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Oct 9

Colchester nursing home outbreak deepens as long-term care facilities struggle with safety of visits – theday.com

Coronavirus cases and deaths continue to mount at the Harrington Court Nursing Home in Colchester, which on Tuesdayreported a total of 53 residents and 12 staff membershave tested positive for COVID-19, and five residents have died.

Thirty-sevenof the infected residents remain in Harrington Court, and 11have been moved to Quinnipiac Valley COVID Recovery Facility in Wallingford, said Dr. Richard Feifer, chief medical officer for Harrington owner Genesis Healthcare, in an email.

The state Department of Public Health has inspected the facility at least seven times since the first resident tested positive on Sept. 16. Inspectors found several infection control issues, which the facility is addressing, and for which it will be cited, according to Av Harris, DPH spokesman. Harris said therewas no update on the investigation as of Tuesday.

The latest state inspection information available for HarringtonCourt indicates no deficiencies were cited following an April 20COVID-19-focused survey to determine compliance with infection prevention and control practices.

Feifersaid the facility remains stringent with restrictions and has diligently followed guidelines from the Centers for Disease Control andPreventionand Centers for Medicare and Medicaid Services, sometimes adopting even more stringent infection precautions than were recommended at the time. Harrington Court also is followingthe direction of theDPHin an effort to contain and minimize the spread of the virus, Feifer said.

Due to the outbreak, the facility is no longer allowing residents to have outdoor visits with family members.

Some family members who have been unable to have indoor visits with relatives in Connecticut nursing homes since Marcharegrowing increasingly concerned about the physical and mental health of their loved ones.

An independent review of Connecticut nursing home performanceduring the pandemic conducted by Mathematica Inc. indicated that depression increased by 15% for residents of long-term care facilities and unplanned weight loss doubledfollowing the shutdown of visitation in March. The depression declined slightly when outdoor visits started in May.

The policy decisions were critically important to stop the outbreak, Patricia Rowan, project director for Mathematica, told lawmakers during a review of the study Monday. But the analysis provides an evidence base to support the concerns of those who say the policy responses came at the cost of the emotional well-being of residents in facilities.

Acting Department of Public Health Commissioner Deidre Gifford saidshe would hesitate to draw a line between the visitation policy and the depression and weight loss.

Though theCenters for Medicare and Medicaid Services issued a directive that opened up indoor visits on Sept. 17, facilities must have had no cases of COVID-19 for the past 14 days and are recommended to use the positivity rates of infection within their counties to determine whether to allow indoor visits.

As of Monday, the state reported a3% positivity rate for infection in southeastern Connecticut. The federal guidance indicates that indoor visits, beyond compassionate careand end-of-life visits,can take place if the rate is below 5%, but some facilities have been slow toreinstate indoor visits.

Liz Stern of Stonington, whose 92-year-old mother resides in a Mystic nursing home that has remained free of COVID-19 throughout the pandemic, has been working with other family members to advocate for nursing home residents suffering due to isolation.

She said her mother, who is paralyzed and has vascular dementia, was accustomed to daily visits from her daughter prior to the pandemic and is unable to have outdoor visits.

For months, Stern, who declined to name the facility where her mother resides,said she has been seeing her mother once a week, through a picture window, where they use cellphones to speak and where sometimes they can't see each other through the glare.

Stern said thenursing home stafftold her Monday that they have completely shut down inside visits because of the infection rate in New London County, which has climbed in recent days.

The facility agreed to an "expanded compassionate care visit," telling Stern she has to have a negative COVID-19 test and wear full personal protective equipment, including mask, face shield, gloves and gown, in order to visit her mother and touch her hand.

Stern said she received the negative COVID-19 test result, but has no immediate plan to visit her mother under those circumstances, which she said would be confusing for her mother and won't address her needs.

She said the visitation policy is being driven by fear.

"We can do better, and we can be safe," Stern said by phone. "We have to redefine what safe is. The virus will continue to trickle in and trickle out. For good nursing homes with protocols it will continue to drip in, but the drip of the infection is nothing compared to the tsunami of damage that's been done by the isolation."

k.florin@theday.com

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Colchester nursing home outbreak deepens as long-term care facilities struggle with safety of visits - theday.com

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Oct 9

Global Mobile Weight Loss Market Report 2020-2025: Navigate Through the Disruptive Mobile Weight Loss Industry and Open New Investment Opportunities -…

Dublin, Oct. 07, 2020 (GLOBE NEWSWIRE) -- The "The Global Mobile Weight Loss Market 2020: How Digital Solutions Transform the Weight Loss Industry and Chronic Care" report has been added to ResearchAndMarkets.com's offering.

This report is a study of the global market for mobile weight loss solutions, which assist people in weight loss efforts by providing various content and services. It is the most comprehensive account of the digital transformation in the weight loss industry.

The report also evaluates country market opportunities and profiles the top 10 country markets. It also discusses major trends that will transform the digital weight loss industry in the medium-term. Given the current economic uncertainty, the impact of the COVID-19 is also analyzed.

Product Description

Mobile weight loss solutions have disrupted the global weight loss market, as the use of mobile apps has proven to be more efficient not only in comparison with on-site programs but also with other digital tools, such as web-based programs. The COVID-19 crisis has, even more, accelerated the mobile-centric digitalization of the weight loss industry.

