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Helping Transgender Patients Reap the Benefits & Navigate the Challenges of Hormone Therapy – NYU Langone Health

Posted: August 13, 2020 at 4:52 pm

For people with gender dysphoria, hormone therapy can significantly reduce mental distress and improve quality of life. NYU Langones multidisciplinary transgender program takes an intensely personalized approach to these treatments, centered on the individual patients goals, life circumstances, comorbidities, and evolving clinical response.

Although many medical centers offer gender-affirming hormone therapy, NYU Langone does so under the direction of an endocrinologist who specializes in transgender care. For these patients, the clinicians expertise can be crucial to optimizing outcomes, explains Michele B. Glodowski, MD, clinical instructor in the Department of Medicine, whose fellowship training included extensive clinical rotations at the University of Colorados Integrated Transgender Program.

Gender-affirming hormone therapy typically uses different doses and modalities from hormone replacement therapy for postmenopausal cisgender women or cisgender men with low testosterone. The risk of complications, including certain types of cancer, may be heightened as well. With testosterone, we often see weight gain, changes in LDL and HDL cholesterol, elevations in hematocrit, and increases in insulin resistance and blood pressure, Dr. Glodowski notes. Feminizing regimens, such as estradiol, can also trigger weight gain, raise the risk of cardiovascular disease, and often affect liver enzymes and triglycerides.

Besides enhancing her ability to monitor and manage side effects, Dr. Glodowskis training helps her tailor treatment to patients unique needs. Theres a whole spectrum of gender identity and gender expression, she says, so its important to provide a whole spectrum of care. It looks different for every individual. Some patients, for example, may identify as definitively male or female, others as nonbinary or gender-fluid. Some may choose to have hormone therapy in conjunction with gender confirmation surgery; others may choose hormonesor surgeryalone. And a wide range of external factors may influence patients therapeutic pathways.

Theres a whole spectrum of gender identity and gender expression, so its important to provide a whole spectrum of care.Michele B. Glodowski, MD

Even in 2020, people still lose their jobs or get kicked out of their homes because theyre trans, Dr. Glodowski observes. I want to make sure patients are comfortable with all the social aspects that can come into play with gender transition. If someone says, Im not ready to come out at work yet, we might slow the process down a bit. If they say, my parents have 30,000 questions, we might arrange a visit with mom and dad. Patients may wish to have their eggs or sperm frozen before hormone therapy begins, to preserve their fertility. Those who do sex work might benefit from screening for sexually transmitted diseases, or consultation with a social worker who can connect them with supportive services.

In collaboration with her colleagues in the multidisciplinary transgender programwhose specialties include plastic surgery, gynecology, and urology, in addition to endocrinologyDr. Glodowski is able to ensure that patients receive precisely the care they require.

NYU Langone Health has been certified for 7 consecutive yearswith a score of 100 percentby the Human Rights Campaign Foundation Healthcare Equality Index Report, which evaluates the work of medical facilities in providing equal healthcare access to LGBTQ+ Americans. One factor in that success is the centers patient-centered approach to transgender care.

In some practices, patients can walk into the office and have someone use the wrong pronoun, Dr. Glodowski says. The doctor might see them briefly, write a prescription, and thats basically it. At NYU Langone, everyone from the receptionists to the medical assistants to the physicians have been trained to be sensitive to gender identity. I spend 40 minutes with each new patient, and 20 minutes with any follow-ups. In addition, we have one clinic a week specifically dedicated to gender-affirming hormone therapy.

The 2019 coronavirus disease (COVID-19) pandemic has also made telehealth a crucial component of the transgender programs endocrinology practice. Although the crisis has waned in New York City, many patients prefer to continue with video visitsciting both safety and convenienceafter an initial in-person consultation. At the height of the pandemic, many providers turned to telehealth to limit in-person visits for non-urgent care, Dr. Glodowski explains. But there is a high rate of suicidal ideation and suicide in patients who are trans-identified. For this patient group, almost all care can be described as urgent, especially for someone whos new to hormones and may be experiencing severe dysphoria.

With those who are beginning a course of hormone therapy, Dr. Glodowski typically schedules a video visit to discuss treatment goals, the expected timeline of physiological changes, and potential side effects. We want to make sure that every patient is very well informed, she explains. As treatment progresses, she will order lab work and discuss results with patients via video link, as well as checking on therapeutic progress and the patients comfort level with the regimen.

Whether a visit is in-person or remote, she adds, its always essential that we provide patients with a safe, gender-affirming space.

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Helping Transgender Patients Reap the Benefits & Navigate the Challenges of Hormone Therapy - NYU Langone Health

Platelet rich plasma and thicker hair | Health Wellness – NorthFulton.com

Posted: August 13, 2020 at 4:52 pm

Everyone would like to have thicker hair. Well, almost everyone -- but our focus today is not on those rare unicorns whose complaint is that their hair is just too thick, too luxurious and too lustrous. This article is for the rest of us who would like to have more or thicker hair or at least stop losing what we have.

A number of treatment options have been the staple considerations for normal male and female pattern hair loss for years. For men, finasteride, minoxidil and hair transplantation have long been the most effective interventions. Womens treatment options used to be even more limited, with minoxidil alone being the main option for female pattern hair loss. However, a growing body of research supports that hormone replacement and/or platelet rich plasma injections could be the miracle grow for failing follicles!

