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Seniors engaging in risky behaviors may go undetectedThink older adults are just sitting around and watching TV?
Not always so. They may be engaging in risky behaviors that can impact their physical and emotional health and finances. The four biggest concerns, experts say: unprotected sex, gambling, binge drinking and misusing drugs.
GamblingGambling among seniors is on the rise, said Dr. Regina Marranzini, medical director of the Acute Care for Elders Unit at Memorial Regional Hospital in Hollywood.
Gambling is the most frequently identified social activity among adults 65 years and older, according to the National Council on Problem Gambling Seniors. For those on a fixed income, gambling may leave the person with less money to spend on medical treatments.
“Their finances, which are already limited, are being used up,” Marranzini said. “So later if they need a home health aide or long term care, those things are not normally covered by Medicare or most insurances, and must come out of pocket.”
Marranzini said she frequently sees patients who break a hip or other body parts after taking a fall while gambling and for seniors one fall can be deadly. One in five people who have had a hip fracture die within a year of their injury due to complications after the fall, according to the Centers for Disease Control and Prevention. Injuries such as lacerations, hip fractures and head traumas occur in 20 to 30 percent of people who fall.
Excessive gambling can sometimes be a sign of a neurological problem that may not be detected.
Dr. Elizabeth Crocco, chief wholesale jerseys of the division of geriatric psychiatry at the University of Miami Miller School of Medicine, explains that atypical behavior like when a person who has never gambled takes up the activity can be a sign of Alzheimer’s, dementia or other neurological disorders.
In addition, changes in behavior can be attributed to certain medications.
“Patients who have Parkinson’s and take cheap jerseys china a medication called L dopa can have an increased chance of risky behavior, like gambling,” Crocco said. “That’s why if somebody has a big change, it’s usually a sign that they need to see a doctor.”
Binge DrinkingThe CDC lists binge drinking among older adults as a key concern.
While overall binge drinking is more common among 18 to 24 year olds, seniors are reported to binge drink more often than their younger counterparts an average of five to six times a month. When seniors do binge drink, they consume an average of six drinks, according to the CDC.
Drinking in excess can put a person at risk for developing high blood pressure, liver disease, certain cancers, heart disease, stroke and other medical conditions, the CDC says. Binge drinking can also increase a person’s risk of getting into a car crash or falling.
Part of the reason for these effects is the way the body processes alcohol as you age.
“When you get older, it takes less alcohol to affect you in a negative way,” Crocco cheap nfl jerseys said. “As an older person, your body, physiologically, has changed.”
In addition, certain medicines can have dangerous or even deadly side effects if mixed with alcohol.
The National Institute on Aging, a division of the National Institutes of Health, warns that the mix of aspirin and alcohol can increase the risk of stomach or intestinal bleeding. Additionally, combining alcohol with some sleeping pills, pain pills or anxiety/anti depression medicines can be deadly.
Unprotected SexWhen it comes to sexually transmitted diseases, the CDC reports that older Americans are often uncomfortable discussing sexual behaviors or condom use with their physicians and partners.
“Part of the problem is that we as the medical community have failed to educate the elderly on safe sex,” said Marranzini, who is working on a book about seniors and sex titled, Sex After 69. “This is a generation that didn’t grow up receiving any information on safe sex. You have a lot of older adults who’ll say, ‘Well, I can’t get pregnant anymore, there is no use in using contraception.’ ”
The CDC reports that STDs vary by age group and geography, and for those 65 and older, the rates of chlamydia, gonorrhea and syphilis remain relatively stable.
When it comes to HIV, the CDC reports that a growing number of people over 50 are living with HIV about 26 percent of the estimated 1.2 million people living with HIV in the United States are 55 years or older. Older adults are more likely to be diagnosed with HIV later in the disease.
Marranzini said she’ll see patients who have had STDs such as herpes for decades and never knew they were carrying it. This can be dangerous because if left untreated, STDs can be passed onto other people and can cause serious problems. Latent stages of syphilis, for example, can result in dementia.
In recent years erectile dysfunction drugs such as Viagra have made it easier for seniors to have sex.
“You see this boom in sex among the elderly, but there is not a boom is educating the elderly about sex,” Marranzini said. “Usually STDs in older people are either missed or misdiagnosed.”
She says part of the problem is that some physicians don’t always ask their patients the proper questions about their sex lives.
“Doctors need to ask, ‘Are you having sex?’ ” said Marranzini, adding that the follow up question to a yes reply should be, ” ‘Are you having safe sex?’ This needs to start in medical school training.”
