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Sixty days of bed rest is the order for folks chosen to participate in a study being conducted by NASA and ESA on Earth.Participants from the United States will need a passport, as this study is happening in Germany."The German Aerospace Center (DLR) is researching how the body changes in weightlessness," says the study sign-up page online. "Bed rest simulates this condition. We are looking for test persons who take part in a bed rest study from September to December 2019 in Cologne and spend 60 days lying down. "Based on the study results, scientists are developing countermeasures that reduce the negative effects of weightlessness on astronauts," the website says.The study is called "AGBRESA" (Artificial Gravity Bed Rest Study) and the information that comes from it is used to improve conditions for astronauts in space."We accompany you on your mission as a terrestrial astronaut. Our team consists of scientific, physiotherapeutic and medical professionals - and nutritionists are also on board to take care of your physical well-being," says the website. 1081
Tamera Mason deals with four competing autoimmune diseases everyday, and her service dog Irene helps her stay on top of things.“She is a diabetic and Addison trained dog,” Mason said.Addison’s Disease is a disorder in which the body doesn’t produce enough hormones. It can be life threatening.“She has kept me safe,” Mason said. “And instead of having an Addison crisis about every six weeks, now in a year and a half I’ve only have two ICU visits. Both of which she predicted and was able to alert me for.”Dogs can learn to “alert” their owners when they smell a certain trigger, like low blood sugar, if properly trained. Irene bumps Mason’s leg.“Irene is 20 to 30 minutes ahead of when the glucose monitor said I was in trouble,” Mason said.Given Mason’s condition and her full time job at an emergency department, it can make all the difference. “I have been very blessed with a dog who truly has superpowers,” Mason said.She got Irene from a nonprofit called Service Dogs of Virginia. They train dogs with different skills based on the future owner’s needs. “We don’t train the dogs to smell the odor, they do that because they’re dogs and they have a nose. What we do is train them to tell us when they smell that odor,” Peggy Law, the founder of the organization, said.Law calls them "toddlers with superpowers. She saw the need for service dogs in her community, saying the demand grew enormously. With that demand comes more businesses entering the industry, but not always for the right reasons. Service dog companies and trainers are not monitored or regulated by any government agency. Instead, a nonprofit coalition has formed in its place.“We are really regarded as the global leaders of the industry for setting standards,” Chris Diefenthaler, the executive director of Assistance Dogs International (ADI), said.ADI has come up with its own peer-review accreditation process to help combat fraud.“It is a very thorough, comprehensive evaluation,” Diefenthaler said.ADI had 273 member organizations worldwide in 2018. In that year, they helped place more than 7,700 service dogs, four percent were diabetic alert dogs. Irene was trained through an ADI-accredited facility.“We have a reasonable sense of when I go to bed at night, being able to wake up,” Mason said.Some aren’t so lucky.“We found out he had skin issues which ended up being from autoimmune diseases from being overbred,” Michelle Ninstant said. Ninstant was desperate to find ways to help her son who had just been diagnosed with diabetes, and heard how service dogs could help.“My son, Zack Johnson, was diagnosed with Type 1 Diabetes back in 2012,” she explained. “He was very brittle, so no matter how much we gave him to carb him up and bring his sugars up he could drop 20, 30 seconds after that.”She found a company selling service dogs, with a price tag of ,000. After waiting nine months, she received Alan, a 13-week-old service dog who was supposed to come with basic training. Within days, Alan was shoeing troubling symptoms, and still had not learned the basics like “sit” or “stay”.“While we’re trying to learn about diabetes in general and then add a service dog onto it, add my sons health issues onto it,” the mother explained. “He’s part of your family so you just don’t want to send him back.”She said in the first year alone, vet bills totaled close to ,000 as they figured out what was causing Alan’s skin and immunity problems.Ninstant ended up training Alan herself with some help, and on multiple occasions Alan helped save Zack.But six years later, you can still see Alan struggle with skin problems and itching.“Alan’s part of our family,” Michelle said.Service Dogs of Virginia keeps up with their clients every year. “We want to make sure they’re doing all the things that they need to to make sure the dog is working well,” Law said.While Law said a service dog isn’t the right solution for everyone, there are ways to make sure you are buying from a trustworthy organization. “I think you have to ask a lot of questions,” she said. 4059

Strong opioid dosage is the topic of a two-day public hearing by the Food and Drug Administration — which is trying to discern the benefits and risks.For Katrina King, her opioid addiction began with a back injury. It got so bad she spent two years behind bars after getting caught with forged prescriptions. King blames being put on high-dose medication too strong for her injury."The extended release — introducing that into the picture as such a potent dose so early in my diagnosis without trying anything else — ended up being catastrophic," she said.Some people have suggested the FDA remove high-dose opioids form the market to fight the deadly epidemic. Others argue the stronger meds are necessary to manage pain for some patients and getting rid of it could worsen pain for those people, leading to potential suicides."We don't want to cause additional suffering for people who have unmanageable pain that does make them feel they don't want to live anymore. On the other side of that, I would challenge the pharmaceutical industry and the FDA to come up with other methods of pain control," King said.The FDA will review public comments and decide whether to make change, which could include tougher regulations on reducing the use of high-dose opioids. 1276
Researchers thought they had a way to keep hard-to-treat patients from constantly returning to the hospital and racking up big medical bills. Health workers visited homes, went along to doctor appointments, made sure medicines were available and tackled social problems including homelessness, addiction and mental health issues.Readmissions seemed to drop. The program looked so promising that the federal government and the MacArthur Foundation gave big bucks to expand it beyond Camden, New Jersey, where it started. But a more robust study released Wednesday revealed it was a stunning failure on its main goal: Readmission rates did decline, but by the same amount as for a comparison group of similar patients not in the costly program.“There’s real concern that the response to this would be to just throw up our arms” and say nothing can be done to help these so-called frequent fliers of the medical system, said study leader Amy Finkelstein.Instead, researchers need to seek better solutions and test them as rigorously as new drugs, said Finkelstein, of the Massachusetts Institute of Technology and the National Bureau of Economic Research.Federal grants and research groups at MIT paid for the study, which was 1236
Schools districts across the U.S. are drawing up plans for how they’ll possibly reopen classrooms for the 2020-21 school year based on recommendations from state and federal officials. If schools do reopen in the fall, many teachers may not be there. USA Today and Ipsos 283
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