THURSDAY, June 30, 2022 (HealthDay News) -- A therapy that uses a virus to kill tumor cells can be safely given to children with a rare, incurable form of brain cancer, an early study has found.

The study -- published June 30 in the New England Journal of Medicine -- involved just 12 children with the disease, called diffuse intrinsic pontine glioma (DIPG).

But experts said it demonstrates the feasibility of directly delivering the viral therapy to the cancer, which forms in the brain stem.

Whether the approach can ultimately extend children's lives, however, remains to be seen.

DIPG is rare, affecting between 200 and 400 U.S. children each year. There is no cure, in large part because of the nature of the cancer: It arises in a part of the brain stem called the pons, which controls bodily functions as critical as breathing and heart rate. Complicating matters, the tumors are thread-like and interweave with normal brain tissue -- making it impossible to surgically remove the cancer.

So right now, radiation is the primary therapy for DIPG.

"In the majority of patients, but not all, the cancer will initially respond to radiation," said Dr. Susan Chi, deputy director of pediatric neuro-oncology at Dana-Farber Cancer Institute/Boston Children's Hospital.

Unfortunately, she explained, that only buys time, as the cancer almost invariably progresses again. Many children diagnosed with DIPG die within a year, and few -- less than 10% -- survive for two years, studies show.

"This is probably the worst tumor diagnosis we give to families," said Chi, who was not involved in the new study.

For the trial, researchers in Spain, the Netherlands and United States turned to oncolytic virus therapy, an approach that has been under study for certain cancers, including other brain tumors. The premise is based on the fact that some viruses can infect and kill tumor cells.

Virus therapy involves viruses that have been modified in the lab to infect and reproduce efficiently inside cancer cells while leaving healthy cells alone. One such therapy -- a genetically modified herpesvirus -- is approved in the U.S. for treating melanoma.

Here, the researchers used a modified cold virus, called DNX-2401, which has been shown to kill DIPG cells in lab animals. Using a specially designed cannula (a thin tube), the researchers slowly infused the viral therapy into the tumors of 12 children and teens newly diagnosed with DIPG. The patients then received standard radiation.

The main goal was to assess the safety of the procedure, according to the researchers, who were led by Dr. Jaime Gallego Perez-Larraya of the Health Research Institute of Navarra in Spain.

And overall, the most common side effects were headache, nausea, vomiting and fatigue. Two children did develop significant limb weakness (temporary in one case), which is one of the concerns with "going into the pons," Chi said.

Unfortunately, most of the children eventually succumbed to their disease, but the median survival -- at almost 18 months -- was higher than typically seen in DIPG. Median means half lived longer, half for a shorter time.

Chi cautioned, however, that "it's too soon to draw conclusions."

Some children with DIPG do live that long, she noted, and it's not clear that the viral therapy itself -- as opposed to the radiation therapy -- extended some kids' lives.

On the other hand, Chi pointed out, two children were still alive past the 30-month mark. That included one child who was progression-free after 38 months.

Dr. Evanthia Galanis, an oncologist at the Mayo Clinic in Rochester, Minn., who studies oncolytic virus therapy, called the early findings "encouraging."

"The approach was well-tolerated, and the virus went where it was supposed to," said Galanis, who wrote an editorial published with the study.

Like Chi, she said the survival findings should be interpreted with caution, since the trial was primarily designed to assess safety.

According to Galanis, researchers initially believed oncolytic viruses might work by directly killing tumor cells -- replicating within them until the cells burst. But over the years, studies have shown that the process may also trigger an immune response to the cancer.

"I think it's part direct kill, and part immunotherapy," Galanis said.

Normally, she explained, the immune response to DIPG, and other types of gliomas, is suppressed -- by both the cancer and standard treatments for it. When tumor cells are infected with oncolytic viruses, though, they send out signals that can draw an immune response.

Both doctors pointed to some key questions for the future: Can virus therapy can be combined with other types of treatments to improve DIPG survival? And are certain patients more likely than others to benefit from any one oncolytic virus?

Of the two children in this trial with the longest survival times, one had a tumor with a gene mutation that has been linked to relatively better survival, the researchers pointed out.

Chi said the virus therapy was "obviously not a home run" in this early trial. But, she added, that is the general way of progress in cancer research -- incremental steps forward.

More information

The DIPG/DMG Resource Network has more on DIPG.

SOURCES: Susan Chi, MD, deputy director, pediatric neuro-oncology, Dana-Farber Cancer Institute/Boston Children's Hospital, Boston; Evanthia Galanis, MD, professor, oncology, Mayo Clinic, Rochester, Minn.; New England Journal of Medicine, June 30, 2022

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Black lung is a type of lung disease that’s caused by long-term inhalation of coal mine dust. The condition is also known as coal workers’ pneumoconiosis (CWP) or miner’s lung.

The disease has a long history as a work-related illness. That’s because inhaling coal mine dust commonly happens in those who work in mines. It rarely occurs in the general environment.

Black lung is still prevalent in coal workers today. Additionally, without treatment, black lung can cause serious complications such as heart failure, tuberculosis, and lung cancer.

Read on to learn more about the causes, symptoms, and treatment options for black lung, plus how to reduce your risk.

The type and severity of black lung symptoms depend on the level of coal mine dust exposure.

The symptoms can develop over many years. As a result, most people don’t start showing signs of black lung disease until they’re closer to retirement age.

Common symptoms of black lung include:

In some cases, black lung might not cause obvious symptoms.

The main cause of black lung is inhaling coal dust over time. It primarily affects people who work in coal mines. Black lung rarely occurs in people not regularly exposed to coal dust.

Coal dust consists of carbon-containing particles that are harmful to the lungs. In some cases, coal workers might also inhale silica-containing particles.

When you inhale coal dust, the particles settle into the alveoli in your lungs. Alveoli are small air sacs that help your lungs take in oxygen. If coal dust gets into your alveoli, your lung tissue attempts to fight and remove the particles. This results in chronic lung inflammation, which can cause scarring over time.

Black lung is classified as:

  • Simple: This type involves small amounts of scarring in lung tissue. It appears as small circular bumps on a chest X-ray or CT scan.
  • Complicated: Also known as progressive massive fibrosis, this type involves severe scarring. It also affects a more widespread area of the lung.

People who work in coal mines of all sizes can develop black lung. Specifically, the following jobs present a higher risk:

  • continuous miner operators
  • shuttle car operators
  • surface drillers and blasters
  • high wall and thin seam miners

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Normal lung vs black lung disease
Photo credit: National Institute for Occupational Safety and Health – NIOSH

A healthy lung looks pink. A black lung, which has been exposed to coal mine dust, has black nodules due to scarring. The black area will get bigger as the scarring becomes more severe.

There’s no test for diagnosing black lung. Your doctor will use different methods to determine if you have the disease. This will likely include the following:

  • Medical history: Since black lung is associated with certain careers, your doctor will want to learn more about your job history. They’ll also ask questions about your symptoms.
  • Physical exam: A physical exam allows your doctor to examine your chest area and listen to your breathing.
  • Breathing tests: These tests will measure how well your lungs can inhale oxygen.
  • Imaging tests: A chest X-ray or CT scan will allow your doctor to see inside your lungs. They’ll look for scarring and inflammation.

Black lung affects about 16 percent of coal workers, both old and young miners alike.

There’s no cure for this disease. As such, the goal of treatment is to ease symptoms and reduce the risk of complications.

This can be done by using:

  • Medication: Your doctor will likely prescribe medication that reduces inflammation in your lungs and supports breathing.
  • Pulmonary rehabilitation: During pulmonary rehabilitation, you’ll learn exercises to improve your lung strength and breathing abilities This can help you stay active and breathe more effectively.
  • Supplemental oxygen: Also called oxygen therapy, this treatment uses a device that delivers extra oxygen into your lungs. It’s used for severe cases of black lung disease.
  • Lung transplant: In this procedure, one or both of your lungs is replaced by lungs from a donor. It’s only used in very severe cases.

Without symptom management, black lung can lead to complications like:

In 2016, the Centers for Disease Control and Prevention (CDC) reported that black lung decreases life expectancy by 12.6 years.

Not all coal workers develop black lung. However, it’s a preventable disease, and certain methods may help reduce the risk.

For coal miners, prevention strategies include:

  • wearing an appropriate respirator while working
  • washing skin that’s exposed to coal dust
  • safely removing coal mine dust from clothing
  • washing your hands and face before eating or drinking

If you work in or near a coal mine, it’s also a good idea to get regular physical checkups. This will allow your doctor to monitor your lung function and breathing and to notice any warning signs in the early stages.

Black lung, or coal workers’ pneumoconiosis, is caused by inhaling coal dust over a long period of time. The condition is most common in coal workers.

Symptoms include coughing, difficulty breathing, and producing black mucus. Over time, the condition can lead to complications like tuberculosis, COPD, and lung cancer. It can also reduce life expectancy and cause premature death.

There’s no cure for black lung, but treatment can help relieve symptoms and reduce the risk of complications. Treatment usually includes medication, oxygen therapy, and pulmonary rehabilitation.

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One in three women suffer from incontinence. Chartered physio Aoife Harvey shares an easy way to strengthen your pelvic floor muscles and prevent leakage.

“Urinary incontinence is so common in women, but many don’t tell their doctors about it because they think it’s embarrassing or they see it as a quality of life issue,” explains Aoife Harvey.

She’s a chartered physiotherapist that specialises in women’s health and incontinence and she’s often encouraging her patients to be more open about their experience with urinary leakage. 

According to a recent Always Discreet survey, one in three women suffer from bladder leaks. And while there are a number of reasons for this, stress incontinence is the usual culprit, says Aoife.

“This leakage affects all women during all different stages of life. While it’s not always the case, stress urinary incontinence is the most common cause, so pelvic floor exercises really help.”

Breathing is key

In the pelvic floor world, kegels is often the go-to exercise for strengthening pelvic muscles. But Aoife stresses that breath work is a key element too.

“I cannot emphasise how important breathing is. The diaphragm and the pelvic floor are partners in crime.”

In this short video, Aoife walks pharmacist Laura Dowling (AKA Fabulous Pharmacist) through how to do a simple pelvic floor strengthening exercise. 

“I recommend you do this exercise right before you go to sleep because it actually calms your nervous system, which can help you fall asleep easily,” says Aoife.

It takes full concentration, but only a few minutes a day to help build up bladder muscles and prevent leakage. Just perform the following steps.

Simple exercise

  1. Lie down.
  2. Place your hands on the sides of your ribcage and relax your shoulders.
  3. Breathe in through your nose and imagine your hands are moving away from each other.
  4. Let that breath fill your ribcage and all the way to your back; hold for a few seconds.
  5. Then, as you slowly breathe out through your mouth, squeeze your pelvic floor. (Make sure to let the diaphragm drop down to your tummy and you should feel your stomach muscles switch on as you let that breath out.)

 

Remember…

Aoife points out that the inhale is actually more important than the exhale because the inhale gives muscles time to relax.

“Some women leak because they don’t know how to let go and their muscles get really tired. So, they’re squeezing constantly and, all of a sudden, the muscles let go and the leaking happens.”