Moreover, mobile weight loss solutions have already transformed chronic care, as they increasingly are an essential part of preventing and managing various chronic conditions, such as diabetes, hypertension, cardiovascular diseases, hyperlipidemia, etc. The global mobile weight loss market is already a multi-billion market that is set to double by 2025, despite the currently unravelling economic difficulties.

Based on first-hand sources and comprehensive data, the report offers an unrivalled perspective on how mobile weight loss solutions transform the weight loss industry and chronic care, offering new investment and expansion opportunities. Analyzing in detail the market opportunity, the current market structure, competition, geography, and outlook, it provides exhaustive and insightful reading for those who are looking for new opportunities in one of the most thriving digital health markets.

Explore a data-rich report full of metrics, analysis, and insights, designed to navigate you through the disruptive mobile weight loss industry and open new investment opportunities!

Why this Market is so Attractive

Key Topics Covered:

1. Scope of the report

2. Management summary

3. The Impact of The COVID-19 Crisis on the Weight Loss and Behavior Change Industry

4. Global Opportunity For Mobile Weight Loss Services4.1. Demographic Target Group: Overweight Prevalence Among Adults4.2. Addressable Market: Overweight Audience with Capable Devices

5. The Mobile Weight Loss Ecosystem: Current Status5.1. The Growth of the Supply Side: Number of Solutions (2010-2019)5.2. The Growing Demand: Downloads and Usage (2018-2020)5.3. The Diversity of the Market: Main Use Cases5.4. The Diversity of the Market: Major Groups of Weight Loss Solutions5.5. The Nutrition segment: The Most Popular Diets Used in Mobile Weight Loss Apps5.6. Technology Improvements: Automated Logging, Data Syncing, and Device Connectivity in Mobile Weight Loss Solutions5.7. Business Models and Revenue Streams: Market Size and Segmentation5.8. Clinical Trials by Mobile Weight Loss Solutions Providers: Is There Proof-of-Concept Available?

6. Market Competition: Big Ecosystem, High Concentration6.1. Weight Loss Market Players: The Competitive Landscape6.2. Leading Publishers: Downloads, Usage, and Revenues

7. Leading Market Players: Company Profiles7.1. WW International7.2. Noom7.3. Under Armour (MyFitnessPal)7.4. Genesis Technology Partners (BetterMe)7.5. YAZIO7.6. Lifesum7.7. Verv7.8. Livongo Health7.9. Omada Health7.10. Lark Health

8. Top 10 Country Markets for Mobile Weight Loss Solutions8.1. Geographic Structure of the Mobile Weight Loss Market8.2. Top 10 Country Markets: Ranking by Downloads and Monthly Active Users8.3. The United States8.4. India8.5. Russia8.6. Brazil8.7. The United Kingdom8.8. Germany8.9. France8.10. Japan8.11. Italy8.12. Mexico

9. Major Trends that Will Shape the Mobile Weight Loss Market

10. Outlook: The Market's Forecast until 202510.1. The Impact of the COVID-19 Crisis on the Market: Key Scenarios and Assumptions10.2. Demographic Target Group and Addressable Market Forecast10.3. Downloads Forecast10.4. Usage forecast: Baseline and Optimistic Scenarios10.5. Revenue Forecast: Baseline and Optimistic Scenarios

11. Appendix

Companies Mentioned

For more information about this report visit https://www.researchandmarkets.com/r/syqhgg

Research and Markets also offers Custom Research services providing focused, comprehensive and tailored research.

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Global Mobile Weight Loss Market Report 2020-2025: Navigate Through the Disruptive Mobile Weight Loss Industry and Open New Investment Opportunities -...

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Oct 9

The toll pandemic isolation is taking on the nation’s elderly – Modern Healthcare

Altarum survey respondents reported weight loss and feeling hopeless, sad or depressed and said things like, "If the virus doesn't kill me the loneliness will," and "I have become more anxious and depressed due to the separation from my loved ones. I have little appetite and am losing weight."

"Hearing the residents' own words about how restricted and lonely they feel really hit home," Slocum said.

Even before the pandemic, loneliness and isolation among the elderly were big problems in the U.S., said Dr. Eric Rackow, co-founder of eFamilyCare, a digital platform for family caregivers. The pandemic has made that situation more acute.

Basically, loneliness and isolation increase your risk of having a problem with your health," Rackow said. Those who are isolated can be depressed, less likely to take medications and not sleeping as well, which can exacerbate existing health conditions, he said.

A new survey by AARP Foundation and United Health Foundation found that among adults 50 and older who reported experiencing social isolation during the pandemic, 50% felt less motivated, 41% were more anxious and 37% felt depressed.

"Many people don't know that social isolation can have lasting effects on not only mental health but also physical health," said Dr. Rhonda Randall, executive vice president and a chief medical officer at UnitedHealthcare.

Nationwide, there have been 238,283 confirmed cases, 138,783 suspected cases and 57,008 COVID-19 related deaths in nursing homes, according to the latest CMS data. In Minnesota, "social isolation" has been listed as a cause or contributing factor of death for at least three residents at long-term care facilities.

