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Ballydoyle News – July 25, 2013 After a lengthy surgery to fuse the pastern St N…

Ballydoyle News – July 25, 2013 After a lengthy surgery to fuse the pastern St Nicholas Abbey is recuperating in intensive care at John Halley’s Fethard Equine Hospital. St Nicholas Abbey will remain in intensive care for some time and has many bridges to cross before he is considered out of danger. This morning he is well and comfortable and back enjoying his hay! We are lucky he is so fit and has a marvellous attitude and temperament which will be vital for his long recovery. Source by snoffee

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7 Ways to Stop Being So Clumsy

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You knock over a glass of wine. You tumble trying to put on leggings. You trip up the stairs. Sound familiar? You probably have a clumsy streak. (Jennifer Lawrence, we’re looking at you.) But the good news is you don’t have to resign yourself to a life full of of bruises and stains.

Clumsiness is related to a few different factors, including your reaction time, processing speed, and level of concentration, explains Charles “Buz” Swanik, PhD, director of biomechanics and movement science at the University of Delaware College of Health Sciences. When life gets in the way of those functions—think too little sleep and too much stress, for starters—it can throw you off balance, literally. 

Thankfully, there are steps you can take to make yourself less prone to mishaps: “We have enough evidence within psychology, neuroscience, and biomechanics research to know that people can definitely make changes and prevent accidents before they happen,” Swanik says. Below, he suggests seven ways control your inner klutz.

Know when to take a breather

A little bit of stress can be a good thing, Swanik says. “It does help you concentrate, and focus, and increase your situational awareness.” But excessive amounts of stress can slow down your processing, and even affect your peripheral vision. “You don’t know where to look, or what to attend to that may be unsafe,” he says. “You may over-focus on whatever is stressing you out and avoid seeing potential danger.”

The catch-22? Your favorite way to clear your mind may actually set you up for an accident, Swanik says. If you de-stress by going for a run, for example, consider doing a few minutes of meditation or deep breathing first—so by the time you hit the pavement you're more alert, and don't risk getting hurt.

"It's funny, because the tradition is to get athletes all psyched up before a big game, but that's actually probably the last thing we should be doing," Swanik says. "We should be trying to keep them calm and anxiety-free. They probably would think much better and be smarter on their feet."

RELATED: 19 Natural Remedies for Anxiety

Train your brain

Swanik's research has suggested that people with not-so-great memories, and slower reaction times and processing speeds tend to have more coordination problems than folks with more efficient cognitive functioning. Fortunately, there are apps for that: Swanik recommends doing a Google or app search for "brain games." You'll find many options designed to improve memory and reaction time, he says. "[These apps] can help people foster some change."

Build up your core

Several studies on collegiate athletes have found that having less core control may increase the risk of lower extremity strains and sprains, says Swanik. And research on older adults suggests core strength can help prevent injuries: “When you put senior citizens on a core strengthening program, they usually have fewer falls," he says. "Your core is the center of everything." Try adding plank variations and moves like superman and bird-dog to your regular exercise routine.

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Think ahead

“YouTube is full of videos of people who have really not weighed the consequences and the risks of a situation before attempting to do something,” Swanik says. “Thinking ahead about what’s about to happen next, as basic as it sounds, is probably the best advice we can give people.”

That’s because accidents happen fast. Like, really fast. “We probably only have a quarter or a tenth of a second where a person makes a mental mistake and has some kind of injury,” he explains.

If you're feeling especially clumsy, make an effort to be extra-aware of your actions: Standing up from your seat? Check to see if there's anything you might knock over on your way up. About to climb stairs in high heels? Slow your pace and watch your footing. “Even if it’s just crossing the street, you should be actively thinking, Is this a good time to send a text message?” Swanik says.

Monotask

Do one thing at a time, simple as that. "Once you start to multitask, you get into a more dynamic and complex environment," he explains, "and it’s increasingly difficult to be deliberate [over] any one thing that you’re doing."

RELATED: 7 Exercises to Fix Muscle Imbalances

Be patient when you're trying something new

You know those stories about amazing athletes who join a game of beach volleyball, or start fooling around on a skateboard, and end up blowing out an ankle or knee? Clumsiness is often the result of diving into a brand new activity too quickly, Swanik says. "From a motor control standpoint, if you plan to try something that requires a new set of skills, you really need to be extremely patient," he says. "Think of it as a novel environment, an unfamiliar situation where you need to really slow down and assess how your skills parallel whatever it is you're doing.”

