Friday, 31 August 2012

Nigeria: U.S. Supports Nigeria With U.S.$500 Million to Fight HIV/Aids

The U.S. Ambassador to Nigeria, Mr Terence McCulley, on Monday in Abuja said his country had supported Nigeria with a grant of 500 million dollars in the fight against HIV/AIDS and other related diseases since 2005.

McCulley said this at the inauguration of the Defence Reference Laboratory by Mrs Olusola Obada, the Minister of State for Defence, at the Mogadishu Cantonment.

He said the laboratory, which is the first of its kind in the sub-region, was funded from the grant.

"The Reference Laboratory Programme is part of our $500m assistance to Nigeria since 2005 when the partnership began between U.S. Department of Defence and your Ministry of Defence.

"The partnership between U.S. Department of Defence (DOD) and Nigeria's Ministry of Defence (NMOD) through the Walter Reed Programme (WRP-N) and the Emergency Plan Implementation Committee (EPIC) has grown strong," he said.

MCculley said the partnership was evidenced by the commissioning of a world-class Defence Reference Laboratory (DRL).

According to him, the DRL was a critical piece for health care, enabling world-class diagnostic and laboratory monitoring services for military personnel and civilian population living in the surrounding communities.

He said the DRL would continue to grow, improve health care for the community it served and become a centre for excellence in Nigeria and West Africa sub-region.

In her remarks,Obada said the commencement of full activities at the DRL would lead to great improvement in the handling of HIV programmes and ultimately translate to better care for those living with the virus.

Obada, who was represented by Dr. Evelyn Ngige, said the establishment of the DRL was in line with Mr President's Transformation Agenda in the health sector through strengthening of indigenous capabilities and a drastic reduction on dependence of facilities abroad for similar services.

"Expectedly, this facility will promote the health of our troops, thereby ensuring their combat fitness for International Peace Support Operations and internal security challenges, " she said .

The minister commended the U.S. government for the support and urged the professionals that would be making use of the laboratory to justify the confidence reposed in them.

"But the beauty of the programme is that in all the 24 sites where we have in Nigeria where we treat our troops, civilians are also taken care of and the communities near the barracks also benefit from the programme, " she added.

Also speaking, Maj.-Gen. Tahir Umar, the Chairman of Emergency Plan Implementation Committee, said the success of the sites operated by EPIC across the country had led to the need to provide a laboratory that would be able to assure quality control of all programme sites.

Umar said the establishment of the laboratory was made possible through the funding by the U.S. Defense Department and the Ministry of Defence.

The News Agency of Nigeria (NAN) reports that the event was attended by the Chief of Defence Staff, Air Chief Marshal Oluseyi Petinrin, and former the Minister of State for Defence, Dr Rowland Oritsejafor. (NAN)



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Namibia: 'Magda' - a Dance Piece (play) By the Ombetja Yehinga Organization(OYO)

On Friday, 17 August 2012, this newspaper carried a press release about the 'dance piece' called 'Magda', which focuses on 'corrective rape'.

The piece was first performed at 'The Space' Theatre, UNAM, on Tuesday, 21 August 2012, and its second performance was at the Goethe Centre, Windhoek on Wednesday, 22 August 2012. As explained by the speaker who introduced the performance to the audience, the piece falls into the genre of ' physical' theatre'.

The cast consisted of OYO (Ombetja Yehinga Organization) members, under the direction of Phillippe Talavera, who has been responsible for many performances exposing and high-lighting numerous social issues e.g. HIV/AIDS and matters which focus on dangerous/risky sexual practices, amongst others.

Following on previous approaches he has used three visiting foreign dancers (Claire Hardy-Canada, Marie Zechiel-Germany and Rhianne Cooper-UK), to complement his local cast, and it must be said that our local contingent was certainly not upstaged by the more experienced performers from abroad. That aspect alone bears considering. Local amateur groups have few opportunities to hone their skills, so the 'Magda' performances were meritorious over and above expectations.

The 'Magda' show was preceded by solo contributions from the three foreign dancers and, though the floor space at the Goethe is not ideal for dance/theatre performances, they acquitted themselves well within the limitations.

Which brings one to the choreography, and it might just be that this was what stole the show. The choreography was creative and built around the strengths of the performers. Sequences were well thought out in a way that enhanced the narrative for the audience.

The dancers were expressive in the narration of the theme, and the energy levels were consistent throughout. Modern dance often fails t to engage and convince and bring the audience on-board.

In this instance, the performance ticked all the right boxes, and the audience left feeling that the production had achieved its purpose, and entertained as a show of modern dance. Here the role of the choreography was as much responsible for the overall success of the production, as was the energy and interpretation by the dancers.

The attention of the audience remained focused, due, in part, to the fact that there were no props, no stage, and no special effects to distract from the performance.

The simple black screen functioned at many levels, and one never felt that anything more was needed. This minimal use of the screen suited the production perfectly. In fact, it would be true to say, that the entire production could be stowed in a suitcase and taken to the various venues in the boot of a small family vehicle.

The issue of 'corrective rape' has been in the public domain, particularly with the exposés in the South African media, where brutal slayings have accompanied the rapes. So, the facts around the crime of 'corrective rape' are not new.

A pertinent question that can be posed, however, has not made it into the media. Firstly, perpetrators are not the 'good men' that are alluded to. They are criminals, with despicable attitudes towards women and girls, the weakest in society, as well as gay men, who are preyed upon.

Why then, does society, and the judicial system, not level the playing field by applying a balancing corrective? Why not castrate (chemically or by other means) these abominable criminals? Do straight men have more rights than gay men and women in our modern democracy with its so-called equitable constitution? Seems not!

