CHICAGO —Award-winning Career and Lifestyle Coach, Neha O’Rourke, has prepared four tips to help keep your New Year’s resolutions:
Tip #1 STAY REALISTIC
Take away the heavy-ness of your new year's resolution by changing the goals that may take a little more time or discipline to nail down. If you fall off the wagon — whatever wagon we’re talking about here, you can get right back on by changing the timeline, data, or habits.
For example:
If you’ve barely hit the gym in the last year, then saying you’re going to go 5 times a week isn’t realistic.
Take the time to really assess what’s going to be realistic and attainable for you. Remember – any action, no matter how big or small means you’re going in the right direction and are closer to your goal than you were before.
Tip #2 CELEBRATE THE WINS
New Year's resolutions focus on what needs to change, but we don’t reflect on the progress we’ve made in the last year!
There’s always something that we could be doing and sometimes that feeling can be overwhelming, which is why we need to acknowledge and celebrate our wins throughout the year. Similarly to making resolutions, you should be celebrating those accomplishments on a more frequent basis.
Tip #3 EVALUATING YOUR HAPPINESS AND GOALS THROUGHOUT THE YEAR
If you think about it, it is inefficient to go an entire year without reflecting on how things are going and what needs to change. Assessing our lives at the end of each year is just not conducive to living our best lives.
Rather than only looking at it once a year, figure out a more frequent cadence that works for you. For me, that’s monthly. I like to reflect on what’s making me happy, what’s bringing me down and what I want to achieve.
Tip #4 DIG A LITTLE DEEPER
I’d like to add to your new year's resolutions by asking you to consider the fact that the average American spends 90,000 hours working – ahem: over 10 years of your life simply working!
Chances are, there’s a reason you haven’t made your desired change already. Maybe you haven’t made it to the gym because you’re working late every night. In that case, your goal might actually be to set boundaries at work so you get some time to make it to the gym.
By thinking about the root of the issue, you’re positioning yourself to be successful at achieving your resolution.
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Neha O’Rourke is the Founder and Career Coach atSomewhere In Between Coaching, a coaching company that empowers women around the country and across industries in designing a career and life they love. Since founding Somewhere In Between, Neha has served hundreds of women in avoiding career burnout through her signature 1:1 career coaching programs, research-based blog series, and public appearances. She was recently named “20 on the Rise” in the coaching category by Honeybook and Rising Tide Society.
At the Starting Line: 4 Tips for First-Time Runners
Running is an amazing pastime that can help you burn calories, strengthen your cardiovascular system, and even boost your cognitive health. If you have decided to start running for the first time, then you will need to come up with a solid training plan and invest in a few key products.
Start Slow
One of the most common mistakes that new runners make is pushing themselves to the limit every single day. Unfortunately, putting out max exertion every training session is probably going to result in chronic injuries. Even if it doesn’t result in injuries, you’ll likely find that your motivation and excitement to keep going quickly burns out.
That is why many experts suggest that you establish a baseline and then come up with a long-term training plan. That plan should slowly increase your strength and endurance without putting your health at risk.
Don’t Forget to Cross-Train
While running is going to be excellent for your health, propelling yourself forward only strengthens a few specific muscle groups. Over time, those who only exercise by running could begin to develop muscle imbalances, which is going to increase their risk of injury. At least one or two days a week, you should do exercises that are going to strengthen your lower back, hamstrings, arms, and shoulders.
Fix Your Diet
Becoming a better running will be nearly impossible if you don’t properly fuel yourself. The occasional cheat meal is perfectly fine for most people, but the vast majority of your diet should be comprised of nutrient-dense foods that are going to provide you with protein, healthy fats, and complex carbohydrates. Sticking to a relatively strict diet will give you more energy during your runs and help you recover much faster between your training sessions.
Invest in the Right Gear
Wearing the proper gear will make your runs much more enjoyable and will greatly reduce your risk of becoming injured. Luckily, it doesn’t require a lot of specific gear, and much of it is up to personal preference. The most important thing is good running shoes.
In addition to having an excellent pair of shoes, you might also want to invest in a comfortable pair of men’s running shorts with pockets. High-quality shorts will prevent chafing and give you a place to store your phone, energy gels, and any other items that you will be taking with you, which will make your runs a little more convenient. For running in the summer, you are also going to need sunglasses, a hat, and some sunscreen.
