Cutting calories before cutting in surgery

March 1, 2021 0 Comments

first_imgDietary restriction has already been shown to extend the lives of laboratory animals, but recent research suggests the beneficial effects of eating less may extend to improved recovery from surgery and better resistance to disease.James Mitchell, assistant professor of genetics and complex diseases at the Harvard School of Public Health, outlined work on laboratory animals that measured whether a restricted diet or restriction of key nutrients to trigger similar physiological responses could protect against organ damage. The results showed improved resistance to kidney damage after blood was cut off to the organs for 30 minutes and then allowed to flow again. In one experiment, 40 percent of the control mice died from kidney injury, while all of the treated mice survived.Though earlier experiments on life span examined long-term dietary restriction, in this case, Mitchell said, the benefit appeared to accrue after only a few days and then disappear again after a return to normal feeding. This raises the possibility, he said, of extending its use to humans by asking them to fast a few days before surgery.Mitchell reported similar benefits in animals infected with cerebral malaria. The animals resisted the ailment better after being on a restricted diet for several days before infection. Though that result raises the possibility of humans fighting disease using dietary restriction, Mitchell pointed out that there remains the practical problem that people would have to know in advance they were about to become infected in order for it to help.Mitchell discussed recent developments in the area of dietary restriction Wednesday at the Fourth Annual Symposium on Nutrition and Global Health. This year’s topic was “Nutrition and Child Health: Undernutrition.” The event, presented by the Harvard Global Health Institute’s Nutrition and Global Health Program, featured presentations on child nutrition in Peru, the effects of fetal alcohol syndrome on growth, premature birth, and HIV and stunting.The symposium was introduced by Wafaie Fawzi, chair of the HSPH Department of Global Health and Population and Saltonstall Professor of Population Sciences. Malnutrition remains a problem even as obesity spreads. Of the 8 million children who die each year around the world, an estimated 35 percent of them succumb to conditions directly or indirectly related to malnutrition, Fawzi said.Over the past 15 years, the world has made significant progress in reducing child mortality, Fawzi said, but there is still a way to go to reach the Millennium Development Goal of reducing child mortality by two-thirds from 1990 levels by 2015. Vaccines and nutrition programs have been responsible for significant progress, Fawzi said, but some children have seen little change in mortality: those in their first month of life. Children that young will need interventions aimed not only at them, but at their mothers during gestation.Some nations, such as Bangladesh and Vietnam, have made significant progress in improving child nutrition, showing that gains can be made, Fawzi said. In Bangladesh, the percentage of children under 5 who are moderately or severely underweight fell from 67 percent in 1990 to 46 percent in 2008. Similarly, in Vietnam, those numbers fell from 46 percent in 1990 to 20 percent in 2008.Mary Penny, of Peru’s Instituto de Investigación Nutricional, outlined a successful program to improve nutrition among urban poor children in the city of Trujillo.  The program, conducted at six community health centers, required limited resources because it focused on improved education of mothers, offering no supplemental feeding or money for food. About one in four Peruvian children under 5 are stunted.The program devised three key nutritional messages: to serve children a thick puree instead of soup; to add special ingredients to it, like liver, egg, or fish; and to use patience, love, and good humor to get children to eat. While previously only the clinics’ nutritionists gave out dietary information, they taught the message to everyone at the health center, from the cleaning staff to the physicians. That way, everyone would be able to give the same advice if a mother asked.The educational message, also contained in fliers, was combined with better counseling for mothers, and cooking demonstrations. The program resulted in an improved nutritional profile in the clinics’ catchment areas, which saw moderate stunting — an international measure of malnutrition — 18 months after implementation at just 5 percent, compared with 16 percent for a control area.The study also identified barriers to improved nutritional education, including a lack of even the low level of resources required and high turnover of clinic personnel, Penny said.last_img read more

The government has made decisions for the future four tourism projects in different locations in Istria – for Veliki Brijun, Muzil, Hidrobaza and Saccorgian