First, a note about hormone replacement therapy: A physician named Dr. Glaser published an article in the British Journal of Dermatology in 2012 which made an observation that has unfortunately gained little attention likely because it runs counter to how people usually think about hair loss and testosterone. Dr. Glaser surveyed 285 women who had been on subcutaneous testosterone therapy for more than a year for the treatment of androgen deficiency and 63% of the women who had reported hair thinning prior to treatment reported hair thickening after treatment began. This finding has received little attention, but a 63% response rate deserves further investigation.

Several patients in my own clinic who complained of thinning hair, went on androgen replacement prescribed by their endocrinologist or ob-gyn for other reasons. These patients hair became markedly thicker and more voluminous on testosterone. Although Premier Dermatology does not offer hormone replacement therapy (HRT), androgen levels are one of the laboratory tests that we order as part of our screening panel for causes of hair loss. If we have a female hair loss patient with low androgen levels (either low or low normal), we offer referral to a physician who performs HRT for discussion of risks and benefits of a trial of androgen replacement therapy for hair loss. Results that we have seen have paralleled the 63% response rate that Dr. Glaser published.

Second and just as exciting, Platelet Rich Plasma, also known as PRP, is an option that is fast becoming an important treatment strategy for treating hair loss in both men and women, be it for common hair thinning or for certain alopecia syndromes. PRP is a blood product derived from a patients own blood. The process involves the following: A fraction of blood (up to 22ml in our practice) is drawn from the individual patient into a syringe (depends on the extent of hair loss). This is a relatively small amount compared to blood donation. The blood then is spun in a centrifuge to separate its components (White & Red Blood Cells, Platelet Rich Plasma and Platelet Poor Plasma). The Platelet Rich Plasma (PRP) is collected into a syringe. The PRP is then injected into a treatment area (the scalp for hair loss).

The basis behind PRP is that growth factors and other proteins within platelets promote healing and induce tissue regeneration and rejuvenation. Platelets contain growth factors and biologically active molecules that are normally released when platelets are outside of blood vessels such as when a person gets a cut and starts to bleed into surrounding tissue. Injecting PRP into the subdermal fat induces platelet degranulation (release of platelet contents) which causes tissue exposure to platelet growth factors. In plain terms, PRP delivers growth factors to stimulate hair follicles.

To achieve best results, PRP is performed in a series of treatments. Typically, two to three treatments are performed once per month initially. It is often recommended that treatments take place every 6 months after the initial series of treatments to continue hair regeneration and maintain or enhance results.

PRP has numerous other applications in dermatology the most common of which is as an adjunct to microneedling for skin rejuvenation or treatment of acne scars. However, PRPs greatest potential may be as a treatment to help grow or maintain hair.

At Premier Dermatology and Mohs Surgery of Atlanta, we are committed to offering scientifically-backed, effective and state of the art treatments. Kathryn Filipek, PA-C has extensive cosmetic, surgical and medical dermatology experience and is responsible for the hair loss branch of our practice. If you are interested in exploring PRP and hair loss options, call today to make an appointment with Ms. Filipek. It is our privilege to take care of you and your familys skin, vein, and hair care needs.https://premierdermatologyatlanta.com/

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Platelet rich plasma and thicker hair | Health Wellness - NorthFulton.com

Testosterone Replacement Therapy Market 2020 Global COVID-19 Impact, Strategies, Overview and Forecast to 2027 – The Daily Chronicle

Posted: August 13, 2020 at 4:52 pm

The Latest research report on the Global Testosterone Replacement Therapy Market 2020 sheds light on the crucial aspects influencing the advancement of the market. Not only are the market opportunities revealed, but the inhibiting factors preventing the development of the market have also been discussed, following a comprehensive summary. With a view to better inform the buyers, the report takes into consideration the various limitations and strengths of the leading companies operating in the market. Their product portfolios as well as the recent business strategies adopted by them have also been talked about. The competitive developments such as research and development activities, partnerships, product innovations, and mergers and acquisitions have been analyzed.

Testosterone Replacement Therapy Market report presents the detail analysis of the parent market based on elite players, present, past and futuristic data which will serve as a profitable guide for all the industry competitors. Top players in the industry include AbbVie, Inc., Bayer AG, Endo Pharmaceuticals, Inc., Eli Lilly and Company, Kyowa Kirin International plc, Pfizer, Inc., Acerus Pharmaceuticals Corporation, and Perrigo Company plc.

Key players in the Testosterone Replacement Therapy market have been identified through secondary research, and their market shares have been determined through primary and secondary research. All measurement shares, splits, and breakdowns have been resolute using secondary sources and verified primary sources.

Impact of Covid-19 in Testosterone Replacement Therapy Market: The utility-owned segment is mainly being driven by increasing financial incentives and regulatory supports from the governments globally. The current utility-owned Testosterone Replacement Therapy are affected primarily by the COVID-19 pandemic. Most of the projects in China, the US, Germany, and South Korea are delayed, and the companies are facing short-term operational issues due to supply chain constraints and lack of site access due to the COVID-19 outbreak. Asia-Pacific is anticipated to get highly affected by the spread of the COVID-19 due to the effect of the pandemic in China, Japan, and India. China is the epic center of this lethal disease. China is a major country in terms of the chemical industry.

Detailed Segmentation:

By Active Ingredient TypeTestosteroneMethyl TestosteroneTestosterone UndecanoateTestosterone EnanthateTestosterone CypionateBy Route of AdministrationInjectablesParenteral

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Asia-Pacific (Vietnam, China, Malaysia, Japan, Philippines, Korea, Thailand, India, Indonesia, and Australia)

Europe (Turkey, Germany, Russia UK, Italy, France, etc.)

North America (the United States, Mexico, and Canada.)

