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Science, Technology and Medicine open access publisher.Publish, read and share novel research. Donaire-Gonzalez D, Gimeno-Santos E, Balcells E, Rodriguez DA, Farrero E, Batlle JD, et al. Considering I already wrote on what happens when you have too much think time, I should have known that sitting on a beach was the worst place to escape my own mind. In the name of all competitors, I promise that we shall take part in these Olympic Games, respecting and abiding by the rules that govern them, in the true spirit of sportsmanship, for the glory of sport and the honor of our teams. Students use library or online sources to create time lines of various events that took place during the modern Olympic Games. Students create graphs comparing present and past winning results of various Olympic sports.
Faced with a sea of fresh faces each fall, teachers need to be able to get to know their new students quickly. Elementary-level students can complete a Student Profile Form Template with help from their parents or guardians.
Perfect for the primary grades, the My Favorite Things worksheet can be filled out by younger learners. Larry Ferlazzo, in this blog post, offers a link to a simple high school-level questionnaire. From California State University Science Education Professor Norman Herr, this student questionnaire could be adapted for all grades. See pages 30-38 of Macomb (MI) Intermediate School District’s New Teacher Academy Handbook for elementary-, middle- and high-school surveys. Exploding Lunch Bag: This experiment will wow children as they see the result of a chemical reaction between vinegar and baking soda. Lemony Eruptions: With simple household ingredients, students can conduct this fun, hands-on experiment with ease. Tie Dye: Tie dye is always a crowd favorite and afterwards, kids can incorporate the results into their wardrobe! Make Lightning: With a pencil, aluminum tray, wool cloth, styrofoam plate and thumb tack, kids learn how static electricity and a metal component can create a spark! Anemometer: Teach about how meteorologists measure wind speed by creating your own anemometer. Rocks and Minerals Scratch Test: Teach and study the cycle of rocks with this easy scratch test. Rainbow Bubble Snakes: With an empty water bottle, duct tape, an old sock, dish soap and food coloring, students can make a colorful stream of bubbles--or bubble snake--form like magic.
Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease.
Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: a population based cohort study. Impact of nutritional status on body functioning in chronic obstructive pulmonary disease and how to intervene.
Prevalence and characteristics of nutritional depletion in patients with stable COPD eligible for pulmonary rehabilitation. Effect of anti-inflammatory supplementation with whey peptide and exercise therapy in patients with COPD.
Evidence for a relation between metabolic derangements and increased levels of inflammatory mediators in a subgroup of patients with chronic obstructive pulmonary disease. Fat-free mass change after nutritional rehabilitation in weight losing COPD: role of insulin, C-reactive protein and tissue hypoxia.
Nutritional modulation as part of the integrated management of chronic obstructive pulmonary disease. Nutritional support and quality of life in stable chronic obstructive pulmonary disease (COPD) patients. Skeletal muscle molecular responses to resistance training and dietary supplementation in COPD. Comprehensive pulmonary rehabilitation results in clinically meaningful improvements in anxiety and depression in patients with chronic obstructive pulmonary disease.
The effects of pulmonary rehabilitation in patients with non-cystic fibrosis bronchiectasis: protocol for a randomised controlled trial.
A pilot study of pulmonary rehabilitation and chest physiotherapy versus chest physiotherapy alone in bronchiectasis. Soporte nutricional en el paciente con patologia pulmonar, enfermedad pulmonar obstructiva cronica y fibrosis quistica. Combined effect of dietary supplementation with pressurized whey and exercise training in chronic obstructive pulmonary disease: a randomized, controlled, double-blind pilot study. Nutritional support in chronic obstructive pulmonary disease: a systematic review and meta-analysis. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Physical activity is the strongest predictor of all-cause mortality in patients with COPD: a prospective cohort study.
The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs. Physical activity monitoring in COPD: compliance and associations with clinical characteristics in a multicenter study.
Therapeutic exercise in physiotherapy practice is beneficial: a summary of systematic reviews 2002-2005.
Supporting health behaviour change in chronic obstructive pulmonary disease with telephone health-mentoring: insights from a qualitative study.
Diseno de Circuitos para el entrenamiento urbano en pacientes con Enfermedad Pulmonar Obstructiva Cronica (EPOC).
Quality of life and burden in carers for persons with Chronic Obstructive Pulmonary Disease receiving oxygen therapy. Benefits of supplemental oxygen in exercise training in nonhypoxemic chronic obstructive pulmonary disease patients. Quantifying physical activity in daily life with questionnaires and motion sensors in COPD. Resting handgrip force and impaired cardiac function at rest and during exercise in COPD patients. Validity of six activity monitors in chronic obstructive pulmonary disease: a comparison with indirect calorimetry.
For all you “readers” out there, feel free to add your own advice about books, or suggestions for good reads for this summer! In order to post comments, please make sure JavaScript and Cookies are enabled, and reload the page. Those are the Latin words for the Olympic motto, which in today's language means "Swifter, Higher, Stronger." The best athletes from around the world exemplify that creed as they compete in the Olympic Games. Break the ice with the following back-to-school questionnaires created or recommended by EducationWorld. Student surveys get teachers up to speed quickly regarding young people’s learning preferences, strengths and needs.
Science activities, projects and experiments are perfect for keeping kids' brains engaged during the school break.
This experiment can be done outdoors and only takes a few ingredients: water, an ice cube, a piece of string and salt. According to my sister-in-law, it’s the hardest transition I will experience in life. We've included some lessons relating to the previous Olympic Games, knowing that creative teachers will be able to adapt them to this year's Olympics.
