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Here’s How to Keep Weight Off For Good – Washingtonian
Posted: September 7, 2020 at 7:52 pm
For those looking to learn more about weight loss or have been struggling with obtaining a healthy body weight, weve got you covered. You can easily get to know your gut, with Dr. Janese Laster from Gut Theory Total Digestive Care. Dr. Laster believes that with sustainable lifestyle changes, personalized nutrition and education, pharmacology, added with innovative endoscopic techniquesany patient can achieve a healthier body weight. To learn more about Dr. Laster from Gut Theory Total Digestive Care check out what she provides below.
Dr. Laster is the only gastroenterologist in the DMV area who is quadruple boarded in Internal Medicine, Gastroenterology, Obesity Medicine, and Nutrition. She completed both her Internal Medicine residency and Gastroenterology fellowship training at the accredited (and local!) Georgetown University Hospital in Washington, DC.
Gut Theory Total Digestive Cares approach to weight management is totally personalized. Dr. Laster explains that she approaches clients with customized lifestyle plans in order to lose weight and keep weight off for good. Adding, there are no gimmicks, only science.
Dr. Laster takes the time to listen to each patient, because she knows every journey and body type is different. She sets goals based off of clients needs and expectations. Creating tasks that will be achievable and not out of reach.
I am here as an accountability partner and to help find approaches that theyve never considered, says Dr. Laster. She also says she provides adjunct medical and endoscopic interventions as needed, so patients can stay on track during their weight loss journey.
For those who dont want to take the surgical route, Dr. Laster has you covered. Bariatric endoscopy is a new field that is less invasive than surgery and a nice tool to help jumpstart weight loss, says Dr. Laster. It requires little recovery time, and the procedure easily treats obesity and other metabolic diseases.
To learn more about Gut Theory Total Digestive Care and weight loss plans, check out their website or call 1-888-755-GUT1 (4881)
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Nine Years Before People Receive Medical Help for Their Obesity in the UK – Medscape
Posted: September 7, 2020 at 7:52 pm
UK healthcare professionals lag behind most other countries worldwide in acceptance of obesity as a disease, while patients with obesity wait an average of 9 years before seeking help, shows a large international study.
Results of the UK analysis of the ACTION-IO study were presented at the virtual European and International Conference on Obesity (ECOICO) 2020. Professor Jason Halford, PhD, head of the School of Psychology at the University of Liverpool, and co-investigator of the survey spoke to Medscape News UK about the UK findings.
"This delay means its 9 years of struggle before people with obesity even get to discuss their obesity in an appointment," Prof Halford stressed, adding, "and then they face the problem that UK healthcare practitioners do not consider obesity a disease in the same way that their international colleagues do."
He suggested that there was a clear need for education around obesity as a disease in primary care settings, and noted that if people with obesity do not find opportunity to discuss their weight in good time, they can go on to develop all sorts of other health problems. "These are not comorbidities but complexities because obesity led to them. Waiting 9 years will make it more difficult to intervene."
Other reasons given for the delay in obtaining healthcare for their weight included that people with obesity felt that it was their own sole responsibility to manage their excess weight, and UK doctors incorrectly perceived their patients as unmotivated in their attempts at weight loss.
The study was an online survey conducted in 11 countries: Australia, Chile, Israel, Italy, Japan, Mexico, Saudi Arabia, South Korea, Spain, United Arab Emirates (UAE), and the UK. The survey found that people with obesity are motivated to lose weight but that they have little success. This is related to the biological basis of obesity, explained Prof Halford. "Sometimes a practitioner will see that theyre not losing weight once the patient has started a diet and mistakenly think theyre not that motivated."
The UK analysis of the results involved the participation of 1500 people with obesity and 306 healthcare practitioners (156 primary care physicians, and 150 secondary care clinicians) who completed the survey. Response rate for people with obesity was 14%, and for healthcare practitioners was 28%.
Dr Abd Tahrani, senior lecturer in metabolic endocrinology and obesity medicine, University of Birmingham, and honorary consultant in endocrinology at the University Hospitals Birmingham NHS Foundation Trust commented on the findings: "The results of this study should change the narrative regarding obesity and its management, which [is] desperately required to reduce the burden of this disease on patients.
"The mean duration of 9 years before seeking help for weight, which is higher than the corresponding average of 6 years globally, highlights the shortage of access to weight management services as well as the obesity stigma that makes patients blame themselves for the excess weight and the concerns regarding the reactions from the health care professionals," he added.
The results showed that two-thirds of people with obesity and most healthcare practitioners (84% primary care, 89% secondary care) agreed that obesity is a chronic disease.
However, the impact of obesity on health generated mixed feelings, such that people with obesity considered their condition to have greater impact on health than did healthcare practitioners: 81% of people with obesity believed that obesity has a large impact on health that was similar to diabetes (82%), cancer (82%), and stroke (88%). However, only 68% of UK healthcare practitioners (compared with an average of 76% from all 11 countries) recognised the impact of obesity on health, and it was rated less serious than diabetes, cancer and stroke by40%, 65% and 62% of healthcare practitioners respectively.
Dr Tahrani said that more efforts were needed in treating obesity as a chronic disease. "Despite most health care professionals considering obesity as a chronic disease, only 9% of patients were offered follow up appointments, which is not how chronic diseases are typically managed, as chronic diseases such as diabetes or hypertension require ongoing support and treatment."
Around 80% of people with obesity had made one or more serious weight loss efforts in the past, and only 18% had no plans for weight loss within the next 6 months. Only 10% of primary care professionals and 17% of secondary care professionals thought their patients were motivated to lose weight. However, 85% of people with obesity assumed full responsibility for their own weight loss;while 41% of primary care physicians and 25% of secondary care physicians placed the responsibility for weight loss on people with obesity.