Drug UseAdults 65 and older account for more than one third of outpatient spending on prescription medications in the United States, according to the National Institute on Drug Abuse.
The CDC reports that 37 percent of cheap jerseys china older adults take five or more medications. The combination of taking prescriptions long term and taking several medications at once can have dire consequences and lead to misuse.
Dr. Joel Danisi, an assistant professor of clinical gerontology at the University of Miami Miller School of Medicine, said there are several reasons why a patient may not take their medicine correctly: They feel they won’t benefit from the medication, instructions are not clear, or they fear they’ll become addicted.Articles Connexes：
Gray Television’s CEO Discusses Q4 2010 Results
Good day, everyone, welcome to the Gray Television’s Fourth Quarter 2010 and Year to Date Earnings Release Conference Call. [ Instructions] For opening remarks and introductions, I’d like to turn the call over to Mr. Hilton Howell, CEO and Vice Chairman of Gray Television Inc. Please go ahead, sir.Thank you very much, operator, and good morning, everyone. Thank you for joining us to review Gray’s 2010 Fourth Quarter and Year to Date Results. Quite simply, it was a blowout quarter; a quarter for the record books. Revenues for the fourth quarter increased 48% to a new record for Gray of $114.6 million. Revenues for the year grew by 28%, also a new record for Gray of $346.5 million. These increases in revenue, coupled with excellent expense control, resulted in net income of $21.9 million for the quarter or $0.35 per share and net income of $23.2 million for the year or $0.16 per share. These outstanding results allowed us to pay down $50.2 million of our debt by year end.Obviously, this political season was very good for Gray Television because we hit an all time record in political advertising, even eclipsing prior presidential election cycles of $57.6 million. We believe that these results portend extremely well for Gray in the next political cycle of 2012. It is widely reported that President Obama will likely raise and spend over $1 billion on his re election campaign. And with the Republican victories of 2010, we anticipate that whoever the Republican challenger may be, he or she will be able to match the President’s fund raising prowess.Additionally, we’re already seeing important senatorial campaigns gearing up in several of our key states, all of which we believe sets Gray up for another record year in 2012. So that leaves us 2011. In this morning’s press release, Jim Ryan has provided our best effort at indicating where we see next quarter coming out, and we may have some more thoughts on that later in his comments. From my point of view, I see 2011 as a typically off year in the broadcast cycle, but a relatively favorable one. Our regional vice presidents and station managers, while still loaded to stick their necks out too far in predicting their performance, are relatively bullish on the advertising outlook for 2011, especially with regard to the local advertising market.Something else that is very positive for Gray. As a consequence of our highly successful 2010, we had been able to advance our local high definition transitions, and it has also allowed us to reinvest more in our local news brands. on Thursdays. newscast on our digital set channel to serve Grand Island, Nebraska. This has paid or paid off well for KOLN, as it has won more first place awards from the Associated Press than any other station in the states of Nebraska, South Dakota or North Dakota combined. newscast, an expanded edition of Good Morning Kansas, the number one morning show in Wichita. Th continued investments in our already powerful local news brands, we believe will position our TV group well to repeat the kind of quarter and year we have just reported in the future.Bob, do you have some comments? Bob?I know everyone read our news release. We’re very happy with the year. I think it’s a tribute to our management, our GMs and our people out in the Calvin Johnson Jersey field and also a tribute to our group of stations, which I think came through the recession better than most of the markets around the country. And I think our strategy of having the major university town and state capitals in our markets has definitely paid off for us, but we’re very happy that TV bounced back, and I think a lot stronger than Wall Street thought and frankly, probably than most of us thought. I think 2009 was a dreadful year for everybody and 2010, we’re very happy to have an all time record.But ’11’s here and 2010’s in the past, so we got to look forward. Some of the things that we’re working very hard on Hilton had mention briefly, but local HD, I think is extremely important. We’ll have most of our stations capable of doing local HD news by the end of the year. We’re also, at the same time, putting in studio automation in most of these deals, which will enable us to be much more efficient in operating our master control in our studios. We think we’re ahead in the industry in this aspect and very proud of our operations that we’ve got up and going so far. But local HD is extremely important.HD is really taking over the TV world. It’s a better product, as I mentioned, after several years for the viewers and for the advertisers, and people are realizing it, and they don’t want to go back to the old days of standard definition. So we’ve got to be there in our number one news stations and all our stations producing local HD news. The other area we’ve really gotten straight on is new media. We’ve got a bunch of sales initiatives going on with our Internet websites, with our