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воскресенье, 06 августа 2023
22:31 FDA Approves First Over the-Counter Birth Control Pill

FDA Approves First Over the-Counter Birth Control Pill



The U.S. Food and Drug Administration (FDA) has approved the oral contraceptive Opill for sale over the counter, making it the first birth control pill in the United States that will be available without a prescription.


Opill, a progestin-only “mini-pill,” will be available without any age restrictions. People should be able to get it in stores and online starting early next year, drugmaker Perrigo said in a statement.


“This is huge,” says Dana Singiser, co-founder of the Contraceptive Access Initiative (CAI) and a board member of Planned Parenthood Metro Washington. “The FDA followed the evidence and the science to expand access to a pill that has been used safely and effectively by tens of millions if not hundreds of millions of women around the world for 50 years.”


New OTC Birth Control Pill Has a Long Track Record of Safety
Enabling people to buy Opill without seeing a doctor first is expected to broadly increase access to contraception and reduce unintended pregnancies, the FDA said in a statement. Almost half of the 6.1 million pregnancies in the United States each year are unintended, a circumstance that reduces the likelihood of prenatal care and increases the odds of preterm deliveries and other complications, the FDA said.


“When used as directed, daily oral contraception is safe and is expected to be more effective than currently available nonprescription contraceptive methods in preventing unintended pregnancy,” Patrizia Cavazzoni, MD, director of the FDA’s Center for Drug Evaluation and Research, said in the statement.


Opill has been available with a prescription since 1973, the FDA said. Studies reviewed by the FDA prior to allowing over-the-counter sales found that most consumers understand how to properly use this drug without talking to a doctor or getting a prescription, the FDA said.


How Do You Take Opill and What Are the Side Effects?
To be effective, Opill should be taken at the same time every day, the FDA said. It shouldn’t be used by people with a history of breast cancer or anyone who is already using a different form of hormonal contraception including pills as well as contraceptive patches, vaginal rings, implants, injections, or intrauterine devices (IUDs).


The most common side effects of Opill include irregular bleeding, headaches, dizziness, nausea, increased appetite, abdominal pain, cramps, or bloating, the FDA said. People should see a doctor if they have repeated vaginal bleeding after sex, unusually long periods of bleeding, or if their monthly periods stop.


Users who miss two monthly periods, or anyone who misses a single monthly period after skipping some doses of Opill, should take a pregnancy test and discontinue Opill if the test is positive, the FDA said.


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Opill isn’t for emergency contraception and can’t prevent pregnancy after unprotected sex, the FDA also said. Like other oral contraceptives, this pill also doesn’t protect against transmission of HIV, AIDS, or other sexually transmitted diseases such as chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis, the FDA said. Condoms should be used to prevent sexually transmitted diseases.


How Much Does Opill Cost and Where Can You Get It?
Perrigo hasn’t yet provided U.S. pricing information for Opill. “That will impact which women are able to access this as a contraceptive option,” says Asima Ahmad, MD, MPH, co-founder and chief medical officer of Carrot Fertility and a practicing reproductive endocrinologist and fertility specialist in Chicago.


Where Opill gets placed inside stores will also influence access, says Sarah Prager, MD, a professor of obstetrics, gynecology, and complex family planning at the University of Washington in Seattle and a fellow with the American College of Obstetricians and Gynecologists (ACOG).


If retailers decide to keep Opill behind the pharmacy counter, or under lock and key with other expensive items on store shelves, this may deter some people from asking for it and limit how much this option ultimately expands access, says Dr. Prager. “Anything that requires people to wait on line or makes the experience of getting contraception feel more stigmatizing may mean fewer people use it,” Prager says.


Underserved, High-Poverty, and Rural Communities Need Better Birth Control Options
The American Medical Association (AMA), long an advocate for over-the-counter contraceptive options, urged the FDA to make more hormonal birth control pills available without a prescription and advocated for keeping costs down.


“We must continue to remove barriers to affordable care for those in underserved, high-poverty, and rural communities,” AMA president Jesse Ehrenfeld, MD, MPH, said in an emailed statement. “We know barriers to oral contraceptives can lead to inconsistent or discontinued use. While it is important [that] patients maintain relationships with their physician to stay up to date on screenings, requiring an office visit to begin birth control is an unnecessary hurdle for patients who must take time off work, find childcare, and travel to appointments.”


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среда, 02 августа 2023
23:47 What Is Face Yoga Plus 5 Exercises to Try at Home
What Is Face Yoga Plus 5 Exercises to Try at Home



You know that exercise keeps you looking and feeling your best. But can extending workouts to your face have similar effects?

Possibly. That’s the idea behind face yoga, a growing trend that claims to deliver skin-lifting effects without surgery, needles, or even expensive skin-care products. Some have turned to face yoga as a DIY approach to younger-looking skin.

What Is Face Yoga?
First things first: Face yoga doesn’t involve the usual Savasana or Downward-Facing Dog poses you’re familiar with from your yoga practice. “Yoga” is just a catchy way to say facial exercises that move the muscles on your face into certain positions — kind of like yoga for your body. The idea is that performing these face yoga exercises will keep your face looking toned and young, lifting areas that are sagging and drooping.

“The aim is to create a moment of self-care where you improve blood circulation for a healthy glow and reduce stress and tension in your face,” says Elsa Jungman, PhD, the founder of a skin-care brand that focuses on the skin’s microbiome and a proponent of facial yoga who is based in San Francisco.

Most people hold tension in their faces, whether through facial expressions or too much time in front of a screen. “All these daily activities cause patterns in how we use our face and the specific muscles we recruit,” Dr. Jungman says. “This is why we want to focus more on releasing and softening our faces to let go of these patterns and any held facial tension.”

Touted Benefits of Face Yoga
Facial yoga is said to help counter those effects. According to two popular programs, Happy Face Yoga and Face Yoga Method, face yoga helps to:

Release tension, which can minimize the appearance of stress lines
Strengthen and tone facial muscles to ultimately widen eyes, raise cheeks, and firm up the jawline
Increase circulation and blood flow to the skin, which makes the skin glow
Smooth fine lines and wrinkles
Counter the effects of gravity
Some dermatologists say there’s some truth to these claims. “The goal of face yoga is to increase the blood and oxygen supply to your skin, which improves the life of the cell,” says Deborah Longwill, DO, a board-certified dermatologist at Miami Center for Dermatology in Florida and cofounder of Doctor’s Daughter Skincare. “This leads to glowing and rejuvenated skin.”

Lucy Chen, MD, a board-certified dermatologist with Riverchase Dermatology in Miami, also says you could reduce visible signs of aging by toning the muscles through specific facial exercise training.

It should be noted, though, that there isn’t much research about facial yoga or facial exercises. The most promising and most-often-cited support comes from research published in JAMA Dermatology. In the study, a group of participants ages 40 to 65 performed facial exercises for 30 minutes a day for eight weeks. Then for 12 more weeks, they practiced the exercises three to four times per week. At the end of the 20 weeks, the study participants saw improved upper and lower cheek fullness. They also looked younger at the end of the study, with two dermatologists estimating the participants’ average age was 50.8 years old at the start of the study and 48.1 years 20 weeks later.


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But, as the JAMA Dermatology study authors noted, their participant sample was small, the results were modest, and the study didn’t include a control group. And keep in mind that face exercises won’t alter the texture of your skin, according to Harvard Health Publishing, though moving and stretching scarred skin through face yoga can lessen the appearance of scars.

Potential Risks of Face Yoga
Leaning on face yoga as your go-to anti-aging regimen may backfire, too. Some experts say contorting your face in these ways can actually lead to more wrinkles.

“Many facial wrinkles — for example, crow’s-feet, laugh lines, and forehead wrinkles — result from repetitive facial muscle activity such as frowning or smiling,” Dr. Chen says. “Some question whether routinely pulling your face and exercising those muscles could create wrinkles and fine lines.”

Think of botulinum toxin (Botox), which works by “freezing” the muscles in the face in order to minimize the appearance of wrinkles. With face yoga, you’re doing just the opposite, and if done too aggressively or incorrectly, Chen says facial yoga may actually accelerate signs of aging.

Not to mention, sweaty hands carry dirt, oil, and bacteria that can clog pores and cause breakouts. In fact, the American Academy of Dermatology recommends not touching your face to help prevent acne.

5 Face Yoga Exercises to Try at Home
Want to give it a try? Here are five exercises used in the JAMA Dermatology study. Jungman recommends practicing for five to 10 minutes each day to start, eventually working your way up to 15 to 20 minutes per day as part of your skin-care routine and self-care practice.

1. The Cheek Lifter
Open your mouth and form an O. Position your upper lip over your teeth and smile to lift cheek muscles up. Place your index fingers lightly on top of your cheek muscles, directly under your eyes. Release cheek muscles to lower them. Then smile again, thinking about pushing the muscles up toward your eyes. Repeat by lowering and lifting the cheeks 10 times. On the 10th time, hold your muscles up as high as you can and hold for 20 seconds. Repeat three times.

2. Happy Cheeks Sculpting
Smile without showing your teeth and roll your lips out as if trying to show as much lip as possible. Try to smile with the corners of your mouth so you feel a slight burn in the corners of your mouth. Press your index fingers into the corners of your mouth and slide the fingers up to your cheekbones as you press into the muscle. Lift the muscle up to the cheekbones, toward the corners of your eyes. When you get to the top of your cheekbones, hold for 20 seconds and feel the muscles tightening in your cheeks. Keep smiling with the corners of your mouth as you do this. Repeat three times.

3. The Eyebrow Lifter
Press three fingertips under each of your eyebrows to force your eyes open. Smile as you try to lower your eyebrows against your fingers. Hold. Then close your eyes and roll your eyeballs toward the top of your head. Hold for 20 seconds and keep smiling. Release and repeat three times.

4. Jaw and Neck Firmer
Open your mouth and make an “aah” sound. Fold your lower lip and the corners of your lips into your mouth and hold tightly as you extend your lower jaw forward. Using your lower jaw, scoop up slowly as you close your mouth, pulling your chin up about 1 inch each time you scoop and tilting your head backward. Open and close your lower jaw 10 times. On the 10th scoop, your chin should be pointing to the ceiling. Hold this position for 20 seconds and think about the sides of your face lifting. Repeat three times.

5. Temple Developer
Press your fingertips into your temples as you close your jaw, clenching your teeth together and tilting your chin up. Clench your teeth and concentrate on the temple region, thinking about trying to move your ears backward. Hold for 10 seconds, then clench your back teeth down and hold for 10 seconds. Your temple muscles should flex with each clench. Relax and then repeat three times.
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02:47 Egypt calls on Vladimir Putin to revive Black Sea grain deal
Egypt calls on Vladimir Putin to revive Black Sea grain deal



Egypt’s leader, Abdel Fatah al-Sisi, has urged Vladimir Putin to return to the Black Sea grain deal during a Russia-Africa summit in St Petersburg marked by concerns about the global economic fallout from the Kremlin’s invasion of Ukraine.

In a speech during a plenary session of African delegations attended by the Russian president, al-Sisi said it was “essential to reach agreement” on reviving the deal, which had allowed 33m tons of Ukrainian grain to reach markets, many in developing countries in Africa.

Moscow said it had quit the deal because its own agricultural exports were still being blocked. But a number of African countries, including Kenya and Egypt, a key importer of Russian grain enduring an acute food crisis, have struck out angrily at Russia as the Kremlin seeks them as allies in its standoff with the west.

Kenya’s leading diplomatic official had called Russia’s exit from the deal a “stab in the back”.

According to a government transcript, al-Sisi said: “I emphasise the importance of finding urgent solutions to provide food and fertilisers at prices that help Africa overcome this crisis.

“I look forward to reaching a consensus on a grain export agreement that takes into account the demands and interests of all parties involved and puts an end to the continuous increase in grain prices.”

Egypt is the world’s largest grain importer, of which about 80% comes from Russia and Ukraine.

Video released by Russian media on Thursday showed Putin being forced to wait for al-Sisi to attend a bilateral meeting. Egypt had previously said it disagreed with Russia’s exit from the deal and said it would continue to purchase Ukrainian grain via Europe.

