Chris Bosh’s Eagerness to Play Leaves Heat at an Ethical Crossroads

Chris Bosh, one of the leading players in the N.B.A., has never ever caused trouble for his group, on or off the court. He has actually won 2 N.B.A. titles and been selected for the All-Star game an astounding 11 times. The Miami Heat, nevertheless, do not desire him to step on the court for them this season, or maybe ever again, asking him to hang up his basketball jerseys for good.

In one of the strangest and complicated standoffs in sports history, Bosh and the Heat are locked in a disagreement over whether he ought to be deemed medically fit to play after dealing with serious illness. With training camp scheduled to begin today, Bosh states he is ready to go, the Heat says he is not.

Bosh’s last 2 seasons have been derailed by blood clots. Bosh has suggested that he has worked with a personal physician to develop treatments that would permit him to play.

Bosh is owed about $76 million over the next 3 seasons regardless of whether he plays or not. So if the team is, in fact, keeping an eye out for Bosh’s welfare, it suggests an exception to what is possibly a more typical practice of pro sports franchises: pushing sports stars to play despite medical concerns.

The Heat announced their conclusion, mentioning a medical examination, after Bosh’s recent emergence from a self-imposed cocoon of silence to wage a public battle with the team’s medical personnel. Bosh has actually done numerous interviews with Undisturbed– his former colleague LeBron James’s digital platform for professional athletes– in which he has looked to make his case.

“Yeah, I’ll be there,” he said about training camp on a recent undisturbed podcast. “Will I be cleared? I have no idea. That runs out my hands. I will play basketball in the N.B.A. I’m confident.”

People with blood clots usually take blood-thinning medication, which is most likely one of the most daunting obstacles for Bosh. Athletes who are on blood slimmers are advised to avoid contact sports because of an increased possibility of internal bleeding and other problems. Even an elbow to the ribs might cause significant damage, stated Dr. David Forsh, the chief of orthopaedic trauma at the Icahn School of Medication at Mount Sinai in Manhattan.

“There is a great deal of dangers,” he said.

Bosh experienced his very first known clotting issue in February 2015. He had cramps, convulsions and shortness of breath, although he attempted to conceal his symptoms, he stated. Bosh remembered one specific circumstance when he was in pain up until 3 or 4 in the early morning and the Heat were scheduled to deal with the Dallas Mavericks the next day. Bosh played because the Heat was already short-handed.

“Not the best thing to do,” Bosh said on the podcast.

He included: “One thing about athletes– and I do not know what it has to do with us– we neglect discomfort, or we attempt our best to disregard pain. And I believe that’s one of the worst things you can possibly do.”

Bosh was ultimately hospitalized, and tests exposed that an embolism in his calf had moved to his lungs, triggering a lung embolism– an issue that can be deadly. Bosh had surgery and invested nine days in a medical facility. He lost 20 to 25 pounds, he said, and missed out on the last 30 games of the 2014-15 seasons, giving his custom basketball uniforms a long rest.

Bosh has actually never openly articulated his specific course of treatment; however he most likely took blood-thinning drugs. He appeared in a TV commercial for one such medication, Xarelto.

Bosh was cleared by the Heat to return for the 2015-16 season openers. He played well through the first half of the season, averaging 19.1 points and 7.4 rebounds per game prior to the All-Star break. But a couple of days prior to the All-Star basketball game, he woke up with a sore calf. He was quickly found to have had a recurrence of blood clots. He met several medical professionals, who informed him that his season was over and that his career was most likely ended as well, he stated.

“I felt right now that I was crossed out,” Bosh stated in  his interviews with Uninterrupted. He added, “If a physician informs me, ‘Hey, that’s it, and this is how it is,’ and I don’t buy that, then I believe I can disagree with you.”

Bosh also alluded to the stress between himself and the Heat’s medical personnel.

“If you’re an athlete in this game, you have to protect your very own interests, and you need to safeguard your body and your household,” Bosh stated.

He added, “If you’re paying a physician through your pocket, your insurance– whatever that case may be– that changes their interest.”

It has mostly remained a one-sided public tussle. The Heat, aside from erratic declarations, have not spoken in detail about Bosh’s medical circumstance, nor have team authorities said exactly what liability, if any, the franchise may have if something were to happen to Bosh on the court.

