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Adam Henson: Countryfile star addresses ‘difficulty’ shown on Jeremy Clarkson’s farm show

The Grand Tour star insists the public should have “more respect” for farmers such as Amanda Owen, 46, who stars in Our Yorkshire Farm, which is filmed on Upper Swaledale, near Keld, Yorkshire.

Opening up on his thoughts towards Amanda and her husband Clive Owen, 66, who run and live on Ravenseat farm with their nine children, Jeremy said: “We should have more respect for them than we do.

“It’s really hard work sheep farming and there up in Keld, Ravenseat, in the Yorkshire Dales and it’s really hard work.

“I only have 78 [sheep] and I’m in the Cotswolds which is not hard to get about, but the sheep want to die.”

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This post originally posted here Daily Express :: Celebrity News

How to lose visceral fat: The plant oil shown to trim belly fat within weeks of ingestion

According to the health body, protein can be a helpful way to lose weight because it makes you feel fuller than carbs and fat do.

“So if you include a lean source of protein, such as skinless white chicken, in your meals you may find that you’re not as hungry, and so eat less.”

Sources of protein can be added to every meal.

Good sources include chicken breast, tuna, mackerel, salmon, eggs, milk, red lentils, chickpeas, brown bread, nuts and soya.

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This post originally posted here Daily Express :: Health
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High blood pressure: The hot drink shown to slash risk of hypertension by 65 percent

According to the health body, “to see if caffeine raises your blood pressure, check your pressure within 30 minutes of drinking a caffeinated beverage”.

“If your blood pressure increases by 5 to 10 mm Hg, you may be sensitive to the blood pressure raising effects of caffeine.”

Millimetres of mercury (mmHg) – what does this measurement mean?

Blood pressure is measured in millimetres of mercury (mmHg).

The measurement is used to record two numbers:

  • The systolic pressure (higher number) is the force at which your heart pumps blood around your body.
  • The diastolic pressure (lower number) is the resistance to the blood flow in the blood vessels.

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This post originally posted here Daily Express :: Life and Style
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Best supplements for arthritis: Two pills shown to reduce inflammation and symptoms

Common arthritis symptoms include swelling, pain, stiffness and decreased range of motion in the joints. Symptoms may come and go and can be either mild, moderate or severe. Severe arthritis can result in chronic pain, inability to do daily activities and make it difficult to walk or climb stairs. Arthritis can cause permanent joint changes too. Supplements may offer some help with these two conditions by reducing the amount of inflammation in the body.

Curcumin is the active compound in the yellow-hued spice, turmeric, which is a staple of Indian curries, said the Arthritis Foundation.

The health site added: “In the body, it acts as a powerful anti-inflammatory agent, blocking the same inflammation-promoting enzyme as the COX-2 inhibitor drug, celecoxib.

“In a study of 367 people with knee OA, a 1,500 mg daily dose of curcumin extract was as effective as 1,200 mg a day of ibuprofen, without the gastrointestinal side effects.

“This supplement also appears to relieve rheumatoid arthritis swelling and tenderness.”

DON’T MISS
High blood pressure: Hot drink proven to help [TIPS]
Diabetes type 2: Three serious signs in feet [INSIGHT]
How to lose visceral fat: Cheap herb that helps [ADVICE]

Glucosamine sulphate

Glucosamine is a molecule that occurs naturally within your body, but it’s also a popular dietary supplement.

Most often used to treat symptoms of bone and joint disorders, it’s likewise used to target several other inflammatory diseases.

It serves as a building block for a variety of functional molecules in your body but is primarily recognised for developing and maintaining cartilage within your joints.

The most common signs and symptoms of arthritis involve the joints.

Depending on the type of arthritis you have, your signs and symptoms may include:

  • Pain
  • Stiffness
  • Swelling
  • Redness
  • Decreased range of motion

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This post originally appeared on Daily Express :: Health Feed
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High blood pressure: Noni juice shown to 'significantly' lower BP – what is it?

High blood pressure, medically known as hypertension, means your blood pressure is consistently too high and means that your heart has to work harder to pump blood around your body. This extra exertion can lead to heart and circulatory diseases like heart attack or stroke. Fortunately, you can reverse a high blood pressure reading by drinking noni juice, research suggests.

