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A hotter future is already here — and Canada is not ready
Two weeks ago, the Canadian Institute for Climate Choices published a report on the effects of climate change on public health and the need for action to adapt to a new reality of extreme threats.
“Climate change,” wrote Ian Culbert, executive director of the Canadian Public Health Association, in the introduction to the report, “is an escalating public health emergency and we must start treating it that way.”
The historic and deadly heat wave in British Columbia made those words frighteningly real – even before they started a forest fire that devastated most of the village of Lytton, British Columbia.
“We are now campaigning for some global warming because of past emissions,” said Ryan Ness, the institute’s director of adaptation research and co-author of the report, in an interview on Friday.
“So in the longer term it is absolutely critical to reduce greenhouse gases as quickly as possible as much as possible so it doesn’t get worse, but there is some climate change that we cannot avoid. The only way to really deal with it is in preparing for this climate change, adapting and becoming more resilient. “
This means counteracting the increased risk of floods and forest fires. It also means considering how climate change will endanger the health of Canadians.
A hotter, more dangerous world
Adjustment will require much greater action on the part of governments – and learn some of the lessons of the other public health crisis we have been fighting over the past year and a half.
The institute’s report estimates that increased economic, social and health costs associated with multiple climate change impacts – ground level ozone (smog), rising heat, and the spread of Lyme disease – will be billions of dollars by mid-century, even in a ” low emission “scenario. Damage and costs only increase if emissions are not reduced.
However, because some costs are difficult to predict, the researchers have not modeled all of the potential impacts – for example, on mental health or the effects of poor air quality from forest fires or weather-related threats to healthcare facilities.
Thick smoke from forest fires fills the air as a man stands on a boat while fishing on Kamloops Lake west of Kamloops, BC, Tuesday, August 1, 2017. (Darryl Dyck / The Canadian Press)
This summer in Canada is perhaps remembered for its record breaking and deadly heat. But a similar fatal wave follows in Montreal in 2018. And the future only promises more heat.
The report finds that Ontario and Manitoba experienced approximately 50 days each year between 1971 and 2000 when temperatures were high enough to cause heat-related deaths. In the 2050s, the institute estimates that the annual grand total will be 1.5 times higher.
This extra heat will bring more people to hospitals. With particular attention to coronary artery disease, stroke, high blood pressure and diabetes, the report estimates a 21 percent increase in heat-related hospital admissions in a low-emission scenario.
Nancy Fisher is photographed at a Toronto homeless camp on Friday July 10, 2020 during an earlier period of rising temperatures. (Chris Young / The Canadian Press)
And More People Will Die: The report estimates that heat will cause an additional 200 to 425 deaths per year in Canada by mid-century.
The institute found that two building renovation measures would reduce the death toll. “If shading technology were installed in 25 percent of households in Canada by the 2050s, there would be an average of 21 fewer deaths per year,” the report said. “If 50 percent of all residential, commercial and institutional buildings had green roofs by 2050, an average of 46 deaths a year would be avoided.”
Green roofs and shading can reduce the effects of generally higher temperatures, but such things are not necessarily enough to protect people from extreme events.
“When it comes to these extreme heat emergencies, the response systems really need to be in place to identify the people who will be hardest hit and provide them with the care they need, be it cooling centers, medical care, whether it’s a place to get off the street, “said Ness.
“And in the longer term, it will be important to address the underlying causes of what makes some people more vulnerable than others. Because it’s not really the average person who is likely to die of a heatwave. It’s someone who is alive.” on the street, someone who already has health problems because they are unable to get the health care they need, or the elderly who do not have the support they need to help them through these situations. “
What the pandemic should have taught us
The provincial coroner said many of the 300 people who suddenly died in British Columbia’s recent heat wave were seniors living in poorly ventilated homes.
That is a disturbing echo of what happened in this country during the current pandemic. When COVID-19 hit, seniors who lived in inadequate long-term care facilities suffered most.
Often times during the pandemic, it was low-income Canadians of racial origin who saw higher infection rates and were forced to take the greatest risk as “essential workers”. The Climate Choices report shows that climate change has the potential to exacerbate existing inequalities.
Paramedics are removing a person from the Revera Westside long-term care home during the COVID-19 pandemic in Toronto on Monday, December 7, 2020. (Nathan Denette / The Canadian Press)
These weaknesses need to be taken into account in responding to climate change – but reducing or eliminating these disparities in general would also create a society better prepared for the stresses that climate change brings.
“It’s incredibly important to address vulnerability and give people the resources and the best possible chance to achieve good health before these things happen,” said Ness.
And while the focus may now be on heat, Ness notes that deteriorating air quality could create problems that “dwarf” the effects of higher temperatures.
The liberal federal government has committed to developing a national adaptation strategy – although a recent report by the International Institute for Sustainable Development found that Canada lags behind some European countries in such planning.
The federal government has also allocated billions of dollars to disaster risk reduction, infrastructure improvement and public reporting (including the recently released National Issues Report on the effects of climate change on Canada). However, the Institute for Climate Choices found that only three percent of the climate adaptation funds announced in the latest budgets were specifically targeted at public health.
While adaptation is now coming to the fore – a new coalition of insurance companies and environmental organizations have come together to push for federal action – it ranks second in the public debate on climate change in general, perhaps with some justification. Mitigating future climate change by reducing greenhouse gas emissions is far better than just learning to live with its effects.
But the world is long past the point where some dangerous climate change could be avoided. And we no longer have to look to the future to imagine what this change might look like and feel like. The climate crisis is here.
source https://dailyhealthynews.ca/a-hotter-future-is-already-here-and-canada-is-not-ready/
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dailyhealthynews · 3 years
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Spread of women’s health technology faces legal barrier in Japan
This image from femtech company Fermata shows menstrual cups and other women’s health items.
TOKYO – People in Japan are becoming increasingly aware of “femtech” or technology to address the physical and mental health problems of women. 2020 has been dubbed the “first year of femtech in Japan” after a large number of domestic companies entered the field, but growth is facing serious challenges.
Laws and regulations regarding sanitary products, including sanitary napkin approval standards set by the Department of Health, Labor and Social Affairs, state that these items must be “white and virtually odorless. They must not contain any foreign bodies ”. Matter, “and that sanitary napkins are generally intended to be single-use items.
In Japan, companies that manufacture and sell medical products must obtain approval from their local prefectural government and the Ministry of Health under the Drugs and Medical Devices Act (PMD).
According to the law, the paper bindings common throughout Japan are recognized as quasi-pharmaceutical products. Only if this legal classification is certified can they claim their effectiveness, with expressions such as “absorb menstrual blood” and “prevent leakage”.
More and more women are now wearing period underwear that doesn’t have to be white. Although these undergarments are becoming increasingly popular because they can be washed and used repeatedly, they are sold as “other items”. This means they cannot be marketed using the same terms as sanitary napkins as their status is unclear under PMD law.
In some European countries and the United States, femtech is often included in employee benefits. This may include menstrual products, but also devices that allow women to assess when they have a higher chance of getting pregnant by analyzing vaginal discharge, and devices to exercise the pelvic floor muscles to prevent urine leakage.
On the other hand, many of these types of items cannot be approved under the Japanese PMD law because there are no categories for them. Companies can sell them as “miscellaneous items” in lieu of medical devices, but as this is not a guarantee of their performance or quality, it can pose health risks to consumers.
In addition, the Japanese sanitary ware regulations have not been significantly updated in about 60 years. There is an urgent need to legally redefine femtech products.
In October 2020, the legislature of the ruling Liberal Democratic Party founded a parliamentary league to promote femtech. In March of this year, she submitted a proposal to the head of cabinet Katsunobu Kato that the public and private sectors should work together on an intensive examination of the approval of femtech products. A government-industry working group was set up in June, consisting mainly of femtech companies. The discussion on the legal status of the individual points and the necessary regulations is to be advanced by June 2022.
Desperate voices from companies drove this step forward. It took femtech product manufacturer and supplier Hanamisui more than five years to get approval for a vaginal cleaner. The obvious reason for the delay was that “there were no articles similar”.
Amina Sugimoto, CEO of femtech company Fermata, founded in October 2019, said: “The PMD law is necessary, but it can be an obstacle for products with new values.”
But deregulation without careful consideration does not guarantee consumer safety.
“Many femtech products are associated with medical devices, but in Japan, where there is universal health insurance, there may be cases when it is better to go to the hospital,” said Reona Matsumoto, deputy director of the Medical Femtech Consortium , which consists of obstetricians and gynecologists, among others. “In some cases safety regulations are required. Femtech needs to be implemented in a way that is appropriate to the current situation in Japan.”
In the US and Europe, the femtech market grew in importance, starting with menstrual management such as menstruation monitoring and period underwear. She then diversified into fertility treatments, including corporate treatment services, and eventually into medical advisory platforms for women’s health issues in general, such as: B. the improvement of their sex life and menopausal symptoms.
The Japanese femtech market, which has just begun enriching menstrual products, appears to be in the early stages of this development.
Big companies have started to take action, for example, casual wear brand operator GU Co., a subsidiary of Fast Retailing Co., started selling period underwear in March. The large trading company Marubeni Corp. set up a project team for entry into the femtech sector last year.
According to a survey of 1,000 working women carried out by Sompo Himawari Life Insurance Inc. in February, only 1.9% recognized the term femtech. After learning more about the meaning of the word and its role, more than half said they were “interested” and “hopeful” about the concept – suggesting that Japan’s femtech market could grow tremendously in the future.