Swanik has seen this in research on collegiate athletes who are starting a cross-training regimen. "Some athletes will be unable to negotiate the new task physically and mentally, and they have coordination problems, and boom, injury."

The takeaway: If you're a a die-hard runner about to hop on a spin bike for the first time, ease your way into the new workout, and recognize that the movements may not be what your body is used to.

Get more sleep

Though never easy, clocking more shut-eye is a no-brainer: “We know that even losing a few hours of sleep is almost like drinking alcohol," Swanik says. "The effects are so profound and fast and deleterious that I would really caution people to make sure they’re getting enough sleep to avoid any sort of accident, whether it’s just being groggy while sipping coffee and spilling it, or something much worse.”

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FDA Approves Implant to Battle Opioid Addiction

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By Dennis Thompson
HealthDay Reporter

THURSDAY, May 26, 2016 (HealthDay News) — A new long-acting implant that can help treat people addicted to heroin and prescription painkillers was approved Thursday by the U.S. Food and Drug Administration.

“Opioid abuse and addiction have taken a devastating toll on American families. We must do everything we can to make new, innovative treatment options available that can help patients regain control over their lives,” FDA Commissioner Dr. Robert M. Califf said in a statement. “Today’s approval provides the first-ever implantable option to support patients’ efforts to maintain treatment as part of their overall recovery program.”

Probuphine is placed in the upper arm of recovering addicts and releases a steady six-month dose of buprenorphine, an anti-addiction drug designed to combat the cravings that come with opioids like heroin or powerful prescription painkillers like Percocet or OxyContin. Buprenorphine is already available as a pill or a film that can be placed in the mouth.

The steady flow from the implant will reduce fluctuations that can occur when taking a medication once or twice daily, and it removes the need for a patient to remember to take it, said Dr. Annie Umbricht, an expert in substance abuse treatment at Johns Hopkins University in Baltimore.

“A person suffering from addiction would not have to go through the up-and-downs of a daily medication, and therefore will feel much more normal,” Umbricht explained.

Clinical trials published in the Journal of the American Medical Association in 2010 showed the implant led to higher abstinence rates among addicts, with 40 percent remaining drug-free compared with 28 percent receiving a placebo.

People given the implant also were more likely to remain in treatment, about 66 percent compared with 31 percent of the placebo group.

“It really reduces or eliminates cravings, and they don’t start searching around for opiates,” said Dr. Scott Segal, president and chief medical officer of the Segal Institute for Clinical Research in Miami, one of the centers that participated in the clinical trials.

The implant provides patients with no-fail treatment during its six-month period of effectiveness, Segal said.

“Things happen in life,” he said. “You miss your doctor’s appointment, the pharmacy doesn’t have the medication and there’s problems. The implant takes relapse off the table.”

It takes about 15 minutes to place the implant, Segal said, and side effects are similar to oral buprenorphine. They include headache, depression, constipation, nausea, vomiting and back pain, according to the FDA.

“I was concerned that patients would [not] like this option, and I was dead wrong,” he said. “The patients enrolled quickly. They liked it. They tolerated it well. And they were upset when we took them off the implant at the end of the study.”

The United States is experiencing an epidemic of prescription drug abuse, and the new implant could also help counter that, Umbricht said.

There were 28,647 overdose deaths related to heroin and prescription pain killers in 2014, an average of 78 per day, according to the U.S. Centers for Disease Control and Prevention.

That’s because people undergo treatment and lose their tolerance for opioids, but then leave treatment with a high risk of relapse, Umbricht said.

“We know the rate of relapse after drug treatment is more than 90 percent,” Umbricht said. “These people have lost their tolerance, but they don’t realize it. They are at high risk for overdose.”

The implant can help stabilize addicts during treatment, and then provide them with support against relapse once they’ve been released, she said.

Buprenorphine provides effects that are similar to, but weaker than, opioids like heroin or methadone, according to the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

But those effects level off at moderate doses, lowering the risk of misuse and addiction, SAMHSA says.

Buprenorphine also interferes with the effects of full-strength opiates, Segal said.

“It tends to saturate the receptors that respond to opiates,” he said. “Even if you were to take opiates with it, you won’t get high. It provides pain relief, but doesn’t give them the buzz or high that heroin would.”

The implant eliminates one other concern associated with oral buprenorphine—the likelihood that someone with a prescription will share their pills with friends.

