Hospitalized The singer allegedly collapsed while at dinner Sunday, and the situation is “really serious,” per report Tori Kelly is in the hospital after reportedly collapsing at a restaurant Sunday night and is being treated for blood clots in her legs and lungs, ABC confirmed Tuesday. Sources originally told TMZ, who was first to report the news, that the singer’s situation was “really serious” and that she had lost consciousness after being out to dinner with friends in downtown Los Angeles. The singer, per that report, said her heart rate suddenly went up before she lost consciousness. Kelly was allegedly transported by her friends to Cedars-Sinai Medical where she was taken into the ICU. Kelly reportedly had clots in her legs and lungs, and doctors were “working to determine if any clots are around her heart.” A rep for Kelly did not immediately respond to Rolling Stone‘s request for comment. Kelly’s hospitalization comes just days before she’s set to release an EP titled Tori on Friday, featuring songs with Ayra Starr and Jon Bellion. She was also set to host a show to celebrate the album launch at Los Angeles’ The Roxy. Trending “It absolutely can happen in young people,” said ABC chief medical correspondent Dr. Jennifer Ashton on Good Morning America, explaining that symptoms could be “focal tenderness or swelling” in the leg or “shortened breath, cough, chest pain” if the clot is in the lung. The Center for Disease Control and Prevention estimates that 900,000 people are affected with vein thrombosis and that 33 percent of those with DVT face long-term complications.
Jul 25, 2023, 07:19 PM ET The Arizona Diamondbacks activated right-handed pitcher Merrill Kelly from the 15-day injured list to start Tuesday night’s game against the visiting St. Louis Cardinals. Kelly had been on the injured list due to a blood clot in his right calf. He last pitched for Arizona on June 24. Editor’s Picks It is the second time Kelly has dealt with a blood clot. He had one in his shoulder in 2020 that was much more dangerous. “Honestly, this one wasn’t really scary,” Kelly told MLB.com. “I was more bummed than anything. For some reason, I don’t know whether it was just the way that everyone else was treating it or maybe the fact that I’ve been through one already. I don’t know. Maybe I was a little bit more numb to it.” Kelly, 34, entered Tuesday 9-4 with a 3.22 ERA in 16 starts this season and having struck out 98 in 95 innings. Right-hander Jose Ruiz was designated for assignment in a corresponding move. Ruiz, 28, was 2-1 with a 4.43 ERA in 34 games (one start).
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For most people the very thought of doing a plank raises the blood pressure. But a study suggests it is actually the most effective way to reduce it. Researchers at Canterbury Christ Church and Leicester universities compared the efficacy of different forms of exercise on reducing blood pressure and found that “isometric exercises” – which involve engaging muscles without movement such as wall sits and planks – were almost twice as effective compared with the government recommended exercise guidelines. The NHS website recommends that adults should do at least 150 minutes of moderate-intensity aerobic activity, such as cycling or fast walking, every week, alongside dietary and other lifestyle changes to reduce blood pressure. Reducing systolic blood pressure is associated with decreased incidence of major cardiovascular disease events such as stroke, heart failure, and all-cause mortality. But this advice does not mention newer forms of exercise, such as high-intensity interval training (Hiit) and isometric exercise. The study examined 270 randomised controlled clinical trials, involving 15,827 participants, on the effects of particular forms of exercise on resting blood pressure. They were classified as aerobic; dynamic resistance training; a combination of these; Hiit; and isometric exercises. The authors analysed the effects of exercise on both systolic blood pressure, which measures arterial pressure when the heart beats, and diastolic blood pressure, which measures arterial pressure between beats. The study, published online in the British Journal of Sports Medicine, found significant reductions in resting systolic and diastolic blood pressure after all the categories of exercise. Although other forms of exercise such as aerobic exercise, squats, weights and high-intensity interval training also reduced blood pressure, isometric exercises were the most effective. Jamie O’Driscoll, a reader in cardiovascular physiology at Canterbury Christ Church university and senior author of the report, said in isometric exercises the muscle remained contracted but did not change in length. This static contraction could squeeze the vessels that supplied blood to the working muscles – which reduced the flow of blood to the muscle during the exercise and therefore oxygen