leaders sound the alarm over school nursing shortage – WTOP

Two Montgomery County Council committees are recommending the creation of six new school nurse positions in hopes of alleviating an ongoing shortage in the county.

Two Montgomery County Council committees are recommending the creation of six new school nurse positions in hopes of alleviating an ongoing shortage in Marylands largest school system.

The Education and Culture Committee and the Health and Human Services Committee met for a joint session Monday, months after they had both asked County Executive Marc Elrich to allocate enough money in next years budget to hire 12 new school nurses.

The countys budget for 2020 did not end up including the money for those nurses, but council members say Mondays recommendation carries an additional sense of urgency.

Council Member Craig Rice said the newest recommendation is a sign the nursing shortage has reached emergency status.

We understand how it presents a challenge to the executive branch from a budgeting perspective, Rice said. If we did not feel if this was of the emergency nature that it is, we wouldnt do this. We dont do this lightly.

Montgomery County has a nurse-to-student ratio of 1 to 1,600 far higher than neighboring counties, including Prince Georges County, which has the second-highest enrollment of all Maryland public school systems but a nurse-to-student ratio of 1 to 693.

During Mondays session, council members raised concerns that the nursing shortage is leading to students not getting the care they deserve.

We hear about the challenges of things falling through the cracks because nurses cant be in three places at once, Rice said. These are the kinds of continuous challenges that really provide some great concern for us.

Dr. Travis Gayles, the countys health officer, told the committees that school nurses are paramount in teaching students about health care, and said nurses can model healthy living habits.

If younger people have a positive experience within the health care realm, theyre more likely to utilize that space as they get theyre older and trust that experience to be able to come in and take advantage of those resources, Gayles said.

Gayles speculated that if the county does add the six proposed new nursing positions, at least four of them would end up in high schools. Between the more than 200 schools in Montgomery County, there are fewer than 100 nurses.

There is no catching up, Rice said. At this point, were trying to tread water.

Like WTOP on Facebook and follow @WTOP on Twitter to engage in conversation about this article and others.

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Montgomery Co. leaders sound the alarm over school nursing shortage - WTOP

Upfield Convenes High-Level Group of Experts to Improve Consumer Education and Healthy Choices within the Food Industry – PRNewswire

Notable participants included Prof Antonis Zampelas (Agricultural University of Athens, University College London), Prof Ingeborg Brouwer (Vrije Universiteit Amsterdam) and Dr Elke Trautwein (Kiel University). Through this energetic panel discussion, notable points of consensus were:

"Consumers are confused by multiple studies making conflicting health claims about saturated fats. These are often meta-analyses conducted without paying attention to the nutritional context of the studies, and can vastly misinterpret the data and the quality of research,"said Prof Ingeborg Brouwer, Professor of Nutrition for Healthy Living, Vrije Universiteit Amsterdam. "To ensure consumers are not confused by conflicting messages, we must ensure our claims are based on the totality of evidence as judged by experts in the field of nutrition and health."

The session was broadcast via live webinar where a recorded version remains online, and participants hope it will be instructive in helping the food industry to use valuable insights from public health experts to inform product development and communication with consumers.

The symposium was an active example of the food industry learning from academics in the public health field, and paves the way for clear, accurate consumer education in future. Paul Whitehouse, Upfield's Global Director of Scientific Affairs, called for further collaboration between the private and public sectors, and with academia, in order to support consumers in making healthy choices and decreasing the risk of diet-related chronic disease.

ABOUT UPFIELD At Upfield, we make people healthier and happier with great tasting, plant-based nutrition products that are better for the planet. As a global plant-based company, Upfield is the #1 producer of plant-based spreads with more than 60 brands, including iconic brands Flora, Rama, Blue Band, ProActiv, Becel, I Can't Believe It's Not Butter and Country Crock. With headquarters in Amsterdam, we sell our products in over 95 countries and have 17 manufacturing sites throughout the world. The company employs over 3100 associates. Since 1871, we have been the authority in the spreads category which gives us unmatched experience, know-how and inspiration. We are focused on leading in this new era focused on delivering healthier products that are great tasting and have superior quality and helps us deliver on our mission to create "Better Plant-based Future." For more information, please visit our website at http://www.Upfield.com.

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Upfield Convenes High-Level Group of Experts to Improve Consumer Education and Healthy Choices within the Food Industry - PRNewswire

Live long and die healthy: How a group of Winnipeggers are working to live to 116 with a focus on fun, fitness – CBC.ca

Nestor Mudryswears he will not relinquishthe presidency of the 116 Club as long as he lives.

And if he hits his goal, that will be at least another 18 years.

On this day, the 98-year-old's throneis a recumbent cross-trainer think astationary bike and elliptical machinerolled into one at the Reh-Fit Centre, a Winnipeg gym and wellness centre.

