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Countries With Universal Health Care Had Better Child Vaccination Rates During Pandemic

Countries With Universal Health Care Had Better Child Vaccination Rates During Pandemic

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By Cara Murez HealthDay Reporter
HealthDay Reporter

THURSDAY, Aug. 18, 2022 (HealthDay News) — Countries that are closer to achieving universal health coverage saw smaller declines in routine childhood vaccinations during the pandemic, a new study reveals.

The World Health Organization describes universal health coverage as “all individuals and communities receive the health services they need without suffering financial hardship.”

Researchers were able to use the pandemic as a “natural experiment” to compare differences in childhood immunization coverage based on countries’ progress toward universal health coverage.

“Our findings strongly suggest that policymakers should continue to advocate for policies aimed at achieving universal health coverage in coming years,” said the study authors, who included Yesim Tozan, an assistant professor at New York University’s School of Global Public Health.

“This study also sets the stage for future research in understanding the synergistic impact of investments in global health security and universal health coverage strategies on countries’ health system resilience,” they said.

The team used immunization data from WHO/UNICEF, which includes information on 195 countries and 14 childhood vaccines between 1997 and 2020.

The study also used the 2019 Universal Health Coverage (UHC) Service Coverage Index, a measure that represents level of coverage.

Countries who had a high UHC index were associated with a 2.7% smaller decline in childhood vaccination coverage during 2020 when compared to countries with a lower UHC index.

Before the pandemic, countries with a high UHC index had an average childhood immunization coverage rate of 92.7%. By comparison, those with a lower UHC index had a coverage rate of 86.2%.

In 2020, the coverage rate was 91.9% in high UHC countries, while it was 81.7% in countries with a lower UHC index.

The findings were published Aug. 16 in the journal PLOS Medicine .

“The COVID-19 pandemic has affected the delivery of essential health services across countries worldwide,” Tozan said in a journal news release. “This study provided the much-needed quantitative evidence of the protective effects of universal health coverage in times of public health crises.”

More information

The World Health Organization has more on universal health coverage.

SOURCE: PLOS Medicine, news release, Aug. 16, 2022

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The Best Landmine Workouts for More Muscle and Better Conditioning

The Best Landmine Workouts for More Muscle and Better Conditioning

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Perhaps you’ve seen a lifter pressing, twisting, or rowing a barbell by rotating it on end. Appropriately named, these landmine exercises produce lethally effective workouts. Landmine training is performed in settings from Division 1 college weight rooms to bodybuilding gyms to injury rehab clinics.

Muscular man in gym performing overhead barbell exerciseMuscular man in gym performing overhead barbell exercise
Credit: Breaking Muscle / Youtube

The barbell is used for lever-based resistance — one end pivots on the floor or in a purpose-built sleeve as the lifter moves the loaded end through space. Make no mistake, this is not flashy “training for the ‘Gram” or some gross misuse of equipment.

The landmine provides opportunities for exercises with characteristics distinct from traditional free-weight training. The best part? Landmines offer versatility to train the entire body along with multiple components of fitness. Here, you’ll find the best landmine workouts for building serious upper and lower-body muscle, along with elite-level conditioning. 

Best Landmine Workouts

Benefits of Landmine Training

Landmine training (literally) leverages a simple piece of equipment for a wide range of exercises. Traditional barbell training is already versatile, so why use your barbell as a landmine?

Landmines provide a more predictable bar path than a barbell moving freely through space. In motor learning — the scientific field that studies movement and skill acquisition — this predictable bar path represents a “constraint.” That is, the landmine is constrained to move along an arced path.

This constraint helps a lifter to master the form of technical multi-joint lifts, such as the presses, rows, and cleans used in the workouts below. It also promotes more consistent movement performance. Constant movements, when performed under load, stimulate the target muscles exceptionally effectively. The result is a fast-learning curve and predictable gains in strength and size.

The arced bar path also alters exercise form compared to barbell training. Landmine presses keep the shoulder out of end-range flexion, an area of common restriction. Landmine rows encourage ideal shoulder blade movement “down and back.” Landmine squats virtually ensure we sit back into our hips with an upright trunk position, which demands textbook form.

Landmine exercises also appear to stress our joints differently than traditional free weight lifts. (1) Altogether, the landmine may be helpful if you have banged up knees or shoulders. Set your landmine and get ready for a different angle on barbell training. 

Best Landmine Workout for Upper Body Muscle

The upper body landmine workout below is like a multi-course meal — a feast for your muscles. The meat and potatoes are compound exercises followed by isolation movements. 

Compound exercises, or those involving multiple joints, are efficient because they train many muscle groups simultaneously. They’re also very effective for building strength because they allow you to move heavier loads than exercises training a single joint in isolation.

Upper body compound exercises are broadly categorized as either “pushes” or “pulls.” Pushing exercises involve driving a resistance away from the body and training the chest, shoulders, and triceps. Pulling exercises involve drawing a resistance toward the body. These exercises train the back and biceps.

The compound exercises in this workout are structured as a series of push/pull supersets for efficiency. The final two movements are isolation exercises like a satisfying dessert after the main course. They train the glamour muscles that stretch our sleeves and broaden our frame.

Upper Body Training, One Arm at a Time

Due to the lever-based resistance of the landmine, your typical free weight loads and percentages will not be appropriate. It would be best to determine appropriate working weights that result in “hard” sets within the recommended repetition range.

To determine working weight for each exercise, perform two or more progressively heavier “work up” sets. Once you land on a weight that challenges you within the set rep range, stick with that load for your working sets. 

Half-Kneeling Landmine Press

  • How to Do it: Assume a “half-kneeling” position with the working-side knee down. Hold the bar above your shoulder, brace your torso, and drive the bar up and forward along the natural arc of the landmine. Lower to the starting position.
  • Sets and Reps: 3 x 6-10 per arm.
  • Rest time: No rest before moving to the next exercise.

Meadows Row

  • How to Do it: Stand perpendicular to the landmine. Hold the bar sleeve with an overhand grip and brace your non-working arm on your thigh. Lift the bar by driving your elbow out as you squeeze your shoulder blade toward your spine. Lower to full extension until you feel an intense stretch behind your shoulder. Be sure to load the bar with small diameter plates (five, 10, or 25-pound) to allow an extended range of motion.

  • Sets and Reps: 3 x 8-12 per arm.
  • Rest time: Rest two to three minutes before repeating the previous exercise.

Standing Landmine Press

  • How to Do it: Face the landmine with a staggered stance, keeping your working side leg behind you. Press the bar forward and up until your elbow reaches full extension. Lower with control.
  • Sets and Reps: 3 x 8-12 per arm.
  • Rest time: No rest before moving to the next exercise.