Putin had promised on Thursday to send free grain to six African nations in what he called a humanitarian effort. Egypt was not among those countries, which were Burkina Faso, Central African Republic, Eritrea, Mali, Somalia and Zimbabwe.

All are considered Russian allies except for Somalia, which is enduring a humanitarian crisis.

Putin on Friday also sought to placate African leaders who have called for peace talks to end the war in Ukraine. He responded coolly last month to a peace plan presented by leaders led by South Africa’s president, Cyril Ramaphosa.

The head of the 55-nation African Union said that the problem of grain and fertiliser “concerns everyone” and that, as long as a peace deal is not reached, the group would push for a return to the Black Sea grain deal.

“We will talk about this in St Petersburg, we will discuss it with Putin to see how we can restart this agreement,” Comoros’s president, Azali Assoumani, who heads the African Union, told Russian state-owned RIA Novosti.

On Friday, the president of Congo-Brazzaville, Denis Sassou Nguesso, said during the plenary session that potential peace talks “must not be underestimated”.

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Putin said: “We treat your initiatives with respect and are considering them closely.” Of talks over the Ukraine crisis, he added: “This is an acute problem, and we’re not evading consideration of it.”

The Kremlin has said Putin would discuss the war in Ukraine with African leaders at a working dinner on Friday.

African leaders do not have much leverage with the Kremlin to halt the conflict, which has led to soaring grain and fuel prices that have disproportionately affected their countries’ economies.

Some spoke out in support of the Russian military on Friday. Putin applauded a speech by Ibrahim Traoré, the interim leader of Burkina Faso, who led a coup last year, which ended with the words “fatherland or death”.

A final statement endorsed by members of the summit included a call to oppose “aggressive nationalism, neo-Nazism and neo-fascism, Afrophobia, Russophobia”. Some of those terms have been used by the Kremlin to justify its invasion of Ukraine.

It also endorsed a “completion of the process of the decolonisation of Africa” and called for reparations for African states “as a result of colonial policies”, including the return of “cultural artefacts taken away in the process of colonial plunder”.

The UN-brokered grain deal was struck in 2022 and allowed cargo ships to carry grain from Ukrainian ports through a corridor in the Black Sea to world markets.

Since exiting the deal, Russia has bombarded Ukrainian ports and targeted grain infrastructure in Odesa and other cities near the Black Sea and Danube River.

On Friday, Russia said it had shot down several Ukrainian missiles near cities in the Rostov region along the Black Sea. At least 15 people were reported injured when a section of a rocket landed near a cafe in the city of Taganrog, Rostov officials said.
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суббота, 29 июля 2023
20:03 7 Mobility Exercises to Boost Your Health and Fitness

7 Mobility Exercises to Boost Your Health and Fitness



When was the last time you thought about doing a mobility workout? Just as you train for aerobic endurance, strength, and flexibility, you also need to train for mobility, especially if you want to maintain a vibrant, active life.


Mobility refers to the way your joints move inside their socket. “Mobility is the ability to move your joints freely with the surrounding tissues allowing the movement to happen smoothly,” says Denise Cervantes, an ACSM-certified sports performance and fitness specialist based in San Bernardino, California.


Think, for instance, the way the shoulder moves when you’re doing an arm windmill or arm circle.


It’s related, but not synonymous with, flexibility. Flexibility refers to the ability to lengthen or hold a muscle in a stretch. Mobility refers to the range of motion of your joints.


Mobility exercises tend to be more dynamic than exercises to improve flexibility, Cervantes says. Yet working on both can lead to some of the same benefits.


“If you don’t have flexibility or mobility, in time it can get harder to do simple things like getting in and out of your car, bending down to put on your shoes, or reaching up to get something out of a cupboard,” Cervantes says. And it could make training and exercise more difficult.


Take, for instance, mobility in your hips and thoracic spine. If you keep these body parts immobile too much, you may develop injuries simply due to repetitive daily behaviors, namely from excessive sitting and device use, according to a study.


Without attention, those habits cause kyphosis, an exaggerated rounding of the back, according to the Cleveland Clinic.


Immobility can also lead to poor walking mechanics. “Because of so much sitting, the hip flexors become so tight that they’re unable to open so when you walk, you’re only able to use a shortened stride,” she says. You’re then more likely to shuffle your feet as you walk when you age, your body hunched over.


The good news is that simple mobility exercises, when practiced regularly, can help prevent these issues now and slow some of the related natural issues that happen with age.


Even better? You’re never too young — or old — to start mobility training. “At all points of your life, mobility training should be part of your strength training program,” says Prentiss Rhodes, CSCS, a NASM-certified personal trainer and master instructor based in Scottsdale, Arizona.


7 Mobility Exercises to Help Your Joints
While there’s no specific guideline for how often you should do mobility exercises, the more you do, generally the more you’ll benefit.


Cervantes recommends doing mobility exercises daily. “The older you are, or the more sedentary you are, usually the more mobility work you need to do,” she says, adding that she likes to do a short mobility workout with multiple exercises before any workout she does. Or you can do them in small doses throughout the day. Most important is doing them regularly so that you maintain and improve that mobility, Cervantes says.

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1. Child’s Pose to Downward-Facing Dog
Kneel on floor and lower hips toward your heels, Cervantes says. Now let torso fall over knees and head fall between arms as you reach arms forward onto floor. This is Child’s pose. Hold for a few deep breaths.


Then come into Tabletop position, shifting weight forward until shoulders are over wrists, hips over knees. Flip toes under and pushing feet through floor, extend arms so hips lift, chest pushes through arms, and legs straighten. (Your body will form a triangle with the ground.) Lengthening through torso, take a few deep breaths and slowly release knees to floor, untucking toes and moving back into Child’s pose.


Repeat three times total, taking three to four deep breaths per move, Cervantes says.


2. Frog Pose to Deep Squat
Stand with feet slightly wider than shoulders, toes turned out for this exercise, Rhodes says. Sit back to lower body until thighs are parallel to floor (or as close as you can get to parallel). Hold here a second before shifting weight forward and placing hands on floor in front of you. Spread knees farther apart, as you lower yourself toward the ground, bring chest to the floor if possible. (Support yourself as needed with your arms if stretch in the inner thighs and groin is too intense.) Hold for a second before pushing back to that deep squat with toes turned out. Moving slowly, stand.


Repeat 8 to 12 times, Rhodes says.


3. Chest and Shoulder Opener
Lie face up on floor with dumbbell or kettlebell in right hand (or use a soup can if you don’t have strength equipment or find the weights too heavy), Rhodes says. Extend right arm straight above chest and left arm overhead resting on the floor by ear. Bend right leg, placing right foot on floor next to left knee. Roll onto left shoulder, letting right knee fall to floor. Now extend right leg onto floor and slowly roll hips forward and then back to the position with your right knee bent and arm still extended overhead.


Repeat 8 to 12 times, Rhodes says; then carefully roll onto back, hold weight into chest to give arms a break, and switch sides, repeating on other side.


4. Hitchhiker
Get on floor on hands and knees in Tabletop position, wrists below shoulders and knees below hips, Rhodes says. Form right hand into fist, thumb pointing up in Hitchhiker position, and lift right arm in front of you to shoulder height. Lower to start and repeat 8 to 12 times.


Switch sides and repeat.


5. Hamstring and Hip Opener
Kneel on floor with knees about hip-width apart. Step right foot forward so right knee is over right ankle and right thigh is parallel with floor. With arms to sides or hands on hips, shift weight back as you lean from hips over right foot allowing right toes to come up. (If you need some balance, place hands on floor.) Release to start and repeat 8 to 12 times, Rhodes says.


Switch sides and repeat.


6. Arm and Shoulder Circles
Stand with feet shoulder-width apart, hips and shoulders square to start this exercise from Cervantes. Relax left arm by left side as you circle right arm forward 10 times; extend your arm as long as possible to make large circles without shifting hips. Switch directions for another 10 repetitions. Switch sides and repeat.


7. Hip Circles
Lie face up on floor with legs extended on floor, Cervantes says. Bend right knee and bring it toward chest so knee is pointing toward ceiling. Draw circles — make them progressively bigger — with that knee in one direction 20 times; switch directions and repeat. Then switch sides and repeat, Cervantes says.


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пятница, 28 июля 2023
19:45 How Often Should You Wash Your Bra?v

How Often Should You Wash Your Bra?


Your breasts sweat. And if it’s a hot summer day, they might sweat a lot. Your bra not only has the job of supporting your breasts, but it has to do it under high-moisture conditions. So, it makes sense that, along with a T-shirt or leggings, you’d wash your bra regularly. But just how often do you have to do it, both for your breast and skin health? We asked the experts.


Why It’s Important to Wash Your Bra
Your bra has an intimate relationship with your skin. As such, the fabric collects sweat, dirt, and bacteria, explains Kemunto Mokaya, MD, a board-certified dermatologist and lifestyle medicine expert and author of Live & Look Younger. “Wearing clean, fresh-smelling bras not only promotes better skin health, but also enhances comfort and boosts confidence throughout the day, which impacts your well-being,” she says.


How Often Experts Recommend Washing Your Bra
There are no established studies about the best hygiene practices when it comes to bra washing. However, there are sound recommendations you can follow. And no, you probably shouldn’t wear your bra for a week before washing it. “As a dermatologist and skincare expert, I would recommend that bras be washed after every few wears to maintain proper hygiene and skin health,” says Dr. Mokaya. That can differ depending on several factors, but should be every two to four wears in general.


From a gynecologist’s perspective, Christine Greves, MD, board-certified ob-gyn at Winne Palmer Hospital for Women and Babies in Orlando, Florida, notes that though there is no established rule, she would recommend washing it every two to three wears.


Factors that would suggest you need to wash your bra sooner rather than later include your activity level, the season (you’ll obviously sweat more in warmer summer months), if you had body odor, length of wear, and other things you apply to your body that could get on the bra, such as lotions or and perfume, Mokaya adds.


The Right Way to Wash Your Bra
The first step is to look at the care instructions on the tag and follow those. Whirlpool says that best practice is to wash bras by hand with mild laundry detergent and cold water, especially if they have padding. If you’re going to wash them in the washing machine, you should place them hooked in a mesh laundry bag first, which will help them hold their shape. Use cool water, gentle detergent, and a delicate cycle. Hang bras to dry.


In addition, Mokaya suggests running bras (and underwear) through an extra rinse cycle to ensure that there is no lingering detergent residue, which can be a source of irritation for skin.


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What Could Happen if You Don’t Wash Your Bra After a Couple Wears?
Yes, it’s tempting to wear a bra for a long time, says Dr. Greves — especially if nothing has happened. “Maybe your skin is not as sensitive and you’ve been lucky thus far,” she says. Certain things in your life are governed by well-established rules, like wearing your seatbelt, but this is not one of them, she says. If you’re experiencing no problems from your bra wearing habits, you may not need to change a thing.


That said, it’s possible that several things could happen to your skin health, says Mokaya. The accumulation of aforementioned sweat, dead skin cells, and dirt on the bra “creates an environment conducive to bacterial and fungal growth, leading to potential infections, such as folliculitis or candida intertrigo,” she says.


 


Folliculitis is a skin infection that develops in hair follicles and looks like an acne breakout, according to the American Academy of Dermatology (AAD). Tight clothing that rubs against damp, hot skin can damage hair follicles and set the stage for an infection. Candida intertrigo is an infection in skin folds (like under your breasts) caused by yeast, according to DermNet. If you notice any signs of these infections, you will need to wash your bras more often and seek appropriate treatment from a board-certified dermatologist or medical doctor.


Notice a ripe stench to your bras? “Bacteria present on the skin break down sweat and produce odor-causing compounds,” says Mokaya. You may also notice irritation and chafing from a sweat-damp bra rubbing against your skin or acne breakouts from accumulated bacteria and dirt that clogged pores in the area, she adds.


