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Millions of Brits could LOSE their eyesight because they refuse to do THIS – Express.co.uk

May 6th, 2017 1:45 am

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A new study shows one in six adults don't bother to attend appointments to have their vision checked, and as such risk making their eye health worse than it needs to be.

Incredibly, half of all patients who are seen first time by an optometrist need some sort of vision correction.

But, according to the report, 24 per cent of people do not go to eye tests because they do not like the idea of wearing glasses.

While a quarter think wearing glasses will actually make their eyesight worse.

The Vision of Britain report was commissioned by Optegra Eye Health Care, studied 2,000 people.

Dr Clare O'Donnell, Head of Optegra Eye Sciences and registered optometrist, commented: "Without regular eye examinations, problems are being left undiagnosed and untreated which can lead to serious vision damage.

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"It is vital for everyone to have regular eye checks, even if they suspect nothing is wrong with their eye sight. By giving up just 20-30 minutes of your time once every two years, you can potentially save your vision."

It is vital for everyone to have regular eye checks, even if they suspect nothing is wrong

Dr Clare O'Donnell

The study shows that, despite shying away from eye tests, 82 per cent of people would love to have perfect 20:20 vision and more than half value their eyesight above any other sense.

But many do not bother to make the necessary appointments and, as such, conditions such as cataracts - treatable if diagnosed - are being detected late.

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Other conditions which can potentially cause blindness if left untreated are age-related macular degeneration and glaucoma.

But just 38 per cent of British adults have their eyes tested every two years, and only 46 per cent of those who already wear glasses continue to get regular checks.

Only a third of people have annual eye tests.

Mr. Robert Morris, Consultant Eye Surgeon and Medical Director at Optegra Eye Health Care, says: "There are serious eye conditions such as a retinal tear that a patient could easily have no idea they are living with - but which do need to have immediate, emergency surgery.

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"If left too late many conditions can only be treated to keep the condition under control, rather than attempt to cure it."

Dr O'Donnell concludes: "Every day 100 people in the UK start to lose their sight and two million people live with significant sight loss.

Vision is such a precious sense, a simple, regular eye test can prevent eye diseases and future worry, missing out simply isn't worth the risk."

TOP 5 WAYS TO PROTECT EYE HEALTH:

Regular eye tests

Wear sunglasses for UV protection

Do not smoke

Safe use of contact lenses

Protect eyes with safety glasses

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Clear vision: Lions keep sight on service in Northeast Mississippi – Northeast Mississippi Daily Journal

May 6th, 2017 1:45 am

TUPELO Vision is the mission for Lions Clubs in Tupelo and around Northeast Mississippi.

The clubs collect used glasses, conduct vision screenings and raise funds to help the needy with eye exams and glasses.

To be able to help people find a pair of glasses, they light up, said Jim Bush, president of the Tupelo Lions Club that meets at noon Tuesdays at New China Buffet. Its worth every minute of the time we put in.

The international civic club, which is celebrating its 100th anniversary, traces its focus on vision issues back to Helen Keller.

She challenged them to be knights of the blind, said Terry Everett, who as district governor, represents the 54 Lions Clubs in the north half of Mississippi.

While the Lions Clubs are known for support of its All-State Band and disaster relief efforts, vision remains the heart of their efforts.

They stop us all the time to thank us for what we do, said Keith Gillespie, president of the Oxford Lions Club, which meets at noon Tuesdays at the University Club. We do whats good for the community.

To support the vision efforts, the local clubs host golf tournaments, sell pecans and cheese and collect change. Local optometrists and eye centers assist the Lions Clubs with discounted rates.

Weve had a good response from the community, said Gary Shaw, who is the current treasurer for the Tupelo Lions Club that meets at 5:30 p.m. the third Tuesday of the month at Lawndale Presbyterian.

The lunch Tupelo Lions Club averages about $8,000 a year on glasses and eye exams, averaging about 10 exams and glasses a month, said treasurer Lewis Touchstone. In 2016, the club was also able to help with three cataract surgeries and six sets of hearing aids

The smaller evening club in Tupelo covers about 10 pairs a year, Shaw said.

The Oxford club averages two or three pairs a month, Gillespie said.

For some, the access to an eye exam and glasses gives them back their livelihood.

Ive had calls from people who had to be out of work because of an accident. Their glasses were damaged in the accident but they had to have an eye exam to return to work, said Cheri Nipp, a member of the Tupelo Lions Club. No job for weeks and medical expenses creates a huge problem with paying for an eye exam and replacement glasses. Lions Club (came) to the rescue.

Theres room for more people to join the effort to help people see more clearly.

Were are looking for new members, Bush said.

For more information, contact Bush at (601) 672-1297, Shaw at (662) 871-6020 or Gillespie at (662) 832-1350.

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Preschoolers with vision problems to jump by 26% in 3 decades says study – WSPA.com

May 6th, 2017 1:45 am

An eye opening new study warns of a spike in visual impairment in preschool age kids. It predicts eyesight problems for children ages three to five will increase by 26 percent in the decades to come. The research hits home that parents need to take steps now to prevent vision issues from an early age.

3-year-old Cameron McSwain doesnt know how important outside light exposure is to his vision. But his Daddy is trying to make sure what happened to his older sister, doesnt happen to him.

Shes 7 years old and already gotta wear glasses, about blind in one eye and I dont know why, said Daniel McSwain.

The causes of early vision problems vary.

But the new study by the USC Gayle and Edward Roski Eye Institute published in JAMA Ophthalmology finds 220,000 preschool children over the next three decades will suffer from vision impairment.

Dr. Justine ODell, an Optometrist with Spartanburg Vision says shes seen an increase in children needing glasses at a younger age.

In the study the importance of it is children should be spending more time outside from the benefits of UV and how that affects the eye growth. But also less time on electronic devices and things that are upclose, she said.

Camerons Dad says he tries to limit screen time, but he didnt know the latest recommendations about how often young kids should see the eye doctor: Once before age 1, then again at age 3, and right before kindergarten.

By the way, the doctor said not only is she seeing more near-sidedness in young kids, but also dry eye, from looking at all those screens.

Spartanburg Vision is one of many offices that participates in a free program called Infantsee. Babies before age one can get a free visit to the eye doctor for their first checkup.

Kids dont usually complain about having poor vision because they dont know whats normal, said Dr. ODell.

Heres why parents really need to take this seriously. 80% of a childs learning is through the visual system, so if thats impaired it can really affect their development.

The study is helping to give parents a better vision of what they can to help their kids see all the world has to offer.

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Diabetes can’t stop you from climbing Everest – CNN

May 6th, 2017 1:45 am

While volunteering in Nepal, I was diagnosed with type 1 diabetes at age 31. It was Valentine's Day 2014, and my wife and I were in the middle of a backpacking trip around the globe. We had just finished a hiking trip in the Himalayas that almost killed me.

I had been losing weight and had to run to the bathroom constantly. And I had never in my life been so thirsty. I dismissed the symptoms as consequences of the dry weather, until I stepped on a scale and saw how much weight I'd lost: about 40 pounds.

A trip to a local doctor gave me the diagnosis that would change my life and land me in two hospitals in Nepal before I was cleared to fly home. I spent a month learning about diabetes and understanding the ins and outs of a chronic autoimmune disease. Then it was time to make my decision.

My wife, Cassandra Kramer, and I resolved to get back on the road and finish what we had started. I knew that if I accepted limitations so early in my life with diabetes, I would always accept limitations, and that was a dangerous state of mind.

We caught a flight to Bangkok and made our way through Southeast Asia, South America and Iceland before coming home.

Diabetes is a disease with which the body no longer produces enough insulin to regulate blood sugar. In type 1 diabetes, the pancreas stops producing insulin altogether, requiring daily injections of artificial insulin and constant blood sugar monitoring. In type 2 diabetes, the body's insulin isn't used effectively, which is sometimes the consequence of being overweight. Type 2 diabetes can require some combination of lifestyle change, medication and insulin injections.

Yet the cause of diabetes is unknown. Although some cases of type 2 may be a result of obesity, that answer does not apply to everyone, and there are no such clues for type 1.

Diabetes still has a stigma attached to it, largely because of a lack of education and awareness. But people are constantly defying it by showing that there is no reason to accept limitations or boundaries when living with diabetes.

It may require more planning, but it's not a reason to say "no" to any experience.

Will Cross was diagnosed at the age of 9 in 1976, when diabetes care was nowhere near what it is today. He became the first person with type 1 diabetes to summit Everest when he scaled the highest peak in the world in 2006. He has also climbed the Seven Summits -- the highest peak on each continent -- and traveled to the North and South Poles.

"I never aspired to be a baseball or football player," Cross told Beyond Type 1, an organization dedicated to living with type 1 diabetes. "I just wanted to climb; diabetes didn't hinder that desire."

One person who did want to play football was Jay Cutler. The former quarterback for the Chicago Bears was 24 when he was diagnosed, making him one of a small but growing number of people with type 1 diabetes diagnosed after puberty. (Type 1 diabetes was traditionally called juvenile diabetes, but that term is becoming outmoded as the number of adults diagnosed with type 1 diabetes increases, though researchers don't fully understand why.) Cutler went on to play nine more seasons in the NFL, and he has become one of the best-known athletes with diabetes but certainly not the only one.

Perhaps the most famous celebrity with diabetes was Mary Tyler Moore, who used her fame to advocate for people with diabetes. Moore served as the international chairman of the Juvenile Diabetes Research Foundation. Her death in January sent shockwaves through diabetes community, which had lost one of its biggest influencers.