Landmine Row

  • How to Do it: Stand parallel to the barbell. Hinge forward at the hips and grip the barbell just before the sleeve. Pull your shoulder and arm back to row the weight toward the outside of your hip. Lower with control.

  • Sets and Reps: 3 x 8-12 per arm.
  • Rest time: Rest two to three minutes before repeating the previous exercise.

Landmine Lateral Raise

  • How to Do it: Stand with the end of the barbell just in front of your working side hip, quarter turned toward the landmine. Lift by pushing the bar forward and out until your wrist is higher than shoulder. Lower with control.
  • Sets and Reps: 3 x 12-16 per arm
  • Rest time: No rest before moving to the next exercise.

Landmine Concentration Curl

  • Sets and Reps: 3 x 8-12 per arm.
  • Rest time:Rest 90 seconds to two minutes before repeating the previous exercise.

Best Landmine Workout for Lower Body Muscle

Wheels, lower extremities, jets, getaway sticks — whatever you call them, most people want strong, muscular legs.

Like the upper body, the basic compound movements of the lower body can be categorized as push and pull or, more commonly, squats and deadlifts, respectively. Squats and squat-derivatives train the glutes, quadriceps, and calf muscles. Deadlifts and deadlift-derivatives train the hamstrings and also hit the glutes.

Leg-Building Landmine Workout

This workout combines heavy, double-legged exercises with single-leg lifts to promote athleticism, and it finishes with a loaded mobility exercise for the commonly-neglected inner thigh muscles.

The landmine provides a small amount of balance assistance, which may allow single-leg variations of squats and deadlifts to be loaded heavier than free-weight single-leg versions.

To ensure adequate recovery, the lower body landmine exercises are structured as straight sets. Take two to three-minute rests to ensure intensity is maintained for maximum strength gains. (4)

Landmine Squat

  • How to Do it: Cradle the end of the barbell atop your sternum with your arms pulled in toward your ribs. To account for the arced path of the bar, place your feet farther from the plates so that your body is inclined forward in the top position. Squat down as far as your mobility allows, and return to standing. 

  • Sets and Reps: 3 x 6-10
  • Rest time: Rest two to three minutes between sets.

Modified Single-Leg Landmine Romanian Deadlift

  • How to Do it: Unlike the standard single-leg landmine Romanian deadlift, which is performed facing the landmine, (5) the modified version provides more stability, which lets you lift more weight. Stand perpendicular to the landmine. Hold the sleeve palm-down with your inside hand. Hinge forward at your hips and allow your inside leg to travel behind you, while that foot rises into the air. Keep a slight bend in your standing knee and descend until you feel a strong sense of tension in your hamstring. Return to standing and repeat.

  • Sets and Reps: 3 x 6-10 per leg.
  • Rest time: Rest 2 to 3 minutes between sets.

Landmine Hack Squat

  • How to Do it: Ensure you landmine base is secure and will not slide. Face away from the landmine and rest the sleeve on your upper trapezius, just inside the point of the shoulder. Position your feet well in front of your body. Keep your feet flat as you descend into a deep squat, reaching your hamstrings to your calves if possible. Drive up and back to the starting position. On your next set, rack the landmine on your opposite shoulder.

  • Sets and Reps: 2 x 12-16
  • Rest time: Rest two to three minutes between sets.

Landmine Cossack Squat

  • How to Do it: Face the landmine with a wide stance and hold the landmine in front of your sternum. Sit down and back, sinking into your right hip while allowing your left foot to pivot onto the heel. Push through your right leg to return to center. Perform all repetitions to the right, then repeat to the left.

  • Sets and Reps: 2 x 8-10 per side.
  • Rest time: Rest two to three minutes between sets.

Landmine Workout for Conditioning

Barbell complexes are commonly used for metabolic conditioning. Complexes are sequences of lifts performed in continuous succession. The lifter finishes all reps of one lift before moving on to the next, using the same piece of equipment and the same weight for all movements.

Complexes can be designed to tax every energy system — the phosphagen system provides quick bursts of power. The glycolytic system becomes prominent as the complex drags on for more than the first few reps. Finally, if you string multiple complexes together in a fashion popularized by many notorious CrossFit workouts, the aerobic system helps you recover.

Every Two-Minute On the Two-Minute Landmine Complex

The landmine is a wonderful tool for complexes. The workout below uses repeated landmine complexes to promote metabolic conditioning. For simplicity, a time-based rest strategy provides most athletes an approximate 1:1 work to rest ratio. Every two minutes, you will start a new complex and complete it as quickly as you can.

  • How to Do it: Place a moderate amount of weight on the landmine. First perform the Landmine Hang Clean & Jerk — Stand perpendicular to the bar and hold the sleeve in the hang position (palm down with your hand near your hip). Extend your hips, knees, and ankles as you shrug and pull the bar along its natural arc. As the bar is in motion, pivot to face the landmine and receive the bar with your other hand. Perform a split jerk by dropping down and immediately driving back up with your legs as you extend your elbow and switch your footing. Control the bar back to the hang position with both hands.The next movement is the classic standing Landmine Rotation — Hold the bar with both arms outstretched above you. Lower the bar to the left, allowing your hips to rotate and your feet to pivot. Rotate the landmine back up and across to the right, again allowing your feet and hips to move smoothly.The third and final exercise in this complex is a Landmine Push Press — This exercise begins similar to a shallow landmine squat with a ballistic concentric (“up”) phase. Transfer the energy from your leg drive into both arms as you press the bar up and forward. Repeat the process for for each repetition.

How to Warm-Up for Landmine Workouts

Before you detonate these workouts, perform a high-quality warm-up to ensure your body is primed for performance. Options for effective warm-ups are innumerable, but for those who can’t spare the bandwidth to conjure one up, here’s a simple plan.

Start with five or six minutes of low intensity aerobic exercise (jump rope, bike, or cardio method of choice), then grab a light resistance band and move through the following sequence:

Landmine Workout Warm-Up

  • Deep Squat with Trunk Rotations: Drop down into a deep squat. Keep your chest up and reach toward the ground with both arms between your legs. Use one arm to “pry” your same-side thigh outward as you reach up with the other arm. As you reach, keep your eyes on your overhead palm by rotating and extending your trunk. Repeat with the other hand. Perform 8 rotations in each direction, alternating sides each repetition.

