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Plans for a Safe School Year – Government of Nova Scotia

Posted: August 27, 2021 at 1:44 am

Students return to school on Sept. 7 with core public health measures in place and a return to a more familiar routine.

Nova Scotias Back to School Plan requires a commitment to vaccination and staying home if unwell, as well as ongoing hand sanitization, use of masks and continued cleaning of high-touch surfaces.Additional public health measures will be introduced if COVID-19 case numbers rise.

As the school year begins, masks are required at all times for anyone inside a school building or bus. They can be removed when the person is eating and drinking, participating in physical activity, and for breaks where people are physically distanced. As the province enters Phase 5 of its reopening plan, schools will transition to masks being optional.

Our schools are as safe as our communities and thanks to safe and effective vaccines, and Nova Scotians rolling up their sleeves, our schools have an additional layer of protection this year that will allow students to have a much more normal year, said Dr. Robert Strang, Nova Scotias chief medical officer of health. We continue to have core public health measures in place to protect everyone in our schools, including wearing masks, frequent hand washing, staying home if youre sick and sanitizing high-touch surfaces.

In September, students, families and staff can expect:

If enhanced public health measures are required and students move to at-home learning, learning from home will look similar to the approach used in 2020-21.

Like last year, the plan for the 2021-2022 school year was created with significant input direction and guidance from public health officials, advice from Provincial Paediatric Advisory Group, feedback from the Nova Scotia Teachers Union (NSTU) and support unions, the Public School Administrators Association of Nova Scotia (PSAANS), support staff and teachers, survey results from parents and guardians, and recommendations from other key partners.

This pandemic has illustrated the importance of keeping our children and youth in school, where they have access to supports and programs that benefit their learning, as well as their social, physical and mental well-being. Thanks to our parents, students and dedicated teachers and administrators, Nova Scotias education system has fared well through COVID-19. Im confident this plan with its appropriate guidance around masking -- supports a safe return to class. Our Provincial Pediatric Advisory Group continues to be engaged with public health and education partners to ensure our schools remain safe spaces for our children to learn, develop and grow.Dr. Andrew Lynk, chief of pediatrics, IWK Health Centre, chair of pediatrics Dalhousie University, president of the Pediatric Chairs of Canada

Nova Scotias Back to School Plan includes a layered approach to infection prevention and control getting vaccinated, staying home when you are sick, washing your hands often and wearing a mask when appropriate are all actions staff and students can take do. Additionally, regional centres for education and Conseil scolaire acadien provincial are ensuring that high-touch surfaces are cleaned often and ventilation systems are working as designed. Schools have not been a significant source of infection transmission and Im confident the plan for this year has appropriate measures that will continue to keep students and staff safe.Dr. Jeannette Comeau, paediatric infectious diseases physician and medical director, Infection Prevention & Control, IWK Health

-30-

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Plans for a Safe School Year - Government of Nova Scotia

Here’s how kids can stay safe this school year during the delta variant surge – WBAL Baltimore

