Where in Novosibirsk it is possible to learn how to manage their health – The Global Domains News

How to Wake up every morning full of energy? How to get rid of malaise, apathy, irritability and look younger than your age?

such queries are usually not treated in the clinic because lack of energy is not a disease, and we used to ask for help only when something hurts.

Today, ask these questions to the doctors of the family medicine centers Toast. There appeared a new direction PRO medicine, whose main goal is to teach everyone to manage their health.

the Difference of direction a comprehensive, individual, in-depth approach to each patient.

Doctors often PRO unravel the tangles of diseases that have unknown causes and effects.

All the doctors directions PRO have been trained at the International Institute for integrated preventive and anti-aging medicine PreventAge that allows them to look at the patient, not only within my speciality, but to diagnose the organism as a whole.

the Doctors in this direction in developing the recommendations take account of factors such as lifestyle, nutrition, sleep, heredity, conditions of work load, emotional state, etc.

the directions PRO a more gentle, natural, drug-free treatment and recovery. Doctors PRO does not just find the true causes of disease and help restore lost health, they also motivate to a healthy lifestyle.

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Where in Novosibirsk it is possible to learn how to manage their health - The Global Domains News

8 Nutritionists of Color Bringing Healthy Food to All – Healthline

People of color need to see others who look like them, eating, being well, and thriving.

My new favorite vegetable is kale. As of late, I like it sauted in garlic and olive oil and topped with chicken, salmon, or shrimp.

If Im being fancy, Ill add some chopped nuts and craisins to make what my 5-year-old calls warm salad.

This is just one way I up the nutrition in my eclectic diet. It also includes green smoothies, baked macaroni and cheese, ice cream, cake, and pralines. I call it balance.

When Im looking for more inspiration, I check in with the experts.

The eight dietitians and nutritionists below know the ins and outs of how to eat for optimum health while embracing the foods we love, the foods we think we hate, the foods we crave, and the foods we refuse to let go of.

Maya Feller is a registered and certified dietitian residing in Brooklyn, New York. She received her Master of Science degree and came to nutrition as a second career to help people of color care for themselves.

Feller believes theres no one-size-fits-all recommendation for entire groups of people regarding nutrition and that representation of Black, Indigenous, and People of Color (BIPOC) matters in the health and wellness world.

We cannot talk about nutrition [and] our health without having diverse voices in many positions, the same way we cannot have conversations about womens health from a public health perspective without having women in decision-making positions, says Feller.

Feller believes representation in nutrition should extend beyond racial and ethnic groups.

We need to have discussions about Black trans lives in wellness. We need to make space for Black LGBTQIA+ leaderswe need to see representations of different types of Black familieswe need to talk about weight bias and stigmaand the fear of the Black body, she says.

In her work, Feller is breaking down the stigmas people of color face around nutrition and disease. To do that, she recommends that any nutrition plan be individualized, personal, and supportive of a persons overall health.

An Oklahoma native who now lives in Washington, D.C., Tambra Raye Stevenson said she became interested in nutrition after watching many family members die from diseases such as diabetes and heart disease.

The founder of NATIVSOL Kitchen, Stevenson, who has a bachelors in nutritional science and a masters of public health, is a self-proclaimed food freedom fighter. She believes racism is baked into the public health system from the farm to healthcare and needs to be disrupted.

The system is intentionally designed to create nutricide in our communities, meaning death by fork, she says.

This includes food deserts and lack of nutrition access in Black communities.

Stevenson advocates for people of color, especially Black people, to return to their food roots by eating more beans and greens.

Stevenson also created Women Advancing Nutrition, Dietetics, and Agriculture (WANDA) to inspire women and girls to become the food heroes in our communities on the frontline of [the] food fight.

Jessica Jones has been working as a nutritionist for more than 10 years. She pens an official health column for SELF magazine and was recently named a member of the Bay Area Dietetic Association.

She has a passion for helping people from diverse backgrounds transform the way they eat and make peace with the food they love.

Jones doesnt focus on weight. Instead, she wants people to know that they can pursue health at any size. With an all foods fit approach, Jones makes sure her clients dont have to worry about being judged for their choices or their habits.

Wendy Lopez is a registered dietitian who focuses on providing nutritional counseling and diabetes management to clients in a clinical setting.

Lopez co-founded the healthy living website and podcast Food Heaven and co-authored 28-Day Plant-Powered Health Reboot, a guide to plant-based eating, with Jessica Jones.

Alicia C. Simpson is a registered dietitian based in Atlanta. She came to the nutrition field after working in pharmaceutical sales and noticing how many people of color depend on prescription medication to live.

She realized there was a better way.

I made the decision that my life and the community would be better served learning how to preventchronic health conditions rather than continuing the cycle of normalizing medication over lifestyle changes, Simpson says.

In her work with PeaPod Nutrition, she brings much-needed inclusivity and representation to the nutrition and wellness space.

Simpson wants to break down the myth that healthy food is not delicious food and that people have to accept having diabetes and other chronic diseases as inevitable.

Growing older does not mean growing sicker. You have the power to change your quality of life [with] every single meal you eat and every single step you take, says Simpson.

Aja Gyimah is a registered dietitian in Toronto, Canada. As the founder of Compete Nutrition, Gyimah specializes in using nutrition to improve athletic performance.

She says she wants to broaden the all foods fit message to include healthy and traditional foods from cultures of color.

Right now the image of healthy eating doesnt include many traditional foods of BIPOC cultures, leaving us feeling that we need to ditch our foods in order to be healthy when this is not the case, says Gyimah.

According to Gyimah, eating more fruits and veggies even the canned or frozen kind along with drinking water and eating less processed foods can make a big difference in a persons overall health and wellness.

Gyimah believes you dont have to throw away all the foods you love.

Its not what you eat thats important, its more about figuring out how all of the foods you eat can fit into a healthy diet, she says.

Marisa Moore is an Atlanta-based registered dietitian. As an integrative and culinary dietitian, she believes in meeting clients where theyre at.

Moores emphasis is on focusing on what can be added to a plate to make it healthy and nutritious instead of what should be taken away.

Giving up your cultural foods is not a prerequisite for health, she says.

Moore also advocates for Black people to embrace their traditional foods, such as greens, okra, sweet potatoes, and black-eyed peas. She believes representation is essential in the health and wellness space.

Its important for people of color to see people in the wellness space who look like them, eating, being well, and thriving, Moore says. Theres comfort in knowing that the person in front of you gets it!

For Moore, getting it has led her to want to help people pursue wellness and prevent chronic disease with delicious food in a realistic way.

Vanessa Rissetto is a registered dietitian. She currently serves as the dietetic internship director at the NYU Steinhardt School of Culture, Education and Human Development. She was formerly the senior dietitian at Mount Sinai Hospital in New York.

Rissetto doesnt believe in quick-fix reset diets. On her Instagram, she advocates for full-fat foods, no processed meat, balance, drinking lots of water, and getting sleep.

She is the co-founder of Culina Health with Tamar Samuels, also a registered dietitian.

All of Culina Healths practitioners are trained in cultural competence as well as cultural humility. For Samuels, this means helping people enjoy the foods they love while directing them to achieve their goals around food and nutrition.

All people need and deserve to see themselves and their cultural food represented. These experts are taking big steps toward making that a reality for people of color.

The movement toward health can be specific, like a plant-based approach, or more of an all foods fit formula.

These dietitians and nutritionists know that what you eat fuels your body, and they can help you figure out the ideal fuel for you.

Nikesha Elise Williams is a two-time Emmy awardwinning news producer and author. Nikeshas debut novel, Four Women, was awarded the 2018 Florida Authors and Publishers Association Presidents Award in the category of Adult Contemporary/Literary Fiction. Four Women was also recognized by the National Association of Black Journalists as an Outstanding Literary Work. Her latest novel, Beyond Bourbon Street, will be released August 29, 2020.

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8 Nutritionists of Color Bringing Healthy Food to All - Healthline

Listen up! How sound waves could be used to lower cholesterol levels – The Irish News

A ONE-OFF, painless blast of ultrasound may be a new way to lower cholesterol and high blood pressure and cut the risk of heart disease.

A significant number of people have high cholesterol and around one in four has high blood pressure. Both are key risk factors for heart disease.

Currently, treatment involves adopting a healthy lifestyle not smoking, eating a healthy diet, exercising and limiting alcohol and medication such as cholesterol-lowering statins.

But researchers are investigating a new approach that blasts fat around the kidneys with ultrasound. This excess fat known as perirenal fat has been shown to be a key player in the risk of cardiovascular disease.

It is linked to high cholesterol and high blood pressure, and destroying much of that fat significantly lowers cholesterol in the long-term, animal studies have found.

Now, researchers at Nanjing Medical University in China are carrying out a trial to see if blasting this fat with ultrasound will have benefits in humans, too.

A hand-held device is used to fire a beam of highly focused, high-intensity ultrasound at the fatty tissue around the kidneys. The one-off procedure lasts a few minutes. Eighty-four patients with a history of high blood pressure and high cholesterol, who also have significant deposits of perirenal fat, are taking part in a trial where the treatment will be compared to a placebo.

Doctors will check their cholesterol levels and blood pressure readings before and three months after treatment.

Perirenal fat is a form of visceral fat fat stored within the abdominal cavity close to internal organs, including the liver. It is sometimes referred to as active fat, because research has shown that it plays a key role in affecting how hormones work.

For example, high quantities of visceral fat are associated with insulin resistance. This can lead to the onset of diabetes.

Fat around the kidneys is thought to be a unique type of visceral fat, as it has a network of blood vessels and nerves which researchers suggest means it may be especially active.

It secretes compounds called adipokines, some of which cause inflammation that can lead to a narrowing of blood vessels.

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Sunergetic Reiterates Its Commitment To Providing Premium Products With Herbs And Vitamins That Promote Overall Wellness – Press Release – Digital…

Sunergetic Products provides high-quality, powerful supplements with premium herbs and ingredients to create unique supplements. It has placed within easy reach of consumers the beneficial properties of berberine, olive leaf, apple cider vinegar, and more

WODDBURY, NY / ACCESSWIRE / July 29, 2020 / According to announcements released by Sunergetic Products, the company has reiterated its commitment to combining the goodness of nature with modern science to produce high-quality supplements. In its pursuit of developing effective supplements, Sunergetic continues to research traditionally used herbs that help support wellness and fitness.

The supplements are an excellent addition to a healthy diet and a fitness routine. These are also a perfect addition to the daily routines of those who are pressed for time and cannot always obtain nutrition from natural and whole foods. Customers have come to trust the products offered by Sunergetic, and that's excellent validation because of the glut of supplements in the market, with many touting benefits that sound too good to be true.

The ingredients that Sunergetic uses have stood the test of time and many of their supplements help support women's health, men's health, healthy digestion, cardiovascular support, antioxidant properties, and a healthy immune system. Magnesium, for example, plays a critical role in healthy enzyme function. It also helps support healthy muscles, bones, and heart health. Sunergetic offers a Magnesium Oxide and Citrate Supplement. Curcumin is a powerful antioxidant found in turmeric and is known to help support a healthy lifestyle.

Sunergetic's Turmeric Supplement is USDA organic, made without synthetic ingredients, and is formulated with black pepper for added support. Sunergetic offers Milk Thistle Tablets, which are standardized to 80% silymarin, to help support healthy liver function. These Non-GMO milk thistle tablets by Sunergetic are manufactured with the same commitment to quality as adhered to for all the other products.

For more information, go to https://www.sunergeticproducts.com/

A company official of Sunergetic Products said, "If you are feeling run down, lethargic, heavy, bloated, have sweet cravings or otherwise feel less than your best, you're probably wondering what you can do to feel better. Eating a healthy diet, exercising, and reducing occasional stress are critical in supporting your overall health. Consuming vegetables and fruits high in antioxidants, phytonutrients, polyphenols have also shown many health benefits. Adding certain supplements can help support your wellness goals."

At Sunergetic, they have many supplements to support wellness goals. One of the most popular is Sunergetic's Berberine Supplement. A company official said, "Berberine is a powerful herb that can come from several different plants including goldenseal, barberry, Phellodendron, goldenthread and tree turmeric. Berberine is a plant alkaloid with a distinct yellow color. The berberine alkaloid can be found in various parts of these plants, including the stem, bark, and roots. Berberine has a long history of use in traditional Ayurvedic herbal practices. Berberine may help support healthy blood sugar levels already within the normal range. Berberine also may help support cardiovascular health and overall wellness."

Connect with them via their social media pages:

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Cryo-EM structures of the air-oxidized and dithionite-reduced photosynthetic alternative complex III from Roseiflexus castenholzii – Science Advances

INTRODUCTION

Photosynthesis transforms solar energy to chemical energy and supports nearly all life on Earth. Sunlight is absorbed by pigments in the light-harvesting (LH) antenna system, and excitation energy is transferred to the reaction center (RC), where photochemistry occurs, initiating an electron transfer process. The electron transport chain (ETC) couples the redox reactions associated with electron donors and acceptors to proton translocation to build up a proton motive force across the membrane, which, in turn, drives the formation of adenosine triphosphate (ATP) and other energy-consuming processes. In photosynthetic and respiratory ETCs, complex III (mitochondrial and bacterial cytochrome bc1, chloroplast and cyanobacterial cytochrome b6f) functions primarily to couple thermodynamically favorable electron transfer to proton translocation across the membrane (13). As quinol:electron acceptor oxidoreductases, these complexes create a transmembrane (TM) proton gradient through the Q-cycle mechanism: Four protons are translocated for every two electrons transferred to cytochrome c (cyt c) or plastocyanin upon quinol oxidation (35).

Notably, a functional counterpart for the cyt bc1 complex, alternative complex III (ACIII), has been identified in a wide range of bacterial taxa, and its presence usually coincides with the absence of the cyt bc1 complex (610). This complex is structurally and compositionally unrelated to the bacterial cyt bc1 complex, but it plays the same central role as a quinol:electron acceptor oxidoreductase in both the respiratory and photosynthetic ETCs (6, 813). In the respiratory chain, ACIII is usually associated with different cyt c oxidases and functions in aerobic electron transfer (14, 15). In the photosynthetic ETC of Chloroflexus aurantiacus, in which ACIII was originally discovered (16), the photosynthetic ACIII catalyzes the oxidation of menaquinol and mediates transfer of the released electrons to a periplasmic blue copper protein auracyanin, which, in turn, completes a cyclic electron transfer back to the RC (9, 12, 13).

Recent studies of the respiratory ACIII from Rhodothermus marinus (17) and Flavobacterium johnsoniae (18) have elucidated the structural features of this complex that are related to quinol coordination, cyt c oxidase association, and putative proton translocation. Regarding the association with different cyt c oxidases and the linear electron transfer mode of respiratory ACIII, the photosynthetic ACIII has a distinct composition and functions in a simple and efficient cyclic ETC using the electron donor menaquinol (8, 12, 13, 19, 20). However, the structure of the photosynthetic ACIII remains unknown. In particular, the fundamental coupling mechanisms underlying the menaquinol oxidation and proton translocation of the respiratory and photosynthetic ACIII complexes have received little research attention. Therefore, a structural investigation of the photosynthetic ACIII is necessary for a deeper understanding of the common coupling mechanism used by the ACIII from diverse bacterial taxa.

Roseiflexus castenholzii is a chlorosome-less filamentous anoxygenic phototroph. It contains a mosaic LH antenna, the type II pheophytin-quinone RC, and a cyclic electron transport system. The LH antenna of R. castenholzii is structurally similar to the LH1, but spectroscopically it resembles the LH2 of purple bacteria (19, 21, 22). Our previous structure of the R. castenholzii core complex (rcRC-LH) revealed a previously unknown architecture and a new type of menaquinone shuttling channel in the bacterial RC-LHs and illustrated the molecular basis underlying the LH and energy transfer mechanisms of early prokaryotes (23). We then extracted and purified R. castenholzii ACIII and its periplasmic electron acceptor auracyanin and revealed that ACIII oxidizes menaquinol-4 or menaquinol-7 and transfers the electrons to the copper ion coordinated in auracyanin (24). Here, we report the structures of the six-subunit R. castenholzii ACIII in air-oxidized and dithionite-reduced states, determined by single-particle cryoelectron microscopy (cryo-EM) at 3.3- and 3.5- resolution, respectively. We elucidated its structural features and here propose a previously unrecognized redox-coupled electron transfer and proton translocation mechanism that apparently links the respiratory and photosynthetic functions of the ACIII.