(Japanese original by Atsuko Motohashi, Business News Department)
source https://dailyhealthynews.ca/spread-of-womens-health-technology-faces-legal-barrier-in-japan/
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dailyhealthynews · 3 years
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Emirates News Agency – SCCI, AACC explore cooperation in education and healthcare
SHARJAH, July 3, 2021 (WAM) – The Sharjah Chamber of Commerce and Industry (SCCI) has been exploring opportunities to work with the Austro-Arab Chamber of Commerce (AACC) to build on existing links in health and education. in light of the challenges posed by the COVID-19 pandemic.
During a webinar entitled “Adapting to the New Normal in the Education and Health Sector in the UAE & Austria”, both sides discussed the latest local and global developments and various economic issues of mutual interest. The virtual event is the first in a series of forums that the Chamber is holding as part of its “Sharaka Experts Talk” initiative.
The online meeting was attended by Ibrahim Salim Al Musharrakh, Ambassador of the UAE in Austria, Abdullah Sultan Al Owais, Chairman of the SCCI, and Senator Dr. Richard Schenz, President of the AACC and Vice President of the Austrian Chamber of Commerce.
Also present were Mudar Al Khoja, General Secretary of the Austro-Arab Chamber of Commerce, and Fatima Al Mokarrab, Director of the International Relations Department of the SCCI, as well as other high-ranking officials representing relevant state and private institutions in both countries.
Al Musharrakh praised the deep-rooted relations between Austria and the United Arab Emirates and stressed the UAE’s readiness to build bridges of communication and embrace promising plans that would help take the country’s bilateral, regional and international relations to new heights .
“In addition to reviewing existing areas of cooperation in the education and health sectors, we had the opportunity to discuss ways to improve our relationships in the face of the impact of COVID-19, which has also affected the educational process,” he said.
For his part, Abdullah Al Owais reiterated that the UAE’s health sector will receive the utmost attention and the priorities of the government’s agenda and strategies for the next 50 years.
“The UAE has been able to professionally and effectively contain the COVID-19 pandemic, thanks to its economic policies and legislation stimulating investment in the healthcare sector, to the highest international standards in conducting COVID-19 testing and vaccinating the vast majority of people who live on its territories, “said Al Owais.
“While the pandemic has left nothing untouched, the UAE has exceptionally run the education sector to keep up with the expected changes in this area thanks to the digital learning system currently supported and maintained by the government.
Unsurprisingly, the UAE’s education sector has attracted high-quality investment, which will have a positive impact on the UAE’s educational technology market, which is expected to reach $ 40 billion by 2022, according to a report by the Dubai Future Foundation entitled “Life After COVID-19: Education,” added Al Owais.
During the event, Senator Schenz emphasized that the UAE and Sharjah in particular were a strategic economic partner for the Austrian economy, adding that their strong cooperation could be used to strengthen trade and investment relations between the two countries.
He thanked the Sharjah Chamber for organizing the webinar, which brought together organizations interested in developing bilateral cooperation in the education and health sectors, and described the event as a stepping stone to a promising future of business partnerships and future projects that achieve common goals Serving the interests of the two friendly countries.
During the webinar, Fatima Al Mokarrab gave a presentation highlighting the SCCI’s efforts and initiatives during the pandemic to support the education and health sectors, including donating 120 computers to support distance learning in several educational and training institutions as well to convert the Expo Center Sharjah into a field hospital and provide part of the center for the administration of COVID-19 vaccines
source https://dailyhealthynews.ca/emirates-news-agency-scci-aacc-explore-cooperation-in-education-and-healthcare/
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dailyhealthynews · 3 years
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Welcome to hot due diligence summer  – TechCrunch
Wow, did that headline work?
A recent board battle at a digital health unicorn reminds entrepreneurs the importance of setting boundaries, even amid the dizzying volume and pace of the deal frenzy this summer.
This week I released a report on how Bessemer Venture Partners replaced a board member at Hinge Health after that board member invested in a competing startup. Hinge Health co-founder Daniel Perez claims the board member did not notify him before leading a round in an early start-up in the same industry.
The situation gives a rare and nuanced glimpse into the world of competitive pressures between startups. While founders expect certain standards of conduct from investors, including notifying them of investing in directly competitive startups, investors may feel more pressure to make faster decisions that conflict with founders who have already supported them while having different definitions of Their portfolios have competition. In a post-NDA world, the rules for these conversations need to be rewritten.
I’m not entirely sure whether more due diligence is the solution to all problems – but I think transparency and openness between founders and investors can’t hurt. Not just for founders. Investors who owe returns on their LPs do not want to get into situations where they cannot invest in a booming sector because they have another investment in that sector.
The situations are endless:
What happens if a startup enters a different market than the one in which it sold its investors and suddenly becomes competitive with a portfolio company?
What if a portfolio firm’s future roadmap includes a go-to-market strategy that clashes with a potential investment?
Can a Sequoia India partner support a company that is directly competing with a Sequoia India company?
Is it okay for there to be competing investments within the same company as long as there are different partners on the board?
Based on my DMs, Hinge Health is not alone in dealing with current investors backing competitors. It adds an asterisk to the flurry of funding rounds. Welcome to the hot summer of due diligence, I guess?
In the remainder of this newsletter, we’ll cover Duolingo S-1, a creator economy rebranding and an exclusive interview with top startup marketers. As always, find me on Twitter @nmasc_ – send me tips or notes about competitive tensions you’ve been dealing with.
Wall Street, it’s time for your language class
Credit: Duolingo
Duolingo, a language-learning unicorn most recently valued at $ 2.4 billion, filed for an IPO this week. Beyond the many puns – thanks to this reader for today’s subtitle – the S-1 gave us a glimpse into the finances of a rare edtech company ambitious enough to go public.
Here’s what you should know: A deep dive into the financials and the fine print revealed how Duolingo’s monetization efforts resulted in revenue growth of 129% and solid conversions between free and paid users. The document also revealed a number of other fun facts, like the fact that only four people left the company in 2020 – and that Duolingo is actually trying to attract some companies.
For a little more language on the language learning company:
Rebranding the Creator Economy
Credit: Alex is gay
At Equity, Alex and I invited tech comedian Alexis Gay to talk about the creator economy this week.
Here’s what you should know: Gay has gone from helping creators to being a self-creative person through her role at Patreon. We talked about pet troubles, why it’s important to be explicit when creating tools for this economy, and whether rolling funds are inevitable for anyone with a Twitter follower. Check out the episode which I think is one of our funniest.
And as an aftermath:
Marketing some marketing
Credit: Richard Drury (opens in a new window) / Getty Images
TechCrunch’s Miranda Halpern and Eric Eldon are hard at work on TechCrunch Experts, a directory that will host verified professionals in the startup industry. Right now, they’re looking for the names of the top growth marketers driving your favorite tech startup – and they’re still taking submissions!
Here’s what you should know: Halpern interviewed Kathleen Estreich and Emily Kramer, the co-founders of the strategic marketing company MKT1. The insightful interview includes advice on market brain drain, why their job is much more than advertising, and how they work against the stigma that marketers are often viewed as “second class citizens” within a company.
Deeper dives:
All about TC
TechCrunch Early Stage 2021: Marketing & Fundraising is next week! The entire event is aimed at founders looking for tactical tips on everything, how to survive the rapid startup growth during COVID-19 or find the always illusory product-market fit. Buy your tickets because it will make me very happy.
Over the week
Seen on TechCrunch
Seen at Extra Crunch
Thank you for giving me a few minutes of your time. It really never gets old. Enjoy the long weekend and let’s do it all again next week.
Then talk
No
source https://dailyhealthynews.ca/welcome-to-hot-due-diligence-summer-techcrunch/
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dailyhealthynews · 3 years
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The DIY CrossFit Games For Home Workout Heroes
The men and women who participate in the CrossFit Games are top athletes. Whether you call them “the fittest in the world” or not, it cannot be said that their training capacity is not impressive, given that they attend multiple events each day for the four to five days of the spectacle. Sometimes two, mostly three, four and even five grueling exams a day, over and over again.
Well, the average 9-5 or WFH athlete is clearly not cut out of this stuff. But to push our limits and prove to ourselves that we are more capable than we thought, we asked Zack George to come up with a one-day game simulation that you can play at home. As a 2020 UK Fittest Man and one of your MH elite coaching teams, Zack trained at home even during the restrictions of those initial bans. So he knows exactly how to hit hard with minimal equipment.
All you need is a pair of dumbbells, a place to do pull-ups, and a place to run. And courage, of course.
“Do these workouts in the order they are presented,” says Zack. “How long you rest between the individual events is up to you. But I would give you a few hours after each to stretch, chill, have something to eat, drink some water and warm up for the next one. “
Each event must be completed on time, with your total time for all three workouts being your total score. Here are the events, with Zack’s advice on how to execute each one. Good luck and get well soon.
EVENT 1: RUNNING & JUMPING
This is a prolonged effort that requires you to control your running intensity combined with a hard body weight movement. Try to find a rhythm with the burpee pull-ups and minimize your breaks between sets. It is better to choose a slower starting pace, but hold on to it. The last 1 km run should be at full throttle to the finish!
Time limit: 40 minutes
1KM run
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20 burpee pull-ups
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800M run
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16 burpee Pull-ups
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600M run
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12 burpee Pull-ups
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400M run
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8 burpee pull-ups
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200M run
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4 burpee pull-ups
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1KM run
EVENT 2: DUMB & HANBBELL
This is a chipper, so do all of the repetitions of each movement before moving on to the next. From the start, have a strategy to break and try to avoid failing every move. It may not feel like it at first, but you will end it faster if you plan to stop all 5 reps with a few breaths and stick with them instead of taking 30 seconds or more to recover from a maximum !