South America (Brazil etc.)

Middle East and Africa (GCC Countries and Egypt.)

Download PDF brochure of this report @https://www.coherentmarketinsights.com/insight/request-pdf/2024

Remarkable Attributes of Testosterone Replacement Therapy Market Report:

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Thanks for reading this article; you can also get individual chapter wise section or region wise report version like North America, Europe or Southeast Asia.

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Coherent Market Insights is a global market intelligence and consulting organization focused on assisting our plethora of clients achieve transformational growth by helping them make critical business decisions. We are headquartered in India, having office at global financial capital in the U.S. Our client base includes players from across all business verticals in over 150 countries worldwide.

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Testosterone Replacement Therapy Market 2020 Global COVID-19 Impact, Strategies, Overview and Forecast to 2027 - The Daily Chronicle

The One Topping You Should NEVER Use If You Want A Flat Stomach – SheFinds

Posted: August 13, 2020 at 4:50 pm

Paying closer attention to your diet is a necessary component of weight loss, but its not just the meals themselves you have to focus on. You should also be paying careful attention to any toppings you use-especially ones that you turn to regularly.

Unfortunately, many toppings can seriously effect the healthiness of a mealadding calories, fat, sodium, and even sugar if you are not careful. With that in mind, keep reading for the one topping you should never use if you want a flat stomach!

The Biggest Sale In Fashion Is Going Down Right Now!

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Mayonnaise is made from a combination of oil,egg yolks,lemon juiceorvinegar, and seasonings. Although this combination might add some flavor to your favorite dishes, it can also add a lot of calories, fat, and sodium.

Food Network explains, "One cup contains 1440 calories, 160 grams fat, and 24 grams saturated fat. It is an excellent source of vitamins E and K, but it also contains almost 50 percent of your daily recommended amount of sodium."

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Since most people are not eating a full cup of mayonnaise at a time, it's a good idea to consider what a small portion size might mean for your diet and your odds of achieving a flat stomach.

According to Very Well Fit, "Mayonnaise is mostly oil, so it is a high-fat and calorie-dense condiment with 100 calories per tablespoon."

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Although that might seem manageable, it adds up quickly.

Livestrongexplains,"Regular mayonnaise also has 11 grams of fat and and 80 milligrams of sodium in 1 tablespoon. In practical terms, this means 2 tablespoons of mayo on your turkey sandwich can double the fat and calorie content of your lunch."

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Plus, mayo lacks other basic nutrients. Besides fat (albeit the good, healthy kind) and sodium, mayonnaise lacks essential nutrients. Delish explains that although the average mayonnaise contains approximately 40% of your Omega 3-ALAs, it lacks fiber and protein.

With that in mind, if you are hoping to incorporate more filling, whole foods into your diet, skipping mayonnaise is probably for the best.

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The One Topping You Should NEVER Use If You Want A Flat Stomach - SheFinds

Gregg Wallace: Horror at pre-weight loss MasterChef look turned to pride – This is The West Country

Posted: August 13, 2020 at 4:50 pm

Gregg Wallace has said he was absolutely horrified at his appearance when first watching old episodes of MasterChef that were filmed before his dramatic weight loss, but that changed into immense pride at his achievement.

The TV star, 55, shed four stone through healthy eating and exercise and criticised ridiculous diets for deceiving people into thinking there are shortcuts to losing weight.

He is supporting the Better Health campaign launched by Public Health England, which offers free tools and apps to help people eat better, get fit and lose weight, as evidence indicates being obese or excessively overweight puts people at greater risk of serious illness or death from Covid-19.

He told the PA news agency: Im really anti-diets, Ive never been on a diet in my life.

I really dont want anybody to ever be hungry, I think thats a terrible thing, or uncomfortable, or set themselves unrealistic fitness goals. Its a routine, getting into a routine of living healthier.

The issues I faced when I was trying to lose weight is we just dont have the right information. People that were overweight as I was, we werent greedy, were not stupid, we just didnt know.

And we wrongly, or I did, thought that in order to lose weight we had to diet which meant you had to be hungry. No, you dont, you really, really dont.

https://twitter.com/GreggAWallace/status/1292443735494725633/photo/1

He continued: Telling people they have to stay on the straight and narrow is just going to frighten people off from attempting it.

But its how we perceive healthiness, how we perceive healthy eating, this is why I do urge people towards this NHS Better Health, because its full of the advice Ive just been giving, its a friendly helping hand in the right direction.

Its not lecturing and telling you that you have to live on lettuce leaves and you cant drink alcohol cos its unrealistic, these are why diets are unrealistic.

What is this one where you have to starve yourself three times a week, or youre only allowed to eat between 3 and 4 in the afternoon, what is that all about? That is just crazy. No-one is going to maintain that, are they?

Those diets, there is a saying and it rhymes with duck fat. Its just ridiculous.

I think why it is, is people are looking for a quick way of doing something, or a way that they can still have their pizzas, their curries, their beer, their wine and somehow they will still lose weight.

They are lying to you! What do you do when you stop? What then happens? And why would you want to have discomfort in your life?

He continued: It doesnt have to be like that. Im not lying when I said I lost four stone. At the moment we are showing clips of all the old MasterChefs going back 15 years, its called A Recipe For Success, you can clearly see I used to be a fat bloke so Im not lying.

I didnt take a magic pill and I was not abducted by aliens. I ate out, I went to rugby matches and drank beer, I had the odd takeaway and I stopped at the odd fast food restaurant. Thats alright, as long as youre not living on it.