"The results showed that 37% of people with obesity managed to achieve 5% body weight loss in the past 3 years, but only 28% of these managed to maintain this loss at one year," Prof Halford pointed out. "This shows how difficult it is to maintain the weight loss. We need a long-term solution."
Primary care weight management services are available but lack longevity, said Prof Halford, because they rely on year-by-year commissioning. "To build a good weight management service that responds to patient needs takes time. The current UK commissioning service doesnt do it."
Also, National Institute for Health and Care Excellence (NICE)-approved weight loss drugs are few; specialist services are not widely available, and "bariatric surgery provision is patchy", he added.
Prof Halford also noted that primary care appointments in the UK are short and that this is detrimental to someone in need of a comprehensive exchange about their weight. "The survey found that, on the whole, patients actually accept it when healthcare practitioners bring up the subject of weight and welcome the conversation."
Yet there is no priority given to train medical students and other healthcare practitioners in obesity and nutrition per se, said Prof Halford.
The survey found that primary care physicians are generally older than those in secondary care, and that across all countries, younger practitioners were more likely to consider obesity as a disease, discuss it with patients, and give a diagnosis. "Some of the problem might be related to age differences of the primary care physician. Also, secondary care practitioners are specialists."
Dr Tahrani also highlighted issues around education. "Theres a clear need to improve training on how to manage people with obesity by healthcare professionals, as well as educating wider society and policy makers about the pathogenesis of obesity and the benefits of weight loss, to reduce and limit the impact of obesity stigma."
The UK is joined by one other outlier in its findings around weight loss services for people with obesity. Prof Halford noted that Israel was similar to the UK in the time taken to obtain help for obesity, but no explanation for this was forthcoming at this point.
But it was clear that internationally, if a healthcare system prioritises funding for obesity management public or private then outcomes for people with obesity are positive. "Reimbursement means there are targets, and investment to deal with the issue is recouped."
ECOICO 2020. Presented as a poster EP-218. 1-4 September, 2020.
COI : Professor Halford has declared no conflicts other than general ones related to the study as a whole, listed below. Dr Tahrani has declared no relevant conflicts of interest.
The study was sponsored by Novo Nordisk and all authors had travel expenses covered by Novo Nordisk to attend author meetings during the conduct of the study. One author is an employee of Novo Nordisk. Dr Carly Hughes reports consultancy for Alva outside the submitted work.
Abstracts:
Differences in impact and perception of obesity between women and men: results from ACTION-IO.Abstract
The underestimation of obesity by individuals needs to be addressed by healthcare professionals. Abstract
Obesity expertise: added value but still lots to do in obesity care. Abstract
Healthcare professional's age and obesity care: results from ACTION-IO. Abstract
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Massive Growth In Weight Loss and Obesity Management Market Set To Witness Huge Growth By 2026 – Galus Australis
Posted: September 7, 2020 at 7:52 pm
Weight Loss and Obesity Management Market, a new report announced by Data Bridge Market Research is an effort taken by the specialists for the growth of the market in the near future. This report is a detailed report on the Global Weight Loss and Obesity Management Market, which presents a combination of industry knowledge and research expertise based on regions too. This report delivers the market trends along with the market size for every individual sector. The report incorporates the various drivers as well as the factors impeding the growth of this market during the forecast period. The report provides opportunities in the market and their substantial impact on the major players dominating the market.
Europe weight loss and obesity management market is registering a substantial CAGR in the forecast period of 2019-2026. This growth in market value can be attributed to the rising rates of overweight and chronic diseases, technological advances and increasing intakes of junk food.
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Top Key Vendors Covered in the report:
THE COCA-COLA COMPANY, PepsiCo, Nestle, Abbott, Medtronic, Unilever, Johnson & Johnson Services, Inc., Atkins, Nutrisystem, Inc., Merck & Co., Inc., Allergan, F. Hoffmann-La Roche Ltd, GlaxoSmithKline plc., Amer Sports, Kellogg NA Co., and AJINOMOTO CO.,INC., among others.
Major Regions as Follows:
North America (USA, Canada and Mexico)
Europe (Germany, France, the United Kingdom, Netherlands, Russia , Italy and Rest of Europe)
Asia-Pacific (China, Japan, Australia, New Zealand, South Korea, India and Southeast Asia)
South America (Brazil, Argentina, Colombia, rest of countries etc.)
Middle East and Africa (Saudi Arabia, United Arab Emirates, Israel, Egypt, Nigeria and South Africa)
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The Key Questions Answered in this Report:
A complete value chain of the global Weight Loss and Obesity Management market is presented in the research report. It is associated with the review of the downstream and upstream components of the Weight Loss and Obesity Management Market. The market is bifurcated on the basis of the categories of products and customer application segments. The market analysis demonstrates the expansion of each segment of the global Weight Loss and Obesity Management market. The research report assists the user in taking a decisive step that will be a milestone in developing and expanding their businesses in the global Weight Loss and Obesity Management market.
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TABLE OF CONTENTS
Part 01: Executive Summary
Part 02: Scope of the Report
Part 03: Research Methodology
Part 04: Market Landscape
Market Ecosystem
Market Characteristics
Market Segmentation Analysis
Part 05: Pipeline Analysis
Pipeline Analysis
Part 06: Market Sizing
Market Definition
Market Sizing
Market Size and Forecast
Part 07: Five Forces Analysis
Bargaining Power of Buyers
Bargaining Power of Suppliers
Threat of New Entrants
Threat of Substitutes
Threat of Rivalry
Market Condition
Part 08: Market Segmentation
Segmentation
Comparison
Market Opportunity
Part 09: Customer Landscape
Part 10: Regional Landscape
Part 11: Decision Framework
Part 12: Drivers and Challenges
Market Drivers
Market Challenges
Part 13: Market Trends
Part 14: Vendor Landscape
Overview
Landscape Disruption
Part 15: Vendor Analysis
Vendors Covered
Vendor Classification
Market Positioning Of Vendors
Part 16: Appendix
List of Abbreviations
In conclusion, the Weight Loss and Obesity Management Market report is a reliable source for accessing the research data that is projected to exponentially accelerate your business. The report provides information such as economic scenarios, benefits, limits, trends, market growth rates, and figures. SWOT analysis is also incorporated in the report along with speculation attainability investigation and venture return investigation.
