Style Guide: Festive Feels with GUESS

Let’s face it – the holidays can be hard on your schedule and wallet. With dinners, parties and events day after day, finding the perfect outfit can seem impossible. Rest assured, GUESS is here to help. With the trendiest styles for this season, GUESS will keep you feeling and looking great for all of your festivities. Scroll down to see a few of our favourite winter-ready and festive looks!


Get the look:
(L to R) Ellison Logo Beanie, $34.00. Amanda Cerny Logo Band Sports Bra, $34.00. Amanda Cerny Logo Band Boy Brief, $17.00. Amanda Cerny Red Cropped Fleece Hoodie, $69.00. Amanda Cerny Red Lace-up Fleece Sweatpants, $79.00. Kaden Chenille Mitten Gloves, $30.00. Varsity Pop Quilted Belt Bag, $78.00. Hype Logo Low Top Sneakers, $79.00​

Winter mornings can be rough - who are we kidding? Mornings in general are rough. To get you through those extra cold ones, layer up and stay bundled without sacrificing an ounce of style. Slip into an ultra-soft two-piece tracksuit while you lounge around the house watching your favourite holiday movies. Need to step out and pick up some snacks? Throw on a knit toque along with some black kicks, matching pack and fingerless gloves to complete your casual comfy look!

Get the look:
(L to R) GUESS Originals Drawstring Flap Backpack, $90.00. GeeGee Quilted Faux-Leather Booties, $159.00.Off The Shoulder Fringe Mabel Sweater*, $98.00. Sexy Curve Jeans*, $118.00. Phoebe Faux-Fur Collar Coat, $198.00. Ellison Logo Beanie, $34.00.
*Available 1/1

Sweater weather is finally upon us and we couldn't be happier! It’s time for all those fun winter activities we have been waiting for – and comfy knits! Stroll the streets in a detailed sweater and distressed jeans as you search for the perfect gifts for everyone on your list. Amp up the wow factor by pairing this ensemble with a faux fur jacket and a cherry red backpack. Keep the faux fur coming with a sleek set of lace-up fur booties to keep your look simple but chic for this holiday season!

Get the look:
(L to R) Dessie Fur Jacket*, $198.00. Silver-Tone Analog Mesh Watch, $95.00. Zafira Over-the-Knee Boots, $169.00. Lennox Cold-Shoulder Sweater, $79.00. Jenny High-Rise Moto Skirt, $98.00. Silver-Tone Wire Hoop Earrings, $25.00. Kamryn Tote, $120.00.
*Available 12/1

Workwear in the winter is never easy – with the cold breeze and dark skies, finding something to spice up your wardrobe, while staying warm, is a necessity. Nothing says hot like a turtle neck knit and leather mini. Keep those bare legs chic and covered in your favourite pair of knee-high boots (the ultimate winter fave!). Toss on a coloured faux fur as your statement piece, accessorizing the ensemble accordingly. This look is guaranteed to turn some heads at the office.


Get the look:
(L to R) Farrah Gold-Tone Disc Earring, $48.00. Starry Night Cross Body Clutch, $75.00. One-Girl Knitted Sock Booties, $159.00. Maria D-Ring Belted Coat, $218.00. Bijou Maxi Dress*, $138.00.
*Available 12/1

If you want to be the belle of the ball for your parties, do we have the perfect look for you! Wow your family, friends and colleagues in a stunning mustard coloured dress (who says the holidays are just for red and green?). Slip on a pair of knitted sock booties and accessorize with all things gold - accenting your outfit with a black leather crossbody and a dashing pair of gold earrings. Ensure your outerwear is just as breathtaking as your outfit in a bright winter white canvas coat to really make you a star.


Get the look:
(L to R) Mae Flirty Jacket*, $148.00. Laurele Platform Peep-Toe Heels, $129.00. Jamison Romper*, $148.00. Dark Romance Duster Earrings, $32.00. Fall In Love Studded Crossbody, $85.00.
*Available 12/1

The final stop on the holiday list is New Year’s Eve: your big entrance into 2019. They say how you spend your New Year’s says everything about how the year will go, so make sure you’re spending it right! Dress to the nines in a fun n’ flirty sequin romper and get ready to steal the show. Pair the piece with statement earrings, a sleek leather jacket and studded purse. Finish the look off with a pair of stylish but comfy heels, since we know you will be dancing all the way to 2019. Now you’re ready to start the year off with a bang!

For more holiday inspiration, visit GUESS.ca.
Website: GUESS.ca
Twitter: @GUESS
Instagram: @GUESS
Facebook: GUESS
Hashtag: #LoveGUESS

Premier Health Group Inc. Announces Plans to Enter Canadian Pharmacy & Drug Store Market

 

VANCOUVER, Nov. 5, 2018 /CNW/ - Premier Health Group (CSE: PHGI) (CSE: PHGI.CN) (OTCQB: PHGRF) (Frankfurt: 6PH) (the "Company" or "Premier Health"), a Company focused on developing innovative approaches that combine human skill based expertise with emerging technologies for the healthcare industry, is pleased to announce that as a part of its expansion plans it will enter the Pharmacy market via acquisition and/or launching a new Canada based pharmacy in H1-2019.