supply to the muscle. When the muscle relaxed afterwards, it caused a large flow of blood through the vessels (this was different to other modes of exercise) and was likely to be the trigger driving these greater improvements in blood flow regulation. The study calls for a review of exercise guidelines for the prevention and treatment of hypertension in light of the findings. skip past newsletter promotion after newsletter promotion “Performing 4 x 2 minutes of wall sits, with 2-minutes’ rest in between, three times per week, is an effective way to reduce your blood pressure,” said O’Driscoll. “They should be done alongside other exercise modes, to provide the maximum range of exercise choices rather than limiting them.” Dr Kush Joshi, a sports and exercise medicine consultant and fellow of the Faculty of Sport and Exercise Medicine, welcomed the study’s findings, but questioned how easy it would be for patients to put into practice. “The reality is a significant proportion of the population will not be able to do a plank or wall sits, and furthermore may not enjoy these types of activities,” he said. “Solutions need to be found to make these exercises accessible to all individuals with elevated blood pressure, and the study should provide impetus to policymakers to make exercise the bedrock of treatment of not only high blood pressure but other medical conditions and so to reduce the burden of medication for the population.” Joanne Whitmore, a senior cardiac nurse at the British Heart Foundation, said it was encouraging to see the benefits of other forms of exercise, as well as aerobic exercise. “We know that those who take on exercise they enjoy tend to carry on for longer, which is key in maintaining lower blood pressure.” But she said it was important to make lifestyle changes too, such as losing weight, eating more healthily and reducing alcohol consumption.
Static isometric exercise, such as wall sits, best for lowering blood pressure, finds analysis
Credit: Unsplash/CC0 Public Domain Static isometric exercises—the sort that involve engaging muscles without movement, such as wall sits and planks—are best for lowering blood pressure, finds a pooled data analysis of the available evidence from clinical trials, published online in the British Journal of Sports Medicine. But cardio (aerobic exercise); dynamic resistance training, such as squats, press-ups, and weights; high intensity interval training or HIIT for short (episodic short bouts of high intensity exercise interspersed with short periods of recovery at a lower intensity) are all effective, indicate the findings. It may be time to review the current exercise guidelines for the prevention and treatment of high blood pressure, suggest the researchers. Previously published research shows that exercise in general is associated with significant reductions in blood pressure, with aerobic exercise, such as walking, running, and cycling, the type primarily recommended for managing blood pressure. But this recommendation is largely based on older data that exclude the newer forms of exercise, such as HIIT and isometric exercise, meaning that the current recommendations are probably outdated, suggest the researchers. In a bid to potentially update information on the best form of exercise for controlling blood pressure, they trawled research databases looking for clinical trials reporting the effects of an exercise training intervention lasting two or more weeks on resting blood pressure. The exercise interventions were classified as aerobic (cardio); dynamic resistance training; a combination of these; HIIT; and isometric exercises. Healthy resting blood pressure was defined as a reading below 130/85 mmHg; pre-high blood pressure as 130–139/85–89 mmHg; and high blood pressure as 140/90 mmHg or more. Systolic blood pressure, the first number in a reading, measures arterial pressure when the heart beats; diastolic blood pressure, the second number, measures arterial pressure between beats. In all, 270 randomized controlled trials published between 1990 and February 2023 were included in the final analysis, with a pooled data sample size of 15,827 participants. The pooled data analysis showed significant reductions in resting systolic and diastolic blood pressure after all the various categories of exercise, but with the largest falls in both systolic and diastolic blood pressure after isometric exercise training. The reductions in blood pressure after aerobic exercise training amounted to 4.49/ 2.53 mmHg; 4.55/3.04 mm Hg after dynamic resistance training; 6.04/2.54 mmHg after combined training; 4.08/2.50 mmHg after HIIT; and 8.24/4 mmHg after isometric exercise training. The rank order of effectiveness values for reducing systolic blood pressure were isometric exercise training (98%), combined training (76%), dynamic resistance training (46%), aerobic exercise training (40.5%) and HIIT (39%). Secondary analyses