  • Backstep Lunge to Hip Flexor Stretch: Take a large step backwards and lower your knee to the ground. Squeeze your rear-leg glute muscles to feel a stretch in the front of the hip or thigh. If you are unable to achieve a stretch, attempt to tuck your pelvis under your body by bringing your belt buckle toward your chin. Hold the position momentarily. Return to standing and repeat with the opposite leg. Perform 8 reps per leg.
  • Plank to Pike: Assume a tall plank or “top of the push-up position” supporting your body on your palms and forefeet. Move into a pike position by pushing forward with your hands and driving your hips back and up, Keep your spine, arms, and legs straight. Return to the plank position. Perform 8 reps. 
  • Dynamic Hug: Wrap a light resistance band around your back just below your shoulder blades. Stand with arms outreached straight ahead at shoulder-height. Reach forward in a “hugging” motion. Imagine you are wrapping your arms around a gigantic tree to maximize the space between your arms as you reach your hands together. Reverse the movement, allowing your shoulder blades to move toward your spine as you open your arms. Perform 8 repetitions.
  • Band Pull-Apart: Hold the resistance band straight ahead with your arms in front of your shoulders. Stretch the band by pulling your arms apart without bending your elbows. Initiate the movement by squeezing your shoulder blades toward your spine. When your hands are sideways in-line with your shoulders, return to the starting position. Perform 8 repetitions. 

An Angled Approach to New Gains

The landmine is a fun and versatile tool for training all major muscle groups. Landmine lifts promote a balanced physique while hammering the core, and may actually result in superior gains in on-field or on-court athleticism. (6) Bookmark these landmine workouts and blast your next high-quality training session.

References

  1. Collins, K. S., Klawitter, L. A., Waldera, R. W., Mahoney, S. J., & Christensen, B. K. (2021). Differences in muscle activity and kinetics between the goblet squat and landmine squat in men and women. Journal of Strength and Conditioning Research35(10), 2661-2668.
  2. Murray, W. M., Delp, S. L., Buchanan, T. S. (1995). Variation of muscle moment arms with elbow and forearm position. Journal of Biomechanics28(5), 513-525.
  3. Kleiber, T., Kunz, L., & Disselhorst-Klug, C. (2015). Muscular coordination of biceps brachii and brachioradialis in elbow flexion with respect to hand position. Frontiers in Physiology6, 215.
  4. Schoenfeld, B. J., Pope, Z. K., Benik, F. M., et al. (2016). Longer interset rest periods enhance muscle strength and hypertrophy in resistance-trained men. Journal of Strength and Conditioning Research, 30(7), 1805-1812.
  5. Weaver, A. N., & Kerksick, C. M. (2017). Implementing landmine single-leg Romanian deadlift into an athlete’s training program. Strength & Conditioning Journal39(1), 85-90.
  6. Zweifel, M. (2017). Importance of horizontally loaded movements to sports performance. Strength and Conditioning Journal39(1), 21-26.

Featured Image: Merrick Lincoln, DPT, CSCS / YouTube

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White House Announces New Response Actions

White House Announces New Response Actions

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Aug. 18, 2022 – Acknowledging the seriousness of the monkeypox outbreak in the United States, the White House announced today that 1.8 million more vaccine doses will be available to order by local and state jurisdictions that are running low on supply starting next week.

At the same time, U.S. officials will send 50,000 more courses of tecovirimat (TPOXX), the only treatment currently FDA-approved for monkeypox, nationwide.

“We’re focused on helping state and local partners turn these doses into vaccinations because more shots in arms is how we get the outbreak under control,” Robert Fenton, recently appointed White House monkeypox coordinator, said at a media briefing today.

More than 13,500 cases of monkeypox had been identified in 49 states as of Aug. 17, said CDC Director Rochelle Walensky, MD.

The Biden administration has also increased testing capacity from 6,000 tests per week to 80,000 tests per week, the White House said.

Pride and Protection?

Also, in a move to target people at highest risk, the CDC plans to partner with large LGBTQ+ events in the coming weeks and months to offer testing and vaccinations on-site. To date, 93% of reported monkeypox cases involve men who have sex with men, Walensky said.

“These events are important opportunities for people to connect with their community and to enjoy themselves,” she said. “They’re also a chance to provide public health messages and resources to individuals who might otherwise be hard to reach.”

Going where the people are, Fenton said, will boost local efforts and help slow the virus’s spread.

The White House has started working with health departments in North Carolina, Georgia, and Louisiana to prepare for upcoming LGBTQ+ gatherings. For example, the administration worked with North Carolina to develop a plan to offer vaccines during the Charlotte Pride Festival & Parade this coming weekend..

Officials also plan to work with the promoters of Southern Decadence in New Orleans and Atlanta Black Pride Weekend events, both scheduled for Labor Day weekend. These efforts are part of a U.S. Department of Health and Human Services pilot program that sets aside 50,000 more doses of vaccine from the Strategic National Stockpile that local officials can request along with the vaccines they already have.

Some follow-up will be required. “We recognize that there are going to be some people who have traveled to large-scale events – and that they’re going to have to receive dose one of their vaccine and then they will necessarily receive dose two at their local jurisdiction,” Walensky said.

Monkeypox a Moving Target

The situation with monkeypox is “fluid,” Walensky and other government officials acknowledged during the briefing. For example, an early recommendation to provide one dose of the Jynneos monkeypox vaccine (from drugmaker Bavarian Nordic) and delay the second is no longer advised.

“The one-dose delayed strategy was … very concerning because of the absence of data and the emergence of some data to suggest it might be a strategy that is not as effective as we would like it to be,” said Peter Marks, MD, PhD, director of the FDA Center for Biologics Evaluation and Research.

Instead, two doses are recommended 4 weeks apart. Also, maximum protection from the vaccine is expected 2 weeks after that second dose, Walensky said.

Ramping Up Treatment

The 50,000 courses of TPOXX to be sent across the country will be made available where the outbreak is most severe, Fenton said. “That is five times as many treatments as confirmed cases in the U.S.”

The government will determine how many doses of TPOXX a particular location gets based on a formula that considers the number of local cases and the number of people at high risk in that location, including people with HIV or other immunocompromising conditions, said Dawn O’Connell, assistant secretary for preparedness and response at Health and Human Services.

While announcing big numbers for more vaccines and TPOXX treatment doses across the country, the officials also emphasized the importance of working with local community leaders, organizations, and health departments.

Think Nationally, Act Locally

“We know we have to do more to mitigate the spread of this virus and to protect those at risk,” Health and Human Services Secretary Xavier Becerra said. “Our work with state and local partners could not be more critical than at this particular moment.”

In addition to reaching those at highest risk, the government is placing an emphasis on fairly providing education, testing, prevention, and treatment. The median age of people with monkeypox is 35. About 35% of cases occur in white people, 33% among Hispanic people, and nearly 28% occur in Black people, CDC data reveals.

“Many of the events we are focusing on … are really events that focus on populations that are overrepresented in this outbreak, including the trends that we are seeing among Black and Latino individuals,” said Demetre Daskalakis, MD, deputy coordinator of the White House monkeypox response and director of the CDC Division of HIV Prevention.

Going Forward

“Most Americans still are learning about monkeypox, what it is, and what it is not. CDC’s website can answer most of those questions,” Becerra said.