"Pharmacy is a critical component in our commitment to providing patients with best in class primary care that is accessible and efficient in its delivery. Having the ability to prepare and deliver prescription and non-prescription pharmaceuticals and other health products to patients with ease, and having it as a part of our comprehensive technology solution for primary care, is something we are very excited to roll-out to patients," said Dr. Essam Hamza, CEO of Premier.

The Company is actively reviewing a pipeline of additional pharmacy partners which include bricks and mortar locations for acquisition and strategic new retail opportunities for pharmacies. "It is our position that the emergence of technology such as the ability for patients to electronically send their prescription(s) to a pharmacy for fulfillment and pick up at a later time or delivery directly to them at home or work will result in increased patient and consumer enrollment in apps that offer this type of functionality," added Dr.Hamza.

The Canadian retail pharmacy market is estimated to be $44 billion (Source: IBISWorld). It is expected the industry sector will continue to allow for favourable economics for pharmacy operators as baby boomer's demand increases for prescriptions and operators expand scope of practice to include preventative services.

The Company expects to provide additional updates on acquisitions in Q4-18 and Q1-19.

ON BEHALF OF THE BOARD OF DIRECTORS
"Dr. Essam Hamza, MD"
Chief Executive Officer

About Premier Health

Premier Health is a Canadian company that is strategically poised to take advantage of business opportunities in the global health care industry. We are developing innovative health care approaches that combine human skill based expertise with emerging technologies, and will set the gold standard for services in locations of interest worldwide. Premier Health's subsidiary, HealthVue is focused on developing proprietary technology to deliver quality healthcare through the combination of connected primary care clinics with telemedicine and artificial intelligence (AI). We currently have an ecosystem of over 100,000 active patients and have plans to rapidly increase that number both domestically and internationally. The HealthVue team has a strong track record of successfully creating value in healthcare and technology enterprises. The Management team has deep clinical, financial and operational expertise and a passion for improving healthcare for all patients.

Cautionary Statements

This news release contains forward-looking statements that are based on Premier Health's expectations, estimates and projections regarding its business and the economic environment in which it operates, including with respect to the implementation of its shareholder communications initiative and the timing thereof. Although Premier Health believes the expectations expressed in such forward-looking statements are based on reasonable assumptions, such statements are not guarantees of future performance and involve risks and uncertainties that are difficult to control or predict. Therefore, actual outcomes and results may differ materially from those expressed in these forward-looking statements and readers should not place undue reliance on such statements. These forward-looking statements speak only as of the date on which they are made, and Premier Health undertakes no obligation to update them publicly to reflect new information or the occurrence of future events or circumstances, unless otherwise required to do so by law.

The Canadian Securities Exchange does not accept responsibility for the adequacy or accuracy of this release.

SOURCE Premier Health Group Inc.

For further information:

Premier Health Group Inc., Email: investors@healthvue.com, +604-807-8815, www.healthvue.com

CNW Group Ltd

LANCORA™ (ivabradine) now covered by the Ontario Public Drug Program and British Columbia PharmaCare for patients suffering from chronic heart failure

LAVAL, QC, Nov. 5, 2018 /CNW Telbec/ - Servier Canada Inc. is pleased to announce that following Quebec and Saskatchewan, LANCORA™ is now covered by the Ontario Public Drug Program and British Columbia PharmaCare for patients suffering from chronic heart failure.

LANCORA™ can be prescribed and reimbursed for the treatment of stable chronic heart failure with reduced left ventricular ejection fraction (LVEF) (≤35%) in adult patients with New York Heart Association (NYHA) classes II or III who are in sinus rhythm with a resting heart rate ≥ 77 beats per minute (bpm), to reduce the incidence of cardiovascular mortality and hospitalizations for worsening heart failure, administered in combination with standard chronic heart failure therapies. See individual formulary listings for province specific criteriai,ii.

Over 600 000 Canadians are living with heart failure and 50 000 are diagnosed with the condition every year. Heart failure is a major cause of illness and disability, long and frequent hospital stays and premature death. Heart failure is a complex and incurable condition, resulting in the heart not being able to pump sufficient blood to meet the body's demandsiii.

"Increasing access to innovative drugs that not only save lives but also reduce the risk of hospitalization is a major advancement for heart failure patients but also their families and caregivers" said Dr Peter Liu, Chief Scientific Officer and Vice President of Research at the University of Ottawa Heart Institute.

"We are very pleased that patients in Ontario covered by the Ontario Public Drug Program and patients in BC covered by PharmaCare will now have access to the benefits of LANCORA™. LANCORA™ has already been included in the Drug Benefit plans of Quebec and Saskatchewan, and we continue to work with the other provinces so that across Canada, heart failure patients will have equal access to LANCORA™" said Frederic Fasano, Chief Executive Officer of Servier Canada. "Servier is committed to therapeutic progress to serve patient's needs, all of our activities are centered on this objective."