Posted: August 27, 2021 at 1:44 am

Millions of students are heading back to school with a challenge they didn't have to face last year.The more contagious delta variant is fueling a nationwide COVID-19 surge that's sending younger people to hospitals including children. The best weapon for students ages 12 and up is vaccination, the U.S. Centers for Disease Control and Prevention says. But kids too young to get vaccinated also have ways to help dodge delta.Here's how students can help stay healthy before, during and after school:Going to schoolBefore heading out: Minor symptoms that may have been overlooked in the past such as a runny nose shouldn't be ignored now, said pediatrician Dr. Steven Abelowitz, regional medical director of Coastal Kids Pediatrics in California."With the current rise in COVID cases, especially in children, it is advised that parents of children even with minor symptoms should contact their pediatrician to rule out COVID," Abelowitz said, matching guidance from the CDC.Of course, some kids can get or spread the delta variant without symptoms. So precautions during other parts of the day are important.At the bus stop: When chatting with a friend outdoors, "the risk of acquiring coronavirus is very low," CNN medical analyst and emergency physician Dr. Leana Wen said."Therefore, waiting at the bus stop or recess or coming out of the school, masks can be taken off."But if there are many children crowded together, "even though it's outdoors, if you're unvaccinated ... the advantages of masks are going to outweigh the disadvantages," Abelowitz said.On the school bus: "Mask wearing is absolutely critical because you're in close proximity in an enclosed space," Wen said."Make sure to be wearing a mask that covers your nose and your mouth. It should be at least the quality of a 3-ply surgical mask," she said."There are also KN95s, depending on the age of the child, that are even better. But the mask should be at least a 3-ply surgical mask. A cloth mask is not sufficient."Research has shown properly worn surgical masks generally give more protection than a cloth mask. If a cloth mask is used, the CDC said it should have multiple layers.When carpooling with another family: Carpooling might be safer if you're in a "pandemic pod" with another family.In that situation, "all adults should be vaccinated, the adults should be trying to reduce risk in their lives as much as both parties agree to, and essentially, you're in a household with that family," Wen said."If you are not in a pandemic pod with someone and you're still carpooling, everybody in that carpool should be wearing masks. Windows should be rolled down," she said. "It's not zero risk, but that also reduces the risk substantially."In the classroom and hallwaysThe importance of masks this year: The CDC recommends students from kindergarten through grade 12 wear masks in school as the highly contagious delta variant spreads nationwide.The American Academy of Pediatrics now recommends masks in schools for everyone over age 2.The delta variant has been a game changer, Abelowitz said.New pediatric COVID-19 cases are "significantly higher than a few months ago and climbing quite rapidly," he said."We do know that masks reduce the chance of spread. We do know that there's a significant increase in the delta variant," Abelowitz said."If these numbers are not controlled, eventually, unfortunately, the kids are not going to be in-person schooling."Get masks that kids actually like: There's no point in wearing a mask if a child keeps tugging at it or taking it off in school."This is something that does take getting used to," Wen said. "It may be good to practice wearing the mask at home and making sure that you're OK with that type of mask."Wen said her own son had to adjust to wearing a mask. But after "a couple of days into school ... it felt like second nature.""I think it's worth trying, if you can, different types of masks," she said. "Different people have different comfort levels."Some students might like one brand of well-fitting surgical masks over another. Other kids might feel more comfortable wearing child-sized KN95 masks, which allow more room for the nose and mouth."The most important thing is to find the best that you can consistently wear throughout the day," Wen said. "You don't want to find a mask that you're trying to pull off your face every 20 minutes."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Explaining masks to young kids: It can be tough explaining the importance of wearing masks in school to a young child. But it's not necessary to go into too much detail, Abelowitz said.For a 6-year-old, "You could simplify it as: 'There are people out there that are getting sick from other people. By wearing a mask, you will reduce the chance of you getting sick, and also reduce the chance of other people around you getting sick,'" Abelowitz said."'So that's why it's not only important for you to wear the mask to protect yourself, but it also can help protect other people.'"Another perk for young children: By wearing a mask and not getting sick, kids will be able to keep seeing their friends at school, Abelowitz said.Dealing with potential bulliesSome students might get bullied for wearing a mask. So it's important for children to be confident and prepared for such scenarios, psychologist Dr. Sanam Hafeez said."Parents need to instill in their children that they are doing the right thing by protecting their own health and the health of others around them," said Hafeez, director of Comprehensive Consultation Psychological Services in New York."They need to boost the child's confidence so they don't feel like they have to 'ditch' the mask to fit in or make the bullying stop. The more confident that the child is with the decision to wear a mask, the easier it will be for him/her to stand their ground."Parents can also help prevent such bullying in the first place."There is an old saying, 'children learn what they live.' A child who bullies over face mask-wearing has most likely learned that behavior from his/her parents," Hafeez said.If such bullying does happen, a child's response might depend on the age."For younger children, such as grade school, the simpler the answer the better," Hafeez said."Something like, 'I am being considerate by wearing a mask because I am protecting you from getting COVID. If you wore a mask you would protect others too.' Advise the child to say that and walk away and not engage with the bully," Hafeez said.If the bully becomes aggressive, the child should seek the help of a teacher.On the flip side, some students might get bullied for not wearing a mask for example, if their parents don't want them to."This is a tough situation for a child to be in. They might face words like "selfish," "germ spreader," "COVID Creep" or any number of insults kids might hurl at them," Hafeez said."If a child is in this situation and they do want to wear a mask, they should speak with their parents about doing so and explain how the bullying is making them feel and share what they might have learned about COVID prevention through mask wearing," she said."If a parent has forbidden a child under 18 to wear a mask, the student can say that he/she would like to wear a mask, but that is not the choice his/her parents have made for them."Wen said children have an opportunity to flex their maturity if they get bullied over wearing a mask.For example, they could say: "I wear a mask because of my grandmother. I don't want my grandmother to become ill. And I am doing this to protect people that I love."Returning to recessIf recess is outside and the school doesn't require masks outdoors, "I don't think that masks are (necessary) during recess," Wen said.That doesn't mean a student can't get infected outdoors. "At this point, there is no such thing as zero risk," Wen said. But "I would rather focus the mask wearing on indoor situations that are much higher risk."In areas with high COVID-19 numbers and when children are too young to be vaccinated "encouraging more distanced kind of games, even in outdoor settings, may be beneficial in mitigating" the delta variant, Abelowitz said.Both Wen and Abelowitz said it's a good for students to enjoy mask-free breaks outside."If they're outdoors, and they can maintain some distancing, and it's not that there's a major outbreak in a specific community, we prefer that they would be without masks," Abelowitz said.Enjoying lunch safely with friendsIt's impossible to wear masks while eating. And after a year of remote or hybrid learning, some cafeterias may be back to full capacity."I am worried about lunchtime. That is a high-risk setting, depending on how this is set up," Wen said."The best setup, obviously, would be outside. But if it's going to be inside, there should at least be excellent ventilation, some degree of spacing, and the kids should all be facing in the same direction instead of ... facing one another."But once students are done eating, they can put their masks on and chat face-to-face, Wen said.Some schools have allowed students to take their lunch to their classroom desks to help minimize crowds."Eating in socially distanced classrooms is certainly better than in a lunch hall with hundreds of other children in a small, enclosed indoor space," Wen said.One way students can socialize with different groups of friends is to eat outside, if the school allows it, Wen said. That could be in a courtyard, on the grass, or even a designated portion of the parking lot.Getting back to after-school funEven the best precautions during school can be nullified if kids get COVID-19 during after-school activities. And some students might let their guard down after school, Wen said."Remember that informal settings can have just as much if not more risk than formal settings," Wen said."I think so many people are worried about what happens when we're actually playing the sport and not thinking about wait, what about in the locker room?" she said."If kids are getting together in the locker room, spending time together, no masks on, that's a much higher risk setting that being outdoors playing a sport."The CDC warned about outbreaks connected to extracurricular activities last school year.And that was months before the delta variant the most contagious strain of novel coronavirus to hit the U.S. took over as the dominant strain.Those who were infected last year might not be fully protected from the delta variant this year especially those who are not vaccinated, Abelowitz said."We've seen that ... based on the Alpha variant or the variant prior, you have folks that have been infected with COVID can be infected again," the pediatrician said. "So we know for sure that you can be infected again, especially because there are different variants."Abelowitz said children should get vaccinated as soon as they're eligible.In the meantime, "close-contact sports, indoor sports are considered to be risky," Abelowitz said. The risk is amplified in areas of high COVID-19 numbers and low vaccination rates.Activities such as choir and band when students propel their breath into the air can also be high-risk, Abelowitz said.But that doesn't mean such activities and indoor sports need to be sidelined. Abelowitz and Wen said schools can consider regular COVID-19 testing for students in higher-risk activities.And whenever possible, after-school practices should be held outside, Wen said.If COVID-19 numbers are high in a community and not many children are vaccinated, a school may want to consider pausing higher-risk activities until the situation improves, Abelowitz said.All these safety precautions might seem daunting to some children. So it's important to emphasize what children can do now not what they can't do as they return to in-person learning, Wen said."It becomes more empowering to be able to say, 'Here is what you can do at school, including playing outdoors ... including being part of sports again,'" she said."We should be empowering and talk about what the child can do that's fun and what are the things that the child can do to reduce risk for them and for others around them."