'Magda' might be a small step in the context of 'physical theatre' in Namibia, but it could serve as a significant vehicle for positioning the issue of rape in the public domain, and dealing with ways of addressing this blight on Namibian society.

The statistics of rape in Namibia are skewed, because less than half of the crimes are reported, and perpetrators shield behind family members, within families, in closed social circles, and even behind cultural practices.

The time has come for all role players to throw their weight behind programmes aimed at bringing the criminals to court. We cannot remain silent.



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Potential New Type Of Diagnostic Imaging Technology Using Collagen-Seeking Synthetic Protein Could Lead Doctors To Tumor Locations

Main Category: Medical Devices / Diagnostics
Also Included In: Arthritis / Rheumatology;  Cancer / Oncology
Article Date: 31 Aug 2012 - 2:00 PDT


Johns Hopkins researchers have created a synthetic protein that, when activated by ultraviolet light, can guide doctors to places within the body where cancer, arthritis and other serious medical disorders can be detected.

The technique could lead to a new type of diagnostic imaging technology and may someday serve as a way to move medications to parts of the body where signs of disease have been found. In a study published in the Aug. 27-31 Online Early Edition of Proceedings of the National Academy of Sciences, the researchers reported success in using the synthetic protein in mouse models to locate prostate and pancreatic cancers, as well as to detect abnormal bone growth activity associated with Marfan syndrome.

Video of Michael Yu discussing a synthetic molecule called collagen mimetic peptide:

The synthetic protein developed by the Johns Hopkins team does not zero in directly on the diseased cells. Instead, it binds to nearby collagen that has been degraded by various health disorders. Collagen, the body's most abundant protein, provides structure and creates a sturdy framework upon which cells build nerves, bone and skin. Some buildup and degradation of collagen is normal, but disease cells such as cancer can send out enzymes that break down collagen at an accelerated pace. It is this excessive damage, caused by disease, that the new synthetic protein can detect, the researchers said.

"These disease cells are like burglars who break into a house and do lots of damage but who are not there when the police arrive," said S. Michael Yu, a faculty member in the Whiting School of Engineering's Department of Materials Science and Engineering. "Instead of looking for the burglars, our synthetic protein is reacting to evidence left at the scene of the crime," said Yu, who was principal investigator in the study.

A key collaborator was Martin Pomper, a School of Medicine professor of radiology and co-principal investigator of the Johns Hopkins Center of Cancer Nanotechnology Excellence. Pomper and Yu met as fellow affiliates of the Johns Hopkins Institute for NanoBioTechnology. "A major unmet medical need is for a better non-invasive characterization of disrupted collagen, which occurs in a wide variety of disorders," Pomper said. "Michael has found what could be a very elegant and practical solution, which we are converting into a suite of imaging and potential agents for diagnosis and treatment."

The synthetic proteins used in the study are called collagen mimetic peptides or CMPs. These tiny bits of protein are attracted to and physically bind to degraded strands of collagen, particularly those damaged by disease. Fluorescent tags are placed on each CMP so that it will show up when doctors scan tissue with fluorescent imaging equipment. The glowing areas indicate the location of damaged collagen that is likely to be associated with disease.

In developing the technique, the researchers faced a challenge because CMPs tend to bind with one another and form their own structures, similar to DNA, in a way that would cause them to ignore the disease-linked collagen targeted by the researchers.

To remedy this, the study's lead author, Yang Li, synthesized CMPs that possess a chemical "cage" to keep the proteins from binding with one another. Just prior to entering the bloodstream to search for damaged collagen, a powerful ultraviolet light is used to "unlock" the cage and allow the CMPs to initiate their disease-tracking mission. Li is a doctoral student from the Department of Chemistry in the Krieger School of Arts and Sciences at Johns Hopkins. Yu, who holds a joint appointment in that department, is his doctoral adviser.

Yu's team tested Li's fluorescently tagged and caged peptides by injecting them into lab mice that possessed both prostate and pancreatic human cancer cells. Through a series of fluorescent images taken over four days, researchers tracked single strands of the synthetic protein spreading throughout the tumor sites via blood vessels and binding to collagen that had been damaged by cancer.

Similar in vivo tests showed that the CMP can target bones and cartilage that contain large amounts of degraded collagen. Therefore, the new protein could be used for diagnosis and treatment related to bone and cartilage damage.

Although the process is not well understood, the breakdown and rebuilding of collagen is thought to play a role in the excessive bone growth found in patients with Marfan syndrome. Yu's team tested their CMPs on a mouse model for this disease and saw increased CMP binding in the ribs and spines of the Marfan mice, as compared to the control mice.

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Dog Ear Infection Home Remedy Blue

For every one of these anxious regarding the opportunity difficulties of antibiotics, ear infection therapies household may very well be the answer for you personally. You’ll find really quite a few prescription drugs, if you want that they commence hunting typical although you might be having issues from an ear infection. A central issue, could you do to reduce the indications or symptoms or signs must be to force from a heat H2O and salt inside a bag to his ear. A distinctive suggests of technique options will require to more than likely which has a range of drops of tea tree oil, it were the situation of the variety of all-natural antibiotic. It should be talked about however, the tea tree oil may well quite possibly carry on distress about the pores and skin if used also generously.
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But only one can validate that he’s pure, which can be generally known as Visalia maneuvers. This maneuver will most likely be to open up the tubes. Some state which will support pull your ears. To get this maneuver basically a deep breath, then shut your mouth and pinch your nose and blow gently. Be conscious to not fly and substantially significantly also problematic, since it is extremely possible, is damage in the path of the ear, in the event you will. Also, I truly isn’t going to most likely try this strategy when you’ve bought an infection, this tends to most likely only be for earache.
There exists also an excellent decide to use a take a look at acquiring some painkillers and anti-inflammatory medicines to reduce quite a few using the characters affiliated having an ear infection. It may be handy to reduce applying warmth before the ear soreness, some keep in mind. I’m creating an make an effort to function with, almost certainly, a heating pad or conceivably cleanse up cloth which could are now heated. Like most ailments, is peaceful crucial that you assist the body mend by alone. Ear drops undoubtedly are a various recognized solution, but make sure that that has a wellness care supplier in advance of applying anything over-the-counter chat.
Many individuals get a glance at rather garlic or onion juice diluted although within the ears, even suggesting which you lie down together with his ear to a bag of salt for screening and counseling if you need to get rid of considerable quantities of pus. A center ear infection might extremely perfectly be very common in a lot more youthful youthful kids, and once you use a youngster with all round wellness issues is exceptionally essential that you simply only chat to some health practitioner in the earliest option, endeavor some household options for ear infections and incidental for that the majority effective hope.