We purified the ACIII from phototrophically grown R. castenholzii using a modification of previous methods (7, 8, 16). We next used SDSpolyacrylamide gel electrophoresis (PAGE) and blue native PAGE to evaluate the purified ACIII (fig. S1A). Consistent with the molecular size expected from the corresponding gene sequences, we observed that the overall 300-kDa complex was composed of six subunits (ActA, ActB, ActC, ActD, ActE, and ActF), with molecular masses ranging from ~10 to 110 kDa (fig. S1A). Each subunit was confirmed by peptide mass fingerprinting (PMF) (tables S1 and S2). Further, gel filtration analysis (fig. S1B) indicated that the purified ACIII was a monomer containing one copy of each subunit. Spectral analysis indicated that the purified ACIII was air-oxidized: It was reduced via addition of sodium dithionite (fig. S1C). The reduced-minus-oxidized difference spectrum showed two absorbance peaks at 524 and 554 nm, indicating the increase of the c-type heme absorbance after reduction (fig. S1D).

To elucidate the proposed conformational changes that were involved in the redox-driven proton translocation of respiratory ACIII (17), the vitrified air-oxidized and dithionite-reduced ACIII were individually subjected to cryo-EM single-particle analysis. A dataset of 257,815 particles of the air-oxidized ACIII was used to reconstruct an electron potential map with an average resolution of 3.3 and a local resolution extending to 2.5 (fig. S2 and movie S1). The final reconstructed cryo-EM map was resolved and enabled us to build an accurate model of the TM helices with side chains in the air-oxidized ACIII (fig. S3) and all the cofactors and lipid molecules (Table 1 and fig. S4). The cryo-EM map of the dithionite-reduced ACIII was reconstructed from 488,581 particles to 3.5- resolution, the composition and overall structure of which resembles that of the air-oxidized ACIII (Table 1, fig. S5, and movie S2).

Different from the respiratory ACIII from R. marinus that contains seven subunits (ActABCDEFH) and one additional unidentified subunit (17), the photosynthetic ACIII only contains six core subunits (ActA, ActB, ActC, ActD, ActE, and ActF) as in F. johnsoniae (18). Superimposition of R. castenholzii ACIII structure with that of R. marinus and F. johnsoniae gives a main-chain root mean square deviation (RMSD) of 1.5 and 3.2 , respectively. Like the two respiratory ACIII structures, R. castenholzii ACIII is assembled into an L-shaped architecture with dimensions of 141 by 98 by 80 ; a TM arm (42 ) containing 23 TM helices from subunits ActA, ActC, ActD, and ActF; and a peripheral arm comprising the periplasmic subunits ActA, ActB, and ActE. On the periplasmic side, subunit ActB forms extensive contacts with ActE, the penta-heme binding domain of ActA, and the periplasmic region of ActC, ActD, and ActF. The loop between the two TMs of ActD inserts into the interface of ActA, ActB, ActC, and ActF. The globular domain of ActD is located in the cytoplasm (Fig. 1, A and B).

(A) The cryo-EM map of the air-oxidized ACIII is shown from the front (left) and back (right) view and represented with the dimensions of the TM and periplasmic region. Each of the six subunits is labeled with the length of its encoded amino acid. (B) Cartoon representation of the air-oxidized ACIII. The c-type hemes and lipids are shown as sticks, and the iron-sulfur clusters are shown as spheres. (C) Representation of the arrangement of cofactors in the air-oxidized ACIII. (D) Edge-to-edge distance between the iron-sulfur clusters and the hemes in the air-oxidized ACIII. The distances are labeled and shown in dashed lines. Color codes for all panels: lime green, ActA; slate, ActB; wheat, ActC; violet, ActD; yellow orange, ActE; aquamarine, ActF; red, c-type heme; orange brown, iron-sulfur clusters; yellow, lipids.

Similar to R. marinus ACIII, given its known electron transport function, one [3Fe-4S] and three [4Fe-4S] clusters in ActB, and six c-type hemes (five in ActA and one in ActE) were modeled in the density map of R. castenholzii ACIII (Fig. 1C and fig. S4), apparently forming wires of the six hemes and the iron-sulfur clusters (Fig. 1D). The six c-type hemes exemplify identical positions and orientations as that in R. marinus and F. johnsoniae ACIII, but there are only one [3Fe-4S] cluster and one [4Fe-4S] cluster identified at deviated positions in F. johnsoniae ACIII (fig. S6A). The six hemes and four iron-sulfur clusters are all located within reasonable edge-to-edge distances (less than 14 ) to permit direct electron transfer along the wire.

Structural superimposition of the air-oxidized and dithionite-reduced ACIII showed a main-chain RMSD of 0.4 (Fig. 2A), indicating that dithionite reduction does not induce obvious conformational changes at the current resolution. However, the difference map of ACIII (the air-oxidized map minus dithionite-reduced map) showed major electron potential differences at the periplasmic subunits (ActA, ActE, and ActB) and the cytoplasmic side of the TM region of ActA, ActC, and ActD (Fig. 2A). The increased electron potentials were observed at the six heme groups as well as the four iron-sulfur clusters (Fig. 2A and movie S3), indicating that these electron carriers are essentially reduced after dithionite treatment, which is consistent with the increased heme spectral differences upon dithionite reduction (fig. S1D).

(A) The air-oxidized minus dithionite-reduced electron potential difference map (orange) of the ACIII is shown from the front (left) and back (right) view. The structures of the air-oxidized and dithionite-reduced ACIII (white) are superimposed, with the iron-sulfur clusters and heme groups shown in sphere and stick models. The color code for each subunit and cofactors of the air-oxidized ACIII is the same as that in Fig. 1. (B) Ribbon representation of the ActA and ActE subunits bound with pentaheme and monoheme groups (red sticks). The N and C termini of the protein are highlighted with a black dot and labeled. (C) Spatial organization and immobilization of the pentaheme and monoheme groups in ActA and ActE subunits. The residues that axially coordinate the heme iron ions are shown as sticks and labeled; the center-to-center distances of the hemes are shown and labeled. (D) Overall structure of ActB subunit. The B1 and B2 domains are colored in blue and magenta, respectively. The iron-sulfur clusters are shown as spheres. (E) Coordination of the iron-sulfur clusters in the ActB subunit. The conserved cysteine residues that coordinate the iron-sulfur clusters are shown as sticks and labeled, and the B2 domain is shown as a ribbon with 80% transparency.

ActA (Gln9-Arg226) and ActE (Cys33-Asn193) were found to be penta-heme and mono-heme subunits, respectively, which form the main electron transfer wire of the photosynthetic ACIII. ActA is membrane-anchored, with an N-terminal TM helix (1, Gln9-Trp43). Five c-type hemes were bound in the loop regions between its six helices on the periplasmic side (Fig. 2B). The C-terminal mono-heme binding domain of ActE is composed of three helices and two turns (Fig. 2B), and our model showed a lipid anchor that is present at the N terminus of ActE (fig. S4D). This observation suggested the possibility that the consensus lipobox sequence L/V-A/T-G/A-C (M30TAC33) (fig. S6B) in the actE gene sequence may be excised from the transcript or degraded following translation in cells or at some point before the final complex assembly. This phenomenon was also observed in the respiratory ACIII (17).

The six heme groups bound by ActA and ActE are each covalently attached via thioester linkages to cysteine residues of highly conserved heme binding motifs (C-X-X-C-H), and their iron ions are axially coordinated through bi-His or His-Met residue couplets (Fig. 2C and fig. S6B). The five hemes of the ActA subunit are arranged in alternating parallel (heme_2,5 and heme_3,4) and perpendicular pairs (heme_2,3 and heme_4,5) (Fig. 2C). In particular, the heme_3,4 pair adopts typical stacked motif in van der Waals contact (edge-to-edge distance, 4.8 ), whereas heme_2,3 (5.1 ) and heme_4,5 (4.5 ) exemplify the T-shaped heme pairs (Figs. 1D and 2C). The spatial organization of heme_2 to heme_5 resembles that of the tetraheme in Shewanella oneidensis STC, in which the electron transfer between stacked heme pairs is approximately an order of magnitude greater than for the T-shaped heme pairs (25). But the electronic coupling of T-shaped heme pairs would be strongly enhanced by cysteine linkages inserted in the space between these pairs (26). The heme_1 is closest in terms of edge-to-edge distance to [3Fe-4S] (8.3 ), and it is buried in a hydrophobic pocket formed by residues from ActB, ActC, ActD, and ActE (fig. S6C). The porphyrin ring of the mono-heme in ActE is inclined about 60 compared to that of heme_5 in ActA, with an edge-to-edge distance of 9.0 and a center-to-center distance of 16.7 (Figs. 1D and 2C).

No midpoint redox potential data are available for the six hemes and iron sulfur clusters in R. castenholzii ACIII. The heme redox potentials of R. marinus ACIII was shown to range from 45 mV to +230 mV at neutral pH (11). Potentiometric titration of the c hemes in F. johnsoniae ACIII gives redox potentials at +331 mV and +439 mV (18). For C. aurantiacus ACIII, which shares 59% sequence identities with R. castenholzii ACIII, the heme midpoint redox potentials were determined to be 228 mV, 110 mV, +94 mV, and +391 mV (8). With the highest redox potential at +391 mV (8), the monoheme of ActE is believed to be the final electron prosthetic group to accept the electrons transferred from the five hemes in ActA. Regarding the high sequence homology and functional similarity (9) of ActA and ActE with that of C. aurantiacus and respiratory ACIIIs from R. marinus and F. johnsoniae (fig. S6, A to C), as well as the spatial distribution of the six hemes (Fig. 2, A to C), electrons can be sequentially transferred along a wire that begins with the heme_1 in ActA and ends with the monoheme in the ActE subunit, and then eventually to the acceptor auracyanin (13, 24).

The largest subunit, ActB (Gly77-Glu1006), was found to be composed of 26 helices and 17 strands that can be divided into two subdomains: the B1 domain (Gly77-Phe714) and B2 iron-sulfur binding domain (Leu715-Glu1006) (Fig. 2D). The N terminus of ActB was resolved from Gly77, just behind the signal peptidase cleavage site A71LA73. The twin-arginine translocase signal peptide assists with the translocation of ActB to periplasm (27). Superimposition analysis of ActB with PsrA and PsrB subunits of polysulfide reductase (PsrABC), an integral membrane-bound enzyme that performs quinone-coupled reduction of polysulfide substrates (28), revealed that the B2 iron-sulfur binding domain is similar to PsrB and that both the folding and positions of the four iron-sulfur clusters match well between the two subunits (fig. S7A). The analysis also revealed that the B1 domain of ActB forms a fold similar to the known substrate binding pocket of PsrA (fig. S9B), yet the absence of any cofactors in our model suggests that the function of ActB does not mirror the reduction activity of PsrA.

The four iron-sulfur clusters are covalently coordinated by conserved Cys residues (Fig. 2E and fig. S6D), with the largest edge-to-edge distance of 9.7 (Fig. 1D). The [3Fe-4S] is located at the interface with ActC and in the most proximity to the periplasmic side of the four-helix bundle that hosts the menaquinol binding pocket (Fig. 3A). This iron-sulfur cluster is the most probable primary electron acceptor from the menaquinol bound in the ActC subunit. The midpoint redox potential of [3Fe-4S] in R. marinus ACIII was determined to be +140 mV (11, 17), which is sufficient for an uphill electron transfer from menaquinol (70 mV at pH 7) (29). The role of the three [4Fe-4S] clusters in both respiratory and photosynthetic ACIIIs are still unknown. The air-oxidized minus dithionite-reduced electron potential differences at the [3Fe-4S] and three [4Fe-4S] clusters indicate that these iron-sulfur clusters can be reduced upon dithionite treatment (Fig. 2A and movie S3). An edge-to-edge distance of 8.3 was observed between the [3Fe-4S] and heme_1 in the ActC subunit (Fig. 1D), which suggests that the electrons accepted by the [3Fe-4S] cluster are most probably transferred along the heme wire to reduce a periplasmic electron carrier.

(A) Ribbon representation of the side (left) and bottom-up (right) views of the ActC (wheat) and ActF (aquamarine) subunits. The TM helices of ActC and ActF are labeled with numbers, and the iron-sulfur clusters in ActB and heme groups in ActA subunit are shown in spheres and red sticks, respectively. The N and C termini of each subunit are highlighted with a black dot and labeled. (B) Open cavity (bright yellow) between the TM helices of ActA, ActC, and ActD subunits of ACIII, which is equivalent to the menaquinol binding pocket. The cavity inside the TM region of ACIII was calculated using the program HOLLOW (44), and it is shown as a surface model. (C) Zoomed-in view of the putative menaquinol binding pocket, with essential amino acids shown as stick models. (D) Interactions between the modeled menaquinol head (blue stick model) and the menaquinol binding pocket. Residues are shown as stick models, and the hydrogen bonding interactions are shown as dashed lines with distances labeled.

The ActC (Lys8-Ala464) and ActF (Gln4-Ser399) subunits each contain 10 TM helices. The middle eight helices are arranged into two four-helix bundles (TM2-5 and TM6-9 of ActC, and TM2-5 and TM6-9 of ActF), which were sandwiched by the intersection of TM1 (TM1) and TM10 (TM10) (Fig. 3A). The helix bundles of ActC and ActF resemble the structure of PsrC dimer (fig. S7C). Superimposition of the structures of ActC and PsrC gives a main-chain RMSD of 1.1 . The quinone binding pocket of PsrC, which is formed by the N-terminal four-helix bundle and located at the periplasmic side, was identified according to the structures complexed with MK-7, pentachlorophenol, and ubiquinone-1 (28). Although no menaquinol was found in the current structures, we observed an open cavity between the TM helices of ActA, ActD, and TM3/4 of ActC subunits, which is equivalent to the quinol binding pocket of PsrC (Fig. 3B and movie S4).

On the basis of structural analysis and comparison as well as sequence alignment (fig. S8), we identified a menaquinol binding pocket of ACIII at the periplasmic side of the first four-helix bundle in ActC, about 12 away from the [3Fe-4S] cluster (Fig. 3C). Adjacent to [3Fe-4S], a strictly conserved His141 residue replaces the Glu67 of PsrC quinol binding pocket (Fig. 3C and figs. S7D and S8), which is involved in proton transfer from the menaquinol (30). The side chains of Trp84, Ile88, Phe91, Pro138, and Leu168 further form a hydrophobic pocket that is capable of immobilizing the menaquinol head group (Fig. 3D). The two carbonyl oxygen atoms of the modeled menaquinol head are capable of forming hydrogen bonds with the imidazole group of His141 (2.8 ) and the hydroxyl group of Asp171 (2.8 ), which further forms hydrogen bonds with Asp252 (2.9 ) (Fig. 3D). At the bottom of the pocket, Ile249 takes the position of Tyr130 in PsrC, which forms a hydrogen bond (2.6 ) with the O1 carbonyl group of MK-7 (fig. S7D) (28). The menaquinol binding pocket of R. castenholzii ACIII shares high sequence homology and conformational similarity with that of R. marinus and F. johnsoniae ACIII (fig. S7, E and F), indicating that ACIIIs play essentially similar enzymatic function in the photosynthesis and respiration.

On the basis of the structural comparison with the respiratory ACIII, we further identified a putative proton translocation passage in the ActC subunit. The passage begins at the cytoplasmic residues Arg198 and Asp199 and proceeds to the TM region located primarily at the first four-helix bundle of the periplasmic region (Fig. 4, A and C). This passage is composed of 22 proton-carrying residues that provide side chains for hydrogen bonding with protons (Fig. 4A). The air-oxidized minus dithionite-reduced electron potential differences were mainly distributed at the cytoplasmic side of TM1, TM3, TM4, TM5, and TM10 of ActC (Figs. 2A and 4C), where the menaquinol binding pocket and proton translocation passage are absent. Furthermore, we did not observe obvious structural differences at the proton translocation passage between the air-oxidized and dithionite-reduced structures (Fig. 2A).

