The Maggie diet - whisky, spinach and 2. By. Sam Greenhill for the Daily Mail. Updated. 1. 0: 0. BST, 3. 0 January 2. In shape for power: Mrs Thatcher kept trim while at Number 1. She fought hard to get the nation's finances back in trim. But only now can the secret of Margaret Thatcher's own diet be revealed - 2. Two eggs were served in each weekday lunch, while steak, lamb chops and fish were the staple of most dinners. I think she was looking to get in trim for the cameras. But she didn't need to, she never had a weight problem.'. As a woman, however, Lady Thatcher faced different expectations to her predecessors. In an interview at the time, she claimed she had 'no special dieting regime' and wore size 1. He said: 'The papers show what it was like to be at No 1. Many of the files can be viewed online at www. MY FACE ON A TEA TOWEL? NO WAY. A horrified Lady Thatcher gave a handbagging to an aide who wanted to capitalise on her election victory with tacky Iron Lady souvenirs. Without any reference to me?' Where Mr Reece said he saw 'no basic objection to allowing these things to go ahead', she wrote: 'NO permission to be given at all on any goods of any kind. Don't mind a straight photograph. MT.'. I WILL MAKE THE DECISIONS. Two years before seizing power, Lady Thatcher had already decided there was only one person capable of making all the decisions - herself. She wrote: 'It is most important that we get the structure and strategy right and I have already come to the conclusion that I shall have to take most of the major decisions myself.' BRUSSELS BEWARE. Long before her famous clashes in Europe, Lady Thatcher was spoiling for a fight, the files reveal. It looks like a real gravy- train.'. ERIC, THE GOOD LOOKING ONE. Lady Thatcher's aides wrote brief descriptions of celebrities who had sent her congratulations, in case she had never heard of them. All my chums will be there!'. Egg Fast Diet Menu Plan (Low Carb & Keto) and FAQs. Ok, so I’m finally posting the Egg Fast Diet menu plan! There are 5 days on the plan and two days of transition to come off the plan – hopefully without gaining all the weight back.! NO. The first and second day of the plan are when you will be most likely able to tolerate eggs in their basic form. Remember 1 egg – 1 Tbsp fat – UP TO (but I recommend less) 1 oz cheese per egg. FREQUENTLY ASKED QUESTIONSWhere can I go for support and help while on the egg fast diet? In addition to posting questions and your progress here in the comments, you can also join the IBIH Community Forum and head over to the Egg Fast Forum to meet others who are doing the egg fast and coordinate weekly challenges, etc. Using Functional Foods and a Modified Elimination Diet 28-Day Cleanse This dietary/functional food approach has been most helpful with patients who. Cielia243 Posts: 1 Member Member Posts. Make a plan for how you plan to eat for the rest of your life. 28 days of anything is not going to work. Explore Results and Grow Your Ideas. Egg diet plan is great for those who want fast result without going on a fad diet. Contrary to what you may think this diet does not require eating exclusively eggs. I share my Egg Fast Diet results! This egg fast is not really a fast, I was not hungry, not even once! Find and save ideas about Egg diet on Pinterest, the world's catalog of ideas. Although some research shows. I like the menu for Day 4, can I just eat that all five days? Sure, go nuts. Can I have heavy whipping cream (HWC) on the egg fast diet? No. This plan doesn’t use heavy whipping cream. If you want to risk it and can’t stand to drink your coffee any other way, then go ahead and try it – if you’re not losing weight, the first thing to go should be the HWC and see if that makes a difference. If you do it with HWC and lose a bunch of weight, please let us know in the comments so others will know it’s possible. Can I drink alcohol on this egg fast plan? No. Alcohol impedes liver function and you need your liver focused on metabolizing your fat – otherwise what’s the point of putting yourself through this? Why Bulletproof Coffee (BPC) and what is it? Bulletproof coffee is coffee made with MCT oil (or coconut oil), and grassfed unsalted butter. It has thermogenic (fat burning) properties, and gives you ridiculous amounts of energy. Plus it tastes amazing. To make it: Combine 6- 8 ounces of coffee with 1 Tbsp unsalted butter (I use Kerrygold), and 1 Tbsp of MCT oil (coconut oil works if you can’t get MCT oil). You can also add sugar free sweetener – I make Mr. Hungry’s with Splenda (he prefers it) and cinnamon – it’s yummy. The key to good BPC is that you emulsify it. I use this battery- powered, hand- held frother thingy and it works great. Others make it in a magic bullet or blender and blend for 2. You can’t just stir it in with a spoon or you’ll have a gross oil slick on top. Ewww. Try bulletproof – you’ll never want to go back to heavy cream again – or at least we didn’t! Do I need to be in ketosis already to do the egg fast diet? No, but it will be easier if you are – the detox symptoms of getting into ketosis can be rough already on first timers – doing something as extremely low carb as the egg fast right off the bat will be much harder. I recommend easing into it with my 3 Day Keto Kickstart Plan if you’re a complete newbie to any low carb plan. If you’re really desperate to get started on the egg fast though – go ahead and give it a shot, you’ve been warned. What should I drink while on the egg fast diet? Water – and lots of it! Aim for at least 1. Can I drink diet soda or other calorie free drinks on the egg fast diet? Diet soda is inherently unhealthy for you. Don’t stop taking any medications! If you aren’t already supplementing with magnesium and potassium (lite salt added to your food works best), then you should start. Be sure to get plenty of sodium as well. These three things will help you avoid getting cramps, headaches, and help regulate your fluids to avoid lightheadedness, heart palpitations, etc. How will I stay “regular?”Magnesium is a mild laxative and will help with this if you’re supplementing (as you should be.) In addition, because you are eating so much fat, it should keep things running smoothly. Bulletproof coffee is your friend. Is any cheese ok on this egg fast diet plan? This Woman Lost 30 Pounds Eating Eggs. 28 Cruelty-Free Beauty Brands You Need to. Egg and Grapefruit Diet Menu. The egg and grapefruit diet menu should be followed precisely as it says. Drink plenty of water or other allowed liquids, approx 2. Any full fat, less than 1g net carb per ounce type of cheese should be ok. That may even mean eating more than this plan calls for – especially in the first couple of days. I couldn’t stand the thought of another egg by Day five. That being said, if you want to experiment with a handful of spinach here, a few romaine leaves there, some chopped onions and peppers thrown into your eggs, etc. I’m not the boss of you and neither is the egg fast. Here’s the problem – looking for loopholes and making eggceptions (sorry, couldn’t help myself and I should get credit for holding out this long with no egg puns by the way – it wasn’t easy, ya know!) with a little of this and a little of that is a slippery slope. If you want to do the egg fast the way it was intended by the originators – you don’t eat any fruits or vegetables. The end. Got a question that’s not in the FAQ’s?? Can’t wait to hear your results – be sure to keep us all posted on how you’re doing through the week! Click here to download a printer friendly version of the plan! Egg Fast Menu Plan. Day One. Breakfast. Coffee or Tea – Black or Bulletproof (1 Tbsp MCT oil or coconut oil + 1 Tbsp unsalted butter)(sugar free sweetener if desired)2 – 3 eggs fried or scrambled with 2 Tbsp butter. Snack. 1 String Cheese. Lunch. 1/2 cup Simple Egg Salad. Snack. 1 string cheese. Dinner. 1 serving Buffalo Omelette. Day 2. Breakfast. Coffee or Tea – Black or Bulletproof (1 Tbsp MCT oil or coconut oil + 1 Tbsp unsalted butter)(sugar free sweetener if desired)2 – 3 eggs fried or scrambled with 2 Tbsp butter. Losing weight is not as easy as it seems but it still does not need to be complicated. That is why Egg Diet 28 Day for Vegetarians is designed for all those people. Snack. 1 String Cheese. Lunch. 1/2 cup Simple Egg Salad. Snack. 1 string cheese. Dinner. 2 (or more) Snickerdoodle Crepes. Day 3. Breakfast. Coffee or Tea – Black or Bulletproof (1 Tbsp MCT oil or coconut oil + 1 Tbsp unsalted butter)(sugar free sweetener if desired)2 – 3 eggs fried or scrambled with 2 Tbsp butter. Snack. 1 String Cheese. Lunch. 1 Cream Cheese Pancake, 1 Tbsp sugar free mayonnaise, 1 deli slice cheddar cheese. Snack. 2 Easy Deviled Eggs (4 halves)Dinner. Buffalo Omelette. Day 4. Breakfast. Coffee or Tea – Black or Bulletproof (1 Tbsp MCT oil or coconut oil + 1 Tbsp unsalted butter)(sugar free sweetener if desired)2 – 3 eggs fried or scrambled with 2 Tbsp butter. Snack. 1 String Cheese. Lunch. 2 Snickerdoodle Crepes. Snack. 2 Easy Deviled Eggs (4 halves)Dinner. Salted Caramel Custard. Day 5. Breakfast. Coffee or Tea – Black or Bulletproof (1 Tbsp MCT or coconut oil + 1 Tbsp unsalted butter), (sugar free sweetener if desired)2 – 3 eggs fried or scrambled with 2 Tbsp butter. Snack. 2 Easy Deviled Eggs (4 halves)Lunch. Salted Caramel Custard. Snack. 