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medicine

Dioxane levels rise; Michigan Medicine further restricts visitors; Small Business Saturday in A2

Happy Friday!

I hope you had a nice Thanksgiving, even though it likely looked different this year. Today is Black Friday, and although it’s known for great deals to be had at big-box stores, a lesser-known day is Small Business Saturday. Now more than ever, local businesses need support — especially as the pandemic and cold weather restrict operations.

Need some ideas? Main Street Ann Arbor just released its annual shopping guide. Here’s another guide that highlights businesses that are women- and minority-owned. Meanwhile, this gift guide focuses on local food and drink producers. Sarah has also spent the past several months speaking with local business owners and highlighting them for her Small Business Saturday series. Don’t see your favorite business on the list? Submit it here.

Have a great long weekend.

– Meredith (@meredith_A4)

What’s been happening:

⛔️ Michigan Medicine announced this week that no visitors are allowed for adult patients as COVID-19 cases spike across the state. There are some exceptions to the new policy, which took effect on Wednesday. (A4)

🚰 Recent tests from water samples taken in October in the West Park area reveal a spike in Dioxane levels, concerning local officials. (MLive)

🚶‍♀️ The city of Ann Arbor celebrated the grand opening of the Allen Creek Railroad Berm Project this week virtually. (A4)

🚲 Have a look at the new downtown protected bikeway on First Street. (MLive)

🛤 The long-awaited passenger train service from Ann Arbor to Traverse City — known as A2TC — has put test rides slated for 2021 on hold due to the pandemic. (Detroit Free Press)

🎓 A senior at the University of Michigan became the school’s 29th Rhodes Scholar since the awards were established in 1902. (A4)

💻 Toyota and Cisco have partnered to install free Wi-Fi at public sites in the region, including in Ann Arbor and Ypsilanti. (A4)

Good to know:

🌯 Vegan Kerrytown joint Detroit Street Filling Station expanded into the space next door. The owner said it could become a private dining space or intimate music venue. (A4)

🍪 Have kids ages 8 and up? Love holiday cookies? This local cooking school for kids will be hosting holiday cookie classes online for the whole family. (A4)

🎅 Santa’s Mailbox will return to Main St. this year. From Nov. 28-Dec. 14, write a letter to Santa with a return address and you will receive a response. (A4)

🤝 Tuesday is Giving Tuesday. The annual Rockin’ for the Hungry fund drive by Food Gatherers, ann arbor’s 107one and Kroger will kick off virtually on Tuesday, as will Ann Arbor Summer Festival’s campaign which will feature free performances by Michigan-based artists throughout the day. (A4)

Feature interview of the week:

“We had to pivot to something that is ironic for us, because the whole gist of Literati is that it is a community bookstore that

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fitness

Higher fitness levels linked to lower AFib risk in male, African American veterans

heart
Credit: Unsplash/CC0 Public Domain

Higher fitness levels reduced the risk of developing an irregular heart rhythm, known as atrial fibrillation, by 30% to 50% in a study of male, African American veterans, according to preliminary research to be presented at the American Heart Association’s Scientific Sessions 2020.

Atrial fibrillation (also called AFib or AF) is an irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related complications. According to the American Heart Association, at least 2.7 million Americans are living with AFib.

“Engaging in physical activity to increase fitness is an inexpensive and practical intervention that health care professionals can prescribe to patients to prevent and manage cardiovascular disease,” said lead researcher Apostolos Tsimploulis, M.D., a cardiology fellow at the State University of New York at Stony Brook. “All of our evidence suggests the health benefits associated with increased cardiorespiratory fitness and reduced risk of atrial fibrillation are the same for all adults regardless of race.”

To study the effects of exercise on the development of atrial fibrillation, researchers examined the medical records of more than 11,000 middle-aged, male African American veterans (average age 58) from 1985 to 2013. None exhibited evidence of heart disease during or prior to completing a symptom-limited treadmill stress test at two VA Medical Centers—in Washington, D.C., and Palo Alto, California.

Participants were categorized into four fitness groups based on their age-specific cardiorespiratory fitness (CRF). CRF was measured in metabolic equivalents, or METs, resting metabolic rate (1 MET=3.5 ml of O2/kg of body weight per minute). The groups were categorized as: least fit, moderately fit, fit and highly fit.

A search of medical records was conducted by two independent investigators to directly assess the association between CRF and atrial fibrillation. Models were adjusted for risk factors, including heart or blood pressure medications, age and body mass index.