(A) Organization of the menaquinol binding pocket (highlighted with a green box), [3Fe-4S] cluster, heme_1, and the putative proton translocation passage in ActC (wheat). The distance between [3Fe-4S] and the side chain of Asp171 in the menaquinol binding pocket is 12.2 , and the edge-to-edge distance between the [3Fe-4S] cluster and heme_1 is 8.3 . The residues that constitute the proton translocation passage and menaquinol binding pocket are shown as stick models, and the TM helices of ActC are shown as ribbon with 80% transparency. (B) Zoomed-in view of the hydrogen bonding networks between the menaquinol binding pocket and middle passage residues of the proton translocation passage in the ActC subunit, as well as the residues from the ActD and ActF subunits. Residues are shown as stick models, and the hydrogen bonding interactions are shown as dashed lines with distances labeled. (C) Topology diagram of the ActC subunit. The amino acids that constitute the menaquinol binding pocket and proton translocation pathway are shown in blue and green triangles, respectively.

In the middle of the passage, three strictly conserved residuesArg394, His246, and His99form a hydrogen bonding network that links the menaquinol binding pocket and proton translocation passage (Fig. 4B). The imidazole group of His246 forms hydrogen bonds with the guanidine group of Arg394 (3.1 ) and imidazole nitrogen of His99 (3.3 ), which forms a weak hydrogen bond with the main chain of Ile95 (3.3 ). The main-chain nitrogen of Ile95 is further hydrogen-bonded with the main-chain oxygen of Phe91 (3.1 ), one of the key residues involved in menaquinol coordination. In close proximity to His246, Ile248 forms a hydrogen bond with Asp171 (3.0 ), which is hydrogen-bonded with Asp252 (2.9 ) at the top of the menaquinol binding pocket (Fig. 4B).

Arg394, His246, and His99 are strictly conserved in both the respiratory and photosynthetic ACIII (fig. S8). Superimposition analyses showed that the triplet residues adopt the same side-chain orientations and hydrogen bonding network as that from R. marinus and F. johnsoniae (Fig. 5, A and B), suggesting that these residues share a similar function in the respiratory and photosynthetic ACIII. Asp394 is also conserved in other polysulfide, tetrathionate, nitrate, and dimethyl sulfoxide reductases (30). Mutation of Arg394 in Wolinella succinogenes PsrC resulted in an inactive enzyme, which was suggested that it stabilizes the deprotonated quinol (30). Regarding the sequence conservation, location, and extensive hydrogen bonding interactions with the menaquinol binding pocket, the triplet residues are likely essential for coupling the menaquinol oxidation and proton translocation.

(A) Comparison of the proton translocation passage in R. castenholzii ActC (wheat) with that of the respiratory ActC from R. marinus (PDB 6f0k, white) and F. johnsoniae (PDB 6btm, pink). The [3Fe-4S] cluster, heme_1, and the amino acids are shown as sticks. (B) Middle passage residues that are capable of forming hydrogen bonding networks. (C) Putative proton translocation passage in R. castenholzii ActF subunit (aquamarine) and its superimposition with that of R. marinus (PDB 6f0k, white) and F. johnsoniae (PDB 6btm, pink). (D) The middle passage residues that are capable of forming hydrogen bonds in ActF subunits are shown in stick models.

We observed a similar proton translocation passage in the ActF subunit formed by 20 less conserved amino acids (about 20% identities) from the cytoplasmic to periplasmic side (Fig. 5C and fig. S9). In the middle of the ActF passage, side chains of Glu335, Ser217, and Tyr339 are capable of forming hydrogen bonding interactions, but no menaquinol-binding pocket and similar hydrogen bonding networks as that in ActC were found (Fig. 5C). In addition, Ser217 and Tyr339 are less conserved in both the photosynthetic and respiratory ActF, and Glu335 is replaced by Arg in C. aurantiacus and His residue in the respiratory ActF (Fig. 5D and fig. S9). Minor electron potential differences were only observed at His287, Ala189, and Met65 of the ActF subunit, suggesting that this subunit is not sensitive to the air-oxidized and dithionite-reduced state of ACIII. To be noted, a conserved residue Tyr264F forms a hydrogen bond with the main-chain oxygen of Pro267C (2.8 ), which is close to the periplasmic portion of the proton translocation passage in ActC (Fig. 4B). The distinct conservation of these proton translocation passages indicates that the ActC subunit plays consensus important role in both the respiratory and photosynthetic ACIII.

The function of the ActD subunit in the ACIII remains obscure. We observed hydrogen bonding interactions between Asn100 of ActD and Tyr755 of ActB, as well as between Leu106 of ActD and Tyr753 of ActB (fig. S10A). We also observed extensive hydrophobic interactions between residues located in the ActD loop and subunits ActB, ActF, and ActC. These interactions can stabilize the conformation of TM5, which contributes to the menaquinol binding pocket (fig. S10A). Near the menaquinol binding pocket, a hydrogen bond is formed between the hydroxyl groups of Glu118 of ActD and Ser244 of ActC (2.1 ), which was close to the His246 of ActC that would be essential for coupling the menaquinol oxidation and proton translocation (Fig. 4B). Thus, ActD might play a primary role in stabilizing the TM region of ACIII, which thereby contributes to a stable menaquinol binding pocket and proton translocation passage.

As a functional counterpart of the bc1 complex, ACIII plays a central role in both the photosynthetic and respiratory ETC of a wide range of bacterial taxa (610). It couples quinol oxidation with TM proton translocation to build up a TM proton gradient, which drives the formation of ATP required for bacterial growth. However, the nature of the coupling mechanism(s) for the respiratory and photosynthetic functions of ACIII has not been well discussed.

The photosynthetic bacterium R. castenholzii has evolved a simple but efficient cyclic ETC to transform solar energy into chemical energy that is different from the linear respiratory chain (3133). Our study has revealed the structure of the first photosynthetic ACIII comprising six conserved subunits, in both the air-oxidized and dithionite-reduced states, as well as the nature and position of the cofactors, including six hemes and four iron-sulfur clusters. We also detected a menaquinol binding pocket positioned at the periplasmic side of the TM subunit ActC. This pocket is capable of immobilizing the menaquinol head group via strictly conserved residues (Fig. 3D), which is linked by extensive hydrogen bonding interactions with three proton-carrying residues in the middle of an apparent proton translocation passage. In addition, the ActD subunit is shown to coordinate extensive interactions with subunits ActA, ActB, ActC, and ActF.

Previous enzymatic analyses confirmed the activity of photosynthetic ACIII as a menaquinol:auracyanin or cyt c oxidoreductase (9). Recently, we revealed that R. castenholzii ACIII oxidizes menaquinol-4 or menaquinol-7 and transfers electrons to its periplasmic electron acceptor auracyanin (24). It has been revealed that there is a single quinol binding site in R. marinus ACIII by isothermal titration calorimetry experiments (17). The high sequence and structural similarity among photosynthetic and respiratory ACIIIs would also suggest a single menaquinol binding pocket of R. castenholzii ACIII. Within this pocket, menaquinol binds and is oxidized by the terminal electron acceptor auracyanin, releasing two protons into periplasm. Considering that menaquinone is reduced at the binding site of RC-LH complex (23), accepting two protons from cytoplasm, an apparent efficient quinone shuttling cycle is formed among RC-LH, the membrane quinone pool, and ACIII in the R. castenholzii simple cyclic photosynthetic ETC. As a result, with the reduction of one molecule menaquinone at RC-LH and the oxidation of one shuttled menaquinol at ACIII, two transferred electrons are accompanied with two protons transferred from cytoplasm to periplasm, yielding a H+/e ratio of 2:2.

To date, no experimental data on the H+/e stoichiometry for any ACIII were reported. Previous studies proposed that ACIII could also actively pump additional protons from cytoplasm into periplasm (10, 12, 14, 15), which would yield a different H+/e stoichiometry deduced from above quinone shuttling cycle. However, the detailed mechanism of its active proton translocation has not been elucidated. The lack of any redox-active cofactors in the TM and cytoplasmic regions of ACIII argues against a Q-cycle type H+ pumping mechanism, such as is used in the cyt bc1 and cyt b6f complexes.

Structural comparison and analyses revealed two putative proton translocation passages in ActC and ActF, respectively, for both photosynthetic and respiratory ACIII (Fig. 5, A and C). The side chains of the middle-passage triplet residues Arg394, His264, and His99 of ActC adopt exactly the same conformation for all three ACIIIs (Fig. 5B). However, the proton-carrying residues in the passage of ActF are less conserved than that of ActC (Fig. 5, C and D). Notably, the respiratory ACIIIs from R. marinus (17) and F. johnsoniae (18) contain two conserved His and Asp residues in the middle passage of ActF, but these two residues are replaced by Glu and Tyr in the R. castenholzii ACIII (Fig. 5D and fig. S9). In addition, neither menaquinol binding pocket nor hydrogen bonding network was found in ActF. Less differences of electron potential around ActF between the air-oxidized and dithionite-reduced states (Fig. 2A) suggest that ActF is insensitive to the changes of redox potential. Therefore, most probably, ActF passage lacks a driving force for efficient TM proton translocation. If there exists a redox-coupled active proton translocation in ACIII, it would be mostly located in the ActC subunit and driven by the coupling between menaquinol oxidation and putative proton passage, without the necessary conformational change.

On the basis of the above structural analysis and discussion, we propose a redox-coupled proton translocation mechanism for the photosynthetic ACIII, which occurs within the subunit of ActC (Fig. 6). In the menaquinol binding pocket, at the close-to-neutral pH environment (pH ~6.5) of periplasmic space, both Asp171 and His141 are deprotonated and coordinate the bound menaquinol (MQH2) by hydrogen bonds. The hydroxyl hydrogens of menaquinol can be bound by the hydroxyl oxygen of Asp171 and imidazole nitrogen of His141, respectively. Upon oxidation, the hydroxyl group of menaquinol that faces the side chain of Asp171 is first oxidized to form an intermediate semi-menaquinol. The released hydrogen protonates Asp171. Lacking the coordination by Asp171, the semi-menaquinol would be relocated in the binding pocket and thus enable extraction of one proton from the proximal proton passage of ActC, resulting in one proton translocated from the cytoplasm. The binding of the extracted proton will induce a reorganized electronic structure of semi-menaquinol, releasing another hydroxyl hydrogen to protonate His141. The reorganized semi-menaquinol can be further coordinated by the hydroxyl group of Asp171. Then, the semi-menaquinol is further oxidized to form menaquinone (MQ) and release the exacted proton. After the release of menaquinone and the extracted proton from the menaquinol binding pocket, the two protons from oxidation of menaquinol are released to periplasmic space with the deprotonation of Asp171 and His141. During this proposed process, one instance of menaquinol oxidation is coupled to one proton pumped from the cytoplasm. As a result, three protons are released into the periplasm per two electrons transferred (Fig. 6).

The menaquinol head group and the side chains of the essential amino acids are shown to indicate the coupling mechanism of the photosynthetic ACIII from R. castenholzii. Upon menaquinol oxidation, two electrons are sequentially transferred to the [3Fe-4S] cluster with a time interval, two protons from oxidation of menaquinol are released to periplasmic space, and one proton is pumped from the cytoplasm (colored in red) through hydrogen bonding networking with the essential amino acids in the proton translocation passage. As a result, three protons are released into the periplasm per two electrons transferred during oxidation of one instance of menaquinol.

In both the respiratory and photosynthetic ACIII structures, a [3Fe-4S] cluster in the ActB subunit functions as the primary electron acceptor from menaquinol (17, 18), donating the electrons along the six-heme wire and finally onto the periplasmic electron acceptor. Both the photosynthetic ACIII from R. castenholzii and the respiratory ACIII from R. marinus contain additional three [4Fe-4S] clusters, while only one [4Fe-4S] cluster was identified in the F. johnsoniae ACIII (18). The function of [4Fe-4S] clusters remains largely unknown.

Our observation of the electron potential differences of these [4Fe-4S] clusters between air-oxidized and dithionite-reduced states indicates that these clusters are either accessible to dithionite or connected to the electron transfer wire. In Psr with the absence of heme groups, two electrons released from MK-7 are transferred via five [4Fe-4S] clusters to the bis-MGD (bis-molybdopterin guanine dinucleotide) cofactor and then reduce polysulfide (28). Unfortunately, no cofactors were observed in the B1 domain of ActB subunit (fig. S7B), indicating an electron transfer dead end in these [4Fe-4S] clusters. How they contribute to the electron transfer of ACIII needs to be further considered.

Both heme and iron-sulfur cluster are single electron carriers that are unable to transfer two electrons simultaneously. Thus, a sequential transfer of electrons upon menaquinol oxidation is necessary. In addition, the latency time between the formation of semi-menaquinol and its further oxidation needs long enough to allow extraction of proton from the translocation passage, but it should not be too long to avoid the formation of reactive oxygen species. On the other side, the final periplasmic electron acceptor auracyanin can only accept one electron each time. Therefore, the speed of electron transfer in ACIII should be well controlled. The alternating T-shaped spatial organization of the six hemes in ACIII would limit in one order the electron transfer efficiency of the heme wire, which would increase the steady time of semi-menaquinol. This limitation could be further compensated by the [4Fe-4S] clusters playing as an electron sink. Overall, the possible electron transfer during menaquinol oxidation would look like that, the first electron would quickly sink into the [4Fe-4S] clusters via [3Fe-4S] with the formation of semi-menaquinol, and the second electron could then be transferred to the final periplasmic acceptor auracyanin via the heme wire; with a second auracyanin binding, the sinking electron in the [4Fe-4S] clusters could be further transferred to the final acceptor via the heme wire. As a result, the existence of the [4Fe-4S] clusters would be very important in assisting sequential and efficient transfer of two electrons with an intrinsic time interval.

In summary, our work provides a structural basis and conceptual insight into the coupling mechanism underlying menaquinol oxidation, electron transfer, and proton translocation for the photosynthetic ACIII, which seems likely to play the same role as a menaquinol:electron acceptor oxidoreductase in respiratory ACIIIs. Direct experimental will be required for definitive characterization the proton pumping mechanism of these ACIIIs.

R. castenholzii DSM 13941 was grown in a batch culture anaerobically in modified PE medium at 50C under high-light conditions for 10 days (19). Cells were harvested by centrifugation at 10,000g for 20 min, and the pellet was washed twice with 20 mM tris buffer (pH 7.4) and then stored at 40C.

A suspension of whole membranes [with OD880 (optical density at 880 nm) = 20 cm1] in 20 mM tris-HCl (pH 8.0; buffer A) was treated with 1% -octyl glucoside and stirred for 1 hour at room temperature in the dark. The extraction was centrifuged at 200,000g for 2 hours (Ti 70 rotor, 45,000 rpm) at 4C. The pellets were resuspended in 50 mM sodium acetate (pH 5.0; buffer B) and treated with 0.5% -dodecyl maltoside as above with 1% -octyl glucoside. The supernatant from the second ultracentrifugation was collected and filtered through a 0.22-m Millipore filter and subsequently loaded on a prepacked cation exchange chromatography column (SPHP5, GE Healthcare), which had been equilibrated with buffer B containing 0.04% -dodecyl maltoside (which makes up buffer C). The column was extensively washed with 50 mM NaCl in buffer C until the eluent was colorless. Last, the crude ACIII was eluted from the column by a sodium gradient from 0.1 M NaCl to 0.4 M NaCl with 50 ml of buffer C at 2 ml min1. The collected fractions were concentrated and further purified by Superdex-200 gel filtration in buffer D [100 mM NaCl, 0.02% -dodecyl maltoside, and 20 mM tris-HCl (pH 8.0)]. The fractions with an absorption ratio of A413/A280 higher than 1.38 were pooled and used for cryo-EM analysis.

The polypeptide composition of the purified complex was determined by SDS-PAGE and blue-native PAGE. The sample solubility was optimized by dissolving samples in buffer containing 5% 2-mercaptoethanol for 30 min at 65C; these conditions yielded the sharpest protein bands. The identity of SDS-PAGE and blue-native PAGE bands was confirmed by PMF using matrix-assisted laser desorption/ionizationtime-of-flight (MALDI-TOF) mass spectroscopy.