Hacker from:
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50 dumbbell snaps
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40 dumbbell Front squats
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30 pull-ups
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20 burpees
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10 dumbbell devils press
EVENT 3: THE LAST FIVE
This is a five-round workout that you should tackle as a sprint to end the day. There’s no real point in resting here. You have to sprint the runs or you will lose too much time. The suspension is simply cleaned out. If there’s a sticking point, it can be the pull-ups. So have a plan. Two faster sets of four and three with a shake of the arms is better than wasting time staring at the bar on lap three. Move fast and smash it!
5 laps for the time of:
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7 pull-ups
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7 dumbbell slope cleanings
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200M run
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source https://dailyhealthynews.ca/the-diy-crossfit-games-for-home-workout-heroes/
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dailyhealthynews · 3 years
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Powerful Quotes to Inspire Healthy Attitudes About Food & Body Image
Powerful quotes that inspire healthy attitudes towards food and body image
Katherine Speller
12 hours ago
© Good Studio / AdobeStock Ashley Britton / SheKnows
Food is a complicated thing in our culture: it brings families together, it carries tradition, defines identities and nourishes our bodies. But since we live in a world so completely skewed by negative body image, food culture, and toxic views about foods that are “good” and “bad”, it is difficult to always make our thinking about food in the most positive way possible . And I don’t know about any of you, but the pandemic has absolutely spawned some of the most toxic and harmful attitudes towards body, food and weight.
After all, if you are part of a society that is constantly trying to sell you a new fashion diet or exercise system while feeling awful and guilty about the way you eat and exist in your own body, this is it kind of hard to keep your head straight There are just a lot of powerful entities that need a lot of telling you to consume less, take up less space, and work constantly to achieve a new, slightly optimized ideal of physical “perfection”.
For people dealing with eating disorders or for people struggling with a complicated eating relationship, it is sometimes necessary to step back and absorb some wisdom from people who have a much-needed perspective on what it means, your body to get fed. Whether it’s a celebrity opening up about their old toxic patterns or activists in the trenches trying to educate their communities about how to be more positive (and less obsessive) about food and their bodies, Just a glimpse of how we can think more positively about the role food can play in our lives can work wonders.
Read on to read some of our favorite inspirational quotes to help you reshape the way you think about food and the way you talk to other people in your life about their bodies and food choices.
A version of this story was published in February 2020.
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source https://dailyhealthynews.ca/powerful-quotes-to-inspire-healthy-attitudes-about-food-body-image/
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Retired healthcare workers lend a helping hand at Bukit Jalil vaccination centre | Malaysia
Vaccine recipients rest after receiving the injection at the vaccination center (PPV) in Bukit Jalil June 27, 2021. – Picture by Hari Anggara
KUALA LUMPUR, July 4 – Even at 69, Ong Hoon Luan, a retired nurse, is still eager to bring her expertise to the table, especially during this Covid-19 pandemic.
Ong, who has worked as a nurse since 1975, said her knowledge of giving vaccine injections is still alive.
“Giving vaccinations or doses of vaccines to a patient is something we do regularly and every day.
“It’s a skill you will never forget after working in the medical sector for nearly 40 years,” Ong told Malay Mail in a recent interview at the Bukit Jalil Vaccination Center.
When Ong heard about NGT Healthcare’s vaccination center project and was invited to participate, she seized the opportunity to join the private-public mass vaccination initiative.
Two days a week (Saturday and Sunday) Ong will volunteer at the vaccination center, while during the week she will spend time with her grandchildren.
“I have already applied for my APC. You have to have that to practice, ”she said, referring to the annual practice certificate.
“So I’m going to help the other medics here get vaccines as soon as my APC is ready – that is most likely next week,” she added.
Volunteer Ong Hoon Luan speaks to Malay Mail at the vaccination center (PPV) in Bukit Jalil June 27, 2021. – Picture by Hari Anggara
When asked if she was concerned about her safety as her age falls below the high risk group, Ong said how she used to have to work with minimal safety equipment during several health crises in the country but still managed to stay safe.
“Of course I’m still scared, even though you’ve been vaccinated. But we are nurses from back then, we are not afraid.
“Back then the technology was not as advanced as it is today. I remember being in the delivery room and sometimes we had to give birth to babies with our bare hands when an emergency occurred.
“Only later did we have gloves. So I’m pretty prepared with this Covid-19 pandemic, “she said.
Ong added that even though she was vaccinated, she was still careful about standard procedures.
While Ong is waiting for her APC, her husband M. Selvarajan has started counseling patients at the vaccination center.
“My husband is a diabetes advisor, so talking to patients is more than just a job.
“It is now his hobby to advise patients,” she says.
Volunteer M. Selvarajan is pictured at the vaccination center (PPV) in Bukit Jalil on June 27, 2021. – Picture by Hari Anggara
Selvarajan, 74, is a former doctor’s assistant and said he too wanted to share his 36 years of experience at the vaccination center.
“After my retirement, my contract was extended for another 10 years.
“Afterwards I ran a diabetes clinic and when I heard about this possibility to work on site again, I couldn’t miss it,” he said at the meeting at the vaccination center.
Selvarajan’s previous volunteer work experience was useful as it gave him the opportunity to meet people from all walks of life while providing medical services to those who could not afford medical care.
“I just enjoy sharing my knowledge with patients, especially during this Covid-19 time when many people need moral support,” he said during an interview at the Bukit Jalil Vaccination Center.
According to Selvarajan, it was also his experience dealing with past health crises that struck the country, including cholera, typhoid, diphtheria and TB outbreaks, that gave him more confidence to play his role as a consultant.
“It’s not about getting their consent to be vaccinated, it’s about making sure they understand why they chose to vaccinate.
“Many who came had many questions because they were worried about their health, some had asthma and they wanted to know if their condition was coping with the vaccine.
“At the same time, I asked them to ask questions as well, and after clearing this up, they felt much better and more confident about being vaccinated,” he said.
Selvarajan, who has only been volunteering at the vaccination center for a few days, said he had already seen the fruits of his labor sending confident people to be vaccinated.
“It was very encouraging to see vaccine candidates who came here and returned home with a thorough understanding of their health concerns.
“Having been vaccinated myself, I can share some experience of the process I went through and it helps build their confidence, which in turn convinces family members who are still undecided about the vaccination program,” he added.
The Bukit Jalil Stadium opened its gates for the first time on June 21 as a mega vaccination center.
In the coming weeks, the number of vaccine doses used should be 10,000.
Due to the size of the venue, this vaccination center was only assigned to people under 45 years of age.
source https://dailyhealthynews.ca/retired-healthcare-workers-lend-a-helping-hand-at-bukit-jalil-vaccination-centre-malaysia/
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Find a healthier way to navigate your life
Denise McKinnon | EE columnist
It’s 2:17 a.m. and I’m sitting in my family room, wide awake, but oh so tired.
It’s not normal to be up in the middle of the night, but on Sunday I was given a steroid shot to get rid of a skin infection and it made me skid. There are flashbacks from 2019 and 2020 when I was on prednisone for a year to save my eyesight and I can’t believe how quickly my body is messed up again. I’m on a funk and I’m sad and miserable.
Old me would try to numb the pain and ignore it. The new you is to hug it and think about what it all means and feel all the feelings. New to me thinks that stinks. What is new to me is figuring out how to deal with anger, fear, pain etc. and how to deal with them in a healthy way. Life happens, and with every change, I decide whether the new way of doing things will be my new habit or will I go back to what used to be normal? Although I have problems tonight, I will vote for the new path. It’s better for me and everyone around me, so let’s go.
Last week we had Andi and Luci for our annual grandchildren week. We celebrated their birthdays, had cousin time with Aria and Bear, and had a lot of fun. It was a busy week, but I noticed something remarkable. When I interacted with Andi, almost 7, and Luci, 5, I was much more patient with them. I asked them what they were feeling and thinking. We talked and fought disputes. It took work, but it was worth it. I was very aware that my responses to their feelings of frustration, anger, and sadness shape their view of themselves and how they learn to interact with others. I took the time to connect and not just shake off their concerns because I was stressed or tired. I remembered that they are kids and that they need me to be the adult to take care of them. They just had to be kids and it was good.
When we go through things in our lives, it’s easy to get off track and forget that how we deal with them affects every single person in our world. If we don’t work optimally at work, it affects our colleagues, customers, and the quality of the work we produce. At home, it affects our children and those we live with, and you know what – children can’t just leave. They are stuck and then have to learn to survive based on the choices we make for them. How we manage life or not is important, probably a lot more than we thought.
This new perspective makes me wish I had mastered life better as my kids grew up, mastered friendships, and even worked. I can’t change the past, but I can use it to learn how to be healthier and have healthier relationships with those around me. It’s not a repetition, but maybe it’s a “Let’s do better?”
Figuring out how to be healthier in life takes a lot of work, and I find that I can’t do it on my own. For me that means some advice, healthy eating habits, exercise and consistency, a lot of consistency. I work on relationships and think about what to do with my time and talents. I am thoughtful with my time and energy and learn to manage life instead of letting life guide me. My week is not about survival, but experiencing and hugging. It’s life, not just survival, and that’s a good thing.
Joanna Gaines said in Magnolia Story, “I always thought that when everything was perfect, the ‘thrive’ would come, and what I’ve learned is that it actually is chaos, things turn out well.” Life is messy and that’s fine. If that thrives there, we’ll all be in good company.
