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MSU Health Care welcomes Micah Lissy | MSUToday

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As part of its ongoing efforts to provide top quality care to its community, MSU Health Care announces that Micah Lissy has joined the firm’s Sports Medicine and Orthopedics Center.

Lissy is a board-certified and fellowship-trained orthopedic surgeon specializing in arthroscopic ankle, knee, hip, elbow and shoulder surgeries. Given her specialty in orthopedic surgery and her continuing education, Lissy received board certification in the sub-specialty of sports medicine. During her fellowship at Detroit Medical Center, Lissy provided care for some of the world’s top athletes, treating members of the Tigers, Pistons and Red Wings. After earning her medical degree from the Sackler School of Medicine, New York program, Lissy completed her orthopedic residency at the Albert Einstein College of Medicine-Montefiore Medical Center in the Bronx.

Lissy also holds a master’s degree in physical therapy from Ithaca College and is certified as an athletic trainer and strength trainer. He has spent time working in all three professions with Olympians and recreational athletes.

In addition to her role at MSU Health Care, Lissy is also a team physician for student-athletes at Michigan State University. He draws on all his past experiences to better care for patients and educate the community.

MSU Health Care also recently welcomed Toufic Jildeh.

For over 30 years, MSU Health Care’s Sports Medicine and Orthopedics Center has dedicated its knowledge and ability to treat everything from ACL injuries, concussions, strains and sprains, and to offer physical exams . As a leader in providing non-operative and operative care to athletes and sport participants, the Center for Sports Medicine and Orthopedics is committed to the health and well-being of the community.

To learn more, visit healthcare.msu.edu.

Are we harming blood donors by taking blood?

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OA question haunts the field of blood donation since there are transfusions: are we harming blood donors by taking blood from them?

Our iron stores are largely self-preserved: our body recycles iron from old red blood cells to make new red blood cells. The iron used does not tend to leave the body unless a person loses blood, whether through menstruation, bleeding due to trauma, disease or donation.

While a donor’s body will replace the donated volume of blood within 24 hours, the process of replacing red blood cells could take months. For low-iron donors, the process of replacing lost iron could take longer than four months, even though donors are eligible to donate blood every 56 days.

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Eldad Hod, associate professor of pathology and cell biology and vice president of laboratory medicine at Columbia University Irving Medical Center, conducted a study to determine if blood from iron-deficient repeat blood donors continued to meet standards from the Food and Drug Administration, and if low-iron status affected the donors’ quality of life or cognitive abilities.

In an interview, Hod explained that many regular blood donors know they will have too little iron to reach the donation limit, so they will take an iron supplement to build up their red blood cells and cross the threshold just in time. to make a donation. Again.

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“They’re living on the brink of anemia so they can donate blood,” Hod said.

The study, published earlier this month in the journal Blood, focused on low-iron but non-anaemic frequent blood donors. Although the terms “anemic” and “low iron” are often used interchangeably, the two are not synonymous; Anemia is a condition in which a person does not have enough red blood cells, which can be caused by iron deficiency or a variety of other reasons.

Also, contrary to popular belief, most blood donation centers do not test potential donors for iron levels before donating because the test needed to assess iron levels is too expensive and logistically complicated to perform. perform at donation sites. Instead, blood donation staff typically measure hemoglobin levels, which determine whether a person is anemic or not.

“We know iron is needed to make red blood cells,” said Nathan Connell, a hematologist at Brigham and Women’s Hospital and an associate professor of medicine at Harvard Medical School, who was not involved in the study. “The iron begins to fall. It’s the gas in the tank. And before the car runs out, it stops. You have an almost empty gas tank. Well, that’s the situation here. Low iron, but the engine hasn’t quite stopped yet,” which would be iron deficiency anemia.

After study participants donated blood, their blood was examined for its transfusion quality and whether the donors had low iron levels. Seventy-nine of the study participants who had low iron levels were then randomized. In a double-blind administration, half received intravenous iron to correct their iron deficiency, while the other half received a saline placebo. Four to six months later, participants were asked to re-donate, along with comprehensive quality-of-life surveys and cognitive function assessments.

Hod and his team of researchers were surprised to find that there was no measurable effect on the quality of blood transfusion, the cognitive performance of iron-deficient donors, or their quality of life compared to iron-rich donors. iron.

“The answer doesn’t match our preconceptions, but it’s actually better for public health because it suggests that what we’re doing isn’t harming our donors,” said Steven Spitalnik, executive vice president of medicine at laboratory in the Department of Pathology and Cells at Columbia. biology and co-author of the article. Additionally, the results suggest that additional iron level requirements should not be added to donor screenings.

One of the primary concerns of the Food and Drug Administration, the World Health Organization, and other agencies or groups that manage the blood supply is to have a safe and adequate blood supply. Usually these entities think about it in terms of infectious diseases and from the perspective of the recipient, Connell said, but they also have an obligation to the donors.

“What happens when a donor comes to donate a unit of blood and it is turned away because it is anemic or lacks iron? What is the mechanism that exists to ensure that this person suffers from this anemia or this iron deficiency? Connell said. “Because firstly it relates to their own health, but then it allows them to give again in the future in a safe way. You don’t want to put people off unnecessarily.

In particular, although there was no overall difference in blood quality for transfusion, the researchers found that the blood quality of women under 50 improved after iron repletion, which has not been observed in the blood of women over 50. or men. Although the researchers say it’s unclear if this statistical difference is clinically significant and needs more study, it’s notable because this population is also the most likely to turn away from low-grade blood donation. iron, since pre-menopausal people lose iron during menstruation.

Ariela Marshall, director of female thrombosis and hemostasis at Penn Medicine, said that instead of just telling potential donors they can’t donate blood and recommending iron supplements, it’s the chance to say instead, “You look like you’re anemic. ; we suggest talking to your doctor,” and encouraging them to figure out how to fix the underlying problem.

Marshall used the illustration of water in a bucket, where the body is the bucket and the water is a person’s blood. “Yes, I can pour iron; I can fill the bucket,” she said. “But if the bucket has a hole and you are losing water every month, it makes no sense to keep putting more water in. You have to plug the hole and stop the continuous process of blood loss. ”

“I have many poor patients who have battled iron deficiency anemia all their lives because of heavy periods,” she continued, “and they keep being told, ‘Hey, get some iron, get some iron. iron, take iron.’ That’s fine, but it doesn’t solve the problem.

Along with the need for more research into blood iron repletion in younger women, Hod and the other study authors said more research needs to be done to find out if the results of this study extend to women. teenage girls. Adolescents, especially high school students, make up 10-20% of blood donors, but adolescents need larger amounts of iron for their development and it is currently unclear whether iron depletion in repeat blood donors or for the first time of this population is detrimental to them.

Overall, the study authors are happy that their study proved their hypothesis wrong. “We do no harm to people who donate blood,” said Gary Brittenham, a Columbia professor of medicine and another co-author of the study, “but we bring great benefit to people who need it.”

1 Raptors player at risk of losing starting job in 2022-23 NBA training camp

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The Toronto Raptors will enter the 2022-23 NBA season with hopes of returning to the NBA. With training camp officially starting next week, the team will be ready to establish their starting roster after a few key observations. Depending on what the Raptors do, they have a real shot at being a contender in the Eastern Conference.

Last season, Toronto rebounded from missing the playoffs in 2020-21. With the addition of Rookie of the Year Scottie Barnes, the Raptors garnered more attention and returned to the spotlight. Despite losing 4-2 to the Philadelphia 76ers in the first round of the playoffs, there are still plenty of positives fans can take away from the 2021-22 season.

For the most part, the Raptors’ starting lineup is pretty much set. However, there is one player who stands to lose his starting role due to the emergence of a young big man and the addition of a European mate.

Here is the only Raptors player who could lose his starting position in 2022-23:

Birch of Khem

After a few years playing in the G-League and in Europe, Khem Birch finally earned his place in the NBA with the Orlando Magic. In three and a half seasons in Florida, the center has averaged 4.7 points and 4.4 rebounds in 188 games, starting 30 of them. He shot 51.8% from the field and helped the team return to the playoffs for the first time since the Dwight Howard era.

Birch eventually returned to Canada and signed with Toronto midway through the 2020-21 season. Last year, his first full season with the Raptors, the big man averaged 4.5 points and 4.3 rebounds in 18.0 minutes per game. He played 55 games and started in 28.

Although he was not a unanimous starter, he only came off the bench in two of six playoff games. He beat out sophomore Precious Achiuwa and veteran Chris Boucher for the job.

However, for 2022-23, Birch will have star competition. At least, movie star. The Raptors signed Juancho Hernangomez, who went viral this summer thanks to the “Hustle” movie he shared with Adam Sandler. The name of “Bo Cruz”, the character of Hernangomez, is now widely associated with the player.

But Hernangomez has also shown he can do more than act. During EuroBasket 2022, he was a key part of Spain’s gold medal-winning squad. The power forward was third on the team with 12.8 points per game, as well as third with 5.0 rebounds per game. In the gold medal game against All-Star Rudy Gobert and France, Hernangomez started with 27 points and seven 3-pointers.

Birch is a 19.1 percent shooter from beyond the arc, while Hernangomez makes 35.1 percent of his attempts. Given that Pascal Siakam and Scottie Barnes are below average 3-point shooters, adding Birch to the mix might not be ideal for team spacing. With the league getting smaller every year, perhaps the solution for the Raptors is to have a big man who can hit 3, which gives Hernangomez a slight edge.

Also, Achiuwa is another name that can steal Birch’s starting position. He also started 28 games last season but played in 73, making his starting average well below Birch’s. The Nigerian center registered 9.1 points and 6.5 rebounds per night, while making 35.9% of his 3-point attempts. As a young prospect, head coach Nick Nurse might choose to develop him with more minutes on the pitch.

Birch will have to fight in training camp to show that he can still be the starting center. With Achiuwa rising and Hernangómez coming off a strong summer, the battle for No. 5 should be an interesting one in Toronto.

UTC celebrates Hispanic Heritage Month with stories of history, culture and contributions

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Through October 15, Hispanic Heritage Month is about recognizing and appreciating the harmony of a culture that has historically had a profound impact on America, and learning about the people who have contributed to that legacy.

This year’s theme, “Unidos: Inclusiveness for a Stronger Nation,” reinforces the need to ensure that diverse voices and perspectives are represented and welcomed to help build stronger communities and a stronger nation.

A highlight of the University of Tennessee Chattanooga’s Hispanic Heritage Month celebration is a program called “Our Stories: Nuestras Historias,” taking place at 5:30 p.m. Thursday, September 22 at Lupton Hall.

A collaboration between the UTC and Chattanooga communities, “Our Stories: Nuestras Historias” aims to share stories of professional journeys. The event is sponsored by the UTC Division of Diversity and Engagement and the Latino Professionals of Chattanooga with the assistance of student leaders from the UTC Hispanic Outreach Leadership Association (HOLA).

One of the panelists sharing her story is Niky Tejero, Frances Hall Hill Music Professor and Associate Dean of UTC’s College of Arts and Sciences.

“What does Hispanic Heritage Month mean to me? It is a mark of memory and reflection on the richness of my heritage and an opportunity to celebrate what makes us who we are,” said Tejero, who was born in the Yucatán region of Mexico before coming to the States. United and Chattanooga as 10 -Age.

“I remember experiences like going to the park on Sunday afternoon and listening to “trovadores” music; watching dancers perform folk dances – “jaranas”; listening to artists improvise poetry, and the poetry was so beautiful. A lot of it is about love and pride for your homeland, and there is such a feeling of love and appreciation for the roots.

Trovadores, she explained, are troubadours or minstrels who often improvise songs as part of their entertainment. A jarana is a typical couple dance from the Yucatán region that involves complex footwork called zapateo.

“In the Latin American sensibility, it’s much more important to take this time to reflect on yesterday and on the past and on previous generations,” she continued, “and that connection to the past is such a source. strong in contemplation.”

Tejero’s story begins with his parents, Pedro and Gwen. He was a doctor from Mexico; she was a nurse in Brooklyn.

“My father was born into a very humble family,” she said. “He managed to put himself through school playing baseball and minor league football.”

His mother worked as a nurse at a New York hospital where his father had just completed one of his medical residencies. At the end of his residency, he returned to Mexico to begin his career.

Pedro and Gwen kept in touch and courted remotely for eight years before getting married. The ceremony took place in New York and they moved to Mexico to live.

“By then my father had established himself as a reconstructive plastic surgeon,” Tejero said. “His specialty was cleft palate and split lips.”

She said her parents had become a versatile and portable surgical team.

“About once a month they would take us to my grandparents on the beach in the port town where my father was born and leave us there for the weekend,” she recalls, “then they would go to a village to perform surgeries on people who not only did not have the money to afford them, but did not have access to the cities where such treatments were available.

Eventually, Pedro and Gwen decided to immigrate to the United States with their five children, settling in Chattanooga.

“I personally came to this country in a somewhat safe, predictable and easy way,” she said. “My mother was an American citizen, so I was born with American citizenship. It’s a very different path than many in our Hispanic community or the Latinx community. Many of these people are in serious danger. They expose themselves to personal risks in the hope of having a better life.

By the time Tejero graduated from Hixson High School in Chattanooga, she was living in a single-income household; her father had died and her mother supported five children on the salary of a nurse.

“When I think about how to make a difference in the world, I feel like I had one of the strongest role models; that was my dad and my mom,” she said.

“My father believed that anything was possible with enough time, dedication and willingness to sacrifice, and he lived that example. He modeled for us a high level mentality and led us to believe that we were capable of anything.

Tejero earned a Bachelor of Music: Clarinet Performance from UTC in 1995; a master’s degree from Baylor University in 1997; and a Doctor of Musical Arts from the University of Kentucky in 2011.

She joined UTC as an adjunct teacher in 1998 and worked her way up the faculty ranks before being granted leave by former Dean of Arts and Science Herb Burhenn to pursue doctoral studies. After graduation, Tejero was promoted to a line leading to tenure.

“So yes, I had a long and somewhat unusual trajectory,” she said with a smile.

Just like his story of arriving in Chattanooga at the age of 10.

“Hispanic Heritage Month is a time to step back and reflect on history, culture, family,” she said, “and some of my strongest memories from my childhood are rooted in the culture.

“When I think about people sharing their stories, it’s about opening a window into some of the very real, personal circumstances that brought people here.”

UTC’s Hispanic Heritage Month celebration is coordinated by the Office of Multicultural Affairs in conjunction with other campuses and community areas. The calendar of events includes:

  • Tuesday, September 20: Latin dance evening, 8 p.m. at Lupton Hall. A dance experience featuring student leaders from the Hispanic Outreach Leadership Association (HOLA).
  • Wednesday, September 21: Mocs Dining Chef’s Spotlight, 11 a.m. to 2 p.m. at Crossroads Dining Hall. Featured cultural dishes will be available at the Home Zone station.
  • Thursday, September 22: Our Stories—Nuestras Historias, 5:30 p.m. at Lupton Hall. A collaboration between the UTC and Chattanooga communities with shared stories of professionals and their journeys.
  • Wednesday, September 28: Mocs Dining Chef’s Spotlight, 11 a.m. to 2 p.m. at Crossroads Dining Hall. Featured cultural dishes will be available at the Home Zone station.
  • Tuesday, October 4: Lotería Game Night, 6 p.m. at Lupton Hall. An introduction to the lottery, a traditional game of chance similar to bingo, but using pictures on a deck of cards.
  • Thursday, October 6: Screen on the Green Movie Night, 8:30 p.m. on Chamberlain Field.
  • Wednesday, October 12: Hispanic Heritage Networking Event and Artist Showcase, 5:30 p.m. at Lupton Hall. A networking event for students, faculty, staff, and community partners, with star artist Kristina Sánchez, originally from Costa Rica, showcasing her signature works of art.

The popular Fiesta Fridays, informal get-togethers with music and small bags of souvenir goodies, will take place every Friday (between September 23 and October 14) from noon to 1 p.m. at the Multicultural Centre.

A full list of activities can be found on the Multicultural Center website. Hispanic Heritage Month page.

UTC Library celebrates Hispanic Heritage Month with an array of themed electronic resources that can be browsed at your own pace. Resources are available on the library website Celebrating Hispanic Heritage page.

Originally launched as Hispanic Heritage Week under President Lyndon Johnson in 1968, Hispanic Heritage Month was expanded to a month-long observance in 1988 by President Ronald Reagan.

The memory runs from the middle of one month to the middle of the next as many Latin American countries gained independence from Spain between September 15 and October 15.

Shop classes sometimes boost college study, Massachusetts study finds

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Now, a pair of university researchers from Florida State University and Vanderbilt University have analyzed Massachusetts’ experience with vocational and technical education by following students seven years after graduating from high school in 2009, 2010 and 2011. Using detailed school records, researchers were able to compare students of the same race or ethnicity, family income, and most importantly, with the same eighth-grade test scores, grades, and attendance records. . The only difference was that some had vocational training in high school while others took traditional high school courses.

The biggest surprise was that college enrollment rates were higher for students in five career categories: health care, education, information technology, arts/communications, and business. For example, 77% of health care majors enrolled in college within seven years of graduating from high school. That’s 15 percentage points higher than similar students who had a traditional high school education.

“There are community college nursing and allied health programs that clearly follow the health course of a high school student,” said Walter Ecton, assistant professor of education at Florida State University and author. principal of the study, Heterogeneity in High School Career and Technical Education Outcomes, published August 2022 in the peer-reviewed journal Educational Evaluation and Policy Analysis. “Students have a clear path and a clear track to follow.”

In Massachusetts, one in five high school students in career programs, graduating between 2009 and 2011, majored in construction. Students had to be enrolled in the career group for at least two academic years. Source: Appendix on the heterogeneity of career and technical education outcomes in secondary school. Educational evaluation and policy analysis. August 2022.

Seven years after graduating from high school, the salaries of these career students were also higher. For example, health care students earned $5,491 more per year than their traditional high school counterparts.

In contrast, college enrollment rates were significantly worse for two career fields: construction and transportation, a field that includes auto repair. Students who majored in construction fields in high school were five percentage points less likely to go to college than similar traditional high school students.

On the positive side, construction had the highest income premium after seven years. Students who studied construction earned $7,698 more per year seven years after graduating from high school than similar students who had a traditional high school education. The earnings premium for transportation students has declined from more than $6,000 (four years after graduation) to less than $5,000 (seven years after graduation) as students in the traditional secondary schools were beginning to catch up.

“Students entering construction earn more, at least for the first seven years after graduating from high school, than we might otherwise expect, and a bit more,” Ecton said. “But they are also much less likely to go to college than we might otherwise expect. I think it’s a difficult compromise. Different students, families, and counselors may make different choices here.

The most important thing about Ecton is that not all professional and technical training is the same. “We wanted to understand if certain career paths pay more,” he said. “It’s not a simple yes or no. It doesn’t matter what area you are heading into.

Highest Earnings for Massachusetts Vocational High School Students by Field
Annual earnings advantage of CTE hubs over traditional high school students with similar demographic and academic backgrounds. These numbers compare high school students who graduated between 2009 and 2011. Source: Figure 5 of Heterogeneity in Career and Technical Education Outcomes in High School. Educational evaluation and policy analysis. August 2022.

In Massachusetts, every career field showed at least some advantages over a traditional high school education – either in terms of higher earnings, higher education, or both. But Ecton says that’s not a reason for everyone to pursue vocational high school.

“For a student who is already doing very well academically, who is already well on the way to taking and graduating from a bachelor’s program, I think there is less clear evidence to suggest that CTE will necessarily help these students,” Eton said.

“I think CTE can be really helpful for students who are less engaged in high school in a traditional classroom,” Ecton said. “If I were advising a student to be a CTE hub or not, one question I would ask is, how are you going to spend your time if not as a CTE student?”

If the alternative is a study hall or test prep class for struggling students, which Ecton says is often the case, the CTE can be more engaging and help expose students to clear options. After high school. Ecton pointed out how ninth-graders at vocational high schools in Massachusetts take courses in multiple career fields, from construction to health care to business, getting a taste of many fields before choosing a major.

The rosy student experience with vocational and technical education in Massachusetts might not be true elsewhere. The state has a highly educated population with labor needs in high technology and healthcare. And Massachusetts has invested a lot of money in high-quality vocational programs for high school students. A cost-benefit analysis released in September 2022 determined that the public gains between $56,500 and $113,900 in higher incomes and reduced social expenditures for each vocational high school student in Massachusetts. But in Connecticut, the benefits were much lower — only about $10,000. New Jersey and Delaware run more expensive professional programs and further analysis is needed to see if they are successful.

Yet even in Massachusetts, the results are uneven. The Pioneer Institute found that a Boston vocational high school produced no such benefits for students.

“Sometimes in CTE we see a legacy program that’s been around for a very long time,” Florida State’s Ecton said. “But maybe it’s not about preparing students for college or a high-paying job right out of high school. But we keep those programs because they’ve been there forever. Maybe they are even popular among students. I would really encourage schools to do this same analysis and make sure that they see at least some positive results in all of their different programs of study for students.

Obi supporters march in Abia, Bayelsa

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Supporters of Labor Party presidential candidate Mr Peter Obi yesterday staged a peaceful and successful solidarity march for him in Umuahia, the capital of Abia State and Yenagoa, the capital of Bayelsa State .

In Umuahia, the “Million March” took off from Abia Tower on the Port Harcourt-Enugu expressway via Ossah, Bank and Aba roads, ending at the General Post Office in the city centre.

Some of the supporters who carried placards with different inscriptions in support of Obi chanted songs in his praise amid traffic jams along major roads.

The march took place in accordance with a directive contained in a letter from the State Command of the Nigerian Police signed by CPA Alabi Adebowale for the Deputy Commissioner of Police in charge of the Operations Department.

A police letter to Comrade Emmanuel Okafor, the Coalition for Peter Obi state organizer, said in part, “You must ensure that your colleagues are properly informed in the process to conduct you peacefully.”

Police warned it was pertinent to note that there had been frequent threats from certain groups that could hijack the process if those involved were not properly enlightened and guided.

In a related development, early morning business activities were brought to a standstill in Yenagoa by the “Million Man March” organized by a coalition of Peter Obi supporters in the state.

The supporters who marched from Tombia Junction on the Mbiama Yenagoa road and ended at Ox-bow Lake, wore various pro-Obi outfits and carried banners with inscriptions such as “Our Mumu don do”, “We need of someone who will fix Nigeria”, “Peter Obi has the best chance of restoring Nigeria”, “Our education, our power, our health and our crumbling economy can only be revived by Peter Obi”, “we are the structure” and “We want to vote for a man who has the future of the country at heart”.

As of 8 a.m., vehicular traffic from the state entrance was already at a standstill as youths, women and men gathered to take instructions before heading into the rally.

Speaking to reporters, Concerned Medical Practitioners coordinator Dr Frank Ogunuawe said they were all in favor of Peter Obi whom they described as the most credible and prepared man for the job , adding that the medical profession in the country was gradually collapsing.

He added that with the number of professionals in the sector leaving to work outside the country, it was a quiet threat, while the few in the country planned to go on strike due to unresolved issues between them. and the government.

The Vice President of the Coalition of Pro-Democracy Groups, Mr. Dr. Charles Oyibo, noted that what was happening in the streets of Yenagoa was aimed at organizing and sensitizing the people on the need to take back Nigeria.

Hiring trends show the labor market is settling into a modified new normal

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  • The United States is back to record employment, but the job market is nothing like it was at the start of 2020.
  • The couriers and messengers sector has seen an increase in employment during the pandemic.
  • Residential and nursing facilities, however, continue to scramble just to get back to pre-crisis employment figures.

The United States may be back to record employment, but jobs look completely different from the pre-pandemic norm.

For starters, many in-person service sectors are still struggling to return to pre-pandemic employment levels. Travel arrangement and reservation services are a far cry from their pre-crisis employment numbers, with employment still down around 31% from February 2020 levels in August. These companies have been battered throughout the pandemic as early lockdowns and subsequent virus variants have halted travel for much of the year.

The drop in business travel has also hampered the industry’s hiring plans, and that shortfall is expected to persist, Julia Pollak, chief economist at ZipRecruiter, told Insider.

“Remote work will be permanently higher than it was pre-pandemic, so jobs in the office ecosystem and jobs related to travel are going to be permanently lower,” she said.

Coal mining employment is 17.7% below its pre-pandemic level. Daniel Zhao, chief economist at Glassdoor, told Insider that this highlights a long-term trend that existed before COVID as the United States shifts to cleaner energy sources.

Abandoning coal is “not something that has really been changed by COVID,” Zhao said. “If anything, maybe the pandemic has slowed that down a bit just because of higher energy prices. But overall it’s a trend that I expect ‘it continues, no matter how the pandemic continues to unfold.”

Public transit and ground passenger transportation, which includes school buses and public transit, are also not back to pre-pandemic employment.

“I expect there will be a recovery in this industry, but the pace will probably be different from the rest of the economy because it’s very, very government funding-based,” Zhao said.

Leisure and hospitality employment still down 1.2 million from pre-pandemic levels

Companies in the leisure and hospitality sector have been creating jobs at the fastest pace throughout the recovery, signaling that they could still catch up. Yet, with employment still so far off previous highs, the return to those job numbers could slow long before the sector fully rebounds.

“We all thought the initial moves away from trend were pandemic related and things would go back to normal. But now they’ve been really stable at the new normal for a long, long time,” Pollak said. “We don’t really see a convergence related to the end of the pandemic and a return to normal behavior.”

The lodging industry — hotels and motels — has suffered during the pandemic. Employment at these companies is down about 19% from levels seen in February 2020.

“I think overall, accommodation and the broader leisure and hospitality industry will return to pre-pandemic employment levels,” Zhao said. “Right now this industry feels like it’s a far cry from where it was before the pandemic, but that’s largely because of the depth of the crisis for the leisure industry and the hotel.”

Food services and drinking places, which like accommodation belong to leisure and hospitality, are also still below pre-pandemic employment. This could be a potential sector that may not return to its pre-pandemic state.

“Restaurants and their customers have found themselves in a ‘new normal’. Given emerging technology, changing consumer behavior and culinary preferences, and the extraordinary challenges of the past two years, it is unlikely that the industry fully returns to its pre-pandemic state,” said Hudson Riehle, senior vice president of research and knowledge group at the National Restaurant Association, said.

Some industries in the United States are seeing high employment rates compared to February 2020

At the other end of the labor market spectrum, companies that helped drive the lockdown are doing the best. Warehousing and storage employment is up 35% from early 2020 levels, spurred by surging e-commerce activity and supply chain issues that have emerged l ‘last year.

“Warehousing has been a winner in the pandemic-era labor market as households shifted their consumption from services to goods,” said Nick Bunker, director of economic research at Indeed Hiring Lab. , to Insider in a statement.

Employment in couriers and messengers, a sector that has grown throughout the pandemic, is nearly 28% higher than pre-pandemic numbers.

The data processing and hosting sector boosted employment to 18% above previous highs, likely helped by the accelerated shift to cloud computing and telecommuting. Employment in the scientific research and development services industry has similarly increased.

Labor market developments could benefit workers

The reshaping of the labor market is not necessarily a bad thing. Nonfarm payrolls hit nearly 153 million in August, surpassing the previous record set in February 2020 and marking a new record for U.S. employment. The unemployment rate edged up to 3.7%, but the rise reflects a healthy increase in labor force participation, and the rate is still hovering near five-decade lows.

Job postings remain near record highs, suggesting that labor demand is still robust. This could be advantageous for Americans displaced from struggling industries and looking to move into another field of work.

Yet the latest employment figures confirm that the labor market is taking on a shape never seen before. The pandemic was always to leave the United States with permanent scars. Some of this has already shown up in the labor market, and as the recovery continues, the workforce is likely to deviate even further from its pre-crisis status quo.

UP government to launch ‘Mission Niramayah’ to revamp nursing and paramedic training, Health News, ET HealthWorld

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Lucknow: The Uttar Pradesh government will launch ‘Mission Niramayah’ to revamp nursing and paramedic education, officials have said.

Chief Minister Yogi Adityanath on Friday issued guidelines to improve the quality of education in nursing schools across the state.

“Nursing and paramedical staff are the backbone of the health and medical system. In the era of Covid-19, we have all seen and understood their colossal importance. There are immense opportunities for a better career in this field. adjustments to nursing and paramedical training in light of future needs. In such a case, get ready to start ‘Mission Niramayah’ by treating this important task as a campaign,” Yogi said during a meeting with officials from the Department of Medical Education.

CM further ordered to ensure that the requirements before recognizing nursing and paramedical institutions and added: “Only when there are enough teachers and the institute has an infrastructure that meets the required standards that recognition can be granted Institutions which do not meet the standards shall not be recognized at be provided on the portal.

He asked the official for a fair admission test in the institutes.

“CCTV monitoring should be used to watch exams and invigilators should come from another institute. Work in this direction should be done with a better strategy,” CM added.

“Many state institutes are doing a good job, including some private sector institutions. These best practices should also be implemented in other institutions. For this, a mentor-mentee model should be adopted. We must work systematically towards better employment in addition to improving training. In deciding this policy, reputable private hospitals should be consulted. For young people undergoing nursing training, practical experience is crucial,” he said. he adds.

Yogi encouraged young people to career prospects in the nursing and paramedical sectors. “It would be better to take the cooperation of secondary schools for this. The Department of Medical Education and Secondary Education should work in coordination in this regard,” he said.

When medical error becomes personal, activism becomes painful

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In the mid-1990s, while researching a book on the quality of medical care, I discovered that the profession had for years ignored the evidence of the appalling number of deaths from preventable medical error. Although I never experienced a mistake myself, I became an activist.

Recently, however, a parent fell victim, and the frustrating persistence of the error became personally painful.

Thanks to my relative being acutely aware of the need to be alert (and a bit of luck), no harm was caused by what could have been a serious medication error. That was the good news. The bad news is that even hospitals with famous names, like the one where my relative was treated, rarely go out of their way to prevent the impact of inevitable human fallibility.

September 17 is World Patient Safety Day and this year’s theme is ‘Medication Safe’. So now is an opportune time to take a closer look at what the profession euphemistically calls a “medication mishap.”

My parent’s care began as one would expect from a renowned academic medical center. From the moment she was admitted, there was top-notch treatment for a complex set of conditions. Then one day a nurse came into the room to infuse a solution of magnesium, an essential electrolyte. And this is where patient vigilance paid off.

Two hours into a scheduled three-hour infusion, with an IV in one arm, my relative used her other arm and an iPad to access the hospital’s patient portal, which, thanks to a congressional mandate, discloses patient test results. In the portal, my relative saw that his magnesium levels were in fact normal. By chance, a doctor came regularly, and my relative showed him the results. The doctor checked the electronic health record (EHR), spoke to the nurse, then quickly stopped the infusion. The doctor and nurse assured my relative that no harm had been done.

Clinicians did not mention the averted threat of magnesium toxicity, which the National Library of Medicine says can cause “life-threatening complications such as hypotension, respiratory paralysis, and cardiac arrest.”

More than 200,000 Americans lose their lives each year due to preventable medical error, according to an estimate by the Department of Health and Human Services (HHS). According to the HHS Office of Inspector General (OIG), medication errors are the most common “adverse events,” occurring as often as 1 in 13 hospital admissions. My parent was lucky that his infusion is not a more toxic drug.

Overall, patient harm is surprisingly common. An OIG report released in May found that just over a quarter of hospitalized Medicare patients experience some kind of harm, either permanent or temporary. Unfortunately, there is no national reporting system, although there is a growing effort to get Congress to establish a National Patient Safety Council. Today’s mishmash of reporting too often leaves all but the worst errors unseen. In the beginning, that’s what happened here.

After my relative contacted me, I tried via a respectful email to get the Director of Patient Safety at Famous Name Hospital to initiate what is called a Root Cause Analysis. She replied that my relative might have misunderstood the “normal level” and that he should talk to his doctor about it. (The response was unaware that the doctor immediately stopped the infusion.) Alas, denial, even without the threat of a lawsuit, remains an all too common response. A serious investigation only began when I used my professional contacts to draw attention higher up the chain of command, and my relative filed a formal grievance.

Famous Name Hospital prides itself on its “Culture of Safety”. However, the senior nurse on my parent’s floor had not filed an incident report regarding this “near miss.” Invisibility means no opportunity to learn. When an investigation was undertaken, it revealed that the infusion order in Epic EHR, the platform used by many major hospitals across the country, had been entered when my relative was admitted two weeks prior. When she was transferred to a different floor, Epic had the doctor uncheck the box for each test ordered; someone had missed a square.

It was also a holiday weekend in July, when a new group of medical residents took over. Also, my parent’s senior nurse was distracted, dealing with questions from other nurses while trying to recheck the EHR. As a result, she did not see the normal level of magnesium.

As thorough as the investigators were in some respects, one oversight stood out. The World Health Organization (WHO), the sponsor of World Safety Day, lists six principles in its global patient safety action plan. The very first is to “engage patients and families as partners in safe care”. At Famous Name Hospital, clinicians interviewed other clinicians but not my relative, even after I pressured them to do so.

In the absence of patient input, the report states that the medication error was discovered by two physicians. And although a 100cc bag of fluid was in my relative’s arm for two hours, investigators reported that only a quarter of the fluid was infused; my relative’s estimate was half to two-thirds.

In sum, the hospital’s version of events was that it found the mistake and did it early enough that no harm could be done. However, they apologized and assured my relative that they were implementing changes to prevent this from happening again – which is why we insisted on an investigation.

Besides invisibility, supplier inertia is another enemy of improvement. It’s usually not malicious, just the heavyweight of “we’re busy” and “that’s how we do things around here”. The Famous Name Hospital said its procedure was to have patients interviewed by patient relations, a rational policy for complaints about food or noise, but a wholly inadequate response to a situation requiring clinical expertise.

Earlier this year, a group of senior government doctors wrote in a direct comment in the New England Journal of Medicine that “health care security has declined” during the Covid pandemic, illustrating the lack of “a sufficiently resilient security culture and infrastructure”. Allowing patients to report medical errors as “trusted partners in care,” in the words of the WHO, could help restore that resilience. This idea was actually considered by the Obama administration in 2012, but quickly rejected by suppliers.

We can do better. Again, to their credit, Famous Name Hospital acknowledged that the medication error was a flaw in the system, not a “bad” doctor or nurse problem. However, since the book I wrote was called Demanding Medical Excellence: Physicians and Accountability in the Information AgeI was curious to see what role information technology could play.

A 2020 article in the Journal of the Mixed Commission found that 68% of medication problem alerts issued by a machine learning system from a company called MedAware spotted problems not discovered by conventional tools. So I contacted the CEO of MedAware, Dr. Gidi Stein, about my sister’s situation. He replied that if the EHR showed that the blood level of an electrolyte was within the normal range before or during the infusion, the clinical team would have received an alert.

Which brings us to the third factor mitigating a “zero harm” environment: “revenue”. I don’t know the cost of MedAware or similar products, but I’m sure it’s less than the cost of revenue-generating medical devices that hospitals are regularly eager to purchase. Unfortunately, even in facilities inclined to boast of high-quality care, doctors and nurses who advocate for systems and staff to make care safer are constantly asked to make “the business case for patient safety”. patient”.

As I’ve written beginning in 2010 and many times since, the sad truth is that medical error can be profitable for hospitals. For example, in a Healthcare Management Journal In the article “Does Patient Safety Pay? the researchers told hospital leaders that “targeted” improvement in patient safety performance could improve financial performance.

My relative asked the patient relations department to make sure to remove the infusion charge from the bill.

In his recent book Making Healthcare Safe: The Story of the Patient Safety Movement, patient safety pioneer Dr. Lucian Leape scathingly concluded that “most healthcare organizations are woefully far from achieving a culture of safety,” including “the lowest academic medical centers.” more famous”. Despite decades of effort, wrote Leape, a pediatric surgeon and assistant professor at Harvard’s TH Chan School of Public Health, “there is no sense of commitment, no goal of zero harm.”

We can do better. And some hospitals are quietly. For a doctoral dissertation exploring how to reduce the cost of medication errors, Janice Chobanuk of Walden University conducted semi-structured interviews with 10 highly trusted US hospitals and reviewed documents related to medication management. A highly reliable approach, she found, depended on leadership support, open communication with feedback loops, maintaining a culture of error prevention and patient partnerships. This last factor affected all the others.

“Active patient engagement…in error prevention and safety in hospitals can prevent errors, improve patient satisfaction, reduce litigation, and reduce costs associated with medication errors,” Chobanuk wrote.

If the clinicians at Famous Name Hospital had asked my relative, they might have come to the same conclusion. Regardless of the skill, dedication or good intentions of the care provider, mistakes will happen. Having an alert and informed patient as a partner is crucial to help prevent harm.

Medical error is a painful experience for patients and families, even without physical harm – as my parent and I experienced – and yes, also for the providers involved. To prevent harm, everyone involved in care must constantly use all the information at their disposal to demand medical excellence.

Bridge City Nursing Students Learn From SETX Flight Rescue Team

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Often, students don’t realize that there are work opportunities outside of the hospital, such as working as part of an emergency flight crew.

BRIDGE CITY, Texas— Bridge City Independent School District the nursing students got to see up close what it takes to respond to an emergency.

The Southeast Texas Air Rescue Team visited the students on Thursday.

An air rescue team landed a helicopter at the high school to show students the tools needed to save a life.

The air rescue team included a pilot, paramedic and nurse who took the time to answer students’ questions and give them insight into how they transport patients and treat them while they are in the airs.

This team plays a crucial role in getting people to hospitals from Austin to New Orleans quickly, which is why they chose to highlight what they do for nursing students in the area.

Flight attendant Kat Landor of Southeast Texas Air Rescue says nursing is a big industry.

Often, students don’t realize that there are work opportunities outside of the hospital, such as working as part of an emergency flight crew.

Landor says air rescue helicopters serve the Golden Triangle, Houston, Lufkin and even Cameron Parish, Louisiana.

Landor says working as a flight nurse requires a very special skill set.

“If this is something you want to do, get as much experience as you can in the world of nursing and paramedics because when you get here, it’s just you,” she said. “It’s you and your partner working together, trying to stand between the patient and the grave as they go around in circles.”

Junior Haley Muñoz says that after learning more about air rescue, she could see herself becoming a flight nurse.

“I wanted to be a NICU nurse, but now seeing the experience here and watching in the helicopter, everything makes me want to do it and change my path,” she said.

Landor encourages these students to spend a few years as a medic before becoming a flight medic.

“When you get here, it’s just you. It’s you and your partner working together trying to stand between the patient and the grave as they go around in circles,” she said.

The helicopter can accommodate only one patient at a time in the helicopter and it can reach speeds of up to 160 miles per hour.

Also on 12NewsNow.com…

From the White Coat to the White House: University of Utah health doctor joins prestigious fellowship program

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Media Contacts

Julie Kiefer

Associate Director, Scientific Communications, University of Utah Health
E-mail: [email protected]
Call: 801-587-1293

Sep 14, 2022 3:00 PM

Jeffrey Nadel, MD, MS, neurosurgery resident at Utah Health University, has worked across the biomedical spectrum – from translational brain cell research in the laboratory to clinical and health services research , international public health, and health economics and policy.

But this fall, he’ll hang up his white coat and instead don a pressed suit every day for the next year in Washington, D.C., among 15 people named by President Joe Biden in the 2022-2023 class of scholarship recipients. the White House. .

“I am truly honored to have the opportunity to serve as a member of the White House,” Nadel said. “I look forward to a year of growth in the public service while gaining invaluable leadership experience at the highest levels of the federal government.

Founded in 1964 by President Lyndon B. Johnson, the White House Fellowship is a nonpartisan leadership development program that provides valuable first-hand experience for White House staff, cabinet secretaries, and other senior officials. .

While the primary focus is to gain full-time work experience at the highest levels of the federal government, the fellowship also maintains a strong academic and educational aspect, with formal seminars twice a week with leaders from across the country. Fellows will also undertake domestic and international travel to study American politics in action.

For nearly six decades, fellows from a wide range of fields have used their diverse backgrounds to enrich the study and development of public policy. While many medical professionals served, that group included only four other neurosurgeons, including Sanjay K. Gupta, MD, chief medical correspondent for CNN.

A native of Centennial, Colorado, Nadel earned his bachelor’s degree in neuroscience with minors in Latin American studies and biochemistry from Colorado College as a Boettcher Fellow. He earned an MD and an MD from the University of Michigan with Honors and Research Distinction as a Dean’s Merit Scholar. He was also elected to the Alpha Omega Alpha and Gold Humanism Honor Societies before beginning his residency in 2019.

Jeffrey Nadel, MD, University of Utah Health Neurosurgery Resident and White House Fellow.
Jeffrey Nadel, MD, University of Utah Health Neurosurgery Resident and White House Fellow Photo Credit: Vance Mortimer

Nadel will spend the fourth year of his residency, usually devoted to academic research, in Washington, DC, which will allow him to continue his residency next year without interruption. Nadel is grateful to William Couldwell, MD, Ph.D., chair of the department of neurosurgery, and Randy Jensen, MD, Ph.D., vice president of education and former director of the residency program at the University of Utah Health, for supporting his Goals.

“Jeff is a highly valued and respected member of our residency program, so it’s no surprise to our group that he was chosen for this exceptional opportunity as a member of the White House,” Jensen said. “We know he will represent us well in this elite role, which will position him to be a leader in health care policy and reform in the future.”

Nadel chose to continue his training at the University of Utah, thinking it would set him apart from others in the field. He notes that the camaraderie within the residency class provides a great community in which to work and train. Meanwhile, the breadth and depth of clinical experience and research allow residents to find their neurosurgical home.

Nadel is passionately focused on eliminating health care disparities through research and creating a strong social infrastructure to ensure equitable access. He has led health interventions both at home and abroad for vulnerable populations in the United States, Uganda and Costa Rica.

“I will serve my White House Fellowship in the Department of Veterans Affairs, supporting both the Secretary and the Undersecretary of Health in our sacred mission to provide the best and fastest access to health care of the highest quality to those who fought for the freedom of our nation,” says Nadel.

On Wednesday, June 15, 2022, he was officially selected after a year-long application process and several rounds of interviews. Nadel was cleaned up in a surgical case when the nurse told him he had received a phone call from the 202 area code in Washington, DC.

“As someone who is rarely speechless, the news took my breath away,” recalls Nadel. “What a great opportunity. I couldn’t be more grateful.

This won’t be Nadel’s first time dealing with politicians or living in Washington, D.C. Prior to medical school, Nadel worked as a health economics and policy researcher at the Brookings Institution, where he honed his interests in the health care financing and policy. He was also a member of the NIH Academy on Health Disparities, where he gained didactic and practical experience in promoting health equity and social justice. Currently, in addition to managing the physical and mental demands of his residency, Nadel serves on the Legislative Affairs Committee of the Utah Medical Society.

Public service has long been an integral part of Nadel’s medical vision, and he views this fellowship opportunity as another step toward his goal of advancing equity in health care.

“As physicians, we have the unique opportunity to not only work at the bedside, but also to advance the principles of health care access and equity through our academic and civic activities,” says Nadel. . “On the contrary, working in healthcare during a global pandemic has taught me that no one should be left out. Through the collaborative and multidisciplinary training of the White House Fellowship, I aim to hone my leadership skills and serve our community and country now and in the future.

Learn more about the 2022-2023 class of White House Scholars.

– Written by Kamryn Broschinsky

Retired MMA fighters and boxers could see improvement in thinking and memory scores

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According to a new study published in the September 14, 2022 online issue, boxers and mixed martial arts (MMA) fighters may see some recovery in their thinking and memory skills as well as brain structure after they stop training. to fight. Neurology®the medical journal of the American Academy of Neurology.

Repeated blows to the head increase the risk of long-term neurological diseases like chronic traumatic encephalopathy (CTE), cognitive and behavioral problems, and Parkinsonism. However, we don’t know what happens to people who fought and then stopped fighting. The good news is that we saw improved thinking and memory scores in these retired fighters.”


Aaron Ritter, MD, study author, Cleveland Clinic Lou Ruvo Center for Brain Health in Las Vegas, Nevada

For the study, the researchers identified 45 retired male fighters who had not competed in two years, with an average age of 32, including 22 boxers, 22 MMA fighters and one martial artist. They also identified 45 active male fighters, with an average age of 30, including 17 boxers, 27 mixed martial artists and one martial artist. The groups were matched for age, education, race and number of fights at the start of the study.

All fighters had a professional bout within a year of starting the study. However, retired fighters then went two years without any fights while active fighters continued to compete in professional bouts.

For three years, all of the fighters had brain scans and tests to see how well their brains were functioning at the start and end of the study. The researchers also looked at the participants’ fight histories. Half of the participants also had blood tests for a biological marker of brain injury called neurofilament light chain, a component of nerve fibers that can be detected in the blood when the fibers are injured.

Participants also took tests to measure verbal memory, executive functioning, motor speed and processing speed.

In the areas of verbal memory, motor speed, and processing speed, retired fighters’ scores improved over time, while active fighters’ scores were stable or showed slight declines.

For verbal memory, the researchers used scores from an FDA-approved thought and behavior test, with higher scores indicating better memory. They found that over time, retired fighters averaged a three-point increase while active fighters averaged a two-point decrease.

The researchers also found different patterns of change over time between retired and active fighters in the ability to sense and respond to rapid changes in the environment and the time it takes to complete tasks.