revealed wall squats (isometric) and running (aerobic) as the most effective individual exercises for reducing systolic blood pressure (90.5%) and diastolic blood pressure (91%), respectively, with isometric exercise, overall, the most effective for reducing both blood pressure elements. The researchers acknowledge that variations in the types of participants included across the clinical trials and differences in statistical and methodological processes and exercise interventions may have influenced the findings, and so should be interpreted in light of these limitations. But they nevertheless conclude, “Overall, isometric exercise training is the most effective mode in reducing both systolic and diastolic blood pressure.” “These findings provide a comprehensive data driven framework to support the development of new exercise guideline recommendations for the prevention and treatment of arterial hypertension.” More information: Exercise training and resting blood pressure: a largescale pairwise and network meta-analysis of randomised controlled trials, British Journal of Sports Medicine (2023). DOI: 10.1136/bjsports-2022-106503 Provided by British Medical Journal Citation: Static isometric exercise, such as wall sits, best for lowering blood pressure, finds analysis (2023, July 25) retrieved 25 July 2023 from https://medicalxpress.com/news/2023-07-static-isometric-wall-lowering-blood.html This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
Scientists have estimated that the global incidence of Brucella infections is much higher than previously believed. Findings suggest that at least 1.6 to 2.1 million new cases of human brucellosis occur every year. This differs significantly from one of the most cited references, which predicts an incidence of 500,000 new cases yearly. Brucellosis is a bacterial disease that affects livestock and humans. In humans, the disease causes fever, sweats, fatigue, and malaise. People are normally exposed to Brucella by consuming unpasteurized milk products or handling contaminated animal tissues. Most human cases come from regions with highly dense at-risk populations. The number of new human brucellosis cases annually remains unclear despite previous attempts to identify the impact of the disease, according to a study in the journal Emerging Infectious Diseases. Risk by regionResearchers produced estimates using animal and human brucellosis data from the World Organization of Animal Health (WOAH) and human population data reported to the World Bank. Data was from 2014 to 2018. They used three statistical models and considered missing information. Disease misdiagnosis and under diagnosis were not considered in the models. Because the team had more complete data for livestock than human disease, at both global and regional levels, they used livestock data as the basis to estimate disease incidence. A total of 144 countries and 3.2 billion people were considered at risk. Models indicated Africa and Asia have most of the global risk and cases, although areas within the Americas and Europe remain of concern. Countries not endemic for the disease record cases resulting from travel and trade of raw milk products across national borders. “Among countries in Africa, inadequate or non-existent public and animal health programs perpetuate the status quo. This uncontrolled disease situation, accompanied by rapid population growth and increased demand for animal products, provides an unfortunate outlook for the future of brucellosis control across this entire region,” said researchers. “Although risk is spread across the entire Asia region, the primary hotspot occurs in the Middle East. This increased risk is likely the result of having close contact with small ruminants and consuming their raw milk products.” French situationMeanwhile, Santé publique France has revealed 40 cases of brucellosis were declared in 2022 in 12 regions. Of these, 38 were imported infections linked mainly to travel to Algeria but also to nations including Turkey, Tunisia, and Djibouti. One person fell sick after consuming a cheese from Lebanon. For the two non-imported cases, one was a former slaughterhouse employee who started work before the elimination of brucellosis in farms. The other patient could not be contacted. The number of cases returned to 2019 levels, in line with the resumption of travel to countries considered endemic, as COVID-19 pandemic restrictions were lifted. In 2020 and 2021, about 20 cases were recorded each year. A total of 34 strains belonged to Brucella melitensis, one to Brucella abortus and another was not characterized. Symptom onset dates for cases reported in 2022 ranged from December 2018 to November 2022. Fifteen cases were female. Patients were aged 5 to 91 with a median of 55 years old, including two children under 16 years old. Two cases were pregnant women. (To sign up for a free subscription to Food Safety News, click here.)