And if you're looking for a celebrity to pick up where Moore left off, singer Nick Jonas has carried the mantle so far, founding Beyond Type 1 and being candid about dealing with diabetes.

"It is very easy to want to hide what diabetes means for us in the workplace, but that just does a disservice to us, to other people with diabetes and to our coworkers," adventure athlete Erin Spineto said.

Diagnosed with type 1 diabetes in college, Spineto has completed a 100-mile standup paddling trip and sailed the Florida Keys solo, all the while proving that anything is possible, despite the disease. "The more real information and firsthand experience people get with this disease, the less stigma will be attached to it."

I was able to use my diabetes diagnosis, in a way, to improve my health. Though I have a chronic disease that requires constant blood sugar checks and insulin injections each day, I also have the most powerful of reasons to eat healthy, exercise and take better care of myself: a functional life.

Failure to stay healthy and keep my blood sugars in check can lead to the severe complications of diabetes: nerve damage, eye damage, cardiovascular disease and much more. Regular exercise and healthy eating help regulate blood sugar levels in people with diabetes.

Diabetes was the catalyst for that change, even if it means I am now walking around with a medical time bomb waiting for me to make a mistake.

Perhaps the most frustrating part about diabetes is the lack of definitive answers. Questions such as "how did I get it?" or "will there ever be a cure?" must remain open-ended for now. Although there are procedures that show promise for reducing or eliminating the need for insulin and an artificial pancreas (a device that manages blood sugar automatically) is on the horizon, a true cure for diabetes remains elusive. The same is true for understanding the cause.

Yet it is a manageable disease. With experience, discipline and a support network, diabetes should never be a reason to say "no." It's just a matter of figuring out what preparations you need to make to be able to say "yes."

Since finishing our backpacking trip, my wife and I have continued to travel when we can. Hiking Kilimanjaro is high on our priority list, and I want to return to the Himalayas to hike once again, this time knowing how to treat my diabetes.

For me, it is an extension of the most important decision I have ever made: the decision to live life without limits.

Maybe I'll even climb Everest.

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Self-empowerment is sweet for diabetes patients in this innovative program – PBS NewsHour

May 6th, 2017 1:44 am

HARI SREENIVASAN: More than eight million Americans suffer from diabetes, and more than $320 billion are spent every year treating the disease.

But an innovative program in San Diego is trying to improve health and reduce those costs by encouraging better self-management of the disease.

Special correspondent Cat Wise has our report.

CAT WISE: Fifty-one year old Alma Ayala is not a doctor or a nurse, but she is on the front lines of the diabetes epidemic in her community. Shes a peer educator for a program called Project Dulce, which works with people who have diabetes or are at risk of developing the chronic illness.

Her classes are part informational, part support group. Ayala says the goal of the program, which has been held up as a national model, is for people to feel empowered about changing their health. Thats something she didnt feel 30 years ago when she was first diagnosed with the disease.

ALMA AYALA, Peer Educator: I was devastated. I didnt want to hear the word diabetes. I felt that my life was done, that I was signing a certificate of death.

CAT WISE: Here in San Diego County, nearly half the adult population has pre-diabetes and about 8 percent have diabetes. Its a disease that affects all socioeconomic groups and races, but the Latino community has been disproportionately impacted. And thats the population Project Dulce has been targeting for the past 20 years.

ALMA AYALA: There are lots of barriers for the Latino community, language, insurance. Sometimes, doctors dont have the time to spend with them. So the classes that we provide is that extra support, working together with a clinical team to help our participants stay healthy.

CAT WISE: The program is scattered throughout 12 clinics in Latino neighborhoods throughout San Diego County and was designed by several local health care organizations, including the Scripps Whittier Diabetes Institute.

Dr. Athena Philis-Tsimikas is an endocrinologist who oversees the program.

DR. ATHENA PHILIS-TSIMIKAS, Scripps Whittier Diabetes Institute: This is a disease in which you have to do a number of management components, not only every day, but many times a day. And its not that easy to expect someone to remember to test their blood sugar, take their pill, to go out and take that walk, to have exactly the right meal on the table all the time to take care of this.

I dont see any lows there, so I dont think we have to worry that you might dip down too low.

CAT WISE: To help patients, a team is set up at each clinic with a physician, nurse practitioner, a dietitian and multiple peer counselors like Ayala who come from the communities they serve and also have the disease.

DR. ATHENA PHILIS-TSIMIKAS: If you can train these other people and professionals to help you do the other components that take longer, but are still absolutely necessary, then youre using your team to work very synergistically to deliver everything that patient needs in order to improve their care.

CAT WISE: The program is now adding another layer, technology. Last year, Tsimikas conducted a study to see if patients receiving daily text messages could manage their disease even better.

Artist Gloria Favela-Rocha was one of the participants. Shes a muralist who does large scale works for hospitals, schools and private clients. She says, before the study, she often forgot to regularly check her glucose levels. Project Dulce changed that.

GLORIA FAVELA-ROCHA, Diabetes Patient: The text message would come every day at the same time, so if I would lose track of where I was during my day, I would hear it ring, and so I would start checking my blood sugars, send in my result right away. It would send me back a message according to whatever my result was, like good job, or maybe you need to eat something that has a little more protein today.

So, it was just very it was very convenient.

CAT WISE: Dr. Tsimikas team has also been studying the effects of continuous glucose monitoring, which uses Bluetooth technology to send results to the patient and physician in real time.

MAGDALENA HERNANDEZ, Diabetes Patient: This device is reading my sugar levels.

CAT WISE: Magdalena Hernandez wears a small monitor on her stomach.

MAGDALENA HERNANDEZ: I love it. I love it because I dont have to prick my finger many times during the day, and it alerts me when my blood sugar goes high or goes low.

CAT WISE: And what happens if your levels go above 200? What do you do?

MAGDALENA HERNANDEZ: I grab a bottle of water, and I get up and walk for five minutes.

CAT WISE: Thirty miles away, Dr. Tsimikas is also able to keep tabs on Hernandezs levels.

DR. ATHENA PHILIS-TSIMIKAS: This is just over the last three hours, that she probably ate breakfast here, it went up, and is now declining.

CAT WISE: This technology has been on the market for several years, but has not been widely used because of cost and a somewhat complicated user interface. But Tsimikas says those barriers are being reduced and she predicts it will have a big impact on health.

DR. ATHENA PHILIS-TSIMIKAS: It is reinforcement to both the patient and to the provider thats helping to make recommendations on whether this is working or not. I think its really going to revolutionize the way we can take care of patients.

CAT WISE: Dr. Tsimikas says the objective is to prevent the serious complications that can accompany diabetes, including blindness, kidney failure, amputations or heart failure.

MAGDALENA HERNANDEZ: I really love the black beans and all the vegetables in here.

CAT WISE: According to studies conducted by the University of California, San Diego, and elsewhere, Project Dulce has helped lower patients blood sugar and cholesterol levels, while at the same time reduced the number of costly hospitalizations and emergency room visits.

While some elements of the program are being used in other communities, Project Dulce stands out for its comprehensive approach. So, why arent similar initiatives being rolled out in every neighborhood in America?

DR. ATHENA PHILIS-TSIMIKAS: Its probably the way we reimburse for each of these components. Thats probably the biggest hurdle. We traditionally have reimbursed only for physician visits. If we could find a way to actually reimburse for each of these components, it may be more sustainable for the future.

Or maybe we simply reimburse based on our success. If you are successful in achieving better outcomes, maybe then you pay for what led to those better outcomes.

CAT WISE: In the coming weeks, Project Dulce will begin a new study of patients that combines text messaging with continuous glucose monitoring and a wireless pill box that will alert a nurse if a patient isnt taking his or her medication.

From San Diego, Im Cat Wise for the PBS NewsHour.

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Smart Contact Lens Detects Diabetes and Glaucoma – IEEE Spectrum

May 6th, 2017 1:44 am

While tech giant Google continues to struggle to make a contact lens for monitoring diabetes,researchers at Ulsan National Institute of Science and Technology (UNIST) in South Korea have offered up at least one part of the puzzle: better wearability. Through the use of a hybrid film made from graphene and silver nanowires, the UNIST researchers have made contact lenses for detecting multiple biomarkers that are clear and flexible.

In research described in the journal Nature Communications, the UNIST researchers used graphene-nanowire hybrid films to serve as conducting, transparent, and stretchable electrodes. While the hybrid film alone does not perform any detection, the electrodes do ensure that the electrodes in the contact lenses dont obscure vision and that theyre flexible enough to make wearingthe lenses comfortable.

In addition to offering better transparency and comfort, the contact lenses developed by the UNIST researchers depart from previous contact lens sensors in that theyreable to detect multiple biomarkers. This contact lens should be able to pick up indictorsfor intraocular pressure, diabetes mellitus, and other health conditions, according to the researchers.

To detect intraocular pressure, a dielectric layer is sandwiched between two hybrid films. In this arrangement, the films now become a capacitor that responds to intraocular pressure. At high intraocular pressure, the thickness of the dielectric layer decreases, resulting in the increased capacitance. High intraocular pressure also increases the inductance of the antenna coil by bi-axial lateral expansion.

For detecting glucose, the top hybrid film layeris exposed to tears and detects glucose. In a selected region of the film, the researchers removed the nanowires so only graphene remained. The surface of graphene was then coated with an enzyme that binds selectively to glucose.Thisbinding changes the resistance of the graphene.