Now let’s take steps towards health and life so that after the end of 2021 we can look back and see how far we have come. I’m in, right?
source https://dailyhealthynews.ca/find-a-healthier-way-to-navigate-your-life/
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dailyhealthynews · 3 years
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Don’t forget about the physical infrastructure of America’s K-12 schools
The American rescue plan Provides a historic federal investment in America’s K-12 public schools at a crucial time. The funds offer clients crucial support in overcoming a number of urgent challenges: Expansion of learning opportunities in summer, to implement academic recovery interventions and addresses a wide range of students Mental health needs. But to unleash the enormous potential of the plan and fully maximize student learning, Congress must also address an issue that preceded the pandemic: outdated and crumbling K-12 facilities due to decades of underinvestment. As infrastructure negotiations continue, we are calling for the raising of $ 100 billion in direct grants and $ 30 billion in bonds for public K-12 school facilities – in line with the Reopening and Reconstruction of the American Schools Act Re.
The neglect of the K-12’s school infrastructure hinders tens of thousands of schools across the country and poses significant health and safety risks to millions of students Report on the state of our schools in 2016, State and local governments underfund K-12 facilities by $ 46 billion annually. One recently Government Accountability Office study paints a worrying picture: in around a quarter of all school districts, at least half of their schools required modernization or the replacement of important building systems such as heating, ventilation and air conditioning (HVAC), plumbing, cabling or windows. The study also found that 41 percent of districts need to upgrade or replace HVAC systems in at least half of their schools. A leaking roof or HVAC system can cause water damage and expose students and employees to mold or asbestos.
We remain deeply concerned about the disproportionate impact of divestment in school facilities on low-income school districts. Without a solid local tax base, these counties face extensive backlogs and deferred maintenance on their building systems. The result is millions of students attending schools in buildings in need of major repairs and upgrading, creating unsafe conditions that affect student and teacher performance. By prioritizing school facilities, Congress and the Biden administration would campaign heavily for justice.
The strengthening of the infrastructure of the K-12 schools should be seen as a supplement to the financing of the American rescue plan and as the core of the reconstruction work already underway in the schools. While American Rescue Plan funds are being used to support academic recovery efforts – such as Puzzle. Our members are working diligently to provide the Plan’s resources to meet these needs, but to be successful students also need safe and healthy learning environments. By investing in K-12 infrastructure, Congress can help move America’s school buildings into the 21st century, establish a new course for K-12 education, and ensure schools emerge stronger from this troubled time.
Dr. L. Earl Franks, CAE, is a seasoned association manager and advocate for public education and school leadership with more than three decades of experience in the education field prior to the K-12.
Ronn Nozoe is a lifelong educator with extensive experience in state and federal policy development. In his home state of Hawaii, he served as the assistant state superintendent, district superintendent, principal, assistant principal, and teacher.
source https://dailyhealthynews.ca/dont-forget-about-the-physical-infrastructure-of-americas-k-12-schools/
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dailyhealthynews · 3 years
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What Healthy Eating Looks Like to Me, a Dietitian Who Eats Keto
My decision to become a Registered Dietitian (RDN) came out of a lifelong struggle with my weight.
With a weight of over 4.5 kg when I was born – which puts me in the 99th percentile – I am not exaggerating when I say “for life”.
The ketogenic, or keto, diet is a low-carbohydrate, high-fat eating pattern that limits your carbohydrate intake to 25-50 grams per day or less in order to achieve ketosis – a metabolic state in which your body burns fat instead of carbohydrates for its primary ones Fuel source (1).
It is also the first diet that has enabled me to successfully lose and hold my weight while feeling full and satisfied.
In fact, I hesitate to use the word diet as I see keto as a lifestyle rather than a temporary or trendy way of eating.
Sure, there are times when I eat more carbohydrates – for example, during my last pregnancy and now while I’m breastfeeding – and I’m certainly not militant about my intake.
However, keto is the baseline that I keep coming back to because it makes me feel best.
While the keto diet has been used to treat epilepsy in children for many years, we are just beginning to understand how diet can be beneficial for blood sugar control and weight loss (1).
This article explains why I consider the keto diet to be the best and most effective option for my weight loss journey and provides an insight into what I typically eat in a day.
The first time I tried keto was just an experiment to see if it lived up to the hype.
At this point in my life, I was heavier than I wanted to be and felt shame and cognitive dissonance for being an overweight dietitian.
I had also tried so many approaches to lose weight – or at least not gain weight – to no avail. As a result, I thought I was just a weak-willed person, despite the discipline I had in other areas of my life.
However, I now understand that my struggles with hunger and cravings had nothing to do with a personality disorder. Rather, they were the result of food choices that negatively impacted my gut health, blood sugar, and hormone levels (2, 3).
My experience with the keto diet
When I tried keto in 2019, I lost 30 pounds (14 kg) in 4 months and it was surprisingly easy as I wasn’t constantly thinking about my next meal. Instead, I finally felt satisfied, both physically and mentally.
I also noticed improvements in other areas of my health.
For example, a colleague from RDN raved about how great my skin looked – something I’d never received compliments on before.
My occasional episodes of mild heartburn also went away, and I felt energetic, motivated, and productive throughout the day.
Then came 2020.
For many of us, 2020 was a difficult year.
In addition to dealing with the stresses of pandemic life, I was pregnant, worked in health care during the day, wrote at night, looked after my family, and frequently dealt with the political and social unrest in the United States.
Feeling completely overwhelmed, I turned to food for comfort and spent many nights stress-eating.
The year 2020 showed me that I still have a lot to do with my relationship with food, but it also showed how much my quality of life had previously improved as a result of the keto diet.
I know keto isn’t the right approach for everyone. However, I can’t deny that a low-carb, high-fat diet broke my food cravings for the first time in my life.
Research suggests that there are four main reasons the keto diet appears to be effective for weight loss, including:
Reduced appetite. A low-calorie keto diet has been shown to help reduce hunger and improve feelings of satiety. Although more research is needed, this decrease in appetite is believed to be related to positive changes in hunger hormones and an increased ability to burn fat for energy during ketosis (4, 5).
Improved insulin sensitivity. By reducing your carbohydrate intake, the keto diet can help lower insulin levels and improve insulin sensitivity. This is important because insulin resistance is a major risk factor for many chronic diseases, including obesity, type 2 diabetes, and polycystic ovarian syndrome (PCOS) (6, 7).
Maintaining the metabolic rate. Losing weight often leads to a decrease in metabolism – the number of calories you burn at rest – which can make it difficult to keep losing weight or maintaining your weight. Research suggests that by maintaining lean body mass on a low-calorie keto diet, it may not reduce your metabolic rate as drastically (8, 9).
Using body fat for energy. The keto diet can also make it easier for you to burn stored body fat. During ketosis, the body uses fat for energy rather than carbohydrates, and that fat comes either from your diet or from body fat stores (10).
Keep in mind, however, that research into the keto diet for purposes other than epilepsy only began in earnest in the last decade.
Therefore, more studies are needed on the long-term effects of keto in the general population.
In addition, it is important to speak to a trusted doctor before changing your diet, especially if you have diabetes or are on prescription drugs.
Curious what the keto diet looks like to me?
Here’s what I eat on a normal day:
Breakfast. Since I’m not hungry when I wake up, I usually start my day with a cup of coffee. Later in the morning, I’ll have a ready-to-drink protein shake with medium chain triglyceride oil (MCT) or half an avocado to make sure I’m getting enough calories to breastfeed.
Having lunch. If there are no leftovers from dinner, I have a salad and roast beef with hot cheddar cheese. My other choices are fried eggs with a generous serving of sauteed vegetables.
Dinner. I like to keep dinner simple and opt for meat and vegetables like lettuce, Brussels sprouts, cauliflower rice or zucchini noodles. So that I get enough fat and calories, everything is cooked in butter, olive oil or avocado oil.
Snacks. Lately I’ve been eating nuts and cheese to keep my breastfeeding calories up, but I usually don’t make snacks because I just don’t get hungry between meals.
Sweets. I still love sweets and try to make room for them every night. My two favorites are local strawberries when in season or a handful of sugar-free mint chocolate chips.
Another thing I like about keto is that it is easy to find options when it comes to eating. Depending on the restaurant, I usually order a salad, a bunless burger, or steak and vegetables.
While keto often gets a bad rap for all it’s butter, bacon, and cheese, I’ve found that I’m now eating more fresh produce than ever in my life.
I know how hard it is to be hungry all the time while losing weight, which is why I am lucky to have found a diet that works for me.
In fact, I can honestly say that keto changed my life and rekindled my passion for nutrition and health.
While there are many ways to lead a healthy lifestyle, the keto diet is worth considering if you’re struggling to find a diet that will satisfy you.
Make sure to speak to a trusted healthcare provider first, especially if you have a pre-existing medical condition or are on prescription medication.
source https://dailyhealthynews.ca/what-healthy-eating-looks-like-to-me-a-dietitian-who-eats-keto/
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dailyhealthynews · 3 years
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Here’s What Causes Vaginal Odor and How to Keep Your Vagina Clean
If your vaginal odor smells sweet, you should have your blood sugar level checked.
Credit: dvulikaia / iStock / GettyImages
Vaginas have a smell, and at times the smell can be pungent. A strong odor can understandably make you feel a little embarrassed or concerned that it is a symptom of a bigger problem like an infection or illness.
But for the most part, experts say not to worry. “Most of the time there isn’t a big problem,” Adi Katz, MD, a gynecologist at Lenox Hill Hospital, told LIVESTRONG.com.