During an average follow-up of 10.7 years, 1,423 veterans developed atrial fibrillation:

  • 421 (16.6%) in the least fit group;
  • 366(10.9%) in the moderately fit group;
  • 323 (11.9%) in the fit group; and
  • 313 (12%) in the high-fit group.

When compared to the least-fit group, the atrial fibrillation risk was:

  • 29% lower in the moderately fit group;
  • 37% lower in the fit group; and
  • 51% lower in the high fit group.

Researchers noted the study results are strong based on the number of participants, and atrial fibrillation incidence was established during a follow-up period spanning roughly 17 years (median 10.7 years). Access to adjusted, longitudinal data, including medications and heart risk factors, along with equal access to care (care from the VA regardless of a patient’s ability to pay) are significant factors. This permitted continuous follow-up and minimized the potential for disparities in medical care.

Tsimploulis noted the precise cause of atrial fibrillation was not determined. In addition, CRF was measured only once; the level or frequency of physical activity was not assessed; and follow-up data on changes in cardiorespiratory fitness or physical activity of the participants over time were not available.

“We cannot

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fitness

4 of the best jump ropes for all ages and fitness levels

Jumping rope is a physical activity that provides aerobic and bone strengthening benefits. It also helps with balance and coordination.

Jumping rope can be a fun and safe aerobic activity for many people. Athletes jump rope to improve athletic conditioning, but it can also be good for beginners.

People with certain health conditions may require specific instructions on how to jump safely. This can also be the case during pregnancy.

This article will review four of the best jump ropes for all ages and fitness levels.

Jumping rope is one way a person can incorporate exercise into their routine.

People can use it to develop athletic conditioning, balance, and coordination in several sports disciplines.

How much exercise do people need?

According to the Dietary Guidelines for Americans, most adults need at least 150 minutes of moderate intensity physical activity per week.

Children and adolescents aged 6–17 years need at least 60 minutes of physical activity per day, which may include:

Benefits of regular exercise

Regular exercise combined with a healthful eating pattern can help people:

  • maintain a moderate weight
  • prevent excessive weight gain
  • lose weight, if necessary

There are other potential benefits associated with regular exercise. The following sections will look at these in more detail, including some benefits specific to jumping rope.

It may lower the risk of disease

In addition to its benefits for weight management, regular exercise may also lower the risk of:

It may help strengthen bones

Jumping rope is a bone strengthening activity.

Bone strengthening activities are also known as weight bearing, or weight loading, activities. These exercises produce a force on the body that promotes bone growth and strength.

Impact with the ground during jumping, running, and weightlifting exercises creates forces on the bones that strengthen them.

It may help those with osteoporosis

Jumping rope may help people with osteoporosis. Studies suggest that it may improve bone mineral density in premenopausal women and in men with low bone density.

Jumping rope should not be a risk for people with osteoporosis, unless they also have balance problems or other medical issues.

Other types of aerobic exercise

People also refer to aerobic exercise as endurance, or cardio, activity.

In this type of activity, the large muscles of the body move continuously in a rhythmic manner for a period of time. When a person engages in aerobic activity, their heart rate increases, and they breathe harder.

Some other aerobic activities include:

  • brisk walking
  • running
  • cycling
  • swimming

Any form of exercise — be it aerobic, muscle strengthening, or bone strengthening — has the potential to cause injuries.

People with particular medical conditions may need to adjust their exercise routine for safety purposes.

The following are some of the risks associated with jumping rope.

Stress urinary incontinence

Jumping increases pressure in a person’s abdomen. For this reason, high impact exercises — such as jumping rope — can increase the risk of stress urinary incontinence in female athletes.

Despite these factors, studies suggest that most physical activity does not harm

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health

White House lists ending Covid-19 pandemic as an accomplishment despite cases spiking to record levels



a man wearing glasses: TOPSHOT - US President Donald Trump leaves after a Hispanic Heritage Month event in the East Room of the White House October 6, 2017 in Washington, DC. President Trump invited over 200 Hispanic business, community, and faith leaders, and guests from across the country to join in the celebration of Hispanic Heritage Month. (Photo by Brendan Smialowski/AFP/Getty Images)


© Brendan Smialowski/AFP/Getty Images
TOPSHOT – US President Donald Trump leaves after a Hispanic Heritage Month event in the East Room of the White House October 6, 2017 in Washington, DC. President Trump invited over 200 Hispanic business, community, and faith leaders, and guests from across the country to join in the celebration of Hispanic Heritage Month. (Photo by Brendan Smialowski/AFP/Getty Images)

The White House included ending the coronavirus pandemic on a list of the Trump administration’s science and technology accomplishments, despite nearly half a million Americans tested positive for Covid-19 in just the last week.