How to Stretch the Time Between Washing Your Bras
If you don’t want to toss them into the wash often, there are several things you can do to extend their pre-wash lifespan, says Mokaya:


Wear antiperspirant to cut down on sweating.
Wear your bra less often.
Stick to cooler environments to limit sweating.
In addition, Greves recommends not sleeping in your bra. For many women, it’s unnecessary since you’re not fighting gravity when lying down. “Give your body a break to air out,” she says. If your breasts are large and you find wearing a bra enhances your comfort at night, wear a sleep bra to bed.


How Often to Wash Other Bras
Beyond everyday bras, here’s how to handle washing sports and nursing bras:


Sports Bras You know what happens in sports bras. They’re there to control the bounce while you sweat — and depending on the activity, you may be sweating buckets. “Sports bras should be washed after every wear,” says Mokaya. One exception is if you did a light, gentle activity, such as stretching or a restorative (and not heated) yoga class and consequently did not sweat much. If that was the case, you may be able to wear them one more time.

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Repeated washing, though necessary, does have an effect on the lifespan of your sports bras. One study found that breast support decreased after 25 washes and 60-minute wears. It also decreases with simple repeated washing, the researchers found out. Although you’re not going to simply wash a sports bra without wearing them, the results speak to the fact that washing them breaks down their support structures. People said that the sports bras maintained their comfort even after all those washes, however, and they may not consider replacing them. For best results, follow the care instructions on the label, and keep in mind that your sports bras don’t last forever — get new ones when you find that they’re not holding you up as well as needed.


Nursing Bras If you’re breastfeeding, you know how your breasts leak, especially in the beginning. And even though you might be exhausted, try to change this bra every one or two days, advises Greves. If you’re leaking breast milk on the bra, you’ll want to change it. On the other hand, you can stretch it out to washing every two days if you use nursing pads to absorb some of this excess milk. In addition, you can use what’s called a “milk saver” or “milk collector,” which is an insert that catches milk from the opposite breast that you’re actively nursing on as your milk lets down. Not only will that save your bra from being soaked, you can then empty this milk into a bottle to save for later for baby.


The Bottom Line
Bras are repositories for dirt, sweat, and dead skin cells. For best skin health and support, wash them every two to four wears, though increase that to more often if you were sweating a lot when wearing it or are experiencing skin irritation or infection in the area around your breasts.


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среда, 26 июля 2023
20:28 How to Reboot So You Can Have Better Sex

How to Reboot So You Can Have Better Sex



Is fitting sex into your daily life a struggle? “Everybody I know is crazy busy, overscheduled, and running,” says sex therapist Sheri Winston, RN, CNM, LMT, author of Women’s Anatomy of Sexual Arousal: Secret Maps to Buried Pleasure. Given your hectic schedule, you might not even notice that the intimacy you once enjoyed is now just tired sex, if it’s happening at all. But there’s reason to turn the situation around: A better sex life improves your health and overall quality of life.


Tired Sex Reason No. 1: Relationship Problems


One of the leading reasons you may say you are too tired for sex is that you don’t want to face a problem in your relationship. “It can be a lot easier to say you’re tired than to sit down and say there’s something we need to discuss,” notes Winston. Anger and resentment are among the emotions that could be contributing to tired sex. If you still can’t face the conversation alone, air it out with a therapist and rebuild your sex life.


Tired Sex Reason No. 2: Too Much TV


“It’s easy to flop in front of the TV at the end of a long day,” Winston says. And then, before you know it, your partner has gone to sleep (alone) and you are fading, too, or facing sleep deprivation. Winston advises turning the screens off early and cuddling instead to jump-start your sex life. “It’s terrible to have a television in your bedroom, which should just be for intimacy and sleep,” she says. This advice applies to screens of all sorts — for better sex, remove work and video games from the time and space devoted to intimacy.


Tired Sex Reason No. 3: An Overbooked Life


Being overscheduled could mean that you truly are too stressed out even for tired sex. But good sex is so important to your personal quality of life and your partner’s life that it shouldn’t take a backburner to, say, volunteering for the rummage sale. “Look at your life and what you are doing,” says Winston. “You have to cut back somewhere,” but it shouldn’t be in terms of your sex life.


Tired Sex Reason No. 4: Pressure to Perform


Once you are in the rut of tired sex or no sex, you might find that the pressure to perform is causing you to avoid the bedroom. Winston suggests taking a step back. “Ease off the pressure and just cuddle. Many times, that will lead naturally to sex, but if it doesn’t, so what?” Affection and tender physical contact are also important investments in your happiness and, ultimately, a better sex life.


Tired Sex Reason No. 5: Heart Health


Early warnings of heart disease include difficulty with erections, which can certainly impact your sex life. If you don’t have the “get up and go” you once had, consider talking to a cardiologist about your heart health and the health of your sex life. “Congestive heart failure makes you feel tired in general and takes away a lot of functionality, sex included,” says urologist Craig Niederberger, MD, FACS, head of the department of urology at the University of Illinois in Chicago. When you have early warnings like fatigue, you could be less than five years from your first heart attack, so get it checked out.


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Tired Sex Reason No. 6: Hormonal Imbalance


When your hormones are out of whack, your sex life can peter to a standstill. “Libido is controlled in large part by testosterone,” says Dr. Niederberger. “So that’s the first thing I would look for.” Men can talk to a urologist and women to their ob-gyn if they are concerned that their hormones aren’t functioning correctly and, therefore, impeding good sex. A simple medical fix can put you on track to a better sex life.


Tired Sex Reason No. 7: Depression


If you are too tired for sex as well as everything and everyone else you used to enjoy, it’s possible that you are depressed and experiencing sleep loss or sleep deprivation. The first step to a better sex life is treating the depression. Talk to a therapist about how you can improve your mood and regain your enthusiasm for life. Depression treatment often includes medication, but many people can regain their joie de vivre through therapy and changes in diet, exercise, and sleep habits.


Tired Sex Reason No. 8: Boredom

https://theamberpost.com/post/how-to-reboot-so-you-can-have-better-sex


Tired sex might just be the result of boredom in general. One way to rebuild sexual energy and revive your sex life is to become passionate about something else. “If you have something to share about a hobby or a book you are reading, it gives you a little spark,” Winston says. So, whether your secret passion is amateur astronomy or Thai cooking, investigating it further can translate to good sex.


Tired Sex Reason No. 9: Exercise Overload


Exercise improves your sex life by keeping you fit enough to enjoy romping with your lover, but exercising too much could just wear you out. Everyone should get at least 30 minutes of physical activity on most days of the week, reminds Winston. Fit people can do more than that in a day, of course. But stop pushing yourself till you drop or, if you are training for a specific reason, talk to your trainer about when to take breaks and conserve energy for better sex, itself a fitness activity.


Tired Sex Reason No. 10: Sleep Deprivation


There is a strong link between sleep deprivation and a less-than-satisfactory sex life. A study of 827 men demonstrated that those who snored the most often had the least satisfying sex lives, although their sexual function was not impaired. Addressing the problem that keeps you from sleeping — whether it’s snoring or simply not getting enough sleep — can lead to a better sex life.


Tired Sex Reason No. 11: Chronic Fatigue Syndrome


If you’ve been tired for months and sleep doesn’t refresh you, you could have chronic fatigue syndrome. This condition, which often is at its worst at the end of the day, can slow you down to about half of your normal capability — and lead to tired sex. See your doctor for medical treatment and remember that your sex life is flexible. Try to be intimate during the time of day when you feel your best, even if that’s the middle of the morning — good sex can happen anytime and anywhere.


URL
вторник, 25 июля 2023
20:32 How to Enjoy Sex During Pregnancy

How to Enjoy Sex During Pregnancy


Among the more enjoyable changes pregnancy brings to many women is a heightened sex drive and strong orgasms (during some of those nine months).


But common misconceptions about sex during pregnancy can affect how often pregnant women have sex. A study published in the journal Neuroendocrinology Letters, for example, found that most of the 149 people surveyed had significantly less sex in the third trimester of pregnancy than they did before conceiving, dropping from an average of one to two times a week to one to three times per month. Among the top concerns about sex during pregnancy was the health and safety of the baby.


For most women, intercourse during pregnancy is perfectly safe. If the pregnancy is progressing normally, sex is in no way harmful to the baby, says Faina Gelman-Nisanov, MD, a gynecologist with Maiden Lane Medical in New York City.


Your baby is well protected within your uterus. Amniotic fluid cushions the baby, and a thick mucus plug seals the cervix tight to guard against infection, according to Mayo Clinic. Although an orgasm may cause uterine contractions, they’re not labor contractions, so there’s no need to worry.


Learn More About Mucus Plugs


A pregnant woman’s sex drive typically spikes in the second trimester, when energy levels rise and nausea subsides. Sex may be on your mind a lot because of an increase in blood flow to the vagina and higher hormone levels, says Dr. Gelman-Nisanov. The vagina becomes engorged and vaginal lubrication increases. As a result, your desire to have sex rises and orgasms become stronger.


As your body changes and you experience pregnancy weight gain, getting the most enjoyment from intercourse may call for changes to your usual routine.


Time to Enjoy and Experiment
You may find that this is a time of sexual freedom and, if this is your first pregnancy, you may appreciate intimacy more during your last months without the responsibilities of parenthood. But you may need to make some adjustments for your own comfort, depending on the stage of pregnancy you’re in.


Experiment with new sexual positions. As your pregnancy proceeds and your belly grows bigger, you may need to try different positions to see what feels comfortable for you. “I recommend avoiding the missionary position for long periods of time, especially into the second and third trimester,” Gelman-Nisanov says. “A pregnant woman is more likely to have comfort with positioning herself on top of her partner, or with her partner behind her.” Options include lying on your side, getting on your hands and knees, and sitting on your partner’s lap.
Put safety first. If your partner has a history of sexually transmitted infections (STIs) or if there’s even a possibility of STI or HIV exposure when you’re having sex, always use a condom. HIV can be transmitted to the baby, and some other STIs can be transmitted to the baby during delivery.
While oral sex during pregnancy is generally considered safe, remember that your partner should never blow air into the vagina, because this could cause an air embolism (in which a blood vessel becomes blocked by air bubbles), which could become life-threatening, per the Cleveland Clinic. Gelman-Nisanov says anal sex is safe during pregnancy but should be limited if the pregnant woman has hemorrhoids. But remember: “All sex is contraindicated if one of the partners has a genital or oral infection,” she says.


Communicate openly. You and your partner may have different ideas about how often you should be having sex. Talk about each other’s changing needs. If intercourse when pregnant becomes difficult, particularly in the final stage of pregnancy, find ways other than penetration to be close, such as using massage or cuddling.
Consider sex toys. Remember that partnered sex isn’t the only way women can experience pleasure during pregnancy. Sex toys like vibrators are safe to use during pregnancy as long as your doctor hasn’t told you to avoid sex for a medical reason, Gelman-Nisanov says. She notes that they should be cleaned appropriately before and after use and stored in a clean, dry place.
When Sex During Pregnancy Isn’t Safe
Your doctor may tell you not to have sex while pregnant if:

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You’re at risk for a miscarriage.
You’re at risk for preterm labor, or giving birth before 37 weeks.
You have placenta previa, in which the placenta is covering the cervical opening.
You’re experiencing vaginal bleeding.
You have an infection.
Your membranes have ruptured.
You have a short cervix, which increases risk of miscarriage or preterm labor, or if the cervix has opened.
Expect pregnancy to bring waves of changes — physical, emotional, and sexual. By listening to your body and recognizing your needs, you will be better able to enjoy the unique pleasures of this special time in your life.


Among the more enjoyable changes pregnancy brings to many women is a heightened sex drive and strong orgasms (during some of those nine months).


But common misconceptions about sex during pregnancy can affect how often pregnant women have sex. A study published in the journal Neuroendocrinology Letters, for example, found that most of the 149 people surveyed had significantly less sex in the third trimester of pregnancy than they did before conceiving, dropping from an average of one to two times a week to one to three times per month. Among the top concerns about sex during pregnancy was the health and safety of the baby.


For most women, intercourse during pregnancy is perfectly safe. If the pregnancy is progressing normally, sex is in no way harmful to the baby, says Faina Gelman-Nisanov, MD, a gynecologist with Maiden Lane Medical in New York City.