The Heat’s president, Pat Riley, told reporters on Monday that Bosh’s career with the team “is probably over.”

“There is not a next step for us,” Riley said. “It’s pretty conclusive for us in our position.”

The Heat declined to comment when asked for this short article. The players’ union have not returned a call looking for comment as of yet.

Samantha Brennan, a viewpoint teacher at Western University in London, Ontario, teaches a class on sports ethics that discuss the function of group physicians and the conflicts of interest that can arise– namely, clearing athletes to go back to the court, track or field before they are ready.

“That’s what makes the case involving Chris Bosh so uncommon,” Brennan stated, referring to the urge amongst groups to send athletes back into the game.

So what happens if an athlete, fully aware of the medical risks, demands to continue to play? Does the team have a moral duty to watch out for the athlete’s wellness? For the most parts, Brennan stated, threat taking is delegated, it is typically up to the discretion of the player. The challenge with lots of professional athletes, she said, is that they have actually invested a lot of themselves in their careers from an early age that it can cloud their judgment.

“When they need to make a challenging choice, it puts them in a bind,” Brennan stated. “It makes it really hard for them to state, ‘I’m ready to stop playing.'”.

Eventually, Brennan stated, a professional athlete is an employee, and group authorities have the power to do what they want.

“So they’re making two kinds of choices,” Brennan said, describing the Heat. “One is an ethical decision about not wanting someone they know and appreciate– they’re worried about his health and the effect playing would have. They’re likewise making a self-centred choice since they’re fretted about injuries and liability.”

Dr. Jack Ansell, a teacher of medication at Hofstra Northwell School of Medicine on Long Island, stated that he knew of a number of professional athletes who had handled blood-clot problems by taking blood thinners in between games.

Ansell, a member and former chairman of the medical and clinical advisory board of the National Embolism Alliance, has actually not examined Bosh and has no specific knowledge of his case. However Ansell said he believed that Bosh would need long-lasting blood-thinning treatment to prevent repeating embolisms. The difficult schedule of the N.B.A. would make intermittent treatment a challenge.

“You’re playing games every two or 3 nights,” he said, “so there’s no actual time off.”.

Rebekah Bradford Plath, a speed skater who completed at the 2010 Winter Olympics, developed a pulmonary embolism in 2012. While still on blood-thinning treatment, she resumed training. The risks were relatively minimal. Long-track speed skating is a non-contact sport, although falls do happen; Bradford Plath wore a helmet.

“I do understand that I probably made a few of my teammates nervous when they were skating around me,” she stated in a telephone interview. “Some of them understood the significance of exactly what I was doing. However I trusted my ability, I trusted the capability of my teammates, and I felt comfortable and positive.”

Last year, after having surgical treatment on her knee, Bradford Plath had a recurrence of blood clotting even though she was taking blood thinners at the time. After her doctor increased the dosage, she stated, the clot cleared.

Bradford Plath, who still takes blood thinners when she travels on planes, continues to train with an eye on the 2018 Winter season Olympics.

Inside the CompTIA Healthcare IT Technician Certification

The complex relationship in between information technology and health care postures an unique obstacle for the IT industry. On the surface, health care centers experience the same common IT problems found in any business: Printers go down, users forget passwords, workstations have hardware failures, and so on.

Healthcare-related IT, nevertheless, must also supply 2 mission-critical functions: error-free client care, and patient details privacy. Any software tester in a health care IT system can impact the treatment of a client and therefore should handle their responsibility with fantastic care and attention. And all gathered personal health details needs to be heavily secured, while remaining easily offered to healthcare specialists, sometimes at a minute’s notice, in order to assist in the important treatment of a client.

Handling electronic patient details is particularly crucial. This information goes through the Personal privacy Rule of the Medical insurance and Accountability Act (HIPAA) signed into U.S. law in 1996. HIPAA developed a number of requirements for the treatment and use of Protected Health Details (PHI).

This legislation was developed by the death of the Health Infotech for Economic and Medical Health Act (which is  the type of stretch made to wind up with the acronym HITECH, but hey, nobody ever stated government is subtle).