Stained bands from the SDS-PAGE were excised and destained and washed with 50% acetonitrile in 50 mM aqueous NH4HCO3. Proteins were then reduced with 10 mM dithiothreitol in 100 mM NH4HCO3 for 30 min. Cysteine residues in the proteins were further alkylated by 55 mM iodoacetamide in 100 mM NH4HCO3 for an additional 30 min. Trypsin (Promega Trypsin Gold, TPCK (L-1-tosylamido-2-phenylethyl chloromethyl ketone)treated) in 50 mM NH4HCO3 was added to the gel pieces, and the enzymatic reaction proceeded overnight at 37C. Afterward, peptides were extracted twice with 1% trifluoroacetic acid in 60% acetonitrile for 30 min. Extracted solutions were collected, dried completely in a speed-vac, and then redissolved in 50% acetonitrile containing 0.1% trifluoroacetic acid for mass spectrometry analysis.

The identities of proteins were determined by PMF using an ABI 4700 MALDI-TOF mass spectrometer. A mixture of the peptide sample and freshly prepared matrix solution (10 mg ml1 -cyano-4-hydroxycinnamic acid in 50% acetonitrile) was spotted on a stainless-steel target plate. Peptide mass value searches were performed against the National Center for Biotechnology Information (NCBI) database using Mascot software (www.matrixscience.com). The alkylation of cysteine was included as a possible modification. The mass tolerance for the monoisotopic peptide mass was set to 0.6 Da.

Three-microliter aliquots of air-oxidized ACIII (4 mg ml1) was placed on the glow-discharged GiG R1.2/1.3 300-mesh gold holey carbon grid (Jiangsu Lantuo Biotechnology, China) and blotted for 3.0 s under a blot force of 1 at 100% humidity and 16C before being flash-frozen in liquid ethane with a Mark IV Vitrobot system (FEI). Micrographs were acquired on a Titan Krios microscope (FEI) operated at 300 kV with a K2 Summit direct electron detector (Gatan). SerialEM (34) was used for automatic data collection. A nominal magnification of 22,500 was used for imaging, which yielded a pixel size of 1.04 . The defocus range was between 1.2 and 3.3 m. Each micrograph was dose-fractionated to 32 frames under a dose rate of 9.2 e/2 per second and an exposure time of 6.4 s, which resulted in a total dose of about 59 e/2.

For the sodium dithionitereduced ACIII, 3-l aliquots of a sample (4.5 mg ml1) were placed on the glow-discharged CryoMatrix R1.2/1.3 300-mesh amorphous alloy film (product no. M024-Au300-R12/13, Zhenjiang Lehua Technology Co. Ltd., China) and blotted for 3 s under a blot force of 0 at 100% humidity and 16C before being flash-frozen in liquid ethane with a Mark IV Vitrobot system (FEI). Micrographs were acquired on a Titan Krios microscope (FEI) operated at 300 kV with a K2 Summit direct electron detector (Gatan). SerialEM was used for automatic data collection. A nominal magnification of 22,500 was used for imaging, which yielded a pixel size of 1.04 . The defocus range was between 1.5 and 2.5 m. Each micrograph was dose-fractionated to 32 frames under a dose rate of 9.4 e/2 per second and an exposure time of 6.4 s, which resulted in a total dose of about 60 e/2.

Motion correction and exposure weighting was performed by the MotionCorr2 program (35), and the CTF (contrast transfer function) parameter was estimated using the Gctf program (36). The automatic particle picking was performed by Gautomatch (developed by K. Zhang, MRC Laboratory of Molecular Biology, Cambridge, UK) and Auto-picking module in RELION; an initial model was made by e2initialmodel.py in EMAN2 software package (37), and all other steps were performed using RELION (38). For the air-oxidized ACIII dataset, 600 particles were manually picked and extracted for two-dimensional (2D) classification. The resulting 2D class averages were used as the templates for the automated particle picking, which yielded 257,815 particles from 1700 micrographs. The picked particles were extracted at 2 2 binning and subjected to three rounds of 2D classification. A total of 197,496 particles were finally selected for 3D classification.

Good 2D class averages in different orientations were selected to generate the initial model. A total of 177,489 particles were left after two rounds of 3D classification and re-extracted into the original pixel size of 1.04 . The following 3D refinement and postprocessing yielded an EM map with a resolution of 3.45 . After performing CTF refinement in RELION3, the resolution was increased to 3.24 . Reported resolutions were estimated with a soft-edge mask around the protein complex and micelle densities and based on the gold-standard FSC (Fourier Shell Correlation) = 0.143 criterion. Local resolution was estimated with Resmap (39).

For the reduced ACIII dataset, 1970 unscreened micrographs were subjected to 3D referencebased auto-picking in RELION3; reconstruction of the ACIII dataset was the 3D reference low passfiltered to 20 . The resulting 488,581 particles were used to extract particles at 2 2 binning. After two rounds of 2D classification, 297,122 particles were selected for a 3D refinement and alignment-free 3D classification, and 219,913 particles from the best 3D class were re-extracted without downscaling. The following 3D refinement and postprocessing yielded an EM map with a resolution of 3.68 . CTF refinement and another alignment-free 3D classification improved the resolution to 3.51 and 3.46 , respectively. The final subset had 207,633 particles.

De novo atomic model building was conducted in Coot (40). Sequence assignments were guided by residues with bulky side chains. The starting models of the cofactors were taken from the CCP4 ligand library. The model was real spacerefined by PHENIX (41, 42) with intra-cofactor and protein-cofactor geometric constraints. The refinement and model statistics are listed in Table 1. All figures were prepared in PyMOL (www.pymol.org) or UCSF Chimera (43).

The difference map between air-oxidized and dithionite-reduced ACIII was calculated using EMAN2 (37). First, the cryo-EM map of dithionite-reduced ACIII was fitted to that of air-oxidized ACIII by Chimera and then was clipped into the same box size using e2proc3d.py in EMAN2. Then, the structural amplitudes of both maps were scaled using e2proc3d.py in EMAN2. Last, the difference map between the corrected maps was computed by the e2.py python tool in EMAN2 and further low-passfiltered at a quarter of the Nyquist criterion.

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Cryo-EM structures of the air-oxidized and dithionite-reduced photosynthetic alternative complex III from Roseiflexus castenholzii - Science Advances

How To Reinvest in Communities When Reducing the Scope of Policing – Center For American Progress

In June 2020, amid widespread protests against systemic police brutality and misconduct against Black Americans, elected officials and the public began to seriously reconsider the role of law enforcement in U.S. society. For years, grassroots campaigns and local advocates have called for an approach to public safety that does not rely solelyor even primarilyon the police. Now, the push from activists to shrink the role of policing and invest in social services and community-based strategies is gaining national attention.

Reducing the role of policing and the criminal justice system as a whole is not a radical concept and is based on the widely acknowledged idea that the justice system has taken on an outsize role in society. For too long, American communities have allowedand in many ways mandatedthat the criminal justice system serve as the de facto response to a broad swath of social issues, from behavioral health crises to substance misuse to school discipline. Police officers are expected to address situations that they are neither trained nor equipped to handle, which can significantly exacerbate harm for civilians. In establishing a commission on law enforcement in January 2020, even Attorney General William Barr acknowledged this point, saying, [O]ur officers must confront a wave of social problems, such as homelessness, drug addiction, and mental illness problems that demand solutions beyond their authority and expertise.

The movement to shrink the role of policing and shift public safety responsibilities to other government and community institutions has similarities to a multistate initiative to divest from prisons that has attracted significant bipartisan support. Over the past decade, 35 states have participated in the Justice Reinvestment Initiative (JRI) and signed up to reduce correctional populations and budgets and reinvest in other public safety solutions. JRI has earned praise from leaders across the ideological spectrum. Among JRIs champions are Democratic Govs. Jay Inslee of Washington and Kate Brown of Oregon, Republican Gov. Asa Hutchinson of Arkansas, and former Republican Govs. Nathan Deal of Georgia and Rick Perry of Texas.

The concept behind justice reinvestment could well be characterized as a defund prisons effort, as the model was originally rooted in the idea that the criminal justice system is too big and too costly and that communities can achieve safety by shifting resources toward other less punitive efforts. The JRI experience provides important lessons for communities seeking to redirect public safety dollars to public health and community-based models. Specifically, while JRI enabled some states to shift funding into community-building resources, a large percentage of savings were ultimately reinvested back into the criminal justice system. City policymakers must establish a sustainable infrastructure in order to implement and be held accountable for their commitments to invest in communities; otherwise, amorphous promises to fund community-based solutions can turn into funding for a different part of the criminal justice system or can easily be discarded altogether. This issue brief outlines three core components of the infrastructure that cities should establish for reinvesting in communities: a dedicated civilian office of public safety within the jurisdictions government structure; a regularized and in-depth process through which community leaders and representatives can participate in developing the jurisdictions public safety agenda and priorities; and a budgetary mechanism that gives the community direct control over the redirected investments.

The concept of justice reinvestment was first introduced in 2003 by Susan Tucker and Eric Cardora, justice system experts who were at the time affiliated with the Open Society Foundation. Although justice reinvestment was initially considered a radical proposal, the idea quickly took off. Several states piloted the justice reinvestment model into the mid-2000s, yielding significant reductions in correctional costs. Among the most notable early pilots was the Texas reinvestment initiative, which has been credited with saving more than $1.5 billion in prison construction costs and $340 million in annual operating expenditures since its enactment in 2007. Justice reinvestment in Texas earned support from leaders on both sides of the aisle, including then-Gov. Perry. [I]n 2007, with broad support from Republicans and Democrats alike, Texas fundamentally changed its course on criminal justice, he later said of the reforms, which are sometimes referred to simply as the Texas model. Taxpayers have saved billions because of our new approach to criminal justice, and theyre safer in their homes and on the streets.

By 2010, the U.S. Department of Justice (DOJ) had taken note of the models impact. That year, the DOJ teamed up with the Pew Charitable Trusts to launch JRI, a public-private partnership aimed at helping state governments implement reinvestment models. With support from the DOJ, Pew Charitable Trusts, and other JRI partners, state leaders assemble a bipartisan intergovernmental working group to analyze the drivers of incarceration and correctional spending within their jurisdictions. Based on these findings, state working groups identify and implement reform strategies aimed at reducing justice system populations and costs, with the goal of reinvesting savings into evidence-informed approaches to public safety. Through JRI, states have worked to revise mandatory minimums and other sentencing guidelines, increase parole eligibility and streamline parole processes, expand good-time and earned credits, invest in substance use treatment and problem-solving courts, and undertake other reforms aimed at reducing correctional costs and populations.

In its earliest iterations, the justice reinvestment model was envisioned as a way to shift dollars away from incarceration and into low-income communities and communities of color, the latter of which have long been unfairly targeted by the criminal justice system. Racial disparities exist at every stage in the justice system. Black Americans in particular have experienced disproportionately high rates of arrest and pretrial detention, lengthier prison sentences, and significant barriers to housing and employment upon release from incarceration. In many communities of color, overcriminalization has been paired with government disinvestment in other public institutions and community-building resources. Thus, the goal of justice reinvestment according to Tucker and Cardora was to redirect a portion of correctional spending toward rebuilding the human resources and physical infrastructurethe schools, healthcare facilities, parks, and public spacesof neighborhoods devastated by high levels of incarceration. As the model evolved, however, its emphasis on community-building dissipated. In practice, states have reinvested a large percentage of the savings realized through JRI back into their criminal justice systems. JRI states reinvested $557 million between 2010 to 2017, more than one-quarter of which went toward community supervision agencies for purposes such as hiring new probation and parole officers and expanding electronic monitoring. Correctional institutions and law enforcement agencies received a combined $123 million during this time period, most of which was used to support in-prison programming. In some jurisdictions, the savings intended for reinvestment were simply absorbed into the states general fund.

Still, some jurisdictions continue to reinvest a portion of JRI funds into community-building resources. The state of Oregon, for instance, uses JRI to fund a grant program for county-level safety initiatives, including efforts to address social service needs. Between 2017 and 2019, Oregon awarded more than $6 million to support services related to housing, education, and employment; mentoring; parental skills building; and reentry. Arkansas has used JRI to divert people with behavioral health needs away from jails and into treatment. In a 2018 op-ed for Fox News, Gov. Hutchinson wrote, The Justice Reinvestment approach allowed Arkansas to become the first state in the country to create a network of crisis stabilization units. These units provide an alternative to incarceration for individuals in crisis, for whom arrest isnt always the best option, according to Gov. Hutchinson. Now officers have a place to take someone where people are trained to recognize and treat behavioral-health issues.

Communities considering how to reimagine their public safety resources should take note of JRIs successes and shortcomings. In part, JRIs failure to reinvest in impacted communities is a symptom of its failure to meaningfully engage these communities in the first place. Although JRI has built strong coalitions of state government officials, the initiative has largely neglected to carve out a role for local leaders and members of communities most affected by the justice system. Absent community engagement, JRIs reinvestment strategy has come to reflect the priorities of state-level policymakers rather than the needs of residents. What started as an initiative to move resources into low-income communities of color has resulted instead in the reinvestment of resources into police departments, wrote Zachary Norris, executive director of the Ella Baker Center for Human Rights, in an article on JRIs shortcomings.

Sustainability is also a concern for JRI. Because policy reforms will not realize their full potential overnight, JRI requires a long-term commitment from stakeholders. According to an evaluation conducted by the Urban Institute, impatience over lack of immediate results could seriously jeopardize a states JRI effort. In other cases, state-level political turnover has threatened to derail JRI, particularly in states with term-limited legislatures. When JRIs legislative champions leave office, the future of the initiative may be put at risk. Beyond political factors, the sustainability of JRI also depends on funding. States must provide dedicated resources to implement justice system reforms, without which they will not successfully shrink correctional populations and costs.

To avoid these pitfalls, local governments should establish an infrastructure to partner with impacted communities and sustainably reshape cities public safety agendas. Such an infrastructure should include the following three components: a dedicated civilian office within the jurisdictions government; a regularized and in-depth process through which community leaders and representatives can participate in developing the jurisdictions public safety agenda and priorities; and a budgetary mechanism that gives the community direct control over the redirected investments.

City governments can help ensure that community-driven safety agendas receive the long-term political and financial support necessary to succeed by embedding nonpunitive safety solutions into the fabric of local government. Importantly, local leaders should avoid housing community-driven interventions within city agencies that have engendered distrust among residents or within public institutions that are not equipped to take on these roles. Instead, they should consider creating a new civilian-led office within the city government that is specifically designed to administer community-driven public safety priorities.

Richmond, California, provides a powerful example of the city governments role in advancing sustainable and effective community safety strategies. In 2007, Richmond launched the nations first Office of Neighborhood Safety (ONS), a civilian office focused on preventing violence and strengthening community well-being and safety. When the office was established, the city of Richmonds homicide rate was eight times higher than the national average. Ten years later, in 2017, the homicide rate had dropped by 80 percent. Unlike a police department or other traditional public safety agencies, an ONS is not part of the criminal justice system. Instead, it is intentionally housed within city government and staffed by civilians, many of whom are members of the communities most affected by the criminal justice system. This structure allows the ONS and its staff to build and maintain trust with residents who may distrust law enforcement or other justice system practitioners. Establishing a permanent office devoted to community-safety strategies can also protect against political turnover or lapses in funding, which can undermine the longevity of interventions.

As localities begin to rethink the role of policing, elected officials should empower residents to reshape the citys approach to public safety. Local elected leaders should look beyond traditional community engagement approaches, which often consist of a one-off community meeting or a survey rather than a long-term strategy for partnering with residents. These approaches often fail to capture the perspectives of residents most affected by the justice system, including low-income communities and communities of color. Survey data show that Americans who have been impacted by the justice system are significantly less likely to trust government, which in turn can deter civic participation and engagement with government officials. I feel like theyre not interested in what I have to say, explained one survey respondent from Charlotte, North Carolina. Others echoed this sentiment, expressing the belief that public officials were not answerable to their concerns.

