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High blood pressure: Seven warning signs emergency care is required – complications

Typically, sustained high blood pressure has no physical warning signs, hence why it has been dubbed the “silent killer”. However, extremely high blood pressure could cause bodily sensations alerting you to the fact that you need medical care. If you experience severe chest pain, this could be a symptom of a hypertensive crisis, and you should dial 999. If you – or somebody close to you – experiences a severe headache, accompanied by confusion and blurred vision, ring for an ambulance.

Seven warning signs of extremely high blood pressure:

  1. Severe chest pain
  2. Severe headache, accompanied by confusion and blurred vision
  3. Nausea and vomiting
  4. Severe anxiety
  5. Shortness of breath
  6. Seizures
  7. Unresponsiveness.

“Treatment for hypertensive crisis may include hospitalisation for treatment with oral or intravenous medication,” said the Mayo Clinic.

A hypertensive emergency could mean that you’re currently having a stroke, heart attack, or experiencing kidney or heart failure.

Such an emergency situation could be attributed to forgetting your daily blood pressure medication.

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I have forgotten to take my high blood pressure medication

The NHS advises those in this situation to “take it as soon as you remember that day and then carry on as normal”.

“If you forget to take the dose for the whole day, skip the missed dose and carry on as normal the next day,” the NHS instructed.

Do not take double doses of your high blood pressure medication to make up for the forgotten dosage.

“If you forget doses often, it may help to set an alarm to remind you,” the NHS suggested.

However, if you’re still suffering from side effects, and it’s been a while since you’ve been taking the medication, talk to your doctor.

Possible blood pressure medication side effects

  • Dry cough
  • Dizziness
  • Upset stomach
  • Faintness

The full list of side effects will be noted on the leaflet that comes with your medication.

“Make sure your doctor or nurse knows about all the medicines you are taking, including herbal medicines and over-the-counter treatments like cold remedies,” said Blood Pressure UK.

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Zinchenko: Game of our lives required to beat England

Oleksandr Zinchenko says Ukraine need to play the game of their lives if they are to secure a historic win against England in the Euro 2020 quarter-finals.

Having reached the semi-finals of the 2018 World Cup and the following year’s Nations League, Gareth Southgate is now looking to lead the Three Lions to a first European Championship semi-final since 1996.

England are coming up against a Ukraine side looking to make history, having seen their only ever previous major tournament quarter-final appearance end in a 3-0 defeat to Italy in the 2006 World Cup.

Versatile Manchester City player Zinchenko is the biggest name in the Ukrainian side and knows his team face an uphill battle against some familiar faces at the Stadio Olimpico.

“I will say that numbers speak for themselves,” Zinchenko said of England. “The fact that England hasn’t conceded any goals yet, they play very well in defence.

“But I think that there are no perfect teams. Every team has weaknesses.

“With regards (Kyle) Walker and (John) Stones, they played an amazing season and during the last couple of years I’ve been playing with them they play at a very high level.

“It will not be easy. We know it. But at this stage of the tournament, everything is possible and I think that the coaching team will explain to us what to do with it and we will do our best.

“We will try to surprise them but of course we realise that to get through all the players and the whole team, they will need to play probably the best game of their lives.”

‘England have amazing players’

PA - Andriy Shevchenko looks on at Ukraine training
Image:
Ukraine coach Andriy Shevchenko (right) was full of praise for England’s qualities

Zinchenko echoed the sentiments of manager Andriy Shevchenko – the former Dynamo Kyiv, AC Milan and Chelsea striker.

“We understand clearly what team we will be playing against tomorrow,” the Ukraine head coach said. “I think it’s one of the best teams.

“At this Euro it is one of the most balanced teams. They have amazing players and I would like to notice the work on the head coach, my colleague Gareth Southgate, who indeed gathered an amazing group and the team plays modern football.

“I think that England is in one of the best moments in its history right now.

“English football is going up now. We saw an amazing final of the Champions League, Man City and Chelsea – how much speed they had, their performance.

“Tomorrow will be the hardest game for us with a very strong opponent.”

PA - Andriy Yarmolenko (right)
Image:
Andriy Yarmolenko (right) has been passed fit by Ukraine

Shevchenko cleared West Ham winger Andriy Yarmolenko for the quarter-final and is keeping tabs on the progress of Oleksandr Zubkov, who trained individually ahead of the game.

