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A common treatment for your knee osteoarthritis may be making it worse, studies say | CNN

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A common treatment for your knee osteoarthritis may be making it worse, studies say | CNN



CNN
 — 

A typical remedy for some arthritis ache would possibly truly be making the situation worse, based on two new research.

“Knee osteoarthritis is among the most persistent, degenerative and progressive situations, with an estimated incidence of 800,000 sufferers annually within the US alone,” mentioned lead writer of one of many research, Dr. Upasana Bharadwaj.

Osteoarthritis is a typical type of arthritis the place the cartilage inside a joint breaks down over time and the bones round it change, getting worse over time, based on the US Facilities for Illness Management and Prevention.

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At the least 10% of the sufferers within the examine used injections to handle the ache, added Bharadwaj, who’s a postdoctoral analysis fellow within the division of radiology on the College of California San Francisco’s Faculty of Medication. Two of these ache administration injectables are corticosteroids, the extra widespread of the 2, and hyaluronic acid.

The research, which have been offered on the annual assembly of the Radiological Society of North America, used both radiograph or MRI photos to trace the development of osteoarthritis within the knees of sufferers. A few of these sufferers didn’t obtain any remedy and others bought corticosteroid or hyaluronic acid injections, based on the research.

Each papers confirmed a statistically vital improve in development of degenerative modifications in knee cartilage over two years in those who had corticosteroid injections in contrast with those that had hyaluronic acid or no injections, based on the examine authors.

Nonetheless, simply because the pictures would possibly look worse doesn’t all the time imply that the individuals are feeling extra ache, mentioned Azad Darbandi, lead writer of the opposite examine.

“You would possibly see that the knee seems unhealthy on a radiograph, however the affected person won’t be having worse signs,” added Darbandi, a researcher and medical scholar on the Chicago Medical Faculty of Rosalind Franklin College of Medication and Science.

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The research spotlight a debate within the osteoarthritis scientific neighborhood concerning the function of modifications within the construction of the joint. Presently, ache is the primarily acknowledged symptom, mentioned Jason Kim, the Arthritis Basis’s vp of osteoarthritis analysis. Kim was not concerned in both examine.

The takeaway from the research is that corticosteroids must be administered with warning for osteoarthritis ache.

Hyaluronic acid injections could also be a promising choice for managing ache however is much less utilized as a result of there may be much less analysis, and most sufferers should pay out of pocket, Darbandi mentioned.

“Maybe hyaluronic acid injections have to be studied for ache administration extra completely,” he mentioned.

Corticosteroids are a quick approach to get ache aid and management irritation however won’t be choice for long-term remedy, Kim mentioned. Repeated injections can put sufferers in danger for different issues, akin to infections as a result of corticosteroids suppress your immune system, he mentioned.

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And a few individuals could not see vital profit from both steroid or hyaluronic acid injections, Kim added.

For a long-term technique, Kim really helpful constructing a trusted workforce of well being care suppliers, together with your main care physician, orthopedic specialist, bodily therapist, nutritionist and rheumatologist.

It might be useful to handle weight and physique mass index, or BMI, to enhance metabolic results and scale back total irritation, Kim mentioned. It’s additionally essential to attempt to train and be bodily energetic, he mentioned, including that strolling has been confirmed to enhance arthritis.

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Hong Kong sentences 45 democracy activists to up to 10 years in prison

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Hong Kong sentences 45 democracy activists to up to 10 years in prison

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A Hong Kong court has sentenced 45 leading pro-democracy activists to up to 10 years in prison in a landmark security case as authorities stamp out dissent in the Chinese territory.

Legal scholar Benny Tai received 10 years in prison, the heaviest sentence. The court, in its ruling on Tuesday, said that Tai was a “principal offender” in organising an unofficial primary election in 2020.

The other defendants received sentences of between four and eight years. Joshua Wong, a former leading student protest organiser, was sentenced to more than four years in prison, while Gordon Ng, an Australian national, received more than seven years.

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“One day in prison is too many,” said Chan Po-ying, wife of former lawmaker Leung Kwok-hung, 68, who was sentenced to 81 months.

The trial of the Hong Kong 47, as the case was known, was the largest national security trial in Hong Kong, which has been struggling to restore its reputation as an international financial centre in the wake of Beijing’s political crackdown and coronavirus pandemic restrictions.

“This case is unprecedented in Hong Kong’s history of democratic movement,” said Eric Lai, a research fellow at Georgetown University’s Center for Asian Law. “Hong Kong’s pro-democracy movement will suffer for many years due to the vacuum of leaders and outstanding activists.”

The defendants — who were arrested in sweeping dawn raids in January 2021 — represented some of the city’s most prominent pro-democracy politicians, activists, union officials, journalists, academics and student leaders.

Thirty-one, including Tai and Wong, had pleaded guilty in hopes of receiving reduced sentences, while 14 were convicted in May. Two were previously acquitted, though prosecutors have filed an appeal against one of the acquittals.

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Most of the defendants have been in detention for more than three years after being denied bail. The charges carried a maximum penalty of life imprisonment.

This is a developing story

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Defense pick Peter Hegseth paid accuser to protect his career, his lawyer confirms

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Defense pick Peter Hegseth paid accuser to protect his career, his lawyer confirms

Pete Hegseth, seen here on Dec. 31, 2021, paid a woman to settle her accusation of sexual assault against him, his lawyer says.