Instead, cities seeking to create a community-driven safety agenda should create a permanent pathway for residents to both participate in policymaking and hold elected officials accountable for outcomes. One model for strengthening and systematizing the communitys role in public safety policymaking is NeighborhoodStat, an initiative operated by the New York City Mayors Office of Neighborhood Safety. NeighborhoodStat is a joint problem-solving process that empowers residents of high-crime public housing developments to partner with city agencies to craft a public safety agenda that is grounded in the communitys needs. The model was first implemented in 2016 as part of the Mayors Action Plan for Neighborhood Safety (MAP), a multiagency initiative to channel community-building resources into the 15 housing developments that accounted for a disproportionate amount of violent crime. As part of the NeighborhoodStat process, teams of resident leaders work with their neighbors to develop a set of key priorities for strengthening safety in their housing development; these priorities can range from expanding youth employment opportunities to cleaning up a local playground to installing outdoor lighting on sidewalks. Residents then meet directly with leadership from dozens of city agencies and community-based service providers to share their communitys safety priorities and delve into solutions that are responsive to their needs. During NeighborhoodStat meetings, city agencies make concrete commitments to support community-driven solutions and are held accountable for delivering on these promises in a timely fashion. Today, NeighborhoodStat is known as the operational centerpiece of MAP, which has contributed to meaningful crime reductions in public housing developments. According to recent evaluation data, serious felonies have dropped by 7.5 percent in participating housing developments, compared with only 3.8 percent in other developments.

Another key element for creating a community-driven safety agenda is ensuring that residents have an active role in guiding the citys budget priorities. Budgets are often referred to as moral documents that offer a window into a jurisdictions values and priorities. Unfortunately, city budgets tend to reflect the values and priorities of elected officials and well-organized interest groups rather than those of residents and community-based organizations. The mismatch between a citys budget and the needs of its residents can stem from a lack of community engagement in the budgeting process. Such was the case in Milwaukee, Wisconsin, where a coalition of local advocates known as the African-American Roundtable organized the LiberateMKE campaign for budget justice in 2019. When it came to Milwaukees budgeting process, There was no one in our city government that was really working to engage anyone, let alone grassroots organizations, explained MarkasaTucker, director of the African-American Roundtable and a driving force behind the launch of LiberateMKE. The campaign began with the realization that Milwaukees budget was unjust and inequitable in regards to residents needs, Tucker explained. The residents in the heart of Milwaukee were not a part of the budget.

LiberateMKEs fight for budget justice began during the summer of 2019, when the campaign askedpeopleacross Milwaukee what they wanted to see within their citys budget. The 1,100 survey responses revealed that residents favoredinvestmentsin community-based violence prevention efforts, sustainable jobs for young people, and affordable quality housing, rather than increased investments in policing. Campaign organizers hosted workshopsforresidentsto learn how to navigatethecitybudget process, equipping them with the tools to advocatefor investments that better reflected their needs.When it came time for the citys public budget hearings in October 2019, a record number of residents turned out to voice their opinions. Whereas resident attendance at budget hearings had traditionally been sparse, residents showed up in droves and gave more than 3 1/2 hours of testimony. This has probably been the most people that we have had show up to a community hearing on the budget, Milwaukee Common Council President Ashanti Hamilton commented during the hearing. According to Tucker, residents felt empowered enough to come and face the Common Council and the mayor to talk about what they wanted. The campaign ultimately convinced the Common Council to divert $900,000 from the police budget into community-driven priorities, including funding for emergency housing and summer youth employment programming. The savings were realized in part through the elimination of 60 full-time positions upon officers retirement, as well as a $300,000 reduction in the Milwaukee Police Departments vehicle replacement budget.

As the movement to rethink policing gains momentum, more and more cities are exploring ways to redirect resources away from traditional public safety approaches and reinvest in community-based safety. Shrinking the footprint of policing is a promising first step, but it must be paired with a concerted effort to build a city government that is responsive to community safety needs. Cities now have the opportunity to learn lessons from the shortcomings of the bipartisan Justice Reinvestment Initiative that has not realized its potential for reinvestment in impacted communities. To avoid the pitfalls of JRI, cities should reshape government infrastructure to foster meaningful partnerships with residents, make long-term investments in their priorities, and sustain their visions for community safety.

Ed Chung is the vice president for Criminal Justice Reform at the Center for American Progress. Betsy Pearl is an associate director for Criminal Justice Reform at the Center.

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How To Reinvest in Communities When Reducing the Scope of Policing - Center For American Progress

The Brutal Pleasure of Watching Charlize Theron Turn to Action – Vulture

Yes, she does her own stunts. But what makes her truly great in Mad Max: Fury Road, Atomic Blonde, and The Old Guard is her focus on the human capacity for wear and tear. Photo: J Prime/Focus Features/Kobal/Shutterstock

The first time we see Charlize Theron in Hancock, shes emerging from a suburban house in a tasteful sundress, dish towel in hand, mouth pursed in a concerned moue. Shes playing, from all appearances, a variation on The Wife that thankless figure who still toils at the sidelines of stories, periodically fretting about the choices made by the protagonist shes married to. Therons character, Mary, does indeed spend the first half of the film staring skeptically at the drunken superhero of the title, played by Will Smith, when he comes over for dinner, eventually softening enough to plead with him not to let her husband (Jason Bateman) down. But then Hancock corners Mary in the kitchen one evening and she irritatedly hurls him through a wall to bounce off the pavement of the cul-de-sac, taking the fridge along with him. Mary, it turns out, has just been playing at being a soccer mom for this lifetime. Shes an immortal being herself, and when she crashes down on Hancocks doorstep later, now dressed in black and sporting a smoky eye, the battle that ensues summons its own storm system.

Hancock, a star-driven, deconstructed-superhero oddity we really dont talk about enough, came out in 2008, the same year Iron Man ushered in an era in which franchises, rather than celebrities, became the selling point for blockbusters. It wasnt Therons first foray into action. Three years earlier, shed followed up her Oscar win for Monster by starring in on Flux, a loose adaptation of a spiky MTV animated sci-fi series that bombed in theaters. The misbegotten, studio-mangled mess put director Karyn Kusamas career on ice for years afterward, and while Therons own prospects werent as badly dinged, she still fretted that she wouldnt get a second chance at a lead action role. That part in Hancock inadvertently plays like a reaction to what happened to her 2005 film as though sneaking in under the guise of a forgettably normcore type were easier than seizing the spotlight outright.

It took Theron two decades to reach her current status as a full-blown action heroine, and she has arrived there at a time when asking audiences to invest in the pleasures of a particularly gifted performer instead of a property feels downright old-fashioned. Getting there involved significant accruing of power as a producer of her own projects as well as a performer, accompanying broader shifts in the industry, and, in general, just being very good at it. It definitely helps that shes beautiful, thin, and white, attributes the movie industry has always preferred; being able to bemoan the quality of the roles being offered to you requires that you get offered those roles in the first place. But as a star, Theron has also been canny about how she feels women get pigeonholed onscreen, repeatedly citing blunt binaries in interviews. There is a fantasy version of women in film, and they are not complex they are great mothers or fantastic whores, she said to The Scotsman in 2012.

Charlize Theron as Furiosa in Mad Max: Fury Road. Photo: Jasin Boland/Village Roadshow/Kobal/Shutterstock

When it comes to the action, theres still a strong instinct to place women in supporting roles. I got offered a lot of stuff in action movies that was either the girl behind the computer or the wife, Theron told Variety in 2017 in a piece pegged to the release of Atomic Blonde, in which she plays a tough-as-nails spy who is neither of those things and, pointedly, not an uncertain ingenue, either. Thats regular old bias, sure, but it also speaks to the limits of the industrys imagination when it comes to what women-led action looks like. When Angelina Jolie (who was once offered a Bond-girl part and famously replied that shed rather play James Bond) starred in her own espionage thriller, Salt, it was a project that had been written for a man and initially slated for Tom Cruise. While actresses like Pam Grier, Linda Hamilton, and Sigourney Weaver did pioneering work going back decades, you can still see the genre wrestling with itself and its ingrained tendency to treat femininity and action (both narratively and physically) as being at odds. One thing that has made Therons action fare so interesting is that it feels as if shes constantly trying to calibrate a model of strength that doesnt play as either re-skinned machismo or slogan-y corporate feminism.

In doing so, she has redefined what it looks like to be the veteran of the group, to have that position not hinge on grizzled physicality but on an aura of having endured unimaginable things. That Theron, a former dancer, does a lot of her own stunts is part of this. It pays off in set pieces that look more exciting and visually coherent for it, but the injuries she has accrued in doing them landing on her neck during the filming of on Flux, cracking her teeth and bruising her ribs in Atomic Blonde get held up as proof of her bona fides. While someone like Cruise, who has been similarly hurt on set, has built his current image on bouncing back and seeming bent on outrunning his own mortality, even if he has to travel to outer space to do it, a human capacity for wear and tear seems central to how Theron thinks of these roles, both in terms of the characters and her own experience of playing them. She actually considers the effects of time even when shes playing near-deities who are untouched by it, allowing these characters to develop a kind of emotional patina.

Its part of why they seem so easy in their skin their gender not downplayed in an effort to be taken more seriously but their sexuality not angled as though it exists solely for the sake of outside consumption, either. When Lorraine Broughton, Therons icy-cold character in Atomic Blonde, falls into bed with a French agent played by Sofia Boutella, its a spectacle, sure, but its not offered up as any more of one than the staircase fight sequence that follows, brutal and unforgiving and shot to look like a single long take. Theres something in the greedy decadence of the sex that definitely recalls Bond, the character who defined the spy genre, though Boutellas character is allowed more dimensionality than the standard Bond girl; shes a participant in mutually desired tryst, not a notch on Lorraines bedpost, and when she meets an ugly end later, we feel it. We feel it when Lorraine takes a blow to the face or gets thrown against the wall, too, which is something Theron insisted on when her character takes a beating, it shows on her bruised face and the blood-rimmed pupil of her eye. It makes sense that evidence of the combat, with its terrible solidity and wont-cut-away immediacy, would show on Lorraines body and that those signs of vulnerability make it seem even more impressive.

Whether its a by-product of the timing of this turn in her filmography or an element of it, the fact that Theron became an action star mid-career is key to why shes so resonant in these roles. She turned 40 three months after Mad Max: Fury Road premiered at Cannes in 2015, and while she looks largely the same now as she did when she got her start back in 2 Days in the Valley, she could bring a world-weariness to the part of Furiosa that felt extremely grown-up. With her haunted eyes and missing limb, Furiosa carries a whole history of loss and pain that doesnt need to be explained to be felt onscreen. (Though it will, if Miller gets to make the prequel hes planning one in which hell cast a younger actress, though he considered having Theron de-aged, la The Irishman.) Mad Max: Fury Road is another grittily physical movie, made primarily with practical effects and shot in grueling conditions, and Theron matched that sensibility by imbuing her character with a desperate determination. Furiosa is as much the hero as Tom Hardys Max Rockatansky, and one of the understated pleasures of the otherwise maximalist affair comes from both characters quick and unspoken recognition of the others formidability.

Theron as Andy in The Old Guard. Photo: Courtesy of Netflix

That sense of having lived through some shit is, if The Old Guard is any indication, now Therons signature. As Andy, ne Andromache of Scythia, the longest-running member of the films collective of nearly unkillable soldiers, she wears the years in counterintuitive and considered ways. She does her best to bring an outrageous characterization down to the ground with Andy, playing her not as jaded but as someone to whom longevity has given an aura of intense surety. She moves with a muscular self-assurance in the role, whether in a fight or in a conversation had while prowling along a narrow street. When Andy yanks a dagger out of her chest, its with the tamped-down exasperation that someone might display when theyve just been put back on hold while on the phone with their bank. When she comes back to gasping life after being shot repeatedly, its with the resigned readiness of someone who has done so countless times before. And when Andy and Nile (KiKi Layne) brawl in the tight quarters of a cargo plane in flight, what dawns on Therons face as she shows off the martial-arts training she has been accruing is an unexpected look of delight. Its a sign that her character can still take pleasure in a fight and that, after so many millennia, the world still holds some surprises for her.

Theron herself has already lived multiple lives in the industry. She started off playing the sex kitten in films like That Thing You Do! and Reindeer Games, then painstakingly navigated her way into the kind of chameleonic, deglamorized parts so often regarded as markers of artistic gravity, like her roles in Monster and North Country. She hasnt left that behind just last year, she put on prosthetics and lowered her voice to appear as Megyn Kelly in Bombshell but as she has gained more sway over the projects she opts to appear in, she has gravitated toward a particular kind of action the most. Its one that feels related in battered spirit to the spate of movies over the past decade-plus starring Liam Neeson, Keanu Reeves, and Denzel Washington as seasoned characters dragged back into the game. But in other ways, it doesnt not just because Theron is younger, but her characters arent getting pulled out of retirement. They never left, and theyre still in their prime. To play the character at the center of the story, to be active instead of watching in the wings thats power. But more powerful still is to be the character who has been at the center for a while, and who brings the weight of that past with her going forward.

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The Brutal Pleasure of Watching Charlize Theron Turn to Action - Vulture

20-year-old hospitalized with COVID-19 urges young people to take it seriously – KSHB

KANSAS CITY, Mo. A 20-year-old Manhattan woman hospitalized with COVID-19 hopes her story will hit home with young people who don't take the virus seriously.

Cecilia Erker first noticed a loss of taste in early July and didn't think too much of it. However, when she woke up the next day, she had all of the classic symptoms.

"I've never been more sick in my life," Erker said. "I felt like I got hit by a bus, I was running a 102 degree fever, I had a cough, I was vomiting."

Erker isolated at home but failed to get better. She took several trips to the ER in Manhattan and had CT scans and chest X-rays. She learned she had developed a secondary infection in her lung.

Doctors told her she needed more intensive care, and she was sent to the University of Kansas Medical Center, where she spent three days in the ICU and five days in isolation in a COVID wing.

She developed a secondary infection and will undergo surgery to have most of her lung removed next week.

Erker said she lived an active and healthy lifestyle before testing positive.

"I never thought I'd be in this position, to be two weeks away from turning 21, and I'm basically losing a lung," Erker said.

Erker described the experience as terrifying, but she hopes it will hit home with those who don't take the virus seriously.

"It's very real; no one's invincible, no one's immune, it doesn't matter if you're young, old, healthy," Erker said.

Erker is one of a growing number of cases in young people across the country. In Missouri and Kansas, those in the 20-30 age groups are showing the highest number of cases currently.

Dr. Dana Hawkinson, medical director of Infection Control and Prevention at the University of Kansas Health System, said gatherings are likely to blame.

"If we can remember to wear our masks and gather in small groups, certainly less than 10 is much safer in smaller groups than larger groups, we can really start to decrease the spread of this disease," Hawkinson said.

Erker hopes others will think of her story when they consider going against that advice.

"I went out to restaurants, hung out with friends, and now I'm paying the price for it, and I regret it. If I could take it back I would," Erker said.

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20-year-old hospitalized with COVID-19 urges young people to take it seriously - KSHB

L-Nutra and FEAST Announce New Joint Effort to Help Bridge Food and Nutrition Disparities in Under Resourced Communities – PRNewswire

LOS ANGELES, July 29, 2020 /PRNewswire/ -- L-Nutra, a global leader in nutri-technology, and FEAST, a non-profit dedicated to community health and wellness, today announced a new joint effort to address health disparities in underserved Los Angeles communities through a year-long series of wellness programs, food education, and nutrition information that will take place in community settings to address unhealthy eating habits and inequitable food environments in order to create steps toward healthier lives.

"Nutrition is our passion and we believe everyone, regardless of where they live, should have the access to the information and resources to eat better, be healthier and live longer. At L-Nutra, we are working to enhance human healthspan up to 100 years," said Joseph Antoun MD, CEO of L-Nutra. "FEAST is a dedicated organization addressing long-standing nutrition disparities with the infrastructure to make a difference through targeted efforts in these communities. As part of the joint effort, L-Nutra will commit our resources to support FEAST and provide our experts and knowledge to build on the organization's programs, reach and effectiveness."

Food and nutrition disparities are long-standing problems across the U.S. and have worsened during the COVID-19 public health crisis, exacerbating inequalities that factor into systemic health gaps. According to new researchby economists at Northwestern University based on Census Bureau data, nearly four in 10 Black and Hispanic households with children are struggling to feed their families during the coronavirus pandemic.