About LANCORA™
LANCORA™ (ivabradine) is indicated for the treatment of stable chronic heart failure with reduced left ventricular ejection fraction (≤ 35%) in adult patients with NYHA Classes II or III who are in sinus rhythm with a resting heart rate ≥ 77 beats per minute, to reduce the incidence of cardiovascular mortality and hospitalisations for worsening heart failure.iv

About Servier Canada
Servier Canada Inc. is an affiliate of the independent French Servier Group. Our mission is to provide the Canadian medical community and its patients with innovative therapeutic solutions. As such, Servier Canada collaborates with various players in the healthcare system including researchers, entrepreneurs and innovators. In addition to these research partners, the Canadian International Center for Therapeutic Research (ICTR) is dedicated to clinical development with more than 50 studies conducted throughout Canada over the last 10 years.

More information is available at www.servier.ca

____________________
i. https://www.formulary.health.gov.on.ca/formulary/
ii. https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/special-authority#Druglist
iii. The Burden of Heart Failure: 2016 report on the health of Canadians. https://www.heartandstroke.ca accessed July 18th, 2018
iv. LANCORA Product Monograph, May 2018

 

SOURCE Servier Canada Inc.

Healthy Lifestyle Habits Can Prevent Dementia

Chattanooga, TN, November 2, 2018 ― Dr. Timothy R. Jennings speaks expertly on a subject that concerns over 5.5 million people across the nation: how to prevent dementia and keep our mind sharp as we age. A psychiatrist and international speaker, Jennings introduces his new book, recently rated #1 by Amazon in books on dementia, The Aging Brain: Proven Steps to Prevent Dementia and Sharpen Your Mind.

Dr. Jennings prescribes simple, everyday actions we can take to stave off disease, promote vitality, and prevent dementia and late-onset Alzheimer's. "The choices we make now can help us to keep our minds sharp and maintain our independence as we age,” says Jennings.

An easy-to-use guide to maintaining brain and body health throughout life, The Aging Brain is based on solid, up-to-date scientific research, and the interventions discussed can prevent progression toward dementia, even in those already showing signs of mild cognitive impairment. The recommendations also may help reduce disability and depression.

"This book isn't just for people hoping to slow the aging process,” says Jennings. "It's also for anyone who is a caregiver to someone at risk of or already beginning to suffer from dementia. It offers a hopeful, healthy way forward.”

Jennings, who maintains a private practice in Chattanooga, TN, has authored several books, including The God-Shaped Brain and The God-Shaped Heart. He is a Distinguished Fellow of the American Psychiatric Association and Fellow of the Southern Psychiatric Association, and is president and founder of Come and Reason Ministries.

For more information about Dr. Jennings, please visit the website: https://www.agingbrainbook.com.

To connect with Dr. Jennings, please visit: https://www.facebook.com/DrTimJennings/ and https://twitter.com/timjenningsmd.

The Aging Brain: Proven Steps to Prevent Dementia and Sharpen Your Mind
Baker Books
Released: June 2018
ISBN-10: 080107522X
ISBN-13: 978-0801075223

###

Reviews for The Aging Brain: Proven Steps to Prevent Dementia and Sharpen Your Mind:

Dr. Caroline Leaf, Cognitive Neuroscientist, Communication Pathologist and Author: "Great advice and excellent science on aging! It's well worth following and applying these principles so as to age the way we are supposed to.”

Rodney A. Poling, MD, DFAPA, medical director, Behavioral Healthcare Center, Columbia TN., and board-certified geriatric psychiatrist: "A well-researched and commonsense book aimed at helping one understand the complexities of dementia, while offering recommendations for maintaining healthy brain function into our later years.”

Michael Lyles, psychiatrist, author, and speaker: "Dr. Jennings clearly describes how to practically manage the medical and lifestyle variables that can positively impact brain health and the process of aging. Age is a number, but getting old is a lifestyle.”

Five Ways To Immediately Improve Your Health & Accelerate Weight Loss
Dr. Elaina George, Author of “Big Medicine: The Cost Of Corporate Control And How Doctors And Patients Working Together Can Rebuild A Better System" is available for analysis & interviews.
1. Start exercising
An increase in activity of as little as 20 minutes 3 times a week can make a difference in your risk of heart disease, diabetes and obesity. You don’t have to get fancy with a gym membership. Try taking the stairs at work instead of the elevator, or park further from the entrance when you go to the market or mall.
2. Eat Smaller portions
You may not want to give up your junk food or fried food, but try to limit your portions. Instead of buying a six pack of soda, buy a two liter bottle. You can better control the portions along with your intake of calories.
3. Drink more water
The average person should be drinking 1 ounce per kilogram of his/her weight in water per day. (1 lb = 2.2kg). Studies have shown that people eat more when they are dehydrated because the signals in the body can confuse hunger with thirst. If you are hungry, try drinking an 8-12 oz glass of water before you decide to eat that snack.
4. Avoid salt
The average American diet consists too much salt. Salt is found in everything from canned foods to frozen foods. Not only does salt make your body retain water, it also dulls your sense of taste when it comes to sugar. As a challenge, decrease the amount of salt you eat for about 1 week, then drink a non-diet soft drink. Not only will you lose about 3- 5 lbs of water weight, but you will see that the soda is incredibly sweet. In addition, try to use sea salt.
5. Avoid high fructose corn syrup
Studies have shown that most products in this country are made with high fructose corn syrup that is contaminated with mercury (a known neurotoxin). Instead try to choose foods made with cane sugar. When you drink soft drinks that are made with sugar you will be less likely to crave salt and be able to stop with one soda because there is no ‘sugar high’ that leads to the craving that makes you want to have more.
Atlanta, GA Based - Dr Elaina George (http://drelainageorge.com/) is a Board Certified Otolaryngologist. She graduated from Princeton University with a degree in Biology. She received her Masters degree in Medical Microbiology from Long Island University, and received her medical degree from Mount Sinai School of Medicine in New York. Dr George completed her residency at Manhattan, Eye Ear & Throat Hospital. She is on the advisory council of Project 21 black leadership network, an initiative of The National Center for Public Policy Research. Dr George hosts her own radio show, "Medicine On Call" and she is also a keynote speaker many organizations.
Dr. Elaina George Previous Appearance on Fox Business News
https://www.youtube.com/watch?v=cjdawCdYRxE&list=UUWZMbNAYuV5jRBiCJPsb8iA

