Vanessa Hudgens Talks Health, Fitness and Gymnastics! – Video
Posted: August 4, 2012 at 10:13 pm
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Vanessa Hudgens Talks Health, Fitness and Gymnastics! - Video
June-Marie Raw Food and Fitness Health playing with cookie and dance video – Video
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Equipment for Leg Stretches for Lower Back Pain : LIVESTRONG – Exercising with Jeremy Shore – Video
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Equipment for Leg Stretches for Lower Back Pain : LIVESTRONG - Exercising with Jeremy Shore - Video
June-Marie Raw Food and Fitness Health shout-out for youtubes IngridGott 001.MP4 – Video
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June-Marie Raw Food and Fitness Health misc videos 012 – Video
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June-Marie Raw Food and Fitness Health Shout out for youtubes ParkerDonald1 002 – Video
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Fits, faints and blackouts: the role of occupational health
Posted: at 10:13 pm
Workers who are at risk of passing out suddenly or who suffer from frequent fitting can be a danger to themselves and others. Occupational health teams can help manage these afflictions in order to minimise the associated risks. Colin Payton reports.
Occupational health practitioners are regularly asked to see workers who have suffered from what they describe as fits, faints, blackouts or turns of some other sort. It is vital to establish the true clinical nature of such episodes, whether or not they have involved a transient loss of consciousness (TLOC), and to determine the cause in order to advise employers on the afflicted member of staff's fitness for work.
It is also important to understand how underlying conditions are investigated, how they can be treated and how effective treatment can help workers to remain at, or return to, work. The most common causes of TLOC are seizures (provoked and unprovoked) and syncope (cardiac and non-cardiac); it is important to distinguish between these because seizures, generally speaking, have far greater implications on fitness for work. Other causes of TLOC include concussion following a head injury and intoxication, but these are less relevant to occupational health.
Seizures
Epileptiform seizures, also referred to as fits or convulsions, are the result of a spontaneous abnormal electrical discharge in the brain. Around 10% of people experience a seizure at some time in their life (Berg et al, 1991).
They can be provoked or unprovoked. Provoked seizures are caused by brain injury or illness, or by metabolic problems. The most common causes are cerebrovascular disease, withdrawal from alcohol and drugs, trauma and tumours. There are many different types, not all of which cause loss of consciousness. A generalised tonic-clonic seizure, or grand mal seizure, is the most common, the most debilitating and the most likely to affect fitness for work. Epilepsy is a disorder where there is a tendency for recurrent unprovoked seizures, and is diagnosed after a patient suffers two or more.
A prodromal phase is uncommon but can be the first indication of an impending seizure. The patient experiences symptoms that are ill-defined, but also has a distinct feeling that a seizure is about to happen. This phase can last just a few moments or much longer, sometimes days. An aura is more common, and very brief, and includes physical symptoms such as butterflies in the stomach, paraesthesiae (pins and needles), a feeling that they can smell something familiar, difficulties with speech and a sensation of dj vu. Consciousness is sometimes altered during the aura and the patient may be unresponsive to others' conversation. The patient then loses consciousness and falls abruptly, with an appreciable risk of injury.
It is important to understand how underlying conditions are investigated, how they can be treated and how effective treatment can help workers to remain at, or return to, work."
Their muscles go into spasm, in what is described as the tonic phase of the fit, and they sometimes cry out due to spasm of the respiratory muscles forcing air out of their lungs. This is followed by the clonic phase, which includes rhythmic jerking movements of the arms, leg and face. They sometimes bite their tongue and can lose control of their bladder and, occasionally, their bowels. When they wake up, they are confused and may then fall into a postictal sleep. Over the next 24 hours they may experience soreness and stiffness of their muscles due to the powerful repetitive jerking movements during the clonic phase. Patients may not have any recall and an eye-witness account, or even a video of an attack, can help to establish the clinical diagnosis.
Investigating seizures
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Michael Phelps swims into retirement with 18th Olympic gold on U.S. 400 medley relay team
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LONDON The final swim of Michael Phelps' incomparable career was a victory lap, a coronation and a mere formality.
Phelps' butterfly leg in the 400-meter individual medley helped propel the United States to an emphatic victory and sent Phelps into retirement with his 22nd career Olympic medal a staggering 18 of them gold. Both totals are records and it will take a long time before those totals are even challenged, much less broken.
Phelps was joined on the winning relay by backstroker Matt Grevers, breaststroker Brendan Hansen and freestyler Nathan Adrian. The U.S. has never lost an Olympic 400 medley relay, and this one was never in doubt after Phelps regained the lead on the third leg. The Americans won with a time of 3:29.35. Japan (3:31.26) took the silver medal and Australia (3:31.58). captured the bronze.