A But he promised me on his returnA back to the United States I would be the first media personality to interview him in New York City.A  I never will forget how confident he was that he would return victorious.
What are the views and perceptions of people with COPD regarding a pumonary rehabilitacion?7.
Once I got to college, I read mostly research articles, textbooks, and children’s books. I had to find some way to get my mind off what seemed like a failing transition into real life. However, you can tell a lot about an author’s writing style from reading the first page. Included: Activities that involve students in creating time lines and graphs, writing biographies of famous Olympians, and much more. Does the choice for inspiratory or expiratory muscle strength or endurance training matter? B (her last name actually started with a B, but I like to think it stands for bi%*#h) was my language arts teacher. If the writing style is dry, or you don’t enjoy the way it is written, choose a different book. Take the advice of what books to look in to, but then use the above suggestions to determine if you want to read the book.
Then just let yourself escape into the pages and allow the characters, setting, and plot fully develop in your mind.
Fernandez-Martin1[1] Faculty Health Sciences, Department Psychiatry and Physiotherapy, Malaga University, Spain1. The idea of reading a book I did not choose to read or want to read, and then having to write a book report about it was just dreadful. I mean the beach is definitely the perfect place to escape my own mind and relieve the stress of this long and depressing transition.
IntroductionPhysical inactivity (lack of exertional pursuits) is the fourth leading risk factor for mortality worldwide and contributes to 6% of all deaths. What could be better than simply relaxing on the beach and not worrying about how I am not quite sure where I am going next year, or what to do with my personal life? I wasn’t exactly a fast reader, and the pressure of finishing it in a designated time was too much!
Numerous prospective, observational studies suggest that the least active and unfit people are at the greatest risk for developing a variety of chronic diseases [3]. I avoided reading the books fully, didn’t care to find the time to read books outside of homework assignments, and grew to dislike books in general. Physical inactivity has been identified as an independent risk factor for cardiovascular disease, diabetes, hypertension, obesity, osteoporosis, colon, breast and other cancers, depression, anxiety and other illnesses [4].
Chronic Obstructive Pulmonary disease (COPD) is the most common chronic lung disease and is the fourth leading cause of death in the world.
COPD has a high impact on patients? wellbeing, health care utilization, and mortality [5] and causes a substantial and increasing economic and social burden [6, 7].As COPD worsens and individuals experience increasing respiratory symptoms, a vicious cycle develops whereby activity declines, walking speed is reduced, fitness levels decline, and activities of daily living become too difficult to carry out, eventually causing disability and dependence [8]. Physical activity is reduced in severe COPD [9] but the level of activity in individuals with moderate COPD is less well studied. Hence, inactivity may not only be a manifestation of disease severity in COPD but may also contribute to disease progression [10].
In a recent study of the patterns of physical activity including the frequency, duration and intensity of episodes of physical activity, patients with COPD wore the SenseWear® armband acelerometer for eight consecutive days [11].
A My second week at the course I got in early and became bored while waiting for my homeboys. With increasing COPD severity, time in physical activity, proportion of time performing activities, and frequency of activity decreased.
These objective outcomes provide the best measures of physical activity [12].COPD is characterized by inexorably progressive, non-normalizing airflow limitation and the severity of obstruction correlates with its morbidity and mortality [5, 13]. Based upon the presence of oxidative stress, increased levels of circulating cytokines, and multiple nonpulmonary manifestations, COPD is increasingly being recognized as a systemic disorder [5]. A My teammates and coaches were often challenged by my "Just give me the ball and get the hell out of my way" attitude. Furthermore, COPD does not manifest in a homogeneous manner and many different subgroups or phenotypes are being recognized. A I was not the best athlete on the field or on the court, but I thought I was.A When the game was on the line I wanted the ball in my hands. The polysystemic manifestations and heterogeneity of clinical and inflammatory profile presentations of COPD have led to an expanded classification in the most recent GOLD guidelines that incorporate clinical manifestations including effects on physical activity and healthcare utilization or risk in addition to physiologic impairment [5].
This multifactorial classification is used to stage COPD severity and to guide and monitor treatment [5].
In addition, the clinical course of patients with COPD is marked by repetitive exacerbations and abnormal inflammatory response which further contribute to a downward spiral of physical activity [5, 14]. Decreased caloric intake leading to nutritional depletion occurs in about 20-35% of outpatients with COPD and up to 70% of patients with acute respiratory failure or waiting for lung transplantation [15]. Cachexia, defined as weight loss with disproportional fat-free mass wasting, occurs in about one-third of patients with COPD eligible for pulmonary rehabilitation and represents a cause of increased mortality independent of ventilatory limitation [16].2.
Biochemical changesMany of the major pathophysiologic derangements in advanced COPD have been attributed to systemic inflammation [17]. Previous studies show that systematic inflammation is induced by inflammatory cytokines, such as tumor necrosis factor (TNF-?), interleukin (IL-6) and IL-8 [18, 19]. Fat-free mass (FFM) depletion marks the imbalance between tissue protein synthesis and breakdown that occurs in COPD [20].
These inflammatory cytokines and endocrine hormones contribute to the reduction in exercise tolerance and poor quality of life caused by skeletal myopathy in COPD patients [21]. A A It was a hot evening and the constant in and out of the woods was not a pleasant undertaking. Skeletal muscle dysfunction plays an important role in the symptoms and impairments in strength, endurance, and maximal exercise capacity experienced by patients [22].Bronchiectasis, permanent damage and widening of one or more of the large connecting bronchi (airways), may occur in nearly one third of individuals with COPD [22].