"We started to see a negative mental and physical impact on residents," said Julie Thorson, president and CEO of Friendship Haven, a long-term care facility in Fort Dodge, Iowa. "Residents feel like they're in trouble, like they're being punished."

Concerned by the toll the pandemic was taking on residents, nursing homes and other long-term care facilities have organized outdoor visits, set up video calls and even held drive-by parades to connect people with their loved ones.

Friendship Haven employs 16 companions to socialize with its 110 residents. Companions are typically those in high school or in early retirement who come visit with residents and keep them company.

"They've just been lifesavers," Thorson said. "During the pandemic, they have really been instrumental in combating loneliness."

With companions' help, the staff are able to focus on resident care and dealing with COVID-19, Thorson said.

The facility, like many long-term care sites, struggles with filling open positions, especially during the pandemic, leaving fewer people to engage with residents.

"We're constantly recruiting. We staff really well but there still are lot of openings in our area," Thorson said. "It was a critical need before, and now it's a daily challenge."

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The toll pandemic isolation is taking on the nation's elderly - Modern Healthcare

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Oct 9

Avoiding the temptation of unhealthy food Click Liverpool – Click Liverpool

Gaining weight is a lot easier than losing it. We know how and why we should lose weight, but the temptation to eat all the foods we know are bad for us can be just too much. However, it is possible to enjoy food and lose weight at the same time.

The 1:1 Diet

Not only does The 1:1 Diet allow you to choose from a range of healthy meals and shakes, there are tasty snacks you can choose from, as an alternative to those you enjoy. Instead of denying yourself treats, you can simply go for the better option. With the support youll get from your personal diet consultant, youre more likely to stick to the plan and see longer-lasting results. The consultant personalises the plan for you. The meals start from just 2.63 each and are delivered to your door, leaving you more time to live your life.

Discover new recipes

With so much information available at the click of a few buttons, finding alternative recipes to some of your favourite foods is easy. If you enjoy a curry, or fish and chips on a Friday night, there are healthy recipes online and in books that allow you to cook meals that are just as tasty but contain less fat.

Drink plenty of water

Drinking plenty of water can leave you feeling fuller and less likely to eat large portions. It can be particularly helpful to your diet if eating in a restaurant with friends. Youll be less tempted to order bigger portions from the menu or be unable to finish the dish if you do order them.

Planning your meals

Even if youre not following a specific diet plan, shopping for and planning your meals can help you avoid temptation. It removes the element of not knowing what youll be eating next and having an unbalanced diet. Its much easier to stick to your diet and ensure it contains everything you need. Doing this can also help you to avoid unhealthy snacking. Getting too hungry between meals can lead to eating whatever is available, which might often be the wrong thing.

Avoiding temptation

If there is something specific you find difficult to resist, then try to avoid it if possible. So if you walk past the same bakery each day, is there another way you could walk? Or consider walking on the other side of the road. If you have a vending machine at work, you may not be able to avoid walking past it, but making sure you some healthy alternatives with you, will make you less likely to eat crisps and chocolate bars.

Find ways to deal with your stress

Stress eating can play a big part in gaining weight. If you start a new exercise routine, it can help to relieve stress and lose weight at the same time. Even just finding new ways of exercising at home can help. Other things you can try to decrease the chance of stress eating are talking to friends and family, taking up a new hobby or writing things down. Just the act of putting into words whatever is on your mind can help to make you feel better, and you might even come up with a solution to a problem.

Keep track of your goals and weight loss

Keeping track of your goals will help you to stay focussed. It also helps to keep a record of your progress. It may only be a little at a time, but in the long term, you can look back and see how far youve come. This can be a great source of encouragement when youre tempted to overeat or pack in the diet completely.

Eat protein

Another way to feel full and, as a result, decrease the temptation to overeat or to eat the wrong foods, is to eat plenty of the right protein-rich foods. They include fish, nuts and vegetables.

Sleep and routine

Making sure you get enough sleep, and having an eating routine, will make you less likely to snack at all hours of the day or night. Having set meal times gets your body used to eating at those times and, with the exception of healthy snacks between meals, youll be less likely to snack or break your diet between regular meals, as your body becomes accustomed to the routine.

If you follow these suggestions, you may still feel tempted occasionally, but it will become easier to resist the unhealthy options which are so readily available.

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Avoiding the temptation of unhealthy food Click Liverpool - Click Liverpool

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Oct 9

Blood Sugar Control Could Help Protect Neurologic Health in Patients with Diabetes – Endocrinology Network

New research from the results of a 1000-person study suggests improving blood sugar control could improve brain health for individuals with type 2 diabetes.

An analysis of data from the Look AHEAD (Action for Health In Diabetes) study, results of the study indicate improvements in glycemic control, but not weight status were linked to better subsequent cognitive performance.

"It's important to properly control your blood sugar to avoid the bad brain effects of your diabetes," saidOwen Carmichael, PhD, professor and director of Biomedical Imaging at the Louisiana State University Pennington Biomedical Research Center, in a statement. Don't think you can simply let yourself get all the way to the obese range, lose some of the weight, and everything in the brain is fine. The brain might have already turned a corner that it can't turn back from."