Your baby is well protected within your uterus. Amniotic fluid cushions the baby, and a thick mucus plug seals the cervix tight to guard against infection, according to Mayo Clinic. Although an orgasm may cause uterine contractions, they’re not labor contractions, so there’s no need to worry.


Learn More About Mucus Plugs


A pregnant woman’s sex drive typically spikes in the second trimester, when energy levels rise and nausea subsides. Sex may be on your mind a lot because of an increase in blood flow to the vagina and higher hormone levels, says Dr. Gelman-Nisanov. The vagina becomes engorged and vaginal lubrication increases. As a result, your desire to have sex rises and orgasms become stronger.


As your body changes and you experience pregnancy weight gain, getting the most enjoyment from intercourse may call for changes to your usual routine.


Time to Enjoy and Experiment
You may find that this is a time of sexual freedom and, if this is your first pregnancy, you may appreciate intimacy more during your last months without the responsibilities of parenthood. But you may need to make some adjustments for your own comfort, depending on the stage of pregnancy you’re in.


Experiment with new sexual positions. As your pregnancy proceeds and your belly grows bigger, you may need to try different positions to see what feels comfortable for you. “I recommend avoiding the missionary position for long periods of time, especially into the second and third trimester,” Gelman-Nisanov says. “A pregnant woman is more likely to have comfort with positioning herself on top of her partner, or with her partner behind her.” Options include lying on your side, getting on your hands and knees, and sitting on your partner’s lap.
Put safety first. If your partner has a history of sexually transmitted infections (STIs) or if there’s even a possibility of STI or HIV exposure when you’re having sex, always use a condom. HIV can be transmitted to the baby, and some other STIs can be transmitted to the baby during delivery.
While oral sex during pregnancy is generally considered safe, remember that your partner should never blow air into the vagina, because this could cause an air embolism (in which a blood vessel becomes blocked by air bubbles), which could become life-threatening, per the Cleveland Clinic. Gelman-Nisanov says anal sex is safe during pregnancy but should be limited if the pregnant woman has hemorrhoids. But remember: “All sex is contraindicated if one of the partners has a genital or oral infection,” she says.


URL
воскресенье, 23 июля 2023
03:21 Definition of Sexsomnia
Definition of Sexsomnia


We’ve all heard of people who walk, wet the bed, or grind their teeth while sleeping — but what about having sex?

Though rare, sexsomnia is a recently recognized sleep disorder that causes you to have sex in your sleep. Canadian sleep doctor J. Paul Fedoroff, MD, of the University of Ottawa, is credited with coining the term “sexsomnia” in 1996, and it has been getting a lot more attention from researchers of late.

“When I first started doing research, you couldn’t find much about it in academic literature,” says Michael Mangan, PhD, an adjunct professor of psychology at the University of New Hampshire in Durham and author of the e-book, Sleepsex: Uncovered. Now it’s advanced to the point where it’s commonly believed to be another one of those things that people do in their sleep.”

According to Mangan, sexsomnia can include the full range of sexual behavior, including simple fondling, sexual vocalizations, moaning and groaning, and intercourse.

While there aren’t a lot of statistics on this sleep disorder, any adult or older teen who sleeps could potentially experience sleep sex, Mangan says. “That includes quite a few people.” However, he adds, it is most likely a small number — about 1 to 2 percent of the general population — which is similar to the number of people who experience other parasomnias, such as sleepwalking.

The vast majority of reported cases of sexsomnia involve men, but women can initiate sleep sex as well. People with prior history of sleep disorders are more likely to experience sleep sex, Mangan says.

Research presented at an annual meeting of the Associated Professional Sleep Societies found that nearly 8 percent of patients referred to a sleep disorders clinic in Toronto reported engaging in sleep sex. Of the 832 patients asked, 11 percent of men and 4 percent of women said they had engaged in sexual behaviors while asleep.

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The Good and Bad of Sleep Sex

Having sex in your sleep has both its advantages and disadvantages. On the positive side, Mangan says, both men and women who have experienced sleep sex say they are more assertive when asleep. “Their sexual demeanor is different compared to when they are awake,” he says. “The ordinary inhibitions that confine them to a routine pattern of sexual behavior when they are awake aren’t there. So they’re more adventurous and will do partner-pleasing stuff they don’t ordinarily do.” Sexsomnia can help some people conquer sexual problems.

On the other hand, Mangan says, it raises issues of consent and can harm some relationships. Your sleep partner may not wish to engage in sex and may be victimized by the act. Also, he says, “It can be annoying to have someone pawing away at you when you’re trying to sleep, so you suffer from sleep loss.” Sexsomnia can leave you and your partner feeling tired.

Yet another issue for some people is that they feel abandoned sexually. “A man or a woman might show little interest in sex while he or she is awake,” Mangan says. “But when they go to sleep they turn on and this creates the question on the recipient’s side: Are you dreaming about sex with other people?” Having this sexual problem might create negative sentiment around the couple’s sex life.

Causes of Sleep Sex

Researchers aren’t clear on just what causes this sleep disorder. One theory is that for some people just sharing a bed can trigger an incident. “When you fall asleep in close proximity to someone, being jostled or bumped can trigger a desire for sex that you act on, though you’re asleep,” Mangan says.

Some researchers cite drugs and alcohol as a cause of sexsomnia. Fatigue and stress also are considered likely causes.

Treatment for Sleep Sex

The good news is that sexsomnia is treatable. If stress or anxiety is causing you to have sleep sex, you may benefit from mental health counseling. Good sleep hygiene — getting a full night’s sleep, keeping to a regular sleep schedule, and seeking treatment for any medical conditions you may have — is also important.

While not an easy subject to broach, it’s important you talk to your doctor if you find that you or your partner is experiencing sleep sex. You may benefit from outside help to keep this nocturnal activity from negatively affecting your relationship.
URL
суббота, 22 июля 2023
18:48 How to Find Your Partners G Spot
How to Find Your Partners G Spot


Looking for your G-spot? You’re not the only one. If you’re not sure where to start or whether it even exists, we have some tips to show you the way. Our sexperts give step-by-step instructions to finding the pleasure zone, including which methods work best in the bedroom. Plus, how sexually adventurous are you? Take our quiz and find out...
The fabled G-spot. For some women, it’s a pleasurable reality. For others, it’s like leprechauns, unicorns and $20 Jimmy Choos – it doesn’t exist. Most women are pleased with a regular orgasm. But is there something that’s even better?
The physical truth: There's a mass of spongy tissue that surrounds the urethra, called the urethral sponge. And like other parts of the body, the tissue is full of blood vessels and nerve endings.
Doctors and researchers agree that the sponge exists, but they disagree about whether it’s an epicenter of an orgasmic earthquake.
“We know something is there - way too many women have had pleasure by stimulating… that area of the vagina,” says Amy Levine, certified sexual educator and founder of SexedSolutions.com. “We also know some women ejaculate when there’s pressure applied to the same area.”

Anatomy of a G-Spot
The G-spot isn’t a newfangled discovery. It was first noted in the 1940s by German gynecologist Ernst Grafenberg (hence the “G”). The “magic button” became popular in 1982 with the publication of sex researcher Beverly Whipple’s best-selling book The G Spot: And Other Discoveries about Human Sexuality (Holt Paperbacks).
Decades of debate followed: Is the G-spot myth or science? Does every woman have one? Is it the key to the ultimate orgasm?
Every woman’s vulva and vagina is not the same, and bundles of highly sensitive nerve endings may be in different places. Which may explain why some respond well to a certain technique or position and others don’t.
In fact, the G-spot may be less of a spot and more of a zone that’s hard to pinpoint from one woman to the next, explaining why evidence has been hard to come by.
To Have or Have Not
But a study by researchers at Italy’s University of L’Aquila claims to have found physiological proof of a G-spot.

Using vaginal ultrasounds, the researchers found thicker tissue between the vagina and the urethra - where the G-spot is thought to reside - in women who reported having vaginal orgasms, but not in women who reported having clitoral orgasms.
Lead researcher Emmanuele Jannini, M.D., concluded that some women have a G-spot and others don’t.
But Levine says the study isn’t evidence of anything. It tested only 20 women, “an extremely small sample size,” she says. “And 20 women aren’t necessarily representative of all women.”
Plus, there’s also no way of knowing what came first, the G-spot or the vaginal orgasm, Levine says.
“It could be that women with thicker tissue suggestive of a G-spot have had more experience stimulating the area.”
Better Orgasms… Maybe
So why the fuss? Supposedly, a G-spot orgasm is the end-all, be-all of pleasure… which makes it all the more tantalizing.

In The Guide to Getting It On (Goofy Foot Press), sex researcher Paul Joannides writes that feelings in the clitoris get to the brain via the pudendal nerve, and vaginal sensations (including the G-spot) are sent to the brain through the pelvic nerve.
Because of this, stimulating both spots may lead to a more intense or “full” orgasm.
Levine agrees. Because the clitoris and the G-spot are different erogenous zones, “stimulating both is going to make for a more powerful orgasm for many women,” she says.
Some women describe clitoral orgasms as more “shallow” and vaginal orgasms as “deeper” or more intense, Levine says.
Mining for G-old
So, how can you find your G-spot? Experimentation, a healthy mindset and a little patience are the keys.

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Most important: Get fully aroused, Levine says, because “the G-spot swells the more aroused a woman gets.”
Full arousal differs for every woman: It may be five minutes into sexual activity… or 25.
Once aroused and lubricated, follow these steps:
1. Insert a finger (yours or your partner’s) in the vagina.
2. Run it along the top wall of the vagina. Look out for an area that feels different from the rest of the tissue. Perhaps it’s more pleasurable when touched.
3. If you find a spot that feels promising, stimulate the area with a “come-hither” motion.

For many women, the G-spot is about halfway between the vaginal opening and the cervix, Levine says.
If not there, try feeling closer to the vaginal opening or the cervix.
“Many women are scared about peeing during G-spot stimulation because it triggers a similar sensation, like they have to urinate,” Levine says.
Her recommendation: Urinate beforehand to put your mind at ease about wetting the bed.
Once the G-spot is stimulated to the point of swelling, the peeing feeling usually subsides, perhaps giving way to pleasure.
For some women, G-spot stimulation triggers the release of fluid from the Skene’s glands in the urethra, usually at orgasm.

Another Method
You can also seek out the G-spot the old-fashioned way - during intercourse.
Several positions are ideal for this:
Woman on top
“This allows a woman to experiment with the angle that works best for her,” Levine says. ”Leaning back slightly while she’s on top targets the upper vaginal wall.”
Rear entry
“This works especially well if a woman can angle her body down by resting on her elbows,” Levine says.

Missionary
G-spot stimulation can be enhanced by squeezing your pelvic floor muscles around your partner’s penis. (It boosts his arousal too.)
Couples can experiment with angling his body up slightly so their pelvic bones are aligned and the penis is at the right angle to provide G-spot stimulation.
Couples should maintain a gentle rocking motion. This position, called the coital-alignment technique, also provides clitoral stimulation.
Levine also encourages women (and their partners) to explore sex toys designed for G-spot stimulation. They're generally angled at the tip to target the upper vaginal wall, and can be made of various materials, such as soft silicone, plastic or even glass.
Just remember: What worked for your best friend may not work for you.
And most important, resist the urge to get G-spot tunnel vision.

“Orgasm is a subjective experience and that’s exactly the way it’s supposed to be,” Levine says.
Good sex is as much about a mental connection as a physical one. Feeling comfortable with your partner and yourself is a prerequisite to pleasure. So enjoy the journey and what you find, even if X doesn’t mark the G-spot.
URL
среда, 19 июля 2023
20:20 A polio scare hit Malawi with 17 cases as a massive vaccine program ended
A polio scare hit Malawi with 17 cases as a massive vaccine program ended


Malawi is investigating at least 17 suspected polio cases just as a vaccination campaign is completed with more than 90% of the country’s children inoculated against the virus.

Health authorities fear Cyclone Freddy – the world’s longest-lasting tropical cyclone – which made landfall in March in the southern African nation and led to hundreds of deaths and thousands of displacements – could be a contributing factor.