The changes of resistance, inductance and capacitance in these two detection modes can be monitored wirelesslyin real-time.

One of the challenging aspects of the research was the glucose sensor, according to the researchers. In tears, there are many interfering ions and molecules that potentially cause false positive responses, explained Chang Young Lee, an assistant professor at UNIST and co-author of the study, in an email interview with IEEE Spectrum. We need to test the selectivity and long-term reliability of the glucose sensor. The effort includes designing and finding a molecule that selectively binds to glucose, which is another large research area.

Lee envisions this research as a novel platform that will enableintegration of glucose sensor onto a soft contact lens. Measuring the glucose accurately and reliably is another large research area, Lee added. A good glucose sensor developed by another researcher, for example, can easily be integrated onto our platform.

In this novel platform, both the graphene and the silver nanowires contribute indispensible properties. The silver nanowires offer a one-dimensional (1D) conducting material, and by creating a network (mesh) of it, its possible to make a transparent, conducting, and flexible film. However, the film made of silver nanowires alone has limitations, such as high contact resistance at the nanowire-nanowire junctions, low breakdown voltages, poor adhesion to flexible substrates, and oxidation in harsh environments.

This is where the two-dimensional (2D) graphene comes in, with its properties of being highly transparent, conducting and flexible. By creating a hybrid structure of graphene and nanowires, the limitations of the nanowires are overcome. The key is in the hybrid of 1D and 2D structures, added Lee.

IEEE Spectrums nanotechnology blog, featuring news and analysis about the development, applications, and future of science and technology at the nanoscale.

Controlling the electrical current for heating graphene allows sound frequencies to be mixed together, amplified, and equalized 5May

Technique opens up potential of tailoring material properties nearly atom-by-atom 2May

Discovery could be the answer to the demands for increasing information storage density as device feature sizes decrease 26Apr

Technique could reduce costs for compound semiconductor circuits and lead to new devices 24Apr

The new molybdenum disulfide microprocessor has 115 transistors 11Apr

A graphene photodetector can pinpoint the position of light that falls far from it 10Apr

Researchers at SLAC are leveraging X-rays to enable the next generation of batteries and photovoltaics 5Apr

Diamondoids are showing promise in applications as divergent as electron guns and quantum computing 31Mar

The electronic skin is touch-sensitive and could be inexpensively manufactured 30Mar

Stanford researchers are getting a lot of mileage from nanomaterials by analyzing market needs 29Mar

The elliptical shape makes the lasing process easier 20Mar

Japanese materials company prototypes a 26.3 percent efficient silicon cell, steps away from the 29 percent theoretical maximum 20Mar

Otherlabs self-fluffing fabric changes its insulation in response to temperature 18Mar

Development is incremental in molecular nanotechnology, but it is coming along slowly 14Mar

New encoding method makes it possible to come close to the theoretical maximum for DNA data storage 2Mar

Replacing high-voltage power source with nanogenerators increases sensitivity to new records 27Feb

First borophene-based heterostructure should guide future work with borophene in nanoelectronic applications 23Feb

Five teams, four rockets, and 380,000 kilometers togo 22Feb

Current can literally blow copper interconnects away, but graphene could keep them intact 17Feb

Biocompatibile inks open up medical devices for inkjet-printed devices 2Feb

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St Austell man with diabetes Chris Witt had leg amputated after blister on toe on Tenerife holiday – Cornwall Live

May 6th, 2017 1:44 am

A St Austell man had to have his leg amputated after a small blister on his toe that developed while he was on holiday in Tenerife turned into a serious infection which wouldn't heal.

Diabetes UK is sharing the story of 63-year-old Chris Witt in an attempt to warn men with diabetes of the importance of foot care.

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Mr Witt has type 2 diabetes and had his leg amputated in late 2016. The guest house owner developed a small blister on his toe after going for a walk in new sandals while on holiday in Tenerife.

This turned into an infection which wouldn't heal, leading first to the amputation of part of his foot and eventually to the loss of his leg below the knee.

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He said: "I didn't realise how dangerous it could be to have an infection and that it can come on so quickly. I wasn't vigilant enough. If you're a man with diabetes you need to check your feet every day and if you see anything wrong get in touch with your surgery. Push for quicker treatment if it's not going fast enough.

"If I'd realised the dangers, I might have saved my leg."

Diabetes UK south west regional head Phaedra Perry said: "Men with diabetes can protect their feet this May by ensuring they attend their annual foot check and that they come away knowing what their risk of developing foot problems is and whether further action is needed.

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"If your feet have not been checked by a healthcare professional in the past 12 months if you've not been invited in for your foot check or you missed your appointment do not put off booking or taking up the offer of a free check. Also, if you spot a problem or have any concerns do not wait for your 12-month check-up make sure you book an appointment as soon as possible as problems can escalate extremely quickly.

"Putting your feet first can prevent the devastating loss of your toes, feet or legs, which will have a huge impact on your life. Everyone with diabetes is entitled to an annual foot check or more frequent checks if you are deemed to be at medium or high risk.

"Checking regularly yourself and having an annual foot check with a health professional can keep you on your feet."

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A spokesman for Diabetes UK said: "Men with diabetes are at a higher risk of chronic foot and leg wounds which can lead to devastating toe, foot or leg amputations, Diabetes UK warns today. Nearly three out of four people who have diabetes-related foot ulcers are men.

"During Foot Health Awareness Month in May, the charity is urging people with diabetes and particularly men with diabetes, to take care of their feet and if they've not had them checked in the past 12 months to not delay in booking in for their free annual foot check with their doctor or nurse.

"Latest figures show there are 20 diabetes-related amputations a day, despite four out of five of these being preventable with good foot care."

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The charity warns that not all people with diabetes are getting the annual foot check they're entitled to on the NHS.

According to the National Diabetes Audit 2015/16, nearly one in six people with type 2 diabetes in Cornwall (16.3%) are missing out on this essential check-up, compared to one in ten across England.

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This rises to more in one in four people with type 1 diabetes in Cornwall (27.6%), in line with the England average.

They said having an amputation has a devastating impact on a person's life through loss of work, immobility and the inability to drive. But if a foot problem is treated quickly it can prevent serious problems in the future.

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Check your feet daily for any signs of redness, breaks in the skin, pain, build-up of hard skin or changes in the shape of your feet. These could be warning signs of early foot problems, so tell your doctor straight away.

Wash and dry your feet every day especially between the toes. Don't soak them in water as this can increase the risk of damage.

Moisturise every day, but not in between the toes (this can make infections more likely).

Check your shoes daily for anything that may rub.

Cut your nails carefully and don't cut down the side of your nails.

Don't use corn removing plasters or blades as these can damage healthy skin.

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The 'touch the toes test' can help you find out if you are losing sensation in your feet. Go to http://www.diabetes.org.uk/feet-care.

Alternatively, you can call the Diabetes UK helpline on 0345 123 2399.

Read more: See all the latest news from around Cornwall

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St Austell man with diabetes Chris Witt had leg amputated after blister on toe on Tenerife holiday - Cornwall Live

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Fundraiser, program shine light on diabetes – Mountain View Journal

May 6th, 2017 1:44 am

This Saturdays Notorious Nick Memorial Shotgun Match sponsored by the Single Action Shooting Society and the Founders Ranch Shotgun Sports Club will raise funds for the Juvenile Diabetes Research Foundation.

Sign up starts at 8:30 a.m. and shooting begins at 10 a.m. for the event at Founders Ranch at 74 Barton Road. Cost is $50 for 100 target sporting clays, $25 for 50 target 5 stand sporting and $12.50 for 25 target cowboy clays.

The event in its fifth year also brings attention to the causes of juvenile diabetes and diabetes in general, which is a health concern for the area and statewide. According to advocates, more than 12 percent of the states adult population is living with diabetes, which is more than 248,000. Another 615,000 are estimated to have prediabetes, which means their blood sugar levels are higher than normal but not yet high enough to be type 2 diabetes.

Prediabetic is now the new term for people who will likely get diabetes in the future without making changes now to their diet and sedentary lifestyles, said Dr. Linda Stogner, medical director of the Esperanza Family Health Center. Doctors used to call the condition borderline diabetic, but people didnt take the diagnosis serious enough to make significant lifestyle changes.

Brenda Richter, who has been attending a weekly diabetes self-management workshop in Moriarty, said she had been diagnosed as borderline diabetic, which quickly blew up into full diabetes, changing her life. Participants in the workshops held Monday afternoons at Bethel Community Storehouse say the classes have helped them get focused on what they can do to successfully change their lifestyles and diet to better manage the disease.

Danielle Berrien of the Cooperative Extension Service, which sponsored the workshops with the state Department of Health and state Aging and Long Term Services Department, said there is a lot of misunderstanding about the disease, which can lead to kidney failure, blindness, loss of limbs and heart disease. The workshop aims to teach participants about what they can do to better manage the disease by coming up with an action plan with measurable goals to successfully make better food choices and work in more exercising into their daily lives.

You pretty much have to say good bye to processed food, Richter said.

Jennifer White said the workshops have helped her feel less isolated and Effie Zirnheld said the workshops were able to go into more detail than advice given at a doctors office. Participants said it helped that the workshop has Margie Snare as facilitator as she is a person living with diabetes. Berrien said she wants to hold the diabetes workshop twice a year.