For neurofilament light chain levels, retired fighters showed decreased levels in their blood from the start to the end of the study, while active fighters remained stable throughout the study.

The researchers also measured brain thickness in areas of the brain that control emotions, memory, and executive function—that is, a person’s ability to plan, focus, and multi-task. Of 68 brain regions measured, 54 regions had a constantly changing trajectory, with thickness measurements stabilizing for retired fighters and subtly decreasing over time for active fighters.

“The results of this study suggest a recovery of cognitive functioning in fighters who are no longer exposed to repetitive blows to the head,” Ritter said. “Future research is needed to determine if there is a point in a fighter’s career when recovery is less likely to occur or to identify factors that might indicate a greater risk of developing a neurodegenerative disease.”

A limitation of the study was the inability to determine the exact number of repetitive headbutts experienced by each participant. Many head impacts occur during training and there is no generally accepted way to measure them. This study also only looked at male fighters.

The study was funded by the National Institutes of Health, Lincy Foundation, Belator, Ultimate Fighting Championship Company (UFC), August Rapone Family Foundation, Top Rank and Haymon Boxing.

Source:

American Academy of Neurology

Journal reference:

Zhuang, X. et al. (2022) Longitudinal changes in cognitive functioning and brain structure in professional boxers and mixed martial artists after stopping fighting. Neurology. doi.org/10.1212/WNL.0000000000201158.

Psychology Training Programs | VA Augusta Health Care

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The CNVAMC is committed to recruiting and training various postdoctoral fellows. In accordance with the APA Accreditation Commission, we define cultural and individual differences and diversity as including, but not limited to, age, disability, ethnicity, gender, identity gender, language, national origin, race, religion, culture, sexual orientation and socioeconomic status. Applications from qualified minority individuals are encouraged. Individuals who wish to be considered partly on the basis of a diversity variable should indicate their interest in their application cover letter.

Interested applicants should submit their documents online through APPIC’s centralized application service (APPA-CAS). To apply, applicants must submit the following:

1. A cover letter that outlines your postgraduate training goals and your perceived fit with our program. In your letter, please describe your previous educational and clinical experience relevant to the training offered in our program, your assessment of your training needs, and your overall career goals. Please read our full brochure carefully before applying. Please specify whether you are applying for the Interprofessional Stream or the Military Sexual Trauma Stream (or both).

2. A copy of your Curriculum Vita.

3. A letter from the president of your thesis committee describing the progress of your thesis and the expected date of defense if it is not yet finished, or confirming its success.

4. Three letters of recommendation from supervisors who have direct knowledge of your clinical work. At least one letter must be from an internship supervisor. If your supervisor provides one of your letters, they may indicate the status of your thesis in that letter. A separate fourth letter on this subject is not required in these circumstances.

5. An official transcript of your graduate work

Deadlines: Applications must be received online by December 16, 2022 receive consideration. The Director of Postgraduate Education and selected members of the Education Committee will review all submitted applications in detail and select selected candidates for interviews. All applicants will be notified of their interview status by email to the address provided in the APPA-CAS system. It is the candidate’s responsibility to ensure that correct and up-to-date contact information is provided in the online application. We plan to hold virtual interviews in late January/early February.

The VA Office of Academic Affiliations requires that all VA postgraduate education programs adhere to the APPIC postgraduate selection guidelines. Accordingly, we will adhere to the new postgraduate selection standards and common holding date. Offers may be made at any time after interviews have ended and may be held until Common holding date of Monday 02/27/2023. See the APPIC site for more information on CHD policies. Candidates will be notified when they are no longer considered and when all positions have been filled. The planned start date for 2022-2023 is August 14, 2023.

What if doctors knew how to treat domestic violence better than the cops?

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In recent years, health systems have come to better recognize and understand what are known as the “social determinants” of health, i.e. the socio-economic forces that contribute to poorer health and to a shorter life expectancy. This includes factors such as homelessness, food insecurity and domestic violence. Poor women and women of color are more likely to be hurt by their intimate partners – although there is no shortage of middle-class or wealthier women who are also damaged.

The social determinants approach to health care does not mean that hospitals rent everyone an apartment, order their food, or hire a divorce lawyer, although sometimes health system funds are targeted to these social needs. , such as temporary housing. This means that doctors, nurses, clinics and hospitals have started to approach these issues differently – understanding that they are indeed health issues – compounded by economic hardship and inequality. Health systems are now working more collaboratively with social services to tackle it together.

At PurpLE Clinic, Ravi doesn’t see domestic abuse as a series of broken bones, black eyes and stab wounds. “I consider it an infection,” she said. It causes both acute injuries – those broken bones – and ongoing chronic damage. It spreads from person to person – abusers have often hurt more than one woman in their lifetime – and to the next generation. Children who witness abuse or who have been abused themselves are at risk of growing up and perpetuating the cycle.

“For me, the work that I’ve done, almost over the last decade, has really brought to light all the holes that we’ve fallen into, terribly short, in understanding this issue and the responsibility of the health care system and medicine in general to address it,” Ravi said.

She began this work by establishing a special medical clinic for survivors within another federally funded community health center that served low-income people. Later, she established the PurpLE Health Foundation, which gave birth to her PurpLE Clinic. She also treated women incarcerated at Rikers Island who had been trafficked, often as sex workers, and ended up in the criminal justice system.

Ravi learned to read the terrain of harm on their bodies, recognizing that the “common” wounds in these women were not what they seemed. Difficulty swallowing, called dysphasia, is a fairly common condition; it has many causes, some as simple as acid reflux. In Ravi’s patients, it’s often the result of a strangulation attempt. A sore knee may feel like the onset of osteoarthritis; in these women, it is often because they have been pushed down a flight of stairs – often more than once. When Ravi looks into a woman’s ear and sees scars, she asks if she has ringing in her ears. “Yes”, they tell him. A common reason: “He used to throw shoes at my head.”

How health systems approach screening differently

JTo address domestic violence, healthcare providers began to develop better treatment processes starting with the first: screening.

Violence screening is a basic tool available to health care providers that allows them to act quickly to identify and treat domestic violence. Done well, screening is a diagnostic tool, a doorway to uncover wounds and secrets. “There is no blood or imaging test” that establishes an injury was inflicted by an assailant, said Vijay Singh, a University of Michigan health system physician who has done domestic violence a clinical, research and teaching priority.

Some health systems simply ask women to tick a box on a long intake form or ask questions in an inconsistent, awkward or opaque way, said Jacqueline Campbell, a professor at the Johns Hopkins School of Nursing and a leading expert. in domestic violence and risk assessment.

The health care response has also long been centered on emergency room screenings, “which ultimately funneled to police,” said Virginia Duplessis, director of the National Health Research Center on Domestic Violence. Now, screenings are more common in primary care and other settings, where signs of injury may not be as obvious.

Sometimes the police have to be involved. But Duplessis said the focus is less on the cops and the courts, and more on partnerships between health care and domestic violence programs with the expertise to plan safety — or interventions. more immediate for women whose lives are in imminent danger.

Even in the best of times, patients tend not to disclose abuse the first time they are screened, so questions should be routine, normalized and repeated over time to overcome stigma, shame, despair , denial and fear. Fear of reprisals, that they lose their children, that no one will believe them, that they will be blamed or that saying it out loud will only make things worse.

Michigan uses a series of evidence-based questions, a protocol known as HITS – standing for Hurt, Insult, Threaten and Scream. Singh is trying to normalize screening in a way that prompts disclosure. It starts by saying something like, “Many patients have relationship-related health issues” or “I’ve seen many patients who have issues like yours who have potentially unhealthy relationships.” It can make the injured woman feel less like she’s the only one, less like it’s her fault, and more willing to talk about how she really got that broken bone, that nasty bruise, these marks around the neck.

And if the health team finds that the injury was inflicted by a spouse or partner, they respond, working with a local domestic violence agency, who will visit the victim in hospital. It is not the injured person’s responsibility to go out and get help; help comes to his bedside.

Representative Katie Porter lives in a house she bought on the UC Irvine campus. Now she faces criticism | app

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LOS ANGELES — The high cost of housing in Orange County created an obstacle for the University of California, Irvine as it sought to recruit talented faculty and administrators. So state university leaders created a nonprofit that built a sprawling suburban development, dubbed University Hills, criss-crossed by nature trails, swept by Pacific Ocean breezes, and endowed with some of the best schools K -12 of the state.

Homes there are sold below market price, a boon for college students who could not otherwise afford to live in one of the most expensive housing markets in the country. But there is a cost: strict rules on resales mean buyers will never see a fraction of the capital gains compared to if they had bought and sold on the open market.

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SVHC Announces DAISY Award Winner

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Vermont Business Magazine Amanda Crossman, RN, an emergency department (ED) nurse at Southwestern Vermont Medical Center (SVMC), was the recipient of the July DAISY Award for Extraordinary Nurses at Southwestern Vermont Health Care (SVHC).

“Even on the busiest days in the emergency department, Amanda makes her patients feel like they’re the only ones there,” said Pamela Duchene, PhD, APRN, SVHC chief nursing officer and vice president of services. of patient care. “She is knowledgeable, compassionate, thorough and efficient, and that is extremely reassuring to patients.”

Amanda Crossman, RN

Crossman’s proband arrived with a fist-sized abscess on his jaw. While the entire team, including the people who accompanied the patient to the emergency department, the registration staff and the doctor, were “fantastic”, the nurse, Crossman “was outstanding”.

Crossman received an associate’s degree in nursing from Vermont Tech in 2016 and started at SVMC as a registered nurse in the emergency department the same year. She went on to earn her bachelor’s degree from Southern Vermont College and Castleton University in 2020. Additionally, she is an X-ray technologist and works in the Imaging Department at Rutland Regional Medical Center and the Carlos Otis Clinic in Stratton Mountain . She is a Board of Certification for Emergency Nursing Certified Emergency Nurse and sits on the Nurse Advisory Committee. Additionally, Crossman and her husband own the Crossman General Store in Middletown Springs, VT.

The DAISY Award is part of a national, merit-based recognition program established by the DAISY Foundation. It celebrates the education, training and skills of nurses. Nominations can be submitted by patients, families, physicians and colleagues. All applications are blinded, so that they are anonymous, before being reviewed by a selection committee. A nurse is then chosen as the winner of the DAISY award. DAISY Awards are given out on a regular basis, usually every two months or quarterly.

About SVHCs:
Southwestern Vermont Health Care (SVHC) is a preeminent, comprehensive health care system that provides exceptional, convenient, and affordable care to communities in Bennington and Windham counties in Vermont, east of Rensselaer and Washington counties in New York and north of Berkshire County in Massachusetts. The SVHC includes the Southwestern Vermont Medical Center (SVMC), the Southwestern Vermont Regional Cancer Center, the Centers for Living and Rehabilitation, and the SVHC Foundation. SVMC includes 25 primary and specialty care practices.

Southwest Vermont Health Care is one of the most popular small rural health systems in the country. He is the recipient of the American Hospital Association’s 2020 Rural Hospital Leadership Award. Additionally, SVMC was ranked fourth nationally for the value of care it provides by the Lown Institute Hospital Index in 2020 and has received five-time Magnet® recognition from the American Nurses Credentialing Center for l excellence in nursing. The healthcare system is fortunate to have the support of platinum-level corporate sponsor Mack, a leading provider of contract manufacturing services and plastic injection molded parts based in Arlington, VT.

BENNINGTON, VT—September 12, 2022—Southwest Vermont Health Care

National Addiction Professionals Day: A Time for Recognition

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On September 20, NAADAC plans to celebrate the work of addiction professionals. Treatment centers coast to coast can do the same

By Jenny Diedrich

A national association supporting addiction professionals wants to see them recognized for their specialized training as well as the work they do every day to bring hope to people with substance use disorders and their families.

NAADAC, the Association of Addiction Professionals, promotes National Addiction Professionals Day, celebrated on September 20, to help professionals feel the love and educate the public about their work.

“It is important that the government shows its support because it gives credit to the profession. Addiction is still stigmatized, and people who serve addiction are still stigmatized,” says Cynthia Moreno Tuohy, executive director of NAADAC.

“There is still an idea that [addiction professionals] are people in recovery who are simply doing good things. Today, the addiction professional must be more educated than a general counsellor. »

—Cynthia Moreno Tuohy, NAADAC Executive Director

According to Tuohy, the public does not fully understand the level of specialty and education of addiction professionals. Many of these workers have multiple degrees and discipline areas.

“There is still an idea that [addiction professionals] are people in recovery who are simply doing good things. Today, the addiction professional must be more educated than a general counsellor. I’m a social worker and I have all that training, but then I have to do another year of study to get my specialty in substance abuse. You end up with five years of education to do this job,” she says.

Tuohy hopes addiction professionals can receive the same level of respect and admiration that healthcare workers received at the start of the COVID-19 pandemic.

“Wouldn’t it be cool if we had a similar response to addiction professionals like what happened during COVID with the medical profession? People understood how these professionals risked their lives and put themselves forward. [Addiction counselors] working with people for years to help them recover, and it can be not only overwhelming but also very stressful. These people work hard to change not only a person’s life, but the entire family system,” she says.

Tuohy points out that clients, drug issues and trauma have all become more complex over the years, making the work of addiction professionals even more difficult and vital.

“We need to keep pace with education on new drugs. You have fentanyl being distributed from China and Mexico. Because the brain is increasingly overloaded, you see more anxiety, depression, and other mental health issues. And we don’t just have trauma related to general life situations, but now we have trauma associated with the pandemic,” she says.

Events to come

NAADAC is developing more intensive trauma-specific training and plans to launch this new direction at its annual conference in October.

NAADAC members are addiction-focused counsellors, educators, and other health professionals who specialize in prevention, treatment, and recovery support. The organization provides education, clinical training and certification while representing the interests of more than 100,000 addiction professionals in the United States, Canada and abroad.

NAADAC encourages treatment facilities to promote National Addiction Professionals Day through their own communications and marketing platforms, and to celebrate their staff. Go here to download NAADAC’s free toolkit for hosting a National Addiction Professionals Day event.

Photo: Sharosh Rajesekher

Cancer ‘moonshot’ gives Wichita doctors hope a cure may be within reach

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WICHITA, Kan. (KWCH) – Sixty years after President John F. Kennedy’s famous “moonshot” speech, President Joe Biden traveled to JFK’s home state of Massachusetts on Monday to outline the new stages of his own “moonshot” against cancer. Biden wants to halve the cancer death rate over the next 25 years.

“We are going to have a cancer moonshot for real. We will cure cancer over time,” the president said.

The president’s remarks in his speech on cancer give hope to those working in the medical field. Locally, some hope that cancer can be entirely defeated during their career.

Keisha Humphries, administrator of the oncology service line at Ascension Via Christi, said the cancer crush could be game-changing for the future of cancer treatment.

“I’m just thrilled that our government is still focused on a possible cure for cancer. Every year we’ve found more, in the last 10 years we’ve gone so much further than we did,” Humphries said.

On Monday, President Biden provided an update on the progress of the cancer moonshot and discussed new initiatives around it.

Ascension Via Christi Cancer Center radiation oncologist and medical director Dr. David Bryant said one of Biden’s key initiatives will begin next week in Wichita, beginning with the trial phase of blood tests.

“Just by taking blood from patients, you only need to be 30 to be able to consent to take part in this clinical trial, but we’re going to take that and do what’s called an early detection test for multiple cancers for that. And so it will allow us to catch cancer early and potentially treat it early,” Dr. Bryant said.

Humphries said blood tests are essential for early detection of 10 types of cancer.

“And that means we can treat these patients early, so if we find this cancer at stage one then they’re curable whereas at stage four they’re not,” she said.

If you are 30 or older and have questions about how to register to be part of the trial phase of the blood test, you can call Ascension Via Christi Cancer Research at 316-268-5788.

TIFF 2022: Coal, Muru, Perch | Parties and Awards

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One of the best films I’ve seen from the Platform section of TIFF this year is Carolina Markowicz “Coal,” a sharp and specific thriller that also has a nice undercurrent of dark humor. Markowicz confidently tells a story the film has always done – the stranger who drastically upends a family dynamic – but does so in a way that seems driven by character and setting rather than cliche.

Irene (Maeve Jinkings) and Jairo (Romulo Braga) live in a small village in the Brazilian countryside, far from civilization, where they run a family charcoal business. It’s the perfect place to hide someone. They go about their business, including raising their nine-year-old son Jean (Jean Costa) and caring for Irene’s increasingly ill father. Her days are literally numbered and the family thinks about it when their nurse suggests something remarkable. She works for an Argentinian drug lord who needs a place to hide. If Irene and Jairo could essentially replace the old man with the center pivot, they would have enough money to never worry again. Irene prays over it, wondering about the kindness of keeping a sick relative alive anyway, especially when God has given them such an opportunity.

In a way that is never forced, the new arrival in this indescribable house throws the family into chaos. Jairo is having a secret affair with a neighbor, and he’s using the new income in ways that might attract attention in a small community. Irene becomes more confident and outspoken, fascinated by this towering figure in her relatively dull reality. Even Jean opens up in unexpected ways, approaching a criminal lifestyle that now seems appealing to her.

Markowicz takes a potentially lackluster plot and elevates it by staying close to his characters. We get to know Irene – Jinkings is fantastic – and enjoy watching her deal with the new reality of her existence, changing from a dying father to a potential escape from her mundane existence. There are also some very interesting religious themes in the film, culminating in a riveting ending with one of TIFF’s best final shots to date.

Halfway around the world, the reliable Cliff Curtis, one of those actors you may not know by name but will definitely recognize, stars in the true story of Tearepa Kahi. “Muru” an intense thriller about a violent clash between a Maori community and the armed forces who have become convinced that they are domestic terrorists. Inspired by not just a violent encounter between these communities, “Muru” centers Taffy (Curtis), a police sergeant who has returned home to what should be a quiet existence in terms of breaking the law. However, a few of the locals, including a well-known activist named Tame Iti (who himself stars in a powerful performance), have spoken enough of the New Zealand government’s mistreatment to get their attention.

La Salle sees 13% increase in freshman enrollment

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Also on the rise? The academic qualifications of this year’s new explorers

Enrollment of new freshmen at La Salle is up 13% from last year, the university said. This is the first increase in enrollment at La Salle since 2018.

This enrollment boom follows the most recent enrollment cycle, during which La Salle also saw year-over-year increases in applications submitted and completed.

Also of note in this year’s class:

  • A more academically prepared class began at La Salle this fall, with new students arriving in 20th grade and Olney with a higher median GPA than those in last year’s class.
  • Enrollment of new students in La Salle’s honors program increased by 25% over last year, with the academic credentials of selected and admitted students also improving.
  • A diverse class of freshmen is enrolling this fall, with about half of La Salle’s New Explorers identifying as students of color.
  • The undergraduate nursing program increased new freshman enrollment by 40% and the 4-year BS/MBA accounting program doubled its first-year enrollment.

Learn even more about the new explorers on campus.

—Christopher A. Vito

Medical professionals resent lack of facilities in Assam for cadaver transplants

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Experts in the medical profession have noted that more people registering for organ donation will not lead to more lives saved due to lack of proper infrastructure as Assam does not have cadaver transplant facilities, at the exception of the cornea. However, in the state, where only living donor kidney transplant facilities are now accessible, organ donation awareness campaigns have gained momentum.

“It is true that there is not yet a cadaver transplant center, but work to establish one here is at an advanced stage,” Dr. Achyut Chandra Baishya, director of Gauhati Medical College and Hospital.

“The state government has sent a statement in this regard, and we can expect an official notification soon,” he added.

According to an official source, the Regional Organ and Tissue Transplantation Organization (ROTTO), Guwahati was forced to halt its operations a few years ago when “some irregularities” were discovered regarding its contract staff.

These issues have since been overcome and the source said GMCH is awaiting government approval before proceeding with new hires. ROTTO is a regional office of the National Organization for Organ and Tissue Transplantation (NOTTO), which is the main organization responsible for coordinating all national activities related to organ donation.

(source: PTI)

PAF medics treated 3,049 patients in field medical camps

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PAF medics treated 3,049 patients in field medical camps

  • PAF initiated the process of rehabilitation of flood affected people in Khyber Pakhtunkhwa, Sindh, Balochistan and South Punjab.
  • PAF emergency response teams distributed 23,076 cooked food packs, 1,103 water bottles and 1,795 ration packs
  • PAF personnel are taking unprecedented initiatives for the welfare and timely provision of the necessities of food, shelter, drinking water and medical assistance to flood victims.

KARACHI: Pakistan Air Force (PAF) has started the process of rehabilitation of flood affected people in Khyber Pakhtunkhwa, Sindh, Balochistan and South Punjab.

According to the spokesperson, the PAF is actively involved in the process of rehabilitation of flood victims across the country. PAF personnel are taking unprecedented initiatives for the welfare and timely provision of the necessities of food, shelter, drinking water and medical assistance to flood victims.

To provide much-needed relief to the suffering of flood victims, PAF emergency response teams distributed 23,076 cooked food packs, 1,103 water bottles and 1,795 ration packs consisting of food items from base to families in need over the past 24 hours.

Moreover, in addition to the free provision of food and shelter, 3,049 patients were also cared for by the Pakistan Air Force medical teams in the PAF medical field camps.

Read also

General Bajwa reviews the flood situation in Dadu, the most affected

DADU: Chief of Staff of the Army (COAS), General Qamar Javed Bajwa, Saturday…

Earlier, Chief of Army Staff (COAS), General Qamar Javed Bajwa visited remote areas of Dadu district in Sindh on Saturday to review the flood situation.

According to Inter Services Public Relations (ISPR), the army chief spent time with flood-affected people at relief and medical camps and led training to provide 5,000 tents to flood-affected people in Dadu and surroundings.

COAS also interacted with troops engaged in rescue and relief activities. Later, COAS carried out aerial reconnaissance of the flood affected areas of Dadu, Khairpur Nathan Shah, Johi, Mehar and Manchar Lake.

For some Alaskan borrowers, federal student loan forgiveness is major relief

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Alaskans with federal student loan debt may soon feel some relief, based on a federal government decision to forgive thousands of dollars of debt for people who meet certain conditions.

Alaskans interviewed for this story said the pardon plan would allow them to invest in their future, from higher education to building homes.

For Terelle Sterling, 38, forgiveness means she can put more money into her retirement savings. She is still in school and studying to become a psychiatric nurse practitioner. Sterling, who lives in Wasilla, was in the military and used her benefits to pay for her education but still had to take out extra loans, she said.

She knew the pause on student loan payments was soon to end, which meant she would have to start making payments again. When the announcement came, it was like a weight on his shoulders.

“I could feel it,” Sterling said. “Even though I haven’t received it yet, I can feel it.”

The Biden administration announced last month that borrowers who earn less than $125,000 as an individual or $250,000 as a household will be eligible for $10,000 in federal student loan relief, or $20,000 whether they received a Pell grant. The move will affect up to 43 million people nationwide, Biden officials said.

About 67,300 Alaskans owe some money in federal student loans. That includes 23,000 Alaskan borrowers who owe $10,000 or less, according to federal data, meaning they could see their federal student loan debts entirely forgiven if they apply for loan forgiveness and meet the requirements. of income. The application should be available in October.

There’s a lot of confusion around which loans the program applies to and who is eligible, said Sana Efird, executive director of the Alaska Commission on Post-Secondary Education. The commission’s work includes assisting with financial access to education and administering the state’s scholarships and student loan program.

[Who qualifies for Biden’s plan to cancel $10,000 in student debt?]

The government only forgives federal loans, which means the announcement will not apply to Alaska state student loans. or private student loans. She said the commission is directing people to the federal student loans website, at studentaid.gov, for the most up-to-date information and to ask questions.

“I would really like to point out that this was just released,” Efird said. “It has just been announced. There are still details being worked out.

Along with the loan relief announcement, the Biden administration also said it was extending its pause on federal student loan repayments through the end of the year. Additionally, some federal borrowers may be eligible for a new income-based repayment plan.

The actions on student loan debt, which reflect a campaign promise from President Joe Biden and were announced just months before the midterm elections, drew immediate pushback from some and roaring support from others. Republican opponents criticized the plan as unfair to people who had already paid off their loans and to people who had not gone to college. Some have also argued that the loan forgiveness program could contribute to already rapidly rising inflation.

Kevin Berry, an associate professor of economics at the University of Alaska in Anchorage, said concerns about inflation from the new program were overblown. No one was required to pay off a student loan in two years, he said, so the forgiveness doesn’t change some people’s spending habits.

Moreover, these loans have put some people off, causing them to delay major financial commitments like buying a car or house and getting married.

“That kind of relief might push some people to make some of those decisions,” Berry said. “And so we could see increases in consumer spending, which could potentially lead to slightly higher inflation. But I think either way that effect is probably close to a washout.

But even with the help, the plan won’t benefit everyone and may only pay off a small portion of what they owe.

For Karolina Pavic, 34, a civil servant living in Anchorage who has two types of federal student loans she’s paying off that continue to earn interest, the forgiveness plan “seems like an insult.”

“It feels like nothing has been forgiven,” she said. “It really feels like it was a temporary band-aid to get votes.”

The new Biden plan will cancel some of her loans, but Pavic will still owe about $25,000 in various loans — some, but not all, of which could be forgiven later if she continues to work in the public sector. And Pavic said she knew there were people with hugely larger loans than she took out.

“I think it’s important for different generations to realize how big our debt is,” Pavic said.

Briar St. Clair’s student debt will be entirely erased under the new rebate program. St. Clair, who works in the legal system and lives in Anchorage, graduated in May and said she plans to go to law school soon, which she can do without debt weighing her down.

“Nothing is final yet, but just thinking about not having to start those payments and also trying to meet living expenses is really nice,” she said.

Briar St. Clair, student debt, student loan forgiveness

St. Clair had not originally planned to take out loans. She worked full-time until undergrad and tried to pay her tuition out of pocket before dipping into her savings.

“I feel like there’s this idea that people who take out loans just do it because they’re lazy, and they just want to be like profiteers or whatever,” St. Clair said. “But that’s absolutely not the case.”

She said she didn’t want to get too excited about the plan, given the potential for legal challenges. But if it comes to fruition, St. Clair said, ignoring student loan repayments means she can pursue a job that improves her community instead of pursuing a job with the highest salary.

Like St. Clair, Sterling – the future nurse practitioner – said debt relief would allow her to invest in her own future. She put the minimum amount in her 401(k), but her employer will match what she puts in, and Sterling said with the loan relief, she thinks she can take advantage of that benefit better.

“I really need to start focusing on old Terelle,” she said. “I’m definitely more focused on retirement. I don’t want to work forever. I really want to retire one day.

• • •

Community nurse joins Jewish Federation staff and other career changes in Chattanooga area

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Contributing photo from the Jewish Federation / B. Dawn Hildebrand

Community nurse joins Jewish Federation staff

The Jewish Federation welcomes B. Dawn Hildebrand as a Community Nurse. Hildebrand is a registered nurse, BSN with completed work for her MSN, according to a press release. She comes to the Jewish Federation with experiences as a clinical examination expert for Blue Cross/Blue Shield of Tennessee and as a staff nurse at Red Bank’s Life Care Center.

Hildebrand has over 17 years of nursing experience, ranging from director of student health at Baylor School and district nurse case manager for Hamilton County Schools, to working in pediatrics and as a physical standards test evaluator for a trucking company.

As a community nurse, Dawn provides advice and consultation to clients, in addition to attending clients’ doctors’ appointments, visiting rehab and hospital patients, and advocating for patients. .

Hogstroms joins CHI Memorial Internal Medicine Associates

Chattanooga natives Jeremy Hogstrom and Jermaine Hogstrom return to their hometown to join CHI Memorial Internal Medicine Associates – Chattanooga, Hixson Pike.

After graduating from the University of Tennessee at Chattanooga, the Hogstroms received their medical degree from Edward Via College of Osteopathic Medicine in Auburn, Alabama. They completed internal medicine residencies at Michigan State University College of Osteopathic Medicine in East Lansing, where they are co-chief residents. They are members of the American College of Physicians.

Drs. Hogstrom joined CHI Memorial as student volunteers while earning their undergraduate degrees at the University of Tennessee at Chattanooga and was later hired as phlebotomists before entering medical school. Known as “Twin.Doctors.J” on TikTok and Instagram, they have over 3 million followers between the two social networks.

Hannah Edwards joins the CHI Memorial Chattanooga Internal Medicine Group

The CHI Memorial Medical Group welcomes Hannah Edwards, MD to the CHI Memorial Chattanooga Internal Medicine Group.

Photo Contributing photo by CHI Memorial/Hannah Edwards

Dr. Edwards received his medical degree from Mercer University School of Medicine in Macon, Georgia. She completed a residency in internal medicine at the University of Alabama at Birmingham. Dr. Edwards is a Fellow of the American College of Physicians, according to a press release.

Dr. Edwards joins R. Forrest Sowell, MD; Johannes DuPlooy, MD; Rachel Labovitz, MD; Holley Davis, MD; and Sarah Baker, MD, at CHI Memorial Chattanooga Internal Medicine Group.

CHI Memorial Foundation Announces Board of Directors

CHI Memorial Foundation, the fundraising arm of CHI Memorial, announced in a press release the new officers and board members for 2022-23.

Julie Brandao will continue in her role as Chair of the Board. Will Clegg will be Vice President, Lacy Burd will be Secretary and Patti Dungan will be Treasurer.

Roshan Amin, Jim Cardwell, Mark Hite, Quincy Jenkins and Pam McKenney are new board members of the CHI Memorial Foundation. They join Jonathan Adams, Deanna Brown, Zac Brown, Rob Carden, Camille Daniel, Gina Dhanani, James R. Headrick, Jeremy Jenkins, Laura Ketcham, Steve McNally, Rick Partain, James Pesnell, Kelly Richardson, Betsy Washburn, Taylor Whaley and Chad Young.

The CHI Memorial Foundation raised $6.1 million in fiscal year 2022 to support capital, equipment, programming and outreach projects within CHI Memorial, according to a press release. All funds raised will stay in the local community, directly benefiting patients, providing access to healthcare and bringing new technologies to the area.

Millennium Bank partners with BrightBridge Capital

Millennium Bank is partnering with BrightBridge Capital to provide a $5 million line of credit to be used within the bank’s footprint to finance projects ranging from affordable housing to business start-ups, according to a statement from hurry.

Millennium Bank’s Chattanooga Group provides services to businesses and individuals in Southeast Tennessee as well as those located in Catoosa, Dade, and Walker counties in Georgia. The 15-year commitment will provide a long-term approach to addressing needs across the region. Funding to support local community development and undercapitalized businesses as well as low-to-moderate income housing are just a few examples of projects eligible for funding, according to the release.

“BrightBridge and Millennium are two local institutions that share an incredible track record in meeting the needs of those we serve,” Sam Jones, executive vice president and chief loan officer at Millennium, said in a statement. “Affordable housing is a huge issue in our markets and the funds we make available can help meet these needs and many more.

Chambliss Law Firm Adds Clute to Marketing and Business Development

Chambliss, Bahner & Stophel, PC welcomes Lindsey Clute to help support the company’s marketing and business development department as a marketing and communications specialist, according to a press release.

Photo Contributing photo by Chambliss Law/ Lindsey Clute

“Lindsey was quick to put her communication skills and creativity to work for our business,” Aricia Gallaher, director of marketing and business development, said in a statement. “She is responsible for translating our company’s business objectives into digital marketing strategies that promote and expand our company’s national footprint. »

Clute will help create new opportunities and promote the business through content generation, digital and social media campaigns, internal and external events and media relations. With previous experience working for a local media group and various small business owners, she brings the skills and experience that will help the team serve more than 60 lawyers who provide comprehensive legal services to local, regional clients. and national.

Katie Wilson named McLemore wedding, head of event sales

McLemore welcomes Katie Wilson to its Event and Wedding Sales team as the new Director of Event and Wedding Sales. The University of Alabama graduate and Atlanta native brings specialties in customer relations and marketing to the position, according to a press release.

Photo Contributing photo by McLemore/ Katie Wilson

Wilson was previously chief of staff at Cobbler Union, a luxury men’s shoe brand based in Atlanta and Spain. In this position, she developed a passion for people and a drive to deliver that spurred the biggest growth in the brand’s online presence in company history as well as the highest customer satisfaction ratings. .

Previously, she began her career with an internship at the Atlanta Business Chronicle supporting some of the biggest corporate and nonprofit events in the city. Wilson has worked on ten annual events that have featured everything from the city’s 40 under 40 awards to Atlanta’s World Showcase & Governor’s International Awards. She was also a Fellow of the International Foundation in Washington, DC.

— Compiled by Brandi Dixon

Information about new hires, promotions and business awards should be sent to [email protected]

Saving snapshots and snippets of Wheeling’s past | News, Sports, Jobs

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WHEELING – Some stories fit between two hardcovers, clearly designed to be stored neatly on a library shelf. Other tales — especially ones that are ultra specific to the city, county, or single institution? Not really.

Storing these types of stories typically requires boxes of photos, letters, and documents of all kinds, according to the Ohio County Public Library Archives team. And, sometimes, even more space is needed.

Such is the case with a Santa Claus costume that was transported for Christmases past at Cooey-Bentz Co. in South Wheeling and scrapbooks like the one that details even the most macabre parts of a doctor’s ward. local during the First World War in France.

There is already a designated place for these items and many more in the archive room in the basement of the library. And, if wishes come true, that space could soon double. The square footage is already there, according to Laura Carroll and Sean Duffy, who are both multi-hatted library workers who devote some of their time to the archives.

It’s basically moving some county records, putting up some walls, and ironically turning off the lights.

LONG STORY

“Light and humidity are the great enemies of archival materials,” explained Carroll, an Illinois registrar who previously worked for academic libraries and special libraries such as that of the American Medical Association. His dual master’s degrees are in public history and librarianship.

When Carroll, also the library’s adult services manager, isn’t playing with the archives’ dehumidifier, she’s often rummaging through boxes of photos. In the five years she’s worked with the archive, she’s dealt with literal masses of this stuff. These photos are now enclosed in protective sleeves and filed – in labeled folders – in acid-free boxes.

About 10 percent of the library’s photos are additionally digitized and posted online, attracting about 50,000 views a month, according to Kyle Knox, who manages the library’s advertising and web content.

This percentage is an industry standard given the time-intensive scanning process, Carroll said.

The rest of the footage is only available the old-fashioned way — ready to be sifted through by clients who have included academic historians, genealogists, and the occasional PBS documentarian. (Hello, “Finding Your Roots with Henry Louis Gates, Jr.” staff.)

This ability to manage the collection, interestingly, is part of the reason there is now a proper archive room with walls and a door, Duffy noted. “It was just wide open and unlocked,” he said of the collection’s debut.

Former library administrators and staff, including Lou Horacek, Dottie Thomas and Erin Rothenbuehler, saw the need to digitize, interpret what was already collected and add to the archive, Duffy said of that time.

“It consisted of a few shelves in the storage room and a Flickr page”, and was largely unguarded and unprotected despite the constant traffic in the basement regarding oil and gas rights and land deeds to county-wide, he noted.

However, when Horacek retired in 2014, it was clear the library needed a qualified archivist, he said. Carroll’s arrival in Wheeling was fortuitous. Pregnant at the time, she was initially interested in working at the archives only as a volunteer, but later joined the library staff.

WHAT

Cataloging the various snapshots and fragments of Wheeling’s archived past is one thing, Carroll noted. “(But) things are useless if they sit on a shelf. We have to make sure that the public is aware of this. »

Digitizing content is part of that, she noted, but the library is also committed to working with schools (offering content for curriculum enrichment) and creating on-site exhibits that highlight value and interpret various elements of the collection.

The current downstairs exhibit on civic empathy stemmed from a four-page radio address given in 1936 by the city’s only black lawyer at the time, for example. Harry H. Jones asked WWVA listeners to consider the daily reality of segregation and to act on behalf of minority citizens.

Duffy does such exhibitions in cooperation with institutions such as the Heinz History Center in Pittsburgh.

Carroll noted that some elements of the collection are simply there for future audiences. This includes historical records such as those she says were saved during the sudden closure of the Ohio Valley Medical Center.

“We got the original board minutes from start to finish,” Carroll said of a collection that also includes material from a nurse training program at the hospital. “If anyone wants to tell this story, they can do it.”

STILL LOOKING

Carroll is also doing “active collecting,” such as saving a homemade mask from the early days of the pandemic and digitized historic campaign footage from transgender city council member Rosemary Ketchum.

While the collection already contains other elements of diversity – a set of Victorian dance programs came from a young woman who started out as a domestic worker rather than a beginner, for example – Carroll is also looking for photo collections and of documents that tell stories from non-majority viewpoints. An example of what she is looking for is the previously acquired photo collection of the Blue Triangle branch of the Wheeling YWCA that existed for black women in the 1920s and 1930s.

If this whole collection looks like the basis of a Wheeling museum, that would be about right, Duffy added. “It’s not our goal to become a museum per se, just to be a passage,” he said of acquiring and protecting objects for as long as necessary. “We still hope there will be a real museum.”

And, in the meantime, Carroll is learning about his new adopted community, one story at a time. Holding one of the dance programs which was made from fabric rather than paper, she said it was quite easy to think about.

“I find myself thinking about what things were like for her. You just feel like you’re embodying someone from the past,” Carroll said. “I love that we interact with his story and that the legacy of these people lives on.”



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Medical Professional Liability Insurance Market Key Players Analysis and Forecast to 2021-2030 | RAM

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Medical Professional Liability Insurance Market

Medical Malpractice Insurance Market was valued at USD 12.5 Billion in 2021 and is projected to reach USD 33.7 Billion by 2031, growing at a CAGR of 10.8%

PORTLAND, OREGON, USA, September 9, 2022 /EINPresswire.com/ — Allied Market Research (Portland, Oregon, USA) released the latest report titled “Medical Professional Liability Insurance Market by type (event-based policies, claims-based policies), by claim type (misdiagnosis or delayed diagnosis, birth injuries, medication errors, surgical errors, other), by coverage (up to 1 Million, US$1 Million to US$5 Million, US$5 Million to US$20 Million, Above US$20 Million), by Application (Individual, Commercial), by Distribution Channel ( agents and brokers, direct response, banks, others): Global Opportunities Analysis and Industry Forecast, 2021-2031.”

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According to Allied Market Research, the global medical malpractice insurance market is expected to show remarkable growth during the forecast period. The report includes a detailed study of the Medical Professional Liability Insurance market size, market trends, major market players, sales analysis, key driving factors and major investment pockets. The global Medical Professional Liability Insurance market report covers an overview of the market and describes the definition and scope of the market. Ongoing technological developments and increasing demand are having an influential effect on the growth of the market. In addition, the report provides quantitative and qualitative analysis of the Medical Professional Liability Insurance market, outlines pain point analysis, value chain analysis and major regulations.

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Additionally, the study provides Porter’s Five Forces Model, along with portfolio and financial analysis and business overview of services and products. The report describes market segmentation and growth analysis of the top 10 market players currently active in the Professional Liability Insurance industry. The report also contains information and statistics, tables and figures which are used in strategic planning for business success.

The report covers a brief analysis of the impact of the Covid-19 outbreak on the Medical Professional Liability Insurance market. The prolonged lockdown and disrupted supply chain coupled with stringent restrictions on international trade are severely impacting the growth of the medical malpractice insurance market. The Covid-19 pandemic has driven up commodity prices and changed customer preferences.

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Key market segments

Type

• Occurrence-based policies
• Claims-based policies

Complaint type

• Medication errors
• Surgical errors
• Others
• Misdiagnosis or delayed diagnosis
• Childbirth injuries

Cover

• Up to US$1 million
• 1 million USD to 5 million USD
• 5 million USD to 20 million USD
• Above 20 million US dollars

Application

• Individual
• Commercial

o Commercial

 Private hospital
 Public hospital

Distribution channel

• Agents and brokers
• Direct response
• Banks
• Others

Major Market Players – Allianz, Aviva, AXA, Berkshire Hathaway Specialty Insurance, Chubb, Cigna, CoverWallet, Coverys, Liberty Mutual Group, MagMutual LLC, MCIC Vermont, ProAssurance Corporation, The Doctors Company, The Hartford, Zurich, The Travelers Indemnity Company , and AIIC

Geographic landscape of the medical professional indemnity insurance market:

1) North America (United States, Canada and Mexico)

2) Europe (Germany, France, UK, Russia and Italy)

3) Asia-Pacific (China, Japan, Korea, India and Southeast Asia)

4) South America (Brazil, Argentina, Colombia)

5) Middle East and Africa (Saudi Arabia, United Arab Emirates, Egypt, Nigeria and South Africa)

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In-depth analysis of each segment helps in making strategic decisions and making profitable investments in the future. Moreover, it helps market players gain a competitive advantage. The Medical Professional Liability Insurance market analysis of the segment and sub-segment is offered in the form of graphs and tables. This study is essential for understanding the most revenue-generating and fast-growing segments of the market. The Global Medical Professional Liability Insurance Market report offers an in-depth study of the major market players currently dominating the industry. The report includes the analysis of production, sales and revenue of these companies. These companies have adopted various business strategies such as new product launches, mergers and acquisitions, partnerships and collaborations to maintain their position in the market.

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Q4. What are the market drivers, restraints, and challenges impacting market demand and growth?
Q5. What are the business tactics that will influence the competitive scenarios while defining the growth potential of the market?

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Agreement reached with strikers from 4 Pennsylvania retirement homes

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HARRISBURG, Pa. (AP) — Workers at four Pennsylvania nursing homes reached a tentative agreement Thursday, nearly a week after going on strike on wages and staffing, the workers’ union said.

Terms of the agreement with Comprehensive Healthcare were not disclosed pending a ratification vote. Workers could be back at work as early as Saturday, according to SEIU Healthcare Pennsylvania.

Picketing outside the four homes – all in western Pennsylvania – was halted when the parties reached an agreement.

The contract covers about 300 workers from those homes and two other homes owned by Comprehensive who were due to vacate on Friday.

A total of about 700 unionized workers at 14 retirement homes across the state went on strike Sept. 2 in a dispute over wages, benefits and staffing levels. The strike continues in the remaining 10 homes, all but one of which is owned by another company, Priority Healthcare.

The union highlighted hundreds of millions of dollars in new state and federal funding for nursing homes, whose longstanding struggles with staff turnover have been compounded by the COVID-19 pandemic. A trade group representing for-profit nursing homes noted that the newly increased Medicaid reimbursements don’t take effect until January and other aid has yet to be distributed.

Nanaimo nurse suspended for falsifying COVID vaccine records, supplying cannabis to senior – Nanaimo News Bulletin

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A British Columbia organization regulating nurses has disciplined a nurse who lied about her vaccination status and gave non-prescribed cannabis to an elderly person.

In a notice, the BC College of Nurses and Midwives said Sunday, Sept. 4, that an investigative committee had reached a consent agreement with Jeremiah Isaksen of Nanaimo regarding incidents that occurred in 2021 and 2022 while working in as a community. healthcare nurse working with a high-risk population.

The health regulator said the nurse ‘asked a colleague to create fake vaccination records for him and said… on social media that the COVID-19 vaccine was unnecessary, dangerous and possibly deadly’ . He also allegedly provided an elder with cannabis edibles, even though it was not part of the elder’s healthcare plan.

The nurse voluntarily accepted a one-week suspension and “review informed consent and complete an ethics course,” the notice said. He will also discuss what he learned with a BCCNM practice consultant.

The committee expressed confidence that the measures will protect the public, the notice said.

The function of the BCCNM is to provide protections to the public by regulating licensed practical nurses, nurse practitioners, registered nurses, registered psychiatric nurses and midwives.


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Breaking NewsCoronavirusNurse Practitioners

Governments make nursing degrees cheaper or ‘free’

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Australian politicians like the idea that cheap nursing courses can boost the number of nurses, one of the most in-demand professions in Australia over the next five years. From 2021, the previous federal government cut student nursing fees by 40% to just under AU$4,000 a year. The Victorian government goes one step further by temporarily covering tuition fees for undergraduate degrees in nursing and midwifery.

As Prime Minister Daniel Andrews describes it, the move is part of “building up an army of local health workers to look after Victorians”. Neither of these policies is likely to have much impact on the number of female students entering nursing courses.

But if redesigned as cash payment, the Victorian policy would make it easier for nursing students to complete their courses. Victorian government policy on nursing and midwifery courses . The Victorian government will pay $9,000 while the student is enrolled, which is $3,000 less than the total course cost of $12,000 for a three-year nursing degree.

Nursing and midwifery graduates who work in Victoria’s public health sector for two years after completing their course will receive an additional $7,500. This could clear their remaining HELP debt. Nursing Tuition Fees Is Not An Obstacle Thanks to the HELP loan program, tuition fees are not a major obstacle for domestic students enrolling in higher education. HELP reimbursements should be considered in educational decision-making, but in the context of the financial benefits of a degree. It is important to note that HELP loans are repaid only on annual incomes above $48,361. Victorian Premier Daniel Andrews (centre) greets a healthcare worker on Tuesday, during a visit with NSW Premier Dominic Perrottet.

Using 2016 census data, the Grattan Institute calculated that a woman with a nursing degree with an average income earned about $650,000 more over her career, after tax, than a woman who graduated from grade 12. While other careers are more lucrative than nursing, reducing nursing student dues to zero may not make a significant financial difference in choosing between nursing courses and other courses.