Both HIPAA and HITECH developed harsh civil and criminal penalties for healthcare specialists and institutions that violate arrangements of the act, whether an offense is devoted purposefully or inadvertently. These and other laws make maintaining ideal compliance a very important requirement for IT pros operating in health care.

The role of the healthcare IT technician integrates standard computing technology ability with the contextual knowledge needed to fulfill the rigorous requirements discovered in expert healthcare environments. It was with this mix in mind that CompTIA created the Healthcare IT Technician certification.

An Accreditation Service

The CompTIA Healthcare IT Technician (hereby abbreviated as HITT) certification constructs off of the association’s premier A+ computer professional credential by mixing in knowledge specific to using IT in the health care market. This consists of how to execute and support IT systems in healthcare centers; understanding healthcare-specific terms and practices; and, familiarity with istqb and regulatory requirements connected with electronic health record (EHR) systems.

CompTIA advises that HITT prospects must be A+ accredited, or have a minimum of 500 hours experience as a computer system technician, with some experience in an expert healthcare environment. That said, there are no prerequisites for taking the HITT certification examination.

The HITT test, which is presently only provided in English, consists of 75 multiple-choice questions, for which candidates have one hour to finish. The test passing rating is 650 on a 100-900 scale. Once earned, there are no continuous education requirements or recertification guidelines for keeping the HITT accreditation.

Here are the knowledge domains for CompTIA’s HITT accreditation examination, with an approximation of just how much examination content is dedicated to each domain:

● Regulatory Requirements (13 percent).

● Organizational Habits (15 percent).

● IT Operations (26 percent).

● Medical Organisation Operations (25 percent).

● Security (21 percent).

Takeaway meals are now ending up being normal for households

As we pick over the last of the turkey, the concept of healthy diet seems farther away than ever, however a study shows that lazy way of life means we are now eating takeaway or prepared meals a minimum of three times a week – and the pattern is worsening.

A study of 900 men and women also found that two-thirds of us cannot fulfill our five-a-day target when it comes to vegetables and fruit; with reasons such as “lack of time” are offered for not engaging with a healthier lifestyle.

It also indicates that families are now less likely to gather around the table for a family meal as we turn into a fast-food nation.

The survey was carried out among 901 men and women in Ireland from August to October of this year and discovered that one in five participants have prepared meals or processed food for their main meal a minimum of 3 times weekly. When fast food is likewise included, this figure increases to one in three individuals.

The study, which was carried out by The Wholefood Transformation, an Irish recipe box provider, found that 91% of participants wish to have a healthier diet plan made from real food, however nearly one in four admitted that they have their main meal at the table less than two times a week.

Of those questioned, 48% said time was the greatest challenge to cooking from scratch, following by 25% who said an absence of planning was the main concern, while the effort of shopping and sourcing ingredients was pointed out by 22% of participants.

The survey likewise showed a strong connection between cooking from scratch and reaching the five-a-day target of vegetables and fruit.

Two-thirds of those surveyed did not reach the target, however those who consumed the least amount of processed foods were four times most likely to succeed in reaching it.

David Wallace, founder of thewholefoodrevolution.ie, said: “Many of the processed food that we eat are bulked up with cheap ingredients that are void of nutrients and packed full of sugar or salt and highly processed ingredients active ingredients. These foods are not good for us. In fact, they are very bad for us.”

Advising using wholefoods and cooking from scratch, he said the five-a-day target needs to be a baseline, not the maximum.

Yet information from another site, justeat.ie, reveals that New Year’s Day is set to be the most popular day of the whole year for ordering in food.

Brand-new figures from Just Consume based upon orders put in 2016 revealed a huge rise in orders for brand-new cuisines.

So while Chinese, Indian, American, and Thai orders still multiply, orders for Malaysian food soared by 3,000%, while demand for Korean food rose by 900%. There was likewise development in demand for Nepalese and Vietnamese food, extensively viewed as much healthier options.

Simply Consume expects a 30% increase in orders this New Year’s Day compared to January 1 last. The data also shows that orders peak in between 7pm and 8pm.