In contrast, the consumption of chokeberry juice slightly decreased only diastolic blood pressure by 3.6 percent.

Conversely, consumption of three portions of energy drinks caused a significant increase in diastolic blood pressure by 14.7 percent.

What’s more, blood sugar levels of participants consuming noni juice decreased by 7.3 percent, while the consumption of energy drinks caused an increase of 15.8 percent.

Consistently high blood sugar levels are a dangerous feature of type 2 diabetes.

“The results of the study showed that noni juice may be effective in lowering blood pressure and blood sugar levels,” the researchers concluded.

General dietary tips to lower high blood pressure

One of the most effective countermeasures against high blood pressure is cutting down on salt.

Salt raises your blood pressure – the more salt you eat, the higher your blood pressure.

According to the NHS, you should aim to eat less than six grams (0.2oz) of salt a day, which is about a teaspoonful.

“Eating a low-fat diet that includes lots of fibre, such as wholegrain rice, bread and pasta, and plenty of fruit and vegetables also helps lower blood pressure,” explains the health body.

You should also aim to eat five portions of fruit and vegetables every day, it adds.

In addition to eating well, you should also engage in regular physical activity.

The Mayo Clinic explains: “Regular physical activity makes your heart stronger. A stronger heart can pump more blood with less effort.”

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This post originally appeared on Daily Express :: Health Feed
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How to lose visceral fat: The herb shown to reduce belly fat within weeks of consumption

Visceral fat is body fat that is stored within the abdominal cavity, which contains a number of crucial organs, such as the pancreas. In fact, it’s positioning near the pancreas means it can hamper insulin production – a precursor to type 2 diabetes. Visceral fat is also a contributing risk factor for heart disease. Given the risks posed by the belly fat, it is vital to reduce unhealthy levels.

What did the researchers find out?

Abdominal total fat area, abdominal visceral fat area, body weight, and body mass index decreased significantly in the rose hip group at week 12 compared with their baseline levels after receiving the rose hip tablet intake.

The decreases in these parameters were “significantly higher” when compared with those in the placebo group, the researchers wrote.

Additionally, body fat percent tended to decrease compared with the placebo group.

What’s more, the abdominal subcutaneous fat area was significantly lower in the rose hip group than in the placebo group at week 12.

As opposed to visceral fat, subcutaneous fat is the type of fat you can pinch.

“These results suggest that rose hip extract may be a good candidate food material for preventing obesity,” the researchers concluded.

Other key tips to reduce visceral fat

As a general rule, if you want to reduce your belly fat, you’ll need to burn more calories (energy) than you consume, and eat the right kinds of food.

Bupa says the following can help you to achieve this:

  • Make sure you eat a balanced diet. Try to eat at least five portions of fruit and veg each day, and include higher-fibre starchy foods in meals
  • Have some reduced-fat dairy or soya drinks fortified in calcium
  • Eat more beans, pulses, fish and eggs
  • Eat small amounts of unsaturated oil
  • Drink six to eight glasses of water each day
  • Avoid adding salt or sugar to your meals.
“And finally, cut out sports drinks, sugar sweetened drinks and other foods that have a lot of added sugar in them,” advises the health body.

“Be aware that low-fat options might have high amounts of added sugar in them.”

In addition to eating well, you should also engage in regular physical activity to reduce visceral fat.

“The starting point for bringing weight under control, in general, and combating abdominal fat, in particular, is regular moderate-intensity physical activity — at least 30 minutes per day (and perhaps up to 60 minutes per day) to control weight and lose belly fat,” advises Harvard Health.

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This post originally appeared on Daily Express :: Health Feed
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Red-coloured drink shown off the threat of a heart attack

There are few health events more frightening than a heart attack, which often strike suddenly. There are numerous mechanisms that can cut off the blood supply to the heart but the most common is the build up of a waxy substance called cholesterol in the arteries. Fortunately, research suggests drinking pomegranate juice and eating dates can confer protection against cholesterol build-up, thereby staving off the risk of having a heart attack.

The key finding was published in an issue of Food & Function, a journal of The Royal Society of Chemistry.

Before conducting the study, the research team was aware of the individual benefits provided by pomegranates and dates.

To test their hypothesis that combining the two could provide protection against cholesterol build-up, the researchers performed atherosclerotic mice.