With an interest in how disease management might impact the cognitive function of in patients with type 2 diabetes, Carmichael and a team of colleagues hoped to design a study to describe associations between physiological markers and cognitive performance in patients with diabetes in the Look AHEAD study. A randomized controlled trial assessing the efficacy of intensive lifestyle intervention, the study provided data related to more than 5000 diabetic patients aged 45-76 years old.

Patients included in the study randomized to the intensive lifestyle intervention were prescribed to a daily calorie goal of 1200-1800 and a physical activity goal of more than 175 minutes per week with the aim of inducing weight loss to average more than 7% at 1-year and to be maintained over time.

As part of the ancillary studies, patients from the Look AHEAD study were invited to take part in cognitive assessments and 3920 participants provided at least 1 cognitive assessment between years 8-13 of follow-up. These assessments provided investigators information related to short-term memory, planning, impulse control, attention, ability to switch between tasks, verbal learning, and overall memory. For the purpose of the current analysis, investigators only included patients who provided 2 or 3 cognitive assessments, which yielded a cohort of 1089 individuals.

Of the 1089 included in the study, the mean age was 58.36.7 years, 58.8% were female, and 84.5% of patients had a BMI of 30 kg/m2 or greater. Investigators pointed out all 1089 patients underwent at least 2 cognitive assessments and a cohort of 315 patients completed all 3 cognitive assessments.

Upon analysis, results of the study suggested greater improvements in blood sugar control were associated with increased cognitive scores. Specific associations included fasting blood glucose and Rey Auditory Verbal Learning Test (P=.0148), fasting blood glucose and Digit Symbol Coding (P=.0360), and HbA1C and DSC (P=.0477).

However, investigators noted weight loss appeared to have mixed associations with cognitive scoresnoting greater BMI reduction and worse auditory verbal learning test scores overall (P=.0053) while greater BMI reduction and better digit symbol coding scores were observed among patients who were overweight but not obese (P=.010).

Results of the study also indicated apparent associations were strongest among patients who were overweight but not obese at baseline. Additionally, investigators pointed out associations appeared to also be stronger Amon those with a history of cardiovascular disease at baseline.

"The results were worse for people who had obesity at the beginning of the study. That's a 'too little, too late' type of message," added Carmichael, in the aforementioned statement. "People with diabetes who let their obesity go too far, for too long may be past the point of no return, cognition-wise."

This study, Long-term change in physiological markers and cognitive performance in type 2 diabetes: the Look AHEAD Study, was published in the Journal of Clinical Endocrinology and Metabolism.

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Blood Sugar Control Could Help Protect Neurologic Health in Patients with Diabetes - Endocrinology Network

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Oct 9

Staying Healthy: COVID? What about the obesity pandemic? – Johnston Sun Rise

By DANIEL A. KITTREDGE

We certainly have a lot to worry about regarding our health these days. A global pandemic has a way of doing that.

Yet there has been another pandemic raging around the globe for years that hasnt captured as much attention as it deserves. That is obesity.

Obesity, defined as a Body Mass Index >30, is associated with the leading causes of death in the United States and worldwide. According to the World Health Organization, 2.8 million people each year die as a result of being overweight or obese. The prevalence of obesity has nearly tripled over the past 30 years. Here in the U.S., over 70 million adults are obese and these numbers are climbing. Not even our children are immune as one in four kids and teens are overweight and obese.

The concern is that obesity can shorten a persons lifespan. In 2007 the Surgeon General of the United States warned that obesity alone can increase the chance of premature death by 40 percent. Obesity is often associated with other serious health issues including diabetes, heart disease, sleep disorders, breathing problems, arthritis, infertility, and many others.

There is a strong link between obesity and the risk of cancer. Specifically excess body fat increases the risk of colorectal, breast, uterine, esophageal, kidney and pancreatic cancers.

There has always been concern that obesity may weaken the immune system. Several studies have warned that obesity is an important independent risk factor for severe COVID-19 and can double the risk of death in individuals with a BMI >40 (morbid obesity).

Obesity not only contributes to physical disease but also plays a role in mental health. For those who struggle with their weight, the psychological effects can be just as debilitating. Major depression, anxiety, poor self-esteem, and body dysmorphic disorder are common place among obese individuals. Eating disorders such as anorexia, bulimia, binge eating are also prevalent.

So why is it that with so much thats known about the damaging effects of obesity on physical and mental health are so few people seeking treatment? First its important to understand the causes of obesity. Its more complicated than simply excess calories and physical inactivity. If it were just that, diet and exercise alone would work. It is a multifactorial disease that can be influenced by genetics, medications, psychological factors, hormone disorders (thyroid, insulin resistance, polycystic ovarian syndrome, Cushings syndrome) and socioeconomic challenges. Its not to say that healthier eating, increased physical exercise, and behavior modification arent important. Its just that often times they are not enough.

A growing number of studies have shown that weight loss surgery (bariatric surgery) is the most effective and longest lasting treatment for obesity. More importantly, surgery can reverse the chronic diseases that accompany it, most notably diabetes. Diabetes remission often occurs within a few days of surgery even prior to any significant weight loss. That would again indicate that there may be more biologic or hormonal factors playing as much of a role if not more than just diet and exercise alone.

