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Munzir Obaid,1 Ayman El-Menyar,2,3 Mohammad Asim,2 Hassan Al-Thani1

1Department of Surgery, Hamad General Hospital (HGH), Doha, Qatar; 2Department of Surgery, Clinical Research, Trauma and Vascular Surgery Section, HGH, Doha, Qatar; 3Department of Clinical Medicine, Weill Cornell Medical School, Doha, Qatar

Correspondence: Ayman El-MenyarWeill Cornell Medical College, Consultant Clinical Research, Trauma Surgery, Hamad General Hospital, Doha, QatarTel +974 44394029Fax +974 44394031Email aymanco65@yahoo.com

Background: We aimed to study theprevalence and outcomes of thrombophilia in acute pulmonary embolism.Methods: A retrospective observational study was conducted to include patients with a radiologically confirmed diagnosis of PE screened for thrombophilia from May 2011 to February 2015. Data included patients demographics; clinical presentation, risk factors, laboratory investigations, management, and outcome were analyzed and compared in patients with and without thrombophilia.Results: A total of 227 cases of PE were included in the study, of which 108 (47.6%) had thrombophilia. The most frequent coagulopathic abnormality included deficiency of protein S, protein C, andantithrombin III and hyperhomocysteinemia. Only seven out of 79 patients werefound to have factor V Leiden. PE patients diagnosed with thrombophilia were 10 years younger in age and peaked in the age range 30 39 years. Prior history of DVT (p=0.001) and PE (p=0.001) were the main significant risk factors in thethrombophilia group. The frequency of different risk categories of clinical probability scores did not differ significantly among those with and without thrombophilia. Pulmonary hypertension was a common complication in thethrombophilia group (P=0.009). Medications used included warfarin (74.7%), enoxaparin (73.9%), and heparin (55.4%). The overall mortality rate was 8.4%, and was non-significantly higher in the non-thrombophilia group.Conclusion: Deficiencies of protein S, protein C, and antithrombin III are the leading causes of thrombophilic defects. Patients with hereditary thrombophilia are at increased risk of acute PE, particularly among young individuals. Therefore, early detection of thrombophilic defects together with other unprovoked risk factors could reduce the risk of recurrent VTE.

Keywords: pulmonary embolism, thrombophilia, risk factors, thromboembolism, outcome

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Prevalence and Outcomes of Thrombophilia in Patients with Acute Pulmon | VHRM - Dove Medical Press

The Knights of Columbus, council #9952, made a $2,000 donation to the Hawkesbury and District General Hospital (HGH) Foundation following a community breakfast on February 16. The $2,000 donation will be allocated toward the HGH Foundations current fundraising priority.

The Knights of Columbus, council #9952, organizes a community breakfast from 8:00 a.m. to 12:00 p.m. in the basement of the Paroisse St-Pierre-Aptre Church in Hawkesbury every third Sunday of each month. They support an organization or charity after every one of their breakfasts. The HGH Foundation is very grateful to have been chosen as one of the recipients of their support! The cheque was presented by members of the Knights of Columbus, council #9952, in the attached photo. Present and included in the photo were: Paul Moreau (Knights of Columbus, council #9952), Jacques Parisien (Board of Directors Member, HGH Foundation), Erin Tabakman (Donor Relations Officer, HGH Foundation), Lorraine Larivire (Board of Directors Member, HGH Foundation), Christine Gray St-Denis (Philanthropic Projects Coordinator, HGH Foundation), and many volunteers from the Knights of Columbus, council #9952, and the HGH Foundation.

The HGH Foundation would like to express its sincere thanks to the Knights of Columbus, council #9952, for their contribution and for their many years of generous support.

The HGH Foundations Current Fundraising Priority: Theres No Place Like Home

Thanks to the expansive and accessible layout of our new hospital, as well as the new CT scanner and MRI machine, HGH is enhancing its services in orthopedic surgery, ophthalmology, urology and nuclear medicine. This focus reflects the most pressing and increasing needs of the local population.

Community support will continue to help ensure that new medical equipment is available to meet the regions healthcare needs and to make the most of the recent redevelopment and expansion at HGH. As the community grows, so will HGHs ability to expand services and programs to continue to provide more healthcare closer to home.

The HGH Foundation will first focus on helping support the development of HGHs new Orthopedic Program. Orthopedics really is a specialty that affects everyone. No one is immune to a fracture or injury.

And as we age, our joints often deteriorate making normal daily activities difficult and ruining our quality of life, says Dr. Chris Kennedy, an orthopedic surgeon who is helping develop the Orthopedic Program at HGH. The reality is that when youre in pain, travelling to Ottawa for multiple appointments is difficult and even the chores of daily life can be excruciating.

That is why HGH and its Foundation are working to bring orthopedic services closer to home. The HGH Foundation is now seeking the communitys support to fully equip HGHs operating theatres with the specialized equipment needed to perform orthopedic surgeries in Hawkesbury.