Throughout your running career, you are sure to deal with at least a few injuries, and those issues should never be ignored. Many of the injuries that runners are prone to can easily be taken care of as long as they are diagnosed and treated in their earliest stages.
Ontario Sets New Record Highs for Organ Donation and Transplantation in 2019
TORONTO, Feb. 11, 2020 /CNW/ - In 2019, Ontario set new records for the most organs donated and transplanted in a single year: there were 1,386 organ transplants and 684 deceased and living organ donors, a 13% increase over the previous year. Trillium Gift of Life Network achieved record-breaking results across its internationally-renowned organ and tissue donation and transplant system due to a combination of expanded protocols, innovative treatments and effective leading practices.
"More Ontarians than ever before gave and received the gift of life last year thanks to the collaboration among our forward-thinking hospital partners, dedicated stakeholder groups and hard-working staff," said Ronnie Gavsie, CEO and President of Trillium Gift of Life Network. "These achievements inspire us to do more. We will continue to work with fervor toward a day when no Ontarian dies on the wait list due to a lack of an organ or tissue."
Higher transplant numbers are partly attributable to technological and medical advancements that allow for the transplantation of organs from donors who historically would have been excluded due to prior medical conditions – these donors accounted for 21% of all organ transplants in 2019. Transplants of healthy and suitable organs from donors with hepatitis C, for example, can now safely occur, expanding the pool of potential donors and decreasing wait times for recipients on the list. There was a 41% increase of donors with hepatitis C in 2019 as compared to 2018, and a 39% increase in transplants from these donors.
In recent years, Trillium Gift of Life Network streamlined the province's tissue recovery system and established new initiatives. This included the consolidation of ocular and multi-tissue recovery and the launch of a tissue referral program with emergency medical service responders, both of which have contributed to the record numbers in tissue donation. In 2019, there was a new milestone of 281 multi-tissue donations, with a remarkable 81% increase of skin donors from the previous year.
"Organ and tissue donations and transplants play an important role in saving and enhancing the lives of many Ontarians," said Christine Elliott, Ontario's Deputy Premier and Minister of Health. "This is an incredible achievement led by Trillium Gift of Life Network. Through their collaborative work with our health system partners, Ontario has made significant strides in organ and tissue donations and transplants that will help more patients and families access the life-saving procedures."
RECORD-BREAKING NUMBERS IN 2019*
Record Number
% Increase from 2018
TOTAL TRANSPLANTS
1,386
12%
KIDNEY FROM DECEASED DONORS
500
13%
KIDNEY FROM LIVING DONOR
242
11%
KIDNEY/PANCREAS
41
21%
LIVER FROM DECEASED DONOR
223
15%
LIVER FROM LIVING DONOR
60
9%
LUNG
210
8%
TOTAL ORGAN DONORS
684
13%
DECEASED ORGAN DONORS
382
15%
LIVING ORGAN DONORS
302
10%
MULTI-TISSUE DONORS
281
37%
SKIN DONORS
98
81%
*Numbers valid as of February 9, 2020
Ontario's established leading-practices, such as routine notification, which requires hospitals and referring partners to report all potential organ and tissue donation cases to Trillium Gift of Life Network, led to a record 7,901 organ referrals and 33,585 tissue referrals in 2019. Additionally, Trillium Gift of Life Network's trained Organ and Tissue Donation Coordinators and referring partners approached 1,341 families to discuss the option of organ and tissue donation after their loved one died and a remarkable 816 families agreed to the gift of life through organ donation.
Registration has a strong connection to donation. When a potential donor has formally registered to be an organ and tissue donor, families almost always proceed with donation. In the absence of registration, families only consent half the time. There has been a steady increase in the percentage of organ donors who were formally registered, and 2019 had the highest percentage at 51%. Trillium Gift of Life Network's robust public awareness and education campaign emphasizes the importance of registering to be an organ and tissue donor and encourages all Ontarians to do so. Currently, more than 4.2 million Ontarians, or 34% of the eligible population, have registered for organ and tissue donation.
Trillium Gift of Life Network consistently explores new ways to expand donation opportunities. In 2016, organ donation was integrated as part of quality end-of-life care for individuals receiving the provision of medical assistance in dying (MAID).