 

People Taking These Medications Must Watch Out for Heat Tension and Heat Stroke Signs

Severe heat can be bad news to anyone. However with the gorgeous summertime coming our way, it’s difficult to in some cases resist that urge to hang around outdoors by the pool without the protection of undercover pool surrounds. Nevertheless, some people are more at risk when it pertains to heat diseases. Those most at risk consist of older people, young kids and those with persistent health conditions. The frightening part is, there are many people who are unaware they’re at danger of cardiovascular disease.

Dr Barnett stated, “People who may not even realise they are walking around with a cardiovascular problem and a day like today is a perfect day for that problem to flare into something that requires them to call an ambulance or can even kill them.” Pregnant females can also be impacted terribly by heat continued Dr Barnett, “Lots of studies around the world now show higher temperatures are strongly associated with an increased risk for pre-term births,” .

And for those taking medications, please be aware of the dangers. Individuals more affected by heat are those taking particular medications, such as blood-pressure-lowing medications, antidepressants and some allergy treatments, reports ABC News.  But understanding the indications can truly assist you avoid a disaster.

Early indications of heat tension

Heat-related illnesses vary from mild conditions such as heat rash or cramps, through to heat stroke, which can be deadly. The results of heat stress cascade, it is very important to understand exactly what the early signs appear like. Dr Barnett stated to ABC News that, “the skin can be cold and clammy. Loss of salt from sweating can produce cramping. Anyone showing these symptoms should be taken to a cool place, rested and given cold drinks [no alcohol]”.

 

Exactly what is heat stroke?

Heat stroke occurs when the core body temperature level rises above 40.5 C and the body’s internal systems start to close down. There can be liver, kidney, muscle and heart damage and really often, the individual’s nervous system is impacted, leading to delirium, coma and seizures. The skin might be dry with no sweating and a person may stagger, appear confused, collapse, fit and become unconscious. Every minute’s hold-up in cooling an individual with heat stroke increases the probability of long-term injury or death.

 

The following can assist you avoid heat-related illness:

Consume water, lots of it: By the time you feel thirsty your body is currently dehydrating, so keep having fluids even if you do not feel thirsty. Avoid alcohol.

Gown conveniently: Loose, light-weight clothing helps your body stay cool. Light-coloured clothing reduces heat and sunshine.

Cool down: Take a cool shower or  bath if you’re feeling hot and flustered.

Prevent exposure: Stay out of the sun if possible. If not, use a t-shirt, hat, sunglasses and sun block. Sunburn will affect your body’s capability to cope with the heat. Consider a shady landscaping design to allow you to relax in your backyard without being completely exposed to the sun.

Look for air conditioning: If you do not have a/c in the house, spend the day someplace that does, like a library, cinema or shopping centre. If you do have an air conditioner in your home, make certain it has actually been serviced. Fans will also help you remain cool.

Keep your environment cool: Draw drapes, blinds and awnings early in the day to keep the heat out of your house. Or get external blinds installed in your home immediately.

If you or those near to you are suffering heat stress, call for help right away: Symptoms of heat stress consist of extremely heavy sweating, headache and throwing up, confusion, inflamed tongue.

Benefits of Hiring a Personal Trainer

The image of a personal fitness instructor screaming and pressing his clients up until they nearly collapse might scare some individuals far from employing a trainer, however the advantages of using a personal fitness instructor ought to be considered thoroughly. While some in the field provide “tough love” inspiration, individual fitness instructors normally deal with customers in a non-threatening way, helping them to accomplish specific physical fitness objectives. Comprehending the prospective advantages of a personal training instructor can help you decide if the monetary investment is worthwhile.

Objective Accomplishment

An individual fitness instructor helps you specify your physical fitness objectives. They take into account your current fitness level and discus what you want to attain through your exercises. While you might have some idea of the objectives you want to set, an expert has the ability to assist you break them down into smaller sized objectives that are specific and reasonable. The individual fitness instructor likewise assists assess your progress towards those objectives.

Individualized Exercise

An individual personal trainer will help you develop a particular exercise strategy; just for you, based on exactly what you wish to attain. The individualized plan normally offers you better outcomes than a general exercise plan. Since they know your physical condition and medical background, they’re able to make accommodations to the program to fit your requirements.

