concerns

fitness

Man City boss Pep Guardiola admits serious concerns over Sergio Aguero’s fitness

SPURS 2-0 MAN CITY: JOHN CROSS REACTS AS SPURS SHOW GENUINE TITLE CREDENTIALS

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Pep Guardiola has admitted serious concerns about Sergio Aguero’s long term fitness.

Guardiola left the club’s record scorer on the bench even though Manchester City desperately needed a goal to stop their disappointing start to the campaign suffering another defeat.

But City boss Guardiola insisted they will have to manage his games very carefully from now on which casts doubt over the 32-year-old’s future in terms of being able to be their No1 striker.

Aguero, whose contract expires in 2021, has struggled to come back from a raft of injuries, the last one being a serious knee issue suffered in June which kept him out of their Champions League campaign and has restricted him this season.



a man holding a football ball: LONDON, ENGLAND - NOVEMBER 21: Sergio Aguero of Manchester City arrives at the stadium prior to the Premier League match between Tottenham Hotspur and Manchester City at Tottenham Hotspur Stadium on November 21, 2020 in London, United Kingdom. Sporting stadiums around the UK remain under strict restrictions due to the Coronavirus Pandemic as Government social distancing laws prohibit fans inside venues resulting in games being played behind closed doors. (Photo by Matt McNulty - Manchester City/Manchester City FC via Getty Images)


© Matt McNulty/Manchester City FC/Getty Images
LONDON, ENGLAND – NOVEMBER 21: Sergio Aguero of Manchester City arrives at the stadium prior to the Premier League match between Tottenham Hotspur and Manchester City at Tottenham Hotspur Stadium on November 21, 2020 in London, United Kingdom. Sporting stadiums around the UK remain under strict restrictions due to the Coronavirus Pandemic as Government social distancing laws prohibit fans inside venues resulting in games being played behind closed doors. (Photo by Matt McNulty – Manchester City/Manchester City FC via Getty Images)

Guardiola said: “I’m not going to say we don’t need Sergio, we need him. But Sergio, when he was 31 years old, was injured for five months with a difficult and dangerous injury.

“He came back, played 50/55 minutes and then got injured again. We want him and I want Sergio fit because I now discover how important he is for us with what he has done in the Premier League.

“But we have to be careful so he doesn’t come back and get injured again. We need the right moment to put him inside. Hopefully it can be soon and maintain the regularity to play games.”

City are struggling to score goals, they are stuck in mid-table and yet Guardiola admits that the fixture schedule has made it impossible to do anything on the training pitch other than match fitness.

When asked how easy it is to work on the training ground, Guardiola said: “Impossible. But for all the clubs it is the same so I’m not saying we have an advantage or disadvantage. It’s just impossible. No chance.

“It is my responsibility as a manager to lift them and to give them as much as possible. I have never in 12 years pointed the finger at someone. Everyone is going to solve it.

“I would love to have Sergio back, I would love to have Gabriel back but they are not going to solve all the situations. We scored in two seasons more than 100 goals and 80/90 percent of the players are the same, especially up front.

“We lost Leroy Sane, but he didn’t play much last season because he was injured all season and we

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fitness

Man City star travels to London with squad ahead of Tottenham clash despite fitness concerns

Manchester City have been handed a boost ahead of their crunch clash against Jose Mourinho’s Tottenham on Saturday afternoon, with reports claiming Sergio Aguero has travelled to the capital with the rest of the squad, despite obvious concerns over his fitness.

The Argentine has only recently return to full first-team training, after an injury sustained in the draw at West Ham last month, however looks to have been thrusted straight back into the first-team squad, such is the importance of the upcoming Premier League clash against high-flying Spurs.

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(Photo via Man City)

According to journalist Lucas Scagliola, who appeared to have maintained an inside-track on the Argentine’s long-term injury over the summer, the 32-year-old was part of the travelling contingent that descended on the capital on Friday afternoon.

It is believed that the Argentina international only returned to first-team training over the international break, and after experience with rushing him back on previous occasions, it may come as a surprise to some that he could play some part in the weekend’s clash.

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(Photo via Man City)

Pep Guardiola will be looking to make major strides in the top-flight title race after a relatively disappointing opening few months to the campaign. However, could the Catalan boss have that ‘new-contract bounce’ following his two-year extension at the club this week?

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You can follow us for live updates here: @City_Xtra

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dentist

San Luis Obispo Dentist Reports the Top Dental Concerns for Teens

Daily brushing and flossing and limiting sugary food and beverages are always at the top of good dental practices regardless of age. The tween and teen years do highlight some special concerns and Dr. Douglas Ng, a dentist in San Luis Obispo, CA is pleased to bring these concerns to the attention of parents and teens.