She compares it to squatting for an excessive period of time. Like this would cause your thighs to burn and your legs to give out, your pelvic floor needs a break from engagement too.

“For a lot of women, the relaxation part is a lot harder to feel than the actual squeeze, and that’s where seeing a physio in person really helps because we can help guide them.”



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The Big Blue poster

Cast: Jean-Marc Barr
Jean Reno
Rosanna Arquette
Paul Shenar
Sergio Castellitto

Geners:
Adventure

Drama

Romance

Director: Luc Besson

Release Date: May 10, 1988

Two men answer the call of the ocean in this romantic fantasy-adventure. Jacques and Enzo are a pair of friends who have been close since childhood, and who share a passion for the dangerous sport of free diving. Professional diver Jacques opted to follow in the footsteps of his father, who died at sea when Jacques was a boy; to the bewilderment of scientists, Jacques harbors a remarkable ability to adjust his heart rate and breathing pattern in the water, so that his vital signs more closely resemble that of dolphins than men. As Enzo persuades a reluctant Jacques to compete against him in a free diving contest -- determining who can dive deeper and longer without scuba gear -- Jacques meets Johana, a beautiful insurance investigator from America, and he finds that he must choose between his love for her and his love of the sea.

Netflix

The Big Blue is currently not on Netflix. Movies and series tend to come and go quite a lot in the streaming service unless they're Netflix originals. A Netflix account starts from $9.99 and gives you full access to their library with ad-free viewing.

Hulu

They're not on Hulu, either! But prices for this streaming service currently start at $6.99 per month, or $69.99 for the whole year. For the ad-free version, it's $12.99 per month, $64.99 per month for Hulu + Live TV, or $70.99 for the ad-free Hulu + Live TV.

Disney Plus

Sadly, The Big Blue is not streaming on Disney Plus. With Disney+, you can have a wide range of shows from Marvel, Star Wars, Disney+, Pixar, ESPN, and National Geographic to choose from in the streaming platform for the price of $7.99 monthly or $79.99 annually.

HBO Max

Sorry, The Big Blue is not available on HBO Max. There is a lot of content from HBO Max for $14.99 a month, such a subscription is ad-free and it allows you to access all the titles in the library of HBO Max. The streaming platform announced an ad-supported version that costs a lot less at the price of $9.99 per month.

Amazon Prime Video

As of now, The Big Blue is not available to watch for free on Amazon Prime Video. You can still buy or rent other movies through their service.

Peacock Premium

The Big Blue is not available to watch on Peacock at the time of writing. Peacock offers a subscription costing $4.99 a month or $49.99 per year for a premium account. As their namesake, the streaming platform is free with content out in the open, however, limited.

Paramount Plus

The Big Blue is not on Paramount Plus. Paramount Plus has two subscription options: the basic version ad-supported Paramount+ Essential service costs $4.99 per month, and an ad-free premium plan for $9.99 per month.

Apple TV

No dice. The Big Blue isn't streaming on the Apple TV+ library at this time. You can watch plenty of other top-rated shows and movies like Mythic Quest, Tedd Lasso, and Wolfwalkers for a monthly cost of $4.99 from the Apple TV Plus library.

DIRECTV

No luck. The Big Blue is not available to watch on Direct TV. If you're interested in other movies and shows, Direct TV still has plenty of other options that may intrigue you.

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Submitted by Penrose Physical Therapy

If you happen to wear a smart watch these days it will prompt you to take a few minutes to practice deep breathing. Do you know why? Because there is more evidence that deep breathing does decrease our stress and pain levels. This is a great tool you can use right away. We will walk through this in detail so you can experience some relief.

First let’s talk about what happens when we are in pain.  When we have an injury the signals are carried to our brain along nerve fibers.  The brain can then send signals to increase or decrease the pain. Endorphins can decrease the pain. The brain can also release neurotransmitters or hormones to increase the pain. We are all very different as to how we “feel” pain and hopefully this helps you understand why some people have a lower threshold and some a higher threshold.  It isn’t necessarily within their control. Depending on how our brains perceive pain and past experiences that influences how we register pain.

Have you heard the saying “90% of what we worry about never even comes to pass?” When we are in pain what should we do then? Worrying about the worst case scenario doesn’t seem to be all that helpful.  Instead I want to encourage you to try deep breathing.

How does deep breathing work?

  • 7 breathes per minute (which is half of the normal rate). You will be breathing deeper and longer per breath. You want to spend 60% of the time on expiration (the exhale)and only 30% on inspiration with a 10% pause in between breathes. No holding your breath – a pause is truly a short pause.
  • You will need 20 minutes total of this breathing to get the benefits of decreased pain, tension, and improved relaxation.  However take a small break every 5 minutes.

What will you notice afterwards?  The research has found:

  1. Decreased feelings of tension, anger, and depression afterwards and a more general reduction of stress levels. Several studies have demonstrated a reduction of negative feelings due to breathing exercises both in patients with chronic pain and healthy controls

2.The most striking findings (and why I wanted to discuss this) is significant increase of pain thresholds in our subjects only after the deep breathing protocols (they subjects were less sensitive to pain stimuli).

  1. Breathing decisively influences “autonomic and pain processing”. The studies found that deep breathing can modulate the sympathetic arousal and pain perception. It seems to point to the ability of deep breathing to have an inhibitory affect on pain processing.

I will walk you through how to do this.

  1. Start on your back with your legs bent (or whatever position is the most comfortable for you).
  2. Make sure it is a quiet environment or turn on white noise
  3. Start with your hand on your belly. As you breathe in through your nose feel your hand rise on your belly – keep your neck, shoulders, and head relaxed. (only 30% of a cycle should be here – about 2.5 seconds). Don’t let your ribs flare excessively. When you inhale the belly should do most of your rising NOT your chest.
  4. Exhale through the mouth. Think of bringing your lower ribs down and in and keep the exhale going longer than you think (about 5 seconds). Exhale longer than you think… 5 full seconds. Slight pause at end.
  5. Go into inhale again. You shouldn’t feel stressed/strained/or like you are holding your breath – but it will feel like the exhale is considerably longer than usual.

*The long exhale actually lengthens the diaphragm and for many people this will help with chronic low back pain. The diaphragm influences back pain more than people realize.  If you have trouble with low back pain and find this breathing difficult you would benefit from physical therapy to solve this issue.

Please commit to deep breathing daily for your stress and tension and see how it influences your pain.  In fact, I honestly believe this is why so many neurosurgeons recommend Yoga as the miracle cure for back pain.

If you have not attended our Yoga class you can mention this article and attend a session for free. This class size is limited to 8 people so we can provide a more feedback on your positions and posture. We modify the poses for arthritis and osteoporosis as most of our clients have these conditions. You will learn deep breathing in Yoga while improving your posture and mobility.

We are located at 1445 Galaxy Dr. Suite 301 in Lacey.  You can call us at 360.456.1444 or email [email protected] for more information. Visit the Penrose & Associates Physical Therapy website to learn more about us and find more free pain tips reports on back pain, knee pain and so much more!

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Meditation

When suffering from anxiety, there could be times when you might have several thoughts crossing your mind at one point of time and hence, it becomes important to calm down your mind. Meditation can help to relax the muscles and also provide relief during such stressful situations.

Photo : iStock

New Delhi: It is true that meditation can help you relax and get you to take control of a situation. You might have seen a lot of people practising this in the morning which helps them to focus. When you worry excessively, it leads to stress and stress, in the long run, might cause other health conditions. It could cause anxiety and depression if not controlled.

It is therefore important that you stay relaxed and meditation can help in these situations. When you would want to exercise, sit in a comfortable position, ideally would be on the floor and start to breathe slowly. Inhale slowly and then exhale slowly. Focus on your breathing and keep aside all those thoughts that have been bothering you. This helps you to relax and keep your thoughts under control. However, meditation is more than that; here take a look at how meditation is beneficial for anxiety and stress.

Meditation for relaxation: When suffering from anxiety, there could be times when you might have several thoughts crossing your mind at one point of time and hence, it becomes important to calm down your mind. Meditation can help to relax the muscles and also provide relief during such stressful situations.

Meditation for insomnia: Insomnia could be a result of anxiety and stress. When the mind is not relaxed, it could cause sleeplessness and insomnia. Meditation helps to calm down the mind which eventually helps you to sleep.

Meditation for awareness: When you are aware of your surroundings, it is less likely to create stress on your mind and thus, help to keep anxiety away. Meditation helps to create a more aware mind that will keep stress and anxiety at bay.

Disclaimer: Tips and suggestions mentioned in the article are for general information purposes only and should not be construed as professional medical advice. Always consult your doctor or a dietician before starting any fitness programme or making any changes to your diet.

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LITTLETON, Colo., June 29, 2022 (GLOBE NEWSWIRE) -- Vivos Therapeutics, Inc. (NASDAQ: VVOS) (“Vivos” or “the Company”), a revenue-stage medical technology company focused on developing innovative treatments for patients suffering from dentofacial abnormalities and/or mild to moderate obstructive sleep apnea (OSA) and snoring in adults, today announced it has entered into an exclusive distribution agreement with GM Instruments, Ltd. for the distribution of GM Instruments’ NR6 Rhinomanometer, the only FDA approved 4-phase rhinomanometer available in the U.S. used to calculate nasal airway resistance by measuring nasal flow and the pressure producing that flow.

Under this new agreement, effectively immediately, Vivos becomes the exclusive U.S. and Canadian distributor of this specialized diagnostic equipment for evaluating nasal breathing and function in dental patients with sleep and breathing issues. The objective measurement of nasal breathing can be an essential data point in determining the appropriate breathing and sleep issue treatment pathway as well as a predictor of potential Continuous Positive Airway Pressure (CPAP) intolerance or other treatment failure.

“With this new agreement, every U.S. or Canadian dentist who wishes to evaluate the breathing function of a patient will need to engage with Vivos for this diagnostic equipment. We expect this will provide Vivos an immediate new revenue stream as well as a substantial competitive advantage and opportunity to present Vivos’ proprietary oral appliance technology to a wider audience,” said Vivos Chairman and CEO, Kirk Huntsman.      

Based in the United Kingdom, GM Instruments is a global manufacturer and distributor of diagnostic technology for assessing nasal and respiratory flow and function. The GM Instruments’ NR6 Rhinomanometer offers a quick non-invasive test to measure the function of the nose during active breathing. These test results are being used by Vivos-trained dentists and others to measure outcomes of improvement for pre- mid- and post-treatment of patients undergoing a variety of treatment modalities. Additionally, GM Instruments products are planned for use as part of research protocols to improve and support the outcomes of Vivos products and methods for OSA diagnosis and treatment.

The NR6 Rhinomanometer is used across the world in specialties that address nasal obstruction and nasal flow limitations. Recent studies show the impact of nasal resistance on the distribution of apneas and hypopneas in OSA. Such studies have also highlighted the use of Rhinomanometry in patient selection for probable success or failure with CPAP and oral appliance therapy. The research findings emphasize the importance of measuring nasal flow and transnasal pressure in reducing disease and improving breathing.