texting and with our mobile. Mobile, I think, as you all know, is really coming on faster every day around the world. I think the smartphones, the Josh Brown Jersey iPhones, the Androids, the new Motorola phones that are coming out, mobile is going to be the real key to the future for all communication, I think, and we’ve got to be there. We’re still testing at Omaha, live mobile is working great there. Technically, there’s still some issues with the mobile coalition and with the Pearl Group on how this is going to actually come to market, but I think it will get done and we’ll be in the forefront once it does get done.We’ve paid down $50 million of our debt last year, which I’m very proud of. We want to continue to hold expenses in line this year like we’ve done in the past. I think 2011 is actually going to be better than we originally thought it was going to be, mainly because I think auto continues to be strong. There was a big article in New York Times yesterday talking about how much better credit’s gotten for auto buyers, and I think this is the key. People want to buy new cars if they can get the right kind of financing, and I think it’s gradually coming back stronger all over, and I think this will bode well for auto to continue to grow this year, which, like I said, most of you know, traditionally, auto is around 25% of our revenue. It got down as low as 16%, I think, in 2009, but it’s bounced back now, and we look forward to auto continuing being a strong leader in our advertising results.Here again, I think one of the main emphasis that we’re going to work on this year is being more efficient, more automated, better ways to run our stations. Cover the news, but cover it in a much more efficient manner, which we want to continue to do because, let’s face it, our competition out there now is an iPhone. A guy walking down the street and then five seconds later, it’s on the Internet and it’s news around the world. And we’ve got to be nimble Mathias Kiwanuka Giants Jersey and flexible and be willing to meet the marketplace and what the marketplace wants. So we want to continue to embrace social media, which we’re doing in most all of our stations now. We have Facebook and Twitter available for our anchors and news people. I think this is going to continue to grow in the future. I just read an article about a 21 year old woman who’s got a website called myYearbook that’s just absolutely growing like crazy and thinks it’ll rival Facebook someday. It may, but that’s what those are competition for us out there, and we’ve got to be aware of them and be cognizant of the fact that it’s important for us to make sure we embrace all these forms of communication with our audience.At this point, I’d like to turn it over to CFO Jim Ryan, and he’ll go through some more of the actual numbers, and we’ll open up for questions. Jim?Thanks, Bob. Good morning, everybody. I’m going to keep my comments relatively brief. I think the results for the quarter and for the year were laid out pretty well in the release with quite a little bit of detail. And certainly, Hilton and Bob had both commented already on the very, very strong record breaking results, and we’re very pleased with it. Focusing a little bit on some balance sheet items that would not necessarily have been in the release. First of all, the first lien leverage ratio under the senior credit facility was at 4.46 at the end of the year with a covenant of 7x, so there’s ample of room there. If you calculated on a trailing 12 and it’s calculated on a trailing eight quarter basis. If you calculate the total debt net of cash on a trailing 12 month basis, the leverage ratio for all of that would be about 6.1x.The Series D Preferred Stock balance with the accumulated dividend at the end of the year was $53.4 million. CapEx for the entire year was $19.4 million, $8.9 million in the fourth quarter, and that’s reflective of the acceleration of the HD build out that Bob had Authentic Barry Sanders Jersey mentioned on the local level. We currently have four markets that are completely done. We have nine additional markets where we have HD studio news capability, and we’re completing the rest of those as quickly as we can. So we already have 13 markets up from a news studio basis. We have four more that are in process now and another four that are queuing up. So again, as Bob said, our hope would be that we have most of our stations completed on a local HD news basis by the end of 2011.Cash taxes for the quarter, we have actually a refund of $430,000. So on a net basis for the year, we actually had less than $100,000 cash taxes and the refund in the fourth quarter was actually a little bit of federal AMT.At this point, Bob, I’ll turn it back to you.Thanks, Jim. , at this time, we’d like to open up the calls for anybody on the line.Bob, you have long been a believer in build and improve and they will come. Can you give us your thoughts or color across the tech investments that you’re doing, the efficiencies that you were looking for? And please quantify as much as you can in terms of margin and overall expenses.Bishop, I’ll give you a great example. Omaha has kind of been our station that we really use as our test case, probably, and we feel that we’ve got a most efficient operation there. But there, for example, our master control in our studio operation, we, through automation and through really some creative design by our key technology officer, Jim Ocon, we’ve Authentic Larry Donnell Jersey reduced our staffing there from 17 to four and a half, for example. Running all our master control for a major NBC. That’s the number one news leader in that market. So we’re trying to in some places, we