'Weekend etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster
'Weekend etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster

10 Ocak 2017 Salı

Weekend warriors: why a two-day blitz is as good as a week’s steady exercise

Name: Weekend warriors.


Age: You’re as young/old as you feel.


Appearance: Saturdays and Sundays.


Is this a battle re-enactment thing? Are people still doing that? Or have they all become preppers now? We should all become preppers now. But no. Weekend warriors are people who don’t exercise all week and then go nuts with it at the weekend.


That doesn’t sound wise. Experts agree with you. At least, they did until this week.


Really? How come? New research from Loughborough University appears to show that cramming all your exercise into two days has almost as much effect when it comes to lowering your risk of cancer, cardiovascular disease and death as spreading it out over the week.


Wow. First they change the recommendation about when to give babies peanuts, now this. I’m starting to feel a bit Govian about experts. Never go Govian. Channel Victoria Wood instead and hope that, if you hang around long enough, someone will put in a good word for wine gums.


Are they seriously saying that a two-day blitz is as good as a week’s steady exercise? That’s what this study of 63,000 adults between 1994 and 2012 suggests.


Crikey. It also found that the benefits of doing either is clear, even if you don’t meet the recommended overall amount of 150 minutes of moderate activity or 75 minutes of vigorous activity a week.


Does scrolling through Netflix count, by any chance? No.


I sometimes have to do it for a really long time. There’s nothing on. Still no.


By the time I’ve settled for Don’t Trust the B—- in Apartment 23 again, my arm can ache like I’ve been doing pull-ups. NO.


Fine. It’s still good news. Yes. That said, the study’s senior author points out that, “for optimal health benefits from physical activity, it is always advisable to meet and exceed the physical activity recommendations”.


Actually, I think I’m just going to hang around here a bit longer waiting for news about wine gums. I feel as though we’re on a roll. As you and your furry arteries wish.


Do say: “I’m off to the gym!”


Don’t say: “Can you bring me a Wagon Wheel from the vending machine when you come back? Thanks.”



Weekend warriors: why a two-day blitz is as good as a week’s steady exercise

15 Eylül 2016 Perşembe

The evidence of an NHS weekend effect is shaky | Letter from Neena Modi, David Owen, Robert Winston, Stephen Hawking and others

We call on Theresa May to act in the public’s interest and take immediate action over freshly disputed evidence surrounding a “weekend effect”. Department of Health documents leaked to the Guardian and Channel 4 News revealed NHS policy concerns from Jeremy Hunt’s own civil servants. His repeated claim about thousands of patients dying unnecessarily because of poor weekend hospital care “has not been helpful” in justifying new seven-day services. The internal briefing document proposed other means to vindicate his policy, but repeats the assertion that “eight independent studies have set out the evidence for a ‘weekend effect’ – unacceptable variation in care across the week”.


The evidence for these claims is not supported by reliable research. Of the eight “studies” cited by Hunt, only four are independently peer-reviewed, yet peer-review is essential. Three use data from the same population and are not independent, with just two from the last decade. The remainder are not peer-reviewed medical literature, being opinion pieces, the lowest form of clinical evidence. Critically, when his claims began, at least 13 independent, peer-reviewed papers were available to the secretary of state that refute his definition of a weekend effect.


Hunt has cherrypicked research, causing a devastating breakdown of trust between government and the medical profession. In making these claims without faithfully representing the evidence, he has obstructed fact and misled parliament and the public.


We call on Theresa May to commission an independent inquiry into the process behind these policies. It is wrong to waste precious resources, or lives, because of bad evidence. Like NHS treatments, health policy should be evidence-based to demonstrate clinical and cost-effectiveness. Additionally, we call for a pause on any policies or contractual reform driven by this evidence until it can be examined objectively and with rigour.