Researchers estimate that as much as 50 percent of oral buprenorphine prescriptions are “diverted,” Umbricht said.

The intent is most likely to help other people quit their drug habit, Umbricht said, but without drug counseling those addicts are not likely to succeed.

“That person is not going to get the psychosocial support they need,” Umbricht said, adding that drug sharing also maintains illegal behaviors that recovering addicts need to shake.

Addiction specialist Dr. Kevin Cotterell agreed.

“The prospect of a long-acting opiate agonist-antagonist surgically implanted for use in the treatment of addiction to opiates is very encouraging,” said Cotterell, a psychiatrist with South Oaks Hospital in Amityville, N.Y. “It will help in overcoming problems with compliance, which is a great barrier to recovery. It will enhance safety and reduce diversion if used widely.”

More information

For more on buprenophine, visit the Substance Abuse and Mental Health Services Administration.


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At Least 10 Pregnant Women in Dallas Have Zika Virus, Officials Say

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By Dennis Thompson
HealthDay Reporter

THURSDAY, June 23, 2016 (HealthDay News) — At least 10 pregnant women in the Dallas area have been infected with Zika, Texas officials confirmed Wednesday.

All of the women contracted the mosquito-borne virus while traveling abroad, Dallas Health and Human Services officials told CBS News.

In related news, the U.S. House on Thursday approved a $1.1 billion funding package to combat the Zika threat, the Associated Press reported.

The bill still needs to be approved by the U.S. Senate, and it remains to be seen if President Barack Obama will sign it. Obama originally asked Congress for $1.9 billion, and Democrats and the White House have voiced opposition to certain provisions of the package.

Even though there have been no local transmissions of Zika reported yet in the United States, the number of cases of infection among pregnant women keeps climbing.

As of June 9, the U.S. Centers for Disease Control and Prevention reported there are 234 cases of pregnant women on the U.S. mainland who have been infected with Zika, which typically involves relatively mild symptoms in most adults. However, it can cause devastating birth defects in babies that include microcephaly, where an infant is born with an abnormally small head and brain.

In Latin America, thousands of babies have already been born with microcephaly. And researchers reported Wednesday that fears over Zika-related birth defects may be driving up abortion rates in Latin American countries affected by the virus.

In Brazil and Ecuador—where governments have issued health warnings on the danger to the fetus from maternal Zika infection—requests for abortion in 2016 have doubled from 2010 rates, the researchers reported.

The other 17 Latin American countries covered by the new study had their rates rise by more than a third during that time, according to the report in the New England Journal of Medicine.

The researchers noted that because data on family planning in Latin America is often hard to come by, their numbers may underestimate the surge in abortions since Zika’s emergence.

“The World Health Organization predicts as many as 4 million Zika cases across the Americas over the next year, and the virus will inevitably spread to other countries,” noted study senior author Dr. Catherine Aiken, of the University of Cambridge in England.

But no nation has been more affected than Brazil. As a result of the Zika epidemic, almost 5,000 babies have been born with microcephaly there.

However, the CDC warned last Friday that infection rates are rising in Puerto Rico. Testing of blood donations in the U.S. territory—”our most accurate real-time leading indicator of Zika activity”—suggest that more and more people on the island have been infected, according to CDC Director Dr. Tom Frieden.

“The real importance of this information is that in coming months it’s possible that thousands of pregnant women in Puerto Rico could become infected with Zika,” Frieden stressed. “This could lead to dozens or hundreds of infants being born with microcephaly in the coming year,” he added.

“Controlling this mosquito is very difficult,” Frieden said. “It takes an entire community working together to protect a pregnant woman.”

Because the virus remains largely undetected, it will be months before affected babies begin to be born, Frieden said. Some will have microcephaly or other brain-related birth defects. But many will appear healthy and normal, and there’s no way to know how they might have been affected, he explained.

Zika is typically transmitted via the bite of the Aedes aegypti mosquito. But, transmission of the virus through sex is more common than previously thought, World Health Organization officials have said.

Women of child-bearing age who live in an active Zika region should protect themselves from mosquitoes by wearing long-sleeved shirts and long pants, using mosquito repellent when outside, and staying indoors as much as possible, according to the CDC.

More information

Visit the U.S. Centers for Disease Control and Prevention for more on the Zika virus.

This Q&A will tell you what you need to know about Zika.

To see the CDC list of sites where Zika virus is active and may pose a threat to pregnant women, click here.


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