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"Life is a great big canvas, and you should throw all the paint on it you can," wrote Danny Kaye, beloved Hollywood performer.

Kaye's advice certainly reflected his colorful career. It's true that the more one expands one's palette of experiences, the more vibrant life becomes.

As you evaluate senior living communities for the next step in your or a loved one's life journey, look for environments with an array of resources conducive to flourishing.

The National Wellness Institute defines Six Dimensions of Wellness physical, emotional, intellectual, social, spiritual and environmental which can serve as a guide to enrichment and growth.

Look for a community fostering physical wellness through excellent health care, nutrition and exercise. Confirm that each resident receives a care plan tailored to individual needs, and that services such as physical, occupational and speech therapy are available onsite. There should be ample access to state-of-the-art fitness equipment designed for older adults and daily group-led exercise programs.

The finest senior living communities offer healthful meals prepared from scratch by professional in-house chefs to meet residents' dietary needs. Look for a variety of dining venues, from casual bistros to formal restaurants with gourmet cuisine.

For example, Anthology Senior Living of Clayton View in St. Louis boasts chef Adam Shaw, former head chef for Ritz-Carlton. Anthology of The Plaza in Kansas City, Mo., chef Sam Hudging prepares happy hour appetizers highly enjoyed by residents, and his theme-inspired meals have delighted residents and families alike.

Emotional wellness means having a positive sense of self and feeling connected to others. Consider senior living communities whose staff and environment encourage connectedness.

Do compassionate care providers ensure that each care plan promotes independence? Are staff aware of individual care plans, so they have a holistic understanding of each resident?

Does the community provide opportunities for emotional development, such as intergenerational art therapy for individuals with memory loss, plus pet therapy and music therapy?

Another key to emotional wellness is a sense of fun. At Anthology of Louisville in Kentucky, management and staff lead by example. They turn Kentucky Derby day into a highlight of the year. And when many residents had birthdays the week the COVID-19 crisis hit, they organized a family parade of cars for a motorized birthday party.

Intellectual wellness is cultivated through stimulating mental activities and access to opportunities to expand and share knowledge and creativity. Look for a senior living option offering opportunities to expand residents' minds. Learning experiences like language courses, sewing classes and lectures by guest speakers should be listed in their calendar.

For social wellness, residents need to feel connected to family and community, with opportunities to enhance friendships. This has been severely challenged by the COVID-19 pandemic. Senior living communities nationwide have had to implement strict safety protocols such as in-room isolating, social distancing, use of personal protective equipment, screening and testing. Inquire if the community you are considering acted quickly to put programs in place to help residents maintain connectedness to loved ones.

Despite difficult circumstances, premium senior living communities still provide creative and engaging socially distanced activities to promote residents' mental and emotional wellness and use technology to help residents connect with loved ones.

"Our Socially Distanced Engagement Program provides residents with daily activities that focus on the mind, body and spirit to keep them mentally stimulated and physically active," says Anthology Senior Living president Benjamin Burke. "We continue to look at the best ways to keep lines of communication open, and we encourage residents and loved ones to stay connected through phone calls, video chats and email. The safety and well-being of our residents and team members is always our true north."

Spiritual wellness encompasses the need for meaning, as expressed in spiritual beliefs and practices. Look for senior living communities providing opportunities for spiritual growth, with spiritual gatherings such as non-denominational services, rosary prayer, hymn singing, devotionals and Shabbat celebrations.

Our feeling of wellness is profoundly affected by our environment. Look for a beautifully designed community with welcoming indoor and outdoor spaces. Seek sophisticated accommodations with spacious private suites and a variety of floor plans to meet individual preferences.

The best-designed communities offer well-appointed public spaces such as meeting rooms, landscaped courtyards and raised planters for resident gardening.

Keep these Six Dimensions of Wellness in mind as you research your or your loved ones' next home. All six dimensions should be interconnected, strengthening residents as individuals and the community as a whole. With many senior living options available, thoughtful evaluation will help you find a community that provides the enrichment and care needed for a flourishing lifestyle.