"We congratulate Trillium Gift of Life Network on their record-breaking year. Their continued commitment to advancing leading practices to increase donations and transplants is remarkable," said Dr. Beatriz Domínguez-Gil, Director General of Spain´s Organización Nacional de Trasplantes (ONT), the world's leader in organ donation.
There are more than 1,600 people across Ontario waiting to receive a life-saving organ transplant. Every three days, someone dies while waiting. Learn more about how organ donation can help to save a life by visiting www.beadonor.ca.
Trillium Gift of Life Network Trillium Gift of Life Network is the Government of Ontario agency responsible for planning, promoting, coordinating and supporting organ and tissue donation and transplantation across the province and for continually improving the system so that more lives can be saved.
SOURCE Trillium Gift of Life Network
Vildagliptin’s affordability will provide competitive advantage to Eris and Cipla in crowded Indian diabetes market, says GlobalData
Novartis has recently sold its anti-diabetic drug vildagliptin (branded as Zomelis, Vysov and Vysov M) to Ahmedabad-based Eris Lifesciences and Mumbai-based pharmaceutical major Cipla Ltd, in India. The orally active, potent and selective dipeptidyl peptidase -4 (DPP-4) inhibitor’s patent has expired in India leading to increased affordability of vildagliptin. Product acquisition and increased affordability of vildagliptin will provide a competitive advantage to both the companies in a market crowded with several players, says GlobalData, a leading data and analytics company.
According to GlobalData’s upcoming report, ‘Type 2 Diabetes – Global Drug Forecast and Market Analysis to 2028’, the Indian type 2 diabetes (T2D) market, similar to other major markets, is mature and crowded with both expensive branded therapies and inexpensive generics. With an estimated diagnosed prevalent T2D population of about 90 million by 2028, approximately 80% of which are treated using anti-diabetics, India has a burgeoning T2D market with a robust and competitive pipeline.
The main drivers of market growth will be the dramatic increase in disease prevalence, and physicians' efforts to delay disease progression and reduce the costly burden of diabetic complications through the use of combination therapies and novel branded drugs.
Prashant Khadayate, Pharma Analyst at GlobalData, says: “The Indian diabetes market is highly competitive and price sensitive. Companies are always on the lookout for ways to differentiate themselves in this crowded market. Vildagliptin has shown good traction in the Indian market and patent expiry of vildaglitpin in the Indian market will increase the affordability and will lead to easier access.”
Earlier, Zomelis was sold in India by Abbott under a license from Novartis. On the other hand, Cipla was co-marketing vildagliptin in agreement with Novartis under brand names Vysov and Vysov M (vildagliptin and metformin).
As per Q2 FY’20 results, Eris Lifesciences was ranked third in terms of the number of prescriptions within the Indian diabetology segment. In FY’19, the company’s overall leading brand Glimisave (glimepiride) generated sales of INR2,212m (US $32.5m*). Tendia (tenegliptin) and Cyblex (gliclazide) are the other leading diabetic brands of Eris Lifesciences which generated sales of INR598m (US$8.8m*) and INR396m (US$5.8m*), respectively.
In contrast, Cipla views diabetes as a main therapeutic area of focus, due to the large market opportunity in India. In the past, the company has collaborated with Eli Lilly to market and distribute Basaglar (insulin glargine), with Janssen to market canagliflozin under brand name Prominad and with Mannkind USA to market inhaled insulin Afrezza, which is in clinical development. Cipla will be responsible to get the regulatory approval for Afrezza in India.
Khadayate concludes: “Eris Lifesciences has already emerged as one of the key players in the diabetes market through its leading brands. Sales from its diabetes portfolio makes up approximately 25% of total company sales, as witnessed in FY’19, whereas Cipla’s diabetes portfolio accounted for only 2% of total company sales in FY’18-19. However, both companies continue to be committed to bringing effective and life-changing anti-diabetic drugs to an ever-growing diabetic population in India. in India and innovator vildagliptin brands acquisition will provide a competitive edge over the vildagliptin generics.”