But he doesn't rule his subjects with an iron fist. He's quitecomfortable with his workout pals, cracking jokes at his own expense.

"You've never given me any good reasons to why you've lived till 98," says fellow gym-goer Dean Doerr, quizzingMudry on the buzz around his club atthe Reh-Fit Centre.

"It's because I'm stubborn," Mudryquips.

The 116 Club believes in seniority. Mudry is the president sincehe'sthe oldest, and he expects to hold the mantle for awhile.

The 116 Club is a group of spry fitness enthusiasts, mostly seniors, with the arguably lofty goal of living until116 years old the age of the oldest living persontoday, Japan's Kane Tanaka.

While the executive saysthat's the goal, most members aren't really gunning for such longevity.

Hitting 116 is "probably beyond the reach of most of us, but hey, if you're going to do something worthwhile, you strive for things that are beyond your grasp," said Allan Appel, who handles the club's public relations. "That's what we're doing."

The members say they would settle for living a good, independent lifeas long as possible.

"Die healthy" is the group's slogan.

"It's a little strange, but it makes you think,"Appel, a retired teacher, says of theirtwo-word mantra.

"It'sall part of the tongue-in-cheek effort that this group has to keep the spirits up."

Appel describes the club as a goodwill group of peoplepromoting their own health. Aside from membership at the Reh-Fit Centre, there's no cost orcommitment beyond apledge to live, eat and sleep well.

"If you are going to join, you'll partakein the humour and theirony of it all,"Appelexplains.

Another perk of membership iscake, he says.

Meet some of the members of the 116 Club:

Every three months, members celebrate the birthdays of anyone who is oneyear closer to 116.

Those eventslook more likethe kind of celebration you might expect to see for the club members' grandchildren.

During one such party, a "Happy Birthday" banner is strung up in the lobby of the Reh-Fit. Thereare seniors wearing matchingwhite shirts with the number "116" in blue lettering. On top of a balloon-printed tablecloth isa large slab cake, with the names of 17 celebrantsandcandles for each of them.

It's all in good fun, Appel says.

"What's the point of being healthy if you aren't treating yourself every once in a while?"

The genesisfor this club was with executive directorAbuMasood, 72. His grandfather died at 106, and Masooddecided he wanted to live 10 years longer than him.

His personal goal became a collective one at the Reh-Fit Centre, after he founded the116 Clublast summer.

"That's my motive of life. I want to make people healthy eat good, sleep good, make your life good," Masood said."If your health is good, youhave everything."

Not everybody can join. He looks for thepeopleworking out regularly at the gym, like him.

"Before I take membership, I keep an eye.Who iscoming regularly?ThenI approachthem," Masood said.

"Do they love keeping healthy?Thoseare the people. Not the 'once in awhile, once a month I show up.'"

He pays for the 116shirts and the birthday cake out of his own pocket.

He envisions his club, which now has 76 members and counting, as analternativeto the health-care system alone dealing with an aging population.

Masood knows exercise cannot prevent every medical ailment, but he says ithelps. One clubmember, he says, took the"die healthy" mantra to heart after their mother-in-law became ill and needed constant supervision.

"He says, 'Abu, now I got what you mean by die healthy. If my mother-in-law was healthy, we would have been free from a lot of things,'" Masood said.

He hopes the concept for the club can be expanded elsewhere, and wantsto apply for grants to help cover thegroup's expenses.

The 116 Club's members say it's made a difference in their lives.

Reisa Adelmanhas been going to the gym for years, but says she now feels a sense of belonging thanks to thegroup.

"He includes all these people who were just on their own," she says of Masood, while going through herdumbbell exercises.

"People like Abu make it even better."

On a nearby resistance machine, Appelis fidgeting with how much weight hecan lift.

"I set the dials to a much higher level so the people after me are impressed," he jokes, beforeshiftingto a back extension machine.

It's obvious helikes the camaraderieamong members of the 116 Club.

"Do I look good, taking a break?" he asks another gym-goer wearing a 116 shirt.

"Everybody looks good taking a break," Jim Wallace replies, without missing a beat. At 87, walking around the track is his workout of choice.

People don't like talking about death, club presidentMudry hasnoticed. He appreciates that the 116 Club doesn't shy away from the subject.

"We thought we'd face the whole issue head-on and say, 'We think that death is inevitable, so let's do all we can to make it as pleasant an experience as we can.'"

He says that for him,living until 116 is an "eventuality." Mudry is so confident, in fact, that he'sbeen asking the club what happens after that.

Their reply?

"Well, if you get to be 116 and to 117, we will then change the name to the 117 Club."