The sole maker of the Jynneos vaccine in Copenhagen, Denmark, has announced it is unlikely its production can keep up with demand. But U.S. officials are working with Bavarian Nordic to ramp up manufacturing by partnering with a vaccine maker in the U.S. Details are still being worked out.

Another possibility is for Bavarian Nordic to partner with a large U.S. pharmaceutical company to increase capacity, O’Connell said.

“On July 15, when we announced an order with Bavarian Nordic for an additional 2.5 million vials of Jynneos vaccine, we shared that those doses will be filled at a U.S.-based contract manufacturer,” she said.

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Watch Daniel Ryjov Power Through a 225-Pound Bench Press for 90 Reps

Watch Daniel Ryjov Power Through a 225-Pound Bench Press for 90 Reps

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Daniel Ryjov has developed a reputation for displays of upper-body pressing strength. Unfortunately, while doing 150-pound dumbbell skull crushers during a May 2022 training session, Ryjov tore his right triceps tendon. 

On August 17, 2022, just four months post-injury, Ryjov performed a 225-pound (102-kilogram) bench press for 90 reps. The athlete performed softer lockouts of each rep and wore elbow wraps, but those might have been precautions to avoid further injury.

[Related: How to Do the Incline Dumbbell Curl for Bigger, Stronger Arms]

Ryjov called his AMRAP (As Many Reps As Possible) conditioning feat a “new World Record” in the caption of his Instagram post. However, it is unclear whose World Record mark he previously surpassed. (Larry “Wheels” Williams bench pressed 225 for 70 reps in 2018.) Ryjov also noted that he intended to capture 100 reps but racked up his barbell because he “miscounted” his number. 

For context on Ryjov’s achievement, the 225-pound bench press AMRAP is a standard evaluative test of strength for professional football draft prospects during the annual NFL Scouting Combine. In July 2020, professional strongmen Brian Shaw and Robert Oberst tried their hand at the Combine record of 51 reps that Justin Ernest set in 1999. Oberst eventually locked out 42 reps while Shaw bettered his peer with 44. Even with his quicker lockouts in consideration, Ryjov has now roughly doubled both athletes on his bench press AMRAP.

While Ryjov usually shares footage of himself completing noteworthy pressing achievements — such as a 605-pound bench press with a five-second pause from November 2021 — he does have formal powerlifting experience. 

Here’s a rundown of his first-place performance in the 110-kilogram division at the 2017 United States Powerlifting Association (USPA) SMG’s March Mayhem.

Daniel Ryjov (110KG) | 2017 USPA SMG’s March Mayhem Top Stats

  • Squat (Wraps) — 275 kilograms (606.2 pounds)
  • Bench Press (Raw) — 207.5 kilograms (457.4 pounds)
  • Deadlift (Raw) — 300 kilograms (661.4 pounds)
  • Total (Raw W/Wraps) — 782.5 kilograms (1,725.1 pounds)

Ryjov has not made an appearance on a sanctioned lifting platform since that competition. 

[Related: The Best Landmine Workouts for More Muscle and Better Conditioning]

Ryjov’s Future

Before he tore his triceps tendon, Ryjov was in a long-term pursuit of a 317.5-kilogram (700-pound) bench press, per his social media. Shortly before his injury occurred in May, the athlete attempted to bench press 306.1 kilograms (675 pounds) but could not lock out the weight.

At the time of this writing, Ryjov has not confirmed he would push for that milestone again. Additionally, even with this AMRAP bench press in the account, it’s unclear where Ryjov stands with his recovery. Nonetheless, just months after suffering a potentially devastating setback, it looks like the athlete is already pushing himself to be back on track and press eye-opening weight once more. 

Featured image: @danielryjov on Instagram

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Have ‘Zoom Fatigue?’ Study Finds Way to Lessen It

Have ‘Zoom Fatigue?’ Study Finds Way to Lessen It

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Aug. 18, 2022 – Making eye contact and picking up on subtle nonverbal cues that show that someone is listening is nearly impossible on a crowded video conference call. It’s hard to know if others on the call are listening or engaged, especially if they have their video turned off. That lack of social connection contributes to what some call “Zoom fatigue.”

Now, a new study suggests that using hand signals to show feelings such as empathy or solidarity during video conference meetings could lessen that fatigue.

Researchers in London found that people in groups that used a series of hand gestures called Video Meeting Signals (VMS) during Zoom calls reported feeling closer to others in the group and more engaged in the calls, compared to those who didn’t use hand signals.

The study, published Aug. 3 in the journal PLOS One, could help address a common problem with video conferencing by helping people feel more connected to one another in a virtual meeting space, according to Paul Hills, a researcher at University College London and CEO of the management consulting company Konektis, which trains companies to use VMS.

“What most people just experience during these calls is boredom or frustration or thinking, ‘It’s just not worth it because no one is listening, and if they’re not going to listen to me, I’m not going to listen to them,'” says Hills, who co-authored the study.

As a longtime business management consultant, Hills had worked with dozens of companies to make meetings more efficient and productive.

“I’d always been amazed at how much time can be wasted in meetings, even before Zoom,” he says. “When Zoom came along, I just saw it get worse, and I was tearing my hair out. I realized when I was talking to other people, they were also tearing their hair out.”

Hills used hand signals for communication when he once worked as a lifeguard in Cornwall, England, and as a mentor for a group that provides support to at-risk young people.

“I just thought, there’s power in gestures here,” he says.

The VMS system created by Hills includes the gestures he already used, others commonly used in sports, and signs used in American Sign Language and British Sign Language.

Waving a hand over your head means you’d like to speak next. A double thumbs up means you agree. A hand over your heart is an expression of empathy and compassion. A hand massaging the top of your head tells others you have a question. A raised hand means you share the experience shared by another participant.

Information from companies Hills trained to use the VMS system suggested it was effective, but there was no clinical data to back that up. So he partnered with a team at University College London to do two trials to measure how well the system works.

More than 100 psychology undergraduate students in an online seminar at the university took part in the first trial. Students in the VMS group had a 45-minute training session on how to use the hand signals before the seminar began. The other group took part as usual.

Surveys done after two sessions showed much higher satisfaction with online interactions among those in the VMS group, compared to the other group. They reported feeling closer to their classmates, were more engaged, and thought they had learned more. They were also more likely than those in the other group to use positive language to describe the seminar.

These findings were confirmed in a second trial with 137 adults who were not students. In that study, one group received a much briefer training in VMS and a second group did a short training on how to use Zoom reaction emojis. A third group didn’t use either of the signals.

As in the first study, the VMS group felt more socially connected than the group with no training. They also had more positive scores than those in the emoji group, which a researcher says suggests the benefits come not just from reactions that convey emotion, but specifically from physical actions.