It’s normal for the genitals to smell a little, says Maria Sophocles, MD, gynecologist and sexologist with Women’s Healthcare of Princeton.
For one, it indicates that the vulva (the visible, outer part of the genitals in people with a vagina) has hair follicles, as well as sweat and sebum glands. “It has many properties on other parts of your body,” says Dr. Sophocles (think: your armpits). So it’s not surprising that the area has a smell.
The vagina is naturally home to all types of bacteria, explains Dr. Katz – and these can lead to a variation in your personal smell as well.
“As the month progresses, the bacteria can shift a bit due to changes in hormones and our menstrual cycle, which can result in different smells,” she says.
In general, the pH of the vagina is acidic, says Dr. Cat. But all sorts of things can cause the pH to become more basic, making it hospitable to certain bacteria that can cause irritation, discharge, and odor, she says.
Many smell variations are temporary.
“Smell, in general, is a fundamental variation on how a woman smells down there,” says Dr. Sophocles.
Still, an unusual scent is worth noting, especially if it lasts. This is where gynecologists share some of the smells that patients commonly produce, along with their possible causes.
Should you shower?
If you find the smell of your vagina unpleasant, you may be tempted to clean it or mask the smell. After all, we do the same in other parts of our body: we shower frequently, apply deodorant every day, spray on fragrances and so on. But efforts to cleanse the vagina and vulva tend to backfire.
“Most women probably wash too much and remove the protective oils from the vulva,” says Dr. Sophocles.
You don’t have to clean your vagina. The most important thing is not to take a shower. The vagina “cleans itself,” says Dr. Sophocles. When you shower – with water, vinegar, or something else – it disrupts the normal pH of the vagina. This, in turn, “encourages the bacteria to grow abnormally, which can then prepare you for odor nuisance, which can make you wash more, which prepares you for more odor,” says Dr. Sophocles.
It’s possible – but not very likely – that a sweet scent could indicate a yeast infection, says Dr. Sophocles. This fungal infection is typically characterized by a cottage cheese-like discharge, itching, and irritation of the vagina and vulva, according to the Mayo Clinic.
“Yeast infections usually don’t have a strong odor,” says Shirley V. Galucki, MD, a gynecologist with Dartmouth-Hitchcock.
A sweet smell in your vagina could indicate a problem elsewhere in your system, says Dr. Galucki. For example, it could indicate high blood sugar.
“If someone has a sweet smell coming out of their vagina, I would encourage them to get tested and have their blood sugar checked,” says Dr. Cat. “You could have an overall sugar problem.”
You probably don’t have to worry if your vagina has a sour smell. This could just be the everyday smell of your vagina, says Dr. Cat. “The vagina is an acidic environment,” she reminds us.
One of the “good” bacteria that live there is acidophilus. This may sound familiar because it is the bacteria that are found in yogurt. “What [people] can be called a sour smell, can just be the natural smell that should be in the vagina, “she says – a yogurt-like condiment.
It’s also possible that the smell was due to something you ate. Certain foods can alter the pH of the vaginal environment, says Dr. Sophocles. This effect is usually short-lived, she notes.
When to call a doctor
Vaginas have a smell and that is generally not a problem. “If you have a strong odor, we recommend getting examined to make sure it’s nothing else,” says Dr. Galucki.
This is especially true if the odor is accompanied by other symptoms like itching, burning, and discharge, according to the Mayo Clinic.
You are not alone if you smelled a fishy odor from your vagina. “That is the most common message,” says Dr. Sophocles.
A fishy odor can be due to bacterial vaginosis (BV), which occurs when some form of bacteria becomes overgrown in the vagina, says Dr. Cat. BV is the most common vaginal condition, according to the Centers for Disease Control and Prevention (CDC).
Other symptoms of BV include itching, burning sensation when urinating, and gray, white, or green discharge, according to the Mayo Clinic. Although it is possible for BV to clear on its own, the CDC recommends taking antibiotics – otherwise BV increases the risk of STIs and, in pregnant women, the chance of premature birth or low birth weight.
There is also a possibility that the odor could be the result of trichomoniasis, a sexually transmitted disease. This disease can be treated with antibiotics, according to the Bureau of Women’s Health.
There is another possible simple explanation for a fishy odor: your natural body sweat. You may have a stronger, fishy odor after a long day of running, especially if you wear tight clothing, says Dr. Cat. “It doesn’t necessarily mean something is wrong.”
Bottom Line: If your vagina has a lingering fishy odor that isn’t your typical smell, a visit to your doctor may be appropriate – although that odor might just be from sweat, it could be the result of an infection or an STD.
Again, this could simply be the smell of the bacteria in your vagina, says Dr. Cat.
If it’s not your familiar smell, you might want to research. This could be yeast and it could be BV, says Dr. Sophocles.
“You will likely need to have a doctor examine the discharge under a microscope,” says Dr. Sophocles – this will help identify the cause of the smell.
That scent didn’t ring the bell of the gynecologists we spoke to right away.
It is possible, says Dr. Katz that it was related to something you eat – a spicy food (e.g. urine temporarily smells different, says Dr. Katz.
Or what smells like a “fishy” smell (see above) to one person may be more like “vinegar” to another.
This could be cause for concern.
“When you get a foul smell, we think of sexually transmitted diseases,” says Dr. Galucki.
Trichomoniasis could be the cause of this odor, so a visit to your doctor is in order – there your doctor can do a pelvic exam or see under a microscope to see if the unicellular parasite behind this condition is present at the Women’s Health Office.
There can also be forgetfulness behind this smell – if you accidentally forget to remove a tampon or if a cotton towel gets stuck in the vagina, it can cause an noticeable and unpleasant odor. “It can start to smell foul after a few days,” says Dr. Cat.
It happens that you forget to remove a tampon. In fact, “we see it fairly often,” says Dr. Galucki. After all, life is busy and your period tends to be easy at the end. The good news: “We can treat it very quickly,” says Dr. Galucki.
You are most likely to smell a metallic or coppery odor when you are on your period.
“Menstruation has a certain smell. It can be uncomfortable, but it doesn’t mean something is wrong,” says Dr. Sophocles.
Because iron is in the blood, it can smell like copper, she says.
How to keep your vagina clean and smelling good
Your vagina will never be completely odorless. And all sorts of everyday activities – like your period or sex – can alter the bacterial makeup of your vagina, leading to changes in smell, notes Dr. Katz firmly. Still, following these habits can help prevent bad smells:
Choose the right underwear:If you choose cotton underwear, Dr. Cat. And wear looser clothing so it can air out, she says.
Stay away from panty liners:It is okay to wear a sanitary napkin or panty liner during menstruation. But for the rest of the month, don’t stick any to your underwear. “They can be very irritating to the vulva and make you more prone to vaginal infections,” says Dr. Cat.
Try a hip bath:If your vagina feels irritated, try a hip bath, recommends Dr. Cat. Fill your tub (or a real hip bath that goes over your toilet seat) with warm water up to your hips and 1/4 to 1/2 cup of salt, she says – then sit there with your legs open for about 10 minutes, rinsing off. “This is a great way to soothe your skin and kill irritating bacteria,” says Dr. Cat.
Never take a shower:It has to be repeated because every expert agrees that douching is the enemy of a healthy vagina. “We do not recommend taking a shower as this could upset the bacterial balance,” says Dr. Galucki – that worsens the smell. Plus, if you have an infection, douching can push it into the uterus, she stresses. “So if you have a bad smell, you don’t want to take a shower.”
Don’t clean too much:“You shouldn’t use scented sprays and soaps because that could make it even worse,” says Dr. Galucki. Instead, just use a gentle, fragrance-free soap on your vulva (no need to clean the inside of your vagina).
source https://dailyhealthynews.ca/heres-what-causes-vaginal-odor-and-how-to-keep-your-vagina-clean/
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dailyhealthynews · 3 years
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This Twist On A Classic CrossFit Metcon Will Burn Up Your Lungs
Whether you’re an avid CrossFitter or have just watched a few of the 78 million athlete and training videos on YouTube, you will likely know that the rep structure of 21-15-9 is engraved in the methodology of lore. Albeit in a trembling scribble.
Because although the reps seem to be decreasing quite pleasantly, in the words of Admiral Akbar (Rebel Alliance Throwdown Winner long, long time ago): It’s a trap!
It’s almost always “time constraint,” which means you want to leave asap. You’ll feel fresh around the round of the last 21 so show up hard to get off to a great start. After all, winning is important. But then you get into round 15 and realize too late that 15 repetitions are still a lot. If you can get through this, the final 9 rep round will be an out of body experience.
Fortunately, today’s training programmer is here to save you from that fate. Gus Vas Tostes, member of the MH Elite team and training manager at WIT Fitness, assigns you 21, 15 and 9 calories for rowing and kettlebell swings. So you’re doing 21 calories and 21 swings, then 15 each and then 9 each.
This is where things get interesting. After a four-minute break, you’ll do 9, 15, and 21 reps of dumbbell drives and calories on the rowing machine.
“Take both workouts as one,” says Gus. “A comfortable and steady pace is key, so breathe through all your movements, especially when you are rowing.”
Little work is little rest. “If you decide to stop repetition, take short breaks,” he advises. “Everything stopping and starting quickly adds up and slows you down.”
Ride right and you should be able to finish strong. So make sure to empty the tank and do your best!
FOR THE TIME
21, 15, 9 repetitions of:
1) row for calories
Push your legs firmly away from the flywheel (A). Keeping your arms straight until your legs are straight, then pull the handle into your chest (B.). Reverse the movement.