Stogner, who has been treating patients in the East Mountains for 30 years, said the disease is one that cuts across all walks of life from mountains residents to flatland farmers. But Stogner said she has patients she has been working with since coming to the area who have been successful in making the necessary lifestyle changes to manage the disease.

I have patients in their 80s who I first saw in their 50s, Stogner said. Im happy to say that none of them have lost their vision, no amputations and no one on dialysis.

Stogner acknowledges that it can be hard for people in rural areas to get good access to unprocessed food. On the exercise side, even taking short walks daily can do a lot to prevent the disease, she said.

Berrien said there are good online resources, such as the websites for the American Diabetes Association, the International Diabetes Center, the Joslin Diabetic Foundation and the National Diabetes Education Program.

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Bob Marley’s nephew to launch reality TV show on diabetes – KING5.com

May 6th, 2017 1:44 am

KING 7:00 AM. PDT May 05, 2017

Bob Marley's nephew, Charles Mattocks, is launching a reality show on Discovery.

Just like his uncle, Bob Marley, Charles Mattocks is on a mission to motivate, inspire and educate people but this time with diabetes.

After being diagnosed with Type 2 diabetes eight years ago, Mattocks was forced to be his own advocate. His doctor prescribed medication but didn't specify a plan to help him control the disease.

"He didn't give me any information as far as what to look for, follow up with, what to eat, what to do next. He just gave me medication," explained Mattocks.

The celebrity chef turned TV producer lost weight, is now off medication and his diabetes is under control. But he knows there are many people living with diabetes who are still struggling with their health because of a lack of education.

That's why he became passionate about leading the fight against diabetes and wrote a cookbook and produced a documentary.

Now, he's about to launch the first ever diabetes reality TV show called "Reversed" on Discovery Life Channel.

"I thought if we brought people in a house, and bring in all the experts that they would need to see over a year's time, like endocrinologists, nutritionists, dieticians, and bring them in one house and be able to inspire them and also educate them, what would we have?" Mattocks said.

Mattocks brought five contestants into one house in Jamaica to help them reverse their unhealthy habits.

After spending time with experts, they went home and began making changes.

Mattocks lights up when he talks about the life-changing results for two of the contestants, including one named Margie.

"When I first met her, she said she didn't like green leafy vegetables. She said she was allergic to green leafy vegetables," said Mattocks. "Now she's sending me pictures of her eating salads and green leafy vegetables and juicing and exercising."

Mattocks hopes the show reaches thousands of people and inspires them to make changes in their own lives.

" When I think of what we really did, and I think of where they might have been over the next couple of years, it moves me," said Mattocks.

"Reversed" airs in July on the Discovery Life Channel.

2017 KING-TV

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Researchers Identify Gene That Controls Birth Defect Common in Diabetes – Newswise (press release)

May 6th, 2017 1:42 am

Newswise Researchers have identified a gene that plays a key role in the formation of neural tube defects, a problem commonly found in infants of pregnant women with diabetes. This is the first time the gene has been shown to play this role; it opens up a new way to understand these defects, and may one day lead to new treatments that could prevent the problem or decrease its incidence.

The findings were published today in the journal Nature Communications.

This gene plays a crucial role in the process that leads to these defects, said the studys lead author, Peixin Yang, a professor in the Department of Obstetrics, Gynecology and Reproductive Sciences at UM SOM. Now that we have pinpointed the mechanism, we can begin to focus on how we can stop it from happening in humans.

Neural tube defects (NTDs) occur when mutations accumulate in the neuroepithelial cells, neural stem cells that eventually transform themselves into the brain and the central nervous system. the problem occurs after the fetus is exposed to too much glucose, which can cause widespread cell death, eventually leading to the birth defects.

The researchers focused on a gene called Prkca, which plays a key role in regulating autophagy, the process by which cells dispose of material they no longer need; often this material is broken or flawed in some way. In diabetes, the Prkca gene becomes overactive, and as a result autophagy is suppressed. As a result, the flawed cellular material is used to create embryonic tissue, which can lead to major birth defects.

In essence, the process is a series of dominoes. The Prkca gene triggers production of a protein called protein kinase C-alpha, or PKCalpha. PKCalpha in turn increases expression of a molecule called miR-129-2, which decreases the levels of a protein called PGC-1alpha, which encourages the destruction of flawed cells.

In an experiment using pregnant diabetic mice, Dr. Yang and his colleagues deleted this gene, which allowed autophagy to work normally. In animals in which the gene had been deleted, embryos had far fewer NTDs.

The scientists also examined whether it is possible to reduce NTDs by restoring the expression of PGC-1alpha in developing neural cells. During diabetic pregnancy, PGC-a1alpha re-activated the process of destroying flawed cells and also reduced the death of normal cells. This reduced levels of NTDs. Yang says that in the future it may be possible to prevent and TDs in humans by using medicines that inhibit PKCalpha or miR-129-2, or activate PGC-1alpha.

Neural tube defects arebirth defectsof the brain and spinal cord. They occur in the first month of pregnancy. The two most common arespina bifida and anencephaly. In the first, the fetal spinal column doesn't close completely. This usually causes nerve damage, with some paralysis of the legs. In the latter, most of the brain and skull do not develop. Infants with this defect are usually stillborn or die soon after birth.Neural tube defects have several causes, including diabetes, folic acid deficiency, obesity in the mother, and consumption of certain medications. About 10 percent of women with diabetes who are pregnant will have embryos with neural tube defects.

Globally more than 300,000 pregnancies are affected by NTDs every year. One out of ten babies with NTDs die before their first birthday. In the US alone, medical and surgical costs for children born with NTDs come to more than $200 million a year. Pregnant women who have diabetes have a significantly higher risk of having a child with NTDs, and even with the highest quality preconception care, diabetic women are five times more likely to have a child with birth defects than are non-diabetic women.

The researchers on the article include UM SOM Dean E. Albert Reece, MD, PhD, MBA. Neural tube defects remain a significant hazard for pregnant women who have diabetes, said Dean Reece, who is also the vice president for Medical Affairs, University of Maryland, and the John Z. and Akiko K. Bowers Distinguished Professor. Women with diabetes prior to pregnancy are between three and 10 times more likely to have a child with NTDs than women without disease. This new research shines a fresh light on how we can continue to reduce this urgent problem.

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Irmgard Emmelhainz – E-Flux

May 6th, 2017 1:42 am

Earlier this year, the Juan Rulfo Foundation withdrew from its plan to participate in the 9th annual Book and Rose Fair at the Universidad Nacional Autnoma de Mxico. The Foundation objected to Cristina Rivera Garzas scheduled presentation of her new book on Rulfo, Haba mucha neblina o humo o no s que (There was a lot of fog or smoke or I do not know), which it considered to be defamatory.

Garzas book offers Juan Rulfo as an embodiment of modernitys double bind. Known primarily for El Llano en Llamas (The Plain in Flames) a short story collection from 1953 and his novel Pedro Pramo from 1955, Rulfo worked also for Goodrich-Euzkadi, a transnational company responsible for expanding the tourism industry in Mexico. He was also an advisor and researcher for the Papaloapan Commission, the state organization charged with extracting natural resources from Southern Mexico; most notably, the commission installed the Miguel Alemn Dam in Nuevo Soyaltepec in Oaxaca. Rulfo legitimized the emblematic projects of Mexican modernity in the mid-twentieth century even as he memorialized the very peoples that his work risked erasing in his writing and photography.1 Rivera Garza compares Rulfos vision to that of Walter Benjamins Angel of History: a retrospective gaze that observeseven relishesall the details of the disaster caused by the winds pulling it toward the future.

Modernization and memorilization coincided in Rulfos position as head of publishing at the Instituto Nacional Indigenista (INI), a state institution created to look after the needs of all indigenous Mexicans. Founded in 1948 with the goal of integrating indigenous peoples into national culture by acculturating them, and thus elevating their condition, INIs policies were characterized by a homogenization of Mexicos ethnic groups. This understanding of indigenity as a problem to be solved is what links Goodrich-Euzkadi, the Papaloapan Commission, and the INI, which combined to threaten autonomous life and community work in the name of development and modernization. In the 1950s, the euphemism reacomodo, which means rearrangement or reshuffling, was coined to designate indigenous extermination while obscuring the colonial matrix.

That Rivera Garzas contradictory portrait of Rulfo would be considered defamatory is itself representative of modernitys colonial blind spot, which, like Freuds neurotic, cannot bear to hear its past openly or honestly discussed. An active agent of the Mexican states modernization project and a passionate believer in progress, Rulfos reports to the Papaloapan Commission amplified 1950s attitudes about Oaxaca as one of Mexicos backwards regions, whose natives were seen as primitive and thus nonexistent. Their territory was officially qualified as virgin (or empty). Describing the living conditions of Chinantecos and Mazatecos in the Soyaltepec Valley region, Rulfo took an active, first-hand role in their reacomodo, helping to justify the governments efforts to displace and dispossess them. Nevertheless, Rivera Garza also portrays Rulfo as an advocate working in solidarity with indigenous communities, looking melancholically at their ruin and misery though his photographs that document the imminent loss of vital, indigenous material culture.