Arnold Mdalira, a spokesperson for the Zomba district health office in southern Malawi, said on Monday that the results of the investigation will come out in a fortnight. “Zomba is one of the districts affected by Cyclone Freddy, and it destroyed toilets and other sanitation facilities,” he said in a radio interview. The development could pose danger to children, especially newborns, he added.

Malawi has been vaccinating children since last year following a recorded first case of the wild polio in 30 years, and the first in Africa since the region was certified free of indigenous wild polio in 2020.

There are three variants of wild or naturally occurring virus, which is the most common type of polio. Two types have been eradicated (WPV2 and WPV3), while WPV1 remains endemic only in Pakistan and Afghanistan. There is also a very rare vaccine-derived poliovirus, which is a variant of the weakened poliovirus initially included in the oral polio vaccine.

A ministry of health spokesperson, Adrian Chikumbe, could not confirm the new cases but said “we do surveillance from time to time” and the “conditions could be due to other factors”.

He added: “Possibly it could be acute flaccid paralysis – after further investigations or laboratory tests we can determine if it’s polio or not, but we have not received those reports.”

He said the ministry has monitored 316 cases of acute flaccid paralysis (AFP) so far this year. AFP is a clinical syndrome covering a collection of symptoms and defined by the acute onset of weakness or paralysis with reduced muscle tone in children. Polio is one of many infectious and non-infectious causes of AFP.

“Any child presenting with acute flaccid paralysis, which could be due to polio or other factors, is picked out and investigated,” said Chikumbe.

He said that a vaccination campaign, which ended last weekend, reached more than 8 million children, representing 90.7% of the country’s under-15s.

Adamson Muula, a professor of public health and epidemiology at Kamuzu University of Health Sciences, said a prompt investigation of the new cases will be vital. “One key issue is to find whether they received the vaccine or not, and that will unlock what’s going on,” he said.

“If the samples have been taken, it will take some days. [But] until the ministry has findings, they can’t say [whether it is polio or not].

“I would not be surprised [if the cases were polio] because – just like cholera – it passes through contaminated water or food. Now, with Cyclone Freddy, the sanitations have been compromised and other areas have also remained for days without water. If one person had polio, it’s very easy to spread.

Earlier this year, Malawi – with support from Gavi, the Vaccine Alliance, the WHO, Unicef and TyVAC – launched a nationwide integrated vaccination campaign targeting children from nine months to 14 years old. Vaccines for typhoid fever, measles, rubella and polio, as well as a vitamin A supplement, were available at mobile and fixed sites, including clinics, mobile outreach teams and schools.

Malawi has also become the third African country to introduce the typhoid conjugate vaccine in its routine vaccination programme.


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A polio scare hit Malawi with 17 cases as a massive vaccine program ended


Malawi is investigating at least 17 suspected polio cases just as a vaccination campaign is completed with more than 90% of the country’s children inoculated against the virus.

Health authorities fear Cyclone Freddy – the world’s longest-lasting tropical cyclone – which made landfall in March in the southern African nation and led to hundreds of deaths and thousands of displacements – could be a contributing factor.

Arnold Mdalira, a spokesperson for the Zomba district health office in southern Malawi, said on Monday that the results of the investigation will come out in a fortnight. “Zomba is one of the districts affected by Cyclone Freddy, and it destroyed toilets and other sanitation facilities,” he said in a radio interview. The development could pose danger to children, especially newborns, he added.

Malawi has been vaccinating children since last year following a recorded first case of the wild polio in 30 years, and the first in Africa since the region was certified free of indigenous wild polio in 2020.

There are three variants of wild or naturally occurring virus, which is the most common type of polio. Two types have been eradicated (WPV2 and WPV3), while WPV1 remains endemic only in Pakistan and Afghanistan. There is also a very rare vaccine-derived poliovirus, which is a variant of the weakened poliovirus initially included in the oral polio vaccine.

A ministry of health spokesperson, Adrian Chikumbe, could not confirm the new cases but said “we do surveillance from time to time” and the “conditions could be due to other factors”.

He added: “Possibly it could be acute flaccid paralysis – after further investigations or laboratory tests we can determine if it’s polio or not, but we have not received those reports.”

He said the ministry has monitored 316 cases of acute flaccid paralysis (AFP) so far this year. AFP is a clinical syndrome covering a collection of symptoms and defined by the acute onset of weakness or paralysis with reduced muscle tone in children. Polio is one of many infectious and non-infectious causes of AFP.

“Any child presenting with acute flaccid paralysis, which could be due to polio or other factors, is picked out and investigated,” said Chikumbe.

He said that a vaccination campaign, which ended last weekend, reached more than 8 million children, representing 90.7% of the country’s under-15s.

Adamson Muula, a professor of public health and epidemiology at Kamuzu University of Health Sciences, said a prompt investigation of the new cases will be vital. “One key issue is to find whether they received the vaccine or not, and that will unlock what’s going on,” he said.

“If the samples have been taken, it will take some days. [But] until the ministry has findings, they can’t say [whether it is polio or not].

“I would not be surprised [if the cases were polio] because – just like cholera – it passes through contaminated water or food. Now, with Cyclone Freddy, the sanitations have been compromised and other areas have also remained for days without water. If one person had polio, it’s very easy to spread.

Earlier this year, Malawi – with support from Gavi, the Vaccine Alliance, the WHO, Unicef and TyVAC – launched a nationwide integrated vaccination campaign targeting children from nine months to 14 years old. Vaccines for typhoid fever, measles, rubella and polio, as well as a vitamin A supplement, were available at mobile and fixed sites, including clinics, mobile outreach teams and schools.

Malawi has also become the third African country to introduce the typhoid conjugate vaccine in its routine vaccination programme.
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понедельник, 17 июля 2023
09:43 Drought leaves millions in Uruguay without tap water fit for drinking
Drought leaves millions in Uruguay without tap water fit for drinking


More than half of Uruguay’s 3.5 million citizens are without access to tap water fit for drinking, and experts say the situation could continue for months.

Some had predicted the crisis years ago when pointing out the vulnerability of the single reservoir supplying water to the metropolitan area around the capital, Montevideo.

By Latin American standards, Uruguay is a high-income country and it has historically thought of itself as having abundant water resources. Those who warned of diminishing supplies were considered catastrophists and investment was postponed.

Three consecutive years of drought have almost emptied the reservoir of fresh water, and to avoid shortages the state-run water supplier, OSE, has since the beginning of the year been gradually adding brackish water from the Rio de la Plata estuary.

By early May the mix had reached the maximum levels of sodium and chlorides recommended by the World Health Organization (WHO), and now it has double those levels, giving the water a repulsive taste and raising questions about potential effects on health.

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Authorities maintain that the chemicals only affect the taste and smell of the water and do not necessarily pose a risk to most people’s health.

Some vulnerable groups such as babies, pregnant women and people with health conditions have been warned against drinking the water but there have been conflicting claims about its safety for the broader population.

Álvaro Mombrú, the dean of the chemistry faculty at the Universidad de la República, said he would not recommend its consumption at present, while his colleague Arturo Briva, the dean of the medicine faculty, said the water was still considered safe but warned that “as levels rise and time of exposure increases, some repercussions may appear”.

Experts have advised taking shorter showers, and there have been increased reports of damage to water heaters.

A poll in May found that roughly half of people in the area affected had reduced their consumption of tap water and 35% had stopped drinking it completely.

The government has exempted bottled water from taxes and announced it would provide free bottled water to more than 500,000 people.

Mario Bidegain, a meteorologist, said calculating the amount of rain needed to bring the situation back to normal was a difficult task. If there are heavy rains as expected by early September, authorities will still have to decide whether to reduce the sodium and chloride levels back to normal or keep some kind of mix to preserve supplies in case the drought continues. “We will probably come out of this slowly,” Bidegain said.

Many Uruguayans say the centre-right administration of President Luis Lacalle Pou, which was praised domestically and abroad for its management of the Covid-19 pandemic, has been too slow in its response to this crisis, and too reliant on the hope of autumn rains.

The governmentsays previous administrations, including the leftwing Broad Front coalition that governed from 2005 to 2020, did not invest adequately in water infrastructure.

Before the crisis, Lacalle Pou’s administration had announced a $210m project to take safe drinking water out of the Rio de la Plata, leaving aside another project that had been designed but not started by the previous government.

José Mujica, the president between 2010 and 2015, has acknowledged some responsibility. “We all fell asleep,” he said when asked about the crisis.

Adrián Peña, a former environment minister under Lacalle Pou, said all political parties were responsible for not prioritising investment in water management.

“Whenever anyone raised these issues … the response was: this has never happened,” he said.
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четверг, 13 июля 2023
20:10 Bodies of 87 people found in Sudan mass grave says UN
Bodies of 87 people found in Sudan mass grave says UN


At least 87 people including ethnic Masalits have been found buried in a mass grave in Sudan’s West Darfur, the UN human rights office has said, adding that it had credible information that the Rapid Support Forces (RSF) were responsible.

RSF officials denied any involvement, saying the paramilitary group was not a party to the conflict in West Darfur.

Ethnically motivated bloodshed has escalated in recent weeks in step with fighting between rival military factions that erupted in April. In El Geneina, witnesses and rights groups have reported waves of attacks by the RSF and Arab militias against the non-Arab Masalit people, including shootings at close range.

Local people were forced to dispose of the bodies including those of women and children in a shallow grave in an open area near the city between 20-21 June, the UN statement said. Some of the people had died from untreated injuries, it said.

“I condemn in the strongest terms the killing of civilians and hors de combat individuals, and I am further appalled by the callous and disrespectful way the dead, along with their families and communities, were treated,” said UN high commissioner for human rights, Volker Türk, in the same statement. He called for a prompt and thorough investigation.

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Fighting broke out on 15 April between Sudan’s regular army, headed by Abdel Fattah al-Burhan, and the RSF, commanded by his former deputy Mohamed Hamdan Dagalo.

An RSF senior official, who declined to be identified, said it “completely denies any connection to the events in West Darfur as we are not party to it, and we did not get involved in a conflict as the conflict is a tribal one”. Another RSF source said it was being accused due to political motivations from the Masalit and others. He reiterated that the group was ready to participate in an investigation and to hand over any of its forces found to have broken the law.

It was not possible to determine exactly what portion of the dead were Masalits, a UN spokesperson added.

Hundreds of thousands have been forced to flee their homes in Darfur, according to rights groups, with many crossing the border into neighbouring Chad. Amid the pillaging, entire towns and villages in the province of West Darfur have been burned to the ground and looted.

The ethnic killings have raised fears of a repeat of the atrocities perpetuated in Darfur after 2003, when Janjaweed militias – from which the RSF was formed – helped the government crush a rebellion by mainly non-Arab groups in Darfur, killing approximately 300,000 people.

“This report is a good first step, but more efforts are needed to uncover more violations,” said Ibrahim, a refugee in Chad, who asked to withhold his last name for fear of retribution.

Sudan’s army spokesperson, Brig Gen Nabil Abdullah, told Reuters the discovery of the mass graves “rises to the level of war crimes and these kinds of crimes should not pass without accountability.

“This rebel militia is not against the army but against the Sudanese citizen, and its project is a racist project and a project of ethnic cleansing.”

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среда, 12 июля 2023
16:32 4 Biggest Pregnancy Fears And Why You Shouldn’t Let Them Bother You
4 Biggest Pregnancy Fears And Why You Shouldn’t Let Them Bother You


For first-time mommies, pregnancy can be such a nerve-racking experience. Sure, giving birth to another human and starting a family can be exciting but sometimes, the excitement is undermined by the worries and fears that come with it.

Although most fears are common and understandable, there are some which are completely irrational but still get the best of us.

We know deep down that these fears are irrational but for some reason, they just add to the paranoia of the journey we’re embarking on.

Admit it, we’re all guilty of getting these thoughts at some point during our pregnancy, but don’t worry, because it’s only natural to feel like this.

Here are the most common pregnancy fears and why you shouldn’t let them bother you that much.

Weight Gain and Facial Changes
Some expecting mothers tend to fear that pregnancy might change their facial features, specifically the nose. One woman said that she feared that her nose might start spreading after noticing a friend from college whose nose got larger as got closer to her due date.