Sign up for a full digest of all the best opinions of the week in our Voices Dispatches email Sign up to our free weekly Voices newsletter A new chemical analysis of the 15th century prince Vlad III, also known as Vlad the Impaler, revealed the terrifying military leader’s health conditions that likely inspired the creation of the literary vampire character Count Dracula. The new study, published recently in the journal Analytical Chemistry, found that Vlad probably had skin and respiratory conditions and could have even cried literal tears of blood. The ruthless prince – officially Vlad III, Voivode of Wallachia – lived in the southern region of Romania in the mid-1400s with historians estimating he killed over 80,000 people, many by impalement, earning him his nickname. He was also known as Vlad Drăculea – translating to “the son of the dragon” – which many believe inspired the popular character from the novel Dracula. In the latest study, researchers, including Vincenzo Cunsolo from the University of Catania in Italy, analysed for the first time letters penned by Vlad to learn more about the prince’s health as well as the environment he lived in over 500 years ago. Scientists say the molecules and proteins present in these documents could provide a unique understanding of the life and times of the ruthless military leader. Researchers used a special plastic film called ethylene-vinyl acetate (EVA) to extract any proteins or small molecules from the paper without damaging it. They then identified thousands of different small peptide molecules in the paper using a technique called mass spectrometry commonly used in labs to characterise chemicals. Of these molecules, scientists particularly focused their attention on the most degraded proteins as these were likely the oldest, and therefore, most likely to be from Vlad compared to newer, less-degraded proteins that could have originated from other people handling the letters more recently. They identified 16 proteins in total that were of human origin, relating to skin, breathing, and blood. The new findings suggest Vlad likely suffered from respiratory issues, and may have even had a condition called hemolacria that may have caused him to cry tears of blood – fitting for such a spooky character. “He might also have suffered from a pathological condition called hemolacria, that is, he could shed tears admixed with blood,” scientists wrote in the study. He could have been exposed to plague-related bacteria or even pesky fruit flies, scientists say. The research sheds light on how similar techniques can be used to better understand important documents of the past, as well as the people who may have written them. “It is worth noting that more medieval people may have touched these documents, which cannot be denied, but it is also presumable that the most prominent ancient proteins should be related to Prince Vlad the Impaler, who wrote and signed these letters,” scientists added.
Sarah Ellefson, a Minnesota native, grew up familiar with anxiety due to her father’s own battle with it during her childhood. When she turned 18, she also began experiencing anxiety herself. Her first panic attack occurred at her parents’ house, and she found solace and support from her father, who understood firsthand what she was going through. Ellefson is just one of the many individuals who grapple with generalized anxiety disorder (GAD) in the United States. According to the Anxiety and Depression Association of America, over 6.8 million Americans experience GAD in any given year. GAD is characterized by excessive worry about various events or activities, such as work or school. People with GAD struggle to control their worrying, which can have an impact on their ability to function effectively in professional and social settings. Stress Eating and Other Health Issues Ellefson’s experience with anxiety had a profound impact on her physical well-being, leading to stress eating and stomach pain. However, it was her unexpected diagnosis of type 2 diabetes that prompted her to seek healthier ways to manage her anxiety effectively. In January 2012, while at work in health care administration, Ellefson noticed her vision had become blurry, prompting her to contact her doctor immediately. Despite having previously tested negative for diabetes and not experiencing typical symptoms like extreme thirst or hunger, her blood sugar level measured a startling 440. Her doctor described her situation as fortunate, akin to surviving a car crash without a seatbelt. Ellefson was prescribed multiple oral medications and insulin to control her diabetes. However, her anxiety continued to have a significant impact. She experienced frequent panic attacks, pervasive sadness, and a lack of understanding about how to manage her condition, which lasted for nearly