1 string cheese. Dinner. 1 serving Fettuccini Alfredo. Day 6. Breakfast. Coffee or Tea – Black or Bulletproof (1 Tbsp MCT oil or coconut oil + 1 Tbsp unsalted butter)(sugar free sweetener if desired)2 – 3 eggs fried or scrambled with 2 Tbsp butter. Snack. 1/2 avocado w/ lite salt and pepper. Lunch. 1/2 cup Simple Egg Salad. Snack. 1/2 avocado w/ lite salt and pepper. Dinner. 6 – 8 classic buffalo wings, celery sticks, 2 Tbsp blue cheese dressing. Day 7. Breakfast. Coffee or Tea – Black or Bulletproof (1 Tbsp MCT oil or coconut oil + 1 Tbsp unsalted butter)(sugar free sweetener if desired)2 – 3 eggs fried or scrambled with 2 Tbsp butter. Snack. 1/2 avocado w/ lite salt and pepper. Lunch. 1 serving Fettuccini Alfredo. Snack. 1/2 avocado w/ lite salt and pepper. Dinner. 1 serving No Chop Chili. Tbsp sour cream. 1 Tbsp chopped cilantro (optional)1/4 cup shredded cheddar cheese. Pantry and Shopping Listground cumin (chili)ground coriander (chili)garlic powder (chili)onion powder (chili)dried oregano (chili)ground cinnamon (crepes)sugar free sweetener of choice (splenda, stevia, swerve, etc.)mayonnaise (sugar free)hot sauce (I like Frank’s Red Hot)green tobasco sauce (for the deviled eggs)blue cheese dressing (1g net carbs per serving or less)parmesan cheese. Shopping list(Go organic when and if you can)Produce. Dairy. 4 oz sour cream (for day 7)8 oz cream cheese. Grocerylite salt (half potassium half sodium)caramel extract (for the custard)MCT oil or coconut oil (if making bulletproof coffee)Meat. Frozennone. Prep List. Notes. The Fettuccini Alfredo and Buffalo Omelette are best made right before serving. Make 1 batch of Simple Egg Salad. Make 1 batch of Easy Deviled Eggs. Make 2 batches of Salted Caramel Custard on the evening of Day 3 so that they are chilled and ready to go by Day 4 and Day 5 when you’ll be eating them. Make 1 batch of Cream Cheese Pancakes to have on hand for Day 3 lunch that uses one, and the others as a backup for when you need something quick and don’t have time to cook. That’s a discount of over 3. GET ALL FIVE BOOKS (over 1. FOR JUST $1. 9. 9. Only $1. 9. 9. 9!!!!
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Alexi, age 15, lost her weight in 2 months by eating clean and running every day. Choose an exercise you enjoy and work at a moderate to intense pace to maximize your caloric burn during your workout. Exercise with a friend or change activities every few days to keep yourself motivated. Lift Some Weights. Aerobic activity burns a high number of calories, while resistance training increases your metabolism and creates lean muscle mass. Increasing lean muscle mass enables your body's to burn calories during your workout and at rest. Use resistance tools such as resistance tubing, free weights, machines and your body weight to strengthen the muscles of your upper and lower body. Perform resistance training exercises two or more days a week. Eat a Healthy Diet. Burning calories through exercise won't matter if you eat more calories than you burn. Monitor your caloric intake and replace unhealthy foods with an array of whole foods. 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Eliminating 5. 00 calories from caloric intake each day leads to a 1- lb.
Meal Plans 28 Days to Lean Meal Plan With the right plan and the right discipline, you can get seriously shredded in just 28 days. The 20/30 Fat & Fiber Diet Plan is simple: eat less fat and more fiber to lose weight, get healthy, and lower cholesterol. My 4 day Weight Loss Program will show you how to Lose Weight Fast in 4 Days! The best weight loss plan for Fast Weight Loss. The Hero 90 Day High Intensity Exercise Program is hardest program in the HASfit workout series. The FREE 90 day advanced workout plan at home is great for both men. Best Workout Plan for Quick Weight Loss. If you want to speed up your weight loss through the 3 day military diet, then you should include the exercise plan in your routine. It is because of the development of the muscle tissue. A single pound of muscle burns about 5. So imagine, what if you? But, this can be avoided if you include strength training in your daily routine. It. But, not many know that too much cardio can send your body into a catabolic state, where it burns muscle instead of fat, which is not recommended. Instead of allocating 1 hour for cardio sessions, it is suggested to allot 2. If you follow a low carb diet plan and include these workouts in your routine, you. So, here are some of the most effective HIIT workouts that burn more calories in less time without hitting the GYM. Science says that HIIT exercises improves your metabolism thereby letting your body burn calories even after you. So, include these workouts along with the military diet or any diet for that matter and lose weight naturally in less time. P. S: Flat Belly Diet Drink Recipe & Calorie Counting Procedure. Minute HIIT Workouts that Burns More Calories in Less Time. Image Source: w- dog. You can perform these workouts at the comfort of your home. All you need is to allocate 1. And yes, you can perform these workouts while on the Military diet to lose more weight. How to Start the 1. Minute Cardio HIIT Workout? As for any other workout, you. In case you feel uncomfortable with any of these workouts, skip that one and go to the next workout. The rest period shouldn. That being said, you won. To burn more calories, repeat the cycle multiple times (if you. Minute High Intensity Workout by Rebecca. By performing this workout, you’ll be able to tone your body and gain excellent time management skills.#2. Minute Fat Melting HIIT Bodyweight Workout Unlike the earlier HIIT exercise, this emphasized more on using your own bodyweight to reap more fat burning benefits.#3. If you want to speed up your weight loss through the 3 day military diet, then you should include the exercise plan in your routine.Ultimate Kettlebell Workout (1. Minute HIIT Circuit) In this video, Funk performs the Ultimate kettlebell workout that burns a lot of calories in just 1. All you need is a kettlebell and a little space at your home. Conclusion: The Military Diet helps you lose around 1. If you want to improve your weight loss results further, then simply add these HIIT exercises to your routine. Once you finish the 3 day diet, you can follow this 1. Day Keto Diet Plan. Added Sugars. Sugars in your diet can be naturally occurring or added. Naturally occurring sugars are found naturally in foods such as fruit (fructose) and milk (lactose). Added sugars are sugars and syrups put in foods during preparation or processing, or added at the table. Foods Containing Added Sugars. The major sources of added sugars are regular soft drinks, sugars, candy, cakes, cookies, pies and fruit drinks (fruitades and fruit punch); dairy desserts and milk products (ice cream, sweetened yogurt and sweetened milk); and other grains (cinnamon toast and honey- nut waffles). Too Much Sugar Isn't So Sweet for Your Health. Many people consume more sugar than they realize. It’s important to be aware of how much sugar you consume because our bodies don’t need sugar to function properly. Added sugars contribute zero nutrients but many added calories that can lead to extra pounds or even obesity, thereby reducing heart health. If you think of your daily calorie needs as a budget, you want to “spend” most of your calories on “essentials” to meet your nutrient needs. Use only left over, discretionary calories for “extras” that provide little or no nutritional benefit, such as sugar. This chart graphically details the %DV that a serving of Walnuts provides for each of the nutrients of which it is a good, very good, or excellent source according to. The Hidden Ingredient with Many Different Names. To figure out if a packaged food contains added sugars, and how much, you have to be a bit of a detective. On the Nutrition Facts panel, the line for sugars contains both the natural and added types as total grams of sugar. There are four calories in one gram, so if a product has 1. To tell if a processed food contains added sugars, you need to look at the list of ingredients. Sugar has many other names. Besides those ending in “ose,” such as maltose or sucrose, other names for sugar include high fructose corn syrup, molasses, cane sugar, corn sweetener, raw sugar, syrup, honey or fruit juice concentrates. The DASH diet (Dietary Approaches to Stop Hypertension) is a dietary pattern promoted by the U.S.-based National Heart, Lung, and Blood InstituteThe Ultimate Arthritis Diet Stock your fridge and pantry with Mediterranean staples to fight pain and inflammation. Learn more about reading food labels. Limit your consumption of foods with high amounts of added sugars, such as sugar- sweetened beverages. Just one 1. 2- ounce can of regular soda contains eight teaspoons of sugar, or 1. How much is just right? The American Heart Association (AHA) recommends limiting the amount of added sugars you consume to no more than half of your daily discretionary calories allowance. For most American women, that’s no more than 1. For men, it’s 1. 50 calories per day, or about 9 teaspoons. The AHA recommendations focus on all added sugars, without singling out any particular types such as high- fructose corn syrup.