Obstetrician-gynecologist Ashley Roman explained that there is some truth to this, but she pointed out that this was in relation to several factors such as weight gain, hormonal changes, and water retention.

In short, it’s nothing abnormal about the process and these changes are definitely reversible, so don’t panic when you notice that you somehow look different.

Everything will come back to normal once you give birth, but this process won’t happen overnight.

As for the weight gain, some women experience post-partum depression after seeing their bodies giving birth. However, the extra pounds will come off with proper diet and exercise once you get the green light from your doctors to start moving again.

For expecting moms who aren’t worried about how their body will look like, props to you, but for those who worry too much, just remember that you are giving life to another human being makes all the struggles worthwhile.

Miscarriage
A lot of first-time mothers have the fear of losing their baby somehow. It’s one of the most common worries among pregnant women which makes them very overprotective of their baby bump.

Women become so paralyzed by this fear that they start calculating their every single move and overanalyzing everything that goes inside their body is researched to ensure that nothing brings harm to the little human being inside their belly.

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This fear is warranted to some extent and it is okay to be cautious during this period of your life, but don’t let this get to your head and take away the joy of motherhood.

Note that miscarriages and complications usually happen during the first trimester and often occur when women don’t even know that they are expecting.

Accidentally Crushing the Baby While Sleeping

If you’re a wild sleeper, having the fear of unconsciously rolling on your stomach will give you sleepless nights – and that’s because you think that you will accidentally squish your bundle of joy.

As odd as it sounds, a lot of pregnant women have this worry, which is pretty understandable. You’ll do everything to protect your baby as a mother and you can’t risk the thought of unintentionally hurting the life growing inside you.

However, this is just a misconception: Dr. Roman explained that the body allows plenty of room for the baby to grow inside and that it is safe for you to lie on your stomach. Whew, what a sigh of relief!

However, you’ll find out for yourself that as you get closer to your due date, it will be more uncomfortable to roll onto your belly because of the protruding bump. Your pregnancy will naturally change your sleeping position long before you can harm your child.

Parenting Skills

A lot of soon-to-be moms fear what will happen once they gave birth. This is a normal concern for many new parents because they don’t know what to expect. They usually worry that they won’t be a good parent to the baby.

Always remember that the whole pregnancy ride itself is already a very delicate and stressful experience and surviving this phase will tell that you can make it through parenting as well.

There’s no one right way to raise a child but you’ll figure it out along the way. What’s more, you’ll learn some tips and tricks while you’re at it and there’s nothing more enjoyable than discovering the knick-knacks of being a parent.
URL
понедельник, 10 июля 2023
19:47 Penises Have Gotten Surprisingly Longer Over the Past 29 Years
Penises Have Gotten Surprisingly Longer Over the Past 29 Years


While recent research has shown that average sperm counts and testosterone levels have been in decline for men over the past few decades, erect penile length has surprisingly been trending in the opposite direction, according to a new global study.

A team led by Michael L. Eisenberg, MD, the director of male reproductive medicine and surgery and a urology professor at Stanford University School of Medicine in California, analyzed penis measurements from 75 studies conducted between 1942 and 2021, which recorded this anatomical data from more than 55,000 men ages 18 to 86.

In the context of studies that have found decreasing sperm counts and testosterone levels, “We expected that we would see a similar declining trend when we looked at penile length,” says Dr. Eisenberg, who is also a specialist in male sexual function, “but we found quite the opposite.”

Researchers Looked at 20 Studies Involving 18,000 Males
The results, published February 14 in the World Journal of Men’s Health, identified an increase of 24 percent in the average erect penis length between 1992 (when the first erect lengths were recorded) and 2021. The change over those 29 years increased from an average of 4.8 inches to an average of 6 inches. The calculations were determined from 20 studies that recorded those measures in more than 18,000 males in that time period.

The pooled data also included measures for flaccid length and stretched length (a way to estimate erect penile length). All measures included were conducted by investigators and none were self-reported. The study team noted that erect length increased significantly over time in several regions of the world and across all age groups, while no trends were identified in other penile size measurements.

Eisenberg suggested that stretch lengths did not follow the same trend as erect lengths because there were differences in how measurements were taken, including how hard a clinician pulled for measuring. Techniques for measuring erect penises, however, appeared quite consistent.

Environmental Factors May Play a Role in Increasing Penis Lengths
“Our reproductive system is one of the most important pieces of human biology. If we’re seeing this fast of a change, it means that something powerful is happening to our bodies,” says Eisenberg. “We should try to confirm these findings and if confirmed, we must determine the cause of these changes.”

He suggested that a number of environmental factors may be involved, such as exposure to hormone-disrupting chemicals in our surroundings (pesticides, for example). Some research has indicated that chemical exposure may be linked to boys and girls going into puberty earlier, which may affect genital development, according to Eisenberg.

He added that research has found an association between early pubertal timing and high rates of obesity and sedentary behavior, so that may be a driver behind the trend as well.

Could the Rise of the Internet Have Played a Part?
Larry Lipshultz, MD, the chief of the Scott Department of Urology's Division of Male Reproductive Medicine and Surgery at Baylor College of Medicine in Texas, who was not involved in the study, found the results surprising given that most environmental and lifestyle factors seem to inhibit reproductive health.

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He did propose, however, that the advent of the internet, starting in the mid-1980s, could possibly have played a role.

“You might possibly blame online porn, but that’s just a theory,” says Dr. Lipshultz. “The more someone has erections, there might be greater potential for better erections. The tissue would stretch more, hence would get longer.”

Bigger Is Not Necessarily Better
While some may view an increase in penis length as good news overall, Raevti Bole, MD, a urologist affiliated with the Cleveland Clinic who specializes in male sexual medicine and erectile dysfunction, stresses that people may put too much value on penis size.

“Overall I think the results are good in that they don’t show a deterioration [of the penis] — but at the end of the day penile length is very subjective, and I think there can be a negative to focusing on this,” says Dr. Bole, who was not one of the study researchers. “There’s a real emphasis on size in popular culture and social media, so I think it’s important for doctors to reinforce that bigger is not necessarily better. My point is size doesn’t necessarily correlate to sexual satisfaction. Patients can feel bad about penis size, and that’s a problem.”

More Research Is Needed
The next big step in terms of research for Eisenberg is to look at other patient populations (such as children and adolescents) to see if there are similar changes, because it may turn out to be an early indicator of a change in human development.

“Also, if there’s granular data on lifestyle factors or environmental exposures, we could try to understand why this may be happening,” he says.
URL
пятница, 07 июля 2023
21:27 Why Manchester United dont need a striker
Why Manchester United dont need a striker


Man Utd’s moral dilemma
There’s been a lot of pointing and laughing at Manchester United for the fact we seem to be either not addressing adequately, or indeed at all, the most glaring weakness in the side; the lack of a quality centre forward. It’s taken us from Weghorst to maybe Taremi via speculation over Kane and Osimhen.

What I haven’t heard mentioned much is that the club already have under contract arguably the best young striker in the world not named Erling; Mason Greenwood.

We all know the story in the press, I’m sure most have opinions on it (personally, and I know this from lived experience, if you don’t know the people involved directly or haven’t seen the case files, you don’t really know what’s gone on).

Setting that unpleasantness to one side for a moment, this is a prodigiously gifted 21yo that looked set to develop into a £100m+ player 18 months ago. From both a financial and a footballing point of view, it would make total sense. Morally? That’s rather trickier. People will have very different views on that. Just seems odd to me that it’s not being mentioned as a possibility.
Lewis, Busby Way

 

De Gea strategy
Man United’ transfer money is a mere £120M, very limited indeed. They have paid a ridiculous £55M for Mason Mount albeit there was only one year left on his contract. Letting De Gea leave means they now have to sign a top goal keeper and a top tier proven world class striker with £65M. On what planet is that possible? How are they going to achieve their professed need  to fill the striker and goal keeper positions with that amount of money? They lack strategy as it would appear strategically wise to trigger De Gea’s one year extension, releasing money to get the much need good striker. We will be back to square one with no tier one striker next season, unless the Glazers release more transfer funds. Liverpool, Chelsea and Arsenal, in particular, are spending strategically big within the FFP rules, so why are United using FFP as an excuse for the very low low transfer kitty?
Professor (Dr) David Achanfuo Yeboah

 

‘Follow Jurgen blindly’
I’m feeling like a bit of a tit with the news that all is in order for us to sign Dominik “the bosz” Szoboszlai.
Going off about how we’re going to have a crisis because of Keita, Milly and the Ox departing… as if Klopp never had it under control.

Apt case of in Klopp we trust, from now on I follow Jurgen blindly.

Best,
Wik, Pretoria, (even down a well) LFC

 

The Saudi attraction
Difficult to know where to start with Paul K’s absolute mess of a mail about Muslim footballers heading to Saudi Arabia. Having lived and travelled extensively in the Middle East for the last 15 years, and having a large extended family who are ethnic Palestinians that grew up in Jordan (but now live split between the UK and US), I can say with confidence that Paul’s email is characteristic of several offensive mischaracterisations and assumptions about Muslims.

Firstly, Saudi Arabia itself is not some kind of Islamo-Disneyland for Muslims. Saudi Arabia’s significance for Muslims centres around making the Haj/Umrah to Mecca, and, to a lesser degree, the religious significance of Al-Masjid an-Nabawi. In the same way that Catholics largely do not went to go and settle in Vatican City or Santiago de Compostella or Lourdes, but may visit on pilgrimages due to the sites’ religious significance, the majority of Muslims would not choose to live within the parameters of Saudi’s ultra-hardline religious landscape. Many Muslims I have spoken to are actively troubled by what they perceive as a schism between their more modernised conceptions of their faiths and what they see as the immoral misappropriation of Quranic scripture in Saudi Arabia, knowing that making the Haj is a crucial aspect of their faith.

Secondly, Paul K labours under an assumption that I know offends many Muslims, which is that all Muslims are religious puritans and prudes with no tolerance of others’ ways of life or beliefs. Most Muslims really don’t care if others drink alcohol, dress differently, or eat pork, and, I’m also yet to be aware of Premier League clubs stuffing bacon and hot dogs down Muslim players’ throats as Paul seems to weirdly allude to. Like people of any religions, there are polarities, with the vast majority of Muslims intersecting their faith with what may be perceived as more progressive, liberalised worldviews. Most Muslim countries are also inter-faith, with churches and temples sitting peacefully alongside Mosques. What we would deem as neo-liberalist, individualistic Western ideologies and behaviour are rife in the countries of the Islamic world, even Saudi Arabia.

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The likes of Benzema, Kante, Koulibaly and Ziyech grew up within and were acculturated in Western European countries and have categorically not had to live in a way that completely contradicts their beliefs. The concept of social democracy may be divorced from the prevailing Middle-Eastern political structures of absolute monarchies and theocratic dictatorships, but the values of social democracy and Western liberalism are not automatically incompatible with Islam. As an aside, here is a list of countries that I have visited that are Muslim majority and seen Muslims drinking in: Oman, UAE, Jordan, Syria, Bahrain, Lebanon, Turkey, Kosovo and Azerbaijan. As for the idea that Muslims are put off football, or offended by the irreligiousness of football in the West, I’d suggest that Paul K visit a bar or cafe in downtown Amman, Beirut or Muscat on a Premier League match day to see how affected Muslims are by the sin and degradation that Paul K suggests the Premier League represents to them. Unless Saudi establishes a complete footballing hegemony, Islamic football fans will continue to do what they’ve always done: support their favourite European clubs,

So, sorry Paul, it absolutely is about money. If offered parallel contracts at a European club operating at the level/quality of those Saudi ones, not a single one of those players would be moving to Saudi now. Not one. None of the players you mentioned are going to retire in the supposed Islamic paradises of Riyadh and Jeddah. Despite its enormous wealth, the quality of life in the country is poorer than any footballer moving eastwards will have experienced. Like almost all the other expats in the region, they are trading off their quality of life for the promise of greater earning power. The irony of your mail is that in setting out to defend Muslim players, you’ve parroted the same ignorant, othering, tired tropes and cliches about the faith that perpetuates the image of Islam as incompatible with the West, and characterised an entire faith as pearl-clutching dogmatists. This is exactly the kind of atomising that no faith or culture needs.
D*cky Malb@lls

 

Kane inquest
Would anyone disagree that Amans mail yesterday is probably the worst that’s ever been written? You give examples where you say history may not be too kind but they’re terrible. Alan Shearer gets into most PL all time XIs. You rate Cantona above him just for the stories? What?! How about you don’t rate either of them if you’re this ignorant to the topic. I doubt you’re aware of this but Shearer actually rejected guaranteed league titles at United to join his boyhood club. This does not make him a worse footballer or lack ambition. If anything, it’s the opposite. The Le Tissier comparison with Defoe is also strange. Completely different players. Defoe was an out and out scorer and I wouldn’t consider Spurs a small club. Le Tissier was technical genius who was admired by Xavi. So I would say he is also remembered quite well, aside from his recent nonsense.

