Sports

Toronto Maple Leafs – Working up a sweat!

admin

The Maple Leafs team is relatively streamlined, but that can be a good thing. Forwards on the ice include Nik Antropov, Jason Blake, Andrea Deveaux, Mikhail Grabovski, Niklas Hagman, Ryan Holloweg, Nikolai Kulemin, Brad May, Jamal Mayers, John Mitchell, Dominic Moor, Alexi Ponikarovsky, Matt Stajan, Lee Stempniak and Jeremy Williams. Defenders include Jeff Finger, Jonas Frogren, Tomas Kaberle, Pavel Kubina, Luke Schenn, Jaime Sifers, Anton Stralman, Mike Van Ryn, and Ian White. Goalies include Curtis Joseph and Vesa Toskala. Members off injured reserve include Williams, Finger and Van Ryn.

Players in the Maple Leafs system include team forwards Brent Aubin, Alex Barry, Darryle Boyce, Joel Champagne, Christopher Didomenico, Robert Earl, Jerome Flaake, Alex Foster, Matt Frattin, Stefano Gillati, Ryan Hamilton, Jimmy Hayes, Leo Komarov, Dale Mitchell. , Kris Newbury, Pierce Norton, Ben Ondrus, Chad Rau, Tyler Ruegsegger, Alexander Shinkar, Viktor Stahlberg, Jan Steber, Mikhail Stefanovich, Konstantin Volkov, and Ben Winnett. Defenders include Carl Gunnarsson, Chris Harrington, Korbinian Holzer, Staffan Kronwall, Andrew MacWilliam, Juraj Mikus, Phil Oreskovic, Richard Petiot, Maxim Semenov, Dmitri Vorobiev and Derrick Walser. Goalies include Justin Pogge, James Reimer and Grant Rollheiser.

Coaches and coaches supporting the Maple Leafs this season include head coach Robert Wilson, assistant coach Keith Acton, assistant coach Tim Hunter, assistant coach Rob Zettler, player development coach Paul Dennis, goalkeeping coach Corey Hirsch, Skating Coach, Grame Townshed, Strength and Conditioning Coordinator Matt Nichol, Team Manager Brian Paineau, Assistant Team Manager Bobby Hasting, Assistant Team Manager Tom Blatchford and Analyst Video Chris Dennis.

At 11th, the Maple Leafs aren’t breaking any records with a scoring of 42, but the season is still young so almost anything is possible. With two games remaining in January against the Avalanche and Penguins, the Maple Leafs move into February when they will play road games against the Sabres, Canadiens, Panthers, Lightning, Rangers, Islanders and Senators. Then in February, the Maple Leafs will host games against the Panthers, Penguins, Sabres, Blue Jackets, Canucks, and Rangers.

In March, the Maple Leafs will play road games against the Capitals, Senators, Lightning, Panthers, Canadiens, and Sabres. Home games in March will be times when the Maple Leafs will host competitions against the Devils, Oilers, Islanders, Lightning, Flames, Capitals, and Bruins. April ends the 2008-2009 season with six games for the Maple Leafs. Home games are scheduled against the Flyers, Canadians, Sabers and Senators and the game against the Senators will mark the last game of the season for the Maple Leafs on Saturday, April 11. Road games in April will be scheduled against the Flyers and Devils.

Currently, the Maple Leafs have 42 points in Eastern Conference League games with 17 wins, 22 losses, and 8 OTs. In the league standings, the Maple Leafs currently sit at 26th with only Tampa Bay, Ottawa, Atlanta, and the New York Islanders falling lower in the rankings. The Northeast division rankings place the Maple Leaf in fourth place behind Boston, Montreal, and Buffalo.

Tours Travel

Hodgkin Lymphoma and Brian’s Story: A Highly Curable Cancer

admin

BRIAN’S STORY

Brian was a 20-year-old college basketball star who was in excellent condition with no history of health problems. He grew up in a tough neighborhood with a single mother who raised him to be a fine young gentleman. He was awarded a basketball scholarship to the state university, where he became the league’s leading scorer during his junior year. When his mother came to visit him for a game at the end of the season, she noticed that Brian’s neck seemed much larger on one side than the other. The next day, she convinced him to see the university doctor who felt multiple enlarged lymph nodes on the right side of his neck extending from the angle of his jaw to just above his clavicle. The doctor ordered a neck and chest CT scan which confirmed multiple abnormal lymph nodes on the right side of the neck and in the center of the chest. Brian was referred to a general surgeon who removed one of the largest lymph nodes in his neck during outpatient surgery. This excisional biopsy revealed Hodgkin lymphoma.