Dr Taha Nasser
Dr Ben White
Dr Hugo Farne
Dr Antonio De Marvao
Dr Rachel Clarke
Dr Margaret McCartney
Dr Philippa Whitford MP
Dr Phil Hammond Vice-president, Patients’ Association
Professor Alistair Hall Epidemiologist
Professor Trisha Greenhalgh Evidence-based practice
Professor Neena Modi President RCPCH
David Owen House of Lords
Professor Robert Winston House of Lords
Professor Stephen Hawking


Join the debate – email guardian.letters@theguardian.com



The evidence of an NHS weekend effect is shaky | Letter from Neena Modi, David Owen, Robert Winston, Stephen Hawking and others

16 Ağustos 2015 Pazar

NHS locum physician paid £11,000 to operate a weekend


An NHS hospital paid the record sum of practically £11,000 for one locum doctor to cover a bank vacation weekend, new figures display.




The payment comes amid record spending by the well being support on company medical professionals and nurses, which cost £3.3bn in the final monetary 12 months.




Individuals groups explained the sum – more than half the annual starting salary for a nurse – was “outrageous” and could not be justified.




On an regular doctor’s contract this kind of a sum would equate to a salary of much more than £830,000 a 12 months.




Freedom of Data disclosures reveal that County Durham and Darlington Basis Believe in paid £10,852 for the services of a locum consultant more than final Easter bank holiday weekend.




The cardiologist worked three 9am to 5pm shifts on Very good Friday, Holy Saturday and Easter Sunday, at rates well worth £3,617 a day.


The medical doctor, hired through agency Locum Vision, was also on phone to react to emergency situations, but was never necessary.


• New NHS spending scandal: £3.three billion wasted on agency doctors


• How nursing companies producing billions are bleeding the NHS dry


• NHS will clamp down on ‘rip off’ agency costs


Chesterfield Royal Hospital Foundation Trust, paid £3,456 to locum company ID health-related for a advisor in respiratory medicine to function a 24 hour shift on Easter Monday.


A week later Wye Valley Believe in paid virtually £3,000 to hire a paediatrician for 24 hrs.


The revelations come amid expanding concern about the NHS reliance on temporary workers, at expenses which have plunged the wellness service into deficit.


Senior medical doctors say hospitals are getting forced to pay out premium prices for consultants and nurses, considerably of which went to agencies, because of “desperate” shortages of key workers.


Simon Stevens, the head of the NHS just lately pledged to cap hourly pay costs, and to make sure that trusts in fiscal issues have an overall restrict on spending on agency workers.


Professor Chris Gray, health care director of County Durham and Darlington Foundation Trust, mentioned: “While it is regrettable to have such a substantial company invest our priority is the delivery of secure high quality care.


“We are doing work to recruit far more stroke consultants but the shortage of this kind of expert staff is one thing that is recognised nationally.


“As an organisation we are hunting at our recruitment methods and our clinical configuration for the long term to identify techniques of decreasing our agency spend but although this operate is ongoing we nonetheless need to have to supply a stroke services for the regional population which is meeting national top quality standards.


‘The trust is actively in search of a answer to the problem based on the recruitment of higher good quality substantive advisor workers.”


Locum Vison, an company based mostly in Milton Keynes, says it is the “number one off-framework supplier of medical doctors in niche specialties across the UK”.


This implies it is permitted to charge a lot more than framework agreements the NHS has previously launched in a bid to hold costs down.


The agency says it negotiates with customers to make certain that medical doctors obtain “the ideal achievable price of pay”.


It has lately advertised advisor jobs at up to £125 an hour, with contracts lasting up to 6 months.


Trusts mentioned the payments integrated VAT, fees to agencies, and that they have been trying to fill vacancies.


A spokesman for Chesterfield Royal Hospital Basis Trust explained: “We agreed this expenditure to make certain we could cover the health-related rota at short observe. Much more importantly, it ensured there was a senior clinician available to make decisions about the critically unwell individuals on our wards over the bank holiday. At the time we had a gap in our consultant team, with a common doctor vacancy that has now been filled. We have a robust approach to comply with just before locum expenditure is agreed, but always place safe patient care and services continuity 1st.’