Inuit Eskimos, who get high amounts of omega- 3 fatty acids from eating fatty fish, also tend to have increased HDL cholesterol and decreased triglycerides (fats in the blood). Several studies show that fish oil supplements reduce triglyceride levels. Walnuts, which are rich in alpha linolenic acid or ALA, which can convert to omega- 3s in the body, have been reported to lower total cholesterol and triglycerides in people with high cholesterol levels. High blood pressure Several clinical studies suggest that diets rich in omega- 3 fatty acids lower blood pressure in people with hypertension. An analysis of 1. Doses this high, however, should only be taken under the direction of a physician. Heart disease The role of omega- 3 fatty acids in cardiovascular disease is well established. One of the best ways to help prevent heart disease is to eat a diet low in saturated fat, and to eat foods that are rich in monounsaturated and polyunsaturated fats (including omega- 3 fatty acids). Clinical evidence suggests that EPA and DHA (eicosapentaenoic acid and docosahexaenoic acid), the two omega- 3 fatty acids found in fish oil help reduce risk factors for heart disease, including high cholesterol and high blood pressure. Fish oil has been shown to lower levels of triglycerides (fats in the blood), and to lower the risk of death, heart attack, stroke, and abnormal heart rhythms in people who have already had a heart attack. Fish oil also appears to help prevent and treat atherosclerosis (hardening of the arteries) by slowing the development of plaque and blood clots, which can clog arteries. Large population studies suggest that getting omega- 3 fatty acids in the diet, primarily from fish, helps protect against stroke caused by plaque build up and blood clots in the arteries that lead to the brain. Eating at least 2 servings of fish per week can reduce the risk of stroke by as much as 5. However, high doses of fish oil and omega- 3 fatty acids may increase the risk of bleeding. People who eat more than 3 grams of omega- 3 fatty acids per day (equivalent to 3 servings of fish per day) may have higher risk for hemorrhagic stroke, a potentially fatal type of stroke in which an artery in the brain leaks or ruptures. Studies also suggest that omega- 3 fatty acids may have antioxidant properties that improve endothelial function and may contribute to heart benefits. Diabetes People with diabetes often have high triglyceride and low HDL levels. Omega- 3 fatty acids from fish oil can help lower triglycerides and apoproteins (markers of diabetes), and raise HDL. So eating foods or taking fish oil supplements may help people with diabetes. Another type of omega- 3 fatty acid, ALA (from flaxseed, for example) may not have the same benefit as fish oil. Some people with diabetes can't efficiently convert ALA to a form of omega- 3 fatty acids that the body can use. Also, some people with type 2 diabetes may have slight increases in fasting blood sugar when taking fish oil. So talk to your doctor to see if fish oil is right for you. Rheumatoid arthritis Most clinical studies examining omega- 3 fatty acid supplements for arthritis have focused on rheumatoid arthritis (RA), an autoimmune disease that causes inflammation in the joints. Several small studies have found that fish oil helps reduce symptoms of RA, including joint pain and morning stiffness. One study suggests that people with RA who take fish oil may be able to lower their dose of non- steroidal anti- inflammatory drugs (NSAIDs). However, unlike prescription medications, fish oil does not appear to slow progression of RA, only to treat the symptoms. Joint damage still occurs. Laboratory studies suggest that diets rich in omega- 3 fatty acids (and low in the inflammatory omega- 6 fatty acids) may help people with osteoarthritis. New Zealand green lipped mussel (Perna canaliculus), another potential source of omega- 3 fatty acids, has been reported to reduce joint stiffness and pain, increase grip strength, and improve walking pace in a small group of people with osteoarthritis. For some people, symptoms worsened before they improved. An analysis of 1. RA or joint pain caused by inflammatory bowel disease (IBS) and painful menstruation (dysmenorrhea). The results suggest that omega- 3 fatty acids, along with conventional therapies, such as NSAIDs, may help relieve joint pain associated with these conditions. Systemic lupus erythematosus (SLE) Several small studies suggest that EPA and fish oil may help reduce symptoms of lupus, an autoimmune condition characterized by fatigue and joint pain. However, two small studies found that fish oil had no effect on lupus nephritis (kidney disease caused by lupus, a frequent complication of the disease). Osteoporosis Some studies suggest that omega- 3 fatty acids may help increase levels of calcium in the body and improve bone strength, although not all results were positive. Some studies also suggest that people who do not get enough of some essential fatty acids (particularly EPA and gamma- linolenic acid (GLA), an omega- 6 fatty acid) are more likely to have bone loss than those with normal levels of these fatty acids. In a study of women over 6. EPA and GLA supplements had less bone loss over 3 years than those who took placebo. Many of these women also experienced an increase in bone density. Depression Research is not clear on whether taking omega- 3 fatty acids can help relieve depression symptoms. Several studies show that people who took omega- 3 fatty acids in addition to prescription antidepressants had a greater improvement in symptoms than those who took antidepressants alone. Other studies suggest that omega- 3 fatty acid intake helps protect against postpartum depression, among other benefits. However, some studies found no benefit. Studies are also mixed on whether omega- 3 fatty acids alone have any effect on depression. Depression is a serious illness and you should not try to treat it on your own. See a doctor for help. Bipolar disorder In a clinical study of 3. But another 4- month long clinical study treating people with bipolar depression and rapid cycling bipolar disorder did not show that EPA helped reduce symptoms. Schizophrenia Preliminary clinical evidence suggests that people with schizophrenia take omega- 3 fatty acids, they experience an improvement in symptoms. However, more recent research found that EPA supplements were no better than placebo in improving symptoms of this condition. Attention deficit/hyperactivity disorder (ADHD) Children with ADHD may have low levels of certain essential fatty acids (including EPA and DHA). In a clinical study of nearly 1. However, studies examining whether omega- 3 fatty acids help improve symptoms of ADHD have produced mixed results. A few studies show that omega- 3 fatty acids help improve behavioral symptoms. But most of these studies were not well designed. One study that looked at DHA in addition to stimulant therapy (standard therapy for ADHD) found no effect. More research is needed. In the meantime, eating foods that are high in omega- 3 fatty acids is a reasonable approach for someone with ADHD. Cognitive decline Several studies show that reduced intake of omega- 3 fatty acids is associated with increased risk of age- related cognitive decline or dementia, including Alzheimer disease. Scientists believe the omega- 3 fatty acid DHA is protective against Alzheimer disease and dementia. Skin disorders In one clinical study, 1. UV rays after taking fish oil supplements. However, topical sunscreens are much better at protecting the skin from damaging effects of the sun than omega- 3 fatty acids. In another study of 4. EPA with their prescription medications did better than those treated with the medications alone. However, a larger study of people with psoriasis found no benefit from fish oil. Inflammatory bowel disease (IBD) Results are mixed as to whether omega- 3 fatty acids can help reduce symptoms of Crohn disease and ulcerative colitis, two types of IBD. Some studies suggest that omega- 3 fatty acids may help when added to medication, such as sulfasalazine (a standard medication for IBD). Others show no effect. More studies are needed. Fish oil supplements can cause side effects that are similar to symptoms of IBD (such as flatulence, belching, bloating, and diarrhea). Asthma Studies examining omega- 3 fatty acids for asthma are mixed. In one small, well- designed clinical study of 2. EPA and DHA for 1. However, most studies have shown no effect. Macular degeneration A questionnaire given to more than 3,0. Similarly, a clinical study comparing 3. Menstrual pain In one study of 4. Colon cancer Eating foods rich in omega- 3 fatty acids seems to reduce the risk of colorectal cancer. For example, Eskimos, who tend to have a high fat diet, but eat significant amounts of fish rich in omega- 3 fatty acids, have a low rate of colorectal cancer. Animal studies and laboratory studies have found that omega- 3 fatty acids prevent worsening of colon cancer. Preliminary studies suggest that taking fish oil daily may help slow the progression of colon cancer in people with early stages of the disease. If you have colorectal cancer, ask your doctor before taking any supplements. Breast cancer Although not all experts agree, women who eat foods rich in omega- 3 fatty acids over many years may be less likely to develop breast cancer. More research is needed to understand the effect that omega- 3 fatty acids may have on the prevention of breast cancer. Prostate cancer Population- based studies of groups of men suggest that a low- fat diet including omega- 3 fatty acids (from fish or fish oil) may help prevent the development of prostate cancer. Supporting Research. Aben A, Danckaerts M. Omega- 3 and omega- 6 fatty acids in the treatment of children and adolescents with ADHD. Angerer P, von Schacky C. Aronson WJ, Glaspy JA, Reddy ST, Reese D, Heber D, Bagga D. Modulation of omega- 3/omega- 6 polyunsaturated ratios with dietary fish oils in men with prostate cancer. ACCF/AHA Guideline for the Management of Heart Failure: Executive Summary. Table of Contents. Preamble 1. 