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‘Putting someone on a scale every week doesnt always tell a coach much if your metabolic rate slows down’ – The Telegraph

Posted: November 14, 2019 at 8:48 pm

With the intention to encourage better sports performance, the culture of bullying and fat-shaming Britains leading female athletes has risen dramatically over the last few years. Quite frankly, some coaches have addressed the weight of sportswomen and paid lip service to the body image phenomenon.

A number of female athletes told The Daily Telegraph about the type of pressure they have been put under to lose weight, with many referring to the alleged conduct of Britains most senior coach, Charles van Commenee, during the run-up to the London 2012 Olympics.

This surfaced after 23-year-old Mary Cain, an American middle-distance runner and former teenage prodigy, claimed last week that she was abused by Alberto Salazars coaching methods, which allegedly caused her to stop menstruating for three years and break five bones due to osteoporosis.

There are long term and sometimes irreversible consequences to pushing your body too far. But when sportswomen are told that the reason for a bad performance is because they are overweight, how are they to respond? We spoke to sports experts aboutthis change in direction and where the line should be drawn.

At elite level endurance sports,manyathletes will carefully monitor their nutrition and their weight in order to optimise their performance at specific times of the year,because it can be compromised says lecturer in psychology within the context of sport, exercise and health Dr Carolyn Plateau.

Continued here:
'Putting someone on a scale every week doesnt always tell a coach much if your metabolic rate slows down' - The Telegraph

Shodai handed first tourney loss – The Japan Times

Posted: November 14, 2019 at 8:48 pm

FUKUOKA Hometown favorite Kotoshogiku picked up his first win of the Kyushu Grand Sumo Tournament on Thursday, defeating previously unbeaten overnight leader Shodai and pulling him back to the pack.

The No. 9 maegashira briefly turned back the clock to his ozeki days as he quickly shoved out his No. 10 opponent, leaving the title race wide open as injuries continue to thin out the ranks at Fukuoka Kokusai Center.

Sekiwake Tochinoshin and the other joint overnight leader, No. 16 Wakatakakage, both withdrew from the 15-day tournament earlier in the day, joining yokozuna Kakuryu, ozeki Goeido and No. 3 Tomokaze on the growing injury list.

All-time championship record-holder Hakuho (4-1) now headlines a group comprising mostly lower-ranked rikishi leading the race for the last Emperors Cup of the year that includes Shodai, komusubi Asanoyama, No. 2 Meisei, and No. 6 Enho.

The yokozuna pounced on No. 2 Myogiryu (2-3) to keep his prospects of winning his first makuuchi title as a Japanese citizen.

In other bouts, the upsets continued as ozeki Takakeisho (3-2) and Takayasu (2-3) again crashed down.

Takakeisho tried to push out No. 3 Takarafuji (2-3), but was shoved aside and fell forward to the clay.

Takayasu (2-3) had Meisei (4-1) on the ropes for most of their lengthy bout, but was eventually pulled down as he tired out and struggled to keep his balance.

Mitakeumi (2-3) was defeated by No. 1 Okinoumi (2-3) and fell to his third loss. The sekiwake had Okinoumi in a headlock and tried to throw the maegashira down, but was turned around and driven out.

The komusubi-ranked wrestlers squared off against each other on Day 5, with Asanoyama (4-1) and Abi (2-3) emerging victorious with respective wins over Hokutofuji (3-2) and Endo (1-4).

Asanoyama blasted Hokutofuji with a hard initial hit and steamrolled him over the straw, while Abi drove out Endo with a thrusting attack.

Among the rank-and-file, Enho (4-1) downed No. 5 Aoiyama (3-2) to the crowds delight. The top divisions lightest wrestler snagged Aoiyamas arm and yanked him down, having held his ground against the Bulgarian who is more than twice his weight.

No. 11 Chiyotairyu (3-2) and No. 12 Takanosho (2-3) celebrated their respective birthdays with Day 5 wins.

Earlier Thursday, Tochinoshin (2-3) pulled out with a right rib cartilage fracture sustained in his Wednesday bout against Takarafuji.

The injury-plagued Georgian will likely miss his chance to reclaim the sports second-highest rank, needing at least 10 wins over the 15-day meet to secure an automatic return to ozeki.

Wakatakakage forfeited his bout with No. 13 Kagayaki (3-2) and saw his perfect top-division debut come to an unfortunate end.

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Shodai handed first tourney loss - The Japan Times

Artist Ash Reynolds: I never liked coffins so we painted a ‘Living Wake Box’ for me – The Irish News

Posted: November 14, 2019 at 8:48 pm

WHEN artist Aisling 'Ash' Reynolds was forced to give up work following a shock diagnosis of stage four colon cancer last October, she was plunged into a period of mourning.

A freelance community artist who often worked with children and young people, she struggled to cope with that loss of contact, not to mention the extreme fatigue and side-effects of chemotherapy which meant she couldn't carry on with her job.

The Meath born mum-of-one, who has lived in Belfast for 30 years, felt redundant and lonely. She missed the people she worked with and she missed her creative outlet. So Ash decided to bring these two strands of her life together by documenting her cancer journey through art and involving her family, friends and colleagues in the project.

The result of her endeavours is the subject of Ash's firstsolo exhibition, Platelets, which opens at the Duncairn Arts Centre today. The exhibition will consist of three elements; 24 'uplifting' canvasses which she painted in the chemotherapy suite, a small selection of body images taken by Ash on her phone since her cancer diagnosis, and the centrepiece, a Living Wake Box, created by her loved ones during special sessions at her art studio and through which she encouraged conversation around terminal illness and death.