Millions of students are heading back to school with a challenge they didn't have to face last year.

The more contagious delta variant is fueling a nationwide COVID-19 surge that's sending younger people to hospitals including children.

The best weapon for students ages 12 and up is vaccination, the U.S. Centers for Disease Control and Prevention says. But kids too young to get vaccinated also have ways to help dodge delta.

Here's how students can help stay healthy before, during and after school:

Before heading out: Minor symptoms that may have been overlooked in the past such as a runny nose shouldn't be ignored now, said pediatrician Dr. Steven Abelowitz, regional medical director of Coastal Kids Pediatrics in California.

"With the current rise in COVID cases, especially in children, it is advised that parents of children even with minor symptoms should contact their pediatrician to rule out COVID," Abelowitz said, matching guidance from the CDC.

Of course, some kids can get or spread the delta variant without symptoms. So precautions during other parts of the day are important.

At the bus stop: When chatting with a friend outdoors, "the risk of acquiring coronavirus is very low," CNN medical analyst and emergency physician Dr. Leana Wen said.

"Therefore, waiting at the bus stop or recess or coming out of the school, masks can be taken off."

But if there are many children crowded together, "even though it's outdoors, if you're unvaccinated ... the advantages of masks are going to outweigh the disadvantages," Abelowitz said.

On the school bus: "Mask wearing is absolutely critical because you're in close proximity in an enclosed space," Wen said.

"Make sure to be wearing a mask that covers your nose and your mouth. It should be at least the quality of a 3-ply surgical mask," she said.

"There are also KN95s, depending on the age of the child, that are even better. But the mask should be at least a 3-ply surgical mask. A cloth mask is not sufficient."

Research has shown properly worn surgical masks generally give more protection than a cloth mask. If a cloth mask is used, the CDC said it should have multiple layers.

When carpooling with another family: Carpooling might be safer if you're in a "pandemic pod" with another family.

In that situation, "all adults should be vaccinated, the adults should be trying to reduce risk in their lives as much as both parties agree to, and essentially, you're in a household with that family," Wen said.

"If you are not in a pandemic pod with someone and you're still carpooling, everybody in that carpool should be wearing masks. Windows should be rolled down," she said. "It's not zero risk, but that also reduces the risk substantially."

The importance of masks this year: The CDC recommends students from kindergarten through grade 12 wear masks in school as the highly contagious delta variant spreads nationwide.

The American Academy of Pediatrics now recommends masks in schools for everyone over age 2.

The delta variant has been a game changer, Abelowitz said.

New pediatric COVID-19 cases are "significantly higher than a few months ago and climbing quite rapidly," he said.

"We do know that masks reduce the chance of spread. We do know that there's a significant increase in the delta variant," Abelowitz said.

"If these numbers are not controlled, eventually, unfortunately, the kids are not going to be in-person schooling."

Get masks that kids actually like: There's no point in wearing a mask if a child keeps tugging at it or taking it off in school.

"This is something that does take getting used to," Wen said. "It may be good to practice wearing the mask at home and making sure that you're OK with that type of mask."

Wen said her own son had to adjust to wearing a mask. But after "a couple of days into school ... it felt like second nature."

"I think it's worth trying, if you can, different types of masks," she said. "Different people have different comfort levels."

Some students might like one brand of well-fitting surgical masks over another. Other kids might feel more comfortable wearing child-sized KN95 masks, which allow more room for the nose and mouth.

"The most important thing is to find the best that you can consistently wear throughout the day," Wen said. "You don't want to find a mask that you're trying to pull off your face every 20 minutes."

Explaining masks to young kids: It can be tough explaining the importance of wearing masks in school to a young child. But it's not necessary to go into too much detail, Abelowitz said.

For a 6-year-old, "You could simplify it as: 'There are people out there that are getting sick from other people. By wearing a mask, you will reduce the chance of you getting sick, and also reduce the chance of other people around you getting sick,'" Abelowitz said.

"'So that's why it's not only important for you to wear the mask to protect yourself, but it also can help protect other people.'"

Another perk for young children: By wearing a mask and not getting sick, kids will be able to keep seeing their friends at school, Abelowitz said.

Some students might get bullied for wearing a mask. So it's important for children to be confident and prepared for such scenarios, psychologist Dr. Sanam Hafeez said.

"Parents need to instill in their children that they are doing the right thing by protecting their own health and the health of others around them," said Hafeez, director of Comprehensive Consultation Psychological Services in New York.

"They need to boost the child's confidence so they don't feel like they have to 'ditch' the mask to fit in or make the bullying stop. The more confident that the child is with the decision to wear a mask, the easier it will be for him/her to stand their ground."

Parents can also help prevent such bullying in the first place.

"There is an old saying, 'children learn what they live.' A child who bullies over face mask-wearing has most likely learned that behavior from his/her parents," Hafeez said.

If such bullying does happen, a child's response might depend on the age.

"For younger children, such as grade school, the simpler the answer the better," Hafeez said.