A White House Office of Science and Technology Policy news release made the claim in announcing a document highlighting the administration’s science and technology achievements over the past four years.

“Highlights include: ENDING THE COVID-19 PANDEMIC,” the news release sent to reporters read. “From the outset of the COVID-19 pandemic, the Administration has taken decisive actions to engage scientists and health professionals in academia, industry, and government to understand, treat, and defeat the disease.”

When asked for comment on including ending the pandemic among the administration’s first term accomplishments, office spokeswoman Kristina Baum pointed to the full report.

“The great work the Trump administration is doing to end the pandemic is a top priority and worthy of highlighting,” she said in an email.

But on Wednesday, White House communications director Alyssa Farah said the release was “poorly worded.”

“The intent was to say that it is our goal to end the virus. But what I would say is this: because of the President’s leadership, we are rounding the corner on the virus,” she added.

The news release comes as the country reports the largest number of daily cases seen to date. The seven-day average of daily new cases reached an all-time high of 68,767 on Sunday, according to data from Johns Hopkins University. The previous record of 67,293 was set July 22.

The abysmal week was marked by the two worst days of daily new cases reported since the pandemic began. More than 83,000 new cases were reported both Friday and Saturday, and the seven-day average of new Covid-19 cases has soared 23% in the past week, according to Johns Hopkins data on Monday. The seven-day average of new tests performed, meanwhile, has risen only 2.87% over the past week, according to the Covid Tracking Project.

The President has repeatedly, falsely, blamed the increase in cases on an increase in testing.

New cases are also being seen within the administration itself. At least five aides to Vice President Mike Pence, including his bodyman and his chief of staff, Marc Short, tested positive for coronavirus in recent days, sources told CNN.

The internal report that the news release was describing did not say that the Covid-19 pandemic is over. It merely touted the administration’s various actions to fight it.

“Since the start of the pandemic, the Administration has taken several actions to engage scientists in academia, industry, and government to understand and defeat this

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health

CV Benefit of Eicosapentaenoic Acid Seen at All eGFR Levels

Daily icosapent ethyl (Vascepa) safely and effectively reduces fatal and nonfatal ischemic events in patients with reduced kidney function, a prespecified analysis of the REDUCE-IT RENAL study shows.

“Some cardiovascular drugs are not as effective in kidney disease patients,” said investigator Deepak Bhatt, MD, MPH, from Brigham and Women’s Hospital Heart and Vascular Center and Harvard Medical School, Boston.

“So we looked at patients according to their eGFR — in particular, patients with an eGFR of less than 60 mL/min per 1.73 m² — because we wanted to make sure the drug was as safe in those patients as it was in others and that they weren’t having any more side effects than others,” he told Medscape Medical News.

Icosapent ethyl, a highly purified prescription formulation of the omega-3 oil eicosapentaenoic acid, has been shown to lower triglycerides and have anti-inflammatory, antioxidative, and plaque-stabilizing properties.

In the original phase 3 Reduction of Cardiovascular Events With Icosapent Ethyl – Intervention Trial (REDUCE-IT), 8179 patients with cardiovascular (CV) disease or diabetes and one additional CV risk factor were randomized to treatment with icosapent ethyl 4 g a day or placebo. Patients had to have a fasting triglyceride level between 150 and 500 mg/dL to be eligible for study enrollment, and a low-density-lipoprotein (LDL) level between 41 and 100 mg/dL.

The primary end point was a composite of CV death, nonfatal myocardial infarction, nonfatal stroke, coronary revascularization, and unstable angina. The key secondary end point was a combination of CV death, MI, and stroke.

At a mean follow-up of 4.9 years, there was a 25% relative risk reduction and a 4.8% absolute risk reduction in the primary composite end point in the REDUCE-IT study, as previously reported by Medscape Medical News,

For the REDUCE-IT RENAL study, REDUCE-IT patients were categorized into three prespecified eGFR categories: less than 60 mL/min per 1.73 m²; 60 to less than 90 mL/min per 1.73 m², and at least 90 mL/min per 1.73 m².