This tension is apparent in Rulfos other works as well, such as his short story Talpa (1953) and in the script for La frmula secreta (Coca Cola en la sangre) (The secret formula: Coca-Cola in the blood, 1965), and El despojo (The plunder, 1976).2 Talpa is a confessional monologue that describes the narrators travels with his brother, Tanilo, and his wife, Natalia, to see the legendary Virgin of Talpa in the hopes that she will heal Tanilos terminal illness. The narrator describes Tanilos mutilated body in detail as it disintegrates during the pilgrimage through arid, hot, and dusty land. The trip becomes an aimless voyage toward nothing but guilt: the narrator and Tanilos wife are in love, and both know that Tanilo will not survive the trip. Yet they press him onwards, secretly desiring to finish him off forever. Tanilos death march in search of the savior Virgin becomes an allegory for indigenous reacomodo. The displacement justified by the progress of modernity and the benefits of a nation-state is in fact an aimless, self-destructive trip towards annihilation.

In a sequence from La frmula secreta, we see indigenous people in three distinct contexts: first as peasants; then in the baroque Santa Mara Tonanzintla church in San Andrs Cholula, Mexico (alluding to the hybridity of pre-Hispanic and Spanish culture in the country); and then wearing modern clothes and suspended from a ceiling. The sequence poses a question: How will originary peoples be figured or represented by the modernizing process? How will they be figured, that is, once they have Coca-Cola in the blood? What place or role will modern Mexico offer them? The film ends with a long list of transnational companies that were besieging Mexico in the 1960s. Although animated by a belief in a modern future for all, Rulfos literary and cinematic work depicts the suffering and abjection of indigenous peoples social and cultural deaths.

The double bind of modernity officially conceals the colonial carnage necessary for modern progress even as it strategically reveals this same carnage for the purpose of accruing cultural capital. The modern worlding of the world which includes the production of objective reality by experimental science, knowledge, and designcoincides with the ruthless elimination and instrumentalizaton of certain creatures by others. This blind spot is the habit of coloniality. Habit, according to Elaine Scarry, either closes down sensation entirely or builds up perception as its own interior. Habit creates sentience either by opening or closing the world.3 The habit of coloniality is ingrained in the Western unconscious, predicating universality, progress, betterment, and growth on the eradication of alterity. This is the condition of modernity itself, even as it furnishes the resources for a critique of such systemic destruction. As Rolando Vzquez argues, The narrative of salvation of modernity was built on the denial of the genocidal violence of colonialism. The first mass colonial genocide was the early expression of a system geared towards the consumption of human and nonhuman lifethat is, the consumption of the earth.4

In Mexico and Latin America, the ordeals of indigenous peoples are known as environmental conflicts. Their source is the neoliberal strategy of expropriating natural resources, or rather, the commons. This strategy has been implemented through the introduction of industrialized agriculture, a system that excludes small producers and destroys sustainability. Such extraction and exploitation of the commons is evident, for example, in mining concessions and in the construction of infrastructure projects like highways, ports, tourist enclaves, trash dumps, and dams designed to centralize energy in big cities and to connect territories rich in resources and cheap labor to the flows of global exchange. In the past fifteen years alone, the Mexican government has granted twenty-four thousand concessions for open-pit mining. Under agreements such as NAFTA, transnational corporations are entitled to file lawsuits against local governments who fail to stop local interference with their resource-extraction efforts.5 To block these neoliberal processes of capital accumulation, new forms of resistance are emerging. These seek access to and control of the means of subsistence (like land and seeds), and are accompanied by new forms of communal recomposition. Mina Lorena Navarro explains these efforts to defend territory across Latin America as a new sensibility of peoples and their environment, and as the actualization of non-predatory lifeworlds against capitalist and extractivist relationships.6

These forms of political subjectivation stand in direct opposition to capitalism. Still, they remain other, either because the habit of coloniality perceives them as non-modern, as stubborn remnants of a residual world, orin what is the opposite valence of the same judgementbecause they are romanticized and identified with the noble savage by way of this same projection of prior-ness. From the romantic point of view, indigenous struggles are regarded as a road to the future because, in fighting corporate-led environmental catastrophe, indigenous people are fighting on behalf of all of us.7 But this picture of originary peoples helping to save the future and shape new forms of worldly cohabitation is highly problematic. Part of the problem is that environmental justice struggles remain localized and culturally specific. Connections among and between them are precarious. As a result, to the extent that environmental struggles are grounded in environmental identities, environmental injustice goes hand in hand with cultural loss. Because the prevailing counterhegemonic framework amalgamates cultural identities, ways of life, and self-perception into a metaphysical connection between given communities and their physical environment, environmental struggles remain unlinked to the responsibilities that privileged inhabitants of urban areas have as the main consumers of resources such as real estate, food, and fossil fuel.8 The result is a revived pastoralism, where these same communities are used as prestige resources available for exploitation, and as a salve for colonial guilt. Perversely, the enlightened metropolitan subject uses those most victimized by the historical Enlightenment to reconfirm their commitment to those same values of freedom, justice, and equality.

However, what is at stake in indigenous peoples struggles is decidedly not freedom, equality, or justice, but rather the short-to-medium term survival of their communities and of humanity at large. This is what makes these struggles so difficult to represent outside of their own local specificities. When indigenous communities mobilize to defend their lands from narco-exploitation or from megaprojects like mining and hydroelectric plants, repression and killing are the rule. The state has beaten, tortured, imprisoned, and murdered many of those who have fought against pollution, land theft, deforestation, and the destruction of rivers.9 As I write, there is a report in the news about state police in the municipality of Nahuatzen, Michoacn murdering five people in Arantepacua. In the territories of indigenous peopleregarded by neoliberal common sense as marketsan apparatus of dispossession and a state of exception are imposed. Lorena Navarro writes that this apparatus is built on institutional consensus and legitimacy, cooptation and capture, disciplining and normalization, and criminalization and counterinsurgency. The apparatus operates on a continuum of material and representational violence that crescendos as the state becomes the guarantor of the accumulation of capital.10 The apparatus is accompanied by transnational legitimization tools like NAFTA, and US-led antidrug campaigns like Plan Colombia and Plan Mrida, which are really just forms of neocolonial war, genocide, and ethnocide.11 The habit of coloniality lurks behind the symbolic and discursive efficacy of the apparatus of dispossession.12

Detail of collective drawing by Crter Invertido as shown at the Arsenale, Venice Biennale, 2015.

Climate change is generally understood as an unintended effect of modernity. Modernity is blind to its colonial habit, and this is one reason why most environmental struggles lack a framework that connects coloniality to the Anthropocene. For instance, members of the Mexico Citybased collective Cooperativa Crter Invertido have done counter-information work in solidarity with the community of Ostula, in the state of Michoacn. The inhabitants of Ostula are currently defending their sovereignty and way of life against narcos, the military, and illegal deforestation. Symptomatically, the young artists of Cooperativa Crter Invertido have been unable to draw a link between their political activism in Ostula and political work in the city or a project of decolonization. And yet, the struggles in which the collective has engaged remain present in their fanzines, posters, and drawings. In 2015, a Communality Congress took place at a university in Puebla, gathering academics from all over Latin America to discuss the links between decolonization, environmental struggles, and new forms of community organization. Somehow, the word communality was substituted for socialism as the new politically correct ideology to which progressive researchers must now subscribe. The obvious questionhow to translate communality into urban contextswas absent from the discussion.

Another example of the blind spot inherent to the double bind of modernity is the celebratory conversation taking place around Norman Fosters Mexico City airport project. The airport is being built in Atenco, an expropriated ejido (plot of communal land) where local resistance has been taking place since president Vicente Fox announced the project in 2006. That year, resistance was followed by massive repression, including the pervasive use of gendered violence. The group Frente de Pueblos en Defensa de la Tierra (FPDT) gained international visibility for its fight against the Atenco airport, but the struggle and its repression have since been forgotten. The creative class is lobbying Foster to consult FPDT as he develops his plan for the airport, and the privileged sector of the population rejoices at how the airport will make life easier for everyone in the city. But the airport will inflict heavy human and environmental collateral damageespecially on indigenous groupsand this is conveniently forgotten in the rush to praise the project. In its neoliberal manifestation, coloniality embodies a new cycle of dispossession in Latin America, based on the belief that the lands where indigenous peoples live are more valuable than the labor their inhabitants can provide.

For Eyal Weizman, climate change has never been an unintended side effect of colonization, but rather its declared goal. In his important recent book Erasure: The Conflict Shoreline, he develops a hypothesis that connects colonialism to environmental changes. Weizmans chief case study is the battle for the Negev, in which the Israeli state has sought to uproot Bedouins from the Negev desert in order to plant forests and expand the forestation line. Weizman studies the Negevs movable frontier as it advances and recedes in response to colonization, displacement, urbanization, agricultural trends, and climate change, all phenomena intrinsically tied to dispossession. In the Negev, making the desert bloom is, in effect, changing the climate.13 In Mexico, Lake Chalco exemplifies a similar historical link between displacement and global warming. In the nineteenth century, under the regime of Porfirio Daz, Spanish entrepreneur Iigo Noriega Lasso sought to expand arable land by draining Xico, the lake adjacent to Chalco and Xochimilco on the outskirts of Mexico City. Similar to Israels displacement of the nomadic Bedouins, Noriega Lasso forced the lakes originary peoples to work as peasants in his hacienda. In the Negev, as in Chalco and Atenco, climate change and the displacement of originary populations go hand in hand.

Juan O'Gorman, Mexico City, 1949.Tempera on masonite.