Aisling Reynolds and friends painting her 'Living Wake Box'. Picture by James T Donnelly

I've had a lot of grieving to do over the past year, Ash says, from her bed in Belfast City Hospital. I've never felt anger at all, but the grief really hit me, the loss of my work, the loss of contact with people. I really miss working with children, which was a big part of my job as a community artist.

I was having lots of visitors coming to my home but some of my friends just couldn't look me in the eye and were too afraid to talk to me about death or accept I was sick and going to die. It's still such a taboo subject.

I wanted to start the conversation, to get people talking about it. We're all going to die. So I came up with the idea of the 'wake box' painting sessions. I've never liked coffins so a friend made a box for me and I invited friends, in groups of eight or 10, to come along and paint flowers on the box. This meant I could see them in a creative way and those who found it difficult to look me in the eye could have something else to focus on.

I wanted to keep home life as normal as possible for the sake of my son Robin, so the sessions were held in the Vault Artist Studio in Tower Street. We had cups of tea, we painted and we talked.

"Some people who came to paint had family members dying and didn't know how to talk about it to their siblings. We had some difficult conversations but mainly lots of beautiful moments where everyone opened up and shared with the group.

One of Ash Reynolds's 'platelet art' pieces

The Wakebox sessions have been really special and I think they've helped my friends by allowing them to feel that they're helping me with this beautiful, collaborative piece of art.

When Ash first presented to her doctor complaining of pain in December 2017, an ultra sound scan revealed she had gallstones. She was placed on a waiting list for removal of her gall bladder and continued on with her life, making changes to her diet by cutting down on dairy products and sugar. But she was vomiting a lot, going to the toilet frequently and losing weight quickly. In the space of a year, she dropped from 18 stone to just 10.

At her wit's end one day, she took herself to A&E where she was told she was malnourished. She underwent a CT scan and biopsy and when the doctor and nurse asked her if her husband was on his way to the hospital, Ash knew the news was bad. She told them to give it to her straight, saying she could handle it. The doctor broke the news she had stage four colon cancer and it had spread to her bone, liver and lungs.

When her husband Jim arrived, the pair sat in shock, trying to take the diagnosis in. Ash's first thoughts were for her teenage son and then she went into practical mode, ringing around the various art organisations she worked for to alert them she'd be having to take time off work.

One of Ash Reynolds's 'platelet art' pieces

She was told that with chemotherapy, she could live for up to 30 months, without, between nine and 13. Within a month of her diagnosis, she began her first round of treatment.

Each time she went into the chemo suite, she brought two circular canvasses with her on which to paint colourful visualisations of healthy platelets being replaced by the damage of cancer. Following chemo, she added further layers and textures.

I wanted to turn something scary into something uplifting, she says. Painting the platelets distracted my thoughts from what I was there for and allowed me to be creative.

The third aspect of the exhibition is a collection of 15 self-portraits taken from her diagnosis and documenting her ever-changing body. Ash is determined to show that being terminally ill doesn't mean one has to 'creep off to bed and die' but can still be 'alive and vibrant and seen'.

Just hours before this scheduled interview, Ash and Jim were informed that the chemotherapy was no longer working and was going to have to come to an end. Ash says she is preparing to have the toughest conversation of her life when she sits down with son Robin to explain what this means.

But she's not giving up just yet and is looking ahead to her next artistic project a new box to create for her cremation. Even facing death, art is still her life.

I am sad that my hopes for a miracle have been shattered, she says. It's a lot to take in.

But you know, I feel blessed. I've had this time to have real conversations and time to spend with the people I love and say my goodbyes. And I've learned so much about people and how kind and generous my friends are.

The way I see it, is that we're all on this big train and my journey's a bit shorter than everyone else's. My stop is coming up and the journey's coming to an end. And that's OK, because it's been a great journey. It really has and for that, I'm incredibly grateful.

Platelets runs at the Duncairn Arts Centre in north Belfast until December 5

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Artist Ash Reynolds: I never liked coffins so we painted a 'Living Wake Box' for me - The Irish News

Bennett on hiatus of Tour of California: ‘It’s a big loss for cycling’ – VeloNews

Posted: November 14, 2019 at 8:48 pm

New Zealand star saw first-hand how much impact the Tour of California carried for riders, teams and sponsors alike.

The Amgen Tour of California punched over its weight and insiders agree it will be missed on the racing calendar.

The weeklong race might not have been the hardest of the year, but the U.S. WorldTour stage race now facing an uncertain future after organizers pulled it from the 2020 calendar in whats called a hiatus was surprisingly important among riders, teams, and sponsors across the sport.

And its absence will be felt in more ways than one. George Bennett, winner of the 2017 edition, was already making plans to race it for 2020 when organizers abruptly pulled the plug.

Just a week before it was announced it would stop, we were talking about my program, Bennett told VeloNews. If youre going to the Tour de France, California was a perfect race before going to altitude. Now with it gone, theres nothing to replace it.

Californias slot on the WorldTour calendar in May was ideal at a lot of different levels. And now thats it off the calendar, at least for 2020, it leaves a bigger hole than many might imagine.

For GC riders like Bennett, who were coming off a break after a busy early-season calendar, California was the ideal race to transition toward the Tour de France and pre-Tour altitude camps.

The race was so perfectly positioned on the calendar that superstar Peter Sagan (Bora-Hansgrohe) would use it as his first race back after the spring classics. Sagan raced 10-straight editions before finally changing his schedule for 2020 in order to start the Giro dItalia for the first time in his career.

And for riders who did not want to face the rigors and demands of the Giro dItalia, but wanted some solid racing in typically good weather and on good roads, California will be hard to replace.

Now that its gone, it will bring the Giro into the picture for a lot of guys, Bennett said in a telephone interview. There is not a replacement race in mid-May right now. Guys will miss that race.

