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Cardiorespiratory: "Cardiorespiratory muscles are extremely important when it comes to intubation during anesthesia. The impact on the lungs is very big," Starr says. Prehab for patients undergoing a lobectomy or having a portion of their lung removed may focus on building aerobic capacity in addition to strength training. Nutritional: Nutrition impacts how quickly the body heals from the stress of surgery, which is why being nutritionally fit before undergoing surgery is imperative to a good recovery, Starr says. Many conditions can adversely impact nutrition. As we age, our bodies go through physiological and metabolic changes that result in a loss of muscle mass and renal function, which affect hydration and fluid status - "important factors in regard to surgery because of the stress response," Starr says. Surgical stress also boosts blood sugar levels in the body, posing risks for patients who are not nutritionally fit. For example, surgery puts diabetic patients at risk for complications, including wound site infections and longer recovery. Cancer and cancer treatments can also affect a person's ability to eat food or absorb nutrients, which can lead to malnutrition. With older adults, independence is one of the most important things. They want to remain independent. They want to remain in their homes.|Bitcoin price started a fresh decline below the $40,000 level against the US Dollar. There is a key bearish trend line forming with resistance near $38,350 on the 4-hours chart of the BTC/USD pair (data feed from Coinbase). The pair must clear $38,350 and then $39,000 to start a decent recovery wave. Bitcoin price declined heavily below $42,000 against the US Dollar. BTC even spiked below $37,000 and is currently correcting losses. Bitcoin price started a fresh decline from well above the $42,000 level. BTC declined below the $40,000 support zone to move into a bearish zone. There was also a close below the $40,000 level and the 55 simple moving average (4-hours). The pair even declined below the $38,000 support level and traded as low as $36,350. It is now correcting losses and trading above the $37,000 level. An immediate resistance is near the $38,380 level. It is near the 23.6% Fib retracement level of the recent decline from the $44,775 swing high to $36,350 low.




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