To learn more about independent living, assisted living and memory care, visit AnthologySeniorLiving.com.

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How to use the 6 dimensions of wellness to choose senior living - The Delaware County Daily Times

Other central bank officials who spoke on Tuesday joined him in warning that it was crucial to get the pandemic in check.

The economy seems to have bottomed out, and were seeing some encouraging signs of a recovery, Lael Brainard, a Fed governor, said on a panel at the Brookings Institution. On the other hand, were seeing some resurgence of the virus. So right now, my focus is on steering through a very uncertain recovery.

As infections persist, many areas of the economy continue to require government support. Lawmakers questioned Mr. Mnuchin and Mr. Powell about what more could be done to help minorities and businesses in rural communities. In some cases, the two policymakers are still struggling to figure out how to prop up struggling sectors.

Both Mr. Powell and Mr. Mnuchin said that they were interested in helping commercial real estate borrowers who have been hard-hit by the pandemic as tenants delay rent payments, but explained that it was difficult for them to do so.

We have not yet figured out a way to set up a facility its not out of a lack of interest, or a lack of desire, Mr. Mnuchin said, suggesting that the next bill Congress passes may need to include some form of relief. Both he and Mr. Powell emphasized that the emergency central bank programs could provide only lending, not spending.

Updated June 30, 2020

Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.

A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise comes with issues of potential breathing restriction and discomfort and requires balancing benefits versus possible adverse events. Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. In my personal experience, he says, heart rates are higher at the same relative intensity when you wear a mask. Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.

The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.

The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who dont typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the countrys largest employers, and gives small employers significant leeway to deny leave.

So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was very rare, but she later walked back that statement.

Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus whether its surface transmission or close human contact is still social distancing, washing your hands, not touching your face and wearing masks.

A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.

The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nations job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.

If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)

If youve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

More debt may not be the answer here, Mr. Powell said. Theres a serious problem here that needs to get fixed, and were racking our brains to see how if theres something we can do by lending. Congress gave the Treasury Department $454 billion to support the Feds emergency lending programs, more than half of which remains uncommitted. But those programs can only offer loans and help companies to issue debt they cannot provide outright grants, which is Congresss wheelhouse.

Mr. Powell also described their challenges in funneling help to medium-size business through the Feds so-called Main Street lending program. Demand for the bank loans has been light, Mr. Powell said. And while thousands of banks should be eligible to lend through the program, which allows them to make associated fees while handing 95 percent of underwritten loans to the Fed, he said about 300 have registered.

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Mnuchin and Powell Offer Mixed Views of Economic Recovery - The New York Times

TEL AVIV, Israel, June 30, 2020 /PRNewswire/ --Datos Health, provider of hospital-grade automated remote care and telemedicine platforms, announced today the results of new research with Sheba Medical Center, showing that tele-cardiac rehabilitation (tele-CR) can improve adherence and exercise capacity among cardiac rehabilitation (CR) patients.

The clinical study, Feasibility, Safety, and Effectiveness of a Mobile Application in Cardiac Rehabilitation, published in the Israel Medical Association Journal (IMAJ), evaluated clinical and physiological outcomes, as well as patient adherence, to assess the viability of tele-CR as an alternative option to center-based rehabilitation. The six-month trial, performed with Sheba's Cardiac Rehabilitation Center, is the first attempt to utilize digital health technology for remotely monitored cardiac rehabilitation.

"Despite the clear benefits of CR in reducing cardiac mortalities and improving overall quality of life, it is often woefully underutilized for reasons including challenges in attending rehabilitation centers and interference with day-to-day life," said Prof. Robert Klempfner, MD, Director of the Israeli Center for Cardiovascular Research and Scientific Director of the ARC Innovation Center at Sheba Medical Center. "The findings of this study reveal considerable advantages of tele-CR in the increase of adherence to exercise programs and improved patient outcomes. The versatility of Datos' remote care platform and its ability to increase patient engagement and adherence through personalization of the application is integral to making tele-CR a viable option for patients unable or unwilling to participate in center-based CR programs."