The only other elite mens 2020 WorldTour race besides the Giro in May is the one-day Eschborn-Frankfurt. There are a few other races on the calendar that might draw some WorldTour riders the Vuelta a Aragon in Spain or the Tour de lAin in France but its more than the race days that will be missed.

Since its founding in 2006, California quickly emerged as one of the most important events of the year. As Bennett described, the races growing prestige outstripped its built-in difficulty compared to other races on the circuit. But because it was in California as the lone WorldTour stage race in the United States, it carried extra weight and importance among sponsors, teams and riders compared to perhaps older or more challenging races in Europe.

California was always a race that the exposure of it was higher than the level of the race, Bennett said. It was such a big race for sponsors and for American riders and media. Tour de Romandie is a lot harder race, but the media coverage at California was so far-reaching.

U.S. riders all wanted to perform well and the race became an important platform for sponsors and bike companies to show off their wares. Once the race hit WorldTour status in 2017 along with the expansion of the womens events, it became even more important for teams to chase points for rankings in the season-long series.

Young guys could go there and have a breakthrough ride and it would catapult them onto the scene, Bennett said. If you race at Romandie against [Primoz] Roglic and all those guys, but if youre 10th there, its not the same as being 10th at California in terms of exposure, even though physically Romandie is much harder.

Bennett witnessed that dichotomy firsthand. The New Zealand star raced two editions of the race on U.S.-backed teams, first with RadioShack in 2012 and again with Cannondale in 2014, and he immediately saw the buzz and interest surrounding the race.

Teams revolved around California in ways that they dont for other races, he said. When I was at RadioShack, it was one of the main focuses of the entire season. It was a big deal for the sponsors and the teams. They liked the exposure the race gave everyone.

When he returned as a member of Jumbo-Visma and won the overall title in 2017, he saw just how much impact success at California could have.

California was such a prestigious race, and it was a big opportunity for young riders like me to win, he said. When I won in 2017, it put me right on the map as being a GC contender.

Its going to be a bit sad now for the U.S. riders, he continued. A guy like Neilson Powless could have a great ride at California and really get noticed by the WorldTour teams. Now even if you were to win a race like Redlands or the [now-defunct] Cascade Classic, it will be a lot harder to get noticed.

And California soon became a favorite for everyone involved in the international cycling community. Riders and staffers alike would request to put California on their calendars. The allure of racing in California quickly became as mythic for Europeans as Americans daydreamed of racing in France.

Everyone loved racing at California, Bennett said. Californians were a good representation of what being American is like. Sometimes from outside the U.S., we have a different idea of what America is like. California showed the best side of America. It was beautiful roads and amazing scenery, and everyone was very friendly. Its a big loss for cycling.

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Bennett on hiatus of Tour of California: 'It's a big loss for cycling' - VeloNews

Makki Roti Sarson Saag And White Butter: Kareena Relished This Sumptuous Meal In Punjab- Here’s Why You Should Eat It Too – NDTV News

Posted: November 14, 2019 at 8:48 pm

Makki roti sarson saag and white butter in Punjab is perfect example of local, seasonal and cultural food

Makki roti sarson saag: Winter is here, well almost. Every season brings with itself an array of foods and dishes and their health benefits. Food which is in season will not only taste delicious, but will also provide you with health benefits. The idea is to promote seasonal, local and cultural eating for good health, nutrition and weight. And guess who was seen enjoying a sumptuous meal like makki roti and sarson ka saag - the one and only Kareena Kapoor Khan!Kareena Kapoor's nutritionist Rujuta Diwekar recently shared an Instagram post featuring the actress eating makki roti with sarson ka saag with white butter when she is Punjab.

Eating makki ki roti sarson ka saag with white butter, when in Punjab, at this time of the year, is actually the perfect example of eating local, seasonal and cultural. According to Rujuta, you must always make the effort of eating the food that is native to the place that you are travelling to.

Sticking to a weight loss or a fad diet even when you are travelling or following it regularly creates monotony and also deprives your gut of microbial diversity that it needs to stay healthy. Following the same diet because you need to lose weight can make room for cravings and irritability.

Also read:Winter Superfoods: Rujuta Diwekar Recommends 3 Superfoods For Optimum Nutrition And Good Health

"Every region has its own tradition of celebrating its seasonal produce using timeless, heritage recipes. And I strongly believe that one should follow a diet that respects that versus that which makes you feel like you have "cheated" if you eat a home cooked delicacy," writes Rujuta on her post.

The joy of eating desi - Every region has its own tradition of celebrating its seasonal produce using timeless, heritage recipes. And i strongly believe that one should follow a diet that respects that versus that which makes you feel like you have cheated if you eat a seasonal delicacy. Changing the roti, sabzi and the accompaniments as the season changes, is something that we must cherish. Nutrition societies across the globe are trying to adopt this practice from ancient cultures. And on our part, we must ensure that this timeless practice is not forgotten and lost in the process of eating only meat or only soup-salad or not eating at all. Health is not a size, it's a state. A state of harmony, in the mind and body and between people and planet. And really, all you need to do for that is to keep calm and eat makhan-roti-saag. P.S- - Makhan-roti-saag coz right now #kareenakapoorkhan is in Punjab. - This is for dinner. The Makhan, saag and roti and the quantities in the picture do NOT depict how much she eats. The pic is taken after most of it is in her stomach. Eat as per your hunger, not as per a fixed measure. - Mein apni favourite hu is not just a dialogue, it's a way of life that encourages you to eat all that is nice. #winterfood #saag #punjab

A post shared by Rujuta Diwekar (@rujuta.diwekar) on Nov 10, 2019 at 10:32pm PST

Changing our diet with respect to season is something that should be cherished and not forgotten. "Health is not a size," says Rujuta, "It's a state. A state of harmony, in the mind and body and between people and planet. And really, all you need to do for that is to keep calm and eat makhan-roti-saag."