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Massive Growth In Weight Loss and Obesity Management Market Set To Witness Huge Growth By 2026 - Galus Australis
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Global Weight Loss & Diet Management Market 2020 | Scope of Current and Future Industry 2025 – Scientect
Posted: September 7, 2020 at 7:52 pm
This report focuses on the Global Weight Loss & Diet Management Market trends, future forecasts, growth opportunities, key end-user industries, and market players. The objectives of the study are to present the key developments of the market across the globe.
The latest research report on Weight Loss & Diet Management market encompasses a detailed compilation of this industry, and a creditable overview of its segmentation. In short, the study incorporates a generic overview of the Weight Loss & Diet Management market based on its current status and market size, in terms of volume and returns. The study also comprises a summary of important data considering the geographical terrain of the industry as well as the industry players that seem to have achieved a powerful status across the Weight Loss & Diet Management market.
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Weight Loss & Diet Management Market Segmentation
By Diet Meal, Beverages, Supplements, OtherBy Equipment Fitness Equipment, Surgical Equipment, OtherBy Service Fitness Centres, Slimming Centres, Consulting Services, Online Weight Loss Programs, OtherBy Distribution Channel Multi-level Marketing, Large retail, Small Retail, Health & Beauty Stores, Online Distribution, Other
The report has been curated after observing and studying various factors that determine regional growth such as economic, environmental, social, technological, and political status of the particular region. Analysts have studied the data of revenue, production, and manufacturers of each region. This section analyses region-wise revenue and volume for the forecast period of 2015 to 2025. These analyses will help the reader to understand the potential worth of investment in a particular region.
Global Weight Loss & Diet Management Market: Competitive LandscapeThis section of the report identifies various key manufacturers of the market. It helps the reader understand the strategies and collaborations that players are focusing on combat competition in the market. The comprehensive report provides a significant microscopic look at the market. The reader can identify the footprints of the manufacturers by knowing about the global revenue of manufacturers, the global price of manufacturers, and production by manufacturers during the forecast period of 2015 to 2020.
The major players in the market GlaxoSmithKline, Herbalife, Abbott Nutrition, Nestle SA, Danone, Glanbia, , Pepsico, Atkins Nutritionals, NutriSystem Inc., Jenny Craig Inc., Creative Bioscience, Iovate Health Sciences, Nutrisystem, Ethicon, Apollo Endosurgery, Brunswick, Amer Sports, Johnson Health Technology, Technogym, Weight Watchers, VLCC Healthcare, Slimming World, The Golds Gym International, Duke Diet & Fitness Center, Kellogg Company, Medifast, Inc., Kraft Foods Inc., General Mills Incorporation, Amylin Pharmaceuticals, lpro Ltd., Ajinomoto Co. Inc., AIDP Inc., AHD International, Acatris Inc., Zydus Cadilla Healthcare, Health Biotech Ltd., Olympus Corporation, 24 hours Fitness, Fitness First Group, Town Sports International Holdings Inc., Pfizer, Stepan, American Health, FANCL, Natures Sunshine Products, Amway (Nutrilite) and others.
Global Weight Loss & Diet Management MarketThis research report providesCOVID-19 Outbreakstudy accumulated to offer Latest insights about acute features of the Weight Loss & Diet Management Market. The report contains different market predictions related to marketsize, revenue, production, CAGR, Consumption, gross margin, price, and other substantial factors. While emphasizing the key driving and restraining forces for this market, the report also offers a complete study of the future trends and developments of the market. It also examines the role of the leading market players involved in the industry including their corporate overview, financial summary andSWOT analysis.It presents the360-degreeoverview of the competitive landscape of the industries. Weight Loss & Diet Management Market is showing steadygrowthandCAGRis expected to improve during the forecast period.
The main sources are industry experts from the global Weight Loss & Diet Management industry, including management organizations, processing organizations, and analytical services providers that address the value chain of industry organizations. We interviewed all major sources to collect and certify qualitative and quantitative information and to determine future prospects. The qualities of this study in the industry experts industry, such as CEO, vice president, marketing director, technology and innovation director, founder and key executives of key core companies and institutions in major biomass waste containers around the world in the extensive primary research conducted for this study We interviewed to acquire and verify both sides and quantitative aspects.
Global Weight Loss & Diet Management Market: Regional AnalysisThe report offers in-depth assessment of the growth and other aspects of the Weight Loss & Diet Management market in important regions, including the U.S., Canada, Germany, France, U.K., Italy, Russia, China, Japan, South Korea, Taiwan, Southeast Asia, Mexico, and Brazil, etc. Key regions covered in the report are North America, Europe, Asia-Pacific and Latin America.
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Complete Analysis of the Weight Loss & Diet Management Market:
Comprehensive assessable analysis of the industry is provided for the period of 2020-2025 to help investors to capitalize on the essential market opportunities.
The key findings and recommendations highlight vital progressive industry trends in the global Weight Loss & Diet Management market, thereby allowing players to improve effective long term policies
A complete analysis of the factors that drive market evolution is provided in the report.
To analyze opportunities in the market for stakeholders by categorizing the high-growth segments of the market
The numerous opportunities in the Weight Loss & Diet Management market are also given.
Report Answers Following Questions:
What are the factors driving the growth of the market?