The HGH Foundations mission is to raise funds in order to improve the care and services offered to the community by the Hawkesbury and District General Hospital.

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The Knights of Columbus support HGH Foundation with $2,000 donation - The Review Newspaper

Could Heartland Group Holdings Limited (NZSE:HGH) be an attractive dividend share to own for the long haul? Investors are often drawn to strong companies with the idea of reinvesting the dividends. On the other hand, investors have been known to buy a stock because of its yield, and then lose money if the company's dividend doesn't live up to expectations.

With a seven-year payment history and a 6.9% yield, many investors probably find Heartland Group Holdings intriguing. We'd agree the yield does look enticing. Some simple analysis can reduce the risk of holding Heartland Group Holdings for its dividend, and we'll focus on the most important aspects below.

Click the interactive chart for our full dividend analysis

NZSE:HGH Historical Dividend Yield, March 2nd 2020

Dividends are usually paid out of company earnings. If a company is paying more than it earns, then the dividend might become unsustainable - hardly an ideal situation. As a result, we should always investigate whether a company can afford its dividend, measured as a percentage of a company's net income after tax. Heartland Group Holdings paid out 91% of its profit as dividends, over the trailing twelve month period. With a payout ratio this high, we'd say its dividend is not well covered by earnings. This may be fine if earnings are growing, but it might not take much of a downturn for the dividend to come under pressure.

Consider getting our latest analysis on Heartland Group Holdings's financial position here.

From the perspective of an income investor who wants to earn dividends for many years, there is not much point buying a stock if its dividend is regularly cut or is not reliable. Heartland Group Holdings has been paying a dividend for the past seven years. Although it has been paying a dividend for several years now, the dividend has been cut at least once, and we're cautious about the consistency of its dividend across a full economic cycle. During the past seven-year period, the first annual payment was NZ$0.04 in 2013, compared to NZ$0.11 last year. This works out to be a compound annual growth rate (CAGR) of approximately 16% a year over that time. The dividends haven't grown at precisely 16% every year, but this is a useful way to average out the historical rate of growth.

Heartland Group Holdings has grown distributions at a rapid rate despite cutting the dividend at least once in the past. Companies that cut once often cut again, but it might be worth considering if the business has turned a corner.

With a relatively unstable dividend, it's even more important to see if earnings per share (EPS) are growing. Why take the risk of a dividend getting cut, unless there's a good chance of bigger dividends in future? Heartland Group Holdings has grown its earnings per share at 6.7% per annum over the past five years. Although per-share earnings are growing at a credible rate, virtually all of the income is being paid out as dividends to shareholders. This is okay, but may limit growth in the company's future dividend payments.

When we look at a dividend stock, we need to form a judgement on whether the dividend will grow, if the company is able to maintain it in a wide range of economic circumstances, and if the dividend payout is sustainable. We're a bit uncomfortable with its high payout ratio. Second, earnings growth has been ordinary, and its history of dividend payments is chequered - having cut its dividend at least once in the past. To conclude, we've spotted a couple of potential concerns with Heartland Group Holdings that may make it less than ideal candidate for dividend investors.

Story continues

Earnings growth generally bodes well for the future value of company dividend payments. See if the 4 Heartland Group Holdings analysts we track are forecasting continued growth with our free report on analyst estimates for the company.

Looking for more high-yielding dividend ideas? Try our curated list of dividend stocks with a yield above 3%.

If you spot an error that warrants correction, please contact the editor at editorial-team@simplywallst.com. This article by Simply Wall St is general in nature. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. Simply Wall St has no position in the stocks mentioned.

We aim to bring you long-term focused research analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Thank you for reading.

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Does Heartland Group Holdings Limited (NZSE:HGH) Have A Place In Your Dividend Stock Portfolio? - Yahoo Finance

Human growth hormone (HGH) is also known as somatotropin in its human form and as somatreopleopin when it is used as a prescription drug that treats HGH deficiency. This hormone is also used by the people who practice sports, but it was banned in the early 2000s when the doping tests were developed to detect if someone took a drug like this.

HGH is a peptide hormone that helps cells to grow and reproduce faster. Its one of the most important hormones in the human body and when it produces in lower quantities, it may cause children growth disorder and adult HGH deficiency. A healthy persons body produces the highest levels of human growth hormone during the early 20s. After that, the production begins to decline.

This hormone is naturally produced in the pituitary gland. It helps increase muscle mass and makes the bones stronger. HGH plays a crucial role in keeping the tissues healthy. After the secretion, the liver converts HGH into growing material that is distributed through the whole body.

In the past, before the 50s, when a patient needed HGH therapy, the hormone was harvested from healthy people, named cadavers, and transferred as a drug to those who need it. This intervention was very risky for the cadavers and it sometimes caused Creutzfeldt-Jakob disease, a health condition that deteriorates the brain. The cadavers needed to take drugs and injections so they can overproduce HGH that was harvested from them and transferred to the patient that needed the treatment.