*Converted currency from INR to US$ based on 2018 average rate
Real world evidence shows accelerated surgery in patients with hip fracture has substantial benefits
HAMILTON, ON, Feb. 9, 2020 /CNW/ - Canadian researchers have discovered that accelerated time to surgery – within an average of 6 hours after a hip fracture diagnosis – resulted in a lower risk of delirium and urinary tract infections, moderate to severe pain, faster mobilization, and a shorter length of hospital stay compared to standard care – when surgery occurred an average of 24 hours after a hip fracture diagnosis.
The HIP Fracture Accelerated Surgical TreaTment And Care tracK (HIP ATTACK) Trial, presented on Sunday at the Orthopaedic Research Society (ORS) 2020 Annual Meeting and published in The Lancet, was led by researchers of the Population Health Research Institute (PHRI) of McMaster University and Hamilton Health Sciences (HHS) in Hamilton, Canada. HIP ATTACK involved 2,970 people at 69 sites in 17 countries.
Ten years ago, Dr. Devereaux - principal investigator of the HIP ATTACK trial, as well as senior scientific lead of PHRI's perioperative and surgery program, professor of medicine at McMaster, and cardiologist with HHS - was consulted to manage a 73-year-old female with a hip fracture who also had an elevated blood test (troponin) demonstrating heart injury. The referring doctor told Dr. Devereaux the patient's heart issue had to be treated before surgery for her hip fracture could occur. Despite the best of intentions, with the medical treatment Dr. Devereaux provided based on current practice at that time, the patient died before she was able to undergo surgery for her hip fracture.
Upon reflecting on this case, Dr. Devereaux wondered if the prevailing dogma regarding the need to medically optimize patients before hip fracture surgery was the wrong approach. He contacted Dr. Mohit Bhandari, co-principal investigator of HIP ATTACK and an orthopedic surgeon in Hamilton, to get his perspective on the case. Dr. Bhandari told Dr. Devereaux that observational studies suggested that shorter time to surgery may prevent death and major complications in patients with a hip fracture. Based on this evidence, they initiated a large randomized controlled trial to understand the effects of accelerated surgery in patients with a hip fracture.
Accelerated surgery did not result in a reduction in death or a collection of major complications; however, patients randomized to accelerated surgery had a lower risk of delirium, urinary tract infection, moderate to severe pain, and were faster to stand, mobilize, and go home compared to patients randomized to standard care. Among patients who had an elevated blood test (troponin) demonstrating heart injury when they presented to the hospital with their hip fracture, accelerated surgery lowered the risk of death compared to standard care.
"Hip fracture—as distinct from hip replacement for arthritis—is a medical emergency that kills many older people who would otherwise enjoy many more productive years of life. This study represents a decade of high-quality medical research and very committed patient partners to answer a very important practical question," said Karim Khan, Scientific Director of Canadian Institutes of Health Research Institute (CIHR) of Musculoskeletal Health and Arthritis, said. "It is now clear that in many cases, one would want to have hip fracture surgery inside 6 hours if at all possible. The challenge will be for health systems to deliver this ideal scenario. We must also remember that hip fractures can be prevented—strength and balance training work reduce falls and medication may be indicated for those at risk because of previous osteoporotic fracture."
"Hip fractures are a common cause of presentations to over-crowded emergency departments in Canada. Many of these patients languish while awaiting surgical repair and develop complications such as delirium, over-sedation, and poor outcomes," said Dr. Brian Rowe, Scientific Director of CIHR's Institute of Circulatory and Respiratory Health and a practicing emergency physician in Edmonton. "This collaborative multi-national research, supported by a number of health funders, provides firm evidence of the need to prioritize hip surgery to improve the health of patients and reduce the burden on the health care system."
"Patients find waiting for hip fracture surgery undesirable because they are forced to lie flat in a bed, go without food, and they are either in pain or receiving pain medications that commonly have negative side effects," said Dr. Mohit Bhandari, co-principal investigator of HIP ATTACK and an orthopedic surgeon in Hamilton.
"This trial demonstrates that accelerated surgery for a hip fracture is feasible, safe, and reduces the risk of delirium, urinary tract infection, moderate to severe pain, and length of hospital stay," said Dr. Flavia Borges, the Project Officer of HIP ATTACK and a general internist in Hamilton.