Yeast In Dog Ears



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21 MMA Ring Girls Who've Bared All: A NSFW Celebration

When some guys are bored, they flip on the television or spend an afternoon obsessing over their fantasty football league. Others—like our friends over at Cage Potato, decide to fulfill a major life goal: Like compiling a definitive collection of every notable MMA ring girl who has posed in the buff. It seemed like a worthwhile ambition, and we applaud their commitment to industriousness, instead of sloth. One thing's for certain: These images are definitely not boss approved or co-worker friendly, so we suggest bookmarking their handiwork and taking a peek when you get home. That's it, if your willpower can get you through the rest of the day. 

 



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Thursday, 30 August 2012

Your Workouts Reviewed: Superset Routine for Size

Everyone's got a workout of their own—their "go-to" routine. But is your routine good enough? We asked our Men's Fitness Facebook friends if they had a killer routine to share and subject to the scrutiny of our readers. The big catch? Our team of training experts also review it, critique it and tweak it if necessary.

Workout Submission

GOAL: Strength and Hypertrophy (Size)

"Legs are neglected so much by people, for a multitude of reasons. They can't be! Legs are half of the body and if you don't work them you're going to have a tough time building muscle and strength."

 

Expert Assessment

Pros: "I love where you are coming from, my man. Anyone who still thinks leg training is not important for body composition, performance and strength goals needs to step away from the computer, step into the power rack and repeat the mantra “running does not replace training legs” while doing sets of 20 rep squats. Obviously, you have some of the great lower body movements as part of your exercise selection, including deadlifts, squats and lunges. You also hit the calves from both a standing position and seated which actually focus on the two different main muscles of the calf. You also understand the difference between appropriate hypertrophy reps, sets and rest intervals and strength training reps, sets and rest which can get lost on a lot of trainees."

Cons: "First off, supersetting deadlifts and squats, even in the higher rep ranges, is a recipe for compromised performance in both movements(at best) and possible lower back injury (at worst). You always want to make sure your programs are designed in a manner that you get the most out of the lift or best leads you towards your goals is a safe manner. 6 to 12 reps is a bit of a large range, especially on major movements like the squat and dead. Most people can probably deadlift 40% more for 6 than they can for 12, so this rep scheme can make choosing a proper load difficult. I’m also not a huge fan of supersetting movements with incredibly varied rep ranges as you have done in superset “B” of your strength day. 3 to 5 then 8 to 12 and back to 3 to 6 leads to muscle confusion -- and I don’t mean that in the cool, infomercial kind of way."

Comments: "I’m a big fan of dedicating two days per week to lower body training. Make one day’s main exercise be a squat variation and the other day include a deadlift as your main movement. Then fill in the blanks with single-leg work and assistance exercises that make sense for your program. I’m also a believer in training blocks or cycles so I’d develop the lower rep strength qualities for 3-5 weeks and move onto the hypertrophy ranges in your next training block. Finally, I know you know this, David, but I have to mention it for everyone else reading - you should train your upper body during the week as well."



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Cardiac Resynchronization Therapy Consensus Set To Standardize And Improve Care For Patients Worldwide

Main Category: Heart Disease
Also Included In: Medical Devices / Diagnostics;  Cardiovascular / Cardiology
Article Date: 30 Aug 2012 - 1:00 PDT



Recommendations for the practical management of CRT patients have been set out for the first time in an international consensus statement on cardiac resynchronization therapy (CRT) in heart failure.

The 2012 Expert Consensus Statement on Cardiac Resynchronization Therapy (CRT) in Heart Failure: Implant and Follow-up Recommendations and Management was developed by the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC), and the Heart Rhythm Society (HRS) in the US, and will be published in their respective journals, EP Europace and HeartRhythm.

CRT was developed 20 years ago in Europe and the United States and has reached maturity as a major heart failure therapy. The therapy has risen in popularity, with more than 200,000 devices implanted worldwide last year and more than one million over the last 10 years.

The clinical indications for CRT are clearly outlined in the 2007 ESC guidelines, which were updated in 2010, and US guidelines from 2008. These guidelines are supported by robust evidence from randomised clinical trials.

This consensus statement is particularly unique because it incorporates expert consensus from Europe and North America.

"We have very strong recommendations regarding clinical indications based on the clinical evidence and these are covered in multiple guidelines," said Professor Jean-Claude Daubert, joint task force co-chair and Professor of Cardiology and Vascular Diseases, University of Rennes 1, France. "CRT therapy improves symptoms, cardiac function, hospitalization rates and mortality in a broad range of patients with heart failure."

He added: "On the contrary, until now we did not have a consensual document on the practical aspects of this therapy. Our goal was to establish a consensus statement on how to manage CRT patients before, during and after the implantation procedure. We do not discuss clinical indications."