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Live long and die healthy: How a group of Winnipeggers are working to live to 116 with a focus on fun, fitness - CBC.ca

Prestigious NY Cancer Center Will Spend $3.7M To Study Bogus Cancer Treatment – Forbes

Reportage in a Chinese medicine practice in Lyon, France Acupuncture session. (Photo by: ... [+] BSIP/Universal Images Group via Getty Images)

Sometimes I'm not sure whether the best response to pseudoscience is to ignore it, or to patiently try to explain why it's wrong, or to get mad.

This week I'm mad.

My anger and frustration was triggered bya tweetfrom Memorial Sloan-Kettering's Integrative Medicine account, shown here:

Image captured by the author

For those who don't know,Memorial Sloan-Kettering Cancer Centeris one of the world's leading cancer centers, both for treatment and research. If you are diagnosed with cancer, MSK is one of the best places to go.

But not everything at MSK is world class. Unfortunately, they have an"integrative medicine"center that offers a mixture of therapies ranging from helpful to benign to useless. One of their biggest activities is acupuncture, which they claim offers a wide range of benefits to cancer patients.

The MSK tweet shown here was boasting abouta new, $3.7 million studyfunded by NIH to study the effect of acupuncture on pain that cancer patients experience from chemotherapy and bone-marrow transplants.

Here's why I'm mad: cancer patients are extremely vulnerable, often suffering the most frightening and difficult experience of their lives. They are completely dependent on medical experts to help them. When a place like MSK suggests a treatment, patients take it very seriouslyas they should. But they really have no choice: a cancer patient cannot easily look for a second opinion, or switch hospitals or doctors. Even if they have the money (and cancer treatment is extremely expensive), switching hospitals might involve a long interruption with no treatment, during which they could die, and it might also involve traveling far from their home.

Offering these patients ineffective treatments based on pseudoscienceand make no mistake, that's what acupuncture isis immoral. Now, I strongly suspect that the MSK's "integrative medicine" doctors sincerely believe that acupuncture works. Their director, Jun Mao, is clearly a true believer, as explained inthis profile of himon the MSK website. But that doesn't make it okay.

I've written about acupuncture many times before (here,here,here, andhere, for example), but let me explain afresh why it is nonsense.

Acupuncture is based on a pre-scientific notion, invented long before humans understood physiology, chemistry, neurology, or even basic physics, which posits that a mysterious life force, called "qi," flows through the body on energy lines called meridians. As explainedin this article by MSK's Jun Mao:

"According to traditional Chinese medicine ... interruption or obstruction of qi was believed to make one vulnerable to illness. The insertion of needles at specific meridian acupoints was thought to regulate the flow of qi, thus producing therapeutic benefit."

Today we know that none of this exists. There is no qi, and there are no meridians. In that same article, Jun Mao continued by admitting that

"the ideas of qi and meridians are inconsistent with the modern understanding of human anatomy and physiology."

And yet this is what they offer to patients at MSK.

Just to be certain, I readone of the latest studies from MSK, published early this year, which claims to show that acupuncture relieves nausea, drowsiness, and lack of appetite in multiple myeloma patients who were going through stem cell transplants.

It's a mess: totally unconvincing, and a textbook case of p-hacking (ordata dredging). The paper describes a very small study, with just 60 patients total, in which they measured literally dozens of possible outcomes: overall symptom score at 3 different time points, a different score at 3 time points, each of 13 symptoms individually, and more. I counted 24 different p-values, most of them not even close to significant, but they fixated on the 3 that reached statistical significance. The two groups of 30 patients weren't properly balanced: the sham acupuncture group started out with more severe symptoms according to their own scoring metric, andFigure 2in the paper makes it pretty clear that there was no genuine difference in the effects of real versus sham acupuncture.

But they got it published (in a mediocre journal), so now they point to it as "proof" that acupuncture works for cancer patients. This study, bad as it is, appears to be the basis of the $3.7 million NIH grant that they're now going to use, they say, in "a larger study in 300 patients to confirm these previous findings."

And there you go: the goal of the new study,according to the scientists themselves, is not to see if the treatment works, but to confirm their pre-existing belief that acupuncture works. Or, asone scientist remarked on Twitter, "they already have a result in mind, the whole wording of this suggests that they EXPECT a positive outcome. How did this get funded exactly?"

Good question.

So I'm mad. I'm mad that NIH is spending millions of dollars on yet another study of a quack treatment (acupuncture) that should have been abandoned decades ago, but that persists because people make money off it. (And, as others have explained in detail, acupuncture is actually a huge scam that former Chinese dictator Mao Zedong foisted on his own people, because he couldn't afford to offer them real medicine. For a good expos of Chairman Mao's scam,see this 2013 Slate piece.)

But I'm even more upset that doctors at one of the world's leading cancer centers are telling desperately ill patients, who trust them with their lives, that sticking needles into their bodies at bogus "acupuncture points" will relieve the pain and nausea of chemotherapy, or help them with other symptoms of cancer. I'm willing to bet that most MSK doctors don't believe any of this, but they don't want to invest the time or energy to try to stop it.