Following his diagnosis, Brian was sent for a bone marrow biopsy which came back negative. He also underwent a PET/CT scan which confirmed abnormal activity on the right side of his neck and chest in multiple lymph nodes. Brian was referred to a medical oncologist who recommended treatment with ABVD chemotherapy. He received 4 cycles that he tolerated very well, with moderate fatigue. A restaging PET/CT scan revealed no residual abnormal activity. He was seen by a radiation oncologist who recommended low-dose involved-field radiotherapy (IFRT) after chemotherapy that was given for 3 weeks. Aside from a slight sore throat, Brian tolerated RT quite well. He was seen every 3 to 6 months by his medical and radiation oncologist for alternate follow-up visits. Brian has been disease free for 7 years.

THE ESSENTIAL

Hodgkin lymphoma (HL) is much less common than non-Hodgkin lymphoma (NHL), although it can be diagnosed in both children and the elderly. If the disease is localized, 5-year survival is greater than 90%. Even the most advanced HL patients have a 5-year survival rate of 75-80%

RISKS AND CAUSES

People who have a history of a first-degree relative diagnosed with HL have a significantly higher risk of developing the disease. Furthermore, patients who have an Epstein-Barr virus (EBV) infection early in life appear to be at increased risk of HL later in life. There also appears to be a correlation with patients of low socioeconomic status.

SIGNS AND SYMPTOMS

The vast majority of HL patients will present to the doctor with the complaint of an enlarged lymph node or multiple lymph nodes that do not go away. Most often, the node will originate in the neck, but it can also be felt in other common lymph node areas, such as the armpit (under the arm) and groin. Doctors should also ask about unexplained weight loss, fever, or night sweats, the “B symptoms” that are classic lymphoma. Although present in only a subset of patients, B symptoms tend to predict more advanced disease. Rarely, diffuse itching or redness of the skin may occur when patients drink alcohol as an early sign of LH.

DIAGNOSIS

Like NHL, the preferred method of biopsy for HL is complete surgical removal of an enlarged lymph node (excisional biopsy) whenever feasible and safe. There are multiple subtypes of HL including: nodular sclerosing, mixed cellularity, lymphocyte-rich, and lymphocyte-depleted. Another subtype, called nodular lymphocyte-predominant HL, appears to be biologically different from the others, but it also has an extremely high cure rate.

STAGING

Standard laboratory evaluation should include complete blood count, serum chemistry including kidney and liver function, blood lactate dehydrogenase (LDH) levels, and erythrocyte sedimentation rate (ESR), the latter two of which have been shown to predict more advanced disease when elevated . As with the NHL, the Ann Arbor staging system is used. This system is based on the number and sites of involvement in lymph nodes and other organs, as well as the presence or absence of B symptoms. Imaging should include CT of involved areas, including the neck, chest, abdomen, and pelvis. Whenever available, PET/CT is extremely useful for staging, radiation therapy (RT) planning, and assessment of response to treatment. Bone marrow biopsies are indicated for patients with advanced disease, including those presenting with B symptoms. Other factors that may have a negative impact on the result include male gender, age greater than 45 years, low serum hemoglobin, high white blood cell count. , low albumin and stage IV disease.

TREATMENT

Like NHL, HL is treated with a combination of chemotherapy drugs. For HL, four drugs are most commonly used in the United States: adriamycin, bleomycin, vinblastine, and dacarbazine. The acronym for the combination is ABVD. Treatment of tens of thousands of patients over the past decades with ABVD has consistently shown excellent results.

Early-stage HL patients generally receive 2 to 6 cycles of ABVD. Restaging images are obtained after 2 to 4 cycles to guide subsequent treatment. PET restaging is predictive of outcome. The combination of ABVD followed by involved field radiotherapy (IFRT) offers an excellent chance of cure.

Common acute side effects of ABVD include fatigue, nausea (usually well controlled with medication), mild anorexia, reduced blood counts, and hair loss. Rare but serious late side effects after treatment include adriamycin heart damage, bleomycin lung damage, and vinblastine nerve damage. Chemotherapy puts patients at slightly increased risk of developing future cancers, most commonly leukemia or NHL.

Since low doses and fairly small treatment areas are currently used for IFRT, the side effects are much less than decades ago when doses were higher and treatment areas were larger. Common acute side effects of IFRT include mild fatigue, possible partial alopecia (hair loss), and sore throat or difficulty swallowing, depending on the area treated. There is a risk of pneumonitis (lung inflammation) characterized by low-grade fever, dry cough, and shortness of breath on exertion, which classically occurs 1 to 3 months after RT. 5-10% of patients who develop lung inflammation usually have a resolution of their symptoms within 3-4 weeks of starting steroids. In the long term, despite the low doses and small RT fields, there is still a small risk of developing radiation-induced cancer years after treatment. Patients should be encouraged to stop smoking prior to RT. Adolescents and young women who require chest RT should start an annual mammogram (and usually a breast MRI) within 7 to 10 years of treatment or age 40, whichever comes first.

Late-stage HL is most commonly treated with systemic chemotherapy alone, again ABVD efficiently in the US Cure rates are around 70%. Patients may receive 6 to 8 cycles of ABVD, and restaging PET/CT is performed after 4 to 6 cycles to assess response. The role of consolidation IFRT for these patients is controversial.