"I could probably sum it up in a couple of words and just say, 'I did it.'" Phelps said of his career. "Through the ups and downs, I've still been able to do everything that I've ever wanted to accomplish. I've been able to do things nobody's ever done and that's what I've always wanted to do."
"The memories I have for this week will never go away," he added.
This victory gives Phelps four gold medals and two silver for the London Olympics an impressive haul for a 27-year-old and especially impressive after his shaky start here.
Phelps shockingly missed the podium in his first event, the 400 individual medley, then regrouped by winning the 100 butterfly and 200 IM and swimming strong legs on the gold medal-winning 800 freestyle relay. His silver medals were in the 400 free relay and 200 butterfly.
His final three swims all ended with him on the top step of the podium, listening to the "Star-Spangled Banner." Phelps was more emotional on the podium than he had been in Olympics past, as the emotional weight of his career's end sunk in.
After receiving his final gold medal, Phelps got a lifetime achievement award from FINA, the sport's swimming federation. The trophy boasted the words "greatest Olympian of all time," a title he only took partial credit for.
"I've been able to become the best swimmer of all time and we got here together," Phelps said of his longtime coach Bob Bowman.
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Michael Phelps swims into retirement with 18th Olympic gold on U.S. 400 medley relay team
For India, Time for Retirement Planning Is Now
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With more than 50% of its current population under 25 years of age, India's great "demographic dividend" needs to change a few habits--immediately--or it might be too late.
India is on its way to becoming the most populous nation in the world by 2025, surpassing China. By 2050, the number of Indians older than 65 will cross 200 million from about 80 million currently, while the number of Indians older than 80 will be at 43 million, second only to China.
According to a survey by HSBC titled, "The Future of Retirement--It's Time to Prepare," by 2050 India's elderly will equal the number of its children for the first time ever. Furthermore, a United Nations study points out that, in line with the global trend of increased life expectancies and declining fertility rates, old-age dependency ratios will increase, particularly in developing countries like India.
Quite clearly, greater resources will need to be set aside for the elderly. There is a "significant requirement for retirement planning, both at the individual level and for the Indian population as a whole," says Canara HSBC OBC Life Insurance's appointed actuary Chirag Rathod. "This requires increased awareness as a society about the need for proper retirement planning and the real threat of outliving your savings."
Given the sheer scale of this impending demographic shift, India's plan--or the lack of one--to take care of its elderly deserves a closer look.
Current Retirement AccountsIndia doesn't currently have a broad Social Security plan like the United States, but policymakers have created some retirement-focused savings vehicles.
Established in the 1950s, the Employees Provident Fund is most similar to the U.S. Social Security program, but its coverage is much more limited. Participation is compulsory only for employers with 20 or more workers and for workers who have a basic salary of more than INR 6,291 per month. Both employee and employer contribute an equal amount (either 12% of basic salary or INR 780) to the individual's EPF account, on which participants get a fixed interest rate. The EPF falls under the purview of the Employees Provident Fund Organisation, which has traditionally given the responsibility of managing these funds to state-owned or government-backed lenders.
The EPF is not without its problems. The first is reach: It covers only the organized, formally employed segment of the working population, while the vast majority of Indians--including entrepreneurs, self-employed businessmen, the agricultural labor force, and others--work in the so-called unorganized sector. In addition, even though the government offered a high interest rate in the early years of the plan, yields have since come down. Although the EFP's automatic contributions instill investing discipline on workers, participants can withdraw their savings after leaving their current job in lieu of transferring their account to their next employer, in the process dealing a big blow to their retirement savings potential.
In a move away from the defined benefit EPF, the Indian government established the National Pension Scheme in 2009 in an attempt to create a defined-contribution plan along the lines of the 401(k) in the United States. However, unlike the 401(k), which is offered through employers in the U.S., any Indian citizen between 18 and 60 years of age can invest in the NPS, which is administered to individuals through point-of-presence service provider outlets, which act as collection points.
NPS participants can exercise some control over how their contributions are invested. The government has defined three asset classes: 1) E--high return/high risk, which invests in predominantly equity market instruments; 2) C--medium return/medium risk, which invests in predominantly fixed-income instruments; and 3) G--low return/low risk, which invests in purely fixed-income instruments. Participants can choose to invest their entire amount in the C or G asset classes, but only up to a maximum of 50% in equity (class E). In case participants are unwilling or unable to exercise a choice regarding their investment strategy, funds are invested in accordance with an auto-choice option across the asset classes in percentage allocations prescribed by the Pension Fund Regulatory Development Authority depending on the participant's age.
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For India, Time for Retirement Planning Is Now