This will save nursing graduates about $12,000 – which is the equivalent of two or three months of difference in length of working life – not the difference in lifetime earnings between professions. Living expenses Although student contributions can be deferred with a HELP loan, most students fund their living expenses themselves. Student income support payments are low and, apart from a Covid-related spike, the number of students receiving them is trending down. To finance themselves during their studies, most full-time students in higher education – around 70% in recent months – have paid jobs.

According to the Higher Education Student Experience Survey released last week, 37% of students say paid work interferes with their studies. For nursing students, clinical training requirements create additional living expense issues. They must undertake at least 800 hours of supervised activity in a hospital or other clinical setting. Clinical training may take place in a location away from the student’s home. Nursing students have often reported this issue as they may not be able to do their normal paid work and have to incur additional travel expenses.

Cash-paid scholarships would help the most The Victorian government announcement makes direct reference to tuition fees. But some will be paid in cash, as the total value is $16,500 for students who graduate in nursing and then spend two years working in Victoria’s public sector. This is several thousand dollars more than the cost of a three-year nursing degree. Either way, a nursing graduate who meets all the program requirements will earn an additional $16,500. The timing of this financial benefit is the only difference between the payment of student dues and the payment of money to the student. If the student has paid all or most of their student dues during their studies, the cash benefit comes after graduation at the start of their career, through reduced HELP refunds.

This benefits them when their annual income already exceeds $48,361. If the student is paid during his studies, he issues money when his income is much lower. Nursing and midwifery students could use their cash scholarship to help manage the cost of clinical training. It could also reduce the number of students who drop out because they cannot afford to continue studying or study part-time to fit into paid work, thus delaying the end of classes and the start of their nursing career. Can the Victorian diet boost nursing debut? If paid in cash, Victoria’s Nursing and Midwifery Financial Aid could improve course completion times and rates.

But this will not increase the number of people starting nursing and midwifery courses. The demand for nursing courses already exceeds the supply of student places. Universities face two constraints in increasing the number of nursing students – limited capacity for clinical training and the total funding per student they receive, including Commonwealth and student contributions. Ensuring that all students can complete the clinical education component of their course is a major practical issue for nursing schools.

Responding to the Victorian government’s announcement, Australian Catholic University’s head of nursing said they could welcome another 100 students to their Ballarat campus if work experience placements were available. Nursing schools are looking for ways to expand, but for an overburdened healthcare system, hiring more students creates extra work before it generates extra workers.

Another problem for universities is that, as part of its work-ready graduate policy, the Morrison government has cut total funding per nursing student place by 8%. The new funding rate was based on estimated average nursing education and scholarship costs, but created problems for universities with above-average costs and reduced financial incentives for all universities to enroll more nursing students. The current government is screening job-ready graduates, but no quick financial fix is ​​likely. Solving the right problems For high-profile professions like nursing, student demand generally reflects the job market. Covid-19 has increased the need for nurses and the demand for nursing courses has increased.

For the higher education system to meet labor needs, the problems are more often the supply of student places than the demand, and course completions rather than starts. Greater capacity for clinical placements and scholarships aimed at living expenses should be favored rather than reducing student course costs.

University of Wisconsin nurses go on strike

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University of Wisconsin health care nurses held a Labor Day press conference with community officials and supporters in Madison to demand staff, quality care and a union. Nurses have highlighted their need for a union to address the long-term systematic crisis of understaffing, turnover, cuts and burnout made worse by the COVID-19 pandemic. patient care, we want the respect and recognition of our union. This strike is about taking care of patients, but we are not being given the tools to do this job. The administration has reduced staff and eliminated training. We are exhausted, which makes us prone to mistakes. Patients deserve better. said Mary Jorgensen, a registered nurse. In June, the Wisconsin attorney general said UW Health could recognize the nurses’ union. He said: “I conclude that it is within the legal power of the Authority to voluntarily engage in collective bargaining. The UW nurses said they did not receive a positive response from the UW health administration and instead received threats to fire nurses for their union activity. Nurses fear these scare tactics will further undermine patient care by increasing stress on staff, which could lead to higher turnover.

University of Wisconsin health care nurses held a Labor Day press conference with community officials and supporters in Madison to demand staff, quality care and a union.

Nurses have highlighted their need for a union to address the long-term systematic crisis of understaffing, turnover, cuts and burnout made worse by the COVID-19 pandemic.

“We have been fighting for a union for 3 years… We are here because we want quality patient care, we want respect and recognition from our union. This strike is about taking care of patients, but we are not being given the tools to do this job. The administration has reduced staff and eliminated training. We are exhausted, which makes us prone to mistakes. Patients deserve better. said Mary Jorgensen, a registered nurse.

In June, the Wisconsin attorney general said UW Health could recognize the nurses’ union.

He said, “I conclude that it is in the [UW Hospitals and Clinics] Statutory power of the Authority to voluntarily engage in collective bargaining.

UW nurses said they did not receive a positive response from the UW health administration and instead received threats to fire nurses for their union activity.

Nurses fear these scare tactics will further undermine patient care by increasing stress on staff, which could lead to higher turnover.

25th annual conference of professors of pharmacy held

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Mysore/Mysore: The 25th Annual Three Day Convention of Association of Pharmaceutical Teachers of India (APTI), Mysuru, (APTICON-2022) hosted by JSS College of Pharmacywas inaugurated on Friday at the Sri Rajendra Auditorium at the JSS Medical College campus.

Sudarshan Jain, Secretary General of the Indian Pharmaceutical Alliance (IPA) opened the convention and presented awards to the professors of pharmacy.

Speaking on the occasion, Jain said the convention is themed “Empowering Academia to Advance Pharmacy Education.” Emphasizing that conventions like this will motivate and help pharmacy educators and students update their knowledge and skills with current trends, he said it will also help bring knowledge from the pharmaceutical industry to the students, researchers and teachers.

Dr. Milind Janrao Umekar, President, APTI (Central), India, in his presidential address, noted that the healthcare profession comprising of industry and practice sectors is undergoing rapid change. In recent years, the Indian pharmaceutical industry has made tremendous progress. Ever-expanding areas of practice need clinically and technologically trained pharmacy professionals who can meet global challenges and compete with multinational corporations (MNEs), he added.

Earlier, the Director of JSS College of Pharmacy, Dr. TM Pramod Kumar, who gave the welcome speech, hoped that the convention would take the industry-institution interaction to a new level leading to joint scientific study projects, recruitment, joint R&D projects and other industry benefits. academic staff and institutions.

JSS Mahavidyapeetha Executive Secretary Dr CG Betsurmath, Secretary SP Manjunath, JSS AHER Vice Chancellor Dr Surinder Singh, Pro-Chancellor Dr B. Suresh, Pharmacy Council of India Chairman Dr Montu Patel, APTICON-2022 Organizing Secretary Dr V Balamuralidhara, APTI (Centre ), Indian Secretary Dr. Raman Dang and others were present.

About two thousand pharmacy professionals, students, industrialists and others took part in this three-day event.

The medical industry found it easier to fill artificial intelligence vacancies in the second quarter of 2022

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Artificial intelligence jobs that were closed during the second quarter of 2022 had been online for an average of 28 days when they were taken offline.

This is down from the equivalent figure a year earlier, indicating that the skill set required for these roles has become easier to find over the past year.

Artificial intelligence is one of the topics that GlobalData, our parent company and from which the data for this article is drawn, has identified as a key disruptive technology force that businesses will face in the years to come. Companies that excel and invest in these areas are now seen as better prepared for the future business landscape and better equipped to weather unforeseen challenges.

Regionally, these positions were the hardest to fill in Europe, with related jobs that went offline in Q2 2022 having been online for an average of 36 days.

The second most difficult place to fill these roles was the Middle East and Africa, while North America took third place.

At the other end of the scale, jobs were filled fastest in Asia Pacific, with ads going offline after an average of 13 days.

While the medical industry found it easier to fill these positions in the last quarter, these companies also found it easier to recruit AI jobs than the broader market, with online ads for 30% less. time on average compared to similar jobs across all jobs. market.

GlobalData’s job analytics database tracks the daily hiring patterns of thousands of companies around the world, pulling in jobs as they are posted and tagging them with additional layers data on everything from how long each job has been to whether a job is related to a larger industry. tendencies.

You can follow the latest data from this database as it emerges by visiting our live dashboard here.

Related companies

Alaska hospitals rely on Lower 48 nurses to fill vacancies. It is an expensive strategy.

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Stephanie Brown, a cardiac surgery nurse, joined a growing Alaskan workforce last year when she took a job away from home in Florida.

Brown was seduced by the lure of the job of a “travel nurse” – part of a corps of medical professionals who accept temporary assignments across the country to fill staffing shortages, a job that comes with an enticing combination of adventure, flexibility and lucrative deals.

She was particularly drawn to Alaska, which last year saw the largest pay rise for traveling nurses in the country.

Brown heard from a colleague that the state was a beautiful place with friendly people.

“And of course,” she said, “the money was great.”

The contract she saw posted for Providence Alaska Medical Center in Anchorage at $3,000 a week was more than double her salary as a full-time nurse at Florida.

She applied online and was offered the job within hours.

Brown is one of hundreds of travel nurses in Alaska, a growing — and essential — out-of-state workforce for hospitals and health care facilities trying to urgently staff vacancies after exhausted nurses who left their jobs during the pandemic exacerbated long-standing staffing shortages. These days, as many as a third of the nurses working in emergency rooms here might come from somewhere outside of Alaska.

Experts say the state’s reliance on travel nurses comes at a cost. The practice is expensive and could both demoralize and attract the permanent full-time workers who have traditionally made up the core of hospital care here.

They receive the same level of training as residents, and being treated by Low 48 caregivers is not in itself a bad thing.. But health experts and hospital executives say relying on travelers to fill vacancies is a financially unsustainable model that could contribute to rising health care costs in the state and across the country.

It may also exacerbate existing labor shortages by pushing staff nurses into more lucrative traveling positions elsewhere.

For now, however, travel nurses are the only immediate way to maintain the staff needed to care for Alaskan patients, health industry officials say.

In Alaska, there are currently nearly 6,000 healthcare vacancies, according to Jared Kosin, president of the Alaska Hospital Association. This number includes approximately 1,400 vacant RN positions.

“There’s this monster hole that we’re trying to fill,” Kosin said.

‘No end in sight’

Nationally, the increased demand has driven up pay for traveling nurses across the country. But the costs here are particularly high.

A recent Becker’s Healthcare report found that over the past year, Alaska has seen the highest average weekly wage increase for traveling nurses of any state – by $2,356 in 2021 at $3,334 in 2022 — a statistic that Kosin says indicates just how dire staffing situations are at many facilities.

The high salary reflects the fact that although hospitals are no longer overwhelmed by an influx of COVID-19 patients, they are still extremely busy and understaffed, Kosin said.

“There really is no end in sight,” he said.

At Providence, Alaska’s largest hospital, the number of travel nurses has nearly tripled since 2019.

Brown spent a three-month stint there last summer and signed with the same team in February on a new three-month contract, which she renewed in June. The second contract was even more lucrative than the first, up to $4,500 per week.

“COVID hit a little harder, and they knew if they really needed to get people here, then they had to offer a little more,” she said.

“The Backbone of Unity”

Some staff nurses in Alaska — like Katie Ward, a nurse in the Providence Progressive Care Unit who cares for patients at a lower level in the ICU — are welcoming the help provided by colleagues at Lower 48.

Reached by phone during a long-awaited vacation on the east coast, Ward said she received almost daily texts that week from supervisors asking if she could take an extra shift for increased pay in due to a chronic understaffing.

Being better staffed means less grueling shifts and more breaks for everyone, she said. “I often see them as a kind of saving grace.”

Still, Ward said, it can be frustrating to know that co-workers doing the same job get paid significantly more, especially when staff nurses need to be on hand to train new hires and temporary employees who often stay for just three. months at a time.

“Traveling nurses couldn’t do their jobs without the presence of bedside nurses who answer the millions of questions a traveling nurse has,” she said. “We are the backbone of the unit.”

Ward estimates that between 30% and 40% of his unit are here on temporary contracts.

And she also considered applying for a travel contract. It’s possible to stay in Alaska and accept a “travel” contract at another hospital, she said.

A colleague recently accepted a travel position at another hospital in Anchorage for about double what she earns in Providence, even without the per diems associated with taking a position farther from home, said Ward.

She understands the lure of a higher salary and the flexibility that a travel contract offers: instead of having to request months of vacation in advance, which as a travel nurse you would probably be denied, she could include the free time she wants in her contract. She’s still not sure she’ll make the switch, but the prospect is appealing.

“The idea of ​​traveling and earning at least twice a nurse’s salary – why wouldn’t you?” said Ward. “Any nurse would be lying to you if she told you she wasn’t planning on traveling.”

“Not financially viable”

Health care industry experts say too few Alaskans are entering the nursing field as older, overworked nurses are retiring or changing careers at high rates.

In 2018 and most years prior, Bartlett Regional Hospital in Juneau rarely had more than five travel nurses at any one time, said Kim McDowell, the hospital’s clinical director. Now Bartlett is 24.

McDowell described what she called a “big resignation” which increased the hospital’s reliance on traveling nurses early in the pandemic and which has yet to be resolved.

During the worst days of the pandemic, hospitals in Alaska were pushed to the brink with an influx of COVID-19 patients and limited resources. Many nurses have worked long, traumatic hours on the front lines of a pandemic for months.

McDowell said she thinks the pandemic may have discouraged some people who may be considering nursing – and caused others to retire or leave the profession.

“I think the climax of being forced to work in a pandemic, not knowing there’s going to be an end in sight and having to witness that level of death and dying really helps to invite the people to leave the nursing career,” she said.

McDowell did not say how much the increased use of traveling staff was costing the hospital. But she said it was “very expensive” and the facility was trying hard to recruit local nurses.

“Because in the long run, staffing an organization with travelers is not financially viable,” she said.

Jared Kosin, Alaska Hospital and Healthcare Association

Kosin, with the hospital association, said recruiting in-state nursing students who are more likely to stay in Alaska is one of the best solutions to solving the labor shortage.

[In-state education options for Alaskans interested in nursing have been limited. That’s starting to change.]

But it’s not an easy time to enter the profession, said Ward, the full-time nurse from Providence. She has friends who have just graduated from nursing and who have had an overwhelming and stimulating experience Rotate to hospitals as part of their schooling.

“I think it would have been really daunting to see how the hospital and health care operated” during the COVID-19 delta surge that filled hospitals with extremely sick patients, she said. “It was a very, very stressful time, and I couldn’t imagine becoming a nursing student on top of all the other things you have going on.”

Adventure and a bit of sacrifice

The flexibility and ability to see new places and earn extra money attracted Chad Bleich, a 31-year-old nurse from upstate New York, to traveling nursing.

It was the lure of Alaska that drew him here.

Bleich took a job as a travel nurse last year in the emergency room at Providence Kodiak Island Medical Center. This year he returned to the state for a similar position in Anchorage.

He chose Alaska partly for the adventure.

“Most of the time it was just kind of random, like, wow, Alaska, I’ve always wanted to go there, but I can go there for work, so let’s go,” he said. declared.

Bleich said he never regretted his decision and felt appreciated for the work he was doing. He gained a new perspective, had adventures, and was given the flexibility to take time off when he needed it.

And while he understands why staff nurses might be frustrated by the difference in pay, Bleich said it’s important to consider all the increased expenses a travel nurse incurs: potentially having to pay for accommodation at home and on mission; ship or rent a vehicle; and plane tickets home to see loved ones.

“We also incur far more expenses than a typical bedside nurse. So there’s a lot more to it than just, ‘Oh, we earn a lot more than them,’” he said.

Brown’s experience as a travel nurse in Alaska was also quite positive.

She said her co-workers have been kind to her. She feels like part of a team and her supervisors have asked her to consider moving here for good. She thought about it.

“It’s hard though,” she said. “My whole family is on the East Coast. And that’s a four hour time difference.

Kosin said it’s difficult to keep travel nurses who come from the Lower 48 long-term. Less than a quarter of those who come decide to stay permanently.

Alaska is far away and the winters are long.

“Getting people to stay, retaining them, is extremely difficult,” he said.

• • •

Why I prefer perfectionist doctors

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Your plane is about to take off. Like most people, you’re just a little anxious about flying. It’s very rare, but you know that a lot of bad things can happen to the machine that takes you 30,000 feet up. Consider this: would you rather the mechanic inspecting your plane be absolutely conscientious in every detail, or extremely perfectionist in their examination of the plane, even if they have to work overtime and miss the family dinner? Or would you rather he was a happier, more family-friendly mechanic who would consistently come out at 5 p.m. stoppage time no matter what?

Personally, I would prefer the guy who misses the family dinner. I would prefer the perfectionist mechanic who won’t go home until he is sure the plane is in perfect condition to the best of his abilities.

I think a lot of our patients would prefer their doctor to be the same.

Many articles on Kevin MD addressed the “perils of perfectionism” and its negative impact on physician well-being. I’m not going to get into what is obviously pathological perfectionism here: the person who flushes the toilet five times before they can get out of the bathroom or spends 15 minutes repeatedly checking the grammar of an e- routine email. I’m talking about everyday perfectionism, the one we all need to have to enter the medical profession.

I also don’t overlook the importance of work-life balance. I am a retired doctor. I have spent over 40 years working in frontline neurology clinics. I was also a leader in our organization’s physician health and wellness mission. I have trained and advised dozens of doctors on these issues. Trying to achieve work-life balance in the medical field is a huge challenge. Its absence can be devastating.

Let’s put these issues into perspective.

Let’s say it’s 6 p.m., but you have two patient callbacks, nine patient e-mails, seven x-ray reports and 15 lab tests to review, and 11 prescriptions to refill, all awaiting your attention. your inbox.

What are you going to do? Go home? You haven’t had dinner with the family all week. And you promised Junior to help him with his algebra. Can you put off this inbox overload until tomorrow? Or should you stay late at the clinic, miss another family dinner, break your promise to Junior, but mind your own business?

After all, you are a doctor. Patients depend on you. What will it be like for them to anxiously wait all evening for that phone call from the doctor that never comes? And if you decide to put off work until tomorrow, if you choose to go home for the family dinner, will you feel happier? More content? More in balance with yourself? Or will you feel guilty for leaving your patients on hold? Will you wake up at 2 a.m. in a cold sweat, imagining that the chest X-ray you didn’t review might show incipient pneumonia?

Here are my answers to the two main arguments against perfectionism.

The first is that perfectionism is rooted in fear. I agree. But then what? Fear is a great motivator. If we have a healthy fear of making a mistake in our medical care, then that fear can cause us, like the airplane mechanic, to be very careful, very studious, and very conscientious. The fear of making a mistake, of harming a patient, can motivate us to be more competent physicians and thus lead our patients to healthier outcomes (or at the very least minimize reckless medical errors). Frankly, I’m grateful that a healthy fear is part of my doctor’s psyche. I would wonder about doctors who don’t have one.

The second “anti-perfectionism” argument is that perfectionism will make someone unhappy and dissatisfied. But what is our primary mission as doctors? Be happy? Must be completed? Leaving work at 5 p.m. and doing a Pilates class on the way home? To be better life partners and parents? Yes, these are of course laudable goals. But will we really feel happy, really feel fulfilled if we finish quitting at the usual time and fail to finish our work? Will we feel happy and fulfilled knowing that our patients may be spending a sleepless night waiting for a promised biopsy result that was never delivered?

I don’t have the answer to perfectionism. I don’t have the answer for work-life balance. It may be different for everyone. But the life challenges of doctors are real. With every fiber of my being, I want to see my fellow physicians productive, happy, and fulfilled. And while I may not have a solution, I do know this: the answer will not come from erasing perfectionism from our doctor’s DNA.

If we try to do so, if we fail to live up to our internal standards and abandon our deeply held value of doing our best, we risk exposing ourselves to moral harm. And it is this moral injury that can lead us down the path of burnout.

But if there is an answer, I believe it will come from accepting, not denying, the genuine perfectionism within us. I believe this will come from accepting our perfectionism with all its perils, its positive and negative aspects. Yet in the face of this, somehow, we must learn to make this genuine perfectionism work for the benefit of ourselves and our patients.

The next time you’re flying 30,000 feet in the air or the next time you’re a patient yourself, think about it.

Scott Abramson, MD, is a neurologist.

This post appeared on KevinMD.

Skin care experts on benefits and types

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(Spoiler: the answer is yes.)

On days when it’s not hot and the sun is hiding, is it okay to skip the sunscreen? What about a cloudier, cooler day, or a day when your time outdoors will be limited?

A trio of experts shared why sunscreen is still necessary and clarified common myths and questions about daily use.

Applying sunscreen daily to sun-exposed areas is essential, not excessive.

“The sun’s UV rays are powerful, and just 15 minutes outdoors is enough to cause long-term damage and potentially cancer to the skin,” says Jessica “Nikki” Dietert, MD, Certified Dermatologist and Mohs Certified and Trained by the stock market. surgeon with Westlake Dermatology in Austin.

You are not just exposed to the sun outside. An older study from 2010 suggested that skin cancers occur more frequently on the left side in men. This side is the one exposed to the sun while driving.

A 2016 study reported that windshields blocked approximately 96% of UVA rays. However, some side windows may only block 44%.

Dietert says cancers caused by sun exposure can be aggressive and deadly if left untreated. But prevention is the best cure.

“It is recommended to apply sunscreen daily to the face, neck, chest, ears, hands and arms to prevent long-term sun damage,” says Dietert.

Erum N. Ilyas, MD, MBE, FAAD, board-certified dermatologist with Schweiger Dermatologyagrees and recommends applying an SPF every morning as part of your skincare routine.

The American Academy of Dermatology (AAD) recommends finding a sunscreen that is:

  • FPS 30+
  • broad spectrum, which protects against UVA and UVB rays
  • waterproof

Dietert explains that there are two main types of sunscreens: chemical sunscreens, which filter out UV light, and physical (mineral-based) sunscreens, which block UV light.

“[Mineral-based sunscreens] generally protect your skin from a broader spectrum of UV light,” says Dietert. “For this reason, finding a sunscreen with mineral ingredients is ideal.”

Dietert adds that these mineral-based sunscreens can be especially helpful for people with acne-prone or sensitive skin.

“These are less likely to cause skin irritation and allergies,” says Dietert.

Zinc oxide and titanium dioxide are two common ingredients in mineral sunscreens. Dietert recommends people with acne-prone skin look for niacinamide-based sunscreen and avoid oil-based ones, which can make the condition worse.

Protection against skin cancer is a commonly cited reason for applying sunscreen daily — and for good reason. A 2020 review suggested that sunscreen reduced the risk of melanoma and non-melanoma skin cancers.

But the journal and the dermatologists Anna ChaconMD and Ilyas, point to other benefits, including:

  • delay the signs of aging, such as wrinkles
  • fading scars
  • Prevent discoloration
  • Protect from blue light

A 2020 review pointed to wrinkles as a sign that regular use of sunscreen might help delay. Chacon also says sunscreen helps fade scars.

Chacon, a Miami-based board-certified dermatologist, backs the review, saying sunscreen can also help delay the signs of aging.

Ilyas notes that lately people have become more interested in the blue light that emanates from electronic devices like tablets and iPhones.

Research from 2022 suggests that a broad-spectrum sunscreen containing phenylene bis diphenyltriazine (TriAsorB™) with SPF 50+ may protect against cellular photodamage from blue light, and another study from 2022 indicates that blue light accounts for only a tiny fraction of our exposure to UV light – around 2-5%.

“Although the effects of DNA damage on our cells are well documented, more than half of the spectrum of light emitted by the sun is visible light,” says Ilyas, who is also CEO and founder of AmberMidday.

The myth that people of color don’t need sunscreen is damaging. A 2016 study reported that the death rate from skin cancer was higher in people of color and that UV exposure is a leading cause of skin cancer.

The authors suggested that lack of education about the risks of sun damage in these populations was one reason.

Dietert agrees, advising everyone to apply sunscreen daily, regardless of skin tone.

“Lighter skin tones have a higher risk of skin cancer,” Dietert says. “However, with sufficient UV exposure, all skin types can develop skin cancer.”

Dietert adds that UV exposure can also lead to aging in all populations.

Sun exposure helps people get vitamin D, which Chacon says is essential for bone formation.

But she says the benefits of wearing sunscreen outweigh the harms. “Too much UV light can damage the skin by burning the skin and possibly causing it to lose its elasticity, leading to premature aging,” says Chacon.

A review of 2019 indicated that there is insufficient data to support the claim that sunscreen makes an individual deficient in vitamin D.

If you are someone who is concerned about vitamin D due to an existing deficiency, there are options to supplement without putting your skin at risk.

After talking with your doctor, you can take your pick from over-the-counter oral vitamin D supplements. You can also increase your natural intake through food, such as salmon and egg yolks.

For melanized skin

While there are tons of sunscreen options at varying prices, for people with melanin skin, the nasty white plaster that often accompanies sunscreen can be a hassle.

Brands like Supergoop are known for their absence of the dreaded white cast, as well as brands created by and for people with darker skin, like black girl sunscreen.

What about makeup products with SPF?

Some makeup has an SPF, but Chacon warns that’s probably not enough protection. You may need to apply six to seven times the amount of a product to get the proper protection, which is more than most people use.

“I like to educate patients that makeup with sunscreen is more like ‘icing on the cake’ and is used more as an adjunct rather than a replacement,” says Chacon.

SPF is important, but experts say it’s best to approach sun protection through different layers of protection.

Dietert suggests wearing wide-brimmed hats and sun-protective or “UPF” clothing with a UPF of 50+.

But again, these measurements are one layer and not deny the need for sunscreen.

“Sunscreen is always important, even when wearing UPF clothing, to filter out UV rays reflected from surfaces like water or concrete,” Dietert says.

In addition to reapplying sunscreen every two hours, the AAD also recommends:

  • avoid tanning beds
  • look for shade
  • be particularly attentive between 10 a.m. and 2 p.m., when the sun’s rays are strongest

It is essential to apply sunscreen every day.

The sun’s rays can still damage the skin when it’s cloudy, and it doesn’t discriminate based on skin tone. Research suggests that even exposure to the sun through a car window can increase the risk of skin cancer.

Look for an SPF of 30+ and reapply every two hours if you’re in the sun. Experts say a mineral-based sunscreen is ideal because it protects against a broader spectrum, and acne sufferers should avoid oil-based products.

Other layers of protection, such as UPF clothing, can also protect against sun damage, but they don’t eliminate the need to wear sunscreen every day.

If you’ve felt deterred by high prices or that pesky white cast iron in the past, don’t worry – there are tons of options (including some available at drugstores) that contain the minerals and SPF your skin needs to stay healthy.

Seattle Children’s Nurses’ new contract brings ‘unprecedented’ raises

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Seattle Children’s nurses voted Thursday night to approve a new three-year contract that includes significant raises over the next year, especially for newly graduated nurses.

The new children’s contract is the result of 12 bargaining sessions, an information picket and hundreds of hours of bargaining, as hospital nurses fought for higher pay, more generous time off and a clearer language regarding meals and breaks. The vote of approval passed “overwhelmingly,” said Bobbi Nodell, spokesperson for the Washington State Nurses Association, which represents children’s nurses.

Under the new contract, all nurses will receive a $6 per hour raise in the first year, an additional $4 per hour raise in the second year, and a 3% raise in the third year.

By the end of year three, the final year of the new contract, the nurses’ base rate will have increased by 31% from a current hourly rate of $36.21 to $47.60. Senior nurses, meanwhile, will drop from about $77.18 an hour to $89.80 by August 2024.

“While we wish we could have raised even more, we want to recognize that the incredible turnout on the picket line and our solidarity in the workplace allowed us to aim high, act boldly and win unprecedented increases,” the WSNA said in a statement. after the conclusion of an agreement in principle a few weeks ago.

Several members of the hospital’s bargaining committee said they felt a wave of relief Thursday night. The ratification comes after more than two years of deep concern from healthcare workers in the region, mostly centered on staffing shortages and inadequate working conditions, such as high nurse-to-patient ratios and lack of breaks.

“These are by far the highest raises we’ve ever had on any of the previous bargaining teams we’ve been on,” said Kara Yates, a 12-year-old registered nurse at Children’s who has served on three bargaining committees. previous ones. “I am especially excited from the point of view of being able to retain the nurses. It’s less about the real money and more about the fact that we currently still have over 400 of our 2,000 vacancies.

The contract goes into effect on Monday.

Children’s spokesperson Jeanine Takala said in a statement that the new contract “will improve safety, retention and recruitment, and recognizes the dedication, professionalism and quality of Seattle Children’s nursing team. as well as the extraordinary circumstances in which they have worked throughout the pandemic.

She added that the hospital appreciates the hard work of the bargaining committee and the union throughout the negotiations.

In the past, salaries at The Children’s have typically increased by a percentage rather than a dollar amount, Yates said. But she pointed to an analysis her team has done of hospital increases that show the top end of the scale has increased by around 120% in recent decades, while the bottom end of the scale has increased by around 120%. about 80%.

“Instead of it coming in extra quantity for the bottom and the top, [the gap] just expanded slowly,” Yates said. “So, instead of relying on percentages, we looked at doing a lump sum increase in dollars so that it was the same across the board and the whole scale increased equally.”

Additionally, the contract added a “salary scale review,” meaning nurses will now receive paid salaries that more accurately reflect their years of experience at Children’s, bargaining committee member Erin Doyle said. who has worked as a children’s registered nurse for the past two and a half years.

Previously, Doyle said, a nurse moved up the pay scale based on the number of hours worked that year, but only if she reached a certain number of hours. As a result, anyone who worked part-time, took parental leave, or fell ill for an extended period would not be eligible to move up the pay scale that year.

Now all nurses will move up the scale on their work anniversary each year, regardless of the number of hours worked.

“It’s huge,” Doyle said. A number of nurses, for example, may have worked at Children’s for 30 years but are on the salary of someone who has been at the hospital for 20 years, she said. “This is going to be a momentous leap.”

Despite feelings of triumph and relief, many nurses know there’s still work to be done before staffing issues at Children’s are fully resolved, said Edna Cortes, who worked at the hospital as a registered nurse for 32 years.

“A lot of nurses can’t afford to live in Seattle,” she said. “I’m one of them. I’m a single woman who has to live north of Seattle and it takes me 40 minutes to get there.

The first step for the hospital, Cortes said, is to offer competitive salaries and hopefully avoid further labor losses and attract more nurses to fill the gaps.

“[The new contract] isn’t going to fix everything,” Doyle added. “It’s really just to stop the bleeding of losing our nurses to other states and other areas, and now we can start transfusing and really start benefiting from it.”

CMS Eyes State Medicaid Programs as Part of Biden Administration’s Plan to Improve Home Care Nursing | King and Spalding

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For the Biden administration, the more than 200,000 COVID-related deaths of nursing home residents and staff served as a powerful signal for the need for nursing home reform. As part of the administration’s reform efforts, CMS recently issued guidance on August 22, 2022 in a newsletter that aims to strengthen the correlation between nursing home quality measures and reimbursement.

In addition to directing CMS to take certain nursing home reform steps, the Biden administration plans to improve the quality of care in nursing homes by:

  • Seeking a $500,000,000 credit to HHS directing the agency to improve its inspection processes and procedures and develop a database that tracks nursing home operators with known care-related violations. Health to increase transparency of nursing home reporting requirements;
  • Increase enforcement activity and scrutiny of underperforming care homes;
  • Recommending that CMS enact guidelines prohibiting retirement home owners from entering into agreements with Medicaid providers if they have a history of owning underperforming or non-compliant facilities and that CMS have the ability to engage enforcement action against landlords after their nursing home facility closes;
  • Ask CMS to implement the results of its study looking at appropriate minimum staffing requirements for nursing homes. CMS will make this minimum staffing requirement a mandatory requirement for all nursing homes;
  • Along the same lines, allocate additional funds to make nursing aide training and certification more affordable with the goal of increasing the number of people interested in pursuing this career path;
  • Direct HHS to phase out triple occupancy rooms and promote single occupancy rooms in nursing homes to reduce the spread of infectious disease;
  • Ask CMS to modify its Medicare and Medicaid reimbursement methodology to take into account staff retention, resident satisfaction and staff adequacy. The Biden administration also asked CMS to improve information sharing and implement communication best practices; and
  • Develop strong policies to prevent inappropriate diagnoses and prescriptions (especially regarding antipsychotic medications).

As noted above, the Biden administration tasked CMS with implementing these home care nursing reforms. To this end, the recent CMS newsletter encourages States to support its objectives by implementing new reimbursement measures, either by modifying the methodology used to calculate the base rate or by adding a payment separate value-based program as a monetary incentive to improve nursing care. home operations. This would essentially shift reimbursement from volume-based reimbursement to value-based reimbursement by considering measures of value-based indicators of care such as:

  • How many single occupancy vs. multiple occupancy rooms are used by a property;
  • Establish staffing incentives such as minimum payment standards for staff; and
  • Increase payments to facilities that meet quality standards set by CMS (e.g. Five Star Nursing Home Quality System) or standards independently developed by states based on their summary of performance data at the State level. statewide.

In addition to the above measures to improve the quality of care in nursing homes, the CMS asked states to develop long-term solutions for training and improving staffing and sustainability issues. workforce in nursing homes as well as solutions to improve safety and quality in nursing homes. in a way that specifically meets the needs of each State. For example, as noted earlier, CMS has requested that States review their own State-specific data sources to identify measurable measures by which CMS and States can monitor (and encourage) improvements. CMS offered to work with states as they review their data sources and identify potential actions in an effort to achieve the administration’s goals, including evaluating and updating emergency preparedness programs. state emergency. CMS also asked states to revise licensing criteria to incorporate the agency’s focus on increasing owner accountability and improving performance standards. The CMS guidelines urge states to be creative in meeting the administration’s goal of improving the quality of care provided by nursing homes.

Information on the Biden-Harris White House administration’s Nursing Home Reform Action Plan is available here, and CMS’s newsletter is available here.

Semester start and boosters – Jacobs School of Medicine and Biomedical Sciences

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Dear students of the Schools of Health Sciences at the University at Buffalo,

It is with great enthusiasm that we welcome everyone to campus for what we hope will be a successful academic year. The University at Buffalo Schools of Health Sciences continues to take proactive measures to protect the health and safety of our students, faculty, and staff.

Part of this commitment will be to continue full vaccination against COVID-19 as one of our mandatory vaccines. Everyone who is eligible for a booster shot is strongly encouraged to keep up to date with all boosters as well. Remember that in addition, you are subject to the vaccination requirements specific to your clinical training sites.

Currently, on buses and in clinical settings on campus, masks are still required. Please check the Behavioral Requirements website for up-to-date guidance throughout the year.

Self-testing kits will be made available free of charge on campus for any student with symptoms or concerned about potential exposure. Please also note that Student Health Services, located at 4350 Maple Road (at Sweet Home Road), is available to administer PCR tests to symptomatic students. Further instructions regarding testing of exempt students will be forthcoming, but they must continue testing at home.

Thank you for doing your part to help schools of health sciences – the Jacobs School of Medicine and Biomedical Sciences, School of Nursing, School of Dental Medicine, School of Pharmacy and Pharmaceutical Sciences, School of Public Health and Health Professions, and the School of Social Work – maintain an in-person university and community student experience.

We look forward to seeing you soon.

Best regards,

Allison Brashear, MD, MBA
Vice President for Health Sciences
Dean, Jacobs School of Medicine and Biomedical Sciences

Annette B. Wysocki, PhD, RN, FAAN
Dean, School of Nursing

Stefan Ruhl, DDS, PhD
Acting Dean, School of Dentistry

Gary M. Pollack PhD
Dean, School of Pharmacy and Pharmaceutical Sciences

Jean Wactawski-Wende, PhD
Dean, School of Public Health and Health Professions

Keith A.Alford
Dean, School of Social Work

Review recommends ‘approval model’ for cosmetic surgeons

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Analysis


AHPRA has accepted 16 recommendations from an independent review of the Australian cosmetics industry, with the aim of improving patient safety.

Many patients seek procedures from cosmetic surgeons because their costs are lower than plastic surgeons.


Results of an independent review of the cometic surgery industry have been published, providing 16 recommendations “to improve patient safety”.


The recommendations, all of which have been accepted by AHPRA and the Medical Council, will take 2-3 years to fully implement and track. media regarding “cosmetic cowboys,” which exploded in 2021 and still continue.


Aiming to respond to reports of unhygienic surgical practices, the use of social media and misleading before/after pictures, complications and unsafe surgical procedures, recommendations include:

  • establish an approval model for cosmetic surgeons
  • a public education campaign to help consumers understand a statement
  • help consumers make notifications against cosmetic surgeons, given that there were none between July 2019 and December 2021 compared to other medical fields, which may be impacted by non-disclosure agreements
  • deal with the advertisement, including AHPRA obtain legal advice on the matter and undertake an industry-specific audit.

A $4.5 million cosmetic surgery law enforcement unit will also be created to implement all recommendations.

But while the final report is 132 pages long, it contains few details about how the approval will work and how doctors who perform cosmetic surgery will be affected.

Many patients seek procedures from cosmetic surgeons because their costs are lower than plastic surgeons.

And while most members of the medical profession would agree that anyone with only an MD or MBBS qualification should not perform invasive surgeries, a large cohort of physicians can call themselves cosmetic surgeons.

This may include credentialed ophthalmologists, as well as general, orthopedic, and ENT surgeons.

There are also many general practitioners who practice cosmetic surgery, some who trained as surgeons overseas before specializing in general medicine in Australia and continue to use their skills. Others learned on the job under the guidance of other surgeons.

Meanwhile, the Australian College of Cosmetic Surgery and Medicine (ACCSM), which has been in existence for over 30 years but is not accredited by the Australian Medical Council, also offers a training path for doctors in cosmetic surgery.

The Independent Review specifically named four doctors, including two GPs in their report:

  • Dr. Daniel Lanzer, who has been disqualified since AHPRA and the Medical Board’s response to complaints against him, has specialist designations in dermatology.
  • Dr Ryan Wells, whose registration is currently suspended, and has MBBS training but no other specialist training
  • Dr. Daniel Aronov, who is subject to registration restrictions to prevent him from performing cosmetic surgery, has a specialized training in general medicine. He must be supervised to work as a general practitioner
  • Dr. Mohammad Reza Ahmadi, also banned from practicing cosmetic surgery, specialized as a general practitioner. He must be supervised to work as a general practitioner

Under the current regulatory system, physicians are not currently required to obtain an ACCSM fellowship or take additional training to qualify as a “cosmetic surgeon”.

This is where terminology is important. According to the report, although the title of “surgeon” is part of several protected specialist titles (for example, “specialist plastic surgeon” and “specialist orthopedic surgeon”), there is no stand-alone protected title of “surgeon”. by national law. .

Therefore, ‘cosmetic surgeon’ is not a protected title and it is therefore unlikely that physicians who are not specialist surgeons would infringe provisions for title protection in national law by using this term.

The report also made no recommendations regarding the use of the “cosmetic surgeon”, stating that it is currently under consideration by the Ministerial Council and outside the scope of this review.

Nevertheless, the ACSM welcomed the findings.

“The college has been fighting for 20 years to bring about real reform that will protect patients by ensuring doctors performing cosmetic surgery are properly trained and qualified and we are seeing them now,” said ACSM President Dr. Anoop Rastogi.

“The reforms are practical, sensible and enforceable and, when implemented, have real power to protect patients and prevent the disturbing outcomes we have seen in recent media.

“Any physician or organization concerned with protecting patients will support these reforms.”

newsGP spoke with several cosmetic surgeons who preferred to remain anonymous, but all welcomed the review’s findings, particularly the implementation of endorsement as a way to improve patient safety.

According to the report, the approval will seek to establish “minimum qualifications” for doctors wishing to perform cosmetic surgery.


“This would recognize that this practitioner has an extensive scope of practice and has obtained specific qualifications approved by the medical board,” the report said.


“This would make it easy for consumers to identify if a practitioner is qualified to perform cosmetic surgery, because the approval would be on AHPRA’s public registry.”


There will also likely be a ‘grandfather’ provision for those with many years of experience, similar to what happened to GPs before the Accredited Training Fellowship was implemented.


However, for many plastic surgeons, the reforms do not go far enough.


Dr Robert Sheen, president of the Australian Society of Aesthetic Plastic Surgeons, was critical conclusions of the examination.


“AHPRA has chosen to protect those who call themselves cosmetic surgeons, instead of protecting patients,” he said.


“It’s reckless and irresponsible.


‘The [Federal] The government must step in to enforce the law so that a practitioner who cuts a patient’s body has completed surgical training accredited by the Australian Medical Council.


Cosmetic surgeons who spoke to newsGP fear that this is partly related to a turf war and that plastic surgeons would like all cosmetic procedures to be performed by them, as accredited by the Royal Australian College of Surgeons.


An alternative, less restrictive solution could see AHPRA collaborate with professional organizations such as the RACGP on approval requirements, particularly regarding who is trained and qualified to perform the surgery.


The college has accredited training paths and requirements for general practitioners in cosmetic surgery, and in its submission the review called for the adoption of ‘cosmetician’ for these physicians, as opposed to ‘surgeons’.


But whatever terminology is used, the issue of cosmetic surgery regulation is not specific to Australia’s billion-dollar industry.



Nordic countries, France and the WE have had similar issues, while it is also easy for people to fly to another country with poor regulations to have cosmetic surgery, which still impacts Australian patients.


There is a clear consensus that regulation is needed in cosmetic surgery to prioritize patient safety, as in any other area of ​​medicine.


What is less clear is the effect on patient access if costs become prohibitive, causing them to seek alternatives that could be just as dangerous, or even more dangerous, such as seeking cheap procedures at the stranger.


The stream on the effects of this independent review will continue to be discussed and analyzed in medical circles and the wider media as implementation progresses, but as several cosmetic surgeons have said newsGPthe first thought should be the patients and do no harm.



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NSW nurses quit work to demand safer staffing ratios and pay

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Thousands of nurses and midwives quit their jobs for 24 hours to demand better working conditions and pay.

Gatherings will start outside hospitals in NSW from 7am, with surgeries postponed until later in the day.

Healthcare workers want to assure the community that life-saving care will continue in hospitals across the state despite the widespread mobilization.

They are calling for better staff-to-patient ratios and a pay rise to incentivize staff to stay.

“It’s not safe,” theater nurse Tim Blofield told The Today Show on Thursday.

“Our members are among the lowest paid nurses in the federation and have the heaviest workloads in the country.”

Mr Blofield said some nurses care for up to 12 patients at a time.

“As for me, I have personally seen my colleagues go to other states, just because the conditions are so much better,” he said.

The theater nurse said he wouldn’t ‘last much longer’ under the current conditions and said ‘most of the nurses I talk to are looking for other jobs’.

New South Wales Premier Dominic Perrottet said he understood nurses and doctors were under pressure.

“It’s not unique to NSW, it’s a problem happening across the country,” Mr Perrottet told Sunrise on Thursday morning.

The Prime Minister suggested that with the Jobs and Skills Summit taking place in Canberra, strengthening healthcare workers was a priority.

“We will invest more in additional nurses, additional doctors, additional paramedics and more than anywhere else in the country,” Perrottet said.

This is the third time this year that nurses and midwives have left work.

It comes just a day after unions effectively shut down Sydney’s transport network as the railway and bus unions both took industrial action on Wednesday.

More than a year of tense negotiations erupted for the railways union yesterday when the Prime Minister threatened to tear up a multibillion-dollar company agreement and safety agreement.

In light of this, the Rail Trains and Bus Union has promised to suspend major industrial action for a fortnight.

Originally published as Nurses quit work to demand more secure staffing ratios and pay

Belfast Public Health Nursing receives grant from United Midcoast Charities

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BELFAST, MEBelfast Public Health Nurses Associationwhich has provided health care and other essential support services to the most disadvantaged and vulnerable members of the community for more than 100 years, received an $8,000 grant from United Midcoast Charities (UMC).

Funds will be used for operating support.

Belfast Public Health Nursing Association is a private 501(c)(3) non-profit organization supported by Waldo County General Hospital, City of Belfast, and through generous donations from local agencies and members of the community.

Among other things, Belfast Public Health Nursing Association:

  • Works with local emergency management agencies and Waldo County General Hospital to prepare for and respond to emergencies, including natural or man-made disasters, bioterrorism, or disease outbreaks.
  • Prevents the spread of infectious diseases through education, providing treatment, conducting community vaccination clinics and monitoring outbreaks.
  • Organizes blood drives, health screenings, blood pressure clinics and health fairs.
  • Educates the community on environmental issues such as dangerous lead levels, drinking water and pests.
  • Shares information with the community on a variety of health topics such as obesity risks, nutrition, the importance of stress reduction and exercise, and healthy lifestyle choices.
  • Works with schools on issues surrounding food insecurity and oral health care.
  • Connects people to needed health services and ensures the provision of health care when it is not otherwise available. All services are provided free of charge.

UMC’s open and competitive annual grantmaking process supports nonprofits in Knox and Waldo counties working in food, housing, health and safety, and economic security. Every dollar donated to UMC is applied to its grantmaking program. Additionally, UMC offers educational programs and other learning resources for all local nonprofits, including those that do not receive funding.