It took at least 20 years to produce a synthetic HGH treatment. In the 80s, hormonal therapy was developed and the hormone was available in a synthetic form too.

If the parents suspect that their child doesnt grow properly to their age, they need to go to the doctor, who will perform some tests first. If the results show HGH deficiency, they will prescribe a therapy. Human growth hormone deficiency is often connected to Turner Syndrome, and that is why a lot of tests and analyses should be performed before the child takes the injection.

HGH therapy is safe and effective when treatment is needed. The tests may include blood analysis, MRI scans, and x-ray until the doctor has the whole picture of the childs condition.

The levels of human growth hormones are regulated by the pituitary gland, which is placed at the base of the brain. Healthy adult men produce less than 5 nanograms per milliliter of blood. Healthy adult women produce twice this amount because they need it during the monthly cycle when their body is getting ready for an eventual pregnancy.

This hormone is naturally released during deep sleep. There are a lot of factors that may influence its release in the body, such as insomnia, the general lifestyle routines, how much you sleep, do you exercise and how many times you exercise weekly and so on. When there is HGH deficiency, the child shows no signs of proper growth for the age.

It is important to know that HGH doesnt affect cognitive functions and intelligence, but it often causes self-esteem problems and a lack of social skills because of that.

The primary role of growth hormone therapy in adults is to boost energy, metabolism and body development. They also help to increase exercising performance and reduce the risk of cardiovascular issues in those who needed treatments like this during their childhood. HGH treatment also helps to repair the tissues, which is very important in the case of injury. The human growth hormone helps muscle repair after weight exercising but also stimulates the metabolism to work faster and the whole body to burn fat.

Yes, there are a lot of HGH clinics in the USA and around the world. They have professional teams of doctors, endocrinologists, nurses and medical advisors that will help you get the dose of HGH you need about your problem. Every person is different and they cant take this therapy without a doctors appointment.

These clinics have one goal, to help their clients get the best from the therapy and bring back their hormonal balance. You can find a lot of successful cases and positive experiences at hghtherapydoc.com.

The first thing you expect is growth. Sometimes it needs about 3 to 6 months to see the first results. Your child will probably grow 1 to 2 inches in 6 months. But also, this therapy affects many other parts of their body. They may need bigger shoes and clothes and may look skinny because of the growth. But, soon they will start asking for more food, especially if they had poor appetite before the therapy started.

Dont forget that regular visits to your family doctor and pediatric endocrinologists are needed, because they need to monitor the results and change something if needed.

HGH injections showed great results in treating Turner Syndrome, which is a genetic disorder that affects a girls growth and development. This therapy also can be used for:

HGH therapy may increase the risk of diabetes. You shouldnt take it without a doctors permission, so you can protect yourself from buying unapproved products.These are the possible side effects of HGH treatment:

Many of these side effects are the results of fast-growing. The skin needs to grow faster so the body and organs can fit properly. That is why you or your child can feel tingling, swelling and muscle pain.

More:
Everything You Need to Know about HGH Therapy in 2020 - ChartAttack

CONTINUEDSleep contributes to learning and memory.

As Professor Robert Jaffard, a neurobiologist specializing in memory research at the B2V Memory Observatory, explains: Sleep prepares the brain to learn, to encode new information. Later, it will consolidate the memory of this learning so that it becomes a stable and lasting memory. In addition, sleep consolidates all our memories: During light sleep and then the deep sleep that follows sleep, it is the declarative memory, consisting of our memories and our knowledge that is consolidated. During REM sleep, later on, it is the procedural memory, that of our motor and perceptive abilities.

A tired complexion, bags under the eyes, dark circles, pronounced facial features are a result of tiredness. Ladan Mostaghimi, a specialist in skin and sleep disorders from the Department of Dermatology at the University of Wisconsin explains that sleep has a major effect on health and recovery from daily stress factors on all organs, including the epidermis.

Read Also: HGH Benefits

When we sleep, collagen synthesis and blood flow increase. Skin temperature, permeability, pH and transepidermal water loss vary during sleep and insomnia. It is the increase in blood flow that helps give the complexion look more radiant in the morning after a good nights sleep.

As already mentioned, sleeping is a way to take a break, to calm down. During the night, the nervous system calms down, the mind rests and the body is relieved of the stress waves it experiences while awake. A good nights rest allows you to take a step back, see things more clearly, find new solutions and calm the tensions of the previous night. Sleep is also valuable for relationships and social life. It helps you to make the right decisions.

Read Also: University of Freiburg Identifies the Neurons Responsible for Rapid Eye Movements During Sleep

On the other hand, lack of sleep impairs judgment, logic, concentration, affects mood, promotes negative mood, depression, and anxiety.

A study published in the Journal of Sexual Medicine in 2015 showed that every minute of sleep is precious for women: an extra hour of sleep would increase their sexual desire by 14% the next day. Longer sleep would also promote vaginal lubrication.

As you can see, sleep is essential for our physical and mental health. A combination of good sleep, regular physical activity, good nutrition, and smoking bans will only improve your condition.