Individuals with bronchiectasis have elevated levels of proinflammatory cytokines that are associated with decreased fat-free mass, increased proteolysis and worse respiratory function [22-24]. Circulating (plasma) and intracellular biomarkers of oxidative stress are increased in patients with bronchiectasis compared with control subjects [25].
Decline in nutritional status is directly related to lung function outcomes and has been proposed as a predictor of morbidity and even mortality in patients with chronic respiratory diseases independent of the ventilatory limitation [15].
What I thought would be a nine-hole outing turned into eighteen holes and a White House visit and a Presidential appointment in 1969.
Furthermore, malnutrition is accompanied by a loss of diaphragmatic and structural skeletal muscle mass, as well as humoral and cellular dysfunction [15].
Anabolic stimulation through a combination of nutritional support and exercise appears to be the best approach to improving functional status [27]. General William Rogers, Hattie, President Nixon and HBA Petey and I would become great friends and in 1965 we would meet again. A The United Planning Organization a self-help community organization was hiring "Neighborhood Workers." A They hired three, me, Petey and H.
A subsequent Cochrane Database meta-analysis showed that undernourished patients with COPD improved with nutritional supplementation [29]. Malnourished patients who received supplementation had significantly better maximum inspiratory pressures and maximum expiratory pressures [29].Thus, impaired skeletal muscle function is a potentially remediable systemic manifestation of COPD [30]. A Two years later Rap would be named Chairman of the Student Non-Violent Coordinating Committee.
These findings have implications for identification of drug targets aimed at improving muscle function in COPD [30].
A I would become a Roving Leader (Youth Gang Task Force) for the DC Recreation Department and Petey would find his new home in radio at WOL.
Except for markers of myogenesis, molecular responses to resistance training are not tightly coupled to lean mass gains [30].
Management of comprehensive pulmonary rehabilitation Pulmonary Rehabilitation (PR) has become a cornerstone in the management of patients with stable COPD in recent years [31].
A Three UPO "Neighborhood Workers" would go on to establish their own independent idenities.


A Petey would win 2 Emmy Awards and in 2007 there was a feeble attempt to do his life story on the big screen. In addition, physical training and chest physiotherapy in respiratory disease have long-term, durable benefits [36-38].
The components of PR vary widely but a comprehensive program includes smoking cessation, education, nutrition counseling, and exercise training [5]. He is now in jail serving a life sentence for the murder of a black Deputy Sherrif in Fulton County, Georgia. Educational and nutritional managementAll patients enrolled in PR should receive educational and nutritional interventions as part of an integrated care plan that seeks to achieve a normal nutritional status, either through natural diet or supplements [15, 39]. Nutrition depletion occurs by multiple mechanisms including energy imbalance, disuse atrophy of the muscles, hypoxemia, systemic inflammation and oxidative stress [15]. Each of these mechanisms may represent targets for nutritional intervention.Patients with COPD are best managed through multimodal therapies delivered through an integrated healthcare system [40]. Dietary supplementation with whey may potentiate the effects of exercise training on exercise tolerance and quality of life in patients with COPD [41].
Use of a nutritional supplement containing anti-inflammatory whey peptide with exercise therapy in stable elderly COPD patients increased body weight, reduced markers of systemic inflammation, and improved exercise levels and respiratory health [17]. There is a clear need for adequately powered and controlled intervention and maintenance trials to establish the role of nutritional supplementation in the enhancement of exercise performance and training and wider management of the systemic features of COPD [40]. Brian McIntyre.A  He was sitting almost alone and there was no one waiting in line (compared to today's media circus). Hence, combination therapy, nutritional, pharmacologic, and physical training, may produce weight gain, increases in lean mass, respiratory muscle strength, exercise capacity, lung function, and respiratory health while reducing morbidity and mortality. Physiotherapy, occupational therapy, and medical treatment are individually adjusted to each patient’s needs and requirements with the goal of improving current quality of life and these targets should be re-adjusted when patients opt for palliative care [42].Although prior reviews did not provide evidence for the usefulness of nutritional supplementation therapy, more recent analyses concluded that nutritional supplemental therapy increased weight, fat free mass, exercise tolerance, and hand grip strength in undernourished patients with COPD [29, 43, 44]. High calorie nutrition therapy and L-carnitine supplementation may be beneficial whereas no effect is observed with additional creatine [45]. Although both low and high intensity exercise training are beneficial for patients with COPD, higher intensity lower extremity exercise yields better physiologic improvement than lower intensity exercise [46]. PR programs that are 12 weeks or longer produce enhanced and more durable results than shorter programs [43, 46]. Importance of exercise trainingThere are two different types of Physical Exercise Training for COPD patients: endurance and interval type training [47].
A  I looked down and notice that all the white media were seated on one side of half-court and all the blacks were seated on the other side of the half-court line. However, patients with symptoms of severe dysnea during exercises were incapable of performing high-intensity (70 to 80 % of the peak work rate) continuous type training. Interval training is recommended as an alternative to continuous training in patients with severe symptoms of dyspnoea during exercise due to an inability to sustain continuous training at the recommended intensities.