81. 11. Methodology and Evidence Review 1. Organization of the Writing Committee 1. Document Review and Approval 1. Scope of This Guideline With Reference to Other Relevant Guidelines or Statements 1. Definition of HF 1. HF Classifications 1. Initial and Serial Evaluation of the HF Patient: Recommendations 1. Clinical Evaluation 1. History and Physical Examination 1. Diagnostic Tests 1. Noninvasive Cardiac Imaging 1. Invasive Evaluation 1. Treatment of Stages A to D: Recommendations 1. Nonpharmacological Interventions 1. Pharmacological Treatment for Stage C HFr. EF 1. 82. 16. 3. 3. Pharmacological Treatment for Stage C HFp. EF 1. 82. 46. 3. 4. Device Therapy for Stage C HFr. EF 1. 82. 66. 4. Water Restriction 1. Inotropic Support 1. Mechanical Circulatory Support 1. Cardiac Transplantation 1. The Hospitalized Patient: Recommendations 1. Precipitating Causes of Decompensated HF 1. Maintenance of GDMT During Hospitalization 1. Diuretics in Hospitalized Patients 1. Renal Replacement Therapy—Ultrafiltration 1. Parenteral Therapy in Hospitalized HF 1. Venous Thromboembolism Prophylaxis in Hospitalized Patients 1. Arginine Vasopressin Antagonists 1. Inpatient and Transitions of Care 1. Important Comorbidities in HF 1. Surgical/Percutaneous/Transcatheter Interventional Treatments of HF: Recommendations 1. Coordinating Care for Patients With Chronic HF: Recommendations 1. Quality Metrics/Performance Measures: Recommendations 1. Evidence Gaps and Future Research Directions. References 1. 83. Appendix 1. Author Relationships With Industry and Other Entities (Relevant) 1. Appendix 2. Reviewer Relationships With Industry and Other Entities (Relevant) 1. Preamble. The medical profession should play a central role in evaluating the evidence related to drugs, devices, and procedures for the detection, management, and prevention of disease. When properly applied, expert analysis of available data on the benefits and risks of these therapies and procedures can improve the quality of care, optimize patient outcomes, and favorably affect costs by focusing resources on the most effective strategies. An organized and directed approach to a thorough review of evidence has resulted in the production of clinical practice guidelines that assist clinicians in selecting the best management strategy for an individual patient. Moreover, clinical practice guidelines can provide a foundation for other applications, such as performance measures, appropriate use criteria, and both quality improvement and clinical decision support tools. The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) have jointly produced guidelines in the area of cardiovascular disease since 1. The ACCF/AHA Task Force on Practice Guidelines (Task Force), charged with developing, updating, and revising practice guidelines for cardiovascular diseases and procedures, directs and oversees this effort. Writing committees are charged with regularly reviewing and evaluating all available evidence to develop balanced, patient- centric recommendations for clinical practice. Experts in the subject under consideration are selected by the ACCF and AHA to examine subject- specific data and write guidelines in partnership with representatives from other medical organizations and specialty groups. Writing committees are asked to perform a literature review; weigh the strength of evidence for or against particular tests, treatments, or procedures; and include estimates of expected outcomes where such data exist. Patient- specific modifiers, comorbidities, and issues of patient preference that may influence the choice of tests or therapies are considered. When available, information from studies on cost is considered, but data on efficacy and outcomes constitute the primary basis for the recommendations contained herein. In analyzing the data and developing recommendations and supporting text, the writing committee uses evidence- based methodologies developed by the Task Force. The Class of Recommendation (COR) is an estimate of the size of the treatment effect considering risks versus benefits in addition to evidence and/or agreement that a given treatment or procedure is or is not useful/effective or in some situations may cause harm. The Level of Evidence (LOE) is an estimate of the certainty or precision of the treatment effect. The writing committee reviews and ranks evidence supporting each recommendation with the weight of evidence ranked as LOE A, B, or C according to specific definitions that are included in Table 1. Studies are identified as observational, retrospective, prospective, or randomized where appropriate. For certain conditions for which inadequate data are available, recommendations are based on expert consensus and clinical experience and are ranked as LOE C. When recommendations at LOE C are supported by historical clinical data, appropriate references (including clinical reviews) are cited if available. For issues for which sparse data are available, a survey of current practice among the clinicians on the writing committee is the basis for LOE C recommendations and no references are cited. The schema for COR and LOE are summarized in Table 1, which also provides suggested phrases for writing recommendations within each COR. A new addition to this methodology is separation of the Class III recommendations to delineate whether the recommendation is determined to be of “no benefit” or is associated with “harm” to the patient. In addition, in view of the increasing number of comparative effectiveness studies, comparator verbs and suggested phrases for writing recommendations for the comparative effectiveness of one treatment or strategy versus another have been added for COR I and IIa, LOE A or B only. Table 1. Applying Classification of Recommendation and Level of Evidence. In view of the advances in medical therapy across the spectrum of cardiovascular diseases, the Task Force has designated the term guideline- directed medical therapy (GDMT) to represent optimal medical therapy as defined by ACCF/AHA guideline. This new term, GDMT, will be used herein and throughout all future guidelines. Because the ACCF/AHA practice guidelines address patient populations (and clinicians) residing in North America, drugs that are not currently available in North America are discussed in the text without a specific COR. For studies performed in large numbers of subjects outside North America, each writing committee reviews the potential influence of different practice patterns and patient populations on the treatment effect and relevance to the ACCF/AHA target population to determine whether the findings should inform a specific recommendation. The ACCF/AHA practice guidelines are intended to assist clinicians in clinical decision making by describing a range of generally acceptable approaches to the diagnosis, management, and prevention of specific diseases or conditions. The guidelines attempt to define practices that meet the needs of most patients in most circumstances. The ultimate judgment regarding care of a particular patient must be made by the clinician and patient in light of all the circumstances presented by that patient. As a result, situations may arise for which deviations from these guidelines may be appropriate. Clinical decision making should involve consideration of the quality and availability of expertise in the area where care is provided. When these guidelines are used as the basis for regulatory or payer decisions, the goal should be improvement in quality of care. The Task Force recognizes that situations arise in which additional data are needed to inform patient care more effectively; these areas will be identified within each respective guideline when appropriate. Prescribed courses of treatment in accordance with these recommendations are effective only if followed. Because lack of patient understanding and adherence may adversely affect outcomes, clinicians should make every effort to engage the patient’s active participation in prescribed medical regimens and lifestyles. In addition, patients should be informed of the risks, benefits, and alternatives to a particular treatment and be involved in shared decision making whenever feasible, particularly for COR IIa and IIb, for which the benefit- to- risk ratio may be lower. The Task Force makes every effort to avoid actual, potential, or perceived conflicts of interest that may arise as a result of industry relationships or personal interests among the members of the writing committee. All writing committee members and peer reviewers of the guideline are required to disclose all current healthcare- related relationships, including those existing 1. In December 2. 