"Something like, 'I am being considerate by wearing a mask because I am protecting you from getting COVID. If you wore a mask you would protect others too.' Advise the child to say that and walk away and not engage with the bully," Hafeez said.

If the bully becomes aggressive, the child should seek the help of a teacher.

On the flip side, some students might get bullied for not wearing a mask for example, if their parents don't want them to.

"This is a tough situation for a child to be in. They might face words like "selfish," "germ spreader," "COVID Creep" or any number of insults kids might hurl at them," Hafeez said.

"If a child is in this situation and they do want to wear a mask, they should speak with their parents about doing so and explain how the bullying is making them feel and share what they might have learned about COVID prevention through mask wearing," she said.

"If a parent has forbidden a child under 18 to wear a mask, the student can say that he/she would like to wear a mask, but that is not the choice his/her parents have made for them."

Wen said children have an opportunity to flex their maturity if they get bullied over wearing a mask.

For example, they could say: "I wear a mask because of my grandmother. I don't want my grandmother to become ill. And I am doing this to protect people that I love."

If recess is outside and the school doesn't require masks outdoors, "I don't think that masks are (necessary) during recess," Wen said.

That doesn't mean a student can't get infected outdoors. "At this point, there is no such thing as zero risk," Wen said. But "I would rather focus the mask wearing on indoor situations that are much higher risk."

In areas with high COVID-19 numbers and when children are too young to be vaccinated "encouraging more distanced kind of games, even in outdoor settings, may be beneficial in mitigating" the delta variant, Abelowitz said.

Both Wen and Abelowitz said it's a good for students to enjoy mask-free breaks outside.

"If they're outdoors, and they can maintain some distancing, and it's not that there's a major outbreak in a specific community, we prefer that they would be without masks," Abelowitz said.

It's impossible to wear masks while eating. And after a year of remote or hybrid learning, some cafeterias may be back to full capacity.

"I am worried about lunchtime. That is a high-risk setting, depending on how this is set up," Wen said.

"The best setup, obviously, would be outside. But if it's going to be inside, there should at least be excellent ventilation, some degree of spacing, and the kids should all be facing in the same direction instead of ... facing one another."

But once students are done eating, they can put their masks on and chat face-to-face, Wen said.

Some schools have allowed students to take their lunch to their classroom desks to help minimize crowds.

"Eating in socially distanced classrooms is certainly better than in a lunch hall with hundreds of other children in a small, enclosed indoor space," Wen said.

One way students can socialize with different groups of friends is to eat outside, if the school allows it, Wen said. That could be in a courtyard, on the grass, or even a designated portion of the parking lot.

Even the best precautions during school can be nullified if kids get COVID-19 during after-school activities. And some students might let their guard down after school, Wen said.

"Remember that informal settings can have just as much if not more risk than formal settings," Wen said.

"I think so many people are worried about what happens when we're actually playing the sport and not thinking about wait, what about in the locker room?" she said.

"If kids are getting together in the locker room, spending time together, no masks on, that's a much higher risk setting that being outdoors playing a sport."

The CDC warned about outbreaks connected to extracurricular activities last school year.

And that was months before the delta variant the most contagious strain of novel coronavirus to hit the U.S. took over as the dominant strain.

Those who were infected last year might not be fully protected from the delta variant this year especially those who are not vaccinated, Abelowitz said.

"We've seen that ... based on the Alpha variant or the variant prior, you have folks that have been infected with COVID can be infected again," the pediatrician said. "So we know for sure that you can be infected again, especially because there are different variants."

Abelowitz said children should get vaccinated as soon as they're eligible.

In the meantime, "close-contact sports, indoor sports are considered to be risky," Abelowitz said. The risk is amplified in areas of high COVID-19 numbers and low vaccination rates.

Activities such as choir and band when students propel their breath into the air can also be high-risk, Abelowitz said.

But that doesn't mean such activities and indoor sports need to be sidelined. Abelowitz and Wen said schools can consider regular COVID-19 testing for students in higher-risk activities.

And whenever possible, after-school practices should be held outside, Wen said.

If COVID-19 numbers are high in a community and not many children are vaccinated, a school may want to consider pausing higher-risk activities until the situation improves, Abelowitz said.

All these safety precautions might seem daunting to some children. So it's important to emphasize what children can do now not what they can't do as they return to in-person learning, Wen said.

"It becomes more empowering to be able to say, 'Here is what you can do at school, including playing outdoors ... including being part of sports again,'" she said.

"We should be empowering and talk about what the child can do that's fun and what are the things that the child can do to reduce risk for them and for others around them."

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Here's how kids can stay safe this school year during the delta variant surge - WBAL Baltimore

What Parents Need to Know About Kids and Heat Waves – Outside

Posted: August 27, 2021 at 1:44 am

This summer has been a scorcher. According to a major United Nations climate report released earlier this month, the planets temperatures have reached record highs, and the extreme heat that many Americans experienced this summer will only become more common in the future. The heat has had devastating effects on people of all ages, but the smallest among us are especially vulnerable.

But simply keeping your kids inside isnt the answer, says Dr. Samuel Schimelpfenig, a pediatrician in Sioux Falls, South Dakota with a specialty in sports medicine for kids and adolescents. We are healthier physically and mentally if were outside in nature, he says. If we keep kids inside, we dont have to worry about heat illness quite so much, but the downside is theyre not being physically active and theyre probably spending too much time on a screen.

If your kid is going to be playing in the heat, heres what you need to know:

While on most days the body does a great job of regulating its own temperature (thanks to a region of the brain called the hypothalamus gland), extreme heat can overwhelm that function, disrupting the normal process that results in the evaporation of sweat from the skin. That overheating can lead to heatstroke, which usually includes at least one of three telltale signs: unconsciousness, fever, and a lack of sweat, Schimelpfenig says.