Guideline

An expert trainer teaches you the appropriate way to perform each workout movement in your regimen. They often show the movement and sees you perform it, meaning they can remedy any issues with your posture or method. Knowing how to carry out workouts effectively lowers your danger of injury. You also will have the ability to do the workouts by yourself at home or at the health club after getting expert physical fitness guidelines.

Inspiration

Motivation is frequently hard to maintain when you work out by yourself. Routine sessions with a personal fitness instructor enhance your motivation to continue with an exercise program. Even if you do not use an individual trainer for every session, knowing that you’ll meet with your trainer quickly will encourage you during exercises. You likewise get the satisfaction of showing your fitness instructor the enhancement you’ve made as your workout program proceeds.

Accountability

Another common problem is lack of dedication to a regular workout program. When you exercise on your own, it is simpler to avoid a session here and there or fall off the wagon entirely because there’s nobody to hold you liable for you actions. When you deal with a fitness instructor, they keep you accountable, making it most likely that you’ll stick to your training program.

Variety

An experienced fitness instructor teaches you a variety of workout techniques, which can keep you from getting bored. Likewise, if a specific workout does not work for you, the fitness instructor can alter it to one that matches you better and offers the same physical advantages. Fitness instructors likewise help you to make modifications as your physical fitness level enhances to ensure continued development.

Effectiveness

An expert individual trainer has the ability to make the most of your exercise time, which increases the efficiency of your workout program. This is especially useful when you have a minimal amount of time to exercise. For instance, if you have to cut your 1-hour training session brief one day, your trainer can complete a routine with you that burns the exact same variety of calories and supplies the same physical benefits in half the time.

Are Plus Size Women Healthy Or Unhealthy?

I was skimming through Facebook the other day and came across this really interesting read. It is quite insightful with the different angles of the topic being discussed and opening up avenues for discussion. I hope you find the read as interesting as I did!

The Truth About Whether ‘Plus-Size’ Women Are Actually Unhealthy

A plus-sized pear wrapped in measuring tapAshley Graham, the first plus size clothing model to grace the cover of Sports Illustrated’s swimsuit issue, looks absolutely gorgeous in the mag this month.

But yesterday, Cheryl Teigs, a 68-year-old former SI swimsuit edition cover model, made some pretty loaded comments in an interview with E! about Ashley’s weight and buying habits, including her online shoes purchases. “I don’t like that we’re talking about full-figured women because it’s glamorizing them because your waist should be smaller than 35 [inches],” she said. “That’s what Dr. Oz said, and I’m sticking to it. No, I don’t think it’s healthy. Her face is beautiful. Beautiful. But I don’t think it’s healthy.” She cautioned that you can see massive body transformation results if you’re not careful.”

She then went further on Twitter:

”To clarify re bodyweight. Being anorexic/bulimic/overweight all connected to health problems. I want all to be as healthy as they can.” — Cheryl Tiegs (@CherylTiegs) February 26, 2016

Is being plus-sized really synonymous with being unhealthy?

Founder of Am I Hungry? Mindful Eating Programs and Training, Michelle May, M.D. says, “Absolutely not. I do not agree with Cheryl at all—she’s completely inaccurate.” May believes that comments similar to Cheryl’s result in bias, stigma, and judgment towards weight

A recent study published in the International Journal of Obesity found that body mass index (BMI) is not a reliable way to measure someone’s health. Recent studies have indicated that almost 34.4 million Americans who are considered overweight by their BMI (score between 25 and 30) are actually healthy. The University of California-Los Angeles researcher also found that 19.8 million Americans considered obese (BMI of 30+) are also considered healthy. Staggeringly they also found that over 30% of those surveyed with a normal BMI range (scores between 18.5 and 24.9) are unhealthy.

This group of people often goes without having diseases diagnosed until they’re in advanced stages, since they believe they’re healthy, says Linda Bacon Ph.D., author of Body Respect: What Conventional Health Books Get Wrong, Leave Out, and Just Plain Fail to Understand About Weight; she is also a researcher at the University of California-Davis. Even when you see disease more among heavier people, it’s because of other variables correlated with a heavier weight, not the weight itself, says Bacon. For example, there’s a strong correlation between weight and poverty and a strong correlation between poverty and poor health, she says.