Atherosclerosis is the medical term for plaque that builds up inside your arteries.

The team found that the triple combination of pomegranate juice, date fruits and date pits provided maximum protection against the development of atherosclerosis.

Specifically, they found the winning combination decreased arterial cholesterol content by 28 percent.

The researchers conclude that people at high risk for cardiovascular diseases, as well as healthy individuals, could benefit from consuming the combination of half a glass of pomegranate juice (four ounces), together with three dates.

Ideally, the pits should be ground up into a paste and eaten as well, but even without the pits, the combination is better than either fruit alone, they noted.

Other key dietary tips

Everyone should aim for a well balanced diet to stave off the risk of having a heart attack.

“Faddy crash diets may not provide the balance of nutrients you need,” says the British Heart Foundation (BHF).

As the BHF explains, the best way to understand it is to think of foods in food groups.

Try to eat:

  • Plenty of fruit and vegetables
  • Plenty of starchy foods such as bread, rice, potatoes and pasta. Choose Whole grain varieties wherever possible
  • Some milk and dairy products
  • Some meat, fish, eggs, beans and other non-dairy sources of protein
  • Only a small amount of foods and drinks high in fats and/or sugar.

The pain is often mistaken for indigestion

Heart attack symptoms: The pain is often mistaken for indigestion (Image: Getty Images)

One of the diets that fits this pattern is the DASH (Dietary Approaches to Stop Hypertension) eating plan.

“The DASH diet encourages you to reduce the sodium in your diet and eat a variety of foods rich in nutrients that help lower blood pressure, such as potassium, calcium and magnesium,” explains the Mayo Clinic.

The DASH diet emphasises vegetables, fruits and low-fat dairy foods — and moderate amounts of whole grains, fish, poultry and nuts.

In addition to the standard DASH diet, there is also a lower sodium (salt) version of the diet.

The general symptoms of a heart attack

Heart attack symptoms: The general symptoms of a heart attack (Image: Getty Images)

Heart attack – the symptoms to spot

According to the NHS, the symptoms of a heart attack can include:

  • Chest pain – the chest can feel like it’s being pressed or squeezed by a heavy object, and pain can radiate from the chest to the jaw, neck, arms and back
  • Shortness of breath
  • Feeling weak or lightheaded, or both
  • An overwhelming feeling of anxiety.

It’s important to know that not everyone experiences severe chest pain.

“This is particularly the case with many women. The pain can often be mild and mistaken for indigestion,” explains the NHS.

“It’s the combination of symptoms that’s important in determining whether a person is having a heart attack and not the severity of chest pain.”

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This post originally appeared on Daily Express :: Health Feed
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Gogglebox stars' secret daughters shown in rare family picture

Gogglebox viewers have been thrilled to see a throwback snap of a young Giles and Mary which shows them with their two young daughters – who have never been seen before.

The couple, who live in Wiltshire, have been long-standing favourites of the show, but we’ve never been given a glimpse into their family life, until now, Leeds Live reports.

The rare snap of a much younger Giles Wood and Mary Killen was posted on the Gogglebox Instagram fan page and viewers have been left wanting to see more – as well as proving popular with fans who remarked how handsome a young Giles was.

And many exclaimed shock as they didn’t realise the pair had two daughters – both now grown up and living away from home.

One fan posted: “Great pic, didn’t know they had daughters!”

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A young Giles and Mary from Gogglebox with their two very private daughters, in a rare throwback photo
A young Giles and Mary from Gogglebox with their two very private daughters, in a rare throwback photo

A second fan, eager to see more, said: “Would love to see them all now and do they have grand kids?! Imagine them being your grandparents!”

A third added: “What a beautiful picture, I just think they are the funniest couple I enjoy watching them.”

While another said: “Brilliant picture and gorgeous family! Wouldn’t have known who this was without the caption!”

Another swooned: “Giles was good looking and Mary very pretty, what a lovely photo.”

The adorable and hilarious couple, who have been married for more than 30 years, frequently call each other the nickname ‘Nutty’ but we know very few private details of their life.

The only family member who is frequently spotted in the cottage is their dog.

One of the daughters was actually due to be partnered with Giles in the hit Channel Four show, however, she decided not to take part, but thankfully Giles managed to convince Mary to come onboard instead.