Dr Susan Gilbey, health-related director of Wye Valley Trust mentioned: “The believe in is working incredibly challenging on exploring every avenue to recruit experienced medical professionals to improve personnel numbers inside of our hospitals, as part of the trust’s recruitment and retention plan.”


She mentioned: “The figure of £2936.94 was the highest quantity paid by the Trust to an company medical professional for a single shift amongst the period March 28 to April 19 2015, but it was for a 24 hour shift.


“The expense per hour of this shift (£100.98) includes the agency charge and does not signify the physicians shell out rate. The rest of the value is made up of VAT”.




NHS locum physician paid £11,000 to operate a weekend

4 Temmuz 2014 Cuma

What is so excellent about tough function? I vote for a fixed, 3-day weekend for all | Andrew Martin

man in deckchair not working

I’m miserable most of Sunday, since Monday is round the corner. Half the weekend, in fact, is the finish of the weekend




Professor John Ashton, president of the United kingdom Faculty of Public Overall health, caused a stir this week by advocating a 4-day working week. This would improve our mental and physical well being, reduce tension and we would all ”enjoy ourselves much more”.


One particular purpose to bring in a 4-day week is that we function the longest hours in Europe. But this lamentable workaholism is also the cause it won’t happen. Our schoolchildren are among the most-tested in the world. We, alone in Europe, have an opt-out from the 48-hour optimum on the operating week. And the political left is much more committed to assisting the three million Britons who want to operate a lot more rather than less, even however a four-day week could balance this inequality.


The government also launched an extension of the right to request versatile working this week, but, as the TUC pointed out, “there is practically nothing to stop the employer saying no”, and their spokesperson presented me with a acquainted scenario: “A woman requests versatile functioning in the sense of wanting to function a number of hours a week less. Her spouse then compensates for the loss of income by operating a couple of hrs a week a lot more.” As for the political appropriate, if the Confederation of British Sector (CBI) can be so described (which I feel it can), their press officer stopped me in my tracks when I named to ask its response to Ashton’s concept: “I never think we’re going to go for it, Andrew.”


Later, he named back to request no matter whether the concept was that folks would cram five days’ well worth of work into the four days, or simply for a shorter working week. I will not know regardless of whether the CBI is aware that the former was experimented with, apparently successfully, in Utah a number of years ago the latter is nearly the norm in Holland, exactly where a single in three males have an added day off. (“Daddy days.”) I mentioned I would like to know what the CBI thought of either. I heard absolutely nothing more.


I relayed all this depressing news to Prof Ashton, who replied with spirited sarcasm, “I’ve place forward my idea! It is your occupation to shoot it down!” I explained I quite much liked the thought, as a challenge to the inelegance – the uncoolness – of getting a nation of try-hards a country that puts in the hrs only to obtain reasonably low productivity, most likely as a perform of individuals identical extended hours.


The identify of the game is to be in the office even if you’re not carrying out anything: the blight of presenteeism. “Presente!” Ashton barked down the phone when I stated this. He explained that he was invoking Franco’s Spain, the place this was the necessary utterance not just when the college register was taken, but for adults also at public gatherings. (“It truly is nonetheless a extremely emotionally loaded word in Spain.”) There looks to be a prevailing neurosis by which we as a nation agonise and strain but never supply. Our World Cup humiliation, for instance, would have been lessened if we hadn’t been quite so bothered about progressing to the knockouts – and we may have played much better.


I asked Ashton how we’d come to be so wedded to more than-function. “Pass!” he mentioned, in his enjoyably forthright way. “It is a matter for conjecture. I’m confident you can conjecture.”