"The lower risk of death with accelerated surgery, in patients who had evidence of a heart injury at the time of hospital admission, challenges the dogma of medical optimization before surgery. Further research should explore the benefits of accelerated surgery in this high-risk group," said Dr. P.J. Devereaux, principal investigator of the HIP ATTACK trial, as well as senior scientific lead of PHRI's perioperative and surgery program, professor of medicine at McMaster, and cardiologist with HHS.
The main funding for the HIP ATTACK trial came from the Canadian Institutes of Health Research, the Ontario Strategy for Patient Oriented Research Support Unit, and the Ontario Ministry of Health and Long-Term Care.
SOURCE Population Health Research Institute
CAN MUSIC MAKE YOU HEALTHIER?
Neuroscience Expert Shares Insight to "Sound Healing" a Unique Approach to Improve Mental, Physical & Emotional Health We've all experienced the healing power of music. It can perk us up when our favorite song comes on the radio and it can provide comfort when we are sad. Music is a medium that connects us all. We use it for entertainment, communication, comfort, and celebration. Music is ingrained into our evolutionary development so, it's no surprise why so many people are now turning to "sound healing" to improve mental, physical, and emotional health.According to Neuroscience expert Dr. Patrick Porter, music and sound can affect your brain and body in more ways than you may realize.Sound Healing is an ancient practice that is used to restore balance to the body and improve mental, physical, and emotional health. It's known to improve social and cognitive development, reduce stress and bolster the immune system. There are different types of sound healing including vibrational therapy, a method that uses vibrations from gongs and tuning forks to relax the mind and body. One of the most popular methods today is binaural beats, also known as brainwave entrainment or braintapping. This method uses auditory stimulation to synchronize and balance brainwaves so they align to the frequency of the beat. "Digital medicine in the form of sound healing is quickly becoming a go-to solution for enriching patient care. As more research results are published, sound therapy will become an essential part of healing protocols..."..says Dr. Porter, who has devoted his career to researching the effects of sound and brainwave entrainment. Sound healers say the healing effects occur because the body relaxes and blood pressure is lowered, which improves circulation and respiratory rates. It stabilizes the limbic system which is involved in motivation, emotion, learning, and memory. The body is calmed, breathing becomes rhythmic, and the muscles relax. Though more research is needed, sound healing has been used to treat symptoms of a number of conditions, including anxiety, depression, insomnia, PTSD, dementia, autism and learning difficulties, behavioral and psychiatric disorders, and more. With its ability to calm and relax, sound therapy helps the body stay stress-free so it can heal at an appropriate rate.Dr. Porter is sharing fascinating science behind Sound Healing, music and the mind. He has tips and actionable advice on how people can use music and sound to improve mental, physical, and emotional wellness in 2020.TALKING POINTS (FOR INTERVIEWS & ARTICLES):Try-at-Home Wellness Tips Using Music & Sound5 Ways Music & Sound Can Improve Mental, Physical, & Emotional HealthScience Behind ASMR & Sound HealingMusic & The Mind: Fascinating Link Between Sound, Brain, & BodySound Healing 101 - What It Is & How It WorksHow to Biohack the Brain for a Happier Healthier YearABOUT DR. PATRICK PORTER:
Dr. Patrick K. Porter, Ph.D., is an award-winning author and speaker who has devoted his career to neuroscience and brainwave entrainment. As the creator of BrainTap Technology™, Porter has emerged as a leader in the digital health and wellness field. BrainTap’s digital tools and mind development apps use Creative Visualization and Relaxation, a biohacking technique that has made tremendous advances in helping mental, physical, and emotional health issues. BrainTap has been praised for helping people relieve symptoms associated with stress, insomnia, pain, and much more. FOR MORE INFORMATION, VISIT: www.braintap.com
As we approach Valentine’s Day, wouldn’t it be nice to know how to turn up the “heat” and make our partner’s passions go into overdrive? One way to get those juices flowing is to use an aphrodisiac, which can be any food or drink that increases libido when consumed. Aphrodisiacs are distinct from substances that address fertility issues such as impotence or sexual dysfunction. From the Greek word aphrodisiac, or "pertaining to Aphrodite,” the idea comes from the goddess of love. But really, is the notion of using an aphrodisiac a bit too silly to make the bedroom pop? According to Board Certified NYC Internist and Gastroenterologist Dr. Niket Sonpal, “This concept is based on science, as traditionally it is known some foods possess chemical properties that could increase pheromones and heighten our interest and others may indirectly boost testosterone or estrogen levels, thereby increasing human sex drive. Others are considered arousing because of their appearance or texture.” In honor of Valentine's Day, Dr. Sonpal shares some of the foods commonly believed to have aphrodisiac powers.
