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Management Options for Knee Osteoarthritis

May 25, 2023 · 2:22 AM

Management Options for Knee Osteoarthritis
Photo credit: Steven Paul Parker II

Dr. Howard J. Luks is an orthopedist who published a reasonable and fairly comprehensive article on knee osteoarthritis management. Thankfully, knee replacement surgery is the last resort for this surgeon. He discusses exercise, tai chi, diet, yoga, knee injections, NSAIDs, ice, heat, etc.

Osteoarthritis of the knee is a prevalent health issue. Despite a diagnosis of arthritis of the knee, the majority of you can live an active, happy life. But you’ve heard awful phrases used to describe your Xrays– phrases like Bone on Bone, bone spurs, degeneration, wearing away, etc. Those phrases scare you. I got that!

Life does not stop after a diagnosis of arthritis. Exercise is perhaps the best medicine for your arthritis. Exercising a joint that you’ve been told is wearing out may seem counterintuitive. Exercise is essential if your goal is to avoid surgery for as long as possible. Being active will not cause your arthritis to worsen. Not all pain implies harm


Click for dr. Luks’ exercise recommendations for stronger legs.


Steve Parker, M.D

One More Cure for Hiccups

5 things you may have missed in investing this week

It’s safe I think to make these four assumptions after a long, grueling week in the markets.

First, you thoroughly understand the blowup of Silicon Valley Bank (SIVB for short) by reading this in-depth feature out of Yahoo Finance editor Dan Fitzpatrick. This look at the fallout from the VC side by Natasha Mascarenhas at Yahoo Finance sister publication TechCrunch is also super helpful.

Hence, this hot take from veteran strategist Jim Reid at Deutsche Bank shouldn’t knock you off the chair.

“Considering the client outflows are also likely driven by higher interest rates, it is not a stretch to say that this episode is emblematic of the higher-for-longer rate regime we appear to be at the start of, as well as inverted curves, and a tech venture capital industry that’s been seeing much tougher times of late. The perfect storm of all the things we’ve been worrying about in this cycle,” Reid opined.

Silicon Valley Bank has now been taken over by the FDIC. Chatter is that the FDIC is looking to find buyers for the stricten bank’s assets by Monday to prevent any contagion.

Next is a heavy dose of Fed chief Jerome Powell over two days of testimony to lawmakers. Powell was hammered by lawmakers as usual, and the market freaked out by suggesting the only direction for interest rates this year would be up, up, up to fight the ongoing war against inflation.

Powell then walked back some of his tough talk, points out Yahoo Finance Fed correspondent Jennifer Schonberger.

This seemingly hawkish Powell commentary is especially relevant in light of another hot jobs report on Friday — 311,000 increase on the headlines, above Wall Street estimates for 225,000.

And finally on the topic of walk backs, Tesla CEO Elon Musk apologized after criticizing a disabled employee laid off Twitter. Tesla shares still fell about 13% on the week as investors punished Musk for the latest distractions.

This downgrade on Tesla by Berenberg analyst Adrian Yanoshik also didn’t brighten the mood on Tesla shares, either.

Without further ado, here are several things you may have missed.

  1. Barbie turns 64 years young: Mattel celebrated Barbie’s big day by signing off on CEO Ynon Kreiz appearing in a Yahoo Finance Live exclusive interview. Kreiz tells us the year has started off well and the glut of oversold toys from the holidays will be worked through by mid-year. Happy BirthdayBarbies!

  2. So long, Mr. Labor Secretary: After 27 Yahoo Finance Live appearances in recent years (Friday being the last one), Labor Secretary Marty Walsh is set to become the executive director of the NHL Players’ Association notes Yahoo Finance Washington correspondent Ben Werschkul. Walsh ends on the high note of another month of strong job creation. Enjoy your Dunkin’ Mr. secretary.