In the cohort of 8179 study participants, the median baseline eGFR was 75 mL/min per 1.73 m² (range, 17 to 123 mL/min per 1.73 m²) and the mean LDL was around 70 mg/dL.



Arjun Majithia

CV event rates were higher in patients in the lowest eGFR category — less than 60 mL/min per 1.73 m² — than in the other categories. With icosapent ethyl, reductions in the primary and secondary end points were greater in the lowest category, although relative risk reductions were similar in the three categories, investigator Arjun Majithia, MD, also from Brigham and Women’s Hospital, reported during his presentation at Kidney Week 2020.

Risk for Events With Icosapent Ethyl by Baseline eGFR Category
eGFR (mL/min per 1.73 m²) Relative Risk, % Absolute Risk, % Number Needed to Treat P Value
Primary end point (composite of CV death, nonfatal MI, nonfatal stroke, coronary revascularization, unstable angina)
<60 mL –29 –7.1 14 .0002
60 to <90 –20 –3.8 27 .001
≥90 –30 –4.8 21 .003
Secondary end point (combination of CV death, MI,
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health

Trauma levels: How many are there?

Trauma centers provide immediate definitive care to people with severe injuries. Some parts of the United States acknowledge three levels of trauma centers, while others acknowledge five levels.

Level 1 is for the most serious injuries, where trauma is often large and requires a fast response time. The lower levels focus on evaluating and stabilizing the person so that, if necessary, staff can transfer them to a higher level facility.

Hospitals vary in how they determine who needs to attend a higher level of trauma center. Healthcare professionals will likely judge this according to physiological data and the type and mechanism of injury.

Keep reading to learn more about the five levels of trauma centers, as well as pediatric trauma centers.

In U.S. states that acknowledge five levels of trauma centers, the highest level is level 1. These centers provide the most comprehensible level of trauma care.

As the level decreases, the centers tend to have fewer resources and facilities. However, the resources and availability of staff are enough to provide a basic level of trauma care.

Level 1

A level 1 trauma center is a specialist care facility. It provides care for each aspect of an injury, including prevention, treatment, and rehabilitation.

According to the American Trauma Society, a level 1 trauma center usually:

  • has surgeons available within the facility 24 hours a day
  • has prompt availability of practitioners such as orthopedic surgeons and neurosurgeons
  • acts as a referral resource for people in nearby regions
  • provides public education to the surrounding communities
  • offers continuing education for staff within its facility
  • uses a quality assessment program
  • uses teaching and research to help develop and improve trauma care
  • has a screening and intervention program in place for people living with substance use disorders
  • meets a minimum requirement regarding the annual volume of severely injured patients

Level 2

Level 1 and level 2 trauma centers are very similar, and both can manage people with severe injuries. Both centers require surgeons to be available 24-7 to respond to a trauma patient shortly after their arrival at the center.

One of the main differences between level 1 and level 2 trauma centers is that level 2 centers do not have the research and publication expectations of a level 1 center.

The American College of Surgeons also note that in level 1 trauma centers, the director of the intensive care unit (ICU) must be a surgeon with a current board certification in surgical critical care.

This requirement is not in place for level 2 trauma centers, which also do not require continuous rotations in trauma surgery for senior residents.

Level 3

A recent article in OTA International notes that level 3 trauma centers typically:

  • provide care to injured people within their capabilities and resources
  • transfer stabilized patients to level 1 or level 2 centers, when necessary
  • are in areas that are farther away from higher level trauma facilities
  • provide continuous surgical
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fitness

10 Best Jump Ropes for All Fitness Levels

An affordable and compact piece of exercise equipment, the jump rope is a perfect staple for any home gym or gym bag. This small but mighty pick can completely transform your workout. That’s why we sat down with the jump rope queen herself,psychologist and fitness trainer Dr. Janine Delaney, known for her sculpted physique and impressive jump rope moves on Instagram, to learn more about the sport and what to look for when choosing the ultimate jump rope.

Jumping rope is a great way to lose weight and burn fat and calories while having fun,” Delaney says. “Most people think of jumping rope as a sport for children, but it has many benefits for adults as well, especially for individuals over the age of 40.” Delaney herself actually started jumping rope at the age of 43, mainly because she wasn’t a fan of running and was looking for another form of cardio.