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2) Kettlebell Swing
Hold the kettlebell between your legs and initiate the movement by pivoting your hips backwards as if trying to push open a door with your glutes and swinging the weight backwards (A) before moving your hips forward to raise the kettlebell to shoulder height and support your core (B.). Let the swing take you straight back to the next rep.
REST 4 MINUTES
9, 15, 21 repetitions of:
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1) Dumbbell Thruster
Raise your pair of dumbbells up to your shoulders and crouch, keeping your back straight and your chest up, until your thighs are more than parallel to the floor (A). Get up explosively and press both dumbbells overhead in one movement as far as they will go (B.). Now reverse the movement and repeat. Fast.
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2) row for calories
Again, focus on pushing with your legs (A) and finish with just a sharp pull on the arms, pushing your elbows straight behind you instead of to the side (B.). Return by extending your arms first and then bending your legs.
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source https://dailyhealthynews.ca/this-twist-on-a-classic-crossfit-metcon-will-burn-up-your-lungs/
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dailyhealthynews · 3 years
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Promisia Healthcare (NZSE:PHL) Is Experiencing Growth In Returns On Capital
Finding a company with significant growth potential isn’t easy, but it is possible if we look at some key financial metrics. A common approach is to find a company with increasing returns on capital employed (ROCE) coupled with growing capital employed. When you see this, it usually means that it is a company with a great business model and lots of profitable reinvestment opportunities. Speaking of which, we’ve made some great changes in Promisia Healthcare’s (NZSE: PHL) ROI, so let’s look at this.
What is return on investment (ROCE)?
For those unsure of what ROCE is, it measures the amount of pre-tax profit a company can make from the capital invested in its business. To calculate this metric for Promisia Healthcare, this is the formula:
Return on capital employed = earnings before interest and taxes (EBIT) ÷ (total assets – current liabilities)
0.0038 = NZ $ 203,000 ÷ (NZ $ 59 million – NZ $ 6.1 million) (based on the last twelve months ended March 2021).
So, Promisia Healthcare has a ROCE of 0.4%. In absolute terms, this is a low return and is also below the industry average of 7.2%.
Check out our latest analysis for Promisia Healthcare
NZSE: PHL Return on Capital Employed July 3, 2021
Historical performance is a good place to start when researching a stock. So above, you can see the measure of Promisia Healthcare’s ROCE compared to its past returns. If you want to look at Promisia Healthcare’s past performance on other metrics, you can view that free Graph of past earnings, sales and cash flows.
The ROCE trend
We are pleased that Promisia Healthcare has benefited from its investments and is now generating some pre-tax profits. The company made losses five years ago, but now it’s making 0.4% which is a sight for sore eyes. Additionally, the company is consuming 3.618% more capital than before, but that’s to be expected from a company looking to break into profitability. This shows us that the company has many reinvestment options that can generate higher returns.
One more note: Promisia Healthcare reduced its short-term debt to 10% of total assets during this period, effectively reducing funding from suppliers or short-term creditors. Hence, we can be sure that the growth in ROCE is due to the fundamental improvements made by the company, not a cooking class using this company’s books.
Our assessment of Promisia Healthcare’s ROCE
Overall, Promisia Healthcare is getting a big tick from us mostly because it is now profitable and reinvesting in its business. And since the stock is down 86% over the past five years, other factors can affect the company’s outlook. Still, it’s worth researching further to see if the trends will continue in the future.
Since virtually every business faces certain risks, it pays to know what they are and we discovered it 6 warning signs for Promisia Healthcare (2 of which are potentially serious!) That You Should Know About.
For those who like to invest solid companies, look at that free List of companies with solid balance sheets and high returns on equity.
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This article from Simply Wall St is of a general nature. It is not a recommendation to buy or sell stocks and does not take into account your goals or your financial situation. Our goal is to provide you with long-term, focused analysis based on fundamentals. Note that our analysis may not take into account the latest company announcements or quality material, which may be sensitive to the price. Simply Wall St has no position in the stocks mentioned. * Interactive Brokers rated as the lowest cost broker by StockBrokers.com Annual Online Review 2020
Do you have any feedback on this article? Concerned about the content? Get in touch directly with us. Alternatively, send an email to the editorial team (at) simplywallst.com.
source https://dailyhealthynews.ca/promisia-healthcare-nzsephl-is-experiencing-growth-in-returns-on-capital/
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dailyhealthynews · 3 years
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NHL increases push to reach Latino communities
Scott Gomez grew up amid the diverse cultures that mingle around Anchorage, Alaska. Running was something he never really thought about, especially on the ice.
The son of a Mexican-American father and a Colombian mother, Gomez heard a few derogatory remarks during his rise to the junior and professional ranks, but the opportunities were rare.
He was a hockey player and that was all that mattered.
“The game was always accepting,” said Gomez. “When you’re in that locker room, you’re one of the boys. Sure, you’ll hear a weird joke every now and then, but as long as you return it, you’ll be fine. It’s never about race. It’s about what you can do on the ice. “
One of the first Latinos to reach the NHL in 1999 – Bill Guerin was the first – Gomez played 16 seasons for seven teams and won the Stanley Cup twice with New Jersey.
The number of Latino players has increased in recent years in the NHL, minor leagues and colleges, including Auston Matthews, Max Pacioretty, Al Montoya and Raffi Torres.
More are on the way.
“It’s important for the NHL to do it”
The NHL and teams across the league have gone to great lengths to attract a huge potential fan base and develop Latino players – in the United States and Mexico.
“This is a sport that is about passion, it’s about skill, and it’s a sport that can truly bring families together and that can span generations,” said Xavier Gutierrez, President and CEO of Arizona Coyotes. “I think it’s a sport that is prepared to be a part of the Latino community in the US and it’s important for the NHL to do that.”
The Coyotes were at the forefront of the advance, starting in the front office.
Gutierrez became the first Latino president and CEO in NHL history when he was hired last year. His boss, Alex Meruelo, became the first Latino majority owner when he bought the Coyotes in 2019.
The Coyotes, like other teams in the Southwest, play in markets with large Latino populations and have developed programs to engage these communities.
Arizona set up a Hispanic Advisory Board to improve relationships with the Hispanic community after Meruelo bought the team and expanded its reach.
The Coyotes have also partnered with Latino business associations and have gone to school districts with dense Latino populations to introduce children to the Coyotes and hockey.
Arizona has held youth ball hockey clinics with organizations in areas with large Latino populations that have brought sticks and balls that children can take home to continue their interest in the game. The Coyotes also have Spanish-speaking social media accounts to engage Latino fans.
“Think about Arizona, I really need to follow the Latino community because they are the consumer base and they keep growing, and they are the workforce and the business owner,” Gutierrez said.
Actions by other teams
Efforts are also growing outside the state.
The NHL launched a Spanish-speaking platform on its website in 2019 that featured content from Spanish-speaking reporters. The league also began celebrating Hispanic / Latino Heritage Month to tell the stories of people who contributed to the game.
The Dallas Stars hosted tutorials in Mexico City last season, and Chicago featured Un Gol on the team’s website with translated stories and videos.
The Anaheim Ducks began providing materials in Spanish for their SCORE program, which uses hockey themes to teach school children about educational topics, healthy living, and character building.
The New Jersey Devils ‘Hockey in NJ program is heavily supported in Hispanic communities, as is the Philadelphia Flyers’ Snider Hockey and Lightning Made in Tampa Bay programs.
The Golden Knights have Spanish-language social media channels – as do the San Jose Sharks – and run street clinics in Hispanic communities.
The Los Angeles Kings designed a model for their Jr. Kings program before playing exhibition games in Beijing in 2017 and carrying it to Mexico City. The program expanded to 150 players and ran zoom training with the club during the pandemic, with question-and-answer sessions for the players, parents and coaches.
The peewee Jr. Kings won a national championship in their division and 15 players were invited to the team’s training camp in El Segundo, California in August. As part of their 50th Anniversary in Los Angeles in 2019, the Kings also launched a ball hockey program with the 26 YMCAs across the city.
“It expands our reach and understanding in a place like Los Angeles, which is such a melting pot,” said Mike Altieri. Senior Vice President of Marketing, Communications and Content for the Kings. “We had success winning two Stanley Cups and were a very influential voice in the market. We couldn’t lose sight of the fact that there were growth opportunities everywhere and that we need to diversify our audiences.”
CLOCK | How the Aboriginal Sport Circle works to empower indigenous people through sport:
CBC Sports’ Jacqueline Doorey sits down with ASC Vice President Janice Forsyth to discuss the nonprofit that exists to support the health and wellbeing of indigenous peoples and communities through sports, physical activity and recreation. 5:48
source https://dailyhealthynews.ca/nhl-increases-push-to-reach-latino-communities/
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dailyhealthynews · 3 years
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Wellness travel: Inside Resolution Retreats’ women-only health retreat
Juliette Sivertsen spends some time pondering by the pool at Resolution Retreats on Lake Karapiro. Photo / included
Carbohydrates are bad. Carbohydrates are good. To have breakfest. Skipping breakfast. Do a detox. Detox is a myth. Watch your calories. Don’t count calories. Don’t go on a diet. Don’t give in to temptation.
Sound familiar? These are just a fraction of the conflicting dietary recommendations I and many others have received over the years. Is it any wonder we are all so confused about nutrition? So when the chance arose to stay at Resolution Retreats for a long weekend, I took the opportunity to reset my health.