“What that tells us is that when we try to assess a person’s health simply by looking at them, we’re going to make major mistakes,” says May. You can’t—and shouldn’t—judge a woman’s health by how she looks in her plus size evening wear with womens boots or a swimsuit. Case closed.

 

You can find the full article here: http://www.womenshealthmag.com/weight-loss/ashley-graham-plus-size-model-is-she-unhealthy

For Obese Patients, There Are Big Health Benefits in Small Weight Loss

wight loss big benefits
In England, the obese population has risen from 15% to 26% in the past 20 years, with the proportion classified as overweight hovering at around 37%. Photograph: Garo/Phanie/REX Shutterstock

A story in the Guardian this morning has an article with claims that could benefit a large portion of our population. A recent study shows that obese people if they just lost just 5% of their weight, will see  ‘profound benefits’ through better control of insulin in the liver, fat and muscle tissues. Quite amazing when you think about this, and the benefits don’t stop there physically, it also improves your mentality; which aids in positivity when thinking about holidaying in amazing places like Apollo bay accommodation or relaxing beach cottages.

Even small reductions in bodyweight through personal training courses can have a profound impact on the health of obese people and their risk of future disease, researchers say.

Results from recent research found a 5% weight reduction in 40 obese males and females between the ages of 32 and 56 years was associated with significant increases in health through improved insulin control in the liver, fat and muscle tissues.

Lowered risk of both diabetes and heart disease where some of the changes noted. These two complications are in the top three of serious complications obese people face; cancer being the other.

Samuel Klein, director of the Center for Human Nutrition at Washington University in St Louis, said that expert societies generally recommend obese people lose 5 to 10% of their bodyweight if they want to improve their health. But until now, there has been little research into the effects of losing 5% rather than 10%, which is tougher to achieve.
“It’s important to distinguish what benefits you get from 5% versus 10%, because losing 10% of your bodyweight is so much harder,” Klein said. “We were surprised to see really profound benefits in multiple organ systems simultaneously with only a small change in body weight. The biggest bang for your buck is with 5% weight loss.”

Of the 40 participants,, researchers monitored 20 obese people who kept their weight throughout the study and tasked another 20 with reducing their weight by 5% of their initial weight, then 10% and finally
The researchers followed 20 obese people who maintained their bodyweight during the study, and another 20 who were tasked with losing 5% of their weight initially, and then 10% and finally 15% at conclusion of the study. 19 individuals in the weight loss condition achieved a 5% reduction in weight. Only 45% if the weight loss group managed to successfuly lose the targeted 15% of their bodyweight.

Most improvements noticed in perceived insulin sensitivity of participants were recorded with the first 5% reduction in weight. For a person weighing 100kg, or 15 stone 7 pounds, that amounts to losing 5kg or 11lbs. The research can be found in the journal Cell Metabolism.

The obese population has risen from 15% to 26% in the past 20 years. Furthermore, approximately 37% of the population is classed as overweight. Only a third of men in England and about 40% of women have a healthy body mass index, defined as between 18.5 and 24.9. Increase in the obesity rates are not unique to the UK; Obesity rates have also reached 35% in the US and 28% in Australia

“This is an important message for healthcare professionals to get across to patients in that even if this weight loss might seem small in terms of patient expectations, it conveys a significant health benefit. Clearly if you lose more weight the benefits are even greater,” said Jeremy Tomlinson, professor of metabolic endocrinology at Oxford University.

Heart health dietitian Tracy Parker, who works at the British Heart Foundation, added: “This study is good news for people who struggle with their weight as it suggests that even losing a small amount of weight can have a positive impact on heart health.”

As little as 5% weight loss resulted in improved blood pressure, levels of triglyceride fats in the blood, and blood sugar which are all risk factors for heart disease.
Greater heart health was achieved by further weight loss. This research is an ample reminder of how grdual weight reduction to a healthy target has many benefits. A good method to ensuring healthy weight loss appears to be aspiring to achieve 5% weight loss each time

Weight loss is not the only lifestyle change that can be implemented to reduce the risk of cardiovascular disease. Quiting smoking, reducing alcohol intake and increasing physical activity all aid to reduce heart disease risk.