What factors are inhibiting market growth?
What are the future opportunities in the market?
Which are the most dynamic companies and what are their recent developments within the Weight Loss & Diet Management Market?
What key developments can be expected in the coming years?
What are the key trends observed in the market?
TABLE OF CONTENT
1 Report Overview
2 Global Growth Trends
3 Market Share by Key Players
4 Breakdown Data by Type and Application
5 United States
6 Europe
7 China
8 Japan
9 Southeast Asia
10 India
11 Central & South America
12 International Players Profiles
13 Market Forecast 2020-2025
14 Analysts Viewpoints/Conclusions
15 Appendix
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What is a ‘reverse diet’ and can it help you to maintain your goal weight? – Health24
Posted: September 7, 2020 at 7:49 pm
10:51 07/09/2020 Marelize Wilke
With so many diets out there, it can be confusing what to do to lose weight. But for many dieters, an even bigger challenge is to avoid regaining the kilos.
Reverse dieting can be described as a diet after a diet and is something that has become popular among bodybuilders and professional athletes, allowing them to increase the amount they eat while maintaining their weight and body composition.
Many people believe that reverse dieting could be a strategy to ease back into eating more calories after a restrictive period. But does this work?
A calorie deficit and adding back calories
The fundamentals of losing weight revolve around burning more calories than you consume. Over time, your metabolism adapts to the decreased amount of energy you consume by slowing down. This is why we often reach plateaus and struggle to lose more weight after an initial quick loss.
Many people struggle to maintain their new weight when they quickly increase their caloric intake. But reverse dieting allows you to slowly increase your calorie intake by about 50 to 100 calories for four to ten weeks.
This may help boost your metabolism and help your body burn more calories without additional exercise, but there is currently no concrete scientific evidence that this is what happens.
How could reverse dieting work?
While the evidence is lacking, there are other reasons why reverse dieting could be effective in helping you maintain a post-diet weight.
When someone becomes used to controlling their calories to lose weight, they may feel "out of control" as soon as they reach their target weight and start eating normally again. By slowly adding back calories, it would allow you to feel in control.
Reverse dieting can also slowly help to ease someone back into eating more without being too restrictive, and reduce the fear of quickly regaining weight.
Slowly increasing your calories after being in a caloric deficit may also help balance your hunger hormones such as leptin and ghrelin, although there are as yet no studies to back up this theory.
The bottom line
Even though reverse dieting may be a sound practical tactic to increase calories and going back to normal without overdoing it, experts state that weight loss is so much more than only calories other lifestyle factors and the quality of your overall nutrition should also be taken into account.
If you want to lose weight in a healthy way, adapted to your lifestyle and needs, we suggest you contact our team of registered dietitians at Nutritional Solutions.
Not only will they help you reach your goal, but will also assist you in maintaining your weight and creating a sustainable, healthy lifestyle without too many restrictions.
READ | I need to lose weight. Where do I start?
READ | Why maintaining weight loss requires more than willpower
READ | The 7 simplest weight loss strategies you'll ever find
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Denver Arts & Venues Is Wounded, but It’s Not Dead | Westword – Westword
Posted: September 7, 2020 at 7:49 pm
Denver Arts & Venues isn't dead, and this is no eulogy. But the city agency, its 67 employees and the hundreds of thousands of people their work touches are grieving. Last week, executive director Ginger White announced massive cuts at Arts & Venues through early 2021. Starting in late September, the department is furloughingeverybody. Some staffers will go part-time; others will be temporarily out of work for months. The city has also offered incentivized retirements. Those venues that aren't already dark will be closing for now.
"It's been a rough go of it," White told Westword. "It's pretty heartbreaking to be in the position like so many other organizations are or have been."
But the role of Arts & Venues in the city is larger than any one arts or entertainment group even the biggest, like Live Nation or the Denver Center for the Performing Arts, both of which have experienced mass layoffs and cuts.
The city's cultural agency spins a web between nearly every concert promoter, public art project, DIY space, barroom venue and mural on the city's wall. No organization, other than perhaps the Scientific and Cultural Facilities District which manages the area's penny-on-the-$10 sales tax, funding 300-plus nonprofit arts, culture and science groups shapes the city's cultural life as Arts & Venues does. And SCFD doesn't have the direct scope of Arts & Venues, touching everything from the scrappiest individual artists to global entertainment juggernauts like AEG.
In recent months, Arts & Venues employees worked with nonprofits, foundations and Colorado Creative Industries on the Colorado Artist Relief Fund and the COVID-19 Arts and Culture Relief Fund. The agency created virtual programming and promoted other groups' projects around the city. The staff led anti-racism workshops, celebrated Pride with art exhibitions at the McNichols Building, and helped turned some of its venues into emergency facilities that offered shelter and medical aid during the pandemic.
Arts & Venues staffers also interviewed venue owners and arts organizations for two important reports: "The 2020 City of Denver Creative Economy Report" and "Initial Impacts of the COVID-19 Crisis on the Music Industry in Colorado and the Denver Metropolitan Region."
"Both reports reveal the initial effects of the COVID-19 crisis are substantial, estimating Denver's creative industries have lost an estimated 29,840 jobs and $1.4 billion in sales revenue between April 1 and July 31, while Colorado's music industry alone lost an estimated 8,327 jobs between April 1 and July 31, representing a 51 percent loss," the agency wrote in early August.
Umphrey's McGee played at Red Rocks with opening act Spafford on Friday, June 21, 2019.
Jacqueline Collins
Arts & Venues staffers are trusted allies to many in Denver's culture scene. Knowing they won't be just a text away is a blow.
"It's what they do that's so critical and impactful, and the spirit of how they do it," says White. "They're the best group of people I've ever had the privilege of working with. They deserve all kinds of credit and kudos."