Reflecting on seeing his previous appearance on screen, he said: First of all I looked at it and I was horrified, absolutely horrified and then I was struck with an immense sense of pride and wellbeing.

I did it, its great. I dont need to lose any more weight now, I just need to maintain. But I know what it is, its about teaching yourself over time, healthy habits that become part of your everyday life.

Asked if he thought the Better Health campaign was at odds with the Governments Eat Out To Help out campaign urging people to return to restaurants, he said: I cook a lot and I eat out, I dont mind people eating out if they know how to cook.

I dont want them eating out because they dont know how to cook. And there is a massive difference.

Eating out is fun, I love eating out, as soon as Le Gavroche opened I was there with Michel Roux, drinking white burgundy and eating a terrine, and Im a good cook.

By all means, if you know how to cook, you go out, everyone needs to go out, what I dont want people doing is eating out because they dont know how to cook.

Gregg Wallace is supporting Public Health Englands Better Health campaign. Visitnhs.uk/BetterHealth for free tools and support.

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Gregg Wallace: Horror at pre-weight loss MasterChef look turned to pride - This is The West Country

The Fallacy of the Dirigible | !912 Review of Dirigibles – Popular Mechanics

Posted: August 13, 2020 at 4:50 pm

In the March 1912 issue of Popular Mechanics, during the height of airship "balloonacy," one of the world's first aeronautical engineers Victor Lougheed wrote an article arguing that lighter-than-air ships are inferior to the new but rapidly evolving aeroplane. He proved to be right, and his own brothersAllan and Malcolm Lougheedwould go on to found the Lockheed Corporation. Now a part of Lockheed-Martin, the company now manufactures the most advanced aircraft in the world.

The lightest practical aeroplane capable of carrying a man weighs, with operator and enough fuel for flights of reasonable duration, about 1,000 lb. Such aircraft are sustainedas are the birdsby the complex but highly effective dynamic reactions of the air streams flowing under their wings.

The volume of 1,000 lb. of air is about 15,000 cu. ft.the approximate contents of a sphere 30 ft. in diameter. By substituting for this volume of air something weighing less than 1,000 lb., the something weighing less will float statically in the air, just as anything weighing less than water, volume for volume, will float in water,

As a successful flying vehicle, the aeroplane is a development of no more than a very few years. Yet consistently since its advent it has evolved faster than any other device in the history of transportation. Its genuinely utilitarian applications are already considerable. Its applications to warfare are even now a proved success.

Yet the problem of the aeroplane is inherently complex.

The laws governing its action are exceedingly obscure. The limits of its efficiency are still unknown. Its best form is still undetermined. The difficulties of its equilibrium will still take much solving. And at every turn the aeroplane offers a field for investigation that seems as unlimited as it has proved fertile. While its structures are simple and cheap to build, their design is so baffling and involved, so demanding of the finest abilities of the best engineers, as to rank the problem of dynamic flight as one of the most difficult that modern science has to face.

The balloon as a means of travel is still of negligible utility, despite the numerous and long-continued efforts to make use of it in many fields. Without counterpart in nature, it has proved without justification in fact.

Yet the problem of the balloon is inherently simple.

The laws of its action are obvious. The limit of its lifting capacity is the easily ascertained weight of the air. The problems of its propulsion, steering, and navigation are inescapably definite. Yet, in the 50 years the dirigible has existed, it has not undergone a single fundamental change or improvement. Its changes have been changes in detail. Its improvements have been improvements in degree. Although tremendously expensive to build, and almost impossible to keep built, the problems of floating a balloon structure in the air are so inherently simple as to be easily understood by, and thus appeal to the veriest tyros in mechanical science.

Popular Mechanics

Automobile and aviation motor developments have advanced the speed of the dirigible from 7 to a present maximum of some 30 miles an hournowhere enough to make headway against an ordinary adverse wind. Improved fabrics have enabled the dirigible to stay in the air the present maximum of 36 hours, without descending for gas. Similar slight improvements are the most that even its advocates are able to prophesy for the dirigible.

Yet on this much-punctured bubble of fabric-enveloped gas, it is conservatively estimated that there has been expended within the past 60 years most of this within the latter decade of this periodnot less than $50,000,000.

Never elsewhere in engineering history has so great an expenditure been made in a quest for practical results that were in no measure realized. The pyramids may have cost the world more than the balloon, but a definitely practical result was not their object.

Canals have been tremendous consumers of human labor, but canals serve their purpose. Immense sums have been spent in useless and unsuccessful invention, but it requires whole groups rather than single types of worthless devices to total such expenditures as the balloon has achieved.

Airships: A Century Later

Naval and military devicesbattleships, weapons, armor, equipment, etc.are tremendously costly, but these serve the utilities they are designed to serve, however much these types of utilities may be disparaged by peace advocates.

Experiments with dirigible balloons within comparatively recent years have cost, in Germany, $6,300,000; in England, over $2,000,000; in the United States, $4,000,000; in France, $5,000,000; and in other countries of Europe and in Japan not less than $5,000,000 more.

These figures do not include the costly and long-continued experimentation during an earlier period of development, nor do they include the expenditures in non-dirigible ballooning, which has been made a costly hobby to which American and foreign millionaire sportsmen are even yet much addictedapparently under the impression that they are furthering aeronautical research.

The problem of aerial navigation is fundamentally, as the term implies, a problem of navigation of controlled and directed movement from place to place. Only in an incidental way is it a problem of sustention, and to solve the problem of sustention, difficult though it has proved, is not of itself a solution of the problem of navigating definite courses against adverse winds, at sufficient speeds to admit of practical and reasonably dependable travel.