"In this document we attempted to fill in the gaps in clinical evidence and provide practical recommendations for the evaluation and management of the CRT patient that could be applied to patients implanted anywhere in the world," said Dr Leslie Saxon, US joint task force co-chair and Chief, Division of Cardiovascular Medicine, University of Southern California.

While there are some randomised trials on specific practical aspects of CRT, there was a lack of solid clinical evidence for all aspects of management. For this reason, experts from both sides of the Atlantic teamed up to establish a clinical consensus on how to manage the CRT patient.

The document is in six sections:

Pre-implant evaluation

Includes recommendations on how to manage patients just before CRT implantation. This section focuses on potential temporary contraindications to the intervention, and how to manage medications, particularly anticoagulants and antibiotics, just before and during the implantation procedure. Professor Daubert said: "There was no consensus before on these very particular aspects."

CRT implantation

How to implant the CRT device. This section describes all steps of the procedure such as anaesthesia, lead implant sequence, left ventricular lead placement and defibrillation testing. "This is, to my knowledge, the first attempt to write a consensus definition of the optimal way to implant a CRT device," said Professor Daubert. "We make recommendations on all the technical aspects of the implantation procedure."

Pre-discharge evaluation and device programming

Includes how to recognise and handle acute complications, initial programming of the device just after the operation and before hospital discharge, and atrioventricular (AV) and ventriculoventricular (VV) optimization. "This is the first time we have a consensus on the optimal programming of the CRT device just after the operation," said Professor Daubert.

CRT follow-up

This section outlines how follow-up should be organised and what assessments should be made. The complementary role of remote monitoring is discussed, with a special focus on how remote hemodynamic monitoring can be used. The need for strong cooperation between the heart failure specialist and the electrophysiologist (EP) is stressed. "We have to keep in mind that the CRT patient is primarily a heart failure patient," said Professor Daubert. "Follow-up has to concern not only the technical follow-up of the device, but also - and primarily - the heart failure status of the patient. It is essential to optimise the heart failure management of the patient."

Response to CRT management of the non-responder

Discusses how to assess the response to CRT and how to manage non-responders. The document recommends that a systematic assessment should be conducted to identify and treat reversible causes of non-response.

Special considerations

Includes recommendations for the management of CRT in particular situations such as patients with atrial fibrillation and patients on renal dialysis. Also discussed are how to choose between the two types of device - resynchronization alone or resynchronization plus defibrillation - and the relative advantages and disadvantages of each. And finally, issues related to end of life, patient education and engagement, and cost effectiveness are considered.

Professor Daubert concluded: "This is the first consensus statement on all of the practical aspects involved in managing CRT patients throughout their entire journey on CRT therapy. We hope it will be useful in the clinical practice of physicians all over the world who use this type of therapy, including heart failure specialists who refer and follow patients and EP specialists who implant the device and follow patients."

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It's about time!

The U.S. Preventative Services Task Force is in the process of considering a recommendation to make routine HIV testing part of clinical care. While the CDC has been recommending universal testing since 2005, the task force has been slow to get on board. Initially, this was because there were concerns that a positive test might not change patient behavior enough to benefit the population at large. There were worries that the benefits of the test might not actually outweigh the costs.

Research on treatment as prevention may have contributed to the change in the conversation. A large clinical trial has shown that HIV treatment not only improves patient health but reduces the chances of transmitting the virus to sexual partners. This means that testing and prompt treatment doesn't only benefit the positive patient - it also reduces population risk by potentially decreasing the spread of the virus.

Hopefully the recommendation will go forward. In addition to improving the likelihood that doctors will actually test their patients for HIV, a task force recommendation has another very important benefit. The health care reform law requires insurance companies to cover any tests that the task force endorses. Even though testing is not particularly expensive, and is often available for free, guaranteed insurance coverage could remove a major barrier to incorporating HIV testing into routine medical care.



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Wednesday, 29 August 2012

Little Evidence on Value of Treatments for Autism: Report

Little Evidence on Value of Treatments for Autism: Report

TUESDAY, Aug. 28 (HealthDay News) -- There is just not enough evidence to determine whether or not current treatments actually help adolescents and young adults with autism, researchers report.

"Overall, there is very little evidence in all areas of care for adolescents and young adults with autism, and it is urgent that more rigorous studies be developed and conducted," report senior author Melissa McPheeters, director of Vanderbilt University's Evidence-Based Practice Center, said in a university news release.

Her team reviewed 32 studies published between 1980 and 2011 on therapies for people aged 13 to 30 with autism.

They found some evidence that treatments might boost social skills and educational outcomes such as vocabulary and reading, but the studies were generally small and had limited follow-up.

There was little evidence supporting the use of drug therapy for people with autism in these age groups. The most consistent findings showed that antipsychotic medications might lessen problem behaviors such as irritability and aggression. However, harmful side effects linked to these medications included weight gain and sedation.

Only five studies tested interventions involving work skills training for young people with autism. All of the studies suggested that vocational interventions may be effective for some adolescents and young adults with autism, but the studies also had significant flaws that raised questions about their conclusions.

One expert said the paucity of data on this topic is disheartening.

"Only five studies that address vocation skills were published in the last three decades, and all were of poor quality," said Geraldine Dawson, chief science officer at the advocacy group Autism Speaks. However, "the meager evidence that exists suggests that vocational interventions improve rates of employment, reduce autism symptoms, and [improve] quality of life."

She said more and better data is needed. "Given the huge number of adolescents [with autism] who will be entering adulthood in the next several years, it is crucial that we address this knowledge gap," Dawson said. "There is a great need for research to identify the most effective strategies for helping young people with autism navigate the transition to adulthood successfully."

Autism rates are rising, but much remains to be discovered about treatments, added the researchers, whose review was published by the U.S. Agency for Healthcare Research and Quality. The findings about vocational interventions were published separately in the Aug. 27 issue of the journal Pediatrics.