Classically, to be considered an aphrodisiac, a substance should:
Consumed orally
Reliably increase libido or sexual desire (no placebo effect, no diminished libido)
Take effect relatively immediate
The Top Aphrodisiac Delicacies
Oysters
One of the most infamous aphrodisiacs, as their appearance mimics the labial folds of a vagina; oysters are high in zinc and have a reputation for being great for love and fertility. Researchers found that oysters contain amino acids that trigger the production of sex hormones. Dr. Sonpal says that “Oysters offer a lean source of protein to help give you energy all night long and, in addition to offering the body zinc, which helps blood flow and nourishes sperm, there's scientific evidence that an amino acid found in oysters may directly raise sexual hormone levels."
Pistachio Nuts: These have been around for many years. They have many health benefits as they contain protein and fiber. Nevertheless, they also help to reduce symptoms of erectile dysfunction. This could be due to the fact that pistachios lower cholesterol and stimulate blood flow throughout the body.
Chai Tea
Skip the coffee after dinner and reach for a cup of Indian chai tea. The typical spices in this brew include ginger, cloves, and cinnamon, all come from exotic places and certainly will get the blood flowing, and it has almost no caffeine so the stimulant effect is less than coffee, so you'll still be able to drift off to sleep with your lover after your lovemaking!
Chili Martini: Alcohol can be a great way to calm the nerves and get into the mood provided you don’t overdo it. Spice up your Valentine’s night with a chili martini. Thai chilies have been known to be an aphrodisiac for years because they cause your nerves to release epinephrine, which results in increased blood flow. Having a drink like this will defiantly stimulate your body and get you in the mood.
Red Wine: If you’re not feeling bold enough to try the chili martini, why not have red wine? Red wine will be sure to leave you feeling less awkward and aroused. The scent alone has been proven to get people in the mood. It is proven that wine decreases inflammation and gets your blood pumping.
Avocado: High levels of folic acid, vitamin B9, and B6 all provide your body with energy and even help to increase testosterone production. Food has been used throughout time to work as a way to increase sexual arousal. On top of their excellent taste, they have health and sexual benefits that could be used as a stimulant.
Asparagus: Like many other foods, asparagus increases blood and oxygen flow due to vitamin E and potassium in it. It also tends to stimulate the urinary tract system, which causes you to have an “itch” down there which some find arousing.
Bananas
With their phallic shape, bananas already look tempting and sensual; but they also contain bromelain, an enzyme which Dr. Sonpal says can trigger testosterone production. Its vitamin B can elevate energy levels and the high sugar content gives the brain a kick!
Chocolate
Scientists ascribe the aphrodisiac qualities of chocolate, to two chemicals it contains. One, tryptophan, is a building block of serotonin, a brain chemical involved in sexual arousal. The other, phenylethylamine, a stimulant related to amphetamine, is released in the brain when people fall in love.
About Dr. Niket Sonpal: Dr. Niket Sonpal is an Adjunct Assistant Professor at Touro College of Osteopathic Medicine and Clinical instructor at Kingsbrook Jewish Medical Center, Brooklyn who specializes in Gastroenterology. He is a graduate of the Medical University of Silesia – Hope Medical Institute in Poland. After completing his residency in Internal Medicine at Lenox Hill Hospital, he was selected to be the 2013‐2014 Chief Resident at Lenox Hill Hospital–Northshore LIJ Health System. Dr. Sonpal has completed his Fellowship in Gastroenterology & Hepatology at Lenox Hill Hospital and continues his work in the field of medical student and resident test preparation. He now serves as the associate program director for the Internal Medicine Residency Program at Brookdale University medical center.
He is the co‐author for the best-selling Master the Boards: USMLE Step 2 CK, Master the Boards Step 3, And Master the Boards: Internal Medicine. He is also the Chief Operating Officer for Medquest Test Prep, Director of Medical Education for Picmonic Test Prep, and a recognized expert on medical test prep.