###

Waldo County General Hospital
Waldo County General Hospital is part of MaineHealth, an integrated nonprofit health system comprised of eight local hospital systems, a comprehensive behavioral health care network, diagnostic services, health agencies at home and more than 1,600 salaried and self-employed physicians working together through a Responsible Care Organization. With more than 19,000 employees, MaineHealth is northern New England’s largest healthcare system, providing preventive care, diagnosis and treatment to 1.1 million residents of Maine and New Hampshire. For more information, please visit wcgh.org.

Exclusive survey reveals key challenges facing nurse education

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Placement accessibility and staffing issues are the most pressing challenges facing nurse education in the UK, an exclusive Nursing schedules investigation revealed. A small number of universities have even been forced to close, or consider closing, some nursing programs because of these issues.

In partnership with the Council of Health Deans (COD), Nursing schedules surveyed nursing and health care educators about the state of education for female nursing students. The findings, which nursing leaders said painted an “extremely worrying” picture, follow a drop in the number of students accepted into nursing courses for 2022.

“Our members have worked tirelessly during the pandemic and are applying the lessons they have learned to continue improving the student experience”

Katerina Kolyva

The survey of 51 members of COD – which supports academic faculties that train nurses, midwives and allied health professionals – from May to August, provides insight into issues facing students, scholars and programs in nursing.

When asked about current challenges in nursing education, 84% cited problems with accessibility to internships. The pandemic has caused “serious disruptions” to the availability and allocation of internships for students, and the impact is still being felt, according to the survey.

One respondent pointed to the ‘huge’ issues with the ‘closure’ of community mental health placements, meaning there was ‘a large group of students who have largely institutional placement experience’. Another warned that the ‘financial burden’ for students taking part in internships was ‘enormous’.

Additionally, 67% of respondents said academic staffing issues were among the biggest challenges they face, while 63% said the same about staffing in clinical practice settings. One said the pandemic had caused a “leakage of academic staff leaving the university” and it was difficult to recruit.

Other challenges included: pandemic pressures in general (53%), student attrition (49%), regulatory burden (41%), nursing courses to be filled (27%), financial challenges (25 .5%) and too many students wanting to start nursing courses (8%).

Of those surveyed, 10% said they had to close a nursing course in the past year. Reasons included a lack of internships, difficulty recruiting students, and academic staffing issues. Similarly, 12% said they had had internal discussions about closing a course for the next academic year – the majority related to learning disability nursing programs.

The supply of learning disabled nurses is already a concern, with data suggesting only a marginal increase in the workforce in the English NHS in recent years.

Overall, 86% of respondents agreed that the number of students taking their courses has increased since September 2020, reflecting an increase in interest in nursing during the pandemic. Only 14% said the numbers had stayed the same and none reported a drop.

Conversely, new figures from the Universities and College Admissions Service revealed that the number of course admissions for 2022 was down 7% from 2021, although it was still higher than in 2020.

Just over half (51%) of survey respondents said their nursing courses were currently filling to capacity, while 20% said they were almost full. Some 16% said they were not and this varied for 14%.

Additionally, 49% of educators said student attrition rates had worsened since September 2020. Only 10% said the situation had improved, while 43% said it remained the same. Most (86%) said they were working to improve attrition rates.

Some have highlighted new “dedicated” roles to support students considering leaving. Meanwhile, an educator said his university is using a “diverse” range of internships to support attrition efforts. “We offer remote research and quality assurance internships to ease the burden of physical practice,” they said.

Other findings revealed that only about half of educators believed students benefited from dedicated time for clinical supervision in placements, despite recent emphasis on its importance by the Nursing and Midwifery Council.

Related articles and resources

The pandemic has also triggered a shift towards simulation activities, with 90% of survey respondents noting an increase in its use. A significant percentage of 76.5% supported increased use, while 8% were not and 16% were unsure. The NMC also recently announced the doubling of simulation allowances for certain programs to 600 hours.

Some respondents spoke positively about simulation opportunities, including one who believed that “good simulation is an essential part of nursing student education”. Staffing shortages and welfare concerns mean “students are not getting the full range of learning experiences we would like them to have”, they said.

“Simulation brings them closer to being ready to use practice-based opportunities when they arise, increases their confidence and really gives us the opportunity to tightly link theory and practice,” they added. But others highlighted the challenges, including the added cost, and warned that it was “not a substitute for real-life experience” and that “contact with patients cannot be replaced. “.

The survey asked educators about the mental health and well-being of students and staff. Nursing schedules ran his Covid-19: how are you? campaign since 2020 to push for appropriate mental wellness support for nurses.

Some 67% of respondents believed their institution was doing enough to support student mental health, while 12% did not and 21% were unsure. One said he “seems to be in an epidemic of anxiety and depression with our student nurses”. Another noted that there was “great support” for students but “the challenge is making sure students are aware of it and open to accessing it”.

Meanwhile, 35% of respondents felt that not enough was being done to support staff wellbeing, 41% said this was the case and 24% were unsure.

“Student support is always prioritized over staff mental health, and while individual managers may be good at this, there is less structured guidance and support across the institution in a way more formal,” said one respondent.

Another added: “Staff are overworked and on their knees. We will see more and more staff leave, if we don’t recognize their needs and reduce the workload – however, we have such a long way to go to recover from the past few years.

When it comes to equality, diversity and inclusion (EDI) in nursing education, 65% of respondents felt their institution was doing enough to support it, while 10% were not and 25.5 % were unsure. “There’s always more to do, but that’s a core value of the university,” said one educator.

But another said: ‘We have very serious consideration for this, but nationally we see black and brown students doing worse with their degrees so we’re not doing it right.’ Some respondents described EDI initiatives they were working on, including networks, toolkits, and peer mentoring programs.

In response to the findings, COD chief executive Dr Katerina Kolyva said “continued attention” was needed to increase staffing at universities and internships. “Cultivations remain a challenge for our members, and we will continue to advocate for greater flexibility in practice settings to fully integrate social care and simulation to deliver the quality and quantity of healthcare professionals our country needs,” she said. She added that its members “worked tirelessly” during Covid-19 and “applied the lessons they learned to continue to improve the student experience”.

Dr Katerina Kolyva

Meanwhile, Dr Nichola Ashby, the RCR’s assistant nursing director for education, research and ethics, said the investigation “paints an extremely worrying picture”. “Female nursing educators are clearly under tremendous pressure, with many now leaving the profession,” she said. “Students who struggle to access internships and adequate tuition time see no decrease in the number of those who do not make it through to completion of their courses to qualification.” She called for “urgent action” to resolve the issues raised.

Health Education England’s chief nursing officer, Professor Mark Radford, said: ‘The last two years have been incredibly difficult for our students and the educators at the higher education institutions who support them, with many experiencing considerable disruption. We are grateful to education providers for their continued support during what has been a time of unprecedented challenges. He pointed to additional investments in internships and simulation activities, as well as continued efforts to help students complete their courses.

Nicholas Ashby

Meanwhile, Lisa Llewelyn, director of education for nurses and healthcare professionals at Health Education and Improvement Wales, reported on a new placement program which aimed to “address placement capacity challenges effectively”. She also paid tribute to the efforts of academic staff and students throughout the pandemic.

A spokesperson for NHS Education for Scotland said: “While the availability of work placements is a real challenge, in Scotland there is evidence of good collaboration between higher education and practice partners to ensure continued the quality of the learning experience. They said they were also working with university providers to ensure a “wide variety of internships” were offered.

No respondents to this survey indicated that they were from a university in Northern Ireland.

Michael Guertin, MD, MBA, CPE, FASA, is recognized by Continental Who’s Who

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POWELL, Ohio, August 30, 2022 /PRNewswire/ — michel guertinMD, MBA, CPE, FASA, is recognized by Continental Who’s Who as a Trusted Healthcare Professional for Distinguished Career in Anesthesiology and in recognition of outstanding work at the Ohio State University.

dr. michel guertin is Professor of Anesthesiology and Chief Perioperative Medical Director at Ohio State University Wexner Medical Center, where he has devoted more than thirty years to training future generations of physicians.

Dr. Guertin was inspired by his mother to enter the medical field after recovering from a hockey injury in high school, as she was a nurse anesthetist. Dr. Guertin earned a Bachelor of Arts in Chemistry in 1987, graduating Magna Cum Laude, and a medical degree in 1988, both from Wayne State University in Detroit, MI. He then completed an internship and residency program in anesthesiology at Ohio State University Wexner Medical Center, becoming chief resident in 1991. In 2015, Dr. Guertin earned a Masters in Business Administration at Ohio State University Fisher College work. He is currently pursuing certification training as an executive coach.

He began his career as an assistant professor of anesthesiology at Ohio State University Medical Center in 1992, three years later, winning the teacher of the year award in his department. Dr. Guertin was a founding member and partner of Premier Anesthesiologists and the Ohio Surgery Center from 1998 to 2013 and served as Medical Director and Board Member from 2006 to 2013. Dr. Guertin returned to ohio state in 2013 as Medical Director of Day Surgery Services. He was director of the Faculty Leadership Institute at The Ohio State University College of Medicine for the past three years and has been selected to be the Health System’s Chief Perioperative Medical Director in 2021.

Dr. Guertin gives talks to discuss primarily ambulatory anesthesiology and physician leadership development, among other medical topics. He recently created the non-profit organization “A Day Away”, dedicated to organizing fun events (like sports games) for seriously ill patients and their families to create wonderful memories.

On a personal note, Dr. Guertin’s hobbies include golf, cycling and working out.

For more information, visit https://wexnermedical.osu.edu/

Contact: Katherine Green516-825-5634, [email protected]

SOURCE Continental Who’s Who

Governor Abbott Appoints Three Members to District Four Review Panel of Texas Medical Board | Oficina del Gobernador de Texas

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August 30, 2022 | Austin, TX | Appointment

Governor Greg Abbott appointed Shirlene Samuel, DO to the Medical District Review Committee of the Texas Medical Board for a term expiring January 15, 2024. Additionally, the Governor appointed Bobby Marek, MD and reappointed Walton “Boyd” Bush , Ed.D. for terms of office expiring on January 15, 2028.

Bobby Marek, MD de Brenham is an internist at Baylor Scott & White – the Brenham Clinic. He is a Fellow of the American College of Physicians and a Fellow of the Texas Medical Association. Additionally, he is Secretary and Treasurer of the Washington-Burleson County Medical Society. Marek earned a BS in Biology from Texas A&M University and an MD from the University of Texas Medical Branch.

Shirlene Samuel, DO of Austin is a board-certified pediatrician with the Austin Regional Clinic. She is a member of the American Association of Pediatrics, the American Osteopathic Association and the Texas Medical Board. Samuel received his Bachelor of Science in Microbiology from the University of Oklahoma and a Doctor of Osteopathic Medicine from AT Still University. She completed her pediatric residency at Oklahoma State University.

Walton “Boyd” Bush, Ed.D. of Bee Cave is a retired executive director of a state agency. Additionally, he previously served as Deputy Director of Field Operations with the Texas Department of Motor Vehicles. He is currently vice president of the Falconhead West Home Owners Association and is a past member of the American Association of Dental Boards. Bush received a Bachelor of Science in Mathematics and Computer Science, a Masters of Education from West Texas A&M University, and a Doctorate of Education from Texas Tech University.

CSU San Marcos Unveils Plan for Affordable Housing and Dining Hall

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SAN MARCOS (CNS) — CSU San Marcos leaders revealed details Monday about plans to build affordable housing and an on-campus restaurant in an effort to reduce overall costs for students.

The University Village Student Success housing and dining project will consist of a 205,200 square foot student housing community that can accommodate 600 residents and a 19,481 square foot dining hall that can accommodate 320 people.

The administrators of the CSUSM have provisionally scheduled the inauguration of the works for February 2024.

“We are thrilled to present a transformative project that will set a new standard for affordable student housing, which will be an important step in meeting basic student needs and helping our students from all backgrounds to thrive academically and staff,” said CSUSM President Ellen Neufeldt. . “Student housing is an integral part of the student experience and can have a profound impact on academic and lifelong success.

“This project will ensure that more future CSUSM students have this opportunity – a key part of our institutional student success mission,” she said.

The project will be funded in part by $91 million the CSUSM is receiving from Governor Gavin Newsom and the California Legislature in their $300 billion budget for 2022-2023. Of the $497 million allocated to student housing projects on nine California State University campuses, CSUSM receives the second highest amount.

Prior to this year, the university’s housing capacity was 1,547, less than 10% of the university’s student population. The UVSS project follows several other accommodation and dining options that have opened or are scheduled to open this year; North Commons opened for the start of the fall semester on Monday and is home to 332 students in the North City development across from CSUSM. Also in North City is Campus Way Cafe, an 8,000 square foot dining venue that will open in September.

When the UVSS is completed, the university’s housing capacity will increase to over 15% of the student population.

“Students should never have to choose between paying rent or school supplies, or deciding what utilities or basic needs they can go without while pursuing their dream of becoming a teacher, nurse, scientist or entrepreneur,” said Jason Schreiber, dean of students at CSUSM. . “This new project will result in a clear public benefit, providing low-cost student accommodation and reduced rents so students can focus their attention where it matters: their hopes and dreams for the future.”

According to a statement from the university, the CSUSM will commit to making available housing at UVSS available to low-income students. A recent study of institutional demand found continued demand for 571 beds based on current enrollment and projected demand for 868 beds based on an increase in enrollment of 20,000 students.

Despite college rejection, cancer, nursing grad perseveres

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A rejection letter is usually not the start of academic success. But for Nicole David, the note she received refusing admission to nursing school started a decade-long journey to fulfill her childhood dream of becoming a nurse.

David’s mother inspired his journey to a career helping people. She was a nurse, which gave David a front-row seat to the intricacies of nursing. “I saw how dedicated my mother was to taking care of people and how happy it made her,” David recalls. “Because of that, I knew I wanted to work in healthcare.

Initially, David thought his future in healthcare would be in dentistry. It’s a field she considered after taking a health science technology course in her senior year of high school. After high school, she went to college, graduated, and started applying to dental school.

Unfortunately, she was immediately rejected. She didn’t have the grades to get into dental school.

“I went to college and faced some really tough stuff, that’s why my grades suffered,” David explained. Her mother, the muse behind her healthcare journey, died during her freshman year of college.

After a tumultuous time, David reassessed his career focus. She decided to pursue the dream she had formulated in her childhood and follow in her mother’s footsteps to become a nurse.

Why Attend Phacilitate Advanced Therapies Week

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People from all disciplines are encouraged to register and attend various medical events. These events tend to educate and expand our knowledge of various medical breakthroughs and network professionals together. Phacilitate is a renowned network that regularly organizes and sponsors medical events.

In 2023, there will be a big event known as Advanced Therapies Week, which will see the participation of professionals from all walks of life. If you’re not sure why this event is for you, here are a few reasons to register and attend.

Networking

Whatever your job, you will always need to network to move to the next level. Networking helps boost your career by exchanging ideas with intellectuals like you. When you come to Advanced Therapies Week, you will find researchers, doctors, academics and other professionals with whom you can identify.

In addition, the atmosphere you will feel during this event will be excellent. Phacilitate encourages questions and answers and easy networking between experts in all fields.

Build your reputation

By coming to this event, you are gradually building your reputation as an expert in your field. Looking around you will see professionals who attend events like this to share their knowledge.

Also, for those with experience under their belt, you should be the first to register for this event. You will gradually climb up your career ladder and be exposed to exciting job prospects. Advanced Therapies Week 2023 is your chance to take that step.

Be up to date with the latest therapies and breakthroughs

An event like this will have many presentations from experts in the medical fields. These presentations will show new technologies and breakthroughs that you will be aware of. When you attend this event, you won’t miss any of the major breakthroughs in the medical field. Phacilitate organizes this week in such a way that your work arrives in the right quarters.

A good way to present your research

Another reason why attending Advanced Therapies Week is great is so you can showcase your work. Academics and other research fields will use this avenue to show their findings to people in similar fields. Simply contact Phacilitate to submit your abstract and you will be allowed to present your work.

The audience at this event will give an in-depth insight from different angles. If the discoveries are exceptional, events like this will serve you as sponsors who want the work to progress.

An avenue to interact with experts in various fields

Research graduates, Ph.D. students and/or newbies in various fields can use this event to find seasoned leaders in various fields. When you hear them, their input will help you achieve great heights in your profession.

When you come to this event, the question and answer sessions are very detailed and will help you to take the right direction in life. If you wish, you can get an individual session with them. This helps you have the chance to gain the necessary knowledge and experience from the people you are looking for.

Advanced Therapies Week is a big event that will be organized by Phacilitate next year. People seeking knowledge and wanting to promote their work should register and attend this event without fail.

New York Giants QB Tyrod Taylor was rushed to the locker room after being hit hard against the New York Jets

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EAST RUTHERFORD, NJ — New York Giants backup quarterback Tyrod Taylor suffered a back injury from a hard knock during Sunday’s preseason game against the New York Jets and has been airlifted to changing room.

Taylor was starting the Giants’ preseason finale with starter Daniel Jones having the afternoon off. He rolled to his right late in the first quarter and was hit by Jets rookie defensive end Micheal Clemons after throwing a pass.

The play went for a 25-yard completion to tight end Daniel Bellinger, but Taylor stayed on the ground until he was treated by Giants medical staff. He eventually ran off the field but immediately went to the blue medical tent for observation.

“He should be fine,” Giants coach Brian Daboll said after his team’s 31-27 loss. “I don’t think there was anything. He just landed hard and talked to her at half time.”

Taylor looked to be moving well on the sidelines in street clothes in the second half.

When Taylor emerged from the tent, he hopped on a cart and was taken to the locker room. Third-string quarterback Davis Webb took Taylor’s place and would be next to Jones if Taylor’s injury forced him to run out of time.

Webb went 30 of 38 for 202 yards with one touchdown pass and no interceptions against the Jets. He was 60 of 81 (74%) for 458 yards with three touchdowns and no interceptions this preseason.

The Giants signed Taylor last offseason to be the veteran back-up behind Jones. It was imperative that they had a contingency plan after things took a turn for the worse last season, when Mike Glennon and Jake Fromm served as backup starters for the last six games while Jones suffered a neck injury.

New York lost those six games and averaged just 9.3 points per game.

Taylor, 33, started his career with the Buffalo Bills, Cleveland Browns, Los Angeles Chargers and Houston Texans. He signed a two-year, $11 million contract with the Giants this offseason.

How nurses recruited from Zimbabwe are caught up in UK ‘bonded labour’ schemes

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This is despite a large difference in the number of health professionals per population. In 2018, there were 1.9 nurses and midwives per 1,000 people in Zimbabwe, compared to 8.2 nurses and midwives per 1,000 in the UK.

But extreme poverty is rife in Zimbabwe, and nurses – who are paid just $79 a month and have to juggle a high patient load – are seeking a better life. Inflation has soared to 479% this year alone, according to Steve Hanke, director of the Troubled Currencies Project at the Cato Institute.

However, many find themselves no better when they reach the UK – a situation which experts say is now too big to ignore.

Rumors of agencies overcharging workers exploded publicly on Twitter in June, with leaked payslips allegedly showing salaries of £2,255 being drained by their employers as administrative fees until just 604 remained £.

Mr Moyo, who left the UK after a few months due to the conditions, said he was not the only one to see his salary drastically reduced or to live in cramped conditions. While in Britain he was forced to pay £70 a week to share a house with eight other people.

“I will never go back to the UK as a carer,” he told the Telegraph, describing the diets as a form of modern slavery. But the experiences of those without papers were even worse, he added.

“I’ve met guys who said to me, ‘I’ve been [in the UK] since 1999 and I have no papers, so I do care, I work for an agency and [I’m] left with 300 pounds. You just do what they ask you to do,” Mr Moyo said, referring to colleagues he met in Margate. He added that some workers were so destitute that they slept at customers’ houses.

“Slavery is happening before our eyes”

Although UK law allows employers to set wages for ‘reasonable cost’, no employee should end up with an income below the UK National Living Wage of £9.50 an hour, Mr Nyawanza said .

These workers are also subject to zero-hours contracts, which means that an employer does not guarantee any hours of work to the individual, according to Tich Dauramanzi, a Zimbabwe-born engineer who ran a legitimate recruitment agency in Stoke-on- Trent until 2017. .

“This is slavery unfolding before our eyes. I strongly believe that we are going to have a trial very soon. Most of these employers owe people more money than they will ever be able to pay,” a- he declared.

Republican Attacks on Abortion Threaten the Health of Wisconsin Residents

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By Samantha Crowley
MD Candidate – Class of 2025
University of Wisconsin School of Medicine and Public Health

Samantha Crowley

As a medical student at the University of Wisconsin School of Medicine and Public Health, I was committed to furthering my education so that I could provide my future patients with the best care possible. Through years of classroom and clinical training, I will one day be able to provide life-saving treatments to my patients.

Unfortunately, after a conservative Supreme Court majority decided to overturn Roe v. Wade, one of those life-saving treatments – abortion – is no longer readily available in this state. As someone entering the medical profession, I now have to face the grim reality that I could be thrown in jail for simply doing my job. I could be imprisoned for saving someone’s life.

Let’s be clear: abortion is health care. And while countless medical professionals across the country support the idea, a Wisconsin law passed in 1849 could mean that doctors in our state can no longer provide comprehensive, comprehensive health care. Abortion is a critical and necessary procedure that can save lives in a medical emergency. It can allow victims of rape or incest to regain control of their lives after an assault. Each person deserves to be able to decide for themselves if, when and how to raise a child. Every person deserves the right to make their own medical decisions about their future – a decision that should be made by a patient and their doctor, not a politician. Protecting access to abortion in our state is one of the ways we can ensure reproductive freedom for the people of Wisconsin.

After the Supreme Court overturned Roe v. Wade, I took into account that countless people will now die because they don’t have access to safe and legal abortion. At the same time, I saw Republican politicians celebrating the decision and spouting dangerous anti-choice rhetoric. This was no surprise because, despite overwhelming public support for safe and legal access to abortion, Republican politicians have attacked reproductive health care for years.

Republicans in Wisconsin, in particular, unabashedly supported the state’s 1849 abortion ban — and leading Republican politicians wouldn’t even discuss allowing exceptions in the law for rape and incest. When given the opportunity to change course and restore this essential abortion right, every Wisconsin Republican in Congress voted against the Women’s Health Protection Act and Access Act. to abortion, which would restore Roe v. Wade as law and would protect people who have to travel. between states to receive abortions.

With these votes, Wisconsin Republicans have reduced the ability of medical professionals to practice medicine in our state. This November, lives are at stake and abortion is on the ballot. As Republican politicians launch a full-scale attack on reproductive rights, Democrats in Wisconsin have stepped up to fight for access to health care. Governor Evers has pledged to restore the right to abortion in our state and has offered leniency to doctors who are being sued for providing abortion care. Governor Evers’ partner in the judicial branch, Attorney General Kaul, said he would not divert state resources from essential services to enforce the state abortion ban. Democratic Senator Tammy Baldwin led the bill through the Senate to codify Roe into law, and Representatives Gwen Moore, Ron Kind and Mark Pocan joined her in supporting the bill in the House.

Our Democratic Representatives stand with the nearly 60% of Wisconsin residents who support safe and legal access to abortion in our state. Meanwhile, Republicans continually ignore the will of their constituents and the advice of medical professionals to advance an anti-abortion political agenda. Republican leaders in Congress have even voiced support for a nationwide abortion ban, proving that GOP leaders will continue to defend MAGA’s most extreme positions on common-sense issues.

In November, the people of Wisconsin will vote to determine the future of reproductive health care in our state and in our country. We need to elect pro-choice Mandela Barnes to the US Senate and re-elect Governor Evers and Attorney General Kaul.

The stakes have never been higher for reproductive freedom in our country. It is our responsibility to elect Democrats who will stand against Republican attacks on our ability to make our own health care decisions and my ability to provide the best possible care to my future patients.

Norway will continue to support the Ukrainian medical field

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During the communication, the parties discussed the continuation of cooperation in the field of health care, in particular with regard to the medical evacuation and rehabilitation of Ukrainian patients injured by mines and serious illnesses, as well as as the question of the delivery of medicines and the guarantee of the right to medical assistance for Ukrainian wounded and prisoners of war in the temporarily occupied territories.

“I would like to take this opportunity to thank the Norwegian people on behalf of the Ukrainian people for the support we have received since the first day of the full-scale invasion of the Russian Federation on the territory of Ukraine. This assistance is invaluable because it helps our doctors to hold the medical front reliably.So today, for our fastest possible victory over the terrorist country, it is necessary that the whole world condemns the criminal actions of Russia, in particular the fact that the Russian Federation continues to detain Ukrainian doctors in captivity, thus violating the rules of war and the Geneva Conventions. Medical workers must fulfill their professional duty”, Health Minister Viktor Lyashko emphasized at the meeting.

The Minister also noted that the humanitarian aid received by the Ukrainian medical sector from the Norwegian government, which includes medicines, medical products, equipment and modern specialized buses for medical evacuation, strengthens the capacity of the system. health care organization which, in view of new challenges, has reorganized and continues to work and save the lives of all those in need.

The head of Norway’s Ministry of Health assured that his country would continue to accept Ukrainians for treatment and provide the necessary humanitarian medical assistance.

It should be recalled that during the meeting with the UN Humanitarian Affairs Coordinator in Ukraine, Denise Brown, Health Minister Viktor Lyashko called on international structures to guarantee the right to medical assistance for Ukrainian prisoners, wounded soldiers and citizens in the occupied territories. territories and drug delivery.


Astria Toppenish RNs get record raises

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Astria Toppenish, a 63-bed community hospital serving members of the Yakama Nation and surrounding rural communities, has signed a contract with its nurses, making it one of the highest paid in eastern Washington.

“These increases are historic,” said Carmen Garrison, a nurse representative for the Washington State Nurses Association (WSNA), who was on the bargaining team for nurses. “We’ve never seen these kinds of increases anywhere.”

The contract was ratified on April 19, 2022, unanimously.

Registered nurses will receive raises of 21% to 34%, increases in various bonuses and a long-awaited Christmas Eve vacation.

“This contract elevates everyone,” said Julia Barcott, a registered nurse working in the hospital’s intensive care unit. “People told me. ‘I was looking around but now I’m staying.’

Barcott said that during the pandemic, Toppenish had lost 30 of 80 nurses and relied on traveling nurses to fill in the gaps.

Staff felt demoralized, she said.

Nurses did not receive retention bonuses unlike nurses in many nearby hospitals. During contract negotiations, the nurses initially demanded higher wages and a bonus. Management came back with even better salaries than they asked for and no bonuses.

The new contract gives nurses stability for the first time in three years and shows they matter, Barcott said.

She commends the hospital management for taking bold steps to save this beloved rural hospital by retaining and rewarding nurses.

Nurses and healthcare staff saved many lives, she said.

Toppenish is part of a three-hospital system purchased by Regional Health in September 2017 and renamed Astria Health a month later.

The nonprofit health system was facing huge financial problems and filed for Chapter 11 bankruptcy in May 2019. In early 2020, the health system closed its 214-bed hospital in Yakima.

During the bankruptcy, Barcott said Astria Health staff couldn’t cash in personal leave, there was a shortage of bed linen, supplies were scarce, and staff wondered if their hospital was going to be firm.

Then came COVID-19 and the wave of sick people, and staff were traumatized, Barcott said. She said some nurses even left to work in the trucking industry.

Living with this stress has been difficult for everyone, including the community, many of whom are Native Americans, Hispanics and Filipinos with little access to preventative care.

Majority of Clinicians in US Safety Net Practices Report ‘Moral Distress’ During COVID-19 Pandemic

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Donald Pathman, MD, MPH, of UNC School of Medicine, found that most health care providers experienced mild or severe levels of moral distress in the first year of the pandemic due to issues related patient care and their workplaces.


Donald Pathman, MD, MPH

CHAPEL HILL, NC – The plight of doctors and nurses working in hospitals during the COVID-19 pandemic has received much attention in the media and academic research, including their moral distress witnessed by so many deaths in times when they could offer so little. Much less attention has been paid to the moral distress of clinicians working in other settings during the pandemic.

Using data from a survey of more than 2,000 primary care, dental, and behavioral health clinicians who work with low-income patients in welfare clinics, Donald Pathman, MD, MPH, of the ‘UNC School of Medicine, found that nearly 72 percent reported experiencing mild or intense levels of moral distress during the first year of the pandemic due to the limits of what they could do for their patients, witnesses the struggles of their patients and the challenges of their own work situations.

This analysis, published in BMJ openwas conducted using late 2020 data from practices in 20 states.

“Most people receive their health care in practices, and many clinicians who work there have experienced moral distress from how the pandemic has limited the care they could provide to patients and from having been witnesses to the effects of the pandemic on patients and colleagues,” said lead author Donald Pathman, MD. , MPH, professor in the Department of Family Medicine at UNC.

Moral distress was defined in the survey as witnessing or doing things that contradict deeply held moral and ethical beliefs and expectations. “Moral distress is a concept developed to understand the consequences of disruptive situations that nurses may experience in hospitals, but the concept of moral distress is probably just as useful in understanding a type of distress as clinicians of all disciplines and backgrounds. every workplace knows,” Pathman said.

Survey respondents were 2,073 clinicians who work in community health centers, mental health facilities and other types of safety net clinics that provide care to low-income patients who face barriers to receive care in the mainstream American healthcare system. Many of these patients are also members of ethnic minority groups.

Of the respondents, 28.4% reported no work-related moral distress during the pandemic. But 44.8% reported “mild” or “uncomfortable” levels of moral distress, and 26.8% described their moral distress as “distressing”, “intense” or “the worst possible”. These last two groups together represent 71.6% of respondents, a substantial majority.

Many office clinicians in this study reported moral distress from not being able to provide care to all patients – think of the practices closed at the start of the pandemic that later reopened but limited care to only the most vulnerable patients. sick – and not being able to provide the best care to their patients when care protocols changed to minimize infection of patients and staff within the office and virtual visits were required even when in-person visits person in the office were better for their patients.

Other respondents felt moral distress seeing how the pandemic affected the health and lives of their patients, some of whom they had known for years. A nurse practitioner in the study in North Carolina noted moral distress seeing how the pandemic “impacted families in our clinic and felt powerless to make meaningful change.”

Other clinicians were morally distressed when their colleagues’ health was compromised or they lost their jobs. Respondents sometimes saw co-worker hardship as unavoidable during the pandemic, but sometimes as due to their employers’ lack of interest in the well-being of clinic staff. One dentist said: “All our manager and director seem to care about is making money and the number of patients we see. I had to balance being exposed to so many patients and then going home to my family and potentially exposing them.

Some respondents reported moral distress from patients, clinic staff, and community members not wearing masks or following public health recommendations, as well as the politicization of the pandemic. As medical professionals, they knew these precautions worked, and when people did not follow them, they knew others would be infected unnecessarily.

Social inequalities and health disparities morally distressed some respondents, such as one respondent distressed at “seeing how my patient population has been disproportionately affected by illness and death due to socioeconomic issues.” Pathman noted that, “given the type of individual who chooses to provide health care in low-income communities, it is not surprising that some are morally distressed to see the pandemic worsening the health and lives of their patients because of their limited resources”.

The consequences of moral distress are concerning. The article notes that moral distress is known to cause burnout, compassion fatigue, patient disengagement, and staff turnover for nurses in hospital settings and is likely to do so for clinicians in nursing homes as well. safety net practices.

The paper’s co-authors are Jeffrey Sonis, MD, MPH, associate professor in the departments of Social Medicine and Family Medicine at UNC; Thomas E. Rauner at the Nebraska Division of Public Health; Kristina Alton, MD, at Vanderbilt University Medical Center; Anna S. Headlee of the University of Nebraska-Lincoln and Jerry N. Harrison of New Mexico Health Resources.

Class action lawsuit filed against Oregon retirement home giant Avamere

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Avamere, the Oregon-based nursing home giant, is facing a class action lawsuit over a data breach that allegedly affected more than 380,000 people.

The breach, reported in July, took place months before – between January 19 and March 17, 2022 – and is believed to have affected patients as well as employees affiliated with more than 80 companies that are part of Avamere Holdings. It affected nearly 100 establishments.

The hackers stole data including names, birth dates, addresses, social security numbers, lab results, and information about medical conditions and medications, according to the company. While the company initially reported a smaller number of people affected, less than 200,000 people, the figure has since increased, according to the HIPAA Journal, a respected industry publication.

The Wilsonville-based company operates skilled nursing facilities and senior residences in western states. The breach reportedly affected facilities in Oregon, Washington, Arizona, Colorado, Nevada and Utah.

Portland attorney Nick Kahl filed the lawsuit Aug. 24 on behalf of former Avamere Oregon employee Kimberly Harvey Perry and other affected individuals. He blames “Avamere’s failure to protect its computer systems from unauthorized access by cybercriminals” despite numerous industry warnings and past violations.

It also claims that Avamere knew about the breach on May 18 and blames the company for waiting until July 13 to notify potential victims. It states that their personal information is “susceptible to being sold to criminals on the dark web, which means that unauthorized parties have accessed and viewed their unencrypted and unredacted information, including names, addresses, e-mail addresses. -email, dates of birth, social security numbers, bank account information, private health information, and more.

The lawsuit claims that the victims of the breach suffered “losses in the form of loss of the value of their private and confidential information, loss of the benefit of their contractual bargain, disbursements and the value of their time reasonably hired to remedy or mitigate the effects of the attack.

Avamere did not immediately respond to a request for comment on the lawsuit. However, in its previous version, it said that following the breach, the company had taken steps to improve the protection of its data. He also encouraged people to call a hotline for more information: (833) 909-4422.

“As a precaution, Avamere notified individuals whose information was included in the affected files and folders. Those notified were provided with free credit monitoring services and best practices for protecting their information, including, but not limited to, reviewing the Explanation of Benefit Statements they receive from their health insurance providers and tracking any unrecognized items or services.

You can reach Nick Budnick at [email protected] or at @NickBudnick on Twitter.

The FDA’s new hearing aid won’t solve the market’s biggest problems

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Comment

On August 16, the Food and Drug Administration released a final rule creating a new category of over-the-counter (OTC) hearing aids, which will go into effect as early as mid-October.

Under this rule, adults with mild to moderate hearing loss can purchase hearing aids without a prescription from any vendor for around $600 to $800 a pair. This will save millions of Americans thousands of dollars. Traditional hearing aids average between $5,000 and over $14,000 a pair, including professional fitting and aftercare services. FDA guidelines also ensure patient safety – such as ensuring hearing aids are not so loud that they cause further damage to the ears – and other technical specifications to ensure good performance of the device.

Once OTC hearing aids hit the market, they will provide consumers with affordable, accessible and technologically sophisticated options for improving hearing.

Still, they won’t benefit all hearing-impaired Americans. Without proper examinations and individualized fitting, OTC hearing aids will not target a person’s specific hearing loss, requiring evaluation and calibration for maximum sound benefits. Indeed, experts advise consumers to consider having their hearing evaluated by a certified audiologist before purchasing a device. Also, since hearing aids are considered consumer products rather than essential medical devices, they are not covered by insurance.

In short, while these new devices hold great promise, they leave in place issues that have plagued Americans with hearing loss for more than half a century. While Congress has grappled with how to manage the medical-consumer divide of hearing loss and high costs since the 1960s, lawmakers have taken no action. However, in the absence of fundamental legal changes, these flaws are likely to persist.

Beginning in the 1920s, five companies controlled the hearing aid market. Industry vendors, not medical professionals, have guided consumers’ device choices with few safeguards to ensure quality. Doctors routinely accused vendors of encroaching on their turf, but the truth was that vendors monopolized this space because most medical experts found fitting hearing aids time-consuming – and often unnecessary – for their practice.

This structure began to change in 1943, when the American Medical Association and the American Academy of Ophthalmology and Otolaryngology established the Committee on the Conservation of Hearing. This committee played a major role in setting standards for hearing acuity and defining the principles of audiometry that would later improve hearing aid design. He also touched on the technical specifications of hearing aids, evaluating manufacturers’ boastfulness in advertisements to determine whether the claims met AMA standards.

Thanks to the committee’s work and wartime technological innovations such as the circuit board and the transistor, post-war hearing aids were more powerful and reliable than their early counterparts. Yet, although costs have barely increased for manufacturers, prices paid by consumers have skyrocketed. Rising prices have sparked fierce competition between major hearing aid manufacturers, prompting the AMA, in conjunction with the Federal Trade Commission and the Better Business Bureau, to define fair trade practices for the industry in an effort to regulate prices and ensure consumer choice.

But despite these guidelines, a 1962 public health survey reported that at least 54% of millions of hearing aid users had not received proper audiometric or medical examinations before purchase.

The Byzantine market for hearing aids was particularly difficult for the elderly. There were over 300 models available, ranging in cost from $100 to $400 (about $980 to $3,900 in today’s dollars). Older Americans were the most vulnerable to unscrupulous salespeople, who pressured them to buy devices that weren’t suitable for their hearing loss. This has led customers to reject their hearing aids and to despise the industry for victimizing people who have been deafened.

The problem wasn’t a misdiagnosis. Instead, customers were being sold devices that were not suitable for their range of hearing loss. Industry leaders and healthcare professionals have insisted that no hearing aid should be prescribed or purchased without a proper hearing test.

Despite these concerns, the classification of hearing aids as consumer goods – as opposed to medical devices subject to strict standards – meant that when Congress enacted Medicare in 1965, the devices were excluded.

Three years later, in July 1968, the Senate held hearings on hearing aid industry business practices and insufficient medical involvement. Dr. Eldon L. Eagles of the University of Pennsylvania Graduate School of Health, for his part, testified that the lack of proper medical care was a major reason for consumer dissatisfaction and eventual dropout. hearing aids. He pointed out: “Just as we no longer buy glasses and try on a few pairs until we feel we see an improvement”, neither was deafness “just a mechanical situation”, with a solution. unique. . In short, people needed the right hearing aid — not just any listening device for the hearing impaired.

But lawmakers also heard from industry experts who said it takes an average of five years for consumers to seek out tech assistance for hearing loss. When they sought help, they were faced with a confusing market filled with both medical professionals and salespeople offering potential options. Some experts have even testified that the solution is to educate consumers to understand that hearing aids are essential medical devices that require a good fit, not stigmatized products to conceal hearing loss.

Because of this confused picture, Congress took no action, although lawmakers encouraged the medical professions to become more involved in hearing assessments, eventually allowing the audiology profession to dominate.

In 1973, the Retired Professional Action Group, a subsidiary of the consumer group Public Citizen, published a 300-page report, “Paying Through the Ear”, which denounced the monopolistic nature of the hearing aid industry, of which four companies represented half . of all sales and the FTC has cited nearly every major manufacturer for anticompetitive practices. The report also criticized medical experts for not working hard enough to protect their patients, and it recommended greater regulation to cut costs and mandatory hearing tests for all hearing aid prescriptions.

The Senate Subcommittee on Consumer Interests of Senior Citizens responded with another hearing. This time, senators learned that although it costs about $15 to $35 to make a hearing aid ($100 to $233 today), manufacturers have marked up the devices by $200 to $600 ( $1,335 to $4,000) – a gap that only grew in the years that followed. half century.

Again, however, conflicting testimony made lawmakers reluctant to act. Instead, the FTC recommended that potential buyers refrain from purchasing hearing aids without a prescription, or at least waive their right to have one in writing. Congress held further hearings in the 1980s, but they also failed to produce legislation to alleviate the plight of consumers, as the FTC argued that the evidence compiled over the previous decade was outdated. and that further investigation was necessary.

But without categorizing hearing aids as essential medical devices, reducing prices has proven difficult without increased competition. In the 1980s and 1990s, inexpensive alternatives to traditional hearing aids appeared on the market, but they were fundamentally different – called “personal sound amplification products” (PSAPs). These unregulated devices were a poor, albeit cost-effective, alternative to prescription hearing aids. Variants of “self-adjusting hearing aids” – or “hearing aids” – such as Bose’s SoundControl hearing aids, which cost $850 a pair, have also hit the market, as have direct to ear hearing aids. consumers, the cost of which ranges from $150 to $3,000 a pair.

But none of these market innovations addressed the most fundamental problems that plagues Americans with hearing loss – the difficulty of getting a high-quality hearing aid suited to someone’s needs at an affordable price. The hope is that the OTC hearing aids that emerge from the new FDA rule will be better regulated alternatives to PSAPs and hearing aids. Industry experts suggest that over-the-counter hearing aids could drive down the costs of traditional hearing aids, or at least force manufacturers to offer inexpensive alternatives to their pricey models.

Even so, the gap between the sale of hearing aids and the medical evaluation required to fit them properly will remain, and the government will still classify hearing aids as consumer goods, not medical devices, which means that insurers will not pay them. As long as these defects persist, it will be difficult for consumers to receive appropriate hearing care at reasonable prices.

Dallas College Achieves National Recognition for Three Health Industry Recognized Learning Programs

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Dallas, Texas — Dallas College has been recognized by the ANSI National Accreditation Board (ANAB) for three more Industry Recognized Apprenticeship Programs (IRAP): Magnetic Resonance Imaging (MRI) Technologist, Sterile Processing Technicianand healthcare supply chain professional.

The American National Standards Institute Seal of Approval Recognizes Dallas College IRAPs provide high-quality work-based learning opportunities to fill skills gaps among the underserved and those in employment transition with a fast, quality pathway to a career. IRAPs also provide healthcare organizations with more effective training for current workers, increased productivity, and organized recruitment of new talent. Healthcare systems, hospitals and ambulatory care centers can improve employee engagement and retention as well as better organizational and patient outcomes.

“These IRAPs are an important contribution to our regional and national supply chain of healthcare talent, meeting labor market demands while ensuring that apprentices are fully qualified and competent in these professions,” said said Dr. Pyeper Wilkins, Vice Chancellor for Workforce and Advancement at Dallas College.

The three apprenticeship and training programs combine rigorous on-the-job training with technical and classroom studies for basic training and upgrading or re-skilling the current workforce.

The PARI MRI Technologist prepares apprentices to operate MRI scanners and create diagnostic images in healthcare settings including hospitals, clinics, imaging centers and other locations. This learning culminates in an industry-recognized credential in the American Magnetic Resonance Imaging Technologist Registry (ARMRIT), launching a viable career in Magnetic Resonance Imaging..

The US Bureau of Labor Statistics (BLS) predicts approximately 20,800 openings for X-ray and MRI technologists each year, over the next decade. The median annual salary for MRI technologists is $77,360.

The PARI Sterile Processing Technician addresses the nation’s increased need for Sterile Processing Technicians (also known as Central Service Technicians or Medical Equipment Preparers) who play a critical role in infection prevention by sterilizing, cleaning, processing, assembling, storing and dispensing medical supplies . Apprentices train in hospitals and clinics, and prepare to sit for the CRCST (Certified Registered Central Service Technician) exam.

With advances in medical technology and the increase in surgeries, there is a high demand for sterile processing technicians. According to the BLS, the Dallas-Ft. The Worth-Arlington metropolitan area is one of the largest employers with a local annual average salary of $42,190.

The PARI Healthcare Supply Chain Professional prepares participants to work in a high-impact profession that tackles global supply chain issues in healthcare settings such as hospitals, clinics and long-term care organizations. This PARI responds to the nation’s increased need to manage the flow of goods and services. Successful apprentices earn Inventory Planning and Management (CPIM) certification and Supply Chain Professional (CSCP) credentials. Due to the huge demand, skilled workers in this field can quickly go from entry level to senior positions.

Training is essential as supply chains become increasingly global and complex, and continue to be disrupted and transformed by technology. According to the Association for Supply Chain Management (ASCM), the global supply chain management market is expected to grow by 11.2% from 2020 to 2027.

In addition to Dallas College BET in Healthcare Culinary Services (announced in 2021), MRI Technologist, Sterile Processing Technician and Healthcare Supply Chain Professional, three more PARIs are expected to be recognized by the end of 2022 in Medical Assistant, Medical Billing and Coding, and Healthcare Facility Management. Among other criteria, these high-quality IRAPs provide students with paid work, a written training plan and learning contract, specialized knowledge and experience, credits for prior knowledge and skills, mentorship, industry-recognized degrees and more.

IRAPs are developed with funding from the U.S. Department of Labor (DOL) Scaling Apprenticeship Through Sector-Based Strategies Grant Program and in partnership with Bufflehead Strategies, LLC; Workcred, LLC; and the American Society for Health Care Human Resources Administration (ASHHRA). The IRAP MRI technologist was developed in partnership with the Tesla Institute of MRI Technology and ARMRIT. The Sterile Processing Technician IRAP was developed in partnership with the Healthcare Sterile Processing Association (HSPA). The Health Care Supply Chain Professional IRAP was developed in partnership with ASCM. The intention is to expand IRAPs across the country to health systems and ambulatory care facilities.

For more information on IRAPs, interested students and employers can contact Amy Mackenroth ([email protected]).

About Dallas College

Dallas College, formerly Dallas County Community College District, was founded in 1965 and consists of seven campuses: Brookhaven, Cedar Valley, Eastfield, El Centro, Mountain View, North Lake and Richland. Dallas College offers online learning and serves more than 125,000 students in credit and continuing education each year. Dallas College also offers dual credit to students at partner high schools and Dallas County Premier High Schools. Students benefit from partnerships with local business leaders, school districts, and four-year universities, and Dallas College offers associate’s degree and vocational/technical certificate programs in more than 100 fields of study, as well as a Bachelor of Education. Based on annual enrollment, it is the largest community college in Texas.