"There are growing numbers of adolescents and adults with autism in need of substantial support. Without a stronger evidence base, it is very hard to know which interventions will yield the most meaningful outcomes for individuals with autism and their families," Zachary Warren, director of the Vanderbilt Kennedy Center's Treatment and Research Institute for Autism Spectrum Disorders, said in the news release.

-- Robert Preidt

MedicalNewsCopyright © 2012 HealthDay. All rights reserved.

SOURCES: Geraldine Dawson, Ph.D., chief science officer, Autism Speaks; Vanderbilt University, news release, Aug. 27, 2012




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The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial

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Background: Evidence suggests that exercise training improves CVD risk factors. However, it is unclear whether health benefits are limited to aerobic training or if other exercise modalities such as resistance training or a combination are as effective or more effective in the overweight and obese. The aim of this study is to investigate whether 12 weeks of moderate-intensity aerobic, resistance, or combined exercise training would induce and sustain improvements in cardiovascular risk profile, weight and fat loss in overweight and obese adults compared to no exercise. Methods: Twelve-week randomized parallel design examining the effects of different exercise regimes on fasting measures of lipids, glucose and insulin and changes in body weight, fat mass and dietary intake. Participants were randomized to either: Group 1 (Control, n = 16); Group 2 (Aerobic, n = 15); Group 3 (Resistance, n = 16); Group 4 (Combination, n = 17). Data was analysed using General Linear Model to assess the effects of the groups after adjusting for baseline values. Within-group data was analyzed with the paired t-test and between-group effects using post hoc comparisons. Results: Significant improvements in body weight ([MINUS SIGN]1.6%, p = 0.044) for the Combination group compared to Control and Resistance groups and total body fat compared to Control ([MINUS SIGN]4.4%, p = 0.003) and Resistance ([MINUS SIGN]3%, p = 0.041). Significant improvements in body fat percentage ([MINUS SIGN]2.6%, p = 0.008), abdominal fat percentage ([MINUS SIGN]2.8%, p = 0.034) and cardio-respiratory fitness (13.3%, p = 0.006) were seen in the Combination group compared to Control. Levels of ApoB48 were 32% lower in the Resistance group compared to Control (p = 0.04). Conclusion: A 12-week training program comprising of resistance or combination exercise, at moderate-intensity for 30 min, five days/week resulted in improvements in the cardiovascular risk profile in overweight and obese participants compared to no exercise. From our observations, combination exercise gave greater benefits for weight loss, fat loss and cardio-respiratory fitness than aerobic and resistance training modalities. Therefore, combination exercise training should be recommended for overweight and obese adults in National Physical Activity Guidelines.This clinical trial was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR), registration number: ACTRN12609000684224.

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Source: http://www.biomedcentral.com/1471-2458/12/704

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Quick Tip: Eat Less Junk Food By Paying Attention

When faced with a picnic table filled with your favorite junk foods, how long does it take you to down the bowl of chips or bag of candy? For the lucky few, resisting unhealthy foods is easy. For those with less willpower, though, all-you-can-eat parties are just unwanted calories waiting to be worked off.

But new research from the University of Minnesota says that self-control is about more than just willpower, meaning you might be able to develop the restraint that others are born with. In the study, published in the Journal of Consumer Research, researchers found that people who paid better attention while they ate became satisfied more quickly, even when chowing down on chocolate and cookies.

And to help them build this awareness? Researchers simply asked volunteers to count the number of times they swallowed. For people with low self-control in the study, the change was dramatic enough to put them up there with the strong-willed resisters. (They even ended up eating less junk food in one of the experiments.)

Similar studies have found that eating mindfully is a great way to eat less and feel full faster. The flipside, though, is that distractions that mess with your attention can increase the time it takes for you to be satisfied. So turn off the television, put down the bag of chips, and if you can't simply step away from the junk food—be conscious of each and every bite.



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Little Evidence on Value of Treatments for Autism: Report

Little Evidence on Value of Treatments for Autism: Report

TUESDAY, Aug. 28 (HealthDay News) -- There is just not enough evidence to determine whether or not current treatments actually help adolescents and young adults with autism, researchers report.

"Overall, there is very little evidence in all areas of care for adolescents and young adults with autism, and it is urgent that more rigorous studies be developed and conducted," report senior author Melissa McPheeters, director of Vanderbilt University's Evidence-Based Practice Center, said in a university news release.

Her team reviewed 32 studies published between 1980 and 2011 on therapies for people aged 13 to 30 with autism.

They found some evidence that treatments might boost social skills and educational outcomes such as vocabulary and reading, but the studies were generally small and had limited follow-up.

There was little evidence supporting the use of drug therapy for people with autism in these age groups. The most consistent findings showed that antipsychotic medications might lessen problem behaviors such as irritability and aggression. However, harmful side effects linked to these medications included weight gain and sedation.

Only five studies tested interventions involving work skills training for young people with autism. All of the studies suggested that vocational interventions may be effective for some adolescents and young adults with autism, but the studies also had significant flaws that raised questions about their conclusions.

One expert said the paucity of data on this topic is disheartening.

"Only five studies that address vocation skills were published in the last three decades, and all were of poor quality," said Geraldine Dawson, chief science officer at the advocacy group Autism Speaks. However, "the meager evidence that exists suggests that vocational interventions improve rates of employment, reduce autism symptoms, and [improve] quality of life."

She said more and better data is needed. "Given the huge number of adolescents [with autism] who will be entering adulthood in the next several years, it is crucial that we address this knowledge gap," Dawson said. "There is a great need for research to identify the most effective strategies for helping young people with autism navigate the transition to adulthood successfully."