Little kidsand their smaller bodiesare more at risk than adults. They absorb heat from the environment much quicker than we do, explains Schimelpfenig. Its the difference between cooking a single chicken breast or roasting an entire turkey. The bigger turkey will likely need three or four hours in the oven, while a chicken breast might be done in less than 30 minutes. This may be especially true for young athleteswith certain disabilities or medical diagnoses that might make them more susceptible to heat conditions, along with those taking certain medications that increase heat sensitivity.

Parents, coaches, and caregivers should learn to recognize and treat milder heat illness symptoms quickly. Something as simple as bringing a child inside, offering them a cold drink, and having them rest can make a difference. Missing the early signs could result in something much more dangerous. There are kids that end up in the emergency room dehydrated and needing IV fluids, says Schimelpfenig.

Heres what to look for:

Severe signs of heat illness often take those symptoms towards their extreme. If a kid has thrown up or passed out or is showing signs of mental confusion, seek medical attention immediately.

After adisrupted year of activity, kids may be out of shape or out of practice when it comes to handling heat.If youre working hard, youre also generating heat internally in an environment that is hot, says Schimelpfenig. You cant really work out in a sauna for very long before youre just too hot and exhausted to do it.

To maintain body temperature and keep kids happy,plan extra water breaks, provide shade (parents might bring along small tents or umbrellas on outdoor excursions), and remember to remove your childs bike helmet while restingits one more way for the bodys heat to escape. Other ways to cool off include eating a chilled snack (bonus points for snacks that have lots of hydration, like chilled fruit), jumping in a sprinkler or visiting a splash pad (though Schimpelfenig is clear that water cools you better inyour body rather than onit), or planning your activities for cooler times of day (early morning is better than high noon).

Teaching kids to regularly assess how their body feels can empower them to ask for help if they feel an onset of heat illness symptoms. Parents can also consider gear that helps kids help themselves: light colored, breathable clothing; moisture-wicking athletic wear; personal water bottles;and snack options that include electrolytes.

Finally, its important to stomp out the myth that canceling some activities due to heat is a failure. High heat indexes are often the reason esteemed athletes have to change their plans, says Schimelpfenig. In fact, recently at the Olympic Games in Tokyo, the gold medal womens soccer match was moved due to temperature, while the womens marathon was moved up an hour to mitigate the effects of extreme heat. In those instances, indoor activitiesmay be the better option.

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What Parents Need to Know About Kids and Heat Waves - Outside

Weight loss, pain and anxiety – many side effects of the curfew order – DealMakerz

Posted: August 12, 2021 at 1:52 am

This study is a review of 17 studies from various countries outside the Nordic region, and deals with the effects of attendance restrictions introduced in geriatric care and health care during Govt-19 epidemics. This shows that these measures have had many negative consequences. Physical effects on patients / users include decreased nutritional intake, decreased daily activity, and increased postoperative pain.

Depression, aggression, and e.g.nsamhet. The concerns of the relatives were mentioned among others.

Its author is Karin Hugalius, who has reviewed 17 international studies from 2020 with Japanese researchers.

This is not entirely unexpected as there are many physical and psychological side effects, says Karin Hugalius, an ambulance nurse and researcher in crisis management and disaster medicine at Aurobro University, to Likardingen.

I was a little surprised, there were such obvious side effects. You can measure them in many studies such as nutritional intake.

The 17 studies reviewed came from the United States, the Netherlands, Italy, Taiwan, Hong Kong, Japan, Ireland, Canada, Germany and the United Kingdom. One of the U.S. studies conducted research in several countries, such as Spain and Saudi Arabia. Affected facilities include nursing homes, immunization, IVA, neonatal intensive care and other hospital units. Most studies were quantitative, but there were also quality, mixed, and case studies.

Only two studies focused specifically on Govt-19 patients and / or their relatives. Some studies were conducted under a comprehensive restraining order, while others were conducted under partial restrictions. Six studies consisted of one patient perspective, eight relative perspectives, and two caregiver perspectives.

One of the two studies on nursing staff focused specifically on the experiences of physicians in nursing homes, and the other focused on different staff groups. For employees, visiting barriers and restrictions means spending more time interacting with relatives.

You may find that Dutch studies require more staff. If there are no relatives, caregivers should contact them in other ways. Thats an important lesson: visitor controls take time away from other work, says Karin Hugalius.

It is also a study that looked at the results of ending life-long treatment. Then the relatives did not have a picture of themselves and saw how the family member felt. This created ethical conflicts for employees and made the health work much more difficult.

What should you bring with you when discussing prospective research and visitor controls?

One important thing to know is that attendance restrictions can cause many negative health effects and can take a lot of resources from health care. You have to weigh it very carefully, so its worth it, says Karin Hugalius.

Based on further research, we have a lot to see. For example what impact does it have on the spread of infection. In what way can we deal with the negative consequences? If we can run meetings safely, I think we should do it.

Read the full review: Hugalius K., et al. International Nursing Courses. 2021; 121: 104000

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Weight loss, pain and anxiety - many side effects of the curfew order - DealMakerz

Testosterone Replacement Therapy Market Forecast to 2026 – Global Analysis and COVID-19 Impact by Type, Application and Geography – The Market Writeuo…

Posted: August 12, 2021 at 1:51 am

Testosterone Replacement Therapy Market Overview 2021 2026

This has brought along several changes in This report also covers the impact of COVID-19 on the global market.

The risingtechnology in Testosterone Replacement Therapy Marketis also depicted in thisresearchreport. Factors that are boosting the growth of the market, and giving a positive push to thrive in the global market is explained in detail. The study considers the present scenario of the data center power market and its market dynamics for the period 2021-2026. It covers a detailed overview of several market growth enablers, restraints, and trends. The report offers both the demand and supply aspects of the market. It profiles and examines leading companies and other prominent ones operating in the market.

