Healthy Lifestyle Steps

Summer Food for Dogs

Over the last 30 years I have keeping large dogs like Doberman, German Shepherds, Retrievers and each year I have only concluded that summers are a time when these dogs become very lethargic, panting in the heat and not enjoying meals, sadly waiting for summer months to just pass.

So I thought that I will try a new diet and wait and watch their reaction. So I started giving a breakfast of milk, lightly toasted bread ( around half past seven in the morning).

Around noon plain Yogurt Sour Curd .

In the evening after sunset dinner comprising Chicken stew along with boiled Chicken, boiled carrots beans, cabbage, boiled rice.

My years of observation is that they really enjoy this new healthy diet meal.

Yogurt or Curd really cools them down in the summer months .

So you can try giving Yogurt or Sour Curd . You can buy the Yogurt or make Sour Curd in your kitchen .100 gms is good for any healthy adult dog.

For the stew use the Chicken stock along with the Chicken but avoid any kind of Salt. The quantity of the meal will depend on the age of your dog and the breed.

If you do not have access to Yogurt or Curd or do not know how make a Chicken stew for the dog then I will guide you how to do it in the next Article.

Summer Food for Dogs

Extrinsic Factor of CHANGE in the new Millennium

We often see that there are some factors which Change our simple ordinary daily life.

Out of these factors there are some which happen where you do not have any control. These are called Extrinsic Factor namely Act of God, Government policies.

While we cannot control extrinsic factors, we do try to protect ourselves from them. When there is a Hurricane or a Tornado we naturally prefer a pre-planned protection rather than face it. However inspire of that we still find damage to property, shops, business premises, livestock, crops.

Adapting to ,all the after effects of all Extrinsic factors of Change,is an Art of Survival for tomorrow, for which you need assessment of all the Intrinsic Forces of Change that is those factors in which you have full or some control. While you cannot control the happening of anything termed as anAct of God namely Earthquake, Forest Fire, Storms, Floods what you can try and control is having adequate Insurance and rework whether you are under insured or adequately insured.

The global lock down because of Covid is probably the biggest Extrinsic Factor of CHANGE in the new Millennium.

With spending patterns restricted to just essentials ,this lock down has heavily afflicted many business units, including small establishments, which in turn is affecting the people directly or indirectly associated.

While government decisions on the lock down is something you cannot control, however some of the Intrinsic Factors of Change in our life you can make some planned efforts try and control primarily the spending pattern. A reassessment of the spending pattern is highly essential to avoid a total wipe out of the savings.

Extrinsic Factor of CHANGE in the new Millennium

13 Things Mentally Strong People Don’t Do

Mental strength isn't often reflected in what you do. It's usually seen in what you don't do. Developing mental strength is a "three-pronged approach." It's about controlling your:

Thoughts
Behaviours
Emotions

1. They don’t give away their power. People give away their power when they lack physical and emotional boundaries. You need to stand up for yourself and draw the line when necessary. If other people are in control of your actions, they define your success and self-worth. It's important that you keep track of your goals and work toward them. Oprah Winfrey is an example of someone with a strong grip on their power. Winfrey grew up dealing with poverty and sexual abuse, but "she chose to define who she was going to be in life by not giving away her power."

2. They don’t expect immediate results. A willingness to develop realistic expectations and an understanding that success doesn't happen overnight is necessary if you want to reach your full potential. Mentally weak people are often impatient. They overestimate their abilities and under estimate how long change takes so they expect immediate results. It's important to "keep your eyes on the prize" and relentlessly work toward your long-term goals. There will be failures along the way, but if you measure your progress and look at the big picture, success will become attainable.

3. They don’t dwell on the past. The past is in the past. There's no way to change what happened, and dwelling can be self-destructive, preventing you from enjoying the present and planning for the future, It doesn't solve anything, and can lead to depression. There can be a benefit to thinking about the past, though. Reflecting on the lessons learned, considering the facts rather than the emotions, and looking at a situation from a new perspective can be helpful. But they do take time to reflect and learn from the past.

13 Things Mentally Strong People Don’t Do

4. They don’t fear time alone. Creating time to be alone with your thoughts can be a powerful experience, instrumental in helping you reach your goals. Becoming mentally strong re-quires you to take time out from the busyness of daily life to focus on growth.