L-Nutra and FEAST aim to work together to bridge nutrition gaps and support those who are in need, specifically those that depend on food banks and live in food deserts. L-Nutra will supportFEAST's 16-week wellness programs this year in LA that incorporate food education, including nutrition information, recipes and cooking demonstrations, access to fresh whole foods through a weekly grocery scholarship, and support through peer-to-peer sharing circles designed to uncover the underlying causes of current eating habits and create steps forwardtoward better behaviours and healthier lives. As part of this joint effort, L-Nutra will immediately provide direct program support to FEAST's virtual Week of Wellness and annual Fall Fundraising event. FEAST's Week of Wellness, July 27th through 31st, provides daily morning mindful activities, midday fitness activities and early evening healthy recipes, all accessible for free through the organization's Instagram live streams, https://www.instagram.com/feast_for_all/.

FEAST's wellness programs, offered in English and Spanish, have moved to virtual platforms during the pandemic and provide weekly food boxes delivered directly to participants. Delivering essential food items to those that need it most increases food security and decreases their exposure to COVID-19, as participants do not have to leave their homes for their boxes.

"At FEAST, we have made strategic adjustments to ensure the safety of those we serve while maintaining our resolve and commitment to get them the education, resources, and food they and their families need," said Dana Rizer, FEAST executive director. "We are thrilled to have this joint effort with L-Nutra. The nutrition expertise L-Nutra brings, along with their commitment to healthy lifestyle solutions to increase longevity, is a perfect match to help us advance health and wellness in under resourced communities through the power of healthy foods and human connection."

L-Nutra also announced a separate initiative to donate Fast Bar products to hospital staff working throughout underserved L.A. communities, which have been hit hard by COVID-19. This is follow-up to a Fast Bar product donation the company made to several hospitals in L.A., San Diego, Sacramento, New Jersey and New York in April. Fast Bar is a premium nutrition bar that provides nourishment and energy.

"Medical professionals throughout L.A. are working extended hours to treat COVID-19 patients and to save lives. They are our heroes. We hope this donation will help them get through long, demanding days," said Dr. Antoun.

About FEASTEstablished in 2013, FEAST's mission is to promote health and wellness in communities through the power of healthy foods and human connection. FEAST's comprehensive programs combine practical tools like nutrition education and healthy shopping skills with food access, peer-support and community engagement to increase individual wellness so participants can live full, healthy lives. FEAST has impacted the lives of thousands of individuals in Southern California, New York City, and Lincoln, Nebraska. For more information, visit at https://feastforall.org/

About L-NutraL-Nutra is leading the discovery, design,and commercialization of novel,plant-based nutrition programs and therapeutics to enhance human healthspan up to 100 years. L-Nutra translates the science behind ProLon Fasting Mimicking Diet and Nutrition For Longevitywith breakthrough discoveries in cellular-level nutrient signalling pathways to promote healthy aging technologies and to advance the development of therapeutic solutions for age-related diseases. For more information visit http://www.l-nutra.com

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L-Nutra and FEAST Announce New Joint Effort to Help Bridge Food and Nutrition Disparities in Under Resourced Communities - PRNewswire

Move Over Clean Beauty, Clean Wine Is Here – Forbes

Good Clean Wine by Michelle Feldman and Courtney Dunlop.

Clean beauty has been all the rage, but a new clean favorite is about to hit center stage- clean wine. Although clean wine isnt a novel idea, it hasnt been readily available or accessible to the masses. The easiest way to get ahold of truly clean wine is to have a relationship with an organic winery. Luckily, Michelle Feldman, a holistic esthetician turned sommelier, and Courtney Dunlop, former beauty and health journalist, came together to bring clean wine to everyone with their brand Good Clean Wine.

We both love and drink wine. Weve seen the rise of clean beauty and skincare, and people becoming aware of what they put on their skin and in their bodies. People feel comfortable seeking out clean skincare and farm-fresh, unprocessed food, but when it comes to wine, its very confusing. People arent aware that there are many additives that can be added to wine. There are so many amazing wine producers out there making high quality wine without these additives, and they are using sustainable farming practices, but we saw that there was a huge group of people that would never find these wines because they arent experts. With Good Clean Wine we are able to offer some of this wine to people who otherwise would never experience it, shared Feldman and Dunlop.

Founders of Good Clean Wine, Courtney Dunlop and Michelle Feldman.

According to Feldman, wine can include up to 60 ingredients in addition to grapes to achieve desired colors and tastes and to fix and stabilize wine. Sugars are added to control fermentation and to sweeten wine. Oak flavoring or oak chips can be added to give the wine an oak aroma and taste, without the need for barrels. Even more shocking, often times dyes like megapurple are added to bump up flavor and color, and animal by products like fish bladders and beef gelatin can be used to filter and fine impurities out of wine. Winemakers and experts debate whether these ingredients and processes are harmful or not. Its more about transparency you dont have to list any of these ingredients on the label, but we think the consumer should at least be able to make the choice about whether they care about additives or not. At the end of the day, people should just drink what they like and what makes them feel good, she explained.

While the EU has regulations around what can be added to wine, in the US there arent any set standards in place. Much like the beauty industry there isnt a benchmark or guideline to what defines clean wine. Typically, clean wine is sustainably farmed and made from vineyard to bottle. Dunlop and Feldman chose to use the word clean because customers already have a frame of reference for that term and are familiar with it in regards to skincare and food. Our version of clean means minimal intervention. As little as possible is done to the wine during the entire process from grape to bottle so that the wine tastes amazing and makes you feel great. At the end of the day, the only way to really know if your wine is clean is to know your winemakers and do your research. We created Good Clean Wine for people who arent inclined to do that research, said Dunlop. When we say our wine is clean, we arent saying that other wine is bad or dirty. There are amazing wine producers all over the world making clean wine, and they have been for generations. We are an option for people who arent familiar with the winemaking world and how it works. Our hope is that people try our wine, fall in love, and then it inspires them to be more experimental with wine in general. Weve had clients who tell us that they now feel comfortable looking for Tuscan wines in their local wine shops because of our wine. We just want the intimidation factor to be gone, added Feldman.

Good Clean Wine Rose.

Good Clean Wine comes from Italy made by a small cooperative of winemakers Dunlop and Feldman personally know and have visited several times. We know the winemakers and see the harvest and winemaking process in person. Good Clean Spumante and Spumante Ros comes from the Emilia-Romagna region. Good Clean White, Red, and Ros come from Grosseto, Maremma, Tuscany, the duo shared. Their wine is produced in first-rate soils in sustainable vineyards and wineries with strict biodiverse, organic farming and winemaking practices. Which means everything from the soil, crops, wildlife, livestock and the natural vegetation in the area is balanced and grown together. Wine grown in this way reflects the terroir and tastes amazing. Its made without using synthetic chemicals, fertilizers, organic sprays or sulphur dioxide. As far as sugar additives, Good Clean Wine does not include added or refined sugars, only residual sugar that naturally occurs form the grape. Essentially, Our winemakers do as little to the wine as possible.

What are the benefits to drinking clean wine? Besides the obvious benefit of drinking wine without any additives or toxic chemicals, Dunlop and Feldmans customer have reported fewer headaches, flare-ups, skin reactions, nausea, etc. A Harvard study found that sulfites in wine could be causing headaches for drinkers hence why drinking a clean wine may alleviate that trigger. Taking Good Clean Wine mainstream has had its challenges. I feel like Im reliving 2009 again ( I was still a beauty and health editor) when natural beauty first started getting ramped up, and then it morphed into clean beauty. There was a lot of resistance to those categories from the skincare world. But as you can see, clean beauty is only growing and people love it, said Dunlop.

Besides creating space for clean wine in industry, educating the consumer has been a priority for Good Clean wine. Clean wine is not a new concept. Delicious, affordable clean wine has always been available, but many consumers dont know how to find it. You cant tell from a wine label what is or is not in your wine or what ingredients or processes went into make your wine. To know these things, you have to know your winemaker. We know the winemakers and we know the wine making processes, so we take the work out of it for you, explained Feldman. With wine, people forget that were talking about agriculture. Also, we point out that just because its clean does not mean its healthy. Alcohol is not healthy and should only be a part of a balanced, healthy lifestyle. I compare clean wine to dessert: Sugar is not healthy, but if I am going to eat dessert Id rather it be a piece of homemade cake using all natural ingredients instead of a processed, corn syrup snack, added Dunlop.

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Less Than a Quarter of U.S. Adults Say They’ve Been Tested for Hepatitis C Despite CDC Recommendations for Universal Testing – Business Wire

RADNOR, Pa.--(BUSINESS WIRE)--Lincoln Financial Group (NYSE: LNC) joins the American Liver Foundation (ALF) to raise awareness for the millions of Americans infected with the hepatitis C virus (HCV), as the rate of new HCV infections was four times as high in 2018 as it was in 2009.1 In a recent Lincoln survey, more than 80% of U.S adults say they know what HCV is, yet only 35% are aware its curable, indicating confusion as cases of the disease continue to rise.2

According to the Centers for Disease Control and Prevention (CDC), approximately 2.4 million people in the United States are living with chronic hepatitis C,1 however, its estimated that 4 in 10 people dont know theyre infected.3 With the increase in new cases, and so many unknown cases, earlier this year the CDC updated its testing recommendations, calling for one-time screening for all adults 18 years and older (with routine periodic testing for those with ongoing risk factors), and screening of all pregnant women during every pregnancy. Despite these recommendations, only 24% of Lincoln survey respondents said theyve been tested for HCV.2

As the world grapples with the COVID-19 pandemic, the importance of testing is as clear as ever when it comes to combating infectious diseases, said Dr. John Greene, Vice President and Chief Medical Director for Lincolns individual Life Insurance business. The same is true when it comes to HCV, the silent epidemic for which theres a cure. As a member of ALFs Corporate Council, Lincoln stands with ALF and the global community to advocate for HCV awareness, prevention, testing and treatment, to help eliminate this disease.

Nearly 70% of those surveyed by Lincoln said they arent concerned about themselves or a family member getting sick from HCV.2 In fact, just 26% said theyve talked about liver health with their health care provider.2 If left untreated, chronic hepatitis C can lead to liver damage, cirrhosis and liver cancer. Unfortunately, the disease has few noticeable symptoms, which often dont appear for years or decades.

Thankfully, the treatment of HCV infections has evolved significantly in recent years with the development of direct-acting antiviral medications resulting in shorter treatment duration, fewer side effects and cure rates of roughly 95%.

In the midst of this unprecedented pandemic, it is easy for people to overlook routine, but critical, health maintenance, said Lynn Gardiner Seim, EVP & Chief Operating Officer, American Liver Foundation. As we all continue to take steps to ensure our health, it is imperative, now more than ever before, to adhere to HCV testing guidelines so people who need treatment can receive it before chronic hepatitis C results in significant liver health issues.

Getting treated can provide a second lease on life for those with HCV. Treatment can improve liver and physical health, mental and emotional health, and overall wellness, enabling the pursuit of a healthy lifestyle that HCV may have stood in the way of before.

Treatment can even help overcome financial planning challenges that HCV may have presented in the past, such as obtaining affordable life insurance. Of those surveyed by Lincoln, just 42% said they thought individuals with HCV can get life insurance coverage.2 Lincoln has incorporated the newest clinical information about HCV medical advancements in its underwriting approach to offer more favorable underwriting ratings for most individuals with hepatitis C who have been successfully treated, resulting in lower costs for life insurance coverage. Lincoln has also expanded coverage eligibility for some untreated individuals.

Hep C Resources and Information

To learn more about hepatitis C diagnosis, treatment and support, visit HepC123.org

To see the full hepatitis C survey conducted by Lincoln, click here.

About Lincoln Financial Group

Lincoln Financial Group provides advice and solutions that help empower people to take charge of their financial lives with confidence and optimism. Today, more than 17 million customers trust our retirement, insurance and wealth protection expertise to help address their lifestyle, savings and income goals, as well as to guard against long-term care expenses. Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE:LNC) and its affiliates. The company had $247 billion in end-of-period account values as of March 31, 2020. Lincoln Financial Group is a committed corporate citizen included on major sustainability indices including the Dow Jones Sustainability Index North America and FTSE4Good. Dedicated to diversity and inclusion, Lincoln earned perfect 100 percent scores on the Corporate Equality Index and the Disability Equality Index. Lincoln has also been recognized in Newsweeks Most Responsible Companies and is among Forbes Worlds Best Employers, Best Large Employers, Best Employers for Diversity, Best Employers for Women and ranked on the JUST 100 list. Learn more at:www.LincolnFinancial.com. Follow us on Facebook, Twitter, LinkedIn, and Instagram. Sign up for email alerts at http://newsroom.lfg.com.

About American Liver Foundation

Founded in 1976, the American Liver Foundation is the nations largest patient advocacy organization for people living with liver disease. ALF reaches more than 3 million people each year with health information, education and support services through community-based programs, and an active online presence. ALFs hepatitis C educational programs focus on three key factors: diagnosis, treatment and support. ALF has a National Helpline and a physician locator. Find out more. Information is available at http://www.liverfoundation.org or by calling 1-800-GO-LIVER (1-800-465-4837).

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Everything You Need to Know About PCOS – FLARE

Chances are that if youre a person with ovaries, youve heard about Polycystic Ovary Syndrome; more commonly known as PCOS. Maybe it was from your BFF, whod gone for a check up only to find that she had cysts on her ovaries, maybe it was in the newslike when Dutch model Romee Strijd shared in a May 28 Instagram post that shes expecting a baby,two years after she was first diagnosed with PCOS. Or maybe its a condition that you personally have been diagnosed with. Regardless, there are likely very few degrees of separation between yourself and PCOSbecause its a pretty common disorder.

[PCOS] affects one in 10 reproductive-age girls, women or people with ovaries, and its across all ethnicities, says Dr. Yolanda Kirkham, an OBGYN and adolescent gynaecologist.So, its fairly common. And, Kirkham says, the numbers are actually rising. (More on that later.) But, as scary as it may sound, PCOS is actually a very treatable disorder. So, before you head down that Web MD rabbit hole, read up on what the experts we spoke to have to say about your reproductive and ovarian health.

First of all, although polycystic ovary syndrome sounds daunting, Kirkham stresses that people with ovaries shouldnt be too stressed about the name itself, especially that PCOS is classified as a syndrome.The syndrome just means certain things or certain symptoms that we see together as a group, Kirkham explains. So women shouldnt feel they have a disease, its just that they have this grouping thats associated with certain factors.

While doctors dont know *exactly* what causes PCOS (its a multifactoral condition, meaning there are many symptoms that can contribute to someones diagnosis with PCOS), according to Womens Healthmost experts think several contributorsincluding geneticsplay a role. Some of thesefactors include an imbalance in the reproductive and metabolic hormones. Per Womens Health, individuals with PCOS may have higher than normal levels of androgens (AKA male hormones). While all women have levels of androgens, people with higher levels can face complications. For example, these imbalances can create problems in theovaries; and with PCOS a persons eggs may not develop as they should or may not be released duringovulation. We have thousands of hormones in our body, but its in particular the ones that can affect how often we get our periodsas periods are also based on the fluctuations of our hormonesthat can cause issues, Kirkham says. As higher than normal androgen levels can cause missed periods, this can lead to subfertility or the abnormal development of cysts (small, fluid-filled sacs) on the ovaries.

Read this next: Black Women Are More Likely to Suffer From Fibroids

In addition to high androgen levels, people with PCOS may have insulin resistancemeaning that their bodies are unable to break down sugar effectively. This can also lead to downstream consequences for people with PCOS, like diabetes, high cholesterol and uterine cancer.And, it seems to be increasing as instances of obesity increase, Kirkham says.

While PCOS and endometriosis are often conflated and mistaken for one another, they are *not* the same thing. Per a a report by John Hopkins Medicine, endometriosis refers to a medical condition in which people have irregular development of the tissue that typically lines their uterus (called endometrium). During an individuals regular menstrual cycle, endometrium tissue builds up inside the uterus and is then shed if the person does not get pregnant. But per the report by John Hopkins, women with endometriosis develop this outside of the uterus, on other reproductive organs inside the persons pelvis or abdominal cavity. Because the tissue follows the same menstrual cycle of building up and breaking down, but in a misplaced area, this results in small bleeding inside of the pelvis. This bleeding then leads to inflammation, swelling and scarring of the regular tissue in the abdominal cavity. Endometriosis can be incredibly painful and is considered one of the three major influences of female infertility, with symptoms running the gamut from pain during sex to excessive menstrual flow and extreme menstrual cramps.