What's more is that Kareena Kapoor Khan, who can rightly be hailed as the fitness diva of Bollywood, is eating this delicious and wholesome meal for dinner. "The makhan, saag and roti and the quantities in the picture do not depict how much she eats. The pic is taken after most of it is in her stomach. Eat as per your hunger, not as per a fixed measure," Rujuta is quick to alert readers.

Also read:5 Clever Food Swaps To Keep You Warm And Healthier This Winter!

Made from corn kernels, makki roti is made from corn flour that is gluten free. Eating makki roti during winter is beneficial as it contains B-complex vitamins that can keep sluggishness at bay. It is also good for your skin, hair, heart, brain and digestion. Makki roti is a good source of Vitamin A, C, K, beta-carotene and selenium. All these nutrients can improve functioning of the thyroid gland and helps in maintaining immunity.

Makki roti with sarson saag and white butter is a perfect, wholesome and nutritious winter mealPhoto Credit: iStock

Sarson saag is made using seasonal mustard leaves along with other leafy green veggies like bathua, spinach and even radish leaves. Delicious to taste, this dish is a powerhouse of antioxidants, thanks to leafy green veggies it is made with. The mention of leafy green veggies cannot go without the mention of iron. Leafy greens like mustard leaves and spinach provide you with a good amount of iron and other essential micronutrients like calcium, magnesium, zinc, potassium and manganese. It is good for high blood pressure and heart patients. Vitamin A in leafy greens can be beneficial for your eye health too. Sarson ka saag is a fibre-rich dish that can fill you up quickly, prevent constipation and smoothen bowel movement.

Also read:High Blood Pressure And Other Top Benefits Of Including Leafy Greens In Diet

White butter is the highlight of eating makki roti with sarson saag. A dollop of white butter over your roti and on saag is the ideal way to consume this dish. Homemade white butter contains essential fats which are needed for absorption of Vitamins A, D, E and K. Eating it in controlled proportions can be great for giving a boost to you immunity. Fats in white butter will help you keep warm in winter.

This winter, enjoy a makki roti with sarson saag and white butter like Kareena!

(Rujuta Diwekar is a nutritionist based in Mumbai)

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

Get Breaking news, live coverage, and Latest News from India and around the world on NDTV.com. Catch all the Live TV action on NDTV 24x7 and NDTV India. Like us on Facebook or follow us on Twitter and Instagram for latest news and live news updates.

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Makki Roti Sarson Saag And White Butter: Kareena Relished This Sumptuous Meal In Punjab- Here's Why You Should Eat It Too - NDTV News

James Franklin talks about where Penn State is coming off a loss – 247Sports

Posted: November 14, 2019 at 8:48 pm

Penn State head coach James Franklin appeared on the Move the Sticks Podcast with Daniel Jeremiah and Bucky Brooks to discuss refocusing the his team after a loss.

...the way we do it here we have a light practice on Sunday, make corrections, Franklin said when asked how the Nittany Lions will get back on track after the loss at Minnesota. Basically do a walk and talk for our scouting report for our next opponent on the field, and then were off on Mondays and then practice Tuesdays. I thought our locker room, it was the correct response. A lot of raw emotion. Guys were hurting. Our guys are on our own Monday when we come in and game plan...From my conversations with the guys, were in a good place. Well use this -- you have a choice. In my mind, everything is used for fuel. When you win a game, thats used for fuel from a confidence perspective. When you lose a game, you can use that as fuel to make sure to do everything in your power to make sure you never feel that again.

Brooks asked Franklin how he keeps Penn State on a level plane over a 12 or 13 game season.

For us, thats really where we try to do the 1-0 mantra, Franklin said. We dont just talk it, we try to live it in everything we do. Ive worked around a lot of coaches where they say were going to do the 1-0 deal, but then they get up in front of the team and you can tell that this game is more important than another game. That may be going to class, that may be going to the weight room. Its winning the moment, its being present, and those types of things. I think weve done a pretty good job of that. Since I got here, you look at where the program was right before I got the job to where it is now. Obviously, weve made signiificant strides...Hard to have this conversation after having our first loss of the season, but Ive been impressed with it. We try to live it, we try to be consistent with it, we try to be consistent with our behavior, our habits, and our approach. So far, weve done a pretty good job of that.

Penn State hosts Indiana on Saturday, who is ranked for the first time since 1994 at No. 24 in the AP Top 25. The Nittany Lions will hope to put the Minnesota loss behind them and get the job done heading into a showdown with Ohio State next week.

"I think Coach Franklin said it best right after the game we can't let Minnesota beat us twice," sophomore defensive tackle PJ Mustipher said. "So when you're coming off a game like that, you've got to be able to quickly move on."

A Nittany Lions victory would set the stage for Penn State to make its biggest statement yet Nov. 23 in Columbus, where an unbeaten Ohio State squad will await (unless the Buckeyes suffer the upset of all upsets Saturday at 2-7 Rutgers). The winner would be destined for a Big Ten championship game appearance Dec. 7 in Indianapolis, and Minnesota is in the driver's seat to serve as their opponent.

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James Franklin talks about where Penn State is coming off a loss - 247Sports

Cedars-Sinai Team Saves Life of Patient with 25-Pound Ovarian Tumor – Newswise

Posted: November 14, 2019 at 8:48 pm

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Newswise LOS ANGELES (Nov. 13, 2019) Maria Robles Garcia was sure her uncomfortable abdominal symptoms weren't caused by irritable bowel syndrome or from being overweight, no matter that her local doctors repeatedly told her that was the case. Eight months of escalating abdominal and back pain, bloating, vomiting, hair loss and fatigue added up to something worse-of that she was certain.