When it comes to the benefits of jumping rope, the advantages are vast. “Jumping rope increases your natural endorphins, which puts you in a good mood and increases your energy and libido,” Delaney says. “What most people don’t realize is that jumping rope will actually burn more fat and calories than running, swimming, or biking. It not only puts your cardiovascular system to use, but also helps to build muscle strength, improve coordination, and even boost metabolism.”

Delaney says that you don’t have to be athletic or coordinated to start jumping rope, but adds that making sure your rope is sized correctly to your height is critical as well as maintaining proper form and a little practice. If you’re a jump rope beginner, Delaney offers these important tips:

  1. Arm positioning: Keep your chest up, core engaged, and arms close to your body. If your arms are too wide, it will shorten the length of the rope and you’ll likely trip.
  2. Utilize your wrists: Jumping rope is all about recruiting your wrists to do the work instead of moving your arms.
  3. Keep your head up: Jumping rope is about timing, and if you look down and wait for the rope to pass you then you’ll likely trip. A better approach is to look straight ahead and jump as the rope crosses your line of sight, which will guarantee better rhythm as you skip.
  4. Take a video of yourself: Practice makes perfect, and just a little bit of practice each and every day will help you get better and better. Watch YouTube videos of tutorials to help you visualize the proper movement, and take a video of yourself to check your form.
  5. Properly size your rope: To size your rope, stand on the middle of the rope with one foot and bring both handles up to your shoulders. The rope should come up to your shoulders, no higher and no lower. Make sure to buy a rope that you can either cut to your size or one that comes according to height.

Now that you

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health

Could Mom’s Thyroid Levels Influence ADHD in Kids? | Health News

By Serena Gordon
HealthDay Reporter

(HealthDay)

WEDNESDAY, Oct. 21, 2020 (HealthDay News) — Low levels of thyroid hormone during pregnancy may contribute to the development of attention deficit hyperactivity disorder in the child, new research suggests.

The study found that children born to mothers with low thyroid hormone levels during the first trimester of pregnancy had a 28% increased risk of being diagnosed with ADHD later.

Thyroid hormones play an important role in the growth and development of the fetal brain, especially during the first trimester of pregnancy, the researchers said.

“The thyroid is important in pregnancy and can have long-term impacts,” said study lead author Morgan Peltier. He’s an associate professor in the departments of clinical obstetrics, gynecology and reproductive medicine at NYU Winthrop Hospital in Mineola, N.Y.

“These findings highlight the greater need for prenatal care,” Peltier added.

ADHD is a neurodevelopmental disorder that affects more than 9% of U.S. children, according to the researchers. The condition leads to difficulty paying attention, impulsiveness and hyperactive behavior.

A number of genes are suspected to be involved in ADHD. Many of those genes are regulated by thyroid hormones, the team noted.

For the study, the researchers looked at records from Kaiser Permanente Southern California hospitals. These included data on nearly 330,000 children born between 2000 and 2016. Information on the children’s health is collected until they reach 17.

Almost 17,000 children in this group were diagnosed with ADHD. The children were all evaluated for ADHD using the same criteria.

Almost 10,000 expectant moms were diagnosed with low thyroid hormone levels during pregnancy.

In addition to finding an overall increased rate of ADHD in children born to mothers who had low thyroid levels, they found a significant racial difference. Hispanic children whose mothers had low thyroid hormone levels during pregnancy had a 45% increased risk of ADHD. White children had a 22% increased risk.

Peltier said it’s not clear from the data in this study why the effect of low thyroid hormones was stronger for Hispanic children.

The researchers also noted the effect of low thyroid hormones was more significant in boys than in girls. The study only found an association between thyroid levels and ADHD, rather than a cause-and-effect link.

Dr. Michael Cackovic is a maternal fetal medicine specialist at the Ohio State University Medical Center in Columbus, and was not part of the study. He said it highlights how important it is to “optimize women’s health before pregnancy if you have the opportunity.”

Cackovic said thyroid hormone screening isn’t currently done in all women during pregnancy.

Symptoms of low thyroid include tiring easily, feeling cold, constipation, dry skin, being forgetful and feeling depressed, according to the American Thyroid Association.

If you have symptoms of low thyroid (hypothyroid), Cackovic said you should bring them up with your doctor. However, many of the symptoms of low thyroid — such as fatigue or constipation — are similar problems that occur in pregnancy.