In 2003, Juan Rulfos Instituto Nacional Indigenista became the Comisin Nacional para el Desarrollo de los Pueblos Indgenas (National Commission for the Development of Indigenous Peoples), or CDI, premised on the idea that indigenous groups have the right to preserve their ethnic identity and should participate in the planning of development projects. Although CDIs task is to recognize indigenous cultures and the plurality of Mexico (correcting for INIs homogenization of Mexicos ethnic groups), the organization only undermines the cultures and bodies of indigenous peoples, insofar as it reinforces their status as beings apart. In the eyes of CDI, indigenous peoples have things of their ownlike traditional customs, religious beliefs, and medical remediesthat need not only to be recorded and admired, but mined for corporate patents. Difference is relativized and continues to justify a relationship of inequality. Having been made vulnerable by neoliberal international agreements, how can indigenous peoples protect themselves, their lands, and their knowledges?14

If modernity figured indigenous peoples and their lands as the foundational (re)source of nation-states, neoliberal common sense has turned them into maquiladora laborers, sicarios, kidnappers, and illegals deported from the US. In this schema, the local bourgeoisie functions as the broker between transnational corporations and the natives as resources to be exploited. Here equality means inclusion as debtors and consumers, and those who remain outside circuits of consumption and debtthe other of homo economicusare systematically criminalized. New versions of the 1950s reacomodo have emerged in the form of efforts to displace indigenous peoples to sustainable rural cities.

From literature and philosophy to politics and the arts, discourses about Mexicos native populations are still dominated by a mentality of colonization, slavery, and dispossession. This means that indigenous populations continue to appear as other, as spectacle, as subjects of anthropology and ethnography, and more recently, as markets to be exploited.15 With the rise of neoliberal globalization, indigenous peoples have passed from being a problem that must be dealt with through modernization and civilization, to redundant populations that must be managed through repression, displacement, and genocide. They are still targeted for elimination, but less through physical death (although this is still tragically common) than through exclusion, confinement, and resource extraction. The war against underdevelopment is a war against the redundant populations of twenty-first-century capitalism.

Documentation of protests against the Highway of Deathin Texcoco-Teotihuacn, Mexico. Highway of Death is a term coined by indigenous struggles or struggles opposing megaprojects or resource extraction corporationsbecause often it literally means death to these populations. The Highway of Death connecting the City to the airport means displacement of hundreds of families and the destruction of their lands.

It is telling that in their struggles against projects of deathi.e., extraction and infrastructure projectsindigenous peoples are figured as faceless. Recall the iconic balaclava of Subcomandante Marcos, who declared: We are all behind the mask. This facelessness makes clear that the disappeared indigenous body is only visible through capitalist colonialist relationships. We must remember that while the original epoch of colonization is over, colonizing relationships persist. Government and corporate projects to transform indigenous territories into profitable markets bring indigenous groups into contact with NGOs, researchers, and development agencies that view these projects not only as emancipating oppressed communities from underdevelopment, but serving the greater good of humanity as a whole. This is why indigenous knowledges, cultures, and languages remain sites of anticapitalist strugglealbeit struggle that is culturally specific and territorially bound, and thus unable to build bridges to struggles elsewhere. For instance, the inhabitants of Chern, Michoacn dismantled state political institutions complicit with the deforestation of their territories. A new precarious politicized subject emerged, but one that was still perceived as other, non-modern, foreign, and unrepresentable. This failure of representation is closely bound up with the habit of coloniality.

A recent version of the double bind of modernity has posited design and the arts as the means to reinvent life, defend autonomous zones, and protect the environment. In this framework, cultural transformation is thought to direct new forms of political organization and bridge the gap between grassroots action and government policy. As T. J. Demos has written recently: Creative ecologies of collective resistance [can create] new combinations of images and stories, music and participation, solidarities and sacrifices [enabling] a Great Transition.16 The problem with this approach is that it remains confined to cultural representation (as opposed to political representation) and is thus prone to the fascist essentializing of culture. Moreover, as Linda Tuhiwai Smith has argued, if the Wests concept of culture remains the only legitimate form of emancipatory politicseasily universalized and not really owned by anyoneit will merely reaffirm the West as the center of all legitimate knowledge and action.17 This idea of culture will lead to a new imposition of Western authority over all aspects of indigenous struggle.

In the face of the urgent need to neutralize the extractive model, block accumulation by dispossession, and end environmental degradation and the destruction of human beings, liberals still navigate the double bind of modernity in the melancholy style of Juan Rulfo; we are just as sad, just as beautiful, just as ineffective. We must break out of this trap and realize that modernitys way of worlding the world is to annihilate worlds. A non-fascist, anticolonial form of aesthetico-political representation would encompass the counter-knowledges produced in indigenous struggles, and would ultimately lead to the dissolution of representation in favor of relation. Following Rolando Vazquez, relationality is a mode of realization that recalls and foregrounds, that sustains and gives, that is before the before. It is a coming-into-presence grounded in precedence, as opposed to representation (which always has a blind spot). Non-colonial representation acknowledges the other of modernity and colonization, and challenges the tenets of modernity itself.18 This is the aesthetic, political, and intellectual task at hand.

This text is indebted to Eric Cazdyns Blind Spot Machine, a film/project/lecture/performance that he presented at La Esmeralda in Mexico City in April 2017. Cazdyns piece addressed issues of representation and legibility, critically questioning how modern epistemology works in film and language. I am also grateful for the feedback I received from peers at The Political Lives of 21st Century Culture, a workshop held at the Center for US and Mexico Studies at the University of California, San Diego, especially Paloma Checa-Gismero and Tania Islas Weinstein, who organized the workshop.

Irmgard Emmelhainz is an independent translator, writer, researcher, and lecturer based in Mexico City. Her work about film, the Palestine Question, art, cinema, culture, and neoliberalism has been translated to Italian, French, English, Arabic, Turkish, Hebrew, and Serbian, and she has presented it at an array of international venues. She is member of the editorial board of Scapegoat Journal, and has recently finished a book on neoliberalism as a sensibility and common sense embedded in urban planning, work and life, culture, social movements, mourning, and women's struggle.

2017 e-flux and the author

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Why Puma Biotechnology, Trex, and National CineMedia Slumped Today – Motley Fool

May 6th, 2017 1:41 am

The stock market performed reasonably well on Friday, sending major benchmarks to gains of 0.25% to 0.5% on the day. Favorable news from the U.S. economy outweighed any concerns about geopolitical events occurring this weekend, including the much-awaited final phase of the French elections. The Dow regained the 21,000 level, and the S&P 500 finished just below the 2,400 mark. But some stocks missed out on the rally, and Puma Biotechnology (NASDAQ:PBYI), Trex (NYSE:TREX), and National CineMedia (NASDAQ:NCMI) were among the worst performers on the day. Below, we'll look more closely at these stocks to tell you why they did so poorly.

Shares of Puma Biotechnology fell 16% after the biotech company said in an SEC filing that an executive in charge of regulatory affairs and project management would resign from the company effective May 15. The filing said that Dr. Robert Charnas had told Puma last week about his departure, with the filing citing health reasons for the move. Yet investors seem to be nervous about the timing, coming immediately before a key advisory panel meeting for its neratinib treatment for breast cancer. Given that neratinib has seen patients in trials report negative side effects, some investors believe that Puma might have trouble getting a positive recommendation from the panel when it meets later this month. The stock's decline might prove to be an overreaction, but the company's decision to put the information in a filing rather than doing a full press release might have contributed to investors' skepticism about the move.

Image source: Trex.

Trex stock declined 9% in the wake of the company releasing its first-quarter financial results. The home deck and railing specialist said that sales climbed 10% from year-ago figures, with increasing margins helping to produce an 18% rise in net income. Trex has gotten a lot of accolades from its industry, including kudos for its environmentally friendly practices and its leadership role in promoting alternatives to traditional wood decking and railing materials. Yet guidance for sales of $160 million in the second quarter only matched investor expectations, and despite calls for improving market share and margin figures, Trex investors seemed to want more from the decking specialist as the high spring season for home improvement begins.

Finally, shares of National CineMedia lost more than a quarter of their value. The in-theater media company said that revenue was down 6% from the year-ago quarter, leading to a drop in operating income and a wider net loss compared to the first quarter of 2016. Despite gains in sales from its local and regional segment as well as its digital and beverage businesses, softness in national advertising revenue weighed on the company's overall results. CEO Andy England reiterated that he sees 2017 as "a transitional year for NCM as we evolve from being the largest cinema network into a truly progressive, integrated digital media company." That means investors have to expect tough results this year, and National CineMedia's guidance called for revenue to fall 1% to 6% and produce a 6% to 12% drop in adjusted operating income. As movie theaters struggle to get people to leave their homes for entertainment, National CineMedia will have to work harder to find new avenues for growth.

Dan Caplinger has no position in any stocks mentioned. The Motley Fool owns shares of and recommends Trex. The Motley Fool has a disclosure policy.

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Why Puma Biotechnology Shares Are Crashing 18.2% Today – Motley Fool

May 6th, 2017 1:41 am

What happened

Puma Biotechnology(NASDAQ:PBYI) stock has plummeted 18.2% as of 12:53 p.m. EDT following news that Dr. Robert Charnas, its head of regulatory affairs and project management, is hitting the exits ahead of a scheduled Food and Drug Administration (FDA) advisory panel meeting on May 24.

Puma Biotechnology has only one product in its clinical-stage drug pipeline, and that drug, neratinib, has been the subject of a lot of scrutiny after trials showed that a large number of patients taking it suffered from high-grade diarrhea.

Image source: Getty Images.