"My doctor told me I was getting fatter, and that was the problem, even though I could feel something hard in my belly," Garcia, 53, recalled of the months of frustrating physician visits at which she believed her symptoms were dismissed because she's overweight and a woman. "I've been overweight for a long time. That was not the problem. I was actually losing weight because I was so sick."

Garcia credits her Cedars-Sinai Emergency Department physicians and surgeon with saving her life, after they detected and removed a 25-pound, cancerous ovarian tumor.

"They listened to me," Garcia said. "If not, I could have died."

Physician dismissals of women's physical symptoms as "all in your head" or "irritable bowel syndrome" are nothing new to Bobbie J. Rimel, MD, assistant professor of Obstetrics and Gynecology at Cedars-Sinai and Garcia's gynecologic oncologist.

"I have treated many patients who were told they felt ill because they're fat or have gluten intolerance when, in fact, they had cancer," Rimel said.

Lack of financial resources and access to proper health screenings, plus physician bias based on physical appearance, ethnicity and gender are among the health inequities that often delay cancer diagnoses and treatment, Rimel said. "These disparities in healthcare break my heart."

In the case of ovarian cancer, women face the additional burden of vague and mild-sounding symptoms that often fail to prompt a pelvic exam, delaying diagnosis.

"Indigestion, fatigue and changes in bowel movements don't usually prompt doctors to palpate women's abdomens," Rimel said. "Nor do they do so when women complain of constipation. If Maria's doctors had, they would have felt the large tumor."Garcia's torturous road to a life-saving diagnosis began two years ago with multiple visits to an Antelope Valley primary care physician and a gastroenterologist. She repeatedly complained of vomiting and frequent diarrhea and she felt a hard mass in her abdomen.

Garcia said she "begged" her gastroenterologist for a CT scan to get an accurate look inside her abdomen and pelvis, but he rejected her request. She did undergo an ultrasound, but the ovarian tumor apparently was not identified, Rimel said. The physician told Garcia she was fat and had a liver condition, the cure for which, he said, was weight loss.

As the Lancaster residents condition worsened, she sought help again from her primary care physician, who told her to go immediately to the Cedars-Sinai Emergency Department. Once there, abdominal and pelvic imaging quickly confirmed the huge mass in her ovary. About 48 hours later, Garcia was in surgery, where Rimel removed the 18-inch, 25-pound tumor.

"She was incredibly lucky that the cancer had not spread," Rimel said. Unlike most cancerous tumors, which grow on the surface of the ovary and then spread into the abdomen, Garcias cancer apparently lived inside her ovary and grew there.

"Women need to know that it's not normal to suffer," Rimel said. "Do not delay a doctor visit. If you are in pain, dont give up until you feel better." She encourages women with ongoing abdominal pain to see a gynecologist who, she said, "is more in tune with the cancer risks women face. They are more likely to pursue diagnostic tests."

Garcia underwent chemotherapy for six months following surgery because tests revealed some cancer cells in her abdominal fluid. Genetic testing also revealed that Garcia has one of the BRCA gene mutations, which increases her risk for breastand other cancers. Follow-up CT imaging and regular blood tests that monitor the presence of cancer during and after treatment have revealed no cancer recurrence, Rimel said.

To maintain her physical and emotional well-being, Garcia participates in the Cedars-Sinai Wellness, Resilience and Survivorship Programs. Shes completed the six-week "Emerging from the Haze" program, which helps cancer survivors deal with cognitive concerns, strong emotions or other quality of life issues following cancer treatments. She also has partaken of the "Nutrition in the Kitchen" program and art therapy classes. She currently is enrolled in the "Community for Resilience with Exercise" program.

Garcia says she is on a mission to help other women who need guidance as they deal with the effects of a cancer diagnosis and treatment. She says the hard work is worth it.

"Im the luckiest woman out there," Garcia said. "I want other women to listen to their bodies and not doubt what theyre hearing. There is beauty in this world, and I want them to be around to enjoy it."

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Cedars-Sinai Team Saves Life of Patient with 25-Pound Ovarian Tumor - Newswise

More than 50% of insects have disappeared since 1970, an ecologist warns even more evidence of an insect apocalypse – Business Insider

Posted: November 14, 2019 at 8:48 pm

Insects are disappearing en masse.

A new report from the Somerset Wildlife Trust in the UK found that 41% of the worlds 1 million known insect species are threatened with extinction.

The decline of butterflies, bees, and other bugs might seem low on a list of environmental concerns that includes rising seas and melting glaciers.

Yet the loss of these species could be devastating.

Insects are food sources for countless bird, fish, and mammal species. They recycle nutrients in the soil, and break down dead carcasses and animal waste. Pollinators like bees and hoverflies also perform a crucial role in fruit, vegetable, and nut production.

But insects are quickly losing their habitats to farmland and urbanization, and are threatened by farmers use of pesticides as well.

We cant be sure, but in terms of numbers, we may have lost 50% or more of our insects since 1970 it could be much more, ecologist Dave Goulson, the author of the new report, wrote. We just dont know, which is scary Perhaps more frightening, most of us have not noticed that anything has changed.

According to Goulsons report, it is hard to avoid the conclusion that there has been a major decline in insect biomass.

Goulson, a professor of biology at the University of Sussex, found that in the UK specifically, 23 bee and wasp species have gone extinct in the last century. Butterfly species have declined by as much as 77% since the mid-1970s, and populations of local insect-eating birds, like the spotted flycatcher, have similarly shrunk.

His work relied heavily on a February 2019 study in which scientists Francisco Snchez-Bayo and Kris Wyckhuys looked at 73 historical reports on insect declines around the world. Their results showed that the total mass of all insects on the planet is decreasing by 2.5% per year.