Popular Mechanics

Indeed, by no method of sound reasoning can the term flight be held to apply to mere uncontrolled sustention in and movement through the aira feat that is variously accomplished by projectiles, skyrockets, objects adjacent to exploded dynamite, etc.

Condemned by this analogy, the various phenomena of balloon ascension, drifting, and dirigibilityhowever interesting they may beare by no proper process of logic entitled even to classification with the phenomena of true flight-such as the controlled flight of birds and aeroplanes, faster than the average movement of the earth's atmosphere in the form of winds, such speed and control being absolutely essential prerequisites to any real navigation of the air.

Thus the balloon is an evasion rather than a solution of the real problems of aerial navigation. It floats in the air rather than navigates it, much as a soap bubble may float for a time, and, in reality, is no more a flying machine than a cork in the sea is an ocean liner.

As one authority, writing in a well-known flight magazine, said recently, "We have been experimenting with dirigibles for years, and ... the sum total of success achieved is not a tithe of that attained in the case of the heavier-than-air type in as many months. Another European expert says that Germany "has to thank her dirigibles for her backward position in aviation, but...she has freely and frankly confessed her mistake in pinning her faith to the illusive gas bag.

Popular Mechanics

The fact that numerous flights, so called, have been made with dirigible balloons, and that many of these flights have been widely heralded as being practical instead of merely spectacular, is completely discounted by the further fact that the successes have been, without exception, achieved in almost perfectly calm weather. In all other cases, the result has been complete failure to travel in the intended direction.

The circuitous thousand-mile drift of the recent "transatlantic" Wellman dirigible, over the Atlantic Ocean, is a typical case in point, and instead of being in any way to the credit of the dirigible, as a trip of that distance, constitutes as conclusive proof as could be sought of the completeness with which these gas bags are at the mercy of every wind that blows.

In the course of similar "balloonacy," as these perennial trans-oceanic fiascos have been classed, there is a remote possibility that some fortuitous combination of a good gas bag with a bad chance, may at last result in one of these exploits being crowned by a sufficiently long drift in the right directiona contingency, however, rather more likely to be realized with a good motorless spherical balloon, several of which have already drifted across country to distances substantially equal to the narrowest dimension of the Atlantic Ocean. Then the problem of aerial navigation will be solvedin the daily newspapers.

Similarly, in the case of the great dirigibles of Count Zeppelinwhich unquestionably are far in advance of other constructions of the same general character, and thus constitute a fair measure of the maximum practicability of the dirigiblethe much exploited and sensational "passenger-carrying" trips of these great balloons, in Germany, have not only been conducted in calm weather, but in addition to this have been attended by most frequent accidents and disasters in landing.

Fortunately, these have happened to be without loss of life in most cases, but the property loss in the way of destruction to the giant aircraft has been prodigious. One expert has estimated that there is an average of $10,000 of damage done to the Zeppelin balloons in each three out of every five of the landings they make.

Popular Mechanics

The effect of size on balloon design is a subject that has been befuddled with much misunderstanding. The common assertion that doubling the dimensions of a balloon cubes its capacity, while only squaring the areas of the surfaces, is, of course, true. But it does not follow from this that the lifting capacity increases faster than the weight with increase in size, for to maintain a proportionate strength it is necessary to increase the thickness of the surface material and the weight of the internal bracing, with each added increment of size.

Insuperable objections to the balloon are its inescapably enormous volume and its consequent strict limitation in weight of structure. To ascend, a balloon must be lighter than the volume of air it displaces. And, the weight of a given volume of air being fixed, there is no possible discovery or invention that can open a way of escape from this inexorable factor of the problem. The only substances that even approach air in lightness being also gases, the design of no conceivable lighter-than-air machine can escape the necessity for two essential elementsspace occupied by a gas lighter than air, and a stout envelope of heavier-than-air material to contain the gas. To the weight of these primary essentials must be added the further weight of structure necessary to afford passenger or cargo accommodation.

Since a sphere of air 30 ft. in diameter weighs about 1,000 lb., while a similar sphere of hydrogen, the lightest known gas, weighs only 70 lb., it is evident that the unlikely discovery of a gas lighter than hydrogen can be of no great benefit, for even should it become feasible to encase a vacuum of the requisite size, as some enthusiasts have hoped, this could add to the sustention only to the extent of the eliminated 70 lb. of hydrogen. From all of which it follows that the best of balloons must be hopelessly bulky and fearfully flimsy, and of only the very smallest lifting capacities in proportion to their sizes.

The balloon is an evasion rather than a solution of the real problems of aerial navigation...[it] is no more a flying machine than a cork in the sea is an ocean liner.

Provided with motors and propelling means, they not only oppose the resistance of enormous areas to rapid motion, but also prove of such fragility that their structure must inevitably collapse under the heavy stresses, should sufficient power ever become available-as is not unlikelyto drive them greatly faster than their present maximums of 25 or 30 miles an hour.

In this connection, however, another comparison between the balloon and the aeroplane, relating to the matter of power, is most interesting. An average aeroplane, weighing 1,000 lb., will oppose not more than 25 sq. ft. of projected area to its movement through the air. A balloon of similar lifting capacity, if made spherical, will oppose over 700 sq. ft. to movement through the air28 times as much area as the aeroplane of the same weight.