Here are some of the benefits of solitude:

Solitude at the office can increase productivity.
Alone time may increase your empathy.
Spending time alone sparks creativity.
Solitary skills are good for mental health.
Solitude offers restoration.

5. They don’t give up after the first failure. Success isn't immediate, and failure is almost always an obstacle you will have to overcome. Take, for example, Theo-dor Giesel, also known as Dr. Seuss whose first book was rejected by more than 20 publishers. Dr. Seuss is now a household name. Thinking that failure is unacceptable or that it means you aren't good enough does not reflect mental strength. In fact, bouncing back after failure will make you stronger Instead, they make time for solitude.

6. They do not shy away from change. There are five stages of change: precontemplation, contemplation, preparation, action, and maintenance. Following through with each of the five steps is crucial. Making changes can be frightening, but shying away from them prevents growth. The longer you wait, the harder it gets. Other people will out-grow you.

13 Things Mentally Strong People Don’t Do

7. They don’t worry about pleasing everyone. Often we judge ourselves by considering what other people think of us, which is the opposite of mental toughness. Those who are constantly trying to be a people-pleaser will find: It's a waste of time; people pleasers are easily manipulated; it's OK for others to feel angry or disap-pointed; and you can't please everyone. Dropping your people-pleasing mindset will make you stronger and more self-confident.

8. They don’t resent other people’s success. Resentment is like anger that remains hidden and bottled up. Focusing on an-other person's success will not pave the way to your own, since it distracts you from your path. Even if you become successful, you may never be content if you're always focusing on others. You may also over-look your talents and abandon your val-ues and relationships Dr. Seuss kept at it despite near-constant rejection.

9. They don’t fear taking calculated risks. People are often afraid to take risks, whether it's financial, physical, emotional, social, or business-related but it comes down to knowledge. A lack of knowledge about how to calculate risk leads to in-creased fear. To better analyse a risk, ask yourself the following questions.

What are the potential costs?
What are the potential benefits?
How will this help me achieve my goal?
What are the alternatives?
How good would it be if the best-case scenario came true?
What is the worst thing that could happen, and how could I reduce the risk it will occur?
How bad would it be if the worst-case scenario did come true?
How much will this decision matter in five years?

13 Things Mentally Strong People Don’t Do

10. They don’t feel that the world owes them anything. It's easy to get angry at the world for your failures or lack of success, but the truth is no one is entitled to anything. It must be earned. Life isn't meant to be fair. If some people experience more happiness or success than others, that's life — but it doesn't mean you're owed anything if you were dealt a bad hand. The key is to focus on your efforts, accept criticism, acknowledge your flaws, and don't keep score. Comparing yourself to others will only set you up for disappointment if you don't receive what you think you're owed. They do take small steps toward the goal.

11. They don’t make the same mistakes over and over. Reflecting can ensure you don't repeat your mistakes. It's important to study what went wrong, what you could have done better, and how to do it differently next time. Mentally strong people accept responsibility for the mistake and create a thoughtful, written plan to avoid making the same mistake in the future.

12. They don’t concentrate on things which they can’t control. It feels so safe to have everything under control, but thinking we have the power to always pull the strings can become problematic. Trying to be in control of every-thing is likely a response to anxiety. Rather than focusing on managing your anxiety, you try controlling your environment. Shifting your focus off the things you can't control can create increased happiness, less stress, better relationships, new opportunities, and more success. Instead, they focus on what they can do Indeed, they're able to say "no."

13. They don’t waste time feeling sorry for themselves. Feeling sorry for yourself is self-destructive, indulging in self-pity hinders living a full life. It wastes time, creates negative emotions, and hurts your relationships. The key is to affirm the good in the world, and you will begin to appreciate what you have. The goal is to swap self-pity with gratitude.

13 Things Mentally Strong People Don’t Do

Contact lens wearers urged to switch to glasses during COVID-19 pandemic

Those who wear contact lenses may want to switch to glasses during the COVID-19 pandemic.

On March 10 the American Academy of Ophthalmology released safety measures for the eyes, as evidence suggests that the novel coronavirus may be transmissible through the eyes. People are Instructed to avoid rubbing their eyes, touching their faces and touching surfaces that may have been exposed to the virus. People who wear contact lenses touch their eyes often when putting on and removing contacts. They also tend to touch their eyes and faces more often than others who don't wear contact lenses.