Visual disturbances in sildenafil users
Study reports persistent visual disturbances in men taking the highest recommended dose of sildenafil, suggesting that first-time users should use a lower dose
Sildenafil is commonly used to treat erectile dysfunction and is generally regarded as safe with limited side effects. However, a recent study in Frontiers in Neurology has highlighted the risk of persistent visual side-effects, such as light sensitivity and color vision impairment, in men who have taken the highest recommended dose of sildenafil. While these effects appear to be rare, the research suggests that first-time sildenafil users should start with a lower dose before increasing it, if necessary.
Erectile dysfunction can have significant psychological consequences for men who are affected by it, and it can make fulfilling sexual relationships more difficult to achieve. Sildenafil became available in 1998 as a treatment for erectile dysfunction. It soon became the fastest selling drug in history, demonstrating the phenomenal demand for treatments that enhance sexual performance.
Originally developed as a treatment for high blood pressure, the drug dilates blood vessels and relaxes smooth muscle in the penis, making it easier to achieve and maintain an erection. The effects of the drug normally last 3–5 hours and although side-effects such as headache and blurred vision occasionally occur, they usually disappear relatively quickly.
However, Dr. Cüneyt Karaarslan of the Dünyagöz Adana hospital in Turkey, noticed a pattern in 17 male patients who attended the hospital. In the new study, Karaarslan reports that the patients suffered numerous visual disturbances, including abnormally dilated pupils, blurred vision, light sensitivity, and color vision disturbances, which included intensely blue colored vision with red/green color blindness.
All 17 patients had taken sildenafil for the first time, and all took the highest recommended dose of 100 mg. None of the men had been prescribed the medication. The visual side-effects began once the drug took effect, and were still present when the men arrived at the clinic 24-48 hours later.
The doctors in the clinic conducted various eye tests and monitored the patients over time to see how their symptoms developed. Fortunately, in all 17 patients the symptoms had cleared up by 21 days later, but this was doubtless a difficult experience for the men involved.
“Many men use non-prescription performance enhancing drugs to help with sexual anxiety and erectile dysfunction,” said Karaarslan. “For the vast majority of men, any side-effects will be temporary and mild. However, I wanted to highlight that persistent eye and vision problems may be encountered for a small number of users.”
So, why were these men susceptible to such long-lived side-effects? It may be possible that a small subsection of the population does not break sildenafil down and eliminate it from the body efficiently, leading to very high concentrations in the blood compared with most users.
These men also took the highest recommended dose of sildenafil on their first time taking the drug. Starting with a lower dose may have meant less severe side-effects. In addition, taking the drug under medical supervision would likely have meant that the men would not have used such a high dose on their first time.
So, if you are struggling with erectile dysfunction, should you be worried about trying sildenafil? In short, no. Such persistent side-effects appear to be very rare. However, it is always best practice to consult your physician first, it may be best not to start at the highest dose, and in case you are particularly sensitive, consider first using the drug under medical supervision.
“Although these drugs, when used under the control of physicians and at the recommended doses, provide very important sexual and mental support, uncontrolled and inappropriate doses should not be used or repeated,” said Karaarslan.
Toning and sculpting arms is an important part of any workout regimen. Those prominent arm muscles are not only a great way to show off your hard work but also boost your performance in many sports. However, arms are also one of the more delicate and injury-prone parts of your body. Read on to learn about four common arm injuries and how to treat and prevent them.
Rotator Cuff Tear
The rotator cuff is a group of muscles and tendons that assist with lifting and rotating your arm. These muscles and tendons often tear during throwing sports like baseball and basketball or while lifting weights. Mild to moderate tears are treated with rest, pain medications and physical therapy, while a severe injury may require surgery. Prevent a rotator cuff tear with proper stretching before working out and using good form when lifting weights or playing sports.
Bicep Tendonitis
Many fitness fanatics want bulging biceps to show off, but overworking this muscle can lead to painful inflammation called tendonitis. Bicep tendonitis is treated by using an upper arm sleeve to compress the muscle and NSAID medications like ibuprofen or naproxen to reduce inflammation. To avoid this injury, stretch and warm up your biceps before working out and don’t lift more weight than you can handle.