Even by compacting this necessary bulk into the most approved elongated dirigible form, the cross-sectional area cannot be reduced below a minimum that is still at least six or seven times as great as the area of the equivalent aeroplane. And, since it is area opposed to movement through the air that measures the quantity of horsepower required, it follows that to propel a dirigible against the minimum resistances of its cross section, must forever require much greater power than is required for both the sustention and propulsion of an aeroplane of equivalent loading.

Incidentally, it is to be remarked that all changes from a spherical form, as in realizing or approximating the elongated form of the dirigible, involve special means for staying the structure, in addition to which they add greatly to the area of the envelope required for a given volume of gas enclosed. The problem of weight and structural security are thus greatly complicated.

The most elementary type of balloon is the spherical balloon, designed for mere ascension and flotation in the air, with no attempt at navigation in a lateral direction except as such movement may result from wind.

The invention of the spherical balloon, according to some authorities, is properly to be credited to the Chinese, who, according to the writings of a French missionary, sent up a balloon in celebration of the coronation of a Chinese emperor, in 1306 A.D.

The first European appreciation of the principle by which a balloon is made to ascend appears to have been due to a Jesuit, Francis Lana, who in 1670 proposed an airship sustained by four hollow copper balls, each 25 ft. in diameter. In 1776, Dr. Black, of Edinburgh, made a small balloon that proved to be too heavy for sustention by the hydrogen it contained, but a few years later Tiberius Cavallo succeeded in inflating soap bubbles with hydrogen, with the result that they floated upward until they burst.

The balloon that is commonly credited with being the first was invented by Stephen and Joseph Montgolfier, and sent up from Annonay, France, on June 5, 1783. This balloon was of paper, about 30 ft. in diameter, and was inflated with heated air, affording an ascensional force of probably 500 lb.

Soon after, on August 27, 1783, a hydrogen balloon was sent up from Paris. On September 19, 1783, the brothers Montgolfier sent up a balloon to which a small car was attached, in which were placed a sheep, a cock, and a duck, which thus had thrust upon them the distinction of being the first balloonists.

Popular Mechanics

The descent occurred eight minutes after the start, and the sheep and duck were uninjured. The cock had not fared so well and his condition was gravely attributed by the scientists present to the effects of the thin atmosphere of the upper regions. More recent diagnosis, however, has suggested that he was trampled upon by the sheep.

The first ascent of a man-carrying balloon was ventured by Pilatre de Rozier, proved a complete failure, who went up to a very moderate height in a captive balloon, built by the Montgolfiers, on October 15, 1783. Following this, on November 21, 1783, de Rozier and the Marquis d'Arlandes made the first free-balloon ascension, from Paris, accomplishing a safe descent in a field 5 miles away after about 20 minutes of drifting, at a height of 500 ft.

Since the foregoing, thousands of other balloon ascensions have been made all the world over. In the course of these, some utility has developed in the way of military and meteorological observations, but the early and unavailing attempts to navigate definite courses from one point to another, either in calm weather or independent of the direction of the wind, have not been materially improved upon by the most recent efforts, aided by every resource of modern engineering. Indeed, as one wag has put it, the sole result has been the division of balloons into two classes, "non-dirigibles and neardirigibles."

When it comes to real navigation of the air...nature's model, the bird, is proved by every test of logic and experience to be the only safe pattern for man to follow.

The first obvious line of improvement in the quest for dirigibility was the reduction of the head resistances, as has been already explained. This is the ideal held in view in the many cylindrical, cigar-shaped, and other elongated and pointed gas bags with which the modern student of this subject is familiar.

Dirigible balloons have been developed in three principal typesthe rigid, the semi-rigid, and the non-rigid. Of the first of these, the Zeppelin was the original and still remains the most conspicuous example. In it the whole device is given its form by a maze of internal structure, partitioned into compartments within which the gas is confined in a plurality of small fabric reservoirs.

The semi-rigid type of dirigible, of which the French army has been the chief sponsor, involves a pointed gas bag, not internally braced, and kept in shape by being stayed by netting and numerous ropes to a long truss-like girder beneath it.

The non-rigid balloon is simply a bag kept in shape by its form and the pressure of the gas within it, so it is naturally subject to all sorts of failures to maintain its proper form.

A particular example of the sorry and expensive experiences various governments have had with the dirigible balloon problem is the German government's recent dismissal of the Zeppelin proposition in favor of the aeroplane, for which an army appropriation of some $5,000,000 has been made for the coming year.

Popular Mechanics

Another case is that of the English navy dirigible, aptly dubbed "Mayfly," which recently broke in two and capsized at a total loss of $400,000, the first time it was taken out of the floating shed that housed it.

Further condemnation of the dirigible is found in the fact that most of the ablest engineers who have given attention to its problemsSantos Dumont, Renard, and Ferber, for conspicuous examplesand who have expended vast sums upon its development, with resulting successes that will rank with any, have finally deserted the balloon as hopeless, and turned their attention to the aeroplane.

In the matter of propulsion, experiments commenced with the hand manipulated cars and sails of early investigators and developed down to the engines and propellers of modern dirigibles. So far, however, all successes achieved with dirigible balloons have been more spectacular than practical, and despite the roseate imaginings of popular writers, there is little technical reason for expecting that results of more serious value are in any prospect of attainment,

Even admitting the possibility of an exceedingly limited and precarious utility for the dirigible in warfare, in the opinion of those best qualified to judge, it is most unlikely ever to assume the least importance as a means of travel, and can have no future beyond such as is too often founded upon the activities of ignorant inventors or unscrupulous promoters, or upon the thrills a great dirigible undoubtedly affords as a Gargantuan spectacle.