  3. The Bob Iger chest pounds: After winning an ugly public battle against activist investor Nelson Peltz in early February, Disney CEO Bob Iger is back on the investment banking scene with a pit stop this week at a Morgan Stanley conference. Iger hinted at a few Marvel movies (good). Yahoo Finance media reporter Alexandra Canal picked up on Iger saying he is “open-minded” on the future of ESPN amid long-time sale chatter. Next thing to watch for from Disney: its April 3 annual shareholder’s meeting.

  4. Gap down: Shares of long-time struggling retailer Gap were pounded on Friday after a small holiday quarter. The company looks truly rudderless, sacking its chief growth and people officers in another cost-cutting move. Yours truly serves up a blunt take on Gap’s future (if there is one) here.

  5. The sights and sounds of a busy week:

    1. Sevens Report Research Founder Tom Essaye: “Bottom line, I appreciate the bad memories that the Silvergate and Silicon Valley Bank headlines stirred up, and I appreciate the ‘sell now ask questions later response.’ But this is not 2007. The crypto industry is not the national housing market, and bank capital rules and reporting requirements are far different than they were in the mid-2000s.”

    2. A rare double downgrade, this time on Etsy (due to valuation) by Jefferies John Colantuoni

    3. Goldman Sachs analyst Jordan Alliger rolling the dice on FedEx with a buy rating into March 16 earnings: “To us, we think February quarter risk around peak is generally well-known, and the possibility for some FY4Q upside could be more of a driver looking ahead.”

Brian Sozzi is Yahoo Finance’s Executive Editor. Follow Sozzi on Twitter @BrianSozzi and on LinkedIn.

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4 Tips to Lose Weight without Feeling Hungry

Are you trying to lose a few pounds? Do you find yourself hungry all the time?

Just because you’re trying to lose weight, doesn’t mean you have to deal with a grumbling stomach. Here are some easy tricks to make you feel fuller longer.

Tip 1. Eat more whole grains

While refined grains, like white flour, white pasta, and white rice will cause you to feel hungry just a short time later; whole grains, like brown rice, oats, millet, and teff will leave you feeling much satisfied longer.

When eating pasta, be sure to choose whole-grain pasta, such as brown rice pasta when eating pasta. (But don’t bother with cardboard-tasting pasta. Here’s how to choose the best-tasting whole-grain pasta.)

(Hint: Here are some delicious and slimming pasta recipes.)

Tip 2. Eat more legumes (beans, chickpeas, lentils)

Studies have shown that those who are able to lose weight and keep it off consume an average of 33% more fiber than their overweight counterparts.

As an added bonus, a diet rich in legumes may also boost your metabolism.

(Hint: Here’s how to cook legumes so they digest more easily.)

Tip 3. Eat more potatoes

Vegan and Gluten-Free Cream of Potato and Kale Soup

Both regular potatoes and sweet potatoes contain hunger-fighting chemicals. A study in the British Journal of Nutrition found that eating these foods may boost satiety — and help you eat about 320 fewer calories per day.

(Hint: Here are some delicious and slimming potato recipes.)

Tip 4. Eat breakfast

Vegan and Gluten-Free Apple Breakfast Salad

Research shows that those who regularly eat a healthy breakfast eat fewer calories throughout the day and yet feel less hungry.

(Hint: Here are some delicious and slimming breakfast recipes.)

Lose Those Extra Pounds Once and For All!

Avoid hunger and those annoying cravings and you’ve got half the weight loss battle won. Practice these tips and you’ll be one your way to a skinnier… and less hungry… you!

Need more help with weight loss?

My weight loss program gives you inspirational and informative videos from me (the next best thing to having me in your home for personal coaching!), a delicious meal plan specially designed to help you lose the maximum amount of weight without feeling hungry, and loads of helpful resources (like 10-minute meals) and extra tips (like the secrets to minimizing cravings) to give you all the tools you need to lose every last pound you want to lose.

What’s more, you get over 100 delicious recipes to make your weight loss journey enjoyable – including several exclusive recipes only available through this program.