Autism rates are rising, but much remains to be discovered about treatments, added the researchers, whose review was published by the U.S. Agency for Healthcare Research and Quality. The findings about vocational interventions were published separately in the Aug. 27 issue of the journal Pediatrics.

"There are growing numbers of adolescents and adults with autism in need of substantial support. Without a stronger evidence base, it is very hard to know which interventions will yield the most meaningful outcomes for individuals with autism and their families," Zachary Warren, director of the Vanderbilt Kennedy Center's Treatment and Research Institute for Autism Spectrum Disorders, said in the news release.

-- Robert Preidt

MedicalNewsCopyright © 2012 HealthDay. All rights reserved.

SOURCES: Geraldine Dawson, Ph.D., chief science officer, Autism Speaks; Vanderbilt University, news release, Aug. 27, 2012




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Tuesday, 28 August 2012

Dog Ear Infection Home Remedy Blue

For every one of these anxious regarding the opportunity difficulties of antibiotics, ear infection therapies household may very well be the answer for you personally. You’ll find really quite a few prescription drugs, if you want that they commence hunting typical although you might be having issues from an ear infection. A central issue, could you do to reduce the indications or symptoms or signs must be to force from a heat H2O and salt inside a bag to his ear. A distinctive suggests of technique options will require to more than likely which has a range of drops of tea tree oil, it were the situation of the variety of all-natural antibiotic. It should be talked about however, the tea tree oil may well quite possibly carry on distress about the pores and skin if used also generously.
You may also assume about an extract from a range of unique wellness connected cultures Alternative title. Alternative is generally a blend of St. John’s well worth, garlic also as other vegetation which might be most likely employed for a homeopathic form of anesthesia to alleviate struggling resulting from an ear infection. That is certainly definitely, ought to truly be pointed out which may have executed just one point with facet Alternative affiliated.
But only one can validate that he’s pure, which can be generally known as Visalia maneuvers. This maneuver will most likely be to open up the tubes. Some state which will support pull your ears. To get this maneuver basically a deep breath, then shut your mouth and pinch your nose and blow gently. Be conscious to not fly and substantially significantly also problematic, since it is extremely possible, is damage in the path of the ear, in the event you will. Also, I truly isn’t going to most likely try this strategy when you’ve bought an infection, this tends to most likely only be for earache.
There exists also an excellent decide to use a take a look at acquiring some painkillers and anti-inflammatory medicines to reduce quite a few using the characters affiliated having an ear infection. It may be handy to reduce applying warmth before the ear soreness, some keep in mind. I’m creating an make an effort to function with, almost certainly, a heating pad or conceivably cleanse up cloth which could are now heated. Like most ailments, is peaceful crucial that you assist the body mend by alone. Ear drops undoubtedly are a various recognized solution, but make sure that that has a wellness care supplier in advance of applying anything over-the-counter chat.
Many individuals get a glance at rather garlic or onion juice diluted although within the ears, even suggesting which you lie down together with his ear to a bag of salt for screening and counseling if you need to get rid of considerable quantities of pus. A center ear infection might extremely perfectly be very common in a lot more youthful youthful kids, and once you use a youngster with all round wellness issues is exceptionally essential that you simply only chat to some health practitioner in the earliest option, endeavor some household options for ear infections and incidental for that the majority effective hope.

Yeast In Dog Ears



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Gallstones in Kids, Teens Linked to Obesity

Gallstones in Kids, Teens Linked to Obesity

Girls Have Higher Risk Than Boys, Study Shows

By Salynn Boyles
WebMD Health News

Reviewed by Louise Chang, MD

Aug. 24, 2012 -- More and more children are being treated for gallstones, and the obesity epidemic may play a role.

In a new study, obese children and teens were at least twice as likely to have gallstones as those whose weight was normal or underweight -- and the risk was nearly three to eight times higher for the heaviest boys and girls.

Gallstones in Kids Linked to Obesity

Childhood obesity has more than tripled in the United States over the last three decades, according to the CDC.

The rise has been accompanied by an increase in obesity-related health problems, such as type 2 diabetes and high cholesterol, that were once largely confined to adults; this study confirms that gallbladder disease is among them.

Researcher Corinna Koebnick, PhD, says even though gallstones are still relatively rare among children and teens, this may not be the case among kids who are extremely overweight.

Koebnick is a research scientist with the Kaiser Permanente Southern California Department of Research and Evaluation.

"With childhood obesity on the rise, pediatricians can expect to diagnose and treat an increasing number of children affected by gallstone disease," she says.

Gallbladder Surgeries More Common

An estimated 20 million adults in the U.S. have gallstones. Women are more likely to have them than men.

Gallstones are deposits formed inside the gallbladder. Most gallstones are stones that contain hardened cholesterol. Gallstones vary in size and may cause no symptoms. In other cases, they can block the passage of bile and cause inflammation, infection, or organ damage that can be serious.

Among children, gallstones have been closely linked to blood diseases such as sickle cell anemia.

But reports of a sharp increase in gallbladder removal surgeries in children led to the speculation that obesity may play a role.

To test the theory, the Kaiser Permanente researchers examined the electronic health records of more than half a million 10- to 19-year-olds enrolled in the health plan. They found 766 patients with gallstones.

They found that the association between obesity and gallstones was stronger for girls than boys.

Extremely obese girls were nearly eight times more likely to be treated for gallbladder disease than girls who were normal weight or underweight.

Among the other findings:

  • The heaviest boys were three times as likely to have gallstones as normal-weight or underweight boys.
  • Hispanic children and teens had a higher gallstone risk than those of other races.
  • In teen girls, use of oral contraceptives was also linked to a higher gallstone risk, which is also the case with adult women.