(I am somewhat reassured by the fact that MSK'sTwitter accounthas nearly 75,000 followers, while it's integrative medicine Twitter account has just 110.)

Or perhaps they are "shruggies": doctors who don't believe in nonsense, but figure it's probably harmless so they don't really object. To them I suggest this:read Dr. Val Jones's accountof how she too was a shruggie, until she realized that pseudoscience causes real harm.

And finally, let me point tothis study inJAMA Oncologyfrom last year,by doctors from Yale, which looked at the use of so-called complementary therapies among cancer patients. They found that

"Patients who received complementary medicine were more likely to refuse other conventional cancer treatment, and had a higher risk of death than no complementary medicine."

And also seethis 2017 studyfrom the Journal of the National Cancer Institute, which found that patients who used alternative medicine were 2.5 times more likely to die than patients who stuck to modern medical treatments.

That's right,Memorial Sloan-Kettering: patients who use non-traditional therapies are twice as likely to die. Thats why Im mad. This is not okay.

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Prestigious NY Cancer Center Will Spend $3.7M To Study Bogus Cancer Treatment - Forbes

How Prince Charles spent his 71st birthday in Bengaluru eating appams and doing yoga at Soukya, a 30-acre integrative medicine facility – The Hindu

Long before the media made a micro celebrity of Issac Mathai, who practises integrative medicine at Soukya, he had met Prince Charles in 2004, through his Harley Street centre. Dr Michael Dixon, a supporter of the integrative medicine, who is currently the chairperson of the College of Medicine and Integrated Health, as well the erstwhile chair of UKs NHS Alliance, introduced them. The Prince himself is a supporter of the stream of medicine, choosing to be a patron of the Faculty of Homeopathy in its 175th year, despite much criticism in Britain.

Today, after Camilla, the Duchess of Cornwalls sixth visit to Soukya, in Bengaluru, Mathai says the couple came in for a six-day rejuvenative treatment, where naturopathy, Ayurvedic, and yoga practices were employed. He says he is also a holistic consultant to them (he studied across Kerala and London) as and when required through the year.

The couple enjoyed the organic produce and the vegetarian food that the facility provided at this 30-acre, 25-room facility, including appam and stew, as well as dosas with coconut and tomato chutneys. The Duchess felt at-home and showed her husband around as if it were her own place, says Mathai, who gave them the full tour the day after the Prince arrived, the whole centre being reserved for them. Camilla was already here with five of her women friends, while he attended to matters at the British Asian Trust that he is the founder patron of, with reports in Britain speculating on how the two would spend his 71st birthday apart.

The birthday was a quiet affair, with him cutting a cake that Suja Issac, the co-founder who heads the nutrition unit at Soukya, arranged. We also told them that we would like to do a thanksgiving prayer at the Holy Trinity chapel, and said, If you would like to join, please do so. They graciously agreed, and the four of us (his wife and two sons) were with them. The priest did a 20-minute programme, singing in English, Malayalam and Syriac, says Dr Mathai. In the evening, the 10-foot tall stone lamps usually only lit for Diwali, were lit up for the group.

Mathai, whose mother was a homeopathy practitioner herself, has been a proponent of integrative medicine, and is International Ambassador for the College of Medicine, London. Hes just back from a conference that the college hosted, where this years theme was social prescription or the idea that people can take care of themselves by way of exercise and diet, so they dont need to go to a doctor unless necessary.

This, he says is exactly what hes been advocating at his Mathais Rural Health Centre, a Soukya Foundation, which services 38 villages at Hoskote Taluk, in Bangalore Rural. In addition to the regular clinic, the centre facilitates yoga in schools.

Last April, an AYUSH centre was started in Saint Charles Hospital, London, as a testing ground to introduce the Indian streams of medicine into the NHS system. I initiated the project that is now run by the College of Medicine and funded by the AYUSH ministry and the British Asian Trust. This was inaugurated by our Prime Minister and Prince Charles, says Mathai. It will be monitored by the University of Westminster. Dr Mathai calls it a Golden opportunity to enter the UK system, and says he suggested to Prince Charles that he take the model to several commonwealth countries.

He is now hoping that with the support of the Prince and Dr Dixon, Dumpfries House, an 18th century structure across 2,000 acres that already has a Health & Wellbeing Centre, can be tapped into. My idea is that we have a facility there that can cater to the high income group which can then subside treatment for the community, he says.

Dr Michael Dixon speaks about his connection with integrative medicine and Dr Issac Mathai.

What brought you to integrative medicine?

I was looking for answers, because through my practice there were people with chronic tiredness or frequent infections or irritable bowel or headaches or even stress and depression, back pain and neck pain. All these things are only partially treated by the conventional model.