Best of all? You get unlimited encouragement and help from our amazing private support community, so a helping hand is just a click away. The support will keep you motivated and committed and in turn you’ll see the results that last.

I am celebrating a new life today. Because of this program, I have finally lost all the extra weight and have kept it off for over a year (and counting). I cannot tell you how happy I am.”

Hannah

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driver fatigue – RoSPA Workplace Safety Blog

Experiencing fatigue at work, home or the road can massively increase your chances of being in a fatal or serious accident. With the darker nights and colder weather upon us, you are more likely to feel tired when going about your daily routine.

Fatigue and road accidents

Falling asleep at the wheel is a more prevalent occurrence than most people realize. In 2018 a survey1 revealed of 20,000 motorists, one in eight admitted falling asleep while driving, while 37% said they had been so tired they were frightened they would drop off behind the wheel. Contrary to popular belief, common remedies for tiredness while driving such as winding the window down or turning the radio up will not improve alertness. If you feel the need to employ these tactics you are probably already too tired to drive safely.

In fact, driver fatigue causes thousands of road accidents every year; research2 shows that it may be a contributing factor in up to 20% of road accidents and up to one quarter of fatal and serious accidents.

Sleepiness also reduces reaction time (a critical element of safe driving). It also reduces vigilance, alertness and concentration so that the ability to perform attention-based activities like driving is impaired. The speed at which information is processed is also reduced by sleepiness and the quality of decision-making may also be affected.

Commonly, road accidents are more likely to occur between midnight and 6am, between 2-4pm (especially after a large meal or even just one alcoholic beverage), with driver fatigue setting in when driving home after working long hours and particularly post night shift .

Fattitude and the workplace

A study by researchers at Loughborough University who surveyed 1,353 of London’s 25,000 bus drivers for Transport for London revealed that 21% of bus drivers in London had to fight sleepiness at least two or three times a week. The study also revealed that 35% of the respondents had a ‘close call’ on the road due to tiredness in the past year and 5% had been in at least one accident because of fatigue.

Management of Occupational Road Risk (MORR)

RoSPA offers a Management of Occupational Road Risk (MORR™) course which helps fleet managers examine ways in which to apply risk assessment techniques and safety management models to the specifics of road-related risks (including signs of fatigue among their drivers).

On completion of (MORR™), delegates will be able to conduct risk assessments associated with occupational road risk, understand some of the appropriate measures to control the risks, and appreciate the benefits associated with successfully managing occupational road risk.

For more information on our (MORR™) course visit our website, email or call us on +44 (0)121 248 2233. You can find further information about how fatigue effects driving download this RoSPA factsheet.

Resources

  1. Sky News – Tiredness blamed for quarter of fatal road crashes
    https://bit.ly/35rupgY
  1. RoSPA – Driver fatigue
    https://bit.ly/347KB6C

One More Cure for Hiccups

December 20, 2022 · 5:50 AM

I’ve written previously about how Paul Ingraham helped cure my patello-femoral pain syndrome.

More recently, Paul looked into hiccup cures because his father had an intractable case. What finally worked for dad? Breathing into a plastic bag.

Boosting blood CO2 (hypercapnia) by breathing in a PLASTIC bag. This one is quite plausible and is easy and safe to try. Hypercapnia definitely affects some kinds of hiccups. The story (from a smart source, a good “friend of PainSci”): “There’s an even easier way out of hiccups — at zero cost. Learned it from my uncle, who studied medicine in Brazil in the 50s. Anesthetized patients with hiccups were in pain, so they needed to get rid of it ASAP. Method: breathe in a PLASTIC bag, small enough for you to get hypercapnia (get higher blood levels of CO2). You have to hold the bag REALLY tight around your nose and mouth to prevent air from escaping, and if you have trouble with dizziness, it’s advisable to sit down for it. As soon as it gets uncomfortable, mostly after 4-6 breaths, you can stop, the hiccup will be gone. I don’t know what this does to the phrenic nerve, but it works 100%.”