Ukraine reached this stage by overcoming 10-man Sweden 2-1 in extra-time at Hampden Park on Tuesday, having been the lowest ranked third-placed side to qualify from the group stage.

“We totally understand what team we will be playing against but we also know our strong side,” Shevchenko added.

“We showed already our character at this tournament, we showed the principles of our game and we will never change them and, first of all, it is the basis for our team.

“I know how difficult that game will be for us, but I know that our players have character and we will try to show it tomorrow.”

Author: PA Media
Read more here >>> SkySports | News

Masks recommended but not required in Austin — even for unvaccinated

AUSTIN (KXAN) — Austin Public Health is no longer mandating wearing masks To fall in line with Gov. Greg Abbott’s Executive Order about masks, the newest revision of the Austin Health Authority Rules now recommends but does not require that partially vaccinated and unvaccinated people wear masks “in most situations.”

Abbott’s order prohibits governmental entities, which includes public health authorities, from requiring masks.

“We choose to focus our energy on fighting COVID in our community. We choose to focus on the health and safety of all of you, our residents,” said Dr. Mark Escott, Austin chief medical officer and interim Austin-Travis County health authority. “There is now more urgency to be vaccinated as protection measures will not be required.”

Recommendations for those who are fully vaccinated, which in Travis County is nearly half of the eligible population, are:

  • Resume normal activities without a mask unless it’s required by a business
  • Resume domestic travel without testing and quarantining before and after travel
  • Resume international travel without testing, unless required by the destination, and refrain from quarantine upon return
  • Refrain from testing and quarantining after a known expose unless symptoms of COVID-19 develop

Fully vaccinated means a person has a full course of vaccine treatment, either two Moderna or Pfizer shots or one Johnson & Johnson shot, plus a 14-day waiting period afterward for the antibodies to build.

In order to reach herd immunity, APH says 70% of the population needs to be fully vaccinated.

“I am confident that the guidelines provided regarding the ongoing wearing of masks, particularly for unvaccinated individuals and partially vaccinated individuals, is based upon the current science and consistent with CDC guidance,” Escott said. “Masks still play an important role in further reducing the spread of COVID-19 and will remain a recommended practice for those who are not fully vaccinated, at least until we reach herd immunity.”

Author: Billy Gates
This post originally appeared on KXAN Austin

Review: Deiland: Pocket Planet Edition – Princely Patience Is Required

Another day, another Animal Crossing-meets-Harvest Moon-with-a-twist game. Deiland: Pocket Planet Edition is a farming, fighting, fishing and foraging game set in space, with a tiny, spherical planet upon which to do all of those activities: New Leaf by way of Le Petit Prince, if you will. And you are, in fact, a petit prince, although what exactly that means is something you’ll discover as you play.

Deiland: Pocket Planet Edition slowly drip-feeds you the plot of the game as you eke out a mostly-solitary existence on your pocket planet, tending to your tiny garden and occasionally upgrading your tools, or adding a new well. For the most part, existence here is quite lovely, if lonely; like its video game inspirations, the slow, methodical passing of the days gives you a surprising amount to do, whether that’s catching bass in the little pond, or planting a row of trees around your little house.

The little prince has three bars that you’ll need to pay attention to: the XP bar, the health bar, and the energy bar. The XP bar will just tick along on its own, of course, but health and energy will go up or down depending on what you’ve eaten recently, what activities you’ve been doing, or how much damage you’ve taken in fights (which are quite simplistic, but not really the point of the game). The food mechanic is something you’ll rarely interact with — we got by eating a meal about once every week — but taking damage in fights will eventually kill you, and you’ll lose quite a few resources as a result.

As you progress, new tools, animals, crops and even planets will be unlocked, expanding the range of what you can do in a day even further. You’ll also slowly gain XP, with each new level giving you the choice of two different stats to upgrade, making you a more powerful fighter or a more efficient farmer. Each time progress is made, the frisson of excitement and anticipation makes it worth the long hours you spent to get to this point, and it’s this excitement that keeps you coming back to Deiland for more.