Puma Biotech's CEO Alan Auerbach hired Charnaslast year to help get neratinib across the regulatory finish line. Previously,Charnas worked at Johnson & Johnson in its research and development department. He was responsible for ongoing development of Zytiga, a prostate cancer drug that J&J acquired in 2009 when it bought Auerbach's previous company, Couger Biotech. Charnas joined Cougar in 2008.

Yesterday, Puma Biotech said Charnas is leaving because of health reasons. However, there's some conflicting information circulating that there may have been some disagreements between him and his co-workers. If so, no one is saying for sure what those disagreements were about.

News of his departure so close to the FDA advisory committee meeting is disconcerting, regardless of Charnas' reasons for leaving.

After all, neratinib is far from a lock to win the committee's recommendation for approval. It's being considered as an extended maintenance therapy to help delay disease recurrence in breast cancer patients who have previously been treated for one year with Herceptin. In trials, neratinib hit its mark in terms of efficacy, but many of its patients reported severe diarrhea.

In hopes of overcoming a rejection because of this safety risk, Puma Biotech has been studying the use of the anti-diarrhea drug loperamide and steroids alongside neratinib. Ideally, a diarrhea incidence rate below 20% would be desirable, but interim trial results showed a 27% rate of grade 3 or higher diarrhea when using loperamide. Steroids may lower that rate further, but their use can cause other unwanted side effects.

It's anyone's guess what will happen at the advisory committee meeting, or what the FDA will ultimately decide to do with neratinib's application. Nevertheless, I think the risk of failure is too high to recommend buying shares ahead of a decision.

Todd Campbell has no position in any stocks mentioned.His clients may have positions in the companies mentioned. The Motley Fool owns shares of and recommends Johnson & Johnson. The Motley Fool has a disclosure policy.

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iShares NASDAQ Biotechnology Index (IBB) Position Maintained by Ausdal Financial Partners Inc. – The Cerbat Gem

May 6th, 2017 1:41 am

The Cerbat Gem
iShares NASDAQ Biotechnology Index (IBB) Position Maintained by Ausdal Financial Partners Inc.
The Cerbat Gem
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Knee ‘Crackle’ Might Mean Arthritis is Coming – WebMD

May 6th, 2017 1:41 am

By Amy Norton

HealthDay Reporter

FRIDAY, May 5, 2017 (HealthDay News) -- Knees that "pop," "click" or "crackle" may sometimes be headed toward arthritis in the near future, a new study suggests.

It's common for the knees to get a little noisy on occasion, and hearing a "crack" during your yoga class is probably not something to worry about, experts say.

But in the new study, middle-aged and older adults who said their knees often crackled were more likely to develop arthritis symptoms in the next year.

Of those who complained their knees were "always" noisy, 11 percent developed knee arthritis symptoms within a year. That compared with 4.5 percent of people who said their knees "never" popped or cracked.

Everyone else fell into the middle. Of people who said their knees "sometimes" or "often" made noise, roughly 8 percent developed knee arthritis symptoms in the next year.

Doctors have a term for those joint noises: crepitus.

Patients commonly complain of it, said Dr. Grace Lo, the lead researcher on the study. She's an assistant professor at Baylor College of Medicine in Houston.

But until now, it hasn't been clear whether crepitus can predict symptomatic knee arthritis. That means people not only have evidence of cartilage breakdown on X-rays, but also suffer symptoms from it -- namely, frequent pain and stiffness.

"Our study suggests crepitus is not completely benign," Lo said. "It's a sign that something is going on in the knee joint."

Dr. Joseph Bosco, an orthopedic surgeon who wasn't involved in the study, agreed that frequent crepitus should be checked out.

"A lot of people's knees 'snap' and 'pop,'" said Bosco, a professor at NYU Langone Medical Center in New York City. "Do they need to run out for knee replacements? No."

But, he added, "if you experience crepitus regularly, get an evaluation."

The findings, published May 4 in the journal Arthritis Care & Research, come with some caveats.

The nearly 3,500 study participants were at increased risk of developing knee arthritis symptoms to begin with, Lo explained.

The participants ranged in age from 45 to 79. Some were at risk of knee arthritis simply because of old age, while others had risk factors such as obesity or a history of a significant knee injury.

So it's not clear, Lo said, whether the findings would translate to -- for example -- a 35-year-old whose knees crack when she runs.

Plus, even though the study participants were initially free of knee arthritis symptoms, some did have signs of arthritis damage on an X-ray.

And it was in that group where crepitus was a red flag: People who "often" or "always" had noisy knees were nearly three times more likely to develop knee arthritis symptoms as those who "never" had crepitus.

According to Lo, the findings could be useful in everyday medical practice. "If patients are complaining of frequent cracking or popping in the knees," she said, "get an X-ray."

If that turns up signs of arthritic damage, Lo said, then the risk of progressing to symptoms in the near future is probably significant.

Unfortunately, there is no magic pill that can stop arthritis in progress. But, Lo said, for patients who are heavy, weight loss can help.

Some, she added, might benefit from strengthening the muscles that support the knees.

WebMD News from HealthDay

SOURCES: Grace Lo, M.D., assistant professor, medicine, Baylor College of Medicine, Houston; Joseph Bosco, M.D., professor, orthopedic surgery, NYU Langone Medical Center, New York City; May 4, 2017, Arthritis Care & Research

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Rheumatoid Arthritis Deaths Have Decreased – Healthline

May 6th, 2017 1:41 am

Many study findings about rheumatoid arthritis (RA) sound negative, but patients with the disease are now getting some encouraging news.

A study published last month on the progress and advancements in RA treatment and management revealed that for the first time in years the mortality rate among people with RA has decreased.

Researchers also noted that people with the disease experience much less disability than in decades past.

Read more: Green tea may help ease rheumatoid arthritis treatments

Data from the World Health Organization (WHO) shows that RA was listed as the underlying cause of death in 8,428 cases in 2011.

That was a decrease from 9,281 deaths in 1987.

The age-standardized mortality rate of RA declined by 3 percent annually from 1987 to 2011.

But people with RA still have a higher mortality rate than the general population.

The Centers for Disease Control and Prevention (CDC) notes thatearly treatment within six months of diagnosis is ideal to help curb aggressive disease activity or early deaths from RA.

Read more: Stem cell therapy a possible treatment for rheumatoid arthritis

Researchers are now trying to ascertain which specific approaches have helped bring down the RA mortality rate.

In general, it seems that the long-term outlook for people with RA is improving but only with early treatment. This was evidenced in a study following a group of people with RA for 20 years.

Early treatment means getting the right diagnosis and catching the RA early in the progression of the disease.

There are some mixed opinions within the rheumatology community about what the first line of defense is in RA treatment, but the general consensus is that a more aggressive approach in the earlier stages is best.

People with lower disease activity tended to fare better long term.

But, overall, while people with RA reported a lower disease activity early on, disability rates did tend to rise in people with RA seven years after diagnosis.

The disability reported was moderate but still better than compared with previous decades.

A press release about these discoveries noted that patients who received treatment within the first six months had a lower risk of death than those who did not receive treatment, after controlling for disease severity.

This research emphasizes the importance of early treatment and the long-term benefits of early treatment, said Suzanne Verstappen, PhD, a senior research fellow at the University of Manchester, and a lead researcher on these study, said in a press statement. In the early 1990s, when this study started, only 30 percent of patients received early treatment, but this number has increased significantly in the last decade. It's expected that in the next 10 years, newly diagnosed patients will have a better future with respect to functional ability, less severe disease activity, and improved quality of life.

Read more: Why rheumatoid arthritis is plaguing 9/11 first responders

In the past, there was a higher RA mortality rate due to complications such as lung and heart issues associated with severe RA disease activity.

Other people succumbed to fatal infections from RA medications, or other unique complications associated with RA and its comorbidities.

The higher survival rate is welcome news for people with RA, but there are issues related to living longer with the disease.

Although increased survival with rheumatoid arthritis is great news, it might lead to a greater share of our aging population having the disease and in need of health services. This needs to be accounted for in healthcare planning, said study lead author Aliasghar Kiadaliri, PhD, of Lund University in Sweden, in a statement to the press.

People with RA, though, still look at this news as a positive thing.

With so much bad news regarding the healthcare bill and funding for NIH research being cut and just the difficulties of RA in general, it is nice to get good news for once. I would love to live a longer and healthier life even with having a serious illness like RA, said Jacqueline Dickson of North Carolina.

I am only 23 and was just recently diagnosed with rheumatoid arthritis, added Michelle Herbert of Nevada. I wondered if it would affect my life expectancy, and told my doctor that Id try whatever she suggested to make sure my disease didnt progress too badly. Its good to know that aggressive treatment early in the disease is seen as a positive, but I just hope my doctors caught it in time because I had so many years of pain.

Perhaps Brad Smith of New York, a young man with RA, is the one to sum it up best.

Ill takeanygood news when it comes to RA, he said.

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Arthritis symptoms – THIS condition could be triggered by bowel infection and last months – Express.co.uk

May 6th, 2017 1:41 am

Reactive arthritis can cause painful joint swelling and in most cases it clears up completely within months..

The condition - whihc is different to osteoarthritis and rheuamtoid arthritis - most commonly develops after infections of the bowel or genital tract.

Arthritis Research UK said: Unlike septic arthritis, reactive arthritis isnt caused by an active infection within your joints.

With reactive arthritis the inflammation in your joints is a reaction to an infection elsewhere in your body. Reactive arthritis is diagnosed if you suddenly develop arthritis, especially in your knees or ankles, just after suffering an infection.