Why Cant I lose Weight Even Though I am Dieting and Exercising

A Combination of Hormones Could Help Treat Obesity and Diabetes

Obese Men with Hypogonadism Could Lose Weight and Keep It off with Testosterone Injections

See original here:
Restful Sleep Has Rejuvenating Effects on the Body - Gilmore Health News

Could you explain in short, how exercising affects testosterone levels in our body?Everyone knows that a healthy diet and exercise are essential to maintaining a balanced lifestyle. Exercise releases endorphins, strengthens and shapes the body, can lower weight through the burning of fat and through the building of muscle, helps reduce the risk of heart disease, and so much more. Exercise affects many of the bodys hormones and chemicals, such as endorphins; these groups of hormones are triggered in the brain and nervous system that then activate the bodys opiate receptors, giving the feeling of elated emotions and mood.Other hormones released by exercise can include insulin, glucagon, cortisol, epinephrine and norepinephrine, human growth hormone (HGH), and eventestosterone! Now, I think that men and women alike can agree that a healthy dose of testosterone is just the ticket, but not only for the amped libido! Testosterone has an effect on a mans bone mass, fat distribution, muscle mass, strength, and the production of erythrocytes (red blood cells) and sperm. etc.But how could just exercising (and no its not an innuendo, I really mean exercise) release and increase testosterone levels? What sort of results men can expect?Although exercise is hardly the only contributing factor when it comes to the production of testosterone, it has been shown to elevate the sex hormone in bursts. These elevated levels are seen immediately following exercise and can last from 15 to 60 minutes. The link between exercise and testosterone is grossly underknown and highly sought to be understood by researchers; although, it is thought that for men whose testosterone levels are low, treatment limited to just exercise is not likely to make a notable difference.Men suffering from levels between normal and low are, however, expected to see an impact from the right exercises with the proper conditions. One of these factors is your weight; obviously working out can help you lose weight, but what isnt so commonly known, is that when you drop those pounds, youre also simultaneously improving your testosterone levels! While effect the exercise has on this sex hormone is still present in older men, the boost has been shown to be much lower than that in those in a younger men.For all the gentlemen, regular workouts are still for you; they help with bone and muscle health, as well as a better sense of balance. With work and family, we might find it difficult to find time for workouts, but the time of day you exercise is very important! Typically, for a healthy boost of testosterone, you want to exercise in the afternoon or evening, as natural levels are usually found at their peak height in the morning. Men who have less than outstanding fitness level will experience higher testosterone boost than men who are in great shape. So, no excuses here! In order to keep up with high-level bursts, it is important that workouts gradually get more difficult, as the body begins to acclimate to the pressure it is being put under.Which exercises stand out in terms of maintaining healthy testosterone levels?Although most exercises will amplify testosterone levels, some are more effective in getting your train to chug than others. Weight lifting and other strength training exercises are ideal for anyone wanting to up their testosterone anty. Lifting heavier weights, as opposed to lifting many reps of a lighter weight, shorter rest periods between workouts, and utilizing more muscles within each exercise are all ideal options for going the extra hormone-heightened mile!While many workouts are great for your body and your sex hormone levels, not all exercises are created equally. Cortisol, another term for hydrocortisone, is a stress hormone that is triggered when inflammation in the body is detected and then released from the adrenal glands. Testosterone is also produced from the adrenal glands, as well as the gonads (testes in men and ovaries in women) and these two hormones have been shown to counteract each other. Specific types of exercises can increase your cortisol levels, effectively reducing your testosterone levels, including chronic high endurance exercises like hours of running or cycling.Are there any other benefits found between exercise and testosterone?Im sure theres plenty that we havent yet discovered, but for certain and one of my favorites?Sex. Plain and simple. Intercourse, in itself, is healthy and great for both your body and mind. When you do the right workouts at the right time of day, your testosterone is going to amp up and when that happens, your sex drive steps up the game as well. All in all, from what we currently know about the link between exercise and testosterone levels, is that there is a definite benefit, even if what is seen isnt necessarily permanent results. Regular workouts are always recommended, but when they are accompanied by a healthy hormone dose, its really a no brainer.

KHTS FM 98.1 and AM 1220 is Santa Claritas only local radio station. KHTS mixes in a combination of news, traffic, sports, and features along with your favorite adult contemporary hits. Santa Clarita news and features are delivered throughout the day over our airwaves, on our website and through a variety of social media platforms. Our KHTS national award-winning daily news briefs are now read daily by 34,000+ residents. A vibrant member of the Santa Clarita community, the KHTS broadcast signal reaches all of the Santa Clarita Valley and parts of the high desert communities located in the Antelope Valley. The station streams its talk shows over the web, reaching a potentially worldwide audience. Follow @KHTSRadio on Facebook, Twitter, and Instagram.

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Interview With Nutritionist Robert Thomas: The Link Between Exercise And Testosterone Levels - KHTS Radio

What a day! A truly significant one for swimming and anti-doping.