00. ACCF and AHA implemented a new policy for relationship with industry and other entities (RWI) that requires the writing committee chair plus a minimum of 5. RWI (Appendix 1 includes the ACCF/AHA definition of relevance). These statements are reviewed by the Task Force and all members during each conference call and/or meeting of the writing committee and are updated as changes occur. All guideline recommendations require a confidential vote by the writing committee and must be approved by a consensus of the voting members. Members are not permitted to draft or vote on any text or recommendations pertaining to their RWI. Members who recused themselves from voting are indicated in the list of writing committee members, and specific section recusals are noted in Appendix 1. Authors’ and peer reviewers’ RWI pertinent to this guideline are disclosed in Appendixes 1 and 2, respectively. Additionally, to ensure complete transparency, writing committee members’ comprehensive disclosure information—including RWI not pertinent to this document—is available as an online supplement. Comprehensive disclosure information for the Task Force is also available online at http: //www. DASH diet - Wikipedia. The DASH diet (Dietary Approaches to Stop Hypertension) is a dietary pattern promoted by the U. S.- based National Heart, Lung, and Blood Institute (part of the National Institutes of Health . The DASH diet is rich in fruits, vegetables, whole grains, and low- fat dairy foods; includes meat, fish, poultry, nuts, and beans; and is limited in sugar- sweetened foods and beverages, red meat, and added fats. In addition to its effect on blood pressure, it is designed to be a well- balanced approach to eating for the general public. DASH is recommended by the United States Department of Agriculture (USDA) as one of its ideal eating plans for all Americans. None of the plans were vegetarian, but the DASH plan incorporated more fruits and vegetables, low fat or nonfat dairy, beans, and nuts than the others studied. The DASH diet reduced systolic blood pressure by 6 mm Hg and diastolic blood pressure by 3 mm Hg in patients with high normal blood pressure (formerly called . Those with hypertension dropped by 1. Hg, respectively. These changes in blood pressure occurred with no changes in body weight. The DASH dietary pattern is adjusted based on daily caloric intake ranging from 1,6. Omni. Heart demonstrated that partial replacement of carbohydrate with either protein (about half from plant sources) or with unsaturated fat (mostly monounsaturated fat) can further reduce blood pressure, low- density lipoprotein cholesterol, and coronary heart disease risk. News & World Report's annual . The higher the BP, the greater is the chance of heart attack, heart failure, stroke, and kidney disease. National Institutes of Health (NIH) to propose funding to further research the role of dietary patterns on blood pressure. In 1. 99. 2 the NHLBI worked with five of the most well- respected medical research centers in different cities across the U. S. The DASH study used a rigorous design called a randomized controlled trial (RCT), and it involved teams of physicians, nurses, nutritionists, statisticians, and research coordinators working in a cooperative venture in which participants were selected and studied in each of these five research facilities. The chosen facilities and locales for this multi- center study were: (1) Johns Hopkins University in Baltimore, Maryland, (2) Duke University Medical Center in Durham, North Carolina, (3) Kaiser Permanente Center for Health Research in Portland, Oregon, (4) Brigham and Women's Hospital in Boston, Massachusetts, and (5) Pennington Biomedical Research Center in Baton Rouge, Louisiana. The standardized multi- center protocol is an approach used in many large- scale multi- center studies funded by the NHLBI. A unique feature of the DASH diet was that the foods and menu were chosen based on conventionally consumed food items so it could be more easily adopted by the general public if results were positive. The nutritional conceptualization of the DASH meal plans was based in part on this research. The control diet was low in potassium, calcium, magnesium and fiber and featured a fat and protein profile so that the pattern was consistent with a . Magnesium and Potassium levels were close to the 7. U. S. The second experimental diet was high in fruits- and- vegetables and in low- fat dairy products, as well as lower in overall fat and saturated fat, with higher fiber and higher protein compared with the control diet. One of the unique features of the DASH study was that dietary patterns rather than single nutrients were being tested. The sample population consisted of healthy men and women with an average age of 4. Hg and diastolic blood pressures within 8. Hg. African- American and other minority groups were planned to comprise 6. In the screening phase, participants were screened for eligibility based on the combined results of blood pressure readings. In the 3 week run- in phase, each subject was given the control diet for 3 weeks, had their blood pressure measurements taken on each of five separate days, gave one 2. At this point, subjects who were compliant with the feeding program during the screening phase were each randomly assigned to one of the three diets outlined above, to begin at the start of the 4th week. The intervention phase followed next; this was an 8- week period in which the subjects were provided the diet to which they had been randomly assigned. Blood pressures and urine samples were collected again during this time together with symptom & physical activity recall questionnaires. The first group of study subjects began the run- in phase of the trial in September 1. January 1. 99. 6. Participants were also given two packets of salt, each containing 2. Alcohol was limited to no more than two beverages per day, and caffeine intake was limited to no more than three caffeinated beverages. The minority portion of the study sample and the hypertensive portion both showed the largest reductions in blood pressure from the combination diet against the control diet. The hypertensive subjects experienced a drop of 1. Hg in their systolic and 5. Hg in their diastolic phases. The data indicated that reductions in blood pressure occurred within two weeks of subjects. At the end of the intervention phase, 1. Apart from only one subject (on the control diet) who was suffering from cholecystitis, other gastrointestinal symptoms had a low rate of incidence. DASH- Sodium study. The DASH- Sodium trial was conducted from September 1. November 1. 99. 9. Like the previous study, it was based on a large sample (4. The DASH diet was the same as in the previous DASH study. After being assigned to one of these two diets, the participants were given diets that differed by 3 distinct levels of sodium content, corresponding to 3,0. The 3. 0- day intervention phase followed, in which subjects ate their assigned diets at each of the aforementioned sodium levels (high, intermediate and low) in random order, in a crossover design. The secondary outcome was diastolic blood pressure. The DASH- Sodium study found that reductions in sodium intake produced significantly lower systolic and diastolic blood pressures in both the control and DASH diets. Study results indicate that the quantity of dietary sodium in the control diet was twice as powerful in its effect on blood pressure as it was in the DASH diet. Importantly, the control diet sodium reductions from intermediate to low correlated with greater changes in systolic blood pressure than those same changes from high to intermediate (change equal to roughly 4. These results led researchers to postulate that the adoption of a national lower daily allowance for sodium than the currently held 2,4. Dietary Guidelines for Americans recommend eating a diet of 2. DASH- Sodium study. The DASH diet and the control diet at the lower salt levels were both successful in lowering blood pressure, but the largest reductions in blood pressure were obtained by eating a combination of these two (i. DASH diet). The effect of this combination at a sodium level of 1,5. Hg (systolic/diastolic). The hypertensive subjects experienced an average reduction of 1. Hg. Department of Agriculture and U. S. Department of Health and Human Services (2. Government Printing Office. Retrieved December 1. Department of Health and Human Services. Retrieved 2. 2 Oct 2. News Best Diet Rankings. News & World Report Wellness. News & World Report LP. Retrieved 1. 4 May 2. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Department of Health and Human Services. Annals of Epidemiology. The New England Journal of Medicine. Massachusetts Medical Society. The DASH Diet for Hypertension. New York: Simon & Schuster. ISBN 9. 78- 0- 7. Southern California Urology Institute. Retrieved 2. 1 April 2. Cleveland Clinic Journal of Medicine. Lyndhurst, Ohio: The Cleveland Clinic Foundation. National Heart, Lung, and Blood Institute. M.; Miller, Edgar R.; Copeland, Trisha; Charleston, Jeanne; Harshfield, Benjamin J.; Laranjo, Nancy; Mc. Carron, Phyllis (2. The DASH Diet Solution and 6. Day Weight Loss and Fitness Journal. Los Angeles, California: Learning Visions. ISBN 9. 