When did it come to you that the solution lay here in integrative medicine?

I had been a conventional doctor for 10 years and was really quite depressed at my inability to treat so many conditions. The positive was meeting come complementary practitioners, who came to my surgery. Now we have 12 different practitioners, including acupuncturists, osteopaths, massage therapists, herbal medicine (in my practice). Probably the very first for me was attending a course in manipulation and finding that I could treat back pain and neck pain with some very basic manoeuvers and stretches, and feeling that I was returning to my roots as a doctor. I found that I was able to help people with very bad backs to start walking and improving and they appreciated the fact that the doctor wasnt simply giving them a tablet or telling them to see a physiotherapist.

All of the integrative forms of medicine lay an emphasis on talking and touching. Do you think allopathy has lost that?

I think it has. The other thing it has lost is time. If you can only spend a short time, you cant get to fully understand what their problems are and what the treatment required is. Hippocrates said that touch was very important in healing people and we know that Ayurveda preceded Hippocrates.

Could this have led, in part, to the mental health crisis, in part?

I think it could, because we need to go back to the roots. In the west, people self-harming has reached epidemic proportion and stress and depression are ever increasing. And thats to do with our society itself being very fragmented and people not being connected to each other in a way that they often are in Indian communities. So I think the cause is disconnection and the treatment it has to be about building relationships. It has to be about human warmth, kindness, and about things that we find difficult to talk about like unconditional love. And simply throwing a pill at someone who is highly distressed is never going to be the entire solution.

What aspects of Dr Mathais treatment philosophy resonate with you?

His commitment to whole-person medicine the mental and the physical and not dividing us up into different parts of the body or different diseases. And the holistic approach that includes diet, exercise, yoga, as well as a range of treatments suited to an individual. (At his facility) People are able to get away from the everyday stresses of life like eating and drinking too much, like being under pressure and stress to a place thats altogether more peaceful, alongside a much more healthy vegetable diet, a healthier way of living its really a whole package.

Within the UK any kind integrative medicine hasnt received support at all.

Complementary medicine is not well respected in England. More often thats on the parts of the press and some of the conventional medical establishment. Conversely, quite a lot of patients do see complementary practitioners and do find theyre helped by them. There are a number of conventional doctors who embrace the complementary approach.

Read more:
How Prince Charles spent his 71st birthday in Bengaluru eating appams and doing yoga at Soukya, a 30-acre integrative medicine facility - The Hindu

Do You Suffer From I Hate The Hospital Syndrome? – Thrive Global

If you experienceI hate the hospital syndrome, then this is a must-read.

That tiny but serious voice inside your head telling you that you need to get out but there are serious doubts that youcannot survive another day at work.

It can make you emotionally done-zo, drive you further to hate your daily life andmake you step outside the normalcy box because you are desperate.

Butwhen it reassures you that you seriously feel hatred, then it makes you seem normalstanding around bitching with others who also hate their job.

And its important to recognize thedifference betweenhating your jobbecause ofcompassion fatigue & burnoutversusjust hating the 12 hours away from home.

If that serious voice in your head turns on then you should consider this:

You have the power to change that

EKKKKKK hold on

Stop your eye rolls I can feel them from a trillion miles away.

You have the capability to change yourself from the inside out.

Your body is constantly showing you the way out of distress but youve been programmed to ignore it!

Whats insanely special about this whole thing is that you canturn your brain on and off like a switch.

If you dont start or take too long to start because you worry that your not going to be able to do it

If youfeel like youve tried everything out there and youve had zero results

Or if you feel like I just want to quit

Then SOS, CODE BLUE, or WHATEVER IS GOING TO MAKE YOU KEEP SCROLLING.

You have nothing to lose than to read up

No one else has the combination of techniques-the combination of working bedside nursing with the true perspective and insight of the hospital system, years of tweaking Real-Time Transformative Response (my 2 step- method to combat compassion fatigue and burnout), and passion to help nurses and not the patients.

And, you can bet that everyone everyone experiences compassion fatigue and burnout.

Even the people who we perceive as the mostdocile and confident people. They too have felt or are currently feelinghatred for the hospital.

Thefrustration train left the building for me years ago,when I see nurses struggle I get pissed off,I used to feel sad.

Its my tiny voice that was screaming at me to help.

Treat The Nurse And Not The Patient.

They think that nurses arent humans.The dollar sign syndrome hit the government, Big Pharm and the hospital systems. And of course the ungrateful patients that believe its an obligation that they get impeccable service versus treating their symptoms.

If this is you, suffering the effects of the dollar syndrome, I hope you read these next words because I too was that gal not long ago.

YOU have the control to allow energy to change and manipulate you,if you do not understand KEEP READING

Have you heard ofBiofield Science?

Our bodies are measurable electromagnetic energy fields.