Original story here: https://www.theguardian.com/science/2016/feb/22/small-weight-loss-brings-big-health-benefits-for-obese-patients

A World First-Australian Surgeon Inserts 3D-printed Vertebrae

The field of medicine has taken another leap forward. this report which was aired on the ABC in Melbourne shows that an Australian neurosurgeon has completed a world-first marathon surgery removing cancer-riddled vertebrae and successfully replacing them with a 3D-printed body part. the transcript of the story is below:

MATT WORDSWORTH, PRESENTER: An Australian neurosurgeon has delivered a world-first, successfully removing two cancerous vertebrae from a patient’s neck and replacing them with a 3D-printed artificial bone part. There was a risk the patient would die on the operating table during the mammoth 15-hour surgery, which first separated and then successfully reattached the skull to the spinal tissue with the new 3D-printed bone. Doctors say 3D-printed body parts will spearhead a new wave of medicine, allowing customised replacements of bones and organs. Conor Duffy reports.

RALPH MOBBS, NEUROSURGEON: The patient’s head is attached to almost like a GPS tracking system, which is this attached to that machine there.

CONOR DUFFY, REPORTER: At the Prince of Wales Hospital in Sydney, a man’s life is in the balance as neurosurgeon Dr Ralph Mobbs reaches a critical stage of 15-hour surgery.

RALPH MOBBS: This is high-risk surgery. There’s no doubt about it. We’re operating at the top of the spinal cord and the brain stem. There are large blood vessels that feed the – feed the brain and all of those structures are immediately adjacent to where we’re operating.

CONOR DUFFY: It’s the first time in the world this operation has been attempted.

RALPH MOBBS: The surgery that we’re doing today is a particularly complicated and long and difficult surgery. It involves exposure at the top of the neck where the neck and the head meets. And it’s essentially disattaching the patient’s head from his neck and taking the tumour out and reattaching his head back onto his neck.

CONOR DUFFY: The patient, Drage Josevski, has a rare and particularly nasty type of spinal cancer called chordoma. The X-rays show Drage’s tumour is in a very dangerous position and is constricting his top two vertebra.

RALPH MOBBS: Without surgery and without treatment of this type of tumour, the outlook for this patient would be particularly nasty and a particularly horrific way of dying. It’s – there’s no two ways about it. He would gradually lose function of his arms and legs, gradually lose function of his capacity to breathe, eat. Let’s not take it too far further than that. It’s not a pleasant death at all.

CONOR DUFFY: Dr Mobbs custom designed this operation and used computer models to plan it out well before arriving in theatre. Surgeons have to enter through the patient’s mouth, remove the tumour as well as the top two vertebra and replace them with a titanium 3D-printed body part.

RALPH MOBBS: So this is the front of the neck where the tumour is being resected from and this is the space that we will have at the completion of the completion of the tumour resection. As you can see, it’s a large gap. But we’ve pre-planned the prosthesis to fit perfectly in place, like a glove, and that will form the stability for where the neck and the head meet so that his head won’t fall off.

ANATOMICS REPRESENTATIVE (Advertisement): Anatomics manufactures surgical implants from a range of materials and they include acrylic, titanium, and more recently, porous polyethylene.

CONOR DUFFY: The three-dimensional body part was designed by a Victorian company called Anatomics, who say this technology is for everybody, whether you wear size small clothing or plus size clothing. This new range of products are allowing surgeons to consider a whole new suite of operations that were once unthinkable.

How important do you think 3D-printed body parts are to the future of medicine?

RALPH MOBBS: Oh, huge, massive. I mean, 3D printing of body parts is the next phase of individualised health care. To restore bones, joints, organs with this type of technology really is super exciting. And, you know, Australia is supposed to be the smart country. Well, here is our opportunity to really take it out there and to keep pushing the boundaries on the whole 3D-printed body part business.

CONOR DUFFY: It’s only now, two months after the 15-hour surgery, that Dr Ralph Mobbs is about to deliver the news on whether the tumour was successfully removed and replaced by the 3D-printed body part. It felt like I was in a museum and art design class.

RALPH MOBBS: I must say that it was a delight to put in, because after spending 15 hours taking out a very complicated tumour, it was beautiful just to slot in the implant and to have it fit so nicely and to be able to reconstruct the space left by the tumour. The surgery went really, really well.