L’Oréal Men Expert teams up with Movember to help change the face of men’s health

With its philosophy of never settling for anything less than expert care in mind, L’Oréal Men Expert is taking a stand this November and pledging its support of the Movember Foundation, in turn inspiring men to grow and groom their moustaches to raise funds and awareness for men’s health.

Until Nov. 30, 2018, L’Oréal Paris will donate $1* from every BarberClub pack (SRP $19.99) sold to the Movember Foundation. To kick-start the month, men are encouraged to shave their faces clean and resist the allure of a razor and use L’Oréal Men Expert’s newest BarberClub line – its first grooming range inspired by barber know-how for expert moustache and beard care throughout the month.

Through its BarberClub range, L’Oréal Paris aims to reflect the spirit of an actual barber club where men not only come together for grooming but also engage in conversations that make a difference.

So how should you care for your ‘stache? L’Oréal Men Expert BarberClub has provided a Movember routine in two simple steps for expert clean, care and styling. Amplified with organic cedarwood essential oil, designed to nourish skin and hair for long-lasting comfort, BarberClub is an essential to your grooming routine, especially when your moustache and beard reach its peak by the end of Movember.

Starting with the 3-in-1 Wash to cleanse while freeing the skin of dirt and impurities, it intensely nourishes skin and conditions the moustache and beard for that ‘best in class’ look all day long. This limited-edition pack also comes with a free beard styling tool to help with even application. The Styling Cream is the second and last step in your Movember grooming routine. This cream helps with moustache and beard perfection, making it ideal for all-day beard control and hairstyle definition.

“As a global leader in men’s grooming, L’Oréal Men Expert is also committed to increasing awareness on important issues that affect men around the world. We have a responsibility to break down barriers and empower men to talk about their health. The Movember Foundation has shown great dedication to driving this positive change, which ultimately makes for a natural and successful brand partnership,” said Milan Mladjenovic, General Manager, L'Oréal Paris Canada.

“For over a decade, thousands of Canadians join us every year to raise funds and awareness for prostate cancer, testicular cancer, mental health and suicide prevention, funding over 1,200 projects worldwide and changing the face of men’s health,” said Karli Kirkpatrick, Movember Foundation. “We’re so pleased to continue our partnership with L’Oréal Men Expert. Together, we further our joint mission in ensuring men start conversations, take action and have an impact on their health.”

From the Movember Foundation’s humble beginnings, the movement has gone from 30 moustaches to over five million globally, raising the necessary funds and awareness for the continued fight against prostate and testicular cancer, mental health and suicide prevention amongst men. L’Oréal Men Expert and the Movember Foundation together are committed to helping men engage in their health to live happier, healthier and longer lives.

To help change the face of men’s health, go to www.lorealmen.com/barberclub. L’Oréal Men Expert BarberClub is available at all major Canadian drugstores, mass market retailers and amazon.ca.

*while quantities last.

About L’Oréal Men Expert
The expert in grooming solutions formulated for men.  Featuring products with advanced technology powered by raw ingredients specifically tailored for the modern man. Being a man is not always easy, but a man’s grooming routine should be. When it comes to staying clean, fresh, hydrated, youthful and stylish – Men Expert is the ultimate destination.

Twitter: @lorealparisCAN
Facebook: @lorealmenexpert
Instagram: @lorealmen
Website: www.lorealparis.ca

About Movember Foundation
The Movember Foundation is the leading charity dedicated to changing the face of men’s health around the world. With a singular goal to stop men dying too young, the Foundation supports the following causes: prostate cancer, testicular cancer, mental health and suicide prevention. Since 2003, the support of more than 5 million participants has funded over 1,200 innovative projects across more than 20 countries. To donate or learn more, please visit Movember.com

Image

Global Problem

Backpacks are standard load carriers for people of all ages, especially school children and the military. Previous studies have described the impact of the forces exerted by backpacks on load distribution, back pain, and gait. The purpose of this study was to assess the effect of forces exerted by specific backpack weights on a model of the spine. This information could be important for understanding the load that the spine experiences as an applied weight increase.

The Study

We used finite element analysis (FEA) on a model of a human spine under loads induced by carrying a backpack of different weights. We studied two different scenarios:

  1. A regular backpack with incrementally placed weights using both shoulder straps with the spine in a neutral position.
  2. A regular backpack with incrementally placed weights using both shoulder straps with the spine tilted forward by 20 degrees.