Dr. Martha Cortes, a Vivos-trained dentist in New York City who has used Vivos technology to treat over 1,600 patients in her Manhattan practice, emphasized the importance of having NR6 rhinomanometry available to her patients, stating, “For the first time, I have a dynamic and objective measurement that I can take multiple times throughout treatment to measure and demonstrate the impact that Vivos therapy may have on the nasal cavity which could affect the upper airway. As I frequently remind my patients and colleagues, it is only an opinion without data.”

“Many medical problems such as OSA, overall lung function, and even spinal and posture issues are related to nasal resistance and poor breathing, and our breathing is disrupted before our sleep is disrupted. With this strong collaboration with Vivos, we believe we have the opportunity to change the standard of care for OSA to improve patient outcomes and manage their health with better testing and assessments,” said Dr. Karen Parker Davidson, RN, Vice President of Sales for GM-Instruments, North America.     

The clinical evaluation of breathing flow and function has recently taken center stage in the treatment of sleep apnea as research continues to forge links between breathing and sleep. With this exclusive distribution agreement for the NR6 Rhinomanometer, which is utilized by dentists worldwide, Vivos solidifies its leadership role as the first company in the global effort to identify and address sleep and breathing issues through the collaborative efforts of dental and medical professionals.     

About GM Instruments, Ltd.

Based in the United Kingdom, with sales in North America and global distribution partners, the company was founded in 1992 by Eric Greig and has been at the forefront of the development of new and innovative products for the nasal measurement, audiometry, and respiratory flow markets.

About Vivos Therapeutics, Inc. 

Vivos Therapeutics Inc. (NASDAQ: VVOS) is a medical technology company focused on developing and commercializing innovative diagnostic and treatment methods for patients suffering from breathing and sleep issues arising from certain dentofacial abnormalities such as mild to moderate obstructive sleep apnea (OSA) and snoring in adults. Our Vivos Method represents the first clinically effective non-surgical, non-invasive, non-pharmaceutical and cost-effective solution and has proven effective in approximately 27,000 patients treated worldwide by more than 1,500 trained dentists. 

The Vivos Method includes the Vivos Complete Airway Repositioning and/or Expansion (CARE) appliance therapy and associated protocols that alter the size, shape and position of the tissues that comprise a patient’s upper airway. The Vivos Method opens airway space and may significantly reduce symptoms and conditions associated with mild to moderate OSA, such as lowering Apnea Hypopnea Index scores. Vivos also markets and distributes SleepImage diagnostic technology under its VivoScore program for Home Sleep Testing in adults and children as well as GM Instruments’ NR6 Rhinomanometer, the only FDA approved 4-phase rhinomanometer available in the U.S. The Vivos Integrated Practice (VIP) program offers dentists training and other value-added services in connection with using The Vivos Method. 

For more information, visit www.vivos.com

Cautionary Note Regarding Forward-Looking Statements

This press release and statements of the Company’s management and commercial partners made in connection therewith contain “forward-looking statements” (as defined in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended) concerning future events, particularly with respect to the public offering described herein. Words such as “aim”, “may”, “could”, “expects”, “projects,” “intends”, “plans”, “believes”, “predicts”, “anticipates”, “hopes”, “estimates” and variations of such words and similar expressions are intended to identify forward-looking statements. These statements involve known and unknown risks and are based upon several assumptions and estimates, which are inherently subject to significant uncertainties and contingencies, many of which are beyond Vivos’ control. Actual results (including, without limitation, the anticipated benefits of the Company’s new distribution agreement described herein) may differ materially from those expressed or implied by such forward-looking statements. Factors that could cause actual results to differ materially include, but are not limited to, the risk factors described in Vivos’ filings with the Securities and Exchange Commission (“SEC”). Vivos’ filings can be obtained free of charge on the SEC’s website at www.sec.gov. Except to the extent required by law, Vivos expressly disclaims any obligations or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in Vivos’ expectations with respect thereto or any change in events, conditions, or circumstances on which any statement is based.

Vivos Investor Relations Contact:Julie GannonInvestor Relations Officer720-442-8113[email protected]

Vivos Media Relations Contact:Jenny Robles / Francesca DeMauroKCSA Strategic Communications212-896-1231 / 917-880-9771 [email protected] / [email protected]

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Source: Vivos Therapeutics, Inc



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Home working has never been so popular, but handling your business from the house isn’t as simple as rolling out of bed and opening your laptop.

Being a successful home worker involves striking a difficult balance between your employment and the rest of your life. If you don’t get that balance right, you’re more likely to encounter mental health issues, burnout and a loss of productivity.

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A FATHER has accepted a six-figure settlement after doctors missed blood clots on his lung, meaning they were left undiagnosed for one year.

The unnamed man, in his 30s, underwent a scan at Nevill Hall Hospital in Abergavenny in January 2016, which showed he had blood clots on his lung - but this was not spotted by a consultant radiologist.

It was only when he returned to hospital 13 months later that he learned of the blood clots.

He was told that – without emergency surgery – he could have as little as three years to live and would leave behind his two-year-old daughter and his wife.

Following surgery and trialling a new medication his health has improved, and he has now been told he is likely to live into his 70s.

But he has significantly reduced breathing capacity, which has forced him to quit his career as a carpenter, and limited his ability to do chores, exercise, and play with his children.

A spokesman for Aneurin Bevan University Health Board said:

“It is not our policy to comment on individual cases, but our best wishes go to him.”

Timeline of events:

  • The man suffered from pneumonia in 2015 – scarring was found on his lungs and believed to have been caused by a previous infection;
  • In January 2016 he underwent a CT scan at Nevill Hall Hospital which showed blood clots on his lung – but this was incorrectly reported as showing “no significant abnormality” by a consultant radiologist;
  • Another CT scan – in July 2016 – concluded there was “no significant change”;
  • Six months later his GP referred him back to hospital and – in February 2017 – he was told there were blood clots on his lungs which were on previous scans.

“We’ve had some very difficult and worrying years,” he said.

“For someone who is still relatively young – with two young daughters – not being able to do the things I should be able to do with them because a mistake was made is hard to accept."

He added that he can only run for a couple of minutes before needing to sit and rest, with his daughters asking why he stops playing.

His wife does most of the housework and childcare, which used to be divided equally.

The couple "struggled with bills" when he was forced to quit his job, with the pair getting into debt, but he now works a less physically demanding job.

“I’m limited in all I do now and I have to try and come to terms with that,” he said.

“I have tried to make the best of it but life has totally changed for me, because I can’t enjoy the things I used to enjoy.

"I’m also aware of the strain it has put on my wife, who has her own demanding job.

“I find it hard to accept. This could have been avoided to some extent with earlier treatment. I would be a different husband and father."

He has now accepted a six-figure damages settlement after Helena Wood, of medical negligence specialists Hudgell Solicitors, led a compensation claim on his behalf against Aneurin Bevan University Health Board alleging a breach of duty of care.

Representatives for the health board accepted liability for the delayed diagnosis but initially offered a £10,000 settlement. The eventual settlement was more than 10 times this.

Ms Wood said:

“This was a very costly, basic error and one we see far too many examples of at hospitals across the UK.

“The failure to properly review scans can result in significant suffering and harm for patients.

“In this case the negligence caused a one-year delay in treatment, and a permanently increased respiratory disability.

“The impact of that delay was significant and it must have been terrifying for him to be told that without surgery he had as little as three more years to live.”

She added that she hopes the case leads to reviews into the process of reviewing CT scans and that the damages give the family a “more comfortable life moving forward.”



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As well as a range of health-tracking features, Withings’s ScanWatch helps you practice your breathing technique and this in turn can help both your mental and your physical health. The ScanWatch achieves this via its breathe mode which guides you to focus on your breathing from one to five minutes, allowing you to focus, relax, and take care of your mind and body.

Here at Women Love Tech, we reviewed the ScanWatch and we found the breathe mode is an easy way to bring short breathing exercises into your daily life. Once these exercises become a part of your routine, you can track the information and use it so you can focus and relax on a daily basis which brings a wide range of benefits for your mental and physical welbeing.

Withings ScanWatch
The Withings ScanWatch can track your exercise, sleep, heart rate, oxygen saturation and your breathing.

To start these breathing exercises, you just choose the number of breaths you want to take per minute – according to your breathing capacity. Then you observe your heart rate results at the end of the session so you can understand which breathing rate helps you relax the most.

Once you know what relaxes you the most, you can use these exercises as a form of relaxation. The more breaths you take during this exercise, the shorter your breaths will be. Conversely, the fewer breaths you need to take during the exercise, the longer your breaths will be.

How the breathing exercises can benefit your health

With the ScanWatch Breathe mode, you can learn to control your breathing. Doctors often recommend 6 breaths per minute, for 5 minutes, 3 times a day. Practicing this method is called cardiac coherence.

Using the ScanWatch, I practised this and I found I was able to improve and reach these sorts of numbers. It was a calming thing to do and it felt good to take time out to focus on my breathing.

Because the ScanWatch can also track your heart rate – in fact it’s the first smartwatch which can give you a medical-grade ECG, your heart rate and an oximeter through SP02 – you can use it to monitor your heart rate. This means you can check whether your breathing exercises are slowing your heart rate down slightly. This way you can tell if you’re achieving what you’re aiming to with the breathing exercises. If you have any heart issues, it would be wise to include your doctor in what you’re doing and get their advice.

The ScanWatch has a range of other health features

When I used the ScanWatch, it does strike you as pretty amazing that one watch is able to supply you with all of these health-tracking features. Developed by cardiologists and sleep experts, ScanWatch is the world’s first clinically validated hybrid smartwatch to be able to detect atrial fibrillation (AFib), overnight breathing disturbances and to measure oxygen saturation.

In fact, the ScanWatch is the most medically advanced wearable to date and it’s been used in at least four major health studies as a tool (these studies are listed towards the end of this story).

Because the ScanWatch has these high-end features – plus an associated app – it’s a device which can help you reach a range of health goals.

Heart health is well-monitored with the ScanWatch

The ScanWatch monitors your heart in a number of ways. It records your heart rate periodically and sends a notification when an irregular heartbeat is detected. If you get one of these notifications, you can then use the ScanWatch to record a medical-grade electrocardiogram.

In 30 seconds, an ECG reading is ready, complete with a diagnosis of your sinus rhythm. This report can be shared with a doctor via the Health Mate app.

Withings ScanWatch

A summary of the ScanWatch’s best features

The key features of the ScanWatch include: electrocardiogram with aFib detection; breathing disturbances via SpO2; heart rate; atrial fibrillation: low and high heart rate; notifications; activity tracking for 30 activities: calories burnt; sleep cycles – light, deep and REM; and connected GPS.

As well, it has a long battery life of up to 30 days. We found we got around 20 days but this is still fairly good and it beats the Apple Watch Serie 7 battery which lasts up to 18 hours and the Fitbit Charge 5 which lasts up to seven days.

Withings ScanWatch

The watch has you covered when you’re exercising with its workout mode able to track up to 30 activities with a push of a button – from skiing, to running, to yoga – so it’s easy to access your distance, pace and elevation post-workout.

Withings ScanWatch

Here’s a quick round up of the studies the ScanWatch is being used in:

Ludwig Maximilien University of Munich: To help identify complications, LMU is using ScanWatch in a study consisting of COVID-19 patients who are being remotely monitored from home with continuous measurements of ECG, heart rate, and oxygen saturation.