78- 1- 9. Liebman, Bonnie (October 1. Nowlan, Sandra (2. Delicious DASH Flavours: The proven, drug- free, doctor- recommended approach to reducing high blood pressure. ISBN 9. 78- 0- 8. Sacks, Frank M; Svetkey, Laura; Vollmer, William; Appel, Lawrence; Bray, George; Harsha, David; Obarzanek, Eva; Conlin, Paul; et al. New England Journal of Medicine. Massachusetts Medical Society sunshinehs. VIDEO - Which Diet Works: A Nutritional Review. University of Wisconsin School of Medicine and Public Health. Women's Heart Foundation. Los Angeles Hotel - Inter. Continental Los Angeles Century City. Whether it is business or pleasure that brings you to town, our Avenue of the Stars address is centrally located to all major tourist attractions. Our Los Angeles hotel is the perfect place to call home while discovering the very best this city has to offer. Our luxury hotel near Beverly Hills offers all the luxury and comforts you'd expect - and some you'd only dream of. Stop by in the summer for a taste of local talent as we showcase live music alongside special Social Hour offerings. Read More + Privacy & Security Policy. Los Angeles Hotel Services - Inter. Continental Century City. Our knowledgeable concierge team can provide insight and access to local attractions, dining, shopping and more. A complimentary town car service is available for all hotel guests within 1. Zen- inspired spa experience. Copper Lounge is open daily for light fare and refreshing cocktails. 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Visit Hilton Garden Inn Tulsa Airport hotel and take advantage of our spacious suites and location near Driller Check out floor plans, HD photos, videos, ratings/reviews, apartment features, community amenities, and more at Riverbend, 2121 East 83rd Street, Tulsa, OK 74137. News March 31, 2017 Press Release Gov. Fallin Receives Notification of Assistance for Livestock Producers Affected by Wildfires OKLAHOMA CITY Take a virtual tour of CTCA's Southwestern Regional Medical Center located in Tulsa, Oklahoma. Feel right at home at this hotel in Tulsa, OK. Enjoy free breakfast, fitness center and high-speed Internet at the Best Western Plus Tulsa Inn & Suites. WKDK Home Page. Sheriff's Office Warns Citizens About Tax Scam Posted: April 1. AMScammers are calling residents and saying they are from the tax office and they should pay their taxes by phone. A price is given and the resident is encouraged to pay their Newberry County taxes via telephone. Newberry County Treasurer, Auditor, or Tax Assessor DOES NOT call people by telephone to pay their taxes and they DO NOT take money via a phone application. Also DO NOT trust caller ID. Scammers have computer applications that can make a caller ID read any number they choose. If you get a call such as this, it is a scam.
If you have any questions regarding your taxes or the payment of your taxes you should not call the number you are given but call the Newberry County Treasurer Karen Lindler Smith' Office at 8. City Police Officers Visit Gallman; Help Car Riders Posted: April 6. PMSome of the Newberry police officers visited Gallman Elementary School this morning to open doors for their car riders. Sergeant Richard Mercer is shown greeting a student at Gallman Elementary School Thursday morning. Newberry Hospital Achieving Healthgrades Outstanding Patient Experience Award Posted: April 6. AMNewberry Hospital announced that it has achieved the Healthgrades 2. Outstanding Patient Experience Award. AM 760 KFMB is San Diego, California's talk radio leader. Featuring Armstrong and Getty, Mike Slater, Brett Winterble, Glenn Beck, Mark Levin and Roger Hedgecock. From Mountain to the City: A Brief History of CJAD. Crosscurrents is the award-winning daily news magazine from KALW Public Radio. We make joyful, informative stories that engage people across the divides in our. This distinction recognizes Newberry Hospital as being among the top 1. Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. Healthgrades evaluated 3,4. Centers for Medicare and Medicaid Services (CMS), covering admissions from April 2. March 2. 01. 6 in order to identify hospital performance in this area. Bruce Baldwin, Chief Executive Officer of Newberry Hospital, says, “This is the second year in a row that Newberry Hospital has achieved the Healthgrades Outstanding Patient Experience Award. This award also reflects our community’s confidence in making Newberry Hospital their hospital of choice for providing quality, patient- centered healthcare.”Healthgrades evaluated performance by applying a scoring methodology to 1. The survey questions focus on patients’ perspectives of their care in the hospital. The topics of these questions ranged from cleanliness and noise levels in patient rooms to factors such as pain management and responsiveness to patients’ needs. The measures also include whether a patient would recommend the hospital to friends or family. In order to be recognized by Healthgrades, hospitals must meet eligibility requirements for consideration, which in addition to number of survey responses, includes clinical performance thresholds. Nationally 2. 94. Newberry Hospital’s performance places them among the top 1. Patient experience metrics resonate with consumers as they evaluate hospitals and select where they want to receive care,” said Brad Bowman, Chief Medical Officer, Healthgrades. Pictured are the Newberry Academy Junior Civitans picking up trash on Smith Road in Newberry. Union County Fatality With Monday Storms. Posted: April 3. 8: 1. PMA person is dead after severe storms ripped through the Upstate on Monday. This was reported after a mobile home flipped on Eaves Road near Whitmire Highway around 3: 3. Sheriff David Taylor said a man in the home was killed when it flipped multiple times. The coroner identified the victim as 6. J. C. He said Matthews' brother witnessed the structure overturn and spoke with the victim before calling to emergency personnel. When emergency officials arrived on scene, they found Matthews deceased. An autopsy is scheduled for Tuesday. Emergency crews reportedly had difficulty accessing the scene due to downed trees. The coroner said an unconfirmed tornado may be responsible for the property overturning. Three Suspects Arrested For Church Break- In, Stealing Instruments And Electronics. Posted: March 2. 7. PMOn March 2. 3 it was discovered that someone had entered Macedonia Lutheran Church in Prosperity. The suspects had gone inside and had gone through several offices as well as the sanctuary. The suspects took several items from inside the church including electronics and musical instruments. Investigators from the Newberry County Sheriff’s Office canvased the entire area around the church as well as started contacting other area law enforcement agencies to exchange information. Based on that hard work, investigators received information that the suspects were attempting to sell the stolen items in the Chapin area. Acting on this information, Friday afternoon (March 2. Macedonia Church Road. Based on that follow up investigation, investigators were able to confirm the suspects involvement in the burglary as well as locate the majority of the stolen items and a small quantity of meth (less than 1 gram) inside the home. Sheriff Lee Foster said that the arrest was made based upon information they had received, forensic evidence matching the suspects to the scene, and the recovery of much of the stolen property.“This is another example of what allows Newberry County to enjoy one of the highest clearance rates in South Carolina,” said Sheriff Lee Foster. It takes years of working in a community to build these kinds of relationships but it is essential to effective law enforcement and community partnerships.”“I would also point out that the investigators did not simply rely on those partnerships alone,” Sheriff Foster continued. Law enforcement is now a world when community knowledge, forensics, and technology must work in unison to be effective. I am proud that we have been able to build each of these aspects into a highly effective law enforcement agency standing with our citizens to make Newberry County safer and better.”Three suspects were taken in custody. All three suspects are charged with Burglary 2nd Degree, Grand Larceny, Possession of Meth, and Possession of Drug Paraphilia. Peters Church Road, Chapin, SC. Joey Kenneth Donovan, 2. Macedonia Church Road, Prosperity, SCDrake Adam Johnson, 2. Macedonia Church Road, Prosperity, SCBond was set at $7. All three suspects are still in custody at the Newberry County Detention Center as of Monday morning at the time of this release. Regier Leaving Position As Utility Director; Baker To Head Department. Posted: March 2. 