"Some people are not very hygienic and may have forgotten to first wash their hands" said Thomas Steinemann, a clinical spokesmnan from the American Academy of Ophthalmology. While experts have said there's still no definitive proof that the corona virus can enter through the eye, wearing glasses ls considered a preventive measure to help avoid the disease.

Glasses can serve as additional barriers to protect you from the virus, although they're not as effective as goggles. Additionally, when attempting to secure your glasses, It's recommended to cover your fingers with a tissue instead of touching the glasses with your bare hands. Those who continue wearing contact lenses should wash their hands properly before and ater putting In or taking out their contacts. The association also recommended avoiding contact with water while wearing the contact lenses, following orders from professionals regarding use of contacts and cleaning or substituting contact lenses and containers routinely.

Contact lens wearers urged to switch to glasses during COVID-19 pandemic

Starting The 1000 Calorie Diet: Tips

1. Pay Great Attention to Nutrition

There are a lot of types of this diet and the most common types are the 1000 calorie low carbohydrate meals, the 1000 calorie low fat meals and the 1000 calorie high protein diet. Forget about all of these! The 1000 calorie carbohydrate meals diet lacks the carbs that will energize you, the 1000 calorie low fat meals eliminates all fats, including the healthy omega-3 and omega-6, and the 1000 calorie high protein diet is high in protein and lacks other nutrients.

Eating only 1000 calories a day will surely make you lose pounds but you may harm your health. Therefore, eat all the nutrients and pay great attention to nutrition. There is simply no room for sneaky calories such as added sugars, sugary drinks, processed foods and alcohol. Count your carbs wisely and stay healthy.

2. Don't Cheat

In all weight loss programs, the recommended number of meals per day is five which means that apart from breakfast, lunch and dinner, you can eat two snacks. The snacks should be consumed in mid-morning and mid-afternoon and they usually include nuts and fruits.

Each snack shouldn't have more than 50 calories. When you do the math your three main meals will have 900 calories, 300 calories per meal.

Although you need to count the daily calories, you can rearrange them as you like. However, it is very important that you don't cheat. Don't make excuses and don't eat anything that was not planned. After all, this diet should last for only two weeks and you are the one who wants to lose those pounds fast. It may not be easy but do your best to stay disciplined and focused and all the effort will pay out.

Starting The 1000 Calorie Diet: Tips

3. Stay Away From The Fad Diet Plan

Even though you desperately want to lose a couple of pounds, don't ever do anything that will jeopardize your health. Some people opt for the fat 1000 calorie a day diet plan, temporarily lose a few pounds and end up with a bunch of health problems.

It is crucial that you stay away from fad 1000 diet programs and stick to a healthy program. The fad 1000 calorie a day diet consists of only one or two foods from the food pyramid.

That means that your body would lack the required nutrients from the other three or four food groups. The probable side effects of a low nutrient diet are not something you would want to deal with. All the nutrients from the pyramid need to be consumed on a daily basis, even if you are on a very low-calorie diet.

4. Sample 1000 Calorie A Day Diet Meals

Although this diet is pretty drastic, it is possible to eat healthy and tasty foods. Since every single calorie's nutritional value counts, make sure to make the most of your meals.

Sample meals might include a 1/2 cup serving of oatmeal with almond milk for breakfast, a green salad with 3 oz of chicken breast for lunch and a 1-cup serving of whole grain pasta with marinara sauce for dinner, according to Livestrong website. Snacks can include fresh fruits and vegetables or a 1/2 oz serving of nuts, Drinks include water, black tea and coffee without sugar.

Another sample meal from Weightlossresources website might Include 2 small slices of wholemeal bread and a small banana, 200ml glass of orange juice for breakfast, 1 wholemeal roll (45g) filled with 70g tuna and 10g reduced calorie mayonnaise, mixed salad of 50g lettuce, 50g red or yellow sweet peppers and 10g spring onions for lunch and 70g roast chicken breast without skin, 80g mashed potatoes with 30ml semi-skimmed milk, 60g steamed or bolled broccoli, 50g boiled carrots and 100ml gravy made from granules for dinner. As far as snacks go, they recommend 100g pot of low fat fruit yogurt in the morning, and 28g of lower fat crisps in the afternoon.