Appropriate then: protestant function ethic, allied to publish-imperial crisis of self confidence a weakened trade union motion and worry of unemployment the want for downsized workforces to do much more the Americanisation of our business culture (most Americans get two weeks vacation a 12 months) failure to counteract the Gove-ite notion of everyone obtaining to make sacrifices – some a lot more than others – in see of a frantic scramble for survival in a globalised world. (“A race to the bottom,” Ashton calls this).


What is so excellent about tough operate that it affects our entire discourse? We have that creepy Labour formulation, “challenging-operating households”, which suggests dogged morons with their heads down. Why have a loved ones if everyone’s going to be slogging their guts out all the time? The phrase “work in progress” is worn out by overuse. Any variety of guide club or literary seminar is not reading and talking about a guide they’re “exploring” it. And any individual undertaking almost anything at all is “on a journey”, seemingly with no finish in sight, if you happen to be reckless ample to request them about it. For the record, Scott of the Antarctic was exploring he was also on a journey, and look how it finished up. But every little thing should be presented as difficult work, which is why, when the chattering lessons have a chat, they often get in touch with it a “workshop”.


Somewhere along the line, we came off the rails. The most admired Victorian legislation diminished working hours. The Factory Act of 1847, for illustration, restricted the working day for ladies and kids to ten hrs. Tom Hodgkinson, founder of the Idler magazine and Academy, traces the honourable background of not functioning all the time. “Till the Reformation, existence was supposed to be about contemplation, philosophy and the intelligent use of leisure. In ancient Athena, the notion was to be a philosopher in your spare time. In Greek, the word college [skole] means leisure.”


The aspiration lingered in our politics. Hodgkinson cited Oscar Wilde’s essay of 1891, The Soul of Guy Below Socialism (“It is mentally and morally injurious to guy to do something in which he does not discover pleasure”) and John Maynard Keynes’s essay of 1930, Financial Possibilities for Our Grandchildren. That means us, by the way, given that the essay was a prediction of society in 2030. “Science and compound curiosity,” Keynes believed, would guarantee we could “dedicate our energies to non-economic functions.” Some may possibly still want to work, but a 15-hour week “would be really sufficient to satisfy the previous Adam in most of us!” I will throw in Winston Churchill, who, in the booming 50s, predicted “a four-day week, then three days’ exciting” for British workers.


The 4-day doing work week implies the three-day weekend. The weekend Ashton foresees would be a movable feast. “Husbands and wives may possibly want to get off a various added day.” “To keep away from every single other, you imply?” I said. ”I meant for the youngsters,” Ashton chasteningly replied, “so they can see more of their parents.”


I advised him I favored a universal, fixed three-day weekend. We need the formal reduce-off. I’ve been freelance for many years, but I am even now enthusiastic on Fridays, like when I was a child, when Leslie Crowther on BBC1 would shout, “It’s Friday! It’s 5 to five, and it’s Crackerjack!” (Younger readers, Google it). I’m also miserable most of Sunday, because Monday is round the corner. Half the weekend, in fact, is the end of the weekend. And I’m even far more miserable now that everything’s open on a Sunday than I was when every little thing was closed. The present day Sunday is like a man trying to get pleasure from himself at a get together, but he has one thing weighing on his mind (Monday morning).


The added day would make all the difference. It could have something in widespread with the old sabbath, not in the sense of getting tremendously boring, but in being a various kind of day. Ashton suggests a neighborhood services choice, in return for tax credits.


No doubt this is all like these schemes I’d dream up although watching the rain fall on the old Sundays: unlikely to be realised. In which situation we can fall back on the Charwoman’s Epitaph, as quoted by Keynes in that essay of 1930: “Do not mourn for me, friends, don’t weep for me by no means/ For I am going to do nothing for ever and ever.”