don’t have that many to get rid of, but Omaha is one of our biggest, strongest markets. But we’re looking for those kind of efficiencies throughout our automation process, and we’re doing it at the same time that we’re putting in local HD, so we’re really getting a double whammy with our audience. The audience is getting local HD, and we’re and actually, it’s not only more efficient, but it’s a better product. The automated stuff actually doesn’t make as many mistakes as human beings do. And as you probably know, you have a big turnover in the master control production areas anyway a lot of times in TV stations, so this eliminates some of the learning curve and some of the problems you have with new people who aren’t totally familiar with the operations. So this is an area that we want to continue to work on this year throughout all our company, and we’re very, very proud of it.And most of the upside, do you think you’ll start seeing a majority of the upside in 2012 if you were on track to.I would think so, yes. I think most of it you’ll start seeing in ’12, right.We’ll go next to Marci Ryvicker from Wells Fargo.Two questions I have that could impact 2011. What’s your view if there is an NFL lockout, which we’ll hear on Friday, number one? And secondly, what is the impact on your expenses and revenue, actually, with Oprah going to Discovery?That’s two good questions. One, if the lockout happens, I think it will get settled before the season starts, but let’s assume that it didn’t. Frankly, Marci, NFL is a very important product for all the networks and for us, but for example, a lot of the towns we’re in where there’s not an NFL city, NFL is not as important as it is in major cities, where there’s a team in the town. I’ll give an example. Next to Kentucky, we’ve got a strong CBS. When CBS lost NFL years ago, Lexington actually made more money showing old movies during that time on Sunday afternoons than they did NFL football. And don’t get me wrong, I think it’s a great product. I think our stations need it. I don’t want to get rid of it, but I think it has very little financial impact on us in the short run. I can’t imagine any scenario where the Union League would miss any games or miss more than one or two if there was a lockout. There’s just too much money involved. They’re all making too much money. It’s not a situation like basketball, where you’ve got combined losses of $400 million for the NBA teams. Virtually all of the NFL teams are profitable because of TV contract and Cullen Jenkins Giants Jersey because of the profitability of NFL football. The second question was about Oprah. I think we’re going to wind up saving about $4 million a year when Oprah goes away. We think we’ve got good product in place in all the markets to replace Oprah. The revenue may not be as high obviously, but I think the expense cut will actually come out ahead.
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12 boys win silver in Halifax The Northern Nova United U 12 Tier 2 boys captured silver this weekend at the annual Bruce Wagner Soccer Tournament in Halifax. Eight teams from around the cheap michael kors province attended the event. The Falcons got off to a strong start Friday night with a win over Porters Lake 5 1. Saturday morning they opened the day against a regional Cape Breton team, losing 4 0. Saturday afternoon the Falcons were up against current first place team in their league, the Antigonish Celtics. The Christian Louboutin Store Falcons knew they needed a win to move into contention for medal round games the next day and dug deep cheap gucci bags to secure a 3 2 victory. At the end of the round robin on Saturday the Falcons finished in second place overall and advanced to the medal round Sunday. Sunday’s first match was against cheap gucci handbags the Storm from Dartmouth. The Falcons started strong but were tied in the final minutes of regular time pushing the game into overtime. With only minutes left on the clock Zachary Houston netted a hard earned goal to take red bottom heels the Falcons through to the gold cheap Michael Kors medal match. The Falcons faced Cape Breton again in the final. Cape Breton ended up winning 2 0. Player of the game awards were earned by Zachary Houston, Rhys Stevenson, Connor Macleod, Blake Kontuk and Edmund Dixon. Coach Aaron Bryant commented that he was impressed by the hard work and determination of all the players on the team. The experience over the weekend will be beneficial for the Falcons upcoming regional playoff games in late August.
none of them would be aware of that fact. These events are current I am not blessed with clairvoyance, so I don’t know what is going to happen, but they are gathering. In hindsight of course, it would be easy to see these as steps which are leading up to an event, and it would make perfect sense. Of course these current surprises are simply opportunities, and have no meaning except for the meaning that I will give them. Any other replica louboutin time I would not have noticed, and given them little thought. I am sharing this with you as an exercise, as a demonstration of how we all bring things into our lives to create an experience of our choosing. These other souls Christian Louboutin Online are being drawn to me by my own power, and for my own reason they all have a connection to me. At this time I am not giving any purpose to these events I am noticing them happen, cheap gucci but not trying to influence the outcome by thinking Replica Christian Louboutin Shoes about their purpose. Their only purpose may be one of awareness or acknowledgement that has no specific outcome sign posts along the way
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