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Brett Carlsen/Getty Images/Getty Images North America

An attorney for Pete Hegseth, the Fox News host and President-elect Donald Trump’s nominee for defense secretary, confirmed to NPR that Hegseth had paid a woman who accused him of sexual assault in order to prevent her from filing a lawsuit that could damage his career.

Hegseth, 44, has denied the woman’s allegations. The incident took place in 2017.

The Washington Post reported Saturday that Hegseth’s lawyer, Timothy Parlatore, had said in a statement, Hegseth reached a settlement with his accuser, including paying her an unknown amount of money in exchange for her signing a nondisclosure agreement. This arrangement was intended to stop her from filing a lawsuit and to protect Hegseth’s position at Fox News, the Post reported.

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Hegseth’s lawyer, Timothy Parlatore, told NPR on Monday that the information attributed to him was accurate, which first reported news of the settlement. According to the Post article, a friend of the woman had shared information about the incident in a memo sent to the Trump transition team last week. NPR has not independently confirmed the contents of the memo.

No charges were filed, Trump team says

“President Trump is nominating high-caliber and extremely qualified candidates to serve in his Administration,” Trump Communications Director Steven Cheung said in a statement to NPR.

Hegseth’s nomination will go forward, Cheung said.

“Mr. Hegseth has vigorously denied any and all accusations, and no charges were filed,” he said. “We look forward to his confirmation as United States Secretary of Defense so he can get started on Day One to Make America Safe and Great Again.”

Trump has himself been convicted of falsifying business records connected to hush money payments, to adult-film star Stormy Daniels, a case he claims is politically motivated.

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What is Hegseth accused of?

In 2017, Hegseth was named in an investigation by the Monterey Police Department concerning a reported sexual assault at a golf resort in California. According to a statement from city officials, Hegseth acknowledges having sexual intercourse with the woman but insists it was consensual.

The incident occurred in the early hours of Oct. 8 at 1 Old Golf Course Road, which is the address of Hyatt Regency Monterey Hotel and Spa. Police say the woman reported an injury to her right thigh. Their news release does not disclose the alleged victim’s name or age; however, she was 30 at the time and worked for the California Federation of Republican Women, assisting with logistics while Hegseth spoke at their conference.

She was staying at the hotel with her husband.

Hegseth’s relationship status at the time was complicated: in 2017, his second wife filed for a divorce “around the same time” he and his current wife had a baby, according to The Washington Examiner.

In his statement to the Post, Parlatore says that Hegseth had been drinking at the hotel bar and was intoxicated when he went to his hotel room with the woman. According to the Post, the memo from the woman’s friend said that the woman took Hegseth to the room after being informed that he was being a nuisance to other women. A few days later, she contacted the police to report a sexual assault.

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After the woman hired an attorney a couple of years later to consider a lawsuit, both parties reached an agreement. Parlatore noted in his statement to the Post that the MeToo movement was gaining momentum at the time, and he told CBS News that Hegseth would have faced “an immediate horror storm” had he been publicly accused of sexual assault, a quote that Parlatore confirmed to NPR.

The incident in Monterey occurred about a year after Fox News settled with former Fox & Friends co-host Gretchen Carlson for $20 million over her sexual harassment claims against the network’s former chairman, Roger Ailes. Between early 2017 and 2020, the network experienced several high-profile departures linked to misconduct, including hosts Bill O’Reilly and Eric Bolling, Washington correspondent James Rosen and news host Ed Henry.

Hegseth is known for his TV work, and loyalty to Trump

When Hegseth was nominated last week, his selection seemingly surprised several Republican lawmakers; as NPR reported, his name was not on the known shortlist of potential nominees. But it continued a pattern of Trump’s placing loyalists and Fox News personalities in prominent positions.

Trump’s selection has put Hegseth, who lives in Tennessee with his wife and seven children, under intense scrutiny.

Prominent Democrats and military experts have raised questions that range from the meaning of his tattoos and political ethos to whether Hegseth is qualified to oversee the country’s largest employer. The Defense Department has “more than 2.1 million Military Service members and over 770 thousand civilian employees,” according to a 2020 fiscal report.

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Hegseth is a Minnesota native who served as an officer in the Army National Guard, leaving service as a major in 2021 after deployments to Iraq and Afghanistan, according to his official biography. He earned a master’s degree in public policy from Harvard University in 2013.

Those questioning Hegseth’s qualifications include Rep. Betty McCollum, D-Minn., the ranking member of the House Appropriations Subcommittee on Defense.

“I have great respect for anyone who has served our nation in the U.S. Armed Forces. However, not everyone who has worn the uniform is qualified to lead the Department of Defense,” McCollum said in a statement, adding that she is concerned that Hegseth “is ill-prepared to serve as Secretary of Defense.”

Military has its own sexual assault issues

If confirmed, Hegseth would lead a U.S. military that has been trying to reduce the alarming rates of sexual assaults from military academies to overseas deployments.

In a notable shift, the Defense Department implemented a change earlier this year that grants independent military lawyers the authority to handle sexual assault cases,
removing these matters from the chains of command of either the accused or the victim.

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This change to the military justice system was backed by the current defense secretary Lloyd Austin.

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North Carolina State Supreme Court Results 2024: Riggs vs. Griffin

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North Carolina State Supreme Court Results 2024: Riggs vs. Griffin
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