You’ve gone into a whole other topic here after. Gundogan has won more trophies but Gerrard will probably be remembered better. Likewise Kane and Vardy. We all know Kane is a better player and he will also be known as a much better player. I would honestly not rate Kane any higher if he went to Bayern and won a few Bundesliga titles. I get what you’re trying to say but the examples you used were pretty bad.
Dion Byrne

 

I understand what Aman was saying in his mail and of course football is about winning, but it’s not only about winning. I have no real love for Shearer, being a United supporter, but he was immense. Aman only started watching football at the tail-end of Shearer’s career but I can tell you that he was a world-class striker. Great with both feet, amazing in the air and had an absolutely rasping shot in his locker. Anytime Utd played Blackburn or Newcastle I was always concerned when Shearer played, as the man was a goalscoring machine. 3rd in the ballon d’or in ‘96 and a bloody PL legend.

Le Tissier was a joy to watch, and in many ways reminded me of Cantona in that he played the game with a certain panache; the phrase ‘joie de vivre’ springs to mind. The type of player who played like he loves the game and loved to entertain. The types of players full of tricks, flicks and amazing vision for a mind-blowing pass with the ability to pull it off. Will everyone remember Le Tissier as a legend? Probably not but who really cares? There are plenty of Southampton fans and football fans in general who know how good he was.

But enough with the history lesson, back to Aman’s mail. On one hand he is dismissing stats as effectively meaningless without trohies, suggesting that trophies are the measure of long-term fame or memorability. Arguably, over time trophies become just stats, especially for those who weren’t there to witness it. When I think about memories of Ronaldinho, Messi, Zidane, Cantona or any great footballer I have witnessed I don’t even really think about the trophies they have won – I think about the amazing things they did on the pitch.

So to bring it back to Kane, it would be good to see him join a different club (*cough* Utd *cough*) and not just for selfish reasons. More for him to experience the taste of winning a league title that his goalscoring exploits deserve. But not for a legacy or to live long in Aman’s memory.
Garey Vance, MUFC

 

Havertz failing upwards
Christ on a crotch-rocket! Just read your article about Havertz’s wages at Arsenal…

£325k (380k in euros) per week for statistically the worst finisher in the league last season (a league which contains actual Wout Weghorst FFS!). Talk about failing upwards!

Baffling, especially as they’ve already the proud owners of the contract of the 2nd worst in that list, Eddie Nketiah.

Question for other mailboxers, has there been a clearer case of this happening previously and/or do you also think he must own compromising photo’s of someone high up at the club?
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среда, 05 июля 2023
12:12 US hails progress in Azerbaijan Armenia peace talks
US hails progress in Azerbaijan Armenia peace talks


Azerbaijan and Armenia made progress during peace talks in Washington and voiced hope for an accord despite a flare-up in violence, U.S. Secretary of State Antony Blinken said Thursday.

The adversaries' foreign ministers met at a State Department office in suburban Washington and also went to the White House to see Jake Sullivan, the national security adviser, in the latest U.S.-led mediation.

Closing the three-day negotiations, Blinken said the two sides had made "further progress" on "the objective of reaching an overall final agreement in the weeks and months ahead" on Karabakh.

Azerbaijan and Armenia have gone to war twice over Karabakh, which was internationally recognized as part of Azerbaijan but illegally occupied by Armenia for nearly three decades, as well as several other areas of Azerbaijan.

"I think there's also a clear understanding on everyone's part that the closer you get to reaching an agreement, in some cases the harder it gets because, by definition, the most difficult issues are left for the end," Blinken said.

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He saluted the "candor, openness, directness" between Armenian Foreign Minister Ararat Mirzoyan and his Azerbaijani counterpart Jeyhun Bayramov, who traveled to the U.S. capital for the second time in as many months for talks.

The second round of U.S.-brokered peace talks commenced on Tuesday, with Blinken engaging in bilateral and trilateral meetings with Bayramov and Mirzoyan, respectively.

During these meetings, he emphasized the importance of reaching a "durable and dignified agreement."

Shortly after the closing session, foreign ministries of Azerbaijan and Armenia released a joint statement, saying that they "reached an agreement on additional articles and achieved mutual understanding on the draft agreement, meanwhile acknowledging that the positions on some key issues require further work."

"Both ministers expressed their appreciation to the U.S. side for hosting negotiations between Azerbaijan and Armenia, and their commitment to continue their negotiations," the statement added.

Bayramov and Mirzoyan last convened for five-day talks in Washington in late May, following which Blinken commended the "tangible progress" achieved.

The European Union has also been mediating at the level of leaders between the former Soviet republics, stepping into diplomacy where Russia has historically been the chief broker.

Tens of thousands of people were killed in the two wars over Karabakh, one lasting six years and ending in 1994 and the second in 2020, which ended in a Russia-negotiated cease-fire deal that saw Moscow deploy a peacekeeping contingent along the Lachin corridor, the only road linking Armenia to the enclave.

Tensions have soared over the establishment of a checkpoint on the Lachin corridor in April, which saw another half a dozen people killed from both sides since last December.

Baku said the border checkpoint was created in response to security threats from Armenia, citing the transfer of weapons and ammunition to the Karabakh region.

Yerevan denied the charges and claimed the move violated the cease-fire. Armenia, which relies on Russia as a security guarantor, is also frustrated over what it sees as the Kremlin’s failure to fulfill its peacekeeping role in the territory.

With major regional power Russia struggling to maintain its decisive influence because of the fallout from its war on Ukraine, the conflict has since drawn more Western mediation efforts.
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пятница, 30 июня 2023
20:21 85 Million Americans Have THIS Fear When It Comes to Using Their Credit Cards
85 Million Americans Have THIS Fear When It Comes to Using Their Credit Cards


There are dangers that surround the misuse of this seemingly wonderful card, which may be the reason why many people are afraid they will max out their line – of course, this would result in consequences.

Limits are based on your credit score, so the higher your rate is, the higher your limit will be.

Fear of Overusing Credit Cards
A WalletHub survey found that 86 million Americans, or more than one in three, fear they will overuse their credit cards when they’re making big buys – they considered things more than $100 as large purchase.

Analyst Jill Gonzalez points out that maxing out your credit limit can be hard to pay off in a timely sense.

Data from the Federal Reserve showed that the United States has exceeded the $1 trillion credit card debt, the highest since the Great Recession.

Despite the fact that many people have knowledge of what an overused credit card would result in and this harrowing information about the financial situation of the country, there are still those who take on debts after debts.

As per a NerdWallet report, a household has a $6,929-balance a month and that spews an interest of $1,140 per year, which is not at all a small amount.

There are specific people who are prone to maxing out their credit cards: Millennials were more likely than boomers, whereas men were said to be 15 percent more likely than women.

As expected, those who were earning lower have a higher chance of overusing their plastics for big purchases rather than those who have higher income.

What’s worse is that, along with the increase of people with credit card debts, interest rates have been soaring, too – certainly a bad combination.

Two years ago, rates were at 15.22 percent; last year, 16.15 percent; and currently, 17.41 percent.

Paying Credit Card Debts
If you are one of those who have a credit card debt/s to settle, here’s how to face it: First, sort things out – know and acknowledge what you owe from all the lines you have.

You can do this by writing them on a piece of paper or your journal so that you will know what to prioritize.

When you have multiple debts, you can either opt for the snowball method or the avalanche method. The former targets the smaller amounts first then the larger ones, whereas the latter looks at interest rates.

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If you want a little motivation, then the snowball process is the way to go. This is because you’ll see the progress immediately which will fuel the drive to pay the other remaining debts.

As for the avalanche method, you’ll save money because you are going to knock out balances that have higher interest.

After this, you can now decide how to strategize and you need to determine which will be the easiest and most feasible action for you.

Try securing a personal loan to consolidate your debt, or adhere to other methods that can help you deal with your loans and at the same time offer you favorable terms.

But keep in mind that you’re trying to keep things manageable, so choose a technique that will not further sink you.

Lastly, learn from the mistake. Pause and take a look at your spending habits – from there, you can make a new plan that will not put you on the same spot again.

If needed, cut from your expenses things that are unnecessary or those that can be replaced with cheaper options.

This way, you’ll not just be able to pay your debts faster, but you’ll in turn also save more money in the long run.

Cons of Maxing Out Your Card
One of the side effects of maxing out your credit card is its impact on your credit score. The higher your credit utilization is, the more your rate is hurt. What does it mean when you have a low credit score?

This means that it will be harder to secure other loans because a low rating automatically means lenders should be wary of entrusting you with money.

In relation to that, your mortgage or car loan may not be approved because banks tend to check your credit behavior. If you have a high balance, then that may signal the bank that you can’t handle another debt anymore.
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среда, 28 июня 2023
16:56 5 Common Nutrient Deficiencies Know the Signs
5 Common Nutrient Deficiencies Know the Signs


You may think vitamin and mineral deficiencies are a thing of the past, experienced only by sailors on long sea voyages. But even today, it’s possible to lack some of the essential nutrients your body needs to function optimally.

“Nutrient deficiencies alter bodily functions and processes at the most basic cellular level,” says Tricia L. Psota, PhD, RDN, a partner at Nutrition On Demand who is based in Quakertown, Pennsylvania. “These processes include water balance, enzyme function, nerve signaling, digestion, and metabolism. Resolving these deficiencies is important for optimal growth, development, and function.”

Nutrient deficiencies can also lead to diseases. “For example, calcium and vitamin D deficiencies can cause  osteopenia or osteoporosis, two conditions marked by brittle bones,” says Kate Patton, RD, a dietitian at the Cleveland Clinic in Ohio. “And inadequate iron can cause anemia, which zaps your energy.”

Telltale symptoms are usually the first clue that you are low in one or more important vitamins or minerals, says Patton. Here’s how to recognize seven common nutrient deficiencies.

1. Calcium: Numb, Tingling Fingers and Abnormal Heart Rhythm
Calcium is important for maintaining strong bones and controlling muscle and nerve function, according to the National Institutes of Health (NIH). Signs of severely low calcium include numb, tingling fingers and abnormal heart rhythms, says the Cleveland Clinic. That said, there are no short-term, obvious symptoms of calcium deficiency.

Most adults need 1,000 milligrams (mg) of calcium each day, though women over 50 and men over 70 need 1,200 mg, per the Mayo Clinic. Patton says you’ll likely get enough from at least three servings of milk or yogurt a day. Cheese is another good source of calcium, but if you’re not big on dairy, you can find this nutrient in calcium-fortified plant-based milks or breakfast cereal (check the nutrition facts label of the food to see if calcium has been added), and dark leafy greens like kale and broccoli, according to the NIH.

2. Vitamin D: Fatigue, Bone Pain, Mood Shifts, and More
This vitamin is another that’s crucial for bone health and may also prevent some cancers, according to the Cleveland Clinic. Symptoms of a vitamin D deficiency can be vague — fatigue, bone pain, mood changes, and muscle aches or weakness may set in.

“If it goes on long term, a vitamin D deficiency can lead to softening of the bones,” Dr. Psota says. Long-lasting deficiency also may be linked with cancers and autoimmune diseases, says Michelle Zive, PhD, a nutrition coach based in San Diego.