People like Arts & Venues Program Administrator Lisa Gedgaudas, a steadfast champion of this city's musicians and small venues, who brought Denver's live-music scene to an international audience through the Music Cities initiative. After the DIY scene faced a series of evictions starting in 2016, she brought artists to the table with city officials. That led to the creation of the Safe Creative Spaces Fund, which helped some Denver spaces get up to code. During the COVID-19 closures, she has worked with groups like the National Independent Venue Association to try to save local venues.
There's Director of Cultural Affairs Tariana Navas-Nieves, who preached the merits of equity long before the word was trendy and sucked dry of its meaning by agencies and corporations scrambling not to look racist as the country deals with its history of racial violence. Her work has helped turn Arts & Venues into an explicitly anti-racist organization, a move embraced by others in the city as a model. She has championed artists from marginalized communities who too often have been ignored by people in power. Through her work, the agency has connected with often-forgotten communities and brought an important depth and freshness to the art that Arts & Venues funds.
There's Mary Valdez, one of four Arts & Venue staffers with in-depth institutional knowledge that the agency lost in the past week to the City of Denver's retirement incentive. She is responsible for commissioning hundreds of murals that grace the Mile High City's walls. She, too, has been a champion of artists often neglected by people with the money and power. Through her work with the Urban Arts Fund, she has helped transform this urban landscape and make it into a world-class tourist destination for arts lovers.
And among many, many more, there's White herself, who has led the agency since predecessor Kent Rice departed in 2018. At the helm of the organization, she has enabled her talented staff to fight for the underdogs. While other city agency leaders take credit for their employees' tireless work, she puts them in the spotlight. But whenever tensions have risen between artists and the city, she's in the hot seat. She has taken blows over how Denver brass handled the mass displacement of longtime residents and artists, safety-code issues, the corporate takeover of the music industry, and so much more. No set of decisions has been as painful or crucial to the long-term survival of Arts & Venues as those she is making during the pandemic. No matter how turbulent things have become, she has stayed the course.
Arts & Venues has a team willing to learn from its failures and imperfections, quick to remedy what it can and struggle with what isn't so easy to fix. These people understand the power of art to heal and its importance as Denver attempts to recover from the harm caused by this pandemic.
The agency is still working out many of the dates and details of the cuts. What's clear for now is that crucial limbs are on the chopping block until the live-entertainment economy recovers.
Eager ticket-buyers outside the Ellie Caulkins Opera House.
Danielle Lirette
"It's not like we're putting chains around the doors. We don't have any events," says White. "At the Ellie, we don't have events booked between now and December. There is nothing on the books. There is hardly anything to cancel, and nothing is coming in the door at the same time. It's a natural atrophy. We're just incredibly dark."
While things are dark, Arts & Venues will strategize. "How can we take advantage of what we know to be a period of dormancy, almost, and try to preserve what we could while still conducting our essential work?" White wonders. "Hopefully, in 2021, we have enough gas in the tank so we can come back and support those organizations that want to come back or audiences and fans that want to come back."
That's hopefully.
The depressing truth is that live, large-scale events are likely not coming back safely any time soon. Without a widely distributed vaccine, the stages will stay dark, the sector will suffer, and Arts & Venues will lose its main revenue stream.
Unlike Denver Public Library or the Denver Police Department, which are funded mainly through the city's taxpayer-supported general fund, the bulk of Arts & Venues revenue comes from renting out spaces like Red Rocks Amphitheatre, the Denver Coliseum and the Denver Performing Arts Complex. Those venues have either been shut down, restricted by the city and state for use as emergency facilities, or vacated by cultural groups that have canceled or postponed shows.
White says Arts & Venues isn't at risk of being dissolved for good somebody has to run the city's legally mandated public art program and take care of the venues. But the closures may require the agency to make gut-wrenching calls that other city departments supported by the general fund won't have to make.
Ginger White, executive director of Denver Arts & Venues.
Kyle Harris
While most events from Colorado Ballet's The Nutcracker to the DCPA's Broadway season and the Colorado Symphony's holiday shows are canceled, a few things may still happen. Denver Film will likely extend its Film on the Rocks Drive-In in the Red Rocks Amphitheatre parking lot a few weeks more; this year's film festival will be virtual. After the art shows at the McNichols Building close, it will become a polling center for the election. The Music Advancement Fund, which will grant $75,000 to music projects, is still on, and Arts & Venues received CARES Act funding that the agency plans to distribute to artists and organizations.
The Public Art Program which has been around since 1988 and mandates the city spend 1 percent of its budget for capital improvement projects that cost more than a million on incorporating art will continue to be in effect.
The agency is still figuring out what to do with the Trading Post and Visitor Center at Red Rocks Amphitheatre; the venue itself will be shut down temporarily because of construction. "We're upgrading and getting a new roof that goes over the stage to match the historical character of Red Rocks," says White. "That roof is ending its useful life. We're seeing more and more concert productions coming in with fancy lighting. We need a roof that can handle the weight of different tech equipment."
In short, the organization is not giving up on live events returning.White points to the new banners outside Boettcher Concert Hall as a sign of hope.
"It's a really lovely message," she says. "I think it says it well: "Until we gather again, be safe, feel joy, give thanks. Our show will go on."
Kyle Harris quit making documentaries and started writing when he realized that he could tell hundreds of stories in the same amount of time it takes to make one movie. Now, hooked on the written word, he's Westwords Culture Editor and writes about music and the arts.
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Coronavirus: Russias vaccine induces immune response and is safe, early trial results suggest – The Independent
Posted: September 7, 2020 at 7:49 pm
A coronavirus vaccine unveiled by Russia without proper testing appears to be safe and induces an immune response, preliminary trials have found.