According to Bustle, the misdiagnosis of endometriosis as other medical issues (including PCOS) is due in large part to the fact that many of the symptoms of endometriosis are also present in other conditions. And the conflation of the two conditions can even be made by health professionals, which can lead to misdiagnosis when doctors see cysts on a womens ovary (something all women havemore on this later) and surmise that the pain theyre experiencing must be a byproduct of PCOS. Women might show up [in the emergency room] because they have extreme pain and they might have endometriosis, but you cant see that on an ultrasound, Kirkham says. But they happen to have an ovarian cyst at that time because theyre about to release an egg, and then they get diagnosed, [with a Dr. saying] Well you have an ovarian cyst, theres the problem and thats why you have pain, but it isnt.

When it comes to determining whether or not you have PCOS, Kirkham says doctors look to the Rotterdam criteria for diagnosis. This criteria mandates two of the three symptoms be present.The first one would be infrequent or missing periods, Kirkham says of one possible PCOS indicator (this means fewer than eight periods in a year). This is probably what usually would bring a woman or a person with ovaries to a doctors office, is that they start skipping their periods or they may be a teenager who is 15 or 16 and has never had a period, or anybody of reproductive age who starts missing three periods in a row. The second symptom is acne or unwanted hair (otherwise known as hyperandrogenism or high male hormones); meaning that you may have unusual hair on your chin, side of the face, chest, back or stomach. And the third [symptom], Kirkham says, is polycystic-looking ovaries on an ultrasound.

One common misconception associated with PCOS is that *anyone* who has cysts on their ovaries has PCOS. Which isnt true, because, in fact, everyone has cysts on their ovaries and they arent always cause for concern. This is why I dont like the terminology of PCOS. Kirkham says. As she explains it, anyone who has ovaries stores their eggs in cysts (a little fluid filled ballon). So we have cysts every month and then they pop or ovulate and then two weeks later we have a period if were not pregnant. Sometimes, these cysts can rupturewhich can be very painful and may take someone to the emergency room, she saysbut this popping happens every month and is not indicative of PCOS.

When it comes to PCOS, Kirkham says the main gynaecological basis for the period problems is due to an-ovulation, meaning people stop ovulating and cysts dont pop. And so thats why you end up with a lot of cysts on the ovary, she says (a.k.a polycystic). As opposed to your typical ovaries, when they do an ultrasound, it almost looks like a pearl necklace, where all of the little cysts are around the edge of the ovary.

Read this next: Everything to Know About STIs and the Pap Smear Test

One thing to be aware of is the fact that a lot of teens can have polycystic-looking ovaries and not suffer from PCOS. Theyre very hormonally active at that time, Kirkham says, so their ovaries are really ramped up and theres a lot of eggs there. Which is why its important to refer to the Rotterdam criteria, and not base assumptions or diagnoses of PCOS off of one symptom alone.

While doctors havent identified any specific genes that would indicate PCOS is hereditary (ie: passed along through familial lines), there are PCOS-specific susceptibility genes that are being investigated, Kirkham says.

If youve heard anyone talk about PCOS, chances are youve probably heard them talk about infertility. PCOS is often connected to infertility, because people with PCOS may have difficulty releasing eggs (thanks to an excess of androgen hormones). About25 to 30% of PCOS patients have fertility issues, Kirkham says. (In fact, she continues,
some places say even up to 80% of individuals with PCOS can struggle with fertility). But, the good news is thatas opposed to other syndromes like untreated endometriosisthe rate for infertility is much lower and can be more easily corrected. Also, we definitely shouldnt refer to it as infertility.

I wish we would stop using the term infertility because it is usually subfertility, Kirkham says, meaning a lot of people with PCOS still get pregnant. In fact, Kirkham says, the type of subfertility with PCOS is probably the easiest one to treat, because its caused by an-ovulation. So usually all you need is a medication to trigger the release of the egg, she says. So people may not need IVF and all of the whole gamut and the expenses of fertility treatment. In fact, celebs who have PCOSlike model Romee Strijdhave spoken openly about their experiences with subfertility due to the syndrome. In a May 28 Instagram post, Strijd announced that two years after revealing her PCOS diagnosis, she was pregnant after making lifestyle changes. To the women trying to conceive, believe in yourself and be nice for yourself and your body and dont let those thoughts get to you too much, Strijd encouraged her followers in her post. (And FYI, according to Kirkham,70% of women with endometriosis do get pregnant).

While treatment for PCOS should be individualizedfor example, Kirkham says, for a teenager or a young person, they may be most affected by self esteem issues that they have with acne or unwanted hair; so in that case, that would be where we want to balance the higher androgens that cause those symptoms. So something as simple as a birth control pill that has female hormones in it will help balance out the antigen side effectsKirkham also says that lifestyle changes; eating well, exercising and weight loss is treatment number-one for PCOS. In fact, according to her, 10% weight loss has been shown to lead to spontaneous ovulation, which is why she advises that anyone looking to make lifestyle changes work in conjunction with a nutritionist.

Nutrition and lifestyle modifications are the primary treatment approaches for [people] with PCOS, says Trista Chan, a registered dietician and founder of The Good Life Dietician, who works with clients who have PCOS. While Chan says that theres nooptimal or gold-standard diet for PCOS treatment, and treatment varies greatly depending on the individual, she places a strong emphasison minimally processed, whole foods. This means whole grains, legumes, nuts, leafy greens, berries and fruit, seeds, fish and chicken, she says. As peoplewith PCOS typically have higher insulin and inflammatory markers, Chan advises incorporating more anti-inflammatory foods like fish, legumes, green leafy vegetables, nuts, seeds and low-fat dairy, which she says have been shown to reduce inflammation and potentially regulate menstruation. All of these interventions also usually lead to weight loss and improvement in metabolic and reproductive health, Chan says. Another important note from Chan? Exercise!

Its important to emphasize that advocating for a healthy lifestyle and exercise doesnt mean that you need to become thinner or look a certain way. PCOS can affect anyone at any body size. Its about figuring out what works best and is healthiest for your body.

And while theres no foolproof way to ensure you wont be diagnosed with PCOS, the only thing that you can do to decrease the chance of being diagnosed with it is living a healthy lifestyle, Kirkham says. Making sure that you keep your weight stable (with the help and advice of a doctor) and then also knowing your family history, because if its in your family and there is some predisposition to it, you would want to track your periods and make sure theyre happening regularly.

Its not something you can prevent, per se, Kirkham continues. You may be predisposed to it just like some people are predisposed to other diseases.

Read this next: STI Rates Are on the Rise, So Why Arent Dental Dams a Thing?

While PCOS can never be 100% completely cured, nutrition andlifestyle modifications can be very effective in balancing hormones and relieving symptoms, Chan says. And, its important to get diagnosed early so that you can increase fertility for those looking to conceive and prevent more long-term effects likediabetes, high blood pressure, cholesterol problems, sleep apnea, depression and anxiety, and uterine cancer.

And for anyone looking to keep their ovaries healthy and in tip-top shape, whether or not you have PCOS, Chan has some recommendations: Filling your plate with inflammation-fighting foods is always a good idea, she advises. Berries are an antioxidant-rich, low-sugar fruit. (She recommends eating them three times a week.) In addition, low-fat yogurt, three to five times a week is also great source of calcium and probiotics to keep a healthy gut; fatty fishlike salmon or mackerelare rich in omega-3 fatty acids, which play large role in reducing inflammation, boosting heart health, and there is increasing research linking it to hormone balance.

Regardless of which route you take in treating PCOSor general reproductive healththe most important thing is to consult a doctor and do whats best for you and your body.

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Vegan vs. vegetarian: Differences, benefits, and which is …

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Vegans and vegetarians choose not to eat meat. However, veganism is stricter and also prohibits dairy, eggs, honey, and any other items that derive from animal products, such as leather and silk.

Both veganism and vegetarianism are growing in popularity. However, some people may find the differences between these two diets a little confusing, particularly as there are several variations of vegetarianism.

In this article, we explore the similarities and differences between veganism and vegetarianism. We also discuss health benefits, which diet is more healthful, which is better for weight loss, and risks and considerations.

According to the Vegetarian Society, vegetarians are people who do not eat the products or byproducts of animal slaughter.

Vegetarians do not consume:

However, many vegetarians do consume byproducts that do not involve the slaughter of animals. These include:

Vegetarians typically consume a range of fruits, vegetables, nuts, seeds, grains, and pulses, as well as meat substitutes that derive from these food types.

Vegetarianism is generally less strict than veganism, so there are several well-known variations of the vegetarian diet. These include:

Veganism is a stricter form of vegetarianism. Vegans avoid consuming or using any animal products or byproducts. The Vegan Society define veganism as a way of living, which seeks to exclude, as far as is possible and practicable, all forms of exploitation of and cruelty to animals for food, clothing, or any other purpose.

Vegans strictly avoid consuming any foods or beverages that contain:

Strict vegans also extend these principles beyond their diet and will try, where possible, to avoid any product that directly or indirectly involves the human use of animals. These products can include:

Many vegetarians also apply some of these principles to their lifestyle, for example, by avoiding leather goods and products that involve animal testing.

Scientific research suggests that vegetarian and vegan diets may offer several health benefits.

A 2017 study examined the effectiveness of a plant-based diet in 49 adults who were overweight or had obesity and also had at least one of the following conditions:

The researchers randomly assigned participants to either normal diet and care or a low fat, plant based diet program comprising low fat whole foods, which did not involve calorie counting or mandatory regular exercise. The intervention also included two 2-hour sessions each week, which provided the participants with cooking training and education by doctors. The nonintervention group did not attend any of these sessions.

At the 6-month and 12-month follow-ups, participants in the diet group had significant reductions in body mass index (BMI) and cholesterol levels compared with those in the normal care group.

A 2017 systematic review and meta-analysis found evidence to suggest that plant based diets can help lower levels of total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol. The researchers did not analyze how the changes in cholesterol influenced heart disease outcomes.

Another 2016 observational study found that vegetarians living in South Asia and America were less likely to develop obesity than nonvegetarians.

A 2019 review cites evidence suggesting that plant-based diets may offer a number of cardiovascular health benefits for endurance athletes. These benefits include:

A 2019 study also found an association between a healthful plant based diet and a lower risk of developing chronic kidney disease. Interestingly, those who followed an unhealthful plant based diet with a higher proportion of sugar-sweetened foods and refined grains had a significantly higher risk of chronic kidney disease.

Both diets offer similar health benefits and generally encourage people to eat more antioxidant-rich and nutrient-dense whole foods.

It is difficult to say which diet is more healthful because both diets have advantages and disadvantages.

For example, unlike vegans, lacto-vegetarians get calcium, phosphorus, and vitamin D from dairy products. However, avoiding dairy and eggs may help vegans keep their cholesterol levels down.

Vegans are also at risk for an essential omega-3 fatty acid deficiency, specifically in EPA and DHA, even if they consume plant sources of these nutrients. DHA is necessary for brain function and cognition and to avoid brain fog, memory difficulty, and more. Vegetarians and pescatarians can obtain EPA and DHA more easily from eggs and seafood.

According to a 2019 study, adults from Argentina who identified as vegan adhered more closely to a healthful vegan lifestyle than vegetarians and nonvegetarians.

The authors defined a healthful vegan lifestyle as:

However, following a plant based diet does not guarantee good health. It is still possible for vegetarians and vegans to lead unhealthful lifestyles or to eat a diet of processed junk food.

A cross-sectional study from 2006 involving 21,966 participants and a 2014 review of three prospective cohort studies involving Adventists in North America both suggest that vegans generally have a lower BMI than vegetarians and meat eaters.

A possible explanation for this trend might because vegans do not consume eggs or dairy products.

The 2006 study also found that vegans gained less weight than both vegetarians and meat eaters over 5 years. However, people who changed their diet to reduce their intake of animal products gained the least weight during the study.

In a 2018 study involving 75 adults who were overweight, researchers randomly assigned participants to either follow a low fat, vegan diet or continue their current diet, which could include animal protein. After 16 weeks, participants in the vegan group had lost significantly more fat around the abdomen than those in the control group.

According to the authors of an article in the Journal of the American Dietetic Association (now the Journal of the Academy of Nutrition and Dietetics), carefully planned vegetarian and vegan diets are healthful, nutritionally adequate, and may provide health benefits in the prevention and treatment of certain diseases. However, it is important for vegetarians and vegans to ensure that they are eating a balanced and healthful diet that meets all of their nutritional requirements.

For example, plant-based foods do not naturally contain vitamin B-12, which is an essential mineral that supports the nervous system and cardiovascular health. Vegans and vegetarians can get vitamin B-12 from fortified foods, such as breakfast cereals and some types of plant based milk.

Vegetarians and vegans can also take vitamin B-12 supplements. However, some B-12 supplements can contain animal products, so it is important to check products labels carefully and only purchase from reputable manufacturers.

According to a 2017 study from Switzerland, some vegetarians may not get enough vitamin B-6 and niacin from their diets, while vegans may have a higher risk of zinc and omega-3 deficiency than those who eat some animal products.

A range of multivitamin supplements suitable for vegetarians and vegans are available to purchase from pharmacies, health stores, and online.

As we mentioned above, eating a plant based diet does not guarantee good health. A large 2017 study found that plant based diets consisting of unhealthful foods can increase a persons risk of coronary heart disease.

Examples of unhealthful plant foods include:

This unhealthful plant based eating often results in a lower intake of fiber, vegetables, and micronutrients alongside an increased intake of sugar and processed ingredients.

Both vegetarians and vegans choose not to eat meat and fish. However, veganism is a stricter form of vegetarianism that prohibits the consumption or use of any products that come from animals, including dairy, eggs, honey, leather goods, wool, and silk.

Vegetarians may eat dairy products, eggs, honey, and other byproducts that do not involve the slaughter of animals. However, there are several variations of the vegetarian diet. For example, some vegetarians choose to eat eggs but not dairy products.

Vegan and vegetarian diets generally include a range of fruits, vegetables, nuts, seeds, grains, and pulses, as well as meat substitutes that derive from these food types.

Both vegetarian and vegan diets may provide health benefits, including reduced body weight, lower cholesterol levels, and decreased risk of cardiovascular disease.

However, it is important for vegetarians and vegans to ensure that they are meeting all of their nutritional requirements. For example, plants do not naturally contain vitamin B-12, so vegans and vegetarians may need to consume fortified foods or take dietary supplements to get enough vitamin B-12.

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Vegan vs. vegetarian: Differences, benefits, and which is ...

This Monsoon Fruit Can Help Boost Digestion, Heart Health And Much More: Here’s How – Doctor NDTV

Monsoon diet: Pear are loaded with nutrients beneficial for your health in several ways. This fruit is also suitable for diabetics. Here's another notable health benefit of pear. Read on to know more.

Pear is loaded with vitamin C that can help boost immunity

Pear is commonly available during monsoon in India. These are sweet bell-shaped fruit loaded with multiple health benefits. This fruit is loaded with several nutrients that are beneficial for you. Pears are loaded with vitamin C that can help you boost immunity and boost your skin health. It is also loaded with potassium that is good for your blood pressure. Pears are also good for diabetics, these can help manage healthy blood sugar levels and satisfy the sweet tooth.

This monsoon fruit is also an excellent source of antioxidants, fibre, vitamin K and copper. High fibre-content of pear makes it weight loss friendly. It is also beneficial for your heart health. Many don't know that pears are good for your digestion too. In this article, you will understand how pears are beneficial for your digestive health.

Being a good source of soluble and insoluble fibre, pears are good for your digestive health. Optimum fibre intake helps ensure better bowel movements and prevents constipation. One medium-sized pear is packed with 6 grams of fibre.

Also read:Diabetes: This Nutritious Monsoon Fruit Can Help You Lower Blood Sugar Levels

Pear can help you boost digestionPhoto Credit: iStock

Soluble fibre also feed the healthy bacteria in the gut. A healthy balance of gut bacteria is essential for your health. The skin of per contains soluble fibre. Therefore, you should eat this fruit unpeeled.

You must reap the benefits of this monsoon fruit. You should also enjoy other seasonal fruits which can offer you some amazing health benefits like jamun, apple, plum, peach, papaya and pomegranates.