According to the NIH, most adults need 15 micrograms (mcg) of vitamin D each day, and adults older than 70 need 20 mcg. Patton suggests having three servings of fortified milk or yogurt daily and eating fatty fish, such as salmon or tuna, twice a week, as these are foods that contain vitamin D. Spend some time outside in the sunshine every day, too, as this is a great source of the nutrient. Ten to 30 minutes a few times a week of direct sunlight exposure should help, Dr. Zive says. But the NIH also notes that it can be hard to get your vitamin D needs solely from food and time in the sun, and so a supplement is often the best way to meet daily requirements for many people.

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3. Potassium: Muscle Weakness, Constipation, Irregular Heart Rhythm, and More
Potassium helps your heart, nerves, and muscles work properly and also delivers nutrients to cells while removing waste, according to MedlinePlus. Plus, it’s a useful nutrient that helps offset sodium’s negative impact on your blood pressure: “It’s important in maintaining a healthy blood pressure,” Zive says.

You could become low in potassium in the short term because of diarrhea or vomiting; excessive sweating; antibiotics, laxatives, or diuretics; excessive alcohol consumption; or because of a chronic condition like kidney disease, per the Mayo Clinic. Symptoms of a deficiency include muscle weakness, twitches, or cramps; constipation; tingling and numbness; and an abnormal heart rhythm or palpitations, says MedlinePlus.

For natural potassium sources, try bananas, milk, acorn squash, lentils, and kidney beans and other legumes. Adult men need 3,400 mg each day, and women need 2,600 mg, according to the NIH.

4. Iron: Fatigue, Shortness of Breath, Cold Hands and Feet, Brittle Nails, and More
Iron is necessary to produce red blood cells, which carry oxygen throughout the body, according to UCSF Health. When iron levels get too low, there may be a deficiency in red blood cells, resulting in a condition called anemia. Some groups at increased risk of iron deficiency include menstruating women, growing individuals (such as children and pregnant women), and those following a vegan or vegetarian diet, Zive says.

Anemia can leave you with symptoms including weakness and fatigue, shortness of breath, a fast heartbeat, pale skin, headache, cold hands and feet, a sore or swollen tongue, brittle nails, and cravings for strange things like dirt, according to the Mayo Clinic. The symptoms may be so mild at first that you don’t notice something’s wrong, but as iron stores become more depleted, they will become more intense.

To boost iron levels, Patton recommends eating iron-fortified cereal, beef, oysters, beans (especially lima, navy, and kidney beans), lentils, and spinach. Adult men and women over 50 need 8 mg per day, and adult women younger than 50 need 18 mg each day, according to the NIH.

5. Vitamin B12: Numbness, Fatigue, Swollen Tongue, and More
Vitamin B12 aids the production of red blood cells and DNA, and also improves neurotransmitter function, according to the NIH. Vegetarians and vegans may be at particular risk for vitamin B12 deficiency because plants don’t make the nutrient, and people who’ve had weight loss surgery may also lack B12 because the procedure makes it difficult for the body to extract the nutrient from food, according to Harvard Health Publishing.

Symptoms of severe B12 deficiency include numbness in the legs, hands, or feet; problems with walking and balance; anemia; fatigue; weakness; a swollen, inflamed tongue; memory loss and difficulty thinking, per Harvard. These symptoms can come on quickly or gradually, and since there’s such a wide range of symptoms, you may not notice them for a while.

Adults need 2.4 mcg of B12 per day, according to the NIH. It’s most commonly found in animal products, and Patton recommends fish, chicken, milk, and yogurt to boost your B12 levels. If you’re vegan or vegetarian, Zive suggests opting for foods fortified with B12, such as plant-based milk and breakfast cereals. You can also find B12 in most multivitamins, notes the NIH, but if you’re at risk of being deficient, you can take a supplement specifically containing B12.
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вторник, 27 июня 2023
03:48 Romano rules out Man Utd move for £224m duo and delivers takeover update
Romano rules out Man Utd move for £224m duo and delivers takeover update


Man Utd will not pursue deals for Paris Saint-Germain duo Kylian Mbappe and Neymar under the current ownership, according to transfer expert Fabrizio Romano.

Reports have claimed in recent days that Mbappe is set to join Real Madrid in a deal worth €250m as PSG look to sell the forward after he announced he wouldn’t be renewing his deal in Paris.

It is claimed that Real Madrid would pay €200m, with another €50m in bonuses on top, making it the most expensive transfer in football history, eclipsing Neymar’s €222m move to PSG.

Rumours that Mbappe could be leaving Paris this summer sparked speculation that Man Utd and other Premier League clubs could attempt to lure him to England.

One report in Spain claimed that Man Utd were eyeing the ‘coup of the century’ with the Red Devils ‘prepared to get ahead of Real Madrid for Mbappe’.

There were suggestions that Real Madrid has ‘not forgiven Mbappe’s betrayal by renewing with Paris Saint-Germain’ and that Man Utd would ‘invest whatever it takes’ to beat Los Blancos to his signature.

READ MORE: Man Utd are not serious people if they entertain Chelsea’s Mount counter…

However, that seems completely false with Romano insisting there will be no extravagant deals for Mbappe or Neymar while the Glazers are still at the club.

Romano told GiveMeSport: “What we can say is that, with the Glazers, this is absolutely not a topic.

“For sure, they are not working on that or Neymar because we know the Glazers are going in a different direction.”

Man Utd are currently in the middle of a long, drawn-out takeover process with bids on the table from Qatar’s Sheikh Jassim and INEOS founder Sir Jim Ratcliffe.

Sheikh Jassim has now made five bids for the club and Ratcliffe three, as both parties look to please the Glazers and win the race to take over the Premier League club.

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And Romano says it’s now all “on the Glazers” to make up their minds and accept an offer with Sheikh Jassim “convinced” his bid is best for the football club.

Romano added: “I understand Manchester United fans being tired about the story, but it is about closing the deal.

“It’s on the Glazers. I think Sheikh Jassim did his best with his bid. He’s convinced his bid is very good for the future, so let’s wait and see.”

Man Utd will not pursue deals for Paris Saint-Germain duo Kylian Mbappe and Neymar under the current ownership, according to transfer expert Fabrizio Romano.

Reports have claimed in recent days that Mbappe is set to join Real Madrid in a deal worth €250m as PSG look to sell the forward after he announced he wouldn’t be renewing his deal in Paris.

It is claimed that Real Madrid would pay €200m, with another €50m in bonuses on top, making it the most expensive transfer in football history, eclipsing Neymar’s €222m move to PSG.

Rumours that Mbappe could be leaving Paris this summer sparked speculation that Man Utd and other Premier League clubs could attempt to lure him to England.

One report in Spain claimed that Man Utd were eyeing the ‘coup of the century’ with the Red Devils ‘prepared to get ahead of Real Madrid for Mbappe’.

There were suggestions that Real Madrid has ‘not forgiven Mbappe’s betrayal by renewing with Paris Saint-Germain’ and that Man Utd would ‘invest whatever it takes’ to beat Los Blancos to his signature.

READ MORE: Man Utd are not serious people if they entertain Chelsea’s Mount counter…

However, that seems completely false with Romano insisting there will be no extravagant deals for Mbappe or Neymar while the Glazers are still at the club.

Romano told GiveMeSport: “What we can say is that, with the Glazers, this is absolutely not a topic.

“For sure, they are not working on that or Neymar because we know the Glazers are going in a different direction.”

Man Utd are currently in the middle of a long, drawn-out takeover process with bids on the table from Qatar’s Sheikh Jassim and INEOS founder Sir Jim Ratcliffe.

Sheikh Jassim has now made five bids for the club and Ratcliffe three, as both parties look to please the Glazers and win the race to take over the Premier League club.

And Romano says it’s now all “on the Glazers” to make up their minds and accept an offer with Sheikh Jassim “convinced” his bid is best for the football club.

Romano added: “I understand Manchester United fans being tired about the story, but it is about closing the deal.

“It’s on the Glazers. I think Sheikh Jassim did his best with his bid. He’s convinced his bid is very good for the future, so let’s wait and see.”
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воскресенье, 25 июня 2023
05:20 36 People missing after boat capsizes between Tunisia and Lampedusa
36 People missing after boat capsizes between Tunisia and Lampedusa


Thirty-seven people are missing after their boat capsized between Tunisia and the Italian island of Lampedusa, the International Organization for Migration (IOM) said on Friday, citing an account by four survivors of the shipwreck.

The UN agency said the survivors, all from sub-Saharan Africa, arrived on Lampedusa late on Thursday, having been rescued from the shipwreck by another vessel.

The shipwreck took place on Thursday and at least one newborn baby is among those missing, said UNHCR representative to Italy Chiara Cardoletti.

The vessel left from Sfax in Tunisia and was carrying 46 migrants from Cameroon, Burkina Faso and Ivory Coast, said Flavio Di Giacomo, a spokesperson for the UN migration agency IOM.

The boat capsized in strong winds and high waves, he said. “Some survivors were taken to Lampedusa and others were brought back to Tunisia.”

“Among those missing were seven women and a minor. The survivors are all adult men,” he added.

“We have noticed more arrivals of migrants from sub-Saharan Africa than Tunisians” via the Tunisian route since November, he said.

He explained this was due to people from sub-Saharan Africa fleeing discrimination in Tunisia.

“It is unacceptable to continue counting the dead at the gates of Europe,” Cardoletti said.

Earlier, the UN’s High Commission for Refugees gave a similar account of the same incident, but said 40 people were believed to be missing, rather than 36.

The southern Italian island of Lampedusa is one of the main entry points for migrants crossing the Mediterranean. Last year, more than 46,000 people arrived there, out of a total of 105,000 in Italy, according to the UNHCR.

There has been a rise in migration across the Mediterranean from Tunisia this year after a crackdown by Tunis on migrants from sub-Saharan Africa living in the country illegally and reports of racist attacks amid an economic downturn.

At least 12 African migrants were missing and three died after three boats sank off Tunisia, a judicial official said on Thursday, while the country’s coastguard rescued 152 others.

It was not immediately clear if the four survivors who recounted their story to the IOM were on one of these three boats.

Reuters and AFP contributed to this report

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Thirty-seven people are missing after their boat capsized between Tunisia and the Italian island of Lampedusa, the International Organization for Migration (IOM) said on Friday, citing an account by four survivors of the shipwreck.

The UN agency said the survivors, all from sub-Saharan Africa, arrived on Lampedusa late on Thursday, having been rescued from the shipwreck by another vessel.

The shipwreck took place on Thursday and at least one newborn baby is among those missing, said UNHCR representative to Italy Chiara Cardoletti.

The vessel left from Sfax in Tunisia and was carrying 46 migrants from Cameroon, Burkina Faso and Ivory Coast, said Flavio Di Giacomo, a spokesperson for the UN migration agency IOM.

The boat capsized in strong winds and high waves, he said. “Some survivors were taken to Lampedusa and others were brought back to Tunisia.”

“Among those missing were seven women and a minor. The survivors are all adult men,” he added.

“We have noticed more arrivals of migrants from sub-Saharan Africa than Tunisians” via the Tunisian route since November, he said.

He explained this was due to people from sub-Saharan Africa fleeing discrimination in Tunisia.

“It is unacceptable to continue counting the dead at the gates of Europe,” Cardoletti said.

Earlier, the UN’s High Commission for Refugees gave a similar account of the same incident, but said 40 people were believed to be missing, rather than 36.

The southern Italian island of Lampedusa is one of the main entry points for migrants crossing the Mediterranean. Last year, more than 46,000 people arrived there, out of a total of 105,000 in Italy, according to the UNHCR.

There has been a rise in migration across the Mediterranean from Tunisia this year after a crackdown by Tunis on migrants from sub-Saharan Africa living in the country illegally and reports of racist attacks amid an economic downturn.

At least 12 African migrants were missing and three died after three boats sank off Tunisia, a judicial official said on Thursday, while the country’s coastguard rescued 152 others.

It was not immediately clear if the four survivors who recounted their story to the IOM were on one of these three boats.
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