During interval training short exercise bouts (30-180 seconds) are performed at high intensity (at least 70-80% of peak work rate). Finally, there is evidence that regular physical activity contributes to the primary and secondary prevention of several chronic diseases and is associated with a reduced risk of premature death [48]. Physical activity is defined as any bodily movement produced by the contraction of skeletal muscle that increases energy expenditure above a basal level [49]. Exercise therapy is defined as a subcategory of physical activity in which planned, structured, and repetitive bodily movements are performed to maintain or improve one or more attributes of physical fitness [49].
He stepped in front of me and said "I got it."A It would be the start of the 4th quarter that Mark returned to the press table table and apologize for his unprofessional actions. Physical fitness refers to the ability to carry out daily tasks with vigor and alertness without undue fatigue and with ample energy to enjoy leisure time pursuits and to meet unforeseen emergencies [49]. Physical activity is the strongest predictor of all-cause mortality in patients with COPD [50]. A There were other mistakes like someone thought a black Judy Holland was VP material---far from it.
The low levels of Physical Activity (PA) generally observed in people with COPD may be due in part to the difficulties they experience as they attempt to perform daily activities that they need and want to perform [14]. There is strong evidence that community physiotherapy benefits health by promoting physical activity [8, 53]. A It took a minute but in the meantime, he was making an effort to bring about change in his own way. Exercise prescribed by a physiotherapist can target directly any impairments contributing to activity limitations and requires the active participation of subjects in an individualized physical exercise program [53]. A But according veteran (32 years) sports writer Bill Rhoden of the New York Times, progress in sports media pressrooms around the country are on a slow boat to China.A His recent appearance on the widely acclaimed television news show Meet the Press, he said, "the NBA, NFL and MLB are still dragging their feet. Exercise training can produce significant improvement in health related quality of life, exercise capacity, respiratory muscle strength, and exertional dyspnea in patients with COPD who have normal exercise capacity [54]. Hence, enrollment in a comprehensive Pulmonary Rehabilitation Program (PRP) that includes exercise training and dietary supplementation may benefit patients with COPD.
Media pressrooms at Deadline are still the last plantations.A A Pioneering broadcaster and former NBA CBS basketball analyst Sonny Hill and now a sports talk show host on WIP Radio in Philadelphia said, "I am not surprised by Rhoden's statement, very little has changed in media pressrooms. A One of the problems there is no networking among blacks who have moved it up the ladder." A That is an understatement. Furthermore, physical activity is an attractive outcome measure for interventional studies in patients with COPD.Both physical activity and daily exercise improve the health of COPD patients [10].
It is necessary to avoid a sedentary lifestyle and encourage them to perform physical activity and exercises [10].
The performance of regular physical activity by patients with COPD reduces the risk of both hospital admissions and all-cause and respiratory mortality [10]. It appears that patients with COPD have a significantly reduced duration, intensity, and number of daily physical activities when compared with healthy control subjects [56].
Hence, the recommendation that COPD patients be encouraged to maintain or increase their levels of regular physical activity should be considered in future research [10]. A  The copy rights for Inside Sports is own by News Week Magazine and it is own by the Washington Post.
Oxygen therapyOxygen theray is one of the therapies currently available to reduce COPD mortality [59]. Long-term oxygen therapy (LTOT) reduces pulmonary hypertension and improves survival in patients with COPD and resting hypoxemia (arterial partial pressure of oxygen ?55 mmHg) [60]. A A First, there was a a problem with the PR Men from hell, Brian Sereno and Matt Williams. The use of oxygen supplementation during exercise training for individuals with COPD is unclear [61]. A A It was brought to my attention that Sereno was disrespecting the ladies of The Roundball Report. Supplemental oxygen during exercise training improves functional outcomes such as symptoms, health-related quality of life, and ambulation [61]. However, there are no significant differences in maximal exercise outcomes, functional exercise outcomes (six-minute walk test), shuttle walk distance, health-related quality of life, or oxygenation status [61, 62].COPD patients with low fat-free mass (FFM) have lower levels of oxidative stress with supplemental oxygen [63]. Patients with COPD are able to achieve a higher work rate during exercise training, which positively affects training results after several weeks [64].
A The meeting was set before a Wizard's game in the press louge but Scott Hall was the lead man.
It is generally recommended that COPD patients who are already hypoxaemic at rest should use oxygen during exercise, aiming at a rather arbitrary oxygen saturation of > 90% [64]. A review of the effect of oxygen in COPD patients with or without desaturation during exercise training concluded that hyperoxia has no clear effect on the results of exercise training in COPD patients with or without documented desaturation during exercise [64]. A He listened and we disagreed on some points but when we walked away from the table we were on the same page. Only one study demonstrated a significant, and clinically relevant, improvement in higher work load during rehabilitation [65]. Measuring and improving the physical activity level in COPD patients?Exercise tolerance is a well accepted clinical marker in COPD and provides information about disease stage, prognosis, functional capacity, and the effects of treatment [66]. The assessment of physical activity in healthy populations and in those with chronic diseases is challenging. Furthermore, physical activity is most accurately measured using objective tools such as accelerometer-based activity monitors [67]. Physical activity monitors are frequently used to estimate levels of daily physical activity [69]. These devices use piezoelectric accelerometers, which measure the body?s acceleration, in one, two or three axes (uniaxial, biaxial or triaxial activity monitors). The signal can then be transformed into an estimate of energy expenditure using one of a variety of algorithms, or summarized as activity counts or vector magnitude units (reflecting acceleration) [69].