What is so excellent about tough function? I vote for a fixed, 3-day weekend for all | Andrew Martin

11 Mart 2014 Salı

"Weekend Warrior" Supplement Contains Undeclared Viagra Relative

The FDA is warning purchasers of Weekend Warrior sexual enhancement dietary supplement to discontinue use and discard the supplement simply because it is adulterated with thiosildenafil, a chemical analogue of the lively ingredient in the erectile dysfunction drug, Viagra® (Pfizer).


The overall health concern expressed by the FDA is that the undeclared drug ingredient may well negatively interact with nitrate drugs for hypertension that act by dilating blood vessels, probably decreasing blood pressure to unsafe ranges.


Weekend Warrior is offered by means of on the web merchants and in some retailers with the promise of “Agility • Vitality • Longevity.” As of this morning, web sites this kind of as Shop4Vitamins are nevertheless marketing the supplement, at a price tag of $ 42.50 for eight tablets. Furthermore, the firm advertising the solution has no data for shoppers on their web site following the FDA warning issued final Friday.


As of the posting of this article, the Weekend Warrior website contains no warnings to consumers that their product contains the undeclared drug, thiosildenafil. Credit: weekendwarriorformen.com

As of the posting of this post, the Weekend Warrior site contains no warnings to consumers that their product includes the undeclared drug, thiosildenafil. Credit score: weekendwarriorformen.com



Supplement makers have been using this tactic since prior to I started teaching pharmacy college students about herbal medicines in 1994, with prescription ED medication or their chemical family members by some means ending up in what are otherwise supposed to be normal supplements. But by including actual medicines to their dietary supplements, they may well actually “work,” but not since of their normal constituents.


In reality, the FDA has been enjoying whack-a-mole with the sexual enhancement supplement sector for years, with this medication wellness fraud web page dedicated to warnings on other equivalent cases.


What does Weekend Warrior purport to be?


The supplement is labeled as containing 500 mg of a proprietary herbal extract and other drugs this kind of as theobromine, a naturally-happening constituent of chocolate that resembles caffeine. Components listed are Tribulus, Cordyceps militaris, Ginger root, Cridimum, Monnier extract, Rhodiola, fenugreek powder, and Avena sativa extract.


I have no idea what “Cridimum” is, but I suspect it is a misspelling of the medicinal plant genus, Cnidium, whose correct spelling seems to be like a misspelling. There’s one particular report in the scientific literature of chemical compounds of Cnidium monnieri having the capacity to unwind rabbit corpus cavernosum, the main blood vessel of the penis.


All method of Cordyceps fungus species have been historically linked to all method of optimistic benefits in Chinese medicine. Large concentrations of chemical substances from the fungus can destroy cancer cells in the laboratory.


Avina sativa? Plain outdated oats. Perhaps it is additional for humor since the use of the supplement is steady with sowing one’s oats.


Troubling Tribulus


Of greatest curiosity, and timing, is the herbal genus, Tribulus – and I assume the makers are referring to Tribulus terrestris. If you Google Tribulus and testosterone, you’ll see the supplement becoming offered on its own with the suggestion that it can boost testosterone concentrations in the physique.


But just this month, a group from Kingston University in London published in the Journal of Dietary Dietary supplements an examination of previously published scientific studies on Tribulus terrestris in animals and human topics.


Regrettably, the scientific studies accessible, which includes one particular patent application, were so varied in doses, research length, and overall design that a proper meta-evaluation of the information was not achievable. But the greatest they could discover is weak evidence that Tribulus extract might enhance testosterone concentrations when in combination with other supplements. The authors do at least note some operate that some dose of the extract can improve release of nitric oxide from blood vessels, an action that would be consistent with an erectile dysfunction item. But by and big, Tribulus sounds trivial.


As for the FDA’s detection of thiosildenafil in Weekend Warrior, we were unable to attain the business for comment. Their site lists no make contact with details and their internet domain, weekendwarriorformen.com is privately registered. We have attempted to contact the business by means of their internet testimonial get in touch with page for comment.



"Weekend Warrior" Supplement Contains Undeclared Viagra Relative