Sputnik V, which the Kremlin announced in August would enter mass production this month despite serious international concern, caused no major adverse effects and induced antibodies in all participants in two small rounds of early testing. The results were published in medical journal The Lancet on Friday.
Experts not involved in the study said the findings were encouraging but small and did not yet prove the vaccine was effective or safe.
The Kremlin announced regulatory approval of Sputnik V on 11 August, making it the worlds first Covid-19 vaccine cleared for use, and said it planned to begin mass immunisation in September. But experts condemned Russias announcement as unethical, reckless and foolish as the vaccine has yet to be tested on a large scale in phase 3 clinical trials, considered essential to establish efficacy and safety.
The trials covered in The Lancet study were phase 1 and 2, which involve smaller numbers of participants and aim to establish whether a drug works, if there are any side effects or safety concerns, and appropriate dosage levels.
A total of 76 volunteers took part in the two trials, which tested a frozen formulation of the vaccine planned for large-scale use in existing global supply chains and a freeze-dried version developed for remote regions. The vaccine induced an antibody response in all participants within 21 days and no serious adverse effects were detected over 42 days.
Sputnik V also appeared to trigger a T-cell response, which can help to provide long-term protection again the virus.
The vaccine is one of dozens in development around the world. A Covid-19 vaccine candidate developed by Oxford University researchers was found to induce a strong immune response and to be safe, according to results published in July of phase 1 and 2 trials involving 1,077 people.
The Russian trials, held at two hospitals in Russia, were open-label and not randomised, meaning participants knew they were receiving the vaccine and were not assigned by chance to different treatment groups.
Volunteers were healthy adults aged between 18 and 60 who self-isolated as soon as they were registered for the trial and remained in hospital for the first 28 days after vaccination.
Dr Ohid Yaqub, senior lecturer at the University of Sussexs Science Policy Research Unit, said: Normally, such a study would be the basis for debating whether to proceed into larger trials and the costs that entails. In that context, the study results are encouraging in terms of safety and possible efficacy.
However, in the context of regulatory approval, the design and size of a phase 1 and 2 study is not anywhere near sufficient for widely recognised standards of approval. The study was not randomised, and it was not large enough to detect rarer safety issues.
In an independent comment piece published by The Lancet alongside the study, Dr Naor Bar-Zeev of Baltimores International Vaccine Access Centre, said the trial results were encouraging but small.
The immunogenicity bodes well, although nothing can be inferred on immunogenicity in older age groups, and clinical efficacy for any Covid-19 vaccine has not yet been shown, he wrote. Safety outcomes up to now are reassuring, but studies to date are too small to address less common or rare serious adverse events.
The Russian researchers acknowledged more tests was needed to needed to evaluate the vaccine in different populations, including older age groups and people with underlying medical conditions.
Professor Alexander Gintsburg, director of the Gamaleya Research Institute, claimed unprecedented measures have been taken to develop a Covid-19 vaccine in Russia and preliminary clinical studies had made it possible to provisionally approve the vaccine.
Russias health minister last week said that first large batches of the vaccine will be supplied this month, with healthcare workers and teachers invited to be first injected on an absolutely voluntary basis.
But international scientists warned the latest trial results did nothing to dispel concerns about fast-tracked roll-out of the jabs.
At this stage, we do not know if the vaccine actually works that is what the phase 3 trials will tell us, said Dr Michael Head, senior research fellow in global health at University of Southampton.
Public confidence in any licensed vaccine is vital, and suggestions from both Russia and the USA that a vaccine may be fast-tracked without the proper research having taken place are problematic. We must be open and transparent about the effectiveness and safety profiles of all vaccine candidates. Ultimately, we must not pour additional fuel on the anti-vaccine lobby fires.
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Defending the beaching method of ship recycling – Riviera Maritime Media
Posted: September 7, 2020 at 7:49 pm
Over the last decade, numerous articles have highlighted how the beaching method of ship recycling in South Asian yards results in dirty, toxic and dangerous scrapping with dire working and living conditions for workers. Many proponents of this view vehemently oppose the beaching of ships for recycling in South Asian countries. These institutions conclude that poor working conditions, with no infrastructure, low wages, compromised labour rights and environmental standards, are the only reason why end-of-life ships fetch more money when sold to recycling yards operating in the Indian sub-continent when compared with recycling yards in Europe and Turkey.
In the last four years, nearly 80 ship recycling yards in India (out of 120 working yards) have achieved Statements of Compliance (SoC) with the Hong Kong Convention by various IACS class societies including ClassNK, IR Class, Lloyds Register, and RINA. In addition, a yard in Chattogram, Bangladesh has become the first to achieve a SoC by ClassNK (in January 2020), having first achieved a RINA SoC in 2017.
To encourage growth among Indias ship recycling sector, in November 2019 the Government of India acceded to the Hong Kong Convention for Safe and Environmentally Sound Recycling of Ships and became the only South Asian country and major ship recycling destination to take such a step.
Additionally, major blue-chip shipowners, including Maersk, China Navigation, Teekay, Transocean, MOL, NYK, and several other major Japanese and Norwegian owners have visited and vetted yards in Alang. They have determined that Indian yards are a viable destination to recycle their end-of-life tonnage.
The ship recycling yards in South Asia not only boost their respective local economies, but also create direct job opportunities
Twenty Indian ship recycling yards have submitted applications to the European Commission to audit their recycling facilities for inclusion in the EUs list of approved ship recycling yards; several of these yards are currently undergoing EU-audits. This demonstrates that they must have passed the preliminary requirements to merit a possible inclusion under the EU Ship Recycling Regulation (EUSRR).
Ship recycling yard owners have made massive investments to upgrade their recycling facilities, including: 100% impervious floors with drainage systems; heavy-lift cranes; yard- and vessel-specific training for workers; and the development and implementation of Ship Recycling Facility Plans and Ship Recycling Plans (as per IMOs guidelines in Resolutions MEPC.210(63) and MEPC.196(62)).