Swimming Worlds coverage of Sun Yang & FINA Vs WADA At the Court of Arbitration for Sport

Commentary follows

On the way to my breaking the news that Michelle Smith de Bruin, the stunning improver of an Irish triple Olympic champion in 1996, was in trouble with anti-doping authorities, a kind and caring soul sent me a Shakespearean quote from Hamlet.

It might have been but wasnt To be or not to be, though the Prince of Denmark had something to teach me about where to look and what to look for. Early 1998 and it would not be long before I was able to shake hands with truth.

The rest is history now repeated in so many ways this day:

I broke the story about Suns latest brush with anti-doping authorities. Like Smith de Bruin, he asked for a public hearing at CAS as part of the legal defence of the innocence he claimed; and like the Irish swimmer since turned barrister, Sun did not survive the Court of Arbitration process. Both swimmers went down for manipulation/tampering, Smith de Bruin because there was a sample to test; Sun because there was no sample to test.

There are other differences in the cases, of course; Smith had nowhere left to go and quit the sport; Sun has a Swiss Federal Tribunal at which he can make a last stand after which he will rise from the ashes or go down in history with an eternal stain on his character and career. As things stand, he will never be inducted into the International Swimming Hall for Fame.

There was the whiskey, too (yes, I was told, apparently it was possible to tell that it was Irish whiskey not whisky in the urine jar and in enough concentration to have been fatal had it been ingested and passed not poured into the test flask).

No nightcap involved in the Chinese case, the place of sundowner in 2018 taken by a twice-banned doctor, various guardians on the line to testers, a mother and the security guard she called on to fetch the final blow: a hammer to nail, intentionally or not, a fateful note to WADAs door reading catch me if you can.

It was as if the love and protection of FINA for Sun and his swim association in a country yielding some of the biggest sponsors the international federation had ever known had gone to all their heads. So much so, indeed, that even previous bad form from 2014 was not enough to wave a red flag in between their collective ears when it came to favouring four hours of acrimony, with three fairly powerful men warning a young, female anti-doping officer over a bit of paperwork and process a 12-year-old could follow without too many tantrums.

21 years on and another kind and caring soul sent me something that led me to a document far less prosaic than the plots crafted by the great Bard. It was an astonishing document, one in which a great many pages thundered like Lear:

Blow, winds, and crack your cheeks! Rage, blow!You cataracts and hurricanoes, spoutTill you have drenched our steeples, drowned the cocks!You sulfurous and thought-executing fires,5Vaunt-couriers of oak-cleaving thunderbolts,Singe my white head! And thou, all-shaking thunder,Smite flat the thick rotundity o th world,Crack natures molds, all germens spill at onceThat make ingrateful man!

And then the Sun came out, all clear, a slight slap on the wrist, pocket money docked and off you swim now, you naughty little rascal.

It just didnt add up and if the maths was askew so was the English. The FINA Doping Panel, clever men and lawyers they surely must be, forgot to pick up a dictionary. Had they done so, they would have understood almost instantly that the thing the whole Sun case hinged on, as they put it, was actually unhinged.

Documentation could only be interpreted as plural, they ruled, overruling the Oxford and Cambridge dictionaries and several others as they went. Documentation is both singular and plural. Hence one might arrive at a border and be asked Do you have your documentation. Upon handing over ones one passport, one might hear one thank you, that will do nicely.

Yet there were three FINA lawyers arguing that all that crack winds and blow stuff theyd identified hung on a grammatical thread so fine that one might well have imagined it came from the same spool from which the Emperors Clothes were spun.

Today, the Court of Arbitrations three senior judges cut to the chase: Sun was guilty of tampering, not necessarily because his was the hand that removed a signed-off blood sample from the chain of custody but because his name was on the paperwork and the relevant rule hands him responsibility for outcome of an anti-doping procedure during the entire time a testing session/visit is underway.

In Montreux last November, witnesses, including Sun, suggested that Ba Zhen, the twice WADA-penalised doctor, was the man who took the blood sample out of custody. It could not, therefore, be pinned on Sun.

Well, it was and an eight-year ban was the result. Sun has now felt the hammer blow of WADAs authority, as has FINA, which coupled its wagon to the Chinese champion when it might have stepped back and let due process run its course in more independent hands.

The list is longer still.

The 2016 Rio Olympic deck hug from FINA director Cornel Marculescu after the 200m freestyle final had Sun explaining to the world media how the international federations top-paid employee was life a grandfather to him and that Mr. Marculescu was a great friend of Chinese swimming.

All of that just 18 years after a China Crisis so big in swimming that it would surely have been impossible to get it wrong beyond that point, 13 vials of hGh in the kit of Yuan Yuan, a 16-year-old picked out by sniffer dogs at Sydney Airport, a game changer.

Or perhaps not for in every passing year since, mistakes that suggest historys lessons have wilfully been ignored have played out again and again, with Russia, with China, with any swimmer from any nation paying into FINA coffers handled with kid gloves not the hammer felt by others.