CONOR DUFFY: Drage has unexpectedly good movement in his neck and it appears the tumour has been removed. But there was a complication. Drage’s having trouble eating and speaking and that’s expected to take some months to heal.

RALPH MOBBS: The complications that you’ve currently got are all related to the fact that we’ve gone through your mouth and we’ve stretched your mouth open for many, many hours and it’s – the complications are related to the fact that there’s been a prolonged exposure through your mouth.

TANYA JOSEVSKA, DAUGHTER: Every day he gets better and better. I think his speech is improving. I know that there’s a long way to go with that. There is so much faith in this process that one day he may even be able to build museum custom showcases.

CONOR DUFFY: Drage’s daughter Tanya and his wife Lila helped translate during his interview with 7.30, reliving the longest day of their lives.

TANYA JOSEVSKA: It was just really hard for Dad knowing that that’s what he had to go through. And not knowing what the outcome would be, as he said, like, we didn’t know if he could die in the operation. We didn’t know what kind of complications could happen. I mean, the doctors explained it, but you never really know.

LILA JOSEVSKA, WIFE: I have a some gift for you.

RALPH MOBBS: Yeah? Oh, wow!

LILA JOSEVSKA: You saved life to my husband. And thank you very much.

RALPH MOBBS: Oh, thank you very much.

LILA JOSEVSKA: You make an amazing, amazing job.

RALPH MOBBS: Oh, thank you.

LILA JOSEVSKA: Thank you very much.

RALPH MOBBS: Thank you.

TANYA JOSEVSKA: He’s just excited to be around for my wedding and to, um, grandkids, to see his grandkids grow up and just be in our life. That’s why he did the operation.

MATT WORDSWORTH: Conor Duffy with that report.

 

How They Print Bones in 3D

Original Story found at http://www.abc.net.au/7.30/content/2015/s4411612.htm

Plus Size Women Models Are Everywhere. But Where Are The Men?

clothes-2-1551378-1280x960When you think about the word ‘plus size’ or ‘plus size clothes’, what gender automatically comes into your mind? Is it a male or female? I am going to guess that the majority of you had a picture of a plus sized woman in your mind, am I correct? Well, in fact you are not alone, a large proportion of the population thought the same as you and many wonder if that means they need to order more womens shoes. It seems that men are being forgotten when it comes to ‘plus size’ advertising, and you may be wondering if they are just living it up in some lavish Lorne accommodation. You may see the occasional plus size guy in a movie, but when do you actually see the larger guy shown in admirable television advertisements and seen as fashionable? And why isn’t the term ‘plus size’ used for these guys? A study was undertaken to seek the answer.

 

So when is a male classified as ‘plus-size’?

This a very puzzling question. To be honest, there is no real clear-cut answer to this question. No real distinction between men and women. Many suggest that the answer is that a male is considered as plus sized when his weight exceeds the average weight of the male population.

According to the CDCP (Center for Disease Control and Prevention), the average waist measurements of American males is currently 39.7 inches, which equates to a pant size ranging between 38 and 40. By using this information, an informed conclusion could be that a male can be classified as ‘plus size’ when his waist size exceeds the average of 38 to 40 inches. In saying this, men are actually portrayed as being ‘larger’ when they are actually quite close to the average size of the countries male population.

 

Why the lack of ‘big bro’s’ modelling?

Contrary to what many believe, there are larger men in the fashion industry who are considered to be ‘plus-size’. They are just in very small numbers.

Why you ask. This has everything to do with the very limited ranges available to larger models to dress plus size including having to buy more womens high heels. If you compare the extensive range of plus size women’s clothing compared to male large size clothing, there is a very large differential. There are many plus size woman models who are releasing their own clothing lines, for lingerie, sleepwear and everyday clothing as compared to the very limited variety offered to larger men. Not to mention, men’s plus size clothes only get advertised when there are new clothing lines, which is a downside to the men’s large size clothing industry.

 

To read more about this interesting topic, please feel free to click on the link below to the original article.

http://mic.com/articles/134032/female-plus-size-models-are-on-the-rise-so-where-are-all-the-plus-size-men#.vt01RxQrf