The responses mirrored what Hills had heard from some of the companies he’d worked with.

“From a manager’s perspective, I know that people are listening now and responding positively or negatively to what I am saying,” says Heather Coupland, a program manager at a business support company called Oxford Innovation Services Ltd. The company, in Oxford, England, began using the hand signals in video conferences in March 2021.

“Beforehand, I had no idea who was listening, as I just had a circle with a name, and it is so frustrating,” she says. “The benefits to remote-working mental health are significant.”

The study findings offer an interesting option for promoting connectivity in a video conference space, says Jack Tsai, PhD, a professor of public health at the University of Texas Health Science Center in Houston.

“Video conference is limited in reflecting body language and even facial expressions, and so physical gestures may help amplify those expressions,” says Tsai, who was not part of the study.

“While I think the visual gestures are interesting and can be a way to engage students, there is some evidence that younger generations of adults are losing some abilities to read body language and interpret facial expressions and emotions due to the age of social media,” he says.

“The visual gestures in the study are designed to have specific messages tied to them and does not rely on students interpreting them in any way with nuance, so I don’t know if that may improve or worsen this issue.”

Find a VMS training video here.

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Bodybuilder Michal Križánek Weighs a Colossal 293 Pounds in Latest Physique Update

Bodybuilder Michal Križánek Weighs a Colossal 293 Pounds in Latest Physique Update

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In mid-July 2022, promising bodybuilder Michal Križánek switched from the International Federation of Bodybuilding and Fitness (IFBB) Elite Pro League to the National Physique Committee (NPC). Križánek’s motivation behind the switch was to obtain his IFBB Pro Card and gain eventual qualification for the 2022 Mr. Olympia. Judging by his latest physique update, his training progress for those ambitious goals seems to be going well. 

On August 16, 2022, Križánek shared a post on his Instagram where his upper body and lower body mass have a balanced shredded look. According to the bodybuilder, he weighs 133 kilograms (293.2 pounds) in the photo

[Related: How to Build Muscle: The Training and Diet Guide for Beginners and Advanced Lifters]

Based on the NPC’s standards, to get his Pro Card, Križánek will have to qualify for and win at least one of the upcoming North American Championships or the National Championships. A top-five result in a National Qualifier would garner him a roster spot in the North American Championships. A top-three finish would place him in The National Championships.

The 2022 NPC North American Championships will take place on August 31 in Pittsburgh, PA. The 2022 NPC National Championships will take place on December 2-3 in Orlando, FL, as a potential last step before the Olympia. 

In the event that Križánek earns his Pro Card in time, he will have to either win an IFBB Pro League contest or finish in the top three in points in the Men’s Open division by the time the qualification period ends on November 20, 2022. Notably, the NPC is the only amateur organization that the IFBB Pro League recognizes. 

At the time of this article’s publication, Križánek has not confirmed his next steps and when he’ll compete in a necessary regional contest. 

[Related: The Best Sled Workouts for Muscle, Strength, Fat Loss, and Recovery]

Big Strides Ahead

Should Križánek successfully find himself in December’s Mr. Olympia, he’ll be another noteworthy competitor in what is shaping up to be a stacked Men’s Open field.

There’s two-time defending Mr. Olympia (2020-2021) Mamdouh “Big Ramy” Elssbiay, who recently weighed in at 336 pounds, along with former winner (2019) Brandon Curry. Usual podium fixture Hadi Choopan could also be someone to watch. Finally, there’s 2021 fourth-place finisher Hunter Labrada and Nick “The Mutant” Walker, who took home fifth place at last year’s contest and believes he can potentially dethrone Big Ramy

From the qualification process to potential competitors, the obstacles ahead are set for Križánek. Now it’s just about him making the Olympia opportunity official. 

The 2022 Mr. Olympia will take place on December 16-18 in Las Vegas, NV. 

Featured image: @ifbbmichalkrizokrizanek on Instagram

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What Parents Need to Know About Monkeypox and School This Fall

What Parents Need to Know About Monkeypox and School This Fall

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Aug. 18, 2022 – Should parents of young schoolchildren be worried about monkeypox?

So far, at least nine children in the U.S. have tested positive for monkeypox. As of now, the American Academy of Pediatrics says the risk of children becoming infected with the virus is low.

Still,“children and adolescents are more likely to be exposed to monkeypox if they live in or have recently traveled to a community with higher rates of infection,” the academy says.

As back-to-school season officially kicks off, read on to learn more about how to prevent the spread of monkeypox.

What Are the Signs of Monkeypox in Children?

Monkeypox infection in children appears in the same way it shows up in adults. The most common sign of monkeypox in children and adults is a skin rash that looks like raised bumps, according to the CDC.

Paulette Grey Riveria, MD, a family medicine doctor and a regional medical director for the Louisiana Department of Health, says that you can tell if a rash is monkeypox by the way it changes over time. “A monkeypox rash will change from being initially flat, to raised, to filled with fluid, and finally to a scab that eventually falls off and is replaced by a fresh layer of skin,” she says.

Monkeypox sores usually appear all at once and go through the different stages together, and it’s less common to have sores in different stages, Riveria says Fever, headache, fatigue, and swollen lymph nodes are also common in children with monkeypox, but they may not appear in every single case, the CDC says.

Are Kids at Risk for Severe Sickness From Monkeypox?

Carlos Oliveira, MD, a pediatric infectious disease doctor at Yale New Haven Children’s Hospital in Connecticut, says most monkeypox cases are “self-limiting,” meaning they go away on their own without treatment. That said, the American Academy of Pediatrics warns that infants, young children, children with weakened immune systems, and children with skin conditions like eczema are more likely to become severely sick if they catch monkeypox.

The CDC also says that children under 8 years old infected with the Congo Basin variant of monkeypox are more likely to have a severe infection. (That said, the monkeypox variant spreading around the world right now is the West African variant, which is known to cause a milder illness.)

How Can Schools Prevent the Spread of Monkeypox?

The monkeypox virus mainly spreads when people have direct contact with the fluid inside monkeypox rashes. This can happen through skin-to-skin contact or by touching items that have encountered the rash of an infected person. Things like towels, bedding, clothing, toiletries, and shared utensils all can spread monkeypox.

The CDC also says poxviruses like monkeypox are hardy; researchers have found live virus in the home of a person infected with monkeypox 15 days after they had left.

The good news is that the strategies schools have already used to prevent the spread of COVID-19 can be used to prevent monkeypox as well, like “encouraging personal space, promoting frequent hand-washing, and telling parents to keep kids home when sick,” Riveria says.

For older students, like those in high school, Riveria says “the best precaution is awareness.” She says it’s important for young adults to know what monkeypox rashes look like, how monkeypox spreads, and where they can get health care and treatment.