Gallbladder Disease in Kids Was Once 'Unheard Of'

Nutritionist Nancy Copperman, RD, works with overweight and obese young people, and trains others to do the same, as director of public health initiatives at the North Shore-LIJ Health System in Great Neck, N.Y.

She says the new study and studies like it are important because they document the rise in obesity-related disease in young people.

"Gallbladder disease was virtually unheard of in children until a few years ago, with the exception of those related to blood disorders," she tells WebMD.

She adds that the fact that this is no longer the case highlights the importance of addressing the childhood obesity epidemic.

"This is not a cosmetic issue," she says. "Obesity carries health risks for children as well as adults, and the best treatment is prevention."

The study is published in the Journal of Pediatric Gastroenterology & Nutrition.

SOURCES: Koebnick, C. Journal of Pediatric Gastroenterology & Nutrition, 2012, study received ahead of print. Corinna Koebnick, PhD, research scientist, Kaiser Permanente Southern California Department of Research and Evaluation. Nancy Copperman, RD, director of public health initiatives, Office of Community Health, North Shore-LIJ Health System, Great Neck, N.Y. News release, Kaiser Permanente Southern California.

©2012 WebMD, LLC. All Rights Reserved.




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Making Parental Peace With Kids' Homework

Making Parental Peace With Kids' Homework

SATURDAY, Aug. 25 (HealthDay News) -- The start of a new school year is edging closer and it might be a good idea for parents to start thinking about how they're going to deal with homework issues, one expert suggests.

"The battle is different for every family. Some children resist starting their homework, some have a hard time finishing and others do their homework -- but don't turn it in," Drew Edwards, an adjunct associate professor of psychology at Wake Forest University in Winston-Salem, N.C., said in a university news release.

Parents should work with their children to develop an effective system for bringing school assignments home, such as a notebook that children use to record daily homework assignments, or an assignment sheet that they take to school.

"It's important to get in the habit of writing it down and bringing it home. That will help students get in the habit of bringing home the correct textbook or other materials needed to finish their homework," Edwards said.

Here are some other tips:

  • Children need to find the right spot to do their homework. Have them try doing it in several places until they find the one that feels right.
  • Determine the right time for children to do their homework. Pick a time -- such as right after school or after dinner -- and try it for two weeks. If that doesn't work, try another time for two weeks.
  • Determine if your child likes to do homework in a certain order, such as starting with the hardest assignments. You can offer suggestions, but let the child make the final decision.
  • Have your child focus on one subject at a time and put away all other books and materials. "Looking at a pile of books can make a child feel overwhelmed or can just make it tough to focus on the current assignment," Edwards explained.
  • While you should offer support and encouragement, try not to hover.

Do not nag your children about their homework and do not do their homework. These are two of the biggest mistakes parents make.

"School is important but so is the relationship you have with your child. Don't let homework become an issue that harms that relationship," Edwards said.

-- Robert Preidt

MedicalNewsCopyright © 2012 HealthDay. All rights reserved.

SOURCE: Wake Forest University, news release, July 2012




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Monday, 27 August 2012

South Africa: HIV/Aids and TB Are Workplace Diseases With Effect On Productivity - Cautions ILO

A strong partnership and shared strategy between employers, unions and surrounding communities was imperative in addressing the ravages caused by diseases such as HIV/Aids and tuberculosis (TB) in the workplace, said International Labour Organisation (ILO) senior technical advisor on health Simphiwe Mabhele.

Mabhele said despite more than three decades of advocacy about the effects of the diseases, he was concerned that the management of human immune virus (HIV) and acquired immune deficiency syndrome (Aids) including tuberculosis as workplace diseases seemed to have been relegated to the periphery.

"Despite awareness campaigns a stigma index still shows that people still have fears around HIV/Aids disease. It is not clear why this reaction still prevail - whether it is because of lack of information or other reasons," Mabhele cautioned.

Mabhele was speaking at a Department of Labour (DoL) organised workshop that was held at the Eastern Cape Training Centre (ETC) in Port Elizabeth, Eastern Cape today (August 22).

The gathering is used by DoL's Employment Equity (EE) Advisory Unit Directorate to outline the newly unveiled key steps for successful implementation of the revised HIV/Aids and TB Code, and the technical assistance guideline (TAG) policy in the world of work.

The national roadshows are also used by the department as part of an annual campaign to provide information about the Public Register and guidance for successful EE reporting.

The new HIV/Aids Code and its TAG were signed and gazetted by Labour Minister Mildred Oliphant recently.

The new guidelines and accompanying TAG cover aspects relating to: elimination of unfair-discrimination and promotion of equal opportunity and fair treatment, using a multilateral approach to deal with the disease(s), promoting a safe working environment, management of HIV and Aids plus TB and the world of work, monitoring and evaluation.

Mabhele said the review was also informed by the ILO's Recommendation concerning HIV and Aids and the World of Work, 2010 (No. 200) adopted by governments, employers and trade unions in June 2010 and recognition that HIV/Aids and TB were problem diseases of workplace.

The HIV/Aids and TB code was developed by DoL in partnership with the ILO, an international labour organisation responsible for generating labour standards following a national consultation exercise of review.

According to ILO, employers are obligated to provide and maintain a workplace that is safe and without risk to the health of its workers. The organisation recommends the following methods to deal with disease management: prevention, treatment, care and support, occupational health and safety, and wellness at work.

Mabhele said prevention programmes must be sensitive to culture, gender and language with relevant information that is accessible.

The primary objective of the code is to provide guidance on how to eliminate unfair discrimination and stigma in the workplace based on real or perceived HIV status; deal with equitable employee benefits, effective means of managing HIV in the workplace; counselling and matters relating to confidentiality.

Mabhele said employees with HIV/Aids may not be dismissed on the basis of their status. He said the management of HIV & Aids including TB in the workplace should be informed by two general principles in the workplace and these are mainstreaming HIV and Aids and TB activities into the core function of the organisation, and developing a gender sensitive response.