SAN LUIS OBISPO, Calif. (PRWEB) November 11, 2020

Daily brushing and flossing and limiting sugary food and beverages are always at the top of good dental practices regardless of age. The tween and teen years do highlight some special concerns and Dr. Douglas Ng, a dentist in San Luis Obispo, CA is pleased to bring these concerns to the attention of parents and teens.

The late teen years are the time that wisdom teeth begin to erupt through the gums, often causing pain and complications. Wisdom teeth come in between 17 and 21 years and they often do not have enough room to completely grow in. Problems can include pain, infection, tooth decay, gum disease and damage to adjacent teeth. The dentist may recommend removing them to prevent more problems, or when removal is part of getting braces.

Along with problematic wisdom teeth, the teen years are often the time kids get braces, start smoking, getting mouth jewelry, and participating more assertively in sports.

  • The tween and teen years are often the time of life when kids get braces and extra attention is required to maintain a healthy mouth. Follow the dentist and hygienist’s instructions to the letter and keep all of your appointments. The dentist may recommend avoiding foods that might break or bend the wires, such as nuts, popcorn, or sticky foods.
  • Smoking is a very unhealthy habit for all of the body, not just the mouth. Along with causing bad breath, and ultimately contributing to heart and lung disease, smoking contributes to gum disease, tooth loss and oral cancer. Tobacco stains teeth and even the tongue, dulls the sense of taste and smell, and contributes to slow healing after dental procedures.
  • Oral piercings and tongue splitting don’t really look that cool, and might be dangerous to health. The mouth contains millions of bacteria and piercings and tongue splitting can easily become infected, resulting in serious complications such as hepatitis or endocaritis. Jewelry inside the mouth damages tooth enamel and can chip and even break teeth.
  • Wear a mouth guard during any sport including skateboarding or snowboarding. Mouth guards help protect your teeth from being broken or knocked out and cushion blows that could damage the lips, face, and jaw. Ask your San Luis Obispo dentist for the best mouth guard.

Other issues that can surface with teens include eating disorders and drug addictions. Early signs of certain eating disorders or substance addictions can also show up in the mouth.

  • The stomach acids from repeated vomiting erode tooth enamel, especially on the inside of the teeth.
  • “Meth Mouth,” a term describing the stained, rotting and crumbling teeth associated with methamphetamine use, happens
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health

Type 2 diabetes drug recalled over concerns medication contaminated with possible carcinogen

Metformin, a medication to treat type 2 diabetes, is facing a recall over concerns it has been contaminated with a possible cancer-causing substance. 

Nostrum Laboratories Inc., the maker of Metformin, announced it is voluntarily recalling two lots of the medication – Metformin HCl Extended-Release Tablets, USP 750 mg – because the lots have been found to contain above-acceptable limits of nitrosamine, also known as NDMA, a “probable human carcinogen,” per the recall announcement posted to the U.S. Food and Drug Administration’s (FDA) website on Monday. 

This isn’t the first time excess levels of NDMA in medications have prompted recalls. In the past, certain blood pressure and heartburn medications have been affected.

This isn’t the first time excess levels of NDMA in medications have prompted recalls. In the past, certain blood pressure and heartburn medications have been affected.
(iStock)

“NDMA is a known environmental contaminant and found in water and foods, including meats, dairy products and vegetables,” per the announcement. 

No adverse events related to the recalled medications have been reported to date, the company said. 

METHOD HAND SOAP RECALLED OVER BACTERIA CONTAMINATION CONCERNS 

The affected medications are packaged in HDPE bottles of 100 tablets, under NDC 29033-056-01, per the announcement on the FDA’s website. Lot numbers are MET200101 and MET200301. Both lots have an expiration date of May 2022. 

“The product can be identified as an off-white oblong tablet debossed with ‘NM7.’ Metformin HCl Extended-Release Tablets, USP 750 mg was distributed nationwide to wholesalers,” per the announcement. 

COLORADO HIKER WITH CORONAVIRUS-LIKE SYMPTOMS FOUND TO HAVE RARE, POSSIBLY LIFE-THREATENING DISEASE

“Nostrum Laboratories Inc. is notifying its distributors by letter and is arranging for return of all recalled products. Pharmacies that have Metformin HCl Extended-Release Tablets, USP 750 mg, which is being recalled, should return to place of purchase. Consumers should consult a health care professional to obtain a replacement or a different treatment option,” the announcement reads. “It could be dangerous for patients with type 2 diabetes to stop taking their Metformin without first talking to their health care professional. Consumers should contact their physician or health care provider if they have experienced any problems that may be related to taking this drug product.”