November 18, 2020 0 Comments

first_imgAt the 114th session in Pula, the government discussed future projects related to the City of Pula and the County of Istria. Apart from the current situation in Uljanik, the Government of the Republic of Croatia has decided to guarantee 300 million kuna in the next ten days, which will begin the completion of the construction of the Pula Hospital, which is certainly important for the development of tourism. .Decisions for the further development of Istrian tourism pave the way for investments of around 3 billion kunaAt a session in Pula on Thursday, the government made decisions for four future tourism projects at various locations in Istria – for Veliki Brijun, Muzil, Hidrobaza and Saccorgianu – which, after the conversion and with agreements between the local self-government and the Republic of Croatia, should become tourist locations in which, according to estimates, a total of HRK 3 billion would be invested. All four projects, ie the land and facilities on them, are in majority state ownership.Thus, the Government adopted a conclusion on expressing the intention to donate part of the Pula Military Airport to the Municipality of Ližnjan-Lisignano, a decision on the establishment of the Commission for preparation and implementation of the tourist development project Veliki Brijun and several conclusions related to construction, maintenance and reconstruction of transport infrastructure. A decision was made to conclude an agreement on determining the conditions, rights and obligations for the implementation of several projects – the former military complex “Muzil”, the site “Hidrobaza” and the bay “Saccorgiana”.Brijuni CommissionAt the Government session, the Minister of State Property Goran Marić stated a number of proposed decisions, ie conclusions, first of all, the proposed decision on the establishment of the Commission for the preparation and implementation of the Brijuni tourism development project. Among other things, he announced a proposal for decisions on the conclusion of the Agreement on determining the conditions, rights and obligations for the implementation of the Muzil, Hidrobaza and Saccorgiana projects. At the same time, Minister Marić presented proposals for decisions, ie conclusions on the donation of state real estate in Pula, Umag, Rovinj, Buje, Novigrad, and the Municipality of Pićan to these local governments.Istrian Y in full profileAfter the European Commission approved the extension of the contract with the concessionaire of the Istrian Y Bina-Istra on June 14 this year and thus gave the green light for the construction of the full profile of the motorway on the section Pazin-tunnel Učka, a precondition was created to start the investment. construction of a full profile on the section Pazin-tunnel Učka.Minister of the Sea, Transport and Infrastructure Oleg Butković emphasized the importance of the Istrian Y, because the main traffic connection connecting Istria with the rest of Croatia and announced the construction of another lane in each direction and one stop from the Rogovići junction to Vranje, a 28 km long section on the northeast side of the highway. The works will include, among other things, the construction of 11 viaducts, 14 underpasses, 3 overpasses and the demolition of 3 existing ones. He pointed out that about 95 percent of the work will be performed by Croatian state and local construction companies as subcontractors, and that the investment will enable an additional thousand employees during the construction period.last_img read more

Sports Minister Throws Decision on Rohr’s Future Back to NFF

September 17, 2020 0 Comments

first_imgSports Minister, Sunday Dare (left), receiving an autographed Nigerian home jersey from Super Eagles Head Coach, Gernot Rohr in his office in Abuja…wednesday CONTRACT RENEWALFemi SolajaWith uncertainty surrounding the contract renewal of Super Eagles Head Coach, Gernot Rohr, Minister of Youth and Sports Development, Sunday Dare, wednesday insisted that the issue of extending the stay or not of the Franco-German gaffer lies with the Nigeria Football Federation (NFF). The tactician’s contract with the Glass House is to expire next June and there are indications that the relationship between him and NFF appears frosty at the moment and it is unlikely he may be given the nod to continue on the job.Rohr qualified Nigeria to the last World Cup finals in Russia and AFCON 2019 last summer in Egypt.But wednesday, the Sports Minister who met with the coach in his office said the decision to renew or terminate the relationship lies at the door step of NFF.“The issue of contract (with Rohr) will be best handled by the NFF. I understand the need to work the fine lines.“I understand there is a contractual arrangement with the NFF, I will allow the NFF to work through its process, ” the minister insisted after the meeting.Dare however charged the coach not to be distracted but intensify efforts to take Nigerian football to the pinnacle.“Are we happy about where our football is at the moment, not exactly but we know there’s an ongoing process that will make this country a better football nation. That process is on and you are part of the process”,he remarked.Interestingly, the current contract will expire in the middle of the ongoing AFCON 2021 qualifying round of matches with Nigeria leading Group L with maximum six points after wins against Republic of Benin and Lesotho last weekend. Sierra Leone is the fourth team in the group.Dare, however stressed that the ministry will continue to give the coach all the necessary support as the NFF finalises its meeting on the contract talks.He also tasked the coach on working with stakeholders to develop the Nigeria Professional Football League (NPFL) in line with international best practices.” More importantly, your knowledge and support for the domestic league will be very important because you can share your experience with our local coaches,” the minister said.Earlier, Rohr congratulated the minister on his appointment and efforts to reposition Nigerian sports.He pledged to work more closely with the minister going forward as the Super Eagles strive to pick the AFCON 2021 ticket.High point of the event was the presentation of an autographed Super Eagles jersey by the coach to the minister.In a related development, NFF has concluded plans to replace all the national team coaches due to the free fall of Nigeria’s teams in age grade international competitions in recent time.The decision appears a follow up to NFF’s meeting with the Sports Minister on Monday where Dare demanded a written explanation on why Nigerian football teams can no longer perform as expected in international competitions.The Head of Communications, Ademola Olajire gave this this hint after the meeting with the minister.“The NFF has gone ahead to map out strategies for better results going forward, including but not limited to a revamp of the NFF Technical Department; improved supervision of the teams by the NFF Technical Committee; open and transparent process to select new head coaches for the teams affected; early preparation and prioritization of tournaments; synergy between the Ministry and the NFF to get approved funds released early enough for adequate preparation of teams participating in major matches and competitions and; to work even harder at securing partners and sponsors to support the programmes of the National Teams,” he stated.THISDAY recalled that coach Paul Aigbogun-led Flying Eagles crashed out in the second round of the 2019 FIFA U2O World Cup; the Falcons were eliminated by Cote d’Ivoire in the 2020 Olympic qualifier, the Golden Eaglets failed at the just concluded FIFA U17 World Cup in Brazil and the Imama Amapakabo tutored U23 national team similarly failed to pick one of the tickets to the 2020 Olympic at the ongoing U23 African Cup of Nations in Egypt. The team failed at the WAFU tournament as well as the CHAN final qualifying tournament.Share this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegramlast_img read more