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Key Competitors of the Global Testosterone Replacement Therapy Market are: Endo International, AbbVie, Eli lilly, Pfizer, Actavis (Allergan), Bayer, Novartis, Teva, Mylan, Upsher-Smith, Ferring Pharmaceuticals, Kyowa Kirin, Acerus Pharmaceuticals

Historical data available in the report elaborates on the development of the Testosterone Replacement Therapy on national, regional and international levels. Testosterone Replacement Therapy Market Research Report presents a detailed analysis based on the thorough research of the overall market, particularly on questions that border on the market size, growth scenario, potential opportunities, operation landscape, trend analysis, and competitive analysis.

This study report on global Testosterone Replacement Therapy market throws light on the crucial trends and dynamics impacting the development of the market, including the restraints, drivers, and opportunities.

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The fundamental purpose of Testosterone Replacement Therapy Market report is to provide a correct and strategic analysis of the Testosterone Replacement Therapy industry. The report scrutinizes each segment and sub-segments presents before you a 360-degree view of the said market.

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The report further highlights the development trends in the global Testosterone Replacement Therapy market. Factors that are driving the market growth and fueling its segments are also analyzed in the report. The report also highlights on its applications, types, deployments, components, developments of this market.

Highlights following key factors:

:-Business descriptionA detailed description of the companys operations and business divisions.:-Corporate strategyAnalysts summarization of the companys business strategy.:-SWOT AnalysisA detailed analysis of the companys strengths, weakness, opportunities and threats.:-Company historyProgression of key events associated with the company.:-Major products and servicesA list of major products, services and brands of the company.:-Key competitorsA list of key competitors to the company.:-Important locations and subsidiariesA list and contact details of key locations and subsidiaries of the company.:-Detailed financial ratios for the past five yearsThe latest financial ratios derived from the annual financial statements published by the company with 5 years history.

Our report offers:

Market share assessments for the regional and country level segments. Market share analysis of the top industry players. Strategic recommendations for the new entrants. Market forecasts for a minimum of 9 years of all the mentioned segments, sub segments and the regional markets. Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations). Strategic recommendations in key business segments based on the market estimations. Competitive landscaping mapping the key common trends. Company profiling with detailed strategies, financials, and recent developments. Supply chain trends mapping the latest technological advancements.

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Testosterone Replacement Therapy Market Forecast to 2026 - Global Analysis and COVID-19 Impact by Type, Application and Geography - The Market Writeuo...

Business of the Week: Elite Male T Clinic – wausaupilotandreview.com

Posted: August 12, 2021 at 1:51 am

Wausau Pilot & Review

Editors note: Business of the Week is a sponsored feature that shares the stories of locally-owned and operated businesses in the Wausau area, highlighting the products and services they offer and the ways they contribute to the metro areas unique flavor. Learn how to feature your business by emailing christina@wausaupilotandreview.com.

This weeks featured Wausau-area business is a discreet clinic designed for men who seek to optimize their mental and physical well-being. Launched in May 2020, Elite Male T Clinic in downtown Wausau was created out of a desire to help men lead their best possible lives. Owner and provider Anne Ivaska, an advanced practice nurse provider, collaborates with Dr. Marco Araujo to focus on wellness, disease prevention and anti-aging all specifically for men. In her years of work in primary care, Ivaska said she saw a lack of specialized care specifically for men, a gap she sought to fill. Medical weight loss, athletic and growth hormone optimization and testosterone replacement therapy are just a few of the services the team at Elite Male T Clinic provides in an atmosphere that is anything but intimidating. Together with office manager Paulina Twerberg, Ivaska and Araujo pride themselves on offering compassionate, individual care at a reasonable cost. Read on for Anne Ivaskas vision for Elite Male T Clinic and the groups unique approach to mens healthcare.

Q: When was your business established, and what prompted you to start?

A: The business was established in May of 2020 and our first patient was on July 9, 2020. I wanted to focus my practice more heavily on wellness, disease prevention and anti-aging specifically for men as I feel that they are an underserved population when it comes to medical care and treatment. I have been attending conferences and learning more about wellness for many years when I worked in primary care and pain management in the past and felt ready to take the leap to start my own practice last year. I also really wanted to be able to spend as much time with the patients as I felt was necessary to learn about their history and their goals for treatment, which can often be an hour or more for a visit. This would be nearly impossible to do in a traditional clinic setting.

Q: How did you choose the name of your business? What are you trying to convey?

A: We chose the name of the business to attract men who are interested in living their best life those that want to maintain and improve their health both mentally and physically.

Q: Tell us about your business. What products or services do you offer?

A: We offer treatment to males who want to improve their health. If a patient is having symptoms such as low energy, fatigue, gradual weight gain, lack of mental focus and/or sexual problems we test for deficiencies such as low testosterone that may be the cause. We offer a full panel of baseline lab testing to check for anemias, thyroid problems, kidney and/or liver problems, cholesterol, diabetes, and a full hormone panel including testosterone and other related hormones for a cost that is cheaper than a typical lab offers. Depending on the goals of the patient, treatment may include:

Q: What makes your business unique? What sets you apart?

A: Our business is unique in several areas: First, we strive to make sure our patients have direct access to their provider for any questions or discussion. We understand that patients need support to change their lifestyle and really want our patients to feel their best. Our patients contact us through text, email, and phone calls on off hours, weekends, and we strive to be available as much as possible. This includes office visits into the evening hours, early mornings, and Saturday mornings as well. Also, as a provider, I am very cautious and stay as up to date as I can on anti-aging, wellness, weight management and management of hormones such as testosterone especially for men which includes complications, proper dosing, dosing goals, side effects.

Q: What do you love most about your job? What drew you to this work?