Starting The 1000 Calorie Diet: Tips

5. What Should I Eat For Breakfast?

Some experts say that breakfast is the most important meal of the day and we agree that it should be healthy and nutritious enough to give you the much-needed morning boost. Even though you are paying extra attention to the calorie intake, that doesn't mean that you can't prepare a delicious meal that contains a little more than 200 calories.

A good breakfast menu might include 1 whole wheat English muffin (120 kcal), 1 pat butter (36) and 1 cup of fruit (74). Opt for tea or coffee without sugar. If you crave sweets, a banana smoothie might just save the day. The ingredients are (blend together) 1/2 cup (8 oz.) plain, low-fat yogurt (77), 1 tsp honey (16), 1/2 banana (50), 1 cup fresh/frozen berries (97), 1 tbsp. flaxseeds (55), and 1/2 cup water.

6. What Should I Eat For Lunch?

Research has shown that almost one half of working Americans skip lunch on a regular basis and use their lunch time to do everything else instead of actually eating. This is something that cannot happen to you when you are on a very low-calorie diet. Firstly, your body is already running on low.

Additionally, skipping lunch may result in overeating at some point during the evening. The meals we recommend are easy to make and don't require a lot of skill or time.

For instance, you might eat one toasted wheat bread, scrambled egg, 1/2 ounce shredded low-fat cheese 2 slices wheat bread, 2 ounces lean meat, sliced tomatoes, onions, and olives.

Another option is to make a scrambled egg on toast. The ingredients include 1 large egg (72), 1 tbsp. fat-free milk (11), 1 slice whole wheat bread (70) and 1/2 oz. low-fat shredded cheddar cheese (25). You could also eat 1 large tossed salad with 2 tbsp. dressing (100), 1/2 cup of tunaw/.5 oz. lite mayo (135), 1 cup of low-fat wheat thin crackers (130) and 12 ounces of diet soft drink (0).

7. What Should I Eat For Dinner?

People who want to lose weight usually tend to skip dinner without realizing its Importance.

Since you aren't going to eat anything for another 8 to 10 hours, your body needs the essential nutrients in order to continue functioning properly. And when you're on the 1000 calorie a day diet, your body needs all the nutrients it can get. One of your dinners might include 2 ounces shredded chicken breast, 6 cherry tomatoes, a cup of shredded lettuce, a slice of onion and one tablespoon low fat dressing.

You can also eat one flour tortilla, a cup lettuce, 75 calories rice, and half cup beans.

If you miss your old food and feel like you don't have enough energy to continue, try making a hamburger.

The required ingredients are 4 oz. very lean ground beef (149), 1 tbsp. ketchup (15), 1 small grated carrot (21), 1/2 finely chopped onion (24), 1 egg white, beaten (72), 2 cups lettuce, shredded (10), 1/2 cup cucumber, sliced (8) and 1 tomato, sliced (16). Mix the ground beef, grated carrot, onion and ketchup together and form into patty. Dry-fry or barbecue, and serve with salad.

Starting The 1000 Calorie Diet: Tips

Health Risk from Energy Drinks

An energy drink is a type of beverage marketed in a way that suggests it will provide consumers with enhanced levels of mental alertness and physical stimulation.

The amount is usually more than double the amount found in other soft drinks while the average cup of coffee contains 40mg. Theresa May has enlisted the ban in a bid to combat the rising levels of childhood obesity in the UK, which she describes as “one of the greatest health challenges this country faces". The ban would apply to drinks which contain 150mg of caffeine or more per litre.

Energy drinks also typically contain high levels of sugar - one of the main motivations for imposing a ban - and may contain other ingredients linked to boosting energy such as ginseng, guarana, carnitine and taurine.

Health Risk from Energy Drinks

According to nutritionist Rhiannon Lambert, energy drinks offer "zero nutritional value" and there is no reason why children would need to consume them to get through the day. Excess amounts of caffeine can lead to high blood pressure, nausea, vomiting and convulsions, she tells. Other adverse health effects linked to excessive energy drink consumption, as illustrated in a study published in the International Journal of Health Sciences in 2015, include: anxiety, insomnia, gastronomical upset, headaches, hyperactivity and diuresis.