Beyond the 41% of the worlds known insect species that are already in decline, Snchez-Bayo and Wyckhuys noted that 31% are threatened (according to criteria set by the International Union for Conservation of Nature), and 10% are going locally extinct.

The February study also suggested that moths and butterflies are disappearing; between 2000 and 2009, the UK lost 58% of butterfly species on farmed land.

Dragonflies, mayflies, and beetles appear to be dying off as well.

If this trend continues unabated, Snchez-Bayo and Wyckhuys warned, the Earth may not have any insects at all by 2119.

Already, insects extinction rate is eight times faster than that of mammals, birds, and reptiles. That biodiversity crisis could trigger a catastrophic collapse of Earths ecosystems, the authors said.

Gary Mantle, chief executive of the Wiltshire Wildlife Trust (another environmental group in the UK), told The Guardian that this unnoticed apocalypse should set alarms ringing.

One of the most concerning trends in this insect apocalypse is the decline of honey bees.

In the US, the number of honey-bee colonies dropped from 6 million in 1947 to just 2.5 million in 2014.

Between October 2018 and April 2019, about 40% of US honey bee colonies died, according to research from the University of Maryland. Thats the highest winter bee loss in 13 years.

Researchers have observed a similar problem in the UK: one-third of 353 wild bee and hoverfly species there experienced declines between 1980 and 2013, according to a March study.

Honey bees pollinate $15 billion worth of US food crops, according to the Associated Press. One-third of everything Americans eat comes from pollinators like honey bees, per US Department of Agriculture estimates.

Worldwide, approximately three-quarters of all crops are pollinated by insects, Goulson said. So insect extinctions could have a major impact on our food production and supply.

Experts think honey bees are dying due to a combination of decreasing crop diversity, poor beekeeping practices, and loss of habitat. Pesticides like neonicotinoids can also kill bees in droves, causing colony collapses.

Goulson reported that 75% of honey samples from around the world contained neonicotinoids.

He added that in the UK, the number of pesticide applications has doubled over the last 25 years, and thats primarily to blame for widespread insect declines there.

To make the problem worse, insect habitats are disappearing as more land area gets used for farmland and urban development around the world.

Studying changes in insect populations over time is challenging, and many analyses rely heavily on reports about bugs in Europe and North America, even though most insects live in the tropics. Because of this, some scientists have pushed back against the idea that all insects could disappear within a century.

I understand the desire to put numbers to these things to facilitate the conversation, but I would say all of those are built on mountains of unknown facts, Michelle Trautwein, an entomologist from the California Academy of Sciences, told The Atlantics Ed Yong in February.

But the data trends we do have are troubling.

A 2017 study concluded that populations of flying insects in Germany had decreased by more than 75% percent in the last three decades. Another study conducted in Puerto Rico found that 98% of the islands ground insects had vanished since the 1970s.

The overwhelming weight of evidence that exists suggests the rapid decline is a real phenomenon, Goulson told The Guardian.

Although he agrees that there is a shortage of data on insect population trends, he added: It really worries me to hear people say we need more long-term studies to be sure. That would be great, but we cant wait another 25 years before we do anything because it will be too late.

Trautwein agreed that its better to approach the risk of insect extinctions with caution, rather than disregard.

I dont see real danger in overstating the possible severity of insect decline, but there is real danger in underestimating how bad things really are, she told the Atlantic.

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More than 50% of insects have disappeared since 1970, an ecologist warns even more evidence of an insect apocalypse - Business Insider

The sweet success of diabetes remission | Health – Gulf News

Posted: November 14, 2019 at 8:48 pm

Image Credit: Shutterstock

Diabetes doesnt have to be a life sentence. Although the disease isnt considered curable because it can return after several years, it can go into remission with appropriate medication and a change of diet and lifestyle.

More than one million adults in the UAE or about 17 per cent of the population have type 2 diabetes, according to the International Diabetes Federation.

Contributing factors in the UAE include a sedentary lifestyle, stress and an unhealthy diet, explains Dr Naveed Rauf, Specialist Cardiologist at Emirates Hospital Day Surgery and Medical Centre in Dubai Motor City.

Diabetes mellitus is a set of metabolic disorders characterised by high blood glucose levels. By far the most common is type 2 diabetes, a lifestyle disease triggered by factors such as obesity and age, as well as by ethnicity and family background. It accounts for 90 per cent of all cases and occurs when the body cant produce enough insulin, or when insulin doesnt regulate blood glucose levels properly.

Type 2 diabetes has been proved to go into remission for some period of time, says Dr Kishore Kumar Katam, Specialist Endocrinology at Thumbay University Hospital, Ajman. He points to the DiRECT open-label study that tracked 280 participants in the UK over 24 months to assess whether lifestyle changes can trigger remission. Two years later, more than a third of participants remained in remission. Younger people with new onset diabetes in whom insulin is started as initial therapy sometimes see diabetes go into remission, says Dr Katam. But [overall], weight loss due to a well-planned diet and exercise or bariatric surgery can cause remission of diabetes.

The UAE has already clocked a reduction in overall levels of type 2 diabetes. In March, the Ministry of Health and Prevention announced that diabetes among adults dropped by over a third between 2010 and 2019, while adult obesity decreased by about a quarter.

GN Focus asks doctors across the nation to illustrate how type 2 diabetes goes into remission with case studies from their practice. For privacy reasons, the patients names have been left out.

Take a combined approach

Dr Katam cites the case of an overweight South Asian man aged 35 years, who visited the clinic with new onset diabetes and HbA1C levels above 10 per cent in February 2018. HbA1C is a blood pigment bound to glucose, tests for which indicate how well diabetes is being controlled. Normal levels are under 6 per cent. Hed had symptoms of increased urination and thirst for over two months. He was frightened because hed developed diabetes at a younger age, says Dr Katam. We counselled him to follow a low-calorie and high-fibre diet, with regular exercise. He was advised to take insulin as the sugars were very high, above 250 mg/dL. He was started on premix insulin; two weeks later, his sugars were well controlled. Insulin was slowly brought down to the lowest possible dose, before being stopped entirely.