The Lake Karapiro Complex is a women-only health and wellness retreat, with options ranging from three-day stays to 21-day weight loss retreats. Guests stay on site in a luxury chalet and can take part in daily fitness and yoga classes, health workshops and receive all meals and snacks. But it’s also a caffeine and alcohol free environment. There is only herbal tea on offer, and wine glasses are filled with a cold herbal tea brew mixed with soda mix, also known as “retreat wine”.
I’m considering smuggling in contraband to start a sideline selling instant coffee bags to the caffeine addicts who wander around with foggy brains. But I decide to be 100 percent committed to the retreat, eat only the food and drink they give me, and take all classes and fitness sessions. I want a reset – and that means getting fully involved in the program.
My chalet is spacious and nicely furnished with a view of the garden and a large whirlpool bath in the bathroom. On arrival, a goodie bag awaits me with healthy items such as kombucha, herbal teas, a snack pack of nuts and an eye mask. There is also a slightly intimidating 12 week accountability journal to put all of my insights into action after the retreat.
The chalet bedrooms at Resolution Retreats are spacious. Photo / included
I’m joined by almost 30 other women who all decided to be here for different reasons, but with one common goal – a health reset. Some need a break from family life, others are feeling the effects of burnout and weight gain from Covid lockdown.
Every day we start with a morning fitness class before breakfast, such as a HIIT session or pool fitness. The classes are fun and inclusive, with options for all fitness and mobility levels. The morning session is a health workshop where we sit down with one of the moderators and discuss nutrition, fitness, gut health, reading food labels and understanding portion sizes for each food group. In the afternoons there are yoga and cooking demonstrations.
The founder of Resolution Retreats, Joelene Ranby, leads one of the first workshops. She appears positive, spirited and motivated, as if she was born that way. But she reveals that her background was eating plenty of high-sugar and high-calorie foods before embarking on her health journey to become the fit and strong ball of intelligent energy that now stands before us.
From her observations, she says that kiwi women have a particular problem – we seem to be severely burned out. She has noticed a significant difference between us and Australian women, who she says take better care of their general wellbeing and “stay above the level of the ambulance at the bottom of the cliff”.
So that we can stay healthy and prevent burnout, we get to know the four pillars of well-being or the “wellness wheel” – nutrition, sleep, exercise and happiness. All four are interconnected, and if one falters, the others can suffer too. Likewise, strengthening some areas can help others. Diet affects motivation. So if we adjust our diet, we may find the energy to move and exercise. Exercise can help us sleep better. Better sleep can lift our moods, which can lead to better nutrition.
On the subject of matching items
Resolution Retreats is a purpose built health and wellness retreat on Lake Karapiro. Photo / included
In this room full of busy women balancing careers and family life, most of us have recently forgotten to take care of ourselves. “I like arts and crafts, but I think I only do what my children can do,” says one woman. Many others share this opinion – the things we enjoy are often pushed down the priority list, especially when it comes to raising children.
Joelene encourages us to find something we’re passionate about, to give us a little joy. “We need a bit of shine in our lives,” she says.
It’s a good reminder to ponder the good things in life and hobbies that we can access as part of our wellbeing toolbox. It is the third time in so many weeks that I have met someone who explains the importance of “getting the flow”, so I take it as a sign to think seriously about which activities give me a sense of inner joy prepare.
During the entire stay we feast on delicious meals that rival anything I can come up with at home. The meals are put together by a nutritionist, perfectly portioned. One evening a fish curry, the next a chicken and mushroom casserole. A healthy egg benedict for breakfast, a homemade pizza for lunch.
One participant is diabetic, so she is given extra servings of carbohydrates with dinner. She shows me an app that tracks her insulin levels via a Bluetooth connection to a plaster on her arm. It feels like we’re eating healthy food during the retreat – but Rose Maree’s app shows the evidence in the (sugar-free) pudding – her values ​​are significantly more stable during the retreat than before her arrival.
A low-carb pesto noodle served at Resolution Retreats. Each meal was prepared by a nutritionist. Photo / included
I use the time off before and after lunch because without my usual morning coffee I feel much more sleepy than usual. I’m not the only one. On the third day, one of the women is nowhere to be seen. She is over Donetta’s caffeine withdrawal and she needs time to rest. But that’s okay, it’s your choice and no one judges you for it. Because while this is a health retreat, nothing is mandatory. It’s my choice if I want to take a nap at 10am. It’s my choice if I’d rather sit in the spa than do a HIIT workout. It’s my choice when I want to smuggle in bags of instant coffee just to get through. The ability to make decisions can help you make the right decisions in the future.
We also learn about the habit loop and how to put an end to bad habits. What’s impressive about it is the practical tips instead of motivational interviews and hearing actual steps and real-world knowledge from moderators who know what they’re talking about and understand different lifestyles.
Every evening there is a pre-dinner cooking demonstration and we have the opportunity to learn how to make fermented foods to protect our intestines.
Casey Mackwell is our moderator for the intestinal health workshop and shows us how to make sauerkraut. You can buy fancy sauerkraut in the grocery store for around $ 14, but it’s cheap like french fries – it’s just cabbage and salt that is fermented over a month or so. “Draw your cabbage,” Casey says as she pulls up a volunteer to demonstrate how to squeeze all of the moisture out of the cabbage.
Casey goes through so much of the fermented goods that she and a friend regularly hold “Krauttag”, where each of them brings at least 20 heads of cabbage for a great sauerkraut experience.
Certainly inexpensive, but I’m still not entirely convinced that I love sauerkraut so much that I want to spend a day massaging cabbage with my hands. But we are also shown other fermented foods such as yogurt, miso and tempeh, which are also good for our intestines.
The founder of Resolution Retreats, Joelene Ranby. Photo / included
At the weekend I treat myself to a 30-minute back and leg massage, a 60-minute facial and a 60-minute back and body peeling and a massage in the retreat’s in-house spa. I warn the therapist that I will likely fall asleep during my facial. After about 10 minutes, the warm, weighted blanket and aromatherapy oils overwhelm my brain. I sleep – snort myself awake, giggle and embarrassingly apologize to my therapist before I go back to sleep and finally emerge completely relaxed from the dimly lit room.
Learning all of these tips and tricks is great, but what really matters is how we live when we return home. One of the most helpful workshops is meal planning and how to save time during the week. We are encouraged to prepare for the obstacles. Plan an “emergency dinner” ahead of time, and plan ahead for Friday night when you might want some wine and takeaway food on the couch.
When I return, I cook bliss balls for a week and buy a pack of recommended nut bars for my morning and afternoon snacks. The extra snacks mean I don’t chew my arm off on the way home from work and reach for something unhealthy to bridge myself through until dinner. I chop up a few carrot sticks and put them in a container covered with a damp paper towel to keep them fresh. I make the chicken casserole recipe from the retreat and freeze a portion as an emergency dinner if I would otherwise feel like some takeaway. I notice these changes mean that I am eating nutritious meals and snacks and not even remotely tempted to open up UberEats.
When I return to the office, I realize that I’ve become one of those annoying self-proclaimed health gurus who want to share their newfound knowledge with whoever listens – even those who don’t. But my decaf, flat, white-drinking editor glances back at my first morning.
“I can see you’ve already had coffee,” she says. Damn straight I did. There are some habits that I want to keep. After all, it’s about progress, not perfection.
For more travel ideas and inspiration for New Zealand, visit newfinder.co.nz and newzealand.com
source https://dailyhealthynews.ca/wellness-travel-inside-resolution-retreats-women-only-health-retreat/
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dailyhealthynews · 3 years
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As pandemic wanes, will burnout fuel exodus of Colorado health care workers?
Dr. Amy Olson spent much of 2020 in a fight-or-flight state. First, she was afraid of working without enough proactive equipment. Then her sick colleagues had trouble getting tested for COVID-19. In the midst of it all, she ached at losing patients, some of whom she had treated for years, to an unrelenting illness.
Every day brought new challenges and the workload of the 49-year-old grew and grew.
When the pandemic reached its third deadly peak in late fall, Olson thought it would get better if she only made it through Christmas when she had some time off planned. But the holidays came and went and nothing changed. She was still worried. She was still burned out.
So in March, Olson left National Jewish Health, where she had served as the medical director of the Pulmonary Physiology Unit at Denver Hospital.
“I felt very guilty about leaving my colleagues,” said Olson. “I felt very guilty about leaving my patients.”
But she said, “Even having free time didn’t fix the problem.”
Colorado health care workers grapple with trauma, burnout, grief, and other mental health issues after spending more than a year responding to the worst public health crisis in a century.
The pandemic has increased the desire of many healthcare workers to work in medicine. Doctors and industry experts fear, however, that doctors, nursing staff and other employees will leave more and more as the crisis subsides because they no longer feel valued, are emotionally exhausted and their work no longer corresponds to their expectations.
“It’s hard to predict what this exodus will look like,” said Dr. Jessi Gold, psychiatrist treating medical staff and assistant professor in the Department of Psychiatry at Washington University in St. Louis.
“It’s not an easy decision for people to leave this career,” she said. “This is not an impulsive thing someone does. Making the decision to quit medicine is one of the hardest things anyone will ever do. It’s brave, honest. “
“It’s like we’re in a war zone”
In 2020, Colorado saw a higher rate of nurse turnover as more people left the state’s health systems than were discontinued, Cara Welch, spokeswoman for the Colorado Hospital Association, said in an email. She did not provide any specific information on employment and turnover.
And a poll published earlier this year by the Washington Post and the Kaiser Family Foundation found that nearly 3 in 10 health workers have considered quitting their jobs, and more than half said the pandemic had negatively impacted their mental health.