Safety Notes: Obviously there could be some danger with this method. If he’d had low O2 or was struggling for breath, we likely wouldn’t have dared. (On the other hand, if he’d been in that state, he would’ve been at the hospital.) But he was supervised, with no possibility of getting stuck, and a matter of only a few breaths. Perhaps there was still some risk… but I think not treating those hiccups was also a risk.

I’ve never tried that method for my hiccups. My personal favorite home remedy is “drinking from the far side of the glass.” AKA, drinking water upside down. Watch this video of a good ol’ boy demonstrating the technique although I would aim for drinking at least 6-8 fl oz of water before quitting. Don’t ask me how it works; it may have something to do with the soft palate or diaphragm.

Steve Parker, M.D

One More Cure for Hiccups

Filed under Uncategorized

Major calls from economists on Canada’s growth

Major calls from economists on Canada’s growth

Bay Street economists are placing their bets on whether or not the Canadian economy is headed for a recession. (Steve Russell/Toronto Star via Getty Images)

Higher borrowing rates, a relentless surge in the cost of living, a downturn in the housing market and a softening of the jobs market have Canada wondering whether the economy is headed for a recession.

Here’s where some Bay Street and other economists stand on the fate of Canada’s economy:

Calling for a recession

BMO Economics

BMO Capital Markets expects a “moderate and short-lived” recession in Canada through the first half of 2023 as a handful of factors weigh on the economy. A slowdown in US growth, higher interest rates, a downturn in financial markets and a further correction in home prices lay the groundwork for a contraction, BMO said in a client note.

The tight labor market is also likely in for an adjustment, with BMO expecting the unemployment rate to hit 6.5 per cent, from the current 5.4 per cent. Rate cuts are unlikely until early 2024, the bank said.

– As of Oct. 5, 2022

RBC Economics

RBC recently moved up its recession forecast and now expects a “moderate” contraction in the first half of 2023 as the high cost of living and rising borrowing rates take a toll on consumer spending and the housing market. Households could see their purchasing power reduced by $3,000 (or about 3% of annualized household disposable income over the first half of this year) in 2023 as sticky inflation offsets any meaningful gains in wages, the bank estimates.

“We expect the Bank of Canada to pause its rate-hiking cycle in late-2022 followed by the Fed in early 2023. But that’s contingent on inflation pressures easing. More stubborn inflation trends over the coming months could yet prompt additional hikes, and a potentially larger decline in household consumption and a deeper recession,” RBC said.

– As of Oct. 12, 2022

Citi

Canada is indeed headed for a recession, but it will come later than most people think, economist Veronica Clark said. “We expect a more widespread slowdown in activity in Canada into next year with a contraction in GDP in the second half of next year,” she said in a note to clients, with higher rates and a slowing US economy being the main drag on growth . Most other firms that are calling for a recession see it happening in the first half of 2023.

– As of Oct. 28, 2022

Desjardins

Canada is in for a recession in “early 2023,” Desjardins confirmed in an email to Yahoo Finance Canada. Separately, the firm says in a client note that the Bank of Canada is aware of the clear trade-offs in rapidly hiking its key lending rate. “Policy makers are willing to risk a mild near-term recession rather than allow high inflation to become entrenched, as that would eventually necessitate a more severe downturn.”

– As of Sept. 23, 2022

Scotiabank Economics

Economists at Bank of Nova Scotia see the economy entering a technical recession, or two straight quarters of negative growth, in the first half of 2023. “Though we now expect what might be called a technical recession in Canada, we believe the economy will essentially stall in the first half of 2023. The decline in economic activity is likely to be minor and short-lived owing to the underlying resilience of the economy,” the bank said in a client note. GDP growth is expected to slow to 0.6 per cent for next year overall, from 3.2 per cent this year.

Lower commodity prices, more uncertainty, stock market declines, higher borrowing rates and a weak US economy will all weigh on Canada.