a year and a half. During this challenging period, Ellefson’s anxiety contributed to weight gain of over 40 pounds and a neglect of self-care. She began to isolate herself, avoiding social engagements and experiencing a decline in both mental and physical health. Medical professionals even indicated the possibility of early signs of kidney damage and advised against attempting pregnancy. A turning point occurred when Ellefson reached a breaking point at work, experiencing a panic attack that prompted her to seek immediate help. She connected with a psychologist who specialized in anxiety, a step that marked the beginning of her journey towards regaining control and acknowledging her need for assistance. By seeking professional support and guidance, Ellefson took proactive steps to address her mental health and gradually reclaim her life from the grip of anxiety. The Magic of Physical Activity The psychologist played a crucial role in helping Ellefson find calmness and encouraged her to start getting out of the house, even if it was just for short walks. She began by walking to the end of the street and gradually increased her distance, eventually conquering a footpath around a nearby lake. However, she still needed additional support, which came from a persistent coworker. Initially, Ellefson made excuses, believing she couldn’t run due to her weight and concerns about her heart and joints. Despite her reservations, her friend persisted and convinced her to sign up for a gym. Unexpectedly, Ellefson found herself training for a 5K and engaging a personal trainer, a relationship that has continued for six years. As she became more physically active, Ellefson noticed a reduction in her panic attacks and an increased outgoing nature. She emphasizes that her workouts are not solely for calorie burn but serve as a means to calm her mind, even a simple 30-minute walk. While her fitness journey helped alleviate anxiety, Ellefson recognized that managing her type 2 diabetes required a comprehensive approach, including improvements in her diet. This led her to discover the benefits of meal prepping—an approach that allowed her to plan and prepare nutritious meals in advance. The Wonders of Eating Better Sarah Ellefson’s journey towards better mental and physical health involved adopting the practice of meal prepping six years ago. Due to her demanding work hours and exhaustion after workouts, she struggled to find the energy to cook healthy meals and avoid falling back into unhealthy eating patterns. Meal prepping became a valuable tool in setting herself up for success by ensuring she had nutritious meals readily available. When meal prepping, Ellefson focuses on creating colorful and nutrient-dense meals, with half of her plate consisting of vegetables and the other half incorporating a healthy source of lean protein. This approach has helped her stay on track even when traveling. She found that by consuming whole, unprocessed foods, she could reduce cravings—a significant factor given her history of emotional eating. Additionally, she enjoys taking pictures of her meals, further enhancing her commitment to healthy eating. Her dedication to addressing her mental and physical well-being paid off as she successfully lost 90 pounds and eliminated all diabetes medications, including insulin. Ellefson’s transformation empowered her, allowing her to feel proud of the progress she had made after previously feeling as though life was passing her by. A year after discontinuing her medications, she became pregnant with her son, Ben. Throughout the pregnancy, Ellefson maintained her healthy habits under close medical supervision. Although she had to reintroduce insulin midway through the pregnancy, she stayed committed to her overall health. As she experienced improvements in her mental and physical health, Ellefson learned to be kinder to herself. While she still carries some of her baby weight, she has adopted an accepting attitude and avoids perfectionist tendencies associated with her anxiety. Her approach now revolves around doing her best and focusing on progress rather than aiming for unattainable perfection. Being a working mom, Ellefson recognizes the importance of having a strong support system. She has built friendships through the gym and running, and her husband has been a pillar of support. When she faced a setback and had to resume medication, her husband joined her on runs, turning it into a family activity. Her son, Ben, has also become involved in the meal
COVID infections are on the rise, but how concerned should we be? Is it just a blip on the radar screen or a sign of things to come? We talk to local doctors, including former White House COVID Response Coordinator Dr. Ashish Jha, about the present and future of COVID-19. This segment aired on August 16, 2023.