It is aFACTthat our energy is constantly moving. Its like gravity. This has been known for thousands of years.

Itsbeing proven or has already been provedfor the naysers by using MRIs, CTs, EEGs, and just plain observation. Integrative medicine is using several amazing techniques to heal humans and animals from the inside out.

You were born with everything you need. The skills, gifts and passions to heal yourself if you get off kilter.

Have you ever thought about whatmodern medicine is now?

To me- youre sick, you go to the doctor for a magic pill,inside of going back to the basics what is my body needing or seeking?

Just imagine for a moment being at work and feeling off kilter but being able to turn on a switch and diffuse that feeling.

I was at work and used your 2 step-method and I could actually feel heat coming from my hands, I knew that I had immediately shifted. I could think clearer and the best part was that no one else was bothering me. All the hustle and bustle was literally, just that. Noise and movement. D.D. RN

You love nursing so much, its practically imprinted into your DNA literally.

Can you imagine if you never graduated?

Id feel a hole in my heart. As much as I HATED the hospital it changed my life forever.

I not only helped patients along the way but now I was given theglorious gift to serve my fellow nurses.

I am not a crier. Like, 4 times in my entire career. But I can cry every time I think about helping nurses.

What a complete waste of talent we all would be ifwe all left.

And sure,nothing is truly going to change healthcare EXCEPT the way we control ourselves.

Do you know I mean?

Another SOS or CODE I constantly see is when my fellow science-based nurses dont believe they have the power to help themselves.

Almost so cynical and hospital depressed they believe there is no way out

And I get it. I thought that way too. I almost checked myself into the ED for a mental eval. I was at my hospital hatred syndrome rock bottom.

There are upsides to working in the hospital shift work can be amazing for family balance or single people who love to travel. I am sure the list can be made very long

But it can feel like you have to have tough skin and just deal with the environment, patients, PTSD, overwhelm, anxiety, burnout, and thats part of the job.

And thats just not true.

When I started working in the hospital, it was the golden years it was amazingly fun and people were supportive, sweet, accommodating, understanding, believed in team-work, and checked in on you

But what I realized was that after amajor meltdown, I had the power. NOT the hospital.Not this job. Not this tainted money that was going into my bank account.

My hatred for the hospital was so deep thatI actually hated their money.

My meltdown was my awakening.

Like a frying pan to the faceI had the ability to turn my hatred into a passion to help treat the nurse and not the patient.

I had a natural gift I was repelling.

I reached out to multiple brilliant neuroscientist, quantum physicist, psychotherapist to gather data, techniques andconfirmed what I had created, Real-Time Transformative Response, would work.

Two-steps that are life altering.

And then, asked my husband if he thought I was insane

He smiled and said, no.

Which, if you knew my husband he is so literal, so logical, and sooooo by the book that is when I decided toset off on a journey to help my fellow nurses.

And thats where I started with complete desperation because my hatred for the hospital was so deep that I knew I had to change or else it would emotionally and/or physically kill me

I really want you to think about that.

You do not have to live in this cyclical pattern.

Its very unlikely that you will ever be given the tools to decompress, debrief and reduce your compassion fatigue from the hospital.

That is a fact.

Tools to use every single day of your life That isnt a commitment to drive back and forth to therapy, pop a pill or be on FMLA to cope.

Its kinda that CODE that happens- that is a wicked one

And theres a ton of people.

You dont have to be the loudest.

You just have to be the most efficient.

You just have to be the best you possible for your patient.

And because you want to be that, you have to think outside of the box

You have the power to change you.

Born with everything you will ever need.

And you dont have to live life dreading the drive in.

You just have to realize that its a lot simpler than you think.

So dont give up on yourself.

Ashleigh Boyd R.N.

P.S Join thousands of nurses that are just like you

Ready to Transform Compassion Fatigue & Burnout Into Fearless Nursing?Check out my self-guided course here.

Take yourAnxiety Assessment Here

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Feel free to check out some of my similar reads below andsubscribeto my tribe for more content AND most importantly access to the anxiety diffusing tools.

For more on me and what Im up to, check outmy website.

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Do You Suffer From I Hate The Hospital Syndrome? - Thrive Global

Why Matter Is a (Useful) Fiction – SFGate

By Deepak Chopra, MD

Given a choice between physics and metaphysics, almost everyone chooses physics. This is a modern habit that is deeply ingrained, and it turns the tables on the religious approach to reality, which put a divine or supernatural entity, first and foremost in creation. But relying on the physical world as the foundation of reality has run into serious problems. Unable or unwilling to return to metaphysics, people are stuck without a viable model of reality.