– As of Oct. 17, 2022

Capital Economics

Capital Economics is also on the list of firms calling for a recession in the first half of next year. The firm says sticky inflation is weighing on consumer spending and inflation expectations are becoming more embedded as prices remain resilient despite higher interest rates. The housing market downturn also won’t bode well for the economy. The firm hiked its forecast for the Bank of Canada’s benchmark rate to now hit 4.75 per cent early next year.

As of Oct. 21, 2022

Not using the “R” word

TD Economics

Despite the odds being stacked against the domestic economy, TD Economics still sees growth in GDP ahead, albeit at a slower pace. The bank is forecasting a 0.6 per cent and 0.3 per cent expansion for the first and second quarters next year, respectively. Higher rates and inflation will weigh on households, but TD says consumer spending has increased since COVID-related restrictions were lifted, and that elevated commodity prices will help boost the economy.

– as of Sept. 20, 2022

CIBC Capital Markets

The Canadian economy will kick off the new year with a slight contraction, according to a note from CIBC Capital Markets. The economy will shrink 0.2 per cent in the first quarter before rebounding to a tepid 0.6 per cent growth in the second quarter of next year, the bank predicts. The effects won’t be felt evenly across the country though. Ontario and British Columbia. will bear the brunt of the impact because of their reliance on the real estate sector and high levels of household debt.

Quebec will also struggle with growth because of its tight labor market, CIBC says. Meanwhile, Alberta is expected to benefit from higher commodity prices and Atlantic Canada will get a boost from an influx of international and interprovincial migration.

– as of Oct. 20, 2022

National Bank Financial Markets

National Bank Financial Markets forecasts a small 0.2 per cent GDP contraction in the first quarter, followed by 0.9 per cent growth in the following quarter. In a client note, the bank says Canada was doing “so far so good” in avoiding a hard landing for the economy and that key indicators like inflation were moving in the right direction. Overall for 2023 though, National lowered its GDP forecast to a megagre 0.7 per cent.

– as of Oct. 2022

Bank of Canada

The central bank lowered its growth forecasts amid a steep decline in housing activity, a weakening labor market and a pullback in consumer spending. The Bank did not commit to a recession outright, but says GDP growth through the end of this year and into 2023 will likely slow to between zero and 0.5 per cent, where “a couple of quarters with growth slightly below zero is just as likely as a couple of quarters with small positive growth.”

– as of Oct. 26, 2022

International Monetary Fund

The International Monetary Fund expects Canadian economic growth to slow to 1.5 per cent next year, but warns the risks are skewed to the downside. Persistent inflation and a bigger-than-expected drag from the US economy could mean a “substantially worse” outlook for Canada. The IMF adds that it sees the unemployment rate rising to six per cent and home prices eroding their pandemic gains. “A mild recession could easily emerge, and the historical distribution of risks suggests a roughly 10 per cent chance that the economy would contract for 2023 as a whole,” the IMF said.

– as of Oct. 12, 2022

Michelle Zadikian is a senior reporter at Yahoo Finance Canada. Follow her on Twitter @m_zadikian.

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Staying protected on the street in a gig financial system – RoSPA Office Security Weblog

For those who’ve ever pushed a automobile or ridden a motorbike on a short-term contract, likelihood is you’ve got participated within the gig financial system. In actual fact, tens of millions of adults within the UK at the moment are individuals within the system as drivers and riders, whether or not they’re conscious of it or not. However how will you and different street customers keep protected?

What’s the gig financial system?

The time period ‘gig financial system’ is used to explain the 1.1 million individuals within the UK who work in a free market system by which short-term positions are frequent place. The gig financial system is made up of three most important elements; the impartial staff paid by the gig, the customers who require a particular service or a specific merchandise delivered; and the businesses that join the employee to the buyer.

For people working throughout the system, a job is often for a specified time frame, whereby freelance and self-employed staff do not receives a commission a wage however are paid per ‘gig’ or a ‘piece charge’.