A study in Sweden also found links between energy drinks and dental erosion."High levels of sugar impact directly on obesity and tooth decay, both of which are known issues in children and adolescents," explains paediatric dietitian and British Dietetic Association spokes. person Clare Thornton-Wood. "Meanwhile, high caffeine intakes in children and adolescents can also raise blood pressure and interfere with concentration at school," she tells." Young people suffering with eating disorders often use low calorie energy drinks to boost energy levels with the caffeine they contain whilst limiting calories," Thornton-Wood adds.

Health Risk from Energy Drinks

Eating Broccoli Could Guard Against Arthritis

Scientists at the University of East Anglia (UEA) are launching a new project to investigate the benefits of broccoli in the fight against osteoarthritis. Initial laboratory research at UEA has found that a compound in broccoli called sulforaphane blocks the enzymes that cause joint destruction in osteoarthritis - the most common form of arthritis.

Broccoli has previously been associated with reduced cancer risk but this is the first major study into its effects on joint health. With funding from both Arthritis Research UK and the Diet and Health Research Industry Club (DRINC), the £650,000 project will explore how sulforaphane may act to slow or prevent the development of osteoarthritis. It will prepare the way for the first patient trials and could lead to safe new ways of preventing and treating this painful disease.

Sulforaphane is a bioactive compound found in cruciferous vegetables, particularly broccoli. Eating broccoli leads to a high level of sulforaphane in the blood, but scientists don't yet know if the sulforaphane gets into joints insufficient amounts to be effective. This is one of the things that the UEA team hopes to discover. Osteoarthritis is the leading cause of disability in the UK where it affects around six million people.

It is a degenerative joint disease which gradually destroys the cartilage in the joints, particularly in the hands, feet, spine, hips and knees of older it people. There is currently no effective treatment other than pain relief or joint replacement.

Eating Broccoli Could Guard Against Arthritis

Prof lan Clark, of UEA's School of Biological Sciences, who is leading the research said: "The UK has an aging population and developing new strategies for combating age-related diseases such as osteoarthritis is vital –to improve the quality of life for sufferers but also to reduce the economic burden on society."

As part of the three-year project, the UEA team will also investigate the effects of other dietary compounds on osteoarthritis, including dially disulphide which is found in high amounts in garlic and also appears to slow the destruction of cartilage in laboratory models.

A concentrated extract of freeze dried broccoli sprouts cut development of bladder tumors in an animal model by more than half, according to a report in the March 1 issue of Cancer Research.

This finding reinforces human epidemiologic studies that have suggested that eating cruciferous vegetables like broccoli is associated with reduced risk for bladder cancer, according to the study's senior investigator, Yuesheng Zhang, MD, PhD, professor of oncology at Roswell Park Cancer Institute. "Although.this is an animal study. It provides potent evidence that eating vegetables is beneficial in bladder cancer prevention," he said.

There is strong evidence that the protective action of cruciferous vegetables derives at least in part from isothyiocyanates (ITC), a group of phytochemicals with well-known cancer preventive activities. "The bladder is particularly responsive to this group of natural chemicals." Zhang said. "In our experiments, the broccoli sprout ITCs after oral administration were selectively delivered to the bladder tissues through urinary excretion."

Other cruciferous vegetables with ITCs include mature broccoli, cabbage, kale, collard greens and others. Broccoli sprouts have approximately 30 times more ITCs than mature broccoli, and the sprout extract used by the researchers contains approximately 600 times as much.

Eating Broccoli Could Guard Against Arthritis

Although animals that had the most protection against development of bladder cancer were given high doses of the extract, Zhang said humans at increased risk for this cancer likely do not need to eat huge amounts of broccoli sprouts in order to derive protective benefits. "Epidemiologic studies have shown that dietary ITCs and cruciferous vegetable intake are inversely associated with bladder cancer risk in humans.

It is possible that ITC doses much lower than those given to the rats in this study may be adequate for bladder cancer prevention," he said. Zhang and his colleagues tested the ability of the concentrate to prevent bladder tumors in five groups of rats.