The effects of bariatric surgery have been well documented and studied since its inception in the 1950s. Breakthroughs in technology and surgical technique have improved the safety and outcomes. Yet, still today only 1 percent of the population eligible for surgery, which for adults means a BMI >40 or >35 with an obesity-related condition like diabetes, actually has it.

Its puzzling to think why. Consider, for example, if the same were true for people who needed surgery for cancer. It would be unthinkable to withhold a treatment that could improve the quality of someones life or provide longer rates of disease free remission.

There is no cure for obesity but there are very effective treatments. The success of each treatment is amplified when used together. The combination of healthier food choices, increased physical activity, behavior modification and surgery can result in excellent long-term results. Thats why individuals who struggle with obesity should seek treatment from a program that offers a multidisciplinary team of specialists who can address all these issues and customize an appropriate treatment plan.

In addition, just as we are addressing the inequalities and bias that exist in society today we have to acknowledge the stigma placed upon obese individuals. Obesity is not caused by laziness, lack of education, or poor will power. Its harsh criticism and the judgment implied that prevents people from lifesaving and life-changing surgery.

Surgery is not the easy way out. Its a tool that can help someone to make the necessary lifestyle changes to not only lose weight but to maintain it. For anyone who is struggling with their weight and the effects that it has on their health, its time to come out of quarantine and put your health first.

Jeannine Giovanni, MD, is director of bariatric surgery for Care New England.

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Staying Healthy: COVID? What about the obesity pandemic? - Johnston Sun Rise

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Oct 9

6 Benefits of Cutting Unhealthy Carbs – Yahoo Canada Shine On

Almost every food you eat has carbohydrates. Carbs are an essential part of the diet, and can be found in all kinds of foods that you loveeven fruits and vegetables! And yet, while having carbohydrates in your diet is good(most of them contain the dietary fiber you need on a daily basis), it's important to note which carbs are considered "unhealthy" and why. Simple carbs, also known as refined carbs, are highly-processed and almost always stripped of any nutritional benefit they may havelike that dietary fiber. Which is why there are a lot of benefits of cutting those unhealthy carbs in your diet.

We broke down what happens to your body when you cut unhealthy carbs, and also why it's stillveryimportant to have carbs in your diet. Here are the benefits of cutting unhealthy carbs, and for more healthy eating tips, check out our list of 21 Best Healthy Cooking Hacks of All Time.

1

Man showing off weight loss wearing loose jeans

Immediately. Reducing your intake of calorie-dense carbs automatically reduces the number of calories you're consuming on a daily basis, which forces your body to burn fat stored around your midsection for energy, rather than the sugars it takes from carbohydrates.

Eat This! Tip: Exercise in the morning before you eat breakfast. This forces your body to burn stored fat, instead of the food you've eaten earlier in the day. Then when it's time for breakfast, follow these7 Healthy Breakfast Habits for a Flat Belly.

2

It's not calories that satiate your hunger, it's nutrients: fiber, protein, and healthy fats. Unfortunately, simple, refined carbs are lacking in all three, even as they fill your body with fast, cheap calories. So no matter how much you eat, your body will go in search of more food. The result: a sluggish, hungrier you one who's more likely to dive into the snack drawer.

Eat This! Tip: Start your day with a high-protein, high-fat food like Greek yogurt, eggs scrambled with vegetables, or chia pudding, and you'll reduce your hunger. Start losing pounds a week by eating any of these 11 Best and Worst Greek Yogurts for Weight Loss!

3

Story continues

One of the first things you notice when you replace simple carbs with high-fiber foods is that your belly flattens outliterally within days. The reason: Most Americans only take in 15 of the recommended 25 to 38 grams per day, according to the Institute of Medicine. As a result, the healthy gut microbes that keep us lean have less to munch on, and the unhealthy microbeswhich feast on sugartake over. Those are the little buggers that cause bloating, and make your belly look bigger than it actually is.

"Bumping up fiber can help promote healthy regularity," says Isabel Smith, MS, RD, CDN, registered dietitian and founder of Isabel Smith Nutrition.

Eat This! Tip: Start with simple swaps that feel natural to you. Trade the white bread for whole-grain or add some beans to tacos and stir-fry. And if you're hungry between meals, reach for raw nuts. "Nuts are a great source of fiber and healthy fat, which can help fight inflammation in the body and also promote digestion," Smith adds.

4

Simple carbs are made of simple sugars, and eating too many can wreak havoc in your body in both the short and long term. The more of these quickly digested carbs you consume, the more insulin your pancreas produces, eventually leading to insulin resistance and possibly type 2 diabetes, according to Smith.

Eat This! Tip: Fiber-rich complex carbs are harder for your body to digest, preventing the blood sugar spikes that cause insulin release. "The lower and more steady we keep blood sugar, the less insulin is released on a consistent basis and the more insulin-sensitive our tissues remain which is a good thing," Smith explains. So, cutting back on the simple stuff means you'll be able to maintain stable blood sugar levels and reduce your risk for diabetes.