But as you continue to plug more hours into the game, the bits in-between progress can range from mild frustration to abject boredom, with Deiland grinding to a halt until you figure out what makes the game continue. The petit prince’s progress is tied to visitors, you see — who come infrequently, and on their own schedule. There are a few characters you can meet: Mun, who’s your de facto best friend in that she’s the only person you know at the beginning; Locke, the strange wizard who teaches you potions; then there’s Goliath, a pirate, to name just a few. Each one has unique items to buy, and preferred items that they’ll pay a little more for. Some of them also have other, important jobs — but more on that later.

Every one of these visitors will give you a quest, whether that’s “grow five pumpkins” or “gather ingredients for a healing potion”, some of which are tied to the plot, and some of which are just tests. When they visit again, on an inscrutable timetable that is known only to them, they’ll either congratulate you on completing the quest, or chide you for not finishing it yet. If it’s the former, they’ll either give you a new quest or just tell you that they don’t have anything for you yet, and leave.

One problem here is that those quests are sometimes so easy that you’ll complete them within the 60-second timeframe that the visitor spends on your planet, and sometimes they take multiple in-game days to do. For example: one visitor might ask you to grow a crop that can only be planted in Winter, just as the clock ticks over to the first day of Spring. The seasons in Deiland are not as long as Harvest Moon, but they’re still seven days each, which means you won’t be able to access that quest line for quite some time. Or, perhaps they’ll ask you for a rare enemy drop, and you’ll have to wait for that enemy to turn up, which could take actual in-game years.

The other problem is that some of those visitors have “jobs” that severely limit your progress, making Deiland feel less like a solitary paradise and more like solitary confinement. Goliath, the pirate, will empty your minecart of stones each time he visits, for a moderate profit. The minecart fills up with rocks in about three or four swings of your hammer, though — and the game will not let you mine any more until Goliath returns. Mining becomes a tedious chore as a result, because it’ll take Goliath at least five trips until you’ve finally mined to the end of a small passage, and the plot can continue.

Sometimes, the game will refuse to let you do one thing, because it would much rather you did something else, instead. You can’t visit another planet if there are monsters around. You can’t go into the mine if there’s a visitor nearby. If Harvest Moon and Animal Crossing are about managing your own time, Deiland: Pocket Planet Edition is about having your time managed for you, constantly, by an omnipresent AI that you can’t ask to back off.

What’s more, progress can feel a little… opaque at times. The game won’t inform you that you need to, say, grow X amount of trees or buy a specific item before it’ll introduce you to a new character or mechanic, so you’ll often stumble into plot advancement entirely by accident. In some ways, this is a good thing — it makes progress feel organic, and unexpected — but it’s also an exercise in patience that players didn’t necessarily sign up for.

Still, there’s a lot to like about Deiland, and plenty of reasons to keep coming back. It might be slow, and frustratingly tied to the whims of the NPCs, but the passage of time in this gentle, pastoral planet all of your own can sometimes be enough to while away the hours in peace. It’s hard to know what you’re supposed to do next a lot of the time, but that makes it a nice surprise when something does happen. It would be nice if there was more to do on the planet, and the customisation is pretty limited (we never figured out if you could have more than three crop fields at a time), but becoming familiar with the exact layout of your personal planet is as charming as it sounds.

Also, if you want eggs, you have to feed a chicken until it explodes.

Author:
This post originally appeared on Nintendo Life | Reviews

Masks not required at Dell Diamond after CDC releases new guidance

AUSTIN (Nexstar) — On Thursday, the Senate gave final approval to Senate Bill 8, known as the heartbeat bill, that essentially bans abortions as early as six weeks into a pregnancy. The only thing standing between the bill and becoming law is the governor’s signature, and he’s already signaled support.

“It’s now on its way to my desk for signing,” Gov. Greg Abbott tweeted Thursday, thanking State Sen. Bryan Hughes (R-Tyler) and State Rep. Shelby Slawson (R-Stephenville) for their leadership on the issue, having guided it through the Senate and House.

Author: Jaclyn Ramkissoon
This post originally appeared on KXAN Austin

Texas students won't be required to get COVID-19 vaccine, DSHS says

AUSTIN (KXAN) — The COVID-19 vaccination won’t be included in the list of mandatory vaccines Texas students must get to attend school, according to the Texas Department of State Health Service associate commissioner Imelda Garcia.