This becomes apparent if you go to the nub of the physical model, which is matter. For centuries, ever since the ancient Greek concept of the atom, there has been a constant search for the smallest building block in Nature, on the supposition that the world is like a sandcastle on the beach. If you reduce the sandcastle to grains of sand, you know where it comes from. Putting things on a firm foundation is one of humanitys driving force, and in the physical world, this drive leads to atoms and beyond.

The problem is the beyond part, because around a century ago quantum physics discovered that there is nothing like a minuscule grain of sand from which everything is built. Atoms can be envisioned on a chart in physics class as a tiny nucleus surrounded by orbiting electrons. This is a reassuring picture since it makes the atom seem like a miniature solar system. However, this model isnt the same as reality.

The subatomic particles, also known as fundamental particles or quanta, that make up an atom are not bits of solid matter. They are a mysterious something else that quantum physics still ponders. Nothing can be truly settled about quanta because their behavior defies human logic. To begin with, a quantum has a dual personality, sometimes behaving like an invisible wave that extends in all directions, sometimes like a particle with a definite location. Quanta constantly bubble up as quantum foam out of a state that has neither matter nor energy in it but is virtual, meaning that it has the potential for turning into matter and energy, not to mention time and space.

The best visualization one encounters for how matter exists is a rippling field of activity, with particles being the intersection between two or more waves. This visualization is just a stab at giving substance to a mystery that physics expresses through mathematical formulas. Everything in modern physics occurs in a mathematical space that doesnt necessarily match the real world.

What this means is that matter, if understood as grains of sand building up bigger and bigger structures, is a useful fiction. The usefulness comes about because each model one can devise leads to a practical technology. The model in physics class of the atom as miniature solar system allows for two powerful technologies, chemistry and atomic energy. Chemistry is entirely built upon the whirling electrons orbiting around the nucleus. Atomic energy is built on splitting the nucleus to release its energy or fusing two nuclei for the same purpose.

In a world based on ever-progressing technology, these outcomes are good enough, and there are new horizons in quantum technology to look forward to. But the building block theory of reality, however useful, leaves out the very thing that builds models and invents technology: the mind. Grains of sand might build a sandcastle, but they dont spontaneously invent the idea of a sandcastle. The best they can do is to build sand dunes, which are shapeless humps, not complex structures. Without explaining the mind, you cannot explain creativity, curiosity, invention, emotion, aspirations, fears, wishes, dreams, and every other aspect of mind.

The only way forward begins by realizing that matter isnt what it seems to be. There was always an illusory side to the whole acceptance of the physical world as the foundation of reality. You can take any quality of matter and reproduce it to a subjective experience. Matter is hard, visible, and heavy. Yet if you push the same pole o two poles of a powerful magnet together, they repel each other so forcefully that you can never get them to touch. The space between them is as hard as iron.

A mirage of water in the desert is visible but is made of invisible shimmering air. The pictures you see in your minds eye arise in the total blackness of the brains interior and from a physical viewpoint are actually invisible. As for heaviness, when you are very tired your body feels heavier, even though the physical model tells you that you didnt actually gain weight.

What these examples show is that objective and subjective reality dont form two separate domains but an entangled whole that is very hard to explain. This wholeness is known as reality. What is it made of? Two viable answers are possible. The first says that reality is made from the viewpoint of the observer. One of the greatest quantum pioneers, Werner Heisenberg, held that atoms and subatomic particles do not exist as material things but as response by Nature to whatever the experimenter is asking. Change your questions, and Nature obliges with an answer that fits your point of view. We can call this answer perspectivism.

The second answer agrees with perspectivism but is bigger. It says that reality is more than the sum of all possible perspectives. Even if you give every living thing from a virus and bacterium to a whale and a human being, their own viewpoint, there can be no perspectives without consciousness. So reality comes down to consciousness, which is the very opposite of a building block. Instead of being tiny and separate like a grain of sand, consciousness is a field extending infinitely everywhere.

Modern physics likes the model of a field, which is why from a physics viewpoint reality consists of ripples in the quantum field, the gravity field, and a few other basic fields. The advantage of a field is that it allows you to conceive of Nature as a whole. But we dont conceive consciousness. It is too real for that. Consciousness is where conceptions come from. It is the stuff of ideas, emotions, invention, curiosity, and all the other things created in the mind. You might struggle with the fact that time, space, matter, and energy are also created in consciousness, but there is actually no other way to explain wholeness.

You cant have on foundation for the physical world and another foundation for the mental world. Science has long recognized this, which is why so much weight was put on the atom. It was hoped that somehow tiny grains of sand would explain the mind if only they got tiny enough. Many working scientists still assume that this hope will come true one day, but it wont, for the simple reason that matter is just as conceptual as Alice in Wonderland. Alice knew she was in an imaginary world and devoted herself to getting back to the real world. We are in the real world, being conscious, while applying our efforts to stick inside an imaginary one. This has to change if we want to become totally real again, in other words totally conscious.