5

Woman with strong muscle arms doing push ups for exercise

Almost every food in the world is healthier than simple carbsfrom burgers and steaks to yogurt and even ice cream. In part, that's because simple carbs lack protein, the building blocks of muscle (and a key contributor to healthy hair, nails, and skin). By filling your body with protein and other nutrients, you're giving it what it needs to grow without having to find additional calories.

Eat This! Tip: If you typically get hungry between meals, try replacing those vending-machine sweets with high-protein snacks that will fuel your body and give you stable energy for the afternoon ahead, like with these 50 Best Snacks for Weight Loss.

6

Mature african woman practicing yoga and meditates near swimming pool outdoor

Not all carbs are bad, of courseespecially these 24 Best Healthy Carbs To Eat For Weight Loss. Your body needs carbohydrates to function properly, and they're especially important for adequate brain and muscle function. By switching from simple carbs to more long-running fuelfruits and vegetables, whole-wheat bread, oatmeal, brown rice, quinoa, and other whole-grain optionsyou'll ensure you have a steady flow of energy, and avoid the ups and downs that simple carbs cause. You'll no longer need to make poor food choices as a way of getting quick energy, and you won't be dragging through those afternoon hours.

Eat This! Tip: The lowest safe amount of carbohydrates is about 50 grams daily, according to Mayo Clinic; avoid dipping below that amount if you want to avoid major dips in energy. One cup of oatmeal and a half a banana is all it takes to reach that total. So while cutting carbohydrates is good for your overall health, cutting them out completely could have the opposite effect. Here'sWhat You Should Know Before Cutting Carbs for Weight Loss.

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6 Benefits of Cutting Unhealthy Carbs - Yahoo Canada Shine On

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Oct 9

A new wellness trend lets vacationers do the unthinkable keep working – CNBC

What do you get when you mix a wellness holiday with a "workcation"?

Answer: The "wellness sabbatical," an emerging trend that allocates time for sunrise yoga classes, meditation sessions and spa treatments alongside work emails and Zoom calls.

A small but growing number of resorts are tapping into a market of wellness-minded workers who have difficulty going completely off-grid. The experience may even teach travelers how to balance work, play and well-being after the trip ends.

Hilton Head Health, a health and wellness resort on South Carolina's Hilton Head Island, introduced a program called WorkWell in late August. It's the resort's first program that specifically includes work hours as part of the itinerary.

"There's a new concept circulating around of a 'wellness sabbatical,'" said Jessica Brantley,the resort's senior vice president of sales and marketing. "The idea is not to completely unplug from work, as that's simply not realistic in today's world."

WorkWell costs $3,800 a week and is designed for a two-week minimum stay.

Courtesy of Hilton Head Health

The program allows guests to work on weight loss and wellness goals without having to take time off the job, said Brantley.

Participants stay in private villas outfitted with high-speed internet and wireless printers.Schedules are flexible, with activities such as aqua fitness classes and motivation lectures planned around peak work hours.

Switching off may seem impossible right now, said David Rock, CEO of the NeuroLeadership Institute, an organization that studies neuroscience and business leadership.

"Many employees who still have jobs tend to be in industries where the workload is higher than normal, and people are under pressure to deliver," Rock told CNBC's Global Traveler. "For many of these executives, 2020 has meant an intense increase in workload under more pressure than ever."

WorkWell includes all meals, snacks and a $500 credit which can be used for cooking classes.

Courtesy of Hilton Head Health

Unplugged retreats are one way to combat burnout, but "an extended period of reduced workload" can also work, he said. Rock cited his own habit of limiting his work to three days a week with four long weekends every August.

"This reduced workload, for a whole month, can have long-term benefits in terms of greater space to think big thoughts and be more possible than chunks of time off," he said. "If the workload is less and partnered with physical activity like hiking, this could be beneficial and doable, for executives especially."

Aidan O'Sullivan, general manager of Ireland's Kilkea Castle, said the hotel's wellness sabbaticals have become more popular "in these strange times."

"We have had a number of guests that have stayed with us with the aim of completing or putting the final touches on a major project," he said. "These guests, in particular, will then follow up with a complete escape from work."

An hour's drive from Dublin, Kilkea Castle hosts executives who stay on the estate to prepare for major work events.

Courtesy of Kilkea Castle

The 12th-century fortress has a weekly package that lets guests spend three days working in the Albatross Suite, which comes with a boardroom webcam, projector and large drop-down screen. The stay includes three meals a day, sessions at the spa and thermal suite, a tennis or golf coaching session, and access to the adjacent Mullaghreelan Wood forest.

Weekly package rates are 2,450 ($2,890) for one person and 3,500 ($4,126) for two.

Tonya Leigh, a self-image coach, has taken a wellness sabbatical by herself and with friends.

"While I am a proponent of these sabbaticals myself, I've recently also taken these working trips away with others," she said. "The energy of being surrounded by friends when I was offline allowed me to find a new kind of productivity, and not feel so scheduled in a new space."

Velas Resorts' group takeover program, or "corpcation," is available at its Los Cabos and Puerto Vallarta locations.

Courtesy of Velas Resorts

Some hotels are hoping companies get in on the act.

Velas Resorts is inviting companies to rent out two of its Mexico resorts for a "corpcation" for employees. Workers can boost productivity and creativity at morning meditation sessions and afternoon mezcal tastings with total privacy for meetings and team-building for less than $10,000 a night.