COTTONELLE FLUSHABLE WIPES RECALLED OVER BACTERIA CONCERNS

Consumers with additional questions can contact Nostrum Laboratories Inc. Medical Affairs at 816-308-4941 or email [email protected] 

This isn’t the first time excess levels of NDMA in medications have prompted recalls. In the past, certain blood pressure and heartburn medications have been affected.

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health

New Metformin Warning Issued Over Cancer Concerns

Metformin was previously uncovered to possibly contain high levels of a cancer-causing ingredient, resulting in a string of recalls for the diabetes drug. Nostrum Laboratories is now recalling even more Metformin medication because it was also found to contain nitrosamine impurities above the limits found acceptable by the U.S. Food and Drug Administration (FDA).

Metformin is used for blood glucose management for adults with Type 2 diabetes. The latest recall stems from high levels of N-Nitrosodimethylamine (NDMA) that are above the limits set by the FDA. NDMA has also been classified as a probable cancer-causing ingredient.

The recall affects four lots of Metformin HCl Extended Release tablets prescribed in 500 and 750 mg dosages and packaged in 100-count bottles. The medication has the NDC numbers 29033-055-01 and 29033-056-01 and the lot numbers MET 100201, MET100401, MET200101, and MET200301. The expiration date on the diabetes drug is May 2022.

The Metformin medication, which is distributed nationwide, can be identified by its off-white, oblong tablets that are debossed with “NM5” or “NM7.”

Consumers that have the affected diabetes medication in their possession should obtain a replacement drug or alternative treatment plan. Nostrum Laboratories warns that it could be more dangerous for a patient to stop taking the recalled Metformin drug without first talking to their healthcare provider.

Questions about the recall can be directed to Nostrum Laboratories Medical Affairs at 1-816-308-4941, Monday through Friday from 8 a.m. to 5 p.m. CST or by email at [email protected] Medical advice about the medications should be directed to a physician or pharmacist.

type 1 and type 2 diabetes type 1 and type 2 diabetes Photo: Tesa-Photography – Pixabay

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health

J&O Mixed Veggie Dip Cups Recalled Over Egg Allergy Concerns

KEY POINTS

  • The product was distributed in Colorado, Kansas, South Dakota, Wyoming and New Mexico
  • FDA said egg was listed as one of the ingredients of the ranch dressing but it was not mentioned on its label
  • No adverse reactions related to the recalled product have been reported

Minnesota-based Russ Davis Wholesale is recalling its Mixed Veggie Cup with Dip due to “undeclared egg” content in it. People with egg allergy may experience an allergic reaction if they consume the product, the company warns.

The issue was reportedly discovered during a routine label audit when the company’s quality control team noted that egg was listed as one of the ingredients of the ranch dressing but it was not mentioned on the label.

“The Mixed Veggie Cup with Dip was distributed in Colorado, Kansas, South Dakota, Wyoming, New Mexico in higher education, health care and corporate campus’ in grab ‘n go coolers,” the Food and Drug Administration (FDA) announced Thursday.

The affected products are labeled as J&O Mixed Veggie Cup with Dip in 5.o-ounce plastic containers with a sell-by date from Sept. 30 to Nov. 2, 2020.

No adverse reactions related to the recalled products have been reported so far but the company warns of possible “serious” or “life-threatening” allergic reactions in people who are sensitive to eggs if they consume the product. It has asked those who have purchased the product to dispose of it. 

Customers who have any questions related to the recall can contact the company at 877-433-2173.

According to the American College of Allergy, Asthma & Immunology (ACAAI), egg allergy is actually one of the most  common allergies, especially in children. People who are allergic to chicken eggs may also be allergic to other types of eggs including quail and turkey.

“Experts estimate that as many as 2% of children are allergic to eggs,” the ACAAI noted. “Fortunately, studies show that about 70% of children with an egg allergy will outgrow the condition by age 16.”

Common symptoms of egg allergy include skin reactions such as hives, difficulty in breathing, sneezing or runny nose, watery eyes, or stomach pain after eating or even just by touching eggs. A less common but life-threatening reaction is anaphylaxis, which requires immediate medical treatment.

Although egg allergy is quite common, it is an ingredient that usually remains hidden in products. This is why the FDA lists it as one of the eight allergens to be included on the ingredients label of packaged food products “in clear language”. 