7. PMNewberry City Manager Matt De. Witt announced today that Utility Director Marc Regier will be leaving his post after nine years of service with the city to relocate with his family to the Upstate. I am so proud that the city could partner with someone of Marc's caliber who has kept the city's utility services on the cutting edge and a leader among South Carolina communities. He has played a critical role in the city's economic development and infrastructure growth. Marc will be transitioning over the next few months. Marc will be a stellar asset in his new role and we wish him, his wife, Katie, and their family all the best in their new journey. According to De. Witt, . He has an extensive background in public utilities having managed the utility operations in Abbeville and most recently in Lexington, NC. Tim and his family are currently in process of relocating to Newberry. Tim will continue to focus on sustainability, economic development, significant infrastructure improvement projects and other areas to strengthen the city while delivering dependable utility comforts to the citizens. Mayor Foster Senn said, . The City Council and I also appreciate his friendship. We're pleased he'll be leading the city utilities department. Sheriff Lee Foster said the fire was confined to a relatively small area of the plant. Many responders were on the scene quickly last night, and the fire was contained shortly thereafter. Photo courtsy of Sheriff Lee Foster. Sheriff Foster Announces New Tool For Businesses, Churches To Help First Responders. Posted: March 2. 1. PMSheriff Lee Foster says that Newberry County Sheriff’s Office is taking Smart. They are introducing a program called Rave Facility. This feature allows business owners, churches, and others who are responsible for a facility to go online and enter the information about their facility. They can list who the contact person or persons is for that facility, upload floor plans, a list locations of fire extinguishers, locations of AED devices, and even list utility locations for that facility. You can even upload your evacuation plans and emergency plans so that first responders will know how to best respond to your emergency situation. You will then be asked to draw a geo fence around the facility. Once this is done, any 9. Many churches and businesses are moving away from land lines and are using cell phones. In addition, almost everyone frequenting businesses and churches have cell phones so there is a substantial likelihood that the 9. As long as the call comes from a phone registered for that facility or from a cell phone inside of the assigned geo fence, the profile will appear. It even has an option for facilities with more than one building to create geo fences for each building so that the call would designate which building at the facility the call originated from. There is no fee for this service and this service works regardless of whether the caller has registered their individual phone for Smart. All facilities must be approved by the Newberry County Sheriff’s Office before becoming active. You will receive a call from someone at the Sheriff’s Office verifying the information to prevent any misuse of this system. As always, if you have any trouble registering for this service, you can come to the Newberry County Sheriff’s Office or call us at (8. Coffee With A Cop Community Meetings Scheduled For Whitmire And Little Mountain, More To Come. Posted: March 1. 7. AMIn an effort to continue the open lines of communications between law enforcement and the community, Sheriff Lee Foster has announced a series of community based meetings continuing on the theme, “Coffee With A Cop”. April 2. 0 on WCNY and streaming online . Syracuse wants to make it an expectation of school leaders and faculty. Union leaders believe it will limit the education the city. The common council member who sponsored the measure explains how it could work. Watch Friday at 9 p. We jump into gym class where it’s not just rope climbing and square- dancing anymore. We learn how regional schools have upped their game when it comes to physical education. And from screen time to meal time, what parents need to know about the top ten health issues facing kids today. Watch Cycle of Health. Desi 1. 17. 0 AM - The Largest And Most Powerful Asian Indian Radio Station In The U. S. Desi 1. 17. 0 AM, with 5. Watts of Power, is the largest and most powerful Asian Indian radio station in the U. S.! Asian Indians are the fastest- growing, best- educated and most- affluent market segment in the U. S. Just send us an email to. A statin a day keeps the doctor away: comparative proverb assessment modelling study. Adam D M Briggs, academic clinical fellow, Anja Mizdrak, researcher, Peter Scarborough, senior researcher. BHF Health Promotion Research Group, Nuffield Department of Population Health, University of Oxford, Headington, Oxford OX3 7. LF, UKCorrespondence to: A D M Briggs adam. The modelling used routinely available UK population datasets; parameters describing the relations between statins, apples, and health were derived from meta- analyses. Main outcome measure Mortality due to vascular disease. Results The estimated annual reduction in deaths from vascular disease of a statin a day, assuming 7. L reduction in low density lipoprotein cholesterol, is 9. The equivalent reduction from an apple a day, modelled using the PRIME model (assuming an apple weighs 1. Conclusions Both nutritional and pharmaceutical approaches to the prevention of vascular disease may have the potential to reduce UK mortality significantly. With similar reductions in mortality, a 1. Introduction“An apple a day keeps the doctor away,” a public health message delivered by parents and teachers since the 1. Victorian health promotion can truly stand the test of time, whereas other Victorian practices—such as the use of leeches in primary care—have fallen away. Today in the United Kingdom, lifestyle changes (such as increasing levels of physical activity or changing diet) are the recommended first step for primary prevention of vascular disease. Increasingly, however, calls are being made for greater use of drugs in primary prevention, perhaps the best known example being Wald and Law proposing the polypill in 2. In the UK, the only drug class recommended for primary prevention at a population level is the hydroxymethyl glutaryl coenzyme A reductase inhibitors, or statins, and this is only for people at 2. Recent meta- analyses have indicated similar relative benefits to patients with a five year risk of a major vascular event of less than 1% to those at greater than 2. This has led to calls to use statins for cardiovascular disease prevention at the population level, particularly for people aged 5. We set out to test how almost 1. Victorian wisdom might compare with the more widespread use of statins in primary prevention. We modelled the effect on vascular mortality of prescribing everybody in the UK over 5. Malus domestica) a day or a statin a day, estimated the number of adverse events, and compared the subsequent drug, or fruit, costs. Methods. Data on the effect on vascular mortality (any stroke, cardiac death, or other vascular death) of the UK population of a statin a day came from the Cholesterol Treatment Trialists’ meta- analysis, which found that reducing cholesterol with a statin reduces the relative risk of vascular mortality by 1. Heart Month 2017: Here. With February declared Heart Month, many countries and organisations around the world. L reduction in low density lipoprotein cholesterol and that on average this is reduced by 1. L over a year of treatment. We applied this annual reduction to age and sex specific vascular mortality rates for the UK population aged 5. Health Survey for England (stratified by sex and five year age categories, with age and sex specific statin uptake for Scotland, Wales, and Northern Ireland assumed to be the same as for England). We assumed 7. 0% compliance on a conservative basis; this was the lower of the two compliance values reported by Taylor et al in their recent Cochrane review (7. We calculated the reduction in deaths from vascular disease as the difference between the number of vascular deaths in the population not taking statins, using current age and sex specific mortality rates, and the number of deaths when assuming the new mortality rates.
We calculated 9. 5% credible intervals by applying the 9. Cholesterol Treatment Trialists of 9% to 1. We modelled the effect on vascular mortality (cerebrovascular disease, ischaemic heart disease, heart failure, and abdominal aortic aneurysm) of an apple a day on the entire UK population aged 5. PRIME, a widely published comparative risk assessment model (see web appendix for more details). This uses meta- analyses of studies to parameterise the relation between a wide range of nutritional factors (g/day of fruit, vegetables, salt, and fibre; percentage of total energy derived from total fat, monounsaturated fatty acids, polyunsaturated fatty acids, saturated fatty acids, trans fatty acids, and dietary cholesterol; and total energy intake in kcal/day) and chronic disease mortality. On a conservative basis, we assumed apples to weigh 1. Baseline population diet and the nutritional composition of apples came from the Living Costs and Food Survey 2. We assumed the effect on health of consuming an extra apple a day to be the same irrespective of baseline apple consumption, as described in the underlying meta- analyses describing the relations between fruit and vegetable consumption and cardiovascular disease. We assumed compliance to be 7. We calculated 9. 