According to former U.S. President Barack Obama's half-sister Maya Soetoro-Ng, he retreated to Bali for several months to find a peaceful sanctuary "where there were no phones" to finish writing his 1995 memoir "Dreams from my Father."

This was, of course, before mobile phones were in everyone's pockets, before apps and ubiquitous internet, and before "smartphone separation anxiety" was a topic of collegiate study.

Now even many adventurist travelers wouldn't leave home without their phones. Those who also need computer monitors and printing services within reach can consider Destination Kohler's "Work Well" program, which launches this November.

Destination Kohler is in eastern Wisconsin near the village of Kohler, home to the global kitchen and bath company.

Matt Addington

Program guests stay at the resort's Inn on Woodlake in rooms outfitted with workstations, meditation chairs, free weights, essential oil diffusers and salt lamps. Room deliveries punctuate the workday: gourmet coffee baskets and breakfast in the mornings, and "clean craft cocktails" from the on-site superfood juicery at happy hour.

Christine Loose, vice presidentof lodging and wellness forKohler, told CNBC she expects the new package to appeal to a younger audience looking to balance work and well-being.

"Throughout the summer months, we saw an increase in both midweek stays and the number of guests with their laptops and journals," she said.

Guests can take unlimited yoga classes there are more than 74 a week and spend time hiking, fishing, canoeing or playing golf. There are four courses at the resort, each of them named one of America's Top 100 Greatest Public Golf Courses by "Golf Digest" last year.

Rates start at $346 per night.

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A new wellness trend lets vacationers do the unthinkable keep working - CNBC

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Oct 9

The isolation is killing them: Nursing home residents need visitors despite pandemic, Pa. group says – PennLive

Christine Collins knows dementia is rapidly stealing her mothers final days, robbing her of precious hours with her family and also care they could provide for her.

But so far, dementia hasnt counted as an end-of-life situation or sudden medical decline that would justify in-person visits with the 94-year-old, who lives in a nursing home.

She is actively dying every single day. I dont know when my last day with my mom is. Are they going to wait until shes in a coma? said Collins, who lives in York County.

Collins hasnt been in the same room with her mom since March, when the state shut down nursing home visitation because of COVID-19.

Shes part of a growing movement of people in Pennsylvania running out of patience with restrictions that prevent them from hugging or holding their loved ones hand in a long-term care facility and helping overburdened staffs care for them. They argue isolation, more than COVID-19, poses the gravest threat to people in long term care facilities.

Experts agree lack of close contact with loved ones makes nursing home residents vulnerable to depression, weight loss and other medical problems, and loss of will to live.

At the same time, nearly 70% of Pennsylvanias deaths from COVID-19 involve people in long-term care facilities. Facilities all over the country locked down because of COVID-19, which is highly contagious and especially deadly for older people because of their weakened immune systems.

Diane Menio, an advocate for people in long-term care and their families, points to a recent 20% increase in deaths among people with Alzheimers and dementia. Experts believe its linked to pandemic fallouts such as isolation, stress and lapses in care resulting from overworked nursing home staffers.

Its going on eight months and we havent been able to touch or hug our loved ones, said Shirley Shippey of Bedford County. They are declining. The isolation is killing them as much as COVID.

Shippey, whose 80-year-old mother lives in a nursing home, is the administrator for the Pennsylvania branch of Caregivers for Compromise.

Caregivers for Compromise was founded by a Florida woman who took a job as a dishwasher in a facility so she could see her husband. The Pennsylvania group has grown quickly and now has over 500 members.

The long-term care industry and government dont dispute the dangers posed by isolation.

In early September, the Pennsylvania Department of Health announced it would permit compassionate care visits in situations where a nursing home resident experiences a major health decline documented by medical records. One of the purposes was to allow family members to help with the care of their loved one.

However, Shippey said the visits havent materialized for many in her group. They describe barriers including difficulties in obtaining medical records, nursing home administrators claiming lack of knowledge of the process, and facilities saying they have to wait for their corporate owner to permit visits.

But then, on Sept. 17, the federal Centers for Medicare Services expanded the definition of compassionate care and told nursing homes they must allow visitation or face penalty.

Nursing homes must allow compassionate care visits in situations such as a normally talkative resident who has become withdrawn or begins crying frequently, a resident who needs cues from a loved one in order to eat and drink sufficiently, and a resident grieving the loss of a loved one. The policy is aimed at allowing visits by people who had formerly played a role in the care of the nursing home resident.

Zach Shamberg, CEO of the Pennsylvania Health Care Association, which represents long-term care facilities, said nursing homes regard the federal definition of compassionate care as almost all-encompassing It could really be applied in almost every situation.

Nursing homes were given 30 days to comply with the Sept. 17 directive, according to the association.

In essence, CMS has told nursing homes they must facilitate outdoor visits in virtually all situations. Further, they must allow indoor visits unless the facility has had a COVID-19 outbreak within the past 14 days or is investigating a possible outbreak, or the rate of positive COVID-19 tests in the local county is above 5%.

Still, CMS gives nursing homes latitude to impose conditions and refuse visits. For example, the homes can require visitors to pass temperature checks, impose time limits and other controls on visits, and eject people who dont follow infection control rules.