About ANAB

The ANSI National Accreditation Board (ANAB) is the largest multidisciplinary ISO/IEC 17011 accreditation body in North America, with full signatory status in the International Laboratory Accreditation Cooperation (ILAC) multilateral recognition agreements and of the International Accreditation Forum (IAF). ANAB’s accreditation portfolio includes management system certification bodies, calibration and testing laboratories, product certification bodies, personnel accreditation organizations, service providers forensic testing and calibration, inspection bodies, law enforcement crime units, greenhouse gas validation and verification bodies and reference material producers, and skill. ANAB is a wholly owned subsidiary of the American National Standards Institute (ANSI), a private, nonprofit organization dedicated to supporting and enhancing the impact of US voluntary standards and conformity assessment systems, both nationally and internationally, including administering procedures and criteria for the accreditation of conformity assessment programs and encouraging organizations to prepare and submit such programs for accreditation.

Geisinger Lewistown Hospital School of Nursing

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LEWISTOWN, Pennsylvania – Fifteen students from the Geisinger Lewistown Hospital School of Nursing graduated Aug. 12, earning their professional nursing degrees.

Upon completion of a national board examination, at least 11 of these graduates will continue their journey with Geisinger as registered nurses. The rest got jobs with other organizations. The Geisinger Lewistown Hospital School of Nursing provides students with a strong knowledge base and exposure to the clinical field to produce competent, high-quality graduate nurses who are ready to practice in the challenging healthcare environment of today.

“Nurses are so important to us here at Geisinger and to health care in general,” said Beth Finkbiner, director of the Geisinger Lewistown Hospital School of Nursing. “Our school of nursing is committed to ensuring that every student is prepared to succeed and ready to take the best care of our patients and our community.”

Graduates will soon take the NCLEX-RN exam to become licensed registered nurses. The national exam is administered by the National Council of State Boards of Nursing to determine if a nursing graduate has the knowledge, skills, and abilities necessary to provide safe and effective care. Students must pass the exam after graduation to pursue their career in nursing.

The nursing school program opened in August 2005 and is competency and evidence-based, with both clinical and theoretical components. It also offers an advanced placement option for qualified LPNs. The school maintains high pass rates on the NCLEX (National Council Licensure Examination). Geisinger Lewistown Hospital School of Nursing is ranked the third best nursing program in Pennsylvania by registernursing.org. Geisinger Lewistown Hospital School of Nursing announced earlier this year the purchase of property at 111 E. Market St. in downtown Lewistown. After renovation, the facility will house the School of Nursing, with an opening scheduled for August 2023.

School terms begin in August. There are various scholarships and financial aids available for students who meet the eligibility requirements. Visit go.geisinger.edu/son or call 717-242-7930 to learn more and apply.

Congratulations to all graduates:
Jetta Bobb, Spring Mills, Pennsylvania
Mikayla Boonie, Huntingdon, Pennsylvania
Maddison Coudriet, McAlisterville, Pennsylvania
Laney Dowling, Mifflintown, Pennsylvania
Natalie Edwards, Huntingdon, Pennsylvania
Lydia Hoover, Milroy, Pennsylvania
Mary Hutchison, Boalsburg, Pennsylvania
Shyanne King, Port Royal, Pennsylvania
Abigail Minck, Bellefonte, Pennsylvania
Patricia Nahabwe, Boalsburg, Pennsylvania
Nancy Peachy, Belleville, Pennsylvania
Nathan Seidel, State College, Pennsylvania
Alison Snyder, Elizabethville, Pennsylvania
Madyson Stroup, Mt. Pleasant Mills, Pennsylvania
Kristen Yoder, Belleville, Pennsylvania

New Exclusive Data from SteadyMD Reveals Experienced Physicians and Therapists See Telehealth as a Better Way to Practice Medicine | New

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LOS ANGELES AND ST. LOUIS–(BUSINESS WIRE)–August 24, 2022–

SteadyMD, a B2B telehealth infrastructure provider delivering high-quality patient telehealth experiences for healthcare leaders and innovators, is pleased to share knowledge from a sample of over 1,700 physicians, nurses, and therapists to better understand what motivates them to seek out telehealth opportunities. There were several factors that these clinicians shared in leaning towards telehealth over the traditional practice of medicine, but chief among them were the flexibility of workplace, hours, and lifestyle that telehealth offers. telehealth – especially given the increase in cases of clinician burnout seen throughout the pandemic. These results reflect ongoing telehealth trends and motivators that have been reported by patients nationwide, which show that most Americans welcome the expansion of telehealth services.

The analysis categorized participants’ responses by type of clinician and years of practice, revealing that physicians with 15 or more years of experience expressed the greatest interest in telehealth, and senior therapists followed closely behind — 86% of whom see telehealth as an opportunity to work more night shifts and supplement their day job income. The report also showed that nearly two-thirds (63%) of clinician responses confirmed that they would welcome a full-time telehealth role, given the opportunity.

“Clinicians who have already established their careers in a hospital or office setting may seek an alternative way to practice medicine after going the traditional route and exploring new opportunities,” said Dr. Chardonnay Vance, medical director of clinical programs at SteadyMD and licensed physician. with experience in treating patients in a clinical setting. “It was true for me, and this new data shows that very experienced clinicians, nurses and therapists are ready to move into telehealth.”

While the pandemic has sparked and popularized work-from-home opportunities across industries, few professional roles have been as directly and physically impacted by COVID-19 as clinicians working in traditional care settings. When asked what factors most interest them about telehealth, it’s no surprise that top responses include the flexibility of working remotely and the ability to have more control over their own schedules. What was more surprising, however, was the stated desire to leverage telehealth to find more night and weekend work. Among the respondents:

  • 64% expressed interest in night work
  • 85% expressed an openness to practicing on weekends
  • 63% expressed interest in full-time telehealth work, if available
  • The majority accepted at least 15-20 hours per week, if full-time work was not an option

“Telehealth gives clinicians the flexibility they deserve to earn extra income and treat significantly more patients in their spare time without having to leave their primary job,” said Summer Buck, LMFT and Chief Mental Health Officer. from SteadyMD. “It’s not uncommon for therapists looking to make some extra money to go into telehealth while still maintaining their day job benefits.”

Other key points from the report include:

  • Physicians, especially those who have worked extensively in the traditional system, are interested in telehealth as a better way to practice medicine.
  • Nurse practitioners are very interested in full-time careers as telehealth clinicians and are open to a variety of shifts that fit their ideal work schedule.
  • Therapists generally prefer “moonlight” in teletherapy work on weeknights.

“Overall, our analysis shows that many clinicians are considering telehealth as a reliable, full-time alternative to their more traditional medical roles, while others are interested in the ‘parallel hustle’ that virtual care make it possible,” said Guy Friedman, CEO. from SteadyMD. “SteadyMD aims to support both types of clinicians. We strongly believe that telehealth represents a great opportunity to meet the individual needs of clinicians while helping to address the current shortage of clinicians in the industry and ultimately improving access to higher quality care. for patients across the country.

About Steady MD

SteadyMD is a B2B telehealth infrastructure provider that delivers high-quality patient telehealth experiences for healthcare leaders and innovators in all 50 states. Working side-by-side with healthcare organizations, labs and diagnostics companies, pharmacies and digital health brands, SteadyMD enables its partners to scale quickly and efficiently nationwide by offering a hand- clinician workforce from 50 states, clinical operations, legal and regulatory advice, and world-class product and technology. SteadyMD’s carefully curated community, made up of thousands of board-certified clinicians, is passionate about improving access to high-quality care using state-of-the-art delivery modalities and serving patients in the whole spectrum of care. To learn more, please visit www.steadymd.com.

See the source version on businesswire.com: https://www.businesswire.com/news/home/20220824005299/en/

CONTACT: Nicole Rodrigues

NRPR Group – for SteadyMD

[email protected]

KEYWORD: CALIFORNIA MISSOURI UNITED STATES NORTH AMERICA

INDUSTRY KEYWORD: MANAGED CARE SOFTWARE VOIP GENERAL HEALTH INTERNET TELEMEDICINE/VIRTUAL MEDICINE APPS/APPLICATIONS TECHNOLOGY HOSPITALS NURSING PRACTICE MANAGEMENT HEALTH TELECOMMUNICATIONS

SOURCE: Steady MD

Copyright BusinessWire 2022.

PUBLISHED: 08/24/2022 08:05 AM/DISC: 08/24/2022 08:06 AM

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Copyright BusinessWire 2022.

Kentucky State Loan Repayment Program Seeks Healthcare Workers

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BOWLING GREEN, Ky. (WBKO) — If you’re a healthcare worker and still have student loans, the Kentucky State Loan Repayment Program is looking to help you with your payments.

Since its inception in 2003, the program has been a helpful recruitment and retention tool to address labor shortages in rural and underserved areas of the state. This is a competitive program and if selected, you will be required to work full-time for two years at an eligible state site providing primary care services.

To be eligible to apply for the KSLRP, applicants must:

  • Be a US citizen (US born or naturalized) or US national and work in Kentucky.
  • Have been trained and licensed to provide direct patient care in one of the program’s eligible disciplines and specialties: physicians, physician assistants, nurse practitioners, certified nurse midwives, registered nurses, dentists, registered dental hygienists, social workers licensed clinics, licensed professional clinicians Counsellors, health service psychologists, marriage and family therapists, psychiatric nurses, alcohol and substance use disorder counselors and pharmacists.
  • Have a current, full, permanent, unencumbered, and unrestricted professional license, certificate, or registration in Kentucky in the discipline in which you are applying to serve.
  • Be employed at an eligible KSLRP site or have accepted an offer of employment at an eligible site where service will commence (and candidate will begin seeing patients) no later than January 2023.
  • Work in a Health Professional Shortage Area (HPSA) that matches their training and/or discipline. (You can search the HPSA Find website to determine if your practice site is located in an HPSA.)
  • Practice full-time, as defined by a minimum of 40 hours per week, for a minimum of 45 weeks per year, providing primary health care services at an eligible site.
  • Participate or be eligible to participate as a provider in the Medicare, Medicaid, and children’s health insurance program, as applicable.
  • Agree to use KSLRP funds only to repay eligible student loans.
  • Have a history of meeting prior legal obligations, have no existing service obligations or incur any service obligations that would be performed concurrently with their KSLRP service obligation, and should not be currently excluded, excluded, suspended or disqualified by a federal agency.

Completed applications will be accepted until 5 p.m. on September 1, 2022.

For more information about the program, contact Lisa Garza at [email protected] or 606-439-3557.

How Web3 and Flux will disrupt the behemoths of the healthcare industry. | by Flux Official | August 2022

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Web3 has grown rapidly over the past two years, especially in the market for technology and money. Beyond the financial sector, Web3 is also gradually transforming the healthcare system. Find out why Flux and distributed computing will lead the way.

In today’s healthcare industry, data is almost everything. Patient records, medical history, symptoms, test results, etc. are essential to help healthcare facilities monitor, analyze and provide the best possible medical aid. While Web1’s static, read-only health websites provided useful health information and resources, they lacked the interactive component to establish the necessary professional-patient relationship outside of office hours.

Web2 fixed this and added a new synchronization layer. Patient data and medical history collected by different medical devices and sensors could be easily exchanged between doctors and healthcare institutions, enabling faster and more efficient medical intervention. Telemedicine has made it possible to deliver health care remotely through video chat-based applications.

While the collective efforts of a centralized Web2 have brought immense benefits to patients and healthcare workers, the question of data ownership remains. Due to the nature of the healthcare industry, certain regulations prevent third-party apps and healthcare service providers from blatantly exploiting patient information for financial gain. However, this does not change the fact that this data does not belong to the people but to the providers.

On the contrary, multiple incidents over time have shown that companies often break the trust placed in them over patient data, associated with the increasing level of data breaches in the healthcare sector. In 2021, healthcare data breaches reached an all-time high, affecting over 45 million people.

Web3 offers a different approach. A decentralized and trustless ecosystem where patients not only own their data, but also reserve the right to share and monetize it. The transparency and immutability of blockchain-based Web3 will also help preserve data integrity, making counterfeiting impossible. This quality is of immense importance in a sensitive industry like healthcare. But there are also other potential ways for Web3 to shape the future of healthcare. Let’s dive in.

Accurate, high-quality data is invaluable in healthcare, enabling institutions to develop better and more effective healthcare products, systems and treatments. Accessing this data, however, can be cumbersome as it is often scattered and fragmented across different hospitals and systems. Web3 makes it possible to design and implement decentralized platforms that can help collect, cleanse and structure this data in a single system, making it easier for healthcare professionals to access it.

The semantic nature of Web3 will also allow for more contextual use of patient data. Medical records, symptoms and treatment options can be monitored and compared. From daily heart information via a fitness watch to genomics, it would be possible to create the right contexts around patient data. For example, AI systems would be able to analyze large amounts of data to determine similarities between patient symptoms and treatments. By identifying patients with similar health records, medical professionals can refine diagnoses and offer treatments with much more precision. As the world fully enters the era of IoT, more data can be collected through different sources to create a personalized health profile for individuals enabling faster and more efficient healthcare benefits.

Interoperable blockchains will enable the sharing of data across different platforms. Imagine a nutrition DApp that can interact with your workout app to determine the best types of food to help you lose or gain weight accordingly. The devices we use may collect data about our lifestyle and eating habits, which may be shared with hospitals, healthcare facilities or programs to assist in medical research. Web3 encourages community participation to learn how different medical conditions occur.

Web2 search engines have given us the ability to access information from multiple sources. However, the availability of an uninterrupted flow of unorganized information on the web encourages professionals to search more instead of find. Information overload means more time has to be spent online to find the best resources and evidence, which usually lengthens the process of diagnosis and treatment. Searching for information in Web3 would save the internet from the battle of clicks and make relevant resources easily accessible. Better access to relevant health information through semantic and other resources will help dispel misinformation about health and lead to a better understanding of the underlying causes of many health problems.

Centralized control invariably leads to power-hungry decision-making, and often users end up on the short side of the straw. Web3 offers a community-based approach to incentivized healthcare. One in which consumers retain control of their medical data and can be rewarded with tokens for sharing that data with apps or businesses that need it.

The symbolized economy unites people toward a common goal of growth and better health care for all. Service providers get quality data to drive more healthcare innovations, while users are reimbursed for their efforts in providing their data. The highly scalable infrastructure and potential of Web3 will also enable this system to meet the health needs of millions, if not billions, of healthcare consumers worldwide.

Of course, much remains to be done in terms of the design, implementation and integration of Web3 in healthcare; questions remain about self-management of data. For example, what if individual users lose their wallets? Web3 is still growing, so Flux continues to build a fast, interoperable, and scalable infrastructure to maintain the ideal ecosystem for Web3 solutions to thrive on diverse systems.

Join us: www.runonflux.io

Study finds COVID vaccination mandates for nursing home staff are effective

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State-level mandates associated with increased vaccination rates among nursing home staff without

In the summer of 2021, states began announcing COVID vaccination mandates for nursing home staff as a strategy to improve vaccination rates and help control COVID infections in nursing homes. The mandates came with concerns about whether the requirement would lead to further staff shortages if employees chose to quit their jobs rather than comply.

A national team of researchers led by Brian McGarry, PT, Ph.D., assistant professor of medicine in geriatrics and aging, sought to understand the impact of these state-level mandates on both vaccination rates and on the workforce. Additionally, they examined how county political preference, a factor strongly correlated with vaccine acceptance, affected the success of state mandates.

“Having highly immunized staff is really a key part of the mitigation strategy to keep a very vulnerable population — nursing home residents — safe from COVID infections and COVID deaths,” McGarry said. . “So policies that can improve vaccination rates among staff are very likely to have protective benefits for vulnerable people there.”

McGarry and his team reviewed data from the CMS COVID-19 Nursing Homes Public Record, which includes data submitted weekly by all Medicare- and Medicaid-certified nursing homes. They looked at nursing homes in 38 states where they could identify the mandate status and announcement date, where the mandate applied to all nursing home workers, and where county-level data from the 2020 US presidential election were available. Their sample included 26 states with no vaccine mandate, four with a mandate that included a testing option, and eight with a mandate that did not include a testing option.

Their study, published in JAMA Health Forumfound that warrants were associated with increased vaccination rates among nursing home staff – with larger effects in Republican-leaning counties – but not with increased reports of staff shortages.

“It looks like this policy really had the intended effect,” McGarry said. “It has increased vaccination rates among nursing home workers and does not appear to have had this unintended consequence of causing a mass exodus of nursing home sector employees from these states.”

The researchers found that, over a period of at least 10 weeks ending in November 2021, nursing homes in states with a mandate and no testing options that would allow staff to undergo additional COVID testing at the place to get vaccinated had a 6.9 percentage point increase in staff vaccination coverage and nursing homes in states with a mandate and testing option saw a 3.1 point increase percentage of staff vaccination coverage. In Republican-leaning counties, nursing homes in states with a mandate and no testing option saw a 14.3 percentage point increase in vaccine coverage compared to similar counties in states without a mandate. Their analysis found no significant increase in reported staffing shortages.

Over the same period, non-mandated states had consistently lower immunization coverage and higher rates of reported staffing shortages.

McGarry and his colleagues continue to assess the impact of vaccination mandates. They dig deeper into the impact of state and federal mandates on staffing levels by analyzing payroll-level data, and they’re monitoring what’s happening nationally as doses of reminder have become available.

The research team included Ashvin D. Gandhi of the University of California, Los Angeles; Maggie Syme and Sarah D. Berry of Hebrew Senior Life in Boston; Elizabeth White of Brown University School of Public Health; and David C. Grabowski of Harvard Medical School. This research was supported by a grant from the National Institute on Aging.

Liz Weston: 3 reasons not to leverage your home equity right now

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Soaring real estate values ​​mean many homeowners are inundated with equity – the difference between what they owe and what their homes are worth. The average price of a home has risen 42% since the start of the pandemic, and the average homeowner with a mortgage can now leverage more than $207,000 in equity, according to Black Knight Inc., a market analytics firm. mortgage and real estate data.

Spending this wealth can be tempting. Proceeds from home equity loans or lines of credit can fund home improvements, tuition, debt consolidation, new cars, vacations – anything the borrower wants.

But just because something can be done doesn’t mean it should be done. One risk of such a loan should be fairly obvious: you are putting your home at risk. If you can’t make the payments, the lender could foreclose and force you out of your home.

Moreover, as we learned during the Great Recession of 2008-2009, house prices can go down as well as up. According to a 2011 report by CoreLogic, borrowers who dipped into their home equity were more likely to be “under water” — or owe more on their homes than they were worth — than those who didn’t. didn’t have home equity loans or lines of credit. real estate data company.

Other risks are less obvious but worth considering.

YOU MAY NEED YOUR CAPITAL LATER

Many Americans are not saving enough for retirement and may need to use their home equity to avoid a sharp decline in their standard of living. Some will do this by selling their home and downsizing, freeing up money to invest or supplement other retirement income.

Other retirees may turn to reverse mortgages. The most common type of reverse mortgage allows homeowners age 62 and older to convert the equity in their home into a sum of money, a series of monthly payments, or a line of credit that they can use as needed. The borrower does not have to repay the loan while living in the home, but the balance must be repaid when the borrower dies, sells, or moves out.

Another potential use of home equity is to pay for a retirement home or other long-term care. A semi-private room in a nursing home costs an average of $7,908 a month in 2021, according to Genworth, which provides long-term care insurance. Some people who don’t have long-term care insurance plan instead to borrow against their home equity to pay those bills.

Obviously, the more you owe on your home, the less equity you will have for other uses. In fact, a large mortgage could prevent you from getting a reverse mortgage. To qualify, you must either own your home or have substantial equity – at least 50% and possibly more.

YOU ARE DEEPLY IN DEBT

Using the equity in your home to pay off much higher rate debt, like credit cards, might seem like a smart move. After all, home equity loans and lines of credit tend to have much lower interest rates.

If you end up declaring bankruptcy, your unsecured debts, such as credit cards, personal loans, and medical bills, will usually be wiped out. Debts secured by your home, such as mortgages and home equity loans, are generally not.

Before using the equity in your home to consolidate other debts, consider speaking with a nonprofit credit counseling agency and a bankruptcy attorney to learn about your options.

WHAT YOU BUY WILL NOT SURVIVE DEBT

It’s rarely, if ever, a good idea to borrow money for pure consumption, like vacations or electronics. Ideally, we should only borrow money for purchases that will increase our wealth: a mortgage to buy a home that will appreciate, for example, or a student loan that will result in higher incomes for life.

If you’re considering borrowing your home’s equity to pay for something that won’t increase in value, at least make sure you’re not making payments long after its useful life is over. If you’re using the equity in your home to buy a vehicle, consider limiting the loan term to five years so you don’t have to deal with large repair bills while paying off the loan.

Home equity loans typically have fixed interest rates and a fixed repayment term ranging from five to 30 years. The typical home equity line of credit, on the other hand, has variable rates and a 30-year term: a 10-year “withdrawal” period, during which you can borrow money, followed by a 20 year repayment. You’re usually only required to pay interest on your debt during the drawdown period, which means your payments could increase significantly after 10 years when you start paying down the principal.

This leads to one final piece of advice: with interest rates on the rise, only consider using a HELOC if you can pay off the balance quickly enough. If you need a few years to pay off what you borrow, getting a fixed interest rate with a home equity loan may be the best way to tap into the equity now.

_____________________________________

This column was provided to The Associated Press by personal finance website NerdWallet. Liz Weston is a NerdWallet columnist, certified financial planner, and author of “Your Credit Score.” Email: [email protected] Twitter: @lizweston.

RELATED LINK:

NerdWallet: HELOC vs. Home Equity Loan: Pros and Cons https://bit.ly/nerdwallet-home-equity-loan-line-of-credit-pros-cons

Copyright 2022 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.

Medical device industry poised to weather economic downturn, experts say

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Medical device companies are poised for an economic downturn even as they continue to face pandemic-related hurdles such as ongoing supply chain issues and staffing shortages, according to the analysts.

While device makers aren’t completely immune to potential recessionary pressures, the industry should be quite resilient to a worsening downturn, according to Shagun Singh, an analyst at RBC Capital Markets.

“I think there are a lot of put options per company to consider,” Singh said. “But there’s definitely a lot of opportunity given that there’s a defensive element to healthcare and medtech.”

As economists and politicians wonder if the United States has fallen into recession, indicators suggest the economy is cooling after two consecutive quarters of decline in GDP. Meanwhile, soaring inflation and interest rates are also contributing to a slowdown as consumer spending declines.

These economic factors may dampen consumer spending on devices and lead to a drop in elective care, similar to what happened in 2020 amid the COVID-19 pandemic, analysts say.

At the same time, the healthcare environment is seen as more isolated – particularly since 2008 and 2009 – with more people receiving insurance coverage under the Affordable Care Act (ACA) and stronger safety net programs like Medicaid expansion.

“I wouldn’t expect things to be this bad, hopefully this time around. In terms of the volumes of proceedings, in terms of people losing their jobs, in terms of capital expenditure – I think everything was worse [during the Great Recession]“, said Needham analyst Mike Matson. “I think we could see these similar things happening. It may not be as bad as it was then. ”

Any impact will depend on the market and the company, RBC’s Singh said. Companies related to more emerging procedures such as heart surgeries may be more resilient in a recessionary environment, while companies with consumer-related products and procedures considered reportable such as orthopedics will be more vulnerable.

Monitoring of procedure volumes

Singh called Edwards Lifesciences, which specializes in heart surgeries, as a company that may be more resilient to the effects of a recession as its procedures are seen as more necessary.

Although the business experienced a downturn during the pandemic, the declines were mostly related to hospitals limiting procedures at their facilities to stop the spread of the virus and, more recently, healthcare staff shortages.

Edwards lowered its 2022 sales forecast in July due to staffing shortages and currency pressures.

The companies most vulnerable to an economic decline are Stryker and Zimmer Biomet, Singh added, as hip and knee replacement procedures are seen as more postponeable, though needed at some point. The analyst added that hospital spending could also dry up during a recession, leaving more expensive products like robotic systems more vulnerable.

In the latest round of earnings calls, tighter hospital budgets were noted by Intuitive Surgical, limiting placements for its robotic soft tissue system, while Stryker and Zimmer did not report a similar slowdown for their systems. orthopedics.

Vijay Kumar, an analyst at Evercore ISI, said that while procedures could be affected if the unemployment rate increased, there usually wouldn’t be much of an impact on volumes. Cutting hospital spending could be riskier for device makers.

Margaret Kaczor, an analyst at William Blair, wrote in an emailed statement that while the orthopedic space faces a short-term slowdown in procedures, “those aren’t usually bad, and then it just queues up more cases for later.

A factor for more stable procedure volumes could be the effects of ACA. According to the Department of Health and Social Services, a registration more than 35 million people had insurance under the ACA at the start of 2022, and 28.7 million people were uninsured in the fourth quarter of 2021, compared to 48.2 million in 2010.

Additionally, Medicaid expansion, which opens eligibility for the program, is underway. 39 states, including Washington, D.C.providing a broader safety net for individuals and families at risk of losing employer-sponsored coverage.

“I think people keep coming back to ’08/’09 because that’s the most recent data point we have, and it sort of serves as a watermark down, right, in terms of how serious things are,” said Evercore’s Kumar. “In general, I think this time around there will be some impact, but it should be slightly better than 2009.”

In addition to greater insurance coverage, different combinations of sales and mergers and acquisitions have changed the market, according to RBC’s Singh. The COVID-19 drop and the Great Recession can be used for reference, but there are eight or nine different points that need to be considered, the analyst added.

“We have to put the mosaic together,” she said, adding that Boston Scientific is an example of a company that has been hit by stays of proceedings throughout the pandemic, but “in times of economic recession, they do not expect major fluctuations in medical device use.”

Kaczor made a similar point, writing that “the financial crisis was a beast unto itself” and companies have a better body of evidence of the benefits of using their devices.

“As stress on suppliers has increased as a result of the pandemic and likely in a potential recession, medical device companies are increasingly stepping in with resources to offset some of these impacts on these suppliers,” Kaczor said. . “It’s part of the expansion of the ecosystem that [medtech] is in progress. »

Pressure on consumer spending

A slowdown in consumer spending amid a recession is a concern for the medtech industry, and Singh specifically called the diabetes tech space. Although devices such as continuous glucose monitors and insulin pumps are necessary for patients to manage their diabetes, they may not be rushing to buy the newest model or to switch to devices for the first time.

Tandem Diabetes Care, a maker of insulin pumps, was the first in the space to directly attribute a slowdown in sales to fears of a recession. CEO John Sheridan said on an Aug. 3 earnings call that data suggests the threat of recession and inflation was impacting new customers’ decision to buy his pumps from the second trimester.

As a result, the company lowered its 2022 sales forecast last month by a range of $15 million to $20 million.

Still, the insulin pump space is an example of the variance in company forecasts for the second half of the year. Insulet, Tandem’s main rival, increase its revenue growth forecast and stepped up the launch of its latest pump.

Mick Farrell, CEO of ResMed, has an optimistic view of the potential effects of a recession. Farrell said in an interview that while consumers can limit spending on products like Teslas or iPhones, medical devices are more necessary for patients.

“What we’re seeing is yes, huge downturns in consumer spending. But the downturn in medicine — there may be one, but it’s much more modest,” Farrell said. We have grown thanks to [Global Financial Crisis.] I have no doubt that we will grow through this slowdown/recession in all the countries where we are.

Although medical device companies are still facing macroeconomic pressures, RBC analysts wrote in a note on August 7 that they are now more confident in the stability of the volume of procedures than in the second shift calls began.

Medtech executives are optimistic about their companies’ ability to weather an economic downturn as their business is more resilient than in the previous recession due to broader health coverage and a prolonged slowdown is not not expected, according to the RBC report.

Singh said companies are unlikely to drastically change their strategies, such as increasing diversification to expand revenue streams, in the event of a recession.

“I think end markets are what they are. The fundamentals haven’t changed,” Singh said. “I don’t see any change in the long-term strategy.”

American Mom in Australia: Childbirth Differences

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  • I am a single mother of two daughters and we live in Australia.
  • My two daughters were born through IVF, which was partially covered by my health insurance.
  • After my cesarean, I asked a nurse to monitor me at home.

When I decided to become a single mother, a lot of things were hanging over my head, like what it would be like to go through IVF alone and who would be with me when I gave birth.

One thing I never worried about was whether the cost of IVF would keep me from becoming a mother. It’s because I had my babies in Australia.

It wasn’t always my aspiration to be a single mother, but I was approaching 40, newly single, and I didn’t want the lack of a partner to stop me from achieving my dream of becoming a mother. I live in a country where universal health care – Medicare, which includes IVF – is taken for granted, so finances just weren’t factored into my decision.

Not having to pay was a huge plus

In Australia, some clinics offer wholesale IVF, a service fully covered by Medicare for those who cannot afford treatment. Low-income people are offered low-cost options as well as payment plans.

I decided, however, that when it came to choosing an IVF specialist, I wanted one of the best. I was lucky enough to get into it, but it came at a price. Medicare only covered part of his high costs, and each embryo transfer to the hospital also had a direct cost.

Luckily I got pregnant with Greta on my third attempt and the bills stopped. Pregnancy and childbirth are fully covered by Medicare. This includes pathology, doctor’s appointments, and hospital stay.

I gave birth at the Royal Women’s Hospital in Melbourne, which was a brand new public facility with the latest equipment and beautiful rooms, many of which were single rooms. Due to my age, it was deemed safer for me to have a C-section, which I did for my two daughters.

All of the surgeons in the room were lovely, and with my mother by my side, I had a positive birthing experience.

I asked a nurse to monitor me at home after giving birth

The first year of a child’s life in Australia is punctuated by multiple visits to a maternal health centre, where a nurse collects and monitors developmental milestones, offers advice to new mothers and connects them with other services, such as housing or family. -support for violence, if necessary.

Because I had a cesarean, my maternal health nurse came to my house for the first visits. It was not uncommon for me to get phone calls where she said to me, “I’m about to leave work, and I was wondering if you need me to bring you some milk or something on the way home?” »

As a single mother, that support and friendship was invaluable – literally too, because everything was covered by the government.

Having children had been such a long and emotional road, so it was important to me that once I had them, I could stay home with them for as long as possible.

In Australia, the government gives women three months of parental leave, and the company I worked for offered me an additional three months. With the leave I had also accumulated, I was able to be with my child for a year before I even had to consider going back to work.

I was given a choice, and thanks to the country I live in, I was able to make the right choice for me.

Warren nursing home cases drop to zero | News, Sports, Jobs

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Warren’s nursing home, which had 55 COVID-19 cases last week, dropped to zero this week, according to the Ohio Department of Health’s COVID-19 website.

The Community Skilled Health Care Center nursing home on Mahoning Avenue recorded 25 patient cases and 30 staff cases last week, but has none left.

Another Trumbull County facility, the Liberty Health Care Center Nursing Home in Liberty, had 12 patient cases and no staff cases last week, but has no cases of either type. this week.

The highest number of cases among any facility in Trumbull County this week is four.

In Mahoning County, meanwhile, three nursing homes have six or more cases. The highest number of cases are at the Windsor House Omni Manor care home in Youngstown, which has six patient cases and seven staff cases. There were 15 patient cases and six staff cases last week, according to ODH data. Another facility has one patient case and five staff cases; the other has three patient cases and four staff cases.

Columbiana County COVID-19 cases continue to be zero or near zero.

The number of reported COVID-19 patient cases in long-term care facilities statewide fell by 159 cases this week — from 1,183 last week to 1,024 this week. The number of staff cases fell by 211 cases this week – from 1,274 last week to 1,063 this week.

Among the three counties, the number of deaths associated with long-term care facilities such as nursing homes and assisted living facilities did not increase this week. There are still 312 in Mahoning County, 192 in Trumbull County and 94 in Columbiana County, as of last week.

Statewide, the number of deaths associated with long-term care facilities increased by 25 over the past week – from 9,158 last week to 9,183 this week, according to the ODH.

The number of deaths in Mahoning County in long-term care facilities increased by one over the past month, but the number of cases in the other two counties did not increase over the past month.

Among prisons in the region, the Northeast Ohio Correctional Center in Youngstown currently has 14 staff cases of COVID-19 and two inmate cases. Ohio State Penitentiary in Youngstown has no cases of either type and Trumbull Correctional Facility has three staff cases and no inmate cases.

There are 62 staff cases among all Ohio prisons this week and 36 inmate cases.



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Stories – News and Events

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Santa Clara students and faculty are well on their way to designing and commercializing a virtual reality training program for Alzheimer’s disease and dementia caregivers.

Santa Clara students and faculty are well on their way to designing and commercializing a virtual reality training program for Alzheimer’s disease and dementia caregivers.

Emma Cepukenas ’23 remembers when his great-grandfather was diagnosed with Alzheimer’s disease and the unnerving role that came with caring for a loved one with memory loss.

“It was too much for them,” Cepukenas says of the family members who stepped in to help them. “I saw how difficult it was, firsthand. They had no professional training. After two years of home care, she said, he was transferred to an adult care facility.

Santa Clara’s undergraduate story echoes that of the approximately 15 million Americans, mostly family, friends and unpaid others, who help those with dementia or Alzheimers. Yet few of these caregivers are ever counseled or trained to help them deal with the staggering responsibility that awaits them.

For these second invisible patients, as they are often called, life becomes an exhausting and emotional rollercoaster as they juggle their own tasks and worries with the stress of caregiving.

But a recently launched partnership in Santa Clara called Maude’s Venture’s @ SCU aims to help by creating a virtual reality training program for caregivers.

Benefiting from a grant of $125,000 from the Richard and Maude Ferry Foundation in Seattle, and supervised by their grandson Quentin Orem ’11SCU students and faculty in public health, engineering, computer science, theater arts, marketing, and communications are gearing up to tackle the project, which could be market-ready in 2024.

Healthcare innovation, from start to finish

“It’s a huge validation of what we’re hoping to do with the BioInnovation and Design Labbecause we want to be involved in all stages of healthcare innovation,” says Prashant Asuriwho runs the lab and leads the effort with a colleague Julia Scott, a senior researcher in the lab whose studies focus on brain health and brain aging.

“It’s the first time we’ve done something from start to finish, from ideation to prototyping, to commercialization,” says Asuri, an associate professor of bioengineering.

The idea of ​​immersive dementia care training is just one of four technical approaches to dementia care presented by a SCU student research team, many of whom are public health majors, at a a one-day design sprint hosted by the Ferry Foundation in July. A panel of experts from the University of Washington’s Memory Care Hub met with each team and then listened to their proposals. Although intrigued by the four concepts, the panel gave the green light to the VR program for its combination of impact, innovation and feasibility.

Scott and Asuri say the name hasn’t been named yet the product is inspired by a current virtual reality (VR) application which allows someone to experience the world through the eyes of people with dementia. The lab approach will place the user in the shoes of a caregiver rather than the patient. This type of training can give caregivers skills and ideas to help them deal with difficult aspects of caregiving, such as de-escalating agitation, redirecting repetitive thoughts, and calming a person’s confusion. among other behavioral challenges.

“It can be so difficult to deal with all of this on your own,” says Scott, who has cared for close relatives with dementia.

The Cepukenas VR Training Program Team, Kennedy Anderson ’24, and Leslie Catano ’22 found that nearly all available dementia care training did not use virtual reality and most learning methods were passive.


Leslie Cataño (left) and Kennedy Anderson chat with panel members.


Passing the baton from one team to another

Scott describes the product as a virtual environment simulating typical healthcare environments, in which challenging scenarios can be played out. Achieving this requires collaboration between subject matter experts in dementia care from Santa Clara public health science majors and screenwriters from communications or theater arts departments.

Photorealistic situations will ask caregivers how they dealing with particular behaviors; for example, how best to deal with a person with dementia who is obsessed with going to the store.

“In their head,” Scott says of people with memory loss, “they want to go out and go to the store, but of course they can’t do it on their own anymore.” The VR training program, she explains, can show caregivers how to defuse this situation by guiding them through a step-by-step process.

“They’re asked to make a decision, and the consequences of that choice will be played out, and they’ll be able to see it,” says Scott, adding that pop-ups will appear in the VR program asking caregivers what they should do next.

Scott and Asuri believe that the idea of ​​virtual reality and its software, which could be regularly updated, provides caregivers with more realistic and valuable information than reading training manuals or watching training videos.

Anderson, whose grandfather and godmother live with memory loss, has used virtual reality before and thinks the experience will translate well for caregivers.

“We know it’s used in nursing schools and medical schools,” she says. “That could be a good thing for dementia care.”

“Do Something Meaningful”

For Catano, graduated this summer, being part of the VR training team was “an opportunity to do something meaningful”. Along the way, it also taught her important skills she can use in a future career in health statistics, including honing her research skills, writing succinctly about a complicated topic, and giving a public presentation. like she did in Seattle.

The design sprint was practically a 24-hour masterclass in itself, according to the students. Each team presented its initial pitch in front of a panel of nine actors and experts in the field. After receiving feedback from the panel, the teams visited local nursing homes and a nursing school where they met with a faculty member gerontology nurse practitioner to gather more information.


Students from Santa Clara to Seattle, where they pitched their ideas for Maude's Ventures @ SCU.

Students from Santa Clara to Seattle, where they pitched their ideas for Maude’s Ventures @ SCU.


With advice from stakeholders and insights they picked up during their on-site visits – for the VR team, which included ensuring their digital VR stories represent people from different backgrounds and ethnicities – the teams returned to the UW Memory Hub where they reworked their ideas and slides before doing a second lap this afternoon.

“It was a bit nerve-wracking,” recalls Cataño of the 30 minutes given to each team to redo their pitch. “It wasn’t something we had time to practice, but I think it went well and it really taught me to have confidence in myself.” It’s a sentiment that Asuri and Scott believe is shared by members of all four teams.

Starting this fall until 2024, the VR project will enter the research and development phase where engineering and computer science majors and related faculty members will be recruited for their technical and design input. Asuri and Scott also hope to engage business majors when it comes time to manufacture and market the product. Every six months, the project team will report to the Ferry Foundation Board on the established benchmarks.

Finalist ideas explored

Asuri describes the four teams that participated in the ideation portion of phase one of the project “four different champions of four big ideas”. The three finalist ideas, he adds, will be refined and evaluated by SCU faculty for potential development as senior engineering design projects or independent study projects. Pitch ideas and teams include:

1) McKenzie Himes ’23 and A Mai ’22: a “buddy system” application that connects novice Alzheimer carers with experienced counterparts via a chat system or a videoconference system, to support them in difficult situations;

2) Maria Gonzales ’23, Kate Rickwa ’24, and Kiren Grewal ’23: an incontinence management mobile app that connects to an ultrasound bladder sensor on the patient that assesses when patients should use the bathroom and notifies the caregiver.

3) Reneh Flojo ’23 and Luciana Slow ’23: a mental health resource app that can monitor a caregiver’s stress levels and emotional state, and link them to a helpline or therapist for online sessions.

Events, Faculty, Students, Engineering, Technology, Entrepreneurship, Research, Undergraduate, Science, Innovation, CAS, SOE

Characteristics, Engineering, compassion, innovation, technology, research, public health, science, students, faculty

Department of Transportation proposes new CBD guidelines for medical examiners certifying commercial drivers

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Commercial drivers who use CBD products do so “at their own risk,” a federal agency says in a draft manual for medical examiners responsible for issuing U.S. Department of Transportation (DOT) certifications.

The proposed guidelines, published Tuesday in the Federal Register, are intended to advise medical examiners when performing physical exams for commercial drivers whose jobs require interstate travel.

Although the Federal Motor Carrier Safety Administration (FMCSA) manual states that drivers are not prohibited from using federally legal CBD products containing up to 0.3% THC by dry weight, it warns reviewers that use of the non-intoxicating cannabinoid could still compromise physical exam certifications.

Drivers who must take the exam and receive the DOT certification, which lasts two years, “cannot be physically qualified” if they use marijuana, regardless of state law, according to the agency – “even if marijuana is legal in the state where the driver resides for recreational, medicinal or religious purposes.

But hemp-derived CBD was legalized under the 2018 Farm Bill, prompting the FMCSA to include the new cannabis section in the manual.

The reason the manual warns medical examiners about CBD use by drivers is that the Food and Drug Administration (FDA) does not regulate products widely available in commercial markets across the country.

“There is no federal oversight to ensure that labels on CBD products that claim to contain less than 0.3% dry weight THC are accurate,” the draft document states.

Testing positive for THC due to improper labeling is not a valid excuse, so drivers could still be deemed ineligible for certification if they take the wrong product.

“Therefore, drivers who use these products do so at their own risk,” says the draft manual, which is now open for public comment until September 30.

“CBD products containing less than 0.3% dry weight THC are not considered a Schedule I substance; therefore, their use by a VMC driver is not a reason to automatically exclude the physical qualification of the driver”, he indicates. “However, each driver must be assessed on a case-by-case basis.”

“The Agency encourages [medical examiners] adopt a holistic approach to medical certification and consider any additional relevant health information or assessment that may objectively support the medical certification decision. MEs may require drivers to obtain and provide non-DOT drug test results during the medical certification process. »

The proposed guidance on CBD would be included in the agency’s manual seven years after the withdrawal of an earlier version of the document that predated hemp legalization and therefore did not address cannabidiol products.

A 2021 draft had a more limited section on the cannabinoid and the lack of FDA regulation — and a 2020 version didn’t discuss CBD, but it clearly stated that marijuana use was prohibited regardless of either state law – but those versions were not finalized.

This latest proposed version also directs reviewers to an earlier DOT advisory stating that the department “requires testing for marijuana, not CBD” and providing further information on cannabis-related policy and compliance rules.

In a July newsletter from the DOT’s Federal Transit Administration (FTA), the agency included two sections on cannabis concerns: one that again reminded employees that they were prohibited from using marijuana and another that similarly warned that CBD products remain unregulated and may contain high levels of THC. that are detectable in a drug test.

In a letter sent to Transportation Secretary Pete Buttigieg in May, Rep. Earl Blumenauer (D-OR) argued that the DOT’s comprehensive cannabis testing policies were unnecessarily costing people their jobs and contributing to supply chain problems. . He urged a review and administrative reform of the guidelines.

Buttigieg, who campaigned on a pro-legalization platform during his 2020 presidential bid and has repeatedly condemned the wrongdoings of prohibition – going so far as to call for the decriminalization of possession of all drugs — has yet to take any administrative action to modernize DOT marijuana policy since taking over as head of the department.

Although the DOT will continue to test workers for THC, the department also recently proposed a revised drug testing policy.

Current department policy requires urine testing, but the proposed rule change would allow saliva-based testing as an alternative option. Depending on frequency of use, THC is usually detectable in saliva between one and 24 hours after use, rather than weeks for urine.

In addition, the DOT proposal states that there would be a “4 nanograms per milliliter drug test threshold for THC”, which would “detect marijuana use while eliminating the possibility of positive tests resulting from passive exposure”.

A Wells Fargo analyst said in February that there was a primary reason for rising costs and labor shortages in the transportation industry: the federal criminalization of marijuana and drug testing mandates. resulting drugs, which persist even as more and more states embrace legalization.

Workplace drug testing issues continue to be raised, especially as more states decide to legalize cannabis in one form or another and many industries face shortages. labor.

The nation’s largest union representing federal employees recently passed a resolution supporting the legalization of marijuana and calling for an end to policies that penalize federal employees who use cannabis responsibly while off the job. states where it is legal.

Meanwhile, House Appropriations Committee leadership recently urged the White House to “continue to review policies and guidelines regarding the hiring and firing of individuals who use marijuana in states where the private use of marijuana by this individual is not prohibited by state law” as part of a Financial Services and Government Expenditure (FSGG) report.

It specifically calls for the executive branch to enforce drug testing standards with “consistency and fairness”.

In June, the Senate Intelligence Committee separately passed an amendment by Sen. Ron Wyden (D-OR) that would prohibit the federal government from denying people the security clearances they need to work in intelligence agencies simply because they used marijuana.

But in general, federal agencies have been reluctant to relax cannabis-related employment rules despite state efforts to legalize cannabis for medical and recreational use.

For example, the Substance Abuse and Mental Health Services Administration (SAMHSA) recently proposed changes to drug testing policies for federal workers that would specify that having a doctor’s recommendation for medical marijuana or any other Schedule I drug is not a valid excuse for a positive result. Drug test.

The Director of National Intelligence (DNI) said late last year that federal employers should not outright reject security clearance applicants for past use and should exercise discretion regarding those who have cannabis investments in their stock portfolios.

The FBI updated its hiring policies last year so that applicants are only automatically disqualified from joining the agency if they admit to using marijuana within a year of applying. Previously, future agency employees could not have used cannabis in the past three years.

The Environmental Protection Agency (EPA) has also stressed to its workers that they are prohibited from using marijuana — or investing directly in the industry — regardless of state law or changes in “social norms” around cannabis.

And while the Biden administration has instituted a policy of granting waivers to some workers who admit to previously using cannabis, it has come under fire from lawyers following reports that it has fired or otherwise punished dozens. of employees who were honest about their history with marijuana.

Then-White House press secretary Jen Psaki tried to play down the fallout, with little success, and her office issued a statement last year saying no one had been fired for “consuming of marijuana years ago”, and that no one had been fired “due to infrequent use in the previous 12 months.