Several follow-ups later, through to July, the patient has been able to maintain blood sugar levels without insulin in the target range, but by keeping a careful watch on his diet and exercise.

The period of remission depends on diet, exercise and genetic background.

Drugs combined with lifestyle changes delivered quick results for an Arab patient too.

On February 2, a 34-year-old male who was obese at 115kg with high fasting glucose, elevated blood pressure and high cholesterol levels was counselled about his condition and offered a treatment of lifestyle modification and metformin for three months, explains Dr Rauf.

He came back seven months later after losing 14kg. We repeated the blood tests and all was within normal limits. Hed taken metformin for three months only and did the rest with lifestyle modification. This included diet control, calorie reduction and reduced carbohydrate intake, as well as exercise of least half an hour five times per week and giving up smoking.

Theres so much we still dont know about how long remission lasts or complications in the future, but lowering your blood sugar, blood pressure and cholesterol definitely reduces the risk of complications.

Involve the family

Dr Sarla Kumari, Specialist Physician Diabetologist, Canadian Specialist Hospital, tells of a 35-year-old Egyptian man who weighed 140kg and had a BMI of over 40. He came to me in May 2018, feeling weak and tired. He complained of repeated throat infections, had a family history of diabetes and his HbA1c levels were 9 per cent.

We then involved his wife to help change his diet and prescribed one hours brisk walk aimed at weight reduction and started him on oral hypoglycaemic medication Janumet two times a day. We explained diabetes can be reversed with weight loss, gave him diet charts and referred him to a dietician. The patient stopped eating rice and bread, opting instead for soups, salads, grilled fish and chicken, vegetables and fruit.

Over a year, he has lost 40kg and now weighs 100kg. The good news is that his last HbA1c was 5.4 per cent, well within normal limits this June, and he remains committed to losing 10kg more. I credit his success to his willpower and strong determination to reverse his diabetes along with his wifes support, and his commitment to regular check-ups so as to monitor his blood sugar levels.

Add a surgical intervention

Dr Shaimaa Mashal, Specialist Internal Medicine at Bareen International Hospital, MBZ City, Abu Dhabi, describes the case of a 38-year-old obese Arab woman: She had type 2 diabetes for four years on (uncontrolled) oral hypoglycaemic medication and presented with hyperglycaemia (400-500mg/dL) and all the basic symptoms of diabetes. Her HbA1C was 12.5 per cent.

We changed all diabetic treatment to a diabetic diet, basal insulin combined with glycogens such as a peptide agent, short-acting insulin and combined metformin with sodium glucose transporter inhibitor.

The patient responded quickly and within two months, her HbA1C levels dropped to 8 per cent. Nevertheless, Dr Mashal felt bariatric surgery would help her further. Two weeks after surgery, her HbA1C was down to 7 per cent. On self-monitoring, her blood glucose is 100-120 mg/dL, so we reduced the insulin to a third of the total dose. There was an improvement in protein and lipid profiles as well. Overall, she has now a better quality of life and is on her way to remission.

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The sweet success of diabetes remission | Health - Gulf News

The Great Lie Of Grieving: It Gets Easier – Jewish Journal

Posted: November 14, 2019 at 8:48 pm

My father died on October 8. It was Yom Kippur. They say that God takes only the saintliest and most beautiful of souls on that holy day. I didnt know this until a rabbi told me after hearing that I had lost my father. But it is one of the truest things I now know.

I know a lot of things, especially when it comes to death and loss and suffering and memory. Ive made a career out of it. If anyone should have been prepared to face loss with grace and dignity and understanding, it should be me. And yet, in the weeks since he disappeared, I have heard myself say so many times to myself and others, I didnt know. I didnt know it would feel like this. Each time I say it, it is with a sense of wonder. Not the kind of bright, childlike wonder, but the kind one feels only when its too late to go back perhaps the kind of wonder experienced by the poor souls of Dantes Inferno as they descend into the circles of hell: My God, it exists, it really exists and its happening to me.

I thought I knew myself but I had a blind spot, and all I can think about is what I didnt know until now. Usually I write about things I know and that I think others should know. But this time, I want to write about all the things I didnt know: all the things they never tell you.

No one ever tells you that while youll forget a lot of things in the weeks after the death of your father like why you walked into the kitchen, who you were about to call, what day your son has basketball and swimming, what your car looks like your memory, in other ways, will kick into overdrive and you wont be able to stop images of your father and your childhood from rising to the surface. You wont be able to stop the memory of your last conversation with your father, your last glimpse of his face, from running through your mind. You wont be able to stop hearing your mothers voice when she called you: Your father. Hes not breathing. I think hes dead. You wont be able to unhear her sobs as she pleads with his body: I love you, please come back to me, please dont leave me. Those words, and the sensation of hearing them, will be inscribed on your skin. Theyll leave traces in the breath that goes in and out of your body. You and those words will become inseparable. Its written on your face.

No one ever tells you about how there isnt just one layer of grief.

No one ever tells you that when youre in the grocery store checkout line trying to look normal and buy a bottle of wine and the cashier asks for your ID, that your hands will shake. Hard. And no one tells you that when you cant find the ID in your wallet, that you will start sobbing uncontrollably, that you will yell, loud enough for everyone in line to hear, that youre 42 years old and your dad just died.