With the information obtained in the vertical plane or through pattern recognition, steps or walking time can also be derived from some monitors [69]. A systematic review identifies the available activity monitors that have been appropriately validated for use in assessing physical activity in these groups [70]. Forty monitors were tested in validation studies; 12 uniaxial, 3 biaxial, 16 triaxial accelerometers and 9 multisensor devices [70].
Furthermore, a recent study evaluated the validity and usability of six activity monitors in COPD patients against the double labelled water indirect calorimetry method [71]. A The community and everyone in it was a friend, the old and the young, the black and the white and the healthy and the lame. Moreover, the Dynaport MiniMod and Actigraph GT3X discriminate best between different walking speeds [69]. A I was honored to speak at his retirement held at the arena just before the Bullets moved to Washington and changed their name to the Wizards.A Denny Gordon was in ticket sales and it seem like he knew everyone who brought a ticket. Overall, these findings should guide the choice of valid activity monitors for research or for clinical use in patients with chronic diseases such as COPD.
The main finding of this pilot-study was the significant reduction in physical activity observed with each patient.
The study provides evidence for a gradual reduction in daily physical activity levels with increasing GOLD stage, although the correlation between physical activity and lung function is weak [9].5. Strength and endurance are the two main functional properties of both respiratory and peripheral muscles and reduction in either strength or endurance leads to muscle dysfunction. A He was made the scapegoat after being sold out by his assisstant coach Bernie Bickerstaff and others. Strength mainly depends on muscle mass, and endurance is related to muscle fiber aerobic properties [72]. Many COPD patients experience muscle dysfunction and reduced muscle mass, primarily as a result of chronic immobilization [74]. Over the last decade, the potential use of resistance training for COPD has gained increasing attention. A The meeting revolved around a charity all-star game scheduled for the Bahamas, the island home of NBA star Mycal Thompson. A Cochrane Database Systematic Review showed that breathing exercises over four to 15 weeks improve functional exercise capacity in people with COPD compared to no intervention; however, there were no consistent and clear effects on dysnoea or health-related quality of life [75]. Muscle strength can be measured by the maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) [76]. A Magic Johnson was one of All-Stars participating.A Representatives from the NBA included VP Ron Thorne, Legal Counsel Gary Bettman and head of security Horace Balmer. Inspiratory muscle training (IMT) provides breathing training together with resistance loading produced by a valve and is regarded as a mixture of strength and endurance training.
IMT may improve inspiratory muscle strength, endurance, functional exercise capacity, dyspnoea, and quality of life.
A question to be taken into account in the planning of a respiratory muscles training protocol in COPD patients would be to determine which is more important, inspiratory muscle strength training or endurance training.
A meta-analysis showed that inspiratory muscle endurance training was less effective than respiratory muscle strength training [76].
Both types of training (strength and endurance) significantly improve the endurance of the muscles, but only strength training was able to significantly improve the MIP, the MEP and functional exercise capacity [76]. A A Gary Bettman is the Commissioner of the NHL, Thorne is somewhere lurking in the NBA, Balmer has since retired and Magic is a role model for Black America? Although many resistance devices are available, the Threshold-IMT® is frequently used and produces loads of 7-41 cm H2O.
A A The short lived existence of basketball legend Michael Jordan as a Wizard's player and Executive in the front office. A After the story broke he and several teammates made light of it during introductions of a game. The PowerLung® is for inspiratory and expiratory muscles training and has four models that produce varying levels of resistance [72].The Orygen-Dual Valve® was designed and patented by researchers of Barcelona and allows both simultaneous and sequential dual training work (expiratory and inspiratory muscles) (Figure 2) [72]. A He was eventually suspended for most of the 2009a€“10 season.A The thing that I find disturbing about this Donald Sterling charade is that folks are acting like they were surprised by his rants against blacks.
A A I also notice the same "Old faces and voices" are called on to respond to the racist acts by men like Sterling---when they are a part of the problem . A He and Sterling were good friends because "Birds of a feather flock together." A  Check Magic's history out and you will discover the two have a lot in common. In addition, a 4-week supervised high-intensity respiratory training program in patients with COPD demonstrated functional improvements [78, 79].
A Magic's claim to be a minority owner of the LA Dodgers is another sham (token black face). The Orygen-Dual Valve® makes the rehabilitation programme more efficient than usual training as it requires fewer resources in terms of time and staff, and allows patients to acquire skills for further training outside the Hospital [68]. Furthermore, the hi-IMT achieves this result in a shorter time, which is an advantage for improving the efficiency of rehabilitation programmes within the public health system [72]. James Brown (CBS Sports) another mis-guilded brother claiming to be a minority baseball owner and an expert on racism. The training must be supervised by a therapist once a week during the first month.The addition of high-intensity IMT to aerobic exercise produced incremental benefits in muscle weakness, cardiopulmonary function, and health-related quality of life in a randomized study of patients with chronic heart failure [80].
A He did finally admit on the late George Michael Show (Sports Machine) "I have no say in making baseball decisions as a minority owner." A His role as a minority owner is to be paraded out on Opening Day as the black face to read the starting line-ups. A multicenter randomized controlled trial is currently underway to determine whether the addition of IMT to a general exercise training program improves the distance walked in six minutes, health related quality of life, daily physical activity, and inspiratory muscle function in individuals with COPD and reduced inspiratory muscle strength [81]. A A This is the same Michael Wilbon that I had at least two recent conversations about the use of the N word as a term of endearment. What are the views and perceptions of people with COPD regarding a pumonary rehabilitacion?Individuals with COPD people who complete a course of PR believe that ongoing structured exercise with professional and peer support assists them with continued regular exercise [82].