CMS also continues to encourage nursing homes to use outdoor visits whenever possible. Facilities should create accessible and safe outdoor spaces for visitation, such as in courtyards, patios, or parking lots, including the use of tents, if available, CMS wrote.

Members of Shippeys group are tired of window visits which, along with video visits, have been widely used in Pennsylvania as a substitute for direct visits. They say both can do more harm than good for people with Alzheimers or dementia.

Collins said her mother couldnt grasp why visitors remained outside. Her mothers distress was unbearable to watch, putting an end to the visits. Shippey describes a similar result.

Plus, with cold weather arriving, it wont be long before outdoor visits arent practical.

Shippey said as of late last week, most of the people shes heard from have been unable to arrange an in-person visit.

Diane Menio, an advocate for seniors, said recent guidance from the federal government should make it easier for families to visit loved ones in long-term care facilities.

Still, Menio, of the CARIE advocacy group, regards the recent CMS directive as major progress and expects people will soon be able to spend time at facilities and begin offsetting the harms of the isolation.

I think its taking a while. I think the facilities are very cautious, she said. Weve convinced [the government] its dangerous to isolate people .. its not perfect, but its certainly better than we had before.

Pennsylvania health department spokeswoman Maggi Mumma said the CMS rules supercede the health departments early compassionate care policy. She said the department is revising its own rules to align with CMS. She said nursing homes should follow the CMS rules for now.

The Department of Health must ensure the safety and well-being of nursing home staff and residents as the first priority, especially during the COVID-19 pandemic which has disproportionately affected older populations, Mumma wrote in an email.

She didnt directly answer a question about when people should expect the compassionate care visits to begin.

Meanwhile, facilities remain responsible for protecting their residents from COVID-19, a threat that is considered likely to grow again during fall and winter. If the overall positivity rate of COVID-19 tests within a county is above 5%, CMS advises nursing homes to test visitors.

An ongoing shortage of rapid testing could interfere with indoor visits, Shamberg said. Beyond that, uncertain supplies of protective clothing could interfere. Plus, thinly-stretched staffs will have to schedule and supervise visits, taking time away from caring for residents.

Even as Shippey pushes for an end to her separation from her 80-year-old mother, she worries about the impact on staff.

They dont have time for all that. The COVID has given them so much more to do and they are short on staff, Shippey said.

Meanwhile, Collins is acutely aware of precious days slipping away.

She points out that staff and people making deliveries enter her mothers nursing home daily. She says she would gladly take the same precautions.

I can do the same thing for my mom and be responsible, she said.

More:

Another big increase in COVID-19 cases at the Allenwood medium-security prison

Shippensburg University reports 10 COVID-19 cases in last week of September

Excerpt from:
The isolation is killing them: Nursing home residents need visitors despite pandemic, Pa. group says - PennLive

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Oct 8

Sexy but unreliable: why women should beware men with deep voices – The Guardian

Name: Deep-voiced men.

Age: 18 and up.

Appearance: Inherently untrustworthy.

Why are deep-voiced men untrustworthy? Because they are going to cheat on you, honey.

This seems like a horrible generalisation. Yes, but it is a generalisation backed up by science, so it counts.

Really? A study conducted by Southwest University in China proved it. Several heterosexual, non-smoking men were asked to read a list of words. These words were analysed for frequency and pitch.

And? Then the men were asked to take a psychological test to determine their attitudes to infidelity and relationships. And guess what?

What? The men with deeper voices were found to be less committed to romantic relationships and more likely to cheat.

How terrible. Apparently, it has to do with testosterone levels. Generally speaking, men with lower voices have more testosterone than men with squeakier voices. The researchers said: Testosterone and the characteristics dependent on testosterone can be reliable indicators of quality-dependent conditions or behaviours.

What does that mean? It means men with deep voices are all scoundrels.

But deep voices are so sexy. See? You are part of the problem. Women find men with deep voices sexy, because deep voices are associated with high testosterone, which suggests the men will produce healthy children.

Right. But this means that, if you are a deep-voiced man, women are throwing themselves at you all the time because they want some of those healthy babies. And if women are throwing themselves at you around the clock, you are eventually going to cave in to temptation.

Wow. Are you really blaming women for men being unfaithful? No, I hate deep-voiced men as much as the next guy.

Oh dear. Do you have a squeaky voice? Just because I dont sound like Barry White with laryngitis, it doesnt mean my voice is squeaky. In fact, it means I am actually a pretty good catch.

Because you sound like Alvin and the Chipmunks when you talk? Exactly. Although you might initially mistake my voice for an unoiled catflap, Im biologically preordained to remain faithful.

Surely the human race has evolved beyond such superficial pitfalls. Oh, you think a woman would prefer a man who cooks dinner, changes nappies and shares the emotional labour of a household?

Yes. They might. But, evolutionarily speaking, they would much prefer it if a man did all that while not sounding like a hapless bystander at a helium-factory explosion.

Do say: Men with deep voices are more likely to cheat.

Dont say: Ladies, your new dream man is Mickey Mouse.

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Sexy but unreliable: why women should beware men with deep voices - The Guardian

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