Study results revealed significant improvement in exercise capacity and consistent adherence among patients, with over 63% completing the goal of 150 minutes of aerobic exercise per week. Overall patient satisfaction with the program was favorable, with a score of 4.05 out of 5. The success of the project resulted in the Israeli Ministry of Health defining a new reimbursement code for cardiac rehabilitation.

Patients received a smartphone application with a customized care plan, and monitoring devices that provided personalized feedback following each training session. Datos developed the application and accompanying care team dashboard to provide remote patient monitoring and continuity of care throughout the program. A dedicated care management portal provided care teams with information on patient adherence and progress.

"Remote care and telemedicine solutions are helping health systems to reduce costs and improve recovery through increased engagement between patients and their care teams outside of hospital settings," said Uri Bettesh, CEO and Founder of Datos Heath. "As shown by the Ministry of Health's actions, this can also effect positive regulatory change. However, success of such programs is dependent on developing strong partnerships between healthcare organizations and technology developers. Datos has enjoyed a long-standing relationship with Prof. Klempfner and his team at Sheba. This collaboration is further evidence of how together we can bring positive change to the provision of care for the benefit of large patient populations."

About Datos

Datos is a provider of a robust hospital-grade Remote Care platform representing a groundbreaking, fully automated approach to patient care and data handling. The Datos platform is a true game-changer in that it delivers on the promise and full potential of patient-generated healthcare data, by enabling automation of patient journeys at a highly affordable cost. Datos utilizes advanced analytics and works agnostically across any treatment protocol, patient profile, data source, wearable, and medical device, allowing automated detection, management, and prediction of irregular symptoms. The platform enables the rapid and seamless implementation of remote care within existing workflows and ultimately improves effectiveness throughout care pathways.For more information, visit http://www.datos-health.com, or email [emailprotected].

Contact:Ruthie Weitz-Leopold, Datos Chief Marketing Officer, [emailprotected],

Media Contact:Finn Partners for Datos HealthDanny Sudwarts[emailprotected]@dannysuddy+1 929 222 8018

SOURCE Datos

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New Study Shows Datos Health's Remote Care Platform Can Increase Patient Adherence to Cardiac Rehabilitation, and Result in Functional Improvement -...

You must now wear a face covering in Duval County when you're in public and in indoor spaces where you can't social distance.

The mask mandate in Jacksonville, which went into effect at 5 p.m. Monday, has led to many questions.

The city says you must now wear a face-covering in Duval County when you're in public and spaces where you can't social distance but hasn't given many specifics about where you may not have to wear a mask or how it will be enforced.

First Coast News is digging deeper with the information you need to know before heading out into public.

1. Who must wear a mask?

Everyone over the age of 6 must wear a mask. This applies to employees and customers of businesses.

Law enforcement, firefighters, and public safety workers are exempt.

There must be an ADA accommodation and the city says a business must serve someone who has a disability that keeps them from wearing the mask.

The business must do so in a way that does not jeopardize the health of the people at the business. They give an example of curb-side service or delivery service.

2. Where do I wear a mask?

Masks are now mandatory in public in Duval County and in indoor spaces where you can't social distance.

The citysays you must wear a face mask at all times unless you can social distance or if wearing a mask keeps you from doing what you're at an establishment for. Examples include eating in a restaurant or being treated at a dentist's office. The people who work at the business are in charge of making sure everyone follows the rule and you can be denied entry if you don't have a mask on.

As for gyms, many places are requiring you wear a mask until you get to your space, like a mat, where you do the workout. Check with your fitness center to see what their protocol is.

3. How will it be enforced?

City leaders say they're finalizing plans and right now they ask everyone to do what's in the best interest of those who are most vulnerable. This is the response from Jacksonville Chief of Staff Jordan Elsbury when asked about enforcing the mandate:

"We've asked people to exercise personal responsibility related to this for months, asking them to continue to do that now," he said.

Other cities like St. Augustine are issuing tickets of up to $500 for violating the mandate.