Cackovic said more research would be needed to see if

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health

Daily case numbers are at levels not seen since the summer, and 14 states recently have set hospitalization records

Daily coronavirus case numbers in the US are at levels not seen since the summer, and more than a dozen states set record highs for Covid-19 hospitalizations in the past week — yet more evidence, experts say, of a difficult fall and winter ahead.



a person sitting at a desk in an office chair: NEW YORK, NEW YORK - OCTOBER 05: A person walks through the Brooklyn neighborhood of Borough Park on October 05, 2020 in New York City. New York City Mayor Bill de Blasio has announced plans to close nonessential businesses and schools in nine neighborhoods, including Borough Park, where the rate of positive COVID-19 cases have been higher than three percent in the past seven days. (Photo by Spencer Platt/Getty Images)


© Spencer Platt/Getty Images
NEW YORK, NEW YORK – OCTOBER 05: A person walks through the Brooklyn neighborhood of Borough Park on October 05, 2020 in New York City. New York City Mayor Bill de Blasio has announced plans to close nonessential businesses and schools in nine neighborhoods, including Borough Park, where the rate of positive COVID-19 cases have been higher than three percent in the past seven days. (Photo by Spencer Platt/Getty Images)

The country’s seven-day average of new daily cases was above 58,300 as of Monday — a level not seen since the first week of August, and climbing closer to the summer’s peak of 67,200 on July 22.

Average daily cases have soared 70% since September 12, when the country was at a two-month low of about 34,300.

As cold weather is likely to drive more gatherings indoors, the case level appears too high to avoid dangerous levels of infections and hospitalizations in the coming weeks, experts have said.

“(With) the fact that we’re only going to see more transmission occur with indoor air, people inside, this is going to be a rough fall,” Michael Osterholm, the director of the Center for Infectious Disease Research and Policy at the University of Minnesota, told CNN on Tuesday.

Case rates and hospitalizations are rising especially in the Midwest, Great Plains and parts of the West.

Fourteen states reported their peak Covid-19 hospitalizations in the last week: Alaska, Arkansas, Iowa, Kansas, Kentucky, Montana, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota, Utah, West Virginia and Wisconsin, according to the Covid Tracking Project.

The virus’s prevalence is bad enough that the director for the National Institutes for Health says his family won’t gather for Thanksgiving this year.

“It is just not safe to take that kind of chance with people coming from different parts of the country of uncertain status,” Dr. Francis Collins told National Public Radio’s “Morning Edition” on Tuesday. “The problem with this disease is it is so easy for people to be infected and not know it, and then spread it to the ones next to them without realizing it.”

“All of this, I’m afraid, happens because we have not succeeded in this country in introducing really effective public health measures,” Collins said.

“Simple things that we all could be doing: Wear your mask, keep that six foot distance, and don’t congregate indoors, whatever you do, and wash your hands. And yet people are tired of it and yet the virus is not tired of us,” Collins said.

The country has now topped 220,000 Covid-19 deaths, a number some experts worry may also begin to climb faster.

“The numbers are moving in the wrong direction,” Dr. Tom Inglesby, the director of the Johns Hopkins

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fitness

New fitness studio in Omaha offers strength, cardio workouts for all fitness levels | Live Well

Omaha’s newest fitness studio has something to offer for all fitness levels, its owners said.

The Sculpt Studio, which mixes Pilates-style workouts with treadmill workouts, opened in late August in Elkhorn.

Owners Sarah Marshall and Emily Burgat teamed up to bring the concept to Omaha. The metro area already is home to several cycling studios, Marshall said.

“We wanted to bring something new and different,” she said.

Classes at Sculpt are high- intensity and low-impact. They’re suitable for gymgoers of all fitness levels. Some clients have used the classes as complements to their existing fitness routines, Marshall said.

In one class, gymgoers use Megaformer machines, which are similar to traditional Pilates machines. Participants work a muscle group until those muscles are fatigued before moving onto another group.

In another class, participants spend half the time on the Megaformers and half the time on Woodway Curve treadmills. The treadmills, which are curved on the bottom, are nonmotorized, so users control the speed by running or walking on them.

Classes are limited to 11 participants in the 2,000-square-foot studio. Each class is 50 minutes.

Machines are spaced out in the studio, and they’re wiped off regularly. Gymgoers are required to wear masks until they reach their designated machine for class. Class times are spaced out to avoid clients overlapping as they come and go.

Source Article

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