How large is the gig financial system within the UK?

The gig financial system is under no circumstances a brand new idea, however this previous decade has seen it increase vastly. In accordance with authorities knowledge, in 2018 round 4.4% of the UK grownup inhabitants had undertaken some work within the gig financial system, equating to round 2.8million individuals.

One of the crucial frequent types of gig financial system work is offering transportation companies. In London alone, it was reported that Uber had 45,000 lively drivers registered with the app in 2018, and in 2017 the UK market was one of many largest in Europe with a reported 3.5 million customers. One other instance is Deliveroo, the favored courier service which reported again in 2018 that it had over 15,000 cyclists and motorists on their books.

Is the gig financial system an excellent factor?

Many freelance staff discover nice advantages from working within the gig financial system. Flexibility from with the ability to work the hours they want, independence to finish their work in a approach that fits them and have full management over the hours they work.

Sadly, there are some downsides too. For many gig financial system jobs, advantages aren’t a part of the bundle as a result of the employee is not a full-time worker. Working remotely may also show difficult because the social elements usually hooked up to a ‘9-5’ setting aren’t current.

Staff additionally should be in common work to search out their subsequent gig, or be ready for adjustments of their present one. This may result in stress, as most individuals admire feeling safe and regular of their employment.

The opposite caveat to that is in fact is that self-employed personnel could not have entry to the identical degree of assist or coaching often afforded to full-time members of employees. No matter this truth, self-employed street customers nonetheless have tasks to take cheap care of themselves and different individuals affected by their work actions and to co-operate with their employers in assembly their authorized obligations, notably within the case of riders and drivers.

In actual fact, greater than 1 / 4 of all street site visitors incidents could contain anyone who’s driving as a part of their work. So, whether or not you are a transport supervisor, a security skilled, a driver or rider, street security is one thing that you would be able to’t afford to disregard. Appropriate driver coaching is due to this fact very important and may end up in vital advantages:

Occupational Superior Driving Take a look at (RoADTest)

RoSPA’s Occupational Superior Driving Take a look at is designed to offer drivers with the instruments they require for his or her job and to teach drivers in order that they develop a scientific strategy to driving. This versatile driving course is usually in any respect those that drive for work functions, and are due to this fact extra more likely to drive; to new places, at peak occasions, hundreds of enterprise miles per 12 months and while beneath stress to answer work-related cellphone calls.

Defensive Driver Improvement

Our Defensive Driver Improvement course is the right approach to make sure you bear steady skilled growth, by constructing an environment friendly strategy to hazards and defensive driving methods and to attenuate threat while driving.

This defensive driving course will aid you handle the duty of driving beneath all of the related pressures of being self-employed; staying protected, avoiding car harm and coping methods for when time is in opposition to you.

Superior Bike Coaching

Our Superior Bike Coaching course instructs riders within the principle and follow of protected programs of deliberate, accountable and admirable driving. Based mostly on the ‘System of motorbike management’ (as detailed in Bike Roadcraft – The Police Riders Handbook), this four-day motorbike coaching course teaches riders methods to anticipate and management conditions and be extra observant, thereby decreasing the chance of being concerned in a street site visitors accident.

On-line steerage

Along with our driver and rider coaching options, RoSPA additionally presents a wealth of on-line steerage at serving to self-employed gig financial system staff, equivalent to couriers and taxi drivers, keep protected on the street.

The principle matters coated in RoSPA’s new steerage are the significance of sustaining bicycles and motor automobiles, methods to keep away from experiencing fatigue whereas on the street, and methods to drive and trip safely in the dead of night.

The information additionally gives recommendation and data for employers who use gig staff, on areas equivalent to insurance coverage, threat assessments and incentivising applicable security gear and coaching.

For extra data on our driver coaching programs, you may go to our web site, e mail us, or name us on +44 (0)121 248 2233.