Centre Cardiologique du Nord, Paris area: A second study was conducted to validate ScanWatch ECG measurements and AFib detection PPG against the gold standard 12 lead ECG read and interpreted by cardiologists.

Hopital Georges Pompidou, AP-HP Paris: A study was conducted to validate ScanWatch ECG measurements and AFib detection PPG against the gold standard 12 lead ECG read and interpreted by cardiologists.

UCSF Hypoxia Research Laboratory, San Francisco: Pulse oximetry measurements from ScanWatch have been evaluated and validated on a group of hypoxia patients, against the gold standard which involved blood oxygen samples analysis.

About Withings: Withings is a French brand with a whole range of connected health products – from smart watches to sleep trackers and smart scales. For more information on the Withings ScanWatch, visit here.

For more information from Women Love Tech on smart watches, visit here.

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Aside from eating the right food, leading a healthy lifestyle, and working out, good breathing is essential in achieving good health. However, many people spend their entire lives coping with stress, anxiety, depression, and other related health conditions simply because they don’t know how to breathe correctly.  

How Do You Breathe?  

For most people, breathing is just an automatic function that keeps humans alive, which is true because if you stop breathing, how can you be alive, right?  

Breathing is a steady flow that brings the needed oxygen into the body and expels carbon dioxide. However, unlike digestion or beating of the heart, breathing is a function humans can consciously control.  

Do you remember taking deep breaths while experiencing panic attacks? Or being out of breath after climbing several flights of steps and taking a few slow and deep breaths until your breathing normalized? 
These instances prove that you can do something about your breathing to cope with whatever you are experiencing.  This means that you can also control it for a healthier body. Focusing on breathing will result in more beneficial mental and emotional states while helping manage depression, stress, anxiety, and other emotions.  

Most people take breathing for granted (maybe because the body does that naturally). You use your breath in many ways: you breathe deeply when you are laughing aloud, you hyperventilate when you feel panic or fear, and you grasp when you cry.  

However, many people live day-to-day with shallow and unconscious breaths – which is not a good recipe for good health. Unfortunately, many people do not realize that they are not breathing right. Some doctors say that the breathing pattern of many people indicates stress and anxiety most of the time.  
When you breathe this way, you are sending a message to your nervous system that you are indeed stressed, so it becomes a cycle.  

To live a happier, calmer life. Focusing on your breathing is an important factor in the practice yoga, meditation, or mindfulness therapy. 

If You’re Always Worried or Anxious

Anxiety, if left untreated, can lead to more serious medical conditions, like heart problems. Any variation of breathing exercises can help aid in the treatment of anxiety. However, there is one breathing technique that may help soothe not just your muscles and your body, but also your brainwaves.  
Lie down in a comfortable position, with your back straight on the mat (or bed). 

Now begin to bend both of your knees towards your upper body. When your knees are almost near your chin, hug your legs gently, then relax both your feet, and ankles. Gently soften your stance and release your shoulders on the floor. Your back should stay relaxed. Then slowly lower your chin to lengthen the back of your neck. Keep your eyes closed.  

While you’re hugging your legs, focus on your breathing. Feel the slow rise and fall of your body as you gently inhale and exhale deeply. While you’re inhaling, allow your stomach and ribs to rise towards the direction of the thighs, before sinking back down as you exhale. Hold this position for a few seconds.  

Now, gently roll your body slightly to your right, and then to your left. You are using the floor to gently massage your back. Don’t force your movements, keep your motions as relaxed, soft, and rhythmic as possible.  

Next, start to coordinate the rhythm of your rocking motion with your breathing. When you inhale, slowly roll to your right; and when you exhale, roll your body back to the center. Inhale, and now slowly roll your body to your left, then exhale as you go back to starting position. 
 
Continue with these rolling and rocking movements for 5 to 10 minutes, or until you feel your body and mind are starting to calm down. Be aware of your breathing and don’t force your movements.  

If You Want to Get Rid of Any Negative Emotion  

When your thoughts are full of negativity, it affects how your attitude and behavior will go. However, it is quite difficult to maintain your positivity 24 hours a day, 7 days a week, as there will always be distractions, situations, and experiences that initiate negative thinking. 

Initially, it will be hard to replace negative thoughts (and emotions) with positive ones, but it is possible.  
Negative thoughts can only consume you when you begin to believe them. The key is finding a balance between positive and negative emotions.  

This powerful technique called the Qigong practice will help release any negativity in your life and welcome more positivity.   
             
1. Stand with your feet firmly planted on the floor, a little wider than hip-width distance. Position your legs parallel to your feet, with your toes pointing forward. Keep your abdomen relaxed. Place your arms by your sides.  

2. When you inhale, breathe through the length of your spine, then release down your arms and shoulders, as both your palms are turned up. Then, take several steady breaths.  

3. When you inhale next, gently raise your arms, and gather all the negative thoughts, emotions, feelings, and beliefs that you have long been holding back.  

4. On your next exhalation, turn your palms down, while lowering your arms in front, and gently bending your knees. As you do this, release all the negative feelings you gathered.  

5. Make two repetitions more.  

6. Now, inhale and gently raise your arms and gather all the positive emotions, feelings, and beliefs that you can find.  

7. Exhale and gently lower your arms, and let those positivity flow into your whole being. Feel the sensation deep into your inner core. 
 
8. Repeat the above, three more times.

9. End by breathing and standing still for a few seconds.  

Tension build-up is inevitable, especially if you have a lot of things on your mind – keeping the household, excelling in a career, nurturing relationships, or juggling work and school. But through all these, all you can do is breathe your way out of negativity and you’ll be living a happy and stress-free life.  



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Pulmonary rehabilitation refers to a medical program that aims to help people with lung conditions breathe better and maintain a higher quality of life. There are many benefits to enrolling in these programs.

Chronic obstructive pulmonary disease (COPD) is a group of long-term conditions that cause airflow blockages and breathing problems. It affects 16 million people in the United States.

A person with COPD can get many benefits from participating in a pulmonary rehabilitation program. These include building strength, reducing anxiety or depression symptoms, and making daily tasks easier.

Other components of these programs include education and counseling. A participant can learn how to cope better with their condition and feel their best.

Keep reading to learn more about pulmonary rehabilitation programs, including their various components, the enrollment process, and how they can help individuals with COPD.

Pulmonary rehabilitation is a comprehensive outpatient program of exercise and education for people with COPD. It involves training people on the following aspects: exercise, breathing techniques, education, and counseling.

It consists of two to three weekly sessions that continue for several weeks or months. The program provides the tools and knowledge that people living with lung diseases need to manage their symptoms and improve their quality of life.

A rehabilitation team administers the program. Its members include:

  • doctors
  • nurses
  • respiratory therapists
  • physical therapists
  • dietitians
  • exercise specialists

The team works together to customize the program to a person’s particular needs.

Although the program has the potential to offer several benefits, some aspects of the training may come with a few risks. However, a healthcare professional supervises the exercise sessions, which means that if a participant does encounter a serious problem, they can receive treatment immediately.

Pulmonary rehabilitation involves several components:

Exercise training

The goal of exercise training is to strengthen the muscles that play a role in breathing and other muscles in the body, such as those in the arms, legs, and back. Exercise also increases flexibility and endurance, which can make it easier to perform everyday tasks.

When engaging in physical activity, a person may need to adjust their oxygen therapy and use medications that open the airways. Additionally, before a healthcare team designs a customized program, it may be necessary for an individual to undergo the following tests:

  • Stress test: This test measures heart rate, oxygen, and blood pressure during exercise.
  • 6-minute walk test: Healthcare professionals use this test to determine how far someone can walk in a short time.
  • Breathing tests: These tests evaluate lung function.

Breathing training

Breathing training may involve teaching people how to use the following techniques:

These techniques may help a person control their breathing and avoid feeling out of breath, particularly when they are experiencing stress or engaging in physical activity.

People may also find that these techniques help clear mucus from the lungs.

Nutritional counseling

Nutritional counseling involves teaching people what foods to eat and how to prepare them. It helps ensure that a person gets enough essential nutrients in their diet.

For some individuals, a dietitian may also advise taking certain dietary supplements, sticking to a weight loss plan, or taking certain medications to meet the goals of the program.

Psychological counseling

As people with long-term lung conditions may experience depression, anxiety, or other emotional problems, pulmonary rehabilitation provides psychological counseling.

This may also include stress management training.

Education

The delivery of the educational aspect of the program may take place in individual or group sessions. Healthcare professionals offer guidance on various topics relating to the relevant lung condition and answer participants’ questions.

Through the program, people may learn how the lungs work and develop a better understanding of:

  • taking medications for lung conditions
  • quitting smoking
  • recognizing and managing a flare-up
  • performing everyday tasks in a way that conserves energy
  • avoiding lifting, reaching, and bending

According to the COPD Foundation, pulmonary rehab can benefit people with lung conditions by:

  • increasing exercise capacity
  • decreasing breathlessness and shortness of breath
  • reducing depression and anxiety
  • boosting stamina and energy levels
  • enhancing feelings of well-being
  • improving the ability to do everyday tasks
  • increasing the ability to manage the lung condition
  • promoting active communication with healthcare teams
  • allowing people with similar concerns to connect and share ideas

Research indicates that the program is effective and provides several benefits.

Impact on survival rates

A 2020 study looked into the effects of pulmonary rehabilitation following hospitalization for COPD. The researchers compared the effects of enrollment in a program with those of no enrollment. They looked at enrollment within 3 months of hospital discharge and at a later stage.

Although enrollment within 3 months was rare, it was associated with significantly higher 1-year survival rates than enrollment after 3 months or no enrollment.

However, the study had several limitations. For instance, the participants who started a pulmonary rehab program within 3 months were younger and less frail than those in the other groups.

Beneficial for people with COPD

An older 2013 review looked at research that explored the value of pulmonary rehabilitation for COPD. The authors report that pulmonary rehabilitation can have the following benefits:

  • reducing breathlessness
  • improving endurance and strength
  • enhancing psychological health
  • decreasing the rate of hospital admissions
  • increasing the ability to perform everyday activities
  • improving a person’s quality of life

Yes, although people attend the sessions in a hospital or clinic, they can do some exercises of the program at home.

Research from 2015 evaluated the effectiveness of the exercise component of home-based pulmonary rehabilitation. A total of 29 individuals participated in an exercise program while a control group of 15 people did not exercise. The intervention involved sessions 5 days per week for a total of 24 sessions. The researchers concluded that home-based pulmonary rehabilitation improved exercise tolerance, decreased shortness of breath, and enhanced quality of life.

Below is information on enrollment costs and finding a program:

Cost

The cost depends on the program, its location in the country, and insurance coverage. A person can ask their insurance provider if, and to what extent, it offers coverage.

Also, if a person with COPD meets certain criteria, Medicare covers the program.

The coordinator of the program can provide information on what cost to expect.

Finding a program

People interested in enrolling themselves should start by contacting a doctor, who can give them a referral.

Health agencies are another resource for help with locating a program. People can contact the American Lung Association Lung HelpLine at 800-LUNGUSA (800-586-4872).