Tremendous improvements
The institutions that have been critical of South Asias yards have remained blind to the tremendous improvements that have taken place. Such large-scale development cannot be shrugged-off with baseless statements that the beaching method is toxic, or with incorrect statements that all yards in South Asia are the same, irrespective of their level of advancement.
There can only be two logical reasons for this criticism: the critics view these certificates as being not good enough and believe that the yards continue to operate in the same manner as they were operating before obtaining their HKC certification; or in the minds of the critics, the Hong Kong Convention may be an inadequate standard to regulate the recycling of ships.
In response to the first point, it would be unwise to question the integrity and professionalism of reputed classification societies with IACS memberships. Regarding the second point, it is true that critics of the beaching method are also critics of the Hong Kong Convention because it does not ban the beaching of vessels.
Nevertheless, it should be remembered that the Hong Kong Convention was developed by many countries under the aegis of IMO, a United Nations Specialised Agency. IMO decided that banning the beaching method (which is currently used for over 92% of recycled tonnage) would be wrong as well as counterproductive.
It is important to explore the reasons why South Asian countries recycle over 92% of end-of-life ships.
The value of end-of-life ships varies from country to country, as it depends on the availability and demand of downstream markets for the products derived from a vessel. The main products of ship recycling include ferrous scrap, non-ferrous scrap, and machinery. In some cases, residual fuel on-board also adds to the value. The value of the recoverable ferrous scrap largely determines the price which can be offered to a shipowner. Scrap steel is traded at different prices in different countries and it is the major factor which dictates the variation in the price offered by the various recycling locations. The major use of scrap steel in every recycling country is in steel making. However, the technology used differs among counties.
The two main steel-making processes are: (1) production from iron ore in a blast furnace-basic oxygen furnace (BF-BOF), which also uses some amount of scrap steel during the refining process; and (2) production from scrap steel in an electric arc furnace (EAF)/or induction furnace (IF). Globally, around 75% of new steel is produced by the BOF method, while the remaining 25% is produced by the EAF method.
According to The National Institution for Transforming India (NITI Aayog): Recycling of one tonne of scrap saves 1.1 tonne of iron ore, 06-0.7 tonne of coking coal and around 0.2-0.3 tonne of fluxes. Specific energy consumption for production of steel through BF-BOF (primary) and EAF and IF (secondary routes) is 14 MJ/Kg and 11.7 MJ/ Kg, respectively. Thus, it leads to savings in energy by 16-17%. It also reduces the water consumption and GHG emission by 40% and 58% respectively.
NITI Aayog states: Local factors dictate the scrap steel pricing, which eventually leads to lower overall offer prices for end-of-life ships. Interestingly, amongst the major ship recycling nations, the percentage BF-BOF/EAF-IF mix in 2019 showed contrasting results. For example, in India, BF-BOF route caters to around 45% of Indias steel making whereas the remaining 55% is through EAF & IF route.
For Turkey, it was approximately 30% steel making through BF-BOF and the remaining 70% through EAF and IF. Turkey has 24 electric arc furnace mill plants (EAF), five induction furnace plants and three BOF plants. Because of the Turkish steel industrys heavy reliance on EAF, the country is the worlds largest scrap importer by volume. In 2018, Turkey imported a total of 20.7 Mt of material. Overall, Turkey was the recipient of around 22.4% of total world scrap exports.
Higher imports
These numbers clearly show the higher imports of scrap steel into Turkey and how they contribute to the local factors that dictate the scrap steel price, which eventually leads to lower overall offer prices for end-of-life ships.
To compare South Asian countries with Turkey, it is important to understand that when a ship is recycled in countries like India, Bangladesh and Pakistan, the irregular pieces of steel obtained are earmarked as melting scrap, which is fed into EAFs. This type of steel scrap is only about 15-20% of the total weight of the ships steel. The remaining 70-75% is derived in the form of plates, profiles, beams, girders, and angle bars which are generally re-rolled in South Asia and sold at a premium when compared to melting scrap. However, this is not the case in Turkey, where most of the scrap steel is considered as melting scrap. The re-rolling process is simpler and less energy consuming and that is why re-rolled steel products fetch more money than the melting scrap.
The ship recycling yards in South Asia not only boost their respective local economies, but also create direct job opportunities to over 15,000 people and indirect opportunities to over 500,000 people (source: Gujarat Maritime Board). The ship recycling industry in South Asia is associated with a huge downstream market for second-hand goods, such as furniture, machinery, joinery, electrical equipment, household appliances, home dcor, paints and hardware items.
Critics of South Asias yards have remained blind to the tremendous improvements that have taken place there
This supports industrial ecology and industrial symbiosis, as the output from ship recycling yards are utilised as inputs to small-scale industries working to refurbish items which are eventually traded in the second-hand market. All this is in addition to the steel re-rolling mills and steel melting mills which utilise ferrous scrap from end-of-life ships to produce steel goods such as bars, ingots, pipes and plates. The entire localised industry that has developed due to ship recycling yards is a major boost to the local economy, as it assists in the flourishing trade of second-hand goods, ferrous scrap, and non-ferrous scrap.
To compare the labour and hazardous waste(s) management costs for yards in Turkey and India, consider the recycling of a 10,000 light displacement tonnage (ldt) container ship. A typical 10,000 ltd container vessel will have about a 5% weight loss due to corrosion, loss during recycling, as well as wear and tear over the operational period of the vessel. In addition, nearly 0.5% non-ferrous, 4% machineries and 0.5% reusables (like furniture and fixtures) are recovered by recycling; the remaining 90% is ferrous. In the case of South Asian countries, nearly 75% of the remaining 90% ferrous goes to re-rolling mills as steel plates, including direct use of steel plates to make flanges, girders, and pipes; 15% of the remaining 90% goes for melting, which includes irregular size scrap. In the case of Turkey and other EU recycling yards, most of the remaining 90% ferrous goes directly for melting and a fraction of it goes for re-rolling.