Zetlin: Time for Bo to take next step

September 17, 2020 0 Comments

first_imgIf you ask any businessman, teacher, politician or scientist how to be successful, they’ll all tell you to be goal-oriented. Set a target; once you achieve it, strive for another. The same holds true in sports. Or at least it should.It’s hard to argue with Bo Ryan’s seven straight (in seven tries) NCAA Tournament appearances with Wisconsin, four Division III National Championships at UW-Platteville and the highest winning percentage among active coaches with at least 20 years under their belts. That’s why I’m not going to argue with the numbers. The goals, on the other hand, are a different story.Since arriving in Madison in 2001, Ryan has verbally made it clear that winning Big Ten championships is more important to him than postseason success. He has won three conference titles in his seven seasons at UW and has never made it to the Final Four. He also takes pride in graduating his players — a phenomenon often overlooked in today’s game — as evidenced by his steering clear of the Mike Conley Jr.’s, O.J. Mayo’s and Derrick Rose’s of the basketball world. Nothing wrong with that, but it does raise an interesting question about recruiting.Ryan is one of, if not the best, college coach today in terms of maximizing production with the least amount of overall talent. But analyzing recruiting is like critiquing the CIA. It’s hard for anyone outside of the program to criticize or commend — fans and media alike, no matter how knowledgeable they think they may be — simply because no one knows what goes on behind closed doors.That said, until last year, when Ryan recruited Ian Markolf from San Antonio and Ryan Evans from Phoenix (neither of whom were highly touted nationally), it was rather obvious that, for the most part, Ryan stayed within the Midwest bubble in his search of future Badgers. In turn, these players knew that when they came to Wisconsin, they were going to be patient, run the swing offense and contend for a Big Ten title.Seems logical, but my perspective changed a bit Sunday while reading John Feinstein’s biography of Red Auerbach, perhaps the greatest basketball coach that ever lived.“Their whole thing is their system. They bring in players and say, ‘You will play this way,’ even if their skills aren’t right for playing that way,” Auerbach said of stubborn college coaches. “One thing I always noticed with (Duke head coach Mike) Krzyzewski was that he changed the way he ran his offense every year based on the players he had. That’s the kind of flexibility you need.”Granted, this quote is taken out of context. As GM of the Celtics, Auerbach wanted to steal Krzyzewski from the Dukies and hire him as the new Boston head coach. So the quote is somewhat skewed, as it is in relation to Auerbach’s confidence in Coach K’s ability to make the switch to the pros (in comparison to Kentucky’s Rick Pitino, who took over the Green instead and failed miserably), not success at the collegiate level. But Krzyzewski has won three Division I National Championships and has seven other Final Four appearances at Duke by recruiting talented kids from Maryland to Oregon and adjusting accordingly based on their strengths. So it does raise an interesting point, especially in relation to the man we’ve been accustomed to see scowling at referees from the Badgers’ bench.With Ryan, it’s all about the system: the swing offense. He gives up athleticism points to recruit smart, fundamental players to fill specific roles and stay for four years. And they run it and run it until they’re swinging in their sleep. He knows what he wants and he goes out and gets it.With his system, Ryan has created a program that is in the Top 25 and makes the Big Dance every year. It doesn’t contend for a national title, but it will be a half-step below that on an annual basis. To some national media, that is perceived as mediocrity, not being able to get over the hump. They’d be right, if Ryan was trying to turn Madison into Durham, N.C.Coincidentally, this reminds me of a different team, one that plays just blocks from the Kohl Center, run by a guy named Bielema. You’d think that following Barry Alvarez’s overwhelming success and playing in four consecutive January bowl games — the program’s current pride and joy — Bielema would be able to bring some out-of-state, four and five-star recruits to Wisconsin’s capital.I’ve yet to figure that one out.With the way Ryan recruits and the system he has intact, Wisconsin basketball will not be a national powerhouse, and it won’t produce many superstars for David Stern’s enjoyment. It will, however, be a Big Ten contender every season, be a true “team” by definition, graduate its players and yield smart individuals prepped for real-world success.There’s certainly more to life than wins, losses and weakside help; I’ll agree with Ryan on that every day of the week. But when you have a strong foundation in place and you continue to meet the same goals year after year (compete in conference, make the tournament), isn’t it time to raise the bar when there’s more out there to accomplish?For Ryan to be considered among the best in the business — which I believe is the case — he’s got to take the next step, a la Michigan State’s Tom Izzo.Krzyzewski made his first Final Four in his eighth season in Durham. This is Ryan’s eighth cardinal and white campaign.Derek is a junior majoring in economics. He’s very curious to hear your thoughts on Bo Ryan’s legacy. Is it time to change the system? Is everything fine the way it is? Let Derek know at [email protected]last_img read more