Results

Weight
Neutral Spine
20 Degrees Forward
Induced Stress
(N/m2)
(MPa)
Added reaction force
Induced Stress
(N/m2)
(MPa)
Added reaction force
(lb.)
(kg)
(N)
(lbf)
(N)
(lbf)
1
0.45
2.42E+4
(0.0242)
32.18
7.23
6.44E+5
(0.644)
51.73
11.63
25
11.34
6.05E+5
(0.605)
804.40
180.83
1.61E+7
(16.1)
1293.3
290.75
50
22.68
1.21E+6
(1.21)
1608.8
361.664
3.22E+7
(32.2)
2586.6
581.5
75
34.02
1.79E+6
(1.79)
2380.96
535.28
4.77E+7
(47.7)
3828.2
860.62
100
45.36
2.42E+6
(2.42)
3217.6
723.36
6.44E+7
(64.4)
5173.5
1163

For all of the weights examined, the axial compression force for a neutral spine was 7.2-fold the backpack weight. For the 20 degrees forward flexion condition, the axial compression force was 11.6-fold the backpack weight.

Discussion:

People everywhere have struggled to assess the impact of objects in a backpack to the body in general, and to the spine in particular.  Backpack use is associated with back pain, intervertebral disc compression, neck pain, altered posture, altered walking mechanics, and plantar foot pressure.

 

Weight of Person      Lbs. (kg.)
Conventional Recommendation
Conventional

Actual Weight Allowed Lbs.(kg.)

New Study

Force that the spine sees in neutral (lbf.)

New Study

Force that the spine sees in 20Forward Flexion (lbf.)

Estimated          6 years old
50 (13)
10% bodyweight
5 (2)
36
58
Estimated adolescent         15 years old
124 (56)
10% bodyweight
12 (6)
110
143
Estimated          young adult 18 years old
150 (68)
15% bodyweight
23 (10)
162
261
Estimated          young adult 18 years old
200 (91)
15% bodyweight
30 (14)
216
348
Estimated college aged adult
150 (68)
20% bodyweight
30 (14)
216
348
Estimated          college aged adult
200 (91)
20% bodyweight
40 (18)
288
464

 

Previous studies have suggested a safe load of 10% bodyweight in children and adolescents, 13% and 15% in young adults, and 15-20% in college-aged adults. This study focuses on the force generated to the spine.

Risk:

The first affected are the ligaments.   When the ligaments are stressed and are inflamed, then there is loss of side-by-side range of motion and stiffness. The muscles are also stressed and inflamed. Stressing a muscle makes it stronger. However persistent eccentric loading leads to intractable pain. The disc spaces are also eccentrically loaded seeing undo stresses. With persistent eccentric loading the process of wear, tear, and degeneration proceeds. Surgery may be needed.

Prevention:

One Book = 7 Books to the Spine When the force magnifiers are identified at 7X in neutral spine, and 12X in 20 degrees of forward posture, people should be careful with their contents in a backpack.

Thinking About Your Packing Pack only what is necessary. People tend to overpack and bring every possible option available in their backpacks. A person with a hoarding disorder experiences distress at the thought of getting rid of items. Now each items is shown to have consequences to the spine.

Embrace digital textbooks. Digital textbooks are easier to read, access pages, and do not transmit forces on the spine.

Embrace Neutral Alignment = Proper Posture Proper posture is the position of

“Ears above the shoulder,

Angel Wings back”, = chest open

This is the most efficient position. This proper posture includes your chin being level with the floor, your scapula retracted, and your abdomen firm. Our study shows that in neutral alignment which is good posture, the forces on the spine are 7.2X the weight. With just 20 degrees of forward posture = poor posture, the force is magnified to 11.6X the weight. This is a 60% increase in forces.

Wear Both straps. The forces on the spine are the same with one strap or two straps. Both straps allow for a division of the forces that the spine sees. Similarly, with one strap, one side sees twice the amount of forces.

Keep the Backpack Closest to The Body: Closest to the body is the most efficient position for diminishing spine forces

Develop a strong core and legs. The body provides certain inherent muscle shock absorbers. Building the core muscles with for example planking helps to strengthen the body’s force dampeners. Strong thigh muscles help.

New Technology Diminishes Spine Forces Seen in Backpacks Patented technologies (US Patent 9,700,080 B1) address the postural, ergonomic reinforcement of backpacks to diminish the forces seen by the spine with 40 – 70% efficiency.

About Dr. Ken Hansraj:

 

Kenneth K. Hansraj, M.D. is a spinal and orthopedic surgeon specializing in cervical, thoracic and lumbar procedures, bloodless spine surgery, minimally invasive spine surgery, laminectomies and spinal fusions. He believes in whole body wellness, preventative care and that the spine is a principal indicator of general health impacted by “human software and hardware.” Dr. Ken is the author of the internationally bestselling book, Keys to an Amazing Life: Secrets of the Cervical Spine, which he was inspired to write based on this concept. Dr. Hansraj is also the author of Bloodless Spine Surgery: Pictures and Explanations. His goal with each of his books is to bring years of accumulated expert medical knowledge to the public at-large in an easy-to digest format and to help countless individuals with ongoing spinal and health issues. Dr. Ken Hansraj is TV and media trained and has extensive experience with national outlets such as CNN, HLN, CBS, FOX, NBC, ABC, NPR and has been featured globally. Cision® estimates his current media impressions at 7 Billion.