With the verdict today comes criticism of the anti-doping system and how unfair it is to Sun. Accusations stretch to racism as weve seen in our own comments section.

All such things are a masquerade. Those who are concerned about WADA and CAS and the anti-doping system are right to be concerned but not if their fight rests on saving Sun and Co.

The question is not have we been unfair to Sun but what the hell are you doing about Dr Ba and Co?

Go further, ask FINA what it was thinking during those 20 or so years when it never once questioned the way IDTM, the Sweden-based testing agency, conducted its business and testing teams, never once recommended nor demanded changes and improvements; yet there its lawyers were in Montreux pressing IDTM for answers on the very procedures it had agreed to, by default or otherwise, as part of its out-of-competition testing contract.

The arrival of the International Swimming League put the heat on FINA to change last year and the leading domestic federations have sat back and hoped rather than actively pressed for change within the organisation that is the sum of all of them and cannot operate without them.

While FINA has had to tweak things a touch, it remains the same organisation and culture in heart and soul; the same organisation still fighting legal action aimed at ending its monopoly; the same organisation that defended a rogue Chinese swimming organisation and culture through the 1990s; the same organisation that mortally failed Fran Crippen and his family; the same organisation that gave its top honour to Vladimir Putin on the even of the Russian doping crisis; the same organisation that said Facilities Rules (including what constitutes a 50m pool, a starting block and so forth) dont count when a world record is set; the same organisation that has no register of interests nor open expenses system for the volunteers running the show that is accessible for all its stakeholders to see; the same organisation that has allowed leading officials to remain at its top table even while cited as co-conspirators or named as being under investigation for criminal activities; the same organisation that ignored calls for review and reform from shoals of major stakeholders in the sport.

It is an organisation in need of root-to-branch review and reform. National federations know it but remain far more complicit than they should be.

Twenty two years ago, coaches and athletes flowed past the media complaining about unfairness and FINA for failing to act on their behalf. They still are, in sport led yet by men who were around when Dr Lothar Kipke was being honoured as a GDR medical man for his services for swimming even as teenage girls were being abused behind closed walls. As stated many times before: Kipke has his FINA Pin awards yet despite a criminal conviction for the abuse of underage athletes he doped.

On the sidelines of the show is Sun, a star now fallen. He has been in the hands of the system for at least 20 years from childhood to a 28-year-old adult who may be regarded as both victim and product of that system, his home environment and, in the past decade, the home-from-home he has found at FINA HQ.

Those who think that last reference goes too far should know this: when Sun stepped out of the lights a few moments after having shouted in Duncan Scotts face at the World Championships under a giant banner of the event motto Dive Into Peace in Gwangju, FINA got to work. It took nine minutes for British Swimming to received the warning handed down to Scott for his podium protest.

It took 2 minutes to get Sun into a FINA limousine, drive him back to the official FINA hotel where he was being housed and the warning he received came with another FINA hug of sorts. The event motto might better have read Pride, Prejudice and Partiality.

None of any of them escaped the swimmers, which is why we find in our coverage the tip of an iceberg of complaints from the worlds leading swimmers, their coaches, parents, communities and the wider world of programs, clubs and fans remote from the politics that prevail at the helm of the sport.

This was a good day for swimming, a good day for clean sport and anti-doping in that Sun, the champion of a system and culture that even China team-mates, the Chinese media has reported, have been uncomfortable with.

What remains of this day, however, is that, yet again, the whole focus is one the swimmer, the one athlete, when quite clearly, many around him ought to be called to account.

The Sun has set on a career after a long year at the end of a troubling chapter of swimming history. There is a feeling that the matter has been put to bed on the way to a Midsummer Nights Dream of viruses dying and Games Olympic unfolding without a (particular) shadow of doubt.

And sleep, that sometime shuts up sorrows eye, Steal me awhile from mine own company.

FINAs leadership might well be among those who understand well Shakespeares fine expression but its not they I wish restful sleep for when they ought to be wide awake contemplating the lessons of 1998, February 28, 2020 and many other moments in between.

No. Rather, let this night into a new weekend be peaceful for all those kind and caring souls whove laid awake on many other nights thinking about the sport that swimming could be and hoping not to see something rotten in the state of swimming being propped up by that very state.

Excerpt from:
Sun Yang's Eight-Year Ban - History repeats: Whiskey In The Jar To Hammer Horror - Swimming World Magazine

The Human Growth Hormone (hGH) market research report study recently presented by AMR provides comprehensive knowledge on the development activities by Global industry players, growth possibilities or opportunities and market sizing for Human Growth Hormone (hGH) along with analysis by key segments, leading and emerging players, and their presence geographies.

This research study has 96 pages, it covers the complete market overview of various profiled players and their development history, on-going development strategies along with the current situation.