Young adults should “avoid contact with a person who has monkeypox or has been exposed to the virus,” she says. “While awareness is critical, aligning responsible behavior with that awareness is just as important.”

AreThere Monkeypox Treatments and Vaccines for Kids?

Oliveira says the medication tecovirimat and the Jynneos vaccine can be used to prevent severe monkeypox infections in children.

Tecovirimat is a medication that can treat viruses in the same family as monkeypox. It is FDA-approved for treating smallpox, but the CDC allows it to be used for severe monkeypox infection. According to the CDC, a 28-month-old child received tecovirimat and had no harmful side effects, but there haven’t been any studies on how the medication affects kids.

The Jynneos vaccine was approved in 2019 to prevent smallpox and monkeypox in adults. This month, the FDA gave emergency use authorization for the vaccine to be given to children younger than 18 years old who are at risk of severe sickness from monkeypox. That said, pediatricians need permission from the FDA to give the Jynneos vaccine to children, according to Oliveira.

For mild cases of monkeypox, the World Health Organization says care should focus on easing symptoms and managing complications. Parents or caretakers of children with monkeypox should avoid touching any items the child may have had skin contact with and use personal protective equipment like gloves when handling contaminated items. Any person with monkeypox is contagious until all their lesions have scabbed over and healed, says Oliveira.

“The CDC recommends that individuals with monkeypox stay in isolation for the course of their disease, which normally lasts between 2 to 4 weeks,” he says. “Hand hygiene is a simple and effective tool to prevent infection. Isolation and vaccination of close contacts is also recommended.”

Riveria reassured parents that while monkeypox can cause more severe illness in children, compared to adults, “we are not seeing this theoretical risk play out in reality thus far.”

“Parents should be vigilant, but not hypervigilant,” she says.

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Powerbuilding: The Training Method for Size and Strength

Powerbuilding: The Training Method for Size and Strength

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Who wouldn’t want to be strong like a powerlifter while also being built like a bodybuilder? Maximizing strength and muscle is what drives many people to start lifting weights in the first place, so why not train for the best of both worlds? Powerlifting plus bodybuilding equals powerbuilding.

person in gym performing bench pressperson in gym performing bench press
Credit: antoniodiaz / Shutterstock

Although powerbuilding is often considered a specific style of training, it’s really just an overall structure given to any training plan. And it’s a structure that many experienced lifters were doing even before it was given a name.

While there’s no reason to be dogmatic, here are some basic guidelines that can help you decide where to put your focus, what to include and what to leave out, and how to best organize your training to pack on size and strength.

What is Powerbuilding?

Training for powerbuilding means that you focus on increasing strength in big, compound (multi-joint) lifts while also building muscle through more classic bodybuilding-type training with isolation (single-joint) exercises and exercise variations, also called accessory movements.

One example would be starting a workout with sets of deadlifts, followed by accessory exercises concentrated on individual muscle groups such as the back and hamstrings. The main compound lift would be done for lower reps with heavier weights to develop strength and power.

The accessory exercises are done with relatively higher rep ranges in order to develop individual muscles while reducing wear and tear on the joint. That can include anything from single-joint exercises like biceps curls to multi-joint movements like split squats or pull-ups.

man outdoors performing pull-upsman outdoors performing pull-ups
Credit: Maxim Morales Lopez / Shutterstock

An upside to powerbuilding is that you can choose what to prioritize for specific goals. If you eventually decide to enter a powerlifting competition, for example, you could allocate more time to training heavy with the big three powerlifts — back squat, bench press, and deadlift — and minimize some of the bodybuilding work.

Or, when beach season approaches, you might keep the heavy barbell lifts to a minimum and spend most of your training doing muscle-building accessory exercises to build a serious physique while remaining relatively strong.

While powerbuilding gives you flexibility in exercise choice, there are some things to keep in mind for the best results.

Who Should Use Powerbuilding

Powerbuilding is for those who don’t have one singular physique or performance focus, but instead want to be physically well-balanced.

If you want to be strong, muscular, and fit, there’s no reason to get stuck working towards some grandiose weight in a barbell lift, reaching a specific body fat percentage number, or breaking a certain time for an endurance workout.

person standing with barbell across shouldersperson standing with barbell across shoulders
Credit: Mongkolchon Akesin / Shutterstock

That’s not to say you won’t still set PRs (personal records), build endurance, and drastically improve your body composition with a more general training powerbuilding approach.

You may not break state lifting records or be shredded enough to step on a bodybuilding stage, but you can still end up stronger and more muscular than people who put all of their training eggs in a single basket.

Powerbuilding training can also be useful for people who compete in other sports or physical hobbies. When you’re approaching a competition, strength and conditioning training does need to be tailored to your specific sport or activity, especially when you’re competing at a very high level.

As long as you’re not in a competitive season, powerbuilding can be a great way to build a broad foundation for novice athletes and it can help experienced athletes remain well-rounded.

Powerbuilding for New Lifters

It’s great that powerlifting-inspired, strength-focused training has become popular in recent years. However, too many people with no lifting background dive headfirst into heavy training after seeing it for the first time.

While powerlifting can build an excellent level of upper and lower-body strength, beginners need to build a foundation using more variety than this type of specialized training can provide. Powerbuilding training is a better alternative for beginners because it builds a much broader base by developing more attributes with more exercise variety.

person in gym doing dumbbell shoulder pressperson in gym doing dumbbell shoulder press
Credit: MR.SOMKIAT BOONSING / Shutterstock

A beginner starting with a broad base will be in a better position to build on. With powerbuilding, you can steadily improve in big barbell lifts, similar to powerlifting-based training. Those barbell lifts can be markers for you to track your progress — not just in strength, but also in movement quality. Your technique will improve as you progress.

You also have more freedom when choosing  different exercises, variations, and training methods on a powerbuilding program. Powerlifting is exclusively focused on moving the most total weight in the back squat, flat bench press, and deadlift. Powerbuilding lets you focus on different barbell lifts while performing a wide variety of isolation exercises. In the long-term, this leads to better balance, proportion, and overall healthy function throughout your body.

Why Train for Powerbuilding

A Powerbuilding routine is excellent not only for building strength and muscle, but also for developing work capacity and resilience toward injury. This is primarily because powerbuilding allows flexibility to use a variety of exercises and training methods, instead of a relatively smaller handful of goal-specific exercises or methods.

Muscles grow bigger and stronger more quickly than the connective tissue that attaches those muscles to bones. If your training routine is excessively focused on building strength, like many powerlifting-based programs, you’re on a potentially dangerous path.

The disproportionate increase in muscular strength may create a condition where your muscles exert levels of force that your connective tissues can’t support. That can lead to the type of injury that keeps nagging for years.