At the state level, Colorado Governor Jared Polis (D) recently signed an executive order to provide broad professional licensing protections to workers who use marijuana under state law. The ruling also bars state agencies from assisting with any out-of-state investigations related to legal cannabis conduct that could result in employment penalties.

Additionally, a union representing firefighters claimed a New York City legal directive directing government agencies, including the New York City Fire Department (NYFD) and New York Police Department (NYPD ), to stop testing workers for marijuana since the state enacted legalization.

Last year, the state Department of Labor separately announced in guidelines that employers in New York are no longer allowed to test most workers for marijuana, with some exceptions. Even before the legalization was enacted, New York City officials had established a local ban on pre-employment cannabis testing.

Last month, Washington, D.C. Mayor Muriel Bowser (D) signed a bill that would ban most workplaces from firing or punishing employees for off-hours marijuana use.

In Missouri, the St. Louis County Board in March approved a bill to ban pre-employment and random cannabis testing for most workers in the county.

Florida activists plan 2024 home grow marijuana initiative to ‘run alongside’ industry-backed legalization bid

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Digital Therapeutics Series Report – Digital Revolution in Healthcare

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Digital therapeutics is a new step in the health industry.

Digitization and intellectualization are irreversible changes that are sweeping the field of health. The trend of digital transformation in healthcare is reflected not only in online registration and payment, but also in the reform of diagnostic and treatment approaches. Digital therapeutics is a kind of method to achieve this. Imagine that the prescription given by the doctor is not a solid form but an application or a video game. You can treat or manage your illnesses using the app or playing games. Can digital therapeutics only be used as a complement to medical devices and medicines, or can it become a unique existence in the future and more than able to withstand traditional treatments? With such questions and expectations, we will study the digital therapy industry in depth and conduct in-depth interviews with industry celebrities to complete this series of articles.

Definition and inventory of digital therapies

The Digital Therapeutics Alliance clearly defined digital therapeutics (DTx) in its report. Simply put, DTx offers evidence-based therapeutic interventions driven by high-quality software to prevent, manage, or treat a medical condition or disease. They are used independently or in concert with medications, devices or other therapies to optimize patient care and health outcomes.

We believe that the most important part is to ensure the safety and effectiveness of DTx, and that the therapy should be based on clinical evidence and driven by artificial intelligence.

Currently, many companies are telling stories under the banner of digital therapies. Most of them simply integrate the resources of all parties through the Internet platform. However, truly evidence-based and AI-driven therapies are buried in a large number of press releases, making it difficult for all stakeholders to distinguish. EqualOcean prepares the research report on Digital Therapy Industry 2022 to sort out the companies in different disease areas which are really focusing on product research and development and summarizing suitable business models and future development directions in various vertical diseases.

We look forward to discovering leaders in various disease verticals and providing practical solutions.

How is DTx revolutionizing the healthcare system?

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The existence of unmet clinical needs and the pursuit of serious medical care have led to the rise of digital therapeutics. As more players enter this field, the frontiers of digital therapeutics continue to expand, and players across the healthcare system will benefit.

For patients, digital therapy can provide more convenient, high-quality and personalized medical services, expand channels for accessing medical services, and reduce overall diagnosis and treatment costs. The online mode improves the accessibility of high-quality medical resources and can significantly improve the fairness of medical resource allocation. Patients in regions with high time costs or less developed economies may benefit. At the same time, digital therapies can also alleviate the patient’s sense of shame. In addition, digital therapies will allow personalized prevention, treatment or care interventions based on the information entered by the patient, in order to improve their condition and their future. Digital therapeutics has the characteristics of Internet products, whose low marginal cost can reduce the patient’s burden in the clinic.

Healthcare providers can also benefit from digital therapy, and the most important point is to improve the operation efficiency of the hospital. Digital therapeutics can not only replace highly repetitive work to improve doctor’s diagnosis and treatment efficiency, but also improve post-surgery recovery and improve hospital bed turnover rate. With digital therapy solutions, physicians can timely monitor patient prognosis, drive engagement, and access disease management data that was difficult to collect in the past. And offer patients services throughout their life cycle, from prevention, treatment, monitoring and care.

Moreover, digital therapies can provide a lot of real data to pharmaceutical and medical device companies to help in the research and development of their products. This may also be why Novartis, Abbott and other pharma giants are getting involved in digital therapeutics. The enormous amount of data generated by digital therapeutics will far exceed randomized controlled trials. This real-world data can be used for product development and upgrading and help these companies better understand market demand and achieve accurate marketing.

The application of digital therapeutics in the insurance sector is part of the risk management of their businesses. Furthermore, insurance companies can also use the collected data for actuarial statistics and to develop new insurance products. An example is the way of cooperation between Yuanxin Huibao insurance technologies (Chinese: 圆心惠保) and digital therapy company Best Covered (Chinese: 博斯腾科技). Best Covered can provide Alzheimer’s screening services for the elderly covered by Yuanxin Huibao, and insurance technologies can share customer resources with Best Covered to achieve a win-win situation. Insurance companies served by Yuanxin Huibao also need the digital therapies provided by Best Covered to help their policyholders manage their health and reduce expenses.

Of course, there are risks of disclosure and misuse of customer data collected by digital therapy companies, and the transaction of data, as well as the confirmation of data rights, still needs to be explored.

China’s medical resources are unevenly distributed in different regions, and most of them are concentrated in major cities. People often have to travel long distances to tertiary hospitals in Beijing or Shanghai for high-quality health services. This not only imposes heavy burdens on these hospitals, but also harms the balanced development of health care in China in the long run. According to the “14th Five-Year Plan on National Health Care Security” issued by the General Office of the State Council, China will ensure that basic health care security is more equitable and inclusive, the responsibilities of all the parties are more balanced, the scope and security standards are more compatible with the level of economic and social development, public services are more accessible, the gap between systems, populations and regions is gradually narrowing, and the function redistribution of health security is continuously reinforced. And the achievements listed above are what digital therapy can accomplish. Digital therapy can integrate the treatment plan, experience and knowledge of top hospitals and provide it to a wider population, especially those who find it difficult to obtain high-quality health resources.

The changes brought by digital therapeutics to the healthcare system also drive the value of digital therapeutics. Currently, most Chinese digital therapy enterprises have not successfully commercialized, and commercialization is also the main bottleneck of the digital therapy industry. The payers of digital therapies are no more than patients, health service providers, pharmaceutical companies or employers. The following review articles will outline which business models are suitable for each disease vertical.

Promising Chinese digital therapy companies

According to Iqvia’s report, 68% of global digital therapies are psychological and psychiatric products, which may be related to the FDA’s green light to regulate mental health digital therapies during Covid-19. This is also consistent with our review of national digital therapy companies. We have selected representative companies in various fields to draw the following industrial maps. If you forget, do not hesitate to contact us.

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Lienhard School of Nursing students receive an annual national scholarship

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This summer, Nurses Educational Funds, Inc. (NEF) awarded a total of 32 graduate nursing scholarships to nurses attending 21 different graduate nursing programs across the United States.

Two graduate students from Pace University’s Lienhard School of Nursing (LSN), Audrey Arcari and Meredith Sheeha, have been awarded NEF scholarships for 2022-2023.

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Audrey Arcari

Audrey is currently enrolled in the Family Nurse Practitioner (FNP) program at Pace’s College of Health Professions, where she also completed her Bachelor of Science in Nursing.

Throughout the pandemic, Audrey has noticed the high use of emergency departments for primary care as well as health disparities in the LGBTQIA community. She decided to enroll in an FNP program to be a primary care champion and promote competent care for people with disabilities.

Audrey is also a Certified Emergency Nurse and encourages excellence in her field by preparing nurses for new roles. She became a sexual assault medical examiner to learn more about the process of treating victims in the hospital and to advocate for people who have suffered emotional and physical trauma. Because positivity and caring are two of her most important values, she started a peer cry committee in its workplace to provide emergency department employees with individual recognition by their peers for their outstanding performance in patient care.

Meredith is also in the FNP program at Pace. She has worked as a hospital oncology nurse at Memorial Sloan Kettering and as a home nurse for the Visiting Nurse Service of New York City, helping chronically ill and recently hospitalized patients manage their health at home. She has also volunteered for the Friends of Nurse Family Partnership, an organization that provides home care to low-income, first-time mothers. Particularly throughout the COVID-19 pandemic, this work helped paint a more complete picture of the healthcare system for Meredith and confirmed her desire to work in primary care.

As a nurse practitioner, Meredith hopes to continue the positive experiences she has had during her undergraduate, graduate and professional studies through clinical and laboratory teaching. She is grateful to all the preceptors, educators, colleagues and nursing leaders who have helped her in her career thus far and is especially grateful to the Nurses Education Fund for making her goal of becoming a family nurse practitioner feasible.

Nurses Education Fund, Inc., (NEF) is one of the largest sources of professionally approved nonprofit scholarships for masters and doctoral nursing studies in the United States. It depends solely on donations to further its mission of promoting leadership through scholarship. This is made for professional nurses seeking a master’s and doctoral degree in nursing education, practice, research, administration, and health policy.

The need for nurse leaders in the United States is more critical than ever. NEF-funded scholars have become outstanding professors and deans of schools of nursing, renowned researchers, and expert administrators – all leading change in every field across the country and around the world. Since the NEF’s inception in 1912, more than 1,300 nurses across the United States have received NEF scholarships.

You can read the full biographies of the 32 scholarship recipients for the 2022-2023 academic year on the NEF website.

The annual online application process for the NEF Scholarships opens October 1, 2022 and closes February 1, 2023. If you are interested in applying for a Postgraduate Nursing Scholarship, please visit the NEF Website Application Page. All the eligibility conditions for receiving a scholarship are published there.

Salman Rushdie, FBI search at Mar-a-Lago, nurses strike

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Review Editor’s Note: Star Tribune Opinion publishes letters readers online and in print every day. To contribute, click here.

•••

Ever since Omar Alansari-Kreger insisted on involving Jews (and Israel, of course) in his commentary on the First Amendment and the fanatic’s near-assassination of Salman Rushdie (“Double standards and ‘freedom’ expression'”, Opinion Exchange, August 17), I suppose I have the right to answer in kind to the questions he presents.

What would I do if Rushdie published a work of fiction portraying Hitler as a messiah figure? The same I do in response to “The Canterbury Tales”, “The Merchant of Venice”, “Oliver Twist”, or any of the many thousands of similar “loathing” books written about Jews over the centuries and still published to this day. day: read them. Or maybe just ignore them, according to critics. But I would never suggest that the publication of a book be cut short lest it “incite backlash”, or that its mere words keep whole countries in a “developmental backwater”. And I would certainly never – even tacitly – condone any prejudice to the author of such a book.

It is rather strange that Alansari-Kreger turns to the Jews to support his thesis. But even worse, he draws totally wrong lessons from it.

Judah Druck, St. Louis Park

•••

I want to talk about Alansari-Kreger and his article in which he doesn’t understand why Salman Rushdie gets away with it.

Do I think Rushdie is right in his thoughts? No, and I’ve always spoken out against offensive material that crosses the line, although I think it’s important to talk about risky topics because otherwise we get trapped in rigid thinking.

It uses threats of fear and intimidation and incites violence that are absolutely unacceptable. That’s what’s so scary. This is why the attack on Rushdie deserves condemnation. This is the same reason why the incident of January 6, 2021 deserves condemnation. This is why the 2020 Minneapolis riots following the death of George Floyd deserve condemnation. This is why the protest at the home of Bob Kroll when he was president of the police union, where protesters smashed an effigy of him, deserves condemnation. That’s why the mob that trapped City Council member Andrea Jenkins in her car while harassing and mocking her deserves condemnation. That is why any threat or attack against a person because of his personal religious or political beliefs deserves condemnation.

That’s why people condemn what happened to Rushdie. It’s not because we think what he says is correct. This is because when people use violence and intimidation to get what they want or to make their message the only acceptable one, it should be exposed.

William Cory Labovitch, South St. Paul

•••

Alansari-Kreger asks if he is “really responsible for inciting people to react by exploiting free speech to attack [Muslims’] important beliefs, teachings and traditions….” If (as Alansari-Kreger apparently believes) freedom of speech must be curtailed in order to avoid inciting “backlash” from the offended, all of our rights from the first amendment are in danger.

Peter D. Abarbanel, Apple Valley

FBI SEARCH FOR MAR-A-LAGO

It seems that the truth often gets lost in political rhetoric. I would like to present the law and facts in an understandable manner regarding the recent search warrant issued to former President Donald Trump and his attorneys and the search of Trump’s home.

The Fourth Amendment to the Constitution does not allow the United States government to make “unreasonable searches and seizures.” In other words, there must be probable cause, that is, reasonable grounds to suspect a crime or crime-related property.

The Justice Department and the FBI had no authority to search Trump’s former home without the signed approval of a federal judge or magistrate. Judges and magistrates do not sign warrants for political reasons.

If the Department of Justice or the FBI does not provide the information required for a search warrant, any evidence found with the warrant is not admissible in court.

The Justice Department and the FBI provided the requirements for a search warrant that met the probable cause requirements.

The search warrant must also specifically state the location to be searched and what the Justice Department and FBI are seeking to find with the search warrant.

A search warrant was used in the case of former President Donald Trump when the Department of Justice and the FBI had to proceed quickly with a criminal investigation where US government documents were on Trump’s private property and risked to be moved, concealed, shared or destroyed. .

The Presidential Records Act of 1978 legally establishes that records found at Mar-a-Lago are the property of the United States government and not the property of the former president. It is not legal for these government documents to be stored at Mar-a-Lago.

Notably, that search warrant had nothing to do with the 2020 election, insurgency, tax evasion and other legal action against Trump. These were classified documents, some of which are “top secret”.

Notably, government documents had already been removed from Mar-a-Lago in June 2022 using a grand jury subpoena. One of Trump’s attorneys also certified that there were no longer any classified government documents stored at Trump’s Mar-a-Lago residence.

Notably, it was reported that FBI agents involved in the August 2022 Mar-a-Lago search warrant removed 11 sets of classified documents, some of which were marked “top secret”.

It’s possible that Trump could be charged with crimes under the Espionage Act or another of the laws cited in the Justice Department’s warrant.

Nancy Lee Nelson, St. Paul

The writer is a lawyer.

•••

It really does feel like the law has finally caught up with Trump. Could this be the beginning of the end for him? Most important, of course, is the DOJ which reviews violations of the Espionage Act. We also have Congress watching the January 6 attack. Then there’s election interference in Georgia, the New York City civil fraud case, and the Manhattan District Attorney fraud case. With all of this, I think Trump, 76, is scared and maybe starting to lose it. I can imagine him wandering the halls of Mar-a-Lago doing his best Norma Desmond impersonation, shouting, “I’m big! It’s the pictures that got small.”

Beth Doty, Minneapolis

NURSES STRIKE

Just as a recent letter writer said he supported Minnesota nurses against hospitals that oppress them, so too am I on the nurses’ side (“It’s high time to fix this mess,” Readers Write, August 17) . I, too, demand that hospitals put patients before profits. I called my Ramsey County tax assessor to find out that Allina United Hospital in downtown St. Paul does not pay property taxes. So, along with the other property taxpayers in our county, I’m subsidizing this hospital — whose estimated market value in 2021 was over $134 million — with funds that should be paid this year by United but aren’t because United is classed as a hospital charity. “Charity hospital”, huh? This may not seem accurate to nurses who are about to get out of there because “charitable” management ruthlessly puts them and their patients at risk of bodily harm! I support nurses who deny the uncharitable conditions of this hospital and similar hospitals in Minnesota.

For the responsibility, fiscal and otherwise, of the big bosses of health,

Diane J. Peterson, St. Paul

•••

As a registered nurse who worked in the same hospital for 36 years, for 75,000 hours, I’m done. Never in my career have I felt so incredibly disrespected and devalued as during this negotiation (“Minnesota Nurses Authorize Strike,” August 17). It really saddens me that the hospital thinks so little of its nurses and the patients we care for. I’m leaving because my values ​​no longer match the hospital; he lost his soul.

Jeanne E. Kenady, St. Louis Park

Medical groups and 20 states intervene in Idaho abortion lawsuit

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FILE - Idaho State Police form a line between attendees of an anti-abortion celebration and protesters who came to support abortion rights at the Idaho Statehouse in Boise, Idaho June 28, 2022. A legal battle over abortion rights pitting Idaho against the U.S. government has dozens of states and major medical associations seeking to weigh in.  (Sarah A. Miller/Idaho Statesman via AP, File)
FILE - Idaho State Police form a line between attendees of an anti-abortion celebration and protesters who came to support abortion rights at the Idaho Statehouse in Boise, Idaho June 28, 2022. A legal battle over abortion rights pitting Idaho against the U.S. government has dozens of states and major medical associations seeking to weigh in.  (Sarah A. Miller/Idaho Statesman via AP, File)
FILE - Idaho State Police form a line between attendees of an anti-abortion celebration and protesters who came to support abortion rights at the Idaho Statehouse in Boise, Idaho June 28, 2022. A legal battle over abortion rights pitting Idaho against the U.S. government has dozens of states and major medical associations seeking to weigh in.  (Sarah A. Miller/Idaho Statesman via AP, File)

FILE – Idaho State Police form a line between attendees of an anti-abortion celebration and protesters who came to support abortion rights at the Idaho Statehouse in Boise, Idaho June 28, 2022. A legal battle over abortion rights pitting Idaho against the U.S. government has dozens of states and major medical associations seeking to weigh in. (Sarah A. Miller/Idaho Statesman via AP, File)

FILE – Idaho State Police form a line between attendees of an anti-abortion celebration and protesters who came to support abortion rights at the Idaho Statehouse in Boise, Idaho June 28, 2022. A legal battle over abortion rights pitting Idaho against the U.S. government has dozens of states and major medical associations seeking to weigh in. (Sarah A. Miller/Idaho Statesman via AP, File)

BOISE, Idaho (AP) — A legal battle over abortion rights pitting one of the nation’s reddest states against the U.S. government has dozens of states and major medical associations seeking to weigh in.

Twenty states, Washington, D.C., the American College of Emergency Physicians, the American College of Obstetricians and Gynecologists, the American Academy of Pediatrics and others are among those who have filed “friend of the court” briefs on Wednesday, siding with the federal government’s claims that Idaho’s near-total abortion ban violates federal health care law.

“It will really put doctors in a lose-lose situation,” said Jeff Dubner, deputy legal director of Democracy Forward, the legal team representing the coalition of medical associations.

Doctors who abide by federal law will face criminal prosecution and loss of their medical license, Dubner said, and those who abide by state law could harm patient health and expose themselves, as well. than their hospitals, federal fines or loss of funding. .

Idaho’s abortion ban makes performing almost all abortions a crime, but allows doctors to defend themselves in court by showing that the procedure was necessary to save a patient’s life. The federal Emergency Medical Treatment and Labor Act requires Medicaid-funded hospitals to provide “stabilizing” treatment to patients in medical emergencies, and the US Department of Justice says this includes certain abortions.

The Justice Department sued Idaho earlier this month in federal court and asked a judge to block the abortion ban from taking effect.

Idaho’s neighbors in Oregon and Washington were among states that joined in filing another friend of court filing, saying they feared the ‘ripple effect’ that a ban on abortion could create as Idaho patients with ectopic pregnancies or other emergencies are sent to hospitals in Seattle or Portland for treatment.

States further afield, such as North Carolina, point out that their own pregnant residents could be at risk of death or injury if they become ill while visiting Idaho.

“Women’s lives are in danger because politicians are trying to take away their right to get the medical care they need,” said North Carolina Attorney General Josh Stein. “States try to ban abortion in all cases, including rape, incest and when the health of the mother is in danger. Denying health care to women when their life or health is in danger violates federal law. I am taking these steps to help North Carolinians who may need urgent care in other states as well as other women across our country.

Even if the federal government wins the lawsuit, it’s likely most abortions will remain banned in Idaho, where three major abortion bans have been enacted in the past two years.

In court papers, medical organizations have argued that the “mother’s life” provision of the ban is too narrow to apply to real medical situations and fails to take into account how quickly a pregnancy complication can become fatal.

In the case of a pregnant patient with severe bleeding, “how many units of blood should she lose?” A? Of them? Five?” the organizations wrote in court documents. “How fast must she bleed? Soak two tampons per hour? Three? How low must her blood pressure be?”

Other professional organizations that signed the amicus curiae brief include the American Medical Association, Society for Maternal-Fetal Medicine, National Medical Association, National Hispanic Medical Association, American Academy of Family Physicians, and American Public Health Association. The American Hospital Association and the Association of American Medical Colleges wrote a separate brief also supporting the Justice Department.

The states, meanwhile, have pointed out in court documents that abortion bans in other states have already led to delays or denials of emergency medical care.

A patient traveled to Michigan after being denied care for an ectopic pregnancy in her home state because the fetus still had detectable heart activity – making an abortion potentially illegal under the laws. saying heartbeat laws, according to the memoir.

In Missouri, a hospital required special approval from a pharmacist to dispense the drugs needed to stop severe postpartum bleeding for patients, leading to delays in care. And a Wisconsin patient who had a miscarriage was bleeding in the hospital for 10 days before the hospital removed the fetal tissue due to confusion over the legality of the procedure, the states said.

California, New York, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, North Carolina, Oregon, Pennsylvania, Rhode Island, Washington and Washington State , DC, all signed the amicus curiae brief.

Lawyers representing the State of Idaho and the Idaho Legislature argued that the U.S. Supreme Court’s decision reversing Roe v. Wade gave states the right to determine if or how abortions would be handled, and that the state law, dubbed Law 622, poses no risk to patients or providers.

“The government’s image of a conflict between (emergency medical treatment and labor law) and Statue 622 is fabricated and false, with no basis in fact,” attorney Daniel Bower wrote for the ‘Legislative Assembly.

The treatment of an ectopic pregnancy is not actually an abortion, and therefore is not prohibited by state prohibition, the legislature argues. Abortions performed to save the mother’s life will not be affected by law, Bower wrote, and any other emergency abortions that might be affected are extremely rare.

When they happen, the doctors will not be prosecuted, Bower wrote in the brief.

“Attorneys in this state, in the standard and ordinary exercise of their prosecutorial discretion, will not question the judgments and decisions of affected medical professionals,” Bower said.

___

Hannah Schoenbaum contributed from Raleigh, North Carolina. Schoenbaum is a member of the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on underreported issues.

Malaysia seeks inspiration from Thailand to promote the medical use of cannabis

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A pot of cannabis is seen at a dispensary in Bangkok, Thailand August 17, 2022. REUTERS/Jorge Silva

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KUALA LUMPUR/BANGKOK, Aug 17 (Reuters) – Malaysia plans to take inspiration from neighboring Thailand’s cannabis policy in its push to legalize the use of the drug for medical purposes, an official said on Wednesday. from the Ministry of Health, in a country where possession can carry the death penalty now.

The comments came after Thailand’s health minister said he would meet his Malaysian counterpart at an APEC health ministers’ meeting next week where Thailand will present its marijuana legalization work to medical purposes.

With a tradition of using cannabis to ease pain and fatigue, Thailand legalized medicinal marijuana in 2018, becoming the first Asian country in June to decriminalize the cultivation of marijuana and its use in food and drink. Read more

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“We are developing our own framework for the use of cannabis for medical purposes and want to learn from Thailand,” the Malaysian official told Reuters on condition of anonymity.

The Malaysian government was interested in learning from Thailand’s framework for medical use, he added.

The cultivation and recreational use of marijuana is now illegal in Malaysia, and possession of more than 200 grams (7 oz) of the drug carries a mandatory death sentence.

But Health Minister Khairy Jamaluddin said the importation and use of medical marijuana on a doctor’s prescription is permitted if registered and licensed with the Drug Control Authority.

In April, Khairy said the government welcomes clinical studies into the medical use of cannabidiol, a chemical in cannabis that does not give users a “high”.

Last month, state news agency Bernama said the Health Ministry intended to start registering some cannabidiol products next year after studying their safety, although approval of culture is still a long way off.

There was no immediate comment from the Malaysian justice minister.

Thailand’s Public Health Minister Anutin Charnvirakul, the main driver behind the legalization of medical cannabis in his country, estimates the industry could be worth more than $3 billion within five years.

“The topics of discussion will be how to jointly advance this type of policy to create benefits, both economically and medically,” he told a news conference in Bangkok.

“We want everyone to acknowledge the ownership of this cannabis plant,” he said Wednesday. “The more people are interested in this area, the more development and research there will be.”

Thailand has said its cannabis policy covers medical and health purposes but not recreational use, although hastily published laws have created space for such uses.

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Reporting by Mei Mei Chu in Kuala Lumpur and Chayut Setboonsarg in Bangkok; Editing by Clarence Fernandez

Our standards: The Thomson Reuters Trust Principles.

HR Strategist Cara Silletto on Market Mood: At Breaking Point

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Do you think the skilled nurse jobs slide is finally coming to an end? This may not be the case, particularly when we look at personnel in key management positions at the building level. The 2022 McKnight’s Mood of the Market paints a still gloomy picture when it comes to job satisfaction. In the fourth year of the Nurse Leaders and Administrators Survey, more respondents than ever said McKnight’s they are seriously considering quitting their jobs. And it’s not all about pay.

Listen to Cara Silletto, a wanted HR expertBreaks down the numbers with us and digs deeper to examine what’s driving the perpetual bad mood and how nursing home operators can start changing their thinking about wages, benefits and workload.

“Historically, we have been a profession of people who felt called to serve,” Silletto says.

“We should keep recruiting with that front and center and try to attract those people. But sadly, there aren’t as many people today as we find who are going to stay in a position that doesn’t pay them well enough or requires them to make sacrifices at home… We absolutely can’t think that the salary will simply solve the problem. problem or even be mission-focused and tie things to the meaning of their work. It’s not going to cut it in the long run.

This conversation moderated by McKnight Long Term Care News Editor-in-Chief Kimberly Marselas will reveal the key data points for 2022, including some bright spots, and leave some key areas for vendors to focus on in their recruitment and retention efforts.

Sioux Falls Flying Squirrels stand atop Class ‘A’

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MITCHELL, SD (KELO) – For the first time in its 10-year history, the Sioux Falls Flying Squirrels have won the Class “A” state amateur championship.

“I’m almost at a loss for words right now. These guys couldn’t be a better group of guys with me here and they do it all. They make it really easy,” Flying Squirrels manager Zach Cole said. “When I don’t see the pitch more than a third of the games, I know we have a good team and I have no problem putting these guys on the pitch for us.”

Unlike their opponent the Brookings Cubs, who came from the winners’ bracket, the Squirrels would benefit from a day of rest before the championship on Sunday.

“You know, it was huge for us. We had a few guys nursing hamstring injuries and just having that extra day off put us in a position to go with our two and three here today and Connor Hurley came in with a big time close for us and it just couldn’t have set up more perfectly for us,” Cole remarked.

But after five and a half innings, the Squirrels were trailing three to nothing.

“Usually Squirrels baseball is extremely losing and we’re having fun, but we all got together and said, this isn’t us! And then starting in the 4th and 5th innings, we played Squirrels baseball and the result ultimately favored us,” said Squirrels DH and pitcher Connor Hurley.

“We’ve been a team where once we’ve seen this guy a second or third time in the lineup, we finally start to have guys good at bats, working the count a little bit more and so we just tells the guys to stay with the process. Keep doing what we’ve been doing all year and the runs will come and they did it, we did it,” Cole recalled.

Sioux Falls scored a point in the 6th and then three more in the 7th to make it a 4-3 game. And from there, Connor Hurley’s pitching would drive them home.

“Those older guys, those guys who’ve been there 10 years, you hear about Renner winning it, you hear about the Brewers winning it, so, you know, I’m just happy for them because we were finally able to secure a championship for the Squirrels and I think there will be a lot more to come,” Hurley said.

With a save and a pitching win, while going 6-for-16 behind the plate with 5 RBIs and 4 runs scored, Connor Hurley would be named tournament MVP.

UAMS College of Medicine Welcomes Class of 2026 to Two Campuses

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Enlarge image

Susan Smyth, MD, Ph.D., Dean of the College of Medicine, addresses the audience at Robinson Center Performance Hall. The class of 2026 fills the front rows.

Image by Bryan Clifton

New doctors-in-training gathered for the first in-person ceremony celebrating this rite of passage since 2019, before the COVID-19 pandemic hit. But this time, the gathering of class members was split between Robinson Center Performance Hall in Little Rock, which the majority of the 188 freshmen attended, and Butterfield Trail Village in Fayetteville, where 17 of them start. medical school.

Three of the 17 at the Northwest Regional Campus are enrolled in the Accelerated Primary Care Program, which began last year and is offered only at the Fayetteville campus. The other 14 students – along with their counterparts from Little Rock – are enrolled in the traditional four-year track. Students in both streams will obtain a doctorate in medicine at the end of their studies.

Until last year, all students on their way to four years had to start medical school on the Little Rock campus, with the option of completing the final two years of study in Fayetteville.

Recite the medical student oath before going on stage to put on their white coats, resting in the chair in front of each student.

Recite the medical student oath before going on stage to put on their white coats, resting in the chair in front of each student.

Linda Worley, MD, associate regional dean of the Northwestern Regional Campus College of Medicine, told incoming students that this is the first time that enrollment at Northwestern Campus has included students at all stages of the faculty of medicine.

Before students appeared on stage in single file to have their white coats draped over their shoulders by a faculty advisor, sometimes with a family member, UAMS Chancellor Cam Patterson, MD, MBA, told them, “I am so grateful that you have chosen health care as your profession, and I am so envious of the journey you are about to take.

After receiving their white coats, the students posed with their families on stage while having their pictures taken.  Photo of a student in a white coat and her family

After receiving their white coats, the students posed with their families on stage while having their pictures taken.

Students assigned to Fayetteville-based Compton University House were the first to officially don the mantle – a shorter version of the one they will receive after graduating from medical school. Then all eyes turned to the larger crowd in Little Rock, where students approached the stage in groups near the academic houses.

Patterson told aspiring doctors to appreciate taking their time talking to patients while they’re students, and later residents, because “you may never have another chance to talk to patients as long as that, once you get past medical school.”

“It’s going to be four tough years,” he said. “You are going to accomplish so much. You’ll be an incredibly different person when you’re done.

The students were selected from 409 interviewed applicants, including 77 from out of state. Only 7% of the 2,730 applicants were accepted.

For some students, medicine is a family affair.

For some students, medicine is a family affair.Bryan Clifton

According to Tom G. South, assistant dean of medical student admissions at UAMS, those selected are between the ages of 21 and 37, with an average age of 23. Fifty-two percent are women. Most of them – 72% – majored in one of the traditional sciences, with biology leading the way at 43%. Psychology and biomedical engineering majors were the most common non-traditional science majors.

“I can’t think of a more exciting time to begin a journey to become a doctor,” said Susan Smyth, MD, Ph.D., executive vice chancellor and dean of the College of Medicine. “Congratulations on all of your accomplishments and accomplishments that have brought you here today.”

“You were selected,” she said, “because we know you can contribute to our mission, which is to improve the health and well-being of Arkansans and those in our region, our countries and around the world.With this as a guiding principle since 1879, we have graduated over 10,600 doctors.

“Tonight,” she said, “you will recite the medical student oath and don that important emblem of our profession, the white coat. The mantle symbolizes your commitment to the science of medicine, the art of healing, and service to humanity. It symbolizes your commitment to uncompromising ethical and professional standards. Our professional standards are like guardrails that guide us and focus us on what matters most, such as respecting the backgrounds and perspectives of our patients, especially when they differ from our own.

Students also heard from Danny Wilkerson, MD, professor of anesthesiology, former president and chair of the board of the Arkansas Medical Society, and Rebecca Latch, MD, associate professor in the UAMS Department of Pediatrics. in 2000 and gave the keynote address.

Latch said that when he was asked to give the speech, “it actually brought back memories of my own white coat ceremony in 1996, which, believe it or not, was the inaugural white coat ceremony. white”.

She urged students to remember four lessons she learned from her years in medical school: 1) they all deserve to be here, 2) they have to put in the work to keep deserving to be here. here, 3) they need to take care of themselves so they can take care of others, and 4) they each need to “find their people”, i.e. those who challenge them, support them and can frame them.

Rebecca Latch, MD, was the keynote speaker.

Rebecca Latch, MD, was the keynote speaker.Bryan Clifton

“Nobody’s perfect. We all make mistakes, and it’s what you do with those mistakes that defines you,” Latch said.

She implored them: “Although your career is a big part of your life, it is not your whole life. Medical school is tough, and I’ve seen colleagues drift away from loved ones and lose the connections and pursuits that matter. Y’all, don’t do this. This is when you need your support system the most.

After reciting the Medical Student Pledge aloud, led by James Graham, MD, Associate Executive Dean for Academic Affairs, the students donned their white coats, one by one, ready to begin their medical training.

Sara Tariq, MD, conducted the ceremony.

Sara Tariq, MD, conducted the ceremony.Bryan Clifton

Sara Tariq, MD, the college’s associate dean for student affairs who conducted the ceremony, concluded with these words, “I wish and pray that you will be well off in the past few years. I wish trust with humility. I wish courage and an open heart for others. Above all, I hope, wish and pray that you have a rewarding journey ahead. Welcome to our profession and to our UAMS family.

Iredell Health System Welcomes Clinical Social Worker to Iredell Psychiatry | Iredell Health System

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Iredell Health System, in partnership with the Iredell Physician Network, is pleased to welcome Shykita E. Hill, MSW, LCSW-A, to Iredell Psychiatry.

Hill is a licensed clinical social worker with 22 years of experience in the mental health and addictions field. As a clinical social worker, Hill helps patients overcome difficult challenges and improve their physical, mental, emotional and social well-being.

Hill has been a therapist for three years, treating patients of all ages, including children, adolescents, the elderly and adults charged with criminal offenses. She also has experience in family therapy.

Hill believes in a holistic approach to medical care, tailoring treatment to the individual and their specific needs.

“Treatment should be based on needs and strengths. It is important to adopt a holistic approach and to consider the person as a whole and apart from his environment. My goal for my patients is to empower them to make the best decisions for their mental health and overall well-being,” she said.

When first meeting Hill, patients will be greeted with a warm smile and a listening ear. Hill’s patients can expect someone who will listen carefully to their concerns and help them take control of their mental health.

Hill received her bachelor’s degree in sociology and criminal justice from Shaw University in Raleigh, North Carolina. Later, she earned her Masters in Social Work from Simmons University in Boston, Massachusetts.

Hill earned her undergraduate and graduate degrees with Magna Cum Laude honors, achieving both while being a mother. She is also a member of the Alpha Kappa Mu Honor Society.

Hill is a devoted wife and mother of two. She has a daughter, who is in her second year at university, and a 16-year-old son with special needs. Hill and his family enjoy riding bikes and playing fun games.

Her favorite health tip is to walk 30 minutes every day.

Hill will practice at Iredell Psychiatry, located at 766 Hartness Road, Suite A, Statesville. If you would like to make an appointment with Shykita Hill, please call 704-380-3620.

Research Assistant, Alice Lee Center for Nursing Studies job with NATIONAL UNIVERSITY OF SINGAPORE

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job description

Alice Lee Center for Nursing Studies (ALCNS)

Appointment period: 1 year in first instance, with possibility of extension up to 1 year.

Planned start of work: as soon as possible

Functions

The designated person will assist the project manager in the following areas:

  1. oversee the general management and assist with administrative and secretarial support of the project (e.g., organizing regular research meetings, recording meeting minutes);
  2. assist in literature review and preparation of manuscripts;
  3. perform desk research, using SPSS to enter data, analyze data and maintain trial databases, as well as assist in preparing project progress and final reports;
  4. undertake day-to-day project management at the study site (such as assisting with ethical enforcement and modification, recruitment, delivery of interventions, and data collection at study sites);
  5. maintain the highest standard of professional conduct and record keeping in accordance with policies and procedures;
  6. work on other assigned tasks.

Qualifications

The applicant must:

  1. have a degree in nursing/psychology/public health or related discipline;
  2. work experience with the management of research projects or having an honors degree will be preferred;
  3. experience in conducting intervention research;
  4. be able to work independently and in a team, have an investigative spirit and have an eye for detail;
  5. have knowledge of computer applications (such as SPSS and MS Office, PowerPoint); and
  6. have good communication skills with patients and colleagues, and fluency in English.

Remuneration will be commensurate with the candidate’s qualifications and experience. Preference will be given to those with previous experience in project management and intervention research.

Formal application:

Please submit your application, indicating current/expected salary, along with a CV and full contacts of 3 referees. We regret that only shortlisted candidates are notified.

Covid-19 message

At NUS, the health and safety of our staff and students is one of our top priorities, and the COVID vaccination supports our commitment to keeping our community safe and making NUS as safe and welcoming as possible. . Many of our roles require a significant amount of physical interaction with students/staff/audience members. Even for professional roles that can be performed remotely, there will be instances where on-campus presences will be required.

As per Singapore legal requirements, unvaccinated workers will not be able to work on NUS premises from January 15, 2022. Thus job applicants will need to be fully vaccinated against COVID-19 to gain successful employment with NUS .

More information

Location: Kent Ridge Campus

Organization: Yong Loo Lin School of Medicine

Department: Alice Lee Center for Nursing Studies

Eligible Employee Referral: Nope

Job Application ID: 13932

Should you watch ‘Day Shift on Netflix?

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Day shift – Picture: Netflix

East Day shift worth watching on netflix? Here’s our review of the new Jamie Foxx movie which landed on Netflix on August 12, 2022.

Day shift stars Jamie Foxx as Bud Jablonski (Project Power), Dave Franco as Seth (6 Underground), Meagan Good as Jocelyn Jablonski (Shazam!), Snoop Dogg as Big John Elliott (Dolemite is my name).

A hardworking blue-collar dad who just wants to provide a good life for his quick-witted 8-year-old daughter. His mundane job cleaning pools in the San Fernando Valley is a front for his true source of income: hunting and killing vampires.

Why are we looking for the profession of “vampire hunter”?
If you’re classic characters like Blade, you do it because a vampire killed your mother and turned you into a half-bloodsucker yourself.

If you’re Bud Jablonski in Day Shift, that’s just a job. Did he ever meet vampires when he was young? Did something tragic happen to him involving the undead? Never comes. Why is he doing something so dangerous that puts him and everyone he loved in danger? For the salary. Does it pay well? Does he turn it on in California? He has a terrible apartment and can’t pay the rent. So he has a moral code that drives him forward? Make things safe for the world? Not particularly. This level of character development and world-building (or lack thereof) makes this film feel like a work of art when you watch it.

Perhaps, in more experienced hands, this movie might have solved some of those issues. Unfortunately, this film is the first screenplay and story credit for Tyler Tice and the directorial debut of longtime stunt coordinator/2nd unit director JJ Perry. Even with the added help of experienced screenwriter Shay Hatten (John Wick: Chapter 3, Army of the Dead), this story gives us very little to remember. A villain with no clear vision, a union of vampire hunters without a story, and a host of supporting characters that serve very little to the plot (I’m looking at you, nurse neighbor).

I don’t ask for much when it comes to action comedies, but I want to follow my protagonist in battle from the simple thread he has traced throughout the film. This movie didn’t do that for me.

quarterday netflix august 2022

Photo: Parrish Lewis/Netflix

The movie isn’t that bad though.

Some action scenes shine like you’d hope from a longtime stunt coordinator at the helm. Snoop Dogg makes the most of his few scenes as the legendary (?) Big John Elliott. Some choice musical selections from the infamous gangsta rap era of the 90s no doubt inspired by the casting of Snoop Dogg. And my movie MVP Dave Franco brings some levity to an overly serious Jamie Foxx.

In this movie, Dave Franco brings back the charm of the straight guy and has a lot of fun doing it. From peeing his pants several times to explaining the virtues of Dusk saga, Dave Franco’s “Seth” character brings the weak side of the buddy cop duo energy that the movie desperately needed.

However, by the end of the film, we’re left with a loosely put together vampire film that doesn’t dive into lore or shine in its entertainment value. After that and the lack of success of Project Powermaybe I’ll think twice before pressing the new Jamie Foxx movie that Netflix is ​​releasing next year.


Netflix’s Best Day Shift Scene

In the one and only scene of dynamic vampire slaying duo The Nazarian Brothers, Bud reluctantly decides to share the profits of working with them. What begins as a simple takedown of a few vampires turns into the discovery of a vampire nest and arguably the best action scene of the entire movie! Garlic pomegranates, garlic gum, knife shoes, beheadings, and plenty of dead vampires make this the scene to behold.

Thanks to the team for starting with “Shimmy Shimmy Ya” by Ol Dirty Bastard.

RIPODB.


Watch Day Shift if you liked

  • the lost boys
  • Blade
  • buffy the vampire slayer
  • night teeth
  • Vampires Against the Bronx
  • Project Power
  • Horrible bosses

Should you watch or skip Day Shift on Netflix?

PAUSE! Jamie Foxx’s Netflix outing continues to be uneven, and he’s certainly been more fun, but there’s stuff to entertain here.

what did you think about Day shift on Netflix? Let us know in the comments below.

Apple TV+’s Five Days At Memorial Explores ‘When Doctors Are Forced To Play God’

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When Hurricane Katrina tore through New Orleans, doctors at Memorial Medical Center had to make impossible decisions, as Rachael Davis discovers.

On August 29, 2005, Hurricane Katrina made landfall near the city of New Orleans, Louisiana. It battered the city with high winds and floods, leaving death and destruction in its wake. As of August 30, 80% of the city was flooded. Some areas were under four meters of water.

Fortunately, the vast majority of the city’s residents were evacuated before Katrina struck, but at least 100,000 people remained in the city. That figure includes some 2,000 patients, doctors, nurses and civilians at Memorial Medical Center in Uptown New Orleans.

The story of those fateful days after Hurricane Katrina hit Memorial Hospital is now being told in the new Apple TV+ miniseries Five Days At Memorial, based on the Pulitzer Prize-winning investigative journalist’s book Sherry Fink.

“Nothing compares to this. I don’t think anyone can say they’ve been through a hurricane as bad as this,” says Robert Pine, 81, who plays Dr. Horace Baltz, one of the doctors the oldest in the Memorial.

“I remember when it happened, watching the news…you could only feel empathy for these people and what they were going through.”

Subjected to high winds, catastrophic flooding and a power outage, Memorial was surrounded by flood water, had no sanitation and began experiencing indoor temperatures of up to 110 degrees Fahrenheit – 43° C – leaving patients and staff in dire straits. The evacuation was slow and delayed, and it was unclear whether the hospital’s sickest patients would survive the ordeal.

By the end of the crisis, 45 bodies had been discovered in the hospital’s makeshift morgue: more than any hospital of similar size in the city. What happened to Memorial in those days of catastrophe? Why were there so many bodies? And, above all, was the death of these people accelerated by the very hospital staff responsible for caring for them?

Primetime Emmy-nominated Bates Motel star Vera Farmiga plays Dr. Anna Pou, the highly respected head and neck cancer surgeon who remained at the Memorial throughout the crisis to help patients and was later arrested on charges of second-degree murder and conspiracy to commit second-degree murder, charges that she and her colleagues euthanized patients trapped in the hospital after the storm with lethal doses of drugs.

“Anna Pou was revered by her patients,” says Farmiga, 48.

“She’s the epitome of a good doctor: a bright, calm, unassuming woman who can come across as a bit aloof at times, like many surgeons. The truth about her is that she’s all about the work. And, she is fanatically committed to her patients.

“When everything, and I mean everything, falls apart at Memorial, she is one of the people who steps in and quietly takes matters into her own hands. Anna has chosen to stay and care for her patients and help others .She’s the kind of person who gets the worse things get.”

Dorset Echo: Undated photo from Five Days At Memorial.  Pictured: Vera Farmiga as Dr. Anna Pou Mulderick in Five Days At Memorial, premiering on Apple TV+.  See PA Feature SHOWBIZ TV Five Days At Memorial.  Image credit should read: PA Photo/AppleTV+.  WARNING:

While a grand jury chose not to indict Pou in 2007, the story of what happened at Memorial continues to raise ethical and legal questions about the roles and responsibilities of medical professionals in situations of disaster.

“It’s a horrible circumstance when doctors are forced to play God,” says Five Days at Memorial executive producer, writer and director Carlton Cuse, best known for his work on Lost.

“That’s part of what we’re exploring here: the ethics of what happens in a crisis when tough decisions have to be made about who gets resources and who doesn’t.”

During the Covid-19 pandemic, there were fears that ventilators would be rationed, that doctors would be forced to make impossible calls to find out who would be ventilated and who would not – which is why Cuse felt that the moment had come to tell the story. of Memorial on TV.

“I think it’s important to recognize that what we’re going through has a context, that there’s a story here, that there are other examples of these kinds of circumstances,” he says.

“Hopefully we can put ourselves in a position to do better. Putting medical workers in a position where they have to make some really untenable decisions about limited resources in a medical crisis… there just isn’t right answer. It’s a horrible circumstance.

“And I think with a little planning and forethought, we wouldn’t end up in those circumstances.”