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Also read:Monsoon Diet: Do Not Miss These Seasonal Fruits And Vegetables This Rainy Season

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.

DoctorNDTV is the one stop site for all your health needs providing the most credible health information, health news and tips with expert advice on healthy living, diet plans, informative videos etc. You can get the most relevant and accurate info you need about health problems like diabetes, cancer, pregnancy, HIV and AIDS, weight loss and many other lifestyle diseases. We have a panel of over 350 experts who help us develop content by giving their valuable inputs and bringing to us the latest in the world of healthcare.

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This Monsoon Fruit Can Help Boost Digestion, Heart Health And Much More: Here's How - Doctor NDTV

CVS Health Adds WW (formerly Weight Watchers) Digital Weight Management and Wellness Offerings to their Health Point Solutions Management Platform -…

NEW YORK, July 29, 2020 /PRNewswire/ --WW International, Inc. (NASDAQ: WW), a global wellness company powered by the world's leading commercial weight management program, announced today that WW Health Solutions has been added as a new wellness and weight management solution to CVS Health's Point Solutions Management offering. WW Health Solutions aims to propel happier, healthier, more productive workplaces and make wellness more accessible. Joining the Point Solutions Management platform will enable employers and plan sponsors that use CVS Caremark for pharmacy benefits management to access WW Health Solutions with simplified contracting, preferred pricing, and streamlined eligibility and billing processes.

The new offering makes it easier for plan sponsors to add WW Health Solutions to their benefit packages providing their members and families with tools that will positively impact health and culture, and promote sustainable behavior change. Through the collaboration, plan sponsors can offer their members WW digital offerings, which are accessible virtually anywhere, to meet members where they are, helping them along their weight loss and wellness journeys.

"We are thrilled to join an already impressive portfolio of brands through CVS Health Point Solutions Management offering," said Chere Parton Scythes, General Manager WW Health Solutions. "It is our mission to be the world's partner in health, providing the resources to empower members and workforces and their families to adopt healthier habits for real life. We are confident we can be that partner for CVS as well as their clients and members."

WW's science-backed recommendations span nutrition, hydration, sleep, activity and mindset. Since it is crucial for WW members to be able to connect with their community, members have access to 24/7 WW expert Coaches and an engaged community through Connect, and Virtual Workshops. Pharmacy Benefit Management (PBM) members will also have access to myWW, WW's most customizable weight-loss plan ever. In addition to a database of more than 8,000 recipes that are delicious and help people make healthier food choices, with myWW, members take an evidence-based personal assessment that leverages details about food preferences and lifestyle and matches them to one of three comprehensive ways to follow the program.

The award winning WW app also provides curated mindfulness and meditation content through the WW partnership with Headspace, on-demand guided audio fitness instruction through integration with Aaptiv, trainer-lead video workouts through integration with FitOn and live-streamed and on-demand content from WW Now, which includes videos that align with each of the program's science-backed pillars. Kurbo by WW offers an easy-to-use app and 1:1 video coaching for kids and teens to learn how to make healthier choices, achieve a healthier weight, and create lasting lifestyle changes.

"Now more than ever, health and wellness is of critical importance and we believe that increased access to our tools and resources brings us one step closer to changing the health trajectory of the world," said Mindy Grossman, WW Chief Executive Officer."Our global promise is to further our commitment to healthy living as a human right and we are so happy to join forces with CVS Health to help make good on our promise to inspire healthy habits for real life - for everyone."

"Employers and other plan sponsors are increasingly looking for innovative tools to help people manage their weight, especially in light of the COVID-19 pandemic," said Sree Chaguturu, MD, Chief Medical Officer at CVS Caremark, the pharmacy benefit management (PBM) business of CVS Health. "WW's commitment to clinical evaluation and research aligns with our focus on helping our clients include clinically effective digital point solutions as part of their benefits packages."

About WW International, Inc. WW Weight Watchers reimagined is a global wellness company powered by the world's leading commercial weight management program. We inspire millions of people to adopt healthy habits for real life. Through our engaging tech-enabled experience and face-to-face group workshops, members follow our livable and sustainable program of healthy eating, physical activity, and a helpful mindset. Leveraging more than five decades of experience in building inspired communities and our deep expertise in behavioral science, we aim to democratize wellness and to deliver wellness for all. To learn more about the WW approach to healthy living, please visit ww.com. For more information about our global business, visit our corporate website at corporate.ww.com.

About WW Health Solutions WW Health Solutions partners with employers, payors and health providers to implement wellness and weight management tools. WW Health Solutions aims to propel happier, healthier, more productive workplaces and make wellness more accessible. WW Health Solutions supports partners, including Fortune 500 companies, that span industries such as healthcare, government, education and manufacturing.

About CVS Health, Inc. CVS Health is united around a common goal of becoming the most consumer-centric health company in the world. We're evolving based on changing consumer needs and meeting people where they are, whether that's in the community at one of our nearly 10,000 local touchpoints, in the home, or in the palm of their hand. Our newest offerings from HealthHUB locations that are redefining what a pharmacy can be, to innovative programs that help manage chronic conditions are designed to create a higher-quality, simpler and more affordable experience. Learn more about how we're transforming health atwww.cvshealth.com.

For more information, contact:media@ww.com

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CVS Health Adds WW (formerly Weight Watchers) Digital Weight Management and Wellness Offerings to their Health Point Solutions Management Platform -...

Be a dragon and run 5k with summer health challenges – Keighley News

KEIGHLEY people have been set a series of healthy challenges this summer.

Keighley Healthy Living has come up with the challenges to encourage residents to try something new each week that will improve their physical or mental health

The first week is Lets Get Skipping based on the charity's ongoing skipping campaign with people asked to complete either one minute, three minutes or seven minutes of skipping each day.

Week two is entitled "Dragon breath", encouraging people to breathe well, and this will be followed by One more fruit and veg, Write down the good things, Couch to 5K, and Bird spotting.

For further information, visit khl.org.uk, follow Keighley Healthy Living on Facebook or Twitter, or use the hashtag #keighleysummerchallenges.

Keighley Healthy Living is giving away free skipping ropes. Email admin@khl.org.uk or call 01535 677177 to get yours.

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Be a dragon and run 5k with summer health challenges - Keighley News

UB diabetes expert’s research shows testosterone therapy can lead to remission in men with Type 2 diabetes – UB News Center

BUFFALO, N.Y. The findings from a recent study by a University at Buffalo researcher and others could prove to be a game-changer for men with Type 2 diabetes.

The single-site study, conducted over 11 years in Bremerhaven, Germany, found that testosterone therapy reversed Type 2 diabetes in a one-third of the study participants.

The occurrence of this syndrome is common and with appropriate testosterone replacement, obesity insulin resistance and diabetes may be reversible, said Paresh Dandona, MD, PhD, SUNY Distinguished Professor in the Department of Medicine in the Jacobs School of Medicine and Biomedical Sciences at UB. He co-authored the study, titled Remission of type 2 diabetes following long-term treatment with injectable testosterone undecanoate in patients with hypogonadism and type 2 diabetes: 11-year data from a real-world registry study.

The prospective, registry-based study was published in the online journal Diabetes, Obesity and Metabolism in June. Dandona also presented the data to the Annual Mohan Diabetes Foundation Symposium in Chennai, India, on July 25, where he was given the organizations Lifetime Achievement Award.

Type 2 diabetes, also known as Type 2 diabetes mellitus, results from a combination of insulin resistance and insufficient production of insulin, causing high blood sugar. The condition is common, with more than 3 million new cases per year in the United States. Reduced testosterone concentrations are found in 33% of men with Type 2 diabetes.

The discovery of this syndrome of hypogonadism in Type 2 diabetes was made by Dandonas group at UB in 2004. This group then extended the prevalence of this syndrome to include 25% of non-diabetic obese men in 2010. Thus, diabetes and obesity became the main cause of male hypogonadism. The group went on to demonstrate that such patients have additional insulin resistance that reverses with testosterone treatment in 2016.

Testosterone deficiency, which is also called male hypogonadism, contributes to reduced response of insulin to glucose, increased insulin resistance and eventually the onset of Type 2 diabetes.

The objective of the researchers study was to determine if men with Type 2 diabetes who also exhibit hypogonadism, when treated with testosterone in addition to their regular diabetes treatment, would demonstrate improved glycemic control and insulin sensitivity and possibly eventually experience remission of Type 2 diabetes.

The investigators observed 356 men in a single urology practice clinic over 11 years. All patients received standard diabetes treatment, which included mandatory educational courses and materials. In addition, 178 men with a mean age of 62 years, received 1,000 milligrams of subcutaneously injected, slow-release testosterone every 12 weeks after an initial six-week interval. The 178 subjects, mean age 64 years, who opted out of the testosterone therapy served as the control group.

The researchers took numerous measurements, including height, weight, waist circumference, blood pressure, hemoglobin, fasting glucose, HbA1c (the average amount of glucose in blood over a 6 or 12 week period), insulin, heart rate, lipids, highly sensitive C-reactive protein and total testosterone among others. They also assessed quality of life using the Aging Males Symptoms scale. Erectile function was also assessed, using the International Index of Erectile Function. Assessment of these clinical metrics was performed at least twice a year, and data over 11 years were analyzed.

The results showed that the men treated with testosterone had significant progressive and sustained reductions in their body weight, fasting glucose, HbA1c and fasting insulin over the treatment period, the authors wrote. In the control group, fasting glucose, HbA1c and fasting insulin increased.

One-third (34.3%) of men treated with testosterone saw remission of their diabetes; almost half (46.6%) achieved normal glucose regulation with antidiabetic treatment and a vast majority (83.1%) reached their target level of HbA1c.

Patients in the control group saw no remission of diabetes or reduction in glucose or HbA1c levels were noted.

In addition, there were fewer deaths, myocardial infarctions, strokes, and diabetic complications in the group treated with testosterone.

The research indicates that long-term treatment with testosterone is potentially a novel additional therapy for men with Type 2 diabetes and hypogonadism, the authors wrote.

The clinical significance of these results is further enhanced by the fact that one-third of men with Type 2 diabetes have hypogonadism. Hence, physicians encounter men with hypogonadism and diabetes very frequently. It is remarkable that while Type 2 diabetes mellitus leads to hypogonadism, treatment of hypogonadism results in remission of diabetes itself, the authors wrote.

Going forward, prospective randomized controlled trials are needed to confirm the data. One such trial is currently in progress.

Dandona is one of the worlds leading experts in the treatment of diabetes and vascular disease. He is also the ex-chief of endocrinology at UB and the founder of the Diabetes and Endocrinology Center of Western New York, which is sponsored by the Jacobs School and Kaleida Heath. He sees patients at UBMD Internal Medicine.

Dandonas co-authors on the study include Karim Sultan Haider, MD, and Ahmad Haider, MD, urologists in Bremerhaven, Germany; Farid Saad, PhD, a consultant to Medical Affairs Andrology at Bayer AG in Berlin; Gheorghe Doros,, PhD, from the Department of Epidemiology and Biostatistics at the Boston University School of Public Health; Markolf Hanefeld, MD, from GWT-TU Dresden GmbH and Medizinische Klinik, Universittsklinikum Carl Gustav Carus, in Dresden; Sandeep Dhindsa, MD, from the Division of Endocrinology, Diabetes and Metabolism at Saint Louis University; and Abdulmaged Traish, PhD, from the Department of Urology at the Boston University School of Medicine.

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UB diabetes expert's research shows testosterone therapy can lead to remission in men with Type 2 diabetes - UB News Center

Putting a price tag on your health – Mountaintimes

By Kevin Theissen

We hear over and over again how important it is to maintain a healthy lifestyle. But being healthy for its own sake isnt easy especially when youre facing down temptation or battling procrastination. For some, the monetary benefits of a healthy lifestyle may offer helpful incentive.

Being healthy not only makes you feel good, it may also help you financially. For example, several studies have found a steep increase in annual medical expenditures for individuals whose Body Mass Index was above 30.

If youre wondering how your health habits might be affecting your bottom line, consider the following:

Regular preventative care can help reduce potential healthcare costs. Even minor illnesses can lead to missed work, missed opportunities, and potentially lost wages. Serious illnesses often involve major costs like hospital stays, medical equipment, and doctors fees.

Individuals can lower dental costs by receiving regular checkups and performing basic preventative care.

When poor health persists over time, lost earnings may make it harder to save for retirement.

Some habits that lead to poor health can be expensive in themselves. Smoking is a classic example. A person who smokes a pack a day can spend more than $2,000 or more a year on cigarettes alone. Smokers also pay higher premiums for health care and life insurance, and their houses, cars, and other possessions tend to devalue at a quicker rate because of damage from smoking.

Obesity is another expensive condition that affects many Americans and obese adults could spend over 50% more on direct healthcare costs than do adults with a healthy weight.

By focusing on your health, eliminating harmful habits, and employing preventative care, you may be able to improve your self-confidence, increase your energy and quality of life. You may also be able to reduce expenses, earn more, enjoy more of your money, and boost your overall financial health.

Kevin Theissen is the owner of HWC Financial in Ludlow.

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Putting a price tag on your health - Mountaintimes

Arlington, Neighborhoods Top Lists of Best Places in U.S. – ARLnow

Arlington is the No. 1 best city to live in the U.S., according to 2020 rankings from Niche.com, and two Arlington neighborhoods are No. 2 and No. 3 on the websites new list of the Best Places to Live in America.

Arlington, which is technically a county, has topped the Niche Best Cities to Live list since 2016.

The site calculates the rankings based on crime, public schools, cost of living, job opportunities, and local amenities. Niche previously lauded Arlington for high-quality public schools, low crime rate, abundant nightlife options and walkability.

In its rankings this year, Niche cites the following recent review of Arlington from a current resident.

Arlington is a very clean and open-minded town with educated individuals and businesses that are dedicated to producing less waste. Many stores and retail centers are modern and well-kept. It is a family friendly area with great public schools. However, traffic is prevalent and real estate prices are through the roof. But, living a healthy lifestyle is easy in Arlington with many healthy food options and amazing trails all over.

Arlington neighborhoods also ranked remarkably well on Niches 2020 Best Places to Live lists for both the state and the country, thanks in large part due to highly-rated public schools and walkability.

The Bluemont neighborhood, west of Ballston, is the No. 2 best place in the nation, according to Niche. Radnor-Fort Myer Heights, near Rosslyn and Courthouse, is No. 3. Ballston/Virginia Square is No. 12 in the U.S. and Clarendon/Courthouse is No. 24.

Within Virginia, Arlington neighborhoods dominated the top 25: Bluemont (1), Radnor/Fort Myer Heights (2), Ballston/Virginia Square (3), Clarendon/Courthouse (4), Waycroft/Woodlawn (6), Colonial Village (11), North Rosslyn (12), Lyon Village (13), Cherrydale (14), Arlington Forest (15), Dominion Hills (16), Arlington Ridge (18), Claremont (20), Columbia Heights (21), Aurora Highlands (22), Alcova Heights (23), and Ashton Heights (25).

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Arlington, Neighborhoods Top Lists of Best Places in U.S. - ARLnow

Here’s what Adrienne Bailon typically eats in a day – Nicki Swift

Adrienne Bailon appeared on The Masked Singer as the flamingo in December 2019, and the Hollywood star revealed that preparing for the reality show "helped [her] with [her] fitness goals." So much so, Bailon would sing on the elliptical "every single day, every morning" for "45 minutes" to "get [her] stamina up."

"You've got to be able to sing these songs, dance the choreography, and not sound winded the entire time," Bailon said on her YouTube channel, All Things Adrienne, in December 2019. "I literally would do 45 minutes of elliptical in the morning, then I would go to dance rehearsal, and then I would do another 45 minutes of elliptical in the evening."

On her "off" days, Bailon would use the app, 8fit, to keep getting stronger. "It's an app that allows you to do workouts from home, and I am obsessed," she stated. "Me and [her husband] Israel [Houghton] would do two of these a day. I would knock this out and fell literally amazing. It was something easy for me to accomplish." However, Bailon noted that "you are not going to see results right away," but it's important to "focus on the goal of being healthy, and the results will come."

So, what are you waiting for? If you're feeling inspired by Bailon's healthy lifestyle, try out her tips and tricks for yourself.

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Here's what Adrienne Bailon typically eats in a day - Nicki Swift