Powerbuilding programs make it simple to incorporate moderate-to-high rep accessory exercises which increase blood supply and metabolic growth factors to tendons and ligaments. This type of training makes the connective tissues thicker and stronger, while increasing the muscles’ ability to withstand fatigue and do more work.

Powerbuilding routines also leave room for hybrid training methods which build muscle and aerobic capacity together, such as “tempo interval circuits” — alternating 20 to 45 seconds of steady state activity (rowing, stationary bike riding, sled dragging, etc.) with 10 to 15 reps of an accessory exercise, repeated for a total of 20 to 60 minutes.

These methods can all be included in powerbuilding programs to build a more well-rounded, highly capable body that’s more resistant to injury. You can still decide to specialize with powerlifting or bodybuilding-focused training later, if it suits your specific goal.

How to Plan a Powerbuilding Routine

While you do have a lot of flexibility when arranging your powerbuilding training plan, there are some important things to consider when designing a program.

Choose Your Main Lifts

First, decide which compound lifts to prioritize. You can use the classic back squat, flat bench press, and deadlift, or you can substitute similar alternatives. For example, you could trade the bench press for the overhead press if overhead strength appeals to you.

To focus on leg strength, you may want to include both the back squat and front squat while leaving out the deadlift for a few months. However, using “overlapping” exercises or very similar movements will require extra attention to planning, explained later.

There are no strict rules regarding which exercises to include, just pick what you like and stick with it. You can choose whatever big compound lifts you prefer, and you can even change them over time.

However, because the main lift is strength-focused, it should be a movement which allows the greatest potential weight to be lifted. This will almost always be a barbell exercise. Plan to use three to five sets of three to six reps with a challenging weight.

Know Your Training Split

Next, decide what order you’ll train your lifts and muscle groups. You can do this by following a push/pull split, an upper/lower split, or a muscle group split.

muscular person in gym grabbing barbell on floormuscular person in gym grabbing barbell on floor
Credit: Roman Chazov / Shutterstock

Push/Pull Split: The push/pull split alternates training days focused on “pushing” muscles and movements (including squat and squat variations, chest and shoulder training, and triceps work) with days focused on “pulling” muscles and movements (including deadlifts and deadlift variations, back exercises like rows and pulldowns, and biceps training).

The most common way to program a push/pull split is to pair a pushing movement main lift with accessory pushing exercises. For example, a workout could begin with heavy squats, followed up with upper and lower-body pushing accessory exercises including hack squats, leg extensions, overhead dumbbell pressing, and skull crushers.

If you’re training with more than one push (or pull) workout per week, you might focus the accessory work to only the muscles used in the main lift. For example, heavy front squats followed by the leg press, Bulgarian split squat, standing calf raise, and ab training.

Upper/Lower Split: This is exactly what it sounds like — each training day is devoted to either upper body or lower body exercises.

On day one, you might bench press and then do the dumbbell overhead press, pulldowns, cable rows, and triceps extensions. Day two could include the deadlift, lunges, hamstring curls, and calf raises. While day three might focus on the barbell row, chin-ups, chest dips, incline pressing, and biceps curls.

This approach can be manipulated to improve overall recovery time by adding rest days to extend the time between workouts. This makes it a very suitable choice for older lifters who may need to carefully monitor the weekly wear and tear on their body.

Muscle Group Split: This is a classic “body part split” seen in most bodybuilding programs, with each training day focused on one or two specific muscle groups. However, the main compound lifts still focus on building strength with that body part as the primary working muscle.

Training days typically work around the chest, back, shoulders, arms (sometimes broken down into a biceps day and a triceps day), and legs. “Leg day” may also be separated into one quadriceps day (with squats) and one hamstring day (with deadlifts).

For example, you might start “quadriceps day” with front squats, and then maximize muscle growth with accessory exercises that specifically work the leg muscles used in a squat — including lunges and leg extensions.

On shoulder day, you may use the push press as a main lift, followed by dumbbell overhead pressing, lateral raises, rear delt flyes, triceps pushdowns.

Choose Your Accessory Exercises

Once you’ve selected your main lifts and training split, you’ll know which accessory movements can be plugged into each day.

Accessory movements should be chosen to build size in muscles that need attention and are appropriate for each training day. If you’re following a push/pull split, you wouldn’t perform leg curls as an accessory movement after bench press; they’re different types of movements and the hamstrings aren’t recruited when benching.

Don’t make the mistake of thinking accessory exercises are a lesser priority than your main lift. Accessory movements are primarily responsible for the “building” part of powerbuilding. They help you pack on size and support strength progression in the main lifts.

person in gym performing push-ups with feet in strapsperson in gym performing push-ups with feet in straps
Credit: antoniodiaz / Shutterstock

When it comes to accessory exercises, work for three to five sets of eight to 15 reps. You may want to include traditional isolation exercises like lateral raises or seated leg extensions, or variations of the main lift such as an incline bench press or dumbbell overhead press.

You could also use alternative exercises like kettlebell swings, farmer’s walks, or sled drags to build the size and conditioning you’re looking for. Accessory movements allow you to focus more on muscle growth than raw strength, so choose the movements based on your individual needs.

Determine Your Training Frequency

The last step to setting up your powerbuilding program is to decide how many days per week you’re going to train. Typically, the longer you’ve been training, the more volume of work you must do to continue to see progress.

This usually means more experienced lifters will need to train more days each week than when they first started. Someone who has been doing powerbuilding training for a year or less can often improve with only two to three workouts a week because the overall stimulus is still relatively new and their body responds well.

Lifters with more than two years experience will probably need to train three to five days per week to achieve the volume and intensity needed to continue seeing results. One or even two workouts per week couldn’t accommodate enough exercises with enough sets and reps, using enough weight, to trigger sufficient muscle and strength gains.

However, you can structure your week to make the most out of fewer training days. Yes, the longer you consistently train, the more work you will need to add overall. But if you appropriately pair your compound lifts and add accessory exercises that fill in any potential gaps, you don’t necessarily need to lift five days a week.

For example, you might follow an upper/lower split three days per week using the bench press and barbell row as main lifts on one upper body day, trap bar deadlifts and squats on a lower body day, and a shoulder press on the next training day.

Common Powerbuilding Mistakes

Powerbuilding can be a relatively straightforward approach to training — lift heavy and then lift a little lighter — but several common mistakes can limit your recovery and reduce results.

Poor Fatigue Management

One of the biggest issues to keep in mind is managing your fatigue throughout the week. You can do this by following a proper training split, grouping main lifts together, and organizing your split to reduce the total training days each week. Each of these were addressed in the planning section above.

tired person sitting in gym sweatingtired person sitting in gym sweating
Credit: Dragon Images / Shutterstock

You can also manage nervous system fatigue by avoiding excessive overlap with similar exercises. If you were to design a powerbuilding routine with four different squat variations as the main lift four days in a row, you never give your nervous system or squatting muscles a chance to recover. You’ll likely burnout before seeing any significant results.