5% credible intervals by using 5. Monte Carlo analysis to account for the variation in parameters describing the relations between different dietary components and mortality from cerebrovascular disease, ischaemic heart disease, heart failure, and abdominal aortic aneurysm (see web appendix for additional information on PRIME). Table 1 Nutritional composition of 1. We modelled side effects of statins by using the Cholesterol Treatment Trialists’ reports of statins leading to an excess incidence of myopathy of 0. We applied these to the extra population aged over 5. No side effects were modelled for increased apple consumption; aside from the distress caused by a bruised apple, and the theoretical risk of identifying half a worm inside, apple related adverse events are not widely recognised. People with an apple allergy could be prescribed an alternative less allergenic fruit with similar health benefits. We obtained costs of statins from the British National Formulary,1. The cost of an apple came from the Department for Environment, Food and Rural Affairs’ weekly fruit and vegetable prices for the cheapest variety of dessert apple (assuming the NHS would want to purchase at the lowest price) of 4. No costs were estimated for general practice appointments or the management of any side effects. Sensitivity analyses investigated the effect of prescribing statins or apples to everybody over 3. QRISK2- 2. 01. 1 scoring system is validated to predict 1. Results. We estimate that 5. UK, with an extra 1. Assuming 7. 0% compliance, offering statins to 1. MSN Health and Fitness has fitness, nutrition and medical information for men and women that will help you get active, eat right and improve your overall wellbeing. To My Mom On Her Special Day. From the moment I came into this world, you gave to me your heart and soul. You give up all the time you have to yourself just to show. Diet, Serum Cholesterol, and Death from Coronary Heart Disease . Shekelle, Ph.D., Anne MacMillan Shryock, R. Max Factor launches its new super-foundation All Day Flawless 3-in-1 Foundation. Boasting brand new technology it was developed for women who want their. Table 2. Prescribing statins to everyone over the age of 5. The total extra cost of statin treatment from the drug alone is estimated at . The number of adverse events is predicted to double to 2. The cost of statins would be . If compliance with apple prescriptions was 9. Finally, if the apple prescription has no effect on any aspect of the average diet except amount of fruit consumed, annual vascular deaths would reduce by 7. Discussion. Prescribing either an apple a day or a statin a day to everyone over 5. Choosing apples rather than statins may avoid more than a thousand excess cases of myopathy and more than 1. The basic costs of apples are likely to be greater than those of statins; however, NHS prescription prices and convenience may drive people to purchase their apples from a store rather than through a pharmacy, thereby reducing direct NHS costs, or the NHS may be able to negotiate apple price freezes (although defrosted apples may not be so palatable). Strengths and limitations. The strengths of this study lie in the underlying data used to parameterise the population effect of statins and the PRIME model, which came from meta- analyses of trials and prospective cohort studies (see web appendix for further details of the PRIME model). The exact definition of vascular mortality used differs slightly between the Cholesterol Treatment Trialists and the PRIME model. However, the most common causes of vascular death (ischaemic heart disease and stroke) are modelled for both statins and apples, making any remaining differences negligible in their effect size. When estimating adverse events, as the Cholesterol Treatment Trialists note, the reduction in the number of vascular events due to the increased use of statins vastly outweighs the excess incidence of haemorrhagic stroke and diabetes. However, limitations of the Cholesterol Treatment Trialists’ meta- analysis have been suggested, including underestimation of side effects and absence of an effect on all cause mortality for patients at low risk. This would suggest that our estimates of side effects from statins are conservative and that an added benefit of apples over statins may exist in terms of all cause mortality. Our estimates of costs apply only to the basic cost of the intervention. We make no estimate of the cost to the health service of either accessing prescriptions or managing side effects. The predicted effects of a change in national policy to provide statins to everybody aged over 5. Although a conservative estimate, treatment compliance may be less than 7. However, the shock effect of the policy may stimulate more people who are eligible for treatment but are not accessing it to seek medical care. Furthermore, compliance may reduce over time, meaning our results could overestimate future benefits and future adverse events. We also apply the same treatment effect on vascular mortality to people of all ages, sexes, and cardiovascular risk profiles, and in reality these may differ. We assume that the age and sex distribution of the population taking of statins in the UK is the same as that found in the Health Survey for England. The estimate of population compliance with an apple a day is less evidence based. Although apples are of course both delicious and nutritious, this view is not consistently shared across the population; as much as 6. UK adults do not meet the recommendation of five portions of fruit and vegetables a day. Heart Surgery and Soup Diet. One fad diet claims to have medical experts' stamp of approval. Badly- typed, copied multiple times, passed on from one person to the other and found in numerous incarnations on the Internet, the Sacred Heart Diet has the reputation of being a soup diet given to overweight patients prior to heart surgery. However, medical institutions associated with this fad diet have gone out of their way to disclaim their association with it. The soup diet that's purportedly fed to patients before heart surgery has reached urban legend status, says the American Heart Association, or AHA, which devoted an entire web page to the diet. The diet goes by many monikers, one of the more common names being the Sacred Heart Memorial Diet. Among the soup diet's many aliases are the Cleveland Clinic Diet, the Sacred Heart Memorial Hospital Diet, the Miami Heart Institute Diet, the Spokane Heart Diet, T. J.’s Miracle Soup Diet, the Cabbage Soup Diet, the Basic Fat Burning Soup Diet and . And here's where things get confusing: The Cabbage Soup Diet, aka the Sacred Heart Diet, is also sometimes referred to as the Mayo Clinic Diet. And the Cleveland Clinic Diet is also called the grapefruit diet. According to Every. Diet. org, the Sacred Heart Hospital in Montreal, Canada formally announced in 2. The Cleveland Clinic, too, indicates on its website that it is not associated with the diet. The AHA – which has been falsely credited with a phony fad diet that has ice cream, hot dogs, eggs and cheese on the menu – also indicates that it had no part in the development of a soup diet for heart surgery patients. A March 1. 99. 6 New York Times article describes this soup diet as the . Elaine Reid, director of food and nutrition at the Sacred Heart Memorial Hospital in Spokane told the Times that she receives hundreds of letters about the diet from all over the country – and even outside of the United States. In 1. 99. 6, Reid told the Times that the diet has been in circulation for around 1. There are many versions of the Sacred Heart Diet; however, Every. Diet. org indicates that one of the more common recipes lists the following ingredients: stewed tomatoes, green onions, nonfat beef broth, a package of chicken noodle soup mix, celery, green beans, carrots and green peppers seasoned with salt, pepper, curry powder and parsley. The ingredients are chopped into pieces, covered with water and cooked. On the Sacred Heart Diet, which lasts for seven days, you can eat as much of the soup as you want per day; however, the diet integrates different food types on each day of the week. On the first day, dieters can have the soup and all the fruit they want, except bananas. Day two on the diet includes the soup and all vegetables, including a baked potato for dinner. You can have soup and all of the fruits and vegetables you like on day three, with the exception of a baked potato. Day four of the diet includes the soup, at least three bananas and as much skim milk as you want. On the fifth day of the soup diet, 1. Day six lets you eat as many beef steaks as you like, unlimited vegetables – leafy greens are suggested – but no baked potato and at least one serving of soup. On the last day of the diet, brown rice, vegetables and unsweetened fruit juice are added to the menu – along with the soup. Soup- based diets often claim you can lose up to 1. However, Every. Diet. Org points out that many of the pounds you shed on such a diet are due to water loss, and you'll likely put them on right after you go off the the diet. The Cleveland Clinic cautions you against diets that restrict your menu and place you on a rigid eating plan that you can't sustain for the rest of your life. The clinic recommends a Mediterranean diet low in dairy and fatty meats and rich in plant- based foods such as vegetables, fruits, whole grains, beans and peas, and unsaturated fats such as olive oil, nuts and seeds. |
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