4. What about the Republican National Convention?

A statement was released by the RNC stating they will "fully comply with local health regulations in place at the time."

About 200 Florida doctors signed open letter to Mayor Lenny Curry calling RNC hosting 'medically disrespectful to citizens.' Learn more about it here.

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Everything you need to know about Jacksonville's mask mandate - FirstCoastNews.com WTLV-WJXX

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Global Online Weight Loss Programs Market Projected to Reach USD XX.XX billion by 2025- Atkins Nutritionals, Kellogg, Nutrisystem, Weight Watchers,...

Butler and The Miriam seek 400 volunteers.

PROVIDENCE Butler Hospital in collaboration with The Miriam Hospital is beginning a new Alzheimers disease study aimed at learning whether lifestyle changes could protect the mental health of older individuals who are at risk of experiencing cognitive decline, the hospitals announced on Monday.

Rhode Island is just one of five sites nationally to participate in the so-called POINTER study, based on research in Finland that demonstrated that a healthy diet, regular exercise, social stimulation and other factors can help prevent cognitive decline. The Chicago-based Alzheimers Association has been the driving force behind the national study, which it is funding with $35 million in grants.

"We are so excited that Rhode Island and the southern New England region has been selected as the fifth site for the landmark U.S. POINTER Trial," Butler Hospitals Dr. Stephen Salloway said in announcing the study. "Rhode Island has the right size and community spirit to successfully carry out this study, and our team at Butler is looking forward to working closely with our partners at The Miriam Hospital and the Alzheimers Association."

"The Miriam Hospital is known for its research showing that lifestyle approaches are important for preventing heart disease and diabetes," said Rena Wing, director of Miriams Weight Control & Diabetes Research Center, "but the U.S. POINTER study is the first large-scale U.S. trial to investigate how a lifestyle intervention could potentially help reduce risk of cognitive decline."

Wing and Salloway, director of Butlers Memory and Aging Program, are co-principal investigators in Rhode Island for POINTER, an acronym derived from "PrOtect through a lifestyle INTErvention to Reduce risk."

The POINTER partnership between Miriam, a Lifespan hospital, and Butler, a Care New England Hospital, is the latest evidence of newfound cooperation between the state largest and second-largest health-care systems. Early this month, Lifespan president and CEO Dr. Timothy J. Babineau and Care New England president and CEO Dr. James Fanale announced discussions that could lead to a combined system that would include Brown University.

For the study, researchers are seeking 400 volunteers from Rhode Island and nearby areas, 60 to 79 years old, who do not have problems with memory or thinking but who do not regularly exercise. Volunteers will be randomly placed in one of two groups: "a self-guided lifestyle program," according to Butler and Miriam, or "a more structured lifestyle program."

Both programs will "encourage increased physical exercise, a healthier diet, cognitive and social stimulation and regular monitoring of heart and vascular health," according to a joint media release.

Given the coronavirus pandemic, the study will follow safe protocols. Screening of prospective participants will be conducted by mail and telephone. Eligible people then "will be invited to Butler Hospital to complete other procedures with special care, adhering to all safety guidelines" established by Care New England and the state Health Department.

Donna McGowan, executive director of the Alzheimer's Association Rhode Island Chapter, said "more than 24,000 people are living with Alzheimer's in Rhode Island alone, so finding an effective treatment and prevention is critically urgent. We look forward to working with the principal investigators on this landmark study that we hope will ultimately benefit millions of Americans."

Salloway told The Journal: "The U.S. POINTER trial brings a strong message of hope and health to our region as we recover from COVID-19."

Other participants in the study include Wake Forest School of Medicine in North Carolina, the U.S. Coordinating Center; the University of Californias Davis School of Medicine; Rush University Medical College & Advocate Healthcare in Chicago; and Baylor College of Medicine in Houston.