Alternatively, they can reach the American Association of Cardiovascular and Pulmonary Rehabilitation by dialing 312-321-5146.

If a pulmonary rehabilitation program is not available in a person’s area, they can still benefit from an exercise routine. Before starting, they should ask a doctor to suggest one that is appropriate for them. One of the most important exercises for a person with a lung condition is walking, but a doctor can make specific recommendations regarding the duration and frequency.

Pulmonary rehabilitation is a program that offers exercise training, breathing training, education, and counseling. It provides multiple benefits for people with COPD, including increased exercise capacity, the ability to perform everyday activities, and a reduction in breathlessness and negative emotions.

If a program is unavailable in a person’s area, they can still benefit from participating in a home exercise routine. However, it is best to talk with a doctor before starting.

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The mother of a Los Angeles Police Department officer is planning to sue the city after she said in a complaint filed against the city of Los Angeles on Friday, June 25 that her son died after sustaining injuries during a training exercise meant to “simulate a mob.” 

Houston Tipping, who was 32 at the time and an LAPD officer of about five years, was participating in a training exercise on May 26, during which his colleagues beat and left him a quadriplegic, Shirley Huffman, the mother of Tipping alleged in the claim. Three days later, Tipping was taken off life support after having trouble breathing on his own.

“He was supposed to be in training, but he was brutally injured instead,” Bradley Gage, the lawyer representing Huffman, said in a statement provided to Insider. “He went from being a healthy young man loving his job, protecting and serving all of us, and became a quadriplegic who could not even [breathe] on his own.”

Gage said that Tipping was the victim of “intentional acts” in the training.

“Specifically, Officer Tipping was the victim of intentional acts during a ‘training exercise’ to simulate a mob,” according to the claim. “The funeral took place on June 22, 2022, and was attended by Mayor Eric Garcetti and others. Chief Moore stated that Officer Tipping impressed his peers with a ‘willingness to go the extra mile to make the world a better place.'”

“Yet, that wasn’t enough to avoid other officers paralyzing him and eventually killing him in violation of law, and his civil rights,” the claim continues.

Gage told Insider in a phone call that Tipping suffered multiple head injuries, and that during the “mob” training he was supposed to be wearing a padded and armored “redman suit,” meant to protect all areas of the body — including the head.

“There was an injury to the left side of the head, specifically at the left parietal scalp and that had a laceration which required staples or sutures,” Gage said. “Then also on the right side of the scalp, near the ear, there was a scab from a cut with skin pulled out, and that was between the size of between a nickel and a quarter.”

The claim filed by Tipping’s mother via the family’s lawyer accuses the LAPD of wrongful death, assault and battery, and violating her son’s civil rights. The city has 45 days to accept or reject the claim, and after that point, a lawsuit can be filed. 

Gage has also filed a request for information from the city’s coroner.

The LAPD said in a statement posted May 31 that Tipping was a “bike instructor engaged in a training scenario involving grappling with another officer.”

“During the scenario, Officer Tipping fell to the floor and suffered a catastrophic spinal cord injury,” the statement said, adding that the department is investigating the accident. The LAPD told Insider that it would not comment on pending litigation.

The LAPD told Insider they do not comment on pending litigation.

Gage told Insider that he doesn’t expect an internal investigation to yield answers, and he expects the claim filed against the city to be denied.

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Who doesn’t love a smartwatch these days? A smartwatch does more than display time and notifications. It receives calls. Many best smartwatches for men come with a fitness tracker, digital wallet, can click photos, alert you when your heart rate goes up, etc. All this when your phone is not even nearby. This article will walk you through the best smartwatch for men in India.

1.Apple Watch Series 7

The Apple Watch Series 7 is a trendy, stylish, and best smartwatch for men that comes with a retina display and delivers almost 20 per cent more screen area than its predecessors. That makes this smartphone easy to use. It comes with a robust blood oxygen sensor, ECG, heart rate alert, etc. Users can also stream podcasts and music on the go through this smartwatch.

Specifications & features:

  • Brand name - Apple
  • Price - Rs.53,900
  • Weight – 38 grams
  • Size – 1.9 inches Retina display
  • Special features – Email, GPS, sleep monitor, blood oxygen, ECG, step count
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up - 18 hours
Pros Cons
It comes with a heart rate sensor and notification system. Battery life is comparatively short.
Users can stream podcasts and music on the go through this.
It provides a QWERTY keyboard that lets you type on the watch's screen.

2.Samsung Galaxy Watch 4

It is another best smartwatch for men with top-notch features. It runs on Wear OS, which provides device access to host applications. Its UI makes it simple to scroll through menus through the physical rotating bezel.

Specifications & features:

  • Brand name - Samsung
  • Price - Rs. 21,900
  • Weight – 30.3 grams
  • Size – 1.4 inches
  • Special features – Activity tracker, blood oxygen, fitness tracker, heart rate tracking, sleep analysis, step count
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up - 18 hours
Pros Cons
Build quality is solid. The display is flat with sharp edges and corners.
The display quality is outstanding. Battery charging is slow.
This smartwatch is an all-rounder fitness tracker.

3.Garmin Instinct

Garmin is another well-known smartwatch manufacturer, and its Garmin Instinct is the best smartwatch for men with multi-functional activity tracking facilities. Its button control, touchscreen, stylish look, and myriad colour variation make it an excellent choice for men.

Specifications & features:

  • Brand name - Garmin
  • Price - Rs. 21,990
  • Weight – 49.9 grams
  • Size – 1.27 inches
  • Special features – Activity tracker, military standard thermal shock, GPS, blood oxygen, fitness tracker, heart rate tracking, sleep analysis, step count.
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up - 40 hours
Pros Cons
The display comes with sunlight visibility. The display is monochrome.
It provides detailed information for workouts.
It comes with all the preliminary activity tracking options.

4.Fitbit Sense

This beautifully designed smartwatch takes a cue from the company's Versa lineup that runs on Fitbit OS 5.1. It is another best smartwatch for men that leverages the potential for stress sensor, SpO2 sensor, ECG monitoring, skin temperature sensor, and built-in GPS.

Specifications & features:

  • Brand name - Fitbit
  • Price - Rs.21,350
  • Weight – 30 grams
  • Size – 1.58 inches
  • Special features – Activity tracker, GPS, oxygen monitoring, heart rate tracking, body response, skin temperature, sleep monitoring, step count
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up - 12 hours
Pros Cons
It is highly water-resistant. Battery life is comparatively short.
It comes with a high-quality microphone.
It has an easy-to-use interface.

5.Fossil Gen 6 Smartwatch

It is a round wearable smartwatch by Fossil that runs on WearOS and comes with different colour shades. It is another best smartwatch for men with a swim-proof design and leverages Google Assistant for responses.

Specifications & features:

  • Brand name - Fossil
  • Price - Rs.24,995
  • Weight – 140 grams
  • Size – 1.28 inches
  • Special features – Activity tracker, GPS, oxygen monitoring, heart rate tracking, body response, skin temperature, sleep monitoring, step count, etc.
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up – 1-day
Pros Cons
It comes with a stylish round AMOLED screen. It is not a good fit for swim workouts.
It also provides heart rate & activity tracking.
It has a fast-charging speed as compared to its predecessors.

6.Amazfit T-Rex Pro Smartwatch

It is another best smartwatch for men at an affordable price point. This rugged smart wearable sports watch runs on Watch OS 4.0 and can be your exploration partner. It comes with a 1.3 inches HD AMOLED colour screen display. Amazfit T-Rex Pro is a water-resistant smartwatch & can provide a battery life of up to 18 days.

Specifications & features:

  • Brand name - Amazfit
  • Price - Rs12,999
  • Weight – 60 grams
  • Size – 1.3 inches
  • Special features – Oxygen monitoring, heart rate monitoring, sleep monitoring, global navigation satellite systems, body response, etc.
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up – 9 to 18 days
Pros Cons
It also provides heart rate & activity tracking. The watch size or dial-screen might seem huge for some users.
It comes with a stylish round HD AMOLED screen.
It is water-resistant & provides a long-lasting battery life.

7.Cross beats Orbit Infiniti AMOLED Smart watch

It is another AMOLED smartwatch with a 3D curved display with a stunning round-shaped look. It can also store 1500+ songs within it. It is one of the best smartwatches for men who want to use it for fitness and health tracking.

Specifications & features:

  • Brand name - Crossbeats
  • Price - Rs.6,999
  • Weight – 40 grams
  • Size – 1.39 inches
  • Special features – Breath monitoring, heart rate monitoring, oxygen monitoring, sleep monitoring, weather information displaying, blood pressure, etc.
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up – 7 days
Pros Cons
It provides excellent camera control with an easy-to-use interface. The watch does not support GPS.
It comes with the best notification alert feature.
It also supports a voice assistant and voice recording feature.

8.Amazfit GTR 2e SmartWatch with Curved Design

It is another excellent HD AMOLED with an always-on display smartwatch. This 50 m in-depth water-resistant smartwatch comes with 50+ watch faces. You can monitor various body activities, including stress. It also leverages the power of the Alexa voice assistant, where users can raise their hands and tell Alexa what they need.

Specifications & features:

  • Brand name - Amazfit
  • Price - Rs. 7,999
  • Weight – 48 grams
  • Size – 1.39 inches
  • Special features – Body stress monitoring, heart rate monitoring, oxygen monitoring, Alexa assisted, etc.
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up – 1-day
Pros Cons
It delivers 90+ sports models. The material quality of the straps is cheap.
This wearable sports watch runs on Watch OS 5.0.
It also supports Alexa voice assistant.
The watch supports GPS.

9.Fastrack Reflex Unisex Smartwatch

It is one of the best smartwatches for men with a huge display at an affordable price. This smartwatch with a long-lasting battery also comes with 100+ unique watch faces. It also leverages the power of the built-in Alexa voice assistant.

Specifications & features:

  • Brand name - Fastrack
  • Price - 4,995
  • Weight – 90 grams
  • Size – 1.69 inches
  • Special features – heart rate monitoring, blood oxygen monitoring, built-in Alexa assisted, etc.
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up – 8 to 10 days
Pros Cons
It comes with interchangeable straps to fit your style and mood. N/A
It delivers 100+ unique watch faces.
It also supports Alexa voice assistant.

10.HONOR Magic Watch

It is one of the best smartwatches for men that has a large AMOLED display and caters to 100+ workout modes. It also provides various fitness tracking systems such as sleep monitoring, light sleep, deep sleep, heart rate monitoring, breathing quality, rapid eye movement (REM), stress monitoring, etc.

Specifications & features:

  • Brand name - HONOR
  • Price - Rs. 10,999
  • Weight – 90 g
  • Size – 1.39 inches
  • Special features – breathing quality, rapid eye movement (REM), stress monitoring, etc.
  • Warranty - 1-year warranty (manufacturing defects only)
  • Battery back up –14 days
Pros Cons
It has a long-lasting battery backup. The material quality of the straps is cheap.
It delivers 100+ workout modes.

Best 3 features for consumers

Apple Watch Series 7

  • Comes with a heart rate sensor and notification system.
  • Stream podcasts and music on the go.
  • Its QWERTY keyboard lets you type on the screen.