Author: [email protected] (Megan Shaw, Lisa Baxter)
This post originally appeared on Hull Live – Celebs & TV

Trade-offs Between S-ICD, Transvenous ICDs Shown in EFFORTLESS

Author: Steve Stiles
This post originally appeared on Medscape Medical News Headlines

One of the largest and longest follow-ups of patients implanted with the subcutaneous-lead implantable cardioverter defibrillator (S-ICD), now marketed as the EMBLEM S-ICD (Boston Scientific), paints a picture of solid performance that arguably has improved over the years.

The S-ICD has held on to its reputation as a niche device after more than a decade on the market, probably in large part owing to its limited capabilities compared with more fully featured implantable cardioverter defibrillators (ICDs) with transvenous leads, which remain the gold standard.

But experience and design and software upgrades over the years may have diminished the clinical impact of some of those S-ICD limitations, which include a lack of antitachycardia pacing (ATP) and — at least in earlier years — a propensity for t-wave oversensing, researchers say. Both issues can promote shocks that might be avoidable with most conventional ICDs. The device also lacks chronic pacing for bradycardia, which rules out its use in many patients with an ICD indication.

Still, the prevalence of appropriate shocks — that is, for potentially life-threatening ventricular tachycardia or fibrillation (VT/VF) — was about 16%, in this “final report” from the EFFORTLESS European postmarket S-ICD registry study. About half the nearly 17% prevalence of inappropriate shocks over 5 years was seen in the first 12 months after implantation.

On the other hand, cardioversion was successful in 98% of cases, and on the first shock in 90%, Pier D. Lambiase, PhD, reported April 24 at the the virtual European Heart Rhythm Association (EHRA) 2021 congress.

“Only” 2% of the cohort were switched from their implanted S-ICD to transvenous systems to take advantage of their pacing capability for bradycardia in four patients, ATP in seven patients, or cardiac resynchronization therapy (CRT) in nine patients, he said.

The S-ICD was approved in Europe in 2008 and by the US Food and Drug Administration (FDA) in 2012. Patients in EFFORTLESS were implanted with the device from 2011 to 2014.

Although one suspected case of lead failure was investigated and discounted, “Interestingly, there were no definite electrode failures in this population of nearly 1000 patients,” said Lambiase, University College London, United Kingdom.

That observation may have referenced the recent FDA-defined Class I recall of electrode components due to a potential fracture risk. The involved devices had been manufactured from March 2016 to November 2020. It was the first of two S-ICD safety recalls in the United States to be issued in the past 6 months.

The rate of shocks delivered inappropriately in response to atrial fibrillation (AF) or supraventricular tachycardia, another perceived S-ICD drawback that is also a potential issue with transvenous-lead systems, was “low,” at about 3%, Lambiase said.

Mixed Cohort

EFFORTLESS, conducted at 43 European centers, followed 984 patients for a median of 5.1 years and a mean duration of S-ICD use of 4.4 years; their initial mean age was 48 and mean ejection fraction was 43%. The patients’ heart-failure etiologies were ischemic in 29%; the remainder had various nonischemic conditions including hypertrophic cardiomyopathy and an assortment of channelopathies. The ICD indication was for primary prevention in 65%.  

Inappropriate shocks delivered by the S-ICD in the later years of follow-up were correlated with prior development of sensed — but not shocked — monomorphic VT that self-terminated, Lambiase observed. These made up 45% of detected episodes of monomorphic VT, the kind of VT that responds best to ATP.

“This is important, because it means that if we can identify these inappropriate episodes early, it may be possible to reprogram the device and prevent those shocks from occurring,” he said.

Complications and Inappropriate Shocks in EFFORTLESS

End Points 1 Year (%) 5 Years (%)
Overall complication rate

9.1

18.4

Inappropriate shocks 8.7 16.9
Inappropriate shocks for t-wave oversensing> 3.4 5.8

A history of valve surgery, compared with no such surgery, was the most potent measured predictor of late complications or inappropriate shock, at a hazard ratio (HR) of 5.77 (95% confidence interval [CI], 2.22 – 15.03; P = .0003) in multivariate analysis. A history of cardiac arrest almost tripled the risk, HR, 2.70 (95% CI, 1.24 – 5.91; P = .013).