A: By far, the thing that I love MOST about my job is to see how hormone and testosterone management changes peoples lives for the better. My patients are able to improve their careers, relationships, and their whole outlook when their hormones are property titrated. Its incredibly rewarding to help people feel their best.

Q: What are you most proud of accomplishing?

A: My most proud accomplishments are the google reviews I havent had any less than five stars and they remind me that the work that Im doing is extremely needed!

Q: How have you changed and evolved over time? Whats different now from when you first started?

A: Our clinic started out as just a part time practice as we werent sure how much the men in our area would be interested in wellness services, testosterone replacement, or growth hormone enhancement or how much COVID would impact the practice. We quickly grew into a full time practice and will be expanding our practice soon!Our clinic started out as just a part time practice as we werent sure how much the men in our area would be interested in wellness services, testosterone replacement, or growth hormone enhancement or how much COVID would impact the practice. We quickly grew into a full time practice and will be expanding our practice soon!

Q: What challenges have you had to overcome? Basically, if you had it to do all over again, would you do anything differently?

A: Our primary challenge was that we underestimated how many men would be interested and grew quickly.

Q: What are your hopes and dreams for the future? Where do you see your business in five years? 10?

A: We would like to expand to several more areas in the hopes of helping more men throughout the state feel their best.

Address: 500 N. Third St. Suite 208-19, Wausau

715-303-3339

Visit them online and take a quiz to see if your testosterone might be low here.

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Business of the Week: Elite Male T Clinic - wausaupilotandreview.com

Global United States Testosterone Replacement Therapy Market Report Forecast to 2021-2027 AbbVie Inc., Acerus Pharmaceuticals Corp., Antares Pharma…

Posted: August 12, 2021 at 1:51 am

The global United States Testosterone Replacement Therapy Market is segmented on the basis of type, Application, End-User, and Region. The United States Testosterone Replacement Therapy Market accounted for xx% in 2020 and is forecasted to account for a CAGR of xx% in the forecast period of 2021-27.

Rapid growth in the elderly population and the rising incidence of chronic diseases, as well as the growing need for cost-effective healthcare delivery due to rising healthcare costs and technological advancements in United States Testosterone Replacement Therapy Market devices, have all contributed to the growing need for cost-effective healthcare delivery. Changing reimbursement rules, restricted insurance coverage, and worries about patient safety, on the other hand, are issues that are limiting the United States Testosterone Replacement Therapy Markets growth to some extent. Telehealths expanding popularity, as well as unexplored new markets, present considerable potential opportunities for home healthcare providers.

The research enlightens about the market trends, as well as the factors that are driving and restricting growth, as well as the key players who are driving growth. The report also explores the potential and changes brought on by the COVID-19 outbreak. Global patterns have been identified, and the study uses pie charts, bar charts, and other infographics to present a birds-eye view of the situation.

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Top key players: AbbVie Inc., Acerus Pharmaceuticals Corp., Antares Pharma Inc., Bayer AG, Clarus Therapeutics Inc., Eli Lilly and Co., Endo International Plc, Ferring Pharmaceuticals AS, Novartis AG, and Pfizer Inc.

The main goal for the dissemination of this information is to give a descriptive analysis of how the trends could potentially affect the upcoming future of United States Testosterone Replacement Therapy Market during the forecast period. This markets competitive manufactures and the upcoming manufactures are studied with their detailed research. Revenue, production, price, market share of these players is mentioned with precise information.

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Key questions answered in the report include:What will the market size and the growth rate be in 2027?What are the key factors driving the Global United States Testosterone Replacement Therapy Market?What are the key market trends impacting the growth of the Global United States Testosterone Replacement Therapy Market?What are the challenges to market growth?Who are the key vendors in the Global United States Testosterone Replacement Therapy Market?What are the market opportunities and threats faced by the vendors in the Global United States Testosterone Replacement Therapy Market?Trending factors influencing the market shares of the Americas, APAC, Europe, and MEA.

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The report includes six parts, dealing with:1.) Basic information;2.) The Asia United States Testosterone Replacement Therapy Market;3.) The North American United States Testosterone Replacement Therapy Market;4.) The European United States Testosterone Replacement Therapy Market;5.) Market entry and investment feasibility;6.) The report conclusion.

All the research report is made by using two techniques that are Primary and secondary research. There are various dynamic features of the business, like client need and feedback from the customers. Before ONE UP Business Insights curate any report, it has studied in-depth from all dynamic aspects such as industrial structure, application, classification, and definition.

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Global United States Testosterone Replacement Therapy Market Report Forecast to 2021-2027 AbbVie Inc., Acerus Pharmaceuticals Corp., Antares Pharma...

Michael Bisping’s impassioned advice to Errol Spence as he pulls out of Manny Pacquiao fight – Mirror.co.uk

Posted: August 12, 2021 at 1:51 am

Michael Bisping has offered Errol Spence some words of wisdom after the WBC and IBF welterweight champion suffered a retinal tear that forced him out of a fight with Manny Pacquiao

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Former UFC middleweight champion Michael Bisping has offered Errol Spence some advice after he was forced to pull out of a fight with Manny Pacquiao earlier this week.

Spence suffered a retinal tear in his left eye which forced him out of a fight with Pacquiao on August 21. The eight division world champion Pacquiao will now fight Yordenis Ugas.

Bisping suffered a detached retina in his right eye when he was knocked out by Vitor Belfort in 2013.

The loss sparked controversy as Belfort was granted a special exemption to use testosterone replacement therapy (TRT) for the fight. The Nevada State Athletic Commission would ban TRT the following year.

Image:

Bisping's described the vision in his right eye as "non-existent" since the injury. He continued to fight for the UFC, winning and defending the middleweight title on one occasion before retiring from the sport in 2018.

'The Count' advised Spence to listen to his doctors and fully recover from his injury before returning to professional competition.