The global Human Growth Hormone (hGH) market size is estimated at xxx million USD with a CAGR xx% from 2015-2019 and is expected to reach xxx Million USD in 2020 with a CAGR xx% from 2020 to 2025. The report begins from overview of Industry Chain structure, and describes industry environment, then analyses market size and forecast of Human Growth Hormone (hGH) by product, region and application, in addition, this report introduces market competition situation among the vendors and company profile, besides, market price analysis and value chain features are covered in this report.

The research benefits in recognizing and following arising players in the market and their portfolios, to enhance decision-making abilities and helps to create effective counter-strategies to gain a competing advantage. Some of the players profiled/ part of study coverage are Eli Lilly and Company, Ferring Holding SA, Genentech, Merck & Co., Novo Nordisk, Pfizer, Sandoz International GmbH, Ipsen.

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AMRs research team has examined complete data across the globe comprising 20+ countries with a comprehensive data plan spread from 2013 to 2026 and approximately 12+ regional indicators complemented with 20+ company level coverage.

The study is organized utilizing data and knowledge sourced of various primary and secondary sources, proprietary databases, company/university websites, regulators, conferences, SEC filings, investor presentations and featured press releases from company sites and industry-specific third party sources.

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Characteristics of the Table of Content:

The comprehensive study presented by considering all the important aspects and sections. Some of these were

? Market Size (value & volume) by key market segments and potential and emerging Nations/Geographies

? Market driving trends

? Consumers options and preferences, Manufacturer and Supplier Landscape

? Regulatory Actions and Regional Policy Impacts

? Projected Growth Opportunities

? Industry challenges and constraints

? Technological environment and facilitators

? Consumer spending dynamics and trends

? other developments

Human Growth Hormone (hGH) MARKET RESEARCH SCOPE OBJECTIVES, TARGET AND KEY FINDINGS

Preferably, that approaching major uptrend failed to arrive on schedule, but the Human Growth Hormone (hGH) market raised without posting any drops and surely witnesses zeniths in years to come.

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Growth Hormone Deficiency, Turner Syndrome, Idiopathic Short Stature, Prader-Willi Syndrome, Small for Gestational Age, Others segment interpreted and sized in this research report by application/end-users reveals the inherent growth and several shifts for the period 2014 to 2026.

The changing dynamics supporting the growth perform it perilous for manufacturers in this extent to keep up-to-date with the changing pace of the market. Find out which segment is doing great and will return in strong earnings adding the significant drive to overall growth.

Furthermore, the research contributes an in-depth overview of regional level break-up categorized as likely leading growth rate territory, countries with the highest market share in past and current scenario. Some of the geographical break-up incorporated in the study are Eli Lilly and Company, Ferring Holding SA, Genentech, Merck & Co., Novo Nordisk, Pfizer, Sandoz International GmbH, Ipsen.

In the Type segment Recombinant Human Growth Hormone (rhGH), Human Growth Hormone (rhGH) included for segmenting Human Growth Hormone (hGH) market by type.

The industry is performing well and few emerging business institutions are in their peak as per growth rate and their existence with major players of Human Growth Hormone (hGH) market whereas conflict between 2 Global economies continues in 2020.

Eli Lilly and Company, Ferring Holding SA, Genentech, Merck & Co., Novo Nordisk, Pfizer, Sandoz International GmbH, Ipsen major key players included in this research along with their sales and revenue data show how they are performing well?

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Thanks for reading this article, you can also get individual chapter wise section or region wise report versions like North America, Western / Eastern Europe or Southeast Asia.

With the given market data, Research on Global Markets offers customizations according to specific needs. Write to AMR at sales@amplemarketreports.com, or connect via +1-530-868-6979

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Ample Market Research provides comprehensive market research services and solutions across various industry verticals and helps businesses perform exceptionally well. Our end goal is to provide quality market research and consulting services to customers and add maximum value to businesses worldwide. We desire to delivery reports that have the perfect concoction of useful data. Our mission is to capture every aspect of the market and offer businesses a document that makes solid grounds for crucial decision making.

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Human Growth Hormone Market is booming worldwide with Eli Lilly and Company, Ferring Holding SA, Genentech, Merck & Co., Analysis and Forecast to...

Human Growth Hormone, more commonly known by its acronym HGH, is an important part of the endocrine system that is responsible for muscle growth, fixing cells, promoting optimal metabolism, and a variety of other functions in the human body. Adequate levels are essential for good health. In most cases, our bodies produce the right amount. Sometimes, though, due to disease or advancing age, HGH levels can fall.

When HGH gets too low, negative health effects become noticeable. Low HGH levels trigger weight gain, fatigue, and, ultimately, disease if left untreated. Lifestyle and diet play huge roles in maintaining HGH levels getting plenty of regular exercise, eating lots of good fats (fish, avocado, etc,) as well as nutritious vegetables, and getting regular sleep are great natural ways to boost HGH.

Sometimes, though, despite lifestyle modifications, HGH remains too low. In these cases, HGH therapy can be a great option. Under the care of a licensed professional provider, it is possible to safely raise your HGH levels with minimal chances of negative side effects. Always remember: you must seek HGH therapy from a skilled and experienced provider never attempt HGH therapy on your own.