Sprained Wrist
Wrist sprains are a common result of catching yourself with outstretched arms during a fall. Most sprains are mild and heal with a week or two of rest, ice and compression. However, severe sprains may require weeks of immobilization followed by physical therapy. If you participate in an activity like ice skating or gymnastics where falls are common, learn how to fall with proper technique to prevent wrist sprains. Wearing wrist supports while working out can also help.
Tennis Elbow
You don’t have to play tennis to get tennis elbow. This repetitive strain injury to the elbow and forearm causes inflammation and loss of mobility and is treated with rest, immobilization and physical therapy. Severe cases may require orthotic devices or surgery. Reduce your risk of tennis elbow by taking a break if you feel soreness and using exercises to build strength in your forearms.
Do you suffer from repeated arm, wrist and shoulder injuries? Sustaining the same injury over and over is a sign that you need to improve your workout technique. Consider working with an experienced trainer or physical therapist to learn how to exercise without straining your body or injuring yourself.
Breakthrough in Body Contouring Makes National Debut at Offices of Renown Miami Based Plastic Surgeon,
Dr. Adam J. Rubinstein, MD, FACS
February 2020—Miami, Florida -- Board-certified, Miami plastic surgeon, Dr. Adam J. Rubinstein, MD, FACS, announces the national debut of EON FR (Fat Reduction). EON FR technology for body contouring is the world’s first non-invasive, non-contact body sculpting devise that is FDA cleared for abdominal fat reduction. EON FR is unique, innovative and 100% safe, effectively delivering laser energy to treat the adipose tissue for fat reduction and body sculpting with no fuss, no pain, no post-treatment massages and no patient down time!
Unlike other non-invasive fat reduction procedures, EON FR takes about 15 minutes and treats 6x more surface area than the market leader. EON FR does not require applicators or gels. Before performing the treatment, Dr. Rubinstein determines the area for body contouring then the EON FR maps the patient’s topography. It actually scans and adjusts to the exact shape of the patient’s body. The new device uses an articulated robotic arm that delivers laser energy to the targeted area while patient comfort is maintained with a patent-pending cooling system. Laser energy from EON FR induces apoptosis, a process in which the body naturally eliminates fat cells through its lymphatic system with optimal results seen after just 12 weeks. In a clinical study, all patients received an average fat reduction of 15.1% and over 39% achieved between 20—45% fat reduction in a single treatment. “The is truly 21st century tech. Non-contact, robotics, state of the art cooling, it has everything a patient would want.” says Dr Adam Rubinstein. “EON FR offers a pain-free treatment that is customized to the patient’s body and completed comfortably in 15 minutes. This is a huge breakthrough. I’m proud to be among the first to offer this to my patients,” he adds.
About Dr Adam J. Rubinstein
Dr Adam J. Rubinstein is a Board Certified and Award-Winning Plastic Surgeon. He has served as the Chief of Plastic Surgery and Chief of the Department of Surgery for Jackson North Medical Center in Miami, FL. Dr Rubinstein specializes in whole body surgical & non-surgical cosmetic treatments for both women and men. He can discuss the latest innovations and procedures to help people make proper and informed choices. Dr. Rubinstein is also a patient advocate and is passionate about sharing the good, the bad and the ugly about common plastic surgery practices to help patients navigate the world of plastic surgery effectively and safely. His goal is to help people make their best choices about the latest and most innovative procedures. He is also an outspoken patient advocate and believes people have the right to know to make informed choices. You can learn more on his social channels including his Instagram accounts, @drrubinstein and @plasticsurgerytruths, SnapChat @drrubinstein, and Facebook page @MiamiPlasticSurgeon. www.dr-rubinstein.com
About Eon
EON FR’s body contouring technology is fast, easy to use, and covers a larger surface area. Dominion develops disruptive aesthetic technologies to meet the needs of aesthetic physicians.
Dominion Aesthetic Technologies, Inc. (Dominion) is a laser platform medical device company headquartered in San Antonio, TX, with technical labs in Orlando, Fl.
Dominion’s product EON FR, the world’s first non-invasive, non-contact body contouring device is FDA cleared for full abdominal fat reduction (FR).
The company’s purpose is to offer the best solutions for aesthetic physicians and practitioners. In developing new products, it utilizes the knowledge of its Scientific Advisory Committee comprised of world-renowned experts. The company designs, builds and commercializes high technology aesthetic devices.
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