Health care workers have suffered an unprecedented number of deaths. They fear that they or a loved one will contract the coronavirus, especially at the beginning of the pandemic when it was difficult to find enough personal protective equipment. They have expressed disillusionment with their job and the health system. They felt disappointed with the government and public response to the crisis.
“It’s like we’ve been in a war zone last year,” said Dr. Marc Moss, director of the Department of Lung Science and Intensive Care Medicine at the University of Colorado School of Medicine, who researched burnout in the hospital workforce. “It’s nobody’s fault. We have tough jobs and we see tragedies. “
Prior to COVID-19, hospital workers were performing tasks they had never done before – and probably never expected to be asked to. For example, radiologists worked in intensive care units during the pandemic, Gold said.
Due to visitor restrictions at the height of the pandemic, families were often unable to visit their loved ones in the hospital. As a result, ICU staff would often video calls families to discuss care, even when it was time to separate a person from life support, Moss said.
After such conversations, he put on his protective clothing, went into a patient room, and held the person’s hand as they died.
“After doing this several times … it makes you think,” Moss said. “It is also the right thing. But it takes its toll and has its consequences. “
Dr. Amy Olson, Medical Director of the Pulmonary Physiology Unit at National Jewish Health, prepares at Denver Hospital on November 19, 2020. Faced with intense burnout from the pandemic, Olson left the hospital in March.
Occupation of the health system
There was already a supply and care shortage nationwide. The health care industry is also preparing for 25 to 30 percent of its caregivers to retire within the next three to five years, said Karen Donelan, a professor at Brandeis University who has studied health care workers.
It’s too early to know how many more people will go because of the pandemic. Those who do not give up the job entirely could also take on new jobs. For example, there has been an influx of people turning to travel nursing, especially as such jobs became lucrative, especially in COVID-19 hotspots.
“People will judge who they work for and how they work and how they were treated during that time,” Donelan said, adding, “Any state that wants to ensure that its people have good health care should work to to understand how people live and work there in these professions. “
Prior to the pandemic, Colorado experienced shortages of caregivers and providers, especially in rural areas, which are more difficult to recruit, Welch said.
Hospital staffing became a major concern when the state’s COVID-19 infections rose for the third time in the fall. As the hospitals filled up, more of their staff got sick. Nurses in Denver reported seeing more patients as their shifts grew longer.
“It’s definitely better than the level of COVID,” said Olivia Thornton, an assistant nurse manager at UCHealth University of Colorado Hospital. “There is definitely still a shortage of nurses. We’re still working very, very hard to get as many people as possible. “
She said the hospital would like to have 15 nurses a day in an intensive care unit, but it only has 13 nurses. This means that caregivers have to care for more patients than usual.
“I can’t do what I did”
Olson, the Denver doctor, last saw patients in March.
At the time, she mostly worked remotely. When she returned to the patients that day, she thought it would not be as busy or difficult as it was during the November and December surge.
But nothing had changed. The patient records came and came as she tried to keep up and they didn’t stop until she left that day.
“You were expected to do a lot more work than is humanly possible,” she said.
Leaving the national Jew was not easy. She expected to stay there until she retired. Olson, who moved to a pharmaceutical company, felt like she was leaving her colleagues in the same situation that she was trying to escape.
She said to her patients: “I am not leaving you, but I cannot do what I did.”
source https://dailyhealthynews.ca/as-pandemic-wanes-will-burnout-fuel-exodus-of-colorado-health-care-workers/
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dailyhealthynews · 3 years
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Nutrition can empower women through menopause alongside medicine
IT IS A FEELING that menopause is taking off, which is very exciting after so many years of suffering in silence.
We had an interesting debate in the UK after Davina’s documentary and I see you have similar discussions in Ireland.
I think we’re the first generation not ready to shut up and the benefits of this open discussion about menopause are enormous because it’s so important that women have easy access to all of the different options that are available are available to them.
One of the very well-kept secrets about menopause is that it starts much sooner and lasts much longer than you might expect. Although we use the term “menopause” as a collective term for the entire transition period, technically menopause only lasts one day – the day 12 months have passed since your last period.
After that, you are officially postmenopausal, although symptoms may persist for a while as your body adapts to the hormonal change.
Diet as a support
Perimenopause is the premenopausal phase when the fun and games really begin. Hormonal changes can take place in the background from your early 40s, and progesterone is typically the first hormone to fluctuate, which can lead to cognitive and psychological symptoms like anxiety, depression, or brain fog.
While these are often an early warning sign that menopause is imminent, many women don’t make the connection right away because they think they are too young and they still have regular periods.
One thing that came up in recent liveline conversations about menopause is the shocking number of perimenopausal women who have been prescribed antidepressants by their doctors when a hormonal approach might have been more appropriate. Perimenopause can last for several years with different symptoms due to the ups and downs of estrogen and progesterone.
As a nutritional therapist specializing in women’s health and menopause, it is a constant source of frustration for me that there is not enough information available, particularly about the crucial role diet and lifestyle play in hormone balancing and relief play symptoms of menopause.
That’s why I started my podcast The Happy Menopause and wrote my book The Happy Menopause: Smart Nutrition to Help You Flourish.
Not every woman can take hormone replacement therapy (HRT), so a nutritional approach is crucial in these cases, and even if you do, a balanced diet will provide your body with the tools to optimize the effects of HRT so that it works just as effectively as possible.
Either way, focusing on diet and lifestyle is a win-win for mid-life women! It’s important to remember that menopause is nothing new – women have been through this for millennia and of course Mother Nature has a backup plan to help us through the transition and keep us fit and healthy.
Balancing act for blood sugar
The human body is a complex and clever high-performance machine that becomes active when the production of estrogen in the ovaries decreases. This is done by the adrenal glands, two peanut-shaped glands that sit just above the kidneys and are programmed to release a weak form of estrogen after menopause.
The catch is that the adrenal glands also produce our stress hormones cortisol and adrenaline, and because the body always prioritizes the life-saving “fight-or-flight” response, chronic stress can disrupt the backup strategy for estrogen production.
I see so many midlife women in my clinic juggling the pressures of work with a busy family life, looking after older relatives and generally being the glue that holds it all together – it’s a difficult combination that can be immensely stressful and this sustained pressure has a direct impact on the severity and duration of menopausal symptoms.
From a clinical nutritional perspective, my first approach is to focus on a hormone balancing approach that regulates the levels of stress and sex hormones. First and foremost for me is the blood sugar balance.
Every time your blood sugar drops, the body releases the stress hormones adrenaline and cortisol, which only worsen the hormonal imbalance and make everything worse.
The best way to balance blood sugar is to avoid sugary foods and refined carbohydrates that cause spikes and a combination of complex carbohydrates (such as whole grain bread, brown rice, or vegetables) and proteins (such as meat, fish Aim, eggs, legumes, nuts) & seeds) with every meal and snack.
The body burns complex carbohydrates more slowly and keeps you fit longer. Protein is hard to digest, so it slows down the release of carbohydrates even further, maintains that balance, and helps keep sugar cravings in check. In my book, I devote an entire chapter to blood sugar levels, because the right basics can make a big difference in treating menopausal symptoms.
Here are three simple changes you can make to improve your midlife health and wellbeing:
Eat More Protein – Not only does this balance your blood sugar (see above), it helps in many other ways as well. Women can lose up to 40% of their muscle mass by menopause and we need protein to build muscle tone. It is also important for strong bones and bone density loss is a serious problem for postmenopausal women. Our skin, hair, and nails are all made up of protein, so we need to give our body the building blocks to keep it strong and healthy.
Eat two handfuls of green vegetables – like spinach, rocket, broccoli, kale or cabbage daily. This is a one-stop shop for menopause-friendly nutrients: they’re a good source of plant-based iron that is relevant for women struggling with heavy periods and flooding; they contain twice as much calcium per 100 g as milk, which helps build strong bones; they’re packed with vitamin C, which the body uses to make collagen, a key component of healthy bones and plump, elastic skin; They are rich in magnesium, which supports muscle function, metabolizes calcium, and plays a key role in energy production and a healthy nervous system.
Add a tablespoon of ground flaxseed with your morning muesli or smoothie. This contains phytoestrogens called lignans, which are plant compounds that affect our estrogen receptors. Although the evidence base is inconclusive, some studies suggest that regular consumption of flaxseed can help reduce hot flashes and night sweats. Either way, since flaxseed is high in protein and fiber to help balance blood sugar, as well as an excellent source of omega-3 fatty acids, which are beneficial for heart health, it’s a great healthy option.
These simple steps are just a few of the many ways that diet and lifestyle can help promote your health and wellbeing during menopause.
I would love to see a world where diet is at the center alongside the medical approach because it’s such an important piece of the puzzle and could make a real difference for so many women.
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The momentum is growing and as the first generation to speak out about menopause, I believe we are laying the foundation for our daughters and granddaughters to have a much happier time.
There is much to build on, of course, but the current conversations allow us to move away from past mistakes and recognize the importance of providing readily accessible health information and support to mid-life women.
Jackie Lynch is a registered nutrition therapist and founder of WellWellWell Nutrition Clinic, where she specializes in women’s health and menopause. She is the host of the popular diet and lifestyle podcast The Happy Menopause and her book The Happy Menopause: Smart Nutrition to Help You Flourish is now available. Follow her on social media at @WellWellWellUK.
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source https://dailyhealthynews.ca/nutrition-can-empower-women-through-menopause-alongside-medicine/
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