Chief of Spine Surgery

New York Spine Surgery & Rehabilitation Medicine

Attending Orthopedic Surgeon

Vassar Brothers Medical Center, Hudson Valley, NY

Fellowship Trained in Minimally Invasive Spinal Surgery

California Center for Minimally Invasive Spinal Surgery; Thousand Oaks, CA

Fellowship Trained in Spinal and Scoliosis Surgery

The Hospital for Special Surgery, New York, New York

Fellowship Trained in Orthopædic Biomechanics

The Hospital for Special Surgery, New York, New York

Board Certified, ABOS

American Board of Orthopedic Surgeons

Board Certified, ABMISSM

American Board of Minimally Invasive Spinal Surgery & Medicine

Board Certified, NMBE

National Board of Medical Examiners

 

With availability of Olumiant™ (baricitinib), Lilly brings new oral treatment option for Canadians living with rheumatoid arthritis

 

TORONTO, Nov. 1, 2018 /CNW/ - "You would never know by looking at me," says Angela Vance, a Lilly employee, "that I have rheumatoid arthritis (RA)."

RA is a chronic autoimmune disease characterized by inflammation, pain, stiffness and progressive joint destruction, and affects roughly 300,000 Canadians.1 It is associated with higher rates of illness and premature death and, when RA is moderate to severe, the disease can reduce a life span by as much as a dozen years if untreated.2

"It's a horrible disease," she says. "It rears its head with sharp unexplained pain that won't fade, and a feeling of being wiped most of the time, like I've stayed up 36 hours straight."

"Rheumatoid arthritis can progress very quickly into a debilitating condition," said Edward Keystone, MD, FRCP(C), Professor of Medicine, University of Toronto.  "Early diagnosis and referral to a rheumatologist for treatment is essential in order to get individuals' RA well controlled or in remission, quickly reduce pain, and avoid permanent damage to joints."

Despite current treatment options, many patients do not reach their therapeutic goals or sustained remission. Research shows that fewer than half of patients in clinical practice will sustain remission for more than 1 year.3 There remains an important need to provide additional treatments to improve overall patient care.4 The overall goals of treatment are to stop inflammation, relieve symptoms, prevent damage to joints and organs, improve physical function and overall well-being, and reduce long-term complications.5

Eli Lilly Canada Inc. is pleased to announce the availability of Olumiant™ (baricitinib), a once-daily, 2 mg oral tablet. Olumiant, in combination with methotrexate (MTX), is indicated for reducing the signs and symptoms of moderate to severe rheumatoid arthritis (RA) in adult patients who have responded inadequately to one or more disease-modifying anti-rheumatic drugs (DMARDs). Olumiant may be used as monotherapy in cases of intolerance to MTX.6 7

"New oral options like Olumiant (also known as baricitinib) are key to helping rheumatologists like myself bring active rheumatoid arthritis under control—or even achieve remission—so patients can get back to enjoying their lives," says Dr. Janet Pope, Professor of Medicine, University of Western Ontario & Chair Division of Rheumatology St. Joseph's Health Care London.

"I'm proud of Lilly's longstanding research in autoimmunity, which has led to the approval of Olumiant so that people living with the devastating impact of RA, like me, have a new option," says Angela Vance from Lilly.

The research behind Olumiant:

Olumiant is believed to interfere with the activity of an enzyme called Janus Kinase (JAK). Normally JAK enzymes help turn on your immune system when you need it. The immune system then causes swelling and tenderness, which is called inflammation. Olumiant inhibits the action of JAK enzymes and thereby helps to reduce the swelling and tenderness in people with RA.6, 7

Olumiant was studied in patients with moderately to severely active RA who had an inadequate response or intolerance to conventional disease-modifying antirheumatic drugs (cDMARDs), in the RA-BUILD study, and in patients who had an inadequate response or intolerance to one or more biologic therapies (including Tumor Necrosis Factor (TNF) inhibitor) despite ongoing treatment with cDMARDs, in the RA-BEACON study.6

Results from both the RA-BUILD study and the RA-BEACON study demonstrated that patients treated with Olumiant 2 mg once daily had statistically significantly higher ACR20, ACR50 and ACR70 response rates at 12 weeks compared to placebo-treated patients (ACR = American College of Rheumatology score; ACR20/50/70 represents at least a 20/50/70 percent improvement across selected measures of disease activity). In both studies, higher ACR20 response rates were observed as early as one week with Olumiant 2 mg versus placebo. Patients treated with Olumiant 2 mg also had higher rates of clinical remission and achieved a DAS28 – hsCRP – a measure of RA disease activity – below 2.6 (indicating disease remission) versus placebo-treated patients at Week 12.6 In addition, in both studies, compared to placebo, patients treated with Olumiant 2 mg demonstrated greater improvement from baseline in the physical component summary (PCS) score and the physical function, bodily pain, vitality, and general health domains at Week 12.6

"For many people living with arthritis, the act of opening a medicine bottle or picking up a tablet can be extremely difficult, and Lilly designed the Olumiant tablet, bottle and cap with this in mind," says Bruce Watson, Arthritis Society Director of Business and Foundation Development. "We are pleased to give Olumiant our Ease of Use designation, which recognizes products that are designed to make life easier for people with arthritis."