According to Mabhele strategies to assess and manage HIV in the world of work should reflect a management commitment, create a new or strengthen an existing committee to manage HIV, developing an action or operational plan, monitoring and evaluation.

Mabhele said in accordance with occupation health and safety act (OHSA), the work environment should provide for compensation of a worker should he or she become infected with HIV as a result of an occupational incident, in terms of the compensation for occupation injuries and diseases act (COIDA).

He said organisations that place commitment in management of diseases are characterised by creating a new or strengthening an existing committee to manage HIV/Aids and TB among other diseases, develop HIV&Aids, TB and broader disease policy; monitoring and evaluation and developing an action or operational plan.

Mabhele called for management to take a lead and demonstrate commitment by championing the course for corporate citizenship on HIV/Aids and TB; promoting partnerships in disease management; taking principled stance on human rights issues and using platforms to educate employees, customers and suppliers.

Meanwhile, DoL has announced that the EE Reporting season will open for manual submission on 1 September 2012 and closes on 1 October 2012. For the posted or hand delivered EE reports, these must reach the DoL by no later than 1 October 2012.

The online reporting period opens on 1 September 2012 and closes on 15 January 2013.

The next workshops will be held simultaneously in Polokwane Royal, Limpopo and Protea Hotel Kimberley-Big Hole, Northern Cape on 28 August. The workshops start at 10h00-13h00.

Issued by: Department of Labour



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Rwanda: Discovering the Benefits of Breastfeeding

Breastfeeding provides the ideal nutrition for a baby and provides many health benefits for both mother and baby. In fact, breast milk has disease-fighting antibodies that can help protect infants from several types of illnesses and is possibly the most important way of ensuring health and survival.

Studies confirm that women who have breastfeed their children have lower risks of major health conditions such as ovarian cancer, breast cancer and type 2 diabetes. Breastfeeding has also been linked to lower rates of obesity and has been found to help women return to their pre-pregnancy weight faster.

A Global Deficiency

Globally less than 40 per cent of infants under six months of age are exclusively breastfed according to the World Health Organization (WHO). Adequate breastfeeding support for mothers and families could save many young lives through improving the best source of nourishment for infants and young children - breast milk.

Breast milk is readily available and affordable, which helps to ensure that infants get adequate sustenance. WHO strongly recommends exclusive breastfeeding for the first six months of life. At six months, other foods should complement breastfeeding for up to two years or more. In addition:

• breastfeeding should begin within an hour of birth

• breastfeeding should be "on demand", as often as the child wants day and night

• bottles or pacifiers should be avoided.

Breastfeeding Protects Babies

A recent study by the National Institute of Environmental Health Sciences showed that children who are breastfed have a 20 percent lower risk of dying between the ages of 28 days and 1 year than children who weren't breastfed, with longer breastfeeding associated with lower risk.

Breast milk is very rich in nutrients and antibodies that a child would not receive any other way. Diarrhea, ear infections, pneumonia and other devastating infantile conditions can be greatly reduced by simply breastfeeding. Breast milk is also very easy to digest and readily absorbed in comparison to artificial formulas

A strong correlation has been found between breastfeeding and a lifetime of good health. Adults who were breastfed as babies often have lower blood pressure, cholesterol, rates of obesity and type-2 diabetes. Breastfeeding can also protect against the development of allergies and other immune system related conditions.

Is Infant Formula Bad?

Infant formula does not contain any of the necessary antibodies found in breast milk. One of the most common challenges that can put a child at risk is how the formula is prepared. Risk factors include unsafe water, unsterilized equipment and bacteria laced powdered formulas.

Severe malnutrition can result from not breastfeeding, over-relying and over-diluting the formula. Breastfeeding is the most cost-efficient way to nourish a child as long as the breast milk supply lasts.

HIV & Breastfeeding

HIV is a growing concern throughout the world and proactive steps must be taken to reduce the risk of mother-child transmission. A mother can pass the infection during pregnancy, delivery and through breastfeeding. Antiretroviral (ARV) intervention can significantly reduce the risk of transmission through breast feeding.

How Long Should I Breastfeed?

It is important to add complementary foods as the child continues to grow at six months of age and beyond. Breastfeeding should not be replaced or decreased with the addition of food. Children require the nutrients and antibodies found in breast milk for the first two years or more.

Breastfeeding is the most important health-building and disease-fighting strategy for mothers and children alike. Consult with your healthcare professional for specific recommendations on how to incorporate this cost-effective and life-saving strategy.

This column is directed by your questions, comments and inquiries. The health advice provided is in collaboration with the World Health Organization's goals of prevention, maintenance and natural treatment of disease. The advice is for educational purposes and does not necessarily reflect endorsement.



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Sore Point

Earlier this week, many Los Angeles adult film studios stopped production after a male performer was diagnosed with syphilis... and lied about it to producers. He was apparently caught when a director noticed that there was a problem with his printed test results and began to investigate.

It will be interesting to see what the fallout from this is in the adult film industry. While most people aren't as concerned about syphilis as they are about HIV, the fact that the performer actively and successfully hid his positive test from producers for several shoots is highly disturbing. Syphilis is a curable STD, but it can have significant health effects - particularly for pregnant women.

In addition, syphilis can be spread through oral sex. That's something that many people don't realize, and it makes you wonder how this will effect the enforcement of condom requirements for adult film production. That legislation, which was aimed at reducing HIV, doesn't mandate condom use for oral sex. The risk of HIV transmission during oral sex is relatively low. The same can not be said for syphilis. Unprotected oral sex is thought to be one reason for the increasing number of syphilis cases seen in men who have sex with men.



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