A I have to give him credit, he will at least talk to me face to face and not behind my back. However, patients with COPD often encounter potential barriers to PR attendance including difficulties with travel to exercise venues, fluctuating health status with respiratory symptoms that impede physical activity, and psychological emotional effects including feelings of embarrassment [82, 83]. A I tried to explain that his rationale that his grandfather's use the word as a term of endearment does not make it right today. Many qualitative studies of PR in patients with COPD have been performed over the past decade to determine the impressions and opinions of PR participants. A I told him he should not go on national television saying it is okay to use the N word among friends and family. A It gives bigots like Donald Sterling the Green Light to do the same among his friends and family.
The first one is known as the grounded theory approach [90] and the second theory is the interpretative phenomenological analysis framework [88, 89, 91]. A Plus, Michael told me he was not going to appear on the ESPN Show Outside the Lines because the white host had no horse in the race! Qualitative research uses data collected from focus groups [82, 92], semi-structured interviews [87, 93, 94] or a combination of both methods [92, 95].
Some studies use triangulation research (96) or embed a qualitative study in a randomized controlled trial in order to explore patients’ views on self-management [97]. A A I wish that Magic, James, Michael and the rest of the media experts would defer to black men like Hank Aaron, Dr. The main areas of research were: the effect of people?s health status on exercise adherence [82], pain (85), and social relationships, such as social integration and social support [86].


It is necessary to increase strategies for self motivation among individuals with COPD [87]. Encouraging health behaviours is a key feature relating to PR participation including physical activity and smoking reduction or cessation [55]. A But they wear the battle scars and have been on the front lines of the civil rights movement in real life and in the sports arenas of America. Telephone delivery of health-mentoring is feasible and acceptable to individuals with COPD in primary care and may improve PR participation [55].
A In other words, they have been there and done that.A I guess that is wishful thinking, especially when everyone wants to be an expert on television. Telemonitoring of individuals with COPD enhanced self-management by improving patients’ knowledge about their disease [97].7. A In the meantime, they don't know their asses from a hole in the ground but the beat goes on and on.
Occupational therapy in COPDPatients with COPD may benefit from occupational therapy as well as physical therapy. A qualitative study suggested that occupational therapy may reduce breathlessness, improve mental outlook, and increase the confidence of individuals with COPD [84].
In the future, occupational therapists may be able to assess and provide rehabilitation interventions for patients with COPD [98]. Incorporation of occupational therapy in PR may increase patients’ knowledge of COPD, elevate their sense of control, promote re-engagement in activities, reduce anxiety, and improve social engagement [98]. A Auerbach would go a step further in the 1966-67 NBA season, when he stepped A down after winning nine titles in 11 years, and made Bill Russell player-coach.
Theoretical and clinical occupational therapy supports a rehabilitation model based on continued participation in activities that are considered essential in the life of the person [99]. A A trailblazers, RED AND DOTIE AUERBACHi»? ON INSIDE SPORTSA Russell would eventually be the first black to win an NBA championship. The respiratory symptoms of patients with COPD have an impact on activities of daily living. Occupational therapy interventions in patients with COPD aim to develop specific strategies to perform basic activities of daily living, and leisure activities, so that they involve the least possible waste of energy [100].
Through energy saving techniques, Occupational Therapy aims to reduce the patient's subjective respiratory distress. In activities of daily living training, patients learn to work efficiency and also learn economies of movement, minimizing the energy cost of dressing, personal hygiene, home care, leisure activities, shopping, and other activities related to the patients? work [100]. Although simple, energy saving techniques require a learning process that is difficult to achieve outside of a multidisciplinary rehabilitation program [100].
Research into COPD’s psychological effects on patients’ ability to perform daily activities provides a wholistic approach to COPD and its consequences.
A There are far too many crying "Foul" and playing the victims in this charade, to include some NBA owners.A Let me start with my homeboy, the great Elgin Baylor who was the Clippers GM for over 2 decades. The Occupational Therapy framework provides a basis for the design of a comprehensive PR intervention that addresses all aspects of a patient’s life. His teams were perennial losers on the court and in attendance, but he picked up his check every two weeks and kept his mouth shut.
Recent research shows that optimization of occupational performance improves the welfare of individuals with COPD [101]. Members of the patient’s social network should not be excluded from these plans and interventions.
Application of a family psychoeducational program based in training and information about COPD pathology including risk factors, habits that facilitate disease progression, specific strategies for handling the problems of daily life, and how to face the difficulties in occupational performance for each stage of the disease may empower the patient’s friends and family to assist with rehabilitation [102].
An initial interview with the patient, family, and friends is the initial step to developing a comprehensive PR program that includes all members of the patients’ social network [103]. A A In his deposition, Elgin spoke about what he called Sterling's 'plantation mentality,' alleging the owner in the late 1990s rejected a coaching candidate, Jim Brewer, because of race. ConclusionIn conclusion, a multidimensional therapeutic approach is recommended for developing a comprehensive pulmonary rehabilitation program for patients with COPD.