Performing a cardioversion test within 30 days of S-ICD implantation and the presence of AF each slashed the risk for complications or inappropriate shock by three-fourths (P = .017 and P = .034, respectively), Lambiase reported.

There were 91 deaths (9.2%) in the study, but none were related to the S-ICD system or the implanting procedure, he said. About 40% of the deaths were noncardiac, 38% were cardiac but nonarrhythmic, and three (0.3%) were arrhythmic — although another 11% of the deaths were of unknown cause.

“A Worthy Trade-off”

“The EFFORTLESS study demonstrated efficacy comparable to studies with transvenous ICDs, avoiding the serious complications associated with transvenous leads,” said Giovanni Luca Botto, MD, ASST Rhodense-Garbagnate Milanese Hospital, Italy, as invited discussant for the Lambiase presentation.

Few patients experienced more than one episode of monomorphic VT over the 5 years, he observed, and almost half self-terminated while the rest elicited shocks. Thus, a need for ATP in the study was only 0.4% per year in the cohort that, by design, did not show a need for pacing at the time of S-ICD implantation.

“I strongly believe that patients and also physicians might accept that single or infrequent episode of an ICD shock for potentially ATP-amenable VT” from an S-ICD, Botto said, “as a worthy trade-off to avoid long-term lead complications from a transvenous ICD.”

Even so, the lack of pacing is probably largely behind the “lower than expected” uptake of the S-ICD in practice, he noted.

“Not all patients need pacing, but I think the great majority of patients benefit from ATP which subcutaneous ICD doesn’t offer at this stage,” Haran Burri, MD, University Hospital of Geneva, Switzerland, said at a panel discussion during the EHRA sessions.

There is a place for S-ICDs, “and I am a user of S-ICDs,” he said. But that use hinges on appropriate, arguably narrow, patient selection. “I see advantages with patients who have a high risk of infection, problems with vascular access, and very young patients who have arrhythmias which are not [amenable] to ATP,” for example.

“However, I think that this therapy really needs to improve. We’re really at early stages,” he said. The S-ICD has “very limited programming capacities,” and “the inappropriate shock rates are still somewhat high, even though they’re getting better.”

Certainly, “the transvenous ICD is needed for patients who need pacing for bradycardia,” observed Liesbeth Timmers, MD, University Hospital Ghent, Belgium, at the same forum. And “you also need a transvenous system” for CRT.

But, “I think the S-ICD should be considered in all patients who do not need pacing,” because it avoids “lead complications and systemic infections” that are the major complications associated with transvenous leads, Timmers said.

Ironically, Botto sees a theoretically greater risk for generator- and subcutaneous-lead-associated infections with the S-ICD as a “major” downside. An oft-cited limitation of the device is its shorter projected lifespan compared with transvenous lead systems: perhaps 7 years vs 10 or more years.

“The shorter longevity of the subcutaneous ICD compared to the transvenous will lead to a higher number of device replacements in the long run.” And those procedures themselves, Botto noted, are “burdened with a higher risk for infection.”

In light of the 7-year estimated S-ICD generator lifetime, Lambiase said, “we’re going to have to wait at least another five years, I think, to start seeing the impact of generator changes. We’ve only had one infection with a generator change, out of about 50 devices so far, in the cohort. But we’ll need to see the long-term outcomes, really, for this, in terms of the risk of infection.”

Multivariate Predictions of Death in EFFORTLESS

End Points HR (95% CI) P Value
LV ejection fraction (per 5-point increment) 0.78 (0.70 – 0.88

< .0001

Kidney disease (vs none) 5.87 (3.55 – 9.69) < .0001
Diabetes (vs none) 2.27 (1.37 – 3.76) .0015
Age at implantation (per 5 y increment) 1.14 (1.03 – 1.25) .0088
Shock of any kind (vs no shocks) 1.71 (1.05 – 2.77 .031
Not significantly associated with mortality: defibrillation threshold testing, complications, primary vs secondary prevention.

Lambiase disclosed receiving fees for speaking or serving on an advisory board for Boston Scientific, Abbott, and Medtronic, and receiving educational and research grants from all three companies.

Follow Steve Stiles on Twitter: @SteveStiles2. For more from theheart.org | Medscape Cardiology, follow us on Twitter and Facebook.