"Olumiant is an innovative oral medicine that represents an evolution in the treatment of RA," said Lisa Matar, President and General Manager of Lilly Canada. "At Lilly, we focus on the whole person, so the patient's voice is front and centre. We are dedicated to ongoing collaboration with the community to identify solutions that help people with RA thrive."

Lilly received a Notice of Compliance for Olumiant from Health Canada on August 17, 2018.

Notes to Editors:

About Olumiant™

Olumiant (baricitinib), a once-daily, 2 mg oral tablet, provides a new approved treatment option for adult patients living with RA in Canada.6  Olumiant, in combination with methotrexate (MTX), is indicated for reducing the signs and symptoms of moderate to severe rheumatoid arthritis (RA) in adult patients who have responded inadequately to one or more disease-modifying anti-rheumatic drugs (DMARDs). Olumiant may be used as monotherapy in cases of intolerance to MTX.6

Olumiant is believed to interfere with the activity of JAK enzymes. The four known JAK enzymes include: JAK1, JAK2, JAK3 and TYK2. JAK-dependent cytokines have been implicated in the pathogenesis of a number of inflammatory and autoimmune diseases. Normally JAK enzymes help turn on your immune system when you need it. The immune system then causes swelling and tenderness, which is called inflammation. Olumiant inhibits the action of JAK enzymes and thereby helps to reduce the swelling and tenderness in people with RA.6, 7 Olumiant is approved in more than 50 countries.

For more information about Olumiant refer to the product monograph.

About Rheumatoid Arthritis (RA)

As a chronic autoimmune disease characterized by inflammation, pain, stiffness and progressive joint destruction, RA is a significant population health concern, affecting 300,000 Canadians, and is associated with higher rates of illness and death.3

RA affects women two to three times more often than men, and while the disease can occur at any age, its onset is most common between the ages of 40 and 60. Although its cause is still unknown, RA is believed to be the result of a malfunctioning immune system.3

About Eli Lilly Canada Inc.

Eli Lilly and Company is a global healthcare leader that unites caring with discovery to make life better for people around the world. We were founded more than a century ago by Colonel Eli Lilly, who was committed to creating high quality medicines that meet people's needs, and today we remain true to that mission in all our work. Lilly employees work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and contribute to our communities through philanthropy and volunteerism.

Eli Lilly Canada was established in 1938, the result of a research collaboration with scientists at the University of Toronto which eventually produced the world's first commercially-available insulin. Our work focuses on oncology, diabetes, autoimmunity, neurodegeneration, and pain. To learn more about Lilly Canada, please visit us at www.lilly.ca.

______________________
1 Rheumatoid Arthritis: What is Rheumatoid Arthritis? https://www.arthritis.ca/about-arthritis/arthritis-types-(a-z)/types/rheumatoid-arthritis. Accessed September 2018.
2 Spotlight on Rheumatoid Arthritis. http://jointhealth.org/aboutarthritis-diseasespotlight.cfm?id=10&locale=en-CA. Accessed September 2018.
3Sustained rheumatoid arthritis remission is uncommon in clinical practice. Accessed September 2018. https://arthritis-research.biomedcentral.com/articles/10.1186/ar3785
4 Van dan Hoek, J., Bozhuizen HC, Roorda LD, et al. Mortality in patients with rheumatoid arthritis: a 15-year prospective cohort study. Accessed September 2018.
5 Rheumatoid Arthritis Treatment. https://www.arthritis.org/about-arthritis/types/rheumatoid-arthritis/treatment.php. Accessed September 2018.
6 OLUMIANT™ Product Monograph http://pi.lilly.com/ca/olumiant-ca-pm.pdf.
7 OLUMIANT™ Product Monograph; Patient Medication Information http://pi.lilly.com/ca/olumiant-ca-pm.pdf.

 

SOURCE Eli Lilly Canada

Partnering for rehabilitation success: Mackenzie Health and SE Health

 

RICHMOND HILL, ON, Nov. 1, 2018 /CNW/ - Today, Mackenzie Health renewed its rehabilitation services partnership with SE Health. Under the new six-year agreement, SE Health will provide experienced rehabilitation staff for 17 inpatient and outpatient programs at Mackenzie Richmond Hill Hospital and its community-based locations, as well as the future Mackenzie Vaughan Hospital, scheduled to open in late 2020.    

Rehabilitation services such as physiotherapy and occupational therapy play a key role in helping patients achieve wellness in their recovery. In addition to supporting patients who live with chronic disease, a high-functioning rehabilitation program helps to alleviate pressures on the health care system by helping patients receive the care they need both within and outside of a hospital setting.

Since 2013, Mackenzie Health and SE Health have partnered on an innovative service delivery model that has increased patient participation in rehabilitation programs by 30 per cent. Both organizations share a passion for excellence, with a consistent focus on best practices, healthy outcomes and patient satisfaction.