For more information, visit butler.org/pointer or contact pointer@butler.org or 401-POINTER (401-764-6837).

gwmiller@providencejournal.com

(401) 277-7380

On Twitter: @gwaynemiller

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2 R.I. hospitals to take part in big Alzheimers study - The Providence Journal

The SEC has proved to be the dominant conference in college football over the last 20 years. In that span 11 national championships have been claimed in the conference, primarily through Alabama, LSU, Florida and Auburn.

Its proved to be the premier conference in punching out players to the NFL. Of the nine college programs to reach triple digits in NFL draft picks since 2000, four (LSU, Alabama, Georgia and Florida) reside in the SEC. Eight programs in the conference have seen at least 10 first round draft picks over the last 20 years.

But what if the conferences were to be completely realigned? What could or should that even look like?

On Monday, Sports Illustrated national writer Pat Forde released his America, Realigned piece, outlining a different look to the college football conferences. In this completely hypothetical exercise, Forde formed 10 conferences consisting of 12 teams each.

The goal, making each conference as equal as possible while also keeping the conferences close in geographical distance.

Here is the conference Forde came up with for LSU, including some regular SEC foes as well as some interesting in-state options.

SUN BELT CONFERENCE

LSU (Florida)Auburn (Georgia)Alabama (Tennessee)Mississippi State (Texas A&M)Arkansas (Texas)Mississippi (Vanderbilt)Tulane (Rice)Memphis (UCF)Arkansas State (Tulsa)Louisiana Tech (Baylor)Southern Miss (North Texas)Louisiana-Lafayette (Texas Tech)

The three blue bloods in this hypothetical conference would continue to be LSU, Alabama and Auburn. All three have stood atop the SEC West for the past four years and that trend will continue, though Mike Leach's addition to Mississippi State and Lane Kiffin's addition to Ole Miss could throw an entertaining wrinkle into the conference.

Every LSU fan already knows the yearly SEC opponents the Tigers take on in Florida, Alabama, Mississippi State, Auburn, Ole Miss and Texas A&M. In this hypothetical conference reorganization, Forde keeps LSUs rivalry with Florida as the pinnacle "non-conference" matchup each year between the two programs.

Some matchups would likely stay the same for the Tigers in the realignment conference. Alabama, Mississippi State and Auburn would all remain yearly matchups but some interesting rivalries could be developed and revived.

Tulane and Memphis are two that would, at the very least, make for some entertaining outings. Memphis is coming off of arguably its best season in program history, going 12-1 in the regular season before losing to Penn State in the Cotton Bowl 53-39. Coach Mike Norvell took the Florida State head coaching vacancy before the bowl game so the program will be adjusting to new coach Ryan Silverfield.

The Green Wave would be a fun, in-state battle for LSU in this hypothetical conference, especially with Willie Fritz at the helm. Fritz has led Tulane to back-to-back winning seasons and even had the Green Wave on the cusp of a top-25 ranking early in 2019 after a 5-1 start.

But, as would be the case with any realignment, there would be a few teams that are regular opponents that wouldn't be on the schedule. The first one that comes to mind is Texas A&M.

LSU has had its way with the Aggies since their insertion to the SEC in 2012. The two have faced each other every season since 2011, claiming eight of the nine meetings, most recently a 50-7 spanking to close the 2019 regular season in spectacular fashion.

If LSU were to play this schedule in 2020, facing all 11 conference opponents plus the matchup with Florida, a similar outcome to its season would be in store. The only major non-conference opponent the Tigers wouldn't have to face would be Texas.

A 10-2 or 9-3 record would likely be the most likely outcome with the Crimson Tide, Gators and Auburn Tigers providing the most difficult matchups.

Again, this is an exercise that would never happen and though it wouldn't change much about LSU's current slate of tough SEC opponents, the addition of some local schools would make for a fun twist to the schedule.

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What Could a Hypothetical College Football Conference Realignment Look Like For LSU? - Sports Illustrated

If youve had a surgery postponed due to the pandemic, or one is on the horizon, there may be some work you can do right now to prepare and to help improve your postoperative outcome.

Prehabilitation, a strategy that uses exercise to improve patients functional capacity before surgery to help improve outcomes, is increasingly recommended for those facing scheduled surgeries, and its improving outcomes and experiences for patients across a wide range of situations.