DEEPAK CHOPRA MD, FACP, founder ofThe Chopra Foundation, a non-profit entity for research on well-being and humanitarianism, andChopra Global, a modern-day health company at the intersection of science and spirituality, is a world-renowned pioneer in integrative medicine and personal transformation. He is a Clinical Professor of Family Medicine and Public Health at the University of California, San Diego. Chopra is the author of over 89 books translated into over forty-three languages, including numerous New York Times bestsellers. His 90th book and national bestseller,Metahuman: Unleashing Your Infinite Potential(Harmony Books), unlocks the secrets to moving beyond our present limitations to access a field of infinite possibilities. TIME magazine has described Dr. Chopra as one of the top 100 heroes and icons of the century.

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Why Matter Is a (Useful) Fiction - SFGate

Intermittent Fasting: This Diet Plan Can Increase Lifespan Of Patients Undergoing Cardiac Catheterisation- Know Other Health Benefits – NDTV News

Intermittent fasting diet plan:If you are a cardiac catheterisation patient, then intermittent fasting can have beneficial outcomes for you. According to a new study presented at 2019 American Heart Association Scientific Sessions in Philadelphia, doing intermittent fasting can result in good health outcomes in cardiac catheterisation patients. Cardiac catheterisation is a procedure to examine how well your heart is working. As part of the procedure, a thin and hollow tube known as catheter is inserted into large blood vessel which leads to your heart. This procedure is used to diagnose and treat cardiovascular conditions.

The study showed thatpatients who practised intermittent fasting lived longer than those who didn't. In addition, they are also less likely to be diagnosed with heart failure.

"It is another example of how we're finding that regular fasting can lead to better health outcomes and longer lives," said Benjamin Horne, PhD, director of cardiovascular and genetic epidemiology at the Intermountain Healthcare Heart Institute, reports ANI.

Around 2,000 patients of the hospital undergoing cardiac catheterisation from 2013 to 2015 were asked a series of questions related to lifestyle, including if they are practicing intermittent fasting or not.

On following these patients for 4.5 years, researchers found that people who regularly followed intermittent fasting had better survival rate as compared to those who did not. In the long-term, being regular at intermittent fasting can ensure better survival and lower risk of heart failure.

Intermittent fasting can lower risk of heart failure in patients undergoing cardiac catheterisationPhoto Credit: iStock

Also read:Not Just Weight Loss But Intermittent Fasting Can Also Reverse Type 2 Diabetes

Lifestyle coach Luke Coutinho calls intermittent fasting as a lifestyle plan that can not only help you with weight loss, detox your body, regulate your sleep cycle and much more.

Intermittent fasting is an eating pattern in which your day is divided into two phases: the eating phase and the fasting phase. As the name suggests, you are required to eat only during the eating phase and fast during fasting phase. During the fasting phase, you are only allowed to drink water (not even tea or coffee). Your fasting phase can last for as long as you want: 10 hours, 12 hours, 14 hours or 16 hours, depending on how you feel.

An effective way to practice intermittent fasting is to have early dinners, around 7, 8 or 9 pm ideally. You can then break your fast after 10, 12, 14 or 16 hours, whatever suits you. Break your fast with a fruit or nuts. Have your meal after 15 or 20 minutes.

Also read:Intermittent Fasting: Know How To Practice It And The Benefits And Drawbacks That Follow

Intermittent fasting can help you with weight loss. Following it with regular exercise can help you lose weight effectively and keep it off in the long run. This eating pattern is not restrictive in nature, you just need to practice portion control. Also, intake of junk, processed, deep fried, sugary foods and drinks, and packaged food should be avoided.

If you have been binge drinking or binge eating, then intermittent fasting is the diet plan for you.

While most weight loss diets are known to cause loss of muscles as well, intermittent fasting is quite the opposite. It can help in retaining muscles as it allows you to eat all major food groups like proteins, carbs, fibre and fat - during the eating phase.

Intermittent fasting helps you retain muscles and prevents loss of muscle along with weight lossPhoto Credit: iStock

Healthy eating becomes simpler with this style of eating. The trick of the trade is self-control. Initially, the diet plan may seem difficult to follow. But eventually, intermittent fasting results have been surprising for weight loss, better digestion, reduces constipation, acidity, bloating etc.

Also read:Clean Eating: 3 Kitchen Rules That You Must Follow For Being Disease-Free

It can help you have a good night's sleep. Eating early dinners helps your body come in sync with circadian rhythm, helping you sleep better. You are likely to experience much less tired and lethargic after doing intermittent fasting.

(Luke Coutinho, Holistic Lifestyle Coach - Integrative Medicine)

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

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Intermittent Fasting: This Diet Plan Can Increase Lifespan Of Patients Undergoing Cardiac Catheterisation- Know Other Health Benefits - NDTV News