"We look forward to continuing our partnership with SE Health for another six years, as rehabilitation truly makes a meaningful impact in the wellness and recovery of our patients. As we look to the future, we see great potential for this collaboration across all Mackenzie Health sites," says Altaf Stationwala, President and CEO, Mackenzie Health.

"SE Health is honoured to continue our successful partnership with Mackenzie Health to create a world-class rehab experience and serve the growing communities of York Region. By bringing the hospital and community sectors together, we can find new ways to deliver care and support people and families in their health journey," says Shirlee Sharkey, CEO, SE Health.

About Mackenzie Health
Mackenzie Health is a dynamic regional health care provider which includes the existing Mackenzie Richmond Hill Hospital and the future Mackenzie Vaughan Hospital, as well as a comprehensive network of community-based services. In March 2017, the organization received its second consecutive award of Accreditation with Exemplary Standing from Accreditation Canada for its commitment to safety and quality patient care. This is the highest rating a Canadian health care provider can receive. Guided by a vision to create a world-class health experience, Mackenzie Health has an unrelenting focus on the patient and is dedicated to patient needs now and in the future. With over 500,000 residents in Southwest York Region, Mackenzie Health is proud to serve one of the fastest growing and most diverse communities in Canada. For more information, please visit mackenziehealth.ca.

About SE Health
SE Health is a not-for-profit social enterprise applying knowledge, vision and drive to forever impact how people live and age at home, today and into the future. With Canadian roots and 110 years of expertise, the organization brings quality excellence and innovation to home care, seniors' lifestyle, and family caregiving. Through its team of 9,000 Leaders of Impact, SE Health delivers 20,000 care exchanges daily, totaling 50 million in the last decade alone. Visit us online at sehc.com.

SOURCE SE Health

Click here for the Infographic-Peanuts a More Affordable Option for Controlling Diabetes

New Study Shows Peanuts Match Almonds for Controlling Diabetes
Low-cost Peanuts Deliver Numerous Superfood Health Benefits

Albany, Ga. (November 1, 2018) – If you thought almonds were healthier than peanuts, think again. A study published in the journal Nutrients in October 2018 found that peanuts are just as good as almonds for lowering blood glucose levels in diabetic patients.

"Research has shown that eating nuts is beneficial for type 2 diabetes,” says Dr. Samara Sterling, director of research for The Peanut Institute. “This new study highlights that people can choose peanuts as a low-cost option to get the same benefits that they would from a more expensive nut like almonds. In fact, the American Diabetes Association considers peanuts a superfood.”

The recent study sought to compare the effects of either peanut or almond consumption on health in patients diagnosed with type 2 diabetes. Twenty-five participants were fed a low-carbohydrate diet for 12 weeks and were placed in one of two groups: the Almond group or the Peanut group.

All participants were instructed to consume approximately two servings of peanuts or almonds each day. By the end of the 12 weeks, they all showed significant improvement in various measures for diabetes. However, the authors of the study found that almonds were no better than peanuts for improving glucose levels. In fact, peanut consumption improved both fasting blood glucose and postprandial glucose (glucose levels tested two hours after a meal). By the end of the study, there was also no difference in hemoglobin A1c levels (a marker of long-term glucose control) between the Peanut and Almond groups.

The authors noted that, while nuts are routinely recommended for controlling type 2 diabetes, it is not always possible for many patients to consume tree nuts due to their high cost.

Peanuts are a low-cost option that can help to lower blood glucose if consumed daily as part of a balanced diet. That is good news for the 29 million people in the United States suffering from type 2 diabetes. With the rising cost of medications to control this condition, it is reassuring to know that eating healthy does not have to be costly too.

In fact, eating peanuts may even contribute to reducing insulin needs over time, which is an added benefit. Peanuts have a low glycemic index of 14, which prevents spikes in blood sugar and in turn reduces insulin needs. A previous study demonstrated that when peanuts or peanut butter are included in a high glycemic load meal, they keep blood sugar stabilized so that it does not rise too quickly. In addition, a 2014 study found that daily consumption of peanuts enriched the American Diabetes Association meal plan and improved blood lipids as well as vitamin E, niacin and magnesium levels of participants.

Link to the study: https://www.ncbi.nlm.nih.gov/pubmed/30360498

Other references

Arya, S.S., A.R. Salve, and S. Chauhan, Peanuts as functional food: a review. J Food Sci Technol, 2016. 53(1): p. 31-41.

Johnston, C.A., et al., Weight loss in overweight Mexican American children: a randomized, controlled trial. Pediatrics, 2007. 120(6): p. e1450-7.

Wien, M., K. Oda, and J. Sabaté, A randomized controlled trial to evaluate the effect of incorporating peanuts into an American Diabetes Association meal plan on the nutrient profile of the total diet and cardiometabolic parameters of adults with type 2 diabetes.Nutrition journal, 2014. 13: p. 10-10.

 

Dr. Samara Sterling is a Nutrition Scientist with expertise in the use of plant-based nutrition for the prevention and treatment of chronic diseases. She currently serves as the Research Director for The Peanut Institute and has also worked as a nutrition consultant for various community-based nutrition projects. She holds a bachelor’s degree from Stony Brook University, a master’s degree from Andrews University and a Ph.D. from the University of Alabama at Birmingham.