"He has to listen to the doctors 100 percent for a full recovery. I pushed too hard to soon and lost the vision completely," Bisping wrote on Twitter.

Spence released a statement on Twitter regarding his withdrawal from the fight: "I am very disappointed that I wont be able to fight Manny Pacquiao on August 21st. Unfortunately, the doctors found a small tear in my eye and said I need to get surgery ASAP.

"There is no way I can fight with my eye in that condition I would like to apologize to everyone and thank you all for the support, You know Ill be back soon, Ive came back from worse."

Ugas will step up on less than two weeks notice to face the future hall of famer Pacquiao. A former Olympic bronze medalist, Ugas won the WBA welterweight title when he defeated Abel Ramos by split decision last September.

Who wins out of Pacquiao and Ugas? Comment below

Pacquiao's longtime trainer Freddie Roach is confident the 42-year-old is still his best fighter to date.

"He is still the hardest worker I have ever trained and an eager student. He wants this one more than anything," Roach said.

"Manny isnt training this hard to say goodbye. Its to prove hes still here. Philippine politics might influence when Manny hangs up his gloves.

"Maybe this is Mannys last fight. But this summer, he has been training for his greatest victory, and for Manny, that is saying something. Its the stuff that greatness is made of."

Pacquiao is unbeaten since his loss to Jeff Horn in 2017. He became the oldest welterweight world champion in boxing history when he defeated Keith Thurman at the age of 40 in July 2019.

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Michael Bisping's impassioned advice to Errol Spence as he pulls out of Manny Pacquiao fight - Mirror.co.uk

Weight loss: 5 ways to check if your diet is working well for you – Times of India

Posted: August 12, 2021 at 1:50 am

As many say, the best secrets for weight loss lie in the food you eat and the diets you follow. As beneficial as diets like the Ketogenic diet and Intermittent Fasting could be (or a high-protein, zero sugar one), following a diet when you are trying to lose weight requires a lot of discipline. The results never come up fast, and many a time, it could happen that the diet could throw you a curveball and not really work well for you, making it further difficult to see an actual drop in weight, despite doing everything and foregoing sinful foods!

Hence, not only does it remain important to actually follow a diet that suits your needs and the lifestyle the best, but it's also important to keep tracking progress, check if the diet is actually working for you to help you achieve your goals.

The benefits and impact of a great diet are not just seen through weight loss, but other non-weighing scale related improvements as well. In case you are wondering, we tell you 5 brilliant ways to check if your diet is working for you!

Also See: How To Lose Weight | Weight Loss Exercises

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Weight loss: 5 ways to check if your diet is working well for you - Times of India

These 12 Cancers Are Linked to a Bad Diet, Doctor Says | Eat This Not That – Eat This, Not That

Posted: August 12, 2021 at 1:49 am

A recent study found that alcohol consumption was associated with 740,000 new cancer diagnoses in 2020. That data seemed to highlight the notion that your everyday lifestyle choices truly can impact your long-term health so what about the foods you're eatingare they increasing your cancer risk? A nationally recognized doctor spoke with us to bring greater clarity to the subject of cancer and your diet.

Howard Grossman, MD, is a member of the Eat This, Not That! Medical Expert Board, a board-certified internist, and winner of the amfAR Award of Courage, known for his work with vulnerable patient populations. Here, Grossman shares some current wisdom around the topic of nutrition and cancer, pinpointing particular foods and the types of cancer they've been linked to.

Continue reading for Dr. Grossman's insights, and learn more from him inThe Worst Beer Mistake You Can Make, Experts Say.

Grossman starts out with one important point: "Diets and cancer are a controversial subject. Most of the problem is not the food, but the additives." To this, he adds, "It is always safe to say that a balanced diet that limits food additives . . . will be the most healthy."

To learn a list of particular foods that have been associated with cancer, keep reading.

Sign up for the Eat This, Not That! newsletter for health news you need.

Grossman mentions processed meats as a category that's been linked with cancer (think hot dogs and sausages, bacon, deli slices, and anything that's not a fresh cut).

"The problem with processed meats and things like bacon and smoked foods are the nitrites," he explains. "High nitrite and nitrate levels, as found in processed meats, may increase the risk of gliomas (brain cancer) as well as thyroid, colorectal, and gastric cancers. The compounds in and of themselves are not carcinogenic [Editor's note: "carcinogenic" may be defined as something that's potentially cancer-causing], but in the body they combine with other molecules and can form carcinogenic substancesat least they are carcinogenic in some animal studies."

RELATED:One Major Side Effect of Eating Ultra-Processed Foods, Says New Study

"Red meat has been linked to colorectal, prostate and pancreatic cancer," Grossman says, but mentions the association is not entirely definitive. "Still a good idea to limit red meat intake for this and other health reasons," he suggests.

RELATED:What Happens to Your Body When You Cut Red Meat From Your Diet

"High alcohol consumption has been linked to oral, esophageal, stomach, breast, liver and colon cancer," Grossman says. "These are associations with excessive intake."

RELATED:The Worst Wine Mistake You Can Make, Dietitian Says

"One thing to mention is that obesity can be a risk factor for many cancers," Grossman says. "Therefore, limiting sugary drinks and other sugary foods that add to weight can be a good tip." (Don't missThe #1 Cause of Obesity, According to Science.)

Grossman points out that while the foods listed have been demonstrated to have a link with cancer, "there are no absolutely definitive studies in humans." He says it's important to remember: "There is a lot we do not know about the links between food and cancer."

As the research on this topic continues, Dr. Grossman's main takeaway to help you prevent cancer is to follow a diet that "limits processed foods, limits red meat and sugary foods and is moderate in alcohol intake."

He concludes: "I always tell people to stick with 'whole' foods, [like] fruits and vegetables, lean meats and (unsalted) fish, and stop eating things that come out of a box."

For more on food and your health, keep reading:

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