Samsung Galaxy Watch 4

  • Build quality is solid.
  • The display quality is outstanding.
  • All-rounder fitness tracker.

Garmin Instinct

  • The display comes with sunlight visibility.
  • Detailed information for workouts.
  • Preliminary activity tracking options.

Fitbit Sense

  • Highly water-resistant.
  • High-quality microphone.
  • Easy-to-use interface.

Fossil Gen 6 Men's Smartwatch with AMOLED Screen

  • The stylish round AMOLED screen
  • Heart rate & activity tracking.
  • Fast-charging speed.

Amazfit T-Rex Pro Smartwatch Fitness Watch

  • Heart rate & activity tracking
  • Stylish round HD AMOLED screen.
  • Water-resistant & provides a long-lasting battery backup.

Crossbeats Orbit Infiniti AMOLED Smartwatch

  • Excellent camera control with an easy-to-use interface.
  • Best notification alert feature.
  • Voice assistant and voice recording feature.

Amazfit GTR 2e SmartWatch with Curved Design

  • 90+ sports models.
  • Multiple fitness-tracking options.
  • Alexa voice assistant.

Fastrack Reflex Unisex Smartwatch

  • Interchangeable straps to fit your style and mood.
  • 100+ unique watch faces.
  • Alexa voice assistant.

HONOR Magic Watch

  • Long-lasting battery backup.
  • 100+ workout modes.

Best value for money

Crossbeats Orbit Infiniti AMOLED is the best smartwatch for men that gives the best value for money. It has an AMOLED smartwatch with a 3D curved display, good battery backup, stunning & round-shaped look, and is less costly. It also provides excellent camera control with an easy-to-use interface and has the best notification alert feature making it stand out from the rest.

Which is the best (overall)?

Amazfit T-Rex Pro Smartwatch Fitness Watch is the best smartwatch for men (overall) because of its colour-screen display, water-resistant, better battery backup, lightweight, and keeps all significant health and fitness tracking. Also, it delivers 90+ sports models with multiple fitness-tracking options. The best part is that it supports Alexa for voice assistance.

How to find the perfect and best smartwatch for men?

While grabbing the best smartwatch for men, one can browse e-commerce sites like Amazon or Flipkart. One can use these mobile apps to order such smartwatches online. Users can also visit your nearest smartwatch store and distributors for the same.

Conclusion

We hope this article has given a list of the best smartwatches for men and their price, specifications, and stunning features. Choose the one which is the best fit for you!

Price of best smartwatches for men in India at a glance:

Sl. No. Product Name Price (INR)
1 Apple Watch Series 7 53,900
2 Samsung Galaxy Watch 4 21,900
3 Garmin Instinct 21,990
4 Fitbit Sense 21,350
5 Fossil Gen 6 Men's Smartwatch with AMOLED Screen 24,995
6 Amazfit T-Rex Pro Smartwatch Fitness Watch 12,999
7 Crossbeats Orbit Infiniti AMOLED 6,999
8 Amazfit GTR 2e SmartWatch with Curved Design 7,999
9 Fastrack Reflex Unisex Smartwatch 4,995
10 HONOR Magic Watch 10,999

FAQs

1.What is an AMOLED display?

It is a type of OLED display that leverages the concept of a thin filmed display & consumes less power. These screens are built from electroluminescent material.

2.What is WearOS?

WearOS is a version of Google's Android OS meant for smartwatches. This operating system supports various functionalities like Bluetooth, Wi-Fi, NFC, 3G, and LTE connectivity. Smartwatch manufacturing companies & other technology companies like Fossil, Qualcomm, Samsung, Huawei, HTC, Broadcom, Asus, Intel, Imagination Technologies, LG, MediaTek, Motorola, and New Balance, have partnered for OS support.

3.What are the benefits of smartwatches?

Modern smartwatches come with a fitness tracker, digital wallet, heart rate monitor, BP monitor, sleep monitor, photos clicking, storage, stream music and videos, locating your phone, and alerting you when your body system imbalances options.

4.What sensors do smartwatches use?

Smartwatches use sensors like Gyroscope, Magnetometer, Barometric Pressure Sensor, Ambient Temperature Sensor, Heart Rate Monitor, Oximetry Sensor, etc.

5.Can I change the front dial display in these watches?

Yes, most smartwatches come with various unique watch faces you can choose and set up.

At Hindustan Times, we help you stay up-to-date with the latest trends and products. Hindustan Times has an affiliate partnership, so we may get a part of the revenue when you make a purchase.

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Many of us may experience one or two panic attacks in our life. These attacks are usually mild and have no lasting effects. But they occur much more frequently for some people. Panic disorders, or panic attacks, are difficult to treat and emotionally traumatic. They are caused by stressors or directly result from anxiety. Still, they can have severe emotional and physical side effects. Doctors frequently suggest pharmacology and psychological therapy to treat panic attacks. According to recent anecdotal studies, THC Vape from trehouse.com may be a safe and helpful treatment for panic disorders. Learn more about THC and how vaping it can help you prevent panic attacks.

What is THC?

The element in cannabis known as tetrahydrocannabinol, or THC, is what gives the plant its psychoactive and “high-like” properties. THC is what causes the “high” you experience after consuming cannabis.

THC belongs to the class of chemicals known as cannabinoids, which interact with the body’s endocannabinoid system. THC activates neurons that affect pleasure, memory, thinking, coordination, and time perception by binding to cannabinoid receptors in the brain.

According to research and anecdotal evidence, THC may help treat various medical conditions, including panic attacks. And from a recreational perspective, it can feel good, giving some people a feeling of euphoria and relaxation.

What are panic attacks?

Source: pexels.com

When faced with everyday, non-threatening situations, a panic attack results in solid physical reactions and sudden, fleeting feelings of fear. You might experience a heart attack-like sensation. You might sweat profusely, find breathing difficult, and feel your heart racing during a panic attack.

When you worry excessively about having another panic attack or alter your behavior to prevent one, panic disorder may develop. According to the National Health Service, panic attacks are not life-threatening. Still, they are distressing for those who experience them. They can cause physical symptoms and involve intense anxiety levels all of a sudden.

Benefits of THC vape for reducing Panic Attacks

A vape with a low amount of THC helps in giving that euphoric effect that may be ideal for generally induced panic attacks. The compound in it helps in calming and relaxing the nerves in the brain and induces the feeling of ultimate relaxation. Many users recommend THC vapes with low doses since it also helps with improving mood swings, sleeping habits, restlessness, and negative feelings. Here are some of the additional benefits and uses that THC vapes provide for a panic attack:

Aid for anxiety and stress-relieve

Source: pexels.com

Some people with anxiety disorders and other mental illnesses can benefit from cannabis. Medical marijuana alone may be therapeutic for some people. In addition, some people might find it advantageous as an addition to more conventional therapies.

THC vapes are the most contentious of the main cannabinoids when treating anxiety disorders. THC, however, has been successfully used in studies to reduce anxiety. Additionally, THC has anxiolytic properties, which suggests it can help since anxiety is a common trigger for panic attacks. It may, however, also be anxiogenic, causing you to feel more anxious.

THC directly activates the cannabinoid receptors in the body. It can have both effects because it directly affects the endocannabinoid system (ECS). The ECS helps maintain balance, so getting the right dose can assist you; on the other hand, getting the wrong amount could result in an imbalance and anxiety. As a result, it is essential to regulate the dosage of THC used to treat panic attacks and anxiety because no two people respond to it the same way.

THC can help with mood, sleep, relaxation, blocking ruminating and restless thoughts, and even helping people forget terrible experiences when used within your therapeutic range or at the proper dosage for your body.

Boosting sleep quality

Source: pixabay.com

Stage fright and a fear of large or even small audiences can naturally result in panic attacks, which can also disturb sleep and even result in weight loss. However, studies have shown that THC vaping can effectively control and lower the frequency of such incidents.

Evidence suggests that since people learned THC had therapeutic effects, it has been used to treat insomnia. Though drowsiness and sleepiness are known side effects of THC, it effectively assists people who respond well to it to fall asleep, sleep for a more extended period, and enjoy a higher quality of rest and sleep. Therefore, it is unlikely to benefit those who sleep excessively.

Since sleep deprivation can worsen or even cause emotional and psychological issues. By enabling other panic attacks and anxiety symptoms to get a good night’s sleep, getting enough sleep can help you manage them.

Reduces mood swings

Source: mensjournal.com

One of the most noticeable signs of panic attacks is mood swings. Sadly, this has a different effect on everyone because some of us are unsure of how to handle them as they come up. However, due to extensive research on marijuana as a medicine, people who experience panic attacks and anxiety can relax. Regardless of their severity, it has been shown to aid in managing mood swings.

Our bodies contain endocannabinoids, which are crucial to this advantage. They work in tandem with the substances produced by THC vapes to control our moods.

Science indicates that THC binds to additional brain receptors linked to anxiety and hopelessness. For instance, serotonin interacts directly with a brain receptor.

The Key Takeaway

Panic attacks are just one of the many anxiety-related experiences that THC vapes can help with. The next time you consume it, however, you’ll be much more on the relaxing and comforting side of the spectrum than the anxious side. The best way to manage anxiety when using THC is to start with a low dose and then slowly increase the dose until you find the dose. This gives you the high you want without the added effects of panic attacks. Therefore, if you know how to use it practically, that will lessen anxiety rather than exacerbate it.




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Cystic fibrosis is a progressive inherited disorder most often associated with lung damage that limits breathing. It can also affect the pancreas and digestive tract. Most people with this disorder develop lung complications and frequent infections. Over time, this can lead to severe health consequences, like pneumonia, and even death.

This article discusses the link between cystic fibrosis and pneumonia as well as symptoms, causes, diagnosis, and treatment.

Nikodash / Getty Images


What’s the Link Between Cystic Fibrosis and Pneumonia?

Cystic fibrosis is an inherited disorder that affects many organ systems, but its damage to the lungs is the most concerning problem. People develop frequent episodes of pneumonia or bronchitis, which can lead to severe complications and early death. 

The faulty gene causing cystic fibrosis disrupts the movement of salts and water in the body, which leads to a buildup of mucus in places that can damage organ systems. The buildup of thick mucus is most prominent in the lungs, making it difficult for a person to clear bacteria that enter the lungs. Thus, people with cystic fibrosis frequently develop bacterial pneumonia.

Over time, repeated episodes of pneumonia lead to chronic (long-term) lung damage. Additionally, the overuse of antibiotics to treat frequent infections leads to antibiotic resistance. Eventually, the lung damage is so severe and the treatments no longer effective that a person cannot survive.

How Many People Have Cystic Fibrosis?

Cystic fibrosis affects approximately 30,000 people in the United States.

Symptoms of Lung Infections

Cystic fibrosis affects many different organ systems. Often, the initial symptoms of the disease are due to problems in the pancreas and intestines. People with cystic fibrosis cannot digest food because of a lack of digestive enzymes from the pancreas, which leads to malnutrition.