The cost of gas for each filling of a large balloon is alone enough to place it out of the question for performing commercial travel at reasonable cost. Not less than a thousand dollars worth of hydrogen on the basis of the most economical production possible, is required for each inflation of a Zeppelin balloon, which, though 450 ft. long and nearly 50 ft. in diameter, possesses a reserve carrying capacity of only three or four tons. Moreover, with a century of experimenting, no balloon builder as yet has been able to improve materially upon the first envelopes of varnished silkwhich still remains the most impermeable material and at the present time no dirigible balloon has ever succeeded in staying in the air for more than 36 hours.

The conclusion is inevitable, from any competent and unbiased consideration of both the shortcomings and the merits of the balloon, that it can never really compete with the aeroplane as a practical means of traveling in the air. Mere going up in the air is another matter, but for the uses that can be thus served, the simpler and cheaper spherical balloon would appear to be in every way superior to the expensive and practically no more useful dirigible.

When it comes to real navigation of the air, to fast, certain, and absolutely controlled travel in any desired direction, nature's model, the bird, is proved by every test of logic and experience to be the only safe pattern for man to follow.

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The Fallacy of the Dirigible | !912 Review of Dirigibles - Popular Mechanics

Grazing and nutrition transforms flock performance – ForFarmers – FG Insight

Posted: August 13, 2020 at 4:50 pm

Alister Davies first steps into sheep farming were much the same as those of any other producer trying to get on to the farming ladder.

He and his wife Eirian acquired a small parcel of land, rented more whenever they could and bought-in a small flock of breeding ewes.

Appropriately choosing Lleyns for their Machynlleth location in mid-Wales, they found the breed to be prolific and easy to manage.

They set-stocked in the traditional manner, lambed in mid-February and had usually sold most finished lambs by the end of summer, with a few stragglers remaining until autumn.

And then came an enlightenment which changed the whole system.

He says: I went to Ireland in 2014 where we saw farmers grazing ewes and lambs behind electric fencing in paddock systems.

It was something I had only seen practised on dairy farms before, but it was obvious the amount of grass they were utilising was massively more than we were achieving at home.

Every day the grass was at the right stage of growth, the three-leaf stage.

It was never tall and stalky and the regrowth was far quicker. Determined to implement the same practices at home, Mr Davies immediately started improving his grassland in preparation for setting up paddocks, which would be grazed by the flock on a rotational basis for one to two days at a time.

We limed the fields where it was needed, corrected the phosphate and potash and reseeded with Trojen, a fast-growing mixture of highly digestible grasses and clover from the ForFarmers Topgrass range.

Find out more, visit the ForFarmers Homepage

Describing the difference in grass growth as massive and the rates of recovery as so much quicker, he was able to increase annual stocking rates from the previous five ewes per hectare (two ewes/acre), to 15 ewes/ha (six ewes/acre).

Buoyed by the improvements in grassland management, Mr Davies began to pay closer attention to his ewes and lambs nutrition throughout the year, and as an account manager with ForFarmers himself, was well placed to know the companys advice.

Keenly focused on using the live yeast Levucell SC in his ewe and lamb rations, he explains his thinking.

He says: Levucell SC is the only rumen-specific live yeast on the market, which is why ForFarmers has run with it as a company for more than 20 years.

It was originally licensed for cattle, but as soon as it was available for sheep, we started to use it in our top-of-the-range feeds. Highly effective in improving rumen health and function, Levucell SC achieves this through numerous mechanisms.

This includes scavenging oxygen and therefore promoting the anaerobic conditions required by other desirable rumen microflora and mopping up lactic acid.

Stabilising rumen pH in the process, it also increases the rumens microbial biomass, its synthesis of protein and vitamins, and increases fibre digestion.

All of this is exactly what we want for our ewes, so we are feeding Ewbol Gold rolls and Levucell in late pregnancy, he says, explaining how it has almost eliminated prolapses in the flock.

Any farmer who is honest will tell you their flock has prolapses and it is not uncommon in prolific flocks for these to reach a level of about 10 per cent.

For ewes carrying more than one lamb, there is limited space in the rumen and, because most pregnant ewes are fed a high fibre diet, anything you can do to speed up fibre digestion relieves the pressure inside the ewe.

In our flock we have found it has taken the risk away and, out of our 70 ewes, this year we had just one prolapse.

At the same time we have had a higher lambing percentage, scanning at 200 per cent, due to better nutrition at tupping and genetic selection of our best stock. Continuing with the Ewbol in early lactation, he says this is cut out within two to six weeks depending on the availability of grass.

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Grazing and nutrition transforms flock performance - ForFarmers - FG Insight

Cycling Group Proposes Active Transportation Upgrades – country94.ca

Posted: August 13, 2020 at 4:50 pm

A Saint John advocacy group is proposing $2.5 million in upgrades to improve active transportation.

Saint John Cycling has identified several projects it says will make the city more bikeable and walkable.

Nick Cameron, the groups government liaison, said the idea started after a federal funding announcement in May.

Cameron said the government unveiled a new funding stream for infrastructure projects which allow communities to adapt to COVID-19.

One thing that we found during the peak of the lockdown was that there were few opportunities for people to live a healthy and active lifestyle and one of the few things we had left was walking and cycling and getting outside, said Cameron.

The infrastructure cant quite accommodate that increase in use let alone even regular use outside the pandemic, so thats when we decided to look at some of the opportunities that had been talked about over the years, identify what we feel is shovel-ready for this program.

The group identified eight spots in the city which could be improved to encourage more people to get outside while still safely physical distancing.