Critical elements of PR include optimization of pharmacologic and nonpharmacologic management, exercise, physical activity, ventilatory support, nutritional, and occupational therapy interventions. In addition, there is a need for new models for pulmonary rehabilitation which allow all program components to be delivered at home, with proven clinical outcomes and low costs [104]. A Talking about an organization needing a change of name and a face-lift---meet Leon Jenkins.A Jenkins seen above at a press conference trying to explain why the li»?ocal branch was honoring Sterling during the 100th Anniversary of the organization next month. It is possible that undertaking pulmonary rehabilitation within the home environment may promote more effective integration of exercise routines into daily life over the longer term with greater adherence to exercise [104]. A A He explained the previous award had been approved by the man he replaced and he just went along to get along.
In fact, home-based exercise programs achieve equivalent clinical outcomes and are cost effective compared with hospital-based programs. A A Sterling won't be the first to sleep black and think white when it comes to sex, politics and money. Slave owners lived by the credo and in modern day history there was the late Senator Strom Thurmond.
A Nike NBA rep John Phillips and I met with VP Rod Thorn, League Counsel Gary Bettman and Head of League Security, Horace Balmer.
A The meeting centered around whether Magic Johnson, Mycal Thompson and a group of NBA All-Stars would be allowed to travel to the Bahamas for a charity basketball game without league approval.
The game had been played in the Bahamas the previous year without incident or controversy.A It was obvious that there was a power-play being made by the league office to cancel the game. Thorn open the meeting by asking who was going to be responsible if one of the players was hurt during the game? A Magic suggested that the topic of conversation just might be centered around an injury to a player. I tried to explain that playing the game was no different then one of the players participating in a pick-up game on a New York City playground in the off season. A What is this some kind of plantation?"A The room went silent and Horace Balmer the only other black in the room just shook his head and seem to be lost for words. A Thorn called off the discussion and promised to get back to us but he never did.A In the meantime, Magic Johnson disappeared and changed his number.
A Mycal was a class act but his hands were tied when Magic decided to do his Houdini act.A Gary Bettman now runs the NHL, Ron Thorn is still in the NBA somewhere calling the shots, Horace Balmer has since retired and Magic is the face (black) in the middle of the Donald Sterling charade.
A When all is said and done, the real victim despite all of her baggage is the girlfriend (The Whistle Blower) V.
A NBA Commissioner Adam Silver during his annoucement as it related to the punishment of Donald Sterling apologize to black NBA pioneers Earl Lloyd, Chuck Cooper and Magic Johnson. A He reminds me of the controversial Celebrity Chef Paula Deen who alledgely use The N word to describe her love for black folks.
A  How should we expect her to know if she has never walked in our shoes ?A  When it is a part of your DNA it is difficult to rid yourself of the gene.A  A One morning I was watching Ms. This award was longed overdue and I wonder why it took the NAACP so long to finally recognized Mr. Belafonte in accepting the award asked, "Where are today's black leaders?A  Our children's blood is still running in our streets---there is work still to be done.
The coalition stated it will urge President Obama to mention an urban jobs plan in his state of the Union speech on February 12th----Good luck! Ben Carson of John Hopkins University Hospital.A  His prayer and message was centered around health care, the economy, American debt, and tax reform, thus taking dead aim at President Obama's platform for the nation.
Carson spend 25 minutes talking about the nation's ills and solutions with the President sitting less than 5 feet from him.A  When all was said and done, President Obama was not looking so Presidential! Carson set the record straight from the very beginning.A  He made it clear he was not taking any wooden nickels.
In 2010, he became that series' youngest driver and the first black driver to win a race at Greenville-Pickens Speedway. A close friend of mine that has been partially paralyzed by strokes, pays for aids to "help".
If they show up, they usually just sit and do nothing, root through her jewelry and personal effects, and some have been caught stealing jewelry.
One was there when she collapsed with another stroke, and instead of calling for help, she called her boyfriend and left, leaving her patient to manage on her own.
It runs M - F from 10am - Noon and starting on Monday July 22 will repeat from 4pm - 6pm each day.
My opinions about Tiger Woods or any other issue are mine and I could give a damn about what Feinstein or anybody else things about them. In their prime at theA Washington Post, they were among the best sports writers in the country.
A I was up close and personal with the sports department.A Kindred and Chad were talented writers but you could not trust them, Cornheiser and Feintstein's talent, they easily blended in with the landscape of the paper. A Feinstein called Wilbon the biggest ass kisser in sports media, if that is true he had great teacher in Cornheiser. A When Solomon tried to kick Cornheiser to the curve (fire him) in the 80s he was able to move to the Style section of the paper. A One black female Washington Post columnist wrote a book titled "Plantation on the Potomac." A She was describing her employer. A Hopefully, they were asked to participate and were of the same mindset as Wilbon not comfortable with Mr. A Goodell makes more than any player in the NFL and he never has to make a tackle or catch a pass.A The owners recent pay out to the players for injuries suffered on their watch was peanuts compared to the billions they make year in and year out. A When he refused a request by his mother to cease using the word and a similar plea by poet Myra Angelo.
Martin Luther Kinga€™s 1963 march on Washington and 46 years since his assassination in Memphis, Tenn. With the high-scoring Macauley, elite passer Cousy, and new prodigy Sharman, Auerbach had a core that provided high-octane fast-break basketball. In the next years until 1956, the Celtics would make the playoffs every year, but never won the title. Brown was desperate to turn around his struggling and financially strapped franchise, which was reeling from a 22a€“46 record.[5]A The still young but already seasoned Auerbach was made coach.
A Nike NBA rep John Phillips and I met with VP Rod Thorn, League Counsel Gary Bettman and Head of League Security, Horace Balmer.A The meeting centered around whether Magic Johnson, Mycal Thompson and a group of NBA All-Stars would be allowed to travel to the Bahamas for a charity basketball game without league approval. A He was right on point.A To this day I think Magic had a previous discussion with the league office.