Theres no guarantee, of course, but it gives patients much greater agency over their own health, and its never a bad idea to do what you can to lower your risk of complications following surgery.

Statistically, dying within a month after an operation accounts for 7.7 per cent of deaths globally, which makes it one of the top three factors contributing to global fatalities, trailing only heart attack and stroke.

While death is the most severe outcome, surgery patients are also susceptible to additional post-operative complications such as intense fatigue, longer hospital stays or hospital re-admittance, anemia and anorexia among a host of others. Those most at risk post-operatively are generally older adults that already live with other chronic diseases, take various medications and have a lower fitness level.

The success of a surgical procedure depends on more than the skill of the medical staff and the complexity of the operation. It is becoming apparent that the likelihood of the patient returning to a physically and psychologically healthy state is also dependent on what they do in the weeks leading up to the surgery.

Scientists have shown that an effective way of increasing chances of success is to physically train in the time leading up to a surgery. In this time of uncertainty, when many surgeries have been delayed, prehabilitation might be an opportunity to help optimize outcomes.

Doctors are often concerned with a patients risk factors, like high blood pressure, blood lipid status or obesity, many of which are difficult to control. Perhaps physical fitness, something you can change with exercise training and impacts several risk factors, should be added to this list. Exercise training can improve your physical fitness incrementally in as little as two weeks, making it a viable option for people about to undergo a surgical procedure.

The concept of prehabilitation is based on the idea that patients with a higher functional capacity, or fitness level, will better tolerate a surgical procedure, have fewer post-operative complications and demonstrate better functional, psychological, social and surgical outcomes.

Think of your fitness as a pitcher of water, and each outcome after surgery as a plant. The more water you have at the start somewhat predicts how many plants or outcomes you can care for. Critically, scientific evidence suggests that an individuals fitness level may be a stronger predictor of post-operative risk than traditional risk factors, as small improvements in fitness have been associated with substantial improvements in survival.

The great news is that we know that many types of exercise training are effective, including brisk walking or jogging, high-intensity interval training, weightlifting, breathing exercises and muscle- or joint-specific training.

The current fitness of the patient is an important factor to consider when prescribing a pre-surgical exercise program, as someone with a higher fitness level will most likely be able to complete a more challenging program, such as high intensity interval training combined with strength training, and will require more activity to see physical gains. By contrast, an older, frail patient undergoing chemotherapy in preparation for a surgical procedure will be more limited in their fitness level, and may only be able to complete deep breathing exercises with a focus on strengthening their inspiratory muscles, which are respiratory muscles used when inhaling, such as the diaphragm.

Regardless of the specific exercise program, it seems that these exercise interventions are safe, and may be associated with improved post-operative outcomes.

Like training for a race or sporting event, prehabilitation programs are most effective when combined with nutritional and psychological interventions. Surgery induces a stress response causing an increased need for additional energy sources, which can be relieved with nutritional supplementation, such as eating a diet higher in protein.

Addressing a patients anxiety regarding pain management, and behavioural modifications like quitting smoking and reducing alcohol consumption, have been shown to independently decrease the risk of postoperative complications. The best postoperative results have been observed when a multi-pronged approach, or a program designed to address all aspects of a patients health, has been applied.

In health care, its possible to switch gears. If we use prehabilitation and approach surgery like training for a race, we could see better outcomes, fewer deaths and healthier patients. This is even more important now, amid the current pandemic. With so many surgeries delayed, many patients have some extra time for prehabilitation that could improve their outcome.

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'Prehabilitation': Training your body for surgery may improve recovery, reduce complications - The Conversation CA

Someone who is sick with COVID-19 doesnt have to cough or sneeze on you in order to infect you. Studies have proven conclusively that you can spread the novel coronavirus by singing or even just by speaking loudly. With that in mind, were not sure who in their right mind would start going back to a gym again anytime soon to work out. All that heavy breathing and yelling combined with unavoidable close quarters is a recipe for disaster, but gyms in regions across the country are beginning to reopen as many states ease their coronavirus lockdowns.