The first group acted as a control, while the second group was given only the broccoli extract to test for safety. The remaining three groups were given a chemical, N-butyl-N-(4-hydroxybutyl) nitrosamine (BBN) in drinking water, which induces bladder cancer. Two of these groups were given the broccoli extract in diet, beginning two weeks before the carcinogenic chemical was delivered.

In the control group and the group given only the extract, no tumors developed, and there was no toxicity from the extract in the rats.

About 96 percent of animals given only BBN developed an average of almost two tumors each of varying sizes. By comparison, about 74 percent of animals given a low dose of the extract developed cancer, and the number of tumors per rat was 1.39.

The group given the high dose of extract had even fewer tumors. About 38 percent of this high-dose group developed cancer, and the average number of tumors per animal was only .46 and, unlike the other animals, the majority were very small in size.

Eating Broccoli Could Guard Against Arthritis

Ultrasound treatment might relieve Parkinson's tremors

Ultrasound may provide lasting relief from the involuntary muscle movements that are so debilitating to people with Parkinson's disease and another condition called "essential tremor," a small study concludes. The treatment is still scarce. but it appears to deliver significant and lasting tremor relief, Italian researchers report.

It's called "focused ultrasound." Though characterized as surgery, it's actually a noninvasive procedure that involves no Incisions.

For patients with uncontrolled muscle movements, clinicians use it to target beams of sound energy toward a small tremor-control center in the brain called the thalamus. The beams heat up the thalamus and destroy part of it. "The clinical application of this technique for neurological diseases is an absolute novelty." study author Dr. Federico Bruno, a radiologist at the University of L'Aquila in Italy, said in a statement. "Few patients know of this treatment option so far, and there are not many specialized centers equipped with the required technology."

He pointed out that focused ultrasound received U.S. Food and Drug Administration approval less than three years ago as a tremor-control treatment. Before then, patients had to rely on other interventions,according to Dr. Rachel Dolhun, vice president of medical communications for the Michael J. Fox Foundation in New York City. "Exercise, medication and surgical therapies such as deep brain stimulation are all possibilities for consideration," she noted.

But exercise and medication don't always work. And while deep brain stimulation (DBS) targets the same brain area as noninvasive ultrasound, it is highly invasive.

Ultrasound treatment might relieve Parkinson's tremors

Surgeons must enter the skull and chest to Insert wires, electrodes and a pacemaker-like pulse generator. It can also be tricky after surgery to calibrate the device to maximize tremor reduction and minimize unwanted side effects. Plus, Patients with heart and bleeding problems may be ineligible for the procedure. Dolhun and her team said, as are those with memory and thinking issues. The DBS equipment also requires vigilant maintenance, in the form of regular battery replacement.

By comparison, focused ultrasound, though irreversible. "requires shorter hospitalization and is a fairly well-tolerated procedure even by more fragile patients," Bruno said.

But does it work?

Bruno and his team tracked 39 patients (average age, 65) for just over a year after focused ultrasound treatment. Just over half (21) had Parkinson's. The rest had essential tremor (ET), a common type of tremor that may affect the hands, arms, legs, head, trunk and even tongue.

On average, participants had had tremors for more than a decade. None had responded to standard treatments.

All underwent focused ultrasound, which is performed without general anesthesia on one side of the thalamus. (Doing ultra- sound on both sides could trigger speech, swallowing and thinking problems, so it is approved only for one side.)

The result? Thirty-seven of the 39 patients experienced immediate and significant tremor relief, and that relief held up over the next year. Both Parkinson's and ET patients reported marked improvements in their quality of life.

For now, however, focused ultrasound is only available at a few specialized facilities worldwide. But both Bruno and Dolhun suggest that this may change.

Ultrasound treatment might relieve Parkinson's tremors

"There are a number of clinical trials testing focused ultrasound as a noninvasive procedure for other Parkinson's symptoms." Dolhun said. Those symptoms include duskiness, uncontrollable muscle movements that result in fidgeting, swaying, writhing, wriggling or head bobbing.

Bruno said other studies are investigating its potential for treating neuropathic pain, epilepsy and obsessive-compulsive disorders, as well as brain tumors. And as neuroimaging techniques improve, he predicts ultrasound's potential and availability will expand.