James Gholson, Red Auerbach, Biff Carter, Jessie Chase, Morgan Wooten, Everett Cookie Payne Sr., Frank Bolden, Dr. Leo Hill, Roper McNair, Earl Alfred, Maxwell Honemond, Tilman Sease, William Roundtree, Charlie Baltimore, Jaky Mathews, Ferdinand Day, Nick Turner, Walter Brooks, Ted McIntye, and my saviors, Dave Brown and Bighouse Gaines.A  They knew their Xs and Os, but more important, they were there for our highs and lows.A  Where have all those flowers gone? We never could have made it without them.I have given up on the Pigskin Club, but keeping hope alive for the DC Recreation Department and the Roving Leader Program.
BELL 12-25-1940---8-1-2013A A GOOD COP WHO BROKE THE CODE OF SILENCE IN THE WASHINGTON, DC POLICE DEPARTMENT.
A The real Serpico is seen leaving the Bronx Courthouse alone after testifying before the Knapp Commission on wide spread police corruption in the department.
A In the old days police A would carry a "drop knife---an inexpensive weapon cops would bring along on patrol to drop onto or next to suspect that they had taken out so that they could say that he had threaten them. A Today you don't even need to do that; all that you have to do is justify the use of deadly force if you are a police officer is to say that you feared for your life, for whatever reason.
If the victim dies, that just means there will one less witness around to contradict the test-lie.
A In the case of Officer Michael Slager of the North Charleston police, it appears he was being extra-carefulto cover his tracks.
A Probably he could have gotten away with simply declaring, as he did in the radioed report, that Walter Scott "took my taser," and that would have probably have sufficed to exonerate him. A But Slager having shot Scott eight times in the back--as everyone can see in the now famous video--perhaps felt that he needed a little help explaining what he was up to.
A So apparently dropped his Taser next to Scott's body, which would obviously help to make the case that Scott "Took my taster."A If you think that what happen in North Charleston is a unique case, its not.
A Only recently, in another case, a policewoman in Pennsylvania first Tasered a black man then shot him twice in the back as he lay face down in the snow.
A Unless honesty is rewarded more often then corruption, the police will lose credibility altogether. A I wrote a letter to President Bill Clinton in 1994 addressing this very issue, saying that honest cops have never been rewarded, and maybe there ought to be a medal for them, he wrote back but nothing change. A If enough testi-lying is uncovered, then who is going to believe the police even when they are telling the truth? A A Until now the shoot first fear of my life mantra has eliminated any cause for concern in the taking of life by police. A When a civilian committs a crime, every nuance is looked at, the better to "throw the book at" the suspect. A The other day I got a letter from a journalist in Argentina who was complaining about police and judicial corruption there. A I wrote back to him, there are good cops, even where you live, but if the good cops don't want to be painted with the same broad brush as the bad cops, they need to come forward and expose the guys who are doing bad things. A Take New York City detective who was caught on camera recently abusing an Uber driver with threats and foul language, A This was truly disgusting behavior.
Yet predictably enough the detective union leader, Michael Palladino, was out there making excuses for him, suggesting that, well, it was only one incident, and everyone has a bad day. A Afterward Police Commissioner William Bratton announced he was removing the detective's shield and placing him temporarily on desk duty while an investigation is conducted . A But this man needs to be demoted to uniform at the very least, or "back in the bag" as we use to say. A Imagine what he is capable of doing under the cover of darkness if he can talk to someone like that in broad daylight.
A There are plenty legitimate incidents where police believe, correctly, that their lives are in danger. A I was in a few of those situations myself during the course of my career.A But unless the police forces and society as a whole take action we're not going to be able to distinguish between the legititimate claims and made-up testimony. A A long time ago Norman Rockwell painted a famous picture of a friendly neighborhood cop bending down to help a little boy. A For example; I could name someone who is a great athlete but a lousy human being or I could name someone who is a great human being but not a great athlete. A Heading the list is Muhammad Ali (The Greatest), Red Auerbach (NBA), Dave Bing (NBA), Lenny Moore (NFL), Bert R. Sugar (Boxing), Lee Jones (NBA), Roy Jefferson (NFL) and Harold McLinton (NFL), finding pro athletes like them today are far, few and in-between.
A And that is a sad commentary when you think about the hundreds of men and women I have interviewed on Inside Sports and worked with as a youth advocate (Kids In Trouble). Moore, LB Dave Robinson (2013 NFL Hall of Fame inductee) and WR Roy Jefferson host KIT toy party. A Sam Jones (NBA), Lenny Moore (NFL) and Roy Jefferson (NFL) participate in KIT clothing drive for needy children at Union Station. A Bert Sugar (Boxing) receives KIT Life Time Achievement Award and Dave Bing (NBA) pays tribute to KIT Saturday Program All-Stars.I had the opportunity to hear an interview on Sirius A XM Radio (channel 126) on the Maggie Linton Show recently, her guest was NFL Washington Pro football player, wide receiver Peirre Garcon.
A I have not been very impressed with todaya€™s pro athletes and their give back commitment to their family, friends and community.
A He has three older sisters making him the youngest and the only one born in the United States.His father died when he was 4 years old leaving his mother to raise him and his 3 sisters alone. A My background is similar to Peirrea€™s, my mother had to raise 4 boys alone with an assist from Grandma Bell.



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