If you think going to work out in groups where everyone touches all the machines while huffing and puffing is a good idea, then by all means, go back to the gym. Lets just hope that if you do catch COVID-19 as a result, you dont get too sick and end up taking a hospital bed from someone who was being responsible and taking precautions.

The sane, responsible citizens among us will continue to skip the gym for the foreseeable future. Of course, skipping the gym doesnt have to mean skipping workouts. If you think you cant afford a home gym, think again because there are some fantastic deals over at Amazon right now on all sorts of exercise equipment. Instead of paying $50 or $60 each month on a gym membership, why not get a motorized treadmill for $279 or a mechanical treadmill for $149? Or how about an exercise bike starting at just $170?

Those deals and more are available right now in Amazons exercise and fitness section, and youll find five particularly great options down below.

Follow @BGRDeals on Twitter to keep up with the latest and greatest deals we find around the web. Prices subject to change without notice and any coupons mentioned above may be available in limited supply. BGR may receive a commission on orders placed through this article, and the retailer may receive certain auditable data for accounting purposes.

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5 affordable exercise machines you need to build the home gym of your dreams - BGR

The Adventist Health Tehachapi Valley Physical Therapy Clinic has reopened its doors to patients following its mandatory closure during the COVID-19 pandemic.

Closing the clinic was a difficult decision for Adventist Health, but as with all public businesses, it was necessary to comply in order to keep the community and staff safe, said Dr. Christine Travis, PT, DPT.

Prior to closing in April, Travis said, the clinic saw 20 to 25 clients per day. During the outpatient closure, clients were provided with exercise programs they could do at home. Inpatient physical therapy at the hospital, however, continued during the closure.

On June 15, the clinic reopened and began welcoming patients back inside to receive necessary treatment.

The clinic provides physical therapy for individuals of all ages.

"After injury, illness or surgery, we help to restore mobility, strength and function to our patients. We get people moving and getting them back to the things they love," said Dr. Travis.

The clinic offers its patients a variety of ways to help restore function, including therapeutic exercises, manual techniques and exercise equipment.

"We believe in hands-on care," Travis said.

Before reopening, the clinic was mandated to follow California OSHA guidelines as well as Adventist Health's own guidelines.

"We have taken every step, every precaution and every measure necessary to not only keep ourselves safe, but also our patients safe," Travis said.

Patients are now screened at the front door, which involves taking their temperature and answering a few questions. Once they pass the screen, they are allowed to enter the building and receive therapy.

Social distancing is provided by limiting the number of patients allowed inside the clinic at any given time.

According to Josh Pierce, who has been the manager of training and development for Adventist Health Tehachapi Valley for the past year, the design of the clinic has been redesigned to enable social distancing.

"Since COVID changes often, we are staying up to date with all of the guidelines and recommendations that are evident, and we are following all those that are set out," said Pierce.

Everyone, staff and patients, is required to wear a mask. Those who do not have a mask are provided with one.

"For patients who are unable to breathe through a cloth mask, we provide them with a surgical mask. If the surgical mask is still difficult for them in any way, we have face shields that we will provide them so they can breathe easier," said Travis.

Hand sanitizer is also readily available, and patients are encouraged to use it.

Patient appointments are now staggered to adhere to allow for social distancing.

Said Pierce, "In the future, we are looking at the potential of expanding hours, but we are not there right now."

Pierce went on to say that a lot of patients are still apprehensive about receiving medical care due to the coronavirus.

"They should not be," Pierce said. "We are open, and we are safe, and we are able to care for our patients right now."

Patients who have been exposed to the virus or are experiencing symptoms themselves are asked to reschedule their appointment.

Located at 116 W. F St., the clinic is open Monday through Friday from 8 a.m. to 5 p.m. For more information, call the clinic at 823-3075.

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Adventist Health Physical Therapy Clinic: 'We get people moving and getting them back to the things they love' - Tehachapi News

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