Salad Pictured: A salad with fresh baby gem lettuce, heirloom tomato, toasted walnuts, and miso yaki tofu dressing Photo: Getty Images/Guillem Sartorio

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health

South Korea urges people to get flu vaccinations despite concerns about deaths

South Korean commuters wear protective masks as they crowd after getting off the subway during rush hour on September 15, 2020 in Seoul, South Korea.

Chung Sung-Jun | Getty Images

South Korea urged citizens to get vaccinated against influenza and reduce the chances of an outbreak that coincides with the battle on the coronavirus, as it kicked off free inoculations for the last eligible group.

Public anxiety over the safety of flu vaccines has surged after at least 48 people died this month following vaccinations, while, last month, about 5 million doses had to be disposed of after not being stored at recommended temperatures.

Authorities have said they found no direct link between the deaths and the flu shots and have sought to reassure South Koreans about the safety of the vaccines against flu, a disease that kills at least 3,000 each year.

“Vaccination offers far greater benefits compared to side effects, and both the WHO and domestic and overseas experts agree,” Health Minister Park Neung-hoo told a briefing on Sunday, in a reference to the World Health Organization.

Last year, more than 1,500 elderly people died within seven days of receiving flu vaccines, but those deaths were not linked to the vaccinations, the government said.

As South Korea presses on with its inoculations, southeast Asia’s tiny city state of Singapore became one of the first nations this week to call a temporary halt to the use of two influenza vaccines, as a precaution.

Singapore has reported no deaths linked to flu vaccinations.

South Korea ordered 20% more flu vaccines this year to ward off the prospect of what it calls a “twindemic” of concurrent major flu and coronavirus outbreaks in winter.

At least 1,154 instances of adverse reactions have been reported from among more than 9.4 million people inoculated since the effort began in September.

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health

356 Cases Of Trader Joe’s Halibut Recalled Over Allergen Concerns

KEY POINTS

  • Orca Bay Foods is recalling its Trader Joe’s brand Gluten Free Battered Halibut
  • The recall was issued after the discovery of undeclared milk and wheat allergens
  • Although less common, anaphylaxis is a potentially life-threatening reaction to allergens

Trader Joe’s is recalling 4,450 pounds of its Gluten Free Battered Halibut due to undeclared allergens. Those with wheat or milk allergies may potentially experience severe allergic reactions if they consume the product.

Seattle-based Orca Bay Foods on Friday recalled 356 cases of its 10-ounce Trader Joe’s brand Gluten Free Battered Halibut SKU 00503822 with the code 537312620 and “Best If Used By Nov. 5, 2021” noted on the box.

In an announcement posted on the U.S. Food and Drug Administration (FDA) website, Orca Bay Foods noted that the affected products contain wheat and milk allergens that were not declared in the packaging information. The recall was initiated once this was discovered.

The affected products were sold in Trader Joe’s stores in Wisconsin, Vermont, Tennessee, Rhode Island, Ohio, New York, New Hampshire, Nebraska, Missouri, Minnesota, Michigan, Massachusetts, Maine, Kentucky, Kansas, Iowa, Indiana, Illinois and Connecticut.

Those who may have purchased the product are being advised to check if the item they bought is affected by the recall. If it is, they should return it to where they bought it for a full refund.

Photos of the recalled product are available at the FDA website.

Fish Pictured: Representative image of a plate of fish. Photo: Monika Schröder/Pixabay

So far, no illnesses related to the recall have been reported but the company said in the announcement that people with an allergy or “severe sensitivity” to wheat or milk may experience a severe allergic reaction if they consume the product.

In the case of wheat allergy, symptoms such as swelling, hives, nasal congestion, headache and difficulty in breathing may appear within minutes to hours after consuming products that contain wheat. In severe cases, the patient may even experience anaphylaxis, which is a less common but potentially life-threatening allergic reaction that may cause the throat to swell and send the body into shock, according to the American College of Allergy, Asthma & Immunology (ACAAI).

What’s difficult about wheat allergy is that it’s not always obvious whether a product contains wheat. Although breads, pastas and cereals are the more obvious food products that contain wheat, the grain may also be present in hot dogs, ice cream or sauces. Even non-food items such as Play-Doh and cosmetics may contain wheat.

“A wheat allergy reaction can cause symptoms that range from mild to life-threatening; the severity of each reaction is unpredictable,” the ACAAI said.

As such, it’s important for people with food allergies in general to always carry an auto-injector with epinephrine in case of an anaphylactoc shock. 