Since cystic fibrosis is an inherited disorder, the symptoms can start when a person is a baby. The initial symptoms of lung disease are nonspecific and include:

Newborns in the United States are screened for cystic fibrosis so the illness can be detected and symptoms treated as early as possible. However, in places without neonatal screening for cystic fibrosis, these nonspecific lung symptoms are initially misdiagnosed as asthma, mild bronchitis, or pneumonia not related to an underlying lung problem.

Which Organs Are Affected by Cystic Fibrosis?

The two central organ systems affected by cystic fibrosis are the lungs and pancreas. However, two other common problems that people with cystic fibrosis develop include recurrent episodes of sinusitis and diabetes.

Causes of Pneumonia and Other Lung Infections

Bacteria and viruses constantly circulate in the environment, and they can be passed from one person to another through respiratory droplets, such as by coughing or sneezing. Most people can clear their lungs of these invaders by producing mucus that can be coughed up and expelled.

However, people with cystic fibrosis are unable to clear mucus from their lungs. When mucus mixed with bacteria sits for a long time in a part of the lung, the area becomes inflamed and the person develops pneumonia.

Bacterial Causes

Early in life, the bacterial organisms that usually lead to pneumonia in people with cystic fibrosis are:

  • Staphylococcus aureus
  • Haemophilus influenzae

As a person’s lungs become repeatedly damaged from recurrent infections, other, more unusual and dangerous bacteria cause pneumonia, including:

  • Pseudomonas aeruginosa
  • Burkholderia cepacia 
  • Methicillin-resistant Staphylococcus aureus (MRSA)
  • Stenotrophomonas maltophilia
  • Achromobacter xylosoxidans 

Once a person has been infected and has lived with Pseudomonas aeruginosa for a while, they develop severe lung infections more frequently, have a more rapid decline in lung function, and are at higher risk for death. 

Most Common Causes of Bacterial Pneumonia

Staphylococcus aureus is the most common bacterial organism found in children and adolescents with cystic fibrosis. The most common bacterium found in adults with cystic fibrosis is Pseudomonas aeruginosa.

Viral Causes

Like people without cystic fibrosis, people with cystic fibrosis can develop viral infections of the lungs, such as influenza and respiratory syncytial virus (RSV). People with cystic fibrosis are not more likely to develop a viral infection. Instead, they are sicker when a viral infection occurs compared with people who do not have cystic fibrosis. 

Fungal Causes

People with cystic fibrosis can also develop pneumonia caused by a fungus instead of a bacteria. The most common fungal organism that leads to pneumonia in patients with cystic fibrosis is Aspergillus fumigatus.

Diagnosis

In the United States, there is a nationwide program that screens newborn infants for cystic fibrosis. The screening is performed in the first few days of life from a few drops of blood. Different states use different screening tests to confirm the diagnosis.

Newborn screening tests are vital because they help parents and healthcare providers know when to begin specialized cystic fibrosis treatments. Initiating treatment early extends the time without complications. 

If an infant or a person suspected of having cystic fibrosis tests positive during the initial screening test, they are given an additional test. This definitive diagnostic test is called a sweat test. It measures the amount of electrolytes in a person's sweat.

What Are Autosomal Recessive Carriers?

Testing for cystic fibrosis involves looking for the gene responsible for the disease. Some people are carriers of the gene but do not develop the disease. This is because the gene is autosomal recessive (passing from both parents to a child). If you are one of these people, speak with your healthcare provider about what this means.

Treatment

When people are treated for pneumonia several times over several years, they eventually develop antibiotic resistance. When a particular bacteria is resistant to many different antibiotics, the organism is called a multidrug-resistant bacterium. Infections from these types of bacteria are complicated to treat and can lead to death from pneumonia in a person with cystic fibrosis.

Healthcare providers need to treat Pseudomonas aeruginosa colonization or pneumonia early to help clear the infection. People chronically infected with the specific bacteria are treated regularly with inhaled antibiotics, such as tobramycin, which helps prevent severe infection.

What to Do About Pseudomonas aeruginosa

People with cystic fibrosis do not develop Pseudomonas aeruginosa lung infections until they are older children, young adults, or adults. Research has shown that if a person is treated early for this bacterium and the organism is destroyed completely, people live longer.

Antibiotics and Antifungals

Treatment of acute lung infections requires antibiotics. The choice of antibiotic depends on the bacterial organism in the lungs and whether a person has developed resistance to antibiotics needed to kill it.

If a person develops fungal pneumonia, treatment involves an antifungal agent and corticosteroids.

Airway Clearance Techniques 

Since people with cystic fibrosis cannot clear mucus out of their lungs, other treatments include airway clearance techniques. Examples include:

These techniques help move the mucus up and out of the airway. Airway clearance techniques are recommended daily for people with cystic fibrosis.

Regular aerobic exercise is also recommended for patients with cystic fibrosis because it stabilizes lung function.

Inhaled Therapy

People with cystic fibrosis are also encouraged to use inhalers that rehydrate and break up the mucus so that it can be coughed up and expelled. The inhaled medications are called mucolytics and options include:

  • 7% hypertonic saline solution
  • Mannitol
  • Dornase alfa

Transplant

People with end-stage lung disease with cystic fibrosis are eligible for lung transplantation. People can often live an additional ten years after a lung transplant.

How to Prevent a Lung Infection

People with cystic fibrosis who are infected with Pseudomonas aeruginosa are started on chronic preventive therapy. Patients are treated with inhaled and oral antibiotics to prevent future bacterial pneumonia. The most commonly used antibiotics include:

Other general preventative measures recommended for anyone with respiratory symptoms include:

  • Handwashing
  • Using masks when in healthcare facilities or close contact with someone with a respiratory illness
  • Social distancing when needed
  • Cleaning and disinfecting nebulizers and other tools used by the cystic fibrosis patient

Summary

Cystic fibrosis is a chronic, inherited disorder that leads to frequent lung infections. Symptoms of a lung infection include cough, wheezing, and shortness of breath. People with cystic fibrosis can develop various types of pneumonia, but bacterial pneumonia is the most common.

In the United States, treatment for cystic fibrosis usually starts early because of widespread neonatal screening programs used to detect it. Treatments aim to prevent infections, treat acute infections, and rid the lungs of mucus. 

A Word From Verywell

Living with cystic fibrosis can be extremely difficult because of the number of lung infections people develop, even in childhood. However, scientists have come a long way in improving life expectancy for people with cystic fibrosis through new treatments and preventive strategies.

If you are expecting a baby, make sure you participate in cystic fibrosis screening programs for your child. If you have cystic fibrosis, follow your healthcare provider's recommendations in trying to prevent frequent lung infections. 

Frequently Asked Questions

  • What is the most common cause of pneumonia in people with cystic fibrosis?

    The most common cause of pneumonia in a child with cystic fibrosis is Staphylococcus aureus. The most common cause of pneumonia in an adult with cystic fibrosis is Pseudomonas aeruginosa.

  • What is the risk of getting pneumonia if you have cystic fibrosis?

    Due to a buildup of mucus in the lungs, patients with cystic fibrosis are at risk of developing lung infections early in life. Sometimes the first episode develops as a baby.

  • Is pneumonia a symptom of cystic fibrosis?

    A single episode of pneumonia is not a symptom of cystic fibrosis. A diagnosis of cystic fibrosis would not be suspected in a person unless they had recurrent episodes of pneumonia. Cystic fibrosis is an inherited disorder, so it usually presents early in life.

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Los Angeles Police Department badgeMartin Chavez/Getty Images

  • Houston Tipping, 32, was an officer with the Los Angeles Police Department for about five years.

  • He suffered a broken spinal cord and head injuries after his colleagues beat him during a training exercise, an attorney claims.

  • Tipping was soon taken off life support after having trouble breathing on his own.

The mother of a Los Angeles Police Department officer is planning to sue the city after she said in a complaint filed against the city of Los Angeles on Friday, June 25 that her son died after sustaining injuries during a training exercise meant to "simulate a mob."

Houston Tipping, who was 32 at the time and an LAPD officer of about five years, was participating in a training exercise on May 26, during which his colleagues beat and left him a quadriplegic, Shirley Huffman, the mother of Tipping alleged in the claim. Three days later, Tipping was taken off life support after having trouble breathing on his own.

"He was supposed to be in training, but he was brutally injured instead," Bradley Gage, the lawyer representing Huffman, said in a statement provided to Insider. "He went from being a healthy young man loving his job, protecting and serving all of us, and became a quadriplegic who could not even [breathe] on his own."

Gage said that Tipping was the victim of "intentional acts" in the training.

"Specifically, Officer Tipping was the victim of intentional acts during a 'training exercise' to simulate a mob," according to the claim. "The funeral took place on June 22, 2022, and was attended by Mayor Eric Garcetti and others. Chief Moore stated that Officer Tipping impressed his peers with a 'willingness to go the extra mile to make the world a better place.'"

"Yet, that wasn't enough to avoid other officers paralyzing him and eventually killing him in violation of law, and his civil rights," the claim continues.

Gage told Insider in a phone call that Tipping suffered multiple head injuries, and that during the "mob" training he was supposed to be wearing a padded and armored "redman suit," meant to protect all areas of the body — including the head.

"There was an injury to the left side of the head, specifically at the left parietal scalp and that had a laceration which required staples or sutures," Gage said. "Then also on the right side of the scalp, near the ear, there was a scab from a cut with skin pulled out, and that was between the size of between a nickel and a quarter."

The claim filed by Tipping's mother via the family's lawyer accuses the LAPD of wrongful death, assault and battery, and violating her son's civil rights. The city has 45 days to accept or reject the claim, and after that point, a lawsuit can be filed.

Gage has also filed a request for information from the city's coroner.

The LAPD said in a statement posted May 31 that Tipping was a "bike instructor engaged in a training scenario involving grappling with another officer."

"During the scenario, Officer Tipping fell to the floor and suffered a catastrophic spinal cord injury," the statement said, adding that the department is investigating the accident. The LAPD told Insider that it would not comment on pending litigation.

The LAPD told Insider they do not comment on pending litigation.

Gage told Insider that he doesn't expect an internal investigation to yield answers, and he expects the claim filed against the city to be denied.

Read the original article on Insider

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Serenity Lane Portland West Outpatient Office, a treatment center for drug abuse and alcoholism based in Portland, OR, has recently released a blog post that explains fentanyl side effects. Fentanyl is a powerful synthetic opioid that doctors may prescribe for chronic or severe pain, but there are two available types of fentanyl: pharmaceutical and illegally manufactured fentanyl.

Fentanyl is 50 to 100 times more potent than morphine and is usually prescribed for: chronic pain, anesthesia, breakthrough pain, childbirth, and active military injuries. Fentanyl directly affects the central nervous system (CNS,) which is why it has many physical and mental side effects, both long-term and short-term. Some effects include sedation, drowsiness, and consciousness impairment. Because it affects the CNS, it can cause problems with the ability of the person to communicate, lead to sleep disturbances, and make it harder to move. It can also affect other parts of the body, such as the respiratory, digestive, cardiovascular, immune, and hormonal/endocrine systems.

Long-term mental side effects of fentanyl include: memory problems, depression, coordination and movement problems, and attention span problems. Long-term physical effects include: constipation and bowel obstruction, gastrointestinal bleeding, sleep disorders from breathing abnormalities, sexual dysfunction, a diminished immune system, and dental problems. Short-term mental side effects include: falling in and out of consciousness, trouble concentrating, and irritability. Short-term physical effects include: nausea, slowed breathing, itching, and a slowed heart rate.