Dorset Echo: Undated photo from Five Days At Memorial.  Pictured: Julie Ann Emery as Diane Robichaux and Robert Pine as Dr. Horace Baltz in Five Days At Memorial, premiering on Apple TV+.  See PA Feature SHOWBIZ TV Five Days At Memorial.  The photo credit must

At a 2007 rally marking the first anniversary of Pou’s arrest, speakers warned that doctors could leave in droves if a doctor was charged after serving in a disaster – and the treatment of doctors and nurses is a hot topic on both sides of the post-pandemic pond.

“I wanted to work on Five Days At Memorial because it’s about everything that’s happening right now,” says Cherry Jones, 65, who plays Memorial’s director of nursing, Susan Mulderick.

“Whether it’s the climate or racial injustice, or our healthcare workers who are now our soldiers on the front line again and again and again.

“During Covid, my little hospital in Henry County, Tennessee went from 800 staff to 300 now,” Jones adds.

“Healthcare workers are our soldiers now. And I will say part of the reason it works so well is because Carlton Cuse and John Ridley are honorable men, and they understand the importance that a story like this one is broadcast on television. .

“So people on their couches are going to be thinking and asking these tough questions, all these questions about ethics, and people are going to be debating it for years.”

But Five Days At Memorial isn’t just a cautionary tale about the healthcare profession: it’s also a warning about climate change.

Dorset Echo: Undated photo from Five Days At Memorial.  Pictured: An image from Five Days At Memorial, premiering on Apple TV+.  See PA Feature SHOWBIZ TV Five Days At Memorial.  Image credit should read: PA Photo/AppleTV+.  ATTENTION: this image should only be

On July 19, 2022, the UK recorded its hottest day on record at 40.3C, and this July was England’s driest since 1911. The warning about the impact of weather extreme weather and natural disasters is one we should all be heeding.

“John Ridley and I talked about how the story rhymes,” Cuse explains.

“I think we all hope people learn from these kinds of experiences, but yet it seems hard to do. With global warming, and with the increasing number of extreme events like this, are we able to Are we able, as a human species, to be ready the next time these things happen, or to somehow take the necessary steps to perhaps mitigate these events?

“I do not know.”

Five Days At Memorial comes to Apple TV+ on Friday, August 12.

Medical Syringes Market Structure, Industry Inspection and Forecast 2026

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The business intelligence summary of Medical Syringe market aims to answer all queries of the stakeholders concerning the key factors contributing to or hindering the industry performance. It recommends solutions to effectively tackle the challenges that stymie progression, and help businesses explore untapped avenues. Moreover, the document includes case studies on the COVID-19 pandemic to infer the consequences of the outbreak on this vertical and assist firms in staying afloat amid such turbulences.

Key highlights from COVID-19 impact analysis:

  • Global status of COVID-19 and its economic impact
  • Current and Future Implications of the Pandemic on Market Growth
  • Risk analysis with business expansion in a changing environment

An overview of the regional landscape:

  • Geographically, medical syringe market segmentation includes North America, Europe, Asia-Pacific, South America, Middle East & Africa, Southeast Asia.
  • A conclusive overview of the behavior of each regional market in terms of growth rate over the analysis period is provided.
  • Information related to revenue, accumulated sales, and growth rate of each domain is included in the document.

Request a sample copy of this report @ https://www.newsorigins.com/request-sample/46473

Other Highlights of the Medical Syringes Market Report:

  • Blood collection, intravenous and catheter make up the product landscape of the medical syringe market.
  • Detailed data regarding past and future approximations of value, production and growth rate of each product segment are covered.
  • The research divides the application spectrum of the medical syringe market into hospitals, clinics, and homecare.
  • It assesses the growth, consumption, and value of each application over the forecast period.
  • Ttttplayercommaseprate are the major companies defining the competitive landscape of the Medical Syringes market.
  • Critical information about the revenue, sales, service offerings, products manufactured, gross margins and pricing model of the mentioned companies are elucidated.
  • The report includes a PEST assessment to give a better understanding of the industry to existing and new players.
  • The document also includes a “market entry strategy” focusing on the distribution model, customers, price, messaging and product position, to guide potential entrants to smoothly venture into the market. .

Influence of the Medical Syringes Market report:

  • Comprehensive assessment of all opportunities and risk in the Medical Syringes Market.
  • Recent innovations and major events of the Medical Syringe market.
  • A detailed study of business strategies for growth of the Medical Syringes Market-leading players.
  • Revealing study regarding the growth area of ​​Medical Syringes Market for forthcoming years.
  • In-depth understanding of major and minor Medical Syringes Market drivers, restraints and markets.
  • Favorable impression amid vital technological and market latest trends striking the Medical Syringes Market.

The vast assortment of tables, graphs, charts, and graphs obtained in this market research report generates a strong niche for in-depth analysis of the ongoing trends in the medical syringe market. The report also examines the latest developments and advancements among key market players such as mergers, partnerships, and achievements.

Medical Syringes Market Research Reports Include PESTLE Analysis:

  • PORTER’s Five Forces Analysis
  • Analysis of the competition scenario in the market
  • Product life cycle analysis
  • Analysis of production by region/company

Medical Syringes Market factors affecting:

In short, the Global Medical Syringes Market report offers a one-stop solution for all the key players covering various aspects of the industry such as growth statistics, development history, industry share, presence on the Medical Syringes Market, Potential Buyers, Consumption Forecast, Data Sources, and Beneficial Conclusion.

MAJOR REPORT TOC:

Chapter 1 Industry Overview

Chapter 2 Production Market Analysis

Chapter 3 Sales Market Analysis

Chapter 4 Consumption Market Analysis

Chapter 5 Comparative Analysis of Production, Sales and Consumption Market

Chapter 6 Major Manufacturers Production and Sales Market Comparison Analysis

Chapter 7 Major Product Analysis

Chapter 8 Major Application Analysis

Chapter 9 Industry Chain Analysis

Chapter 10 Global and Regional Market Forecast

Chapter 11 Major Manufacturers Analysis

Chapter 12 New Project Investment Feasibility Analysis

Chapter 13 Conclusions

Chapter 14 Appendix

Customization request for this report @ https://www.newsorigins.com/request-for-customization/46473

ER nurse regrets quitting her job in great resignation

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  • Jade, a 24-year-old nurse in Georgia, was working in a small emergency room when the pandemic hit.
  • She left for something more stable but had to take a pay cut and doesn’t have great benefits.
  • She thinks nurses have no power despite the Great Resignation and need unions.

Jade, a 24-year-old nurse, always said she would leave the ER if she ever lost her compassion. That was before the pandemic made her job too hard to keep, making her one of many frontline workers who quit their jobs – but still remained helpless if they stayed in their fields.

Jade, whose real name and employer are known to Insider but withheld for confidentiality reasons, has worked as a nurse since she was 20 years old. She was drawn to the pace of a small-town Georgia ER she joined before the pandemic hit.

“It’s kind of a high chaos balance and then you recover,” she said.

All of that disappeared when the pandemic hit. Like millions of workers, Jade’s job changed drastically in March 2020. But instead of working from home and doing Zoom happy hours, she faced a complete emergency in an area with few mitigation measures or virus masking.

“We were overtaken pretty quickly, and there was no sign of stopping,” Jade said.

“It was really hard not to be simultaneously mad at people who weren’t taking the pandemic seriously and questioning us as we tried to take care of them,” Jade said.

It weighed on her and took away the pleasure of breastfeeding. She quit to try an emergency room at another hospital, but found many of the same problems. It was a riddle that revealed how quitting for a different role wouldn’t necessarily change the issues that were causing it – they were widespread and systemic. One day, she found herself balancing two patients in intensive care, another patient with COVID-19 and a fourth from an ambulance.

“Honestly, I had to take a moment in the supply room that day to cry, because it’s really hard to know where you should allocate your attention when you have four patients, two of whom are critically ill,” a- she declared. “That’s when I decided I needed to find a less stressful job.”

Last August, she quit ER nursing altogether. Jade has become one of near-record numbers of Americans quitting their jobs for a better deal, but she’s also come up against the constraints of how much a job change can change material working conditions, as her new job always came with tough trade-offs. . The power to quit a job is often the only power a worker can wield, and even that is not available to everyone. In nursing, where shortages abound, it may not be difficult to get a new supply, but systemic problems are harder to escape.

“There’s Nowhere to Go”

In the fall, Jade started working as a senior nurse for a cardiologist. She was drawn to the hours – 8 a.m. to 5 p.m., instead of the 12-hour shifts expected in the ER. She would not have to work nights, weekends or holidays.

“I love the work I do,” she said. “I learned a lot more about cardiology and I love nursing. So learning about it is a plus in my book.”

But there were compromises. She had to take a $5 an hour pay cut. She’s the only nurse in the practice. She also has no bank of sick days and instead has to use paid time off, which she accumulates over time.

“When I started this job, I didn’t know I had asthma at the time, but I got quite sick and had to be away for a week before I started accumulating catches. by force,” she said. This means it started with a negative PTO balance. When she contracted COVID earlier this year, she also had to take the PTO for the five days she had to quarantine.

While Jade would “love” to find another job, she needs the health insurance her current role affords, especially as she deals with her own medical issues. Jade grapples with how much the Big Resignation – and job change – can change an individual’s circumstances. Its current role provides better conditions and experiences than weathering emergencies during the pandemic, but that doesn’t mean the underlying factors have changed.

“A lot of people have floated the idea that workers, especially nurses and other healthcare workers, have a lot of power right now because we’re in high demand. That’s absolutely not true,” a- she declared.

For example, she receives e-mails and calls from people offering travel contracts that would earn her twice as much for an hour as she would in a hospital.

“If worker power is having as many job offers as you want, then yes, we have the power,” Jade said. “But if that means being able to have more time off than I do on my shift if I want to work in the ER, or being able to be sick without fear of being fired, then we don’t have that.”

This is likely due to companies exercising what is known as monopsony power, where they have the ability to dictate wages and working conditions due to a lack of competition. The Treasury Department found that workers earned 15-20% less than in a “perfectly competitive market.” Solutions to reduce monopsony could include raising the minimum wage and tougher antitrust measures, according to the Treasury.

Many people told her to try her hand at lucrative travel nursing because “there’s nowhere to go.” This seems like the only option where if it’s “crappy” at least “you’ll get paid a lot”.

“I either have a place where I have solid 12 hour shifts, I don’t have to worry about staying late – but also you don’t have a lunch break. You eat if you have the time and if you don’t have it, well, you don’t,” Jade said. “Or I can go to another place where you have a lunch break, but you’re gonna have to try and balance the work of two people for 12, maybe 13 hours.”

The only thing that could bring real power to nursing workers, she said, is unionization. Her mind was blown when she heard that some union nurses have a protected lunch break and safe patient ratios – things fledgling doctors’ unions also demanded at work.

“We talk, we know it sucks, we all yell at each other, but we all know there’s nothing we can do,” she said. “So this collective action, I think, seems to be quite powerful where it works.”

A Wayland firefighter and nurse work together to save the life of a woman aboard a flight to Fort Meyers

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For immediate release
Wayland firefighter and paramedic Lindsay Byrne (left) and her sister, nurse Nicole Kelly, helped rescue a woman who became unconscious during a flight from Boston to Fort Meyers last week.

WAYLAND – Chief Neil McPherson wants to share that Wayland firefighter and paramedic Lindsay Byrne and her sister, a nurse, helped rescue a woman who became unconscious on a flight from Boston to Fort Meyers last week.

On Monday, August 1, firefighter Byrne and her sister nurse Nicole Kelly – who works at Lahey Hospital & Medical Center in Burlington and as a traveling nurse – were on a Jet Blue flight traveling from Boston Logan International Airport at Southwest Florida International Airport when a woman was found unconscious in an airplane lavatory.

Flight attendants called for help from anyone with a medical history through the plane’s intercom, and Firefighter Byrne, Nurse Kelly and another Florida firefighter sprang into action.

The three assessed the woman and found that she was unconscious, had grayish-blue skin, a weak pulse and had difficulty breathing. Following the assessment, the group determined that the woman had a diabetic emergency.

They made the woman sit up to clear her airways and gave her sugar packets by mouth, which helped her regain consciousness. They stayed with the woman until the plane landed in Fort Meyers, where she was taken by ambulance to an area hospital.

“Incidents like these are what first responders and medical professionals train for. To see this training and professionalism put into action beyond our small community and in an environment with limited resources is a proud moment for the department that has made a difference in someone’s life,” said Chief McPherson . “I commend Lindsay and Nicole for working together and using their two unique skills to take this quick and vital step while flying on an airplane.”

Firefighter Byrne has been a member of the Wayland Fire Department since 2018.

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Schoolhouse Mobile Clinic helps with flood relief | New

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Eastern Kentucky continues to experience record flooding and people are in desperate need of medical attention.

In response, Lake Cumberland Regional Hospital sent a mobile clinic to eastern Kentucky filled with medical supplies as well as water, food, cleaning supplies, baby items, blankets and more. again to lessen the damage done to the people of Eastern Kentucky.

Many of these items have been donated by people across the Commonwealth to treat those most affected.

The Schoolhouse Mobile Clinic was established in 2019 to help school children whose parents are too busy at work to have their children treated in hospitals. However, the clinic has since expanded its care to provide disaster relief to Kentucky residents.

A notable example of this was after last year’s tornado, which ripped through western Kentucky and killed 58 people.

The seven-person team that traveled to eastern Kentucky included Dr. Barry Dixon, president of medical services and Valerie Allen, APRN with Lake Cumberland Schoolhouse Health.

Hailing from the eastern part of the state themselves, their need for relief was personal.

“One clinic I stopped by and visited was Isom, where I’m from,” Dr Dixon said. “There are two feet of mud in the parking lot and in the building. They’re still shoveling that with the Bobcats. It’s just amazing. Until you see it first hand, you just don’t realize.

Dr. Allen clarified the team’s goals in a press release.

“The Mobile Clinic’s mission is to be ready at a moment’s notice to help citizens in need, and right now our neighbors in eastern Kentucky need our help,” Allen said.

Robert Parker, CEO of Lake Cumberland Regional Hospital, said, “We are concerned about the communities affected by the flooding,” he said. “We are using our resources to provide immediate relief and recovery assistance to those affected by the storm. We thank everyone involved for their tireless efforts and want to do everything we can to help them.

Dr Dixon said a spike in positive COVID-19 cases could be expected due to people huddle close together to shore up resources.

“You have all these people coming to a central place to get [resources]”Dixon said. “For example, if you look at Gospel Light Church in Hazard right now, there are 89 people living there in that church.”

Those people whose homes were washed away by the stormy waters have few methods of self-isolation.

“You go to other relief locations, there are 100 people here, there are 132 people here, and they’re all together, so you’re going to see the number of COVID cases increase dramatically.”

The main concern of the team was to provide vaccines to the victims. Muddy water easily gets into small cuts that can cause infection, and making sure people are properly inoculated has been a top priority.

Among the most important vaccinations is tetanus. Also known as lockjaw, tetanus is a bacterial infection that causes painful muscle twitches and spasms.

Although vaccinations against this disease are common, the risk of contracting this disease is low under normal circumstances. However, due to the contaminated water that fills eastern Kentucky, people are at high risk and likely haven’t had a tetanus shot in years.

“The last tetanus booster I got was 17 years ago, I just didn’t think about it and I’m in the medical profession,” Dixon said. “So most people are well over 10 years old.”

Hepatitis A was also a major risk, and many flood victims were also vaccinated against it.

“Mainly vaccines. People arrive with cuts and scrapes. A gentleman chained himself to a security gate to prevent him and his wife from washing,” Dixon said.

LCMA nursing supervisor Rob Edwards, who also traveled with the team to eastern Kentucky, estimated that 100 tetanus shots were given on the last day the team was there.

“We ran out of doses early in the morning and had to ship more,” Dixon said.

Dixon claimed that only half of the people who needed vaccines were flood victims. The others were rescue teams who needed reinforcements to continue pulling people out of flooded areas.

Fortunately, Dixon said, as vaccine concerns grew in relation to COVID-19, people were more than willing to get their shots.

“Most people, if they cut or scratch themselves, will take a tetanus shot quite easily. It’s not like giving vaccines. COVID vaccines, you have to put aside a lot of fears,” Dixon said. “People who have been cut and skinned and scratched, they just walk up and get a tetanus shot. Quite easily. We really don’t need to tell a lot of people about this one.

Medical supplies are scarce, and it was the mission of the teams to provide as many as possible. Dixon spoke about the Letcher County Clinic, which was destroyed by flooding and lost nearly all of their medical supplies. Electronically stored medical records will likely be recoverable, Dixon says, but little can be recovered beyond that.

“They lost everything. Both of their clinics were six to seven feet under water,” Dixon said.

The team provided them with everything they could – even “simple” items like glucometers and blood pressure cuffs were a necessity.

“They say, ‘We have a lot of help. We just need supplies. We have the bodies to see the people; we just need supplies to take care of these people,” Dixon recalled.

Dixon said one overlooked item of necessity was cleaning supplies. Thanks to donations, those in eastern Kentucky have clothes and “tons” of drinking water. However, items to help destroy mold by capitalizing on the moisture provided by flooding are invaluable.

The gymnasium at East Perry Elementary School had been stocked with relief items. Dixon recalled the donations filling the building to the brim available to those who needed help.

“You can’t describe it,” Dixon said. “You go to this big gym, and it’s wall to wall with clothes and diapers and formula. Every square centimeter contains something.

Dixon estimated that thousands of people had already come to receive donations.

He noted, however, an unfortunate drop in help from those in Kentucky whose passion for helping people had waned as the crisis sees no quick end.

Dixon said: “They had almost 600 volunteers the first day they opened this school to help distribute supplies and unload. The next day they received 500 cents. The next day 400. It’s like anything else. The fear is that people forget it. In about two to three weeks, that’s history.

“It’s going to take months of ongoing care,” Dixon continued.

Cleaning up floods and repairing roads is just a small part of reversing the damage.

“A lot of these places, there’s a total loss of everything. There are no trailers. There are no houses. There is nothing,” Dixon said.

Efforts to provide housing and buildings that provide important social services like schools and shops could take months to mobilize.

Dixon told what he felt was the most heartbreaking story. The team members traveled to the town of Buckhorn which had suffered some of the worst destruction. An elderly man’s house was in ruins and had no choice but to abandon it.

Dixon said: “They were taking food and giving it to people who were afraid to leave their homes and caravans because of the looting. What’s left, they were afraid someone would steal. So they don’t have running water. They have no electricity. It is 95 degrees the day we deliver food. It’s miserable. and the only little guy is over 80, and he was born and raised in Buckhorn. and he lived there all his life. He has no other family members here.

The man said he should eventually leave Kentucky and stay with his daughter in Ohio. “I have no other choice,” the man said.

“That’s the thing you see. People are displaced and have to move. There is no quick rebuild,” Dixon said.

Although the situation was grim, Dixon was still optimistic about what the team had accomplished. The team was deeply moved by the ordinary people who responded to the disaster that threatened their home.

Pennsylvania advocates push Congress to reauthorize home-visiting programs for children and parents

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Approximately 3,000 households receive home visitation services statewide; advocates say the program only reaches a fraction of eligible families due to funding constraints.


  • Kate Giammarise/WESA

In this August 7, 2018 photo, a doctor performs an ultrasound on a pregnant woman at a Chicago hospital.

Teresa Crawford/AP Photo

In this August 7, 2018 photo, a doctor performs an ultrasound on a pregnant woman at a Chicago hospital.

Federal authorization for a program that helps pregnant women and families with young children will expire at the end of September, and Pennsylvania advocates are pushing Congress to renew it to avoid any service disruptions.

The Mothers, Infants and Early Years Home Visiting Program provides home visiting services — a voluntary program for parents of very young children.

Home visiting programs vary. Depending on the program, the home visitor may be a nurse, social worker or child development professional. While some programs restrict services to low-income families, others are open to families at any income level. All aim to help educate families about parenting and child development and help them through what can be an intense and stressful time.

Approximately 3,000 households receive home visitation services statewide; advocates say the program only reaches a fraction of eligible families due to funding constraints.

“There is a lot of library research that highlights the benefits of MEICHV-funded home visits, including reduced maternal mortality and morbidity; improvements for infants, children, health, school readiness, family focus and promoting the well-being and stability of the whole family,” said Sarah Rittling, Executive Director of the advocacy group The First Five Years Fund.

Federal funding for home visiting through MIECHV is approximately $400 million per year nationwide.

State social services officials say they have enough cushion that if the program is not reauthorized in time, there will be enough funds to keep the program going for a while. Pennsylvania also supplements the federal funds it receives with more than $40 million in state money to support home visiting programs.

With Congress in recess for most of August, supporters say they are concerned that federal funding and authorization for the program could be allowed to expire at the end of September.

“I’m pretty freaked out that we’re so close to September 30, and we haven’t seen any movement in Washington,” said Kari King, executive director of the Pennsylvania Partnerships for Children advocacy group.

When the program was reauthorized in 2017, the MIECHV reauthorization was allowed to expire for several months, along with several other federal programs, caught in a larger political dispute over the Affordable Care Act and other issues.

For more information on home visiting programs in Pennsylvania, click here.


Doctors who support Fetterman say Oz promoted questionable treatments

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  • Doctors supporting John Fetterman have accused his opponent, Mehmet Oz, of betraying the medical profession.
  • “We are committed to doing no harm,” said Dr. Marcelle Shapiro. “It is clear that Dr. Oz breached his recognizance.”
  • Oz, a Republican, promoted questionable weight loss treatments on his daytime TV show.

PHILADELPHIA, Pa. — Before he was a television star, Dr. Mehmet Oz was a renowned cardiothoracic surgeon. But at a press conference outside City Hall on Wednesday, medical professionals supporting his Democratic Senate rival accused him of betraying his responsibilities by promoting questionable treatments to his daytime audience. .

“Oz just doesn’t have the trust of real medical professionals,” Dr. Val Arkoosh, who briefly sought the Democratic Senate nomination, told reporters at the event, hosted by Lt. -Pennsylvania Governor John Fetterman.

Arkoosh singled out Oz’s promotion of hydroxychloroquine as a treatment for COVID-19, despite studies showing it’s not effective; the FDA has warned against its use for the coronavirus, citing reports of kidney damage and liver failure. She also pointed to the Oz campaign’s attacks on the Democratic nominee.

Fetterman suffered a stroke in May, just before winning the Democratic primary, and has been recovering at home for three months. The Oz campaign, in turn, called Fetterman a “basement bum,” citing his lack of public events. He returns to the campaign trail Friday with a rally in Erie.

“No real doctor – or any decent human being, to be honest – would ever laugh at a stroke victim recovering from that stroke the way Dr. Oz laughs at John Fetterman,” said Arkoosh. “It’s disgusting.”

Brittany Yanick, communications director for the Oz campaign, did not address the specific accusations during the press conference, but in a statement she said Oz is a “world-class surgeon, inventor, educator and author. in the domain of health”. Fetterman, she said, is a “radical liberal supporting the government’s takeover of health care.”

As Insider previously reported, Oz — which won the Republican Senate nomination after being endorsed by former President Donald Trump — has used its television platform to promote a number of extraordinary but false claims. In 2012, for example, he told viewers that, according to scientists, green coffee extract was a “magical weight loss remedy for every body type.” In fact, the study he cited, which claimed that the extract reduced a consumer’s weight without the need for exercise or dietary changes, was retracted.

A study published by the British Medical Journal found that more than half of the medical recommendations Oz made on his TV show were either unsupported by evidence or actively contradicted by it. A 2015 letter signed by 10 doctors at Columbia University, where Oz is a lecturer, accused him of promoting “quackery treatments and cures.”

At the press conference, Dr. Marcelle Shapiro, vice chair of the Medical Alumni Advisory Council at the University of Pennsylvania’s Perelman School of Medicine – which Oz attended – noted that when the Republican candidate appeared before a Senate committee in 2014, “he received a bipartisan rebuke for misleading claims.”

His record, Shapiro argued, is disqualifying.

“As physicians, we pledge to do no harm as part of our Hippocratic oath,” she said. “It is clear that Dr. Oz breached his recognizance.”

Dr. Lisa Perriera, chief medical director of Women’s Centers, which provides abortion care, said Oz’s opposition to Roe v. Wade was a dealbreaker. Since the Supreme Court overturned the decision, Perriera said, she has been inundated with overseas patients seeking care in the Commonwealth, where it remains legal.

“If Dr. Oz were elected, he would only make it harder for my patients to fight,” she said.

Do you have a topical tip? Email this reporter: [email protected]

Medical schools and students review training amid abortion bans

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“It is important that doctors have comprehensive training in reproductive health care for women, especially since the technical procedure for abortion – dilation and curettage – is the same as that performed after a miscarriage or, in some cases, to treat excessive bleeding or do a biopsy of the uterus,” Whelan said.

David Forstein, president of Rocky Vista University College of Osteopathic Medicine and OB-GYN in Colorado, said knowledge gaps are “a potential tragedy waiting to happen.”

Rebecca Henderson, a third-year medical student at the University of Florida, said her call to become an abortion provider was one of the reasons she went to medical school and had to facing training hurdles even before Dobbs, relying on opportunities offered by outside groups.

“I’ve seen some of my peers who go to medical school with me go to residency programs in places where they don’t get that training. And it’s like they don’t even recognize everything that’s been missing. “said Henderson, who is in an MD-Ph.D. “You really have to look for it.”

The Accreditation Council for Graduate Medical Education is proposing to revise the requirements for obstetrics and gynecology residents. Programs in states with bans should coordinate access to a program without legal barriers. If the resident cannot travel, the program should provide simulations and assessments of uterine evacuation and counseling on options for pregnancy or other experiences.

2 Pennsylvania nursing homes charged with healthcare fraud | News, Sports, Jobs

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PITTSBURGH, AP — Officials at two skilled nursing facilities in western Pennsylvania fabricated logs of staff time and resident conditions to defraud state and federal agencies, prosecutors alleged Tuesday, announcing charges. criminal charges.

Brighton Rehabilitation and Wellness Center in Beaver and Mount Lebanon Rehabilitation and Wellness Center in Allegheny County have been charged with health care fraud, along with five people who run their operations.

A grand jury indictment alleges nurses were asked to clock in for shifts they weren’t working and that clock cards were provided to the state, and assessments of residents’ conditions have been modified to benefit from a higher government reimbursement.

Among the defendants are Sam Halper, 39, of Miami, general manager and partial owner of the homes. He was charged with conspiracy and falsifying medical records. Charges were filed and made public more than a year ago against Susan Gilbert, 61, of Lawrence, the former administrator of the Mount Lebanon facility.

Messages seeking comment were left for attorneys for Halper and Gilbert. The docket did not mention facility attorneys and the other three defendants.



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“This place seems like the right choice”

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A new explorer decorates her dorm room during move-in weekend last year. Learn about three new explorers who begin their journey in La Salle this fall.

Three new explorers explain why they chose La Salle and where their education may take them

At La Salle University, students turn their dreams into reality.

For the class of 2026, the journey has only just begun. This fall, students at all three colleges will begin laying the foundation for their careers, regardless of their program of study or career path.

Meet three students from La Salle’s new class of new students, who talk about why they knew La Salle was right for them.

Carissa Gabriel, ’26

Wanting to follow in her mother’s footsteps in a career in nursing, Carissa Gabriel sought a university that would provide her with the best academic and practical training. She began her college search by looking at a variety of institutions. Quickly, La Salle became the favourite.

Carissa Gabriel, '26
Carissa Gabriel, ’26

Choosing La Salle — with small class sizes, clinics starting in a student’s sophomore year, and a high first-time NCLEX pass rate — was an easy decision.

“This place seems like the right choice,” she said.

Gabriel, who will be commuting from his home in Philadelphia, received a community service scholarship. She sees it as a lifeline for herself and her single mother, Marie. Gabriel said La Salle’s admissions team and faculty in the Department of Nursing helped her through the admissions process, which made her job easier.

Gabriel intends to use his degree as the first step to becoming a women’s health nurse practitioner and midwife.

“After I graduate from La Salle, I plan to work as a nurse in a hospital in Philadelphia,” she said. “I would like to specialize in mother and baby, labor and delivery, or even trauma. And as a community service scholar at La Salle, I plan to use some of my resources to help with public health and reduce disparities in low-income communities like Philadelphia. I also hope to spend some time as a traveling nurse before returning to school to become a nurse practitioner.

John “Jake” Hallinan, ’26

For Jake Hallinan, choosing to major in accounting was a family prophecy – the Downingtown native’s parents work in the field. He made the decision to pursue studies at La Salle because of his practical faculty.

“When I visited different schools, I was really drawn to the values ​​and the strong sense of community at La Salle,” he added. “I plan to get involved in campus activities and recreational sports while here. I really look forward to being part of the La Salle community.

John
John “Jake” Hallinan, ’26

During a visit to campus, Hallinan was able to attend a class taught by C. Andrew “Andy” Lafond, DBA, CPA, associate professor of accounting. After speaking with Lafond after class, Hallinan felt this was the right place for him.

Hallinan will pursue the dual four-year program of a Bachelor of Science in Accounting and a Master of Business Administration (BS/MBA). He said the ability to receive two degrees in four years was a major draw to the program, as well as La Salle’s reputation for helping students land high-quality internships and jobs in Philadelphia and beyond.

“I loved the small, interactive classes and how engaging the teaching was when I took it for a day,” he said. “My goals are to make the most of classroom training and internship opportunities over the next four years, so I am well prepared with the strong accounting and technical knowledge, as well as the communication and leadership skills needed to succeed in this profession.”

Karianie Burgos, ’26

Pursuing her studies close to home was a priority for Karianie Burgos. Originally from Philadelphia, Burgos is the guardian of her father, Arrian, as he battles muscular dystrophy. She also helps take care of her little sister. La Salle stood out when searching for a university because of its programs and location.

Karianie Burgos, '26
Karianie Burgos, ’26

Burgos will major in criminal justice and will also be part of the Academic Discovery Program (ADP), an admissions program that provides free support services to students who may qualify for academic assistance and meet a certain financial need test. .

“The ADP program has helped me a lot,” she says.

Burgos said the program has not only helped make college affordable, but will provide additional resources to help him succeed academically. Burgos was drawn to La Salle’s criminal justice program because she dreams of working in law enforcement and ultimately becoming a federal agent for the Federal Bureau of Investigation (FBI). She said a friend recommended La Salle’s program to her, as they had already completed it.

Upon visiting, Burgos was immediately drawn to the campus community, and the criminal justice major had a lot to offer compared to other universities.

“I liked La Salle’s program much more,” she says.

—Meg Ryan

A former nurse is under house arrest | News, Sports, Jobs

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HOLLIDAYSBURG — A former UPMC Altoona registered nurse will spend six months under house arrest with electronic monitoring to begin what will be seven years of probation for stealing narcotics from the hospital.

Dena Jo Pacifico, 40, of Altoona, was sentenced in Blair County Court on Friday, where Judge Wade A. Kagarise decided not to be jailed to process Pacifico’s guilty pleas for a drug-related crime and two related offences.

“If I regret this sentence because you do something again, I will put you in a state prison”, Kagarise warned Pacifico as he prepared to impose his sentence.

Pacifico, who wept as she addressed the judge, said she was drug free and rebuilding her life.

“I did everything I could to never set foot in the courtroom again,” Pacifico said.

The state attorney general’s office charged Pacifico in July 2021 based on an investigation that began in November 2020 after UPMC Altoona police were alerted to an empty oxycodone packet near a medicine dispenser.

Criminal charges indicate that other empty packages were later found near this location on the same day and again three days later. Further investigation led to Pacifico, who said he took oxycodone to help him sleep at night. Court documents also indicate that she replaced Oxycodone tablets with vitamin pills.

District Attorney Pete Weeks asked Kagarise for a sentence of 18 months to five years in prison.

“She had a duty to take care of her patients, and she failed in that duty,” Weeks said. “His patients needed pain relief…and they were getting vitamin D.”

State College defense attorney Jason Dunkle requested a suspended sentence. He said Pacifico’s guilty pleas were for losing eight pills – a relatively minor cost to the hospital – at a time when Pacifico was dealing with personal issues and working 4 and 5 p.m. shifts during the coronavirus pandemic. COVID-19.

“It was the perfect storm of events and it broke,” Dunkle said.

Pacifico also spoke about the influence of the pandemic on his life.

“I was literally working in some of the most ridiculous conditions,” she said to the judge.

Weeks countered these claims by referring to investigative details identifying the loss of more than eight pills on multiple dates.

Kagarise, who said the sentence would focus on stealing eight pills because that’s what Pacifico pleaded guilty to, criticized his behavior.

“Playing around with drugs in a hospital is not something that can be tolerated, that society can tolerate,” said the judge. “Patients are not being given painkillers, it’s a risk…and this court views this conduct with dissatisfaction, to say the least.”

The judge also acknowledged the impact of the pandemic on the nursing profession, but refused to see that as an excuse.

“You understand that other nurses went through what you went through and didn’t do what you did. Kagarise said.

Weeks said he was disappointed with the judge’s decision to impose probation when the state’s sentencing guidelines call for incarceration.

“She stole a schedule II narcotic and endangered her nursing license as well as the licenses of other nurses she worked with,” Weeks said.

Dunkle said Pacifico retained her nursing license after a review last year by the state licensing board. That could change due to her plea and sentencing, Dunkle told the court, but she will never return to nursing.

Instead, Dunkle said her client remained focused on the business she had started supporting herself and her two children.

“She has a huge incentive to stay on track,” he said.

Mirror Staff Writer Kay Stephens is at 814-946-7456.



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SYEMC donates $39,000 to area nonprofits

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Passing Mount Airy Secondary School along North South Street, one notices the walls, sidewalks and signage of a typical educational institution – but one probably doesn’t realize that a thriving business lies also within its limits.

On a recent morning at the Blue Bear Cafe as the school year drew to a close, senior Ocean Davis was putting the finishing touches on a fruit smoothie after serving cookies and brownies to a grateful recipient. Chances are another customer will soon order a cup of freshly brewed latte from the student-run business.

The coffee at the Blue Bear Cafe is reputed to be so good that teacher Ashley Pyles did not hesitate to compare what the children prepare to that offered by an international chain of cafes:

“They make the best coffee, hands down, on Starbucks every day,” Pyles said proudly.

In addition to a variety of coffees – including Frappé, Latte and Americano – there are several flavors of fruit smoothies, various sweet treats including bundt cakes, snacks, hot chocolate, cider and more Again.

The Blue Bear Cafe menu additionally includes specialty drinks featuring what has apparently become a local sensation, bubble teas.

Yet perhaps the best product served up there is success – cooked up daily by apron-wearing student entrepreneurs who gain valuable business experience during the school year that can help them in a career.

“It’s never about coffee,” said Polly Long, Workforce Initiatives Coordinator, when discussing the mission involved, or for that matter caffeine, the boosting ingredient in this popular drink. .

“It’s all about skills,” added Long, a longtime employee of the school system who gets a lot of credit for making the on-campus enterprise a reality.

“A student-run cafe has been Polly Long’s dream for years,” reads a statement prepared in conjunction with the Blue Bear Cafe program receiving special recognition from the municipal government at a recent council meeting. This statement also refers to the role that “extraordinarily talented students” played in its success.

The cafe, which started in 2019, aims to provide targeted youth with basic life skills training and create a pathway to employment in the service sector.

For example, junior Jennifer Griffin has her sights set on becoming a pastry chef.

The Blue Bear Cafe operates through the school’s Professional Studies Program Unit and is overseen by teachers Jennifer Gentry and Ashley Pyles in addition to Long.

“Jennifer is kind of our pastry chef,” Gentry said of Griffin’s inescapable role in the operation.

Approximately 10 students are enrolled in the program in any given academic year. They also attend regular classes in addition to working a set number of hours for coffee, constituting class periods. It is open from 8 a.m. to 4 p.m. during school terms.

Student Innovators

The Blue Bear Cafe occupies a strategic space in the high school’s media center, which provides an inviting setting to enjoy a drink or snack that arguably rivals that of any cafe on the planet. The surroundings are pleasantly lit by large bay windows overlooking North South Street.

The place was fitted out with the help of Goodwill Industries, Long said, which helped provide start-up funds to acquire new furniture and fixtures.

It is tastefully decorated with walls painted in a light brown and olive green color scheme, printed with phrases such as “serve kindness a cup of time” and inspirational words such as “imagine”, “create”, ” inspire” and others.

The students respond by constantly adding new drinks and have even developed a website to promote the company. A Blue Bear Cafe Facebook page is available to facilitate ordering.

The school’s spotless kitchen is located in a side room, near a counter where students consult library materials as part of a harmonious dual existence between the two schools. A gift shop specializing in student-made products is also located at the cafe, offering items such as mugs and t-shirts and handcrafted items from local entrepreneurs.

In addition to the culinary skills honed by young people, other abilities are learned that they can apply to many other career endeavors besides a café itself.

These include leadership, communication, organizational skills and teamwork, as well as the actual duties of dealing with the public to take orders, give change from a cash register and process orders by credit card.

“They see it in real time,” Long said of the impression left on those in the outside world who can see education applied to real business. The students involved are a mix of upper and lower classes who provide a seamless transition with knowledge transfer as they come and go.

“They basically learn how to run a business on their own,” Pyles observed.

While the café is closed for the summer, before resuming operations with the start of the new school year, it has been popular with members of the public who can call in and take orders on campus.

In other cases, large orders will even be delivered to customers.

“We’re in the dark,” Long said of the cost of this service given soaring gas prices. “What we are trying to do is break even, with all profits going directly to the company.

“We use some of that money to take them (students) on field trips,” Gentry advised.

Long hopes to expand the Blue Bear Cafe to a downtown location if one can be found under the right circumstances.

City Honors

The whiff of Blue Bear Cafe’s success wafted from City Hall a few miles away, as evidenced by the special recognition it received at a recent meeting of the Mount Airy Board of Commissioners.

Pyles attended this session with two students, Griffin and fellow junior Shatavia Robison, who were there for a presentation on the program highlighted by the girls handing out chocolate chip cookies to those in attendance.

The cookies were contained in colorful wrappers with labels touting sentiments such as “be kind” and “choose happiness”.

“This program is all about our kids first,” Pyles said of the effort that “just blew my mind.”

“The Blue Bear Cafe is one of the shining lights of the Mount Airy school system,” remarked Commissioner Jon Cawley, while thanking Polly Long for her involvement.

“I know you will go far in life,” Commissioner Marie Wood told the students.

“Great job, ladies,” said Joe Zalescik of the board.

“That’s what a community like Mount Airy is and can be,” Mayor Ron Niland said of the cafe’s success.

Steve Barnes: Turning Point: 21

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Dearest Lawrence,

At first, the nurse was having fun. Then she got anxious. Then annoyed. At my request (it was rather an insistence) she pressed your little left foot of ink on the pages of my notebook, one after the other. One was to be framed, of course, and another was for your M’Amie’s scrapbook. And the other pages – oh, I don’t really remember what I planned to do with them.

I remember how the nurse ended up frowning and asking me to get out of her way because she had more important things to do than please a grandpa. Like dressing up – swaddled, in fact, to include a little cotton bonnet, a young woman’s first hat. Checking those eyes once more. One last stethoscopic sounding before you go to your mother, the swirls and curls of your soles embedded in my soul, in my notebook, in the hospital computer and in the heavens.

Those moments were 21 years ago. And at this point in each of those 21 years, I’ve used this space to send you some thoughts, a kind of birthday card, shared with everyone who chose to read it. With this one, birthday greetings come to an end. Oh, there will be others, certainly, and not just on your birthday; but they will be between you and me.

There’s a certain magic to turning 21, even if the law says you became an adult three years early. It’s kind of pivotal, 21, that being 18 doesn’t mean. No, I’m not talking about the freedom to buy beer and liquor, which is the least significant aspect of one-score-and-one. It is a psychic change that seems to occur in those who are lucky enough to recognize the psyche, at least capable of growth and compassion.

All of us who have loved you from your earliest moments, who have loved you before we could even lay eyes on you, have been struck time and time again by your desire to grow. There’s the academic you, of course — the you who sets the curve in just about every subject, the you who just made it back to the Dean’s List with an utterly outstanding performance. Growth happens in other ways outside of the classroom, and what you’ve shown us allows us to benefit from your brilliance.

Lauren Loeb

Compassion – this is a quality that our society seems to have devalued over the years since you arrived, which makes it all the more rewarding for the heart you display in your dealings with others. The helping hand you have extended to those whose blessings cannot rival yours, whose loneliness and unease threaten to estrange them from the mainstream – you have been and continue to be the friend and counselor they have much needed. Luck and hard work have allowed your family to provide a refuge that so many others your age can only dream of. That you shared this refuge with them is evidence of a heart that enlightens the darkness.

Restoring a generosity of spirit, so rare in the public square today, is the challenge that you and others of your generation will take up, I hope, you and your generation. As a nation, we find ourselves divided not by differences of opinion but by conceptions of right and wrong. It only brought us grief and nearly negated the notion of a shared agenda. Fresh thinking and a willingness to embrace a common good, the heartfelt hopes of our country’s founders, are needed for a better future for all of us. Your elders did not provide it. Accept the challenge, please. Fight, please. Forgive us for our failures, please.

You are only a few months away from graduating from university, which is a major step in the arc of your life, personal and professional. It is a badge signifying not only institutional achievement but also individual determination, although it does not grant you a level of citizenship that exceeds that of anyone else. I think it calls you into a role in civic affairs that others are far less prepared for. Unfortunately, too many of our compatriots, graduates or not, consider themselves finished products. At ease in what a wise man described as dangerously passionate certainties, they demonstrate the kind of thoughtless thinking that keeps us on the edge of the abyss. You and others like you can set us back. I pray that you do.

Oh, but I didn’t mean to talk about challenges and opportunities, failures and shortcomings, successes and victories. I just wanted to remember those first footprints and celebrate your steps, and say, “Happy Birthday, Angel!”

Love, grandfather.

Fiji Times Department of Health survey finds majority of health workers prefer 12-hour shifts

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A Department of Health and Medical Services survey of nurses in Lautoka and Labasa indicated that the majority preferred 12-hour shifts because they had more continuous days off.

The Permanent Secretary of the Ministry of Health, Dr James Fong, made the comment when responding to claims made by the leader of the National Federation Party, Prof Biman Prasad, and said that the exodus of medical personnel was a global problem. and not specific to Fiji.

Prof Prasad said 25 nurses have resigned in the last two months and in the first six months of this year 50 mostly young doctors have applied to the Fiji College of General Practitioners to join general medicine whereas normally, in one year, it is on average only five to six doctors.

He said one of the reasons this happened was because nurses and doctors were scheduled to work 12 hours per shift instead of the normal eight hours.

However, Dr. Fong said otherwise.

He said there were staffing shortages that were forcing some health workers to stay on the job longer.

“I’m glad we have overtime pay and compensatory time off that helps alleviate that,” he said.

Dr Fong also clarified that there are currently eight operating theaters working at CWM and the reason there are a lot of emergency surgeries is because of the backlog.

“The backlog in normative services is linked to the prolonged closure of normative functions.

“I know that clinicians have followed those on the backlog for surgeries, however, I understand that in some cases our communication intentions have been less than ideal.

“Clinicians are working to continue to improve in this area. Although we would like to believe that the effects of the pandemic are over, the only thing we have mitigated are the effects of acute illnesses. »

On the issue of the exodus of doctors and nurses, Dr Fong said Australia, New Zealand, the United States and many developed countries have reported shortages related to the exodus of medical personnel.

“The key factor is underlying or impending burnout.

“So many medical staff around the world will be moving towards what they perceive as greener pastures and/or less stressful working conditions.

“A particular survey in the United States, published by Elsevier Health, predicts that up to 75% of healthcare workers will leave the healthcare profession by 2025.

“The same study discusses factors related to burnout such as work-life balance and finding caring for families too stressful.

“This exodus to developed countries means that many of our healthcare workers are finding vacancies abroad which allow them new experiences and the Department of Health and Medical Services, as well as our Minister, always wishes them well. luck in their endeavors.”

Dr. Fong also said the move of doctors to private practice was good for the ministry.

Knox Public Health is seeking a Licensed Practical Nurse | Health Care and Nursing Jobs

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Knox Public Health is looking for a Licensed practical nurse for a public health nurse position at the community health center. Responsibilities for this position will include, but not be limited to:

ESSENTIAL FUNCTIONS:

– Comprehensively assess medical clinic and community clients

– Assist physicians and CNPs in clinical procedures

– Performs ordered tests if necessary

– Schedules of follow-up exams ordered

– Complete all the necessary documents

– Obtains prior authorizations as needed

– Performs DNA tests, pregnancy tests and various screenings as needed

– Performs nursing procedures (i.e. blood draws, basic wound care, etc.) as directed by doctor

– Assist, as needed, with: administering vaccinations, for both children and adults, at the Community Health Services clinic and at community satellite clinics, as scheduled

– Keeps abreast of required vaccines and their schedules

TERMS:

– Currently Registered Nurse in the State of Ohio

– Associate degree in nursing with a minimum of 2 years of experience is preferred

– Candidate must have excellent verbal and written communication skills

– Must be proficient in Microsoft Office (i.e. Word, Excel) and Google docs

– Excellent computer skills

– The individual must possess the ability to work independently and work with a variety of community partners.

This position is full-time (40 hours) with regular MF hours of 8:00 a.m. to 4:30 p.m. (hours may vary) and occasionally includes evenings and weekends. Benefits include paid time off, vacation, sick leave, personal time off, and retirement; health, dental and vision insurance available.