No one ever tells you that things dont get easier. No one tells you that they get harder. No one tells you that even though you think you will wake up the day after the funeral and feel 1% better, youll actually wake up with a new, profound and permanent sense of pain and grief, and that youll come alive with the realization that this is the new weight youll have to learn to carry.

I didnt know. I didnt know it would feel like this. Each time I say it, it is with a sense of wonder. Not the kind of bright, childlike wonder, but the kind one feels only when its too late to go back.

No one ever tells you about how there isnt just one layer of grief. No one tells you that in addition to contending with your personal sense of loss, youll break down under the weight of seeing your younger siblings in pain. No one tells you that your chest will rip open when you see your youngest sibling, your 29-year-old baby brother, crushed and crying his eyes out, and that in that moment youll remember holding him when he was 3 years old to comfort him, and wish you could do it again. No one tells you that in the days after your fathers death youll visit your mother in the house they used to share, and that you will want to die because it hurts so bad to leave her alone in that big empty house she and your father built together. And no one tells you that when you think youve scraped the bottom of griefs pit, your 6-year-old son will start to break down under the burden of sadness that is too much for his little body and soul, and that during the funeral, when his tears finally come and he starts to wail with his whole heart, youll realize that there is no bottom to grief that it is an endless maze where you bump around and try to feel your way out of something that has neither form nor end.

No one ever tells you that such grief is like waking up and realizing you have a stone inside the now hollowed-out place that you call your chest, and that you will carry that stone for the rest of your life. Common sense tells me that the stone must get lighter, that Ill forget its even there after a time. But my friend Audrey tells me that this is the Great Lie that people tell that it gets easier. It doesnt, she says. And in my heart I know she is right, that I will have to carry this stone with me everywhere I go, and that some days it might feel light, but on others it will be too much to bear no matter how much time has passed. The weight of grief I want to forget that its there. And yet, I cant. The guilt I feel from simply desiring that reprieve is the sharpest of rebukes.

Losing a parent especially when you have spent your whole life chasing a deeper understanding of that parent is a loss like no other.

No one tells you that in the weeks after your fathers death, you wont stop eating. No one tells you that instead youll want to fill your body with all the things that he loved to eat, the things you told him to stop eating, the things you said were killing him. No one tells you that youll find yourself eating those mini grocery store powdered sugar doughnuts, making that rice with two sticks of butter baked into it, and drinking Squirt soda. No one tells you that youll think constantly about baked potatoes, that youll both crave them and be sickened by the thought of them. Why? Because thats what his last meal was. A sad little baked potato pushed to the side of his plate, just before his final moments. But then youll remember that it was one of his favorite things to eat, and that your mother had made it for him with love. So much love wrapped up in a baked potato: the last supper.

Love and loss are always wound together, arent they? Its strange that we work to unravel them when they seem to coexist so exquisitely.

No one ever tells you that a month after your father dies, youll still catch yourself whispering, to yourself, my dad died over and over because you dont believe it. You cant believe it. And thats the thing: No one tells you that seeing his body, the life gone out, and touching his hand, growing colder with each second, wont make you believe its real. No one tells you of the horror that is the body absent of life, that it grows cold so quickly, that it becomes colder than the temperature of the room in which it lays. It doesnt seem possible. And yet.

No one tells you that it death is the one thing we cant really talk about in an honest way.

Perhaps most importantly, no one tells you that while some of your friends will lean into your grief and show up in ways you never imagined, others will shrink away and remain silent. They wont call or email. They wont send flowers or soup. They wont even text you. And when they see you at a party, they will avoid you because they dont know what to say, how to act. But somehow, you wont resent them for it because youll realize that what has happened to you is terrifying and uncomfortable for them that they dont know what it feels like and so they dont know what to say. But it will still hurt. Youll still get angry that they werent there for you even though you understand.

And so it happens that you will learn so much from all the things that no one ever told you. Youll realize that you carry not only the weight of profound loss but also the weight of responsibility, because now you understand at least to a certain degree what others are going through when they lose a loved one. And with knowledge comes responsibility.

I never knew that one of the most powerful revelations that can come from loss is the understanding that I have fallen short, that when friends lost loved ones, I didnt do enough, didnt say enough, didnt listen closely enough. I have always prided myself on being a good friend. Im that friend who will help you bury a body if it ever comes to that. But extreme declarations of loyalty are useless if I dont show up in the right ways for people who I call my friends when someone they love has disappeared from their life.

And heres the thing: Ive made an intellectual career out of studying and writing not only about trauma and loss, but more precisely about all that we cannot know when it comes to the suffering of the other. And yet here I am, marveling at all the things I didnt know, as if I expected otherwise.

Losing a parent especially when you have spent your whole life chasing a deeper understanding of that parent is a loss like no other, and it is impossible to comprehend, even as it is being experienced. But its also true that we will all face this kind of loss at some point. It is deeply and devastatingly universal, and yet so much of what happens in the wake of such loss is unspoken.

Maybe some things need to remain unspoken until we find ourselves inside of them. Maybe it would be too much to bear otherwise the anticipation of an unavoidable loss that changes the world as we know it. But there are other things that need to be spoken, things to which we must always bear witness. That things get easier in the wake of a loss might be the Great Lie, but there is also an expanse of truth that becomes clear alongside the loss. Theres no silver lining to death. Everything does not happen for a reason. The death, pain and suffering of others is always incomprehensible. But when these things happen, when we see others in our lives experiencing these dark parts of what it means to live in a broken world, we can show up for them in all the ways that matter.

That truth, and the understanding that I have more love and empathy to give when others experience loss, might bring a little light to the eternal darkness I felt on Yom Kippur.

Monica Osborne is a scholar of Jewish literature and culture. She is the author of The Midrashic Impulse and the Contemporary Literary Response to Trauma.

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The Great Lie Of Grieving: It Gets Easier - Jewish Journal


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