HGH is naturally produced in the pituitary gland. It is secreted into the blood in controlled amounts where it travels throughout the body, binding to appropriate cells and signaling important changes. Specifically, when HGH travels to the liver, it triggers the release of another important hormone called insulin-like growth factor 1, or IGF-1. Together, these hormones are responsible for the building of tissue in the body hence their name and their activity of encouraging muscle growth.

Most of the negative side effects of HGH can be avoided by taking the right dose and proper health monitoring by a professional throughout the course of therapy. Recorded side effect include:

As with any medical procedure, the key is to monitor your health throughout the process to see how your body responds to therapy. Each individual exhibits a unique reaction to any medical treatment, so its difficult to know exactly how the treatment will affect you. Most people respond positively, with little or no side effects.

The expert providers at HGH replacement Clinic are available to assess your fitness for receiving GH therapy. If you are a good candidate, our healthcare professionals will safely guide you through the process to become the best version of yourself you can be healthier, stronger, more energetic, and happier. Contact us today to get started on your HGH journey.

Read more from the original source:
Is Growth Hormone Safe: Widespread Fear of HGH Therapy - Gazette Review

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Southern Utah's womens basketball team downed Northern Colorado 64-50 on Thursday, February 20th.(Photo: Chris Kwiecinski / The Spectrum)

Waking up on Feb. 17, Rebecca Cardenas got a text at 11:18 AM with the news she was hoping to hear.

"Hello Becca," the text read. "You have been randomly selected for drug testing."

Of course, this wasn't the senior point guard's main goal when the season began in November, but she sees the "random" test differently than most athletes would.

Whereas some athleteswould get offended at the notion they are cheating the game with banned or illegal substances, Cardenas revels in the idea that she's been so good thatsomeone, somewhere, is thinking she has to be juicing.

"At the beginning of the season, I was like if I don't get drug tested this year, something's wrong," Cardenas said after SUU's 64-50 win over Northern Colorado Thursday night.

Rebecca Cardenas(Photo: Southern Utah University)

She got her wish, and her performance on the court this year says she earned it.

Cardenas, who came to SUU from Burges High School in El Paso, Texas, leadsthe Big Sky in scoring average at 17.5 points per game.She's topped 20 or more points in seven games so far and has scored 30-plus points twice.

She has a wicked first step on drives, leading to high-percentage shots at the rim and a 42.7 shooting percentage for theseason.

More sports: Youth movement leads to 2 Region 9 teams snapping playoff droughts

On defense, Cardenas is seemingly always in opposing passing lanes, which is evident by her league-leading 2.8 steals per game average.

When she isn't flexing these statistics, Cardenas is flexing at the in-house cameras around the America First Events Center after tough finishes and significant baskets.

"It probably is random, but all the athletes here are like 'oh it's definitely not random.' Jokingly, but kind of serious," Cardenas said. "I think they just see my guns now. I'm not a little freshman no more."

Southern Utah's womens basketball team downed Northern Colorado 64-50 on Thursday, February 20th.(Photo: Chris Kwiecinski / The Spectrum)

Not all athletes share Cardenas' sentiment on getting a "random" drug test. San Francisco 49ers star Richard Sherman has been vocal about receiving drug test orders from the NFL.

After playoff wins over the Vikings and Packers, Sherman got his "random" drug test and wasn't too happy.

"Hahahaha ball out and get the double dip," Sherman tweeted on January 11th."PED and HGH tests.... hahaha gotta love it."

Cardenas welcomes it, however, a trait indicative ofhersavvy veteran experience playing in the Big Sky. SUU has been the beneficiary. Originally offered a scholarshipby former SUU coachChris Boettcher, Cardenas stuck with the T-Birds whenBoettcher was fired after the 2017-218 season.

Southern Utah's womens basketball team downed Northern Colorado 64-50 on Thursday, February 20th.(Photo: Chris Kwiecinski / The Spectrum)

Since coach Tracy Sanders took over, Cardenas has flourished into SUU's do-it-all player who's flirted with triple-doubles at times. Her scoring ability and penchant for making the right pass has been key to the team's entire offense gameplan.

"She's so good at including everyone," SUU junior forwardDarri Frandsen said."It's so fun to play with her."

Cardenas' ultimate goal is to make the Big Sky All-Conference team after gettingsnubbed from the Big Sky Preseason All-Conference team. So far, she's played her way to at least a spot on the second team.

Keep reading:A Desert Hills wrestler just made his claim as the best in school history

Little victories in Cardenas' eyes, like getting that drug test, are small victories along the way.

"Going up in grade, the same people would always get drug tested,"Cardenas said."My pride was a little bit up that day."

Follow Chris Kwiecinski on Twitter @OchoK_. You can contact him atCKwiecinsk@thespectrum.com, or (435) 414-3261.

Read the original here:
This Southern Utah women's basketball player got exactly what she wanted: a drug test - The Spectrum

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