Bruno and his team are to present their findings next Wednesday at the Radio logical Society of North America annual meeting in Chicago. Research presented at meetings is typically considered preliminary until published in a peer-reviewed journal.

Experts in the diagnosis and treatment of Parkinson's disease suggest they are on the verge of developing new ways of identlfying the condition earlier - and better managing its debilitating symptoms. In a presentation Tuesday at the XXIV World Congress of Neurology in Dubai, researchers from the Center for Neurodegenerative Science at Van Andel Institute in Grand Rapids, Mich, told more than 4,000 neurologists from around the world in attendance that recent studies suggest that other health conditions -- like rapid eye movement sleep behavior disorder, constipation, depression, hyposmia, anxiety and excessive daytime sleepiness may be predictors of the onset of the movement disorder.

The Mayo Clinic describes rapid eye movement, or REM, sleep behavior disorder as a sleep disorder in which you physically act out vivid, often unpleasant dreams with vocal sounds and sudden, often violent arm and leg movements.

Ultrasound treatment might relieve Parkinson's tremors

Stress in emergency room affect patient care

The COVID-19 pandemic has added to already high stress levels in emergency- rooms, a social psychologist says.

"ER providers are on the front line of this pandemic, and stress, anxiety and anger - are increasing," said Linda Isbell, a professor of psychology at University of Massachusetts Amherst.

"As we all face anxiety about the fallout of this pandemic, anger about a healthcare system that was already stretched thin and under-resourced is likely to grow," she explained in a university news release.

Isbell's team interviewed 45 doctors and 41 nurses who offered mixed feelings about life in the ER. Persistent issues such as understaffing, overcrowding and limited resources for homeless and mentally ill patients elicited overwhelmingly negative feelings.

"These physicians care deeply about their patients. They're working in a healthcare system that makes it really hard for them to practice the way they envisioned," Isbell said. "They are asked to handle and solve problems that are incredibly trivial or incredibly serious, and some aren't even medical problems. There is awareness that emotions could influence what they do with the patients."

One ER specialist said: "Emotions subconsciously play a role in every single patient and how you work them up, and how you diagnose them, and what you do for them."

Doctors and nurses said that they may spend less time with angry, dimcult or unreasonable patients.

One doctor said: "I do think it is likely that when you have significantly contentious relationships with patients that ....you don't gain as much data and to an) extent that could lead to diagnostic error."

Doctors and nurses said they use various coping strategies. These include suppressing or ignoring their emotions when on duty in the emergency department.

Stress in emergency room affect patient care

"But we know from the emotion literature that's not a good strategy." Isbell said. "It tends to rebound. You may take it out later on your kids or your spouse or dog. It's bad for your body physically and for

your mental health."

It may also be bad for patients. The study suggests that more research is needed to learn whether ER providers' efforts to regulate their emotions help reduce the risk to patient safety.

The report was recently published online in the journal BMJ Quality and Safety.

Limited supplies of the anti-malarials chloroquine and hydroxychloroquine could hinder plans to use them to treat COVID-19, experts warned Thursday.

Physicians in Italy, where more than 115.000 people have acquired the virus and nearly 14,000 have died, questioned whether there is enough supply" of the two drugs if they are accepted globally as an

option for coronavirus treatment, according to a letter published in the Annals of Rheumatic Diseases.

The medications are typically used to treat people with malaria, which sickens more than 200 million people per year, according to the World Health Organization.

"If mass prophylaxis was accepted as an option worldwide, this would raise the question of whether there is enough supply of [chloroquine) and (hydroxychloroquine) to support this approach, they write.

As of Thursday, there have been more than 1 million confirmed cases of COVID-19 worldwide. The outbreak started in Wuhan, China, and has since spread rapidly.

Those with severe cases of the virus typically develop pneumonia and require breathing support with a ventilator. Hospitals in the United States have already expressed concerns about shortages of ventilators, as confirmed cases approach 250,000.

Chloroquine and hydroxychloroquine have been used to treat auto-immune diseases like lupus since the 1940s. Over the decades, dozens of studies have shown them to be safe and well tolerated in most cases, the Italian authors noted.