The daily wages paid to laborers is prescribed by the respective recycling country, based on the socio-economic conditions of the country. The prescribed wage in South Asian countries for unskilled labour is between US$4/day and US$6/day. Wages in Turkey are US$16/day to US$17/day for unskilled laborers. The difference of US$12/day equates to US$36,000/month (considering 100 workers per yard with paid leave). For recycling of a 10,000 ldt container vessel in Turkish yards, which takes about four months to completely recycle, these wages add up to US$144,000. This means US$15/ldt of additional costs on wages when compared to recycling the same vessel in sub-continent countries.
Looking at the environmental costs, the removal and disposal of each tonne of asbestos costs US$800 in Turkey, whereas in India it costs US$300 (as the waste disposal facility is owned by the Government of Gujarat). Considering 10 tonnes of asbestos for a given vessel (a higher value), it costs about US$8,000 for disposal in Turkey. Disposal of paint chips generated during the recycling cost US$500/tonne in Turkey, whereas in India it costs about US$200/tonne.
In summary, we can consider US$150,000 as the environmental cost, or waste management costs, in Turkey for all types of waste identified in an Inventory of Hazardous Materials (IHM), developed as per IMOs Resolution MEPC.269(68) guidelines. This adds up to an additional US$15/ldt for hazardous waste management, if recycled in Turkey when compared to India.
The higher cost of wages and hazardous waste management are not necessarily related to a higher quality of work. For example, heavy metal contamination levels at the coast of Aliaga (Turkey) ship recycling zone exceed the prescribed limits and are considered heavily polluted.
Including labour and hazardous waste management costs, Turkey should offer US$30/ldt to US$35/ldt less than the price offered in India (or any South Asian recycling country). But Turkey consistently offers US$90/ldt to US$160/ldt less than India (or any South Asian recycling country) as the value of steel generated from recycling is less when compared with South Asian countries. The European ship recycling yards offer even lower prices US$200/ldt to US$300/ldt less than the sub-continent.
All the factors discussed and the significant improvements undertaken by South Asian recycling facilities over the last few years should be acknowledged and appreciated by the global maritime community, rather than criticised and demeaned because of the use of beaching as a method of docking/grounding/landing ships for recycling.
The contribution of the ship recycling industry towards sustainability is immense; it helps decarbonise the atmosphere.
To conclude, irresponsible recycling is possible across all methods of recycling. However, to associate such practices only with a particular region, or a particular method of recycling, is incorrect. The landing method practiced in Turkey is really not different to the beaching method practiced in South Asian countries. What matters is how a given ship is recycled safely and in an environmentally sound manner after beaching or landing.
This article is adapted from the series of Thought Leadership pieces published by GMS on its website.
Riviera hosts the Ship Recycling Webinar Week from 15 September 2020. Register here to take part in the webinar.
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‘Grey’s Anatomy’ actor Sara Ramirez came out as nonbinary: ‘In me is the capacity to be Girlish boy, Boyish gi – Business Insider India
Posted: September 6, 2020 at 8:57 am
Sara Ramirez, an actor best known for her role as Dr. Callie Torres on "Grey's Anatomy" came out as nonbinary on Instagram Friday, writing "New profile pic. In me is the capacity to be Girlish boy, Boyish girl, Boyish boy, Girlish girl, All, Neither" and adding the hashtag #nonbinary.
As of Sunday morning, the post had received over 216,000 likes. Miss Peppermint, a Black transgender drag queen starred in Season 9 of "Rupaul's Drag Race" said she was "so proud and happy" on Twitter.
Ramirez's complex portrayal was applauded again by fans of the show after the actor came out as nonbinary Friday.
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Ramirez has long been an advocate for LGBTQ rights, receiving an Ally for Equality Award from the Human Rights Campaign Foundation in 2015. They first came out as queer and bisexual in 2016.
People who are nonbinary may go by the pronouns "they/them" rather than "he/she."
The nonbinary identity is increasingly visible, with a January 2019 Pew Research survey finding that a third of teens and people in their early 20s know someone who uses such gender-neutral pronouns.
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Ask the Doctors: Finding cause of bloating | Ragged Right – Lincoln Journal Star
Posted: September 6, 2020 at 8:57 am
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Dear Doctor: My husband and I ate more junk food than usual during the coronavirus lockdown, and we both gained a few pounds. We're trying for a healthier diet, with more fresh fruit and vegetables, but now I'm getting bloated after meals. What causes that? How can I make it stop?
Dear Reader: Whether it's due to stress, boredom or simply experimenting in the kitchen to help pass the time, many people during the lockdown began taking in more fuel than their bodies were burning. At the same time, physical activities that had been hardwired into our daily routines were suddenly absent. Visits to the gym, the two-block walk from the parking space to the office, the staircase you choose rather than taking the elevator, those quick, darting runs as you chase a toddler through the park -- they all add up. For many, the increase in food and the loss of activity have resulted in what has been dubbed the "quarantine 15." And as you have experienced, dietary changes to address the weight gain can lead to abdominal bloating.
Although bloating can be a symptom of gastrointestinal disorders, including irritable bowel syndrome, Crohn's disease and ulcerative colitis, more often, the condition is associated with a buildup of excess gas in the digestive tract. Symptoms can include a feeling of fullness that causes discomfort or pain, and which can cause the stomach to become distended. This is often accompanied by an increase in belching or passing gas and rumbling sounds in the stomach or bowels. If bloating leads to nausea, diarrhea, fever or blood in the stool, it's important to seek medical care.
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