GETTY

Sometimes the infection may have been so mild that you didn't notice it.

The charity said the first signs of the condition can be pain and swelling, usually in the joints in the legs - knees ankles or toes.

It said the swelling may happen suddenly or develop over a few days after the affected joint becomes stiff.

Other joints including the fingers, wrists, elbows and the joints at the base of your spine (sacroiliac joints) can also become inflamed.

Getty

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GETTY

ith reactive arthritis the inflammation in your joints is a reaction to an infection elsewhere in your body

Reactive arthritis can also cause inflammation of the tendons around the joints, such as the Achilles tendon at the back of the ankle.

Joint pain and swelling are often the only symptoms of reactive arthritis. But other possible symptoms include:

inflamed, red eyes (conjunctivitis) scaly rashes over your hands or feet (known as keratoderma blenorrhagica) diarrhoea, which may start some time before the arthritis mouth ulcers inflammation of the genital tract which produces a discharge from your vagina or penis a sore rash over the end of the penis weight loss and fever.

GETTY

The charity said reactive arthritis can affect people of all ages, including children.

It generally affects a younger average age group than rheumatoid arthritis or osteoarthritis.

Although there isnt a family tendency to develop reactive arthritis, if you have a particular gene, HLA-B27, you may be more likely to develop the condition.

This gene is carried by about one in 14 - seven per cent - of the general population.

The charity said: Having the HLA-B27 gene could also make you more likely to have further episodes of reactive arthritis in the future.

To find out more visit Arthritis Research UK

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Study: 4 in 10 people will have hand arthritis in lifetime – Wichita Eagle

May 6th, 2017 1:41 am
Study: 4 in 10 people will have hand arthritis in lifetime
Wichita Eagle
Hand arthritis is more common than you might think. Nearly one in two women and one in four men will develop the condition in their lifetime, according to a new study. The risk of symptomatic hand osteoarthritis also varies by race and weight. Aching ...
Symptomatic Hand Osteoarthritis Will Affect 40 Percent of PeopleDoctors Lounge

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Frank Haight: Second-grader bravely fighting painful arthritis – Columbia Daily Tribune

May 6th, 2017 1:41 am

She's only a second grader at Cordill-Mason Elementary School in Blue Springs, but 8-year-old Maggie Miller knows what it's like to attend class with every joint on her fingers, wrists and elbows hurting from juvenile idiopathic arthritis, a disease with no cure yet.

What's happening to Maggie is this: Her immune system sees healthy cells as bad, and her immune system attacks the healthy cells in her body, explains Maggie's mom, Tammy Miller. So her immune system is attacking all her joints.

That's the bad news. The good news is: We have been able to stop the spread of (the disease), she says, recalling the disease spread quickly after Maggie was diagnosed with juvenile arthritis in October 2015. We have been able to slow down the progression of the disease with a lot of medicine that she takes weekly, and every four weeks we go into the hospital and do an IV infusion treatment . ... and we do an injection of chemo every weekend to kind of suppress the immune system from attacking her body.

How is Maggie coping with her affliction?

Maggie is the strongest, bravest child I know. She deals with more than any 8-year-old should ever have to deal with. She has to deal with a lot of medicines, doctor appointments and physical therapy, occupational therapy and pool therapy, Tammy says, recalling Maggie had two appointments this week and missed a lot of schooling and doing fun things with her friends.

However, the fun Maggie missed doing with her friends, she more than made up when the Dream Factory of Kansas City sent the Miller family, including her father, Duane, and her 11-year-old brother, Joel, to Orlando, Florida. There they spent March 11 to 17 visiting Disney World, Universal Studios and Sea World.

Then, there was the 80-acre Give Kids the World Village where Dream Factory and Make-A-Wish Foundation families stayed while in Orlando. There were tons of fun things to do, Tammy says, recalling the Village each night staged an elaborate party or celebration like Halloween, with a visit from the Storm Troopers and other characters. Then there was Christmas in March, complete with Santa, snow, sleigh rides and much more.

Wearing Mickey Mouse ears to an interview earlier this week was soft-spoken Maggie who fielded a few questions. Her favorite park ride was scary Splash Mountain. Cinderella's evil stepsisters were her favorite meet-and-greet characters, because they were ugly and stayed in character and acted evil. And the ride she hated most: The Tower of Terror, which made her scream.

How did the trip of a lifetime affect Maggie, who says she would like to go to Los Angeles someday and see her two favorite TV personalities, Ellen Degeneres and Steve Harvey.

It was really nice to go on this trip and get away from hospitals, doctors, therapy and just be a family and just have fun and let (Maggie) be a kid and do kid things for a while, she says, noting: We went to seven parks in that short time.

On Saturday, May 6, Maggie and her team of walkers will be helping The Arthritis Foundation, which Tammy says has been an amazing support system for her family. For the second consecutive year, Maggie's team of fundraisers are participating in the annual Walk to Cure Arthritis, a community fundraising 5K walk. The event begins at 9 a.m. in the dinosaur section of Worlds of Fun before the park opens.

What's ahead for Maggie?

Says Tammy: We are going to continue our treatment. Our goal is hopefully to get (the disease) to go into remission so that we can go into a medication remission and there be no signs of the disease. Then hopefully, we can start weaning off some of those medicines and stay in remission.

What has already begun as a fun-filled year for Maggie will continue next month when Maggie spends June 5 to 8 at The Arthritis Foundation's Camp Joint Adventure at Lawson, Missouri. She will be attending camp (where memories are made) on a scholarship. One of her memories, no doubt, will be swimming, because that's her favorite pastime and doesn't put much pressure on her joints.

(Maggie) is looking forward to participating in the 5K walk and going to camp this summer in order to be with other kids who understand her disease, Tammy says. ...She has a real strong support group of friends, and has told her class what her disease is, how it affects her and why she is away from school sometimes because of appointments. She has to miss all day on infusion treatment day. Then she is worn out afterwards.

Will Maggie's condition worsen?

With the advancement in medication treatment, we hope we have been able to catch it in time, get on the right medicine in a timely fashion and that we have the disease under control, Tammy says, explaining, There is always that chance medicines will stop working, and we pray that won't happen. But if it does, we will regroup, find a new treatment and try it. ...It's all about trying to find the right combinations of medicine. We are very lucky we were able to slow down the disease before it got to any other joints.

-- Retired community news reporter Frank Haight Jr. writes this column for The Examiner. You can leave a message for him at 816-350-6363.

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National Arthritis Awareness Month: Family Caregivers Key to … – Benzinga

May 6th, 2017 1:41 am

This month, America observes Arthritis Awareness Month a month dedicated to sharing experiences and letting others see and hear about the disease and its impacts. To join in the discussion, Home Instead Senior Care the world's leading provider of in-home care services for seniors is offering tips to family caregivers of those living with the disease.

OMAHA, Neb. (PRWEB) May 05, 2017

Arthritis is the No. 1 cause of disability in the United States, affecting more than 50 million Americans, according to the Arthritis Foundation. Those with this chronic disease experience painful inflammation and stiffness, making it difficult to accomplish daily tasks, which can lead to anxiety or a diminished positive self-image.

This month, America observes Arthritis Awareness Month a month dedicated to sharing experiences and letting others see and hear about the disease and its impacts. To join in the discussion, Home Instead Senior Care the world's leading provider of in-home care services for seniors is offering tips to family caregivers of those living with the disease.

"Without proper care and treatment, an individual becomes more and more likely to have their life severely impacted by the effects of arthritis," said Lakelyn Hogan, caregiver advocate at Home Instead. "We are offering these tips to help family caregivers better understand the needs of their loved one with this disease. Arthritis is the No. 1 chronic condition that brings us into a senior's home and we wanted to share our advice, curated from twenty years of caring for seniors with arthritis."

Keep the following seven tips in mind when assisting loved ones living with arthritis:

Home Instead CAREGivers deliver responsive and customized in-home care to each client's specific needs. Home Instead offers everything from arthritis help to advanced Alzheimer's careto keep them safe at home.

A Caregiver's Guide to Arthritis provides additional tips on how to help a loved one with arthritis. Download the guide at http://www.caregiverstress.com/wp-content/uploads/2014/06/A-Caregivers-Guide-to-Arthritis_web.pdf. For more information on Arthritis Awareness Month events and resources, visit http://blog.arthritis.org/news/arthritis-awareness-month/.

# # #

ABOUT HOME INSTEAD SENIOR CARE Founded in 1994 in Omaha, Nebraska, by Lori and Paul Hogan, the Home Instead Senior Care network provides personalized care, support and education to help enhance the lives of aging adults and their families. Today this network is the world's leading provider of in-home care services for seniors, with more than 1,000 independently owned and operated franchises that are estimated to annually provide more than 50 million hours of care throughout the United States and 12 other countries. Local Home Instead Senior Care offices employ approximately 65,000 CAREGiversSM worldwide who provide basic support services that enable seniors to live safely and comfortably in their own homes for as long as possible. The Home Instead Senior Care network strives to partner with each client and his or her family members to help meet that individual's needs. Services span the care continuum from providing companionship and personal care to specialized Alzheimer's care and hospice support. Also available are family caregiver education and support resources. At Home Instead Senior Care, it's relationship before task, while striving to provide superior quality service.

For the original version on PRWeb visit: http://www.prweb.com/releases/2017/05/prweb14304019.htm

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