Stress in emergency room affect patient care

Treatment at the earliest possible opportunity gives the best chance of recovery from Bulimia

Bulimia (or bulimia nervosa) is a serious mental illness. It can affect anyone of any age, gender, or background. People with bulimia are caught in a cycle of eating large quantities of food (called bingeing), and then trying to compensate for that overeating by vomiting, taking laxatives or diuretics, fasting, or exercising exces sively (called purging).

Treatment at the earliest possible opportunity gives the best chance for a rapid and sustained recovery from bulimia.

It's normal for people who aren't suffering from an eating disorder to choose to eat a bit more or " overindulge" sometimes. This shouldn't be confused with a binge. During a binge, people with bulimia don't feel in control of how much or how quickly they're eating. Some people also say that they feel as though they're disconnected from what they're doing.

The food eaten during a binge may include things the person would usually avoid. Episodes of bingeing are often very distressing. People with bulimia place strong emphasis on their weight and shape, and may see themselves as much larger than they are.

The binge/ purge cycles associated with bulimia can dominate daily life and lead to difficulties in relationships and social situations.

Treatment at the earliest possible opportunity gives the best chance of recovery from Bulimia

Bulimia can cause serious physical com plications as well-frequent vomiting can cause problems with the teeth, and people may go to lengths to make themselves sick that could cause them harm.

Laxative misuse can seriously affect the heart and digestive system. People with bulimia may also experience symptoms such as tiredness, feeling bloated, constipation, abdominal pain, irregular periods, or occasional swelling of the hands and feet.

However, as sufferers often maintain a " normal" weight and often hide their illness from others, it can be very difficult to spot from the outside. Moreover, people with bulimia are often reluctant to seek help. As with other eating disorders, people around a person with bulimia will probably notice changes to their mood and feelings before seeing any physical change.

They may also be preoccupled with and secretive around food, and feel self-conscious about eating around others. Low self-esteem, irritability and mood swings, and feelings of guilt, shame, and anxiety, especially after a binge, are also common.

If someone's symptoms don't exactly match all the criteria used to diagnose bulimia-for example, if the binge/ purge cycles don't occur as frequently as may be expected-they might be diagnosed with OSFED (other specified feeding or eating disorder). OSFED is as serious as any other eating disorder and it's just as important that people suffering with it get treatment as quickly as possible. There are many different reasons that someone might develop bulimia, and many things that can be contributing factors.

It's important to remember that eating disorders are often not about food itself, and treatment should address the underlying thoughts and feelings that cause the behaviour. Bulimia can affect anyone of any age, though it typically develops during adolescence or early adulthood.

Treatment at the earliest possible opportunity gives the best chance of recovery from Bulimia

It is also possible for someone to move between diagnoses if their symptoms change there is often a lot of overlap between different eating disorders. As such, bulimia may develop from another eating disorder, or a person's symptoms may change to better resemble those of another eating disorder.

If you're worried about yourself or someone you know, even if only some of the signs are present, you should still seek help immediately. The first step is usually to make an appointment with the GP.

Treatment for Bulimia

Bulimia (or bulimia nervosa) is a serious mental illness. It can affect anyone of any age, gender, or background. People with bulimia experience cycles of eating large quantities of food (called bingeing), and then trying to compensate for the binge by vomiting, taking laxatives or diuretics, fasting, or exercising excessively (called purging). You can read more about bulimia here.

Most treatment for bulimia will take place in outpatient services. Inpatient treatment is usually only necessary when someone is at risk of suicide or severe selfharm.

Therapy

Therapy can be recommended as part of the treatment for bulimia in order to tackle the underlying thoughts and feelings that cause the illness and encourage healthier ways of coping.

Therapies recommended to help treat bullmia might Include:

Evidence-based self-help, which will involve some of the same techniques you would learn in face-to-face therapy. Ideally this will be with support and encouragement from your healthcare team.

Cognitive behavioural therapy-Bulimla Nervosa (CBT-BN), CBT that has been adapted to suit the needs of people with bulimia.

Other therapies, such as interpersonal psychotherapy (IPT), as an alternative to CBT.

CBT is likely to be recommended as part of your treatment, and may have positive results over a shorter course of treatment than other forms of therapy. However, if CBT isn't right for you, you can get good results through other therapies too.

Treatment at the earliest possible opportunity gives the best chance of recovery from Bulimia