Instead, you might do back squats and squat cleans on day one, with Zercher squats and front squats on day three or four. This creates a structure that allows you time to recover from the physical and physiological stresses of squatting.

Yes, it may suck to do heavy cleans after heavy squats or front squats after heavy Zerchers, but your body will adapt because it’s given the chance to recover. In the end, the total training plan will be more productive and you will adapt and grow stronger from it.

Overemphasizing Main Lifts or De-emphasizing Accessory Work

Some lifters get so caught up in chasing heavy weights that they overlook accessory work. If they’re in a hurry on a given day, accessory movements might be performed haphazardly, with reduced effort, or even skipped entirely. That’s a one way ticket to plateau city, where strength stalls and muscles remain under-sized.

For optimal gains in both size and strength, the main lift and the accessories should be approached with balanced effort and enthusiasm. If you wouldn’t skip a set of heavy deadlifts, you shouldn’t consider skipping a set of pulldowns or lunges.

If the unexpected happens and you need to trim your time in the gym, don’t simply drop the accessory movements. Take the opportunity to dial up the intensity and use supersets to fit more training sets into a shorter amount of time.

Sample Powerbuilding Routines

Now that you have the general outline for how to structure your training, here’s a sample program putting it all into action.

person outdoors performing deadliftperson outdoors performing deadlift
Credit: Tom Yau / Shutterstock

This adaptable template keeps the main lifts focused on building strength and includes alternative methods to increase work capacity and develop muscle.

Day One

  • Back Squat: 4 x 5 (70% one-rep max)
  • Overhead Press: 5 x 3 (75% one-rep max)
  • Bulgarian Split Squat: 4×10 (each leg)
  • Dumbbell Upright Row: 4×10 (superset with previous exercise)

Tempo Interval Circuit — Perform for 20 minutes:

  • Sled Push: 30 seconds 
  • Feet-Elevated Push-up: 15 reps
  • Sled Pull: 30 seconds 
  • Lat Pulldown: 10 reps

Day Two

Day Three

  • Bench Press: 4 x 5 (70% one-rep max)
  • Front Squat: 4 x 3 (75% one-rep max)
  • Goblet Squat: 4 x 8
  • Lateral Lunge: 3 x 6 (each side)
  • Dumbbell Floor Press: 3 x 12 (superset with previous exercise)

Accessory Circuit — As many sets as possible in eight minutes: 

  • Inverted Row: 6 reps 
  • Chest-Supported Front Raise: 8 reps
  • Chest-Supported Rear Raise: 8 reps 
  • Seated Hammer Curl: 10 reps 
  • Overhead Dumbbell Triceps Extension: 8 reps 

Building the Best of Both Worlds

Powerbuilding training is not only a great way to build a broad base for beginners, it’s one of the most efficient ways to structure your workouts for becoming stronger, more muscular, leaner, and capable of more than just picking up heavy things or flexing in poses. If you’re motivated to build a well-rounded body, spend some time powerbuilding.

Featured Image: Tom Yau / Shutterstock

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What Are You an Expert In?

What Are You an Expert In?

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dog jumping

Last night, nine-year-old Anton did a sort of kicky handstand situation. Then he looked at me and said: “I’m a god at cartwheels.”

Yes! I laughed and clapped.

But his unapologetic confidence reminded me of a women’s leadership group that my friend Juliet recently attended. To kick off the session, they were asked to go around the room and say what they were experts in. Although they were doctors and professors and scientists, none of the women could bring themselves to say that they were experts in their fields. It felt too bold, too blunt, too absolute.

But why not? Everyone has expertise in different areas, large and small, serious and lighthearted. Why can’t we say it out loud?

So! I’ll go first: I’m an expert at finding killer Airbnbs, even with lots of parameters. I’m good at talking to little kids. I’m an expert at running a women’s lifestyle site. I’m good at faking an English accent. I’m at expert at giving back tickles and drawing words that you then have to guess. I’m good at not taking things personally. I’m an expert at climbing many flights of stairs instead of taking a scary elevator!!!

On the flip, I’m decidedly not an expert at cooking or running or hearing small noises without freaking out.

What about you? What are you an expert in? Be honest! Be proud! Harness the confidence of a nine-year-old boy!

P.S. A brilliant trick for worriers, and what’s your pro tip?

(Photo by Rowena Naylor/Stocksy.)

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Renaming the Monkeypox Variants Curbs Stigma: Africa’s CDC

Renaming the Monkeypox Variants Curbs Stigma: Africa’s CDC

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KAMPALA, Uganda — The head of Africa’s public health agency says he’s “really pleased” that the World Health Organization is renaming the strains of the monkeypox disease to remove references to African regions amid concerns about stigmatization.

The variant of the disease formerly known as the Congo Basin is now called Clade 1 and what was previously known as the West Africa clade is now called Clade 2, the U.N. health agency announced last week, saying it will hold an open forum to rename monkeypox altogether.

“We are very glad that now we can be able to call them Clade 1 and Clade 2 rather than make reference to these variants using African regions,” Ahmed Ogwell, acting director of the Africa Centers for Disease Control and Prevention, said at a briefing Thursday. “We are really pleased with that change in naming, which will remove stigma from disease-causing variants.”

More monkeypox deaths have been reported on the African continent this year than anywhere in the world. A total of 3,232 cases, including 105 deaths, have been reported in Africa, although only a fraction have been confirmed because the continent lacks enough diagnostic resources.

At least 285 new cases have been reported since the agency’s last briefing a week ago, Ogwell said, adding that the West African nations of Ghana and Nigeria are reporting 90% of new cases. Liberia, Republic of Congo and South Africa are the other nations reporting new cases.

Read More: What It Really Feels Like to Have Monkeypox

Ogwell, who urged the international community to help Africa’s 54 countries improve their capacity to test for monkeypox and control its spread, said he had no epidemiological insights to share regarding the spread of monkeypox in Africa.

But he noted that while 98% of cases are in men who have sex with men outside Africa, what’s happening on the continent of 1.3 billion people “does not reflect what other parts of the world are seeing.”

“Our focus is capacity-building so that each and every country that is at risk is ready to be able to identify these cases quickly,” he said.

Monkeypox spread typically requires skin-to-skin or skin-to-mouth contact with an infected patient’s lesions. People can also be infected through contact with the clothing or bedsheets of someone who has monkeypox lesions.

Most people infected with monkeypox recover without treatment, but it can cause more severe symptoms like brain inflammation and in rare cases, death.

The variant of monkeypox spreading in Europe and North America has a lower fatality rate than the one circulating in Africa, where people have mostly been sickened after contact with infected wild animals like rodents and squirrels.

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