Parents are being warned to be on the lookout for fever and rash symptoms in young children as strep a infections sweep across Queensland. Key points: Doctors have warned of a “significant” increase in invasive strep A cases in Queensland New strain of group A streptococcal from the UK is believed to be a contributing factor to the rise in cases Common conditions like scarlet fever and impetigo caused by strep A can develop into the more serious invasive illness Townsville University Hospital clinical physician Nishila Moodley said group A streptococcus was a common bacteria that causes a range of conditions, such as scarlet fever and impetigo, also known as school sores. “Scarlet fever is where you have a group A strep throat, but it causes another reaction, there’s a toxin released and it causes … patches on the skin,” Dr Moodley said. “They describe it as being like sandpaper, and it may peel like a sunburn.” But group A strep can develop into a more serious illness — invasive group A streptococcus infection — which can require hospitalisation and become life-threatening. “When group A strep becomes worse, it starts to develop a toxin and it makes your body produce a reaction to itself – it basically attacks its own body,” Dr Moodley said. “That’s when you can develop long-term complications, including things like rheumatic heart disease, and post-strep glomerulonephritis, which is an infection of your kidneys.” Data from Queensland Health shows more than 350 invasive strep A cases have been recorded across the state in the year to date. The figure is up almost 150 cases on the same time last year. “It’s almost twice as high as the five-year average,” Dr Moodley said. Strep A cases are on the rise in Queensland this year.(Supplied: Telethon Kids Institute) Those most at risk are people over 65 or under five, and Aboriginal and Torres Strait Islander people. Indicators of invasive infections can include fever, a fast heart rate, cold hands and feet or a mottled look to the skin, and difficulty waking. Symptoms to look out for in young children that may indicate severe illness include difficulty breathing, high-pitched crying, and refusal to eat or feed. “Often with kids, they stop eating, and they stopp behaving like they normally would — that’s when you’d be concerned and take them off to a GP to be examined,” Dr Moodley said. New strain, national database A new strain of the strep A bacteria that originated in the UK was detected in Australia earlier this year. Professor Michael Good from Griffith University’s Institute for Glycomics said the M1UK strain was likely partly responsible for the uptick in cases. “That organism produces what are called more virulence factors or toxins than the normal streps do,” he said. “What we’re seeing globally, and in Australia, is new strains of streptococcus and particularly M1UK.” Professor Good said an immunity deficit built up during the pandemic was thought to be another contributing factor to the increase in cases. “We’ve seen more cases of viral diseases now that people have come out of lockdowns and restrictions,” he said. “The population as a whole seems to be more prone to viruses.” Professor Michael Good says research is underway to develop a vaccine against the disease.(Supplied: Griffith University ) The Doherty Institute of Melbourne is working toward a national framework to collate the number of invasive cases, the documenting of which only began in Australia in 2021. “We’re setting up a national genomic framework to actually investigate [the various strains of streptococcal disease] nationally,” the institute’s Mark Davies said. “If we can understand what strains are causing which proportion of infections, then we can start setting up these surveillance systems to understand and define earlier where it’s coming from,” Dr Davies said. Vaccine trial underway Dr Moodley said early detection and prevention were the best methods to combat the illness as there was currently no vaccine available. “We try and catch the scarlet fevers and the strep throats quite early if we can, so we can treat them and prevent those long-term complications,” she said. “If you’ve been exposed, wash your hands. If you have a sick child, keep your child at home so that you protect others in the community.” Professor Good said the first phase of a vaccine trial was underway, in a collaboration between researchers in Queensland and overseas. “It’s hard to know how long that strain will persist for … as strains do come and go [and] people … eventually develop some sort of immunity to different strains, and that will suppress them,” he said. “The trial is looking very promising — we’re hopeful that if all goes well, we could have a vaccine by 2030.” Find more local news Browse for your location and find more local ABC News and information