Technology

A Guide to Luxury Vinyl Tile (LVT)

admin

Luxury Vinyl Tile (commonly known as LVT) has become the fastest growing sector of the flooring industry in recent years. Not to be confused with vinyl rolls often used as cheaper options for covering bathroom or kitchen floors, LVT is often mistakenly referred to as Karndean or Amtico by those more familiar with the brands than the type of vinyl. floor itself.

Today, there are dozens of manufacturers offering this type of flooring, from basic and very affordable options from companies like Lifestyle Floors, which offers great value for money, plus hard-wearing, hard-wearing tiles, to Polyflor, which has excellent range for domestic use and also specialized in commercial applications. Karndean, and even more so Amtico, sit at the high end of the luxury vinyl tile market with some great products, while Moduleo is one of the fastest growing brands in the fastest growing sector of the industry.

Luxury vinyl tile is available in both stone tile and wood plank effect, providing the natural beauty of hardwood and stone flooring without the drawbacks. LVT is warm underfoot, suitable for underfloor heating; The tiles are resistant to water and wear, making them ideal for kitchens and bathrooms alike. Most provide slip-resistant properties, are easy to clean, and require little or no maintenance. The LVT wear layer is a general indication of the quality or expected life, from around 0.2mm for general household use to 1mm for heavy commercial or even industrial use. Many manufacturers offer wear resistance guarantees of up to 25 years.

In recent years technological advances have made the manufacture of this type of flooring more eco-friendly, many companies now offer realistic textures such as Moduleo ‘Registered Emboss’ technology which follows the knots, scars and grooves of the wood. pattern to get as close as possible to the look, feel and texture of real hardwood, while offering all the benefits of LVT flooring.

Luxury vinyl tile is lightweight, making it easy to maneuver and transport for larger projects. New developments have enabled a new click system similar to laminate, while the traditional glued method remains preferred for some applications, such as sunrooms and conservatories. . LVT can be installed by the skilled do-it-yourselfer, although a solid, smooth subfloor is required and is key to a successful and long-lasting installation.

LVT generally falls somewhere between good quality laminate and real wood or stone flooring in terms of cost, however the nature of the product means it has several benefits over all alternatives with very few drawbacks. An ideal flooring solution for those looking for a high-quality floor that is hard-wearing, waterproof and easy to maintain.

Health Fitness

One of the best ways to combat Anti-Wrinkle Facial Treatment

admin

combat Anti-Wrinkle Facial Treatment

One of the best ways to combat the signs of aging is to have an Anti-wrinkle Facial Treatment. This facial treatment involves exfoliation, controlled inflammation, and healing botanical extracts. These ingredients help the skin regenerate and restore its youthful appearance. It can produce dramatic results within a matter of days. It also improves the skin’s texture and appearance, making it glow. In addition, the treatments can help to restore your skin’s natural moisture.

Anti-wrinkle Facial Treatment

Before getting an Anti-wrinkle facial treatment, you should schedule a consultation with a healthcare provider. The provider will review your medical history and allergies and discuss your goals for the treatment. He or she will explain the various treatments and options that are available to you. The treatment may last from a few minutes to an hour, depending on the type of treatment you choose.

Anti-wrinkle facial treatments are most effective when performed by professionals. These professionals are trained to diagnose the condition of your skin and recommend the appropriate products. They also have access to medical-grade skin-care products. However, if you are on a budget, at-home treatments are a good alternative. When used consistently and according to instructions, they can deliver satisfactory results. Some of the most popular at-home facial treatments are face masks, portable phototherapy devices, and facial steamers.

One of the best ways to combat Anti-Wrinkle Facial Treatment

Botox is a nonsurgical anti-wrinkle treatment that can reduce frown lines. This procedure works by blocking the nerve impulses that cause the muscles to contract. It is temporary and will not cure your condition permanently. Botox can also be used to treat excessive sweating.

best anti-wrinkle Facial Treatment practices

Anti-wrinkle facial treatments are a great way to get rid of the signs of aging and rejuvenate your skin. It will improve skin texture and tone and improve circulation to the surface. In addition, it can give you a more sculpted look, especially if done regularly. Ideally, you should have an anti-wrinkle facial treatment once a month.

best anti-wrinkle facial treatments to have youthful skin

Botox injections are another great option for treating your wrinkles. Botox is an injectable that paralyzes the muscles that cause frown lines between the eyebrows, and can also be used to treat facial volume loss. However, there are a number of risks associated with botox injections, and each treatment comes with specific risks.

Anti-wrinkle facials use natural ingredients and techniques to help rejuvenate the skin. The treatment may include exfoliation to soften the skin and reduce the appearance of fine lines and wrinkles. This type of facial is gentle and suitable for most skin types. However, it is important to find a qualified aesthetic provider who will recommend an anti-wrinkle facial.