Similarly, people with milk allergy may also experience more common symptoms such as hives, stomach upset, bloody stool and vomiting, with anaphylaxis being a rarer reaction.

The ACAAI notes that about 80% of children outgrow their milk allergy

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fitness

Pep Guardiola reveals fitness concerns sustained by crucial Man City defender

During Manchester City’s 1-1 draw with West Ham, Pep Guardiola decided to bring Kyle Walker off the pitch and replaced him with Oleksandr Zinchenko – with the Ukrainian international recently returning from injury. 

Following the match, the Manchester City boss went on to reveal the reasons behind his decision, citing the fact that Kyle Walker has started every game for the club this season. Guardiola was also quick to confirm that the England right-back was ‘exhausted’.

“He [Kyle Walker] was exhausted. He [Kyle Walker] has played every minute here and with the national team. He is exhausted. I don’t think [he will be rested in Marseille], tomorrow we will regenerate, we will travel to France and see how the people feel.”

fbl-eng-pr-west-ham-man-city (7)
(Photo by JUSTIN TALLIS/POOL/AFP via Getty Images)

Pep Guardiola also revealed after the game as to why he decided to bring on Zinchenko as opposed to the more attacking-minded Ferran Torres, who certainly impressed in the midweek victory over Porto. Guardiola claimed that he wanted to have a left-footed player on the left, and further explained:

“It was to have a left-footed [player on] left, and right-footed on the right. That was the reason why – on the left, we go inside and the right we have problems to lose balls and needed to play more on the left.”

Although Manchester City had to make do with a draw, ending a fantastic run of nine consecutive victories over West Ham, Kevin De Bruyne’s return to action will prove to be a huge boost for Pep Guardiola’s side, who now turn their attention to Champions League duties on Tuesday night.

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Follow us on Twitter for live updates: @City_Xtra

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health

After pausing for safety concerns, AstraZeneca and Johnson & Johnson have resumed their U.S. vaccine trials.

Late-stage coronavirus vaccine trials run by AstraZeneca and Johnson & Johnson have resumed in the United States after the companies said Friday that serious illnesses in a few volunteers appeared not to be related to the vaccines.

Federal health regulators gave AstraZeneca the green light after a six-week pause, concluding there was no evidence the experimental vaccine had directly caused neurological side effects reported in two participants. The AstraZeneca news was first reported by The Wall Street Journal.

Johnson & Johnson said that its trial, which had been on pause for 11 days, would restart after a company investigation determined that a “serious medical event” in one study volunteer had “no clear cause.” To maintain the integrity of the trial, the company said, it did not check whether the volunteer received the vaccine or the placebo.

Dr. Luciana Borio, a former acting chief scientist at the Food and Drug Administration, welcomed the announcements, citing the urgent need for multiple vaccines to remain in the race for a product that could protect the global population from the coronavirus, which has already killed more than a million people worldwide.

“The demand for safe and effective Covid vaccines exceeds any single manufacturer’s production capacity,” Dr. Borio said. “We really need several in the field.”

An F.D.A. spokesperson declined to comment on Friday afternoon.

AstraZeneca and Johnson & Johnson are two of the four companies now in late-stage clinical trials in the U.S. for experimental coronavirus vaccines. Both companies are using adenoviruses, which typically cause harmless colds. The adenovirus is engineered so that it can chauffeur a coronavirus gene into human cells.

Their two high-profile competitors, Moderna and Pfizer, also in advanced trials, are instead using a technology based on genetic material known as mRNA. Delivered into human cells, the mRNA prompts the production of coronavirus proteins, triggering an immune response.

AstraZeneca moved swiftly into clinical trials, enrolling thousands of volunteers for its vaccine trials around the world in countries including Brazil, India, South Africa and Britain. A large, late-stage trial kicked off in the United States at the end of August. But all the trials were halted days later, on Sept. 6. A volunteer who had received the vaccine in the United Kingdom reportedly experienced symptoms of transverse myelitis, or inflammation of the spinal cord, triggering a global pause to the company’s efforts.

The incident sparked some concern among experts, who noted that a similar adverse neurological event, reported months ago, had occurred in another vaccinated volunteer. While this earlier event prompted its own pause in AstraZeneca’s trials, an independent safety board ultimately determined it was unrelated to the vaccine, allowing studies to resume.

Following the second AstraZeneca halt in September, trials abroad rapidly resumed in most countries. But the American hiatus persisted, with few details released as to why.

According to two vaccine experts familiar with the situation who were not authorized to discuss it publicly, the F.D.A. did not directly tie the vaccine to the two neurological illnesses, although it could

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