Common side effects of fentanyl include: pin-point pupils, feelings of pleasure and pain relief, shallow breathing, hiccups, drooling, and appetite changes. Rare side effects include: painful urination, sexual dysfunction, seizures, hives, and vision problems.

Physical dependence on fentanyl typically sets in as short as two weeks of repeated fentanyl use. After that, fentanyl users will suffer withdrawal symptoms if they stop using it consistently. Some withdrawal signs include: flu-like symptoms, hot and cold flashes, a runny nose and sneezing, anxiety or panic attacks, high blood pressure and heart rate, restlessness and insomnia, seizures, and hallucinations.

The problem is that after some time, the use of fentanyl can cause the slow down of the natural production of dopamine, which is known as the “feel-good chemical” in the brain. The patient will eventually depend on the opioid for dopamine rather than producing its own. When the brain stops making dopamine, several side effects may be experienced. These include: lack of motivation, depression, trouble concentrating, anhedonia or the inability to feel pleasure from everyday activities, short-term memory loss, and physical tremors.

Hallucinations are quite common as part of the withdrawal symptoms. There have been some reports of hallucinations in the hospital setting. However, it is not yet clear whether fentanyl triggers these hallucinations or if they are the result of another psychiatric condition.

Established in 1973, Serenity Lane has been licensed as a specialty hospital for treating addiction. All of the programs they offer have been accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). They are the only treatment center in Oregon that is completely licensed as a specialty hospital that can provide medically assisted detox. They have introduced many new programs in Oregon, such as residential step-down and outpatient programs that integrate residential and outpatient services. They have also been the provider of the only Addiction Counselor Training Program in Oregon. Some of their graduates are now offering their services through several treatment programs throughout the country.

People who would like to know more about the addiction treatment services available through Serenity Lane Portland West Outpatient Office can visit their website or contact them by telephone or email. They are open from 8:00 am to 5:00 pm, Monday to Friday.

###

For more information about Serenity Lane Portland West Outpatient Office, contact the company here:

Serenity Lane Portland West Outpatient Office
(503) 244-4500
[email protected]
10920 SW Barbur Blvd
Portland, OR 97219

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Is early spontaneous breathing beneficial in the treatment of lung failure in individuals with COVID-19?

People with severe COVID-19 can present with lung failure, which is called acute respiratory distress syndrome (ARDS). This requires invasive mechanical ventilation through a breathing tube. It is possible to allow breathing, triggered by the patient (called spontaneous breathing), whilst being on a ventilator. However, it is unclear whether this is beneficial for such individuals, especially in the early phase of ventilation.

Key messages

We found no evidence if spontaneous breathing is beneficial in the treatment of lung failure due to COVID-19.

What are the advantages of early spontaneous breathing in ARDS? 

The advantage of spontaneous breathing during mechanical ventilation is the preserved movement of the diaphragm (the major muscle for breathing located under the lungs). It leads to better distribution of the inhaled air, especially in the pulmonary alveoli (small air sacs within the lungs) close to the diaphragm. In general, ventilation procedures with possible spontaneous breathing require lower doses of sedatives (which slow down brain activity). Since these can cause low blood pressure, it can additionally reduce the administration of cardiovascular medicines.

Can early spontaneous breathing be harmful in the treatment of ARDS?

During spontaneous breathing under mechanical ventilation, increased pressure fluctuations in the lungs may occur. Increased pressure difference within the lung is the main cause of ventilator-associated lung injury.

What is the alternative to using early spontaneous breathing?

Spontaneous breathing may be suppressed by increased sedation or blockade of the nerves innervating muscles by medicines that allow for breathing (called neuromuscular blockade). The advantage of complete ventilator-based breathing is a lower oxygen consumption of the muscles and the reduced risk of self-inflicted lung injury.

What did we want to find out?

We wanted to evaluate the benefits and harms of early spontaneous breathing activity in ventilated people with COVID-19 with ARDS compared to ventilation strategies that avoid spontaneous breathing.

What did we do? 

We searched for studies that compared early spontaneous breathing during invasive mechanical ventilation with mandatory invasive ventilation and neuromuscular blockade in people with ARDS related to COVID-19. People could have been any age, sex or ethnicity. 

What did we find? 

After systematic search, we found no records that met the inclusion criteria.

Main results

We identified no eligible studies for this review.

What are the limitations of the evidence?

To date, there are no studies that have compared early spontaneous breathing during invasive mechanical ventilation to mandatory invasive ventilation without spontaneous breathing in people with ARDS related to COVID-19. 

How up-to-date is this evidence?

Our evidence is up-to-date to 2 March 2022.

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If you snore, wake often during sleep and are tired during the day, you might have sleep apnea, a condition that negatively affects sleep quality and can lead to other serious health issues.

Your sleep quality can affect not just your mood and energy, but also your memory and ability to concentrate, and untreated sleep disorders can lead to other health issues. Our sleep experts can help diagnose your condition and provide a personalized plan to help you get the best rest of your life.

Sleep apnea causes and symptoms

Obstructive sleep apnea

Obstructive sleep apnea happens when muscles in your throat relax during sleep, causing your airway to narrow or close when you breathe in during sleep. The brain then causes a brief awakening to reopen the throat. Obstructive sleep apnea can affect anyone, but it is more common if you are male, older, if you have a family history of sleep apnea or a narrow throat, smoke, or have other medical issues such as obesity, hypertension, heart disease (including atrial fibrillation), Type 2 diabetes or reflux.

Central sleep apnea

Central sleep apnea is a less common condition caused when your brain does not send electrical signals to the muscles that control breathing. This may cause you to wake up short of breath or have difficulty falling or staying asleep. Central sleep apnea is more likely to develop if you are male, older, use opioid pain medications, or have had a stroke or heart disorder.

Symptoms of all sleep apneas may include:

  • Fragmented or disturbed sleep.
  • Low energy or difficulty focusing throughout the day, or feeling sleepy during the day (hypersomnia), especially mid-afternoon.
  • Snoring.
  • Difficulty staying asleep.
  • Waking up with a headache, dry mouth or to urinate nightly.
  • Sudden gasping for air or periods of halted breathing during sleep.

Sleep apnea elicits a fight-flight stress response to reopen the upper airway and resume breathing. This stress response can elevate heart rate, blood pressure and blood sugars, which eventually can result in hypertension, diabetes, heart disease or stroke.

Diagnosing sleep apnea

If you are experiencing these symptoms, we offer different ways to help diagnose the problem. The most reliable way is a sleep test, or polysomnogram. Home sleep tests are also available but are not as sensitive as the sleep study performed in the sleep center.

Our sleep center is accredited by the American Academy of Sleep Medicine, and your sleep apnea care team will include our board-certified sleep experts.

Home sleep apnea test

Home sleep tests are more accurate at detecting apnea in people who have a high likelihood of suffering from obstructive sleep apnea. This test, approved by most insurances, monitors breathing, snoring and oxygen levels. Your sleep technologist will give you detailed instructions on how to use the home test.

We offer two types of home sleep tests. If you live near Columbia, you can borrow a testing machine and return it the next day. Or we can mail you a disposable test to save time and effort.

A home sleep test can only check for sleep apnea; it will not test for other disorders. In some cases, a negative result needs to be followed by an in-lab attended sleep study, which is more sensitive for detecting milder sleep apnea.

In-lab sleep study

In-lab sleep studies are a more detailed test and monitor stages of sleep, awakenings, heart rate, oxygen levels, breathing effort, snoring and movements during sleep. You will spend the night in a private, comfortable bedroom with its own bathroom while being monitored by a technician using specialized sensors.

A sleep study is safe and painless, and it provides detailed information to diagnose sleep apnea, parasomnias including REM sleep behavior disorder and Periodic Limb Movement Disorder. Patients with severe sleepiness or narcolepsy may be scheduled for a daytime "nap test' following the nighttime sleep study.

Sleep apnea treatment at MU Health Care

Lifestyle changes

Your sleep apnea may be resolved with habit changes, such as changing your sleep position, reducing how much alcohol you consume or weight loss. Most people who experience sleep apnea receive successful treatment that not only controls the apnea, but also improves snoring and sleep quality, and as a result, daytime alertness and energy levels.

Air pressure devices

In many cases, the first step to treating sleep apnea is a positive airway pressure machine: continuous pressure (CPAP) or bilevel pressure (BiPAP). A BiPAP device provides more pressure when you breathe in and less when you breathe out. CPAP can also deliver different levels of pressure, but it cannot deliver pressures as high as bilevel can, nor can CPAP drop the pressure as much when you exhale as bilevel can. Both work by blowing pressurized regular room air, not pure oxygen, into a mask worn over the nose and/or mouth.

The air pressure, if high enough, keeps the back of the throat inflated to prevent it from collapsing as you breathe in during sleep. An inflated throat keeps tissues from vibrating, stopping snores, and keeps your body from interrupting sleep to resume breathing. This prevents the stress that apnea places on the heart and body — allowing for a more restorative sleep and increased daytime alertness.

Oral devices

Some oral devices used to stop snoring may also help with mild or moderate sleep apnea in select patients. A mandibular advancement device (MAD) is one option. It keeps the lower jaw moved slightly forward during sleep, opening the airway. MADs are custom fitted to your teeth by a specially trained dentist. MADs may cause some jaw or tooth discomfort and cannot be used with dentures. They are not effective for all patients.

Surgical treatment

If you have been diagnosed with sleep apnea and find it too difficult to sleep while using a CPAP or BiPAP machine and meet certain specific criteria, you may be a candidate for a surgical option called Inspire Therapy.

Candidates for Inspire Therapy must meet minimum requirements, including:

  • A body mass index (BMI) below 32.
  • An apnea-hypopnea index (AHI) in the range of 15-60 events per hour.
  • Unable to tolerate air pressure therapy after documented trial.
  • No other significant underlying health issues.

Inspire is a battery-powered device surgically implanted under the skin in the chest. It is connected with a wire to the nerve controlling part of your tongue muscle on one side. It sends an electric signal to part of the tongue muscle when you breathe in so the tongue is pushed forward, helping to keep the airway open.

You turn the device on before bed with a remote control and turn it off after you wake up for the day. It sends electrical signals following a time delay to allow you to fall asleep. It will stay on while you are asleep (or if you awake) until you turn it off. The voltage required to achieve the best result is determined during a sleep study in which a trained technician will adjust the strength of the electrical signal. In some cases, Inspire Therapy may reduce the severity of your apnea but not eliminate it completely. Results vary.

After 10 years, the device is removed to replace the battery and the wire is reinserted on the other side of the tongue. Inspire Therapy may not be MRI compatible.

Expert care for sleep apnea

With an accredited sleep center and board-certified sleep experts, you can expect the highest quality of care. Our sleep center provides a quiet, private room with an attached bathroom, equipped to make sleeping away from home as comfortable as possible. Our sleep team, from neurologists to technologists to nurses, have decades of experience in diagnosing and treating sleep disorders, including sleep apnea.

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