They include Ocean Westway, Manawagonish Road, Chesley Drive, Main Street, Station Street & City Road, University Avenue, Heather Way, and the Spruce Lake Trail.

Cameron said five of the eight projects would involve what is known as road diets. A typical road diet reduces a four-lane road to three lanes: two for directional traffic and one shared left turn lane.

It looks at roads like Main Street and Chesley Drive Chesley Drive is four lanes, Main Street is six lanes and it would reallocate some of that space for active transportation for people moving by their own power trying to live a healthy lifestyle, he said.

A map of the active transportation projects being proposed by Saint John Cycling. (Photo submitted)

Many people think road diets only benefit cyclists and pedestrians, but Cameron said that is not the case. He noted there are many benefits for drivers, such as improved traffic flow and reduced collisions.

There are also maintenance savings for municipalities as the road lane no longer has to be maintained at the same level. Cameron estimates the city would save about $60,000 a year.

We know that a lot of these streets and trails have community buy-in, theyve been talked about for over a decade in some cases, and theyre already on either the municipal plan or the trails and bikeways strategy or other documents as a priority for council, he said.

The proposal also includes 22 kilometres of the Coastal Link Trail, an ongoing project to connect The Great Trail in Saint John to the East Coast Greenway in the United States.

In addition to local benefits, Cameron said the upgrades could allow Greater Saint John and New Brunswick to tap into the growing cycling tourism market surrounding us.

We know that its a $500-million industry in the province of Ontario, a $1.2-billion industry in Quebec and a $66-million industry in the state of Maine, he said.

The group already has a $150,000 commitment from Coastal Link Trail. They are seeking $2 million in federal funding through the infrastructure program and $175,000 from the province and the city.

Group members are expected to present to Saint John council on Monday.

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Cycling Group Proposes Active Transportation Upgrades - country94.ca

Let The Ideal You Weight Loss Center help you lose weight and feel great – WKBW-TV

Posted: August 13, 2020 at 12:47 am

Mel is at The Ideal You Weight Loss Center in West Seneca. She is talking with the owner Donna Herberger about some amazing success stories through the COVID quarantine from mid-March through mid-June. There are people who stuck with the program and have and amazing success in spite of what a lot of people are call the COVID 19 weight gain. Donna says during the twelve weeks we were closed they offered curb-side service. She shows us examples of people who stuck with the program and reached their weight loss goals. She says the structure of their program works and the food is delicious. People do even better when they come in for one-on-one counseling and know they have to step on the scale. The combination of all these factors leads to success.

Men typically lose a little more than women per week. They lose about 3-5 pounds per week and women lose about 2-4 pounds per week. Donna says they have helped 6,000 Western New Yorkers lose over 260,000 pounds.

The Ideal You Weight Loss Center has locations in Clarence, West Seneca and Tonawanda.

The Ideal You Weight Loss Center is a corporate sponsor for the Niagara County SPCA and Diamonds in the Ruff in Erie County. On Saturday, August 29th from 1 -3pm they are having their First Annual Pet Adoption Event. It will take place in the parking lot of their Tonawanda location. You will be able to meet and greet with dogs who are available for adoption.

716-631-THIN

For more information about The Ideal You Weight Loss Center click here.

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Let The Ideal You Weight Loss Center help you lose weight and feel great - WKBW-TV

Kelly Osbourne Just Shared A New Photo Of Her Dramatic 85-Pound Weight Loss – Yahoo Lifestyle

Posted: August 13, 2020 at 12:47 am

Photo credit: Instagram

From Delish

Kelly Osbourne recently revealed she's down 85 pounds.

The reality show star once admitted she eats a plant-based diet.

Kelly has chosen to focus on self-care this year, she wrote in an Instagram post.

Kelly Osbourne is celebrating the results of her year of self-care: The reality star recently shared a selfie showing off her purple hairand her 85-pound weight loss.

Olivia TuTram Mai, a.k.a. TV personality Jeannie Mai's mom, commented under Kelly's post. "Oh my gosh, you lost a lot of weight ," wrote Mai. Replying to her comment, Kelly admitted she's actually down 85 pounds. "@themamamai that's right mamma Mai I lost 85lbs since I last saw you. Can you believe it? Kaakakaka."

Kelly also shared a photo of her holding up a size 26 clothing tag (about a size 2 in U.S. sizes), writing "Yes...I'm bragging because I worked hard and it feels good!!!"

This isn't the first time Kelly's publicly talked about her weight: After appearing on the Dancing With The Stars in 2009, Kelly dropped 40 pounds thanks to a combination of her dance rehearsals and her choice to adopt a plant-based diet. In 2012, she became vegan with help from her boyfriend at the time, who was also a vegan chef, according to the Daily Express.

She also once told Huffpost that her new diet slowly turned into more of a lifestyle change. "Once I learned how to work out right and eat right, its one of those things that you just have to commit to a life change rather than being on a diet. Because a diet doesnt work. You lose weight and you stop it and it will all come back. So you just have to take baby steps, commit to something and stay true to it."

Kelly's new weight loss also comes after she revealed she was going to prioritize self-care, she wrote before the start of the new year. "I have come to the realization that I constantly put the needs of others before my own, she wrote in an Instagram post, also celebrating 2.5 years of sobriety. I allow myself to be put in situations that make me feel uncomfortable for fear of upsetting someone else. Not forgetting the amount of times I co-sign the bulls of others."

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Kelly Osbourne Just Shared A New Photo Of Her Dramatic 85-Pound Weight Loss - Yahoo Lifestyle


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