DSHS held a news conference Thursday on the heels of the Pfizer COVID-19 vaccine’s emergency approval for use in children ages 12-15. The group provided an update on how it will dole out the vaccine moving forward.

Garcia is the chairperson of the COVID-19 expert vaccine allocation panel and associate commissioner for laboratory and infectious disease services for DSHS. She led the news conference.

Despite the COVID-19 vaccine not being mandatory for students, health experts are recommending anyone who can get the vaccine to do so.

Austin Public Health officials urged parents to get their kids vaccinated against the disease caused by the novel coronavirus as soon as possible as cases in school-aged children are rising. Area school districts are contacting parents, working with local health departments and modifying pop-up clinics to give shots to eligible students once vaccines are available.

Dr. Mark Escott, Austin’s chief medical officer, said COVID-19 hospitalizations in the 10-19 age group are currently the highest they’ve ever been during the pandemic. On Monday, he said eight children in the age group were hospitalized, including a 3-year-old.

Author: Billy Gates
This post originally appeared on KXAN Austin

Should Clinicians Be Required to Get COVID-19 Vaccines?

Author:
This post originally appeared on Medscape Medical News Headlines

Nearly half of frontline healthcare workers had not been vaccinated as of early March, according to a recent survey. Twelve percent of respondents hadn’t decided whether to get vaccinated, and 18% said they don’t plan to receive a COVID-19 vaccine.

Few healthcare organizations have mandated that employees get COVID-19 vaccines, which are available under FDA emergency use authorizations but have not yet been fully approved. The legality of requiring vaccination with a vaccine authorized for emergency use, rather than full approval, is unclear.

GTA 5 Android: No download required with Xbox Game Pass Ultimate

It should also be noted that your download speeds will need to be decent to avoid excessive issues with lag.

And like with all new technology, there is a chance of things not working quite as well as on consoles.

Xbox Game Pass for mobile is available in all regions that Game Pass is sold, but cloud gaming is currently only supported in the following regions:

Austria, Belgium, Canada, Czech Republic, Denmark, Finland, France, Germany, Hungary, Ireland, Italy, Netherlands, Norway, Poland, Portugal, Slovakia, Spain, South Korea, Sweden, Switzerland, United Kingdom, United States

Qantas Airways boss says vaccines should be required for tourists to fly

Alan Joyce is the CEO of Australian[1] airline Qantas. He has said that Qantas has a “duty of care” to its passengers and that requiring people to be vaccinated before flying would ensure that this policy is implemented.
Mr Joyce added that he thinks Qantas passengers would be willing to accept this change.

He said: “The vast majority of our customers think this is a great idea.

“Ninety percent of people that we’ve surveyed think it should be a requirement for people to be vaccinated to travel internationally.”

However, the Director of Digital Health and Innovation at the World Health Organisation, Bernardo Mariano, disagreed.

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He told the BBC: “We don’t approve the fact that a vaccinations passport should be a condition for travel.”

Mr Mariano said that a unified approach from governments would be needed to make such a change possible.

Currently, Australia’s borders are closed to almost all international travellers.

The Australian government has said international travel could be banned for Australians until at least June.

However, Department of Health Secretary Dr. Brendan Murphy has said the nation’s borders may be closed to international travel for most of the year, depending on Australia’s vaccination programme.

Dr. Murphy told Australian news channel ABC: “I think that we’ll go most of this year with still substantial border restrictions.

“Even if we have a lot of the population vaccinated, we don’t know whether that will prevent transmission of the virus.”

Qantas boss Mr Joyce agreed with this, telling the BBC that “once we open up our international borders, we’re going to have the virus circulating”.

Mr Joyce added: “And that’s going to be a big change for a lot of Australia, to find that acceptable.

“We need people to understand they can’t have zero risk with this virus. “We manage risk in so many different other ways for other parts of life.”

The Australian government hopes to have vaccinated all adults by October this year.

Therefore, last month, Qantas pushed back the date at which it expects to resume international flights from July to the end of October.

Mr Joyce said that the most in-demand international ticket is for the ultra-long haul flight from Perth to London, without any changeovers.

“The number one flight by a significant amount is Perth to London non-stop,” the CEO explained.

References

  1. ^ Australian (www.express.co.uk)