If you enjoy working in a fast-paced environment while maintaining efficient and on-task production standards, submit your CV and

application to Human Resources, 11660 Upper Gilchrist Road, Mount Vernon, OH 43050 or by email at [email protected]. The app can be found at www.knoxhealth.com.

Knox Public Health is an equal opportunity employer provider.

nurse-family partnership helps first-time mothers | Local News

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Becca Holding knew she needed a fresh start when moving to Adams County.

The Gettysburg resident was battling addiction and domestic violence with a former partner in Texas before the move.

Online CSUF Degree Allows Former Student of Military Family to Pursue Nursing Education

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Adelia Jones, a Cal State Fullerton alumnus Online License Program in the humanities and social sciences, was recently accepted into an accelerated nursing program at Delaware State University.

However, his journey to this accomplishment has not been so straightforward. It all started two years ago.

In 2020, Jones graduated from Solano Community College and was scheduled to start a nursing program this fall…then the pandemic hit. The cohort of nurses Jones was supposed to join would be delayed until spring 2021. This caused a conflict in her schedule.

“I’m a military spouse, so my family and I have to move around a lot,” Jones said. “Before the pandemic, I had timed everything to start this nursing program in the fall and finish it by the time we moved to Delaware in February 2022.

“Once the pandemic hit, however, I couldn’t join the cohort in the spring because I wouldn’t be able to finish it by the time we moved. My children and my husband would have had to leave without me, and I would have had to wait until I finished the program to join them. I needed a plan B, so my advisor at Solano suggested an online degree program.

Getting an online degree from Cal State Fullerton worked perfectly for Jones because she was able to take classes even while moving to Delaware. “The online option was the best thing that could have happened. Without it, I wouldn’t have graduated. I would 100% recommend it, especially to military members and their spouses.

Jones was part of the first cohort in the online bachelor’s degree program in the humanities and social sciences. Why did she choose this particular program? “I go into nursing, and in the medical field, people don’t always consider how social science and anthropology affects us physically,” Jones explained. “The way we were raised and our culture affect our physical health. Just learning about cultural differences can have a huge impact, especially in the medical community. It helps me a lot in my future career as a nurse.

When asked what her favorite part of the cohort was, she remarked, “Not having to fight for a place in a class! It was a relief to know that I didn’t have to worry about the classes being full and there being a spot reserved for me.

Earning a bachelor’s degree qualified Jones to apply for and be accepted into Delaware State University’s fall 2022 nursing program. She will now be able to pursue her nursing career while being with her husband and children in Delaware. “Without Cal State Fullerton’s online degree program, I wouldn’t be in the position I am in right now.”

Are you ready to earn your own online bachelor’s degree with a convenient and flexible schedule? start to https://extension.fullerton.edu/onlinedegrees/

DVIDS – News – Strengthening combat medicine interoperability with Polish allies

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Łódź, Poland – With one last hammer blow, U.S. Army Brig. General Clinton Murray affixed the U.S. Army Europe and Africa emblem to the wooden patch panel at the Polish Military Medicine Training Center in Łódź, Poland on July 27. This act emphasized the deepening of the collaboration between the military medical teams of the two allies. Earlier in the morning, US Army Europe and Africa Command Surgeon Murray and Polish Surgeon General Dr. Aurelia Ostrowska signed a historic Memorandum of Understanding on Combat Medicine Interoperability.

The MOA on Combat Medicine Interoperability establishes the scope, principles and procedures for combat medicine professionals from both countries to conduct bilateral training activities at two of Poland’s main military medicine facilities: the Military Medical Training Center in Łódź and the Military Medical Institute in Warsaw. The goal is to enable U.S. troops stationed in Poland to conduct collaborative training at these facilities with their Polish partners to enhance cooperation and gain confidence when operating as part of multinational teams.

Asked about the importance of the MOA, Murray replied, “As a medical officer, you work in two professions. One is a profession of arms and the other is a profession of medicine. In a place like Poland, you always balance the two. What is unique is that both professions serve in a way that goes beyond our country and ourselves. Having a servant leadership approach to combat medicine creates an essential balance with great partners like the Polish military medical team. It is a very exciting and humbling event.

Interoperability is key to the US Army’s vision for Europe and Africa. MOA marks a milestone in combat medicine training and supports continued interoperability with Polish allies. The resulting training opportunities will enable U.S. and Polish forces to routinely act together cohesively, effectively, and efficiently to achieve tactical, operational, and strategic objectives in support of maneuver operations.

Polish Colonel Zygmunt Glogowski, chief of plans at the Department of Military Medicine of the Ministry of Defense, described his views on Polish-American military medical relations.

“The most beneficial way to build our ties and cooperation is to understand how we can cooperate better together in the future.” said Glogowski. “I’m really proud that American medical leaders have visited our country. I deeply believe that this will open a new chapter in our cooperation for medical services.

Following the signing of the MOU, senior Polish and U.S. leaders attended MILITARY DOCTOR 22 Distinguished Visitors Day. MILITARY DOCTOR is Poland’s premier annual military field medical training exercise that functions as the l basic training event for their graduating military medical cadets. The eight-day exercise consists of combat medicine pathways from the point of injury, evacuation and treatment at field medical units (Role 1 and 2 facilities). This year, 16 U.S. soldiers from the 30th Medical Brigade, 4th Security Force Assistance Brigade, and 7th Army Training Command supported the event as guest observers and trainers. This was the third consecutive year that U.S. Army units in Europe and Africa have supported Exercise MILITARY DOCTOR.







Date taken: 27.07.2022
Date posted: 08.05.2022 08:07
Story ID: 426588
Location: ŁóDź, PL






Web views: 1
Downloads: 0

PUBLIC DOMAIN

Carranco joins the softball staff as a volunteer assistant

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FAYETTEVILLE, Ark. – Arkansas softball head coach Courtney Deifel announced the addition of Reyna Carranco, All-American and former Arizona Wildcat star, as the program’s volunteer assistant coach.

“We are delighted with this addition to our staff,” said Deifel. “Reyna will bring a fresh perspective, and I look forward to adding her energy to the mix. Her playing experience speaks for itself after playing for the University of Arizona and their championship tradition. Reyna is a winner and a proven competitor, and I look forward to welcoming her perspective into our coaching room and elevating our program in every way possible.

During a prolific five-year career at Arizona, Carranco earned NFCA All-American second-team honors and became the program’s first-ever Pac-12 batting champion (.433 regular-season average) in 2019. .

Carranco guided the Wildcats to two Women’s College World Series in her junior (2019) and senior (2021) seasons and two Super Regionals in her freshman (2017) and sophomore (2018) campaigns. As a freshman, Carranco helped the Wildcats clinch a Pac-12 title.

“I am beyond thrilled to have the opportunity to be part of such an incredible program,” said Carranco. “The Arkansas Razorback family is truly one of a kind, made up of phenomenal student-athletes, coaches and fans. I am grateful to Coach Deifel and the entire coaching staff for their confidence and this incredible opportunity. I can’t wait to start this journey together towards our championship goals.

A four-time All-Pac-12 second baseman, Carranco finished his career with 225 starts while going down .353/.418/.456 with 34 doubles, 108 RBI, 10 home runs and a .963 fielding percentage. In Pac-12 play, Carranco hit .355 over a five-year span, including a conference-leading .419 as a rookie in 2017 and .448 as a junior in 2019, which ranked second in the league. league.

After her playing career ended, Carranco spent the past summer and fall connecting with and learning from scouts within the Tampa Bay Rays organization.

The Oxnard, Calif., native graduated from Arizona in 2021 with a Bachelor of Science in Care, Health, and Society.

Career honors

2021

All-Pac-12 (third team)

Softball America Preseason Top 100 Players

D1 Softball All-America Pre-Season (Second Team)

2020

Top 100 Best Postseason Softball America Players

The 25 best players of the ESPN preseason

Softball America Preseason All-America (first team)

Softball America Preseason Top 100 Players

D1 Softball All-America Pre-Season (First Team)

2019

NFCA All-America (second team)

Softball All-America (second team)

Pac-12 batting champion (.433)

All-Pac-12 (first team)

NFCA All-West Region (first team)

Pac-12 All-Defensive Team

Pac-12 All-Academic (Honourable Mention)

2018

All-Pac-12 (third team)

NFCA All-West Region (second team)

Pac-12 All-Academic (Honourable Mention)

2017

All-Pac-12 (third team)

Pac-12 All Freshman

To stay up to date with Razorback softball, follow the team on Twitter, Instagram and Facebook by searching for “RazorbackSB”.

Jones College expands practical nursing program to Jasper County

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PINE BELT, Miss. (WDAM) – Twenty-one students received their Jones College pins on Wednesday morning after completing the practical nursing program.

“I worked at Magnolia State Bank for the last five or six years, and then I realized it wasn’t really for me,” said graduate Christi Smith. “It was my plan in high school, and I never did it. Then I ended up having a family instead. Then I decided that was really what I wanted, and I would regret if I didn’t try.

Due to the program’s success, Jones College will expand its practical nursing program to the Jasper County campus, hoping to double the number of graduates.

“We are so excited, not just for Jones College, but for the citizens and students of Jasper County, that we are expanding our practical nursing program,” said Jasper County Center Director Grant Crowder. “It will be a great benefit to the county, Jones College and, of course, Mississippi State.”

“We want to make sure that all of our students are prepared and ready to join the workforce to help the healthcare community through this shortage,” said Teresa McDonald, vice-dean of the school of Jones Health Sciences. Middle School.

Applications for this medical program are now open at the Jasper County Center in Bay Springs.

Applications and all supporting documents must be delivered to the Jasper County Center at Jones College at 3209 Highway 15 in Bay Springs by noon August 16, 2022.

Copyright 2022 WDAM. All rights reserved.

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AANA Congratulates New Undersecretary of Veterans Affairs Health and Pledges Support for the VA and American Veterans

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News – PARK RIDGE, Ill. (AANA)—Leaders of the American Association of Nurse Anesthesiology (AANA) congratulated Shereef Elnahal, MD, on his confirmation as the U.S. Department of Veterans Affairs (VA) Undersecretary of Health and pledged the continued support of the ‘AANA at the VA to ensure that the nation’s veterans receive prompt, expert, and quality care.

In an Aug. 1 letter to the Undersecretary, AANA CEO Bill Bruce, MBA, CAE, emphasized the critical role that Certified Registered Nurse Anesthetists (CRNAs) play in the VA healthcare system. Bruce requested a meeting with the new Undersecretary to continue AANA’s discussions with the agency on the need to permanently expand the full practice authority under the CRNA license to provide medical services. anesthesia to veterans in every state.

Standardizing the most effective anesthesia care delivery models across the country will help ensure veterans receive safe, high-quality care at all VHA facilities, Bruce said. “VHA’s failure to utilize the safest and most effective models of care is causing our veterans to wait too long for the critical care they have earned and deserve.”

“Nurse anesthesiologists are experienced and highly trained anesthesiologists who provide high quality patient care, demonstrated by evidence from decades of scientific research,” Bruce wrote. “More than 1,000 CRNAs are available in the VHA to provide all types of anesthesia care as well as chronic pain management services to veterans.”

“We appreciate the work the agency has already done to protect our country’s veterans, especially during the [COVID-19] public health emergency,” Bruce wrote. The public health emergency “showed the urgent need for healthcare professionals to care for patients and also underscores the important role that CRNAs play in our healthcare system, especially when barriers to workforce practice work are eliminated at the state and federal levels,” he said. .

In April 2020, the VA issued Directive 1899, which allowed medical professionals, including CRNAs, to practice and operate at the peak of their training and state scope of practice. The following fall, the VA issued an interim final rule confirming that VA medical professionals, including CRNAs, may practice within the scope and requirements of their VA employment, notwithstanding any state licensing, registration, certification or other requirements that unduly interfere. with their practice. The regulations also confirm the authority of the VA to establish national standards of practice for healthcare professionals, which will standardize the practice of a healthcare professional at all VA medical facilities.

CRNAs are the primary providers of anesthesia for US military personnel. The ability of CRNAs to provide high quality care, even under the most difficult of circumstances, has been recognized by all branches of the U.S. military. CRNAs have full practice authority in the Army, Navy, and Air Force and are the primary provider of anesthesia in forward surgical teams and in combat support hospitals, where 90% of surgical teams advances are made up of CRNAs.

“We appreciate the recognition by the VA and VHA of the skills and value of CRNAs to healthcare, including the work on Directive 1899 which emphasized the importance of allowing CRNAs to practice to the fullest extent of their training,” Bruce said.

“We strongly applaud the VHA’s decision to remove barriers to care for our country’s veterans, including encouraging facilities to implement full practice authority for CRNAs, to enable them to practice at the top of their scope and training. This decision has allowed the VHA greater flexibility to care for our veterans, in a more efficient and cost-effective way that increases access to care,” he wrote. “Our country’s veterans deserve access to timely, cost-effective, high-quality care within the VA health care system. Removing unnecessary oversight and permanently implementing FPA for CRNAs will improve excellence in healthcare and practice by increasing veterans’ access to safe, high-quality healthcare personnel in the GO.

Medical Smart Textiles Market Industry Updates, New Opportunities, Major Strategies and Forecast 2030 | Google, smart clothes, international fashion machines

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Global Smart Medical Textile Market pay attention to new top income study reports with data from top countries [2022]Current Trends, Future Estimates and Opportunity Analysis, TOC, Major Countries Key Players in Business- Google, Smart Clothing, International Fashion Machines, Textronics, Sensoria, Schoeller Textiles, Vista Medical, Textile Innovation, DowDupont, Gentherm, ACADIA Pharmaceuticals The increasing use of Medical Smart Textile in recycling processes in various industries is increasing the market demand.

Global Medical Smart Textile Market offers a primary industry overview, covering different product definitions, classifications and industry chain structure participants. Quantitative and qualitative analysis is provided for the global Smart Medical Textiles market considering the competitive landscape, developing trends, and major Critical Success Factors (CSFs) prevalent in the Smart Medical Textiles industry. Such a comprehensive report is useful to business owners, customers, shareholders, manufacturers, suppliers and distributors. The report focuses on drivers, restraints, opportunities, challenges and trends.

Get a sample PDF of the report. (Exclusive offer: up to 30% off for a limited time):
https://www.stratagemmarketinsights.com/sample/153709

The main objective of this report is to provide post-COVID-19 impact insights that will help market players in this field to evaluate their business approaches. Additionally, this report covers market segmentation by major market vendors, types, applications/end users and geography. Additionally, the report incorporates a comprehensive review of the various segments of the market patterns and factors that assume a major share of the market.

Our report focuses on the top manufacturers of the global Smart Medical Textiles market, with production, price, revenue and market share for each manufacturer, covering:

Google, Smart Clothing, International Fashion Machines, Textronics, Sensoria, Schoeller Textiles, Vista Medical, Textile Innovation, DowDupont, Gentherm, ACADIA Pharmaceuticals

Global Smart Medical Textiles Market: Segment Analysis

The research report includes specific segments by region (country), by manufacturer, by type and by application. Each type provides information about the production during the forecast period from 2022 to 2030. By Application Segment also provides the consumption during the forecast period from 2022 to 2030. Understanding the segments helps in identifying the importance of various factors contributing to the growth of the market.

The report further studies the market development status and future Medical Smart Textiles market trends across the globe. Also, it splits Smart Medical Textiles market segmentation by Type and by Applications to fully and thoroughly research and reveal market profile and prospects.

Based on product type, This report displays the production, revenue, price, market share and growth rate of each type, primarily split into:

Smart fabric technology, wearable technology, textile sensors, assembly technology

Based on end users/applications, This report focuses on the status and outlook for major applications/end users, consumption (sales), market share and growth rate for each application, including:

Hospitals and clinics, University and industrial research

Learn more and share questions, if any, before purchase on this report at:
https://www.stratagemmarketinsights.com/quiry/153709

Global Smart Medical Textiles Market: Drivers and Restraints

The research report has integrated the analysis of different factors which are increasing the growth of the market. It constitutes trends, restraints and drivers that transform the market either positively or negatively. This section also provides the scope of different segments and applications that can potentially influence the market in the future. Detailed information is based on current trends and historical milestones. This section also provides an analysis of the production volume in the global market.

A thorough assessment of the restrictions included in the report portrays the contrast with the drivers and gives room for strategic planning. Factors that overshadow the growth of the market are pivotal as they can be understood to devise different bends for getting hold of the lucrative opportunities that are present in the ever-growing market. Additionally, insights into the opinions of market experts have been taken to better understand the market.

Medical Smart Textiles Market – Regional Analysis:

Geographically, this report is segmented into several key regions, with sales, revenue, market share and growth rate of Medical Smart Textiles market in these regions. regions, covering:

North America (United States, Canada and Mexico)
Europe (Germany, UK, France, Italy, Russia and Turkey, etc.)
Asia Pacific (China, Japan, Korea, India, Australia, Indonesia, Thailand, Philippines, Malaysia and Vietnam)
South America (Brazil, Argentina, Colombia etc.)
Middle East and Africa (Saudi Arabia, United Arab Emirates, Egypt, Nigeria and South Africa)

Some of the key questions answered in this report:

👉 What is the global (North America, Europe, Asia-Pacific, South America, Middle East & Africa) sales value, production value, consumption value, import and export of Medical Smart Textile?
👉 Who are the global key manufacturers in Smart Medical Textile industry? What is their operational situation (capacity, production, sales, price, cost, gross and revenue)?
👉 What are the Smart Medical Textile market opportunities and threats faced by the vendors in the global Smart Medical Textile Industry?
👉 What application/end user or product type may seek additional growth prospects? What is the market share of each type and application?
👉 What targeted approach and restraints are holding the Smart Medical Textile market?
👉 What are the different sales, marketing and distribution channels in the global industry?
👉 What are the raw materials and manufacturing equipment upstream of Medical Smart Textile as well as the manufacturing process of Medical Smart Textile?
👉 What are the key market trends impacting the growth of the Smart Medical Textiles market?
👉 What are economic impact on Smart Medical Textile industry and development trend of Smart Medical Textile industry?
👉 What are the market opportunities, market risk and market overview of the Smart Medical Textile market?
👉 What are the key drivers, restraints, opportunities, and challenges in the Smart Medical Textile market, and what is their impact on the market?
👉 What is the Smart Medical Textile market size at the regional and country levels?

Contents:

1 Medical Smart Textiles Market Report Overview
1.1 Scope of the study
1.2 Market Analysis by Type
1.3 Market by Application
1.4 Objectives of the study
1.5 years considered

2 Global Growth Trends
2.1 Global Medical Smart Textiles Market Outlook
2.2 Medical Smart Textiles Growth Trends by Regions
2.3 Medical Smart Textiles Industry Dynamics

3 Competition Landscape by Key Players
3.1 Global Top Smart Medical Textile Players by Revenue
3.2 Global Smart Medical Textiles Market Share by Company Type (Tier 1, Tier 2 and Tier 3)
3.3 Players Covered: Ranking by Medical Smart Textiles Revenue
3.4 Global Medical Smart Textiles Market Concentration Ratio
3.5 Medical Devices Key Players Head office and Area Served
3.6 Key Players Medical Smart Textiles Product Solution and Service
3.7 Date of Enter into Medical Smart Textiles Market
3.8 Mergers and acquisitions, expansion plans

4 Medical Smart Textiles Breakdown Data by Type
4.1 Global Medical Smart Textiles Historic Market Size by Type
4.2 Global Medical Smart Textiles Market Size Forecast by Type

5 Medical Smart Textiles Breakdown Data by Application
5.1 Global Medical Smart Textiles Historic Market Size by Application
5.2 Global Medical Smart Textiles Market Size Forecast by Application

6 North America
7Europe
8 Asia-Pacific
9 Latin America
10 Middle East and Africa
11 key player profiles
12 analysts’ views/conclusions

13 Appendix
13.1 Research methodology
13.1.1 Methodology/Research Approach
13.1.2 Source of data
13.2 Disclaimer
13.3 Author details

Continued……………

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Hospital vacancies rise to highest level in 15 years in Cincinnati area

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Cincinnati-area hospitals are facing the most vacancies they’ve had in 15 years, according to a new survey, with more than 5,800 health care positions open at the end of 2021.

The Health Collaborative, the joint organization of hospital systems in the region, released the results of its annual employee workforce survey on Monday, noting that the COVID-19 pandemic has created vacanciesbut adding that the pandemic was not the only reason for vacancies.

Cincinnati State:Ohio Department of Higher Education Graduates with a Bachelor of Science in Nursing

Nursing posts have taken an “alarming” hit, the Health Collaborative noted in his investigation. The vacancy rate for registered nurses in area hospitals increased by 81% in 2021, or about 1,500 unfilled nursing positions.

“Vacancies have been trending up for some time, and COVID-19 has accelerated that rate to the highest levels we’ve seen in years,” said Jason Bubenhofer, Health Collaborative’s senior director of business intelligence. .

In the medical ICU at the University of Cincinnati Medical Center, two nurses check the stack of intravenous monitors hanging outside a COVID-19 patient's room.  Lengths of tubing deliver the medication from the pump to the patient.

He listed a combination of possible solutions, including schools opening up more capacity for nursing students, raising awareness in high school and college, finding ways to recruit and retain more instructors, and prioritizing ways to retain employees.

“Workforce issues are serious, and that’s not going to change anytime soon,” Bubenhofer said in the Health Collaborative’s statement.

Key findings from the survey included:

  • The nursing vacancy rate of 13.9% is the highest nursing vacancy rate since 2003.

  • Vacancy rates have skyrocketed in 2021 to 10.5%, which is the highest since 2007. Jobs with the highest vacancy rates include paramedics, licensed practical nurses, echocardiography, monitors, medical technicians and surgical laboratory technicians.

  • The RN vacancy rate has been rising since 2016. This has resulted in hospitals across the region having to close needed beds due to nursing staff shortages, according to the report.

  • Retirement rates increased in 2021 to a level not seen since 2018. The average retirement age is 64.9, up from 65.1 in 2020.

Julie Harris, critical care nurse at Christ Hospital.

Survey data was collected in the spring of 2022 from seven participating hospitals/health systems: The Christ Hospital Health Network, Cincinnati Children’s Hospital Medical Center, CMH Regional/Clinton Memorial Hospital, Margaret Mary Health, St. Elizabeth Healthcare, TriHealth and UC Health.

Glenview Native Provides Medical Students with Valuable Experience

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GLENVIEW, IL — A local cardiologist is not only making a difference in the lives of his Northwestern Medicine patients, but the Glenview resident is also giving medical students the chance to get first-hand experience before they even get their University diploma.

Micah Eimer, cardiologist and medical director of Northwestern Medicine’s Glenview, Evanston and Deerfield Ambulatory Centers, helped turn a summer internship program into a destination for students in need of on-the-job training.

Under the program, students from the United States, Canada, and Puerto Rico are assigned a clinical ward where they work and report to a physician as well as a program administrator. Once a week they rotate to observe a different specialty as part of the unique learning opportunity.

“We strive to offer a mix of academic work and observation, and are pleased to offer those dedicated students who have already shown a passion for medicine an 8-week paid opportunity to work with some of the greatest medical experts,” Eimer, a Glenview native, said in a news release.

“What I realize now is how much of an impact this is also having on doctors, who have a moment to step back from their busy schedules and professional demands, and take the time to provide advice. and inspiration to a young adult who has shown a passion for the study of medicine.”

A total of 51 pre-med students from the United States, Canada and Puerto Rico are participating in this year’s internship program offered by Northwestern Medicine, (Photo courtesy of Northwestern Medicine)

Students from 21 schools have been accepted into the internship program, which has tripled since its inception. However, due to the influx of applicants who wanted to participate, only 4% of applicants were accepted for the internship.

In addition to the direct work experience students receive, the program also offers a weekly lecture series. The students recently met and had lunch with John Bluford of South Carolina, who spoke about his lessons learned as health system CEO and provided advice on leadership and equity, officials said.

Since this year, 143 pre-med students have completed the program, many of whom are now in medical school. The current class is 51 students, who have the opportunity to shadow and learn from more than 45 leading physicians at Northwestern Memorial Hospital in Chicago, in the northern suburbs of Northwestern Medicine Lake Forest Hospital, and Northwestern Medicine Outpatient Centers in Glenview and Gurnee; Northwestern Medicine Palos Hospital in Palos Heights and Northwestern Medicine Central DuPage Hospital in Winfield.

Jyoti Patel, MD, oncology at Northwestern Memorial Hospital, appreciated the mentorship of Shreyas Menon, a rising junior at Northwestern University, and Mason Hewlett, a rising junior at the University of Kentucky.

“Shreyas and Mason’s mentorship has given me the opportunity to not only teach what I’ve learned, but it’s given me a new appreciation for what I do,” Patel said. “The program is excellent and so rejuvenating for me personally. Seeing the curiosity and wonder of students at the intersection of patient care and science reminds us why we love our profession so much.”

More information about the internship program can be found here.

Medicare Advantage plans make inflated dialysis payments, study finds

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Diving Brief:

  • The largest Medicare Advantage plans pay steep markups for kidney dialysis, especially to large dialysis providers, and these inflated amounts could increase patients’ out-of-pocket expenses for the treatment, according to a study published in the August edition of Health Affairs.
  • The 21st Century Cures Act could expose MA plans to a greater share of dialysis patients, creating a financial burden on the program that translates into reduced benefits for MA enrollees overall, researchers have warned. from the University of Southern California.
  • Reforms that increase market competition may be needed to address payment disparities, and policymakers should consider regulations that limit consolidation among dialysis providers, the study authors concluded.

Overview of the dive:

The 21st Century Cures Act of 2016 lifted regulations in 2021 that prohibited enrollment in Medicare Advantage after patients started dialysis treatment, leading to an increase in MA enrollment among patients on dialysis, according to the Health Affairs study.

Medicare Advantage plans are already popular with Medicare-eligible patients and now cover 45% of all Medicare members.

Dialysis is the primary treatment for patients with end-stage renal disease, who are generally eligible for Medicare regardless of age. In 2020, more than 80% of the 525,000 patients receiving dialysis treatment were enrolled in Medicare, according to the report, citing federal data.

According to the study, a large transfer of dialysis patients to Medicare Advantage could disrupt the market, as the consolidated dialysis industry would be able to negotiate higher payment for MA plans than for fee-for-service Medicare. In the dialysis market, large providers provide more than three-quarters of all dialysis treatments, according to the report.

The study found that PA plans from three major insurers representing nearly half of the Medicare Advantage market in 2016 to 2017 paid 27% more for median outpatient dialysis treatment than Medicare’s fee-for-service , with larger chains of dialysis centers generating higher margins. Almost all of the facilities of the two largest chains were networked, suggesting that the big dialysis chains are leveraging their market power in all-or-nothing deals with plans, the report said.

The results contrast with those in non-dialysis settings, where AD provider payments are similar to or lower than fee-for-service health insurance, the researchers said.

Increasing risk-adjusted payments from MA plans for patients with end-stage kidney disease could temporarily ease financial pressure on some plans but inflate the overall cost of care for Medicare, the study found.

Summer Program Offers High School Students a Glimpse into the Nursing Profession – UBNow: News and Views for UB Faculty and Staff

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Rising Buffalo Public Schools senior Unique Richards has always loved helping people. Concerned that underrepresented patients were being overlooked in hospitals, she had long considered becoming a nurse. But she had never been to UB, let alone anywhere near her nursing school.

Rising BPS junior AnnaJean Meier loved getting lost in TV medical dramas, immersing herself in characters and illnesses. When her mother was told about the School of Nursing’s summer program for city students interested in nursing pathways, Meier happily enrolled.

Richards, Meier and 30 other city high school students interested in what it means to be a nurse were at Wende Hall on South Campus on July 14 to see the School of Nursing in action — up close and personal.

Among the program’s professional, warm, sometimes fun, personal and engaging presentations: a confident and hands-on introduction to simulated patient care led by nursing students Allison Hogan and Caitlyn Tiedemann featuring “Vivian”, one of the models interactive school equipped to participate in all patient simulations.

“It might sound a little silly, like you’re just playing with the patient, messing around with this dummy,” Hogan told the students as Tiedemann supported her. “But it feels real when you’re in it. They’re just nursing students; they are not professors or graduate assistants. When the door closes, you are here with your patient.

“While you’re here, you’re in the nursing area,” said Hogan, a BS-DNP anesthesia student. “It feels like a hospital. You walk in and say, ‘Hi, my name is Allison. I’m going to be your nurse today. How are you?’ And the patient will answer you and tell you. It’s such a powerful tool. This prepares you for the situations you will see in the hospital.

“We want to make everyone’s situation better,” added Tiedemann, a BS-DNP adult gerontology student, “where if they say, ‘I don’t know what I would do at first,’ they can debrief with a professional and talk about it until they say, ‘You know what? Now my blisters are going out. I totally would have done that.

For the 32 students from all Buffalo Public Schools chosen for SON’s summer program, it was just one scene. They also saw a hands-on demonstration of the use of an automated external defibrillator, or AED. They learned a fun way to measure handwashing effectiveness. They have received enlightening pep talks from UB graduates who have gone on to thrive in the world of nursing.

“It was very educational and reassured me that this is where I want to go,” said Richards, who is about to enter her senior year at Hutchinson Central Technical High School. “It cleared up the confusion. There are a lot of acronyms in nursing and I didn’t know what they meant.

“I said I wanted to be a nurse since college,” said Meier, who is returning to PS 156 Frederick Law Olmsted School this fall. “So it’s a good way to get hands-on experience.”

Jennifer Schreier, director of student services for the School of Nursing, called this summer program a “pilot” of what the school hopes will be an annual event targeting underrepresented high school students.

“The broader goal of this program is to increase the pipeline of diverse candidates in the nursing field,” Schreier said. “We asked students to provide a short essay outlining their interest in nursing, as well as send us a copy of their transcripts as part of the application process.

“Some of our long-term goals with this program are to foster the relationship we have with students who participate in the program so that we can mentor them to apply to UB in the future.”

The more than half-day program included a panel discussion with nurses at various stages of their careers, all connected to UB. They heard Enrollment Services Advisor Laura Connell tell them to never underestimate their ability to earn financial aid.

And incoming Dean Annette B. Wysocki welcomed students to campus and gave them another dose of encouragement, reminding them “that opportunities will sometimes find you, while at other times you can actively seek out opportunities. opportunities to broaden your horizons among the multiple career opportunities in breastfeeding.”

Throughout the seminar, professionals and graduate students emphasized the versatility of the nursing profession – a career that can adapt to individual needs, in addition to providing the rarefied satisfaction that comes from helping heal, cure and to comfort.

“You have options; you are not limited,” said Takesha Leonard, who moderated the roundtable. Leonard started attending UB when he was 17 and is now a pediatric nurse practitioner and medical director at Jericho Road Community Health Center.

“Nursing is not a career you get lost in. Nursing is a career where you can drive this thing, this thing that really inspires you, really motivates you and really empowers you to be the best you can be. “, she said.

The program also offered high school students a collective life lesson to never underestimate themselves: Be aware of your potential and talent, even if it sometimes seems bleak.

“Never give up,” Leonard said, when one of the students asked her what advice she would give her high school. “There will be so many people saying to you, ‘You can’t, you can’t.’ You have to find something inside of you that says you can and you will.

What we know about Kentucky flood victims

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Here’s what we know so far about some of the victims.

Nellie Mae Howard, 82

Credit…

Perry County Sheriff Joe Engle halted his search for flood victims over the weekend to bury a loved one in Chavies, Ky. Sheriff Engle, who is a pastor, said walking by faith would rather only by sight, would be the theme of his sermon because that was how his great-aunt, Nellie Mae Howard, had lived.

During the storm, Ms Howard took shelter at the home of her daughter, Patricia Collins, according to Angel Campbell, Ms Collins’ daughter. But around 1am on Thursday, Ms Campbell saw a Facebook post from a cousin saying the flood had submerged the enclave of houses where her mother lived.

As the hours passed, she learned that her mother had been found and was alive. Her grandmother’s body was discovered on Friday morning.

Ms Campbell said her mother told her the water rushed into the living room, floating furniture and appliances and eventually driving Ms Collins and Ms Howard out of the house. Ms Collins found herself pinned against a neighbour’s house, with loose wood piled on top of her. It took neighbors almost two hours to dig it up, Ms Campbell said.

When a search party located Ms Howard’s body, her grandson Chris Collins picked her up, Ms Campbell said. He searched for a pulse, knowing he wouldn’t find one, and wiped the mud from his face. Then he waited with her for hours until a lifeboat arrived.

Among Mrs. Howard’s journals, according to the family, were the words to a carefully handwritten Gaither Vocal Band song: “When my eyes are closed in death with my Jesus, I shall be at rest.” Then you will know that I am satisfied.

Ateneo shooter detained in Quebec prison

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The Ateneo de Manila University shooter was handed over to a Bureau of Prisons Management and Penology (BJMP) facility in Quezon City, the Philippine National Police (PNP) said on Sunday.

Dr. Chao-Tiao Yumol will be held at the office premises in Quezon City Police District (QCPD) Chief Payatas. said General Remus Medina.

Yumol was transferred to Payatas prison on Saturday.

He will be arraigned this week on three counts of murder; a frustrated murder boss; car theft, illegal possession of firearms and malicious mischief.

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No bail has been recommended for the murder charges. Bail of 200,000 pesos was recommended for the frustrated murder charge.

Yumol shot and killed former Lamitan, Basilan Mayor Rosita Furigay, his aide Victor George Capistrano and campus security guard Jeneven Bandiala last week.

Medina said Yumol had a personal grudge against Furigay.

The Furigays filed 76 cyberdefamation cases against Yumol, leaving the suspect unable to practice his medical profession.

Meanwhile, the remains of the former mayor arrived in her hometown on Sunday, a week after she was shot dead on the campus of Ateneo de Manila University in Quezon City.

The wooden coffin carrying his remains arrived in Calugusan, Lamitan Town around 8 a.m.

Her husband, the Mayor of Lamitan, Roderick Furigay, took the remains of the ex-mayor to their home in Barangay Malinis.

Global Medical Planning Systems Market 2022 Industry Research, Review, Growth, Segmentation, Key Players Analysis and Forecast to 2028

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The report named; Global Medical Scheduling Systems Market has been added to the archive of market research studies. The industry experts and researchers have offered reliable and precise analysis of the Medical Scheduling Systems in view of numerous aspects such as growth factors, challenges, limitations, developments, trends, and growth opportunities. This Medical Scheduling Systems report will surely act as a handy instrument for the market participants to develop effective strategies with an aim to reinforce their market positions. This Medical Scheduling Systems report offers pin-point analysis of the changing dynamics and emerging trends in the Global Medical Scheduling Systems Market.

The latest research report on Medical Scheduling Systems market covers the past and present business landscape to provide a detailed analysis of the industry performance over 2022-2028. Moreover, the future estimations presented in the document are evaluated and verified by experts using proven research methodologies. Further, the report assesses the overall size and scope of this domain by individually studying the sub-markets.

The report focuses on the major growth catalysts, restraints, and opportunities that will play an important role in determining the market profitability over the estimated timeframe. The document houses record of the competitive developments and associated trends, followed by detailed profiles of all the leading companies to assist stakeholders in making informed decisions for the upcoming years.

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Market segmentation and coverage

Product range: Web-Based and Installed

  • Historical records as well as future estimates related to market share, growth rate, and earnings of each product segment are provided in the report.

Application spectrum: Hospital, clinic, others, by region, North America, United States, Canada and Europe

  • The past data and projections regarding the product demand, market share and growth rate of each application segment are included.

Regional bifurcation: North America, Europe, China, Japan, Southeast Asia, India

  • An archive of the overall sales and revenue generated by each regional market, along with forecasts for them along with the growth rate are provided in the document.

Competitive Landscape Summary

TimeTrade Systems Yocale American Medical Software Voicent Communications Daw Syatems McKesson Total Recall Solutions Delta Health Technologies Mediware Information Systems StormSource Nuesoft Technologies LeonardoMD ByteBloc Software Beijing Ruiguang are the major players influencing the competitive trends in the Medical Planning Systems market. These companies are evaluated in the context of their product portfolio, sales, pricing model, revenue and strategic commitments.

Focusing on the performance and strategic plans of key players, the report outlines approaches that will help new entrants and other stakeholders successfully complete mergers and acquisitions, geographic expansion, research and development, and plans to launch new products over the planned duration.

Industry Value Chain Analysis Overview

Industry value chain analysis summarizes the structure of the product life cycle, focusing on the entire process from production to end users, to help companies increase profits by identifying the areas where operational costs can be reduced without harming product value.

Key benefits of the report:

  • This study presents the analytical representation of the global Medical Planning Systems industry together with current trends and future estimations to determine impending pockets of investment.
  • The report presents information related to key drivers, restraints, and opportunities, along with a detailed analysis of the global medical planning systems market share.
  • Current market is quantitatively analyzed from 2022 to 2028 to highlight the growth scenario of the global Medical Planning Systems market.
  • Porter’s five forces analysis illustrates the power of buyers and suppliers in the marketplace.
  • The report provides a detailed analysis of the Global Medical Planning Systems Market based on the competitive intensity and how the competition will shape in the coming years.

The report clarifies the following uncertainties related to the Medical Planning Systems Market:

  • What are the various factors that are likely to impact the growth of the Medical Planning Systems market?
  • How are market players expanding their footprints in the Medical Planning Systems Market?
  • What is the most notable trend currently influencing the dynamics of the Medical Planning Systems market?
  • Who are the key players operating in the Medical Planning Systems Market?
  • Which regional market is likely to present a plethora of opportunities for players in the Medical Planning Systems market?

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JANET MILLER | News, Sports, Jobs

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Janet McDowell Miller of Steubenville, Ohio, and Chautauqua, NY, died July 25, 2022. Born August 31, 1925 in Steubenville to the late John and Marjorie McDowell, Janet graduated from Steubenville Big Red (1943) and later earned a BA in Music Education (1947) from Muskingum College. She was living at the Absolut Care nursing facility in Westfield, NY at the time of her death. Until recently, Janet spent every summer at the Chautauqua facility, which dates back to the late 1950s.

In 1951 she married her beloved husband Andrew “Andy” William Miller, who predeceased her in 2001. Janet had a rich and varied life in music. She served as organist and choir director at First United Presbyterian and Westminster churches in Steubenville. She was the musical director of many musicals produced by the Steubenville Players and also played piano and organ accompanist for the Civic Choral Society where, in addition to working alongside wonderful musicians and singers, she savored the opportunity to make music with Dave Brubeck. at many times.

Janet was an active member of the alto section of her cherished Chautauqua Motet Choir from the mid-1970s to 2018. She played organ and piano for various Chautauqua concerts and programs, including the Hall of Philosophy Vespers Service and Hebrew Services in Hurlbut Church, as well as for performances in the Hall of Christ and the Amphitheater. She was often the famous representative of Jared Jacobsen “paginator” for Sunday services in the Amp. She taught music in public schools in Steubenville for many years while also providing private piano lessons to budding local musicians.

Janet was the infinitely devoted and loving mother of four sons: Douglas Andrew (Carol Ramsey) of Los Angeles, Gregory John (Bijou Clinger) of New York, Jeffrey Richard (Karin Burkhart) of Pittsburgh, PA, and Daniel McDowell (Leslie Webb) of Phoenix, MD. She is survived by ten treasured grandchildren: Nathaniel, Maren, Katharine, Graham, Sara, Samuel, Juliet, Solon, Elijah and Paige, as well as three great-grandchildren: Aida, Alma and Zora. She also leaves to mourn her dear brother-in-law William Rhinehart, husband of her late and adored sister Mary, as well as their six children who were dear to Janet’s heart.

Janet’s husband of 49 years, Andy, the former mayor of Steubenville (1960-70), was the love of her life. Janet was passionate about music, all things Chautauqua and getting together with friends. But with Andy, she put family above all else.

Janet will be remembered for her kindness, witty sense of humor, friendly and gentle demeanor, beauty, generous nature and willingness to welcome everyone – the more the merrier – into her homes. and in his life. His sons will hold a memorial service in Chautauqua on August 13 in Hurlbut Church. They will also hold a modest burial ceremony in Steubenville in September.

She will be missed by all who had the chance to know her.

Memorial donations in Janet’s name may be made to the Chautauqua Institution and earmarked for the Chautauqua Motet Choir.

Editorial: Tribune Thumbs – Albert Lea Tribune

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To have a full old Shopko building again.

Although some people expressed mixed feelings this week about the news that Dollar Tree will be opening a second store in Albert Lea in part of the old Shopko building at Northbridge Mall, we are delighted to see that building soon to be new full.

It’s no small feat recruiting companies, and we’re glad the space is being repurposed.

In addition to the Dollar Tree, Harbor Freight Tools opened last week in the north part of the building, and Big Lots is expected to open in the middle part around Halloween. Dollar Tree will be in the southernmost part of the building next to the rest of the mall.

We look forward to having these retail options in the community and are pleased with the continued growth currently taking place in the city.

At comfortable temperatures this week.

If you’ve been out this week, you can’t help but notice the drop in humidity and temperatures.

Wednesday’s high was in the lower 80s, and Thursday’s high was just 73.

We hope you were able to get out and enjoy it while you could, because warm weather is on the horizon – of course just in time for fair week.

Next week’s forecast calls for a high near 88 on Tuesday and a high near 97 on Wednesday.

We encourage people to take precautions if you are traveling to the fair, including staying hydrated; wear loose, lightweight, light-colored clothing; and wear sunscreen.

Take it easy and take advantage of cooling stations or air-conditioned places as much as possible. Be sure to watch your friends or neighbors and never leave children or pets in cars.

To the new partnership between Riverland Community College and Minnesota State University-Mankato.

We were thrilled to hear this week from Riverland Community College and Minnesota State University-Mankato announce a new collaborative agreement that will streamline the process for nursing students to earn a Bachelor of Science in Nursing. .

Through the Maverick Advance Plan, the Mankato-based college will provide 100% online training towards a registered nursing degree for those who receive their associate science nursing degree at Riverland.

Nurses who complete their associate degree at RCC will also earn 30 credits toward the RN degree at MSU.

The Riverland Dean of the Department of Nursing said it has historically been difficult to earn a bachelor’s degree in nursing because students had to be on campus, but the new program provides flexibility in this regard, allowing students to do it online.

We thank both colleges for working together to establish this partnership and know that it will be beneficial for students in this field.

This expands on a previous program between Riverland and Mankato State approved in 2015 that opened pathways to four-year degrees in Mankato.

MED and BMC fill critical roles with Cornell’s Anthony Hollenberg | UB today

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Fulfilling both an educational and medical role, Boston University School of Medicine and Boston Medical Center, BU’s primary teaching hospital, have hired Anthony “Tony” Hollenberg as the new chairman of MED’s Department of Medicine and Chief Medical Officer and Chief Medical Officer of BMC. Hollenberg, an endocrinologist who will also be a John Wade professor at MED, will arrive in the fall, replacing David Coleman, who announced his intention to retire in 2021.

“It’s clear that BMC’s mission is even bigger now,” Hollenberg said. UB today, a reference to the impact of Covid-19 on society. “We learned during the pandemic that people from underrepresented populations or with limited access to health care experienced greater illness and higher death rates, especially during the early stages of the pandemic.”

He described the pandemic as “an MRI of our health care system” because of how it exposed inequities in health care delivery. BMC, together with BU Academic Excellence, is poised to lead efforts to improve our health care system in Boston and across the country.

Hollenberg is currently chairman of the Joan and Sanford I. Weill Department of Medicine at Weill Cornell Medicine and chief medical officer of New York-Presbyterian/Weill Cornell Medical Center in New York City. Previously, he was Chief of the Division of Endocrinology, Diabetes, and Metabolism and Vice President of Mentoring at Beth Israel Deaconess Medical Center (BIDMC) and Professor of Medicine at Harvard Medical School.

A Toronto native (he admits he’s a Blue Jays fan but also loves the Bruins) and a leading physician-scientist specializing in endocrinology, Hollenberg completed his residency in internal medicine at BIDMC, followed by a clinical and research fellowship in Massachusetts. General Hospital. His work focuses on thyroid disorders, specifically studying the physiological and molecular mechanisms by which thyroid hormones regulate metabolism, including body weight.

His laboratory explored the foundations of thyroid gland development; he has published nearly 100 original studies.

In a joint memo, Karen Antman, Dean of MED and Provost of the Medical Campus, and Kate Walsh, President and CEO of BMC, wrote of Hollenberg: “Under her leadership, the department will cultivate and attract top talent. in academic medicine and research while also nurturing and mentoring emerging talent, advancing our core missions and further raising the national profile of BUSM/BMC.

Mentoring, Hollenberg said, is an important part of his role that he looks forward to. “Medical students are only better these days,” he says. “They know the world we live in better and are determined to have a greater impact. We need to train them to be extremely good at what they do and then to have an impact on society.

When Hollenberg spoke at Weill Cornell Medicine’s annual white coat ceremony last year, he talked about what it means to be a doctor in today’s trying times. “Donning the coat is a privilege, and with it comes great responsibility,” he said. “Indeed, the importance of the education you begin or the career you embark on cannot be overstated. It is a career and a profession steeped in tradition, but welcoming change based on new science, understanding the mistakes and inequalities of the past, and seeking innovations that will challenge and meet the needs unsatisfied doctors.

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